Visits & medical services prices at Faith Community Hospital
Jacksboro, TX · every code in this section with a posted price and a Medicare benchmark.
139 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $250.91 | $358.44 | 1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$29.42–$37.86 | $42.03–$54.08 | varies |
| Application Modality 1/> Areas Diathermy (97024) | $15.04 | $21.48 | 2.0× |
| Application Modality 1/> Areas Infrared (97026) | $13.52 | $19.32 | 2.0× |
| Assessment of aphasia per hr (96105) | $217.70 | $311 | 2.2× |
| Behavral qualit analys voice (92524) | $189.34 | $270.48 | 1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $469 | $670 | 1.3× |
| C motor evoked upr&lwr limbs (95939) | $12.21 | $17.44 | 0.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $354.30 | $506.14 | 1.6× |
| Cardiopulmonary resuscitation (92950) | $454.23 | $648.90 | 2.1× |
| Cardioversion (92960) | $1,008.35 | $1,440.50 | 1.5× |
| Cbt 1st hour (94644) | $532 | $760 | 4.0× |
| Chest Wall Manipulation (94668) | $52.23 | $74.62 | 0.4× |
| Color/duplex Doppler, complete (93975) | $15.60 | $22.28 | 0.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $70.20 | $100.29 | 2.2× |
| Continuous Pulse Ox (94762) | $700 | $1,000 | 5.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $868 | $1,240 | 3.9× |
| Cpt initial (94667) | $52.23 | $74.62 | 0.4× |
| Critical care first hour (99291) | $3,850 | $5,500 | 4.6× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $13.12 | $18.74 | 0.0× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$26.76–$332.09 | $38.23–$474.41 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $14.50 | $20.72 | 0.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $14.46 | $20.66 | 0.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $15.44 | $22.05 | 0.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $15.32 | $21.88 | 0.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$15.12–$829.87 | $21.60–$1,185.53 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$15.15–$15.60 | $21.64–$22.28 | varies |
| Duplex up extrem art bilat (93930) | $684.95 | $978.50 | 2.9× |
| Duplex up extrem art unilat/ltd (93931) | $630.15 | $900.22 | 6.0× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$31.69–$33.31 | $45.27–$47.59 | varies |
| Electrocardiogram Tracing (93005) | $3.50 | $5 | 0.1× |
| Emergency Dept Visit Level 2 (99282) | $679 | $970 | 4.4× |
| Emergency Dept Visit Level 3 (99283) | $1,085 | $1,550 | 4.0× |
| Emergency Dept Visit Level 4 (99284) | $2,170 | $3,100 | 5.2× |
| Er level 1 (99281) | $371 | $530 | 4.4× |
| Er level v (99285) | $3,167.50 | $4,525 | 5.3× |
| Evaluate pt use of inhaler (94664) | $366.95 | $524.22 | 1.7× |
| Evaluate Speech Production (92522) | $196.06 | $280.08 | 1.8× |
| Evaluate Swallowing Function (92610) | $180.60 | $258 | 2.1× |
| Evaluation of speech fluency (92521) | $242.40 | $346.29 | 1.8× |
| Exercise test for bronchospasm (94617) | $216.52 | $309.31 | 1.6× |
| External ECG rec>48hr<7d recording (93242) | $3.50 | $5 | 0.1× |
| External ECG rec>7d<15d recording (93246) | $3.50 | $5 | 0.1× |
| Extracranial Bilat Study (93880) | $15.09 | $21.55 | 0.1× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$37.86–$39.27 | $54.08–$56.10 | varies |
| Hubbard tank 15 min (97036) | $74.84 | $106.92 | 2.2× |
| Immunization administration (90471) range across 7 matching MRF lines |
$9.97–$11.92 | $14.24–$17.03 | varies |
| Inital newborn e/m (99460) | $33.47 | $47.81 | 0.3× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$43.91–$44.56 | $62.73–$63.66 | varies |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$3.50–$87.82 | $5–$125.45 | varies |
| IV infusion hydration each additional hour (96361) | $55.27 | $78.95 | 1.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $175 | $250 | 0.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $97.79 | $139.70 | 1.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $71.84 | $102.63 | 1.5× |
| IV push initial (96374) | $124.78 | $178.26 | 0.6× |
| Low frequency non-thermal us (97610) | $280 | $400 | 1.4× |
| Motion Fluoroscopy/Swallow (92611) | $186.90 | $267 | 2.0× |
| Muscle Test 2 Limbs (95861) | $12.62 | $18.03 | 0.1× |
| Muscle Test Nonparaspinal (95870) | $12.71 | $18.16 | 0.1× |
| Nasopharyngoscopy (92511) | $350 | $500 | 1.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $6.55 | $9.36 | 0.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $6.60 | $9.43 | 0.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $6.30 | $9 | 0.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $6.43 | $9.18 | 0.0× |
| Nerve Conduction Studies 1-2 Studies (95907) | $14.06 | $20.09 | 0.1× |
| Nerve Conduction Studies 11-12 Studies (95912) | $13.38 | $19.12 | 0.0× |
| Nerve conduction studies 13 or more studies (95913) | $13.92 | $19.88 | 0.0× |
| Nerve Conduction Studies 3-4 Studies (95908) | $13.61 | $19.44 | 0.1× |
| Nerve conduction studies 5-6 studies (95909) | $14.36 | $20.52 | 0.1× |
| Nerve conduction studies 7-8 studies (95910) | $13.23 | $18.90 | 0.0× |
