Visits & medical services prices at Citizens Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $8,489 $16,978 1.1×
Airway Inhalation Treatment (94640) $221 $442 1.0×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $171 $342 1.3×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $171 $342 1.3×
Analyze Pacemaker System (93724) $378.50 $757 1.2×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $75 $150 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $36 $72 2.5×
Application Modality 1/> Areas Infrared (97026) $14.50 $29 2.2×
Behavral qualit analys voice (92524) $164 $328 1.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $78 $156 0.9×
Bfb training ea addl 15 min (90913) $50 $100 1.5×
Biofeedback training any modality (90901) $78 $156 1.9×
Car seat/bed test 60 min (94780) $95.50 $191 2.5×
Cardiac Stress Tst,Tracing Only (93017) $436 $872 2.0×
Cardiopulmonary resuscitation (92950) $353.50 $707 1.6×
Cardioversion (92960) $749.50 $1,499 1.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $69.44 $138.87 2.7×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $4,056 $8,112 1.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $2,653 $5,306 0.8×
Cbt 1st hour (94644) $177 $354 1.3×
Chemo Anti-Neopl Sq/Im (96401) $79.50 $159 1.1×
Chemo Hormon Antineopl Sq/Im (96402) $79.50 $159 1.1×
Chemo Ia Push (96420) $522 $1,044 1.6×
Chemo IV infusion addl hr (96415) $79.50 $159 1.1×
Chemo IV push addl drug (96411) $79.50 $159 1.1×
Chemother Prolong Infuse W/Pump (96416) $383.50 $767 1.2×
Chemotherapy Into Cns (96450) $383.50 $767 1.2×
Chemotherapy Unspecified (96549) $50.50 $101 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $79.50 $159 1.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $383.50 $767 1.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $249 $498 0.8×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $284.50 $569 0.9×
Chest Wall Manipulation (94668) $70.50 $141 0.5×
Color/duplex Doppler, complete (93975) $395 $790 1.6×
Color/duplex Doppler, limited (93976) $531.50 $1,063 5.1×
Continuous Pulse Ox (94762) $234 $468 1.8×
Coronary Art/Grft Angio S&I (93455) $2,653 $5,306 0.8×
Coronary Artery Angio S&I (93454) $2,653 $5,306 0.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $221 $442 1.0×
Cpt initial (94667) $221 $442 1.7×
Critical care first hour (99291) $931 $1,862 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $299 $598 1.5×
Dialysis One Evaluation (90945) $284.50 $569 0.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $395 $790 1.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $180 $360 1.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $351 $702 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $271.50 $543 2.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $392.50 $785 1.6×
Dup-scan xtr veins unilateral/limited study (93971) $249 $498 2.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $477 $954 2.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $157 $314 1.5×
Duplex Scan Hemodialysis Access (93990) $300 $600 2.9×
Duplex up extrem art bilat (93930) $352.50 $705 1.5×
Duplex up extrem art unilat/ltd (93931) $241.50 $483 2.3×
Echo Congenital Complete (93303) $1,144.50 $2,289 2.1×
Echo Heart Xthoracic,Limited (93308) $350 $700 1.5×
Echo transesophageal (93312) $1,092 $2,184 2.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $798 $1,596 1.5×
EEG awake and asleep (95819) $587 $1,174 2.7×
EEG awake drowsy (95816) $501.50 $1,003 2.3×
EEG extended monitoring 61-119 minutes (95813) $205 $410 0.9×
Eeg Sleep Only (95822) $512.50 $1,025 2.4×
EEG wo vid ea 12-26hr unmntr (95708) $766 $1,532 2.0×
Electrical Stimulation Ea 15 Min (97032) $47.50 $95 3.2×
