Visits & medical services prices at Methodist Hospital | Atascosa

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

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $26,145.99 $26,145.99 3.3×
Administration of prolonged chemotherapy into artery (96425) $4,848.48 $4,848.48 14.6×
Airway inhalation treatment (94640) $1,073.98 $1,073.98 4.9×
Application of heat wave therapy (97024) $378.97 $378.97 51.6×
Arrhythmia induction (93618) $3,475.67 $3,475.67 2.8×
Assessment of aphasia (96105) $1,078.54 $1,078.54 11.1×
Behavioral and qualitative analysis of voice and resonance (92524) $1,023.45 $1,023.45 9.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $2,356.67 $2,356.67 6.3×
Bundle of his recording (93600) $25,360.07 $25,360.07 3.2×
Canalith Repositioning (95992) $544.29 $544.29 13.4×
Car seat/bed test 60 min (94780) $168.54 $168.54 4.5×
Cardiac Stress Tst,Tracing Only (93017) $4,044.26 $4,044.26 18.6×
Cardiopulmonary exercise testing (94621) $3,310.77 $3,310.77 8.8×
Cardioversion (92960) $2,234.21 $2,234.21 3.4×
Cardioversion internal (92961) $3,402.60 $3,402.60 5.1×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $46,684.57 $46,684.57 14.3×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $67,519 $67,519 20.7×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $25,873.28 $25,873.28 1.4×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $50,956.97 $50,956.97 15.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $45,738.11 $45,738.11 14.0×
Cbt 1st hour (94644) $926.90 $926.90 6.9×
Chemo inj subarach/intravent (96542) $731.75 $731.75 2.2×
Chemo IV push addl drug (96411) $1,716.87 $1,716.87 23.7×
Chemo Iv Push Sngl Drug (96409) $1,716.87 $1,716.87 5.2×
Chemo prolong 8+ hrs infuse w/pump (96416) $5,405.58 $5,405.58 16.3×
Chemother, IV infusion, 1 hr (96413) $1,839.62 $1,839.62 5.5×
Chemother, IV infusion, ea add hr (96415) $819.89 $819.89 11.3×
Chemother,ia infusn tech,<1 hr (96422) $1,680.68 $1,680.68 5.1×
Chemother,Ia Push Technique (96420) $747.49 $747.49 2.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $348.82 $348.82 4.8×
Chemotherapy admn intraarterial infusion ea hr (96423) $747.49 $747.49 15.9×
Chemotx Admn Cns Req Spinal Puncture (96450) $1,565.81 $1,565.81 4.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $819.89 $819.89 11.3×
Color/duplex Doppler, complete (93975) $3,308.05 $3,308.05 13.8×
Color/duplex Doppler, limited (93976) $2,191.20 $2,191.20 20.9×
Coronary artery angio s&i (93454) $41,463.91 $41,463.91 12.7×
Cortical mapping 1st hr (95961) $2,156.48 $2,156.48 2.5×
Cpap initiation and management (94660) $3,115.18 $3,115.18 14.2×
Cpt initial (94667) $723.38 $723.38 5.4×
Critical care (99291) $5,526.91 $5,526.91 6.7×
Debridement Open Wound 20 Sq Cm< (97597) $1,731.10 $1,731.10 8.6×
Demo &/or eval,pt use,aerosol device (94664) $1,034.15 $1,034.15 4.7×
Developmental tst admin phys/qhp 1st hour (96112) $1,200.23 $1,200.23 9.3×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $2,174.52 $2,174.52 5.2×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,933.84 $1,933.84 8.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,539.38 $1,539.38 14.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $3,753.81 $3,753.81 15.7×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $2,539.97 $2,539.97 24.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $5,447.84 $5,447.84 22.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $2,539.97 $2,539.97 24.2×
Dup-scan xtr veins unilateral/limited study (93971) $4,476.24 $4,476.24 42.6×
Duplex hemodialysis access (93990) $2,283.42 $2,283.42 21.7×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $2,312.75 $2,312.75 9.6×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $1,778.93 $1,778.93 16.9×
Duplex scan extracranial art compl bi study (93880) $7,915.74 $7,915.74 33.0×
Echo Heart Xthoracic,Limited (93308) $1,981.13 $1,981.13 8.3×
Echo transesophageal (93312) $5,826.66 $5,826.66 10.6×
Echo Transesophageal - Congenital Tee Complete (93315) $7,810.47 $7,810.47 14.2×
Echo Transthoracic - Congenital Tte Complete (93303) $5,978.16 $5,978.16 10.9×
Echo Transthoracic - Congenital Tte Limited (93304) $2,071.14 $2,071.14 3.8×
EEG awake asleep (95819) $3,056.86 $3,056.86 14.1×
EEG awake drowsy (95816) $2,985.78 $2,985.78 13.8×
