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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $279 | $279 | 1.3× |
| Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines |
$267–$541 | $267–$541 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) | $363 | $363 | 1.7× |
| Airway Inhalation Treatment (94640) | $558 | $558 | 2.5× |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$154–$246 | $154–$246 | varies |
| Analyze neurostim no prog (95970) | $74 | $74 | 0.6× |
| Analyze Neurostim Simple (95971) | $128 | $128 | 1.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $109 | $109 | 7.6× |
| Application Modality 1/> Areas Infrared (97026) | $108 | $108 | 16.2× |
| Behavral qualit analys voice (92524) | $270 | $270 | 2.5× |
| Biofeedback training any modality (90901) | $248 | $248 | 6.0× |
| Blink reflex test (95933) range across 2 matching MRF lines |
$96–$152 | $96–$152 | varies |
| Brief Emotional/Behav Assmt (96127) | $11 | $11 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $853 | $853 | 2.3× |
| C motor evoked uppr limbs (95928) range across 2 matching MRF lines |
$243–$1,026 | $243–$1,026 | varies |
| C motor evoked upr&lwr limbs (95939) range across 2 matching MRF lines |
$339–$1,880 | $339–$1,880 | varies |
| Canalith repositioning proc (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 Strategies&Tq Ea Addl 15 Min (97551) | $72 | $72 | 2.8× |
| Chest Wall Manipulation (94668) | $172 | $172 | 1.3× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $28 | $28 | 0.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $142 | $142 | 4.4× |
| Continuous Pulse Ox (94762) | $748 | $748 | 5.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $507 | $507 | 2.3× |
| Cpt initial (94667) | $263 | $263 | 2.0× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) range across 2 matching MRF lines |
$243–$526 | $243–$526 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$76–$567 | $76–$567 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $306 | $306 | 2.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$107–$748 | $107–$748 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$71–$550 | $71–$550 | varies |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$174–$2,364 | $174–$2,364 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$174–$1,408 | $174–$1,408 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$174–$1,225 | $174–$1,225 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $669 | $669 | 3.1× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$277–$2,619 | $277–$2,619 | varies |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$174–$560 | $174–$560 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $164 | $164 | 1.7× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $120 | $120 | 3.2× |
| Electrical Stimulation Ea 15 Min (97032) | $152 | $152 | 10.3× |
| Electrocardiogram Tracing (93005) | $67 | $67 | 1.1× |
| Emergency Dept Visit Level 2 (99282) | $210 | $210 | 1.4× |
| Emergency Dept Visit Level 3 (99283) | $295 | $295 | 1.1× |
| Emergency Dept Visit Level 4 (99284) | $514 | $514 | 1.2× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$270–$304 | $270–$304 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$270–$323 | $270–$323 | varies |
| Er level 1 (99281) | $150 | $150 | 1.8× |
| Er level v (99285) | $752 | $752 | 1.3× |
| Evaluate pt use of inhaler (94664) | $234 | $234 | 1.1× |
| Evaluate Speech Production (92522) | $273 | $273 | 2.4× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$215–$356 | $215–$356 | varies |
| Evaluation of speech fluency (92521) | $327 | $327 | 2.5× |
| 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× |
| Iontophoresis 15 min (97033) | $144 | $144 | 7.6× |
| 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 ther proph addl sequential to 1 hr (96367) | $299 | $299 | 4.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $143 | $143 | 3.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $64 | $64 | 2.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$93–$105 | $93–$105 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $38 | $38 | 2.2× |
| Motion Fluoroscopy/Swallow (92611) | $224 | $224 | 2.4× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) range across 2 matching MRF lines |
$229–$391 | $229–$391 | varies |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$252–$698 | $252–$698 | varies |
| Muscle Test Hemidiaphragm (95866) range across 2 matching MRF lines |
$202–$270 | $202–$270 | varies |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$60–$420 | $60–$420 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$158–$496 | $158–$496 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$189–$308 | $189–$308 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$128–$308 | $128–$308 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$59–$308 | $59–$308 | varies |
| 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 1-2 Studies (95907) range across 2 matching MRF lines |
