Visits & medical services prices at Eastland Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Advncd Care Plan 30 Min (99497) $65 $129 0.6×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines		 $289 $20–$577 1.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $30 $59 2.1×
Application Modality 1/> Areas Infrared (97026) $18 $35 2.7×
Assessment of aphasia per hr (96105) $131 $261 1.3×
Behavral qualit analys voice (92524) $144 $287 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines		 $126–$379 $252–$757 varies
Canalith repositioning proc (95992)
range across 2 matching MRF lines		 $34–$65 $68–$130 varies
Cardiac Stress Tst,Tracing Only (93017)
range across 3 matching MRF lines		 $294–$379 $587–$757 varies
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines		 $364–$379 $727–$757 varies
Cardioversion (92960) $622 $1,243 0.9×
Cbt 1st hour (94644) $95 $190 0.7×
Chest Wall Manipulation (94668) $124 $248 0.9×
Chiropract manj 3-4 regions (98941) $31 $62 1.4×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) $22 $43 1.0×
Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) $41 $81 1.9×
Color/duplex Doppler, complete (93975) $346 $692 1.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $47 $93 1.5×
Continuous Pulse Ox (94762) $161 $322 1.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines		 $263–$288 $525–$575 varies
Cpt initial (94667) $160 $319 1.2×
Critical care first hour (99291) $1,110 $2,220 1.3×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines		 $74–$304 $147–$607 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $273 $545 1.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $207 $414 2.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $346 $692 1.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $169 $338 1.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $398 $795 1.7×
Dup-scan xtr veins unilateral/limited study (93971) $346 $692 3.3×
Duplex Scan Hemodialysis Access (93990) $346 $692 3.3×
Duplex up extrem art bilat (93930) $346 $692 1.4×
ECG/monitoring and analysis (93271) $187 $373 2.0×
Echo Heart Xthoracic,Limited (93308) $175 $349 0.7×
EEG cont rec w/video by tech min 8 channels (95700)
range across 2 matching MRF lines		 $1,030–$4,120 $2,060–$8,240 varies
Electrical Stimulation Ea 15 Min (97032)
range across 4 matching MRF lines		 $27–$41 $53–$82 varies
Electrocardiogram Tracing (93005)
range across 7 matching MRF lines		 $66–$112 $132–$224 varies
Emergency Dept Visit Level 4 (99284) $541 $1,081 1.3×
Er level v (99285) $788 $1,576 1.3×
Evaluate pt use of inhaler (94664) $288 $575 1.3×
Evaluate Speech Production (92522) $140 $279 1.3×
Evaluate Swallowing Function (92610) $170 $340 2.0×
Evaluation of speech fluency (92521) $170 $339 1.3×
External ECG rec>48hr<7d recording (93242) $198 $395 5.3×
External ECG rec>7d<15d recording (93246) $198 $395 5.3×
External Ecg Scanning Analysis Report (93226) $160 $319 2.7×
Extracranial Bilat Study (93880) $398 $795 1.7×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $174 $348 1.1×
Flexible endoscopic eval swallow c/v rec (92612) $230 $460 1.2×
Im Adm Intransl/Oral 1 Vaccine (90473) $4 $8 0.1×
Immunization administration (90471)
range across 2 matching MRF lines		 $9–$90 $18–$180 varies
Iontophoresis 15 min (97033) $50 $99 2.6×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines		 $20–$167 $40–$334 varies
IV infusion hydration each additional hour (96361) $57 $114 1.2×
IV infusion hydration initial 31 min-1 hour (96360) $281 $562 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $90 $179 1.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $61 $122 1.3×
IV push initial (96374) $281 $562 1.3×
Lung Function Test (Mbc/Mvv) (94200) $55 $110 0.9×
Nasopharyngoscopy (92511) $29 $58 0.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $377 $754 0.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $377 $754 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $265 $529 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $367 $734 0.9×
