Visits & medical services prices at Rolling Plains Memorial Hospital
Sweetwater, TX · every code in this section with a posted price and a Medicare benchmark.
138 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (99497) | $52 | $80 | 0.5× |
| Airway Inhalation Treatment (94640) range across 11 matching MRF lines |
$46–$397 | $70–$610 | varies |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $118 | $182 | 0.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$49–$57 | $76–$87 | varies |
| Application Modality 1/> Areas Diathermy (97024) range across 2 matching MRF lines |
$53–$55 | $82–$85 | varies |
| Assessment of aphasia per hr (96105) | $228 | $350 | 2.3× |
| Behavral qualit analys voice (92524) | $211 | $325 | 1.9× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $97 | $149 | 1.2× |
| Bfb training ea addl 15 min (90913) | $54 | $83 | 1.6× |
| Biofeedback training any modality (90901) | $111 | $170 | 2.7× |
| Brief Emotional/Behav Assmt (96127) | $30 | $46 | 0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$260–$585 | $400–$900 | varies |
| Canalith repositioning proc (95992) | $77 | $119 | 1.9× |
| Car seat/bed test 60 min (94780) | $192 | $295 | 5.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $652 | $1,003 | 3.0× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$293–$424 | $451–$653 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$629–$1,209 | $968–$1,860 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $40 | $61 | 1.1× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $34 | $53 | 1.3× |
| Cbt 1st hour (94644) | $237 | $365 | 1.8× |
| Chest Wall Manipulation (94668) | $237 | $365 | 1.8× |
| Color/duplex Doppler, complete (93975) | $455 | $700 | 1.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $68 | $105 | 2.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $250 | $385 | 1.9× |
| Continuous Pulse Ox (94762) | $289 | $445 | 2.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $397 | $610 | 1.8× |
| Cpt initial (94667) | $237 | $365 | 1.8× |
| Critical care first hour (99291) | $1,648 | $2,535 | 2.0× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$57–$190 | $88–$292 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $211 | $325 | 1.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$490–$671 | $754–$1,033 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $582 | $895 | 2.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $582 | $895 | 5.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $611 | $940 | 2.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $611 | $940 | 5.8× |
| Duplex up extrem art bilat (93930) | $582 | $895 | 2.4× |
| Duplex up extrem art unilat/ltd (93931) | $582 | $895 | 5.5× |
| Echo Heart Xthoracic,Limited (93308) | $542 | $834 | 2.3× |
| EEG awake drowsy (95816) | $601 | $925 | 2.8× |
| Electrical Stimulation Ea 15 Min (97032) | $68 | $105 | 4.6× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$117–$152 | $180–$234 | varies |
| Emergency Dept Visit Level 2 (99282) | $302 | $465 | 2.0× |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$183–$530 | $282–$815 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$530–$822 | $815–$1,265 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$118–$166 | $182–$255 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$183–$1,193 | $282–$1,835 | varies |
| Evaluate Speech Production (92522) | $211 | $325 | 1.9× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$250–$253 | $385–$389 | varies |
| Evaluation of speech fluency (92521) | $220 | $338 | 1.7× |
| Evoked Auditory Test,Limited (92587) | $192 | $295 | 0.9× |
| Extracranial Bilat Study (93880) | $611 | $940 | 2.5× |
| Extracranial Uni/Ltd Study (93882) | $611 | $940 | 5.8× |
| Group Therapeutic Procedures (97150) | $42 | $65 | 2.3× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $2,373 | $3,650 | 3.4× |
| Holter monitor recording (93225) | $237 | $365 | 1.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $18 | $28 | 0.2× |
| Immunization administration (90471) range across 5 matching MRF lines |
$7–$44 | $10–$68 | varies |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$53–$64 | $82–$98 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$60–$64 | $92–$99 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$47–$88 | $73–$135 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$120–$206 | $185–$317 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$9–$99 | $14–$152 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$51–$150 | $78–$231 | varies |
| Low frequency non-thermal us (97610) | $233 | $358 | 1.2× |
| Motion Fluoroscopy/Swallow (92611) | $296 | $455 | 3.2× |
