Visits & medical services prices at Tmc- Bonham Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480)
range across 6 matching MRF lines
$6.60–$55 $20.90–$182.60 varies
Airway Inhalation Treatment (94640)
range across 12 matching MRF lines
$33–$152.90 $111.10–$508.20 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$73.70–$118.80 $247.50–$397.10 varies
Application Modality 1/> Areas Diathermy (97024) $5.50 $19.80 0.7×
Application Modality 1/> Areas Infrared (97026) $5.50 $18.70 0.8×
Assessment of aphasia per hr (96105)
range across 3 matching MRF lines
$77–$225.50 $255.20–$752.40 varies
Behavral qualit analys voice (92524) $315.70 $1,053.80 2.9×
Biofeedback training any modality (90901) $22 $74.80 0.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $652.30 $2,175.80 1.7×
Canalith repositioning proc (95992) $149.60 $497.20 3.7×
Cardiac Stress Tst,Tracing Only (93017)
range across 4 matching MRF lines
$248.60–$543.40 $829.40–$1,812.80 varies
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$94.60–$688.60 $316.80–$2,295.70 varies
Cardioversion (92960) $525.80 $1,753.40 0.8×
Chest Wall Manipulation (94668) $61.60 $204.60 0.5×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$242–$474.10 $808.50–$1,581.80 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$455.40–$584.10 $1,519.10–$1,948.10 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $29.70 $99 0.9×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $130.90 $436.70 0.7×
Comprehensive Hearing Test (92557) $47.30 $158.40 0.4×
Continuous Pulse Ox (94762) $95.70 $319 0.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 14 matching MRF lines
$134.20–$469.70 $445.50–$1,565.30 varies
Cpt initial (94667) $84.70 $281.60 0.6×
Critical care first hour (99291)
range across 2 matching MRF lines
$345.40–$1,428.90 $1,150.60–$4,765.20 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 9 matching MRF lines
$36.30–$514.80 $121–$1,717.10 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $286 $952.60 1.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $141.90 $474.10 1.4×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $223.30 $742.50 2.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $963.60 $3,212 4.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $512.60 $1,708.30 4.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 4 matching MRF lines
$223.30–$1,243 $742.50–$4,143.70 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines
$246.40–$466.40 $822.80–$1,553.20 varies
Duplex Scan Hemodialysis Access (93990) $141.90 $474.10 1.4×
Duplex up extrem art bilat (93930) $435.60 $1,450.90 1.8×
Duplex up extrem art unilat/ltd (93931) $652.30 $2,175.80 6.2×
ECG/monitoring and analysis (93271) $158.40 $530.20 1.7×
Echo Heart Xthoracic,Limited (93308) $1,085.70 $3,619 4.5×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,235.30 $4,119.50 2.3×
EEG awake and asleep (95819) $286 $953.70 1.3×
EEG awake drowsy (95816) $286 $953.70 1.3×
Electrical Stimulation Ea 15 Min (97032) $123.20 $412.50 8.4×
Electrocardiogram Tracing (93005)
range across 5 matching MRF lines
$4.40–$170.50 $14.30–$569.80 varies
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$85.80–$177.10 $288.20–$591.80 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$143–$342.10 $475.20–$1,139.60 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$215.60–$435.60 $719.40–$1,450.90 varies
Er level 1 (99281)
range across 3 matching MRF lines
$60.50–$104.50 $201.30–$347.60 varies
Er level v (99285)
range across 3 matching MRF lines
$319–$715 $1,064.80–$2,382.60 varies
Esophagus acid perfusion test esophagitis (91030) $359.70 $1,200.10 1.0×
Evaluate pt use of inhaler (94664) $34.10 $115.50 0.2×
Evaluate Speech Production (92522) $315.70 $1,053.80 2.8×
Evaluate Swallowing Function (92610)
range across 3 matching MRF lines
$80.30–$166.10 $267.30–$553.30 varies
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines
$122.10–$314.60 $409.20–$1,050.50 varies
Extracranial Bilat Study (93880) $870.10 $2,901.80 3.6×
