Visits & medical services prices at Cook Childrens Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $115.49 $153.99 0.9×
Acoustic reflex testing (92568) $102.52 $136.69 2.7×
Actigraphy testing recording analysis i&r (95803) $180.37 $240.49 3.0×
Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) $28.13 $37.50 0.2×
Adaptive behavior tx by protocol tech ea 15 min (97153) $13.13 $17.50 0.1×
Aep hearing status deter broadband stimuli i&r (92651) $214.08 $285.44 1.0×
Aep Neurodiagnostic I&R (92653) $1,195.71 $1,594.28 5.5×
Aep threshold estimation mlt frequencies i&r (92652) $1,380.12 $1,840.16 6.4×
Airway inhalation treatment (94640) $314.54 $419.38 1.4×
Ambulatory Bp Analysis (93788) $301.82 $402.44 2.3×
Ambulatory Bp Recording (93786) $195.92 $261.22 1.5×
Analysis and programming of inner ear implant (younger than 7 years) (92601) $244 $325.33 1.9×
Analysis and reprogramming of inner ear implant (younger than 7 years) (92602) $280.48 $373.97 2.2×
Anogenital exam, child (99170) $444.64 $592.85 2.2×
Auditory Function, 60 Min (92620) $331.85 $442.47 2.6×
Basic vestibular evaluation (92540) $432.69 $576.92 2.0×
Behav assmt w/score & docd/stand instrument (96127) $35.24 $46.99 0.9×
Behavior id assessment by phys/qhp ea 15 min (97151) $23.44 $31.25 0.2×
Behavior id support assmt by 1 tech ea 15 min (97152) $13.13 $17.50 0.1×
Behavioral and qualitative analysis of voice and resonance (92524) $459.72 $612.96 4.2×
Biofeedback training any modality (90901) $53.62 $71.49 1.3×
Breath Hydrogen/Methane Test (91065) $1,742.12 $2,322.83 8.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $438.82 $585.10 1.2×
Caloric vestibular test w/rec bi bithermal (92537) $158.58 $211.44 1.2×
Caloric vestibular test w/rec bi monothermal (92538) $105.72 $140.96 0.5×
Canalith Repositioning (95992) $167.57 $223.42 4.1×
Cardiac Stress Tst,Tracing Only (93017) $1,714.12 $2,285.48 7.9×
Cardiopulmonary exercise testing (94621) $2,291.26 $3,055.02 6.1×
Cardiopulmonary resuscitation (92950) $1,035.52 $1,380.69 4.8×
Cardioversion (92960) $2,853.86 $3,805.14 4.3×
Cbt 1st hour (94644) $399.04 $532.04 3.0×
Cervical & ocular vemp testing w/i&r (92519) $289.49 $385.98 1.3×
Cervical vemp testing w/i&r (92517) $198.44 $264.59 1.5×
Chemo Hormon Antineopl Sq/Im (96402) $321.60 $428.80 4.4×
Chemo IV push addl drug (96411) $363.48 $484.64 5.0×
Chemo Iv Push Sngl Drug (96409) $468.60 $624.80 1.4×
Chemother, IV infusion, 1 hr (96413) $709.89 $946.52 2.1×
Chemother, IV infusion, ea add hr (96415) $565.88 $754.50 7.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $348.49 $464.65 4.8×
Chemotx Admn Cns Req Spinal Puncture (96450) $2,196.52 $2,928.69 6.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $310.73 $414.31 4.3×
Color/duplex Doppler, complete (93975) $721.88 $962.50 3.0×
Color/duplex Doppler, limited (93976) $647.41 $863.21 6.2×
Compre cptr mtn alys video taping 3d kinematics (96000) $1,022.75 $1,363.67 2.7×
Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) $1,186.13 $1,581.51 1.4×
Comprehensive Hearing Test (92557) $331.85 $442.47 2.6×
Conditioning Play Audiometry (92582) $230.64 $307.52 1.8×
Continuous Glucose Monitoring (95250) $971.90 $1,295.86 7.3×
Cpap initiation and management (94660) $1,780.04 $2,373.40 8.1×
Cpt initial (94667) $262.84 $350.46 2.0×
Critical care (99291) $3,757.40 $5,009.87 4.5×
Debridement Open Wound 20 Sq Cm< (97597) $616.91 $822.55 3.1×
Demo &/or eval,pt use,aerosol device (94664) $469.17 $625.56 2.1×
Developmental tst admin phys/qhp 1st hour (96112) $384.84 $513.12 3.0×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $3,248.56 $4,331.42 7.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,561.79 $2,082.38 6.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,415.21 $1,886.94 13.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,561.79 $2,082.38 6.5×
Dup-scan xtr veins unilateral/limited study (93971) $871.13 $1,161.51 8.3×
