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 →

ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $192 $480 0.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $264.80 $662 0.7×
Cardiopulmonary resuscitation (92950) $466.80 $1,167 2.2×
Chronic care mgmt svcs staff 1st 20 min cal mo (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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $216.40 $541 0.9×
Dup-scan xtr veins unilateral/limited study (93971) $748.80 $1,872 7.1×
Duplex scan extracranial art compl bi study (93880) $449.60 $1,124 1.9×
Echo Heart Xthoracic,Limited (93308) $242.80 $607 1.0×
EKG (93005) $110.80 $277 1.9×
Er level 1 (99281) $93.20 $233 1.1×
Er level ii (99282) $151.60 $379 1.0×
Er level iii (99283) $198 $495 0.7×
Er level IV (99284) $324.80 $812 0.8×
Er level v (99285) $464 $1,160 0.8×
Immunization Admin (90471) $7.60 $19 0.1×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $116.80 $292 1.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $232 $580 1.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $58.40 $146 1.2×
IV push initial (96374) $191.60 $479 0.9×
Manual therapy 15 min (97140) $70 $175 2.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $18.80 $47 0.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $76.40 $191 0.8×
Ot eval low complex 30 min (97165) $111.20 $278 1.1×
Ot eval mod complex 45 min (97166) $111.20 $278 1.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,353.60 $3,384 1.6×
Pt Aquatic Therapy/Exercises (97113) $42.40 $106 1.1×
Pt Electrical Stimulation (97032) $40.40 $101 2.7×
Pt eval high complex 45 min (97163) $121.20 $303 1.2×
Pt eval low complex 20 min (97161) $121.20 $303 1.2×
Pt Gait Training Therapy (97116) $20 $50 0.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $45 $112.50 1.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $121.20 $303 1.2×
Pt re-evaluation (97164) $73.20 $183 1.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $36.60 $91.50 1.1×
Pt Ultrasound Therapy (97035) $50 $125 3.5×
Speech sound lang comprehen (92523) $116.40 $291 0.5×
Ther/Proph/Diag Inj Sc/Im (96372) $20.60 $51.50 0.3×
Therapeutic Activities (97530) $30.60 $76.50 0.9×
Therapeutic phlebotomy (99195) $116.40 $291 0.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $501.40 $1,253.50 0.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $58.40 $146 0.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $54 $135 0.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $58.40 $146 1.2×
Vasc Duplex Extrem Venous,Bilat (93970) $677.20 $1,693 2.8×