Visits & medical services prices at Coryell Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $68 $113 0.7×
Airway inhalation treatment (94640) $69.50 $116 0.3×
Application of heat wave therapy (97024) $111 $185 15.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $185 $308.50 0.5×
Canalith Repositioning (95992) $141 $235 3.5×
Cardiac Stress Tst,Tracing Only (93017) $597 $995 2.8×
Cardiopulmonary resuscitation (92950) $479 $798 2.2×
Cardioversion (92960) $934 $1,556 1.4×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,968 $16,614 3.1×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $73 $121 0.7×
Color/duplex Doppler, complete (93975) $790 $1,317 3.3×
Color/duplex Doppler, limited (93976) $265 $441 2.5×
Coronary artery angio s&i (93454) $7,775 $12,958 2.4×
Cpt initial (94667) $115 $191 0.9×
Critical care (99291) $2,426 $4,044 2.9×
Debridement Open Wound 20 Sq Cm< (97597) $207 $345 1.0×
Demo &/or eval,pt use,aerosol device (94664) $98 $164 0.4×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $60 $100 0.3×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $572 $954 5.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $61 $101 0.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $37 $62 0.4×
Dup-scan xtr veins unilateral/limited study (93971) $34 $57 0.3×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $903 $1,505 3.8×
Duplex scan extracranial art compl bi study (93880) $191 $318 0.8×
Echo Heart Xthoracic,Limited (93308) $592 $987 2.5×
Echo transesophageal (93312) $1,753 $2,921 3.2×
EEG awake asleep (95819) $768 $1,280 3.5×
EEG awake drowsy (95816) $691 $1,152 3.2×
Eeg Extended Monitoring 61-119 Minutes (95813) $998 $1,663 4.6×
EKG (93005) $166 $277 2.8×
EKG rhythm strip (93041) $101 $169 1.7×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $802 $1,336 3.7×
Er level 1 (99281) $227 $378 2.7×
Er level ii (99282) $412 $687 2.7×
Er level iii (99283) $725 $1,208 2.6×
Er level IV (99284) $1,176 $1,960 2.8×
Er level v (99285) $1,723 $2,871 2.9×
Evaluation of speech fluency (92521) $357 $595 2.7×
Evaluation of speech sound production (92522) $115.50 $192.50 1.0×
Evaluation of swallowing function (92610) $177 $295 2.1×
External ECG rec>48hr<7d recording (93242) $15 $25 0.4×
External ECG rec>48hr<7d scanning alys w/report (93243) $919 $1,531 6.9×
External ECG rec>7d<15d scanning alys w/report (93247) $133 $222 1.0×
Flow volume loop (94375) $77 $129 0.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,128 $1,880 1.3×
Hemodialysis (90935) $1,106 $1,843 1.6×
Holter Monitor Recording (93225) $1,312 $2,186 9.8×
Icd Device Interrogate (93289) $125 $209 3.3×
Ilr Device Eval Progr (93285) $84 $140 2.2×
Immunization Admin (90471) $60 $100 0.8×
Interrog dev eval icpms phys/qhp in person (93290) $67 $111 1.8×
Interrog dev eval scrms phys/qhp in person (93291) $82 $137 2.8×
IV infusion hydration each additional hour (96361) $181 $301 3.8×
IV infusion hydration initial 31 min-1 hour (96360) $234.50 $390.50 1.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $152 $253 2.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $443 $738 2.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $194 $323 4.1×
IV push initial (96374) $131 $218.50 0.6×
Liver elastography w/o imag w/i&r (91200) $239 $399 1.8×
Manual therapy 15 min (97140) $108.50 $180.50 3.9×
Massage 15 min (97124) $85 $141.50 2.9×
Maximum voluntary ventilation (94200) $38 $64 0.6×
Mechanical traction (97012) $67 $111 4.7×
Methacholine challenge (94070) $90 $150 0.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $490 $816 5.4×
Multiple sleep latency test (95805) $2,517.50 $4,196 2.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $215.50 $359 1.1×
Neurological procedure unlisted (95999) $97 $162 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $19 $32 0.1×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $493.50 $822.50 2.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $190 $316 1.5×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $64 $107 0.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $80 $133 1.7×
