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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $75.60 | $180 | 1.9× |
| Airway Inhalation Treatment (94640) | $241.08 | $574 | 1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $138.18 | $329 | 9.6× |
| 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× |
| Chemo Anti-Neopl Sq/Im (96401) | $212.94 | $507 | 2.9× |
| Chest Wall Manipulation (94668) | $143.64 | $342 | 1.1× |
| Color/duplex Doppler, complete (93975) | $1,016.82 | $2,421 | 4.2× |
| Color/duplex Doppler, limited (93976) | $117.60 | $280 | 1.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $209.58 | $499 | 1.0× |
| Cpt initial (94667) | $155.82 | $371 | 1.2× |
| Critical care first hour (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 Xtr Veins Complete Bilateral Study (93970) | $1,016.82 | $2,421 | 4.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $640.92 | $1,526 | 6.1× |
| Duplex Scan Hemodialysis Access (93990) | $1,064.28 | $2,534 | 10.1× |
| Duplex up extrem art bilat (93930) | $398.58 | $949 | 1.7× |
| Duplex up extrem art unilat/ltd (93931) | $281.40 | $670 | 2.7× |
| Echo transesophageal (93312) | $1,489.74 | $3,547 | 2.7× |
| EEG awake and asleep (95819) | $740.46 | $1,763 | 3.4× |
| Electrical Stimulation Ea 15 Min (97032) | $158.34 | $377 | 10.8× |
| Electrocardiogram Tracing (93005) | $161.70 | $385 | 2.7× |
| Emergency Dept Visit Level 2 (99282) | $530.04 | $1,262 | 3.4× |
| Emergency Dept Visit Level 3 (99283) | $724.50 | $1,725 | 2.6× |
| Emergency Dept Visit Level 4 (99284) | $997.92 | $2,376 | 2.4× |
| Er level 1 (99281) | $226.80 | $540 | 2.7× |
| Er level v (99285) | $1,740.06 | $4,143 | 2.9× |
| Evaluate Swallowing Function (92610) | $281.82 | $671 | 3.3× |
| Extracranial Bilat Study (93880) | $1,068.06 | $2,543 | 4.5× |
| Extracranial Uni/Ltd Study (93882) | $1,065.54 | $2,537 | 10.1× |
| Group Therapeutic Procedures (97150) | $126.42 | $301 | 7.0× |
| Immunization administration (90471) | $75.60 | $180 | 1.0× |
| Intracranial Complete Study (93886) | $563.22 | $1,341 | 2.3× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$203.28–$233.94 | $484–$557 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$352.80–$405.72 | $840–$966 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$198.66–$228.48 | $473–$544 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$203.28–$233.94 | $484–$557 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$204.12–$234.78 | $486–$559 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $213.78 | $509 | 1.7× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $440.58 | $1,049 | 2.0× |
| Mechanical chest wall oscillation per session (94669) | $56.70 | $135 | 0.3× |
| Muscle Test 2 Limbs (95861) | $538.86 | $1,283 | 4.0× |
| Muscle Test One Limb (95860) | $269.64 | $642 | 2.0× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $444.36 | $1,058 | 2.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $443.10 | $1,055 | 1.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq 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 Junct Tstg Ea Nrv Any 1 Meth (95937) | $280.56 | $668 | 2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $81.06 | $193 | 1.8× |
| Ot eval high complexity (97167) | $355.74 | $847 | 3.5× |
| Ot Eval Low Complex (97165) | $157.92 | $376 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $237.30 | $565 | 2.4× |
| Ot manual therapy 15 min (97140) | $32.76 | $78 | 1.2× |
| Ot Re-Eval Est Plan Care (97168) | $104.16 | $248 | 1.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $467.04 | $1,112 | 2.1× |
| Phlebotomy therapeutic (99195) | $190.26 | $453 | 1.4× |
| Pt Eval High Complex (97163) | $288.96 | $688 | 3.0× |
| Pt eval low complex 20 min (97161) | $128.94 | $307 | 1.3× |
| Pt Eval Mod Complex (97162) | $192.78 | $459 | 2.0× |
| Pt gait training 15 min (97116) | $130.62 | $311 | 4.5× |
| Pt Re-Eval Est Plan Care (97164) | $142.38 | $339 | 2.1× |
| Self Care Mngment Training (97535) | $88.20 | $210 | 2.7× |
| Sensory Integration Ea 15 Min (97533) | $91.56 | $218 | 1.5× |
| 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× |
| Ssep lower limbs (95926) | $559.44 | $1,332 | 2.6× |
| Subcutaneous Infusion Each Additional Hour (96370) | $139.02 | $331 | 3.0× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $316.68 | $754 | 1.5× |
| Subq Infusion Additional Pump Infusion Site (96371) range across 2 matching MRF lines |
$139.02–$160.02 | $331–$381 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$192.36–$221.34 | $458–$527 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$412.86–$474.60 | $983–$1,130 | varies |
| Therapeutic Activities (97530) | $81.06 | $193 | 2.3× |
| Tte w/doppler, complete (93306) | $1,035.30 | $2,465 | 1.9× |
| Tte W/O Doppler Complete (93307) | $701.40 | $1,670 | 2.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$228.90–$263.34 | $545–$627 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $959.70 | $2,285 | 7.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,447.74 | $3,447 | 6.7× |
| Vent Mgmt Inpat Init Day (94002) | $354.06 | $843 | 0.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $427.98 | $1,019 | 0.7× |
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.