Visits & medical services prices at Chi St. Luke's Health Brazosport

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

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

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ProcedureCash priceGross charge× Medicare
Administration of prolonged chemotherapy into artery (96425) $280.35 $801 0.8×
Airway inhalation treatment (94640) $186.06 $531.59 0.8×
Appl on-body injector for timed subq injection (96377) $75.29 $215.10 1.6×
Assessment of aphasia (96105) $152.95 $437 1.6×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $37.80 $108 1.0×
Behavioral and qualitative analysis of voice and resonance (92524) $256.73 $733.50 2.3×
Biofeedback training any modality (90901) $22.05 $63 0.5×
Breath Hydrogen/Methane Test (91065) $153.41 $438.30 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $204.75 $585 0.5×
Cardiac Stress Tst,Tracing Only (93017) $1,001.35 $2,861 4.6×
Cardiopulmonary resuscitation (92950) $903.52 $2,581.50 4.2×
Cardioversion (92960) $544.42 $1,555.47 0.8×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $5,640.25 $16,115 1.7×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $9,173.85 $26,211 2.8×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $9,173.85 $26,211 2.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,494.15 $24,269 2.6×
Chemo Admin Peritoneal Cavity (96446) $263.66 $753.30 0.8×
Chemo Hormon Antineopl Sq/Im (96402) $323.05 $923 4.5×
Chemo inj subarach/intravent (96542) $55.44 $158.40 0.2×
Chemo IV push addl drug (96411) $269.85 $771 3.7×
Chemo Iv Push Sngl Drug (96409) $509.25 $1,455 1.5×
Chemo prolong 8+ hrs infuse w/pump (96416) $509.25 $1,455 1.5×
Chemother, IV infusion, 1 hr (96413) $508.99 $1,454.25 1.5×
Chemother, IV infusion, ea add hr (96415) $256.15 $731.85 3.5×
Chemother,ia infusn tech,<1 hr (96422) $355.32 $1,015.20 1.1×
Chemother,Ia Push Technique (96420) $355.32 $1,015.20 1.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $321.57 $918.75 4.4×
Chemotherapy admn intraarterial infusion ea hr (96423) $77.18 $220.50 1.6×
Chemotherapy, unspecified procedure (96549) $233.42 $666.90 5.0×
Chemotx Admn Cns Req Spinal Puncture (96450) $364.14 $1,040.40 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $256.20 $732 3.5×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $263.66 $753.30 0.8×
Color/duplex Doppler, complete (93975) $1,043 $2,980 4.4×
Coronary artery angio s&i (93454) $4,027.52 $11,507.20 1.2×
Cpap initiation and management (94660) $890.72 $2,544.90 4.0×
Cpt initial (94667) $65.80 $188 0.5×
Critical care (99291) $2,534.35 $7,241 3.1×
Debridement Open Wound 20 Sq Cm< (97597) $160.30 $458 0.8×
Demo &/or eval,pt use,aerosol device (94664) $183.75 $525 0.8×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $657.30 $1,878 2.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $553 $1,580 5.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $740.95 $2,117 3.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $548.45 $1,567 5.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $445.20 $1,272 1.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $494.48 $1,412.78 4.7×
Dup-scan xtr veins unilateral/limited study (93971) $747.25 $2,135 7.1×
Duplex hemodialysis access (93990) $314.37 $898.20 3.0×
Duplex scan extracranial art compl bi study (93880) $1,178.10 $3,366 4.9×
Echo Heart Xthoracic,Limited (93308) $656.60 $1,876 2.7×
Echo r-t 2d w/probe placement only (93313) $561.02 $1,602.90 1.0×
Echo transesophageal (93312) $845.40 $2,415.42 1.5×
EEG awake asleep (95819) $586.90 $1,676.85 2.7×
EEG awake drowsy (95816) $606.01 $1,731.45 2.8×
EEG cerebral death evaluation (95824) $250.11 $714.60 0.7×
EKG (93005) $289.10 $826 4.9×
