Visits & medical services prices at Fisher County Hospital District

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

109 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) $85 $100 0.8×
Airway inhalation treatment (94640) $68 $80 0.3×
Application of heat wave therapy (97024) $31 $37 4.2×
Behav assmt w/score & docd/stand instrument (96127) $10 $12 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $190 $223 0.5×
Cardiac Stress Tst,Tracing Only (93017) $618 $727 2.8×
Cardiopulmonary resuscitation (92950) $326 $384 1.5×
Cardioversion (92960) $428 $504 0.6×
Caregiver hlth risk assmt score doc stnd instrm (96161) $10 $12 0.3×
Cbt 1st hour (94644) $128 $150 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $65 $77 0.9×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $90 $106 0.9×
Color/duplex Doppler, complete (93975) $327 $385 1.4×
Color/duplex Doppler, limited (93976) $255 $300 2.4×
Cpap initiation and management (94660) $111 $130 0.5×
Cpt initial (94667) $111 $130 0.8×
Critical care (99291) $1,024 $1,205 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $83 $98 0.4×
Demo &/or eval,pt use,aerosol device (94664) $85 $100 0.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $740 $871 3.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $443 $521 4.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $740 $871 3.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $199 $234 1.9×
Dup-scan xtr veins unilateral/limited study (93971) $443 $521 4.2×
Duplex scan extracranial art compl bi study (93880) $785 $924 3.3×
Echo Heart Xthoracic,Limited (93308) $599 $705 2.5×
EKG (93005) $112 $132 1.9×
EKG rhythm strip (93041) $61 $72 1.0×
Electroconvulsive Therapy (90870) $11 $13 0.0×
Er level 1 (99281) $174 $205 2.1×
Er level ii (99282) $177 $208 1.1×
Er level iii (99283) $275 $323 1.0×
Er level IV (99284) $439 $517 1.0×
Er level v (99285) $660 $776 1.1×
External ECG rec>48hr<7d recording (93242) $411 $484 11.0×
External ECG rec>48hr<7d scanning alys w/report (93243) $638 $750 4.8×
External ECG rec>7d<15d recording (93246) $411 $484 11.0×
External ECG rec>7d<15d scanning alys w/report (93247) $680 $800 5.1×
External Ecg Scanning Analysis Report (93226) $618 $727 10.4×
Group Therapeutic Procedures (97150) $44 $52 2.4×
Holter Monitor Recording (93225) $411 $484 3.1×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $34 $40 0.8×
Immunization Admin (90471) $21 $24.50 0.3×
Immunotherapy, 2+ Injections (95117) $15 $18 0.3×
Injection intra arterial (96373) $65 $77 0.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $64 $75 1.1×
IV infusion hydration each additional hour (96361) $26 $31 0.6×
IV infusion hydration initial 31 min-1 hour (96360) $105 $123 0.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $91 $107 1.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $113 $133 0.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $64 $75.50 1.4×
IV push initial (96374) $65 $77 0.3×
Manual therapy 15 min (97140) $53 $62 1.9×
Massage 15 min (97124) $54 $64 1.8×
Maximum voluntary ventilation (94200) $36 $42 0.6×
Mechanical traction (97012) $44 $52 3.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $44 $52 1.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $51 $60 1.4×
Neg press wnd tx </=50 sq cm (97607) $1,445 $1,700 3.5×
Neg press wound tx >50 cm (97608) $1,445 $1,700 3.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $510 $600 2.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $510 $600 1.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $496 $584 3.7×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $577 $679 2.7×
Osteopathic manipulative tx 1-2 body regions (98925) $53 $62 2.4×
Osteopathic manipulative tx 3-4 body regions (98926) $61 $72 2.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $61 $72 1.9×
Ot eval high complex 60 min (97167) $168 $198 1.7×
Ot eval low complex 30 min (97165) $168 $198 1.7×
Ot eval mod complex 45 min (97166) $168 $198 1.7×
Ot re-eval est plan care (97168) $116 $137 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $92 $108 0.7×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $68 $80 0.5×
Paraffin bath (97018) $35 $41 5.8×
Phy/qhp op pulm rhb w/mntr (94626) $201 $236 3.4×
Phy/qhp op pulm rhb w/o mntr (94625) $188 $221 3.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $13 $15 0.3×
Pt Electric Current Therapy (97033) $55 $65 2.9×
Pt eval high complex 45 min (97163) $168 $198 1.7×
Pt eval low complex 20 min (97161) $137 $161.50 1.4×
Pt Gait Training Therapy (97116) $44 $52 1.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $65 $77 2.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $168 $198 1.7×
Pt re-evaluation (97164) $87 $102.50 1.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $64 $75 2.0×
Pt Ultrasound Therapy (97035) $27 $32 1.9×
Pt Whirlpool Therapy (97022) $51 $60 3.2×
Pt-focused hlth risk assmt (96160) $10 $12 0.3×
Pulmonary stress testing (94618) $255 $300 1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $255 $300 1.3×
Rt Chest Wall Manipulation,Subsequent (94668) $43 $50 0.3×
Sleep study unattended (95806) $298 $350 1.4×
Smoking cessation > 10 min (99407) $43 $50 1.1×
Spirometry (94010) $134 $158 0.6×
Temp transcutaneous pacing (92953) $428 $504 0.6×
Ther/Proph/Diag Inj Sc/Im (96372) $43 $51 0.6×
Therapeutic Activities (97530) $73 $86 2.1×
Therapeutic phlebotomy (99195) $69.50 $82 0.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $21.50 $25 0.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,066 $1,254 1.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,066 $1,254 4.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $46 $54.50 1.0×
Unlisted pulmonary service/procedure (94799) $48.50 $57 0.4×
Vasc Duplex Extrem Venous,Bilat (93970) $712 $838 3.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $545 $641 2.5×
Ventilation assist & mgmt inpatient 1st day (94002) $251 $295 0.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $179 $210 0.3×
Vital capacity total (94150) $34 $40 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $54 $63 1.7×