Visits & medical services prices at Texas Scottish Rite Hospital For Children

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

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

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ProcedureCash priceGross charge× Medicare
Aep hearing status deter broadband stimuli i&r (92651) $279 $279 1.3×
Aep Neurodiagnostic I&R (92653) $404 $404 1.9×
Aep threshold estimation mlt frequencies i&r (92652) $363 $363 1.7×
Airway inhalation treatment (94640) $558 $558 2.5×
Analyze Neurostim Complex (95972) $200 $200 2.1×
Analyze neurostim no prog (95970) $74 $74 0.6×
Behav assmt w/score & docd/stand instrument (96127) $11 $11 0.3×
Behavioral and qualitative analysis of voice and resonance (92524) $270 $270 2.5×
Biofeedback training any modality (90901) $248 $248 6.0×
Blink reflex test (95933) $124 $124 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $853 $853 2.3×
C motor evoked uppr limbs (95928) $634.50 $634.50 0.7×
C motor evoked upr&lwr limbs (95939) $1,109.50 $1,109.50 1.3×
Canalith Repositioning (95992) $176 $176 4.3×
Cardiopulmonary exercise testing (94621) $1,241 $1,241 3.3×
Cardiopulmonary resuscitation (92950) $584 $584 2.7×
Caregiver hlth risk assmt score doc stnd instrm (96161) $10 $10 0.3×
Caregiver training 1st 30 min (97550) $135 $135 2.6×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $72 $72 2.8×
Color vision examination (92283) $28 $28 0.5×
Cpap initiation and management (94660) $507 $507 2.3×
Cpt initial (94667) $263 $263 2.0×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $384.50 $384.50 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $321.50 $321.50 1.6×
Demo &/or eval,pt use,aerosol device (94664) $234 $234 1.1×
Developmental tst admin phys/qhp 1st hour (96112) $306 $306 2.4×
Dup-scan xtr veins unilateral/limited study (93971) $310.50 $310.50 3.0×
EEG awake asleep (95819) $791 $791 3.6×
EEG awake drowsy (95816) $699.50 $699.50 3.2×
EEG coma or sleep only (95822) $367 $367 1.7×
EEG cont rec w/video by tech min 8 channels (95700) $669 $669 3.1×
Eeg Extended Monitoring 61-119 Minutes (95813) $1,448 $1,448 6.7×
EKG (93005) $67 $67 1.1×
Elec alys implt cplx cn npgt prgrmg (95977) $164 $164 1.7×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $120 $120 3.2×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $128 $128 1.3×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,269 $1,269 5.9×
EMG cranial nerve bilat (95868) $248.50 $248.50 1.1×
EMG cranial nerve unilat (95867) $218 $218 1.0×
EMG four extremities (95864) $296.50 $296.50 2.3×
EMG one extremity (95860) $327 $327 2.4×
EMG thoracic paraspinal (95869) $183.50 $183.50 0.8×
EMG three extremities (95863) $287 $287 2.2×
EMG two extremities (95861) $475 $475 3.6×
Er level 1 (99281) $150 $150 1.8×
Er level ii (99282) $210 $210 1.4×
Er level iii (99283) $295 $295 1.1×
Er level IV (99284) $514 $514 1.2×
Er level v (99285) $752 $752 1.3×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $195.50 $195.50 2.7×
Evaluation of speech fluency (92521) $327 $327 2.5×
Evaluation of speech sound production (92522) $273 $273 2.4×
Evaluation of swallowing function (92610) $285.50 $285.50 3.4×
Evaluation with prescription of speech-generating alternative (92607) $304 $304 2.5×
Eye exam, new patient,comprehesv (92004) $314 $314 2.3×
Eye service or procedure (92499) $100 $100 3.4×
Flow volume loop (94375) $460 $460 2.1×
Group Therapeutic Procedures (97150) $149 $149 8.3×
Health Behavior Assessment/Re-Assessment (96156) $273 $273 2.7×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $199 $199 5.3×
Health behavior ivntj group f2f 1st 30 min (96164) $27 $27 0.7×
Health behavior ivntj indiv f2f 1st 30 min (96158) $187 $187 1.0×
IV infusion hydration each additional hour (96361) $253 $253 5.4×
IV infusion hydration initial 31 min-1 hour (96360) $531 $531 2.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $299 $299 4.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $585 $585 2.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $143 $143 3.0×
Maintenance of spinal canal or brain drug infusion pump (95990) $313 $313 0.9×
Manual therapy 15 min (97140) $165 $165 6.0×
Massage 15 min (97124) $144 $144 4.8×
Mechanical traction (97012) $156 $156 10.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $64 $64 2.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $99 $99 2.7×
Mnt Group Ea 30 Min (97804) $38 $38 2.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $224 $224 2.4×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $310 $310 0.7×
Needle electromyography hemidiaphragm (95866) $236 $236 1.8×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $240 $240 1.8×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $270 $270 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $85 $85 0.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $93 $93 0.2×
