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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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $161.50 $231 1.6×
Airway inhalation treatment (94640) $391.50 $559.50 1.8×
Assessment of aphasia (96105) $222 $317 2.3×
Behav assmt w/score & docd/stand instrument (96127) $67 $96 1.8×
Behavioral and qualitative analysis of voice and resonance (92524) $222 $317 2.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $665 $950 1.8×
Canalith Repositioning (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) $1,315.50 $1,879 2.0×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $181 $259 1.8×
Color/duplex Doppler, complete (93975) $634 $906 2.6×
Cpap initiation and management (94660) $392 $560 1.8×
Cpt initial (94667) $249 $356 1.9×
Critical care (99291) $1,480 $2,114 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $357 $510 1.8×
Demo &/or eval,pt use,aerosol device (94664) $370.50 $529 1.7×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $830 $1,186 3.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $429 $613 4.1×
Dup-scan xtr veins unilateral/limited study (93971) $524 $749 5.0×
Duplex scan extracranial art compl bi study (93880) $636 $908 2.7×
EKG (93005) $158 $225 2.7×
Er level 1 (99281) $151 $215 1.8×
Er level ii (99282) $273 $390 1.8×
Er level iii (99283) $486 $695 1.8×
Er level IV (99284) $746 $1,065 1.8×
Er level v (99285) $1,071 $1,530 1.8×
Esophageal recording (93615) $1,984 $2,835 1.6×
Evaluation of speech fluency (92521) $227 $325 1.7×
Evaluation of speech sound production (92522) $222 $317 2.0×
Evaluation of swallowing function (92610) $167 $238 2.0×
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×
Flow volume loop (94375) $385 $550 1.8×
Group Therapeutic Procedures (97150) $71 $101 3.9×
Holter Monitor Recording (93225) $401.50 $573 3.0×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $73 $104 1.8×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $118 $168 1.6×
Immunization Admin (90471) $118 $168 1.6×
Immunotherapy, 2+ Injections (95117) $50 $71.50 1.1×
Injection intra arterial (96373) $358 $511 1.7×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $126 $180 1.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $378 $540 1.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $88 $125 1.9×
IV push initial (96374) $378 $540 1.8×
Manual therapy 15 min (97140) $74 $105 2.7×
Massage 15 min (97124) $51 $73 1.7×
Maximum voluntary ventilation (94200) $146 $209 2.5×
Mechanical chest wall oscillation (94669) $392 $560 1.8×
Mechanical traction (97012) $69 $99 4.8×
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×
Mnt Group Ea 30 Min (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×
Newborn resuscitation (99465) $1,180 $1,685 1.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $238 $340 1.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $260 $372 2.0×
Orthotics mgmt & traing 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 Community/Work Reintegration Trainj Ea 15 Min (97537) $57 $81 1.8×
Ot Contrast Bath Ea 15 Min (97034) $44 $63 3.1×
Ot eval high complex 60 min (97167) $312 $446 3.1×
Ot eval low complex 30 min (97165) $242 $346 2.4×
Ot eval mod complex 45 min (97166) $242 $346 2.4×
Ot Prosthetic Training, Each 15 Min (97761) $71 $101 1.8×
Ot re-eval est plan care (97168) $174 $248 2.5×
Pm device eval in person (93288) $492 $703 13.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,461 $3,515.50 2.9×
Polysom <6 yrs 4/> paramtrs (95782) $2,240 $3,200 2.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $49 $70 1.0×
Psychiatric diagnostic evaluation (90791) $315 $450 1.8×
Pt Electric Current Therapy (97033) $42 $60 2.2×
Pt Electrical Stimulation (97032) $44 $63 3.0×
Pt eval high complex 45 min (97163) $216 $308 2.2×
Pt eval low complex 20 min (97161) $189 $270 1.9×
Pt Gait Training Therapy (97116) $66 $94 2.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $90 $128 2.7×
Pt Physical Performance Test (97750) $73 $104 2.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $201 $287 2.1×
Pt re-evaluation (97164) $118 $169 1.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $136 $194 4.2×
Pt Ultrasound Therapy (97035) $44 $63 3.1×
Pt Whirlpool Therapy (97022) $37 $52.50 2.4×
Pulm Funct Test Oscillometry (94728) $274 $391 2.1×
Pulmonary stress testing (94618) $260 $372 1.9×
Pure Tone Audiometry, Air (92552) $213 $304 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $345.50 $493.50 1.7×
Rt Chest Wall Manipulation,Subsequent (94668) $238 $340 1.8×
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) $45 $64 2.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $109 $156 5.2×
Ther/Proph/Diag Inj Sc/Im (96372) $75 $107 1.0×
Therapeutic Activities (97530) $92 $131 2.6×
Therapeutic phlebotomy (99195) $238 $340 1.8×
Trans Care Mgmt 14 Day Disch (99495) $230.50 $329 1.7×
Trans Care Mgmt 7 Day Disch (99496) $300 $429 2.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,082 $1,545 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $202 $288 2.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $202 $288 2.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $102 $145 2.2×
Tympanometry (92567) $67 $96 1.8×
Unlisted pulmonary service/procedure (94799) $260 $372 2.0×
Vasc Duplex Extrem Venous,Bilat (93970) $723 $1,033 3.0×
Ventilation assist & mgmt inpatient 1st day (94002) $1,292.50 $1,846.50 2.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,170 $3,100 3.5×