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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $5,456.85 | $36,379 | 0.7× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$34.80–$72.62 | $232–$484.11 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $19.35 | $129 | 0.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $43.05 | $287 | 3.0× |
| Application Modality 1/> Areas Infrared (97026) range across 2 matching MRF lines |
$7.50–$7.95 | $50–$53 | varies |
| Arrhythmia Induction (93618) | $1,198.80 | $7,992 | 1.0× |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$87.90–$94.50 | $586–$630 | varies |
| Behavral qualit analys voice (92524) | $117.75 | $785 | 1.1× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (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) range across 2 matching MRF lines |
$2,524.79–$2,582.70 | $16,831.90–$17,218 | varies |
| C motor evoked upr&lwr limbs (95939) | $216.75 | $1,445 | 0.3× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$39.94–$40.05 | $266.25–$267 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$637.32–$637.35 | $4,248.75–$4,249 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$217.95–$242.05 | $1,453–$1,613.64 | varies |
| Cardioversion (92960) | $388.35 | $2,589 | 0.6× |
| Cardioversion elective internal (92961) range across 2 matching MRF lines |
$257.10–$273.45 | $1,714–$1,823 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $8,375.25 | $55,835 | 2.6× |
| 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 Anti-Neopl Sq/Im (96401) | $87.45 | $583 | 1.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $57 | $380 | 0.8× |
| Chemo IV infusion addl hr (96415) | $84.45 | $563 | 1.2× |
| Chemo IV push addl drug (96411) | $84.45 | $563 | 1.2× |
| Chemother Prolong Infuse W/Pump (96416) | $148.95 | $993 | 0.4× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$106.50–$195.45 | $710–$1,303 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $70.05 | $467 | 1.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $148.95 | $993 | 0.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $121.20 | $808 | 0.4× |
| Chest Wall Manipulation (94668) | $43.20 | $288 | 0.3× |
| Color/duplex Doppler, complete (93975) | $512.85 | $3,419 | 2.1× |
| Color/duplex Doppler, limited (93976) | $307.80 | $2,052 | 2.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $30.75 | $205 | 1.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $34.65 | $231 | 0.6× |
| Continuous Pulse Ox (94762) | $57.23 | $381.48 | 0.4× |
| Coronary Art/Grft Angio S&I (93455) | $4,399.95 | $29,333 | 1.4× |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$3,055.50–$4,074 | $20,370–$27,160 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $124.09 | $827.22 | 0.6× |
| Cpt initial (94667) | $27.45 | $183 | 0.2× |
| Critical care first hour (99291) | $947.07 | $6,313.80 | 1.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$94.88–$94.95 | $632.50–$633 | varies |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$139.80–$403.95 | $932–$2,693 | varies |
| 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) range across 2 matching MRF lines |
$465.43–$465.45 | $3,102.84–$3,103 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $279.30 | $1,862 | 2.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$622.41–$622.50 | $4,149.36–$4,150 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $398.40 | $2,656 | 3.8× |
| 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 Hemodialysis Access (93990) | $185.76 | $1,238.40 | 1.8× |
| Duplex up extrem art bilat (93930) | $352.20 | $2,348 | 1.5× |
| Duplex up extrem art unilat/ltd (93931) | $218.70 | $1,458 | 2.1× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$535.69–$535.80 | $3,571.25–$3,572 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$755.60–$755.70 | $5,037.30–$5,038 | varies |
| Eeg 41-60 Minutes (95812) | $112.35 | $749 | 0.5× |
| EEG awake and 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 ea 12-26hr intmt (95709) | $303.05 | $2,020.30 | 0.8× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $177.47 | $1,183.12 | 0.8× |
| EEG wo vid ea 12-26hr unmntr (95708) | $217.35 | $1,449 | 0.6× |
| Electrical Stimulation Ea 15 Min (97032) range across 5 matching MRF lines |