Ot eval high complex 60 min (97167) $127 $212 1.3×
Ot eval low complex 30 min (97165) $102 $170 1.0×
Ot eval mod complex 45 min (97166) $107 $178 1.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $73 $121 1.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $180 $300 1.4×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $81 $135.50 0.6×
Paraffin bath (97018) $61 $101 10.1×
Patient-initiated spirometric recording (94015) $71 $119 0.3×
Peripheral arterial disease rehab per session (93668) $80.50 $134 1.4×
Phy/qhp op pulm rhb w/o mntr (94625) $632 $1,054 10.7×
Plethysmography (94726) $646.50 $1,077.50 1.7×
Pm device eval in person (93288) $94 $156 2.5×
Pm device progr eval dual (93280) $114 $190 3.0×
Pm device progr eval multi (93281) $104 $174 2.8×
Pm device progr eval sngl (93279) $94 $156 2.5×
Pm/Icd Remote Tech Serv (93296) $110 $184 2.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,144 $5,240 3.6×
Programming of dual lead implantable defibrillator system (93283) $127 $211 3.4×
Programming of single lead implantable defibrillator system (93282) $114 $190 3.0×
Prq Card Stent W/Angio 1 Vsl (92928)
likely a partial charge, not the full procedure
$1,265 $2,109 0.1×
Prq trluml coronary angioplasty one art/branch (92920) $9,226 $15,377 1.6×
Psych diag eval w/med srvcs (90792) $196 $326 1.1×
Psychiatric diagnostic evaluation (90791) $174 $290 1.0×
Psytx crisis initial 60 min (90839) $181 $301 1.0×
Pt Electric Current Therapy (97033) $107 $178 5.6×
Pt Electrical Stimulation (97032) $72 $120 4.9×
Pt eval low complex 20 min (97161) $133 $221 1.4×
Pt Gait Training Therapy (97116) $125 $209 4.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $122 $204 3.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $166 $277 1.7×
Pt re-evaluation (97164) $112 $186 1.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $112 $186 3.5×
Pt Ultrasound Therapy (97035) $141 $235 9.8×
Pt-focused hlth risk assmt (96160) $31 $51 0.8×
Pulmonary stress testing (94618) $222 $370 1.7×
R & l hrt cath w/njx l ventriculog img s&i (93453) $10,011 $16,685 3.1×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $10,905 $18,175 3.3×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $11,740 $19,567 3.6×
Rem interrog icpms <30 d phys/qhp (93297) $117 $195 3.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $224 $374 1.1×
Rt Chest Wall Manipulation,Subsequent (94668) $87 $145 0.7×
Sleep study unattended (95806) $517 $861 2.4×
Smoking cessation > 10 min (99407) $39 $65 1.0×
Speech sound lang comprehen (92523) $148 $247 0.7×
Standardized Cognitive Performance Testing (96125) $67 $112 0.7×
Stress echo (93350) $791 $1,318 1.4×
Stress Tte Complete (93351) $640 $1,066 1.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $151 $251 6.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $68 $114 3.2×
Ther/Proph/Diag Inj Sc/Im (96372) $76.50 $127 1.1×
Therapeutic Activities (97530) $96 $160 2.7×
Therapeutic phlebotomy (99195) $154 $257 1.2×
Tilt Table Eval (93660) $1,273 $2,121 3.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $22.50 $37.50 0.6×
Trans Care Mgmt 14 Day Disch (99495) $142 $237 1.1×
Trans Care Mgmt 7 Day Disch (99496) $129 $215 1.0×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,197 $3,662 4.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $118 $197 1.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $56 $93 0.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $194 $323 4.1×
Unlisted pulmonary service/procedure (94799) $74 $123.50 0.6×
Vasc Duplex Extrem Venous,Bilat (93970) $959 $1,599 4.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $494 $823 2.3×
Vasopneumatic device (97016) $68 $114 5.7×
Veeg Ea 12-26 Hr Unmntr (95714) $339 $565 0.9×
Ventilation assist & mgmt inpatient 1st day (94002) $238 $396 0.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $320 $534 0.5×
Vital capacity total (94150) $76 $127 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $88 $147 2.8×
Xtrnl mobile cv telemetry w/technical support (93229) $930 $1,550 2.5×