Visits & medical services prices at Golden Plains Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Advncd Care Plan 30 Min (99497) $55.43 $79.19 0.5×
Airway Inhalation Treatment (94640)
range across 5 matching MRF lines
$100.91–$581.70 $144.15–$831 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 5 matching MRF lines
$60.90–$86.10 $87–$123 varies
Assessment of aphasia per hr (96105) $144.20 $206 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $970.20 $1,386 2.6×
Canalith repositioning proc (95992) $121.80 $174 3.0×
Cardiac Stress Tst,Tracing Only (93017) $1,277.50 $1,825 5.9×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$1,308.30–$1,428.70 $1,869–$2,041 varies
Cbt 1st hour (94644) $473.90 $677 3.5×
Chest Wall Manipulation (94668) $165.90 $237 1.2×
Chron Care Mgmt Srvc 20 Min (99490) $121.09 $172.98 1.2×
Color/duplex Doppler, complete (93975) $900.90 $1,287 3.8×
Color/duplex Doppler, limited (93976) $410.20 $586 3.9×
Community/Work Reintegration Trainj Ea 15 Min (97537) $91 $130 2.8×
Cont Gluc Mntr Pt Prov Eqp (95249) $116.48 $166.40 2.0×
Continuous Pulse Ox (94762) $275.80 $394 2.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $891.80 $1,274 4.1×
Cpt initial (94667) $110.60 $158 0.8×
Critical care first hour (99291)
range across 2 matching MRF lines
$671.30–$2,317.70 $959–$3,311 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$66.50–$452.20 $95–$646 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,331.40 $1,902 5.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,218 $1,740 11.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,253.70 $1,791 5.2×
Dup-scan xtr veins unilateral/limited study (93971) $973.70 $1,391 9.3×
Duplex up extrem art unilat/ltd (93931) $753.20 $1,076 7.2×
Electrical Stimulation Ea 15 Min (97032) $92.40 $132 6.3×
Electrocardiogram Tracing (93005) $257.60 $368 4.3×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$144.20–$405.30 $206–$579 varies
Emergency Dept Visit Level 3 (99283) $809.90 $1,157 3.0×
Emergency Dept Visit Level 4 (99284) $1,212.40 $1,732 2.9×
Er level 1 (99281)
range across 3 matching MRF lines
$56.70–$312.90 $81–$447 varies
Er level v (99285) $1,691.20 $2,416 2.8×
Evaluate pt use of inhaler (94664) $416.50 $595 1.9×
Evaluate Speech Production (92522) $542.50 $775 4.8×
Evaluate Swallowing Function (92610) $546 $780 6.4×
External Ecg Scanning Analysis Report (93226) $704.90 $1,007 11.9×
Extracranial Bilat Study (93880) $1,693.30 $2,419 7.1×
Fundus photography (92250) $144.78 $206.83 1.1×
Group Therapeutic Procedures (97150) $153.30 $219 8.5×
Health Behavior Assessment/Re-Assessment (96156) $112.70 $161 1.1×
Health behavior ivntj indiv f2f 1st 30 min (96158) $94.15 $134.50 0.5×
Holter monitor recording (93225) $734.30 $1,049 5.5×
Im Adm Intransl/Oral 1 Vaccine (90473) $14.92 $21.31 0.2×
Immunization administration (90471)
range across 11 matching MRF lines
$9.70–$110.60 $13.85–$158 varies
Inital newborn e/m (99460) $274.40 $392 2.1×
Iontophoresis 15 min (97033)
range across 4 matching MRF lines
$81.20–$126 $116–$180 varies
Irrig Drug Delivery Device (96523) $249.90 $357 4.2×
IV infusion hydration each additional hour (96361)
range across 4 matching MRF lines
$55.28–$128.10 $78.97–$183 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 5 matching MRF lines
$269.37–$317.10 $384.82–$453 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 4 matching MRF lines
$200.90–$496.30 $287–$709 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 5 matching MRF lines
$110.56–$159.60 $157.94–$228 varies
IV push initial (96374)
range across 7 matching MRF lines
