Visits & medical services prices at Refugio County Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $442.40 $553 2.0×
Biofeedback training any modality (90901) $353.20 $441.50 8.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $449.48 $561.85 1.2×
Cardiac Stress Tst,Tracing Only (93017) $689.42 $861.78 3.2×
Cardiopulmonary resuscitation (92950) $892.90 $1,116.12 4.1×
Cardioversion (92960) $13,993.46 $17,491.82 21.1×
Cbt 1st hour (94644) $457.60 $572 3.4×
Chemother, IV infusion, 1 hr (96413) $773.27 $966.59 2.3×
Chemother, IV infusion, ea add hr (96415) $358.40 $448 5.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $99.84 $124.80 1.4×
Cpap initiation and management (94660) $558.20 $697.75 2.5×
Cpt initial (94667) $222.72 $278.40 1.7×
Critical care (99291) $1,009.60 $1,262 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $389.60 $487 1.9×
Demo &/or eval,pt use,aerosol device (94664) $316 $395 1.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $880.80 $1,101 3.7×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $540.16 $675.20 5.1×
Dup-scan xtr veins unilateral/limited study (93971) $1,363.84 $1,704.80 13.0×
Duplex scan extracranial art compl bi study (93880) $819.92 $1,024.90 3.4×
Echo Heart Xthoracic,Limited (93308) $1,155.55 $1,444.44 4.8×
EKG (93005) $219.20 $274 3.7×
EKG rhythm strip (93041) $93.12 $116.40 1.6×
Er level 1 (99281) $105.80 $132.25 1.2×
Er level ii (99282) $157.60 $197 1.0×
Er level iii (99283) $244.40 $305.50 0.9×
Er level IV (99284) $413 $516.25 1.0×
Er level v (99285) $689.80 $862.25 1.2×
Evaluation of swallowing function (92610) $560.64 $700.80 6.6×
External Ecg Scanning Analysis Report (93226) $453.12 $566.40 7.6×
Holter Monitor Recording (93225) $405.35 $506.69 3.0×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $35.20 $44 0.9×
Immunization Admin (90471) $56.10 $70.12 0.8×
Immunotherapy, 2+ Injections (95117) $32.20 $40.25 0.7×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $138.24 $172.80 2.3×
IV infusion hydration each additional hour (96361) $112 $140 2.4×
IV infusion hydration initial 31 min-1 hour (96360) $397.60 $497 1.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $237.44 $296.80 3.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $432.80 $541 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $111.60 $139.50 2.4×
IV push initial (96374) $265.60 $332 1.2×
Manual therapy 15 min (97140) $127.20 $159 4.6×
Maximum voluntary ventilation (94200) $282.40 $353 4.8×
Mechanical traction (97012) $68.22 $85.27 4.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $388.04 $485.05 4.2×
Neg press wound tx >50 cm (97608) $366.40 $458 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $253.44 $316.80 1.3×
Nerve conduction studies 13/> studies (95913) $1,160.23 $1,450.29 3.1×
Nerve Conduction Studies 9-10 Studies (95911) $1,160.23 $1,450.29 3.1×
Nerve conduction studies; 11-12 studies (95912) $1,160.23 $1,450.29 3.1×
Nerve conduction studies; 5-6 studies (95909) $672.14 $840.18 3.1×
Nerve conduction studies; 7-8 studies (95910) $672.14 $840.18 1.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $418.85 $523.56 3.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $464 $580 3.6×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $176 $220 3.8×
Ot Contrast Bath Ea 15 Min (97034) $88.40 $110.50 6.3×
Ot Prosthetic Training, Each 15 Min (97761) $204.80 $256 5.1×
Ot re-eval est plan care (97168) $160.80 $201 2.3×
Paraffin bath (97018) $63.36 $79.20 10.5×
Psychiatric diagnostic evaluation (90791) $1,208.32 $1,510.40 6.8×
Pt Aquatic Therapy/Exercises (97113) $122.40 $153 3.3×
Pt Electric Current Therapy (97033) $136.96 $171.20 7.2×
Pt Electrical Stimulation (97032) $282.24 $352.80 19.2×
Pt eval high complex 45 min (97163) $335.22 $419.02 3.4×
Pt eval low complex 20 min (97161) $263.57 $329.46 2.7×
Pt Gait Training Therapy (97116) $127.20 $159 4.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $115.20 $144 3.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $305.60 $382 3.1×
Pt re-evaluation (97164) $148.60 $185.75 2.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $124.50 $155.63 3.8×
Pt Ultrasound Therapy (97035) $98.40 $123 6.9×
Pt Whirlpool Therapy (97022) $213.44 $266.80 13.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $274.35 $342.94 1.4×
Rt Chest Wall Manipulation,Subsequent (94668) $287.48 $359.35 2.2×
Sensory Integration Ea 15 Min (97533) $116.80 $146 1.9×
Speech sound lang comprehen (92523) $430.77 $538.46 1.9×
Spirometry (94010) $284.69 $355.86 1.3×
Temp transcutaneous pacing (92953) $1,781.76 $2,227.20 2.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $93.44 $116.80 4.2×
Ther/Proph/Diag Inj Sc/Im (96372) $97.34 $121.67 1.3×
Therapeutic Activities (97530) $135.20 $169 3.9×
Trans Care Mgmt 14 Day Disch (99495) $251.89 $314.86 1.9×
Trans Care Mgmt 7 Day Disch (99496) $287.20 $359 2.1×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,962.40 $3,703 5.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $483.84 $604.80 6.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $267.84 $334.80 3.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $180 $225 3.8×
Unlisted Cardiovascular Service/Procedure (93799) $592.80 $741 4.6×
Unlisted pulmonary service/procedure (94799) $183.36 $229.20 1.4×
Vasc Duplex Extrem Venous,Bilat (93970) $1,560 $1,950 6.5×
Vasc Duplex Scan Extracranial,Limited (93882) $517.60 $647 4.9×
Ventilation assist & mgmt inpatient 1st day (94002) $1,072.10 $1,340.13 1.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $941.44 $1,176.80 1.5×