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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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Airway inhalation treatment (94640) | $219.29 | $219.29 | 1.0× |
| 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) | $5,709.08 | $5,709.08 | 8.6× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) | $29,063.58 | $29,063.58 | 8.9× |
| 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× |
| 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× |
| Coronary artery angio s&i (93454) | $16,121.91 | $16,121.91 | 5.0× |
| Cpap initiation and management (94660) | $801.52 | $801.52 | 3.6× |
| Cpt initial (94667) | $245.09 | $245.09 | 1.8× |
| Critical care (99291) | $3,516.98 | $3,516.98 | 4.2× |
| Debridement Open Wound 20 Sq Cm< (97597) | $635.70 | $635.70 | 3.2× |
| Demo &/or eval,pt use,aerosol device (94664) | $616.46 | $616.46 | 2.8× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (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 Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) | $3,599.40 | $3,599.40 | 34.3× |
| Dup-scan xtr veins unilateral/limited study (93971) | $2,083.40 | $2,083.40 | 19.8× |
| Duplex scan extracranial art compl bi study (93880) | $4,917.28 | $4,917.28 | 20.5× |
| 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× |
| EKG (93005) | $1,052.23 | $1,052.23 | 17.8× |
| 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 ii (99282) | $623.69 | $623.69 | 4.0× |
| Er level iii (99283) | $950.47 | $950.47 | 3.5× |
| Er level IV (99284) | $1,575.59 | $1,575.59 | 3.8× |
| Er level v (99285) | $2,207.32 | $2,207.32 | 3.7× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) | $240.90 | $240.90 | 3.4× |
| Evaluation of speech fluency (92521) | $568.89 | $568.89 | 4.3× |
| Evaluation of swallowing function (92610) | $560.19 | $560.19 | 6.6× |
| Evaluation with prescription of speech-generating alternative (92607) | $673.63 | $673.63 | 5.5× |
| External Ecg Scanning Analysis Report (93226) | $3,396.75 | $3,396.75 | 57.3× |
| Flow volume loop (94375) | $823 | $823 | 3.8× |
| Hemodialysis (90935) | $3,477.73 | $3,477.73 | 5.0× |
| Holter Monitor Recording (93225) | $1,868.69 | $1,868.69 | 14.0× |
| Hydrotherapy (97036) | $630.41 | $630.41 | 18.1× |
| Immunization Admin (90471) | $118.63 | $118.63 | 1.6× |
| IV infusion hydration each additional hour (96361) | $200.11 | $200.11 | 4.3× |
| IV infusion hydration initial 31 min-1 hour (96360) | $533.72 | $533.72 | 2.5× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) | $586.97 | $586.97 | 8.1× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) | $526.01 | $526.01 | 2.5× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) | $225.69 | $225.69 | 4.8× |
| IV push initial (96374) | $353.36 | $353.36 | 1.7× |
| Manual therapy 15 min (97140) | $256 | $256 | 9.2× |
| Massage 15 min (97124) | $352.42 | $352.42 | 11.9× |
| Mechanical chest wall oscillation (94669) | $603.54 | $603.54 | 2.7× |
| Mechanical traction (97012) | $260.85 | $260.85 | 18.2× |
| 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 Fluor Eval Swlng Funcj C/V Rec (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) | $449.50 | $449.50 | 1.1× |
| Newborn resuscitation (99465) | $1,346.05 | $1,346.05 | 2.0× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) | $1,243.40 | $1,243.40 | 9.3× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) | $2,115.38 | $2,115.38 | 9.8× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) | $496.24 | $496.24 | 3.8× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) | $270.33 | $270.33 | 5.9× |
| Ot eval high complex 60 min (97167) | $813.98 | $813.98 | 8.1× |
| Ot eval low complex 30 min (97165) | $520.94 | $520.94 | 5.2× |
| Ot eval mod complex 45 min (97166) | $651.25 | $651.25 | 6.5× |
| 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× |
| Paraffin bath (97018) | $230.20 | $230.20 | 38.3× |
| Peripheral arterial disease rehab per session (93668) | $191.39 | $191.39 | 3.2× |
| 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) | $44,412.75 | $44,412.75 | 3.8× |
| Prq trluml coronary angioplasty one art/branch (92920) | $19,821.17 | $19,821.17 | 3.5× |
| Psych diag eval w/med srvcs (90792) | $688.72 | $688.72 | 3.9× |
| Psychiatric diagnostic evaluation (90791) | $409.58 | $409.58 | 2.3× |
| Pt Electric Current Therapy (97033) | $157.44 | $157.44 | 8.3× |
| Pt Electrical Stimulation (97032) | $260.85 | $260.85 | 17.7× |
| Pt eval high complex 45 min (97163) | $1,394.88 | $1,394.88 | 14.3× |
| Pt eval low complex 20 min (97161) | $958.07 | $958.07 | 9.8× |
| Pt Gait Training Therapy (97116) | $235.94 | $235.94 | 8.1× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) | $232.96 | $232.96 | 7.1× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) | $1,115.95 | $1,115.95 | 11.4× |
| Pt re-evaluation (97164) | $210.91 | $210.91 | 3.1× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) | $271.05 | $271.05 | 8.4× |
| Pt Ultrasound Therapy (97035) | $167.80 | $167.80 | 11.7× |
| Pt Whirlpool Therapy (97022) | $388.20 | $388.20 | 24.7× |
| Pulm function test by gas (94727) | $404.07 | $404.07 | 1.9× |
| Pulmonary stress testing (94618) | $995.56 | $995.56 | 7.4× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) | $33,536.27 | $33,536.27 | 10.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $336.60 | $336.60 | 1.7× |
| Rt Chest Wall Manipulation,Subsequent (94668) | $218.52 | $218.52 | 1.6× |
| 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/min hrt rate/o2 sat/resp anal (95801) | $559.02 | $559.02 | 9.4× |
| Smoking cessation > 10 min (99407) | $120.51 | $120.51 | 3.2× |
| 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 Sp-Genratj Dev Prgrmg&Modificaj (92609) | $486.20 | $486.20 | 4.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $213 | $213 | 2.9× |
| Therapeutic Activities (97530) | $312.29 | $312.29 | 8.9× |
| Therapeutic phlebotomy (99195) | $180.42 | $180.42 | 1.3× |
| 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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) | $809.35 | $809.35 | 9.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $242.22 | $242.22 | 5.1× |
| Ultraviolet Light Therapy (96900) | $312.01 | $312.01 | 8.3× |
| Vasc Duplex Extrem Venous,Bilat (93970) | $3,349.40 | $3,349.40 | 14.0× |
| Ventilation assist & mgmt inpatient 1st 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× |