Visits & medical services prices at Ochiltree General Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $73 $104 1.8×
Advncd Care Plan 30 Min (99497)
range across 2 matching MRF lines
$148–$175 $212–$250 varies
Airway Inhalation Treatment (94640)
range across 8 matching MRF lines
$356–$392 $508–$560 varies
Airway resistance by oscillometry (94728) $274 $391 2.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $44 $63 3.1×
Assessment of aphasia per hr (96105) $222 $317 2.3×
Behavral qualit analys voice (92524)
range across 3 matching MRF lines
$186–$222 $265–$317 varies
Brief Emotional/Behav Assmt (96127) $67 $96 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $665 $950 1.8×
Canalith repositioning proc (95992) $492 $703 12.1×
Cardiac Stress Tst,Tracing Only (93017) $564 $806 2.6×
Cardiopulmonary resuscitation (92950) $757 $1,082 3.5×
Cardioversion (92960)
range across 2 matching MRF lines
$1,180–$1,451 $1,685–$2,073 varies
Chest Wall Manipulation (94668)
range across 3 matching MRF lines
$137–$238 $195–$340 varies
Chron Care Mgmt Srvc 20 Min (99490) $181 $259 1.8×
Color/duplex Doppler, complete (93975) $634 $906 2.6×
Community/Work Reintegration Trainj Ea 15 Min (97537) $57 $81 1.8×
Continuous Pulse Ox (94762) $260 $372 2.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 5 matching MRF lines
$356–$700 $508–$1,000 varies
Cpt initial (94667)
range across 4 matching MRF lines
$238–$260 $340–$372 varies
Critical care first hour (99291) $1,480 $2,114 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $357 $510 1.8×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $830 $1,186 3.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $739 $1,056 3.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $362 $517 3.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $723 $1,033 3.0×
Dup-scan xtr veins unilateral/limited study (93971) $524 $749 5.0×
Duplex up extrem art bilat (93930) $830 $1,186 3.5×
Duplex up extrem art unilat/ltd (93931) $429 $613 4.1×
Electrical Stimulation Ea 15 Min (97032)
range across 4 matching MRF lines
$25–$44 $36–$63 varies
Electrocardiogram Tracing (93005) $158 $225 2.7×
Emergency Dept Visit Level 2 (99282) $273 $390 1.8×
Emergency Dept Visit Level 3 (99283) $486 $695 1.8×
Emergency Dept Visit Level 4 (99284) $746 $1,065 1.8×
Er level 1 (99281) $151 $215 1.8×
Er level v (99285) $1,071 $1,530 1.8×
Esoph Atrial Electrogram (93615) $1,984 $2,835 1.6×
Evaluate pt use of inhaler (94664)
range across 4 matching MRF lines
$356–$385 $508–$550 varies
Evaluate Speech Production (92522) $222 $317 2.0×
Evaluate Swallowing Function (92610) $167 $238 2.0×
Evaluation of speech fluency (92521) $227 $325 1.7×
External ECG rec>48hr<7d recording (93242) $398 $569 10.6×
External ECG rec>48hr<7d scanning alys w/report (93243) $319 $455 2.4×
Extracranial Bilat Study (93880) $636 $908 2.7×
Group Therapeutic Procedures (97150) $71 $101 3.9×
Holter monitor recording (93225)
range across 2 matching MRF lines
$270–$533 $385–$761 varies
Im Adm Intransl/Oral 1 Vaccine (90473) $118 $168 1.6×
Immunization administration (90471)
range across 5 matching MRF lines
$17–$128 $24–$183 varies
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$33–$51 $47–$73 varies
Irrig Drug Delivery Device (96523) $105 $150 1.8×
IV infusion hydration each additional hour (96361) $88 $126 1.9×
IV infusion hydration initial 31 min-1 hour (96360) $378 $540 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $126 $180 1.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $88 $125 1.9×
IV push initial (96374) $378 $540 1.8×
Lung Function Test (Mbc/Mvv) (94200) $146 $209 2.5×
Mechanical chest wall oscillation per session (94669) $392 $560 1.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $46 $66 1.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $54 $77 1.5×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $26 $37 1.5×