Electrocardiogram Tracing (93005) $157.50 $315 2.7×
Emergency Dept Visit Level 2 (99282) $179 $358 1.2×
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines		 $116.50–$312 $233–$624 varies
Emergency Dept Visit Level 4 (99284) $491.50 $983 1.2×
Endomyocardial Biopsy (93505) $2,580 $5,160 0.8×
Ep & ablate supravent arrhyt (93653) $29,976 $59,952 1.1×
Ep & ablate ventric tachy (93654) $29,976 $59,952 1.1×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $8,489 $16,978 1.1×
Er level 1 (99281) $97.50 $195 1.2×
Er level v (99285) $705 $1,410 1.2×
Evaluate pt use of inhaler (94664) $221 $442 1.0×
Evaluate Speech Production (92522) $157 $314 1.4×
Evaluate Swallowing Function (92610) $175 $350 2.1×
Evaluation of speech fluency (92521) $193.50 $387 1.5×
Evoked Auditory Test,Limited (92587) $193.50 $387 0.9×
External Ecg Scanning Analysis Report (93226) $168 $336 2.8×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines		 $25–$419.50 $50–$839 varies
Extracranial Uni/Ltd Study (93882) $254.50 $509 2.4×
F-up/limited tthrc echo congenital car anomaly (93304) $567.50 $1,135 1.0×
Flexible endoscopic eval swallow c/v rec (92612) $277.50 $555 1.4×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $323 $646 1.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $678 $1,356 0.8×
Group Therapeutic Procedures (97150) $55 $110 3.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $2,653 $5,306 0.8×
Holter monitor recording (93225) $461.50 $923 3.5×
Icd Device Interrogate (93289) $51 $102 1.4×
Immunization administration (90471) $84.50 $169 1.2×
Insert/Place Heart Catheter (93503) $1,966.50 $3,933 1.2×
Irrig Drug Delivery Device (96523) $74.50 $149 1.3×
IV infusion hydration each additional hour (96361) $53.50 $107 1.1×
IV infusion hydration initial 31 min-1 hour (96360) $257 $514 1.2×
IV infusion ther proph addl sequential to 1 hr (96367) $84.50 $169 1.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $53.50 $107 1.1×
IV push initial (96374) $257 $514 1.2×
L Hrt Art/Grft Angio (93459) $2,653 $5,306 0.8×
Laryngeal Function Studies (92520) $182.50 $365 1.4×
Lwr Xtr Vasc Stdy Bilat (93924) $418.50 $837 1.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $27.50 $55 0.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $32 $64 0.9×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $12.50 $25 0.7×
Motion Fluoroscopy/Swallow (92611) $156 $312 1.7×
Multiple Sleep Latency Test (95805) $1,783 $3,566 2.1×
Nasopharyngoscopy (92511) $230 $460 1.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $446 $892 1.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $446 $892 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $244 $488 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $446 $892 1.1×
Neuromuscular Reeducation (97112) $81 $162 2.5×
Newborn resuscitation (99465) $783.50 $1,567 1.2×
Oral Function Therapy (92526) $122.50 $245 1.5×
Oral Speech Device Eval (92597) $156 $312 2.2×
Orthc/Prostc Mgmt Sbsq Enc (97763) $48 $96 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $46.50 $93 1.0×
Ot eval high complexity (97167) $217 $434 2.2×
Ot Eval Low Complex (97165) $217 $434 2.2×
Ot Eval Moderate Complexity (97166) $217 $434 2.2×
Ot manual therapy 15 min (97140) $76 $152 2.7×
Ot paraffin bath (97018) $22.50 $45 3.7×
Ot Prosthetic Training, Each 15 Min (97761) $40 $80 1.0×
Ot Re-Eval Est Plan Care (97168) $110.50 $221 1.6×
Peripheral arterial disease rehab per session (93668) $138.50 $277 2.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 2 matching MRF lines		 $8,576.25–$8,576.50 $17,152.50–$17,153 varies
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $13,837 $27,674 1.2×
