Visits & medical services prices at Stephens Memorial Hospital
Breckenridge, TX · every code in this section with a posted price and a Medicare benchmark.
117 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 11 matching MRF lines |
$59.21–$142.80 | $84.59–$204 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 4 matching MRF lines |
$24.79–$73.78 | $35.42–$105.40 | varies |
| Application on-body injector (96377) range across 2 matching MRF lines |
$77.76–$81.65 | $111.09–$116.64 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$210.75–$458.64 | $301.07–$655.20 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 8 matching MRF lines |
$369.85–$843.05 | $528.36–$1,204.35 | varies |
| Cardiopulmonary resuscitation (92950) range across 5 matching MRF lines |
$355.89–$838.43 | $508.41–$1,197.76 | varies |
| Cardioversion (92960) range across 5 matching MRF lines |
$223.65–$871.94 | $319.50–$1,245.63 | varies |
| Cbt 1st hour (94644) | $142.80 | $204 | 1.1× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$80.49–$149.21 | $114.99–$213.15 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$126–$132.30 | $180–$189 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$122.50–$128.63 | $175–$183.75 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$122.50–$128.63 | $175–$183.75 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$625.10–$656.36 | $893–$937.65 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$401.10–$421.16 | $573–$601.65 | varies |
| Color/duplex Doppler, complete (93975) range across 5 matching MRF lines |
$341.61–$1,084.13 | $488.01–$1,548.75 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$681.80–$715.89 | $974–$1,022.70 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$165.61–$588 | $236.58–$840 | varies |
| Cpt initial (94667) range across 5 matching MRF lines |
$57.49–$137.90 | $82.13–$197 | varies |
| Critical care first hour (99291) range across 3 matching MRF lines |
$446.65–$1,204.73 | $638.07–$1,721.04 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$44.10–$424.90 | $63–$607 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 5 matching MRF lines |
$341.61–$993.72 | $488.01–$1,419.60 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 5 matching MRF lines |
$241.35–$740.15 | $344.79–$1,057.35 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 10 matching MRF lines |
$341.61–$1,061.34 | $488.01–$1,516.20 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 5 matching MRF lines |
$218.33–$710.75 | $311.90–$1,015.35 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$341.61–$351.86 | $488.01–$502.65 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 5 matching MRF lines |
$218.33–$718.10 | $311.90–$1,025.85 | varies |
| Echo Congenital Complete (93303) | $910 | $1,300 | 1.7× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$226.50–$688.10 | $323.57–$983 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$826.70–$868.04 | $1,181–$1,240.05 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$27.49–$77.57 | $39.27–$110.81 | varies |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$133.39–$198.45 | $190.55–$283.50 | varies |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$88.20–$354.82 | $126–$506.88 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$161.70–$576.48 | $231–$823.54 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$270.69–$764.91 | $386.70–$1,092.73 | varies |
| Er level 1 (99281) range across 4 matching MRF lines |
$58.80–$229.74 | $84–$328.20 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$742.63–$927.38 | $1,060.90–$1,324.83 | varies |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$59.21–$140 | $84.59–$200 | varies |
| Evaluate Swallowing Function (92610) range across 4 matching MRF lines |
$123–$208.79 | $175.72–$298.27 | varies |
| Exercise test for bronchospasm (94617) | $231 | $330 | 1.7× |
| Exhaled Air Analysis O2 (94680) | $122.54 | $175.05 | 0.9× |
| External ECG rec>48hr<7d recording (93242) | $373.56 | $533.65 | 10.0× |
| External ECG rec>7d<15d recording (93246) | $374.84 | $535.48 | 10.0× |
| Extracranial Bilat Study (93880) range across 4 matching MRF lines |
$847–$889.35 | $1,210–$1,270.50 | varies |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$401.80–$421.89 | $574–$602.70 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$122.22–$128.33 | $174.60–$183.33 | varies |
| Immunization administration (90471) range across 6 matching MRF lines |
$122.50–$128.63 | $175–$183.75 | varies |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$49.91–$53.98 | $71.30–$77.11 | varies |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$88.94–$132.60 | $127.05–$189.43 | varies |
| IV infusion hydration each additional hour (96361) range across 8 matching MRF lines |
$28.01–$81.65 | $40.02–$116.64 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 11 matching MRF lines |
$72.79–$421.35 | $103.98–$601.93 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 10 matching MRF lines |
$80.49–$183.75 | $114.99–$262.50 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 10 matching MRF lines |
$77.70–$151.27 | $111–$216.10 | varies |
| IV push initial (96374) range across 10 matching MRF lines |
$72.18–$421.35 | $103.12–$601.93 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $305.40 | $436.29 | 2.4× |
| Lung Function Test (Mbc/Mvv) (94200) | $82.82 | $118.31 | 1.4× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 5 matching MRF lines |
