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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $112.80 | $141 | 3.0× |
| Advncd Care Plan 30 Min (99497) | $264.80 | $331 | 2.6× |
| Airway Inhalation Treatment (94640) range across 13 matching MRF lines |
$98.40–$261.60 | $123–$327 | varies |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $233.60 | $292 | 1.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$40–$66.40 | $50–$83 | varies |
| Assessment of aphasia per hr (96105) | $223.20 | $279 | 2.3× |
| Behavral qualit analys voice (92524) | $320 | $400 | 2.9× |
| Breath hydrogen/methane test (91065) | $285.60 | $357 | 1.3× |
| Breathing response to hypoxia (94450) range across 2 matching MRF lines |
$261.60–$277.60 | $327–$347 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$120–$546.40 | $150–$683 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$763.20–$827.20 | $954–$1,034 | varies |
| Cardiopulmonary resuscitation (92950) range across 6 matching MRF lines |
$374.40–$1,058.40 | $468–$1,323 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$318.40–$957.60 | $398–$1,197 | varies |
| Cbt 1st hour (94644) | $98.40 | $123 | 0.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $93.60 | $117 | 1.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $93.60 | $117 | 1.3× |
| Chest Wall Manipulation (94668) | $98.40 | $123 | 0.7× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$701.60–$835.20 | $877–$1,044 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$345.60–$524.80 | $432–$656 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 4 matching MRF lines |
$72.80–$75.20 | $91–$94 | varies |
| Continuous Pulse Ox (94762) | $399.20 | $499 | 3.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $1,013.60 | $1,267 | 4.6× |
| Cpt initial (94667) | $98.40 | $123 | 0.7× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$704–$1,348.80 | $880–$1,686 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$84.80–$296 | $106–$370 | varies |
| Dialysis One Evaluation (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) range across 2 matching MRF lines |
$107.20–$1,007.20 | $134–$1,259 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$487.20–$615.20 | $609–$769 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$107.20–$1,007.20 | $134–$1,259 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 6 matching MRF lines |
$82.40–$615.20 | $103–$769 | varies |
| Duplex up extrem art bilat (93930) | $1,007.20 | $1,259 | 4.2× |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$487.20–$615.20 | $609–$769 | varies |
| ECG/monitoring and analysis (93271) | $588.80 | $736 | 6.2× |
| Electrical Stimulation Ea 15 Min (97032) | $45.60 | $57 | 3.1× |
| Electrocardiogram Tracing (93005) | $255.20 | $319 | 4.3× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$111.20–$210.40 | $139–$263 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$163.20–$367.20 | $204–$459 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$306.40–$618.40 | $383–$773 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$56.80–$144.80 | $71–$181 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$450.40–$891.20 | $563–$1,114 | varies |
| Ergonovine provocation test (93024) | $763.20 | $954 | 1.7× |
| Evaluate pt use of inhaler (94664) | $46.40 | $58 | 0.2× |
| Evaluate Speech Production (92522) | $309.60 | $387 | 2.8× |
| Evaluate Swallowing Function (92610) | $541.60 | $677 | 6.4× |
| Evaluation of speech fluency (92521) | $378.40 | $473 | 2.8× |
| 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× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$94.40–$1,071.20 | $118–$1,339 | varies |
| Extracranial Uni/Ltd Study (93882) | $655.20 | $819 | 6.2× |
| Group Therapeutic Procedures (97150) | $48.80 | $61 | 2.7× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,120 | $1,400 | 1.6× |
| Holter monitor recording (93225) | $315.20 | $394 | 2.4× |
| Immunization administration (90471) range across 5 matching MRF lines |
$65.60–$117.60 | $82–$147 | varies |
| Inital newborn e/m (99460) | $252 | $315 | 1.9× |
| Insert/Place Heart Catheter (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× |
| Iontophoresis 15 min (97033) | $56.80 | $71 | 3.0× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$100.80–$136 | $126–$170 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$129.60–$146.40 | $162–$183 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $556 | $695 | 2.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $129.60 | $162 | 1.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$44–$146.40 | $55–$183 | varies |
| IV push initial (96374) range across 6 matching MRF lines |
$136–$204.80 | $170–$256 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $184 | $230 | 3.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $28 | $35 | 0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$32–$56.80 | $40–$71 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $14.40 | $18 | 0.8× |
