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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $74.80 $248.60 0.3×
Application of heat wave therapy (97024) $5.50 $19.80 0.7×
Assessment of aphasia (96105) $77 $255.20 0.8×
Behavioral and qualitative analysis of voice and resonance (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 (95992) $149.60 $497.20 3.7×
Cardiac Stress Tst,Tracing Only (93017) $396 $1,321.10 1.8×
Cardiopulmonary resuscitation (92950) $369.60 $1,232 1.7×
Cardioversion (92960) $525.80 $1,753.40 0.8×
Color/duplex Doppler, complete (93975) $358.05 $1,195.15 1.5×
Color/duplex Doppler, limited (93976) $519.75 $1,733.60 4.9×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $130.90 $436.70 0.7×
Comprehensive Hearing Test (92557) $47.30 $158.40 0.4×
Cpap initiation and management (94660) $469.70 $1,565.30 2.1×
Cpt initial (94667) $84.70 $281.60 0.6×
Critical care (99291) $887.15 $2,957.90 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $125.40 $419.10 0.6×
Demo &/or eval,pt use,aerosol device (94664) $34.10 $115.50 0.2×
Dermatological procedure (96999) $416.90 $1,388.20 2.1×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $435.60 $1,450.90 1.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $652.30 $2,175.80 6.2×
Dup-scan xtr veins unilateral/limited study (93971) $466.40 $1,553.20 4.4×
Duplex hemodialysis access (93990) $141.90 $474.10 1.4×
Duplex scan extracranial art compl bi study (93880) $870.10 $2,901.80 3.6×
Echo Heart Xthoracic,Limited (93308) $1,085.70 $3,619 4.5×
EEG awake asleep (95819) $286 $953.70 1.3×
EEG awake drowsy (95816) $286 $953.70 1.3×
EKG (93005) $154 $513.70 2.6×
EKG rhythm strip (93041) $27.50 $91.30 0.5×
Er level 1 (99281) $99 $330 1.2×
Er level ii (99282) $131.45 $440 0.9×
Er level iii (99283) $242.55 $807.40 0.9×
Er level IV (99284) $325.60 $1,085.15 0.8×
Er level v (99285) $470.80 $1,569.70 0.8×
Esophagus acid perfusion test esophagitis (91030) $359.70 $1,200.10 1.0×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $49.50 $167.20 0.7×
Evaluation of speech sound production (92522) $315.70 $1,053.80 2.8×
Evaluation of swallowing function (92610) $80.30 $267.30 0.9×
Evaluation with prescription of speech-generating alternative (92607) $154 $513.70 1.3×
External Ecg Scanning Analysis Report (93226) $218.35 $729.85 3.7×
Flow volume loop (94375) $325.60 $1,083.50 1.5×
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) $281.05 $936.10 2.1×
Hydrotherapy (97036) $97.90 $327.80 2.8×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $41.25 $138.05 1.0×
Immunization Admin (90471) $44 $146.85 0.6×
Injection intra arterial (96373) $183.70 $610.50 0.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $244.20 $815.10 4.1×
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, therap/proph/diagnost,add infusion,1st hour (96367) $59.40 $198 0.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $235.40 $784.30 1.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $37.40 $125.40 0.8×
IV push initial (96374) $235.40 $784.30 1.1×
Manual therapy 15 min (97140) $59.95 $200.75 2.2×
Massage 15 min (97124) $40.70 $134.75 1.4×
Mechanical traction (97012) $65.45 $217.80 4.6×
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 Fluor Eval Swlng Funcj C/V Rec (92611) $112.20 $374 1.2×
Multiple sleep latency test (95805) $1,087.90 $3,625.60 1.3×
Neg press wnd tx </=50 sq cm (97607) $486.20 $1,619.20 1.2×
Neg press wound tx >50 cm (97608) $486.20 $1,619.20 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $514.80 $1,717.10 2.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $458.15 $1,527.90 1.1×
Neurobehavioral Status Exam (96116) $103.40 $345.40 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $213.40 $711.70 1.6×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $375.10 $1,248.50 1.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $95.70 $319 0.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $90.20 $302.50 2.0×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $29.70 $99 0.9×