EEG cerebral death evaluation (95824) $6,082.60 $6,082.60 16.2×
EEG coma or sleep only (95822) $3,668.84 $3,668.84 16.9×
EEG cont rec w/video by tech min 8 channels (95700) $1,264.13 $1,264.13 5.8×
Eeg Extended Monitoring 61-119 Minutes (95813) $6,562.70 $6,562.70 30.3×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $2,844.28 $2,844.28 13.1×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $5,688.56 $5,688.56 15.2×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $3,792.38 $3,792.38 17.5×
EKG (93005) $945.08 $945.08 15.9×
EKG rhythm strip (93041) $945.08 $945.08 15.9×
Ekg Signal Averaging (93278) $1,869.91 $1,869.91 31.6×
Electrocardiogram (ECG) assessment of irregular heart beats (93025) $1,851.91 $1,851.91 14.3×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $4,485.18 $4,485.18 20.7×
EMG cranial nerve bilat (95868) $1,374.20 $1,374.20 6.3×
EMG four extremities (95864) $2,225.67 $2,225.67 17.2×
EMG one extremity (95860) $1,985.14 $1,985.14 14.9×
EMG three extremities (95863) $2,608.92 $2,608.92 20.2×
EMG two extremities (95861) $2,410.07 $2,410.07 18.0×
Endomyocardial biopsy (93505) $16,549.57 $16,549.57 5.2×
Ep & ablate supravent arrhyt (93653) $104,372.79 $104,372.79 4.0×
Ep & ablate ventric tachy (93654) $104,372.79 $104,372.79 4.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $24,115.85 $24,115.85 3.1×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $24,115.85 $24,115.85 3.1×
Ep Electrophysiologic F/U Study (93624) $25,360.07 $25,360.07 3.2×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $3,899.88 $3,899.88 3.2×
Ep Esophageal Recording Atria+Pacing (93616) $3,475.67 $3,475.67 2.8×
Ep Right Ventricular Recording (93603) $3,475.67 $3,475.67 2.8×
Er level 1 (99281) $664.63 $664.63 7.8×
Er level ii (99282) $1,181.01 $1,181.01 7.7×
Er level iii (99283) $2,623.53 $2,623.53 9.6×
Er level IV (99284) $3,727.92 $3,727.92 8.9×
Er level v (99285) $4,607.43 $4,607.43 7.7×
Ergonovine provocation test (93024) $677.33 $677.33 1.5×
Esophageal recording (93615) $3,475.67 $3,475.67 2.8×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $673.60 $673.60 9.5×
Evaluation of speech fluency (92521) $995.02 $995.02 7.5×
Evaluation of speech sound production (92522) $995.02 $995.02 8.9×
Evaluation of swallowing function (92610) $864 $864 10.2×
Evaluation with prescription of speech-generating alternative (92607) $1,552.72 $1,552.72 12.7×
Evoked auditory test,limited (92587) $343.27 $343.27 1.6×
Exercise tst brncspsm (94617) $453.09 $453.09 3.4×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $1,439.18 $1,439.18 7.2×
Flow volume loop (94375) $507.20 $507.20 2.3×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $908.70 $908.70 2.4×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $1,054.97 $1,054.97 4.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,161.38 $2,161.38 2.5×
Group Therapeutic Procedures (97150) $985.47 $985.47 54.6×
Hemodialysis (90935) $2,750.84 $2,750.84 4.0×
Holter Monitor Recording (93225) $3,554.56 $3,554.56 26.6×
Ilr Device Eval Progr (93285) $2,918.46 $2,918.46 77.8×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $131.85 $131.85 3.2×
Immunization Admin (90471) $316.20 $316.20 4.4×
Injection intra arterial (96373) $634.42 $634.42 3.0×
Ins swan ganz bedside (93503) $6,733.89 $6,733.89 4.3×
Intra Atrial Recording (93602) $25,360.07 $25,360.07 3.2×
Intra-atrial pacing (93610) $25,360.07 $25,360.07 3.2×
Intraventricular pacing (93612) $25,360.07 $25,360.07 3.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $309.12 $309.12 5.2×
IV infusion hydration each additional hour (96361) $1,761.16 $1,761.16 37.4×
IV infusion hydration initial 31 min-1 hour (96360) $1,786.32 $1,786.32 8.4×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $2,224.32 $2,224.32 30.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $1,783.06 $1,783.06 8.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $723.69 $723.69 15.4×
IV push initial (96374) $611.44 $611.44 2.9×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $36,532.55 $36,532.55 11.2×
Maintenance of spinal canal or brain drug infusion pump (95990) $1,204.49 $1,204.49 3.6×
Manual therapy 15 min (97140) $530.92 $530.92 19.2×
Massage 15 min (97124) $412.39 $412.39 13.9×
