Visits & medical services prices at Hsa Port Arthur, LLC

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

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

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ProcedurePosted cashPosted gross× Medicare
Actinotherapy Ultraviolet Light (96900) $312.01 $312.01 8.3×
Airway Inhalation Treatment (94640) $219.29 $219.29 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$119.73–$215.87 $119.73–$215.87 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $2,408.64 $2,408.64 6.4×
Car seat/bed test 60 min (94780) $616.30 $616.30 16.4×
Cardiopulmonary resuscitation (92950) $1,319.69 $1,319.69 6.1×
Cardioversion (92960)
range across 2 matching MRF lines
$5,569.83–$5,848.32 $5,569.83–$5,848.32 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $33,536.27 $33,536.27 10.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $26,159.60 $26,159.60 8.0×
Cbt 1st hour (94644) $312.83 $312.83 2.3×
Chest Wall Manipulation (94668) $218.52 $218.52 1.6×
Color/duplex Doppler, complete (93975) $9,800.56 $9,800.56 40.9×
Color/duplex Doppler, limited (93976) $5,390.34 $5,390.34 51.3×
Continuous Pulse Ox (94762) $496.24 $496.24 3.8×
Coronary Artery Angio S&I (93454) $16,121.91 $16,121.91 5.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $801.52 $801.52 3.6×
Cpt initial (94667) $245.09 $245.09 1.8×
Critical care first hour (99291) $3,516.98 $3,516.98 4.2×
Debridement Open Wound 20 Sq Cm< (97597) $635.70 $635.70 3.2×
Dialysis One Evaluation (90945) $3,477.73 $3,477.73 8.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $3,349.40 $3,349.40 14.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $2,083.40 $2,083.40 19.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $3,349.40 $3,349.40 14.0×
Dup-scan xtr veins unilateral/limited study (93971) $2,083.40 $2,083.40 19.8×
Duplex up extrem art unilat/ltd (93931) $3,599.40 $3,599.40 34.3×
Echo r-t 2d w/probe placement only (93313) $1,678.89 $1,678.89 3.1×
EEG awake drowsy (95816) $3,018.96 $3,018.96 13.9×
Electrical Stimulation Ea 15 Min (97032) $260.85 $260.85 17.7×
Electrocardiogram Tracing (93005) $1,052.23 $1,052.23 17.8×
Emergency Dept Visit Level 2 (99282) $623.69 $623.69 4.0×
Emergency Dept Visit Level 3 (99283) $950.47 $950.47 3.5×
Emergency Dept Visit Level 4 (99284) $1,575.59 $1,575.59 3.8×
Ep & ablate supravent arrhyt (93653) $50,377.85 $50,377.85 1.9×
Er level 1 (99281) $322.59 $322.59 3.8×
Er level v (99285) $2,207.32 $2,207.32 3.7×
Evaluate pt use of inhaler (94664) $616.46 $616.46 2.8×
Evaluate Swallowing Function (92610) $560.19 $560.19 6.6×
Evaluation of speech fluency (92521) $568.89 $568.89 4.3×
External Ecg Scanning Analysis Report (93226) $3,396.75 $3,396.75 57.3×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$4,797.35–$5,037.22 $4,797.35–$5,037.22 varies
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $3,477.73 $3,477.73 5.0×
Holter monitor recording (93225) $1,868.69 $1,868.69 14.0×
Hubbard tank 15 min (97036) $630.41 $630.41 18.1×
Immunization administration (90471) $118.63 $118.63 1.6×
Iontophoresis 15 min (97033) $157.44 $157.44 8.3×
IV infusion hydration each additional hour (96361) $200.11 $200.11 4.3×
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$533.70–$533.73 $533.70–$533.73 varies
IV infusion ther proph addl sequential to 1 hr (96367) $586.97 $586.97 8.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $225.69 $225.69 4.8×
IV push initial (96374) $353.36 $353.36 1.7×
L Hrt Art/Grft Angio (93459) $29,063.58 $29,063.58 8.9×
Mechanical chest wall oscillation per session (94669) $603.54 $603.54 2.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $93.93 $93.93 3.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $107.16 $107.16 2.9×
Motion Fluoroscopy/Swallow (92611) $919.71 $919.71 10.0×