Ot Contrast Bath Ea 15 Min (97034) $58.30 $194.15 4.2×
Ot eval high complex 60 min (97167) $279.40 $931.70 2.8×
Ot eval low complex 30 min (97165) $193.60 $646.80 1.9×
Ot eval mod complex 45 min (97166) $233.20 $776.60 2.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $74.80 $250.25 1.5×
Ot Prosthetic Training, Each 15 Min (97761) $116.60 $387.20 2.9×
Ot Range Motion Measure,Each Extrem (95851) $8.80 $30.80 0.3×
Ot re-eval est plan care (97168) $102.30 $339.90 1.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $176 $588.50 1.4×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $60.50 $202.40 0.5×
Paraffin bath (97018) $66.55 $223.30 11.1×
Phy/qhp op pulm rhb w/o mntr (94625) $117.70 $393.80 2.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,903.55 $6,344.80 2.2×
Pt Aquatic Therapy/Exercises (97113) $37.40 $125.40 1.0×
Pt Electric Current Therapy (97033) $62.70 $209.55 3.3×
Pt Electrical Stimulation (97032) $123.20 $412.50 8.4×
Pt eval high complex 45 min (97163) $304.70 $1,016.40 3.1×
Pt eval low complex 20 min (97161) $78.10 $260.70 0.8×
Pt Gait Training Therapy (97116) $46.20 $154 1.6×
Pt Infrared Therapy (97026) $5.50 $18.70 0.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $46.20 $155.10 1.4×
Pt Physical Performance Test (97750) $31.90 $106.70 0.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $249.15 $830.50 2.5×
Pt re-evaluation (97164) $41.80 $138.60 0.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $50.05 $166.10 1.5×
Pt Ultrasound Therapy (97035) $96.25 $322.30 6.7×
Pt Whirlpool Therapy (97022) $123.75 $413.60 7.9×
Pulm function test by gas (94727) $295.90 $984.50 1.4×
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 - Cardiac Event Monitor (93270) $95.70 $319 2.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $430.10 $1,433.85 2.1×
Rom meas&reprt hand w/wo comparison normal sid (95852) $6.60 $22 0.3×
Rt Chest Wall Manipulation,Subsequent (94668) $61.60 $204.60 0.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $30.80 $101.20 0.6×
Sc Ther Infusion Reset Pump (96371) $188.65 $628.65 2.6×
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 group therapy (92508) $15.40 $50.60 0.6×
Speech sound lang comprehen (92523) $270.60 $903.10 1.2×
Spirometry (94010) $102.30 $342.10 0.5×
Standardized Cognitive Performance Testing (96125) $141.90 $470.80 1.4×
Stress Tte Complete (93351) $1,235.30 $4,119.50 2.3×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $39.60 $131.45 0.8×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $377.30 $1,256.20 1.8×
Temp transcutaneous pacing (92953) $668.25 $2,226.40 1.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $41.80 $137.50 1.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $39.60 $133.10 1.9×
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 Sc/Im (96372) $49.50 $165 0.7×
Therapeutic Activities (97530) $55 $183.70 1.6×
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) $272.25 $907.50 2.0×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $223.30 $742.50 0.9×
Transcranial Doppler Limited (93888) $91.30 $303.60 0.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,811.70 $6,039 3.3×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,448.70 $4,829 6.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $53.90 $178.75 0.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $114.40 $379.50 1.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $44 $145.20 0.9×
Tympanometry (92567) $17.60 $59.40 0.5×
Ultraviolet Therapy (97028) $6.60 $23.10 0.8×
Unlisted pulmonary service/procedure (94799) $56.10 $188.10 0.4×
Vasc Duplex Extrem Venous,Bilat (93970) $1,106.05 $3,687.20 4.6×
Vasc Duplex Scan Extracranial,Limited (93882) $286 $952.60 2.7×
Vasopneumatic device (97016) $71.50 $238.15 5.9×
Ventilation assist & mgmt inpatient 1st 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) $48.95 $163.90 1.6×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $158.40 $530.20 1.7×