Visits & medical services prices at Dimmit Regional Hospital
Carrizo Springs, TX · every code in this section with a posted price and a Medicare benchmark.
126 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (99497) | $102 | $170 | 1.0× |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$81–$576 | $135–$960 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $21 | $35 | 0.6× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $21 | $35 | 0.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $38 | $64 | 2.6× |
| Application Modality 1/> Areas Diathermy (97024) | $13 | $21 | 1.8× |
| Application Modality 1/> Areas Infrared (97026) | $12 | $20 | 1.8× |
| Behavral qualit analys voice (92524) | $262 | $436 | 2.4× |
| Biofeedback training any modality (90901) | $48 | $80 | 1.2× |
| Brief Emotional/Behav Assmt (96127) | $42 | $70 | 1.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $672 | $1,120 | 1.8× |
| Canalith repositioning proc (95992) | $65 | $108 | 1.6× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$505–$672 | $841–$1,120 | varies |
| Cbt 1st hour (94644) | $309 | $515 | 2.3× |
| Chest Wall Manipulation (94668) | $279 | $465 | 2.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $61 | $101 | 1.9× |
| Continuous Pulse Ox (94762) | $349 | $582 | 2.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $576 | $960 | 2.6× |
| Cpt initial (94667) | $279 | $465 | 2.1× |
| Critical care first hour (99291) | $2,023 | $3,371 | 2.4× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$338–$477 | $563–$795 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $702 | $1,170 | 2.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $702 | $1,170 | 2.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $534 | $890 | 5.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $702 | $1,170 | 2.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $534 | $890 | 5.1× |
| Duplex up extrem art bilat (93930) | $560 | $934 | 2.3× |
| Duplex up extrem art unilat/ltd (93931) | $534 | $890 | 5.1× |
| EEG awake drowsy (95816) | $69 | $115 | 0.3× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$38–$84 | $64–$140 | varies |
| Electrocardiogram Tracing (93005) | $171 | $285 | 2.9× |
| Emergency Dept Visit Level 2 (99282) | $467 | $779 | 3.0× |
| Emergency Dept Visit Level 3 (99283) | $815 | $1,359 | 3.0× |
| Emergency Dept Visit Level 4 (99284) | $1,266 | $2,110 | 3.0× |
| Er level 1 (99281) | $254 | $423 | 3.0× |
| Er level v (99285) | $1,840 | $3,066 | 3.1× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $257 | $428 | 2.0× |
| Evaluate pt use of inhaler (94664) | $460 | $766 | 2.1× |
| Evaluate Speech Production (92522) | $265 | $442 | 2.4× |
| Evaluate Swallowing Function (92610) | $125 | $208 | 1.5× |
| Evaluation of speech fluency (92521) | $318 | $530 | 2.4× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$323–$526 | $538–$876 | varies |
| External Ecg Scanning Analysis Report (93226) | $613 | $1,022 | 10.3× |
| Extracranial Bilat Study (93880) | $573 | $955 | 2.4× |
| Extracranial Uni/Ltd Study (93882) | $534 | $890 | 5.1× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $118 | $196 | 0.8× |
| Flexible endoscopic eval swallow c/v rec (92612) | $119 | $198 | 0.6× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $175 | $291 | 0.8× |
| Group Therapeutic Procedures (97150) | $32 | $53 | 1.8× |
| Holter monitor recording (93225) | $942 | $1,570 | 7.0× |
| Immunization administration (90471) range across 5 matching MRF lines |
$30–$84 | $50–$140 | varies |
| Inital newborn e/m (99460) | $180 | $300 | 1.3× |
| Intracutaneous tests w/allergenic extracts (95024) | $9 | $15 | 0.2× |
| Iontophoresis 15 min (97033) | $65 | $108 | 3.4× |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$52–$82 | $87–$137 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$267–$372 | $445–$620 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$84–$122 | $140–$203 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 5 matching MRF lines |
$52–$76 | $87–$127 | varies |
| IV push initial (96374) range across 5 matching MRF lines |
$267–$372 | $445–$620 | varies |
| Laryngeal Function Studies (92520) | $278 | $464 | 2.1× |
| Low frequency non-thermal us (97610) range across 3 matching MRF lines |
