Visits & medical services prices at Stonewall Memorial Hospital District
Aspermont, TX · every code in this section with a posted price and a Medicare benchmark.
71 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) | $59.25 | $79 | 0.3× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 2 matching MRF lines |
$13.50–$63.75 | $18–$85 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $165 | $220 | 1.2× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $150 | $200 | 1.1× |
| Brief Emotional/Behav Assmt (96127) | $9 | $12 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $432 | $576 | 1.2× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$336.75–$584.25 | $449–$779 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$205.50–$794.25 | $274–$1,059 | varies |
| Chemo IV infusion addl hr (96415) | $118.50 | $158 | 1.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $610.50 | $814 | 1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $391.50 | $522 | 1.2× |
| Color/duplex Doppler, complete (93975) | $560.25 | $747 | 2.3× |
| Color/duplex Doppler, limited (93976) | $477 | $636 | 4.5× |
| Continuous Pulse Ox (94762) | $112.50 | $150 | 0.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $120 | $160 | 0.5× |
| Cpt initial (94667) | $59.25 | $79 | 0.4× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$411.75–$1,578.75 | $549–$2,105 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $180.75 | $241 | 0.9× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $612 | $816 | 2.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $468 | $624 | 4.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $540 | $720 | 2.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $450 | $600 | 4.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $468 | $624 | 2.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $375 | $500 | 3.6× |
| Duplex up extrem art bilat (93930) | $648 | $864 | 2.7× |
| Duplex up extrem art unilat/ltd (93931) | $486 | $648 | 4.6× |
| Echo Heart Xthoracic,Limited (93308) | $392.25 | $523 | 1.6× |
| Electrocardiogram Tracing (93005) | $106.50 | $142 | 1.8× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$86.25–$297 | $115–$396 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$131.25–$519 | $175–$692 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$240–$798.75 | $320–$1,065 | varies |
| Er level 1 (99281) range across 3 matching MRF lines |
$75.75–$427.50 | $101–$570 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$324.75–$1,149.75 | $433–$1,533 | varies |
| Evaluate pt use of inhaler (94664) | $54 | $72 | 0.2× |
| External Ecg Scanning Analysis Report (93226) | $187.50 | $250 | 3.2× |
| Extracranial Bilat Study (93880) | $576 | $768 | 2.4× |
| Extracranial Uni/Ltd Study (93882) | $315.75 | $421 | 3.0× |
| Holter monitor recording (93225) | $232.50 | $310 | 1.7× |
| Immunization administration (90471) | $75 | $100 | 1.0× |
| Irrig Drug Delivery Device (96523) | $111.75 | $149 | 1.9× |
| IV infusion hydration each additional hour (96361) | $87 | $116 | 1.8× |
| IV infusion hydration initial 31 min-1 hour (96360) | $395.25 | $527 | 1.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $133.50 | $178 | 1.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $87 | $116 | 1.8× |
| IV push initial (96374) range across 4 matching MRF lines |
$72–$395.25 | $96–$527 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $47.25 | $63 | 1.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $54.75 | $73 | 1.5× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $26.25 | $35 | 1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $187.50 | $250 | 1.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $180 | $240 | 1.4× |
| Peripheral arterial disease rehab per session (93668) | $108 | $144 | 1.8× |
| Phlebotomy therapeutic (99195) | $360 | $480 | 2.7× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$111.75–$129.75 | $149–$173 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $112.50 | $150 | 1.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $22.50 | $30 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $31.50 | $42 | 0.7× |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$118.50–$225 | $158–$300 | varies |
| Psytx Crisis Initial 60 Min (90839) | $186 | $248 | 1.0× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $50.25 | $67 | 1.3× |
| Pulmonary Stress Testing (94618) | $258.75 | $345 | 1.9× |
| Spirometry (94010) | $106.50 | $142 | 0.5× |
| Temp transcutaneous pacing (92953) | $271.50 | $362 | 0.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$31.50–$75 | $42–$100 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $395.25 | $527 | 1.8× |
| Tte w/doppler, complete (93306) | $864 | $1,152 | 1.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $87 | $116 | 1.8× |
| Unlisted Psychiatric Service/Procedure (90899) | $45 | $60 | 1.2× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$210–$228.75 | $280–$305 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $424.50 | $566 | 2.0× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$771.75–$933 | $1,029–$1,244 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $933 | $1,244 | 1.5× |
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.