Procedures & surgery prices at Stonewall Memorial Hospital District

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

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $450 $600 0.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $417.38 $556.50 0.5×
Application cast elbow finger short arm (29075) $319.50 $426 1.1×
Application Cast Finger (29086) $159.75 $213 1.0×
Application Cast Hand & Lower Forearm Gauntlet (29085) $159.75 $213 1.0×
Application cast shoulder hand long arm (29065) $222.75 $297 0.8×
Application finger splint static (29130) $148.12 $197.50 1.1×
Application long arm splint shoulder hand (29105) $159.75 $213 1.0×
Application long leg splint thigh ankle/toes (29505) $148.12 $197.50 0.9×
Application short arm splint forearm-hand static (29125) $157.12 $209.50 1.2×
Application short leg splint calf foot (29515) $296.25 $395 1.8×
Apply long leg cast brace (29358) $319.50 $426 1.1×
Apply short leg cast (29405) $319.50 $426 1.1×
Arterial puncture (36600) $216 $288 1.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $553.50 $738 1.8×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,298.25 $1,731 1.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $553.50 $738 1.8×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $224.62 $299.50 0.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $187.88 $250.50 0.6×
Avulsion nail plate partial/complete simple 1 (11730) $293.25 $391 1.5×
Biopsy external ear (69100) $238.88 $318.50 1.0×
Bladder Irrigation Simple (51700) $158.25 $211 0.6×
Blood transfusion service (36430) $792.38 $1,056.50 1.8×
Chemical Cautery Tissue (17250) $69 $92 0.3×
Chemodenerv 1 extrem 5/> mus (64644) $713.62 $951.50 1.0×
Chemodenerv 1 extremity 1-4 (64642) $152.25 $203 0.2×
Chest tube placement (32551) $495 $660 0.3×
Close Rx Fingr Articular Fx,Manip (26742) $225.75 $301 0.1×
Closed Rx Humer Epicondylr Fx,Manip (24565) $225.75 $301 0.1×
Closed Rx Med Malleolus Fx,Manip (27762) $1,106.25 $1,475 0.7×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $609.75 $813 0.4×
Closed tx ankle dislocation w/o anesthesia (27840) $225.75 $301 0.9×
Closed tx calcaneal fracture w/o manipulation (28400) $225.75 $301 0.9×
Closed tx carpal scaphoid fracture w/manj (25624) $673.50 $898 0.4×
Closed tx femoral fracture prox head w manip (27268) $262.50 $350 0.2×
Closed tx radial head/neck fx w/manipulation (24655) $511.12 $681.50 0.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $59.25 $79 0.2×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $495 $660 2.1×
Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) $699 $932 1.3×
Clsd tx clavicular fracture w/o manipulation (23500) $225.75 $301 0.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $511.50 $682 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $469.12 $625.50 1.9×
Cltx dstl fibular fx lat malls w/o manj (27786) $225.75 $301 0.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $225.75 $301 0.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $3,000.75 $4,001 1.9×
Cltx fx grt toe phlx/phlg w/manj (28495) $225.75 $301 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $225.75 $301 0.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $197.25 $263 0.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $225.75 $301 0.9×
Cltx metacarpal fx w/manipulation each bone (26605) $225.75 $301 0.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $225.75 $301 0.9×
Cltx metatarsophlngl jt dislc w/o anes (28630) $216.38 $288.50 0.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $457.35 $609.80 1.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $298.88 $398.50 1.2×
Cltx trimalleolar ankle fx w/manipulation (27818) $673.50 $898 0.4×
Control Nasal Hemorrhage Anterior Complex (30903) $142.50 $190 1.1×
Control Nasal Hemorrhage Anterior Simple (30901) $174 $232 1.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $219.75 $293 1.6×
Debridement Mastoidectomy Cavity Simple (69220) $120.75 $161 0.6×
Debridement subcutaneous tissue 20 sq cm/< (11042) $354 $472 0.9×
Destruc Benign/Premal,15+ Lesions (17004) $354 $472 0.9×
Destruction Benign Lesions Up To 14 (17110) $248.25 $331 1.2×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $438 $584 2.2×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $725.25 $967 1.0×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $238.50 $318 1.2×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $366.75 $489 0.9×
Destruction premalignant lesion 1st (17000) $236.25 $315 1.2×
Drain/inj small joint/bursa w/us (20604) $553.50 $738 1.8×
Drainage abscess/hematoma nasal int approach (30000) $388.50 $518 1.6×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,191.75 $1,589 1.7×
Drainage Finger Abscess Complicated (26011) $2,694 $3,592 1.6×
Drainage Finger Abscess Simple (26010) $257.25 $343 1.3×
Drainage of gum lesion (41800) $246.38 $328.50 1.8×
Drainage of hematoma/fluid (10140) $816.75 $1,089 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $749.25 $999 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $197.25 $263 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $178.88 $238.50 0.9×
Egd place gastrostomy tube (43246) $375.75 $501 0.2×
