Visits & medical services prices at Doctors Hospital of Manteca
Manteca, CA · every code in this section with a posted price and a Medicare benchmark.
95 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$700.50–$763.50 | $934–$1,018 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $43.50 | $58 | 3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $3,460.50 | $4,614 | 7.0× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$5,649.75–$6,824.25 | $7,533–$9,099 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$1,527–$1,656 | $2,036–$2,208 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$2,426.25–$3,052.50 | $3,235–$4,070 | varies |
| Cbt 1st hour (94644) | $981.75 | $1,309 | 5.6× |
| Chemo IV infusion addl hr (96415) | $638.25 | $851 | 6.7× |
| Chemo IV push addl drug (96411) | $807 | $1,076 | 8.5× |
| Chemother Prolong Infuse W/Pump (96416) | $1,041 | $1,388 | 2.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $478.50 | $638 | 5.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$1,453.50–$1,561.50 | $1,938–$2,082 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $804.75 | $1,073 | 1.8× |
| Chest Wall Manipulation (94668) | $267 | $356 | 1.5× |
| Color/duplex Doppler, limited (93976) | $852 | $1,136 | 6.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 5 matching MRF lines |
$4,417.50–$5,301 | $5,890–$7,068 | varies |
| Cpt initial (94667) | $361.50 | $482 | 2.1× |
| Critical care first hour (99291) | $12,159.75 | $16,213 | 11.2× |
| Debridement Open Wound 20 Sq Cm< (97597) | $1,207.50 | $1,610 | 4.6× |
| Dialysis One Evaluation (90945) | $5,087.25 | $6,783 | 9.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $4,215 | $5,620 | 13.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $2,476.50 | $3,302 | 18.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$4,091.25–$4,215 | $5,455–$5,620 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$2,625.75–$4,545.75 | $3,501–$6,061 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $3,911.25 | $5,215 | 12.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $1,953.75 | $2,605 | 14.2× |
| Duplex up extrem art bilat (93930) | $4,445.25 | $5,927 | 14.1× |
| Duplex up extrem art unilat/ltd (93931) | $2,633.25 | $3,511 | 19.1× |
| Ear and throat examination (92502) | $8,485.50 | $11,314 | 11.9× |
| Echo Heart Xthoracic,Limited (93308) | $1,488 | $1,984 | 4.7× |
| Echo transesophageal (93312) | $11,148.75 | $14,865 | 15.5× |
| EEG awake and asleep (95819) | $359.25 | $479 | 1.3× |
| EEG awake drowsy (95816) | $1,861.50 | $2,482 | 6.5× |
| EEG cerebral death evaluation (95824) | $619.50 | $826 | 1.3× |
| Electrical Stimulation Ea 15 Min (97032) | $41.25 | $55 | 2.8× |
| Electrocardiogram Tracing (93005) | $1,695.75 | $2,261 | 21.8× |
| Emergency Dept Visit Level 2 (99282) | $2,445.75 | $3,261 | 12.1× |
| Emergency Dept Visit Level 3 (99283) | $4,351.50 | $5,802 | 12.1× |
| Emergency Dept Visit Level 4 (99284) | $8,273.25 | $11,031 | 15.0× |
| Er level 1 (99281) range across 2 matching MRF lines |
$954.75–$1,327.50 | $1,273–$1,770 | varies |
| Er level v (99285) | $11,532.75 | $15,377 | 14.7× |
| Evaluate pt use of inhaler (94664) range across 4 matching MRF lines |
$791.25–$1,029 | $1,055–$1,372 | varies |
| Evaluate Swallowing Function (92610) | $1,038.75 | $1,385 | 12.2× |
| Evoked Auditory Test,Limited (92587) | $604.50 | $806 | 2.1× |
| Extracranial Bilat Study (93880) | $4,345.50 | $5,794 | 13.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $6,468 | $8,624 | 7.1× |
| Immunization administration (90471) range across 2 matching MRF lines |
$121.50–$254.25 | $162–$339 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$459.75–$633 | $613–$844 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$735–$1,098.75 | $980–$1,465 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$1,311–$1,788 | $1,748–$2,384 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$675–$687.75 | $900–$917 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$819–$1,152.75 | $1,092–$1,537 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$441–$860.25 | $588–$1,147 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $1,179 | $1,572 | 15.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $933 | $1,244 | 3.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $1,514.25 | $2,019 | 2.8× |
| Neuromuscular Reeducation (97112) range across 5 matching MRF lines |
$194.25–$197.25 | $259–$263 | varies |
| Newborn resuscitation (99465) | $805.50 | $1,074 | 0.9× |
| Oral Function Therapy (92526) | $623.25 | $831 | 7.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $199.50 | $266 | 4.3× |
| Ot eval high complexity (97167) | $590.25 | $787 | 5.9× |
| Ot Eval Low Complex (97165) | $439.50 | $586 | 4.4× |
| Ot Eval Moderate Complexity (97166) | $500.25 | $667 | 5.0× |
| Ot manual therapy 15 min (97140) | $242.25 | $323 | 8.7× |
| Ot Re-Eval Est Plan Care (97168) | $303.75 | $405 | 4.4× |
| Phlebotomy therapeutic (99195) | $1,673.25 | $2,231 | 9.5× |
| Plethysmography (94726) | $3,179.25 | $4,239 | 6.5× |
| Pt eval low complex 20 min (97161) | $303 | $404 | 3.1× |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$215.25–$223.50 | $287–$298 | varies |
| Pt Re-Eval Est Plan Care (97164) | $286.50 | $382 | 4.2× |
| Pulm function test by gas (94727) | $1,180.50 | $1,574 | 4.1× |
| Pulmonary service/procedure (94799) | $4,417.50 | $5,890 | 26.0× |
| Pulmonary Stress Testing (94618) | $808.50 | $1,078 | 4.6× |
| Respiratory flow volume loop (94375) | $1,179 | $1,572 | 4.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$396–$861 | $528–$1,148 | varies |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$191.25–$316.50 | $255–$422 | varies |
| Sensory Integration Ea 15 Min (97533) | $170.25 | $227 | 2.8× |
| Speech sound lang comprehen (92523) | $1,038.75 | $1,385 | 4.6× |
| Spirometry (94010) | $1,202.25 | $1,603 | 4.2× |
| Temp transcutaneous pacing (92953) | $1,250.25 | $1,667 | 1.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $189.75 | $253 | 8.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $53.25 | $71 | 1.8× |
| Ther/Proph/Diag Inj Ia (96373) | $664.50 | $886 | 2.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$480.75–$837 | $641–$1,116 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$1,305–$1,917.75 | $1,740–$2,557 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$193.50–$194.25 | $258–$259 | varies |
| Tte w/doppler, complete (93306) | $9,741 | $12,988 | 13.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 4 matching MRF lines |
$281.25–$365.25 | $375–$487 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$305.25–$860.25 | $407–$1,147 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $774.75 | $1,033 | 4.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$983.25–$1,533 | $1,311–$2,044 | varies |
| Vent Mgmt Inpat Init Day (94002) | $11,307.75 | $15,077 | 13.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $10,146.75 | $13,529 | 12.5× |
| Vital capacity, total (94150) | $1,050.75 | $1,401 | 6.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $48 | $64 | 1.5× |
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.