EKG rhythm strip (93041) $199.15 $569 3.4×
Endomyocardial biopsy (93505) $1,746.99 $4,991.40 0.6×
Er level 1 (99281) $276.85 $791 3.3×
Er level ii (99282) $520.80 $1,488 3.4×
Er level iii (99283) $846.30 $2,418 3.1×
Er level IV (99284) $1,269.45 $3,627 3.0×
Er level v (99285) $1,627.50 $4,650 2.7×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $112.46 $321.30 1.6×
Evaluation of speech fluency (92521) $78.75 $225 0.6×
Evaluation of speech sound production (92522) $86 $245.70 0.8×
Evaluation of swallowing function (92610) $129.73 $370.65 1.5×
Evaluation with prescription of speech-generating alternative (92607) $89.95 $257 0.7×
External Ecg Scanning Analysis Report (93226) $284.55 $813 4.8×
Group Therapeutic Procedures (97150) $35.60 $101.70 2.0×
Hemodialysis (90935) $1,234.15 $3,526.14 1.8×
Holter Monitor Recording (93225) $284.55 $813 2.1×
Ilr Device Eval Progr (93285) $33.08 $94.50 0.9×
Immunization Admin (90471) $74.90 $214 1.0×
Injection intra arterial (96373) $393.75 $1,125 1.8×
Ins swan ganz bedside (93503) $1,692.81 $4,836.60 1.1×
Intralesional Chemo Admin,8+ Lesn (96406) $417.69 $1,193.40 2.0×
Intralesional Chemo Admin,<8 Lesn (96405) $200.97 $574.20 2.8×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $108.85 $311 1.8×
IV infusion hydration each additional hour (96361) $132.65 $379 2.8×
IV infusion hydration initial 31 min-1 hour (96360) $257.60 $736 1.2×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $269.85 $771 3.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $392 $1,120 1.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $163.10 $466 3.5×
IV push initial (96374) $282.10 $806 1.3×
Laryngeal Function Studies (92520) $57.02 $162.90 0.4×
Low frequency non-thermal us (97610) $122.54 $350.10 0.6×
Manual therapy 15 min (97140) $120.75 $345 4.4×
Massage 15 min (97124) $36.75 $105 1.2×
Maximum voluntary ventilation (94200) $71.51 $204.30 1.2×
Mechanical chest wall oscillation (94669) $120.40 $344 0.5×
Mechanical traction (97012) $29.05 $83 2.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $15.75 $45 0.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $33.31 $95.15 0.9×
Methacholine challenge (94070) $601.65 $1,719 1.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $457.10 $1,306 5.0×
Multiple sleep latency test (95805) $618.98 $1,768.50 0.7×
Neg press wnd tx </=50 sq cm (97607) $371 $1,060 0.9×
Neg press wound tx >50 cm (97608) $412.30 $1,178 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $144.02 $411.50 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $234.32 $669.50 0.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $500.85 $1,431 3.7×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $683.20 $1,952 3.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $158.28 $452.23 1.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $69.90 $199.70 1.5×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $30.24 $86.40 0.9×
Ot Contrast Bath Ea 15 Min (97034) $30.24 $86.40 2.2×
Ot eval high complex 60 min (97167) $158.90 $454 1.6×
Ot eval low complex 30 min (97165) $145.95 $417 1.5×
Ot eval mod complex 45 min (97166) $151.90 $434 1.5×
Ot Prosthetic Training, Each 15 Min (97761) $31.50 $90 0.8×
Ot Range Motion Measure,Each Extrem (95851) $10.40 $29.70 0.4×
Ot re-eval est plan care (97168) $101.15 $289 1.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $209.30 $598 1.6×
Paraffin bath (97018) $39.69 $113.40 6.6×
Pm device eval in person (93288) $140.49 $401.40 3.7×
Pm device progr eval dual (93280) $143.96 $411.30 3.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,679.90 $4,799.70 1.9×
Prq Card Stent W/Angio 1 Vsl (92928)
unusually low: confirm this is the full procedure
$4,474.05 $12,783 0.4×
