Visits & medical services prices at Shannon Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $11,405.50 $22,811 1.5×
Aep threshold estimation mlt frequencies i&r (92652) $764 $1,528 3.5×
Airway inhalation treatment (94640) $333.50 $667 1.5×
Ambulatory Bp Analysis (93788) $190.50 $381 1.4×
Ambulatory Bp Recording (93786) $190.50 $381 1.4×
Assessment of aphasia (96105) $232 $464 2.4×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $69.50 $139 1.8×
Behavioral and qualitative analysis of voice and resonance (92524) $240 $480 2.2×
Biofeedback training any modality (90901) $81 $162 2.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $674 $1,348 1.8×
C motor evoked uppr limbs (95928) $269.50 $539 0.3×
Canalith Repositioning (95992) $63.50 $127 1.6×
Capsule endoscopy (91110) $1,888 $3,776 2.1×
Car seat/bed test 60 min (94780) $152.50 $305 4.1×
Cardiac Stress Tst,Tracing Only (93017) $995 $1,990 4.6×
Cardiopulmonary resuscitation (92950) $552.50 $1,105 2.5×
Cardioversion (92960) $1,107.50 $2,215 1.7×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $7,713 $15,426 2.4×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $11,950 $23,900 3.7×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $11,135.50 $22,271 3.4×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,345 $18,690 2.9×
Cbt 1st hour (94644) $212.50 $425 1.6×
Chemo Hormon Antineopl Sq/Im (96402) $118 $236 1.6×
Chemo inj subarach/intravent (96542) $333.50 $667 1.0×
Chemo IV push addl drug (96411) $235 $470 3.2×
Chemo Iv Push Sngl Drug (96409) $407 $814 1.2×
Chemother, IV infusion, 1 hr (96413) $507.50 $1,015 1.5×
Chemother, IV infusion, ea add hr (96415) $133.50 $267 1.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $612.50 $1,225 8.5×
Chemotx Admn Cns Req Spinal Puncture (96450) $562 $1,124 1.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $235 $470 3.2×
Color/duplex Doppler, complete (93975) $1,113.25 $2,226.50 4.6×
Color/duplex Doppler, limited (93976) $592.50 $1,185 5.6×
Continuous Glucose Monitoring (95250) $261 $522 2.0×
Coronary artery angio s&i (93454) $7,713 $15,426 2.4×
Cpap initiation and management (94660) $791.50 $1,583 3.6×
Cpt initial (94667) $212.50 $425 1.6×
Critical care (99291) $785.50 $1,571 0.9×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $269.50 $539 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $287.25 $574.50 1.4×
Demo &/or eval,pt use,aerosol device (94664) $198.50 $397 0.9×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $607 $1,214 1.4×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $807.50 $1,615 3.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,246.50 $2,493 5.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $640 $1,280 6.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $619.50 $1,239 2.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $605 $1,210 5.8×
Dup-scan xtr veins unilateral/limited study (93971) $732 $1,464 7.0×
Duplex hemodialysis access (93990) $375.50 $751 3.6×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $430.50 $861 1.8×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $431.50 $863 4.1×
Duplex scan extracranial art compl bi study (93880) $1,343.50 $2,687 5.6×
Echo Heart Xthoracic,Limited (93308) $627 $1,254 2.6×
Echo transesophageal (93312) $1,948 $3,896 3.5×
Echo Transthoracic - Congenital Tte Complete (93303) $1,527 $3,054 2.8×
Echo Transthoracic - Congenital Tte Limited (93304) $782.50 $1,565 1.4×
EEG awake asleep (95819) $447 $894 2.1×
EEG awake drowsy (95816) $757.75 $1,515.50 3.5×
EEG cont rec w/video by tech min 8 channels (95700) $459 $918 2.1×
Eeg Extended Monitoring 61-119 Minutes (95813) $813 $1,626 3.7×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $459 $918 2.1×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $781.50 $1,563 2.1×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $1,563.50 $3,127 4.2×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $781.50 $1,563 2.1×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $447 $894 2.1×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $458 $916 2.1×
