Visits & medical services prices at Memorial Medical Center
Port Lavaca, TX · every code in this section with a posted price and a Medicare benchmark.
146 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 |
$35.70–$329 | $51–$470 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $63.70 | $91 | 4.4× |
| Application Modality 1/> Areas Diathermy (97024) | $21 | $30 | 2.9× |
| Application Modality 1/> Areas Infrared (97026) | $21.70 | $31 | 3.2× |
| Assessment of aphasia per hr (96105) | $366.10 | $523 | 3.8× |
| Behavral qualit analys voice (92524) | $186.90 | $267 | 1.7× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $97.30 | $139 | 1.2× |
| Bfb training ea addl 15 min (90913) | $77.70 | $111 | 2.4× |
| Brief Emotional/Behav Assmt (96127) | $68.60 | $98 | 1.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $466.20 | $666 | 1.2× |
| Canalith repositioning proc (95992) | $130.90 | $187 | 3.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $784.70 | $1,121 | 3.6× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$481.60–$1,075.90 | $688–$1,537 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$388.50–$1,145.20 | $555–$1,636 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $124.60 | $178 | 1.7× |
| Chemo IV infusion addl hr (96415) | $196 | $280 | 2.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $627.20 | $896 | 1.9× |
| Chest Wall Manipulation (94668) | $96.60 | $138 | 0.7× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $682.50 | $975 | 1.8× |
| Continuous Pulse Ox (94762) | $464.80 | $664 | 3.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $444.50 | $635 | 2.0× |
| Cpt initial (94667) | $146.30 | $209 | 1.1× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$840–$1,817.90 | $1,200–$2,597 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$43.40–$455 | $62–$650 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $224.70 | $321 | 0.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $598.50 | $855 | 2.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $412.30 | $589 | 3.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $914.90 | $1,307 | 3.8× |
| Dup-scan xtr veins unilateral/limited study (93971) | $651.70 | $931 | 6.2× |
| Duplex Scan Hemodialysis Access (93990) | $732.20 | $1,046 | 7.0× |
| Duplex up extrem art bilat (93930) | $590.10 | $843 | 2.5× |
| Duplex up extrem art unilat/ltd (93931) | $387.10 | $553 | 3.7× |
| EEG awake and asleep (95819) | $863.10 | $1,233 | 4.0× |
| EEG cerebral death evaluation (95824) | $665.70 | $951 | 1.8× |
| EKG signal averaged (93278) | $193.90 | $277 | 3.3× |
| Electrical Stimulation Ea 15 Min (97032) | $98.70 | $141 | 6.7× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$191.80–$206.50 | $274–$295 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$105.90–$156.80 | $151.29–$224 | varies |
| Emergency Dept Visit Level 3 (99283) | $280 | $400 | 1.0× |
| Emergency Dept Visit Level 4 (99284) | $420 | $600 | 1.0× |
| Er level 1 (99281) | $105.70 | $151 | 1.2× |
| Er level v (99285) | $630 | $900 | 1.1× |
| Evaluate pt use of inhaler (94664) | $329 | $470 | 1.5× |
| Evaluate Speech Production (92522) | $315 | $450 | 2.8× |
| Evaluate Swallowing Function (92610) | $368.90 | $527 | 4.3× |
| Evaluation of speech fluency (92521) | $377.30 | $539 | 2.8× |
| Evoked Auditory Test,Limited (92587) | $224.70 | $321 | 1.0× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $446.60 | $638 | 2.2× |
| External ECG rec>48hr<7d recording (93242) | $583.10 | $833 | 15.5× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $592.90 | $847 | 4.4× |
| External ECG rec>7d<15d recording (93246) | $583.10 | $833 | 15.5× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $485.80 | $694 | 3.6× |
| External Ecg Scanning Analysis Report (93226) | $396.20 | $566 | 6.7× |
| Extracranial Bilat Study (93880) | $791 | $1,130 | 3.3× |
| Extracranial Uni/Ltd Study (93882) | $550.20 | $786 | 5.2× |
| Flexible endoscopic eval swallow c/v rec (92612) | $171.50 | $245 | 0.9× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $382.90 | $547 | 1.0× |
| Group Therapeutic Procedures (97150) range across 3 matching MRF lines |
$49–$84.70 | $70–$121 | varies |
| Holter monitor recording (93225) | $583.10 | $833 | 4.4× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$18.90–$48.30 | $27–$69 | varies |
| Immunization administration (90471) range across 3 matching MRF lines |
$15.44–$52.50 | $22.06–$75 | varies |
| Inital newborn e/m (99460) range across 2 matching MRF lines |
$90.30–$328.30 | $129–$469 | varies |
| Intracutaneous tests w/allergenic extracts (95024) | $42.70 | $61 | 0.7× |
| Iontophoresis 15 min (97033) | $101.50 | $145 | 5.3× |
| Irrig Drug Delivery Device (96523) | $143.50 | $205 | 2.4× |
| IV infusion hydration each additional hour (96361) | $107.10 | $153 | 2.3× |
| IV infusion hydration initial 31 min-1 hour (96360) | $319.90 | $457 | 1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $149.10 | $213 | 2.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $102.90 | $147 | 2.2× |
| IV push initial (96374) range across 2 matching MRF lines |
$222.60–$280 | $318–$400 | varies |
| Laryngeal Function Studies (92520) | $200.20 | $286 | 1.5× |