Maximum voluntary ventilation (94200) $504.13 $504.13 8.5×
Measurement of heart blood flow and respiration (93701) $1,914.30 $1,914.30 14.3×
Mechanical chest wall oscillation (94669) $1,073.98 $1,073.98 4.9×
Mechanical traction (97012) $332.25 $332.25 23.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $24.15 $24.15 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $48.31 $48.31 1.3×
Methacholine challenge (94070) $2,644.28 $2,644.28 7.1×
Mnt Group Ea 30 Min (97804) $24.15 $24.15 1.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $1,520.99 $1,520.99 16.6×
Multiple sleep latency test (95805) $8,485.78 $8,485.78 9.8×
Neg press wnd tx </=50 sq cm (97607) $6,340.10 $6,340.10 15.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $4,434.28 $4,434.28 22.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $8,879.92 $8,879.92 21.7×
Nerve conduction studies 13/> studies (95913) $1,393.46 $1,393.46 3.7×
Nerve Conduction Studies 3-4 Studies (95908) $1,393.46 $1,393.46 6.4×
Nerve Conduction Studies 9-10 Studies (95911) $1,393.46 $1,393.46 3.7×
Nerve conduction studies; 1-2 studies (95907) $1,393.46 $1,393.46 6.4×
Nerve conduction studies; 11-12 studies (95912) $1,393.46 $1,393.46 3.7×
Nerve conduction studies; 5-6 studies (95909) $1,393.46 $1,393.46 6.4×
Nerve conduction studies; 7-8 studies (95910) $1,393.46 $1,393.46 3.7×
Neurobehavioral Status Exam (96116) $1,085.84 $1,085.84 5.0×
Newborn resuscitation (99465) $1,777.24 $1,777.24 2.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $976.04 $976.04 7.3×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $3,336.10 $3,336.10 15.4×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $381.50 $381.50 8.3×
Ot Contrast Bath Ea 15 Min (97034) $320.57 $320.57 22.8×
Ot eval high complex 60 min (97167) $682.84 $682.84 6.8×
Ot eval low complex 30 min (97165) $682.84 $682.84 6.8×
Ot eval mod complex 45 min (97166) $682.84 $682.84 6.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $347.27 $347.27 6.9×
Ot Prosthetic Training, Each 15 Min (97761) $375.65 $375.65 9.3×
Ot re-eval est plan care (97168) $308.87 $308.87 4.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $562.80 $562.80 4.3×
Paraffin bath (97018) $338.09 $338.09 56.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $850.33 $850.33 3.9×
Perq transcath closure pda (93582) $90,620.66 $90,620.66 4.9×
Phy/qhp op pulm rhb w/mntr (94626) $1,219.79 $1,219.79 20.6×
Phy/qhp op pulm rhb w/o mntr (94625) $1,099.02 $1,099.02 18.5×
Plethysmography (94726) $1,045.35 $1,045.35 2.8×
Pm device eval in person (93288) $2,591.96 $2,591.96 69.1×
Pm device progr eval sngl (93279) $2,920.14 $2,920.14 77.9×
Pm/Icd Remote Tech Serv (93296) $2,591.96 $2,591.96 69.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $21,323.48 $21,323.48 24.7×
Polysom <6 yrs 4/> paramtrs (95782) $10,189.20 $10,189.20 11.8×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $299.44 $299.44 8.0×
Prq balloon valvuloplasty aortic valve (92986) $18,636.74 $18,636.74 3.3×
Prq Balloon Valvuloplasty Mitral Valve (92987) $18,636.74 $18,636.74 1.6×
Prq card revasc chronic 1vsl (92943) $57,218.56 $57,218.56 4.9×
Prq Card Stent W/Angio 1 Vsl (92928) $15,973.86 $15,973.86 1.4×
Prq Card Stent/Ath/Angio (92933) $57,218.56 $57,218.56 3.1×
Prq revasc byp graft 1 vsl (92937) $61,007.99 $61,007.99 5.3×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $23,846.70 $23,846.70 1.3×
Prq tcat plmt ntrac st 2+les (92930) $25,152.75 $25,152.75 1.4×
Prq trluml coronary angio/atherect one art/brnch (92924) $45,119.61 $45,119.61 3.9×
Prq trluml coronary angioplasty one art/branch (92920) $15,973.86 $15,973.86 2.8×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $13,569.38 $13,569.38 1.2×
Psytx crisis initial 60 min (90839) $794.67 $794.67 4.5×
Pt Aquatic Therapy/Exercises (97113) $564.33 $564.33 15.2×
Pt Electric Current Therapy (97033) $473.32 $473.32 24.9×
Pt Electrical Stimulation (97032) $412.39 $412.39 28.1×
Pt eval high complex 45 min (97163) $682.84 $682.84 7.0×
Pt eval low complex 20 min (97161) $682.84 $682.84 7.0×
Pt Gait Training Therapy (97116) $297.17 $297.17 10.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $544.29 $544.29 16.6×
Pt Physical Performance Test (97750) $490.86 $490.86 14.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $682.84 $682.84 7.0×
