Visits & medical services prices at Goodall Witcher Hospital
Clifton, TX · every code in this section with a posted price and a Medicare benchmark.
111 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (99497) | $134.40 | $192 | 1.3× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$37.80–$263.20 | $54–$376 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $70.70 | $101 | 4.9× |
| Assessment of aphasia per hr (96105) | $179.45 | $256.35 | 1.8× |
| Behavral qualit analys voice (92524) | $228.20 | $326 | 2.1× |
| Brief Emotional/Behav Assmt (96127) | $52.15 | $74.50 | 1.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$35.70–$531.30 | $51–$759 | varies |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$276.50–$567 | $395–$810 | varies |
| Cardioversion (92960) | $855.33 | $1,221.90 | 1.3× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $6.43 | $9.19 | 0.2× |
| Cbt 1st hour (94644) | $94.50 | $135 | 0.7× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$49.70–$58.80 | $71–$84 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $43.40 | $62 | 0.4× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$311.64–$484.40 | $445.20–$692 | varies |
| Color/duplex Doppler, limited (93976) | $448 | $640 | 4.3× |
| Continuous Pulse Ox (94762) | $117.60 | $168 | 0.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$151.20–$163.80 | $216–$234 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$49.70–$60.90 | $71–$87 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$298.20–$389.90 | $426–$557 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $147 | $210 | 0.7× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $448.70 | $641 | 1.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$140.70–$373.77 | $201–$533.95 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $513.10 | $733 | 4.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$272.30–$484.40 | $389–$692 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$235.20–$513.10 | $336–$733 | varies |
| Duplex up extrem art bilat (93930) | $272.30 | $389 | 1.1× |
| EEG awake and asleep (95819) | $507.50 | $725 | 2.3× |
| EEG awake drowsy (95816) | $507.50 | $725 | 2.3× |
| EEG cerebral death evaluation (95824) | $429.80 | $614 | 1.1× |
| Eeg Sleep Only (95822) | $429.80 | $614 | 2.0× |
| EKG signal averaged (93278) | $163.10 | $233 | 2.8× |
| Electrical Stimulation Ea 15 Min (97032) | $34.30 | $49 | 2.3× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$47.60–$119.70 | $68–$171 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$103.60–$125.30 | $148–$179 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$14.23–$200.20 | $20.33–$286 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$196.70–$251.30 | $281–$359 | varies |
| Er level 1 (99281) range across 3 matching MRF lines |
$114.80–$146.30 | $164–$209 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$301.70–$369.60 | $431–$528 | varies |
| Evaluate pt use of inhaler (94664) | $386.40 | $552 | 1.8× |
| Evaluate Speech Production (92522) | $130.20 | $186 | 1.2× |
| Evaluation of speech fluency (92521) | $160.30 | $229 | 1.2× |
| Extracranial Bilat Study (93880) | $484.40 | $692 | 2.0× |
| Group Therapeutic Procedures (97150) | $30.39 | $43.42 | 1.7× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$172.90–$289.80 | $247–$414 | varies |
| Immunization administration (90471) range across 4 matching MRF lines |
$8.40–$180.60 | $12–$258 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $329 | $470 | 0.9× |
| Inital newborn e/m (99460) | $189 | $270 | 1.4× |
| Iontophoresis 15 min (97033) | $47.60 | $68 | 2.5× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$95.20–$95.90 | $136–$137 | varies |
| IV infusion hydration each additional hour (96361) | $42.70 | $61 | 0.9× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$113.40–$229.60 | $162–$328 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $44.80 | $64 | 0.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$53.90–$64.40 | $77–$92 | varies |
| IV push initial (96374) | $105 | $150 | 0.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $58.09 | $82.98 | 1.6× |
| Multiple Sleep Latency Test (95805) | $1,694 | $2,420 | 2.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$83.72–$883.75 | $119.60–$1,262.50 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $883.75 | $1,262.50 | 2.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$50.40–$370.30 | $72–$529 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $42.70 | $61 | 0.1× |
| Neurobehavioral Status Exam (96116) | $141.45 | $202.07 | 0.7× |
| Neuromuscular Reeducation (97112) | $91 | $130 | 2.8× |
| Newborn resuscitation (99465) | $290.50 | $415 | 0.4× |
| Oral Speech Device Eval (92597) | $175 | $250 | 2.5× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $33.60 | $48 | 1.5× |
| Ot eval high complexity (97167) | $207.20 | $296 | 2.1× |
| Ot manual therapy 15 min (97140) | $72.10 | $103 | 2.6× |
| Ot paraffin bath (97018) | $59.50 | $85 | 9.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $107.80 | $154 | 0.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $107.80 | $154 | 0.8× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $40.60 | $58 | 1.6× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$56.70–$76.30 | $81–$109 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $119.39 | $170.55 | 2.0× |
| Psych diag eval w/med srvcs (90792) | $234.39 | $334.84 | 1.3× |
| Psychological tst eval svc phys/qhp first hour (96130) | $220.74 | $315.34 | 1.0× |
| Psytx Crisis Initial 60 Min (90839) | $216.27 | $308.96 | 1.2× |
| Pt eval low complex 20 min (97161) | $165.20 | $236 | 1.7× |
| Pt gait training 15 min (97116) | $67.90 | $97 | 2.3× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$24.55–$42.70 | $35.07–$61 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $6.43 | $9.19 | 0.2× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$71.40–$290.50 | $102–$415 | varies |
| Pulmonary Stress Testing (94618) | $170.55 | $243.64 | 1.3× |
| Pure Tone Audiometry Air (92552) | $53.20 | $76 | 0.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $35.70 | $51 | 0.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $63.70 | $91 | 0.3× |
| Self Care Mngment Training (97535) | $76.30 | $109 | 2.4× |
| Sensory Integration Ea 15 Min (97533) | $67.90 | $97 | 1.1× |
| Sleep study unattended (95806) | $210 | $300 | 1.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $341.60 | $488 | 1.6× |
| Speech sound lang comprehen (92523) | $269.50 | $385 | 1.2× |
| Spirometry (94010) range across 2 matching MRF lines |
$25.20–$77.63 | $36–$110.90 | varies |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$135.80–$191.58 | $194–$273.68 | varies |
| Surfactant Admin Thru Tube (94610) | $37.80 | $54 | 0.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $47.35 | $67.64 | 2.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $40.16 | $57.37 | 1.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $42.70 | $61 | 1.4× |
| Ther/Proph/Diag Inj Ia (96373) | $125.30 | $179 | 0.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$7–$50.40 | $10–$72 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $194.60 | $278 | 0.9× |
| Therapeutic Activities (97530) | $76.30 | $109 | 2.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $42.39 | $60.56 | 1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $20.46 | $29.23 | 0.5× |
| Trans Care Mgmt 14 Day Disch (99495) | $182.37 | $260.53 | 1.4× |
| Trans Care Mgmt 7 Day Disch (99496) | $165.52 | $236.45 | 1.2× |
| Tte w/doppler, complete (93306) | $800.80 | $1,144 | 1.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $102.90 | $147 | 2.2× |
| Upr/L Xtremity Art 2 Levels (93922) | $140.70 | $201 | 1.1× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$386.40–$1,177.40 | $552–$1,682 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$386.40–$1,045.10 | $552–$1,493 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $59.50 | $85 | 1.9× |
| Whirlpool Therapy (97022) | $59.50 | $85 | 3.8× |
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.