Visits & medical services prices at Chi St. Lukes Health Memorial San Augustine

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $5,456.85 $36,379 0.7×
Airway inhalation treatment (94640) $53.71 $358.06 0.2×
Arrhythmia induction (93618) $1,198.80 $7,992 1.0×
Assessment of aphasia (96105) $91.20 $608 0.9×
Behavioral and qualitative analysis of voice and resonance (92524) $117.75 $785 1.1×
Bfb training 1st 15 min (90912) $62.55 $417 0.8×
Bfb training ea addl 15 min (90913) $25.50 $170 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $383.07 $2,553.75 1.0×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$2,553.74 $17,024.95 0.3×
C motor evoked upr&lwr limbs (95939) $216.75 $1,445 0.3×
Canalith Repositioning (95992) $40 $266.62 1.0×
Cardiac Stress Tst,Tracing Only (93017) $637.34 $4,248.88 2.9×
Cardiopulmonary resuscitation (92950) $230 $1,533.32 1.1×
Cardioversion (92960) $388.35 $2,589 0.6×
Cardioversion internal (92961) $265.28 $1,768.50 0.4×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $4,399.95 $29,333 1.4×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $7,607.55 $50,717 2.3×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580)
unusually low: confirm this is the full procedure
$5,798.40 $38,656 0.3×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $7,537.80 $50,252 2.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,979.35 $46,529 2.1×
Cbt 1st hour (94644) $52.18 $347.82 0.4×
Chemo Hormon Antineopl Sq/Im (96402) $57 $380 0.8×
Chemo IV push addl drug (96411) $84.45 $563 1.2×
Chemo Iv Push Sngl Drug (96409) $121.20 $808 0.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $148.95 $993 0.4×
Chemother, IV infusion, 1 hr (96413) $148.95 $993 0.4×
Chemother, IV infusion, ea add hr (96415) $84.45 $563 1.2×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $87.45 $583 1.2×
Chemotx Admn Cns Req Spinal Puncture (96450) $150.98 $1,006.50 0.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $70.05 $467 1.0×
Color/duplex Doppler, complete (93975) $512.85 $3,419 2.1×
Color/duplex Doppler, limited (93976) $307.80 $2,052 2.9×
Cont Gluc Monitoring Patient Provided Equipment (95249) $34.65 $231 0.6×
Coronary artery angio s&i (93454) $3,564.75 $23,765 1.1×
Cpap initiation and management (94660) $124.09 $827.22 0.6×
Cpt initial (94667) $27.45 $183 0.2×
Critical care (99291) $947.07 $6,313.80 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $94.95 $633 0.5×
Demo &/or eval,pt use,aerosol device (94664) $70.88 $472.50 0.3×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $139.80 $932 0.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $348.75 $2,325 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $465.44 $3,102.92 1.9×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $279.30 $1,862 2.7×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $352.20 $2,348 1.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $218.70 $1,458 2.1×
Dup-scan xtr veins unilateral/limited study (93971) $398.40 $2,656 3.8×
Duplex hemodialysis access (93990) $185.76 $1,238.40 1.8×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $605.40 $4,036 2.5×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $288.77 $1,925.10 2.7×
Duplex scan extracranial art compl bi study (93880) $567.24 $3,781.57 2.4×
Echo Heart Xthoracic,Limited (93308) $535.69 $3,571.25 2.2×
Echo transesophageal (93312) $755.65 $5,037.65 1.4×
EEG awake asleep (95819) $396.75 $2,645 1.8×
EEG awake drowsy (95816) $345 $2,300 1.6×
EEG cerebral death evaluation (95824) $131.25 $875 0.4×
Eeg Extended Monitoring 61-119 Minutes (95813) $249.60 $1,664 1.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $65.45 $436.30 0.3×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $303.05 $2,020.30 0.8×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $217.35 $1,449 0.6×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $177.47 $1,183.12 0.8×
EKG (93005) $145.95 $973 2.5×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $112.35 $749 0.5×
EMG cranial nerve bilat (95868) $46.05 $307 0.2×
EMG cranial nerve unilat (95867) $41.25 $275 0.2×
EMG four extremities (95864) $77.85 $519 0.6×
EMG one extremity (95860) $42.45 $283 0.3×
