Visits & medical services prices at Coryell Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Advncd Care Plan 30 Min (99497) $71 $119 0.7×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$52–$94 $86–$157 varies
Analyze neurostim complex (95972) $600 $1,000 6.3×
Analyze neurostim no prog (95970)
range across 2 matching MRF lines
$135–$142 $225–$236 varies
Analyze Neurostim Simple (95971) $388 $646 4.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $148 $246 10.3×
Application Modality 1/> Areas Diathermy (97024) $116 $194 15.8×
Assessment of tinnitus (92625) $193 $322 1.5×
Audiometry Air & Bone (92553) $148 $247 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$53–$335 $89–$559 varies
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$99–$148 $165–$247 varies
Cardiac Stress Tst,Tracing Only (93017) $627 $1,045 2.9×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$233–$772 $388–$1,287 varies
Cardioversion (92960)
range across 2 matching MRF lines
$760–$1,163 $1,266–$1,938 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $10,905 $18,175 3.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,968 $16,614 3.1×
Chemo Hormon Antineopl Sq/Im (96402) $205 $341 2.8×
Chemotherapy Intracavitary (96440) $381 $635 1.1×
Chest Wall Manipulation (94668) $91 $152 0.7×
Chron Care Mgmt Srvc 20 Min (99490) $76 $127 0.7×
Color/duplex Doppler, complete (93975) $830 $1,383 3.5×
Color/duplex Doppler, limited (93976) $278 $463 2.6×
Comprehensive Hearing Test (92557) $204 $340 1.6×
Conditioning Play Audiometry (92582) $227 $378 1.8×
Continuous Pulse Ox (94762) $199 $332 1.5×
Coronary Artery Angio S&I (93454) $7,775 $12,958 2.4×
Cpt initial (94667) $121 $201 0.9×
Critical care first hour (99291) $2,548 $4,246 3.1×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$166–$256 $276–$427 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $262 $437 0.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $63 $105 0.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,007 $1,679 4.2×
Dup-scan xtr veins unilateral/limited study (93971) $36 $60 0.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $948 $1,580 4.0×
Duplex up extrem art bilat (93930) $64 $106 0.3×
Duplex up extrem art unilat/ltd (93931) $39 $65 0.4×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $316 $526 2.4×
Ear and throat examination (92502) $2,220 $3,700 4.1×
Ear Protector Evaluation (92596) $193 $322 5.1×
Echo Heart Xthoracic,Limited (93308) $622 $1,036 2.6×
Echo transesophageal (93312) $1,840 $3,067 3.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $671 $1,119 1.2×
Eeg 41-60 Minutes (95812) $842 $1,403 3.9×
EEG awake and asleep (95819) $806 $1,344 3.7×
EEG awake drowsy (95816) $726 $1,210 3.3×
EEG extended monitoring 61-119 minutes (95813) $1,048 $1,746 4.8×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977)
range across 2 matching MRF lines
$194–$204 $324–$340 varies
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976)
range across 2 matching MRF lines
$67–$71 $112–$118 varies
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines
$72–$76 $120–$126 varies
Electrocardiogram Tracing (93005) $175 $291 3.0×
Emergency Dept Visit Level 2 (99282) $433 $721 2.8×
Emergency Dept Visit Level 3 (99283) $761 $1,268 2.8×
Emergency Dept Visit Level 4 (99284) $1,235 $2,058 2.9×
Er level 1 (99281) $238 $397 2.8×
Er level v (99285) $1,809 $3,015 3.0×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $231 $385 1.8×
Evaluate pt use of inhaler (94664) $103 $172 0.5×
Evaluate Speech Production (92522) $124 $207 1.1×
Evaluate Swallowing Function (92610) $186 $310 2.2×
Evaluation of speech fluency (92521) $374 $624 2.8×
Evoked Auditory Test,Limited (92587) $180 $300 0.8×
External ECG rec>48hr<7d recording (93242) $16 $27 0.4×
External ECG rec>48hr<7d scanning alys w/report (93243) $965 $1,608 7.2×
External ECG rec>7d<15d scanning alys w/report (93247) $140 $234 1.0×
Extracranial Bilat Study (93880) $200 $334 0.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,128 $1,880 1.3×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $11,740 $19,567 3.6×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,161 $1,935 1.7×
Holter monitor recording (93225) $1,377 $2,295 10.3×
Icd Device Interrogate (93289) $132 $220 3.5×
Icd device progr eval dual (93283) $133 $221 3.5×
Icm Device Eval (93290) $70 $117 1.9×
Ilr Device Eval Progr (93285) $88 $147 2.3×
Ilr Device Interrogate (93291) $86 $143 3.0×
Immunization administration (90471)
range across 2 matching MRF lines
$29–$97 $48–$161 varies
Iontophoresis 15 min (97033) $112 $186 5.9×
IV infusion hydration each additional hour (96361) $190 $316 4.0×
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$65–$427 $108–$712 varies
IV infusion ther proph addl sequential to 1 hr (96367) $160 $266 2.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $203 $339 4.3×
IV push initial (96374)
range across 2 matching MRF lines
$131–$145 $218–$241 varies
L Hrt Art/Grft Angio (93459) $10,085 $16,808 3.1×
Liver Elastography W/O Imag W/I&R (91200) $167 $279 1.3×
Lung Function Test (Mbc/Mvv) (94200) $41 $68 0.7×
Lwr Xtr Vasc Stdy Bilat (93924) $518 $864 2.4×
Methacholine challenge (94070) $95 $158 0.3×
Motion Fluoroscopy/Swallow (92611) $514 $857 5.6×
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
