Visits & medical services prices at Adair County Memorial Hospital

Greenfield, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Reflex Testing (92568) $127.50 $170 3.6×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$26.25–$41.25 $35–$55 varies
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$30–$187.50 $40–$250 varies
Analyze Neurostim Simple (95971) $157.50 $210 1.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$75–$108.75 $100–$145 varies
Application Modality 1/> Areas Infrared (97026) $60 $80 9.0×
Behavral qualit analys voice (92524) $146.25 $195 1.3×
Brief Emotional/Behav Assmt (96127) $30 $40 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines
$52.50–$483.75 $70–$645 varies
Canalith repositioning proc (95992) $90 $120 2.2×
Cardiac Stress Tst,Tracing Only (93017) $926.25 $1,235 4.5×
Cardiopulmonary resuscitation (92950) $795 $1,060 3.8×
Cardioversion (92960)
range across 4 matching MRF lines
$390–$2,527.50 $520–$3,370 varies
Cbt 1st hour (94644) $341.25 $455 2.7×
Chest Wall Manipulation (94668) $127.50 $170 1.0×
Color/duplex Doppler, complete (93975) $1,151.25 $1,535 5.0×
Color/duplex Doppler, limited (93976) $761.25 $1,015 7.6×
Comprehensive Hearing Test (92557) $266.25 $355 2.2×
Continuous Pulse Ox (94762) $315 $420 2.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$161.25–$791.25 $215–$1,055 varies
Cpt initial (94667)
range across 2 matching MRF lines
$183.75–$217.50 $245–$290 varies
Critical care first hour (99291)
range across 2 matching MRF lines
$753.75–$1,773.75 $1,005–$2,365 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 6 matching MRF lines
$120–$487.50 $160–$650 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $810 $1,080 3.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $761.25 $1,015 7.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,012.50 $1,350 4.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $735 $980 7.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,158.75 $1,545 5.1×
Dup-scan xtr veins unilateral/limited study (93971) $753.75 $1,005 7.5×
Duplex up extrem art bilat (93930) $862.50 $1,150 3.8×
Duplex up extrem art unilat/ltd (93931) $648.75 $865 6.5×
Ear and throat examination (92502) $1,890 $2,520 3.6×
ECG/monitoring and analysis (93271) $206.25 $275 2.3×
Echo Heart Xthoracic,Limited (93308) $708.75 $945 3.1×
Electrical Stimulation Ea 15 Min (97032) $105 $140 7.1×
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines
$33.75–$243.75 $45–$325 varies
Emergency Dept Visit Level 2 (99282) $307.50 $410 2.1×
Emergency Dept Visit Level 3 (99283) $543.75 $725 2.1×
Emergency Dept Visit Level 4 (99284) $858.75 $1,145 2.1×
Er level 1 (99281)
range across 3 matching MRF lines
$123.75–$172.50 $165–$230 varies
Er level v (99285) $1,256.25 $1,675 2.2×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$187.50–$322.50 $250–$430 varies
Evaluate Swallowing Function (92610) $296.25 $395 3.5×
Evoked Auditory Test,Limited (92587) $348.75 $465 1.7×
Exercise test for bronchospasm (94617) $791.25 $1,055 6.2×
External ECG rec>48hr<7d recording (93242) $476.25 $635 13.3×
External ECG rec>7d<15d recording (93246) $577.50 $770 16.1×
Extracranial Bilat Study (93880) $1,113.75 $1,485 4.9×
Extracranial Uni/Ltd Study (93882) $311.25 $415 3.1×
Flexible endoscopic eval swallow c/v rec (92612) $633.75 $845 3.2×
Holter monitor recording (93225)
range across 3 matching MRF lines
$393.75–$468.75 $525–$625 varies
Im Adm Intransl/Oral 1 Vaccine (90473) $22.50 $30 0.3×
Immunization administration (90471)
range across 4 matching MRF lines
$22.50–$45 $30–$60 varies
Iontophoresis 15 min (97033) $78.75 $105 4.1×
Irrig Drug Delivery Device (96523) $82.50 $110 1.5×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$71.25–$75 $95–$100 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$142.50–$150 $190–$200 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$75–$78.75 $100–$105 varies
IV infusion therapy prophylaxis/dx ea hour (96366) $75 $100 1.7×
IV push initial (96374) $75 $100 0.4×
