Visits & medical services prices at UT Health East Texas Quitman Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $64.02 $640.25 0.3×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $6.80 $68 0.2×
Analyze neurostim complex (95972) $19.90 $199 0.2×
Analyze neurostim no prog (95970) $23.20 $232 0.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $8.68 $86.85 0.6×
Assmt & care planning pt w/cognitive impairment (99483) $15.20 $152 0.1×
Behavral qualit analys voice (92524) $45.72 $457.20 0.4×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $7 $70 0.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $72.99 $729.90 0.2×
Cardiac Stress Tst,Tracing Only (93017) $231.28 $2,312.82 1.1×
Cardiopulmonary resuscitation (92950) $117.03 $1,170.33 0.5×
Cardioversion (92960) $140.58 $1,405.84 0.2×
Cbt 1st hour (94644) $31.14 $311.40 0.2×
Chemo Anti-Neopl Sq/Im (96401) $13.50 $135 0.2×
Chemo Hormon Antineopl Sq/Im (96402) $13.50 $135 0.2×
Chemo IV infusion addl hr (96415) $31.30 $313 0.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $143.50 $1,435 0.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $41.40 $414 0.1×
Chest Wall Manipulation (94668) $12.35 $123.54 0.1×
Chron Care Mgmt Srvc 20 Min (99490) $18.50 $185 0.2×
Color/duplex Doppler, complete (93975) $143.15 $1,431.46 0.6×
Color/duplex Doppler, limited (93976) $103.81 $1,038.13 1.0×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $32.20 $322 0.2×
Continuous Pulse Ox (94762) $62.80 $628.03 0.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $78.91 $789.08 0.4×
Cpt initial (94667) $16.35 $163.52 0.1×
Critical care first hour (99291) $488.46 $4,884.62 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $52.24 $522.42 0.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $120.74 $1,207.39 0.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $41.08 $410.80 0.4×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $21.40 $214 0.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $137.99 $1,379.87 0.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $96.56 $965.59 0.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $151.85 $1,518.50 0.6×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines		 $104.13–$156.20 $1,041.35–$1,562.03 varies
Duplex up extrem art bilat (93930) $137.66 $1,376.65 0.6×
Duplex up extrem art unilat/ltd (93931) $92.85 $928.51 0.9×
Echo Heart Xthoracic,Limited (93308) $98.01 $980.10 0.4×
Echo transesophageal (93312) $169.13 $1,691.30 0.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $446.20 $4,462.02 0.8×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $20 $200 0.2×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $19.90 $199 0.2×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $7 $70 0.2×
Electrical Stimulation Ea 15 Min (97032) $11.16 $111.60 0.8×
Electrocardiogram Tracing (93005) $36.27 $362.70 0.6×
Emergency Dept Visit Level 2 (99282) $47.25 $472.55 0.3×
Emergency Dept Visit Level 3 (99283) $130.60 $1,306.05 0.5×
Emergency Dept Visit Level 4 (99284) $282.58 $2,825.81 0.7×
Er level 1 (99281) $27.31 $273.08 0.3×
Er level v (99285) $444.06 $4,440.56 0.7×
Evaluate pt use of inhaler (94664) $55.85 $558.51 0.3×
Evaluate Speech Production (92522) $45.72 $457.20 0.4×
Evaluate Swallowing Function (92610) $37.62 $376.20 0.4×
Evaluation of speech fluency (92521) $45.72 $457.20 0.3×
External ECG rec>48hr<7d recording (93242) $12.35 $123.50 0.3×
External ECG rec>7d<15d recording (93246) $11.50 $115 0.3×
Extracranial Bilat Study (93880) $145.08 $1,450.80 0.6×
Extracranial Uni/Ltd Study (93882) $41.08 $410.80 0.4×
F-up/limited tthrc echo congenital car anomaly (93304) $181.74 $1,817.40 0.3×
Flexible endoscopic eval swallow c/v rec (92612) $37.62 $376.20 0.2×
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines		 $5.20–$13.66 $52–$136.58 varies
Holter monitor recording (93225) $72.54 $725.40 0.5×
Immunization administration (90471) $40.67 $406.72 0.6×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $145.10 $1,451 0.4×
Intracranial Complete Study (93886) $46.70 $467 0.2×
Iontophoresis 15 min (97033) $11.16 $111.60 0.6×
Irrig Drug Delivery Device (96523) $28.08 $280.80 0.5×
IV infusion hydration each additional hour (96361) $41.52 $415.22 0.9×
IV infusion hydration initial 31 min-1 hour (96360) $83.37 $833.71 0.4×
IV infusion ther proph addl sequential to 1 hr (96367) $28.67 $286.75 0.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $38.56 $385.64 0.8×
IV push initial (96374) $38.72 $387.25 0.2×
Lung Function Test (Mbc/Mvv) (94200) $17.30 $173 0.3×
Lwr Xtr Vasc Stdy Bilat (93924) $75.11 $751.07 0.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $7.80 $78 0.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $10.18 $101.81 0.3×
Methacholine challenge (94070) $56 $560 0.1×
Motion Fluoroscopy/Swallow (92611) $26.05 $260.55 0.3×
Multiple Sleep Latency Test (95805) $254.94 $2,549.38 0.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines		 $97.06–$112 $970.60–$1,120 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $106.85 $1,068.53 0.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines		 $50.42–$57.30 $504.21–$573 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines		 $97.06–$114 $970.60–$1,140 varies
