Visits & medical services prices at North Texas Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Actinotherapy Ultraviolet Light (96900) $35 $138 0.9×
Advncd Care Plan 30 Min (99497) $53 $210 0.5×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines		 $18–$108 $72–$432 varies
Analyze neurostim complex (95972) $26 $103 0.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $22 $89 1.5×
Assessment of aphasia per hr (96105) $82 $326 0.8×
Behavral qualit analys voice (92524) $58 $232 0.5×
Brief Emotional/Behav Assmt (96127) $3 $13 0.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $156 $622 0.4×
Car seat/bed test 60 min (94780) $34 $134 0.9×
Cardiac Stress Tst,Tracing Only (93017) $156 $625 0.7×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines		 $115–$156 $461–$625 varies
Cardioversion (92960)
range across 2 matching MRF lines		 $131–$309 $525–$1,235 varies
Cbt 1st hour (94644) $87 $346 0.7×
Chest Wall Manipulation (94668) $35 $138 0.3×
Chron Care Mgmt Srvc 20 Min (99490) $52 $206 0.5×
Color/duplex Doppler, complete (93975) $208 $832 0.9×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $93 $370 0.5×
Cont gluc mntr physician/qhp provided equiptment (95250) $108 $430 0.8×
Cont Gluc Mntr Pt Prov Eqp (95249) $50 $200 0.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $108 $432 0.5×
Cpt initial (94667) $108 $432 0.8×
Critical care first hour (99291) $788 $3,150 0.9×
Debridement Open Wound 20 Sq Cm< (97597)
range across 6 matching MRF lines		 $26–$181 $104–$724 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $164 $654 0.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $164 $654 0.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $104 $417 1.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $169 $677 0.7×
Dup-scan xtr veins unilateral/limited study (93971) $143 $572 1.4×
Duplex Scan Hemodialysis Access (93990) $107 $428 1.0×
Duplex up extrem art bilat (93930) $164 $654 0.7×
Duplex up extrem art unilat/ltd (93931) $125 $501 1.2×
Ear and throat examination (92502) $60 $238 0.1×
Echo transesophageal (93312) — $5 —
Electrical Stimulation Ea 15 Min (97032) $20 $80 1.4×
Electrocardiogram Tracing (93005) $78 $310 1.3×
Emergency Dept Visit Level 2 (99282) $135 $541 0.9×
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines		 $53–$203 $210–$811 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines		 $73–$268 $292–$1,073 varies
Er level 1 (99281) $66 $263 0.8×
Er level v (99285)
range across 3 matching MRF lines		 $125–$332 $500–$1,329 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines		 $12–$44 $49–$177 varies
Evaluate Speech Production (92522) $56 $222 0.5×
Evaluate Swallowing Function (92610) $59 $234 0.7×
Evaluation of speech fluency (92521) $69 $274 0.5×
Extracranial Bilat Study (93880) $234 $934 1.0×
Extracranial Uni/Ltd Study (93882) $99 $394 0.9×
Im Adm Intransl/Oral 1 Vaccine (90473) $11 $45 0.2×
Immunization administration (90471)
range across 3 matching MRF lines		 $17–$35 $66–$141 varies
Inital newborn e/m (99460) $60 $239 0.4×
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines		 $25–$52 $100–$207 varies
IV infusion hydration each additional hour (96361) $39 $155 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $81 $325 0.4×
IV infusion ther proph addl sequential to 1 hr (96367) $35 $141 0.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $22 $87 0.5×
IV push initial (96374)
range across 2 matching MRF lines		 $33–$112 $133–$449 varies
Lwr Xtr Vasc Stdy Bilat (93924) $112 $448 0.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $38 $150 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines		 $19–$50 $75–$200 varies
Motion Fluoroscopy/Swallow (92611) $97 $387 1.1×
Multiple Sleep Latency Test (95805) $2,463 $9,850 2.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines		 $247–$346 $988–$1,383 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $346 $1,383 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 5 matching MRF lines		 $38–$180 $150–$718 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 6 matching MRF lines		 $40–$346 $32–$1,383 varies