$360.92–$385.14 | $515.60–$550.20 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $54.60 | $78 | 1.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $62.30 | $89 | 1.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $28.70 | $41 | 1.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$49.98–$783.45 | $71.40–$1,119.21 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$55.13–$652.40 | $78.75–$932 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 5 matching MRF lines |
$47.78–$354.90 | $68.25–$507 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$51.45–$652.40 | $73.50–$932 | varies |
| Neuromuscular Reeducation (97112) range across 6 matching MRF lines |
$70.67–$76.43 | $100.95–$109.18 | varies |
| Oral Function Therapy (92526) range across 7 matching MRF lines |
$46.89–$207.14 | $66.99–$295.92 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $111.59 | $159.42 | 2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $101.87 | $145.53 | 2.2× |
| Ot Contrast Bath Ea 15 Min (97034) range across 3 matching MRF lines |
$31.15–$33.69 | $44.50–$48.13 | varies |
| Ot eval high complexity (97167) | $112 | $160 | 1.1× |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$187.34–$201.75 | $267.63–$288.21 | varies |
| Ot Eval Moderate Complexity (97166) | $112 | $160 | 1.1× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$64.20–$89.26 | $91.72–$127.52 | varies |
| Ot paraffin bath (97018) range across 4 matching MRF lines |
$16.27–$71.83 | $23.24–$102.62 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 3 matching MRF lines |
$127.28–$135.74 | $181.83–$193.92 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$30.98–$134.67 | $44.25–$192.39 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$167.09–$175.45 | $238.70–$250.64 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$188.34–$197.76 | $269.06–$282.51 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $119.39 | $170.55 | 2.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $119.39 | $170.55 | 2.0× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$48.94–$52.93 | $69.92–$75.62 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 6 matching MRF lines |
$3,243.10–$3,405.99 | $4,633–$4,865.70 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$15.44–$77.70 | $22.05–$111 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$17.64–$126 | $25.20–$180 | varies |
| Pt Eval High Complex (97163) range across 3 matching MRF lines |
$173.86–$182.56 | $248.37–$260.80 | varies |
| Pt eval low complex 20 min (97161) | $125.52 | $179.32 | 1.3× |
| Pt Eval Mod Complex (97162) range across 6 matching MRF lines |
$173.86–$183.75 | $248.37–$262.50 | varies |
| Pt gait training 15 min (97116) range across 6 matching MRF lines |
$41.65–$65.50 | $59.50–$93.57 | varies |
| Pt mechanical traction (97012) range across 6 matching MRF lines |
$30.84–$33.35 | $44.05–$47.64 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$117.37–$123.24 | $167.67–$176.05 | varies |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$86.89–$89.50 | $124.13–$127.85 | varies |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$109.38–$231.53 | $156.26–$330.75 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 3 matching MRF lines |
$87.61–$118.34 | $125.15–$169.05 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$67.42–$354.90 | $96.31–$507 | varies |
| Self Care Mngment Training (97535) range across 12 matching MRF lines |
$49.95–$191.49 | $71.36–$273.56 | varies |
| Speech sound lang comprehen (92523) | $557.84 | $796.91 | 2.5× |
| Spirometry (94010) range across 3 matching MRF lines |
$122.54–$249.17 | $175.05–$355.95 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) range across 2 matching MRF lines |
$77.76–$81.65 | $111.09–$116.64 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 2 matching MRF lines |
$401.29–$421.35 | $573.27–$601.93 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) range across 3 matching MRF lines |
$122.22–$129.22 | $174.60–$184.60 | varies |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$355.89–$561.67 | $508.41–$802.39 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $57.21 | $81.73 | 2.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$37.88–$40.96 | $54.11–$58.52 | varies |
| Ther/Prop/Diag Inj/Inf Proc (96379) range across 2 matching MRF lines |
$65.72–$121.10 | $93.89–$173 | varies |
| Ther/Proph/Diag Inj Ia (96373) range across 4 matching MRF lines |
$80.49–$421.35 | $114.99–$601.93 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 12 matching MRF lines |
$35–$128.33 | $50–$183.33 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 13 matching MRF lines |
$77.76–$421.35 | $111.09–$601.93 | varies |
| Therapeutic Activities (97530) range across 8 matching MRF lines |
$62.34–$67.42 | $89.05–$96.31 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $48.20 | $68.85 | 1.3× |
| Tte w/doppler, complete (93306) range across 13 matching MRF lines |
$218.74–$1,503.81 | $312.48–$2,148.30 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 4 matching MRF lines |
$44.97–$186.76 | $64.24–$266.80 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 9 matching MRF lines |
$23.05–$24.93 | $32.93–$35.62 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 10 matching MRF lines |
$54.22–$81.65 | $77.45–$116.64 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 5 matching MRF lines |
$241.35–$307.23 | $344.79–$438.90 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 8 matching MRF lines |
$332.33–$1,078 | $474.76–$1,540 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$1,379.44–$1,491.87 | $1,970.63–$2,131.24 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 4 matching MRF lines |
$55.70–$66.82 | $79.57–$95.46 | varies |
| Whirlpool Therapy (97022) range across 6 matching MRF lines |
$35.71–$38.63 | $51.02–$55.18 | varies |
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.