Visits & medical services prices at Grace Surgical Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $241.08 $574 1.1×
Biofeedback training any modality (90901) $116.76 $278 2.8×
C motor evoked uppr limbs (95928) $559.86 $1,333 0.6×
C motor evoked upr&lwr limbs (95939) $559.86 $1,333 0.6×
Cardiac Stress Tst,Tracing Only (93017) $1,356.18 $3,229 6.3×
Cardiopulmonary resuscitation (92950) $270.90 $645 1.2×
Cardioversion (92960) $2,414.16 $5,748 3.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $212.94 $507 2.9×
Color/duplex Doppler, complete (93975) $1,016.82 $2,421 4.2×
Color/duplex Doppler, limited (93976) $117.60 $280 1.1×
Cpap initiation and management (94660) $209.58 $499 1.0×
Cpt initial (94667) $155.82 $371 1.2×
Critical care (99291) $3,179.82 $7,571 3.8×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,016.82 $2,421 4.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $281.40 $670 2.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,016.82 $2,421 4.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $640.92 $1,526 6.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $398.58 $949 1.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $281.40 $670 2.7×
Dup-scan xtr veins unilateral/limited study (93971) $640.92 $1,526 6.1×
Duplex hemodialysis access (93990) $1,064.28 $2,534 10.1×
Duplex scan extracranial art compl bi study (93880) $1,068.06 $2,543 4.5×
Echo transesophageal (93312) $1,489.74 $3,547 2.7×
EEG awake asleep (95819) $740.46 $1,763 3.4×
EKG (93005) $161.70 $385 2.7×
EMG cranial nerve bilat (95868) $444.36 $1,058 2.0×
EMG one extremity (95860) $269.64 $642 2.0×
EMG two extremities (95861) $538.86 $1,283 4.0×
Er level 1 (99281) $226.80 $540 2.7×
Er level ii (99282) $530.04 $1,262 3.4×
Er level iii (99283) $724.50 $1,725 2.6×
Er level IV (99284) $997.92 $2,376 2.4×
Er level v (99285) $1,740.06 $4,143 2.9×
Evaluation of swallowing function (92610) $281.82 $671 3.3×
Group Therapeutic Procedures (97150) $126.42 $301 7.0×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $75.60 $180 1.9×
Immunization Admin (90471) $75.60 $180 1.0×
IV infusion hydration each additional hour (96361) $218.61 $520.50 4.6×
IV infusion hydration initial 31 min-1 hour (96360) $379.26 $903 1.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $213.57 $508.50 3.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $443.73 $1,056.50 2.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $218.61 $520.50 4.6×
IV push initial (96374) $219.45 $522.50 1.0×
Liver elastography w/o imag w/i&r (91200) $213.78 $509 1.7×
Manual therapy 15 min (97140) $32.76 $78 1.2×
Mechanical chest wall oscillation (94669) $56.70 $135 0.3×
Neg press wnd tx </=50 sq cm (97607) $443.10 $1,055 1.1×
Neg press wound tx >50 cm (97608) $465.78 $1,109 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $475.86 $1,133 2.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $465.78 $1,109 1.1×
Nerve conduction studies; 1-2 studies (95907) $496.86 $1,183 2.3×
Neuromuscular junction test (95937) $280.56 $668 2.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $959.70 $2,285 7.2×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $1,447.74 $3,447 6.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $81.06 $193 1.8×
Ot eval high complex 60 min (97167) $355.74 $847 3.5×
Ot eval low complex 30 min (97165) $157.92 $376 1.6×
Ot eval mod complex 45 min (97166) $237.30 $565 2.4×
Ot re-eval est plan care (97168) $104.16 $248 1.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $467.04 $1,112 2.1×
Pt Electrical Stimulation (97032) $158.34 $377 10.8×
Pt eval high complex 45 min (97163) $288.96 $688 3.0×
Pt eval low complex 20 min (97161) $128.94 $307 1.3×
Pt Gait Training Therapy (97116) $130.62 $311 4.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $192.78 $459 2.0×
Pt re-evaluation (97164) $142.38 $339 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $88.20 $210 2.7×
Pt Ultrasound Therapy (97035) $138.18 $329 9.6×
Rt Chest Wall Manipulation,Subsequent (94668) $143.64 $342 1.1×
Sc Ther Infusion Reset Pump (96371) $149.52 $356 2.1×
Sensory Integration Ea 15 Min (97533) $91.56 $218 1.5×
Short-latency somatosens ep std lwr limbs (95926) $559.44 $1,332 2.6×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $559.86 $1,333 2.6×
Short-latency somatosens ep std upr limbs (95925) $559.44 $1,332 2.6×
Somatosensory testing (95938) $559.86 $1,333 0.6×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $139.02 $331 3.0×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $316.68 $754 1.5×
Ther/Proph/Diag Inj Sc/Im (96372) $206.85 $492.50 2.9×
Therapeutic Activities (97530) $81.06 $193 2.3×
Therapeutic phlebotomy (99195) $190.26 $453 1.4×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $563.22 $1,341 2.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,035.30 $2,465 1.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $701.40 $1,670 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $246.12 $586 5.2×
Vasc Duplex Extrem Venous,Bilat (93970) $1,016.82 $2,421 4.2×
Vasc Duplex Scan Extracranial,Limited (93882) $1,065.54 $2,537 10.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $440.58 $1,049 2.0×
Ventilation assist & mgmt inpatient 1st day (94002) $354.06 $843 0.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $427.98 $1,019 0.7×