$33.38–$33.45 | $222.50–$223 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$115.05–$176.85 | $767–$1,179 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) range across 2 matching MRF lines |
$1,086.15–$2,524.79 | $7,241–$16,831.90 | varies |
| Electrophysiology Evaluation (93642) | $378.15 | $2,521 | 0.3× |
| Emergency Dept Visit Level 2 (99282) | $174.45 | $1,163 | 1.1× |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$40.95–$306.90 | $273–$2,046 | varies |
| Emergency Dept Visit Level 4 (99284) | $481.35 | $3,209 | 1.1× |
| Emg 4 Extremities (95864) | $77.85 | $519 | 0.6× |
| 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× |
| Er level 1 (99281) range across 3 matching MRF lines |
$12.75–$97.65 | $85–$651 | varies |
| Er level v (99285) | $697.50 | $4,650 | 1.2× |
| Evaluate pt use of inhaler (94664) | $70.88 | $472.50 | 0.3× |
| Evaluate Speech Production (92522) | $120.75 | $805 | 1.1× |
| Evaluate Swallowing Function (92610) | $116.55 | $777 | 1.4× |
| Evaluation of speech fluency (92521) | $98.70 | $658 | 0.7× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$283.35–$393.60 | $1,889–$2,624 | varies |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$567.18–$567.30 | $3,781.14–$3,782 | varies |
| Extracranial Uni/Ltd Study (93882) | $374.40 | $2,496 | 3.6× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $9,282.60 | $61,884 | 2.9× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $505.05 | $3,367 | 0.7× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$439.35–$701.55 | $2,929–$4,677 | varies |
| Icd device progr eval dual (93283) | $149.25 | $995 | 4.0× |
| Immunization administration (90471) range across 4 matching MRF lines |
$25.35–$46.65 | $169–$311 | varies |
| Insert/Place Heart Catheter (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× |
| Irrig Drug Delivery Device (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 ther proph addl sequential to 1 hr (96367) | $47.85 | $319 | 0.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $44.85 | $299 | 1.0× |
| IV push initial (96374) range across 2 matching MRF lines |
$114.28–$114.30 | $761.83–$762 | varies |
| L Hrt Art/Grft Angio (93459) | $7,537.80 | $50,252 | 2.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $408.60 | $2,724 | 1.9× |
| Mechanical chest wall oscillation per session (94669) | $103.28 | $688.50 | 0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 3 matching MRF lines |
$16.65–$18.45 | $111–$123 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$21.12–$25.56 | $140.76–$170.34 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $9.30 | $62 | 0.5× |
| Motion Fluoroscopy/Swallow (92611) | $148.20 | $988 | 1.6× |
| Multiple Sleep Latency Test (95805) | $603.30 | $4,022 | 0.7× |
| Muscle Test 2 Limbs (95861) | $52.05 | $347 | 0.4× |
| Muscle Test One Limb (95860) | $42.45 | $283 | 0.3× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $46.05 | $307 | 0.2× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $41.25 | $275 | 0.2× |
| Needle electromyography larynx (95865) | $39 | $260 | 0.3× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $43.35 | $289 | 0.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $281.85 | $1,879 | 0.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq 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 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 13 or more studies (95913) | $72.30 | $482 | 0.2× |
| Nerve Conduction Studies 3-4 Studies (95908) | $122.85 | $819 | 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× |
| Nerve Conduction Studies 9-10 Studies (95911) | $219.90 | $1,466 | 0.6× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $39 | $260 | 0.3× |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$36.12–$36.15 | $240.76–$241 | varies |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$73.82–$73.95 | $492.12–$493 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $24.60 | $164 | 0.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $41.25 | $275 | 0.9× |
| Ot eval high complexity (97167) | $164.25 | $1,095 | 1.6× |
| Ot Eval Low Complex (97165) | $98.55 | $657 | 1.0× |
| Ot Eval Moderate Complexity (97166) | $131.40 | $876 | 1.3× |
| Ot manual therapy 15 min (97140) | $54.15 | $361 | 2.0× |