| Nerve Conduction Studies 9-10 Studies (95911) | $14.33 | $20.47 | 0.0× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $12.39 | $17.70 | 0.1× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$59.81–$74.74 | $85.44–$106.77 | varies |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$34.34–$2,800 | $49.05–$4,000 | varies |
| Oral Function Therapy (92526) | $184.21 | $263.16 | 2.2× |
| Oral Speech Device Eval (92597) | $155.36 | $221.94 | 2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $64.35 | $91.93 | 1.4× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$32.45–$37.86 | $46.35–$54.08 | varies |
| Ot eval high complexity (97167) | $194.80 | $278.28 | 1.9× |
| Ot Eval Low Complex (97165) | $194.80 | $278.28 | 1.9× |
| Ot Eval Moderate Complexity (97166) | $194.80 | $278.28 | 1.9× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$54.51–$59.70 | $77.87–$85.29 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$15.04–$34.07 | $21.48–$48.67 | varies |
| Ot Re-Eval Est Plan Care (97168) | $133.69 | $190.98 | 2.0× |
| Ot rom hand (95852) | $41.64 | $59.48 | 1.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $16.29 | $23.27 | 0.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$16.48–$36.05 | $23.54–$51.50 | varies |
| Phlebotomy therapeutic (99195) | $3.50 | $5 | 0.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $16.78 | $23.97 | 0.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $16.70 | $23.86 | 0.3× |
| Physical Performance Test (97750) | $49.21 | $70.30 | 1.5× |
| Plethysmography (94726) | $889 | $1,270 | 2.4× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $17.94 | $25.63 | 0.4× |
| Pt Eval High Complex (97163) | $152.92 | $218.46 | 1.6× |
| Pt eval low complex 20 min (97161) | $152.92 | $218.46 | 1.6× |
| Pt Eval Mod Complex (97162) | $152.92 | $218.46 | 1.6× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$50.72–$64.91 | $72.46–$92.73 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$31.69–$52.50 | $45.27–$75 | varies |
| Pt Re-Eval Est Plan Care (97164) | $81 | $115.72 | 1.2× |
| Pt ultraviolet (97028) | $17.33 | $24.75 | 2.1× |
| Pulm function test by gas (94727) | $469 | $670 | 2.2× |
| Pulmonary service/procedure (94799) | $700 | $1,000 | 5.4× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$216.52–$378 | $309.31–$540 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $3.50 | $5 | 0.1× |
| Respiratory flow volume loop (94375) | $889 | $1,270 | 4.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$6.13–$27.41 | $8.75–$39.15 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $52.50 | $75 | 2.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $278.63 | $398.04 | 2.3× |
| Same day nb discharge (99463) | $37.18 | $53.11 | 0.3× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$63–$73.23 | $90–$104.61 | varies |
| Sensory Integration Ea 15 Min (97533) | $91.39 | $130.56 | 1.5× |
| Somatosensory Testing (95938) | $12.17 | $17.39 | 0.0× |
| Speech sound lang comprehen (92523) | $418.28 | $597.54 | 1.8× |
| Spirometry (94010) | $469 | $670 | 2.2× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$105–$235.49 | $150–$336.42 | varies |
| Temp transcutaneous pacing (92953) | $261.18 | $373.12 | 0.4× |
| Testing Autonomic Nervous System Function (95923) | $16.01 | $22.87 | 0.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 4 matching MRF lines |
$52.50–$70 | $75–$100 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$52.50–$70 | $75–$100 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$70–$83.08 | $100–$118.68 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$46.18–$61.22 | $65.97–$87.45 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $232.64 | $332.34 | 2.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$3.50–$51.74 | $5–$73.92 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $212.06 | $302.94 | 1.0× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$45.42–$85.34 | $64.89–$121.92 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$6.72–$59.80 | $9.60–$85.43 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$6.62–$59.80 | $9.45–$85.43 | varies |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $15.88 | $22.69 | 0.1× |
| Tte w/doppler, complete (93306) | $1,090.15 | $1,557.36 | 2.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $168.32 | $240.45 | 2.2× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $50.61 | $72.30 | 2.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $52.44 | $74.91 | 1.1× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$11.95–$16.07 | $17.07–$22.95 | varies |
| Vasopneumatic device (97016) | $27.15 | $38.79 | 2.3× |
| Vent Mgmt Inpat Init Day (94002) | $2,450 | $3,500 | 3.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $2,450 | $3,500 | 3.9× |
| Vital capacity, total (94150) | $490 | $700 | 3.8× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$70.96–$92.40 | $101.37–$132 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$38.51–$72.10 | $55.02–$103 | varies |
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.