Neuromuscular Reeducation (97112) $23 $92 0.7×
Newborn resuscitation (99465)
range across 2 matching MRF lines		 $124–$309 $494–$1,235 varies
Oral Function Therapy (92526) $58 $231 0.7×
Oral Speech Device Eval (92597) $44 $174 0.6×
Orthc/Prostc Mgmt Sbsq Enc (97763) $36 $142 0.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $28 $111 0.6×
Ot eval high complexity (97167) $84 $337 0.8×
Ot Eval Low Complex (97165) $70 $279 0.7×
Ot Eval Moderate Complexity (97166) $77 $307 0.8×
Ot manual therapy 15 min (97140) $35 $141 1.3×
Ot Prosthetic Training, Each 15 Min (97761) $28 $111 0.7×
Ot Re-Eval Est Plan Care (97168) $34 $135 0.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $76 $303 0.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $49 $196 0.4×
Percutaneous tests w/allergenic extracts (95004) $5 $18 0.0×
Peripheral arterial disease rehab per session (93668) $57 $227 1.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $63 $250 1.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $57 $227 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,463 $9,850 2.9×
Polysom <6 yrs 4/> paramtrs (95782) $2,463 $9,850 2.9×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,463 $9,850 2.9×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $8 $30 0.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $8 $30 0.2×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $8 $30 0.2×
Pt Eval High Complex (97163) $62 $247 0.6×
Pt eval low complex 20 min (97161) $51 $202 0.5×
Pt Eval Mod Complex (97162) $56 $224 0.6×
Pt gait training 15 min (97116) $21 $84 0.7×
Pt Re-Eval Est Plan Care (97164) $28 $113 0.4×
Pulmonary service/procedure (94799) $143 $570 1.1×
Pulmonary Stress Testing (94618) $116 $464 0.9×
Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) $38 $150 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 6 matching MRF lines		 $49–$180 $195–$718 varies
Rtm dev sply data cbt 2-15 days in 30 d pd (98986) $30 $120 0.8×
Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) $39 $155 1.0×
Rtm dev sply data respir sys 2-15 days in 30d pd (98984) $38 $150 1.0×
Rtm tx mgmt 1 r-t ia comunicaj cal mo 1st 10 min (98979) $9 $35 0.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $75 $300 0.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $30 $120 0.6×
Same day nb discharge (99463) $69 $275 0.5×
Self Care Mngment Training (97535) $32 $129 1.0×
Sensory Integration Ea 15 Min (97533) $155 $619 2.5×
Speech sound lang comprehen (92523) $127 $508 0.6×
Spirometry (94010)
range across 2 matching MRF lines		 $21–$106 $85–$424 varies
Standardized Cognitive Performance Testing (96125) $97 $389 0.9×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $112 $448 0.5×
Temp transcutaneous pacing (92953) $131 $525 0.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $24 $97 1.1×
Ther Ivntj Ea Addl 15 Min (97130) $24 $97 1.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $62 $248 0.6×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines		 $10–$44 $40–$176 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines		 $41–$114 $162–$456 varies
Therapeutic Activities (97530) $33 $133 0.9×
Tobacco Use Cessation Intensive >10 Minutes (99407) $18 $70 0.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 3 matching MRF lines		 $9–$13 $35–$51 varies
Trans Care Mgmt 14 Day Disch (99495) $99 $395 0.7×
Trans Care Mgmt 7 Day Disch (99496) $134 $537 1.0×
Tte w/doppler, complete (93306) $482 $1,926 0.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $76 $303 1.0×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines		 $13–$38 $53–$152 varies
Tympanometry (92567) $10 $40 0.3×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines		 $58–$112 $231–$448 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $88 $351 0.4×
Vasopneumatic device (97016) $20 $78 1.7×
Vent Mgmt Inpat Init Day (94002) $246 $982 0.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $246 $982 0.4×
Vital capacity, total (94150) $106 $424 0.8×
Wheelchair Mgmt Ea 15 Min (97542) $28 $113 0.9×

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.