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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ProcedurePosted cashPosted gross× 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×
Airway resistance by oscillometry (94728) $257 $257 2.0×
Anrct mano rct sensation&rct balo expulsion test (91125) $1,631.52 $1,631.52 4.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $58.50 $58.50 4.1×
Application Modality 1/> Areas Diathermy (97024) $28.30 $28.30 3.9×
Application Modality 1/> Areas Infrared (97026) $26.20 $26.20 3.9×
Assessment of aphasia per hr (96105) $328.40 $328.40 3.4×
Assessment of tinnitus (92625) $636.92 $636.92 4.9×
Audiometry Air & Bone (92553) $636.92 $636.92 4.9×
Auditory Function, 60 Min (92620) $636.92 $636.92 4.9×
Behavral qualit analys voice (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 proc (95992) $115.90 $115.90 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 IV infusion addl hr (96415) $287.24 $287.24 4.0×
Chemother Prolong Infuse W/Pump (96416) $1,380.91 $1,380.91 4.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,380.91 $1,380.91 4.2×
Chest Wall Manipulation (94668) $144.40 $144.40 1.1×
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×
Community/Work Reintegration Trainj Ea 15 Min (97537) $136.60 $136.60 4.3×
Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) $1,145.90 $1,145.90 1.3×
Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) $954.80 $954.80 2.5×
Comprehensive Hearing Test (92557) $636.92 $636.92 4.9×
Conditioning Play Audiometry (92582) $636.92 $636.92 4.9×
Continuous Pulse Ox (94762) $350.20 $350.20 2.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $503.30 $503.30 2.3×
Cpt initial (94667) $173.10 $173.10 1.3×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$772.79–$816.32 $772.79–$816.32 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $1,279.83 $1,279.83 3.4×
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 Xtr Veins Complete Bilateral Study (93970) $818.70 $818.70 3.4×
Dup-scan xtr veins unilateral/limited study (93971) $513.60 $513.60 4.9×
Duplex up extrem art bilat (93930) $821.60 $821.60 3.4×
Duplex up extrem art unilat/ltd (93931) $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 walkg/funcjal actv 1-12 musc (96002) $405.60 $405.60 1.9×
Ear and throat examination (92502) $2,179.34 $2,179.34 4.0×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$81.70–$83.70 $81.70–$83.70 varies
Electrocardiogram Tracing (93005) $140.20 $140.20 2.4×
Emg 3 Extremities (95863) $615.30 $615.30 4.8×
Emg 4 Extremities (95864) $128.50 $128.50 1.0×
Evaluate pt use of inhaler (94664) $869.68 $869.68 4.0×
Evaluate Speech Production (92522) $222.10 $222.10 2.0×
Evaluate Swallowing Function (92610) $562.60 $562.60 6.6×
Evaluation of speech fluency (92521) $266.90 $266.90 2.0×
Evoked Auditory Test,Limited (92587) $1,279.83 $1,279.83 5.9×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $208.70 $208.70 1.4×
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×
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×
Hubbard tank 15 min (97036) $127 $127 3.7×
Iontophoresis 15 min (97033) $119.20 $119.20 6.3×
Irrig Drug Delivery Device (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 ther proph addl sequential to 1 hr (96367) $179.80 $179.80 2.5×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$128.60–$257.20 $128.60–$257.20 varies
IV push initial (96374) $179.80 $179.80 0.8×
Laryngeal Function Studies (92520) $520.86 $520.86 3.9×
Low frequency non-thermal us (97610) $816.31 $816.31 4.1×
Lung Function Test (Mbc/Mvv) (94200) $207.20 $207.20 3.5×
Mechanical chest wall oscillation per session (94669) $905.10 $905.10 4.1×
Motility study esophagus (91010) $2,270.70 $2,270.70 6.1×
Motion Fluoroscopy/Swallow (92611) $461 $461 5.0×
Muscle Test 2 Limbs (95861) $472.40 $472.40 3.5×
Muscle Test Nonparaspinal (95870) $520.86 $520.86 3.9×
Muscle Test One Limb (95860) $520.86 $520.86 3.9×
Nasopharyngoscopy (92511) $764.96 $764.96 3.8×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $128.50 $128.50 0.6×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $600.30 $600.30 2.8×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $128.50 $128.50 0.6×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $128.50 $128.50 0.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,596.55 $1,596.55 3.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$1,416.90–$1,625.87 $1,416.90–$1,625.87 varies