Duplex scan extracranial art compl bi study (93880) $893.31 $1,191.08 3.7×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $239.87 $319.83 1.9×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $187.05 $249.40 1.4×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $181.09 $241.45 1.4×
Dyn surf EMG,walking/func act,1-12 mus (96002) $259.49 $345.99 1.2×
Echo Heart Xthoracic,Limited (93308) $1,412.73 $1,883.64 5.9×
Echo transesophageal (93312) $3,152.99 $4,203.98 5.7×
Echo Transesophageal - Congenital Tee Complete (93315) $3,818.69 $5,091.58 7.0×
Echo Transthoracic - Congenital Tte Complete (93303) $2,405.14 $3,206.86 4.4×
Echo Transthoracic - Congenital Tte Limited (93304) $1,830.08 $2,440.12 3.3×
EEG awake asleep (95819) $1,836.94 $2,449.24 8.5×
EEG awake drowsy (95816) $1,946.68 $2,595.57 9.0×
EEG cerebral death evaluation (95824) $3,402.62 $4,536.83 9.1×
EEG cont rec w/video by tech min 8 channels (95700) $1,426.70 $1,902.27 6.6×
Eeg Extended Monitoring 61-119 Minutes (95813) $2,220.28 $2,960.37 10.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,241.56 $1,655.41 5.7×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $3,998.63 $5,331.51 10.7×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $1,381.43 $1,841.90 3.7×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $7,550.58 $10,067.44 20.1×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $3,858.77 $5,145.02 17.8×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $7,410.69 $9,880.92 34.2×
EKG (93005) $296.92 $395.89 5.0×
EKG rhythm strip (93041) $232.83 $310.44 3.9×
Electrocochleography (92584) $432.69 $576.92 3.3×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $2,073 $2,764 9.6×
EMG two extremities (95861) $1,485.11 $1,980.14 11.1×
Er level 1 (99281) $360.45 $480.60 4.3×
Er level ii (99282) $671.87 $895.83 4.4×
Er level iii (99283) $1,020.12 $1,360.16 3.7×
Er level IV (99284) $1,793.82 $2,391.76 4.3×
Er level v (99285) $2,953.07 $3,937.42 4.9×
Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) $5,107.14 $6,809.52 13.6×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $299.36 $399.14 2.3×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $137.78 $183.70 1.9×
Evaluation of speech fluency (92521) $399.19 $532.26 3.0×
Evaluation of speech sound production (92522) $399.19 $532.26 3.6×
Evaluation of swallowing function (92610) $235.84 $314.46 2.8×
Evoked Auditory Test,Comprehsv (92588) $185.85 $247.80 0.5×
Evoked auditory test,limited (92587) $180.68 $240.91 0.8×
External Ecg Scanning Analysis Report (93226) $1,110.46 $1,480.61 18.7×
Fam adapt bhv tx gdn phy/qhp (97156) $14.06 $18.75 0.4×
Filtered Speech Test (92571) $108.12 $144.16 2.9×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $474.14 $632.18 2.4×
Fundus photography w/interpretation & report (92250) $141.54 $188.72 1.1×
Group Therapeutic Procedures (97150) $87.46 $116.61 4.8×
Hast w/report (94452) $541.16 $721.55 4.0×
Health Behavior Assessment/Re-Assessment (96156) $574.04 $765.39 5.6×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $372.32 $496.42 9.9×
Health behavior ivntj group f2f 1st 30 min (96164) $100.52 $134.03 2.7×
Health behavior ivntj indiv f2f 1st 30 min (96158) $370.23 $493.64 2.1×
High altitude simulation test (94453) $691.11 $921.48 5.2×
Holter Monitor Recording (93225) $444.89 $593.18 3.3×
Icd Device Interrogate (93289) $436.94 $582.59 11.7×
Ilr Device Eval Progr (93285) $436.94 $582.59 11.7×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $37.13 $49.50 0.5×
Immunization Admin (90471) $43.25 $57.66 0.6×
Interrog dev eval icpms phys/qhp in person (93290) $436.94 $582.59 11.7×
Interrog dev eval scrms phys/qhp in person (93291) $436.94 $582.59 15.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $209.83 $279.77 3.5×
IV infusion hydration each additional hour (96361) $179.63 $239.51 3.8×
IV infusion hydration initial 31 min-1 hour (96360) $596.43 $795.24 2.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $295.13 $393.51 4.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $709.89 $946.52 3.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $338.80 $451.72 7.2×
IV push initial (96374) $1,128.36 $1,504.47 5.3×
Laryngeal Function Studies (92520) $147.51 $196.68 1.1×
