Visits & medical services prices at Tops Surgical Specialty Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $62.65 $179 0.3×
Analyze neurostim complex (95972) $1,718.15 $4,909 18.0×
Analyze neurostim no prog (95970) $1,718.15 $4,909 12.9×
Analyze Neurostim Simple (95971) $1,718.15 $4,909 18.0×
Cardiopulmonary resuscitation (92950) $405.30 $1,158 1.9×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $9,108.75 $26,025 2.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,399.70 $21,142 2.3×
Color/duplex Doppler, complete (93975) $1,611.75 $4,605 6.7×
Color/duplex Doppler, limited (93976) $946.40 $2,704 9.0×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$71.05–$121.45 $203–$347 varies
Coronary Artery Angio S&I (93454) $6,016.85 $17,191 1.8×
Cpt initial (94667) $35.70 $102 0.3×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$44.80–$84 $128–$240 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,253 $3,580 5.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,084.65 $3,099 4.5×
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines
$690.55–$710.85 $1,973–$2,031 varies
Ear and throat examination (92502) $420 $1,200 0.8×
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines
$173.60–$206.15 $496–$589 varies
Emergency Dept Visit Level 2 (99282) $496.65 $1,419 3.2×
Emergency Dept Visit Level 3 (99283) $612.15 $1,749 2.2×
Emergency Dept Visit Level 4 (99284) $1,297.80 $3,708 3.1×
Er level 1 (99281) $266.70 $762 3.1×
Er level v (99285) $1,452.15 $4,149 2.4×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $228.55 $653 1.1×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $467.25 $1,335 0.5×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $7,181.30 $20,518 2.2×
Immunization administration (90471) $92.05 $263 1.3×
Irrig Drug Delivery Device (96523) $451.15 $1,289 7.6×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$99.40–$174.65 $284–$499 varies
IV infusion hydration initial 31 min-1 hour (96360) $99.40 $284 0.5×
IV infusion ther proph addl sequential to 1 hr (96367) $99.40 $284 1.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $99.40 $284 2.1×
IV push initial (96374) $99.40 $284 0.5×
L Hrt Art/Grft Angio (93459) $8,601.60 $24,576 2.6×
Microvolt T-Wave Assess (93025) $206.15 $589 1.6×
Multiple Sleep Latency Test (95805) $3,231.55 $9,233 3.7×
Nasopharyngoscopy (92511) $1,260.35 $3,601 6.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $114.45 $327 0.3×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $114.45 $327 0.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $114.45 $327 0.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $114.45 $327 0.3×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $420 $1,200 3.2×
Ot eval high complexity (97167) $249.55 $713 2.5×
Ot Eval Low Complex (97165) $249.55 $713 2.5×
Ot Eval Moderate Complexity (97166) $249.55 $713 2.5×
Ot manual therapy 15 min (97140) $114.45 $327 4.1×
Ot Re-Eval Est Plan Care (97168) $131.95 $377 1.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,704.10 $7,726 3.1×
Pt Eval High Complex (97163)
range across 2 matching MRF lines
$159.60–$249.55 $456–$713 varies
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$159.60–$249.55 $456–$713 varies
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$159.60–$249.55 $456–$713 varies
Pt gait training 15 min (97116) $191.45 $547 6.6×
Pt Re-Eval Est Plan Care (97164) $131.95 $377 2.0×
R hrt coronary artery angio (93456)
range across 2 matching MRF lines
$7,156.10–$7,728.70 $20,446–$22,082 varies
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $473.90 $1,354 1.4×
Sleep study unattended (95806) $410.55 $1,173 1.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $159.60 $456 0.7×
Somatosensory Testing (95938) $420.35 $1,201 0.5×
Ssep lower limbs (95926) $1,292.20 $3,692 6.0×
Ther/Proph/Diag Inj Sc/Im (96372) $99.40 $284 1.4×
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$94.85–$99.40 $271–$284 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $99.40 $284 2.1×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $710.85 $2,031 3.3×

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.