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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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $34 $40 0.8×
Advncd Care Plan 30 Min (99497) $85 $100 0.8×
Airway Inhalation Treatment (94640)
range across 10 matching MRF lines
$31–$74 $36–$87 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $27 $32 1.9×
Application Modality 1/> Areas Diathermy (97024) $31 $37 4.2×
Brief Emotional/Behav Assmt (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×
Chest Wall Manipulation (94668) $43 $50 0.3×
Chron Care Mgmt Srvc 20 Min (99490) $90 $106 0.9×
Color/duplex Doppler, complete (93975) $327 $385 1.4×
Color/duplex Doppler, limited (93976) $255 $300 2.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $61 $72 1.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $111 $130 0.5×
Cpt initial (94667) $111 $130 0.8×
Critical care first hour (99291) $1,024 $1,205 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $83 $98 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 Xtr Veins Complete Bilateral Study (93970) $712 $838 3.0×
Dup-scan xtr veins unilateral/limited study (93971) $443 $521 4.2×
Duplex up extrem art bilat (93930) $740 $871 3.1×
Duplex up extrem art unilat/ltd (93931) $199 $234 1.9×
Echo Heart Xthoracic,Limited (93308) $599 $705 2.5×
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$39–$162 $46–$190 varies
Electroconvulsive Therapy (90870) $11 $13 0.0×
Emergency Dept Visit Level 2 (99282) $177 $208 1.1×
Emergency Dept Visit Level 3 (99283) $275 $323 1.0×
Emergency Dept Visit Level 4 (99284) $439 $517 1.0×
Er level 1 (99281)
range across 2 matching MRF lines
$99–$249 $117–$293 varies
Er level v (99285) $660 $776 1.1×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$82–$88 $96–$104 varies
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×
Extracranial Bilat Study (93880) $785 $924 3.3×
Group Therapeutic Procedures (97150) $44 $52 2.4×
Holter monitor recording (93225) $411 $484 3.1×
Immunization administration (90471)
range across 6 matching MRF lines
$10–$65 $12–$77 varies
Iontophoresis 15 min (97033) $55 $65 2.9×
Irrig Drug Delivery Device (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)
range across 3 matching MRF lines
$105–$113 $123–$133 varies
IV infusion ther proph addl sequential to 1 hr (96367) $91 $107 1.3×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$37–$91 $44–$107 varies
IV push initial (96374)
range across 4 matching MRF lines
$64–$65 $75–$77 varies
Lung Function Test (Mbc/Mvv) (94200) $36 $42 0.6×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 3 matching MRF lines
$98–$545 $115–$641 varies
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 Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,445 $1,700 3.5×
Neg Pressure Wound Therapy Non Dme >50 Sq 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×
Neuromuscular Reeducation (97112) $65 $77 2.0×
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 eval high complexity (97167) $168 $198 1.7×
Ot Eval Low Complex (97165) $168 $198 1.7×
Ot Eval Moderate Complexity (97166) $168 $198 1.7×
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines
$50–$53 $59–$62 varies
Ot paraffin bath (97018) $35 $41 5.8×
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×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$50–$89 $59–$105 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $201 $236 3.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $188 $221 3.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $13 $15 0.3×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $15 $18 0.3×
Pt Eval High Complex (97163) $168 $198 1.7×
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$106–$168 $125–$198 varies
Pt Eval Mod Complex (97162) $168 $198 1.7×
Pt gait training 15 min (97116) $44 $52 1.5×
Pt mechanical traction (97012) $44 $52 3.1×
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$58–$116 $68–$137 varies
Pt-focused hlth risk assmt score doc stnd instrm (96160) $10 $12 0.3×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$14–$83 $16–$98 varies
Pulmonary Stress Testing (94618) $255 $300 1.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $61 $72 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $255 $300 1.3×
Self Care Mngment Training (97535) $64 $75 2.0×
Sleep study unattended (95806) $298 $350 1.4×
Spirometry (94010) $134 $158 0.6×
Temp transcutaneous pacing (92953) $428 $504 0.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $54 $64 1.8×
Ther/Proph/Diag Inj Ia (96373) $65 $77 0.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$21–$65 $25–$77 varies
Ther/Proph/Diag Iv Inf Init (96365) $113 $133 0.5×
Therapeutic Activities (97530)
range across 3 matching MRF lines
$47–$73 $55–$86 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $43 $50 1.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$17–$26 $20–$30 varies
Tte w/doppler, complete (93306) $1,066 $1,254 1.9×
Tte W/O Doppler Complete (93307) $1,066 $1,254 4.4×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$27–$65 $32–$77 varies
Upr/L Xtremity Art 2 Levels (93922) $496 $584 3.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $577 $679 2.7×
Vent Mgmt Inpat Init 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×
Whirlpool Therapy (97022) $51 $60 3.2×

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.