Visits & medical services prices at Memorial Hospital of Texas County Authority
Guymon, OK · every code in this section with a posted price and a Medicare benchmark.
94 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$529.82–$553.60 | $662.28–$692 | varies |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $210.40 | $263 | 1.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$70.40–$88.80 | $88–$111 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $728.80 | $911 | 2.0× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$756.80–$803.20 | $946–$1,004 | varies |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$331.20–$830.40 | $414–$1,038 | varies |
| Cardioversion (92960) | $1,308 | $1,635 | 2.1× |
| Cbt 1st hour (94644) | $307.20 | $384 | 2.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $124 | $155 | 1.8× |
| Chest Wall Manipulation (94668) | $307.20 | $384 | 2.4× |
| Color/duplex Doppler, complete (93975) | $746.40 | $933 | 3.3× |
| Color/duplex Doppler, limited (93976) | $614.40 | $768 | 6.1× |
| Continuous Pulse Ox (94762) | $392.80 | $491 | 3.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $560 | $700 | 2.7× |
| Cpt initial (94667) | $340 | $425 | 2.7× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$800.80–$2,168 | $1,001–$2,710 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$349.60–$367.20 | $437–$459 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $792 | $990 | 3.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $792 | $990 | 3.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $430.40 | $538 | 4.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $792 | $990 | 3.5× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$78.40–$430.40 | $98–$538 | varies |
| Duplex up extrem art bilat (93930) | $792 | $990 | 3.5× |
| Duplex up extrem art unilat/ltd (93931) | $389.60 | $487 | 3.9× |
| Echo Heart Xthoracic,Limited (93308) | $631.20 | $789 | 2.8× |
| EEG awake and asleep (95819) | $650.40 | $813 | 3.1× |
| EEG awake drowsy (95816) | $511.20 | $639 | 2.5× |
| Electrical Stimulation Ea 15 Min (97032) | $72.80 | $91 | 5.0× |
| Electrocardiogram Tracing (93005) | $208 | $260 | 3.7× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$244–$366.40 | $305–$458 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$581.43–$605.60 | $726.79–$757 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$607.20–$990.40 | $759–$1,238 | varies |
| Er level 1 (99281) | $268 | $335 | 3.3× |
| Er level v (99285) range across 2 matching MRF lines |
$912–$1,561.60 | $1,140–$1,952 | varies |
| Evaluate pt use of inhaler (94664) | $553.60 | $692 | 2.6× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$176.80–$232.80 | $221–$291 | varies |
| Extracranial Bilat Study (93880) | $962.40 | $1,203 | 4.2× |
| Extracranial Uni/Ltd Study (93882) | $800 | $1,000 | 8.0× |
| Holter monitor recording (93225) | $338.40 | $423 | 2.6× |
| Immunization administration (90471) range across 3 matching MRF lines |
$103.20–$112 | $129–$140 | varies |
| Inital newborn e/m (99460) | $304 | $380 | 2.4× |
| Iontophoresis 15 min (97033) | $85.60 | $107 | 4.5× |
| Irrig Drug Delivery Device (96523) | $155.20 | $194 | 2.7× |
| IV infusion hydration each additional hour (96361) | $96 | $120 | 2.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $251.20 | $314 | 1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $158.40 | $198 | 2.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $103.20 | $129 | 2.3× |
| IV push initial (96374) range across 2 matching MRF lines |
$112–$271.20 | $140–$339 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $593.60 | $742 | 2.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $68 | $85 | 2.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $76.80 | $96 | 2.1× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $36 | $45 | 2.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $143.20 | $179 | 0.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $126.40 | $158 | 0.7× |
| Neuromuscular Reeducation (97112) | $90.40 | $113 | 2.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $83.20 | $104 | 1.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$76–$81.60 | $95–$102 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $66.40 | $83 | 3.2× |
| Ot Contrast Bath Ea 15 Min (97034) | $55.20 | $69 | 3.9× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$83.20–$99.20 | $104–$124 | varies |
| Ot paraffin bath (97018) | $42.40 | $53 | 7.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $67.20 | $84 | 1.7× |
| Phlebotomy therapeutic (99195) | $324.80 | $406 | 2.5× |
| Physical Performance Test (97750) | $87.20 | $109 | 2.6× |
| Psytx Crisis Initial 60 Min (90839) | $291.20 | $364 | 1.7× |
| Pt Eval High Complex (97163) | $341.60 | $427 | 3.5× |
| Pt eval low complex 20 min (97161) | $368 | $460 | 3.8× |
| Pt Eval Mod Complex (97162) | $341.60 | $427 | 3.5× |
| Pt gait training 15 min (97116) | $81.60 | $102 | 2.8× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$56.80–$70.40 | $71–$88 | varies |
| Pt Re-Eval Est Plan Care (97164) | $160 | $200 | 2.4× |
| Pulmonary Stress Testing (94618) | $422.40 | $528 | 3.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $838.40 | $1,048 | 14.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$76.80–$339.20 | $96–$424 | varies |
| Self Care Mngment Training (97535) | $68 | $85 | 2.1× |
| Sleep study unattended (95806) | $423.20 | $529 | 2.0× |
| Spirometry (94010) | $392.80 | $491 | 1.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $84.80 | $106 | 2.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $74.40 | $93 | 2.5× |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$112–$173.60 | $140–$217 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$103.20–$112.80 | $129–$141 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $398.40 | $498 | 1.9× |
| Therapeutic Activities (97530) | $95.20 | $119 | 2.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $96 | $120 | 2.7× |
| Tte w/doppler, complete (93306) | $1,659.20 | $2,074 | 3.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$110.40–$116 | $138–$145 | varies |
| Unlisted cardiovascular service/procedure (93799) | $511.20 | $639 | 4.1× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$238.40–$476.80 | $298–$596 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $494.40 | $618 | 2.4× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$232–$1,704 | $290–$2,130 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,551.20 | $1,939 | 2.6× |
| Vital capacity, total (94150) | $392.80 | $491 | 3.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $106.40 | $133 | 3.4× |
| Whirlpool Therapy (97022) range across 4 matching MRF lines |
$44.80–$97.60 | $56–$122 | 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.