Visits & medical services prices at Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $264.80 $331 2.6×
Airway inhalation treatment (94640) $104 $130 0.5×
Anogenital exam, child (99170) $233.60 $292 1.2×
Assessment of aphasia (96105) $223.20 $279 2.3×
Behavioral and qualitative analysis of voice and resonance (92524) $320 $400 2.9×
Breath Hydrogen/Methane Test (91065) $285.60 $357 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $333.20 $416.50 0.9×
Cardiac Stress Tst,Tracing Only (93017) $827.20 $1,034 3.8×
Cardiopulmonary resuscitation (92950) $604 $755 2.8×
Cardioversion (92960) $957.60 $1,197 1.4×
Cbt 1st hour (94644) $98.40 $123 0.7×
Chemo Hormon Antineopl Sq/Im (96402) $93.60 $117 1.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $93.60 $117 1.3×
Color/duplex Doppler, complete (93975) $768.40 $960.50 3.2×
Color/duplex Doppler, limited (93976) $435.20 $544 4.1×
Cpap initiation and management (94660) $1,013.60 $1,267 4.6×
Cpt initial (94667) $98.40 $123 0.7×
Critical care (99291) $704 $880 0.8×
Debridement Open Wound 20 Sq Cm< (97597) $248.80 $311 1.2×
Demo &/or eval,pt use,aerosol device (94664) $46.40 $58 0.2×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $681.60 $852 1.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $949.60 $1,187 4.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $345.60 $432 3.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $557.20 $696.50 2.3×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $551.20 $689 5.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,007.20 $1,259 4.2×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $551.20 $689 5.2×
Dup-scan xtr veins unilateral/limited study (93971) $546.40 $683 5.2×
Duplex scan extracranial art compl bi study (93880) $107.20 $134 0.4×
EKG (93005) $255.20 $319 4.3×
EKG rhythm strip (93041) $107.20 $134 1.8×
Er level 1 (99281) $100.80 $126 1.2×
Er level ii (99282) $160.80 $201 1.0×
Er level iii (99283) $265.20 $331.50 1.0×
Er level IV (99284) $462.40 $578 1.1×
Er level v (99285) $670.80 $838.50 1.1×
Ergonovine provocation test (93024) $763.20 $954 1.7×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $224 $280 3.1×
Evaluation of speech fluency (92521) $378.40 $473 2.8×
Evaluation of speech sound production (92522) $309.60 $387 2.8×
Evaluation of swallowing function (92610) $541.60 $677 6.4×
Evaluation with prescription of speech-generating alternative (92607) $195.60 $244.50 1.6×
External ECG rec>48hr<7d recording (93242) $305.60 $382 8.1×
External ECG rec>48hr<7d scanning alys w/report (93243) $305.60 $382 2.3×
External ECG rec>7d<15d recording (93246) $305.60 $382 8.1×
External ECG rec>7d<15d scanning alys w/report (93247) $305.60 $382 2.3×
External Ecg Scanning Analysis Report (93226) $315.20 $394 5.3×
Eye exam, new patient,comprehesv (92004) $260 $325 1.9×
Group Therapeutic Procedures (97150) $48.80 $61 2.7×
Hemodialysis (90935) $1,120 $1,400 1.6×
Holter Monitor Recording (93225) $315.20 $394 2.4×
Hypoxia Response Curve (94450) $269.60 $337 2.1×
Immunization Admin (90471) $117.60 $147 1.6×
Inital newborn e/m (99460) $252 $315 1.9×
Initial normal newborn care, same day discharge (99463) $307.20 $384 2.3×
Injection intra arterial (96373) $236 $295 1.1×
Ins swan ganz bedside (93503) $340 $425 0.2×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure
$2,668 $3,335 0.3×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$2,668 $3,335 0.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $118.40 $148 2.0×
IV infusion hydration each additional hour (96361) $138 $172.50 2.9×
IV infusion hydration initial 31 min-1 hour (96360) $556 $695 2.6×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $129.60 $162 1.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $556 $695 2.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $138 $172.50 2.9×
IV push initial (96374) $170.80 $213.50 0.8×
Manual therapy 15 min (97140) $132 $165 4.8×
Massage 15 min (97124) $63.20 $79 2.1×
Maximum voluntary ventilation (94200) $184 $230 3.1×
Mechanical traction (97012) $84 $105 5.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $28 $35 0.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $44.40 $55.50 1.2×
Methacholine challenge (94070) $150.40 $188 0.4×
