Visits & medical services prices at Clay County Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $71 $101 0.3×
Behavioral and qualitative analysis of voice and resonance (92524) $241 $344 2.2×
Cardiopulmonary resuscitation (92950) $587 $838 2.7×
Cardioversion (92960) $567 $810 0.9×
Color/duplex Doppler, limited (93976) $509 $727 4.8×
Cpap initiation and management (94660) $102 $146 0.5×
Cpt initial (94667) $81 $115.50 0.6×
Critical care (99291) $3,230 $4,614.50 3.9×
Debridement Open Wound 20 Sq Cm< (97597) $203 $290 1.0×
Demo &/or eval,pt use,aerosol device (94664) $64 $91 0.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $870 $1,243 3.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $482 $689 4.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $870 $1,243 3.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $482 $689 4.6×
Dup-scan xtr veins unilateral/limited study (93971) $986 $1,408 9.4×
Duplex scan extracranial art compl bi study (93880) $1,450 $2,071 6.0×
Echo Heart Xthoracic,Limited (93308) $81 $116 0.3×
EKG (93005) $138 $197 2.3×
EKG rhythm strip (93041) $76 $108 1.3×
Er level 1 (99281) $140.50 $201 1.7×
Er level ii (99282) $305 $435 2.0×
Er level iii (99283) $511 $730 1.9×
Er level IV (99284) $882 $1,260 2.1×
Er level v (99285) $2,011.50 $2,873.50 3.4×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $93 $133 1.3×
Evaluation of speech sound production (92522) $250 $357 2.2×
Evaluation of swallowing function (92610) $248 $355 2.9×
Evaluation with prescription of speech-generating alternative (92607) $287 $410 2.3×
External Ecg Scanning Analysis Report (93226) $227 $324 3.8×
Holter Monitor Recording (93225) $248 $354 1.9×
Immunization Admin (90471) $76 $108 1.1×
IV infusion hydration each additional hour (96361) $65 $93 1.4×
IV infusion hydration initial 31 min-1 hour (96360) $202 $288 0.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $119 $170 1.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $474 $677 2.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $93 $133 2.0×
IV push initial (96374) $197 $281 0.9×
Manual therapy 15 min (97140) $62 $89 2.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $656 $937 3.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $167 $238 0.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $267 $382 2.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $105 $150 0.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $143 $204 3.1×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $60 $86 1.9×
Ot eval high complex 60 min (97167) $153 $218 1.5×
Ot eval low complex 30 min (97165) $153 $218 1.5×
Ot eval mod complex 45 min (97166) $153 $218 1.5×
Ot Range Motion Measure,Each Extrem (95851) $50 $72 1.9×
Ot re-eval est plan care (97168) $78 $112 1.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $200 $285 1.5×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $369 $527 2.8×
Pt Aquatic Therapy/Exercises (97113) $63 $90 1.7×
Pt eval high complex 45 min (97163) $151 $215 1.5×
Pt eval low complex 20 min (97161) $151 $215 1.5×
Pt Gait Training Therapy (97116) $56 $80 1.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $60 $86 1.8×
Pt Physical Performance Test (97750) $59 $85 1.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $151 $215 1.5×
Pt re-evaluation (97164) $113 $161 1.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $472 $674 2.3×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $56 $80 1.2×
Sensory Integration Ea 15 Min (97533) $61 $87 1.0×
Speech sound lang comprehen (92523) $143 $204 0.6×
Spirometry (94010) $70 $99.50 0.3×
Temp transcutaneous pacing (92953) $604 $863 0.9×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $56 $80 2.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $61 $87 2.9×
Ther/Proph/Diag Inj Sc/Im (96372) $178 $254 2.5×
Therapeutic Activities (97530) $53 $76 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $64 $92 1.7×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,484 $2,120 6.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $131 $187 1.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $143 $204 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $73 $104 1.6×
Unlisted pulmonary service/procedure (94799) $50 $72 0.4×
Vasc Duplex Extrem Venous,Bilat (93970) $1,450 $2,071 6.0×
Vasc Duplex Scan Extracranial,Limited (93882) $646 $923 6.2×
Ventilation assist & mgmt inpatient 1st day (94002) $479 $684 0.8×