Magnetoencephalography spon brain activity (95965) $42,175.90 $56,234.53 48.9×
Magnetoencephalograpy evoked fields 1 modality (95966) $4,514 $6,018.66 5.2×
Manual therapy 15 min (97140) $55.78 $74.38 2.0×
Massage 15 min (97124) $56.14 $74.86 1.9×
Mechanical chest wall oscillation (94669) $1,040.77 $1,387.69 4.7×
Mechanical traction (97012) $89.95 $119.93 6.3×
Methacholine challenge (94070) $23.27 $31.02 0.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $218.60 $291.47 2.4×
Multiple sleep latency test (95805) $3,071.27 $4,095.03 3.6×
Nasal function studies (92512) $203.48 $271.30 0.9×
Nasopharyngoscopy (92511) $664.47 $885.96 3.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $617 $822.66 3.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $779.86 $1,039.82 1.9×
Neurobehavioral Status Exam (96116) $1,331.14 $1,774.84 6.1×
Nitric oxide expired gas determination (95012) $37.64 $50.19 1.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $1,262.71 $1,683.61 9.8×
Nrpsyc tst eval phys/qhp 1st (96132) $1,122.56 $1,496.75 3.0×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $490.95 $654.60 1.3×
Ocular vemp testing w/i&r (92518) $198.44 $264.59 1.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $69.12 $92.16 1.5×
Oscillating Tracking Test (92545) $91.50 $122 0.4×
Ot eval high complex 60 min (97167) $527.96 $703.94 5.3×
Ot eval low complex 30 min (97165) $233.46 $311.28 2.3×
Ot eval mod complex 45 min (97166) $350.20 $466.93 3.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $104.64 $139.52 2.1×
Ot Prosthetic Training, Each 15 Min (97761) $69.12 $92.16 1.7×
Ot re-eval est plan care (97168) $410.42 $547.23 6.0×
Paraffin bath (97018) $53.62 $71.49 8.9×
Patch/Application Test Specify Number Tests (95044) $7.46 $9.95 0.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $473.06 $630.74 2.2×
Photochemotx tar&uvb/petrolatum/uvb (96910) $219.02 $292.02 3.7×
Plethysmography (94726) $1,293.09 $1,724.12 3.4×
Pm device eval in person (93288) $436.94 $582.59 11.7×
Pm device progr eval dual (93280) $436.94 $582.59 11.7×
Pm device progr eval multi (93281) $436.94 $582.59 11.7×
Pm device progr eval sngl (93279) $436.94 $582.59 11.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $9,941.70 $13,255.60 11.5×
Polysom <6 yrs 4/> paramtrs (95782) $5,947.04 $7,929.39 6.9×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $9,941.70 $13,255.60 11.5×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $6,731.03 $8,974.70 7.8×
Positional Nystagmus Test (92542) $144.17 $192.22 1.1×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $436.94 $582.59 11.7×
Programming of dual lead implantable defibrillator system (93283) $436.94 $582.59 11.7×
Programming of single lead implantable defibrillator system (93282) $436.94 $582.59 11.7×
Psych diag eval w/med srvcs (90792) $526.86 $702.48 3.0×
Psychiatric diagnostic evaluation (90791) $639.34 $852.45 3.6×
Psycl tst eval phys/qhp 1st (96130) $868.85 $1,158.46 4.0×
Psycl/Nrpsyc Tst Auto Result (96146) $452.89 $603.85 15.6×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $284.10 $378.80 0.6×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $497.76 $663.68 3.7×
Psytx crisis initial 60 min (90839) $714.90 $953.20 4.0×
Pt Electric Current Therapy (97033) $53.62 $71.49 2.8×
Pt Electrical Stimulation (97032) $53.62 $71.49 3.6×
Pt eval high complex 45 min (97163) $327.65 $436.86 3.3×
Pt eval low complex 20 min (97161) $233.46 $311.28 2.4×
Pt Gait Training Therapy (97116) $36.04 $48.05 1.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $69.12 $92.16 2.1×
Pt Physical Performance Test (97750) $147.30 $196.40 4.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $350.20 $466.93 3.6×
Pt re-evaluation (97164) $253.73 $338.30 3.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $84.62 $112.82 2.6×
Pt Ultrasound Therapy (97035) $80.25 $107 5.6×
Pt-focused hlth risk assmt (96160) $60.07 $80.09 1.6×
Pulm Funct Test Oscillometry (94728) $345.17 $460.22 2.7×
Pulm function test by gas (94727) $238.52 $318.02 1.1×
