Visits & medical services prices at Limestone Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 9 matching MRF lines
$318.60–$393.93 $531–$656.55 varies
Ambulatory bp mntr w/sw 24 hr+ recording only (93786)
range across 2 matching MRF lines
$151.83–$207.27 $253.05–$345.45 varies
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $151.83 $253.05 1.1×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $277.83 $463.05 1.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 6 matching MRF lines
$35.06–$64.26 $58.43–$107.10 varies
Application Modality 1/> Areas Diathermy (97024) $35.06 $58.43 4.8×
Application Modality 1/> Areas Infrared (97026) $48.29 $80.48 7.2×
Assessment of aphasia per hr (96105) $212.94 $354.90 2.2×
Behavral qualit analys voice (92524) $211.68 $352.80 1.9×
Bioimpedance Cv Analysis (93701) $182.07 $303.45 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $422.73 $704.55 1.1×
Canalith repositioning proc (95992) $86.31 $143.85 2.1×
Cardiac Stress Tst,Tracing Only (93017) $442.89 $738.15 2.0×
Cardiopulmonary exercise testing (94621) $493.29 $822.15 1.3×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$454.23–$705.60 $757.05–$1,176 varies
Chest Wall Manipulation (94668) $182.07 $303.45 1.4×
Color/duplex Doppler, complete (93975) $417.06 $695.10 1.7×
Color/duplex Doppler, limited (93976) $287.28 $478.80 2.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $69.30 $115.50 2.2×
Continuous Pulse Ox (94762) $185.22 $308.70 1.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $430.44 $717.40 2.0×
Cpt initial (94667) $182.07 $303.45 1.4×
Critical care first hour (99291)
range across 2 matching MRF lines
$598.50–$1,323 $997.50–$2,205 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$278.46–$333.90 $464.10–$556.50 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $414.54 $690.90 1.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $214.83 $358.05 2.0×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $543.69 $906.15 5.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $815.85 $1,359.75 3.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $543.69 $906.15 5.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$761.67–$831.60 $1,269.45–$1,386 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines
$381–$524.79 $635–$874.65 varies
Duplex Scan Hemodialysis Access (93990) $315.63 $526.05 3.0×
Duplex up extrem art bilat (93930) $720.09 $1,200.15 3.0×
Duplex up extrem art unilat/ltd (93931) $543.69 $906.15 5.2×
Echo Heart Xthoracic,Limited (93308) $803.25 $1,338.75 3.4×
Electrical Stimulation Ea 15 Min (97032) $72.45 $120.75 4.9×
Electrocardiogram Tracing (93005) $196.56 $327.60 3.3×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$267.75–$387 $446.25–$645 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$129.15–$513 $215.25–$855 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$504–$954 $840–$1,590 varies
Er level 1 (99281)
range across 2 matching MRF lines
$189–$198 $315–$330 varies
Er level v (99285)
range across 2 matching MRF lines
$338.94–$1,134.15 $564.90–$1,890.25 varies
Evaluate pt use of inhaler (94664) $239.40 $399 1.1×
Evaluate Speech Production (92522) $203.49 $339.15 1.8×
Evaluate Swallowing Function (92610) $189.63 $316.05 2.2×
Evaluation of speech fluency (92521) $250.11 $416.85 1.9×
External ECG rec>48hr<7d recording (93242) $519.12 $865.20 13.8×
External ECG rec>7d<15d recording (93246)
range across 2 matching MRF lines
$324.45–$519.12 $540.75–$865.20 varies
Extracranial Bilat Study (93880) $854.28 $1,423.80 3.6×
Holter monitor recording (93225) $519.12 $865.20 3.9×
Immunization administration (90471)
range across 3 matching MRF lines
$96.39–$113.40 $160.65–$189 varies
Iontophoresis 15 min (97033)
range across 4 matching MRF lines
$63–$80.64 $105–$134.40 varies
Irrig Drug Delivery Device (96523) $54.81 $91.35 0.9×
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$70.56–$74.34 $117.60–$123.90 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 4 matching MRF lines
$206.16–$439.26 $343.60–$732.10 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines
$119.07–$149.40 $198.45–$249 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 5 matching MRF lines
$70.56–$242.07 $117.60–$403.45 varies
IV push initial (96374)
range across 3 matching MRF lines
$371.40–$389.97 $619–$649.95 varies
Lung Function Test (Mbc/Mvv) (94200) $167.58 $279.30 2.8×
Mechanical chest wall oscillation per session (94669) $369.81 $616.35 1.7×
Multiple Family Group Psychotherapy (90849) $254.52 $424.20 1.4×
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
