Visits & medical services prices at Martin County Hospital District

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $409.10 $409.10 1.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $156.20 $156.20 10.9×
Assessment of aphasia per hr (96105) $207.02 $207.02 2.1×
Behavral qualit analys voice (92524) $479 $479 4.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $696.66 $696.66 1.9×
Cardiopulmonary resuscitation (92950) $696.66 $696.66 3.2×
Cardioversion (92960) $1,476.60 $1,476.60 2.2×
Chron Care Mgmt Srvc 20 Min (99490) $82 $82 0.8×
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$105.84–$560 $105.84–$560 varies
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $183 $183 1.0×
Continuous Pulse Ox (94762) $380.81 $380.81 2.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$563.54–$563.64 $563.54–$563.64 varies
Critical care first hour (99291) $1,834.97 $1,834.97 2.2×
Debridement Open Wound 20 Sq Cm< (97597) $560.75 $560.75 2.8×
Developmental tst admin phys/qhp 1st hour (96112) $764 $764 5.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$103.98–$950 $103.98–$950 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 4 matching MRF lines
$63.39–$308.51 $63.39–$308.51 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$90.78–$1,600 $90.78–$1,600 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 10 matching MRF lines
$58.62–$800 $58.62–$800 varies
Duplex up extrem art bilat (93930)
range across 2 matching MRF lines
$105.81–$1,800 $105.81–$1,800 varies
Duplex up extrem art unilat/ltd (93931)
range across 4 matching MRF lines
$64.29–$1,200 $64.29–$1,200 varies
Electrical Stimulation Ea 15 Min (97032) $247 $247 16.8×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$145–$172.44 $145–$172.44 varies
Emergency Dept Visit Level 2 (99282) $352.21 $352.21 2.3×
Emergency Dept Visit Level 3 (99283) $614.73 $614.73 2.2×
Emergency Dept Visit Level 4 (99284) $968.30 $968.30 2.3×
Er level 1 (99281) $191.63 $191.63 2.3×
Er level v (99285) $1,388.67 $1,388.67 2.3×
Evaluate pt use of inhaler (94664) $259.67 $259.67 1.2×
Evaluate Speech Production (92522) $874 $874 7.8×
Evaluate Swallowing Function (92610) $508 $508 6.0×
Evaluation of speech fluency (92521) $411 $411 3.1×
External ECG rec>48hr<7d recording (93242) $170.55 $170.55 4.5×
External ECG rec>7d<15d recording (93246) $170.55 $170.55 4.5×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$105.84–$800 $105.84–$800 varies
Flexible endoscopic eval swallow c/v rec (92612) $774 $774 3.9×
Immunization administration (90471)
range across 4 matching MRF lines
$13.75–$166.43 $13.75–$166.43 varies
Iontophoresis 15 min (97033) $73.57 $73.57 3.9×
IV infusion hydration each additional hour (96361) $134 $134 2.8×
IV infusion hydration initial 31 min-1 hour (96360) $505.74 $505.74 2.4×
IV infusion ther proph addl sequential to 1 hr (96367) $366.40 $366.40 5.1×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$23.37–$56.94 $23.37–$56.94 varies
IV push initial (96374)
range across 2 matching MRF lines
$334.80–$505.74 $334.80–$505.74 varies
Mechanical chest wall oscillation per session (94669) $335.85 $335.85 1.5×
Motion Fluoroscopy/Swallow (92611) $620 $620 6.8×
Multiple Sleep Latency Test (95805) $500 $500 0.6×
Nasopharyngoscopy (92511) $536.25 $536.25 2.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $480.96 $480.96 2.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $879.45 $879.45 2.2×
Neuromuscular Reeducation (97112) $204.56 $204.56 6.2×
Oral Function Therapy (92526) $467 $467 5.5×
Oral Speech Device Eval (92597) $734 $734 10.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $170 $170 3.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $217.17 $217.17 4.7×
Ot eval high complexity (97167) $601.18 $601.18 6.0×
Ot Eval Low Complex (97165) $371.60 $371.60 3.7×
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines
$415–$430 $415–$430 varies
Ot manual therapy 15 min (97140) $204 $204 7.4×
Ot paraffin bath (97018)
range across 6 matching MRF lines
$118–$264 $118–$264 varies
Ot Prosthetic Training, Each 15 Min (97761)
range across 4 matching MRF lines
$91.11–$128 $91.11–$128 varies
Ot Re-Eval Est Plan Care (97168) $370 $370 5.4×
Phlebotomy therapeutic (99195) $224.67 $224.67 1.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,825.58 $1,825.58 2.1×
Pt Eval High Complex (97163) $509.50 $509.50 5.2×
Pt eval low complex 20 min (97161) $310 $310 3.2×
Pt Eval Mod Complex (97162) $449.50 $449.50 4.6×
Pt gait training 15 min (97116) $175.17 $175.17 6.0×
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$114–$186.51 $114–$186.51 varies
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $151.42 $151.42 2.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $538.65 $538.65 2.7×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $65 $65 2.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $385.50 $385.50 3.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $102.30 $102.30 2.1×
Self Care Mngment Training (97535)
range across 7 matching MRF lines
$167–$184.10 $167–$184.10 varies
Sensory Integration Ea 15 Min (97533) $132 $132 2.2×
Speech sound lang comprehen (92523) $700.33 $700.33 3.1×
Spirometry (94010) $380.81 $380.81 1.8×
Standardized Cognitive Performance Testing (96125) $405 $405 3.9×
Temp transcutaneous pacing (92953) $1,476.60 $1,476.60 2.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $47.34 $47.34 2.1×
Ther Ivntj Ea Addl 15 Min (97130) $45.90 $45.90 2.2×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $140 $140 3.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $114 $114 3.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 4 matching MRF lines
$80.41–$857.68 $80.41–$857.68 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$166.43–$195 $166.43–$195 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$100–$505.74 $100–$505.74 varies
Therapeutic Activities (97530) $195.67 $195.67 5.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $100 $100 2.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $75.21 $75.21 2.0×
Trans Care Mgmt 14 Day Disch (99495) $145 $145 1.1×
Trans Care Mgmt 7 Day Disch (99496) $200 $200 1.5×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$191.01–$1,325.56 $191.01–$1,325.56 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $485 $485 6.4×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $411 $411 17.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $174 $174 3.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $500 $500 2.3×
Vent Mgmt Inpat Init Day (94002) $1,278.61 $1,278.61 2.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,278.61 $1,278.61 2.1×
Vital capacity, total (94150) $381.81 $381.81 3.0×
Wheelchair Mgmt Ea 15 Min (97542) $147 $147 4.7×
Whirlpool Therapy (97022)
range across 3 matching MRF lines
$263–$264.17 $263–$264.17 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.