Visits & medical services prices at Freestone Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $219.98 $314.25 1.0×
Behavioral and qualitative analysis of voice and resonance (92524) $221.38 $316.25 2.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $684.78 $978.25 1.8×
Cardiac Stress Tst,Tracing Only (93017) $651.18 $930.25 3.0×
Cardiopulmonary resuscitation (92950) $540.84 $772.62 2.5×
Cardioversion (92960) $1,627.50 $2,325 2.5×
Cbt 1st hour (94644) $229.43 $327.75 1.7×
Chemother, IV infusion, 1 hr (96413) $689.85 $985.50 2.1×
Chemother, IV infusion, ea add hr (96415) $409.33 $584.75 5.7×
Color/duplex Doppler, complete (93975) $289.98 $414.25 1.2×
Cpap initiation and management (94660) $563.68 $805.25 2.6×
Cpt initial (94667) $240.63 $343.75 1.8×
Critical care (99291) $2,016.88 $2,881.25 2.4×
Demo &/or eval,pt use,aerosol device (94664) $372.05 $531.50 1.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $2,315.78 $3,308.25 9.7×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $2,154.60 $3,078 20.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $2,315.78 $3,308.25 9.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $2,154.60 $3,078 20.5×
Dup-scan xtr veins unilateral/limited study (93971) $1,107.40 $1,582 10.5×
Duplex scan extracranial art compl bi study (93880) $1,623.83 $2,319.75 6.8×
Echo Heart Xthoracic,Limited (93308) $533.75 $762.50 2.2×
EKG (93005) $434 $620 7.3×
EKG rhythm strip (93041) $132.13 $188.75 2.2×
Er level 1 (99281) $196.18 $280.25 2.3×
Er level ii (99282) $330.75 $472.50 2.1×
Er level iii (99283) $542.68 $775.25 2.0×
Er level IV (99284) $884.28 $1,263.25 2.1×
Er level v (99285) $1,321.08 $1,887.25 2.2×
Evaluation of speech fluency (92521) $142.10 $203 1.1×
Evaluation of speech sound production (92522) $177.45 $253.50 1.6×
Evaluation of swallowing function (92610) $366.98 $524.25 4.3×
Evaluation with prescription of speech-generating alternative (92607) $211.23 $301.75 1.7×
External ECG rec>48hr<7d recording (93242) $38.68 $55.25 1.0×
External ECG rec>7d<15d recording (93246) $43.93 $62.75 1.2×
External Ecg Scanning Analysis Report (93226) $680.58 $972.25 11.5×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $287 $410 1.4×
Group Therapeutic Procedures (97150) $230.65 $329.50 12.8×
Holter Monitor Recording (93225) $680.58 $972.25 5.1×
Immunization Admin (90471) $108.85 $155.50 1.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $146.13 $208.75 2.5×
IV infusion hydration each additional hour (96361) $88.82 $126.88 1.9×
IV infusion hydration initial 31 min-1 hour (96360) $434 $620 2.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $142.98 $204.25 2.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $427.70 $611 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $90.13 $128.75 1.9×
IV push initial (96374) $427.70 $611 2.0×
Laryngoscopic Sensory Test (92614) $126.18 $180.25 0.8×
Manual therapy 15 min (97140) $198.28 $283.25 7.2×
Massage 15 min (97124) $238 $340 8.0×
Mechanical traction (97012) $198.98 $284.25 13.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $574 $820 6.3×
Newborn resuscitation (99465) $953.23 $1,361.75 1.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $1,265.08 $1,807.25 9.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $1,623.83 $2,319.75 7.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $427.53 $610.75 3.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $108.15 $154.50 2.3×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $85.75 $122.50 2.7×
Ot eval high complex 60 min (97167) $462.18 $660.25 4.6×
Ot eval low complex 30 min (97165) $418.95 $598.50 4.2×
Ot eval mod complex 45 min (97166) $439.78 $628.25 4.4×
Ot Prosthetic Training, Each 15 Min (97761) $72.10 $103 1.8×
Ot re-eval est plan care (97168) $115.33 $164.75 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $414.05 $591.50 3.2×
Paraffin bath (97018) $143.50 $205 23.9×
Phy/qhp op pulm rhb w/mntr (94626) $322.53 $460.75 5.4×
Pt Electric Current Therapy (97033) $199.68 $285.25 10.5×
Pt Electrical Stimulation (97032) $242.90 $347 16.5×
Pt eval high complex 45 min (97163) $506.89 $724.12 5.2×
Pt eval low complex 20 min (97161) $410.90 $587 4.2×
Pt Gait Training Therapy (97116) $167.30 $239 5.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $188.83 $269.75 5.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $459.90 $657 4.7×
Pt re-evaluation (97164) $185.33 $264.75 2.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $266.70 $381 8.2×
Pt Ultrasound Therapy (97035) $134.05 $191.50 9.3×
Pt Whirlpool Therapy (97022) $261.80 $374 16.7×
Pulmonary stress testing (94618) $261.10 $373 2.0×
Rt Chest Wall Manipulation,Subsequent (94668) $240.63 $343.75 1.8×
Sensory Integration Ea 15 Min (97533) $122.50 $175 2.0×
Speech group therapy (92508) $92.93 $132.75 3.9×
Speech sound lang comprehen (92523) $276.85 $395.50 1.2×
Spirometry (94010) $286.83 $409.75 1.3×
Temp transcutaneous pacing (92953) $1,170.05 $1,671.50 1.8×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $92.23 $131.75 4.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $92.23 $131.75 4.4×
Ther/Proph/Diag Inj Sc/Im (96372) $140.88 $201.25 1.9×
Therapeutic Activities (97530) $232.93 $332.75 6.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $57.05 $81.50 1.5×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,041.60 $1,488 1.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $396.55 $566.50 5.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $425.43 $607.75 5.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $88.82 $126.88 1.9×
Unlisted pulmonary service/procedure (94799) $93.45 $133.50 0.7×
Vasc Duplex Extrem Venous,Bilat (93970) $1,623.83 $2,319.75 6.8×
Ventilation assist & mgmt inpatient 1st day (94002) $1,661.10 $2,373 2.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,661.10 $2,373 2.7×
Wheelchair Mgmt Ea 15 Min (97542) $131.95 $188.50 4.2×