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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$185.92–$186.20 | $531.18–$532 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $65.80 | $188 | 4.6× |
| Application Modality 1/> Areas Infrared (97026) | $8.05 | $23 | 1.2× |
| Application on-body injector (96377) | $75.29 | $215.10 | 1.6× |
| Assessment of aphasia per hr (96105) | $152.95 | $437 | 1.6× |
| Behavral qualit analys voice (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) range across 2 matching MRF lines |
$845.95–$961.10 | $2,417–$2,746 | varies |
| Cardioversion (92960) | $544.42 | $1,555.47 | 0.8× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $10,193.05 | $29,123 | 3.1× |
| 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 Anti-Neopl Sq/Im (96401) | $321.57 | $918.75 | 4.4× |
| Chemo Hormon Antineopl Sq/Im (96402) | $323.05 | $923 | 4.5× |
| Chemo Ia Push (96420) | $355.32 | $1,015.20 | 1.1× |
| Chemo Intralesional Over 7 (96406) | $417.69 | $1,193.40 | 2.0× |
| Chemo intralesional up to 7 (96405) | $200.97 | $574.20 | 2.8× |
| Chemo IV infusion addl hr (96415) | $256.15 | $731.85 | 3.5× |
| Chemo IV push addl drug (96411) | $269.85 | $771 | 3.7× |
| Chemother Prolong Infuse W/Pump (96416) | $509.25 | $1,455 | 1.5× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $355.32 | $1,015.20 | 1.1× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $77.18 | $220.50 | 1.6× |
| Chemotherapy Into Cns (96450) | $364.14 | $1,040.40 | 1.1× |
| Chemotherapy Intracavitary (96440) | $263.66 | $753.30 | 0.8× |
| Chemotherapy Unspecified (96549) | $233.42 | $666.90 | 5.0× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $280.35 | $801 | 0.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $256.20 | $732 | 3.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $508.99 | $1,454.25 | 1.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $509.25 | $1,455 | 1.5× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $55.44 | $158.40 | 0.2× |
| Chest Wall Manipulation (94668) | $65.80 | $188 | 0.5× |
| Color/duplex Doppler, complete (93975) | $1,043 | $2,980 | 4.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $30.24 | $86.40 | 0.9× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$133.17–$183.40 | $380.46–$524 | varies |
| Coronary Art/Grft Angio S&I (93455) | $5,640.25 | $16,115 | 1.7× |
| Coronary Artery Angio S&I (93454) | $4,027.52 | $11,507.20 | 1.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $890.72 | $2,544.90 | 4.0× |
| Cpt initial (94667) | $65.80 | $188 | 0.5× |
| Critical care first hour (99291) | $2,534.35 | $7,241 | 3.1× |
| Debridement Open Wound 20 Sq Cm< (97597) | $160.30 | $458 | 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 Xtr Veins Complete Bilateral Study (93970) | $1,589.70 | $4,542 | 6.6× |
| Dup-scan xtr veins unilateral/limited study (93971) | $747.25 | $2,135 | 7.1× |
| Duplex Scan Hemodialysis Access (93990) | $314.37 | $898.20 | 3.0× |
| Duplex up extrem art bilat (93930) | $445.20 | $1,272 | 1.9× |
| Duplex up extrem art unilat/ltd (93931) | $494.48 | $1,412.78 | 4.7× |
| 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× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,309.27 | $6,597.90 | 4.2× |
| EEG awake and 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× |
| Electrical Stimulation Ea 15 Min (97032) | $43.16 | $123.30 | 2.9× |
| Electrocardiogram Tracing (93005) | $289.10 | $826 | 4.9× |
| Emergency Dept Visit Level 2 (99282) | $520.80 | $1,488 | 3.4× |
| Emergency Dept Visit Level 3 (99283) | $846.30 | $2,418 | 3.1× |
| Emergency Dept Visit Level 4 (99284) | $1,269.45 | $3,627 | 3.0× |
| Endomyocardial Biopsy (93505) | $1,746.99 | $4,991.40 | 0.6× |
| Er level 1 (99281) | $276.85 | $791 | 3.3× |
| Er level v (99285) | $1,627.50 | $4,650 | 2.7× |
| Evaluate pt use of inhaler (94664) | $183.75 | $525 | 0.8× |
| Evaluate Speech Production (92522) | $86 | $245.70 | 0.8× |
| Evaluate Swallowing Function (92610) | $129.73 | $370.65 | 1.5× |
| Evaluation of speech fluency (92521) | $78.75 | $225 | 0.6× |
| External Ecg Scanning Analysis Report (93226) | $284.55 | $813 | 4.8× |
| Extracranial Bilat Study (93880) | $1,178.10 | $3,366 | 4.9× |
| Extracranial Uni/Ltd Study (93882) | $330.05 | $943 | 3.1× |
| Group Therapeutic Procedures (97150) | $35.60 | $101.70 | 2.0× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $11,176.55 | $31,933 | 3.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (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 administration (90471) | $74.90 | $214 | 1.0× |
| Insert/Place Heart Catheter (93503) | $1,692.81 | $4,836.60 | 1.1× |
| Iontophoresis 15 min (97033) | $23.94 | $68.40 | 1.3× |
| Irrig Drug Delivery Device (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 ther proph addl sequential to 1 hr (96367) | $269.85 | $771 | 3.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $163.10 | $466 | 3.5× |
| IV push initial (96374) range across 3 matching MRF lines |
$282.10–$393.75 | $806–$1,125 | varies |
| L Hrt Art/Grft Angio (93459) | $9,173.85 | $26,211 | 2.8× |
| Laryngeal Function Studies (92520) | $57.02 | $162.90 | 0.4× |
| Low frequency non-thermal us (97610) | $122.54 | $350.10 | 0.6× |
