Visits & medical services prices at Seymour Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $56 $80 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $200.20 $286 0.5×
Canalith Repositioning (95992) $108.50 $155 2.7×
Cardiac Stress Tst,Tracing Only (93017) $513.10 $733 2.4×
Cardiopulmonary resuscitation (92950) $496.65 $709.50 2.3×
Cardioversion (92960) $856.80 $1,224 1.3×
Color/duplex Doppler, complete (93975) $422.10 $603 1.8×
Cpap initiation and management (94660) $253.40 $362 1.2×
Cpt initial (94667) $60.90 $87 0.5×
Critical care (99291) $544.60 $778 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $207.20 $296 1.0×
Demo &/or eval,pt use,aerosol device (94664) $67.20 $96 0.3×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $278.60 $398 2.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $277.20 $396 2.6×
Echo Heart Xthoracic,Limited (93308) $709.80 $1,014 3.0×
Echo Transthoracic - Congenital Tte Complete (93303) $1,136.80 $1,624 2.1×
EKG (93005) $81.20 $116 1.4×
Er level 1 (99281) $125.30 $179 1.5×
Er level ii (99282) $81.20 $116 0.5×
Er level iii (99283) $149.10 $213 0.5×
Er level IV (99284) $232.40 $332 0.6×
Er level v (99285) $360.50 $515 0.6×
Evaluation of speech sound production (92522) $158.90 $227 1.4×
Evaluation of swallowing function (92610) $352.80 $504 4.2×
Group Therapeutic Procedures (97150) $46.90 $67 2.6×
Immunization Admin (90471) $60.90 $87 0.8×
Immunotherapy, 2+ Injections (95117) $14 $20 0.3×
Inital newborn e/m (99460) $86.10 $123 0.6×
Initial normal newborn care, same day discharge (99463) $230.69 $329.55 1.7×
IV infusion hydration each additional hour (96361) $72.10 $103 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $229.60 $328 1.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $102.20 $146 1.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $400.40 $572 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $79.10 $113 1.7×
IV push initial (96374) $148.40 $212 0.7×
Manual therapy 15 min (97140) $83.30 $119 3.0×
Massage 15 min (97124) $72.80 $104 2.4×
Mechanical chest wall oscillation (94669) $65.63 $93.75 0.3×
Mechanical traction (97012) $56 $80 3.9×
Nasopharyngoscopy (92511) $149.47 $213.52 0.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $97.30 $139 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $234.50 $335 0.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $259 $370 1.9×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $529.20 $756 2.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $186.90 $267 1.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $79.10 $113 2.5×
Ot eval high complex 60 min (97167) $168 $240 1.7×
Ot eval mod complex 45 min (97166) $168 $240 1.7×
Ot re-eval est plan care (97168) $111.30 $159 1.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $226.80 $324 1.8×
Paraffin bath (97018) $56 $80 9.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $9.80 $14 0.2×
Psych diag eval w/med srvcs (90792) $287 $410 1.6×
Pt Aquatic Therapy/Exercises (97113) $91.70 $131 2.5×
Pt Electrical Stimulation (97032) $63 $90 4.3×
Pt eval high complex 45 min (97163) $173.60 $248 1.8×
Pt eval low complex 20 min (97161) $173.60 $248 1.8×
Pt Gait Training Therapy (97116) $67.90 $97 2.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $93.10 $133 2.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $173.60 $248 1.8×
Pt re-evaluation (97164) $110.60 $158 1.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $89.60 $128 2.8×
Pt Ultrasound Therapy (97035) $63 $90 4.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $137.34 $196.20 0.7×
Rt Chest Wall Manipulation,Subsequent (94668) $25.20 $36 0.2×
Speech sound lang comprehen (92523) $158.90 $227 0.7×
Temp transcutaneous pacing (92953) $380.80 $544 0.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $49.70 $71 2.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $48.20 $68.85 2.3×
Ther/Proph/Diag Inj Sc/Im (96372) $43.40 $62 0.6×
Therapeutic Activities (97530) $79.10 $113 2.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $86.10 $123 1.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $86.10 $123 1.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $114.80 $164 2.4×
Unlisted pulmonary service/procedure (94799) $253.40 $362 2.0×
Ventilation assist & mgmt inpatient 1st day (94002) $579.60 $828 0.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $760.52 $1,086.46 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $76.30 $109 2.5×