$224–$325 | $224–$325 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$616–$893 | $616–$893 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$712–$941 | $712–$941 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$276–$401 | $276–$401 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$331–$482 | $331–$482 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$434–$530 | $434–$530 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$524–$762 | $524–$762 | varies |
| Neurobehavioral Status Exam (96116) | $261 | $261 | 1.2× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$106–$333 | $106–$333 | varies |
| Neuromuscular Reeducation (97112) | $170 | $170 | 5.2× |
| 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 Compre New Pt 1/> Vst (92004) | $314 | $314 | 2.3× |
| 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× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $152 | $152 | 1.1× |
| Oral Function Therapy (92526) | $209 | $209 | 2.5× |
| Oral Speech Device Eval (92597) range across 2 matching MRF lines |
$177–$214 | $177–$214 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $142 | $142 | 2.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $203 | $203 | 4.4× |
| Ot Contrast Bath Ea 15 Min (97034) | $128 | $128 | 9.1× |
| Ot eval high complexity (97167) | $630 | $630 | 6.3× |
| Ot Eval Low Complex (97165) | $395 | $395 | 3.9× |
| Ot Eval Moderate Complexity (97166) | $462 | $462 | 4.6× |
| Ot manual therapy 15 min (97140) | $165 | $165 | 6.0× |
| Ot paraffin bath (97018) | $103 | $103 | 17.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $145 | $145 | 3.6× |
| Ot Re-Eval Est Plan Care (97168) | $260 | $260 | 3.8× |
| Pdt dstr prmlg les phys/qhp (96573) | $611 | $611 | 3.0× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$37–$156 | $37–$156 | varies |
| Psych diag eval w/med srvcs (90792) | $531 | $531 | 3.0× |
| Psychiatric diagnostic evaluation (90791) | $385 | $385 | 2.2× |
| Psychological tst eval svc phys/qhp first hour (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) range across 2 matching MRF lines |
$116–$717 | $116–$717 | varies |
| 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 Eval High Complex (97163) | $536 | $536 | 5.5× |
| Pt eval low complex 20 min (97161) | $346 | $346 | 3.5× |
| Pt Eval Mod Complex (97162) | $405 | $405 | 4.1× |
| Pt gait training 15 min (97116) | $162 | $162 | 5.6× |
| Pt mechanical traction (97012) | $156 | $156 | 10.9× |
| Pt Re-Eval Est Plan Care (97164) | $221 | $221 | 3.3× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $10 | $10 | 0.3× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $313 | $313 | 0.9× |
| Respiratory flow volume loop (94375) | $460 | $460 | 2.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$99–$231 | $99–$231 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $304 | $304 | 2.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 2 matching MRF lines |
$149–$202 | $149–$202 | varies |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) range across 2 matching MRF lines |
$378–$526 | $378–$526 | varies |
| Self Care Mngment Training (97535) | $162 | $162 | 5.0× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) range across 2 matching MRF lines |
$86–$625 | $86–$625 | varies |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$86–$1,066 | $86–$1,066 | varies |
| Slp caregiver training 1st 30 min (97550) | $135 | $135 | 2.6× |
| Somatosensory Testing (95938) range across 2 matching MRF lines |
$129–$997 | $129–$997 | varies |
| Speech sound lang comprehen (92523) | $561 | $561 | 2.5× |
| Spin/Brain Pump Refil & Main (95991) | $127 | $127 | 0.4× |
| Spirometry (94010) | $551 | $551 | 2.5× |
| Ssep lower limbs (95926) range across 2 matching MRF lines |
$87–$1,151 | $87–$1,151 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $124 | $124 | 2.6× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $431 | $431 | 2.0× |
| Subq Infusion Additional Pump Infusion Site (96371) | $88 | $88 | 1.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $55 | $55 | 2.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $71 | $71 | 3.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $169 | $169 | 4.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $144 | $144 | 4.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 2 matching MRF lines |
$232–$254 | $232–$254 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$50–$192 | $50–$192 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $585 | $585 | 2.7× |
| Therapeutic Activities (97530) | $158 | $158 | 4.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$188–$220 | $188–$220 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $180 | $180 | 3.8× |
| Unlisted ophthalmological service/procedure (92499) | $100 | $100 | 3.4× |
| Vasopneumatic device (97016) | $136 | $136 | 11.3× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,284 | $1,284 | 3.4× |
| Veeg ea 12-26hr cont mntr (95716) | $2,402 | $2,402 | 2.8× |
| Vent Mgmt Inpat Init 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× |
| Whirlpool Therapy (97022) | $232 | $232 | 14.8× |
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.