Multiple Sleep Latency Test (95805) $2,748 $3,925 3.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $357 $510 1.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $665 $950 1.6×
Neuromuscular Reeducation (97112)
range across 5 matching MRF lines
$57–$90 $82–$128 varies
Newborn resuscitation (99465) $1,180 $1,685 1.8×
Oral Function Therapy (92526) $202 $288 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $81 $115 1.8×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $51 $73 2.4×
Osteopathic manipulative tx 3-4 body regions (98926) $74 $106 3.4×
Osteopathic manipulative tx 5-6 body regions (98927) $97 $138 4.5×
Osteopathic manipulative tx 7-8 body regions (98928) $118 $169 5.4×
Osteopathic manipulative tx 9-10 body regions (98929) $141 $201 6.5×
Ot Contrast Bath Ea 15 Min (97034) $44 $63 3.1×
Ot eval high complexity (97167) $312 $446 3.1×
Ot Eval Low Complex (97165) $242 $346 2.4×
Ot Eval Moderate Complexity (97166) $242 $346 2.4×
Ot manual therapy 15 min (97140)
range across 5 matching MRF lines
$53–$74 $75–$105 varies
Ot Prosthetic Training, Each 15 Min (97761) $71 $101 1.8×
Ot Re-Eval Est Plan Care (97168) $174 $248 2.5×
Phlebotomy therapeutic (99195) $238 $340 1.8×
Physical Performance Test (97750) $73 $104 2.2×
Pm device eval in person (93288) $492 $703 13.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$2,454–$2,468 $3,506–$3,525 varies
Polysom <6 yrs 4/> paramtrs (95782) $2,240 $3,200 2.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$19–$79 $27–$113 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines
$21–$79 $30–$113 varies
Psychiatric diagnostic evaluation (90791) $315 $450 1.8×
Pt Eval High Complex (97163) $216 $308 2.2×
Pt eval low complex 20 min (97161) $189 $270 1.9×
Pt Eval Mod Complex (97162) $201 $287 2.1×
Pt gait training 15 min (97116) $66 $94 2.3×
Pt mechanical traction (97012) $69 $99 4.8×
Pt Re-Eval Est Plan Care (97164) $118 $169 1.7×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$260–$356 $372–$508 varies
Pulmonary Stress Testing (94618) $260 $372 1.9×
Pure Tone Audiometry Air (92552) $213 $304 1.6×
Respiratory flow volume loop (94375) $385 $550 1.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$334–$357 $477–$510 varies
Self Care Mngment Training (97535) $136 $194 4.2×
Sleep study unattended (95806) $840 $1,200 3.9×
Speech sound lang comprehen (92523) $389 $555 1.7×
Standardized Cognitive Performance Testing (96125) $203 $290 2.0×
Temp transcutaneous pacing (92953) $1,085 $1,550 1.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 3 matching MRF lines
$45–$109 $64–$156 varies
Ther Ivntj Ea Addl 15 Min (97130) $109 $156 5.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $51 $73 1.7×
Ther/Proph/Diag Inj Ia (96373) $358 $511 1.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$21–$129 $30–$184 varies
Ther/Proph/Diag Iv Inf Init (96365) $378 $540 1.8×
Therapeutic Activities (97530)
range across 4 matching MRF lines
$74–$110 $105–$157 varies
Trans Care Mgmt 14 Day Disch (99495)
range across 2 matching MRF lines
$223–$238 $318–$340 varies
Trans Care Mgmt 7 Day Disch (99496) $300 $429 2.2×
Tte w/doppler, complete (93306) $1,082 $1,545 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $202 $288 2.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $102 $145 2.2×
Tympanometry (92567) $67 $96 1.8×
Upr/L Xtremity Art 2 Levels (93922) $238 $340 1.8×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$1,045–$1,540 $1,493–$2,200 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,170 $3,100 3.5×
Whirlpool Therapy (97022)
range across 2 matching MRF lines
$29–$45 $41–$64 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.