Visits & medical services prices at Coon Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines		 $23.63–$33.75 $31.50–$45 varies
Advncd Care Plan 30 Min (99497)
range across 2 matching MRF lines		 $104.06–$117.14 $138.75–$156.18 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines		 $613.07 $25.10–$817.43 1.6×
Canalith repositioning proc (95992) $75.26 $100.35 1.8×
Caregiver hlth risk assmt score doc stnd instrm (96161) $33.52 $44.69 0.9×
Chron Care Mgmt Srvc 20 Min (99490) $173.44 $231.25 1.7×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines		 $96.66–$453.23 $128.88–$604.30 varies
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $301.26 $401.68 1.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $67.94 $90.58 0.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $41.18 $54.90 0.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $66 $88 0.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $40.05 $53.40 0.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $57.32 $76.43 0.2×
Dup-scan xtr veins unilateral/limited study (93971) $37.01 $49.35 0.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $210.75 $281 2.0×
Duplex Scan Hemodialysis Access (93990) $40.60 $54.13 0.4×
Duplex up extrem art unilat/ltd (93931) $40.61 $54.15 0.4×
Echo Heart Xthoracic,Limited (93308) $453.23 $604.30 1.9×
External ECG rec>48hr<7d recording (93242) $75.75 $101 2.0×
External ECG rec>7d<15d recording (93246) $75.75 $101 2.0×
Extracranial Bilat Study (93880) $66.83 $89.10 0.3×
Extracranial Uni/Ltd Study (93882) $41.18 $54.90 0.4×
Intracranial Complete Study (93886) $79.79 $106.38 0.3×
IV infusion hydration each additional hour (96361) $89.25 $119 1.9×
IV infusion hydration initial 31 min-1 hour (96360) $402 $536 1.9×
IV infusion ther proph addl sequential to 1 hr (96367) $132 $176 1.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $89.25 $119 1.9×
IV push initial (96374) $402 $536 1.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $40.64 $54.18 1.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $19.45 $25.93 0.5×
Pt-focused hlth risk assmt score doc stnd instrm (96160)
range across 2 matching MRF lines		 $103.56–$161.24 $138.08–$214.98 varies
Rem mntr physiol param 1st dev supply ea 30 d (99454) $69.92 $93.23 1.9×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $241.64 $322.18 1.8×
Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) $71.50 $95.33 1.9×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $104.09 $138.78 1.0×
Temp transcutaneous pacing (92953) $1,288.31 $1,717.75 1.9×
Ther/Proph/Diag Iv Inf Init (96365) $402 $536 1.9×
Trans Care Mgmt 14 Day Disch (99495) $241.64 $322.18 1.8×
Trans Care Mgmt 7 Day Disch (99496) $241.64 $322.18 1.8×
Transcranial Doppler Intracran Art Emboli Detect (93892) $102.96 $137.28 1.0×
Tte w/doppler, complete (93306) $123.03 $164.04 0.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $89.25 $119 1.9×
Upr/L Xtremity Art 2 Levels (93922) $20.87 $27.83 0.2×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $37.58 $50.10 0.2×

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.