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.

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $102 $170 1.0×
Airway inhalation treatment (94640) $576 $960 2.6×
Allg tstg perq & ic venoms immed react w/ i&r (95017) $21 $35 0.7×
Application of heat wave therapy (97024) $13 $21 1.8×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $68 $113 1.8×
Behav assmt w/score & docd/stand instrument (96127) $42 $70 1.1×
Behavioral and qualitative analysis of voice and resonance (92524) $262 $436 2.4×
Biofeedback training any modality (90901) $48 $80 1.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $672 $1,120 1.8×
Canalith Repositioning (95992) $65 $108 1.6×
Cardiopulmonary resuscitation (92950) $588.50 $980.50 2.7×
Cbt 1st hour (94644) $309 $515 2.3×
Cpap initiation and management (94660) $576 $960 2.6×
Cpt initial (94667) $279 $465 2.1×
Critical care (99291) $2,023 $3,371 2.4×
Debridement Open Wound 20 Sq Cm< (97597) $407.50 $679 2.0×
Demo &/or eval,pt use,aerosol device (94664) $460 $766 2.1×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $560 $934 2.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $534 $890 5.1×
Dup-scan xtr veins unilateral/limited study (93971) $534 $890 5.1×
Duplex scan extracranial art compl bi study (93880) $573 $955 2.4×
EEG awake drowsy (95816) $69 $115 0.3×
EKG (93005) $171 $285 2.9×
EKG rhythm strip (93041) $173 $288 2.9×
Er level 1 (99281) $254 $423 3.0×
Er level ii (99282) $467 $779 3.0×
Er level iii (99283) $815 $1,359 3.0×
Er level IV (99284) $1,266 $2,110 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×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $172 $286 2.4×
Evaluation of speech fluency (92521) $318 $530 2.4×
Evaluation of speech sound production (92522) $265 $442 2.4×
Evaluation of swallowing function (92610) $125 $208 1.5×
Evaluation with prescription of speech-generating alternative (92607) $221 $369 1.8×
Evoked auditory test,limited (92587) $424.50 $707 2.0×
External Ecg Scanning Analysis Report (93226) $613 $1,022 10.3×
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 Admin (90471) $46 $77 0.6×
Inital newborn e/m (99460) $180 $300 1.3×
Initial normal newborn care, same day discharge (99463) $240 $400 1.8×
IV infusion hydration each additional hour (96361) $82 $137 1.7×
IV infusion hydration initial 31 min-1 hour (96360) $267 $445 1.2×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $122 $203 1.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $331 $552 1.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $52 $87 1.1×
IV push initial (96374) $267 $445 1.2×
Laryngeal Function Studies (92520) $278 $464 2.1×
Laryngoscopic Sensory Test (92614) $118 $196 0.8×
Low frequency non-thermal us (97610) $330 $550 1.6×
Manual therapy 15 min (97140) $32 $53 1.2×
Massage 15 min (97124) $61 $101.50 2.1×
Mechanical traction (97012) $36 $60 2.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $92.50 $153.50 2.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $104 $174 2.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $271 $452 3.0×
Neg press wnd tx </=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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $300 $500 2.2×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $180 $300 0.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $349 $582 2.7×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $556 $926 1.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $117 $195 2.5×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $61 $101 1.9×
Ot Contrast Bath Ea 15 Min (97034) $36 $60 2.6×
Ot eval low complex 30 min (97165) $179 $298 1.8×
Ot eval mod complex 45 min (97166) $290 $484 2.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $92 $153 1.8×
Ot Prosthetic Training, Each 15 Min (97761) $281 $469 7.0×
Paraffin bath (97018) $43 $72 7.2×
Percutaneous tests w/allergenic extracts (95004) $6 $10 0.0×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $18 $30 0.4×
Psycl/Nrpsyc Tst Auto Result (96146) $42 $70 1.4×
Pt Aquatic Therapy/Exercises (97113) $66 $110 1.8×
Pt Electric Current Therapy (97033) $65 $108 3.4×
Pt Electrical Stimulation (97032) $38 $64 2.6×
Pt eval high complex 45 min (97163) $359 $598 3.7×
Pt eval low complex 20 min (97161) $209 $348 2.1×
Pt Gait Training Therapy (97116) $71 $118 2.4×
Pt Infrared Therapy (97026) $12 $20 1.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $61 $102 1.9×
Pt Physical Performance Test (97750) $59 $99 1.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $299 $498 3.1×
Pt re-evaluation (97164) $165 $275 2.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $82 $136 2.5×
Pt Ultrasound Therapy (97035) $38 $64 2.6×
Pt Whirlpool Therapy (97022) $47 $78 3.0×
Pulm function test by gas (94727) $349 $582 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $330 $550 1.6×
Rt Chest Wall Manipulation,Subsequent (94668) $279 $465 2.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $88 $146 1.8×
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×
Smoking cessation > 10 min (99407) $30 $50 0.8×
Speech group therapy (92508) $57 $95 2.4×
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×
Test for allergy using allergenic extract injected into skin (95024) $9 $15 0.2×
Test for allergy using combination of methods with drug or biological (95018) $21 $35 0.6×
Testing of autonomic (sympathetic) nervous system function (95923) $300 $500 2.2×
Testing of autonomic nervous system function heart rate (95921) $300 $500 2.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $53 $89 2.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $41 $69 1.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $185 $309 1.8×
Ther/Proph/Diag Inj Sc/Im (96372) $43 $71 0.6×
Therapeutic Activities (97530) $70 $116 2.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $18 $30 0.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $182 $304 2.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $204 $340 2.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $80 $133.50 1.7×
Ultraviolet Therapy (97028) $15 $25 1.8×
Vasc Duplex Extrem Venous,Bilat (93970) $702 $1,170 2.9×
Vasc Duplex Scan Extracranial,Limited (93882) $534 $890 5.1×
Vasopneumatic device (97016) $38 $64 3.2×
Ventilation assist & mgmt inpatient 1st 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×