EMG thoracic paraspinal (95869) $43.35 $289 0.2×
EMG two extremities (95861) $52.05 $347 0.4×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure
$7,908.45 $52,723 0.3×
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure
$9,490.20 $63,268 0.4×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure
$3,549 $23,660 0.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure
$2,555.40 $17,036 0.3×
Ep Electrophysiologic F/U Study (93624)
likely a partial charge, not the full procedure
$1,805.47 $12,036.45 0.2×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $378.15 $2,521 0.3×
Ep Right Ventricular Recording (93603) $2,524.79 $16,831.90 2.1×
Er level 1 (99281) $59.82 $398.75 0.7×
Er level ii (99282) $174.45 $1,163 1.1×
Er level iii (99283) $51.61 $344.04 0.2×
Er level IV (99284) $481.35 $3,209 1.1×
Er level v (99285) $697.50 $4,650 1.2×
Evaluation of speech fluency (92521) $98.70 $658 0.7×
Evaluation of speech sound production (92522) $120.75 $805 1.1×
Evaluation of swallowing function (92610) $116.55 $777 1.4×
Evaluation with prescription of speech-generating alternative (92607) $80.10 $534 0.7×
External Ecg Scanning Analysis Report (93226) $338.48 $2,256.50 5.7×
Hemodialysis (90935) $505.05 $3,367 0.7×
Holter Monitor Recording (93225) $570.45 $3,803 4.3×
Immunization Admin (90471) $33 $220 0.5×
Ins swan ganz bedside (93503) $7,584.45 $50,563 4.8×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure
$2,524.79 $16,831.90 0.3×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$1,198.80 $7,992 0.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $83.55 $557 1.4×
IV infusion hydration each additional hour (96361) $39.60 $264 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $179.40 $1,196 0.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $47.85 $319 0.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $179.40 $1,196 0.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $44.85 $299 1.0×
IV push initial (96374) $114.29 $761.92 0.5×
Manual therapy 15 min (97140) $54.15 $361 2.0×
Massage 15 min (97124) $24.60 $164 0.8×
Mechanical chest wall oscillation (94669) $103.28 $688.50 0.5×
Mechanical traction (97012) $37.65 $251 2.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $16.65 $111 0.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $23.34 $155.55 0.6×
Mnt Group Ea 30 Min (97804) $9.30 $62 0.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $148.20 $988 1.6×
Multiple sleep latency test (95805) $603.30 $4,022 0.7×
Needle electromyography larynx (95865) $39 $260 0.3×
Neg press wnd tx </=50 sq cm (97607) $281.85 $1,879 0.7×
Neg press wound tx >50 cm (97608) $281.85 $1,879 0.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $97.20 $648 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $193.50 $1,290 0.5×
Nerve conduction studies 13/> studies (95913) $72.30 $482 0.2×
Nerve Conduction Studies 3-4 Studies (95908) $122.85 $819 0.6×
Nerve Conduction Studies 9-10 Studies (95911) $219.90 $1,466 0.6×
Nerve conduction studies; 1-2 studies (95907) $25.95 $173 0.1×
Nerve conduction studies; 11-12 studies (95912) $219.90 $1,466 0.6×
Nerve conduction studies; 5-6 studies (95909) $44.55 $297 0.2×
Nerve conduction studies; 7-8 studies (95910) $51.45 $343 0.1×
Neuromuscular junction test (95937) $39 $260 0.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $210.58 $1,403.88 1.6×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $332.70 $2,218 1.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $57.23 $381.48 0.4×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $41.25 $275 0.9×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $30.75 $205 1.0×
Ot eval high complex 60 min (97167) $164.25 $1,095 1.6×
Ot eval low complex 30 min (97165) $98.55 $657 1.0×
Ot eval mod complex 45 min (97166) $131.40 $876 1.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $24.60 $164 0.5×
Ot Prosthetic Training, Each 15 Min (97761) $28.72 $191.50 0.7×
Ot re-eval est plan care (97168) $98.55 $657 1.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $89.25 $595 0.7×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $46.50 $310 0.4×
Paraffin bath (97018) $27.30 $182 4.5×
Peripheral arterial disease rehab per session (93668) $28.16 $187.68 0.5×