Extracranial Uni/Ltd Study (93882) $286 $952.60 2.7×
Fluorescein angiography (92235) $194.70 $649 0.9×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $359.70 $1,200.10 1.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $359.70 $1,200.10 0.4×
Group Therapeutic Procedures (97150) $90.20 $302.50 5.0×
Holter monitor recording (93225)
range across 2 matching MRF lines
$95.70–$466.40 $319–$1,553.20 varies
Hubbard tank 15 min (97036) $97.90 $327.80 2.8×
Immunization administration (90471)
range across 4 matching MRF lines
$38.50–$49.50 $128.70–$165 varies
Intracranial Complete Study (93886) $223.30 $742.50 0.9×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$60.50–$64.90 $201.30–$217.80 varies
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines
$190.30–$244.20 $635.80–$815.10 varies
IV infusion hydration each additional hour (96361) $29.70 $99 0.6×
IV infusion hydration initial 31 min-1 hour (96360) $235.40 $784.30 1.1×
IV infusion ther proph addl sequential to 1 hr (96367)
range across 4 matching MRF lines
$46.20–$62.70 $154–$209 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$28.60–$37.40 $96.80–$125.40 varies
IV push initial (96374)
range across 3 matching MRF lines
$183.70–$272.80 $611.60–$908.60 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $22 $73.70 0.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $20.90 $68.20 0.6×
Motility study esophagus (91010) $359.70 $1,200.10 1.0×
Motion Fluoroscopy/Swallow (92611) $112.20 $374 1.2×
Multiple Sleep Latency Test (95805)
range across 3 matching MRF lines
$635.80–$1,536.70 $2,119.70–$5,122.70 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $486.20 $1,619.20 1.2×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $486.20 $1,619.20 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 7 matching MRF lines
$29.70–$514.80 $97.90–$1,717.10 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 4 matching MRF lines
$58.30–$514.80 $194.70–$1,717.10 varies
Neurobehavioral Status Exam (96116) $103.40 $345.40 0.5×
Neuromuscular Reeducation (97112)
range across 3 matching MRF lines
$41.80–$53.90 $140.80–$180.40 varies
Oral Function Therapy (92526) $114.40 $379.50 1.4×
Oral Speech Device Eval (92597) $49.50 $167.20 0.7×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines
$63.80–$85.80 $214.50–$286 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 4 matching MRF lines
$28.60–$116.60 $96.80–$387.20 varies
Ot Contrast Bath Ea 15 Min (97034)
range across 2 matching MRF lines
$27.50–$89.10 $91.30–$297 varies
Ot eval high complexity (97167) $279.40 $931.70 2.8×
Ot Eval Low Complex (97165) $193.60 $646.80 1.9×
Ot Eval Moderate Complexity (97166) $233.20 $776.60 2.3×
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$28.60–$141.90 $96.80–$473 varies
Ot paraffin bath (97018)
range across 2 matching MRF lines
$34.10–$99 $114.40–$332.20 varies
Ot Prosthetic Training, Each 15 Min (97761)
range across 3 matching MRF lines
$90.20–$148.50 $302.50–$493.90 varies
Ot Re-Eval Est Plan Care (97168)
range across 2 matching MRF lines
$47.30–$157.30 $157.30–$522.50 varies
Ot rom hand (95852) $6.60 $22 0.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $176 $588.50 1.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797)
range across 3 matching MRF lines
$55–$133.10 $182.60–$444.40 varies
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $117.70 $393.80 2.0×
Physical Performance Test (97750) $31.90 $106.70 0.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$1,631.30–$2,175.80 $5,438.40–$7,251.20 varies
Pt Eval High Complex (97163)
range across 2 matching MRF lines
$295.90–$313.50 $986.70–$1,046.10 varies
Pt eval low complex 20 min (97161)
range across 5 matching MRF lines
$78.10–$214.50 $260.70–$715 varies
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$242–$256.30 $806.30–$854.70 varies
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$35.20–$57.20 $116.60–$191.40 varies
Pt mechanical traction (97012)
range across 2 matching MRF lines
$31.90–$99 $105.60–$330 varies
Pt Re-Eval Est Plan Care (97164)