$330–$572 | $550–$954 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$91–$94 | $151–$156 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$104–$109 | $174–$182 | varies |
| Motion Fluoroscopy/Swallow (92611) | $271 | $452 | 3.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $1,139 | $1,899 | 2.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $572 | $954 | 2.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $1,139 | $1,899 | 2.8× |
| Neuromuscular Reeducation (97112) | $61 | $102 | 1.9× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $556 | $926 | 1.5× |
| Oral Function Therapy (92526) | $204 | $340 | 2.4× |
| Oral Speech Device Eval (92597) | $172 | $286 | 2.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $92 | $153 | 1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $117 | $195 | 2.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $36 | $60 | 2.6× |
| Ot Eval Low Complex (97165) | $179 | $298 | 1.8× |
| Ot Eval Moderate Complexity (97166) | $290 | $484 | 2.9× |
| Ot manual therapy 15 min (97140) | $32 | $53 | 1.2× |
| Ot paraffin bath (97018) range across 4 matching MRF lines |
$20–$43 | $34–$72 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $281 | $469 | 7.0× |
| Percutaneous tests w/allergenic extracts (95004) | $6 | $10 | 0.0× |
| Physical Performance Test (97750) | $59 | $99 | 1.7× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $18 | $30 | 0.4× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $42 | $70 | 1.4× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $68 | $113 | 1.8× |
| Pt Eval High Complex (97163) | $359 | $598 | 3.7× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$179–$239 | $298–$398 | varies |
| Pt Eval Mod Complex (97162) | $299 | $498 | 3.1× |
| Pt gait training 15 min (97116) | $71 | $118 | 2.4× |
| Pt mechanical traction (97012) | $36 | $60 | 2.5× |
| Pt Re-Eval Est Plan Care (97164) | $165 | $275 | 2.4× |
| Pt ultraviolet (97028) | $15 | $25 | 1.8× |
| Pulm function test by gas (94727) | $349 | $582 | 1.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $173 | $288 | 2.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $330 | $550 | 1.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $221 | $369 | 1.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $88 | $146 | 1.8× |
| Same day nb discharge (99463) | $240 | $400 | 1.8× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$70–$94 | $116–$156 | varies |
| Sensory Integration Ea 15 Min (97533) | $115 | $191 | 1.9× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $120 | $200 | 0.6× |
| Speech sound lang comprehen (92523) | $541 | $902 | 2.4× |
| Spirometry (94010) | $349 | $582 | 1.6× |
| Standardized Cognitive Performance Testing (96125) | $185 | $308 | 1.8× |
| Temp transcutaneous pacing (92953) | $715 | $1,192 | 1.1× |
| Testing Autonomic Nervous System Function (95923) | $300 | $500 | 2.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$41–$53 | $69–$89 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $41 | $69 | 1.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $66 | $110 | 1.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 4 matching MRF lines |
$51–$71 | $85–$118 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $185 | $309 | 1.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 11 matching MRF lines |
$19–$171 | $31–$285 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 5 matching MRF lines |
$331–$372 | $552–$620 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$70–$82 | $116–$137 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $30 | $50 | 0.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $18 | $30 | 0.5× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $300 | $500 | 2.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $182 | $304 | 2.4× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $57 | $95 | 2.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$76–$84 | $127–$140 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $300 | $500 | 2.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $180 | $300 | 0.8× |
| Vasopneumatic device (97016) | $38 | $64 | 3.2× |
| Vent Mgmt Inpat Init Day (94002) | $1,493 | $2,488 | 2.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,338 | $2,230 | 2.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $61 | $102 | 2.0× |
| Whirlpool Therapy (97022) | $47 | $78 | 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.