| Multiple Sleep Latency Test (95805) | $2,360 | $3,630 | 2.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $140 | $215 | 0.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $150 | $230 | 0.4× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$79–$86 | $121–$132 | varies |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$128–$177 | $197–$273 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $64 | $98 | 1.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $68 | $105 | 1.5× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$52–$53 | $80–$82 | varies |
| Ot eval high complexity (97167) | $207 | $318 | 2.1× |
| Ot Eval Low Complex (97165) | $164 | $253 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $186 | $286 | 1.9× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$57–$83 | $87–$128 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$57–$60 | $87–$92 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$64–$70 | $98–$107 | varies |
| Ot Re-Eval Est Plan Care (97168) | $98 | $150 | 1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $163 | $250 | 1.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $91 | $140 | 0.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $397 | $610 | 1.8× |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$107–$114 | $165–$175 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$92–$237 | $142–$365 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $127 | $195 | 2.1× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$89–$111 | $137–$170 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,646 | $4,070 | 3.1× |
| Polysom <6 yrs 4/> paramtrs (95782) | $2,360 | $3,630 | 2.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $16 | $24 | 0.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $17 | $26 | 0.4× |
| Psych diag eval w/med srvcs (90792) | $129 | $198 | 0.7× |
| Psychiatric diagnostic evaluation (90791) | $159 | $244 | 0.9× |
| Psytx Crisis Initial 60 Min (90839) | $156 | $240 | 0.9× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $60 | $92 | 1.6× |
| Pt Eval High Complex (97163) | $182 | $280 | 1.9× |
| Pt eval low complex 20 min (97161) | $140 | $215 | 1.4× |
| Pt Eval Mod Complex (97162) | $161 | $247 | 1.6× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$70–$72 | $107–$110 | varies |
| Pt mechanical traction (97012) | $57 | $87 | 4.0× |
| Pt Re-Eval Est Plan Care (97164) | $79 | $121 | 1.2× |
| Pulm function test by gas (94727) | $144 | $222 | 0.7× |
| Pulmonary service/procedure (94799) range across 7 matching MRF lines |
$23–$293 | $36–$450 | varies |
| Pulmonary Stress Testing (94618) | $237 | $365 | 1.8× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $92 | $141 | 1.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $148 | $228 | 0.7× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $52 | $80 | 2.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $278 | $428 | 2.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $127 | $195 | 2.7× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$57–$77 | $87–$118 | varies |
| Sensory Integration Ea 15 Min (97533) | $64 | $98 | 1.1× |
| Slp caregiver training 1st 30 min (97550) | $79 | $121 | 1.5× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$211–$296 | $325–$455 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$79–$289 | $122–$445 | varies |
| Standardized Cognitive Performance Testing (96125) | $233 | $358 | 2.3× |
| Temp transcutaneous pacing (92953) | $264 | $406 | 0.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$64–$68 | $98–$105 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $52 | $80 | 2.5× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$57–$72 | $87–$110 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$57–$60 | $87–$92 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $203 | $312 | 2.0× |
| Ther/Prop/Diag Inj/Inf Proc (96379) range across 5 matching MRF lines |
$59–$177 | $90–$273 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 9 matching MRF lines |
$20–$104 | $30–$160 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$114–$218 | $176–$335 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$50–$70 | $77–$107 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $20 | $30 | 0.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $16 | $24 | 0.4× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$461–$1,196 | $709–$1,840 | varies |
| Tte W/O Doppler Complete (93307) | $795 | $1,223 | 3.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $164 | $253 | 2.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$64–$88 | $98–$135 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $237 | $365 | 1.8× |
| Vasopneumatic device (97016) | $57 | $87 | 4.7× |
| Vent Mgmt Inpat Init Day (94002) | $1,167 | $1,795 | 1.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,167 | $1,795 | 1.9× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$25–$289 | $39–$445 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $68 | $105 | 2.2× |
| Whirlpool Therapy (97022) range across 8 matching MRF lines |
$57–$83 | $87–$128 | 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.