Visits & medical services prices at Shriners Hospitals For Children

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

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

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ProcedureCash priceGross charge× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $636.92 $636.92 4.9×
Airway inhalation treatment (94640) $144.40 $144.40 0.7×
Anorectal manometry (91125) $1,631.52 $1,631.52 4.4×
Application of heat wave therapy (97024) $28.30 $28.30 3.9×
Assessment of aphasia (96105) $328.40 $328.40 3.4×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $168.20 $168.20 4.5×
Auditory Function, 60 Min (92620) $636.92 $636.92 4.9×
Behavioral and qualitative analysis of voice and resonance (92524) $233.50 $233.50 2.1×
Biofeedback training any modality (90901) $60.20 $60.20 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $503.30 $503.30 1.3×
Canalith Repositioning (95992) $115.90 $115.90 2.8×
Caregiver training 1st 30 min (97550) $149.70 $149.70 2.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $74.40 $74.40 2.9×
Cbt 1st hour (94644) $285.80 $285.80 2.1×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,380.91 $1,380.91 4.2×
Chemother, IV infusion, 1 hr (96413) $1,380.91 $1,380.91 4.2×
Chemother, IV infusion, ea add hr (96415) $287.24 $287.24 4.0×
Colon Motility 6 Hr Study (91117) $1,332.63 $1,332.63 6.1×
Color/duplex Doppler, complete (93975) $1,093.90 $1,093.90 4.6×
Color/duplex Doppler, limited (93976) $589.20 $589.20 5.6×
Compre cptr mtn alys video taping 3d kinematics (96000) $954.80 $954.80 2.5×
Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) $1,145.90 $1,145.90 1.3×
Comprehensive Hearing Test (92557) $636.92 $636.92 4.9×
Conditioning Play Audiometry (92582) $636.92 $636.92 4.9×
Cpap initiation and management (94660) $503.30 $503.30 2.3×
Cpt initial (94667) $173.10 $173.10 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $794.56 $794.56 3.9×
Demo &/or eval,pt use,aerosol device (94664) $869.68 $869.68 4.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $818.70 $818.70 3.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $513.60 $513.60 4.9×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $821.60 $821.60 3.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $513.60 $513.60 4.9×
Dup-scan xtr veins unilateral/limited study (93971) $513.60 $513.60 4.9×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $669.57 $669.57 5.2×
Dyn surf EMG,walking/func act,1-12 mus (96002) $405.60 $405.60 1.9×
Ear and throat examination (92502) $2,179.34 $2,179.34 4.0×
EKG (93005) $140.20 $140.20 2.4×
EMG cranial nerve bilat (95868) $128.50 $128.50 0.6×
EMG cranial nerve unilat (95867) $600.30 $600.30 2.8×
EMG four extremities (95864) $128.50 $128.50 1.0×
EMG one extremity (95860) $520.86 $520.86 3.9×
EMG thoracic paraspinal (95869) $128.50 $128.50 0.6×
EMG three extremities (95863) $615.30 $615.30 4.8×
EMG two extremities (95861) $472.40 $472.40 3.5×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $521.20 $521.20 7.3×
Evaluation of speech fluency (92521) $266.90 $266.90 2.0×
Evaluation of speech sound production (92522) $222.10 $222.10 2.0×
Evaluation of swallowing function (92610) $562.60 $562.60 6.6×
Evaluation with prescription of speech-generating alternative (92607) $788.90 $788.90 6.5×
Evoked Auditory Test,Comprehsv (92588) $1,279.83 $1,279.83 3.4×
Evoked auditory test,limited (92587) $1,279.83 $1,279.83 5.9×
Exhaled Air Analysis (94690) $212.40 $212.40 3.6×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $212.80 $212.80 1.1×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $313.40 $313.40 1.4×
Flow volume loop (94375) $257 $257 1.2×
Gastric motility studies (91020) $2,270.70 $2,270.70 6.1×
Gi wireless capsule measure (91112) $4,012.29 $4,012.29 4.4×
Group Therapeutic Procedures (97150) $89.50 $89.50 5.0×
Hydrotherapy (97036) $127 $127 3.7×
Injection intra arterial (96373) $873.96 $873.96 4.1×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $249.41 $249.41 4.2×
IV infusion hydration each additional hour (96361) $128.60 $128.60 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $358.90 $358.90 1.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $179.80 $179.80 2.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $650.60 $650.60 3.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $192.90 $192.90 4.1×
IV push initial (96374) $179.80 $179.80 0.8×
Laryngeal Function Studies (92520) $520.86 $520.86 3.9×
Laryngoscopic Sensory Test (92614) $208.70 $208.70 1.4×
Low frequency non-thermal us (97610) $816.31 $816.31 4.1×
Manual therapy 15 min (97140) $131.10 $131.10 4.7×
Massage 15 min (97124) $115.20 $115.20 3.9×
Maximum voluntary ventilation (94200) $207.20 $207.20 3.5×
Mechanical chest wall oscillation (94669) $905.10 $905.10 4.1×
Mechanical traction (97012) $73.90 $73.90 5.1×
