Procedures & surgery prices at Pointe Coupee General Hospital

New Roads, LA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acne surgery (10040) $566 $566 3.1×
Amputation metatarsal with toe single (28810) $8,867 $8,867 3.0×
Amputation thigh through femur any level (27590) $51,654 $51,654 17.4×
Application cast elbow finger short arm (29075) $744 $744 2.9×
Application finger splint static (29130) $180 $180 1.5×
Application long arm splint shoulder hand (29105) $433 $433 2.9×
Application Long Leg Splint (29505) $433 $433 2.9×
Application of long leg cast (29345) $744 $744 2.9×
Application of rigid total contact leg cast (29445) $744 $744 2.9×
Application short arm splint forearm-hand static (29125) $353 $353 2.9×
Application short leg splint calf foot (29515) $433 $433 2.9×
Application, cast; figure-of-eight Facility (29049) $744 $744 2.9×
Apply long arm cast (29065) $744 $744 2.9×
Apply Short Leg Cast (29405) $744 $744 2.9×
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) $12,369 $12,369 2.6×
Arterial puncture (36600) $353 $353 2.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $848 $848 3.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $848 $848 3.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $848 $848 3.1×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $566–$604 $566–$604 varies
Biopsy/removal lymph nodes (38510) $9,814 $9,814 2.8×
Bladder Scan (51798) $178 $178 3.3×
Blepharotomy drainage abscess eyelid (67700) $876 $876 3.0×
Blood Transfusion Service (36430) $1,257 $1,257 3.1×
Bx breast needle core w/o imaging guidance spx (19100) $4,446 $4,446 3.0×
Canthoplasty (67950) $6,269 $6,269 2.9×
Canthotomy Separate Procedure (67715) $6,269 $6,269 2.9×
Cataract surgery complex (66982) $6,549 $6,549 3.1×
Catheter aspiration nasotracheal spx (31720) $596 $596 3.0×
Chemical Cautery Tissue (17250) $566 $566 3.1×
Chest tube placement (32551) $5,284 $5,284 3.7×
Circumcision 28 days or older (54161) $5,739 $5,739 3.0×
Clear outer ear canal (69200) $353 $353 2.9×
Closed tx patellar dislocation w/o anesthesia (27560) $699 $699 3.1×
Closed tx radial&ulnar shaft fractures w/o man (25560) $699 $699 3.1×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $699 $699 3.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $699 $699 3.1×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $4,390 $4,390 3.0×
Clsd tx shoulder dislc w/manipulation req anes (23655) $4,390 $4,390 3.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $699 $699 3.1×
Cltx fx grt toe phlx/phlg w/manj (28495) $699 $699 3.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $699 $699 3.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $699 $699 3.1×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $800–$1,200 $800–$1,200 varies
Cltx iphal jt dislc w/manj w/o anes (26770) $699 $699 3.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $699 $699 3.1×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $4,390 $4,390 3.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $699 $699 3.1×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $16.95–$45 $16.95–$45 varies
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $3,253 $3,253 3.0×
Colonoscopy thru stoma (44388) $2,474 $2,474 2.9×
Colonoscopy w/fb removal (45379) $3,253 $3,253 3.0×
Colonoscopy w/submucosal inj (45381)
range across 3 matching MRF lines		 $2,174–$3,253 $2,174–$3,253 varies
Colpocentesis (57020) $13,837 $13,837 3.1×
Colsc Flexible W/Control Bleeding Any Method (45382) $3,253 $3,253 3.0×
Colsc flx w/removal lesion by hot bx forceps (45384) $3,253 $3,253 3.0×
Complex drainage wound (10180) $7,512 $7,512 2.9×
Conjunctivoplasty w/grf/xtnsv rearrangement (68320) $6,269 $6,269 2.9×
Control Nasal Hemorrhage Anterior Complex (30903) $353 $353 2.9×
Control Nasal Hemorrhage Anterior Simple (30901) $353 $353 2.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $353 $353 2.9×
Curette/treat cornea (65435) $2,614 $2,614 2.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $1,610 $1,610 4.4×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $7,512 $7,512 2.9×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,976 $1,976 3.1×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,976 $1,976 3.1×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,610 $1,610 2.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $4,446 $4,446 3.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,035 $1,035 2.8×
Declot vascular device (36593) $1,003 $1,003 3.4×
Delivery of placenta (59414) $8,092 $8,092 2.8×
Destruction premalignant lesion 1st (17000) $566 $566 3.1×
Diagnostic sigmoidoscopy (45330) $2,474 $2,474 2.9×
Dilate Esophagus 1/Mult Pass (43450) $4,049 $4,049 4.9×
Drainage Finger Abscess Complicated (26011) $4,446 $4,446 3.0×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $276–$566 $276–$566 varies
Drainage of hematoma/fluid (10140) $4,446 $4,446 3.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,035 $1,035 2.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $566 $566 3.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $566 $566 3.1×
Dx Bronchoscope/Lavage (31624) $4,634 $4,634 2.9×
Dx Bronchoscope/Wash (31622) $4,634 $4,634 2.9×
Dx gastr intub w/asp spec (43754) $820 $820 4.2×
Egd cautery tumor polyp (43250) $5,045 $5,045 2.9×
Egd control bleeding any (43255) $5,045 $5,045 2.9×
Egd Flexible Foreign Body Removal (43247) $2,546 $2,546 3.1×
Egd place gastrostomy tube (43246)
range across 3 matching MRF lines		 $2,174–$5,045 $2,174–$5,045 varies