| Methacholine challenge (94070) | $150.40 | $188 | 0.4× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$290.40–$430.40 | $363–$538 | varies |
| Nasopharyngoscopy (92511) | $104 | $130 | 0.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$71.20–$179.20 | $89–$224 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $380 | $475 | 0.9× |
| Neurobehavioral Status Exam (96116) | $159.20 | $199 | 0.7× |
| Neuromuscular Reeducation (97112) | $95.20 | $119 | 2.9× |
| Newborn resuscitation (99465) | $319.20 | $399 | 0.5× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $260 | $325 | 1.9× |
| Ophth medical xm&eval intermediate estab pt (92012) | $138.40 | $173 | 1.0× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $125.60 | $157 | 0.9× |
| Oral Function Therapy (92526) | $190.40 | $238 | 2.3× |
| Oral Speech Device Eval (92597) | $224 | $280 | 3.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $82.40 | $103 | 1.8× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$64–$133.60 | $80–$167 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $43.20 | $54 | 3.1× |
| Ot eval high complexity (97167) | $209.60 | $262 | 2.1× |
| Ot Eval Low Complex (97165) | $209.60 | $262 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $209.60 | $262 | 2.1× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$128.80–$135.20 | $161–$169 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$20.80–$21.60 | $26–$27 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $76.80 | $96 | 1.9× |
| Ot Re-Eval Est Plan Care (97168) | $135.20 | $169 | 2.0× |
| Ot rom hand (95852) | $36.80 | $46 | 1.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $211.20 | $264 | 1.6× |
| Phlebotomy therapeutic (99195) | $245.60 | $307 | 1.8× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$80.80–$113.60 | $101–$142 | varies |
| Pt Eval High Complex (97163) | $209.60 | $262 | 2.1× |
| Pt eval low complex 20 min (97161) | $209.60 | $262 | 2.1× |
| Pt Eval Mod Complex (97162) | $209.60 | $262 | 2.1× |
| Pt gait training 15 min (97116) | $95.20 | $119 | 3.3× |
| Pt mechanical traction (97012) | $84 | $105 | 5.8× |
| Pt Re-Eval Est Plan Care (97164) | $143.20 | $179 | 2.1× |
| Pt ultraviolet (97028) | $112.80 | $141 | 13.5× |
| Pulmonary service/procedure (94799) | $123.20 | $154 | 1.0× |
| Remote 30 Day Ecg Rev/Report (93270) | $1,060.80 | $1,326 | 28.3× |
| Remote 30 Day Ecg Tech Supp (93229) | $1,664 | $2,080 | 4.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $107.20 | $134 | 1.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$101.60–$179.20 | $127–$224 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $61.60 | $77 | 2.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$112.80–$278.40 | $141–$348 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 2 matching MRF lines |
$45.60–$109.60 | $57–$137 | varies |
| Same day nb discharge (99463) | $307.20 | $384 | 2.3× |
| Self Care Mngment Training (97535) | $135.20 | $169 | 4.2× |
| Speech sound lang comprehen (92523) | $636.80 | $796 | 2.8× |
| Spirometry (94010) range across 2 matching MRF lines |
$71.20–$291.20 | $89–$364 | varies |
| Standardized Cognitive Performance Testing (96125) | $95.20 | $119 | 0.9× |
| Surfactant Admin Thru Tube (94610) | $125.60 | $157 | 0.6× |
| Temp transcutaneous pacing (92953) range across 3 matching MRF lines |
$715.20–$720 | $40–$900 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $52 | $65 | 2.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $50.40 | $63 | 2.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $63.20 | $79 | 2.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $56.80 | $71 | 0.6× |
| Ther/Prop/Diag Inj/Inf Proc (96379) range across 3 matching MRF lines |
$129.60–$136.80 | $162–$171 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $236 | $295 | 1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$69.60–$136.80 | $87–$171 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$211.20–$556 | $264–$695 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$119.20–$133.60 | $149–$167 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (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 (93306) range across 2 matching MRF lines |
$107.20–$1,908 | $134–$2,385 | varies |
| Tte W/O Doppler Complete (93307) | $944.80 | $1,181 | 3.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $157.60 | $197 | 2.1× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $135.20 | $169 | 5.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$44–$136.80 | $55–$171 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $640 | $800 | 4.8× |
| Vasopneumatic device (97016) | $43.20 | $54 | 3.6× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$313.60–$1,933.60 | $392–$2,417 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$217.60–$1,056 | $272–$1,320 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $76.80 | $96 | 2.5× |
| Whirlpool Therapy (97022) | $44 | $55 | 2.8× |
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.