Visits & medical services prices at Texas County Memorial Hospital
Houston, MO · every code in this section with a posted price and a Medicare benchmark.
154 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $30 | $30 | 0.7× |
| Advncd Care Plan 30 Min (99497) | $100.10 | $143 | 1.0× |
| Airway Inhalation Treatment (94640) | $40 | $40 | 0.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $33.25 | $47.50 | 2.3× |
| Application Modality 1/> Areas Diathermy (97024) | $42.35 | $60.50 | 5.8× |
| Application Modality 1/> Areas Infrared (97026) | $60.38 | $86.25 | 9.0× |
| Assessment of aphasia per hr (96105) | $169.58 | $242.25 | 1.7× |
| Behavral qualit analys voice (92524) | $346.33 | $494.75 | 3.2× |
| Biofeedback training any modality (90901) | $88.90 | $127 | 2.2× |
| Brief Emotional/Behav Assmt (96127) | $25 | $25 | 0.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $221.90 | $317 | 0.6× |
| Car seat/bed test 60 min (94780) | $75 | $75 | 2.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $630 | $900 | 2.9× |
| Cardiopulmonary resuscitation (92950) | $1,060 | $1,060 | 4.9× |
| Cardioversion (92960) range across 2 matching MRF lines |
$170–$797.30 | $170–$1,139 | varies |
| Cardioversion elective internal (92961) range across 2 matching MRF lines |
$567–$833 | $810–$1,190 | varies |
| Cbt 1st hour (94644) | $214.55 | $306.50 | 1.6× |
| Chemo Anti-Neopl Sq/Im (96401) | $112 | $160 | 1.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $112 | $160 | 1.6× |
| Chemo IV infusion addl hr (96415) | $112 | $160 | 1.6× |
| Chemo IV push addl drug (96411) | $224 | $320 | 3.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $112 | $160 | 1.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $353.50 | $505 | 1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $224 | $320 | 0.7× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$38.15–$64.40 | $54.50–$92 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $61.60 | $88 | 1.9× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$124.60–$287 | $178–$410 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$488.43–$717.50 | $697.75–$1,025 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$50.58–$143.68 | $72.25–$205.25 | varies |
| Critical care first hour (99291) range across 4 matching MRF lines |
$374.50–$1,094.10 | $535–$1,563 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $180 | $180 | 0.9× |
| Developmental tst admin phys/qhp 1st hour (96112) | $175 | $175 | 1.4× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 2 matching MRF lines |
$70–$87.50 | $100–$125 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $837.20 | $1,196 | 3.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $618.80 | $884 | 5.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $604.10 | $863 | 2.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $476.70 | $681 | 4.6× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $330.40 | $472 | 1.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $156.80 | $224 | 1.5× |
| Duplex Scan Hemodialysis Access (93990) | $567 | $810 | 5.4× |
| Duplex up extrem art bilat (93930) | $735 | $1,050 | 3.1× |
| Duplex up extrem art unilat/ltd (93931) | $618.80 | $884 | 5.9× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$82.60–$587.30 | $118–$839 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$36.93–$37.28 | $52.75–$53.25 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$55–$107.10 | $55–$153 | varies |
| Emergency Dept Visit Level 2 (99282) | $170 | $170 | 1.1× |
| Emergency Dept Visit Level 3 (99283) | $255 | $255 | 0.9× |
| Emergency Dept Visit Level 4 (99284) | $375 | $375 | 0.9× |
| Er level 1 (99281) | $130 | $130 | 1.5× |
| Er level v (99285) | $555 | $555 | 0.9× |
| Evaluate pt use of inhaler (94664) | $18.20 | $26 | 0.1× |
| Evaluate Speech Production (92522) | $346.33 | $494.75 | 3.1× |
| Evaluate Swallowing Function (92610) | $176.75 | $252.50 | 2.1× |
| Evaluation of speech fluency (92521) | $346.33 | $494.75 | 2.6× |
| Evoked Auditory Test,Limited (92587) | $35 | $35 | 0.2× |
| External ECG rec>48hr<7d recording (93242) | $98 | $140 | 2.6× |
| External ECG rec>7d<15d recording (93246) | $98 | $140 | 2.6× |
| Extracranial Bilat Study (93880) | $455 | $650 | 1.9× |
| Extracranial Uni/Ltd Study (93882) | $403.90 | $577 | 3.9× |
| Holter monitor recording (93225) | $195.30 | $279 | 1.5× |
| Immunization administration (90471) | $30 | $30 | 0.4× |
| Inital newborn e/m (99460) | $171.50 | $245 | 1.3× |
| Iontophoresis 15 min (97033) | $48.30 | $69 | 2.5× |
| Irrig Drug Delivery Device (96523) | $100 | $100 | 1.7× |
| IV infusion hydration each additional hour (96361) | $85 | $85 | 1.8× |
| IV infusion hydration initial 31 min-1 hour (96360) | $85 | $85 | 0.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$56–$94.50 | $80–$135 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$56–$59.50 | $80–$85 | varies |
| IV push initial (96374) | $60 | $60 | 0.3× |
| Lung Function Test (Mbc/Mvv) (94200) | $139.30 | $199 | 2.4× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$63.88–$102.20 | $91.25–$146 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $24.50 | $35 | 0.7× |
| Motion Fluoroscopy/Swallow (92611) | $193.03 | $275.75 | 2.1× |
| Multiple Sleep Latency Test (95805) range across 3 matching MRF lines |
$234.50–$1,190 | $335–$1,700 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $475 | $475 | 1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $536.73 | $766.75 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $100 | $100 | 0.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $135 | $135 | 0.3× |