Pt re-evaluation (97164) $308.87 $308.87 4.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $378.97 $378.97 11.7×
Pt Ultrasound Therapy (97035) $392.36 $392.36 27.3×
Pulm Funct Test Oscillometry (94728) $826.14 $826.14 6.4×
Pulm function test by gas (94727) $1,045.35 $1,045.35 4.8×
Pulmonary stress testing (94618) $436.30 $436.30 3.3×
R & l hrt cath w/njx l ventriculog img s&i (93453) $39,455.15 $39,455.15 12.1×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $45,738.11 $45,738.11 14.0×
R hrt art/grft angio (93457) $72,737.85 $72,737.85 22.3×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $39,428.41 $39,428.41 12.1×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $36,532.55 $36,532.55 11.2×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $50,956.97 $50,956.97 15.6×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $45,245.96 $45,245.96 13.9×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $42,350.10 $42,350.10 13.0×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $1,325.27 $1,325.27 4.3×
Right heart cath (93451) $38,154.01 $38,154.01 11.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $4,541.74 $4,541.74 22.5×
Rt Chest Wall Manipulation,Subsequent (94668) $445.31 $445.31 3.3×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $544.29 $544.29 11.4×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $2,341.72 $2,341.72 6.2×
Sensory Integration Ea 15 Min (97533) $355.61 $355.61 5.8×
Short-latency somatosens ep std lwr limbs (95926) $2,187.19 $2,187.19 10.1×
Short-latency somatosens ep std upr limbs (95925) $4,169.13 $4,169.13 19.2×
Sleep study attended (95807) $12,302.04 $12,302.04 32.8×
Sleep study unattended (95806) $3,013.27 $3,013.27 13.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $3,013.27 $3,013.27 13.9×
Somatosensory testing (95938) $3,976.70 $3,976.70 4.6×
Speech group therapy (92508) $785.54 $785.54 32.7×
Speech sound lang comprehen (92523) $995.02 $995.02 4.4×
Spirometry (94010) $1,080.91 $1,080.91 5.0×
Standardized Cognitive Performance Testing (96125) $1,023.45 $1,023.45 9.9×
Stress echo (93350) $6,348.90 $6,348.90 11.6×
Surfactant Admin Thru Tube (94610) $2,021.05 $2,021.05 9.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $378.97 $378.97 16.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $378.97 $378.97 18.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $544.29 $544.29 5.3×
Ther/Proph/Diag Inj Sc/Im (96372) $385.49 $385.49 5.3×
Therapeutic Activities (97530) $530.92 $530.92 15.1×
Therapeutic phlebotomy (99195) $534.15 $534.15 4.0×
Tilt Table Eval (93660) $9,200.73 $9,200.73 24.5×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $4,066.50 $4,066.50 17.0×
Transcranial Doppler Limited (93888) $1,126.04 $1,126.04 10.7×
Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only Age Under 21 (93316) $3,910.58 $3,910.58 7.1×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $9,694.29 $9,694.29 17.7×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $4,826.72 $4,826.72 20.1×
Tx atrial fib pulm vein isol (93656) $111,280.52 $111,280.52 4.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $1,524.31 $1,524.31 20.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $651.13 $651.13 7.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $610.98 $610.98 13.0×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $8,544.81 $8,544.81 15.6×
Unlisted Cardiovascular Service/Procedure (93799) $17,176.97 $17,176.97 132.9×
Unlisted noninvasive vascular diagnostic study (93998) $386.44 $386.44 13.3×
Valvuloplasty pulmonary valve (92990) $18,636.74 $18,636.74 1.6×
Vasc Duplex Extrem Venous,Bilat (93970) $3,807.44 $3,807.44 15.9×
Vasc Duplex Scan Extracranial,Limited (93882) $4,756.01 $4,756.01 45.3×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,374.20 $1,374.20 6.3×
Veeg Ea 12-26 Hr Unmntr (95714) $11,819.59 $11,819.59 31.5×
Ventilation assist & mgmt inpatient 1st day (94002) $12,442.55 $12,442.55 20.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $12,442.55 $12,442.55 20.0×
Visual Evoked Potential Test (95930) $3,133.26 $3,133.26 14.4×
Vital capacity total (94150) $344.84 $344.84 2.7×
Wada Activation Test Hemispheric Function W/Eeg (95958) $2,183.24 $2,183.24 2.5×
Wheelchair Mgmt Ea 15 Min (97542) $349.78 $349.78 11.3×