$2,258–$3,028 $3,764–$5,047 varies
Needle electromyography larynx (95865) $259 $432 1.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $434 $723 1.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $512 $853 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$159–$1,190 $265–$1,983 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$353–$371 $589–$618 varies
Neuromuscular Reeducation (97112)
range across 3 matching MRF lines
$125–$131 $209–$219 varies
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $67 $112 0.2×
Oral Function Therapy (92526) $58 $97 0.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $76 $127 1.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $84 $140 1.8×
Ot eval high complexity (97167) $133 $222 1.3×
Ot Eval Low Complex (97165) $107 $178 1.1×
Ot Eval Moderate Complexity (97166) $112 $187 1.1×
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines
$111–$116 $185–$194 varies
Ot paraffin bath (97018) $64 $106 10.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $189 $315 1.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $157 $262 1.2×
Patient-initiated spirometric recording (94015) $75 $125 0.3×
Peripheral arterial disease rehab per session (93668) $139 $232 2.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $9,226 $15,377 1.6×
Phlebotomy therapeutic (99195) $162 $270 1.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $664 $1,107 11.2×
Plethysmography (94726) $968 $1,613 2.6×
Pm device eval in person (93288) $98 $164 2.6×
Pm device progr eval dual (93280) $120 $200 3.2×
Pm device progr eval multi (93281) $109 $182 2.9×
Pm Device Progr Eval Sngl (93279) $98 $164 2.6×
Pm/Icd Remote Tech Serv (93296) $116 $193 3.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,301 $5,502 3.8×
Positional nystagmus test (92542) $192 $320 1.4×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $120 $200 3.2×
Prq Card Stent W/Angio 1 Vsl (92928)
likely a partial charge, not the full procedure
$1,265 $2,109 0.1×
Psych diag eval w/med srvcs (90792) $205 $342 1.1×
Psychiatric diagnostic evaluation (90791) $182 $304 1.0×
Psytx Crisis Initial 60 Min (90839) $190 $316 1.1×
Pt eval low complex 20 min (97161) $139 $232 1.4×
Pt Eval Mod Complex (97162) $174 $290 1.8×
Pt gait training 15 min (97116) $131 $219 4.5×
Pt mechanical traction (97012) $70 $116 4.9×
Pt Re-Eval Est Plan Care (97164) $117 $195 1.7×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $32 $54 0.9×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$22–$110 $36–$184 varies
Pulmonary Stress Testing (94618) $233 $388 1.7×
Pure Tone Audiometry Air (92552) $94 $156 0.7×
R Hrt Art/Grft Angio (93457) $9,950 $16,583 3.1×
R hrt coronary artery angio (93456) $8,646 $14,410 2.7×
R&L Hrt Cath W/Ventriclgrphy (93453) $10,011 $16,685 3.1×
Rem interrog icpms <30 d phys/qhp (93297) $123 $205 3.3×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $121 $201 3.2×
Remote 30 Day Ecg Tech Supp (93229) $977 $1,628 2.6×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $69 $115 0.5×
Respiratory flow volume loop (94375) $81 $135 0.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 2 matching MRF lines
$107–$1,242 $178–$2,070 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $236 $393 1.2×
Self Care Mngment Training (97535) $118 $196 3.6×
Sleep study unattended (95806) $543 $905 2.5×
Speech Audiometry Complete (92556) $83 $138 1.4×
Speech sound lang comprehen (92523) $155 $259 0.7×
Standardized Cognitive Performance Testing (96125) $71 $118 0.7×
Stenger Test, Pure Tone (92565) $82 $137 1.4×
Stress Tte Only (93350) $830 $1,384 1.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $158 $263 7.1×
Ther Ivntj Ea Addl 15 Min (97130) $72 $120 3.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 3 matching MRF lines
$87–$92 $145–$153 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$29–$131 $48–$218 varies
Ther/Proph/Diag Iv Inf Init (96365) $465 $775 2.2×
Therapeutic Activities (97530)
range across 3 matching MRF lines
$98–$103 $164–$172 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,336 $2,227 3.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $41 $68 1.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$17–$31 $28–$51 varies
Trans Care Mgmt 14 Day Disch (99495) $149 $249 1.1×
Trans Care Mgmt 7 Day Disch (99496) $136 $226 1.0×
Tte w/doppler, complete (93306) $2,307 $3,845 4.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $124 $207 1.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $203 $339 4.3×
Tympanometry (92567) $72 $120 1.9×
Tympanometry and reflex threshold measurements (92550) $142 $236 0.7×
Unlis neurological/neuromuscular dx px (95999) $102 $170 0.8×
Upr/L Xtremity Art 2 Levels (93922) $20 $33 0.1×
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 4 matching MRF lines
$35–$601 $59–$1,002 varies
Vasopneumatic device (97016) $72 $120 6.0×
Veeg Ea 12-26 Hr Unmntr (95714) $356 $593 0.9×
Vent Mgmt Inpat Init Day (94002) $250 $416 0.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $337 $561 0.5×
Visual reinforcement audiometry (vra) (92579) $200 $334 0.9×
Vital capacity, total (94150)
range across 2 matching MRF lines
$46–$80 $77–$133 varies
Wheelchair Mgmt Ea 15 Min (97542) $92 $154 3.0×

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.