Visits & medical services prices at Hemphill County Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $73.50 $98 0.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $82.13 $109.50 5.7×
Application Modality 1/> Areas Diathermy (97024) $72.38 $96.50 9.8×
Behavral qualit analys voice (92524) $273 $364 2.5×
Brief Emotional/Behav Assmt (96127) $85.88 $114.50 2.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $803.63 $1,071.50 2.1×
Canalith repositioning proc (95992) $138.75 $185 3.4×
Cardiopulmonary resuscitation (92950) $491.25 $655 2.3×
Chemo IV infusion addl hr (96415) $79.50 $106 1.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $256.50 $342 0.8×
Color/duplex Doppler, complete (93975) $628.13 $837.50 2.6×
Community/Work Reintegration Trainj Ea 15 Min (97537) $90 $120 2.8×
Critical care first hour (99291) $1,637.25 $2,183 2.0×
Debridement Open Wound 20 Sq Cm< (97597) $139.50 $186 0.7×
Developmental tst admin phys/qhp 1st hour (96112) $670.50 $894 5.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $727.13 $969.50 3.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $363.75 $485 3.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $646.50 $862 2.7×
Dup-scan xtr veins unilateral/limited study (93971) $322.88 $430.50 3.1×
Duplex up extrem art unilat/ltd (93931) $363.75 $485 3.5×
Electrical Stimulation Ea 15 Min (97032) $82.13 $109.50 5.6×
Electrocardiogram Tracing (93005) $4,710 $6,280 79.5×
Emergency Dept Visit Level 2 (99282) $327.38 $436.50 2.1×
Emergency Dept Visit Level 3 (99283) $450.38 $600.50 1.6×
Emergency Dept Visit Level 4 (99284) $654.75 $873 1.6×
Er level 1 (99281) $204.75 $273 2.4×
Er level v (99285) $900.38 $1,200.50 1.5×
Evaluate Speech Production (92522) $273 $364 2.4×
Evaluate Swallowing Function (92610) $162.38 $216.50 1.9×
Evaluation of speech fluency (92521) $335.25 $447 2.5×
External ECG rec>48hr<7d scanning alys w/report (93243) $287.25 $383 2.1×
Extracranial Bilat Study (93880) $606.38 $808.50 2.5×
Group Therapeutic Procedures (97150) $52.13 $69.50 2.9×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $187.50 $250 5.0×
Holter monitor recording (93225) $287.25 $383 2.1×
Immunization administration (90471)
range across 3 matching MRF lines
$40.50–$143.25 $54–$191 varies
Iontophoresis 15 min (97033) $106.88 $142.50 5.6×
Irrig Drug Delivery Device (96523) $50.63 $67.50 0.9×
IV infusion hydration each additional hour (96361) $69.38 $92.50 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $204.75 $273 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $246 $328 3.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $73.50 $98 1.6×
IV push initial (96374) $143.25 $191 0.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$38.63–$47.63 $51.50–$63.50 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $21 $28 1.2×
Multiple Sleep Latency Test (95805) $2,865 $3,820 3.3×
Neurobehavioral Status Exam (96116) $670.50 $894 3.1×
Neuromuscular Reeducation (97112) $94.13 $125.50 2.9×
Nrpsyc tst eval phys/qhp 1st (96132) $6.56 $8.75 0.0×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $246 $328 1.8×
Oral Function Therapy (92526) $256.50 $342 3.0×
Ot eval high complexity (97167) $164.63 $219.50 1.6×
Ot Eval Low Complex (97165) $108.75 $145 1.1×
Ot Eval Moderate Complexity (97166) $148.13 $197.50 1.5×
Ot manual therapy 15 min (97140) $87.38 $116.50 3.2×
Ot paraffin bath (97018) $59.25 $79 9.9×
Ot Re-Eval Est Plan Care (97168) $66.38 $88.50 1.0×
Phlebotomy therapeutic (99195) $147.38 $196.50 1.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,865 $3,820 3.3×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $2,701.50 $3,602 3.1×
Psychological tst eval svc phys/qhp first hour (96130) $670.50 $894 3.1×
Psycl/Nrpsyc Tst Auto Result (96146) $4.30 $5.73 0.1×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $285.75 $381 2.1×
Pt Eval High Complex (97163) $131.63 $175.50 1.3×
Pt eval low complex 20 min (97161) $131.63 $175.50 1.3×
Pt Eval Mod Complex (97162) $131.63 $175.50 1.3×
Pt gait training 15 min (97116) $90 $120 3.1×
Pt mechanical traction (97012) $39.38 $52.50 2.7×
Pt Re-Eval Est Plan Care (97164) $79.13 $105.50 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $78.38 $104.50 0.4×
Self Care Mngment Training (97535) $102.38 $136.50 3.2×
Sensory Integration Ea 15 Min (97533) $86.25 $115 1.4×
Sleep study unattended (95806) $670.13 $893.50 3.1×
Speech sound lang comprehen (92523) $335.25 $447 1.5×
Spirometry (94010) $424.13 $565.50 2.0×
Subcutaneous Infusion Each Additional Hour (96370) $73.50 $98 1.6×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $246 $328 1.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $39.38 $52.50 1.3×
Ther/Proph/Diag Inj Sc/Im (96372) $143.25 $191 2.0×
Ther/Proph/Diag Iv Inf Init (96365) $246 $328 1.2×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$95.63–$102.38 $127.50–$136.50 varies
Tte w/doppler, complete (93306) $909.38 $1,212.50 1.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $238.13 $317.50 3.1×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $69 $92 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $69.38 $92.50 1.5×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$64.13–$90 $85.50–$120 varies
Whirlpool Therapy (97022) $116.63 $155.50 7.4×

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.