Procedures & surgery prices at Sutter Tracy Community Hospital

Tracy, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $3,722 $3,722 3.1×
Allogeneic lymphocyte infusions (38242) $5,374 $5,374 2.6×
Amniocentesis diagnostic (59000) $1,040 $1,040 0.9×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $1,845 $1,845 4.6×
Anal/Urinary Muscle Study (51784) $982 $982 5.8×
Application Finger Splint Dynamic (29131) $410 $410 5.3×
Application finger splint static (29130) $504 $504 2.9×
Application long arm splint shoulder hand (29105) $727 $727 3.4×
Application of rigid total contact leg cast (29445) $957 $957 2.6×
Application Short Arm Splint Dynamic (29126) $502 $502 2.9×
Application short arm splint forearm-hand static (29125) $682 $682 3.9×
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines
$668–$1,002 $668–$1,002 varies
Arterial puncture (36600)
range across 2 matching MRF lines
$307–$340 $307–$340 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $1,808 $1,808 4.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines
$1,865–$2,798 $1,865–$2,798 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,832 $1,832 4.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $1,751 $1,751 4.3×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines
$3,570–$5,355 $3,570–$5,355 varies
Aspirate Pleura W/O Imaging (32554) $3,042 $3,042 3.7×
Aspirate/Inj Ganglion Cyst (20612) $930 $930 2.3×
Aspiration and/or injection thyroid cyst (60300) $2,333 $2,333 2.5×
Biopsy Abdominal Mass (49180) $4,158 $4,158 1.9×
Biopsy Bone Trocar/Needle Superficial (20220) $4,069 $4,069 1.9×
Biopsy muscle percutaneous needle (20206) $3,765 $3,765 1.7×
Biopsy of liver, needle; percutaneous (47000) $4,472 $4,472 2.1×
Biopsy Pleura Percutaneous Needle (32400) $5,156 $5,156 2.4×
Biopsy Salivary Gland Needle (42400) $2,847 $2,847 3.0×
Biopsy Soft Tissue Back/Flank Superficial (21920) $533 $533 0.2×
Biopsy soft tissue neck/thorax (21550) $5,525 $5,525 2.5×
Biopsy soft tissue thigh/knee area superficial (27323) $5,123 $5,123 2.4×
Bladder instillation anticarcinogenic agent (51720) $4,750 $4,750 5.2×
Bladder Irrigation (51700) $1,338 $1,338 4.1×
Bladder Scan (51798) $451 $451 5.8×
Blood Transfusion Service (36430)
range across 4 matching MRF lines
$807–$3,226 $807–$3,226 varies
Bone Marrow Biopsy (38221) $3,843 $3,843 1.8×
Bone Marrow; Aspiration Only (38220) $3,786 $3,786 1.7×
Bx breast 1st lesion mr imag (19085) $6,402 $6,402 2.9×
Bx breast 1st lesion strtctc (19081) $5,852 $5,852 2.7×
Bx breast 1st lesion us imag (19083) $5,149 $5,149 2.4×
Bx breast needle core w/o imaging guidance spx (19100) $3,770 $3,770 1.7×
Catheter aspiration nasotracheal spx (31720) $414 $414 1.4×
Change Cystostomy Tube Simple (51705) $1,264 $1,264 3.8×
Chemical Cautery Tissue (17250) $686 $686 2.6×
Chest tube placement (32551) $3,629 $3,629 1.7×
Circumcision w/clamp/oth dev w/block (54150) $553 $553 0.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $4,953 $4,953 2.3×
Collect Blood From Catheter Venous Nos (36592)
range across 4 matching MRF lines
$411–$496 $411–$496 varies
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines
$6–$50 $6–$50 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $5,190 $5,190 2.4×
Cystometrogram W/Vp (51728) $2,497 $2,497 2.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $2,640 $2,640 4.9×
Declot vascular device (36593) $1,231 $1,231 2.8×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines
$6,599–$9,898 $6,599–$9,898 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines
$5,619–$8,428 $5,619–$8,428 varies
Destruction by neurolytic agent, intercostal nerve (64620) $4,933 $4,933 4.2×
Destruction by neurolytic agent; pudendal nerve (64630) $2,616 $2,616 2.2×
Destruction neurolytic agt genicular nerve w/img (64624) $7,731 $7,731 3.0×
Drain Cerebro Spinal Fluid (62272) $3,977 $3,977 4.3×
Drain/inj small joint/bursa w/us (20604) $2,110 $2,110 5.2×
Draw Blood Off Venous Device (36591)