Motility study esophagus (91010) $2,270.70 $2,270.70 6.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $461 $461 5.0×
Nasopharyngoscopy (92511) $764.96 $764.96 3.8×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $520.86 $520.86 3.9×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $128.50 $128.50 0.6×
Neg press wnd tx </=50 sq cm (97607) $1,596.55 $1,596.55 3.9×
Neg press wound tx >50 cm (97608) $1,521.38 $1,521.38 3.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $1,596.55 $1,596.55 7.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,625.87 $1,625.87 4.0×
Nerve Conduction Studies 3-4 Studies (95908) $1,279.83 $1,279.83 5.9×
Nerve Conduction Studies 9-10 Studies (95911) $2,185.46 $2,185.46 5.8×
Nerve conduction studies; 1-2 studies (95907) $636.92 $636.92 2.9×
Nerve conduction studies; 11-12 studies (95912) $2,185.46 $2,185.46 5.8×
Nerve conduction studies; 5-6 studies (95909) $1,279.83 $1,279.83 5.9×
Nerve conduction studies; 7-8 studies (95910) $1,279.83 $1,279.83 3.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $350.20 $350.20 2.7×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $302.40 $302.40 0.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $253.65 $253.65 5.5×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $136.60 $136.60 4.3×
Ot Contrast Bath Ea 15 Min (97034) $72.30 $72.30 5.2×
Ot eval high complex 60 min (97167) $438.30 $438.30 4.4×
Ot eval low complex 30 min (97165) $219.30 $219.30 2.2×
Ot eval mod complex 45 min (97166) $328.60 $328.60 3.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $311.10 $311.10 6.2×
Ot Prosthetic Training, Each 15 Min (97761) $147.80 $147.80 3.7×
Ot Range Motion Measure,Each Extrem (95851) $92.70 $92.70 3.6×
Ot re-eval est plan care (97168) $263.10 $263.10 3.8×
Paraffin bath (97018) $40.20 $40.20 6.7×
Plethysmography (94726) $284.10 $284.10 0.8×
Pt Aquatic Therapy/Exercises (97113) $168.90 $168.90 4.6×
Pt Electric Current Therapy (97033) $119.20 $119.20 6.3×
Pt Electrical Stimulation (97032) $82.70 $82.70 5.6×
Pt eval high complex 45 min (97163) $387.80 $387.80 4.0×
Pt eval low complex 20 min (97161) $172.30 $172.30 1.8×
Pt Gait Training Therapy (97116) $125 $125 4.3×
Pt Infrared Therapy (97026) $26.20 $26.20 3.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $223.05 $223.05 6.8×
Pt Physical Performance Test (97750) $177.15 $177.15 5.3×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $258.60 $258.60 2.6×
Pt re-evaluation (97164) $210.80 $210.80 3.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $152.80 $152.80 4.7×
Pt Ultrasound Therapy (97035) $58.50 $58.50 4.1×
Pt Whirlpool Therapy (97022) $86.50 $86.50 5.5×
Pulm Funct Test Oscillometry (94728) $257 $257 2.0×
Pulm function test by gas (94727) $263.40 $263.40 1.2×
Pure Tone Audiometry Air & Bone (92553) $636.92 $636.92 4.9×
Pure Tone Audiometry, Air (92552) $520.86 $520.86 3.9×
Rectal sensation tone&compliance study (91124) $944.06 $944.06 4.4×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $1,207.67 $1,207.67 3.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $557.06 $557.06 2.8×
Rom meas&reprt hand w/wo comparison normal sid (95852) $75 $75 3.5×
Rt Chest Wall Manipulation,Subsequent (94668) $144.40 $144.40 1.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $167.70 $167.70 3.5×
Sensory Integration Ea 15 Min (97533) $129 $129 2.1×
Speech Audiometry Threshold (92555) $249.41 $249.41 4.2×
Speech Audiometry, Complete (92556) $249.41 $249.41 4.2×
Speech group therapy (92508) $156.70 $156.70 6.5×
Speech sound lang comprehen (92523) $461.50 $461.50 2.0×
Spirometry (94010) $302.40 $302.40 1.4×
Standardized Cognitive Performance Testing (96125) $353.20 $353.20 3.4×
Stenger Test, Pure Tone (92565) $249.41 $249.41 4.2×
Stenger Test, Speech (92577) $2,185.46 $2,185.46 5.8×
Surfactant Admin Thru Tube (94610) $257 $257 1.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $118.20 $118.20 5.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $114.60 $114.60 5.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $430.40 $430.40 4.2×
Ther/Proph/Diag Inj Sc/Im (96372) $287.24 $287.24 4.0×
Therapeutic Activities (97530) $301.80 $301.80 8.6×
Tinnitus assessment (92625) $636.92 $636.92 4.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $352.60 $352.60 4.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $441 $441 5.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $179.80 $179.80 3.8×
Tympanometry (92567) $163.52 $163.52 4.4×
Ultraviolet Therapy (97028) $33.90 $33.90 4.1×
Vasc Duplex Extrem Venous,Bilat (93970) $818.70 $818.70 3.4×
Vasopneumatic device (97016) $76.50 $76.50 6.4×
Ventilation assist & mgmt inpatient 1st day (94002) $1,318.20 $1,318.20 2.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,098.40 $1,098.40 1.8×
Visual reinforcement audiometry (vra) (92579) $636.92 $636.92 2.9×
Vital capacity total (94150) $212.40 $212.40 1.6×
Wheelchair Mgmt Ea 15 Min (97542) $138.50 $138.50 4.5×