Visits & medical services prices at Pecos County Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines
$176–$296 $235–$395 varies
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $233 $311 1.7×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170)
range across 2 matching MRF lines
$143–$236 $191–$314 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $42 $56 2.9×
Brief Emotional/Behav Assmt (96127) $27 $36 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $464 $619 1.2×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$428–$525 $570–$700 varies
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines
$362–$450 $483–$600 varies
Cardioversion (92960) $818 $1,090 1.2×
Cbt 1st hour (94644) $237 $316 1.8×
Chemo IV infusion addl hr (96415) $98 $131 1.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $674 $899 2.0×
Chest Wall Manipulation (94668) $98 $130 0.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $323 $430 1.5×
Cpt initial (94667) $323 $430 2.4×
Critical care first hour (99291) $1,429 $1,905 1.7×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$263–$362 $350–$482 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $252 $336 1.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$430–$524 $573–$699 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $252 $336 2.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$372–$430 $496–$573 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 12 matching MRF lines
$269–$372 $358–$496 varies
Duplex up extrem art bilat (93930) $524 $699 2.2×
Duplex up extrem art unilat/ltd (93931) $252 $336 2.4×
EEG awake drowsy (95816) $524 $698 2.4×
Electrical Stimulation Ea 15 Min (97032) $47 $63 3.2×
Electrocardiogram Tracing (93005)
range across 5 matching MRF lines
$101–$154 $135–$205 varies
Electroconvulsive Therapy (90870) $7 $9 0.0×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$113–$319 $150–$425 varies
Emergency Dept Visit Level 3 (99283) $491 $654 1.8×
Emergency Dept Visit Level 4 (99284) $777 $1,036 1.9×
Er level 1 (99281)
range across 4 matching MRF lines
$75–$189 $100–$252 varies
Er level v (99285) $1,063 $1,417 1.8×
Evaluate pt use of inhaler (94664) $296 $395 1.3×
Evoked Auditory Test,Limited (92587) $257 $343 1.2×
Extracranial Bilat Study (93880) $430 $573 1.8×
Holter monitor recording (93225)
range across 2 matching MRF lines
$464–$605 $618–$806 varies
Immunization administration (90471) $107 $143 1.5×
Iontophoresis 15 min (97033) $69 $92 3.6×
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines
$98–$182 $131–$243 varies
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$66–$67 $88–$89 varies
IV infusion hydration initial 31 min-1 hour (96360) $297 $396 1.4×
IV infusion ther proph addl sequential to 1 hr (96367) $98 $131 1.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $86 $114 1.8×
IV push initial (96374) $260 $346 1.2×
Mechanical chest wall oscillation per session (94669) $365 $486 1.7×
Multiple Sleep Latency Test (95805) $2,342 $3,123 2.7×
Neuromuscular Reeducation (97112)
range across 4 matching MRF lines
$68–$134 $91–$178 varies
Ot Eval Low Complex (97165)
range across 3 matching MRF lines
$70–$180 $93–$240 varies
Ot manual therapy 15 min (97140) $57 $76 2.1×
Ot paraffin bath (97018) $39 $52 6.5×
Ot Re-Eval Est Plan Care (97168) $119 $159 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$233–$254 $310–$338 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $233 $310 1.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $305 $406 1.4×
Phlebotomy therapeutic (99195) $182 $243 1.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,342 $3,123 2.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $61 $81 1.3×
Pt Eval High Complex (97163) $185 $246 1.9×
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$65–$75 $86–$100 varies
Pt Eval Mod Complex (97162) $158 $211 1.6×
Pt gait training 15 min (97116) $71 $94 2.4×
Pt mechanical traction (97012) $68 $91 4.7×
Pt Re-Eval Est Plan Care (97164) $98 $130 1.5×
Pt ultraviolet (97028) $38 $50 4.6×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $24 $32 0.6×
Pulmonary Stress Testing (94618) $160 $213 1.2×
Remote 30 Day Ecg Rev/Report (93270) $85 $113 2.3×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$86–$110 $114–$147 varies
Spirometry (94010)
range across 3 matching MRF lines
$200–$290 $266–$386 varies
Temp transcutaneous pacing (92953) $805 $1,073 1.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $65 $86 2.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 5 matching MRF lines
$98–$107 $131–$143 varies
Ther/Proph/Diag Iv Inf Init (96365) $422 $563 2.0×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$83–$113 $110–$150 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $90 $120 2.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $45 $60 1.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $107 $143 2.3×
Upr/L Xtremity Art 2 Levels (93922) $203 $270 1.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $117 $156 0.5×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$786–$953 $1,048–$1,271 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $786 $1,048 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $80 $106 2.6×
Whirlpool Therapy (97022) $47 $62 3.0×

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.