| Ot paraffin bath (97018) | $27.30 | $182 | 4.5× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$27.60–$29.85 | $184–$199 | varies |
| 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× |
| Peripheral arterial disease rehab per session (93668) | $28.16 | $187.68 | 0.5× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $4,309.95 | $28,733 | 0.8× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $6,200.25 | $41,335 | 0.5× |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$25.20–$60 | $168–$400 | varies |
| 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× |
| Prq Card Angio/Athrect 1 Art (92924) | $8,619.75 | $57,465 | 0.7× |
| 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× |
| Pt Eval High Complex (97163) | $167.25 | $1,115 | 1.7× |
| Pt eval low complex 20 min (97161) | $100.35 | $669 | 1.0× |
| Pt Eval Mod Complex (97162) | $133.80 | $892 | 1.4× |
| Pt gait training 15 min (97116) | $34.35 | $229 | 1.2× |
| Pt mechanical traction (97012) | $37.65 | $251 | 2.6× |
| Pt Re-Eval Est Plan Care (97164) | $100.35 | $669 | 1.5× |
| Pulm function test by gas (94727) | $90.30 | $602 | 0.4× |
| R Hrt Art/Grft Angio (93457) | $8,235.75 | $54,905 | 2.5× |
| R hrt coronary artery angio (93456) | $7,607.55 | $50,717 | 2.3× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $7,699.50 | $51,330 | 2.4× |
| Refill/Maint Portable Pump (96521) | $117.94 | $786.24 | 0.6× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$2,786.55–$5,820.15 | $18,577–$38,801 | varies |
| Right ventricular recording (93603) | $2,524.79 | $16,831.90 | 2.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$66.90–$68.95 | $446–$459.66 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $80.10 | $534 | 0.7× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $38.55 | $257 | 0.8× |
| Self Care Mngment Training (97535) | $41.85 | $279 | 1.3× |
| Sensory Integration Ea 15 Min (97533) | $35.85 | $239 | 0.6× |
| Short-latency somatosens ep std upr limbs (95925) | $93.75 | $625 | 0.4× |
| Somatosensory Testing (95938) | $159.75 | $1,065 | 0.2× |
| Speech sound lang comprehen (92523) | $136.35 | $909 | 0.6× |
| Spirometry (94010) | $183.60 | $1,224 | 0.8× |
| Ssep lower limbs (95926) | $89.85 | $599 | 0.4× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$94.50–$100.65 | $630–$671 | varies |
| Temp transcutaneous pacing (92953) | $96 | $640 | 0.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$27.19–$27.30 | $181.25–$182 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $25.95 | $173 | 1.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$33.30–$36.90 | $222–$246 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $24.60 | $164 | 0.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $53.85 | $359 | 0.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$51.26–$51.30 | $341.70–$342 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$179.38–$179.40 | $1,195.82–$1,196 | varies |
| Therapeutic Activities (97530) | $56.25 | $375 | 1.6× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,094.10 | $7,294 | 2.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $16.95 | $113 | 0.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $16.95 | $113 | 0.5× |
| Transcath Closure of Asd (93580) unusually low: confirm this is the full procedure |
$5,798.40 | $38,656 | 0.3× |
| Tte w/doppler, complete (93306) | $935.70 | $6,238 | 1.7× |
| Tte W/O Doppler Complete (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 Speech Language Voice Commj Auditry 2/>Indiv (92508) | $31.80 | $212 | 1.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$73.75–$73.80 | $491.64–$492 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$210.57–$210.60 | $1,403.75–$1,404 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $332.70 | $2,218 | 1.5× |
| Valvuloplasty aortic valve (92986) likely a partial charge, not the full procedure |
$1,324.05 | $8,827 | 0.2× |
| Veeg 2-12 hr unmonitored (95711) | $126.45 | $843 | 0.6× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $217.35 | $1,449 | 0.6× |
| Vent Mgmt Inpat Init 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) range across 3 matching MRF lines |
$31.68–$31.80 | $211.14–$212 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$39.30–$41.85 | $262–$279 | varies |
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.