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

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$219–$329 $219–$329 varies
Airway resistance by oscillometry (94728) $691 $691 5.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 4 matching MRF lines
$69–$79 $69–$79 varies
Assessment of aphasia per hr (96105) $212 $212 2.2×
Behavral qualit analys voice (92524) $436 $436 4.0×
Biofeedback training any modality (90901) $67 $67 1.6×
Bioimpedance Cv Analysis (93701) $784 $784 5.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $50 $50 0.1×
Cardiac Stress Tst,Tracing Only (93017) $936 $936 4.3×
Cardiopulmonary exercise testing (94621) $537 $537 1.4×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$631–$678 $631–$678 varies
Cardioversion (92960)
range across 2 matching MRF lines
$219–$1,093 $219–$1,093 varies
Cbt 1st hour (94644) $323 $323 2.4×
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$88–$112 $88–$112 varies
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$747–$849 $747–$849 varies
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 4 matching MRF lines
$30–$102 $30–$102 varies
Continuous Pulse Ox (94762) $169 $169 1.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$173–$220 $173–$220 varies
Cpt initial (94667)
range across 2 matching MRF lines
$146–$220 $146–$220 varies
Critical care first hour (99291)
range across 2 matching MRF lines
$2,167–$2,926 $2,167–$2,926 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$91–$112 $91–$112 varies
Dialysis One Evaluation (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)
range across 3 matching MRF lines
$334–$394 $334–$394 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $693 $693 2.9×
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines
$394–$471 $394–$471 varies
Duplex up extrem art bilat (93930) $626 $626 2.6×
Duplex up extrem art unilat/ltd (93931) $378 $378 3.6×
ECG/monitoring and analysis (93271) $330 $330 3.5×
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×
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines
$90–$209 $90–$209 varies
Electrocardiogram Tracing (93005) $296 $296 5.0×
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$165–$501 $165–$501 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$256–$883 $256–$883 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines
$377–$1,486 $377–$1,486 varies
Er level 1 (99281)
range across 3 matching MRF lines
$110–$271 $110–$271 varies
Er level v (99285)
range across 3 matching MRF lines
$576–$2,193 $576–$2,193 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$172–$220 $172–$220 varies
Evaluate Speech Production (92522) $263 $263 2.4×
Evaluate Swallowing Function (92610) $469 $469 5.5×
Evaluation of speech fluency (92521) $381 $381 2.9×
Exercise test for bronchospasm (94617) $347 $347 2.6×
External Ecg Scanning Analysis Report (93226) $198 $198 3.3×
Extracranial Bilat Study (93880) $579 $579 2.4×
Extracranial Uni/Ltd Study (93882) $553 $553 5.3×
Group Therapeutic Procedures (97150) $55 $55 3.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,522 $1,522 2.2×
Holter monitor recording (93225)
range across 3 matching MRF lines
$231–$1,218 $231–$1,218 varies
Immunization administration (90471) $211 $211 2.9×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$83–$150 $83–$150 varies
Irrig Drug Delivery Device (96523) $230 $230 3.9×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$96–$132 $96–$132 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$317–$400 $317–$400 varies
IV infusion ther proph addl sequential to 1 hr (96367) $139 $139 1.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $129 $129 2.7×
IV push initial (96374) $176 $176 0.8×
Lung Function Test (Mbc/Mvv) (94200) $128 $128 2.2×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines
$419–$440 $419–$440 varies
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×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $46 $46 2.7×
Methacholine challenge (94070) $536 $536 1.4×
Motion Fluoroscopy/Swallow (92611) $600 $600 6.6×
Neuromuscular Reeducation (97112) $156 $156 4.8×
Nitric oxide expired gas determination (95012) $107 $107 2.9×
Oral Function Therapy (92526) $178 $178 2.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $110 $110 2.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$122–$165 $122–$165 varies
Ot Contrast Bath Ea 15 Min (97034) $75 $75 5.3×
Ot eval high complexity (97167) $559 $559 5.6×
Ot Eval Low Complex (97165) $387 $387 3.8×
Ot Eval Moderate Complexity (97166) $474 $474 4.7×
Ot manual therapy 15 min (97140) $134 $134 4.8×
Ot paraffin bath (97018)
range across 2 matching MRF lines
$52–$69 $52–$69 varies
Ot Prosthetic Training, Each 15 Min (97761) $110 $110 2.7×
Ot Re-Eval Est Plan Care (97168) $260 $260 3.8×
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×
Phlebotomy therapeutic (99195) $197 $197 1.5×
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)
range across 2 matching MRF lines
$272–$540 $272–$540 varies
Psychiatric diagnostic evaluation (90791) $272 $272 1.5×
Pt Eval High Complex (97163) $453 $453 4.6×
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$72–$362 $72–$362 varies
Pt Eval Mod Complex (97162) $429 $429 4.4×
Pt gait training 15 min (97116) $123 $123 4.2×
Pt mechanical traction (97012)
range across 2 matching MRF lines
$88–$132 $88–$132 varies
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$149–$204 $149–$204 varies
Pulm function test by gas (94727) $195 $195 0.9×
Pulmonary Stress Testing (94618)
range across 3 matching MRF lines
$165–$347 $165–$347 varies
Remote 30 Day Ecg Rev/Report (93270) $198 $198 5.3×
Respiratory flow volume loop (94375)
range across 2 matching MRF lines
$263–$825 $263–$825 varies
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $96 $96 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $576 $576 2.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $303 $303 2.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $110 $110 2.3×
Self Care Mngment Training (97535)
range across 5 matching MRF lines
$100–$199 $100–$199 varies
Sensory Integration Ea 15 Min (97533) $131 $131 2.2×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $3,805 $3,805 17.5×
Speech sound lang comprehen (92523) $450 $450 2.0×
Spirometry (94010) $395 $395 1.8×
Standardized Cognitive Performance Testing (96125) $110 $110 1.1×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$53–$212 $53–$212 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $80 $80 3.6×
Ther Ivntj Ea Addl 15 Min (97130) $75 $75 3.6×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $164 $164 4.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 3 matching MRF lines
$61–$122 $61–$122 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $201 $201 2.0×
Ther/Proph/Diag Inj Sc/Im (96372) $209 $209 2.9×
Ther/Proph/Diag Iv Inf Init (96365) $556 $556 2.6×
Therapeutic Activities (97530)
range across 4 matching MRF lines
$90–$150 $90–$150 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $53 $53 1.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $100 $100 2.7×
Tte w/doppler, complete (93306) $2,151 $2,151 3.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 4 matching MRF lines
$200–$406 $200–$406 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $165 $165 6.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $130 $130 2.8×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$128–$244 $128–$244 varies
Unlisted noninvasive vascular diagnostic study (93998) $130 $130 4.5×
Upr/L Xtremity Art 2 Levels (93922) $231 $231 1.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $729 $729 3.4×
Vent Mgmt Inpat Init 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×
Whirlpool Therapy (97022)
range across 3 matching MRF lines
$58–$149 $58–$149 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.