Visits & medical services prices at White Rock Medical Center
Dallas, TX · every code in this section with a posted price and a Medicare benchmark.
196 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $5,127.20 | $7,540 | 0.7× |
| Actinotherapy Ultraviolet Light (96900) | $97.24 | $143 | 2.6× |
| Aep threshold estimation mlt frequencies i&r (92652) | $1,202.92 | $1,769 | 5.5× |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$115.60–$262.16 | $170–$385.53 | varies |
| Analyze neurostim complex (95972) | $409.26 | $601.86 | 4.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $74.80 | $110 | 5.2× |
| Application Modality 1/> Areas Infrared (97026) | $27.88 | $41 | 4.2× |
| Assessment of aphasia per hr (96105) | $337.28 | $496 | 3.5× |
| Behavral qualit analys voice (92524) | $354.28 | $521 | 3.2× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $275.71 | $405.46 | 3.4× |
| Bfb training ea addl 15 min (90913) | $125.80 | $185 | 3.8× |
| Biofeedback training any modality (90901) | $304.64 | $448 | 7.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $471.92 | $694 | 1.3× |
| Bundle of his recording (93600) | $4,641 | $6,825 | 0.6× |
| Car seat/bed test 60 min (94780) | $46.24 | $68 | 1.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,748.28 | $2,571 | 8.1× |
| Cardiopulmonary resuscitation (92950) | $782 | $1,150 | 3.6× |
| Cardioversion (92960) range across 3 matching MRF lines |
$886.72–$926.84 | $1,304–$1,363 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $17,156.40 | $25,230 | 5.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $14,698.20 | $21,615 | 4.5× |
| Cbt 1st hour (94644) | $325.04 | $478 | 2.4× |
| Chemo IV infusion addl hr (96415) | $84.32 | $124 | 1.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $377.40 | $555 | 1.1× |
| Chest Wall Manipulation (94668) | $91.80 | $135 | 0.7× |
| Color/duplex Doppler, complete (93975) | $1,654.44 | $2,433 | 6.9× |
| Color/duplex Doppler, limited (93976) | $1,270.24 | $1,868 | 12.1× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $255.68 | $376 | 1.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $104.04 | $153 | 0.8× |
| Coronary Art/Grft Angio S&I (93455) | $14,392.20 | $21,165 | 4.4× |
| Coronary Artery Angio S&I (93454) | $13,141 | $19,325 | 4.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $475.32 | $699 | 2.2× |
| Cpt initial (94667) | $153 | $225 | 1.1× |
| Critical care first hour (99291) | $2,451.40 | $3,605 | 3.0× |
| Debridement Open Wound 20 Sq Cm< (97597) | $540.46 | $794.80 | 2.7× |
| Dialysis One Evaluation (90945) range across 4 matching MRF lines |
$1,147.84–$3,988.88 | $1,688–$5,866 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $662.32 | $974 | 2.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $452.88 | $666 | 4.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,181.84 | $1,738 | 4.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $945.88 | $1,391 | 9.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 4 matching MRF lines |
$479.40–$1,938 | $705–$2,850 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 5 matching MRF lines |
$226.83–$1,296.08 | $333.57–$1,906 | varies |
| Duplex Scan Hemodialysis Access (93990) | $539.24 | $793 | 5.1× |
| Duplex up extrem art bilat (93930) | $1,697.96 | $2,497 | 7.1× |
| Duplex up extrem art unilat/ltd (93931) | $1,323.28 | $1,946 | 12.6× |
| Ear and throat examination (92502) | $1,884.55 | $2,771.40 | 3.5× |
| Echo Congenital Complete (93303) | $1,664.64 | $2,448 | 3.0× |
| Echo Heart Xthoracic,Limited (93308) | $1,032.24 | $1,518 | 4.3× |
| Echo transesophageal (93312) | $2,182.80 | $3,210 | 4.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,033.88 | $2,991 | 3.7× |
| EEG awake and asleep (95819) | $1,400.12 | $2,059 | 6.5× |
| EEG awake drowsy (95816) | $1,297.44 | $1,908 | 6.0× |
| EEG cerebral death evaluation (95824) | $824.16 | $1,212 | 2.2× |
| EEG cont rec w/video by tech min 8 channels (95700) | $973.42 | $1,431.50 | 4.5× |
| EEG w/o vid ea 12-26hr intmt (95709) | $2,807.69 | $4,128.96 | 7.5× |
| EEG wo vid ea 12-26hr unmntr (95708) | $2,142 | $3,150 | 5.7× |
| Electrical Stimulation Ea 15 Min (97032) | $94.52 | $139 | 6.4× |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$457.64–$476 | $673–$700 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $5,135.36 | $7,552 | 0.7× |
| Emergency Dept Visit Level 2 (99282) | $518.16 | $762 | 3.4× |
| Emergency Dept Visit Level 3 (99283) | $1,056.72 | $1,554 | 3.9× |
| Emergency Dept Visit Level 4 (99284) | $1,439.56 | $2,117 | 3.4× |
| Ep & ablate supravent arrhyt (93653) | $16,234.32 | $23,874 | 0.6× |
| Ep & ablate ventric tachy (93654) | $19,065.84 | $28,038 | 0.7× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $6,968.64 | $10,248 | 0.9× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $5,127.20 | $7,540 | 0.7× |