| Neurobehavioral Status Exam (96116) | $240 | $240 | 1.1× |
| Neuromuscular Reeducation (97112) | $67.90 | $97 | 2.1× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$322–$707 | $460–$1,010 | varies |
| Oral Function Therapy (92526) | $185.50 | $265 | 2.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $76.83 | $109.75 | 1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $75.25 | $107.50 | 1.6× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $50 | $50 | 2.3× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $60 | $60 | 2.8× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $70 | $70 | 3.2× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $80 | $80 | 3.7× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $80 | $80 | 3.7× |
| Ot Contrast Bath Ea 15 Min (97034) | $32.20 | $46 | 2.3× |
| Ot eval high complexity (97167) | $235.38 | $336.25 | 2.3× |
| Ot Eval Low Complex (97165) | $183.05 | $261.50 | 1.8× |
| Ot Eval Moderate Complexity (97166) | $209.30 | $299 | 2.1× |
| Ot manual therapy 15 min (97140) | $58.45 | $83.50 | 2.1× |
| Ot paraffin bath (97018) | $30.28 | $43.25 | 5.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $65.45 | $93.50 | 1.6× |
| Ot Re-Eval Est Plan Care (97168) | $106.75 | $152.50 | 1.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 4 matching MRF lines |
$183.40–$194.60 | $262–$278 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $194.60 | $278 | 1.5× |
| Percutaneous tests w/allergenic extracts (95004) | $10 | $10 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $106.40 | $152 | 1.8× |
| Phlebotomy therapeutic (99195) | $95 | $95 | 0.7× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 3 matching MRF lines |
$77–$117.60 | $110–$168 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $77 | $110 | 1.3× |
| Physical Performance Test (97750) | $72.10 | $103 | 2.1× |
| Plethysmography (94726) range across 3 matching MRF lines |
$25.20–$397.60 | $36–$568 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$612.50–$3,027.50 | $875–$4,325 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $25 | $25 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $50 | $50 | 1.1× |
| Pt Eval High Complex (97163) | $172.90 | $247 | 1.8× |
| Pt eval low complex 20 min (97161) | $136.50 | $195 | 1.4× |
| Pt Eval Mod Complex (97162) | $153.65 | $219.50 | 1.6× |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$56.53–$66.50 | $80.75–$95 | varies |
| Pt mechanical traction (97012) | $42.35 | $60.50 | 2.9× |
| Pt Re-Eval Est Plan Care (97164) | $106.75 | $152.50 | 1.6× |
| Pulm function test by gas (94727) | $221.90 | $317 | 1.0× |
| Pulmonary service/procedure (94799) | $47.60 | $68 | 0.4× |
| Pulmonary Stress Testing (94618) range across 4 matching MRF lines |
$63–$200.73 | $90–$286.75 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $121.10 | $173 | 3.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$84.70–$85.40 | $121–$122 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $222.25 | $317.50 | 1.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $91.53 | $130.75 | 1.9× |
| Same day nb discharge (99463) | $171.50 | $245 | 1.3× |
| Self Care Mngment Training (97535) | $73.50 | $105 | 2.3× |
| Sensory Integration Ea 15 Min (97533) | $57.93 | $82.75 | 1.0× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$171.50–$231 | $245–$330 | varies |
| Speech sound lang comprehen (92523) | $346.33 | $494.75 | 1.5× |
| Spirometry (94010) | $100 | $100 | 0.5× |
| Temp transcutaneous pacing (92953) range across 3 matching MRF lines |
$297.50–$833 | $45–$1,190 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$55.13–$62.30 | $78.75–$89 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $76.30 | $109 | 2.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $50.93 | $72.75 | 1.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $140.53 | $200.75 | 1.4× |
| Ther/Proph/Diag Inj Ia (96373) | $287 | $410 | 1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $35 | $35 | 0.5× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$255.50–$287 | $365–$410 | varies |
| Therapeutic Activities (97530) | $74.03 | $105.75 | 2.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $95 | $95 | 2.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $50 | $50 | 1.3× |
| Trans Care Mgmt 14 Day Disch (99495) | $175 | $175 | 1.3× |
| Trans Care Mgmt 7 Day Disch (99496) | $245 | $245 | 1.8× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$207.20–$1,066.80 | $296–$1,524 | varies |
| Tte W/O Doppler Complete (93307) range across 3 matching MRF lines |
$270.20–$493.50 | $386–$705 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $151.20 | $216 | 2.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $59.50 | $85 | 1.3× |
| Tympanometry (92567) | $65 | $65 | 1.7× |
| Upr/L Xtremity Art 2 Levels (93922) | $355.60 | $508 | 2.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $355.60 | $508 | 1.6× |
| Vasopneumatic device (97016) | $40.60 | $58 | 3.4× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$245.70–$828.28 | $351–$1,183.25 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $775.78 | $1,108.25 | 1.3× |
| Vital capacity, total (94150) | $35 | $35 | 0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $64.40 | $92 | 2.1× |
| Whirlpool Therapy (97022) | $43.93 | $62.75 | 2.8× |
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.