MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
00211376_1	Limited ultrasound of pregnant uterus	$211,376	$169,101	—	—	16
208	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	$88,265	$70,612	—	—	16
074	CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC	$70,209	$56,167	—	—	17
00151488_1	Organic acids level	$70,122	$56,098	—	—	16
00191910_1	X-ray of eye socket, minimum of 4 views	$67,901	$54,321	—	—	4
00109251_1	Creation of drainage tract for gland cyst of female genitals	$47,836	$38,269	—	—	11
180	RESPIRATORY NEOPLASMS WITH MCC	$43,992	$35,194	—	—	17
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	$38,532	$30,826	—	—	16
00109422_1	Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less	$36,500	$29,200	—	—	11
698	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	$32,451	$25,961	—	—	16
00109456_1	Repair of tendon or muscle of upper arm or elbow	$28,784	$23,027	—	—	11
00109489_1	Primary suture of tendon below knee	$28,784	$23,027	—	—	11
557	TENDONITIS, MYOSITIS AND BURSITIS WITH MCC	$28,295	$22,636	—	—	16
00109296_1	Removal and replacement of single lead permanent pacemaker	$28,162	$22,530	—	—	11
776	POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES	$27,344	$21,875	—	—	16
00109227_1	Insertion of pacemaker and upper heart chamber electrode	$27,221	$21,777	—	—	11
00109239_1	Removal and replacement of dual lead permanent pacemaker	$25,516	$20,413	—	—	11
312	SYNCOPE AND COLLAPSE	$25,209	$20,168	—	—	16
00139204_1	GUIDE WIRE	$24,500	$19,600	—	—	9
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$24,331	$19,465	—	—	16
00109568_1	Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic repla	$23,941	$19,153	—	—	11
00109539_1	Treatment of broken midportion of foot	$23,883	$19,106	—	—	11
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	$23,500	$18,800	—	—	16
189	PULMONARY EDEMA AND RESPIRATORY FAILURE	$23,493	$18,794	—	—	16
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC	$23,310	$18,648	—	—	16
00109465_1	Other procedure on appendix using an endoscope	$23,147	$18,518	—	—	11
00109537_1	Treatment of 2 broken lower forearm bone pieces on thumb side inside wrist joint with placement of s	$23,001	$18,401	—	—	11
00109157_1	Repair of anterior cruciate ligament of knee using an endoscope	$22,842	$18,274	—	—	11
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	$22,839	$18,271	—	—	16
808	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS	$22,510	$18,008	—	—	16
00109430_1	LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INS	$21,990	$17,592	—	—	11
152	OTITIS MEDIA AND URI WITH MCC	$21,947	$17,558	—	—	16
00109538_1	Treatment of broken forearm bone on small finger side at elbow	$21,907	$17,526	—	—	11
00109174_1	OPERATING ROOM SERVICES - GENERAL CLASSIFICATION	$21,864	$17,491	—	—	10
682	RENAL FAILURE WITH MCC	$21,508	$17,206	—	—	16
00109527_1	Treatment of broken midpart of forearm bone on small finger side	$21,324	$17,059	—	—	11
00109532_1	Removal or shaving of hip joint socket cartilage using an endoscope	$21,324	$17,059	—	—	11
00109541_1	Repair of chronic torn shoulder rotator cuff	$21,324	$17,059	—	—	11
291	HEART FAILURE AND SHOCK WITH MCC	$21,226	$16,981	—	—	16
915	ALLERGIC REACTIONS WITH MCC	$20,907	$16,726	—	—	17
00109145_1	OPERATING ROOM SERVICES - GENERAL CLASSIFICATION	$20,840	$16,672	—	—	10
00109528_1	Treatment of both broken lower leg bones at ankle	$20,617	$16,494	—	—	11
00109534_1	Repair of acute torn shoulder rotator cuff	$20,259	$16,207	—	—	11
193	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	$19,959	$15,968	—	—	16
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	$19,870	$15,896	—	—	16
194	SIMPLE PNEUMONIA AND PLEURISY WITH CC	$19,565	$15,652	—	—	16
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	$19,479	$15,583	—	—	16
00109501_1	Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placem	$19,118	$15,294	—	—	11
645	ENDOCRINE DISORDERS WITHOUT CC/MCC	$19,087	$15,269	—	—	16
343	APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$18,799	$15,040	—	—	16

Showing top 50 of 5,473 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.