Visits & medical services prices at Memorial Hospital
Gonzales, TX · every code in this section with a posted price and a Medicare benchmark.
50 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) | $192 | $480 | 0.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 4 matching MRF lines |
$47.20–$50 | $118–$125 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $264.80 | $662 | 0.7× |
| Cardiopulmonary resuscitation (92950) | $466.80 | $1,167 | 2.2× |
| Chron Care Mgmt Srvc 20 Min (99490) | $24.80 | $62 | 0.2× |
| Color/duplex Doppler, complete (93975) | $351.60 | $879 | 1.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $181.60 | $454 | 0.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $262.80 | $657 | 2.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $677.20 | $1,693 | 2.8× |
| Dup-scan xtr veins unilateral/limited study (93971) | $748.80 | $1,872 | 7.1× |
| Duplex up extrem art bilat (93930) | $216.40 | $541 | 0.9× |
| Echo Heart Xthoracic,Limited (93308) | $242.80 | $607 | 1.0× |
| Electrical Stimulation Ea 15 Min (97032) range across 7 matching MRF lines |
$38–$58.40 | $95–$146 | varies |
| Electrocardiogram Tracing (93005) range across 5 matching MRF lines |
$58–$110.80 | $145–$277 | varies |
| Emergency Dept Visit Level 2 (99282) | $151.60 | $379 | 1.0× |
| Emergency Dept Visit Level 3 (99283) | $198 | $495 | 0.7× |
| Emergency Dept Visit Level 4 (99284) | $324.80 | $812 | 0.8× |
| Er level 1 (99281) | $93.20 | $233 | 1.1× |
| Er level v (99285) | $464 | $1,160 | 0.8× |
| Extracranial Bilat Study (93880) | $449.60 | $1,124 | 1.9× |
| Immunization administration (90471) range across 6 matching MRF lines |
$4.40–$63.20 | $11–$158 | varies |
| Irrig Drug Delivery Device (96523) | $81.60 | $204 | 1.4× |
| IV infusion hydration each additional hour (96361) | $54 | $135 | 1.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $191.60 | $479 | 0.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $116.80 | $292 | 1.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $58.40 | $146 | 1.2× |
| IV push initial (96374) | $191.60 | $479 | 0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $18.80 | $47 | 0.5× |
| Motion Fluoroscopy/Swallow (92611) range across 3 matching MRF lines |
$72.80–$76.40 | $182–$191 | varies |
| Neuromuscular Reeducation (97112) range across 8 matching MRF lines |
$39.60–$50.40 | $99–$126 | varies |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$50.80–$54 | $127–$135 | varies |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$104.40–$111.20 | $261–$278 | varies |
| Ot Eval Moderate Complexity (97166) range across 3 matching MRF lines |
$111.20–$112.80 | $278–$282 | varies |
| Ot manual therapy 15 min (97140) range across 8 matching MRF lines |
$62.80–$74 | $157–$185 | varies |
| Phlebotomy therapeutic (99195) | $116.40 | $291 | 0.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $1,353.60 | $3,384 | 1.6× |
| Pt Eval High Complex (97163) range across 3 matching MRF lines |
$114.40–$121.20 | $286–$303 | varies |
| Pt eval low complex 20 min (97161) range across 3 matching MRF lines |
$114.40–$121.20 | $286–$303 | varies |
| Pt Eval Mod Complex (97162) range across 3 matching MRF lines |
$114.40–$121.20 | $286–$303 | varies |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$19.20–$20 | $48–$50 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$69.20–$73.20 | $173–$183 | varies |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$34.80–$37.20 | $87–$93 | varies |
| Speech sound lang comprehen (92523) range across 3 matching MRF lines |
$109.60–$116.40 | $274–$291 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 4 matching MRF lines |
$39.60–$42.40 | $99–$106 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$10–$70.40 | $25–$176 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$231.60–$232 | $579–$580 | varies |
| Therapeutic Activities (97530) range across 8 matching MRF lines |
$26.80–$34 | $67–$85 | varies |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$501.20–$501.60 | $1,253–$1,254 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$54.80–$58.40 | $137–$146 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$58.40–$191.60 | $146–$479 | 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.