Evacuation of subungual hematoma (11740) $53.25 $71 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,663.12 $2,217.50 1.0×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $1,686.75 $2,249 1.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $379.12 $505.50 0.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $678.75 $905 0.4×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $616.12 $821.50 0.9×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $470.62 $627.50 1.2×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $312 $416 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $629.25 $839 0.9×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $1,072.50 $1,430 0.6×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $781.50 $1,042 0.5×
Exc Skin Benig >4 Cm Face,Facial (11446) $1,869 $2,492 0.6×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,869 $2,492 0.6×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $964.50 $1,286 0.6×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $985.50 $1,314 0.6×
Exc Skin Malig >4 Cm Face,Facial (11646) $1,869 $2,492 0.6×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,473 $1,964 0.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $926.62 $1,235.50 0.6×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $263.25 $351 0.2×
Exc tr-ext b9+marg 0.5 cm or less (11400) $735 $980 1.0×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $396 $528 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $434.25 $579 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $459.75 $613 1.1×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $672.75 $897 0.9×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,029 $1,372 1.4×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $567.75 $757 0.8×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $593.25 $791 0.8×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $618.75 $825 0.9×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $1,262.25 $1,683 0.8×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $397.12 $529.50 0.2×
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $435 $580 0.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $985.50 $1,314 1.4×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $1,029 $1,372 0.6×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,262.25 $1,683 0.8×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $417.38 $556.50 0.6×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $985.50 $1,314 1.4×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $661.88 $882.50 0.4×
Excision of lesion other than skin tag </= 0.5 cm (11420) $568.88 $758.50 0.3×
Excision of nail fold toe (11765) $157.12 $209.50 0.4×
Exploration penetrating wound spx extremity (20103) $1,224.75 $1,633 0.7×
Gastric Intubation/Aspiration, Therapeutic (43753) $207 $276 1.0×
I&d abscess simple (10060) $282 $376 1.4×
I&d perianal abscess superficial (46050) $699.38 $932.50 0.7×
I&d pilonidal cyst simple (10080) $190.50 $254 0.3×
I&d submucosal abscess rectum (45005) $300.75 $401 0.3×
Incision & drainage abscess complicated/multiple (10061) $543.38 $724.50 1.3×
Incision & drainage leg/ankle abscess/hematoma (27603) $2,760.75 $3,681 0.9×
Incision & removal foreign body subq tiss compl (10121) $2,250 $3,000 1.4×
Incision & removal foreign body subq tiss simple (10120) $470.25 $627 1.2×
Incision and drainage of vulva or perineal abscess (56405) $395.62 $527.50 1.3×
Incision of rectal abscess (46040) $1,986 $2,648 1.7×
Incision thrombosed hemorrhoid external (46083) $229.88 $306.50 0.9×
Incisional biopsy skin single lesion (11106) $453 $604 0.6×
Initial tx 1st degree burn local tx (16000) $236.25 $315 1.2×
Inj tendon sheath/ligament (20550) $191.25 $255 0.6×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $237.38 $316.50 0.8×
Inject Nerv Blck,Intercostal,One (64420) $280.50 $374 0.4×
Injection aa&/strd suprascapular nerve (64418) $567.75 $757 0.8×
Injection aa&/strd trigeminal nerve each branch (64400) $322.88 $430.50 1.0×
Injection anes other peripheral nerve/branch (64450) $264.38 $352.50 0.4×
Injection single/mlt trigger point 1/2 muscles (20552) $308.25 $411 1.0×
Injection single/mlt trigger point 3/> muscles (20553) $211.50 $282 0.7×
Injection, anesthetic agent; greater occipital nerve (64405) $348.38 $464.50 1.1×
Injection, intralesional; up to and including 7 lesions (11900) $161.25 $215 0.8×
Insert Bladder Cath Complex (51703) $202.88 $270.50 1.6×
Insert Drug Implant Device (11981) $137.25 $183 1.0×
Insert non-tunnel cv cath (36556) $4,468.50 $5,958 1.4×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $161.25 $215 0.1×
Insert Temp Bladder Cath (51702) $144 $192 1.1×
Insert,Non-Indwelling Bladder Catheter (51701) $150 $200 1.1×
Intubation endotracheal emergency procedure (31500) $405 $540 1.7×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $267.38 $356.50 0.6×
Perq replacement gtube not req revj gstrst trc (43762) $230.62 $307.50 0.9×
Placement of needle for intraosseous infusion (36680) $285 $380 0.6×
Punch biopsy skin single lesion (11104) $230.25 $307 0.6×
Puncture Aspiration (10160) $299.25 $399 0.7×
Removal fb intranasal (30300) $146.62 $195.50 1.1×
Removal foreign body foot subcutaneous (28190) $618 $824 0.9×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $273 $364 0.2×