range across 3 matching MRF lines
$41.80–$101.20 $138.60–$338.80 varies
Pt ultraviolet (97028) $6.60 $23.10 0.8×
Pulm function test by gas (94727) $295.90 $984.50 1.4×
Pulmonary service/procedure (94799)
range across 17 matching MRF lines
$12.10–$93.50 $40.70–$310.20 varies
Pulmonary Stress Testing (94618) $171.60 $572 1.3×
Refill/Maint Pump/Resvr Syst (96522) $226.60 $754.60 1.1×
Remote 30 Day Ecg Rev/Report (93270) $95.70 $319 2.6×
Respiratory flow volume loop (94375) $325.60 $1,083.50 1.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 3 matching MRF lines
$20.90–$93.50 $70.40–$310.20 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$345.40–$514.80 $1,150.60–$1,717.10 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $8.80 $30.80 0.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $154 $513.70 1.3×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $30.80 $101.20 0.6×
Self Care Mngment Training (97535)
range across 4 matching MRF lines
$33–$73.70 $108.90–$247.50 varies
Self-meas bp pt educaj/traing & dev calibration (99473) $17.60 $59.40 0.6×
Sensory Integration Ea 15 Min (97533) $28.60 $96.80 0.5×
Sleep study attended (95807) $654.50 $2,181.30 1.7×
Speech sound lang comprehen (92523)
range across 2 matching MRF lines
$225.50–$315.70 $752.40–$1,053.80 varies
Spirometry (94010) $102.30 $342.10 0.5×
Standardized Cognitive Performance Testing (96125) $141.90 $470.80 1.4×
Subcutaneous Infusion Each Additional Hour (96370)
range across 2 matching MRF lines
$34.10–$45.10 $113.30–$149.60 varies
Subcutaneous infusion initial 1 hr w/pump set-up (96369)
range across 2 matching MRF lines
$323.40–$431.20 $1,076.90–$1,435.50 varies
Subq Infusion Additional Pump Infusion Site (96371)
range across 2 matching MRF lines
$161.70–$215.60 $539–$718.30 varies
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$559.90–$776.60 $1,864.50–$2,588.30 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $41.80 $137.50 1.9×
Ther Ivntj Ea Addl 15 Min (97130) $39.60 $133.10 1.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $37.40 $125.40 1.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 4 matching MRF lines
$25.30–$118.80 $82.50–$397.10 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $82.50 $273.90 0.8×
Ther/Prop/Diag Inj/Inf Proc (96379) $40.70 $137.50 0.9×
Ther/Proph/Diag Inj Ia (96373) $183.70 $610.50 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $49.50 $165 0.7×
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines
$183.70–$235.40 $610.50–$784.30 varies
Therapeutic Activities (97530)
range across 3 matching MRF lines
$52.80–$85.80 $174.90–$286 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $18.70 $61.60 0.5×
Trans Care Mgmt 14 Day Disch (99495) $231 $768.90 1.7×
Trans Care Mgmt 7 Day Disch (99496)
range across 2 matching MRF lines
$231–$313.50 $768.90–$1,046.10 varies
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $91.30 $303.60 0.9×
Tte w/doppler, complete (93306) $1,811.70 $6,039 3.3×
Tte W/O Doppler Complete (93307) $1,448.70 $4,829 6.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$29.70–$78.10 $97.90–$259.60 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $15.40 $50.60 0.6×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$34.10–$44 $113.30–$145.20 varies
Tympanometry (92567) $17.60 $59.40 0.5×
Unlisted Special Dermatological Service/Px (96999) $416.90 $1,388.20 2.1×
Upr/L Xtremity Art 2 Levels (93922) $213.40 $711.70 1.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$200.20–$550 $665.50–$1,831.50 varies
Vasopneumatic device (97016)
range across 2 matching MRF lines
$67.10–$75.90 $223.30–$253 varies
Vent Mgmt Inpat Init Day (94002) $745.80 $2,486 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $359.70 $1,197.90 0.6×
Vital capacity, total (94150) $149.60 $497.20 1.2×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$46.20–$51.70 $155.10–$172.70 varies
Whirlpool Therapy (97022)
range across 2 matching MRF lines
$89.10–$158.40 $299.20–$528 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.