$253.89–$1,844.64 $423.15–$3,074.40 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$286.65–$310.59 $477.75–$517.65 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $528.57 $880.95 1.3×
Neuromuscular Reeducation (97112) $72.45 $120.75 2.2×
Oral Function Therapy (92526) $168.84 $281.40 2.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $79.38 $132.30 1.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $91.35 $152.25 2.0×
Ot Contrast Bath Ea 15 Min (97034)
range across 3 matching MRF lines
$43–$44.32 $71.66–$73.87 varies
Ot eval high complexity (97167) $165.06 $275.10 1.6×
Ot Eval Low Complex (97165) $110.25 $183.75 1.1×
Ot Eval Moderate Complexity (97166) $165.06 $275.10 1.6×
Ot manual therapy 15 min (97140)
range across 5 matching MRF lines
$71.82–$78.75 $119.70–$131.25 varies
Ot paraffin bath (97018) $40.35 $67.25 6.7×
Ot Prosthetic Training, Each 15 Min (97761) $86.94 $144.90 2.2×
Ot Re-Eval Est Plan Care (97168) $120.33 $200.55 1.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $198.45 $330.75 1.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $196.56 $327.60 1.5×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$199.71–$207.27 $332.85–$345.45 varies
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $141.12 $235.20 2.4×
Physical Performance Test (97750) $310.59 $517.65 9.2×
Plethysmography (94726) $422.73 $704.55 1.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 3 matching MRF lines
$502.11–$2,721.60 $836.85–$4,536 varies
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808)
range across 2 matching MRF lines
$355.95–$1,585.20 $593.25–$2,642 varies
Psych diag eval w/med srvcs (90792) $425.25 $708.75 2.4×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$211.05–$378 $351.75–$630 varies
Psytx Crisis Initial 60 Min (90839) $91.35 $152.25 0.5×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $91.35 $152.25 2.4×
Pt Eval High Complex (97163) $165.06 $275.10 1.7×
Pt eval low complex 20 min (97161) $115.92 $193.20 1.2×
Pt Eval Mod Complex (97162) $148.68 $247.80 1.5×
Pt gait training 15 min (97116)
range across 3 matching MRF lines
$72.45–$99.54 $120.75–$165.90 varies
Pt mechanical traction (97012) $48.29 $80.48 3.4×
Pt Re-Eval Est Plan Care (97164) $82.53 $137.55 1.2×
Pulm function test by gas (94727) $231.21 $385.35 1.1×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$97.65–$204.75 $162.75–$341.25 varies
Remote 30 Day Ecg Rev/Report (93270) $441 $735 11.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$229.95–$333.90 $383.25–$556.50 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $255.78 $426.30 2.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $102.69 $171.15 2.2×
Self Care Mngment Training (97535)
range across 6 matching MRF lines
$64.26–$75.60 $107.10–$126 varies
Sensory Integration Ea 15 Min (97533) $69.30 $115.50 1.1×
Slp Stdy Unatnd W/Anal (95801) $358.47 $597.45 6.0×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800)
range across 2 matching MRF lines
$98.91–$358.47 $164.85–$597.45 varies
Speech sound lang comprehen (92523) $422.10 $703.50 1.9×
Spirometry (94010)
range across 3 matching MRF lines
$49.14–$231.21 $81.90–$385.35 varies
Temp transcutaneous pacing (92953) $361.45 $602.42 0.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines
$59.85–$60.48 $99.75–$100.80 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $214.83 $358.05 2.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$110.25–$119.07 $183.75–$198.45 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 5 matching MRF lines
$389.97–$450 $649.95–$750 varies
Therapeutic Activities (97530)
range across 6 matching MRF lines
$78.75–$83.16 $131.25–$138.60 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $62.37 $103.95 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$37.17–$46.62 $61.95–$77.70 varies
Tte w/doppler, complete (93306) $1,316.70 $2,194.50 2.4×
Tte W/O Doppler Complete (93307) $867.51 $1,445.85 3.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $189.63 $316.05 2.5×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$72–$75.60 $120–$126 varies
Upr/L Xtremity Art 2 Levels (93922) $411.39 $685.65 3.1×
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 3 matching MRF lines
$94.50–$548.10 $157.50–$913.50 varies
Vasopneumatic device (97016) $44.32 $73.87 3.7×
Vent Mgmt Inpat Init Day (94002) $914.76 $1,524.60 1.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $914.76 $1,524.60 1.5×
Vital capacity, total (94150)
range across 4 matching MRF lines
$36–$231.21 $60–$385.35 varies
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$65.52–$66.15 $109.20–$110.25 varies

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.