Visits & medical services prices at Palo Pinto General Hospital
Mineral Wells, TX · every code in this section with a posted price and a Medicare benchmark.
106 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$32–$278.25 | $64–$556.50 | varies |
| Analyze Pacemaker System (93724) | $382.50 | $765 | 1.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $17.65 | $35.30 | 1.2× |
| Assessment of aphasia per hr (96105) | $168 | $336 | 1.7× |
| Behavral qualit analys voice (92524) | $141.75 | $283.50 | 1.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $267.75 | $535.50 | 0.7× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$51.80–$77.50 | $103.60–$155 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $224 | $448 | 1.0× |
| Cardiopulmonary resuscitation (92950) | $307.15 | $614.30 | 1.4× |
| Cardioversion (92960) range across 3 matching MRF lines |
$407.40–$1,251.35 | $814.80–$2,502.70 | varies |
| Cbt 1st hour (94644) | $141.75 | $283.50 | 1.1× |
| Chest Wall Manipulation (94668) | $54.60 | $109.20 | 0.4× |
| Color/duplex Doppler, complete (93975) | $322.50 | $645 | 1.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $43 | $86 | 1.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $180.60 | $361.20 | 0.8× |
| Critical care first hour (99291) | $1,089.25 | $2,178.50 | 1.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$172–$265.50 | $344–$531 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $316 | $632 | 1.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $160 | $320 | 1.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $229.30 | $458.60 | 1.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $200.65 | $401.30 | 1.9× |
| Duplex up extrem art bilat (93930) | $316 | $632 | 1.3× |
| Duplex up extrem art unilat/ltd (93931) | $160 | $320 | 1.5× |
| Echo Heart Xthoracic,Limited (93308) | $314 | $628 | 1.3× |
| Echo transesophageal (93312) | $831 | $1,662 | 1.5× |
| Eeg 41-60 Minutes (95812) | $366.60 | $733.20 | 1.7× |
| EEG awake drowsy (95816) | $405 | $810 | 1.9× |
| EEG cerebral death evaluation (95824) | $366.60 | $733.20 | 1.0× |
| Electrical Stimulation Ea 15 Min (97032) | $22.05 | $44.10 | 1.5× |
| Electrocardiogram Tracing (93005) | $55.15 | $110.30 | 0.9× |
| Emergency Dept Visit Level 2 (99282) | $238.15 | $476.30 | 1.5× |
| Emergency Dept Visit Level 3 (99283) | $467.45 | $934.90 | 1.7× |
| Emergency Dept Visit Level 4 (99284) | $668.10 | $1,336.20 | 1.6× |
| Er level 1 (99281) | $97.60 | $195.20 | 1.2× |
| Er level v (99285) | $974.60 | $1,949.20 | 1.6× |
| Evaluate pt use of inhaler (94664) | $199.50 | $399 | 0.9× |
| Evaluate Swallowing Function (92610) | $136.50 | $273 | 1.6× |
| External ECG rec>48hr<7d recording (93242) | $165.40 | $330.80 | 4.4× |
| Extracranial Bilat Study (93880) | $372.65 | $745.30 | 1.6× |
| Group Therapeutic Procedures (97150) | $24.25 | $48.50 | 1.3× |
| Holter monitor recording (93225) | $165.40 | $330.80 | 1.2× |
| Ilr Device Eval Progr (93285) | $382.50 | $765 | 10.2× |
| Immunization administration (90471) range across 2 matching MRF lines |
$7.50–$43 | $15–$86 | varies |
| Iontophoresis 15 min (97033) | $28.65 | $57.30 | 1.5× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$46.30–$51.80 | $92.60–$103.60 | varies |
| IV infusion hydration each additional hour (96361) | $74.95 | $149.90 | 1.6× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$172–$309.80 | $344–$619.60 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $89.30 | $178.60 | 1.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $117.95 | $235.90 | 2.5× |
| IV push initial (96374) range across 5 matching MRF lines |
$68.50–$258 | $137–$516 | varies |
