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.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $650 $650 3.0×
Analyze Neurostim Complex (95972) $401 $401 4.2×
Application of heat wave therapy (97024) $25 $25 3.4×
Assessment of aphasia (96105) $343 $343 3.5×
Behavioral and qualitative analysis of voice and resonance (92524) $386 $386 3.5×
Biofeedback training any modality (90901) $67 $67 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $894 $894 2.4×
Canalith Repositioning (95992) $127.50 $127.50 3.1×
Cardiac Stress Tst,Tracing Only (93017) $943 $943 4.3×
Cardiopulmonary resuscitation (92950) $914.50 $914.50 4.2×
Cardioversion (92960) $1,985 $1,985 3.0×
Cardioversion internal (92961) $1,985 $1,985 3.0×
Cbt 1st hour (94644) $509 $509 3.8×
Color/duplex Doppler, limited (93976) $775 $775 7.4×
Cpap initiation and management (94660) $650 $650 3.0×
Cpt initial (94667) $385 $385 2.9×
Critical care (99291) $2,771 $2,771 3.3×
Debridement Open Wound 20 Sq Cm< (97597) $124 $124 0.6×
Demo &/or eval,pt use,aerosol device (94664) $650 $650 3.0×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,075 $1,075 4.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $683 $683 6.5×
Dup-scan xtr veins unilateral/limited study (93971) $919.50 $919.50 8.8×
Duplex scan extracranial art compl bi study (93880) $1,444 $1,444 6.0×
Ear and throat examination (92502) $1,598 $1,598 2.9×
Echo Heart Xthoracic,Limited (93308) $823 $823 3.4×
EEG awake drowsy (95816) $682 $682 3.1×
EKG (93005) $303 $303 5.1×
EKG rhythm strip (93041) $202 $202 3.4×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $533 $533 5.6×
Er level 1 (99281) $488 $488 5.8×
Er level ii (99282) $858 $858 5.6×
Er level iii (99283) $1,365 $1,365 5.0×
Er level IV (99284) $1,465 $1,465 3.5×
Er level v (99285) $2,139 $2,139 3.6×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $522 $522 7.3×
Evaluation of speech fluency (92521) $646 $646 4.8×
Evaluation of speech sound production (92522) $392 $392 3.5×
Evaluation of swallowing function (92610) $245 $245 2.9×
Evaluation with prescription of speech-generating alternative (92607) $436 $436 3.6×
External Ecg Scanning Analysis Report (93226) $588 $588 9.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $813 $813 0.9×
Group Therapeutic Procedures (97150) $62 $62 3.4×
Holter Monitor Recording (93225) $398 $398 3.0×
Immunization Admin (90471) $214 $214 3.0×
Injection intra arterial (96373) $495 $495 2.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $304 $304 5.1×
IV infusion hydration each additional hour (96361) $141 $141 3.0×
IV infusion hydration initial 31 min-1 hour (96360) $725 $725 3.4×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $219 $219 3.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $725 $725 3.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $305 $305 6.5×
IV push initial (96374) $725 $725 3.4×
Low frequency non-thermal us (97610) $64 $64 0.3×
Manual therapy 15 min (97140) $95 $95 3.4×
Massage 15 min (97124) $105 $105 3.5×
Maximum voluntary ventilation (94200) $194 $194 3.3×
Mechanical chest wall oscillation (94669) $650 $650 3.0×
Mechanical traction (97012) $50 $50 3.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $321 $321 3.5×
Multiple sleep latency test (95805) $3,329 $3,329 3.9×
Nasopharyngoscopy (92511) $582 $582 2.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $87 $87 0.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $96 $96 0.2×
Neurobehavioral Status Exam (96116) $265 $265 1.2×
Neuromuscular junction test (95937) $194 $194 1.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $817 $817 3.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $489 $489 3.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $172 $172 3.7×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $112 $112 3.5×
Ot eval high complex 60 min (97167) $355 $355 3.5×
Ot eval low complex 30 min (97165) $355 $355 3.5×
Ot eval mod complex 45 min (97166) $355 $355 3.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $191 $191 3.8×
Ot Prosthetic Training, Each 15 Min (97761) $147 $147 3.6×
Ot re-eval est plan care (97168) $244 $244 3.6×
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×
Paraffin bath (97018) $20 $20 3.3×
Phy/qhp op pulm rhb w/mntr (94626) $170.50 $170.50 2.9×
Phy/qhp op pulm rhb w/o mntr (94625) $197 $197 3.3×
Pm device eval in person (93288) $132 $132 3.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,329 $3,329 3.9×
Psychiatric diagnostic evaluation (90791) $70 $70 0.4×
Psytx crisis initial 60 min (90839) $266 $266 1.5×
Pt Aquatic Therapy/Exercises (97113) $130 $130 3.5×
Pt Electric Current Therapy (97033) $69 $69 3.6×
Pt Electrical Stimulation (97032) $51 $51 3.5×
Pt eval high complex 45 min (97163) $353 $353 3.6×
Pt eval low complex 20 min (97161) $353 $353 3.6×
Pt Gait Training Therapy (97116) $104 $104 3.6×
Pt Infrared Therapy (97026) $22 $22 3.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $121 $121 3.7×
Pt Physical Performance Test (97750) $118 $118 3.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $353 $353 3.6×
Pt re-evaluation (97164) $243 $243 3.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $116 $116 3.6×
Pt Ultrasound Therapy (97035) $50 $50 3.5×
Pt Whirlpool Therapy (97022) $61 $61 3.9×
Pulmonary stress testing (94618) $385 $385 2.9×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $407 $407 10.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $264 $264 1.3×
Rt Chest Wall Manipulation,Subsequent (94668) $385 $385 2.9×
Sensory Integration Ea 15 Min (97533) $228 $228 3.8×
Smoking cessation > 10 min (99407) $97 $97 2.6×
Speech group therapy (92508) $84 $84 3.5×
Speech sound lang comprehen (92523) $800 $800 3.5×
Spirometry (94010) $489 $489 2.3×
Stress echo (93350) $2,982 $2,982 5.4×
Temp transcutaneous pacing (92953) $1,985 $1,985 3.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $80 $80 3.6×
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×
Therapeutic Activities (97530) $131 $131 3.7×
Therapeutic phlebotomy (99195) $793.50 $793.50 5.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $97 $97 2.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,002 $2,002 3.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,392 $1,392 5.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $270 $270 3.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $300 $300 3.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $169 $169 3.6×
Unlisted pulmonary service/procedure (94799) $622.50 $622.50 4.8×
Vasc Duplex Extrem Venous,Bilat (93970) $1,577 $1,577 6.6×
Vasopneumatic device (97016) $42 $42 3.5×
Ventilation assist & mgmt inpatient 1st day (94002) $1,641 $1,641 2.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,641 $1,641 2.6×
Wheelchair Mgmt Ea 15 Min (97542) $112 $112 3.6×