Procedures & surgery prices at Palo Pinto General Hospital

Mineral Wells, TX · every code in this section with a posted price and a Medicare benchmark.

143 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
$504.95–$605.30 $1,009.90–$1,210.60 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $605.30 $1,210.60 0.7×
Amniocentesis diagnostic (59000) $850.50 $1,701 0.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $3,153.15 $6,306.30 1.0×
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure
$2,866.50 $5,733 0.4×
Anoscopy W/Rmvl Foreign Body (46608) $859.95 $1,719.90 0.9×
Application cast elbow finger short arm (29075) $180.80 $361.60 0.6×
Application finger splint static (29130) $180.80 $361.60 1.4×
Application long arm splint shoulder hand (29105) $436.05 $872.10 2.7×
Application Long Leg Splint (29505) $292.75 $585.50 1.8×
Application of rigid total contact leg cast (29445) $356 $712 1.3×
Application short arm splint forearm-hand static (29125) $269.60 $539.20 2.0×
Application short leg splint calf foot (29515) $252.50 $505 1.5×
Apply hand/wrist cast (29085) $86 $172 0.5×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines
$209–$313 $418–$626 varies
Apply Short Leg Cast (29405) $180.80 $361.60 0.6×
Arterial puncture (36600)
range across 2 matching MRF lines
$92.10–$136.50 $184.20–$273 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $286.65 $573.30 0.9×
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines
$504.95–$687.95 $1,009.90–$1,375.90 varies
Aspirate Pleura W/O Imaging (32554) $630.65 $1,261.30 1.0×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines
$86–$176.50 $172–$353 varies
Biopsy Abdominal Mass (49180) $859.95 $1,719.90 0.5×
Bladder Irrigation (51700)
range across 2 matching MRF lines
$143.35–$323.50 $286.70–$647 varies
Bladder Scan (51798) $120.75 $241.50 2.0×
Blood Transfusion Service (36430)
range across 2 matching MRF lines
$325–$725.45 $650–$1,450.90 varies
Bone Marrow Biopsy (38221) $43.05 $86.10 0.0×
Bone Marrow; Aspiration Only (38220) $119.70 $239.40 0.1×
Bx breast 1st lesion strtctc (19081) $1,760 $3,520 1.1×
Bx breast needle core w/o imaging guidance spx (19100) $1,605.25 $3,210.50 1.0×
Canthotomy Separate Procedure (67715) $950 $1,900 0.4×
Catheter aspiration nasotracheal spx (31720) $86 $172 0.4×
Change Cystostomy Tube Complicated (51710) $636.70 $1,273.40 0.9×
Change Cystostomy Tube Simple (51705) $344 $688 1.4×
Change of Windpipe Airway (31502) $175 $350 0.7×
Chemical Cautery Tissue (17250) $265.50 $531 1.3×
Chest tube placement (32551) $395.80 $791.60 0.3×
Clear outer ear canal (69200) $168 $336 1.3×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,278.90 $2,557.80 0.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $86 $172 0.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $297.50 $595 1.2×
Collect Blood From Catheter Venous Nos (36592) $71.65 $143.30 0.5×
Collection of venous blood by venipuncture (36415)
range across 6 matching MRF lines
$3.50–$11.05 $7–$22.10 varies
Complex drainage wound (10180) $3,762.50 $7,525 1.3×
Control Nasal Hemorrhage Anterior Complex (30903) $86 $172 0.6×
Control Nasal Hemorrhage Anterior Simple (30901) $86 $172 0.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $86 $172 0.6×
Curette/treat cornea (65435) $917.30 $1,834.60 0.9×
Cystourethroscopy (52000) $767 $1,534 1.1×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $859.95 $1,719.90 1.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $832 $1,664 1.1×
Debride nail 1-5 (11720) $81 $162 1.4×
Debride nail 6 or more (11721) $81 $162 1.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,147 $4,294 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $528 $1,056 1.3×
Destruction premalignant lesion 1st (17000) $86 $172 0.4×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$934.90–$2,147 $1,869.80–$4,294 varies
Draw Blood Off Venous Device (36591) $71.65 $143.30 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines
$114.65–$352 $229.30–$704 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines
$114.65–$265.50 $229.30–$531 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $255.25 $510.50 1.3×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $2,415 $4,830 1.2×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $2,415 $4,830 1.2×
Epidural Blood Patch (62273) $745.30 $1,490.60 1.1×
Evacuation of subungual hematoma (11740) $86 $172 0.6×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $613.55 $1,227.10 0.9×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $859.95 $1,719.90 0.6×
Expl penetrating wound spx abdomen/flank/back (20102) $1,565.55 $3,131.10 0.8×
Exploration penetrating wound spx extremity (20103) $1,186.85 $2,373.70 0.7×
Exploration Penetrating Wound Spx Neck (20100) $562.30 $1,124.60 1.0×
Eye Surg Ant Sgmt Proc Unlisted (66999) $264.10 $528.20 0.1×
Fetal Contraction Stress Test (59020) $237.05 $474.10 1.2×
Fetal non-stress test (59025) $154.95 $309.90 0.8×