Endoscopic us exam esoph (43237) $5,045 $5,045 2.9×
Evacuation of subungual hematoma (11740) $353 $353 2.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $4,446 $4,446 3.0×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,976 $1,976 3.1×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,976 $1,976 3.1×
Exc Lacrimal Gland Tumor Frontal Approach (68540) $6,269 $6,269 2.9×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $2,614 $2,614 2.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,976 $1,976 3.1×
Exc Skin Benig >4 Cm Remaindr Body (11426) $7,512 $7,512 2.9×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $4,446 $4,446 3.0×
Exc Skin Malig >4 Cm Remaindr Body (11626) $7,512 $7,512 2.9×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $4,446 $4,446 3.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $3,253 $3,253 3.0×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $4,446 $4,446 3.0×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $4,446 $4,446 3.0×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $6,269 $6,269 2.9×
Excision Chalazion Multiple Same Lid (67801) $2,614 $2,614 2.9×
Excision Chalazion Single (67800) $876 $876 3.0×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $4,446 $4,446 3.0×
Excision of single external papilla or tag, anus (46220) $3,900 $3,900 3.6×
Excision Pilonidal Cyst/Sinus Extensive (11771) $7,512 $7,512 2.9×
Excision, interdigital (morton) neuroma, single, each (28080) $4,390 $4,390 3.0×
Excision/Transposition Pterygium W/O Graft (65420) $6,269 $6,269 2.9×
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines		 $1,035–$1,200 $1,035–$1,200 varies
Fluoro exam of g/colon tube (49465) $755 $755 3.5×
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) $6,549 $6,549 3.1×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $2,474 $2,474 2.9×
I&d abscess peritonsillar (42700) $660 $660 3.1×
I&d abscess simple (10060) $566 $566 3.1×
I&d deep absc bursa/hematoma thigh/knee region (27301) $7,512 $7,512 2.9×
I&D Deep Absc/Hematoma Neck/Chest (21501) $7,512 $7,512 2.9×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $8,867 $8,867 3.0×
I&d pilonidal cyst complicated (10081) $1,976 $1,976 3.1×
I&d pilonidal cyst simple (10080) $1,976 $1,976 3.1×
I&d upper arm/elbow deep abscess/hematoma (23930) $7,512 $7,512 2.9×
Incise external hemorrhoid (46083) $761 $761 3.4×
Incision & drainage abscess complicated/multiple (10061) $1,035 $1,035 2.8×
Incision & removal foreign body subq tiss compl (10121) $4,446 $4,446 3.0×
Incision & removal foreign body subq tiss simple (10120) $1,035 $1,035 2.8×
Incision and drainage of bartholin's gland abscess (56420) $538 $538 2.9×
Incision and drainage of vulva or perineal abscess (56405) $877 $877 3.2×
Incision extensor tendon sheath wrist (25000) $4,390 $4,390 3.0×
Incision of rectal abscess (46040) $3,253 $3,253 3.0×
Incisional biopsy eyelid skin & lid margin (67810) $876 $876 3.0×
Initial Tx 1st Degree Burn Local Tx (16000) $566 $566 3.1×
Injection 1 tendon sheath/ligament aponeurosis (20550) $848 $848 3.1×
Injection single/mlt trigger point 3/> muscles (20553) $848 $848 3.1×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $2,025 $2,025 3.2×
Insert Bladder Cath Complex (51703) $448 $448 3.8×
Insert non-tunnel cv cath (36556) $5,284 $5,284 1.8×
Insert Temp Bladder Cath (51702) $353 $353 2.9×
Insert,Non-Indwelling Bladder Catheter (51701) $353 $353 2.9×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $6,549 $6,549 3.1×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $5,284 $5,284 3.7×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,035 $1,035 2.8×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,035 $1,035 2.8×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $660–$760 $660–$760 varies
Laryngoscopy diagnostic (31505) $507 $507 2.8×
Laryngoscopy W/Foreign Body Removal (31530) $4,634 $4,634 2.9×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $2,714 $2,714 7.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $975.50 $975.50 2.3×
Ocular Surface Reconstruction Amniotic Membrane (65780) $10,129 $10,129 2.8×
Open treatment interphalangeal joint dislocation (28675) $8,867 $8,867 3.0×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $8,867 $8,867 3.0×
Open Tx Distal Phalangeal Fracture Each (26765) $8,867 $8,867 3.0×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $19,377 $19,377 2.9×
Placement of needle for intraosseous infusion (36680) $1,178 $1,178 2.9×
Plastic Repair Canaliculi (68700) $6,269 $6,269 2.9×
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $6,269 $6,269 2.9×
Probe nl duct w/balloon (68816) $6,269 $6,269 2.9×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $7,593 $7,593 3.0×
Puncture aspiration abscess hematoma bulla/cyst (10160) $1,035 $1,035 2.8×
Puncture Aspiration Cyst Breast (19000) $1,976 $1,976 3.1×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $4,446 $4,446 3.0×
Removal foreign body upper arm/elbow deep (24201) $7,512 $7,512 2.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $178 $178 3.3×
Removal impacted vag fb spx w/anes oth/thn local (57415) $8,092 $8,092 2.8×
Removal or bivalving full arm or full leg cast (29705) $744 $744 2.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $566 $566 3.1×
Removal/bivalving gauntlet boot/body cast (29700) $744 $744 2.9×
Remove foreign body from eye (65235) $6,549 $6,549 3.1×
Remove foreign body from eye (65205) $353 $353 2.9×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $353–$480 $353–$480 varies
