Visits & medical services prices at Memorial Hermann Surgical Hospital Kingwood

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $224.35 $641 1.0×
Analyze neurostim complex (95972) $1,364.65 $3,899 14.3×
Analyze Neurostim Simple (95971) $31.66 $90.47 0.3×
Color/duplex Doppler, complete (93975) $1,064 $3,040 4.4×
Debridement Open Wound 20 Sq Cm< (97597) $76.30 $218 0.4×
Ear and throat examination (92502) $359.45 $1,027 0.7×
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines
$131.25–$166.25 $375–$475 varies
Emergency Dept Visit Level 2 (99282) $445.20 $1,272 2.9×
Emergency Dept Visit Level 3 (99283) $526.40 $1,504 1.9×
Emergency Dept Visit Level 4 (99284) $1,019.20 $2,912 2.4×
Er level 1 (99281) $305.55 $873 3.6×
Er level v (99285) $1,935.15 $5,529 3.2×
Eye exam w anesth; complete (92018) $985.95 $2,817 0.4×
Fluorescein angiography (92235) $220.85 $631 1.0×
Immunization administration (90471) $22.05 $63 0.3×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $171.85 $491 0.5×
IV infusion hydration each additional hour (96361) $53.55 $153 1.1×
IV infusion hydration initial 31 min-1 hour (96360) $107.45 $307 0.5×
IV infusion ther proph addl sequential to 1 hr (96367) $53.55 $153 0.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $53.55 $153 1.1×
IV push initial (96374)
range across 2 matching MRF lines
$53.55–$56.35 $153–$161 varies
Nasopharyngoscopy (92511) $182 $520 0.9×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $484.75 $1,385 2.2×
Needle electromyography larynx (95865) $484.75 $1,385 3.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $69.30 $198 0.3×
Ot eval high complexity (97167) $145.25 $415 1.4×
Ot Eval Low Complex (97165) $145.25 $415 1.4×
Ot Eval Moderate Complexity (97166) $145.25 $415 1.4×
Ot Re-Eval Est Plan Care (97168) $72.10 $206 1.1×
Pt Eval High Complex (97163)
range across 2 matching MRF lines
$101.50–$145.25 $290–$415 varies
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$101.50–$145.25 $290–$415 varies
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$101.50–$145.25 $290–$415 varies
Pt gait training 15 min (97116) $145.25 $415 5.0×
Pt Re-Eval Est Plan Care (97164) $72.10 $206 1.1×
Refill/Maint Pump/Resvr Syst (96522) $556.15 $1,589 2.6×
Short-Latency Somatosens Ep Std Trnk/Head (95927)
range across 2 matching MRF lines
$400.75–$417.90 $1,145–$1,194 varies
Somatosensory Testing (95938) $241.15 $689 0.3×
Spin/Brain Pump Refil & Main (95991) $355.60 $1,016 1.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$53.55–$336 $153–$960 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines
$53.55–$336 $153–$960 varies
Therapeutic Activities (97530) $145.25 $415 4.1×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$53.55–$336 $153–$960 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.