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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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $35.20 $44 0.9×
Airway Inhalation Treatment (94640) $442.40 $553 2.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $98.40 $123 6.9×
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)
range across 2 matching MRF lines
$864.20–$921.60 $1,080.25–$1,152 varies
Cardioversion (92960) $13,993.46 $17,491.82 21.1×
Cbt 1st hour (94644) $457.60 $572 3.4×
Chemo Anti-Neopl Sq/Im (96401) $99.84 $124.80 1.4×
Chemo IV infusion addl hr (96415) $358.40 $448 5.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $773.27 $966.59 2.3×
Chest Wall Manipulation (94668) $287.48 $359.35 2.2×
Continuous Pulse Ox (94762) $464 $580 3.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $558.20 $697.75 2.5×
Cpt initial (94667) $222.72 $278.40 1.7×
Critical care first hour (99291) $1,009.60 $1,262 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $389.60 $487 1.9×
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 Complete Bilateral Study (93970) $1,560 $1,950 6.5×
Dup-scan xtr veins unilateral/limited study (93971) $1,363.84 $1,704.80 13.0×
Echo Heart Xthoracic,Limited (93308) $1,155.55 $1,444.44 4.8×
Electrical Stimulation Ea 15 Min (97032) $282.24 $352.80 19.2×
Electrocardiogram Tracing (93005) $219.20 $274 3.7×
Emergency Dept Visit Level 2 (99282) $157.60 $197 1.0×
Emergency Dept Visit Level 3 (99283) $244.40 $305.50 0.9×
Emergency Dept Visit Level 4 (99284) $413 $516.25 1.0×
Er level 1 (99281) $105.80 $132.25 1.2×
Er level v (99285) $689.80 $862.25 1.2×
Evaluate pt use of inhaler (94664) $316 $395 1.4×
Evaluate Swallowing Function (92610)
range across 2 matching MRF lines
$541.44–$579.84 $676.80–$724.80 varies
External Ecg Scanning Analysis Report (93226) $453.12 $566.40 7.6×
Extracranial Bilat Study (93880) $819.92 $1,024.90 3.4×
Extracranial Uni/Ltd Study (93882) $517.60 $647 4.9×
Holter monitor recording (93225) $405.35 $506.69 3.0×
Immunization administration (90471)
range across 2 matching MRF lines
$32.20–$80 $40.25–$100 varies
Iontophoresis 15 min (97033) $136.96 $171.20 7.2×
Irrig Drug Delivery Device (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 ther proph addl sequential to 1 hr (96367) $237.44 $296.80 3.3×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$105.60–$117.60 $132–$147 varies
IV push initial (96374) $265.60 $332 1.2×
Lung Function Test (Mbc/Mvv) (94200) $282.40 $353 4.8×
Motion Fluoroscopy/Swallow (92611) $388.04 $485.05 4.2×
Neg Pressure Wound Therapy Non Dme >50 Sq 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 11-12 Studies (95912) $1,160.23 $1,450.29 3.1×
Nerve conduction studies 13 or more studies (95913) $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×
Nerve Conduction Studies 9-10 Studies (95911) $1,160.23 $1,450.29 3.1×
Neuromuscular Reeducation (97112) $115.20 $144 3.5×
Oral Function Therapy (92526)
range across 2 matching MRF lines
$258.56–$277.12 $323.20–$346.40 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $176 $220 3.8×
Ot Contrast Bath Ea 15 Min (97034) $88.40 $110.50 6.3×
Ot manual therapy 15 min (97140) $127.20 $159 4.6×
Ot paraffin bath (97018) $63.36 $79.20 10.5×
Ot Prosthetic Training, Each 15 Min (97761) $204.80 $256 5.1×
Ot Re-Eval Est Plan Care (97168) $160.80 $201 2.3×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $32.20 $40.25 0.7×
Psychiatric diagnostic evaluation (90791) $1,208.32 $1,510.40 6.8×
Pt Eval High Complex (97163)
range across 2 matching MRF lines
$330.44–$340 $413.05–$425 varies
Pt eval low complex 20 min (97161) $263.57 $329.46 2.7×
Pt Eval Mod Complex (97162) $305.60 $382 3.1×
Pt gait training 15 min (97116) $127.20 $159 4.4×
Pt mechanical traction (97012) $68.22 $85.27 4.8×
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$130.80–$166.40 $163.50–$208 varies
Pulmonary service/procedure (94799) $183.36 $229.20 1.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $93.12 $116.40 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $274.35 $342.94 1.4×
Self Care Mngment Training (97535) $124.50 $155.63 3.8×
Sensory Integration Ea 15 Min (97533) $116.80 $146 1.9×
Speech sound lang comprehen (92523) $430.77 $538.46 1.9×
Spirometry (94010)
range across 2 matching MRF lines
$282.02–$287.36 $352.53–$359.20 varies
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 Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $122.40 $153 3.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$67.47–$127.20 $84.34–$159 varies
Ther/Proph/Diag Iv Inf Init (96365) $432.80 $541 2.0×
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 (93306)
range across 2 matching MRF lines
$2,360–$3,564.80 $2,950–$4,456 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $483.84 $604.80 6.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $180 $225 3.8×
Unlisted cardiovascular service/procedure (93799) $592.80 $741 4.6×
Upr/L Xtremity Art 2 Levels (93922) $418.85 $523.56 3.1×
Vent Mgmt Inpat Init 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×
Whirlpool Therapy (97022)
range across 2 matching MRF lines
$206.08–$220.80 $257.60–$276 varies

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.