| Mechanical chest wall oscillation per session (94669) | $282 | $564 | 1.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $440 | $880 | 1.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $528 | $1,056 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $265.50 | $531 | 1.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $352 | $704 | 0.9× |
| Neuromuscular Reeducation (97112) | $39.70 | $79.40 | 1.2× |
| Oral Function Therapy (92526) | $136.50 | $273 | 1.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $41.35 | $82.70 | 0.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $41.90 | $83.80 | 0.9× |
| Ot Contrast Bath Ea 15 Min (97034) | $20.45 | $40.90 | 1.5× |
| Ot eval high complexity (97167) | $165.40 | $330.80 | 1.6× |
| Ot Eval Low Complex (97165) | $118.15 | $236.30 | 1.2× |
| Ot Eval Moderate Complexity (97166) | $141.75 | $283.50 | 1.4× |
| Ot manual therapy 15 min (97140) | $36.95 | $73.90 | 1.3× |
| Ot paraffin bath (97018) | $11.60 | $23.20 | 1.9× |
| Ot Prosthetic Training, Each 15 Min (97761) | $43 | $86 | 1.1× |
| Ot Re-Eval Est Plan Care (97168) | $97.15 | $194.30 | 1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $82 | $164 | 0.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $82 | $164 | 0.6× |
| Phlebotomy therapeutic (99195) | $78.75 | $157.50 | 0.6× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$175.30–$434.95 | $350.60–$869.90 | varies |
| Plethysmography (94726) | $267.75 | $535.50 | 0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $1,719.90 | $3,439.80 | 2.0× |
| Pt Eval High Complex (97163) | $114.65 | $229.30 | 1.2× |
| Pt eval low complex 20 min (97161) | $114.65 | $229.30 | 1.2× |
| Pt Eval Mod Complex (97162) | $114.65 | $229.30 | 1.2× |
| Pt gait training 15 min (97116) | $34.20 | $68.40 | 1.2× |
| Pt mechanical traction (97012) | $20.95 | $41.90 | 1.5× |
| Pt Re-Eval Est Plan Care (97164) | $80.50 | $161 | 1.2× |
| Pulmonary service/procedure (94799) | $161.20 | $322.40 | 1.2× |
| Pulmonary Stress Testing (94618) | $111.30 | $222.60 | 0.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $165.40 | $330.80 | 4.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $265.50 | $531 | 1.3× |
| Self Care Mngment Training (97535) | $40.25 | $80.50 | 1.2× |
| Sensory Integration Ea 15 Min (97533) | $36.40 | $72.80 | 0.6× |
| Speech sound lang comprehen (92523) | $147 | $294 | 0.6× |
| Spirometry (94010) | $158.55 | $317.10 | 0.7× |
| Stress Tte Only (93350) | $557 | $1,114 | 1.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $45.20 | $90.40 | 1.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $30.85 | $61.70 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$7.50–$68.95 | $15–$137.90 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $312.60 | $625.20 | 1.5× |
| Therapeutic Activities (97530) | $40.25 | $80.50 | 1.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $37.50 | $75 | 1.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $25 | $50 | 0.7× |
| Tte w/doppler, complete (93306) | $577.50 | $1,155 | 1.1× |
| Tte W/O Doppler Complete (93307) | $556.50 | $1,113 | 2.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $126 | $252 | 1.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$86–$111.95 | $172–$223.90 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$85–$168 | $170–$336 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $215.25 | $430.50 | 1.0× |
| Vasopneumatic device (97016) | $20.45 | $40.90 | 1.7× |
| Vent Mgmt Inpat Init Day (94002) | $450.45 | $900.90 | 0.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $450.45 | $900.90 | 0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $37.50 | $75 | 1.2× |
| Whirlpool Therapy (97022) | $20.45 | $40.90 | 1.3× |
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.