Mnt Group Ea 30 Min (97804) $14.40 $18 0.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $360.40 $450.50 3.9×
Nasopharyngoscopy (92511) $104 $130 0.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $125.20 $156.50 0.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $380 $475 0.9×
Neurobehavioral Status Exam (96116) $159.20 $199 0.7×
New patient problem focused exam of visual system (92002) $125.60 $157 0.9×
Newborn resuscitation (99465) $319.20 $399 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $640 $800 4.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $399.20 $499 3.1×
Ophth medical xm&eval intermediate estab pt (92012) $138.40 $173 1.0×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $82.40 $103 1.8×
Osteopathic manipulative tx 1-2 body regions (98925) $98.80 $123.50 4.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $75.20 $94 2.3×
Ot Contrast Bath Ea 15 Min (97034) $43.20 $54 3.1×
Ot eval high complex 60 min (97167) $209.60 $262 2.1×
Ot eval low complex 30 min (97165) $209.60 $262 2.1×
Ot eval mod complex 45 min (97166) $209.60 $262 2.1×
Ot Prosthetic Training, Each 15 Min (97761) $76.80 $96 1.9×
Ot Range Motion Measure,Each Extrem (95851) $61.60 $77 2.4×
Ot re-eval est plan care (97168) $135.20 $169 2.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $211.20 $264 1.6×
Paraffin bath (97018) $21.20 $26.50 3.5×
Pt Electric Current Therapy (97033) $56.80 $71 3.0×
Pt Electrical Stimulation (97032) $45.60 $57 3.1×
Pt eval high complex 45 min (97163) $209.60 $262 2.1×
Pt eval low complex 20 min (97161) $209.60 $262 2.1×
Pt Gait Training Therapy (97116) $95.20 $119 3.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $95.20 $119 2.9×
Pt Physical Performance Test (97750) $80.80 $101 2.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $209.60 $262 2.1×
Pt re-evaluation (97164) $143.20 $179 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $135.20 $169 4.2×
Pt Ultrasound Therapy (97035) $40 $50 2.8×
Pt Whirlpool Therapy (97022) $44 $55 2.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $1,060.80 $1,326 28.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $140.40 $175.50 0.7×
Rom meas&reprt hand w/wo comparison normal sid (95852) $36.80 $46 1.7×
Rt Chest Wall Manipulation,Subsequent (94668) $98.40 $123 0.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $77.60 $97 1.6×
Speech group therapy (92508) $135.20 $169 5.6×
Speech sound lang comprehen (92523) $636.80 $796 2.8×
Spirometry (94010) $181.20 $226.50 0.8×
Standardized Cognitive Performance Testing (96125) $95.20 $119 0.9×
Surfactant Admin Thru Tube (94610) $125.60 $157 0.6×
Temp transcutaneous pacing (92953) $717.60 $894 1.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $52 $65 2.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $50.40 $63 2.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $56.80 $71 0.6×
Ther/prop/diag inj/inf proc (96379) $136 $170 2.9×
Ther/Proph/Diag Inj Sc/Im (96372) $130 $162.50 1.8×
Therapeutic Activities (97530) $119.20 $149 3.4×
Therapeutic phlebotomy (99195) $245.60 $307 1.8×
Tilt Table Eval (93660) $1,332.80 $1,666 3.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $84.80 $106 2.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,007.60 $1,259.50 1.8×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $944.80 $1,181 3.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $157.60 $197 2.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $190.40 $238 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $136 $170 2.9×
Ultraviolet Light Therapy (96900) $112.80 $141 3.0×
Ultraviolet Therapy (97028) $112.80 $141 13.5×
Unlisted pulmonary service/procedure (94799) $123.20 $154 1.0×
Vasc Duplex Extrem Venous,Bilat (93970) $1,007.20 $1,259 4.2×
Vasc Duplex Scan Extracranial,Limited (93882) $655.20 $819 6.2×
Vasopneumatic device (97016) $43.20 $54 3.6×
Ventilation assist & mgmt inpatient 1st day (94002) $1,123.60 $1,404.50 1.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $636.80 $796 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $76.80 $96 2.5×
Xtrnl mobile cv telemetry w/technical support (93229) $1,664 $2,080 4.4×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $588.80 $736 6.2×