Plethysmography (94726) $112.80 $751.99 0.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,830.15 $12,201 2.1×
Programming of dual lead implantable defibrillator system (93283) $149.25 $995 4.0×
Prq balloon valvuloplasty aortic valve (92986)
likely a partial charge, not the full procedure
$1,324.05 $8,827 0.2×
Prq card revasc chronic 1vsl (92943) $6,200.25 $41,335 0.5×
Prq Card Stent W/Angio 1 Vsl (92928) $6,200.25 $41,335 0.5×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$6,200.25 $41,335 0.3×
Prq revasc byp graft 1 vsl (92937) $6,200.25 $41,335 0.5×
Prq trluml coronary angio/atherect one art/brnch (92924) $8,619.75 $57,465 0.7×
Prq trluml coronary angioplasty one art/branch (92920) $4,309.95 $28,733 0.8×
Pt Aquatic Therapy/Exercises (97113) $35.10 $234 0.9×
Pt Electrical Stimulation (97032) $33.45 $223 2.3×
Pt eval high complex 45 min (97163) $167.25 $1,115 1.7×
Pt eval low complex 20 min (97161) $100.35 $669 1.0×
Pt Gait Training Therapy (97116) $34.35 $229 1.2×
Pt Infrared Therapy (97026) $7.72 $51.50 1.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $36.15 $241 1.1×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $133.80 $892 1.4×
Pt re-evaluation (97164) $100.35 $669 1.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $41.85 $279 1.3×
Pt Ultrasound Therapy (97035) $43.05 $287 3.0×
Pt Whirlpool Therapy (97022) $40.58 $270.50 2.6×
Pulm function test by gas (94727) $90.30 $602 0.4×
R & l hrt cath w/njx l ventriculog img s&i (93453) $7,699.50 $51,330 2.4×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $8,375.25 $55,835 2.6×
R hrt art/grft angio (93457) $8,235.75 $54,905 2.5×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $9,282.60 $61,884 2.9×
Refill/maint, portable pump (96521) $117.94 $786.24 0.6×
Right heart cath (93451) $4,303.35 $28,689 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $67.92 $452.83 0.3×
Rt Chest Wall Manipulation,Subsequent (94668) $43.20 $288 0.3×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $38.55 $257 0.8×
Sensory Integration Ea 15 Min (97533) $35.85 $239 0.6×
Short-latency somatosens ep std lwr limbs (95926) $89.85 $599 0.4×
Short-latency somatosens ep std upr limbs (95925) $93.75 $625 0.4×
Smoking cessation > 10 min (99407) $16.95 $113 0.5×
Somatosensory testing (95938) $159.75 $1,065 0.2×
Speech group therapy (92508) $31.80 $212 1.3×
Speech sound lang comprehen (92523) $136.35 $909 0.6×
Spirometry (94010) $183.60 $1,224 0.8×
Standardized Cognitive Performance Testing (96125) $97.58 $650.50 0.9×
Temp transcutaneous pacing (92953) $96 $640 0.1×
Test for allergy using combination of methods with drug or biological (95018) $19.35 $129 0.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $27.24 $181.62 1.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $25.95 $173 1.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $53.85 $359 0.5×
Ther/Proph/Diag Inj Sc/Im (96372) $51.28 $341.85 0.7×
Therapeutic Activities (97530) $56.25 $375 1.6×
Therapeutic phlebotomy (99195) $42 $280 0.3×
Tilt Table Eval (93660) $1,094.10 $7,294 2.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $16.95 $113 0.5×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $935.70 $6,238 1.7×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $610.80 $4,072 2.5×
Tx atrial fib pulm vein isol (93656)
unusually low: confirm this is the full procedure
$7,908.45 $52,723 0.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $99 $660 1.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $73.95 $493 0.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $73.78 $491.82 1.6×
Vasc Duplex Extrem Venous,Bilat (93970) $622.46 $4,149.68 2.6×
Vasc Duplex Scan Extracranial,Limited (93882) $374.40 $2,496 3.6×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $408.60 $2,724 1.9×
Veeg by tech 2-12 hours unmonitored (95711) $126.45 $843 0.6×
Veeg Ea 12-26 Hr Unmntr (95714) $217.35 $1,449 0.6×
Ventilation assist & mgmt inpatient 1st day (94002) $619.20 $4,128 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $487.46 $3,249.72 0.8×
Vital capacity total (94150) $37.35 $249 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $31.80 $212 1.0×