EKG (93005) $366.50 $733 6.2×
EKG rhythm strip (93041) $220.50 $441 3.7×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $814.25 $1,628.50 3.8×
Endomyocardial biopsy (93505) $3,717 $7,434 1.2×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure
$10,145 $20,290 0.4×
Ep & ablate ventric tachy (93654) $31,965 $63,930 1.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $10,319 $20,638 1.3×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $7,906 $15,812 1.0×
Ep Electrophysiologic F/U Study (93624) $10,319 $20,638 1.3×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $2,507 $5,014 2.0×
Er level 1 (99281) $156.50 $313 1.8×
Er level ii (99282) $490 $980 3.2×
Er level iii (99283) $775 $1,550 2.8×
Er level IV (99284) $1,234 $2,468 2.9×
Er level v (99285) $1,559 $3,118 2.6×
Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) $976 $1,952 2.6×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $286.50 $573 4.0×
Evaluation of speech fluency (92521) $284.50 $569 2.1×
Evaluation of speech sound production (92522) $231 $462 2.1×
Evaluation of swallowing function (92610) $193.50 $387 2.3×
Evaluation with prescription of speech-generating alternative (92607) $348 $696 2.8×
Exhaled Air Analysis (94690) $89.50 $179 1.5×
External ECG rec>48hr<7d recording (93242) $58 $116 1.5×
External ECG rec>48hr<7d scanning alys w/report (93243) $190.50 $381 1.4×
External ECG rec>7d<15d recording (93246) $58 $116 1.5×
External ECG rec>7d<15d scanning alys w/report (93247) $190.50 $381 1.4×
External Ecg Scanning Analysis Report (93226) $423.50 $847 7.1×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $344 $688 1.7×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $409 $818 1.8×
Fluorescein angioscopy (92230) $1,203 $2,406 3.2×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $539.50 $1,079 2.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $786.50 $1,573 0.9×
Group Therapeutic Procedures (97150) $28.50 $57 1.6×
Hemodialysis (90935) $1,104 $2,208 1.6×
Holter Monitor Recording (93225) $965.50 $1,931 7.2×
Icd Device Interrogate (93289) $55 $110 1.5×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $27 $54 0.4×
Immunization Admin (90471) $97.50 $195 1.3×
Injection intra arterial (96373) $280 $560 1.3×
Ins swan ganz bedside (93503) $5,651.50 $11,303 3.6×
Interrog dev eval icpms phys/qhp in person (93290) $45.50 $91 1.2×
Interrog dev eval scrms phys/qhp in person (93291) $55 $110 1.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $199.75 $399.50 3.4×
IV infusion hydration each additional hour (96361) $81.50 $163 1.7×
IV infusion hydration initial 31 min-1 hour (96360) $235 $470 1.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $118 $236 1.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $407 $814 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $139.50 $279 3.0×
IV push initial (96374) $325.50 $651 1.5×
Maintenance of spinal canal or brain drug infusion pump (95990) $534 $1,068 1.6×
Manual therapy 15 min (97140) $69.75 $139.50 2.5×
Massage 15 min (97124) $75 $150 2.5×
Maximum voluntary ventilation (94200) $139.50 $279 2.4×
Mechanical chest wall oscillation (94669) $347.50 $695 1.6×
Mechanical traction (97012) $26 $52 1.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $43 $86 1.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $44 $88 1.2×
Methacholine challenge (94070) $780.50 $1,561 2.1×
Motility study esophagus (91010) $458 $916 1.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $253 $506 2.8×
Multiple sleep latency test (95805) $2,082.50 $4,165 2.4×
Nasopharyngoscopy (92511) $266.50 $533 1.3×
Neg press wnd tx </=50 sq cm (97607) $497 $994 1.2×