Phlebotomy therapeutic (99195) $141 $282 1.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $319.50 $639 5.4×
Physical Performance Test (97750) $81 $162 2.4×
Pm device eval in person (93288) $51 $102 1.4×
Pm device progr eval dual (93280) $58.50 $117 1.6×
Pm Device Progr Eval Sngl (93279) $63 $126 1.7×
Pm/Icd Remote Tech Serv (93296) $35 $70 0.9×
Prq Card Angio/Athrect 1 Art (92924)
range across 2 matching MRF lines		 $13,837–$17,395 $27,674–$34,790 varies
Prq Card Stent W/Angio 1 Vsl (92928)
range across 2 matching MRF lines		 $13,837–$17,395 $27,674–$34,790 varies
Prq Card Stent/Ath/Angio (92933)
range across 2 matching MRF lines		 $14,839–$17,395 $29,678–$34,790 varies
Prq Revasc Byp Graft 1 Vsl (92937)
range across 2 matching MRF lines		 $13,837–$17,395 $27,674–$34,790 varies
Pt Eval High Complex (97163) $203.50 $407 2.1×
Pt eval low complex 20 min (97161) $203.50 $407 2.1×
Pt Eval Mod Complex (97162) $203.50 $407 2.1×
Pt gait training 15 min (97116) $71.50 $143 2.5×
Pt group caregiver training (97552) $55 $110 2.5×
Pt mechanical traction (97012) $43.50 $87 3.0×
Pt Re-Eval Est Plan Care (97164) $110.50 $221 1.6×
Pulmonary Stress Testing (94618) $158.50 $317 1.2×
R Hrt Art/Grft Angio (93457) $2,653 $5,306 0.8×
R hrt coronary artery angio (93456) $2,653 $5,306 0.8×
R&L Hrt Cath W/Ventriclgrphy (93453) $2,653 $5,306 0.8×
Rapid Desensitization Procedure Each Hour (95180) $203.50 $407 0.5×
Remote 30 Day Ecg Rev/Report (93270) $119.50 $239 3.2×
Respiratory flow volume loop (94375) $442.50 $885 2.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $95.50 $191 1.6×
Right Heart Cath (93451) $2,653 $5,306 0.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $136.50 $273 0.7×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $75 $150 2.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $329 $658 2.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $67.50 $135 1.4×
Self Care Mngment Training (97535) $86.50 $173 2.7×
Sensory Integration Ea 15 Min (97533) $75 $150 1.2×
Slp caregiver training 1st 30 min (97550) $139.79 $279.58 2.6×
Speech sound lang comprehen (92523) $326.50 $653 1.4×
Surfactant Admin Thru Tube (94610) $221 $442 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $80 $160 3.6×
Ther Ivntj Ea Addl 15 Min (97130) $80 $160 3.8×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $86 $172 2.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $62 $124 2.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $190.50 $381 1.9×
Ther/Prop/Diag Inj/Inf Proc (96379) $50.50 $101 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $101 $202 1.4×
Ther/Proph/Diag Iv Inf Init (96365) $257 $514 1.2×
Therapeutic Activities (97530) $80 $160 2.3×
Tte w/doppler, complete (93306) $1,030.50 $2,061 1.9×
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines		 $65.50–$342.50 $131–$685 varies
Tx atrial fib pulm vein isol (93656) $29,976 $59,952 1.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $136.50 $273 1.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $53.50 $107 1.1×
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines		 $194–$210 $388–$420 varies
Unlisted noninvasive vascular diagnostic study (93998) $37.50 $75 1.3×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines		 $25–$182.50 $50–$365 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $222.50 $445 1.0×
Valvuloplasty aortic valve (92986) $6,918 $13,836 1.2×
Vasopneumatic device (97016) $41 $82 3.4×
Vent Mgmt Inpat Init Day (94002) $623.50 $1,247 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $623.50 $1,247 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $96.50 $193 3.1×
Whirlpool Therapy (97022) $72.50 $145 4.6×

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.