| Er level 1 (99281) | $255 | $375 | 3.0× |
| Er level v (99285) | $2,067.20 | $3,040 | 3.5× |
| Ergonovine provocation test (93024) | $1,801.32 | $2,649 | 4.0× |
| Evaluate pt use of inhaler (94664) | $28.56 | $42 | 0.1× |
| Evaluate Speech Production (92522) | $247.52 | $364 | 2.2× |
| Evaluate Swallowing Function (92610) | $304.64 | $448 | 3.6× |
| Evaluation of speech fluency (92521) | $314.16 | $462 | 2.4× |
| External Ecg Scanning Analysis Report (93226) | $701.08 | $1,031 | 11.8× |
| Extracranial Bilat Study (93880) | $2,255.56 | $3,317 | 9.4× |
| Extracranial Uni/Ltd Study (93882) | $909.84 | $1,338 | 8.7× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,144.44 | $1,683 | 2.1× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $439.28 | $646 | 2.9× |
| Flexible endoscopic eval swallow c/v rec (92612) | $410.04 | $603 | 2.1× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $483.48 | $711 | 2.1× |
| Group Therapeutic Procedures (97150) | $129.88 | $191 | 7.2× |
| Health Behavior Assessment/Re-Assessment (96156) | $328.44 | $483 | 3.2× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $261.80 | $385 | 1.5× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $18,241.73 | $26,826.07 | 5.6× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$1,811–$1,911.48 | $2,663.24–$2,811 | varies |
| Immunization administration (90471) range across 11 matching MRF lines |
$39.44–$84.32 | $58–$124 | varies |
| Insert/Place Heart Catheter (93503) | $3,377.56 | $4,967 | 2.1× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$2,174.64 | $3,198 | 0.3× |
| Intracranial Complete Study (93886) | $1,026.12 | $1,509 | 4.3× |
| Iontophoresis 15 min (97033) | $75.48 | $111 | 4.0× |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$83.37–$170.68 | $122.61–$251 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 6 matching MRF lines |
$426.22–$575.96 | $626.79–$847 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $119 | $175 | 1.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $104.04 | $153 | 2.2× |
| IV push initial (96374) | $244.80 | $360 | 1.1× |
| L Hrt Art/Grft Angio (93459) | $15,486.32 | $22,774 | 4.8× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $8,444.87 | $12,418.92 | 2.6× |
| Low frequency non-thermal us (97610) | $540.46 | $794.80 | 2.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $69.36 | $102 | 2.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $81.60 | $120 | 2.2× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $38.08 | $56 | 2.2× |
| Motion Fluoroscopy/Swallow (92611) | $344.08 | $506 | 3.8× |
| Multiple Sleep Latency Test (95805) | $2,118.20 | $3,115 | 2.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $467.84 | $688 | 1.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,086.72 | $1,598.12 | 2.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $540.46 | $794.80 | 2.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $272 | $400 | 0.7× |
| Neurobehavioral Status Exam (96116) | $358.36 | $527 | 1.7× |
| Neuromuscular Reeducation (97112) range across 12 matching MRF lines |
$87.72–$126.94 | $129–$186.67 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $573.24 | $843 | 1.5× |
| Oral Function Therapy (92526) | $189.72 | $279 | 2.3× |
| Oral Speech Device Eval (92597) | $408.78 | $601.14 | 5.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $137.36 | $202 | 2.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $119 | $175 | 2.6× |
| Ot eval high complexity (97167) | $261.12 | $384 | 2.6× |
| Ot Eval Low Complex (97165) | $129.88 | $191 | 1.3× |
| Ot Eval Moderate Complexity (97166) | $195.84 | $288 | 1.9× |
| Ot manual therapy 15 min (97140) range across 11 matching MRF lines |
$92.48–$126.49 | $136–$186.01 | varies |
| Ot paraffin bath (97018) | $96.56 | $142 | 16.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $111.18 | $163.50 | 2.8× |
| Ot Re-Eval Est Plan Care (97168) | $123.08 | $181 | 1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $237.32 | $349 | 1.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $197.88 | $291 | 1.5× |
| Oxygen Uptake Rest Indirect (94690) | $371.28 | $546 | 6.3× |
| Peripheral arterial disease rehab per session (93668) | $111.52 | $164 | 1.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $5,562.40 | $8,180 | 1.0× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $12,019.68 | $17,676 | 1.0× |
| Phlebotomy therapeutic (99195) | $180.20 | $265 | 1.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $38.66 | $56.85 | 0.7× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $38.25 | $56.25 | 0.6× |
| Physical Performance Test (97750) | $187 | $275 | 5.5× |
| Plethysmography (94726) | $358.36 | $527 | 1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,392.12 | $6,459 | 5.1× |