Neg press wound tx >50 cm (97608) $497 $994 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $226.50 $453 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $277.50 $555 0.7×
Nerve conduction studies 13/> studies (95913) $228.50 $457 0.6×
Nerve Conduction Studies 3-4 Studies (95908) $126 $252 0.6×
Nerve Conduction Studies 9-10 Studies (95911) $228.50 $457 0.6×
Nerve conduction studies; 11-12 studies (95912) $228.50 $457 0.6×
Nerve conduction studies; 7-8 studies (95910) $126 $252 0.3×
Newborn resuscitation (99465) $926 $1,852 1.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $441.25 $882.50 3.3×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $798.50 $1,597 3.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $226.50 $453 1.8×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) $53.50 $107 1.6×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98970) $53.50 $107 4.3×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98971) $53.50 $107 2.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $72.50 $145 1.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $73 $146 2.3×
Ot Contrast Bath Ea 15 Min (97034) $38 $76 2.7×
Ot eval high complex 60 min (97167) $212.50 $425 2.1×
Ot eval low complex 30 min (97165) $212.50 $425 2.1×
Ot eval mod complex 45 min (97166) $212.50 $425 2.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $80 $160 1.6×
Ot Prosthetic Training, Each 15 Min (97761) $77 $154 1.9×
Ot Range Motion Measure,Each Extrem (95851) $11.25 $22.50 0.4×
Ot re-eval est plan care (97168) $212.50 $425 3.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $209 $418 1.6×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $161 $322 1.2×
Paraffin bath (97018) $20 $40 3.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $347.50 $695 1.6×
Peripheral arterial disease rehab per session (93668) $105 $210 1.8×
Phy/qhp op pulm rhb w/mntr (94626) $239.75 $479.50 4.0×
Phy/qhp op pulm rhb w/o mntr (94625) $93 $186 1.6×
Plethysmography (94726) $458 $916 1.2×
Pm device eval in person (93288) $55 $110 1.5×
Pm device progr eval dual (93280) $55 $110 1.5×
Pm device progr eval multi (93281) $55 $110 1.5×
Pm/Icd Remote Tech Serv (93296) $55 $110 1.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,186 $6,372 3.7×
Polysom <6 yrs 4/> paramtrs (95782) $3,236 $6,472 3.8×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $55 $110 1.5×
Principal care mgmt svc 1st 30 staff cal mo (99426) $43.50 $87 0.4×
Programming of dual lead implantable defibrillator system (93283) $55 $110 1.5×
Programming of single lead implantable defibrillator system (93282) $55 $110 1.5×
Prq card revasc chronic 1vsl (92943) $15,708.50 $31,417 1.4×
Prq Card Stent W/Angio 1 Vsl (92928) $15,708.50 $31,417 1.4×
Prq Card Stent/Ath/Angio (92933) $15,708.50 $31,417 0.9×
Prq revasc byp graft 1 vsl (92937) $14,960 $29,920 1.3×
Prq trluml coronary angio/atherect one art/brnch (92924) $21,554 $43,108 1.9×
Prq trluml coronary angioplasty one art/branch (92920) $10,750.50 $21,501 1.9×
Psych diag eval w/med srvcs (90792) $227.50 $455 1.3×
Psychiatric diagnostic evaluation (90791) $227.50 $455 1.3×
Pt Electric Current Therapy (97033) $41 $82 2.2×
Pt Electrical Stimulation (97032) $63.50 $127 4.3×
Pt eval high complex 45 min (97163) $234 $468 2.4×
Pt eval low complex 20 min (97161) $234 $468 2.4×
Pt Gait Training Therapy (97116) $67 $134 2.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $68.50 $137 2.1×
Pt Physical Performance Test (97750) $62 $124 1.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $234 $468 2.4×
Pt re-evaluation (97164) $234 $468 3.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $86.25 $172.50 2.7×
Pt Ultrasound Therapy (97035) $24 $48 1.7×
Pt Whirlpool Therapy (97022) $107 $214 6.8×
Pulm function test by gas (94727) $406 $812 1.9×
Pulmonary stress testing (94618) $191.50 $383 1.4×
