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.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $553.60 $692 2.6×
Ambulatory Bp Analysis (93788) $210.40 $263 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $728.80 $911 2.0×
Cardiac Stress Tst,Tracing Only (93017) $780 $975 3.8×
Cardiopulmonary resuscitation (92950) $408 $510 2.0×
Cardioversion (92960) $1,308 $1,635 2.1×
Cbt 1st hour (94644) $307.20 $384 2.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $124 $155 1.8×
Color/duplex Doppler, complete (93975) $746.40 $933 3.3×
Color/duplex Doppler, limited (93976) $614.40 $768 6.1×
Cpap initiation and management (94660) $560 $700 2.7×
Cpt initial (94667) $340 $425 2.7×
Critical care (99291) $1,484.40 $1,855.50 1.9×
Debridement Open Wound 20 Sq Cm< (97597) $358.40 $448 1.9×
Demo &/or eval,pt use,aerosol device (94664) $553.60 $692 2.6×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $792 $990 3.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $389.60 $487 3.9×
Dup-scan xtr veins unilateral/limited study (93971) $389.60 $487 3.9×
Duplex scan extracranial art compl bi study (93880) $962.40 $1,203 4.2×
Echo Heart Xthoracic,Limited (93308) $631.20 $789 2.8×
EEG awake asleep (95819) $650.40 $813 3.1×
EEG awake drowsy (95816) $511.20 $639 2.5×
EKG (93005) $208 $260 3.7×
EKG rhythm strip (93041) $838.40 $1,048 14.8×
Er level 1 (99281) $268 $335 3.3×
Er level ii (99282) $366.40 $458 2.5×
Er level iii (99283) $605.60 $757 2.3×
Er level IV (99284) $990.40 $1,238 2.5×
Er level v (99285) $1,561.60 $1,952 2.7×
External Ecg Scanning Analysis Report (93226) $204.80 $256 3.6×
Holter Monitor Recording (93225) $338.40 $423 2.6×
Immunization Admin (90471) $111.20 $139 1.6×
Inital newborn e/m (99460) $304 $380 2.4×
Injection intra arterial (96373) $112 $140 0.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $158.40 $198 2.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $398.40 $498 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $103.20 $129 2.3×
IV push initial (96374) $191.60 $239.50 0.9×
Manual therapy 15 min (97140) $91.20 $114 3.3×
Massage 15 min (97124) $74.40 $93 2.5×
Mechanical traction (97012) $63.60 $79.50 4.4×
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×
Mnt Group Ea 30 Min (97804) $36 $45 2.1×
Neg press wnd tx </=50 sq cm (97607) $143.20 $179 0.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $126.40 $158 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $357.60 $447 2.8×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $494.40 $618 2.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $392.80 $491 3.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $80 $100 1.7×
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 Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $83.20 $104 1.7×
Ot Prosthetic Training, Each 15 Min (97761) $67.20 $84 1.7×
Paraffin bath (97018) $42.40 $53 7.1×
Psytx crisis initial 60 min (90839) $291.20 $364 1.7×
Pt Aquatic Therapy/Exercises (97113) $84.80 $106 2.3×
Pt Electric Current Therapy (97033) $85.60 $107 4.5×
Pt Electrical Stimulation (97032) $72.80 $91 5.0×
Pt eval high complex 45 min (97163) $341.60 $427 3.5×
Pt eval low complex 20 min (97161) $368 $460 3.8×
Pt Gait Training Therapy (97116) $81.60 $102 2.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $90.40 $113 2.8×
Pt Physical Performance Test (97750) $87.20 $109 2.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $341.60 $427 3.5×
Pt re-evaluation (97164) $160 $200 2.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $68 $85 2.1×
Pt Ultrasound Therapy (97035) $79.60 $99.50 5.5×
Pt Whirlpool Therapy (97022) $65.60 $82 4.2×
Pulmonary stress testing (94618) $422.40 $528 3.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $339.20 $424 1.8×
Rt Chest Wall Manipulation,Subsequent (94668) $307.20 $384 2.4×
Sleep study unattended (95806) $423.20 $529 2.0×
Spirometry (94010) $392.80 $491 1.9×
Ther/Proph/Diag Inj Sc/Im (96372) $112 $140 1.6×
Therapeutic Activities (97530) $95.20 $119 2.7×
Therapeutic phlebotomy (99195) $324.80 $406 2.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $96 $120 2.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,659.20 $2,074 3.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $113.20 $141.50 2.5×
Vasc Duplex Extrem Venous,Bilat (93970) $792 $990 3.5×
Vasc Duplex Scan Extracranial,Limited (93882) $800 $1,000 8.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $593.60 $742 2.9×
Ventilation assist & mgmt inpatient 1st day (94002) $968 $1,210 1.6×
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×