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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $321.93 $536.55 1.5×
Ambulatory Bp Analysis (93788) $151.83 $253.05 1.1×
Ambulatory Bp Recording (93786) $179.55 $299.25 1.3×
Anogenital exam, child (99170) $277.83 $463.05 1.4×
Application of heat wave therapy (97024) $35.06 $58.43 4.8×
Assessment of aphasia (96105) $212.94 $354.90 2.2×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $91.35 $152.25 2.4×
Behavioral and qualitative analysis of voice and resonance (92524) $211.68 $352.80 1.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $422.73 $704.55 1.1×
Canalith Repositioning (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) $489.51 $815.85 2.3×
Color/duplex Doppler, complete (93975) $417.06 $695.10 1.7×
Color/duplex Doppler, limited (93976) $287.28 $478.80 2.7×
Cpap initiation and management (94660) $430.44 $717.40 2.0×
Cpt initial (94667) $182.07 $303.45 1.4×
Critical care (99291) $960.75 $1,601.25 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $292.32 $487.20 1.5×
Demo &/or eval,pt use,aerosol device (94664) $239.40 $399 1.1×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $720.09 $1,200.15 3.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $543.69 $906.15 5.2×
Dup-scan xtr veins unilateral/limited study (93971) $480.69 $801.15 4.6×
Duplex hemodialysis access (93990) $315.63 $526.05 3.0×
Duplex scan extracranial art compl bi study (93880) $854.28 $1,423.80 3.6×
Echo Heart Xthoracic,Limited (93308) $803.25 $1,338.75 3.4×
EKG (93005) $196.56 $327.60 3.3×
Er level 1 (99281) $193.50 $322.50 2.3×
Er level ii (99282) $327.38 $545.62 2.1×
Er level iii (99283) $409.50 $682.50 1.5×
Er level IV (99284) $729 $1,215 1.7×
Er level v (99285) $736.54 $1,227.58 1.2×
Evaluation of speech fluency (92521) $250.11 $416.85 1.9×
Evaluation of speech sound production (92522) $203.49 $339.15 1.8×
Evaluation of swallowing function (92610) $189.63 $316.05 2.2×
Evaluation with prescription of speech-generating alternative (92607) $255.78 $426.30 2.1×
External ECG rec>48hr<7d recording (93242) $519.12 $865.20 13.8×
External ECG rec>7d<15d recording (93246) $421.78 $702.98 11.2×
Holter Monitor Recording (93225) $519.12 $865.20 3.9×
Immunization Admin (90471) $108 $180 1.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $54.81 $91.35 0.9×
IV infusion hydration each additional hour (96361) $70.80 $118 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $421.10 $701.82 2.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $145.92 $243.20 2.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $431.40 $719 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $191.52 $319.20 4.1×
IV push initial (96374) $389.97 $649.95 1.8×
Manual therapy 15 min (97140) $72.45 $120.75 2.6×
Massage 15 min (97124) $60.16 $100.28 2.0×
Maximum voluntary ventilation (94200) $167.58 $279.30 2.8×
Measurement of heart blood flow and respiration (93701) $182.07 $303.45 1.4×
Mechanical chest wall oscillation (94669) $369.81 $616.35 1.7×
Mechanical traction (97012) $48.29 $80.48 3.4×
Multiple Family Group Psychotherapy (90849) $254.52 $424.20 1.4×
Multiple sleep latency test (95805) $1,049.26 $1,748.78 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $310.59 $517.65 1.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $528.57 $880.95 1.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $411.39 $685.65 3.1×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $548.10 $913.50 2.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $185.22 $308.70 1.4×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $91.35 $152.25 2.0×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $69.30 $115.50 2.2×
Ot Contrast Bath Ea 15 Min (97034) $43 $71.66 3.1×
Ot eval high complex 60 min (97167) $165.06 $275.10 1.6×
Ot eval low complex 30 min (97165) $110.25 $183.75 1.1×
Ot eval mod complex 45 min (97166) $165.06 $275.10 1.6×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $79.38 $132.30 1.6×
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×
Paraffin bath (97018) $40.35 $67.25 6.7×
Phy/qhp op pulm rhb w/o mntr (94625) $141.12 $235.20 2.4×
Plethysmography (94726) $422.73 $704.55 1.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,335.20 $3,892 2.7×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $970.58 $1,617.62 1.1×
Psych diag eval w/med srvcs (90792) $425.25 $708.75 2.4×
Psychiatric diagnostic evaluation (90791) $294.52 $490.88 1.7×
Psytx crisis initial 60 min (90839) $91.35 $152.25 0.5×
Pt Electric Current Therapy (97033) $71.82 $119.70 3.8×
Pt Electrical Stimulation (97032) $72.45 $120.75 4.9×
Pt eval high complex 45 min (97163) $165.06 $275.10 1.7×
Pt eval low complex 20 min (97161) $115.92 $193.20 1.2×
Pt Gait Training Therapy (97116) $72.45 $120.75 2.5×
Pt Infrared Therapy (97026) $48.29 $80.48 7.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $72.45 $120.75 2.2×
Pt Physical Performance Test (97750) $310.59 $517.65 9.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $148.68 $247.80 1.5×
Pt re-evaluation (97164) $82.53 $137.55 1.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $67.41 $112.35 2.1×
Pt Ultrasound Therapy (97035) $44.32 $73.87 3.1×
Pulm function test by gas (94727) $231.21 $385.35 1.1×
Pulmonary stress testing (94618) $151.20 $252 1.1×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $441 $735 11.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $281.92 $469.88 1.4×
Rt Chest Wall Manipulation,Subsequent (94668) $182.07 $303.45 1.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $102.69 $171.15 2.2×
Sensory Integration Ea 15 Min (97533) $69.30 $115.50 1.1×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $228.69 $381.15 1.1×
Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) $358.47 $597.45 6.0×
Smoking cessation > 10 min (99407) $62.37 $103.95 1.7×
Speech sound lang comprehen (92523) $422.10 $703.50 1.9×
Spirometry (94010) $231.21 $385.35 1.1×
Temp transcutaneous pacing (92953) $361.45 $602.42 0.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $214.83 $358.05 2.1×
Ther/Proph/Diag Inj Sc/Im (96372) $116.24 $193.72 1.6×
Therapeutic Activities (97530) $83.16 $138.60 2.4×
Therapeutic phlebotomy (99195) $203.49 $339.15 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $41.90 $69.82 1.1×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,316.70 $2,194.50 2.4×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $867.51 $1,445.85 3.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $189.63 $316.05 2.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $168.84 $281.40 2.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $75.60 $126 1.6×
Vasc Duplex Extrem Venous,Bilat (93970) $761.67 $1,269.45 3.2×
Vasopneumatic device (97016) $44.32 $73.87 3.7×
Ventilation assist & mgmt inpatient 1st 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) $36 $60 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $65.84 $109.72 2.1×