$140–$253.40 $200–$362 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $26.60 $38 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$29.40–$83.30 $42–$119 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $14.70 $21 0.9×
Motion Fluoroscopy/Swallow (92611) $613.20 $876 6.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$66.50–$473.20 $95–$676 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $473.20 $676 1.2×
Neuromuscular Reeducation (97112)
range across 4 matching MRF lines
$81.20–$102.20 $116–$146 varies
Newborn resuscitation (99465) $1,775.20 $2,536 2.7×
Oral Function Therapy (92526) $448 $640 5.3×
Oral Speech Device Eval (92597) $525 $750 7.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $98.70 $141 2.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 5 matching MRF lines
$87.50–$102.20 $125–$146 varies
Ot eval high complexity (97167) $284.20 $406 2.8×
Ot Eval Low Complex (97165) $319.20 $456 3.2×
Ot Eval Moderate Complexity (97166) $351.40 $502 3.5×
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$67.90–$102.20 $97–$146 varies
Ot paraffin bath (97018) $91.70 $131 15.3×
Ot Prosthetic Training, Each 15 Min (97761) $124.60 $178 3.1×
Ot Re-Eval Est Plan Care (97168) $144.20 $206 2.1×
Phlebotomy therapeutic (99195) $253.40 $362 1.9×
Physical Performance Test (97750) $77 $110 2.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $30.17 $43.10 0.6×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $36.20 $51.71 0.8×
Psych diag eval w/med srvcs (90792) $457.80 $654 2.6×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$336.06–$407.40 $480.09–$582 varies
Pt Eval High Complex (97163) $453.60 $648 4.6×
Pt eval low complex 20 min (97161) $319.20 $456 3.3×
Pt Eval Mod Complex (97162) $384.30 $549 3.9×
Pt gait training 15 min (97116) $184.10 $263 6.3×
Pt mechanical traction (97012) $117.60 $168 8.2×
Pt Re-Eval Est Plan Care (97164) $201.60 $288 3.0×
Pulm function test by gas (94727) $471.10 $673 2.2×
Pulmonary Stress Testing (94618) $249.90 $357 1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 5 matching MRF lines
$234.50–$291.90 $335–$417 varies
Self Care Mngment Training (97535) $107.10 $153 3.3×
Speech sound lang comprehen (92523) $616.70 $881 2.7×
Spirometry (94010) $676.20 $966 3.1×
Standardized Cognitive Performance Testing (96125) $525 $750 5.1×
Temp transcutaneous pacing (92953) $1,939 $2,770 2.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $102.20 $146 4.6×
Ther Ivntj Ea Addl 15 Min (97130) $154 $220 7.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $100.10 $143 2.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 4 matching MRF lines
$14.70–$27.30 $21–$39 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 8 matching MRF lines
$32.47–$200.90 $46.38–$287 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 5 matching MRF lines
$269.37–$496.30 $384.82–$709 varies
Therapeutic Activities (97530) $176.40 $252 5.0×
Tobacco Use Cessation Intensive >10 Minutes (99407) $76.34 $109.05 2.0×
Trans Care Mgmt 14 Day Disch (99495) $469.43 $670.62 3.5×
Trans Care Mgmt 7 Day Disch (99496) $488.74 $698.20 3.7×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$587.01–$1,225.70 $838.59–$1,751 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $294.70 $421 3.9×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 5 matching MRF lines
$78.97–$205.80 $112.82–$294 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$236.60–$437.50 $338–$625 varies
Vent Mgmt Inpat Init Day (94002) $581.70 $831 0.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,327.20 $1,896 2.1×
Vital capacity, total (94150) $281.40 $402 2.2×
Wheelchair Mgmt Ea 15 Min (97542) $56.70 $81 1.8×
Whirlpool Therapy (97022)
range across 6 matching MRF lines
$86.10–$136.50 $123–$195 varies

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.