| Mechanical chest wall oscillation per session (94669) | $322 | $460 | 1.5× |
| Motion Fluoroscopy/Swallow (92611) | $380.80 | $544 | 4.2× |
| Multiple Sleep Latency Test (95805) | $1,170.40 | $1,672 | 1.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$29.40–$407.40 | $42–$582 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$32.20–$689.50 | $46–$985 | varies |
| Neurobehavioral Status Exam (96116) | $337.40 | $482 | 1.6× |
| Neuromuscular Reeducation (97112) | $114.10 | $163 | 3.5× |
| Oral Function Therapy (92526) | $337.40 | $482 | 4.0× |
| Oral Speech Device Eval (92597) | $247.10 | $353 | 3.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $207.90 | $297 | 4.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $76.30 | $109 | 5.4× |
| Ot eval high complexity (97167) | $334.60 | $478 | 3.3× |
| Ot Eval Low Complex (97165) | $275.10 | $393 | 2.7× |
| Ot Eval Moderate Complexity (97166) | $308 | $440 | 3.1× |
| Ot manual therapy 15 min (97140) | $100.80 | $144 | 3.6× |
| Ot paraffin bath (97018) | $53.20 | $76 | 8.9× |
| Ot Prosthetic Training, Each 15 Min (97761) | $99.40 | $142 | 2.5× |
| Ot Re-Eval Est Plan Care (97168) | $186.90 | $267 | 2.7× |
| Ot rom hand (95852) | $50.40 | $72 | 2.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $357 | $510 | 2.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $357 | $510 | 2.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $158.20 | $226 | 0.7× |
| Percutaneous tests w/allergenic extracts (95004) | $718.20 | $1,026 | 0.8× |
| Phlebotomy therapeutic (99195) | $199.50 | $285 | 1.5× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $410.90 | $587 | 6.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $410.90 | $587 | 6.9× |
| Physical Performance Test (97750) | $105 | $150 | 3.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,804.90 | $4,007 | 3.3× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $34.30 | $49 | 0.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$17.50–$34.65 | $25–$49.50 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$26.60–$39.90 | $38–$57 | varies |
| Psych diag eval w/med srvcs (90792) | $243.60 | $348 | 1.4× |
| Psychiatric diagnostic evaluation (90791) | $273 | $390 | 1.5× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $122.50 | $175 | 3.2× |
| Pt Eval High Complex (97163) | $291.20 | $416 | 3.0× |
| Pt eval low complex 20 min (97161) | $238 | $340 | 2.4× |
| Pt Eval Mod Complex (97162) | $267.40 | $382 | 2.7× |
| Pt gait training 15 min (97116) | $95.90 | $137 | 3.3× |
| Pt mechanical traction (97012) | $84.70 | $121 | 5.9× |
| Pt Re-Eval Est Plan Care (97164) | $142.10 | $203 | 2.1× |
| Pt ultraviolet (97028) | $17.50 | $25 | 2.1× |
| Pulm function test by gas (94727) | $336 | $480 | 1.5× |
| Pulmonary Stress Testing (94618) | $179.20 | $256 | 1.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $241.50 | $345 | 6.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $121.10 | $173 | 2.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $230.30 | $329 | 1.1× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $49.70 | $71 | 1.9× |
| Same day nb discharge (99463) range across 2 matching MRF lines |
$100.10–$179.90 | $143–$257 | varies |
| Self Care Mngment Training (97535) | $120.40 | $172 | 3.7× |
| Sensory Integration Ea 15 Min (97533) | $98.70 | $141 | 1.6× |
| Speech sound lang comprehen (92523) | $448 | $640 | 2.0× |
| Spirometry (94010) | $343.70 | $491 | 1.6× |
| Standardized Cognitive Performance Testing (96125) | $296.80 | $424 | 2.9× |
| Temp transcutaneous pacing (92953) | $1,746.50 | $2,495 | 2.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $62.30 | $89 | 2.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $54.60 | $78 | 2.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $99.40 | $142 | 3.3× |
| Ther/Proph/Diag Inj Ia (96373) | $154 | $220 | 0.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$15.44–$131.60 | $22.06–$188 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $396.20 | $566 | 1.9× |
| Therapeutic Activities (97530) | $117.60 | $168 | 3.4× |
| Trans Care Mgmt 14 Day Disch (99495) | $276.50 | $395 | 2.1× |
| Trans Care Mgmt 7 Day Disch (99496) | $375.90 | $537 | 2.8× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$70–$1,803.90 | $100–$2,577 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $334.60 | $478 | 4.4× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $81.90 | $117 | 3.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $113.40 | $162 | 2.4× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$243.60–$989.10 | $348–$1,413 | varies |
| Unlisted Psychiatric Service/Procedure (90899) range across 2 matching MRF lines |
$107.10–$237.30 | $153–$339 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$95.90–$343 | $137–$490 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $611.80 | $874 | 2.8× |
| Vent Mgmt Inpat Init Day (94002) | $1,172.50 | $1,675 | 1.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $940.80 | $1,344 | 1.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $104.30 | $149 | 3.4× |
| Whirlpool Therapy (97022) | $101.50 | $145 | 6.5× |
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.