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.

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $134.40 $192 1.3×
Airway inhalation treatment (94640) $49.70 $71 0.2×
Assessment of aphasia (96105) $179.45 $256.35 1.8×
Behav assmt w/score & docd/stand instrument (96127) $52.15 $74.50 1.4×
Behavioral and qualitative analysis of voice and resonance (92524) $228.20 $326 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $283.50 $405 0.8×
Cardiopulmonary resuscitation (92950) $529.90 $757 2.4×
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×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $43.40 $62 0.4×
Color/duplex Doppler, complete (93975) $448 $640 1.9×
Color/duplex Doppler, limited (93976) $448 $640 4.3×
Cpap initiation and management (94660) $157.50 $225 0.7×
Cpt initial (94667) $55.30 $79 0.4×
Critical care (99291) $344.05 $491.50 0.4×
Debridement Open Wound 20 Sq Cm< (97597) $147 $210 0.7×
Demo &/or eval,pt use,aerosol device (94664) $386.40 $552 1.8×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $448.70 $641 1.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $257.24 $367.48 1.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $513.10 $733 4.9×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $272.30 $389 1.1×
Dup-scan xtr veins unilateral/limited study (93971) $236.60 $338 2.3×
Duplex scan extracranial art compl bi study (93880) $484.40 $692 2.0×
EEG awake 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 coma or sleep only (95822) $429.80 $614 2.0×
EKG (93005) $83.65 $119.50 1.4×
EKG rhythm strip (93041) $35.70 $51 0.6×
Ekg Signal Averaging (93278) $163.10 $233 2.8×
Er level 1 (99281) $126 $180 1.5×
Er level ii (99282) $114.45 $163.50 0.7×
Er level iii (99283) $179.20 $256 0.7×
Er level IV (99284) $243.60 $348 0.6×
Er level v (99285) $341.60 $488 0.6×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $175 $250 2.5×
Evaluation of speech fluency (92521) $160.30 $229 1.2×
Evaluation of speech sound production (92522) $130.20 $186 1.2×
Group Therapeutic Procedures (97150) $30.39 $43.42 1.7×
Holter Monitor Recording (93225) $231.35 $330.50 1.7×
Immunization Admin (90471) $42.70 $61 0.6×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $329 $470 0.9×
Inital newborn e/m (99460) $189 $270 1.4×
Injection intra arterial (96373) $125.30 $179 0.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $95.55 $136.50 1.6×
IV infusion hydration each additional hour (96361) $42.70 $61 0.9×
IV infusion hydration initial 31 min-1 hour (96360) $171.50 $245 0.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $44.80 $64 0.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $194.60 $278 0.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $59.15 $84.50 1.3×
IV push initial (96374) $105 $150 0.5×
Manual therapy 15 min (97140) $72.10 $103 2.6×
Massage 15 min (97124) $42.70 $61 1.4×
Mechanical traction (97012) $33.62 $48.04 2.3×
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 press wnd tx </=50 sq cm (97607) $483.74 $691.05 1.2×
Neg press wound tx >50 cm (97608) $883.75 $1,262.50 2.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $210.35 $300.50 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $42.70 $61 0.1×
Neurobehavioral Status Exam (96116) $141.45 $202.07 0.7×
Newborn resuscitation (99465) $290.50 $415 0.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $140.70 $201 1.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $117.60 $168 0.9×
Osteopathic manipulative tx 1-2 body regions (98925) $33.60 $48 1.5×
Ot eval high complex 60 min (97167) $207.20 $296 2.1×
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×
Paraffin bath (97018) $59.50 $85 9.9×
Patient-initiated spirometric phys/qhp r&i only (94016) $40.60 $58 1.6×
Phy/qhp op pulm rhb w/o mntr (94625) $119.39 $170.55 2.0×
Psych diag eval w/med srvcs (90792) $234.39 $334.84 1.3×
Psycl tst eval phys/qhp 1st (96130) $220.74 $315.34 1.0×
Psytx crisis initial 60 min (90839) $216.27 $308.96 1.2×
Pt Electric Current Therapy (97033) $47.60 $68 2.5×
Pt Electrical Stimulation (97032) $34.30 $49 2.3×
Pt eval low complex 20 min (97161) $165.20 $236 1.7×
Pt Gait Training Therapy (97116) $67.90 $97 2.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $91 $130 2.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $76.30 $109 2.4×
Pt Ultrasound Therapy (97035) $70.70 $101 4.9×
Pt Whirlpool Therapy (97022) $59.50 $85 3.8×
Pt-focused hlth risk assmt (96160) $6.43 $9.19 0.2×
Pulmonary stress testing (94618) $170.55 $243.64 1.3×
Pure Tone Audiometry, Air (92552) $53.20 $76 0.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $63.70 $91 0.3×
Rt Chest Wall Manipulation,Subsequent (94668) $54.25 $77.50 0.4×
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×
Smoking cessation > 10 min (99407) $42.39 $60.56 1.1×
Speech sound lang comprehen (92523) $269.50 $385 1.2×
Spirometry (94010) $51.42 $73.45 0.2×
Standardized Cognitive Performance Testing (96125) $163.69 $233.84 1.6×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $40.16 $57.37 1.9×
Ther/Proph/Diag Inj Sc/Im (96372) $50.40 $72 0.7×
Therapeutic Activities (97530) $76.30 $109 2.2×
Therapeutic phlebotomy (99195) $66.50 $95 0.5×
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 - Tte Complete W/ Contrast (93306) $800.80 $1,144 1.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $102.90 $147 2.2×
Unlisted pulmonary service/procedure (94799) $71.40 $102 0.6×
Vasc Duplex Extrem Venous,Bilat (93970) $378.35 $540.50 1.6×
Ventilation assist & mgmt inpatient 1st day (94002) $781.90 $1,117 1.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $715.75 $1,022.50 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $59.50 $85 1.9×