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.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $180.60 $361.20 0.8×
Assessment of aphasia (96105) $168 $336 1.7×
Behavioral and qualitative analysis of voice and resonance (92524) $141.75 $283.50 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $267.75 $535.50 0.7×
Canalith Repositioning (95992) $64.65 $129.30 1.6×
Cardiac Stress Tst,Tracing Only (93017) $224 $448 1.0×
Cardiopulmonary resuscitation (92950) $307.15 $614.30 1.4×
Cardioversion (92960) $1,100.50 $2,201 1.7×
Cbt 1st hour (94644) $141.75 $283.50 1.1×
Color/duplex Doppler, complete (93975) $322.50 $645 1.3×
Cpap initiation and management (94660) $180.60 $361.20 0.8×
Critical care (99291) $1,089.25 $2,178.50 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $186.92 $373.85 0.9×
Demo &/or eval,pt use,aerosol device (94664) $199.50 $399 0.9×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $316 $632 1.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $160 $320 1.5×
Dup-scan xtr veins unilateral/limited study (93971) $200.65 $401.30 1.9×
Duplex scan extracranial art compl bi study (93880) $372.65 $745.30 1.6×
Echo Heart Xthoracic,Limited (93308) $314 $628 1.3×
Echo transesophageal (93312) $831 $1,662 1.5×
EEG awake drowsy (95816) $405 $810 1.9×
EEG cerebral death evaluation (95824) $366.60 $733.20 1.0×
EKG (93005) $55.15 $110.30 0.9×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $366.60 $733.20 1.7×
Ep Analyze Pacer Sys (93724) $382.50 $765 1.2×
Er level 1 (99281) $97.60 $195.20 1.2×
Er level ii (99282) $238.15 $476.30 1.5×
Er level iii (99283) $467.45 $934.90 1.7×
Er level IV (99284) $668.10 $1,336.20 1.6×
Er level v (99285) $974.60 $1,949.20 1.6×
Evaluation of swallowing function (92610) $136.50 $273 1.6×
External ECG rec>48hr<7d recording (93242) $165.40 $330.80 4.4×
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 Admin (90471) $25.25 $50.50 0.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $49.05 $98.10 0.8×
IV infusion hydration each additional hour (96361) $74.95 $149.90 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $240.90 $481.80 1.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $89.30 $178.60 1.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $312.60 $625.20 1.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $117.95 $235.90 2.5×
IV push initial (96374) $111.95 $223.90 0.5×
Manual therapy 15 min (97140) $36.95 $73.90 1.3×
Massage 15 min (97124) $30.85 $61.70 1.0×
Mechanical chest wall oscillation (94669) $282 $564 1.3×
Mechanical traction (97012) $20.95 $41.90 1.5×
Neg press wnd tx </=50 sq cm (97607) $440 $880 1.1×
Neg press wound tx >50 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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $168 $336 1.3×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $215.25 $430.50 1.0×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $41.90 $83.80 0.9×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $43 $86 1.3×
Ot Contrast Bath Ea 15 Min (97034) $20.45 $40.90 1.5×
Ot eval high complex 60 min (97167) $165.40 $330.80 1.6×
Ot eval low complex 30 min (97165) $118.15 $236.30 1.2×
Ot eval mod complex 45 min (97166) $141.75 $283.50 1.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $41.35 $82.70 0.8×
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×
Paraffin bath (97018) $11.60 $23.20 1.9×
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 Aquatic Therapy/Exercises (97113) $45.20 $90.40 1.2×
Pt Electric Current Therapy (97033) $28.65 $57.30 1.5×
Pt Electrical Stimulation (97032) $22.05 $44.10 1.5×
Pt eval high complex 45 min (97163) $114.65 $229.30 1.2×
Pt eval low complex 20 min (97161) $114.65 $229.30 1.2×
Pt Gait Training Therapy (97116) $34.20 $68.40 1.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $39.70 $79.40 1.2×
Pt Physical Performance Test (97750) $305.12 $610.25 9.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $114.65 $229.30 1.2×
Pt re-evaluation (97164) $80.50 $161 1.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $40.25 $80.50 1.2×
Pt Ultrasound Therapy (97035) $17.65 $35.30 1.2×
Pt Whirlpool Therapy (97022) $20.45 $40.90 1.3×
Pulmonary stress testing (94618) $111.30 $222.60 0.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $165.40 $330.80 4.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $265.50 $531 1.3×
Rt Chest Wall Manipulation,Subsequent (94668) $54.60 $109.20 0.4×
Sensory Integration Ea 15 Min (97533) $36.40 $72.80 0.6×
Smoking cessation > 10 min (99407) $37.50 $75 1.0×
Speech sound lang comprehen (92523) $147 $294 0.6×
Spirometry (94010) $158.55 $317.10 0.7×
Stress echo (93350) $557 $1,114 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $64.48 $128.95 0.9×
Therapeutic Activities (97530) $40.25 $80.50 1.1×
Therapeutic phlebotomy (99195) $78.75 $157.50 0.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $25 $50 0.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $577.50 $1,155 1.1×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $556.50 $1,113 2.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $126 $252 1.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $136.50 $273 1.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $98.98 $197.95 2.1×
Unlisted pulmonary service/procedure (94799) $161.20 $322.40 1.2×
Vasc Duplex Extrem Venous,Bilat (93970) $229.30 $458.60 1.0×
Vasopneumatic device (97016) $20.45 $40.90 1.7×
Ventilation assist & mgmt inpatient 1st 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×