Nerve Conduction Studies 1-2 Studies (95907) $29.10 $291 0.1×
Nerve Conduction Studies 11-12 Studies (95912) $96.70 $967 0.3×
Nerve conduction studies 13 or more studies (95913) $96.70 $967 0.3×
Nerve Conduction Studies 3-4 Studies (95908) $56.10 $561 0.3×
Nerve conduction studies 5-6 studies (95909) $56 $560 0.3×
Nerve conduction studies 7-8 studies (95910) $56 $560 0.1×
Nerve Conduction Studies 9-10 Studies (95911) $96.70 $967 0.3×
Neurobehavioral Status Exam (96116) $56 $560 0.3×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $29.10 $291 0.2×
Neuromuscular Reeducation (97112) $13.66 $136.58 0.4×
Nrpsyc tst eval phys/qhp 1st (96132) $96.70 $967 0.3×
Oral Function Therapy (92526) $25.45 $254.48 0.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $8.68 $86.85 0.2×
Ot Contrast Bath Ea 15 Min (97034) $11.16 $111.60 0.8×
Ot eval high complexity (97167) $33.75 $337.50 0.3×
Ot Eval Low Complex (97165) $19.08 $190.80 0.2×
Ot Eval Moderate Complexity (97166) $25.92 $259.20 0.3×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines		 $7.60–$10.15 $76–$101.48 varies
Ot paraffin bath (97018) $8.68 $86.85 1.4×
Ot Prosthetic Training, Each 15 Min (97761) $13.66 $136.58 0.3×
Ot Re-Eval Est Plan Care (97168) $11.34 $113.40 0.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $26.41 $264.12 0.2×
Percutaneous tests w/allergenic extracts (95004) $186.90 $1,869 0.2×
Phlebotomy therapeutic (99195) $23.20 $232 0.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $17.01 $170.10 0.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $15.39 $153.90 0.3×
Physical Performance Test (97750) $12.69 $126.90 0.4×
Plethysmography (94726) $84.10 $841 0.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $828.37 $8,283.67 1.0×
Polysom <6 yrs 4/> paramtrs (95782) $346.06 $3,460.60 0.4×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $346.06 $3,460.60 0.4×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $8.40 $84 0.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $8.40 $84 0.2×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $8.50 $85 0.2×
Pt Eval High Complex (97163) $38.25 $382.50 0.4×
Pt eval low complex 20 min (97161) $24.57 $245.70 0.3×
Pt Eval Mod Complex (97162) $31.32 $313.20 0.3×
Pt gait training 15 min (97116) $16.42 $164.25 0.6×
Pt mechanical traction (97012) $9.92 $99.23 0.7×
Pt Re-Eval Est Plan Care (97164) $12.40 $123.98 0.2×
Pulm function test by gas (94727) $29.10 $291 0.1×
Pulmonary service/procedure (94799) $42.57 $425.75 0.3×
Pulmonary Stress Testing (94618) $35 $350 0.3×
Refill/Maint Portable Pump (96521) $41.30 $413 0.2×
Remote 30 Day Ecg Rev/Report (93270) $14.95 $149.50 0.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $39.80 $398 0.2×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $43.96 $439.65 0.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $17.93 $179.33 0.4×
Self Care Mngment Training (97535) $15.05 $150.53 0.5×
Sensory Integration Ea 15 Min (97533) $13.79 $137.93 0.2×
Sleep study unattended (95806) $52.52 $525.20 0.2×
Slp Stdy Unatnd W/Anal (95801) $42.12 $421.20 0.7×
Speech sound lang comprehen (92523) $45.72 $457.20 0.2×
Spirometry (94010) $38.43 $384.30 0.2×
Stress Tte Only (93350) $173.55 $1,735.50 0.3×
Subcutaneous Infusion Each Additional Hour (96370) $13.90 $139 0.3×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $61.30 $613 0.3×
Subq Infusion Additional Pump Infusion Site (96371) $21.40 $214 0.3×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $21.40 $214 0.2×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $17.39 $173.93 0.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $12.40 $123.98 0.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $26.05 $260.55 0.3×
Ther/Proph/Diag Inj Ia (96373) $62.70 $627 0.3×
Ther/Proph/Diag Inj Sc/Im (96372) $40.86 $408.58 0.6×
Ther/Proph/Diag Iv Inf Init (96365) $77.38 $773.76 0.4×
Therapeutic Activities (97530) $14.89 $148.95 0.4×
Tobacco Use Cessation Intensive >10 Minutes (99407) $5.90 $59 0.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $5.90 $59 0.2×
Trans Care Mgmt 7 Day Disch (99496) $24.20 $242 0.2×
Transcranial Doppler Intracran Art Emboli Detect (93892) $21.40 $214 0.2×
Tte w/doppler, complete (93306) $446.20 $4,462.02 0.8×
Tte W/O Doppler Complete (93307) $165.07 $1,650.69 0.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $19.69 $196.88 0.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $37.72 $377.18 0.8×
Unlisted cardiovascular service/procedure (93799) $55.90 $559 0.4×
Upr/L Xtremity Art 2 Levels (93922) $45.53 $455.33 0.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $36.36 $363.60 0.2×
Vent Mgmt Inpat Init Day (94002) $123.21 $1,232.10 0.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $167.10 $1,671 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $11.16 $111.60 0.4×
Whirlpool Therapy (97022) $9.92 $99.23 0.6×

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.