Visits & medical services prices at Starr County Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $75.43 $75.43 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,000 $1,000 2.7×
Cardiopulmonary resuscitation (92950) $1,200 $1,200 5.5×
Cardioversion (92960) $650 $650 1.0×
Color/duplex Doppler, complete (93975) $930 $930 3.9×
Color/duplex Doppler, limited (93976) $420 $420 4.0×
Cpap initiation and management (94660) $800 $800 3.6×
Cpt initial (94667) $500 $500 3.7×
Critical care (99291) $3,200 $3,200 3.9×
Debridement Open Wound 20 Sq Cm< (97597) $349.42 $349.42 1.7×
Demo &/or eval,pt use,aerosol device (94664) $170.12 $170.12 0.8×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $500 $500 2.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $900 $900 3.8×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $420 $420 4.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $930 $930 3.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $420 $420 4.0×
Dup-scan xtr veins unilateral/limited study (93971) $420 $420 4.0×
Duplex scan extracranial art compl bi study (93880) $950 $950 4.0×
EKG (93005) $250 $250 4.2×
EKG rhythm strip (93041) $250 $250 4.2×
Er level 1 (99281) $320 $320 3.8×
Er level ii (99282) $585 $585 3.8×
Er level iii (99283) $1,020 $1,020 3.7×
Er level IV (99284) $1,585 $1,585 3.8×
Er level v (99285) $2,300 $2,300 3.8×
Holter Monitor Recording (93225) $500 $500 3.7×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $8 $8 0.1×
Immunization Admin (90471) $14.38 $14.38 0.2×
Immunotherapy, 2+ Injections (95117) $23.57 $23.57 0.5×
Inital newborn e/m (99460) $155 $155 1.2×
Injection intra arterial (96373) $367 $367 1.7×
IV infusion hydration each additional hour (96361) $76.22 $76.22 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $367.44 $367.44 1.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $120.92 $120.92 1.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $13 $13 0.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $76.22 $76.22 1.6×
IV push initial (96374) $367.44 $367.44 1.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $56.58 $56.58 1.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $67.12 $67.12 1.8×
Methacholine challenge (94070) $1,000 $1,000 2.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $250 $250 1.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $450 $450 3.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $500 $500 2.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $14 $14 0.3×
Pt-focused hlth risk assmt (96160) $48 $48 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $349.42 $349.42 1.7×
Rt Chest Wall Manipulation,Subsequent (94668) $400 $400 3.0×
Sc Ther Infusion Reset Pump (96371) $220 $220 3.0×
Spirometry (94010) $525 $525 2.4×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $220 $220 4.7×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $367.44 $367.44 1.7×
Temp transcutaneous pacing (92953) $600 $600 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $13 $13 0.2×
Therapeutic phlebotomy (99195) $396 $396 3.0×
Trans Care Mgmt 14 Day Disch (99495) $175 $175 1.3×
Trans Care Mgmt 7 Day Disch (99496) $231 $231 1.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,500 $1,500 2.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $76.22 $76.22 1.6×
Unlisted pulmonary service/procedure (94799) $550 $550 4.3×
Vasc Duplex Extrem Venous,Bilat (93970) $930 $930 3.9×
Vasc Duplex Scan Extracranial,Limited (93882) $420 $420 4.0×
Ventilation assist & mgmt inpatient 1st day (94002) $2,400 $2,400 3.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,000 $2,000 3.2×
Vital capacity total (94150) $600 $600 4.6×