Visits & medical services prices at Lillian M Hudspeth Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $49.50 $99 0.2×
Canalith Repositioning (95992) $69.50 $139 1.7×
Cardiac Stress Tst,Tracing Only (93017) $142.50 $285 0.7×
Critical care (99291) $1,320 $2,640 1.6×
Dup-scan xtr veins unilateral/limited study (93971) $235 $470 2.2×
Duplex scan extracranial art compl bi study (93880) $350.50 $701 1.5×
EKG (93005) $64.50 $129 1.1×
Er level 1 (99281) $196.50 $393 2.3×
Er level ii (99282) $196.50 $393 1.3×
Er level iii (99283) $345 $690 1.3×
Er level IV (99284) $605 $1,210 1.4×
Er level v (99285) $702.50 $1,405 1.2×
External ECG rec>48hr<7d recording (93242) $50 $100 1.3×
External ECG rec>7d<15d recording (93246) $50 $100 1.3×
Immunization Admin (90471) $48.50 $97 0.7×
IV infusion hydration each additional hour (96361) $80.50 $161 1.7×
IV infusion hydration initial 31 min-1 hour (96360) $281 $562 1.3×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $59.50 $119 0.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $281 $562 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $80.50 $161 1.7×
IV push initial (96374) $124 $248 0.6×
Manual therapy 15 min (97140) $67.50 $135 2.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $217.50 $435 1.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $87.50 $175 0.7×
Pt Aquatic Therapy/Exercises (97113) $58.50 $117 1.6×
Pt eval high complex 45 min (97163) $239.50 $479 2.4×
Pt eval low complex 20 min (97161) $153.50 $307 1.6×
Pt Gait Training Therapy (97116) $61 $122 2.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $67.50 $135 2.1×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $192.50 $385 2.0×
Pt re-evaluation (97164) $76 $152 1.1×
Pt Ultrasound Therapy (97035) $44 $88 3.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $58 $116 0.3×
Stress echo (93350) $414 $828 0.8×
Ther/Proph/Diag Inj Sc/Im (96372) $59.50 $119 0.8×
Therapeutic Activities (97530) $70 $140 2.0×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $915.50 $1,831 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $119 $238 2.5×
Vasc Duplex Extrem Venous,Bilat (93970) $242.75 $485.50 1.0×