Nerve conduction studies 13/> studies (95913) $826.50 $826.50 2.2×
Nerve Conduction Studies 3-4 Studies (95908) $338.50 $338.50 1.6×
Nerve Conduction Studies 9-10 Studies (95911) $643 $643 1.7×
Nerve conduction studies; 1-2 studies (95907) $274.50 $274.50 1.3×
Nerve conduction studies; 11-12 studies (95912) $754.50 $754.50 2.0×
Nerve conduction studies; 5-6 studies (95909) $406.50 $406.50 1.9×
Nerve conduction studies; 7-8 studies (95910) $482 $482 1.3×
Neurobehavioral Status Exam (96116) $261 $261 1.2×
Neuromuscular junction test (95937) $219.50 $219.50 1.7×
New patient problem focused exam of visual system (92002) $152 $152 1.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $748 $748 5.8×
Nonphysician Telephone Assessment 11-20 Min (98967) $83 $83 3.3×
Nonphysician Telephone Assessment 5-10 Min (98966) $44 $44 3.2×
Nrpsyc tst eval phys/qhp 1st (96132) $324 $324 0.9×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $250 $250 1.9×
Ophth medical xm&eval intermediate estab pt (92012) $163 $163 1.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $203 $203 4.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $142 $142 4.4×
Ot Contrast Bath Ea 15 Min (97034) $128 $128 9.1×
Ot eval high complex 60 min (97167) $630 $630 6.3×
Ot eval low complex 30 min (97165) $395 $395 3.9×
Ot eval mod complex 45 min (97166) $462 $462 4.6×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $142 $142 2.8×
Ot Prosthetic Training, Each 15 Min (97761) $145 $145 3.6×
Ot re-eval est plan care (97168) $260 $260 3.8×
Paraffin bath (97018) $103 $103 17.1×
Pdt dstr prmlg les phys/qhp (96573) $611 $611 3.0×
Psych diag eval w/med srvcs (90792) $531 $531 3.0×
Psychiatric diagnostic evaluation (90791) $385 $385 2.2×
Psycl tst eval phys/qhp 1st (96130) $337 $337 1.6×
Psycl/Nrpsyc Tst Auto Result (96146) $24 $24 0.8×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $416.50 $416.50 0.9×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $74 $74 0.6×
Psytx crisis initial 60 min (90839) $401 $401 2.2×
Pt Aquatic Therapy/Exercises (97113) $169 $169 4.6×
Pt Electric Current Therapy (97033) $144 $144 7.6×
Pt Electrical Stimulation (97032) $152 $152 10.3×
Pt eval high complex 45 min (97163) $536 $536 5.5×
Pt eval low complex 20 min (97161) $346 $346 3.5×
Pt Gait Training Therapy (97116) $162 $162 5.6×
Pt Infrared Therapy (97026) $108 $108 16.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $170 $170 5.2×
Pt Physical Performance Test (97750) $96.50 $96.50 2.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $405 $405 4.1×
Pt re-evaluation (97164) $221 $221 3.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $162 $162 5.0×
Pt Ultrasound Therapy (97035) $109 $109 7.6×
Pt Whirlpool Therapy (97022) $232 $232 14.8×
Pt-focused hlth risk assmt (96160) $10 $10 0.3×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $127 $127 0.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $165 $165 0.8×
Rt Chest Wall Manipulation,Subsequent (94668) $172 $172 1.3×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $175.50 $175.50 3.7×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $452 $452 1.2×
Sc Ther Infusion Reset Pump (96371) $88 $88 1.2×
Short-latency somatosens ep std lwr limbs (95926) $619 $619 2.9×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $355.50 $355.50 1.6×
Short-latency somatosens ep std upr limbs (95925) $576 $576 2.7×
Somatosensory testing (95938) $563 $563 0.7×
Speech sound lang comprehen (92523) $561 $561 2.5×
Spirometry (94010) $551 $551 2.5×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $124 $124 2.6×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $431 $431 2.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $55 $55 2.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $71 $71 3.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $243 $243 2.4×
Ther/Proph/Diag Inj Sc/Im (96372) $121 $121 1.7×
Therapeutic Activities (97530) $158 $158 4.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $204 $204 2.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $209 $209 2.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $180 $180 3.8×
Vasc Duplex Extrem Venous,Bilat (93970) $427.50 $427.50 1.8×
Vasopneumatic device (97016) $136 $136 11.3×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $1,284 $1,284 3.4×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $2,402 $2,402 2.8×
Ventilation assist & mgmt inpatient 1st day (94002) $3,599 $3,599 5.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,726 $2,726 4.4×
Visual Evoked Potential Test (95930) $625 $625 2.9×
Vital capacity total (94150) $171 $171 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $121 $121 3.9×