| Lung Function Test (Mbc/Mvv) (94200) | $71.51 | $204.30 | 1.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $755.30 | $2,158 | 3.5× |
| Mechanical chest wall oscillation per session (94669) | $120.40 | $344 | 0.5× |
| 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 Fluoroscopy/Swallow (92611) | $457.10 | $1,306 | 5.0× |
| Multiple Sleep Latency Test (95805) | $618.98 | $1,768.50 | 0.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $371 | $1,060 | 0.9× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $412.30 | $1,178 | 1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$80.85–$207.20 | $231–$592 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$194.95–$273.70 | $557–$782 | varies |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$55.65–$113.40 | $159–$324 | varies |
| Oral Function Therapy (92526) | $121.10 | $346 | 1.4× |
| Oral Speech Device Eval (92597) | $112.46 | $321.30 | 1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$68.04–$71.75 | $194.40–$205 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $30.24 | $86.40 | 2.2× |
| Ot eval high complexity (97167) | $158.90 | $454 | 1.6× |
| Ot Eval Low Complex (97165) | $145.95 | $417 | 1.5× |
| Ot Eval Moderate Complexity (97166) | $151.90 | $434 | 1.5× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$48.65–$120.75 | $139–$345 | varies |
| Ot paraffin bath (97018) | $39.69 | $113.40 | 6.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $31.50 | $90 | 0.8× |
| Ot Re-Eval Est Plan Care (97168) | $101.15 | $289 | 1.5× |
| Ot rom hand (95852) | $7.25 | $20.70 | 0.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $209.30 | $598 | 1.6× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $3,110.10 | $8,886 | 0.5× |
| Phlebotomy therapeutic (99195) | $115.50 | $330 | 0.9× |
| Physical Performance Test (97750) | $37.80 | $108 | 1.1× |
| 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× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $37.80 | $108 | 1.0× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$157.50–$241.50 | $450–$690 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$137.55–$144.43 | $393–$412.65 | varies |
| Pt Eval Mod Complex (97162) | $150.31 | $429.45 | 1.5× |
| Pt gait training 15 min (97116) | $50.35 | $143.85 | 1.7× |
| Pt mechanical traction (97012) | $29.05 | $83 | 2.0× |
| Pt Re-Eval Est Plan Care (97164) | $100.45 | $287 | 1.5× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$72.77–$191.80 | $207.90–$548 | varies |
| Pulmonary Stress Testing (94618) | $106.75 | $305 | 0.8× |
| R Hrt Art/Grft Angio (93457) | $10,023.30 | $28,638 | 3.1× |
| R hrt coronary artery angio (93456) | $9,173.85 | $26,211 | 2.8× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $5,206.32 | $14,875.20 | 1.6× |
| Refill/Maint Portable Pump (96521) | $222.08 | $634.50 | 1.0× |
| Refill/Maint Pump/Resvr Syst (96522) | $222.08 | $634.50 | 1.0× |
| Remote 30 Day Ecg Rev/Report (93270) | $97.65 | $279 | 2.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $199.15 | $569 | 3.4× |
| Right Heart Cath (93451) | $1,352.93 | $3,865.50 | 0.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$80.01–$85.75 | $228.60–$245 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $10.40 | $29.70 | 0.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $89.95 | $257 | 0.7× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $18.27 | $52.20 | 0.4× |
| Self Care Mngment Training (97535) | $53.66 | $153.30 | 1.7× |
| Sensory Integration Ea 15 Min (97533) | $41.98 | $119.93 | 0.7× |
| Speech sound lang comprehen (92523) | $270.85 | $773.85 | 1.2× |
| Spirometry (94010) | $231.53 | $661.50 | 1.1× |
| Stress Tte Only (93350) | $988.47 | $2,824.20 | 1.8× |
| Subcutaneous Infusion Each Additional Hour (96370) | $95.20 | $272 | 2.0× |
| Subcutaneous infusion initial 1 hr w/pump set-up (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 Ea Addl 15 Min (97130) | $77.47 | $221.34 | 3.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $35.91 | $102.60 | 1.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $36.75 | $105 | 1.2× |
| 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 Ia (96373) | $393.75 | $1,125 | 1.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$141.40–$282.10 | $404–$806 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $392 | $1,120 | 1.8× |
| Therapeutic Activities (97530) | $96.04 | $274.38 | 2.7× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,933.47 | $5,524.20 | 5.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $27.30 | $78 | 0.7× |
| 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 (93306) | $2,250.57 | $6,430.20 | 4.1× |
| Tte W/O Doppler Complete (93307) | $746.03 | $2,131.50 | 3.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $83.65 | $239 | 1.1× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $17.85 | $51 | 0.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$95.20–$282.10 | $272–$806 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$458.50–$543.20 | $1,310–$1,552 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$517.65–$848.75 | $1,479–$2,425 | varies |
| Vent Mgmt Inpat Init 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× |
| Whirlpool Therapy (97022) | $34.65 | $99 | 2.2× |
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.