Visits & medical services prices at Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Aep hearing status deter broadband stimuli i&r (92651) $210.88 $301.25 1.0×
Airway inhalation treatment (94640) $297.20 $424.57 1.4×
Behav assmt w/score & docd/stand instrument (96127) $49.70 $71 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $391.36 $559.09 1.0×
Canalith Repositioning (95992) $96.64 $138.05 2.4×
Cardiac Stress Tst,Tracing Only (93017) $391.30 $559 1.8×
Cardiopulmonary resuscitation (92950) $210.88 $301.25 1.0×
Cpt initial (94667) $165.17 $235.95 1.2×
Critical care (99291) $1,147.87 $1,639.81 1.4×
Debridement Open Wound 20 Sq Cm< (97597) $273.70 $391 1.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,158.50 $1,655 4.8×
Dup-scan xtr veins unilateral/limited study (93971) $735 $1,050 7.0×
Duplex scan extracranial art compl bi study (93880) $1,120 $1,600 4.7×
EKG (93005) $193.90 $277 3.3×
Er level 1 (99281) $598.55 $855.07 7.1×
Er level ii (99282) $198.49 $283.55 1.3×
Er level iii (99283) $345.88 $494.12 1.3×
Er level IV (99284) $558.98 $798.54 1.3×
Er level v (99285) $814.81 $1,164.01 1.4×
Evaluation of speech sound production (92522) $174.52 $249.31 1.6×
Evaluation of swallowing function (92610) $126.42 $180.60 1.5×
Group Therapeutic Procedures (97150) $598.55 $855.07 33.2×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $28.70 $41 0.4×
Immunization Admin (90471) $92.68 $132.40 1.3×
Immunotherapy, 2+ Injections (95117) $17.50 $25 0.4×
Inital newborn e/m (99460) $165.90 $237 1.2×
Initial normal newborn care, same day discharge (99463) $191.80 $274 1.4×
IV infusion hydration each additional hour (96361) $58.76 $83.94 1.2×
IV infusion hydration initial 31 min-1 hour (96360) $290.34 $414.77 1.4×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $92.68 $132.40 1.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $290.34 $414.77 1.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $58.76 $83.94 1.2×
IV push initial (96374) $290.34 $414.77 1.4×
Manual therapy 15 min (97140) $49.70 $71 1.8×
Mechanical traction (97012) $33.60 $48 2.3×
Ot eval low complex 30 min (97165) $156.87 $224.10 1.6×
Ot eval mod complex 45 min (97166) $156.87 $224.10 1.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $183.40 $262 1.4×
Paraffin bath (97018) $96.64 $138.05 16.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,591 $5,130 4.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $15.40 $22 0.3×
Pt Aquatic Therapy/Exercises (97113) $77.70 $111 2.1×
Pt eval high complex 45 min (97163) $174.52 $249.31 1.8×
Pt eval low complex 20 min (97161) $96.64 $138.05 1.0×
Pt Gait Training Therapy (97116) $96.64 $138.05 3.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $60.34 $86.20 1.8×
Pt Physical Performance Test (97750) $60.15 $85.93 1.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $146.23 $208.90 1.5×
Pt re-evaluation (97164) $99.09 $141.55 1.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $58.96 $84.23 1.8×
Pt-focused hlth risk assmt (96160) $5.60 $8 0.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $273.70 $391 1.4×
Speech sound lang comprehen (92523) $338.49 $483.55 1.5×
Ther/Proph/Diag Inj Sc/Im (96372) $92.68 $132.40 1.3×
Therapeutic Activities (97530) $68.39 $97.70 2.0×
Therapeutic phlebotomy (99195) $165.17 $235.95 1.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $23.80 $34 0.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,680 $2,400 3.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $312.93 $447.04 4.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $149.14 $213.05 1.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $58.76 $83.94 1.2×
Unlisted pulmonary service/procedure (94799) $630 $900 4.9×
Vasc Duplex Extrem Venous,Bilat (93970) $865.90 $1,237 3.6×
Vasopneumatic device (97016) $96.64 $138.05 8.0×