range across 4 matching MRF lines
$381–$421 $381–$421 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines
$5,398–$8,097 $5,398–$8,097 varies
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $4,101 $4,101 3.5×
Dx lmbr spi pnxr w/fluor/CT (62328) $3,015 $3,015 3.2×
Egd place gastrostomy tube (43246) $7,305 $7,305 2.9×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $1,255 $1,255 3.1×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $1,659 $1,659 4.1×
Electro-Uroflowmetry First (51741) $702 $702 2.5×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $5,413 $5,413 2.0×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $4,881 $4,881 1.8×
Epidural Blood Patch (62273) $3,344 $3,344 3.6×
Epidural lysis mult sessions (62263) $5,695 $5,695 4.9×
Ercp duct stent placement (43274) $9,722 $9,722 1.2×
External cephalic version (59412) $2,590 $2,590 0.6×
Fetal non-stress test (59025) $993 $993 3.7×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $3,412 $3,412 3.7×
Fluoro exam of g/colon tube (49465) $1,683 $1,683 5.3×
Fna Bx W/Fluor Gdn 1St Les (10007) $3,370 $3,370 3.6×
Fna bx w/us gdn 1st les (10005) $2,803 $2,803 3.0×
Guide Cathet Fluid Drainage (10030) $3,023 $3,023 3.2×
Image Cath Fluid Colxn Visc (49405) $4,928 $4,928 2.3×
Image Cath Fluid Peri/Retro (49406) $5,286 $5,286 2.4×
Image Cath Fluid Trns/Vgnl (49407) $6,014 $6,014 2.8×
Implant neuroelectrodes (63650) $16,128 $16,128 1.9×
Incision of lingual frenum (frenotomy) (41010) $252 $252 0.1×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines
$4,609–$6,914 $4,609–$6,914 varies
Inj W/Fluor Eval Cv Device (36598) $1,254 $1,254 4.5×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines
$4,172–$6,258 $4,172–$6,258 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $1,600 $1,600 4.0×
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines
$4,352–$6,528 $4,352–$6,528 varies
Injection aa&/strd genicular nrv branches w/img (64454) $5,947 $5,947 6.4×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $3,069 $3,069 2.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines
$3,292–$4,938 $3,292–$4,938 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines
$3,354–$5,031 $3,354–$5,031 varies
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines
$3,413–$5,120 $3,413–$5,120 varies
Injection single tendon origin/insertion (20551) $1,370 $1,370 3.4×
Injection single/mlt trigger point 1/2 muscles (20552) $1,466 $1,466 3.6×
Injection single/mlt trigger point 3/> muscles (20553) $1,451 $1,451 3.6×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines
$6,500–$9,750 $6,500–$9,750 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$2,116–$3,174 $2,116–$3,174 varies
Injection, Intralesional; More Than 7 Lesions (11901) $341 $341 1.3×
Injection, intralesional; up to and including 7 lesions (11900) $437 $437 1.7×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $4,627 $4,627 4.0×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $5,208 $5,208 4.5×
Insert Bladder Cath Complex (51703) $908 $908 5.4×
Insert non-tunnel cv cath (36556) $4,245 $4,245 1.0×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,566 $1,566 0.8×
Insert Temp Bladder Cath (51702) $723 $723 4.1×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $9,494 $9,494 1.3×
Insert,Non-Indwelling Bladder Catheter (51701) $642 $642 3.7×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines
$4,585–$4,703 $4,585–$4,703 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $22,584 $22,584 2.1×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $19,103 $19,103 4.0×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,398 $1,398 0.3×
Insj Picc Rs&I <5 Yr (36572) $3,036 $3,036 3.7×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $16,212 $16,212 3.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines
$4,085–$4,192 $4,085–$4,192 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $11,392 $11,392 2.7×
Intubation endotracheal emergency procedure (31500) $1,528 $1,528 4.9×