Fine needle aspiration without imaging guidance (10021) $229.30 $458.60 0.6×
Foreskin manipulation (54450) $218.30 $436.60 0.9×
I&d abscess simple (10060) $265.50 $531 1.3×
I&d pilonidal cyst complicated (10081) $932 $1,864 1.3×
I&d pilonidal cyst simple (10080) $932 $1,864 1.3×
Incision & drainage abscess complicated/multiple (10061) $528 $1,056 1.3×
Incision & removal foreign body subq tiss compl (10121) $2,147 $4,294 1.3×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$206.75–$352 $413.50–$704 varies
Incision and drainage of vulva or perineal abscess (56405) $194.25 $388.50 0.6×
Incisional biopsy skin single lesion (11106) $554.50 $1,109 0.7×
Initial Tx 1st Degree Burn Local Tx (16000) $86 $172 0.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $859.95 $1,719.90 1.0×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines
$86–$190.50 $172–$381 varies
Insert cath pleura w/o image (32556) $1,719.90 $3,439.80 0.9×
Insert cervical dilator (59200) $301 $602 1.0×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines
$825.80–$1,026.45 $1,651.60–$2,052.90 varies
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines
$60.65–$197.95 $121.30–$395.90 varies
Insert tunneled cv cath (36561) $2,757.95 $5,515.90 0.9×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines
$71.65–$143.35 $143.30–$286.70 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $840.10 $1,680.20 0.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,852.20 $3,704.40 0.6×
Intubation endotracheal emergency procedure (31500) $206.75 $413.50 0.9×
Irrigation of corpora cavernosa for priapism (54220) $254.36 $508.71 1.0×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $3,153.15 $6,306.30 0.5×
Needle insertion w/o injection 3 or more muscles (20561) $25 $50 0.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $186.35 $372.70 0.6×
Penile Injection (54235) $240.87 $481.74 1.0×
Pericardiocentesis W/Imaging (33016) $1,200 $2,400 0.8×
Perirectal inj sclerosing solution prolapse (45520) $800 $1,600 0.9×
Perq dev breast 1st strtctc (19283)
range across 3 matching MRF lines
$796–$1,050 $1,592–$2,100 varies
Placement of needle for intraosseous infusion (36680) $86 $172 0.2×
Punch biopsy skin single lesion (11104) $264 $528 0.6×
Puncture aspiration abscess hematoma bulla/cyst (10160) $528 $1,056 1.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $86 $172 1.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$57.35–$86 $114.70–$172 varies
Removal of foreign body from pharynx (42809) $86 $172 0.2×
Removal of nail bed (11750)
range across 2 matching MRF lines
$332.50–$332.95 $665–$665.90 varies
Removal or bivalving full arm or full leg cast (29705) $86 $172 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $68.95 $137.90 0.3×
Remove drug implant device (11982) $117.95 $235.90 0.3×
Remove foreign body from eye (65205) $86 $172 0.6×
Remove Intrauterine Device (58301) $109.15 $218.30 0.4×
Repair Blood Vessel Direct Upper Extremity (35206) $2,178.55 $4,357.10 0.7×
Repair of nail bed (11760) $258 $516 0.3×
Repair Rotator Cuff Chronic (23412)
unusually low: confirm this is the full procedure
$3,365.40 $6,730.80 0.5×
Replace g/c tube perc (49450) $693 $1,386 0.8×
Reposition Gastrostomy Tube (43761) $642.25 $1,284.50 2.6×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
likely a partial charge, not the full procedure
$3,153.15 $6,306.30 0.2×
Rplc Gtube No Revj Trc (43762) $344 $688 1.4×
Skin sub graft face/nk/hf/g (15275) $1,483.50 $2,967 2.0×
Skin sub graft trnk/arm/leg (15271) $1,483.50 $2,967 2.0×
Skin sub grft t/arm/lg child (15273) $2,991.50 $5,983 1.4×
Skn sub grft f/n/hf/g child (15277) $1,483.50 $2,967 0.7×
Spinal puncture lumbar diagnostic (62270) $275.65 $551.30 0.4×
Strapping shoulder (29240) $86 $172 0.6×
Strapping Unna Boot (29580)
range across 2 matching MRF lines
$209–$313 $418–$626 varies
Tangential biopsy skin single lesion (11102) $265.50 $531 0.7×
Thrombolytic Therapy Stroke (37195) $229.30 $458.60 0.7×
Tooth extraction (41899) $86 $172 0.4×
Tracheostomy Emergency Cricothyroid Membrane (31605) $562.30 $1,124.60 2.4×
Trim skin lesion (11055)
range across 2 matching MRF lines
$132.50–$262.50 $265–$525 varies
Trim skin lesions 2 to 4 (11056) $177 $354 0.9×
Trim skin lesions over 4 (11057) $221 $442 1.1×
Trimming Nondystrophic Nails Any Number (11719) $54 $108 0.9×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
likely a partial charge, not the full procedure
$2,006.55 $4,013.10 0.3×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $3,153.15 $6,306.30 0.5×
Unlisted procedure nervous system (64999) $286.65 $573.30 0.9×
Unlisted procedure stomach (43999) $802.60 $1,605.20 0.9×
Unlisted Procedure, Urinary System (53899) $172 $344 0.7×
Vaginal Delivery After Cesarean Delivery (59612) $2,467.50 $4,935 0.8×
Vaginal delivery only (59409) $1,468 $2,936 0.5×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.