R & l hrt cath w/njx l ventriculog img s&i (93453) $8,109.50 $16,219 2.5×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $9,550 $19,100 2.9×
R hrt art/grft angio (93457) $9,162 $18,324 2.8×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $11,299 $22,598 3.5×
Rem interrog icpms <30 d phys/qhp (93297) $55 $110 1.5×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $55 $110 1.5×
Rem mntr physiol param 1st dev supply ea 30 days (99454) $55 $110 1.5×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $190 $380 1.4×
Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) $48 $96 1.3×
Remote Mntr Wireless P-Art Prs Snr Up to 30 D (93264) $55 $110 1.5×
Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) $43 $86 0.8×
Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) $42.50 $85 1.0×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $151.50 $303 1.1×
Right heart cath (93451) $9,268 $18,536 2.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $203.50 $407 1.0×
Rom meas&reprt hand w/wo comparison normal sid (95852) $8.25 $16.50 0.4×
Rt Chest Wall Manipulation,Subsequent (94668) $130.50 $261 1.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $99 $198 2.1×
Self-meas bp pt educaj/traing & dev calibration (99473) $36 $72 1.2×
Sensory Integration Ea 15 Min (97533) $70.50 $141 1.2×
Short-latency somatosens ep std lwr limbs (95926) $1,162 $2,324 5.4×
Short-latency somatosens ep std upr limbs (95925) $1,162 $2,324 5.4×
Sleep study attended (95807) $1,276.50 $2,553 3.4×
Sleep study unattended (95806) $549.25 $1,098.50 2.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $591 $1,182 2.7×
Smoking cessation > 10 min (99407) $44 $88 1.2×
Somatosensory testing (95938) $847.50 $1,695 1.0×
Speech sound lang comprehen (92523) $477 $954 2.1×
Spirometry (94010) $539 $1,078 2.5×
Standardized Cognitive Performance Testing (96125) $285 $570 2.8×
Stress echo (93350) $1,635 $3,270 3.0×
Stress Tte Complete (93351) $2,622.50 $5,245 4.8×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $188 $376 4.0×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $329.50 $659 1.5×
Surfactant Admin Thru Tube (94610) $184 $368 0.8×
Temp transcutaneous pacing (92953) $546.50 $1,093 0.8×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $93 $186 4.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $44 $88 2.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $235 $470 2.3×
Ther/Proph/Diag Inj Sc/Im (96372) $247 $494 3.4×
Therapeutic Activities (97530) $84 $168 2.4×
Therapeutic phlebotomy (99195) $219 $438 1.6×
Tilt Table Eval (93660) $1,211 $2,422 3.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $44 $88 1.2×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $357 $714 1.5×
Transcranial Doppler Limited (93888) $157 $314 1.5×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,460 $4,920 4.5×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $983 $1,966 4.1×
Tx atrial fib pulm vein isol (93656) $36,102.50 $72,205 1.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $180 $360 2.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $205.50 $411 2.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $121 $242 2.6×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $1,225.50 $2,451 2.2×
Unlisted Cardiovascular Service/Procedure (93799) $231 $462 1.8×
Vasc Duplex Extrem Venous,Bilat (93970) $1,093.75 $2,187.50 4.6×
Vasc Duplex Scan Extracranial,Limited (93882) $724.50 $1,449 6.9×
Veeg Ea 12-26 Hr Unmntr (95714) $2,004.50 $4,009 5.3×
Ventilation assist & mgmt inpatient 1st day (94002) $1,057.50 $2,115 1.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,057.50 $2,115 1.7×
Visual Evoked Potential Test (95930) $698.50 $1,397 3.2×
Vital capacity total (94150) $143 $286 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $74.50 $149 2.4×
Xtrnl mobile cv telemetry w/technical support (93229) $460 $920 1.2×