Iridotomy/irridectomy laser surg per session (66761) $3,684 $3,684 5.1×
Laryngoscopy flexible diagnostic (31575) $1,038 $1,038 3.9×
Lrt iad 18bct/8vir&7arg RNA (0528U) $1,758 $1,758 2.8×
Myelography Lumbar Injection (62304) $4,204 $4,204 4.1×
N Block Inj Celiac Pelus (64530) $4,423 $4,423 3.8×
N Block Inj Ilio-Ing/Hypogi (64425) $2,847 $2,847 3.1×
N block inj intercost sng (64420)
range across 2 matching MRF lines
$3,668–$5,502 $3,668–$5,502 varies
N Block Inj Pudendal (64430) $4,940 $4,940 4.2×
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines
$5,268–$7,902 $5,268–$7,902 varies
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines
$4,178–$6,267 $4,178–$6,267 varies
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,668 $1,668 4.0×
Njx anes stellate ganglion crv sympathetic (64510) $5,400 $5,400 4.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines
$1,350–$2,025 $1,350–$2,025 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $5,593 $5,593 1.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines
$4,713–$7,070 $4,713–$7,070 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $5,199 $5,199 4.5×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $4,678 $4,678 5.0×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $2,661 $2,661 2.9×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $2,115 $2,115 1.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $7,262 $7,262 6.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $5,134 $5,134 5.5×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $4,252 $4,252 3.6×
Occipital Nerve Block (64405)
range across 2 matching MRF lines
$1,548–$2,322 $1,548–$2,322 varies
Percut Drain/Inject Renal Cyst (50390) $3,671 $3,671 3.9×
Perq dev breast 1st us imag (19285) $3,009 $3,009 3.2×
Perq device breast 1st imag (19281)
range across 4 matching MRF lines
$2,826–$4,239 $2,826–$4,239 varies
Photopheresis extracorporeal (36522) $12,074 $12,074 2.1×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $6,817 $6,817 5.8×
Punch biopsy skin single lesion (11104) $1,019 $1,019 1.9×
Puncture aspiration abscess hematoma bulla/cyst (10160) $1,407 $1,407 2.6×
Puncture Aspiration Cyst Breast (19000) $1,769 $1,769 1.9×
Puncture shunt tube/reservoir aspiration/inj px (61070) $4,275 $4,275 4.6×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $9,703 $9,703 3.8×
Remove renal tube w/fluoro (50389) $5,282 $5,282 5.7×
Renal Biopsy Perq (50200)
range across 2 matching MRF lines
$4,102–$6,153 $4,102–$6,153 varies
Replace g/c tube perc (49450) $3,230 $3,230 2.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $7,934 $7,934 3.8×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $4,439 $4,439 5.4×
Rplc Gtube No Revj Trc (43762) $1,706 $1,706 5.2×
Rplc gtube revj gstrst trc (43763) $1,680 $1,680 5.1×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $11,395 $11,395 5.5×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $4,311 $4,311 2.1×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $3,713 $3,713 4.5×
Skin sub graft face/nk/hf/g (15275) $5,605 $5,605 5.7×
Skin sub graft trnk/arm/leg (15271) $5,315 $5,315 5.5×
Skin sub grft t/arm/lg child (15273) $5,405 $5,405 2.0×
Skn sub grft f/n/hf/g child (15277) $5,173 $5,173 1.9×
Spinal puncture lumbar diagnostic (62270) $2,877 $2,877 3.1×
Strapping ankle (29540) $226 $226 1.1×
Strapping elbow or wrist (29260) $232 $232 3.0×
Strapping hand/finger (29280) $239 $239 3.1×
Strapping Hip (29520) $126 $126 0.7×
Strapping knee (29530) $274 $274 1.6×
Strapping shoulder (29240) $408 $408 2.3×
Strapping Unna Boot (29580)
range across 3 matching MRF lines
$694–$1,041 $694–$1,041 varies
Ther Spi Pnxr Csf Fluor/Ct (62329) $4,135 $4,135 4.4×
Therapeutic plasma exchange (36514) $7,426 $7,426 3.6×
Thyroid biopsy (60100) $2,577 $2,577 2.8×
Trim skin lesion (11055) $491 $491 1.9×
Trim skin lesions over 4 (11057) $447 $447 1.7×

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.