Visits & medical services prices at W J Mangold Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines
$81–$109 $81–$109 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $64 $64 4.5×
Application Modality 1/> Areas Infrared (97026) $29 $29 4.3×
Behavral qualit analys voice (92524) $193 $193 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $257 $257 0.7×
Canalith repositioning proc (95992) $206 $206 5.1×
Cardiac Stress Tst,Tracing Only (93017) $451 $451 2.1×
Cardiopulmonary resuscitation (92950) $1,050 $1,050 4.8×
Cardioversion (92960) $1,081 $1,081 1.6×
Cbt 1st hour (94644) $506 $506 3.8×
Chest Wall Manipulation (94668) $81 $81 0.6×
Color/duplex Doppler, complete (93975) $927 $927 3.9×
Community/Work Reintegration Trainj Ea 15 Min (97537) $151 $151 4.7×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$231–$290 $231–$290 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $374 $374 1.7×
Cpt initial (94667) $81 $81 0.6×
Critical care first hour (99291)
range across 3 matching MRF lines
$1,650–$11,815 $1,650–$11,815 varies
Debridement Open Wound 20 Sq Cm< (97597) $319 $319 1.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,399 $1,399 5.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $685 $685 6.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $927 $927 3.9×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$310–$583 $310–$583 varies
Electrical Stimulation Ea 15 Min (97032) $95 $95 6.5×
Electrocardiogram Tracing (93005) $150 $150 2.5×
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$358–$394 $358–$394 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$550–$605 $550–$605 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines
$798–$968 $798–$968 varies
Er level 1 (99281)
range across 4 matching MRF lines
$87–$194 $87–$194 varies
Er level v (99285)
range across 3 matching MRF lines
$1,100–$1,452 $1,100–$1,452 varies
Evaluate pt use of inhaler (94664) $71 $71 0.3×
Evaluate Speech Production (92522) $187 $187 1.7×
Evaluate Swallowing Function (92610) $373 $373 4.4×
Evaluation of speech fluency (92521) $231 $231 1.7×
Extracranial Bilat Study (93880) $927 $927 3.9×
Group Therapeutic Procedures (97150) $102 $102 5.7×
Im Adm Intransl/Oral 1 Vaccine (90473) $14 $14 0.2×
Immunization administration (90471) $13 $13 0.2×
Iontophoresis 15 min (97033) $149 $149 7.8×
Irrig Drug Delivery Device (96523) $77 $77 1.3×
IV infusion hydration each additional hour (96361) $53 $53 1.1×
IV infusion hydration initial 31 min-1 hour (96360) $324 $324 1.5×
IV infusion ther proph addl sequential to 1 hr (96367) $74 $74 1.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $68 $68 1.4×
IV push initial (96374) $149 $149 0.7×
Lung Function Test (Mbc/Mvv) (94200) $64 $64 1.1×
Neuromuscular Reeducation (97112) $165 $165 5.0×
Newborn resuscitation (99465)
range across 2 matching MRF lines
$432–$479 $432–$479 varies
Oral Function Therapy (92526) $503 $503 6.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $186 $186 4.0×
Ot Contrast Bath Ea 15 Min (97034) $87 $87 6.2×
Ot eval high complexity (97167) $424 $424 4.2×
Ot Eval Low Complex (97165)
range across 2 matching MRF lines
$424–$427 $424–$427 varies
Ot Eval Moderate Complexity (97166) $424 $424 4.2×
Ot manual therapy 15 min (97140) $106 $106 3.8×
Ot paraffin bath (97018) $50 $50 8.3×
Ot Prosthetic Training, Each 15 Min (97761) $165 $165 4.1×
Ot Re-Eval Est Plan Care (97168)
range across 2 matching MRF lines
$259–$281 $259–$281 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $379 $379 2.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $379 $379 2.9×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$61–$264 $61–$264 varies
Physical Performance Test (97750) $168 $168 5.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,295 $4,295 5.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $14 $14 0.3×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $26 $26 0.6×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $185 $185 4.9×
Pt Eval High Complex (97163) $270 $270 2.8×
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$242–$389 $242–$389 varies
Pt Eval Mod Complex (97162) $270 $270 2.8×
Pt gait training 15 min (97116) $91 $91 3.1×
Pt mechanical traction (97012) $83 $83 5.8×
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$215–$297 $215–$297 varies
Remote 30 Day Ecg Tech Supp (93229) $4,816 $4,816 12.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $70 $70 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $346 $346 1.7×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $42 $42 1.6×
Self Care Mngment Training (97535) $173 $173 5.3×
Sensory Integration Ea 15 Min (97533) $148 $148 2.4×
Speech sound lang comprehen (92523) $385 $385 1.7×
Spirometry (94010) $176 $176 0.8×
Temp transcutaneous pacing (92953) $462 $462 0.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 3 matching MRF lines
$87–$129 $87–$129 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $618 $618 6.0×
Ther/Proph/Diag Inj Sc/Im (96372) $13 $13 0.2×
Ther/Proph/Diag Iv Inf Init (96365) $195 $195 0.9×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$99–$172 $99–$172 varies
Tte w/doppler, complete (93306) $2,439 $2,439 4.4×
Tte W/O Doppler Complete (93307) $2,436 $2,436 10.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $440 $440 5.8×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $143 $143 5.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $70 $70 1.5×
Upr/L Xtremity Art 2 Levels (93922) $648 $648 4.8×
Vasopneumatic device (97016) $92 $92 7.7×
Vent Mgmt Inpat Init Day (94002) $1,100 $1,100 1.8×
Vital capacity, total (94150) $32 $32 0.2×
Wheelchair Mgmt Ea 15 Min (97542) $153 $153 4.9×
Whirlpool Therapy (97022) $108 $108 6.9×

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.