Prq revasc byp graft 1 vsl (92937) $7,345.10 $20,986 0.6×
Prq trluml coronary angioplasty one art/branch (92920) $3,110.10 $8,886 0.5×
Pt Aquatic Therapy/Exercises (97113) $35.91 $102.60 1.0×
Pt Electric Current Therapy (97033) $23.94 $68.40 1.3×
Pt Electrical Stimulation (97032) $43.16 $123.30 2.9×
Pt eval high complex 45 min (97163) $199.50 $570 2.0×
Pt eval low complex 20 min (97161) $140.99 $402.82 1.4×
Pt Gait Training Therapy (97116) $50.35 $143.85 1.7×
Pt Infrared Therapy (97026) $8.05 $23 1.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $113.40 $324 3.5×
Pt Physical Performance Test (97750) $37.80 $108 1.1×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $150.31 $429.45 1.5×
Pt re-evaluation (97164) $100.45 $287 1.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $53.66 $153.30 1.7×
Pt Ultrasound Therapy (97035) $65.80 $188 4.6×
Pt Whirlpool Therapy (97022) $34.65 $99 2.2×
Pulmonary stress testing (94618) $106.75 $305 0.8×
R & l hrt cath w/njx l ventriculog img s&i (93453) $5,206.32 $14,875.20 1.6×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $10,193.05 $29,123 3.1×
R hrt art/grft angio (93457) $10,023.30 $28,638 3.1×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $11,176.55 $31,933 3.4×
Refill/Maint Pump/Resvr Syst (96522) $222.08 $634.50 1.0×
Refill/maint, portable pump (96521) $222.08 $634.50 1.0×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $97.65 $279 2.6×
Right heart cath (93451) $1,352.93 $3,865.50 0.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $82.88 $236.80 0.4×
Rom meas&reprt hand w/wo comparison normal sid (95852) $7.25 $20.70 0.3×
Rt Chest Wall Manipulation,Subsequent (94668) $65.80 $188 0.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $18.27 $52.20 0.4×
Sensory Integration Ea 15 Min (97533) $41.98 $119.93 0.7×
Smoking cessation > 10 min (99407) $27.30 $78 0.7×
Speech group therapy (92508) $17.85 $51 0.7×
Speech sound lang comprehen (92523) $270.85 $773.85 1.2×
Spirometry (94010) $231.53 $661.50 1.1×
Stress echo (93350) $988.47 $2,824.20 1.8×
Stress Tte Complete (93351) $2,309.27 $6,597.90 4.2×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $95.20 $272 2.0×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $393.75 $1,125 1.8×
Temp transcutaneous pacing (92953) $393.75 $1,125 0.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $77.47 $221.34 3.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $77.47 $221.34 3.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $73.08 $208.80 0.7×
Ther/prop/diag inj/inf proc (96379) $95.20 $272 2.0×
Ther/Proph/Diag Inj Sc/Im (96372) $211.75 $605 2.9×
Therapeutic Activities (97530) $96.04 $274.38 2.7×
Therapeutic phlebotomy (99195) $115.50 $330 0.9×
Tilt Table Eval (93660) $1,933.47 $5,524.20 5.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $30.24 $86.40 0.8×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $103.01 $294.30 2.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,250.57 $6,430.20 4.1×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $746.03 $2,131.50 3.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $83.65 $239 1.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $121.10 $346 1.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $188.65 $539 4.0×
Unlisted pulmonary service/procedure (94799) $132.28 $377.95 1.0×
Vasc Duplex Extrem Venous,Bilat (93970) $1,589.70 $4,542 6.6×
Vasc Duplex Scan Extracranial,Limited (93882) $330.05 $943 3.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $755.30 $2,158 3.5×
Ventilation assist & mgmt inpatient 1st day (94002) $1,471.56 $4,204.44 2.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,389.15 $3,969 2.2×
Wheelchair Mgmt Ea 15 Min (97542) $57.75 $165 1.9×