Visits & medical services prices at Glen Rose Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $650 $650 3.0×
Analyze Neurostim Simple (95971) $533 $533 5.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $50 $50 3.5×
Assessment of aphasia per hr (96105) $329 $329 3.4×
Behavral qualit analys voice (92524) $386 $386 3.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $894 $894 2.4×
Canalith repositioning proc (95992) $128 $128 3.1×
Cardiac Stress Tst,Tracing Only (93017) $943 $943 4.3×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines		 $935–$1,035 $935–$1,035 varies
Cardioversion (92960)
range across 3 matching MRF lines		 $1,985–$2,146 $1,985–$2,146 varies
Cbt 1st hour (94644) $509 $509 3.8×
Chest Wall Manipulation (94668) $385 $385 2.9×
Color/duplex Doppler, limited (93976) $775 $775 7.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $112 $112 3.5×
Continuous Pulse Ox (94762) $489 $489 3.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $650 $650 3.0×
Cpt initial (94667) $385 $385 2.9×
Critical care first hour (99291) $2,771 $2,771 3.3×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines		 $635–$660 $635–$660 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $813 $813 3.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,075 $1,075 4.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,265 $1,265 12.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,577 $1,577 6.6×
Dup-scan xtr veins unilateral/limited study (93971) $805 $805 7.7×
Duplex up extrem art bilat (93930) $1,075 $1,075 4.5×
Duplex up extrem art unilat/ltd (93931) $683 $683 6.5×
Ear and throat examination (92502) $1,598 $1,598 2.9×
Echo Heart Xthoracic,Limited (93308) $808 $808 3.4×
Electrical Stimulation Ea 15 Min (97032) $51 $51 3.5×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines		 $202–$220 $202–$220 varies
Emergency Dept Visit Level 2 (99282) $421 $421 2.7×
Emergency Dept Visit Level 3 (99283) $818 $818 3.0×
Emergency Dept Visit Level 4 (99284) $1,245 $1,245 3.0×
Er level 1 (99281) $256 $256 3.0×
Er level v (99285) $2,307 $2,307 3.9×
Evaluate pt use of inhaler (94664) $650 $650 3.0×
Evaluate Speech Production (92522) $392 $392 3.5×
Evaluate Swallowing Function (92610) $245 $245 2.9×
Evaluation of speech fluency (92521) $468 $468 3.5×
External Ecg Scanning Analysis Report (93226) $588 $588 9.9×
Extracranial Bilat Study (93880) $1,444 $1,444 6.0×
Holter monitor recording (93225) $398 $398 3.0×
Immunization administration (90471) $214 $214 3.0×
Iontophoresis 15 min (97033) $69 $69 3.6×
Irrig Drug Delivery Device (96523) $304 $304 5.1×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines		 $86–$141 $86–$141 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines		 $707–$725 $707–$725 varies
IV infusion ther proph addl sequential to 1 hr (96367) $219 $219 3.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $305 $305 6.5×
IV push initial (96374) $725 $725 3.4×
Lung Function Test (Mbc/Mvv) (94200) $194 $194 3.3×
Mechanical chest wall oscillation per session (94669) $650 $650 3.0×
Motion Fluoroscopy/Swallow (92611) $321 $321 3.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines		 $87–$988 $87–$988 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines		 $96–$1,382 $96–$1,382 varies
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $194 $194 1.5×
Neuromuscular Reeducation (97112) $121 $121 3.7×
Oral Function Therapy (92526) $300 $300 3.6×
Ot manual therapy 15 min (97140) $95 $95 3.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $402 $402 3.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $402 $402 3.1×
Phlebotomy therapeutic (99195) $647 $647 4.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $197 $197 3.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $197 $197 3.3×
Physical Performance Test (97750) $118 $118 3.5×
Pm device eval in person (93288) $132 $132 3.5×
Pt Eval High Complex (97163) $353 $353 3.6×
Pt eval low complex 20 min (97161) $353 $353 3.6×
Pt Eval Mod Complex (97162) $353 $353 3.6×
Pt gait training 15 min (97116) $104 $104 3.6×
Pt mechanical traction (97012) $50 $50 3.5×
Pt Re-Eval Est Plan Care (97164) $243 $243 3.6×
Pulmonary Stress Testing (94618) $385 $385 2.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $660 $660 3.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $436 $436 3.6×
Self Care Mngment Training (97535) $116 $116 3.6×
Speech sound lang comprehen (92523) $800 $800 3.5×
Spirometry (94010) $489 $489 2.3×
Stress Tte Only (93350) $2,982 $2,982 5.4×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines		 $1,985–$2,146 $1,985–$2,146 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $366 $366 3.6×
Ther/Prop/Diag Inj/Inf Proc (96379) $141 $141 3.0×
Ther/Proph/Diag Inj Sc/Im (96372) $219 $219 3.0×
Ther/Proph/Diag Iv Inf Init (96365) $725 $725 3.4×
Therapeutic Activities (97530) $131 $131 3.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $97 $97 2.6×
Tte w/doppler, complete (93306) $2,002 $2,002 3.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $270 $270 3.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $169 $169 3.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $817 $817 3.8×
Vent Mgmt Inpat Init Day (94002) $1,641 $1,641 2.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,641 $1,641 2.6×
Vital capacity, total (94150) $489 $489 3.8×
Wheelchair Mgmt Ea 15 Min (97542) $112 $112 3.6×

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.