Pulmonary stress testing (94618) $1,932.62 $2,576.83 14.5×
Pure Tone Audiometry Air & Bone (92553) $135.62 $180.82 1.0×
Pure Tone Audiometry, Air (92552) $102.11 $136.15 0.8×
Refill/Maint Pump/Resvr Syst (96522) $956.96 $1,275.94 4.5×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $223.73 $298.31 1.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $641.81 $855.75 17.1×
Repet tms tx initial w/map/motr threshld/del&m (90867) $1,998.18 $2,664.24 9.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $120.14 $160.18 0.6×
Rt Chest Wall Manipulation,Subsequent (94668) $197.66 $263.55 1.5×
Select picture audiometry (92583) $231.42 $308.56 3.9×
Short-latency somatosens ep std lwr limbs (95926) $1,847.43 $2,463.24 8.5×
Short-latency somatosens ep std upr limbs (95925) $1,664.12 $2,218.82 7.7×
Speech Audiometry Threshold (92555) $32 $42.66 0.5×
Speech Audiometry, Complete (92556) $68.28 $91.04 1.2×
Speech group therapy (92508) $210.80 $281.06 8.8×
Speech sound lang comprehen (92523) $399.19 $532.26 1.8×
Spirometry (94010) $461.14 $614.84 2.1×
Staggered Spondaic Word Test (92572) $216.24 $288.32 1.7×
Stenger Test, Pure Tone (92565) $237.19 $316.25 4.0×
Stenger Test, Speech (92577) $224.61 $299.48 0.6×
Stress echo (93350) $4,403.46 $5,871.28 8.0×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $956.54 $1,275.39 4.5×
Test for abnormal eye movement using a moving target with recording (92544) $100.91 $134.55 0.8×
Test to assess hearing loss using grammatically incorrect sentences (92576) $108.12 $144.16 2.9×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $69.12 $92.16 3.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $69.12 $92.16 3.3×
Ther/Proph/Diag Inj Sc/Im (96372) $237.41 $316.55 3.3×
Therap repetitive tms tx subseq delivery & mng (90868) $534.95 $713.27 2.5×
Therapeutic Activities (97530) $69.12 $92.16 2.0×
Therapeutic phlebotomy (99195) $872.72 $1,163.62 6.5×
Tilt Table Eval (93660) $3,488.28 $4,651.04 9.3×
Tinnitus assessment (92625) $102.11 $136.15 0.8×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $910.04 $1,213.39 3.8×
Transcranial Doppler Limited (93888) $909.80 $1,213.07 8.7×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $436.94 $582.59 11.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $3,736.80 $4,982.40 6.8×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $2,167.59 $2,890.12 9.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $343.27 $457.69 4.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $365.09 $486.79 4.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $179.63 $239.51 3.8×
Tympanometry (92567) $84.24 $112.32 2.2×
Tympanometry And Reflex Threshold Measurements (92550) $115.49 $153.99 0.5×
Ultraviolet Light Therapy (96900) $114.30 $152.40 3.0×
Unlisted Cardiovascular Service/Procedure (93799) $369.05 $492.06 2.9×
Unlisted otorhinolaryngological service (92700) $432.69 $576.92 14.9×
Unlisted pulmonary service/procedure (94799) $753.48 $1,004.63 5.8×
Vasc Duplex Extrem Venous,Bilat (93970) $946.94 $1,262.58 4.0×
Vasc Duplex Scan Extracranial,Limited (93882) $678.93 $905.24 6.5×
Veeg by tech 2-12 hours unmonitored (95711) $750.26 $1,000.34 3.5×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $4,298.69 $5,731.59 11.5×
Veeg by tech 2-12 hr intermittent monitoring (95712) $2,500.85 $3,334.46 6.7×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $9,313.82 $12,418.43 10.8×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $5,001.73 $6,668.97 13.3×
Veeg Ea 12-26 Hr Unmntr (95714) $1,500.51 $2,000.68 4.0×
Ventilation assist & mgmt inpatient 1st day (94002) $2,931.38 $3,908.50 4.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,393.70 $4,524.94 5.5×
Visual Evoked Potential Test (95930) $1,711.04 $2,281.38 7.9×
Visual reinforcement audiometry (vra) (92579) $230.86 $307.81 1.1×
Vital capacity total (94150) $68.98 $91.97 0.5×
Wada Activation Test Hemispheric Function W/Eeg (95958) $2,841.56 $3,788.74 3.3×
Wheelchair Mgmt Ea 15 Min (97542) $69.12 $92.16 2.2×
Xtrnl mobile cv telemetry w/technical support (93229) $436.94 $582.59 1.2×