Pam Rehabilitation Hospital of Victoria

Diagnostic Mammography (Unilateral)

CPT 77065 · TX median $123

Flexible Sigmoidoscopy

CPT 45330 · TX median $1,266

Low-Dose CT for Lung Cancer Screening

CPT 71271 · TX median $135

Screening Mammography (Bilateral)

CPT 77067 · TX median $130

Cardiac Catheterization, Left Heart with Coronary Angiography

CPT 93458 · TX median $10,058

Cardiac Stress Test (Treadmill, with ECG)

CPT 93015 · TX median $234

ECG, Resting 12-Lead with Interpretation

CPT 93000 · TX median $50

Holter Monitor (24–48 hour Continuous ECG)

CPT 93224 · TX median $292

Emergency Department Visit, High Severity

CPT 99285 · TX median $1,854

Emergency Department Visit, Moderate Severity

CPT 99284 · TX median $1,141

MRI of the Knee, Without Contrast

CPT 73721 · TX median $402

MRI of the Shoulder, Without Contrast

CPT 73221 · TX median $391

Chronic Obstructive Pulmonary Disease With MCC

MS-DRG 190 · TX median $10,744

Heart Failure & Shock With Major Complication

MS-DRG 291 · TX median $12,310

Septicemia or Severe Sepsis Without Mechanical Ventilation 96+ Hours, with MCC

MS-DRG 871 · TX median $17,371

Major Joint Replacement of Lower Extremity Without MCC

MS-DRG 470 · TX median $18,761

Psychiatric Diagnostic Evaluation

CPT 90791 · TX median $162

Carpal Tunnel Release

CPT 64721 · TX median $2,177

Cataract Surgery, Single Eye

CPT 66984 · TX median $2,622

Inguinal Hernia Repair (Open)

CPT 49505 · TX median $3,686

Skin Lesion Excision (Benign, Trunk/Arms/Legs ≤0.5 cm)

CPT 11400 · TX median $980

Polysomnography (Attended Sleep Study, 4+ Channels)

CPT 95810 · TX median $1,603

Pneumovax 23 (PPSV23 Pneumococcal)

CPT 90732 · TX median $280

Prevnar 20 (PCV20 Pneumococcal Conjugate)

CPT 90671 · TX median $280

RSV Vaccine (Abrysvo / Arexvy)

CPT 90679 · TX median $672

Shingrix (Shingles Vaccine)

CPT 90750 · TX median $530

Tdap Booster (Tetanus, Diphtheria, Pertussis)

CPT 90715 · TX median $123

Comprehensive Eye Exam, Established Patient

CPT 92014 · TX median $313