Removal foreign body pharynx (42809) $84 $112 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $25.50 $34 0.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $62.25 $83 1.1×
Removal of nail bed (11750) $364.50 $486 0.9×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $128.62 $171.50 0.6×
Removal/bivalving gauntlet boot/body cast (29700) $216 $288 0.8×
Remove drug implant device (11982) $153.38 $204.50 0.3×
Remove shoulder foreign body (23330) $985.50 $1,314 0.6×
Remv Ext Canal Foreign Body (69200) $162.75 $217 1.2×
Remv F.B.,Eye,Superf Conjunc (65205) $148.12 $197.50 1.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $693.75 $925 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $678.38 $904.50 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $441 $588 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $664.50 $886 1.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $429 $572 1.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $814.12 $1,085.50 2.0×
Repair complex trunk 1.1-2.5 cm (13100) $520.88 $694.50 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $578.62 $771.50 0.8×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $500.25 $667 1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $662.25 $883 1.6×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $408 $544 1.0×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $519 $692 1.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $432.38 $576.50 1.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $481.50 $642 1.2×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $537.75 $717 1.3×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $462.75 $617 0.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $209.25 $279 0.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $389.25 $519 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $420.75 $561 0.6×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $500.25 $667 0.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $546.38 $728.50 1.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $353.62 $471.50 0.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $443.25 $591 1.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $511.88 $682.50 0.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $422.62 $563.50 1.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $519 $692 0.3×
Repair of nail bed (11760) $179.25 $239 0.2×
Repair Tongue Laceration (41250) $285 $380 0.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $519.75 $693 1.2×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $481.50 $642 0.6×
Rpr Lip Full Thickness Vermilion Only (40650) $828.38 $1,104.50 1.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $104.25 $139 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $189 $252 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $97.50 $130 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $126.75 $169 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $132 $176 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $180.75 $241 0.4×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $93 $124 0.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $123.38 $164.50 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $180.75 $241 0.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $112.50 $150 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $180.75 $241 0.4×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $132 $176 0.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $171 $228 0.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $252 $336 1.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $259.50 $346 1.3×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $177 $236 0.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $235.50 $314 1.2×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $276 $368 1.4×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $424.50 $566 2.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $252 $336 1.3×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $177 $236 0.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $269.25 $359 1.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $185.62 $247.50 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $464.62 $619.50 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $195.75 $261 0.5×
Spinal puncture lumbar diagnostic (62270) $854.25 $1,139 1.2×
Strapping ankle (29540) $62.62 $83.50 0.4×
Strapping elbow/wrist (29260) $74.62 $99.50 1.3×
Strapping hand/finger (29280) $111.75 $149 1.9×
Strapping knee (29530) $63.75 $85 0.5×
Strapping shoulder (29240) $138.75 $185 1.0×
Strapping toes (29550) $63.38 $84.50 1.1×
Tangential biopsy skin single lesion (11102) $222.75 $297 0.5×
Thoracentesis needle/cath pleura w/o imaging (32554) $169.50 $226 0.3×
Trach Tube Change (31502) $171 $228 0.7×
Treat Metatarsal Fracture (28475) $225.75 $301 0.9×
Treatment closed elbow dislocation w/o anes (24600) $352.50 $470 1.4×
Trim skin lesion (11055) $112.50 $150 0.6×
Trim skin lesions 2 to 4 (11056) $155.25 $207 0.8×
Trimming Of Nondystrophic Nails, Any Number (11719) $58.50 $78 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $507.38 $676.50 0.7×
Vaginal delivery only (59409) $1,497 $1,996 0.5×
Venipuncture (36415) $9.75 $13 1.0×
Wedging of cast (29740) $129.75 $173 0.5×