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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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $55.43 $79.19 0.5×
Airway inhalation treatment (94640) $581.70 $831 2.6×
Assessment of aphasia (96105) $144.20 $206 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $970.20 $1,386 2.6×
Canalith Repositioning (95992) $121.80 $174 3.0×
Cardiac Stress Tst,Tracing Only (93017) $1,277.50 $1,825 5.9×
Cardiopulmonary resuscitation (92950) $1,428.70 $2,041 6.6×
Cbt 1st hour (94644) $473.90 $677 3.5×
Chronic care mgmt svcs staff 1st 20 min cal mo (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×
Cont Gluc Monitoring Patient Provided Equipment (95249) $116.48 $166.40 2.0×
Cpap initiation and management (94660) $891.80 $1,274 4.1×
Cpt initial (94667) $110.60 $158 0.8×
Critical care (99291) $1,494.50 $2,135 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $452.20 $646 2.2×
Demo &/or eval,pt use,aerosol device (94664) $416.50 $595 1.9×
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 Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $753.20 $1,076 7.2×
Dup-scan xtr veins unilateral/limited study (93971) $973.70 $1,391 9.3×
Duplex scan extracranial art compl bi study (93880) $1,693.30 $2,419 7.1×
EKG (93005) $257.60 $368 4.3×
Er level 1 (99281) $56.70 $81 0.7×
Er level ii (99282) $274.75 $392.50 1.8×
Er level iii (99283) $809.90 $1,157 3.0×
Er level IV (99284) $1,212.40 $1,732 2.9×
Er level v (99285) $1,691.20 $2,416 2.8×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $525 $750 7.4×
Evaluation of speech sound production (92522) $542.50 $775 4.8×
Evaluation of swallowing function (92610) $546 $780 6.4×
External Ecg Scanning Analysis Report (93226) $704.90 $1,007 11.9×
Fundus photography w/interpretation & report (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×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $14.92 $21.31 0.2×
Immunization Admin (90471) $88.20 $126 1.2×
Immunotherapy, 2+ Injections (95117) $36.20 $51.71 0.8×
Inital newborn e/m (99460) $274.40 $392 2.1×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $249.90 $357 4.2×
IV infusion hydration each additional hour (96361) $128.10 $183 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $317.10 $453 1.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $348.60 $498 4.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $422.80 $604 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $128.10 $183 2.7×
IV push initial (96374) $165.84 $236.91 0.8×
Manual therapy 15 min (97140) $85.05 $121.50 3.1×
Massage 15 min (97124) $21 $30 0.7×
Mechanical traction (97012) $117.60 $168 8.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $26.60 $38 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $56.35 $80.50 1.5×
Mnt Group Ea 30 Min (97804) $14.70 $21 0.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $613.20 $876 6.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $368.20 $526 1.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $473.20 $676 1.2×
Newborn resuscitation (99465) $1,775.20 $2,536 2.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $337.05 $481.50 2.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $275.80 $394 2.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $102.20 $146 2.2×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $91 $130 2.8×
Ot eval high complex 60 min (97167) $284.20 $406 2.8×
Ot eval low complex 30 min (97165) $319.20 $456 3.2×
Ot eval mod complex 45 min (97166) $351.40 $502 3.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $98.70 $141 2.0×
Ot Prosthetic Training, Each 15 Min (97761) $124.60 $178 3.1×
Ot re-eval est plan care (97168) $144.20 $206 2.1×
Paraffin bath (97018) $91.70 $131 15.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $30.17 $43.10 0.6×
Psych diag eval w/med srvcs (90792) $457.80 $654 2.6×
Psychiatric diagnostic evaluation (90791) $371.73 $531.04 2.1×
Pt Aquatic Therapy/Exercises (97113) $100.10 $143 2.7×
Pt Electric Current Therapy (97033) $103.60 $148 5.4×
Pt Electrical Stimulation (97032) $92.40 $132 6.3×
Pt eval high complex 45 min (97163) $453.60 $648 4.6×
Pt eval low complex 20 min (97161) $319.20 $456 3.3×
Pt Gait Training Therapy (97116) $184.10 $263 6.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $91.70 $131 2.8×
Pt Physical Performance Test (97750) $77 $110 2.3×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $384.30 $549 3.9×
Pt re-evaluation (97164) $201.60 $288 3.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $107.10 $153 3.3×
Pt Ultrasound Therapy (97035) $86.10 $123 6.0×
Pt Whirlpool Therapy (97022) $111.30 $159 7.1×
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) $291.90 $417 1.4×
Rt Chest Wall Manipulation,Subsequent (94668) $165.90 $237 1.2×
Smoking cessation > 10 min (99407) $76.34 $109.05 2.0×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $154 $220 7.3×
Ther/Proph/Diag Inj Sc/Im (96372) $121.10 $173 1.7×
Therapeutic Activities (97530) $176.40 $252 5.0×
Therapeutic phlebotomy (99195) $253.40 $362 1.9×
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 - Tte Complete W/ Contrast (93306) $906.36 $1,294.80 1.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $294.70 $421 3.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $448 $640 5.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $136.50 $195 2.9×
Vasc Duplex Extrem Venous,Bilat (93970) $1,253.70 $1,791 5.2×
Ventilation assist & mgmt inpatient 1st 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×