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 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 3-4 Studies (95908) $1,279.83 $1,279.83 5.9×
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×
Nerve Conduction Studies 9-10 Studies (95911) $2,185.46 $2,185.46 5.8×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$148.70–$297.40 $148.70–$297.40 varies
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $302.40 $302.40 0.8×
Oral Function Therapy (92526) $441 $441 5.2×
Oral Speech Device Eval (92597) $521.20 $521.20 7.3×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 3 matching MRF lines
$103.70–$518.50 $103.70–$518.50 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$169.10–$338.20 $169.10–$338.20 varies
Ot Contrast Bath Ea 15 Min (97034) $72.30 $72.30 5.2×
Ot eval high complexity (97167) $438.30 $438.30 4.4×
Ot Eval Low Complex (97165) $219.30 $219.30 2.2×
Ot Eval Moderate Complexity (97166) $328.60 $328.60 3.3×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$129.50–$132.70 $129.50–$132.70 varies
Ot paraffin bath (97018) $40.20 $40.20 6.7×
Ot Prosthetic Training, Each 15 Min (97761) $147.80 $147.80 3.7×
Ot Re-Eval Est Plan Care (97168) $263.10 $263.10 3.8×
Ot rom hand (95852) $75 $75 3.5×
Oxygen Uptake Rest Indirect (94690) $212.40 $212.40 3.6×
Physical Performance Test (97750)
range across 2 matching MRF lines
$148.10–$206.20 $148.10–$206.20 varies
Plethysmography (94726) $284.10 $284.10 0.8×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $168.20 $168.20 4.5×
Pt Eval High Complex (97163) $387.80 $387.80 4.0×
Pt eval low complex 20 min (97161) $172.30 $172.30 1.8×
Pt Eval Mod Complex (97162) $258.60 $258.60 2.6×
Pt gait training 15 min (97116)
range across 3 matching MRF lines
$121.90–$375 $121.90–$375 varies
Pt mechanical traction (97012) $73.90 $73.90 5.1×
Pt Re-Eval Est Plan Care (97164) $210.80 $210.80 3.1×
Pt ultraviolet (97028) $33.90 $33.90 4.1×
Pulm function test by gas (94727) $263.40 $263.40 1.2×
Pure Tone Audiometry Air (92552) $520.86 $520.86 3.9×
Rectal sensation tone&compliance study (91124) $944.06 $944.06 4.4×
Respiratory flow volume loop (94375) $257 $257 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$297.80–$816.31 $297.80–$816.31 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $92.70 $92.70 3.6×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $788.90 $788.90 6.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $167.70 $167.70 3.5×
Self Care Mngment Training (97535) $152.80 $152.80 4.7×
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines
$127.40–$130.60 $127.40–$130.60 varies
Slp caregiver training 1st 30 min (97550) $149.70 $149.70 2.8×
Speech Audiometry Complete (92556) $249.41 $249.41 4.2×
Speech audiometry threshold (92555) $249.41 $249.41 4.2×
Speech sound lang comprehen (92523) $461.50 $461.50 2.0×
Spin/Brain Pump Refil & Main (95991) $1,207.67 $1,207.67 3.9×
Spirometry (94010) $302.40 $302.40 1.4×
Standardized Cognitive Performance Testing (96125) $353.20 $353.20 3.4×
Stenger Test Speech (92577) $2,185.46 $2,185.46 5.8×
Stenger Test, Pure Tone (92565) $249.41 $249.41 4.2×
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 Ea Addl 15 Min (97130) $114.60 $114.60 5.4×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $168.90 $168.90 4.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 3 matching MRF lines
$115.20–$345.60 $115.20–$345.60 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $430.40 $430.40 4.2×
Ther/Proph/Diag Inj Ia (96373) $873.96 $873.96 4.1×
Ther/Proph/Diag Inj Sc/Im (96372) $287.24 $287.24 4.0×
Ther/Proph/Diag Iv Inf Init (96365) $650.60 $650.60 3.0×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$150.90–$452.70 $150.90–$452.70 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $352.60 $352.60 4.6×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $156.70 $156.70 6.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $179.80 $179.80 3.8×
Tympanometry (92567) $163.52 $163.52 4.4×
Vasopneumatic device (97016) $76.50 $76.50 6.4×
Vent Mgmt Inpat Init 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×
Whirlpool Therapy (97022) $86.50 $86.50 5.5×

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.