Multiple Sleep Latency Test (95805) $5,237.10 $5,237.10 6.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $475.29 $475.29 2.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$424.14–$474.85 $424.14–$474.85 varies
Neuromuscular Reeducation (97112) $232.96 $232.96 7.1×
Newborn resuscitation (99465) $1,346.05 $1,346.05 2.0×
Oral Function Therapy (92526) $809.35 $809.35 9.6×
Oral Speech Device Eval (92597) $240.90 $240.90 3.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $270.33 $270.33 5.9×
Ot eval high complexity (97167) $813.98 $813.98 8.1×
Ot Eval Low Complex (97165) $520.94 $520.94 5.2×
Ot Eval Moderate Complexity (97166) $651.25 $651.25 6.5×
Ot manual therapy 15 min (97140) $256 $256 9.2×
Ot paraffin bath (97018) $230.20 $230.20 38.3×
Ot Re-Eval Est Plan Care (97168) $345.42 $345.42 5.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $566.80 $566.80 4.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $385.85 $385.85 3.0×
Peripheral arterial disease rehab per session (93668) $191.39 $191.39 3.2×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $19,821.17 $19,821.17 3.5×
Phlebotomy therapeutic (99195) $180.42 $180.42 1.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $8,083.87 $8,083.87 9.4×
Prq Card Stent W/Angio 1 Vsl (92928)
range across 2 matching MRF lines
$43,329.51–$45,495.99 $43,329.51–$45,495.99 varies
Psych diag eval w/med srvcs (90792) $688.72 $688.72 3.9×
Psychiatric diagnostic evaluation (90791) $409.58 $409.58 2.3×
Pt Eval High Complex (97163) $1,394.88 $1,394.88 14.3×
Pt eval low complex 20 min (97161) $958.07 $958.07 9.8×
Pt Eval Mod Complex (97162) $1,115.95 $1,115.95 11.4×
Pt gait training 15 min (97116) $235.94 $235.94 8.1×
Pt mechanical traction (97012) $260.85 $260.85 18.2×
Pt Re-Eval Est Plan Care (97164) $210.91 $210.91 3.1×
Pulm function test by gas (94727) $404.07 $404.07 1.9×
Pulmonary Stress Testing (94618) $995.56 $995.56 7.4×
Respiratory flow volume loop (94375) $823 $823 3.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $336.60 $336.60 1.7×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $673.63 $673.63 5.5×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$260.85–$281.25 $260.85–$281.25 varies
Sensory Integration Ea 15 Min (97533) $152.33 $152.33 2.5×
Sleep study unattended (95806) $3,471.67 $3,471.67 16.0×
Slp Stdy Unatnd W/Anal (95801) $559.02 $559.02 9.4×
Speech sound lang comprehen (92523) $960.50 $960.50 4.2×
Spirometry (94010) $1,211.76 $1,211.76 5.6×
Standardized Cognitive Performance Testing (96125) $435.64 $435.64 4.2×
Surfactant Admin Thru Tube (94610) $566.91 $566.91 2.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines
$313.99–$390.84 $313.99–$390.84 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $486.20 $486.20 4.7×
Ther/Proph/Diag Inj Sc/Im (96372) $213 $213 2.9×
Ther/Proph/Diag Iv Inf Init (96365) $526.01 $526.01 2.5×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$288.86–$335.72 $288.86–$335.72 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $120.51 $120.51 3.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $120.51 $120.51 3.2×
Tx atrial fib pulm vein isol (93656) $50,377.85 $50,377.85 1.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $610.90 $610.90 8.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $242.22 $242.22 5.1×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$1,213.07–$1,273.72 $1,213.07–$1,273.72 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$1,536.34–$2,694.41 $1,536.34–$2,694.41 varies
Vent Mgmt Inpat Init Day (94002) $4,708.78 $4,708.78 7.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,773.75 $3,773.75 6.1×
Vital capacity, total (94150) $207.39 $207.39 1.6×
Wheelchair Mgmt Ea 15 Min (97542) $180.04 $180.04 5.8×
Whirlpool Therapy (97022) $388.20 $388.20 24.7×

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.