Neuromuscular Reeducation (97112) $51 $101 1.6×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $114 $228 0.9×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $96 $191 0.7×
Ophth medical xm&eval intermediate estab pt (92012) $67 $134 0.5×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $64 $128 0.5×
Oral Function Therapy (92526) $130 $260 1.5×
Oral Speech Device Eval (92597) $86 $171 1.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $58 $115 1.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $24 $48 1.1×
Osteopathic manipulative tx 3-4 body regions (98926) $35 $69 1.6×
Osteopathic manipulative tx 5-6 body regions (98927) $45 $90 2.1×
Osteopathic manipulative tx 7-8 body regions (98928) $55 $110 2.5×
Osteopathic manipulative tx 9-10 body regions (98929) $66 $131 3.0×
Ot Contrast Bath Ea 15 Min (97034) $27 $53 1.9×
Ot eval high complexity (97167) $162 $323 1.6×
Ot Eval Low Complex (97165) $109 $218 1.1×
Ot Eval Moderate Complexity (97166) $109 $218 1.1×
Ot manual therapy 15 min (97140) $45 $90 1.6×
Ot paraffin bath (97018) $19 $38 3.2×
Ot Prosthetic Training, Each 15 Min (97761) $40 $79 1.0×
Ot Re-Eval Est Plan Care (97168) $75 $149 1.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $177 $354 1.4×
Phlebotomy therapeutic (99195) $160 $319 1.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $84 $168 1.4×
Physical Performance Test (97750) $58 $115 1.7×
Plethysmography (94726) $268 $535 0.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,545 $3,090 1.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines		 $7–$18 $13–$35 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $7 $13 0.1×
Psych diag eval w/med srvcs (90792) $121 $241 0.7×
Psychiatric diagnostic evaluation (90791) $109 $217 0.6×
Psychoanalysis (90845) $75 $150 0.4×
Psytx Crisis Initial 60 Min (90839) $111 $221 0.6×
Pt Eval High Complex (97163) $138 $275 1.4×
Pt eval low complex 20 min (97161) $138 $275 1.4×
Pt Eval Mod Complex (97162) $138 $276 1.4×
Pt gait training 15 min (97116) $43 $86 1.5×
Pt mechanical traction (97012) $24 $48 1.7×
Pt Re-Eval Est Plan Care (97164) $94 $187 1.4×
Pulmonary service/procedure (94799) $55 $110 0.4×
Pulmonary Stress Testing (94618)
range across 3 matching MRF lines		 $60–$160 $120–$319 varies
Remote 30 Day Ecg Rev/Report (93270) $57 $114 1.5×
Remote 30 Day Ecg Tech Supp (93229) $386 $771 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $265 $529 1.3×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $28 $55 1.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $158 $315 1.3×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $64 $127 1.3×
Self Care Mngment Training (97535) $53 $105 1.6×
Sensory Integration Ea 15 Min (97533) $64 $127 1.1×
Speech sound lang comprehen (92523) $287 $573 1.3×
Spirometry (94010) $204 $407 0.9×
Standardized Cognitive Performance Testing (96125) $143 $286 1.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines		 $35–$41 $69–$82 varies
Ther Ivntj Ea Addl 15 Min (97130) $12 $23 0.6×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $65 $130 1.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $55 $110 0.5×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines		 $30–$90 $60–$180 varies
Ther/Proph/Diag Iv Inf Init (96365) $355 $709 1.7×
Therapeutic Activities (97530) $53 $105 1.5×
Tobacco Use Cessation Intensive >10 Minutes (99407) $22 $44 0.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines		 $12–$14 $23–$28 varies
Trans Care Mgmt 14 Day Disch (99495) $140 $279 1.0×
Trans Care Mgmt 7 Day Disch (99496) $184 $368 1.4×
Tte w/doppler, complete (93306) $858 $1,716 1.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $120 $239 1.6×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $41 $81 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $90 $180 1.9×
Vasopneumatic device (97016) $29 $58 2.4×
Vent Mgmt Inpat Init Day (94002) $765 $1,530 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $648 $1,295 1.0×
Vital capacity, total (94150) $161 $322 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $46 $92 1.5×
Whirlpool Therapy (97022) $64 $127 4.1×

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.