Visits & medical services prices at Mid Coast Medical Center - Central

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $329 $329 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $408 $408 1.1×
Cardiac Stress Tst,Tracing Only (93017) $936 $936 4.3×
Cardiopulmonary exercise testing (94621) $537 $537 1.4×
Cardiopulmonary resuscitation (92950) $654.50 $654.50 3.0×
Cardioversion (92960) $656 $656 1.0×
Cbt 1st hour (94644) $323 $323 2.4×
Color/duplex Doppler, complete (93975) $798 $798 3.3×
Cpap initiation and management (94660) $196.50 $196.50 0.9×
Cpt initial (94667) $183 $183 1.4×
Critical care (99291) $2,546.50 $2,546.50 3.1×
Debridement Open Wound 20 Sq Cm< (97597) $101.50 $101.50 0.5×
Demo &/or eval,pt use,aerosol device (94664) $196 $196 0.9×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $1,096 $1,096 2.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $507 $507 2.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $641 $641 2.7×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $394 $394 3.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $626 $626 2.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $378 $378 3.6×
Dup-scan xtr veins unilateral/limited study (93971) $471 $471 4.5×
Duplex scan extracranial art compl bi study (93880) $579 $579 2.4×
Echo Heart Xthoracic,Limited (93308) $1,114 $1,114 4.6×
Echo transesophageal (93312) $2,750 $2,750 5.0×
EEG awake drowsy (95816) $788 $788 3.6×
EKG (93005) $296 $296 5.0×
EKG rhythm strip (93041) $96 $96 1.6×
Er level 1 (99281) $271 $271 3.2×
Er level ii (99282) $501 $501 3.2×
Er level iii (99283) $883 $883 3.2×
Er level IV (99284) $1,486 $1,486 3.5×
Er level v (99285) $2,193 $2,193 3.7×
Exercise tst brncspsm (94617) $347 $347 2.6×
External Ecg Scanning Analysis Report (93226) $198 $198 3.3×
Flow volume loop (94375) $544 $544 2.5×
Hemodialysis (90935) $1,522 $1,522 2.2×
Holter Monitor Recording (93225) $903 $903 6.8×
Immunization Admin (90471) $211 $211 2.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $230 $230 3.9×
IV infusion hydration each additional hour (96361) $114 $114 2.4×
IV infusion hydration initial 31 min-1 hour (96360) $358.50 $358.50 1.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $139 $139 1.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $556 $556 2.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $129 $129 2.7×
IV push initial (96374) $176 $176 0.8×
Massage 15 min (97124) $91.50 $91.50 3.1×
Maximum voluntary ventilation (94200) $128 $128 2.2×
Measurement of heart blood flow and respiration (93701) $784 $784 5.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $81 $81 2.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $81 $81 2.2×
Methacholine challenge (94070) $536 $536 1.4×
Mnt Group Ea 30 Min (97804) $46 $46 2.7×
Nitric oxide expired gas determination (95012) $107 $107 2.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $231 $231 1.7×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $729 $729 3.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $169 $169 1.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $391 $391 3.0×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $363 $363 2.8×
Plethysmography (94726) $825 $825 2.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,990 $3,990 4.6×
Psych diag eval w/med srvcs (90792) $406 $406 2.3×
Psychiatric diagnostic evaluation (90791) $272 $272 1.5×
Pt Electrical Stimulation (97032) $209 $209 14.2×
Pt eval low complex 20 min (97161) $217 $217 2.2×
Pt Gait Training Therapy (97116) $123 $123 4.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $429 $429 4.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $100 $100 3.1×
Pt Ultrasound Therapy (97035) $79 $79 5.5×
Pulm Funct Test Oscillometry (94728) $691 $691 5.3×
Pulm function test by gas (94727) $195 $195 0.9×
Pulmonary stress testing (94618) $330 $330 2.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $198 $198 5.3×
Rt Chest Wall Manipulation,Subsequent (94668) $100 $100 0.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $3,805 $3,805 17.5×
Smoking cessation > 10 min (99407) $53 $53 1.4×
Spirometry (94010) $395 $395 1.8×
Temp transcutaneous pacing (92953) $132.50 $132.50 0.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $80 $80 3.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $75 $75 3.6×
Ther/Proph/Diag Inj Sc/Im (96372) $209 $209 2.9×
Therapeutic Activities (97530) $145 $145 4.1×
Therapeutic phlebotomy (99195) $197 $197 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $100 $100 2.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,151 $2,151 3.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $130 $130 2.8×
Unlisted Cardiovascular Service/Procedure (93799) $186 $186 1.4×
Unlisted noninvasive vascular diagnostic study (93998) $130 $130 4.5×
Vasc Duplex Extrem Venous,Bilat (93970) $693 $693 2.9×
Vasc Duplex Scan Extracranial,Limited (93882) $553 $553 5.3×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $429.50 $429.50 2.0×
Ventilation assist & mgmt inpatient 1st day (94002) $982 $982 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $982 $982 1.6×
Wheelchair Mgmt Ea 15 Min (97542) $110 $110 3.5×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $330 $330 3.5×