| Prq Card Angio/Athrect 1 Art (92924) | $30,846.35 | $45,362.28 | 2.7× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $9,757.32 | $14,349 | 0.8× |
| Psychiatric diagnostic evaluation (90791) | $326.40 | $480 | 1.8× |
| Psychological tst eval svc phys/qhp first hour (96130) | $358.36 | $527 | 1.7× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $192.44 | $283 | 1.4× |
| Pt Eval High Complex (97163) | $195.84 | $288 | 2.0× |
| Pt eval low complex 20 min (97161) | $86.36 | $127 | 0.9× |
| Pt Eval Mod Complex (97162) | $129.88 | $191 | 1.3× |
| Pt gait training 15 min (97116) | $104.04 | $153 | 3.6× |
| Pt mechanical traction (97012) | $123.76 | $182 | 8.6× |
| Pt Re-Eval Est Plan Care (97164) | $86.36 | $127 | 1.3× |
| Pure Tone Audiometry Air (92552) | $350.61 | $515.60 | 2.6× |
| R Hrt Art/Grft Angio (93457) | $15,524.40 | $22,830 | 4.8× |
| R hrt coronary artery angio (93456) | $16,092.88 | $23,666 | 4.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $9,143.28 | $13,446 | 2.8× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $124.44 | $183 | 3.3× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $387.60 | $570 | 2.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $355.44 | $522.71 | 9.5× |
| Respiratory flow volume loop (94375) | $244.80 | $360 | 1.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$149.76–$164.56 | $220.24–$242 | varies |
| Right Heart Cath (93451) | $5,095.92 | $7,494 | 1.6× |
| Right ventricular recording (93603) | $1,455.20 | $2,140 | 1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $243.44 | $358 | 1.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $310.76 | $457 | 2.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $61.88 | $91 | 1.3× |
| Same day nb discharge (99463) | $350.53 | $515.48 | 2.6× |
| Self Care Mngment Training (97535) range across 10 matching MRF lines |
$85–$125.97 | $125–$185.25 | varies |
| Sensory Integration Ea 15 Min (97533) range across 3 matching MRF lines |
$112.13–$125.97 | $164.90–$185.25 | varies |
| Speech sound lang comprehen (92523) | $269.28 | $396 | 1.2× |
| Spin/Brain Pump Refil & Main (95991) | $828.24 | $1,218 | 2.7× |
| Spirometry (94010) | $200.60 | $295 | 0.9× |
| Standardized Cognitive Performance Testing (96125) | $369.92 | $544 | 3.6× |
| Stress Tte Only (93350) | $1,891.76 | $2,782 | 3.4× |
| Surfactant Admin Thru Tube (94610) | $119.68 | $176 | 0.5× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$922.59–$922.76 | $1,356.75–$1,357 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $154.68 | $227.47 | 6.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $154.68 | $227.47 | 7.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $93.16 | $137 | 2.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $97.74 | $143.74 | 3.3× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $248.88 | $366 | 2.4× |
| Ther/Proph/Diag Inj Ia (96373) | $244.80 | $360 | 1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $190.40 | $280 | 2.6× |
| Ther/Proph/Diag Iv Inf Init (96365) | $204 | $300 | 1.0× |
| Therapeutic Activities (97530) range across 12 matching MRF lines |
$127.84–$128.12 | $188–$188.41 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $951.32 | $1,399 | 2.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $65.96 | $97 | 1.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $36.04 | $53 | 1.0× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $673.88 | $991 | 6.4× |
| Tte w/doppler, complete (93306) | $3,214.36 | $4,727 | 5.9× |
| Tte W/O Doppler Complete (93307) | $2,713.88 | $3,991 | 11.3× |
| Tx atrial fib pulm vein isol (93656) | $23,689.84 | $34,838 | 0.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $221.68 | $326 | 2.9× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $68.52 | $100.77 | 2.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $224.40 | $330 | 4.8× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$27.20–$126.48 | $40–$186 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $489.60 | $720 | 3.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,073.72 | $1,579 | 5.0× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) range across 2 matching MRF lines |
$3,553.16–$4,351.32 | $5,225.24–$6,399 | varies |
| Veeg Ea 12-26 Hr Unmntr (95714) range across 2 matching MRF lines |
$2,745.84–$2,925.19 | $4,038–$4,301.75 | varies |
| Vent Mgmt Inpat Init Day (94002) | $2,608.48 | $3,836 | 4.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,931.88 | $2,841 | 3.1× |
| Visual Evoked Potential Test (95930) | $847.96 | $1,247 | 3.9× |
| Vital capacity, total (94150) | $189.04 | $278 | 1.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $107.44 | $158 | 3.5× |
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.