Remove Shoulder Foreign Body (23330) $1,976 $1,976 1.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,610 $1,610 2.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,610 $1,610 2.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,035 $1,035 2.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,610 $1,610 4.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,610 $1,610 4.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,610 $1,610 4.4×
Repair complex trunk 1.1-2.5 cm (13100) $1,610 $1,610 2.4×
Repair complex trunk 2.6-7.5 cm (13101) $1,610 $1,610 2.4×
Repair Ectropion Thermocauterization (67915) $6,269 $6,269 2.9×
Repair Entropion Suture (67921) $6,269 $6,269 2.9×
Repair inguinal hernia, sliding, any age (49525) $10,072 $10,072 3.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,035 $1,035 2.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,035 $1,035 2.8×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,035 $1,035 2.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,035 $1,035 2.8×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,684 $1,684 4.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,610 $1,610 2.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $1,035 $1,035 2.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,035 $1,035 2.8×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,610 $1,610 2.4×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $5,257 $5,257 2.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $5,257 $5,257 14.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,035 $1,035 2.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,035 $1,035 2.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,610 $1,610 2.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,035 $1,035 2.8×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,684 $1,684 0.9×
Repair of entropion; thermocauterization (67922) $6,269 $6,269 2.9×
Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Facility (65272) $6,269 $6,269 2.9×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $6,549 $6,549 3.1×
Revj/rpr oprative wound anterior segment (66250) $6,269 $6,269 2.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $1,178 $1,178 2.9×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $353 $353 2.9×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $7,512 $7,512 2.9×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $4,446 $4,446 3.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,042 $2,042 1.4×
Rmvl Vitreous Ant Appr Partial Removal (67005) $6,549 $6,549 3.1×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $6,549 $6,549 3.1×
Rplc Gtube No Revj Trc (43762) $761 $761 3.4×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $5,284 $5,284 3.7×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $6,269 $6,269 2.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $566 $566 3.1×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,035 $1,035 1.5×
Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) $6,549 $6,549 3.1×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $2,042 $2,042 3.6×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $2,474 $2,474 2.9×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $3,253 $3,253 3.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $2,474 $2,474 2.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,035 $1,035 2.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $566 $566 3.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $566 $566 3.1×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,035 $1,035 2.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $566 $566 3.1×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $566 $566 3.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 5 matching MRF lines		 $566–$728 $566–$728 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $566 $566 3.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $566 $566 3.1×
Skin sub graft face/nk/hf/g (15275) $5,257 $5,257 7.9×
Skin sub graft trnk/arm/leg (15271) $5,257 $5,257 7.9×
Skin sub grft t/arm/lg child (15273) $9,644 $9,644 5.2×
Skn sub grft f/n/hf/g child (15277) $5,257 $5,257 2.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $566 $566 3.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,035 $1,035 2.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,035 $1,035 2.8×
Spinal puncture lumbar diagnostic (62270) $2,025 $2,025 3.2×
Strapping ankle (29540) $433 $433 2.9×
Strapping elbow or wrist (29260) $152 $152 2.8×
Strapping hand/finger (29280) $138 $138 2.6×
Strapping knee (29530) $353 $353 2.9×
Strapping shoulder (29240) $353 $353 2.9×
Strapping thorax (29200) $433 $433 2.9×
Strapping toes (29550) $178 $178 3.3×
Strapping Unna Boot (29580) $433 $433 2.9×
Temple bone implant revision (69717) $19,377 $19,377 2.9×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,425 $1,425 6.6×
Tracheostomy Emergency Procedure Transtracheal (31603) $4,371 $4,371 3.1×
Treat Thumb Dislocation (26641) $699 $699 3.1×
Treat toe dislocation (28630) $699 $699 3.1×
Treatment Closed Elbow Dislocation Req Anes (24605) $4,390 $4,390 3.0×
Trim skin lesion (11055) $566 $566 3.1×
Tx Gastro Intub W/Asp (43753) $820 $820 4.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,610 $1,610 2.4×
Tx superficial wound dehiscence w/packing (12021) $1,035 $1,035 2.8×
Vaginal delivery only (59409) $8,092 $8,092 2.8×
Vasectomy uni/bi spx w/postop semen exams (55250) $5,739 $5,739 3.0×

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.