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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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $65 $129 0.6×
Airway inhalation treatment (94640) $289 $298.50 1.3×
Assessment of aphasia (96105) $131 $261 1.3×
Behavioral and qualitative analysis of voice and resonance (92524) $144 $287 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $379 $757 1.0×
Canalith Repositioning (95992) $49.50 $99 1.2×
Cardiac Stress Tst,Tracing Only (93017) $294 $587 1.4×
Cardiopulmonary resuscitation (92950) $371.50 $742 1.7×
Cardioversion (92960) $622 $1,243 0.9×
Cbt 1st hour (94644) $95 $190 0.7×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions (98940) $22 $43 1.0×
Chiropractic manipulative treatment (CMT); spinal, 3-4 regions (98941) $31 $62 1.4×
Chiropractic manipulative treatment (CMT); spinal, 5 regions (98942) $41 $81 1.9×
Color/duplex Doppler, complete (93975) $346 $692 1.4×
Cpap initiation and management (94660) $288 $575 1.3×
Cpt initial (94667) $160 $319 1.2×
Critical care (99291) $1,110 $2,220 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $189 $377 0.9×
Demo &/or eval,pt use,aerosol device (94664) $288 $575 1.3×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $346 $692 1.4×
Dup-scan xtr veins unilateral/limited study (93971) $346 $692 3.3×
Duplex hemodialysis access (93990) $346 $692 3.3×
Duplex scan extracranial art compl bi study (93880) $398 $795 1.7×
Echo Heart Xthoracic,Limited (93308) $175 $349 0.7×
EEG cont rec w/video by tech min 8 channels (95700) $2,575 $5,150 11.9×
EKG (93005) $84 $167 1.4×
Er level IV (99284) $541 $1,081 1.3×
Er level v (99285) $788 $1,576 1.3×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $86 $171 1.2×
Evaluation of speech fluency (92521) $170 $339 1.3×
Evaluation of speech sound production (92522) $140 $279 1.3×
Evaluation of swallowing function (92610) $170 $340 2.0×
Evaluation with prescription of speech-generating alternative (92607) $158 $315 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×
Eye exam, new patient,comprehesv (92004) $114 $228 0.9×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $230 $460 1.2×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $4 $8 0.1×
Immunization Admin (90471) $49.50 $99 0.7×
Immunotherapy, 2+ Injections (95117) $7 $13 0.1×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $93.50 $187 1.6×
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, therap/proph/diagnost,add infusion,1st hour (96367) $90 $179 1.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $355 $709 1.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $61 $122 1.3×
IV push initial (96374) $281 $562 1.3×
Laryngoscopic Sensory Test (92614) $174 $348 1.1×
Manual therapy 15 min (97140) $45 $90 1.6×
Maximum voluntary ventilation (94200) $55 $110 0.9×
Mechanical traction (97012) $24 $48 1.7×
Nasopharyngoscopy (92511) $29 $58 0.1×
Neg press wnd tx </=50 sq cm (97607) $377 $754 0.9×
Neg press wound tx >50 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×
New patient problem focused exam of visual system (92002) $64 $128 0.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $161 $322 1.2×
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×
Orthotics mgmt & traing 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 Community/Work Reintegration Trainj Ea 15 Min (97537) $47 $93 1.5×
Ot Contrast Bath Ea 15 Min (97034) $27 $53 1.9×
Ot eval high complex 60 min (97167) $162 $323 1.6×
Ot eval low complex 30 min (97165) $109 $218 1.1×
Ot eval mod complex 45 min (97166) $109 $218 1.1×
Ot Prosthetic Training, Each 15 Min (97761) $40 $79 1.0×
Ot Range Motion Measure,Each Extrem (95851) $28 $55 1.1×
Ot re-eval est plan care (97168) $75 $149 1.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $177 $354 1.4×
Paraffin bath (97018) $19 $38 3.2×
Phy/qhp op pulm rhb w/o mntr (94625) $84 $168 1.4×
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) $12.50 $24 0.3×
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 Aquatic Therapy/Exercises (97113) $65 $130 1.8×
Pt Electric Current Therapy (97033) $50 $99 2.6×
Pt Electrical Stimulation (97032) $41 $82 2.8×
Pt eval high complex 45 min (97163) $138 $275 1.4×
Pt eval low complex 20 min (97161) $138 $275 1.4×
Pt Gait Training Therapy (97116) $43 $86 1.5×
Pt Infrared Therapy (97026) $18 $35 2.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $51 $101 1.6×
Pt Physical Performance Test (97750) $58 $115 1.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $138 $276 1.4×
Pt re-evaluation (97164) $94 $187 1.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $53 $105 1.6×
Pt Ultrasound Therapy (97035) $30 $59 2.1×
Pt Whirlpool Therapy (97022) $64 $127 4.1×
Pulmonary stress testing (94618) $160 $319 1.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $57 $114 1.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $265 $529 1.3×
Rt Chest Wall Manipulation,Subsequent (94668) $124 $248 0.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $64 $127 1.3×
Sensory Integration Ea 15 Min (97533) $64 $127 1.1×
Smoking cessation > 10 min (99407) $22 $44 0.6×
Speech group therapy (92508) $41 $81 1.7×
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) $38 $75.50 1.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $12 $23 0.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $55 $110 0.5×
Ther/Proph/Diag Inj Sc/Im (96372) $60 $120 0.8×
Therapeutic Activities (97530) $53 $105 1.5×
Therapeutic phlebotomy (99195) $160 $319 1.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $13 $25.50 0.3×
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 - Tte Complete W/ Contrast (93306) $858 $1,716 1.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $120 $239 1.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $130 $260 1.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $90 $180 1.9×
Unlisted pulmonary service/procedure (94799) $55 $110 0.4×
Vasc Duplex Extrem Venous,Bilat (93970) $398 $795 1.7×
Vasopneumatic device (97016) $29 $58 2.4×
Ventilation assist & mgmt inpatient 1st 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×
Xtrnl mobile cv telemetry w/technical support (93229) $386 $771 1.0×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $187 $373 2.0×