Loudness balance test (92562) $375 $500 1.8×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines
$922.50–$941.25 $1,230–$1,255 varies
Mechanical chest wall oscillation per session (94669) $285 $380 1.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $52.50 $70 1.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $67.50 $90 1.8×
Methacholine challenge (94070) $690 $920 1.9×
Motion Fluoroscopy/Swallow (92611) $285 $380 3.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$896.25–$1,005 $1,195–$1,340 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $896.25 $1,195 2.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$75–$487.50 $100–$650 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$75–$896.25 $100–$1,195 varies
Nerve Conduction Studies 3-4 Studies (95908) $243.75 $325 1.2×
Nerve conduction studies 5-6 studies (95909) $285 $380 1.4×
Nerve conduction studies 7-8 studies (95910) $311.25 $415 0.9×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$71.25–$75 $95–$100 varies
Oral Function Therapy (92526) $236.25 $315 2.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $67.50 $90 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $67.50 $90 1.5×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $63.75 $85 3.1×
Osteopathic manipulative tx 3-4 body regions (98926) $90 $120 4.3×
Osteopathic manipulative tx 5-6 body regions (98927) $120 $160 5.8×
Ot eval high complexity (97167) $262.50 $350 2.6×
Ot Eval Low Complex (97165) $157.50 $210 1.6×
Ot Eval Moderate Complexity (97166) $176.25 $235 1.8×
Ot manual therapy 15 min (97140) $82.50 $110 3.0×
Ot Re-Eval Est Plan Care (97168) $108.75 $145 1.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$288.75–$292.50 $385–$390 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797)
range across 2 matching MRF lines
$217.50–$262.50 $290–$350 varies
Peripheral arterial disease rehab per session (93668) $138.75 $185 2.4×
Phlebotomy therapeutic (99195) $236.25 $315 1.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $217.50 $290 3.8×
Physical Performance Test (97750) $82.50 $110 2.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,386.25 $4,515 4.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $30 $40 0.7×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $33.75 $45 0.7×
Pt Eval High Complex (97163) $232.50 $310 2.4×
Pt eval low complex 20 min (97161) $142.50 $190 1.5×
Pt Eval Mod Complex (97162) $157.50 $210 1.6×
Pt gait training 15 min (97116) $78.75 $105 2.7×
Pt Re-Eval Est Plan Care (97164) $97.50 $130 1.4×
Pulm function test by gas (94727) $288.75 $385 1.4×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$292.50–$401.25 $390–$535 varies
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$363.75–$393.75 $485–$525 varies
Pure Tone Audiometry Air (92552)
range across 2 matching MRF lines
$56.25–$187.50 $75–$250 varies
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $78.75 $105 2.2×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $30 $40 0.2×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $56.25 $75 1.4×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $67.50 $90 1.2×
Respiratory flow volume loop (94375)
range across 2 matching MRF lines
$60–$108.75 $80–$145 varies
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $120 $160 2.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$135–$487.50 $180–$650 varies
Self Care Mngment Training (97535) $78.75 $105 2.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800)
range across 3 matching MRF lines
$60–$783.75 $80–$1,045 varies
Speech Audiometry Complete (92556)
range across 2 matching MRF lines
$63.75–$217.50 $85–$290 varies
Speech sound lang comprehen (92523)
range across 2 matching MRF lines
$303.75–$393.75 $405–$525 varies
Spirometry (94010)
range across 2 matching MRF lines
$123.75–$191.25 $165–$255 varies
Standardized Cognitive Performance Testing (96125) $375 $500 3.6×
Stress Tte Only (93350)
range across 2 matching MRF lines
$1,200–$1,331.25 $1,600–$1,775 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $108.75 $145 4.9×
Ther Ivntj Ea Addl 15 Min (97130) $112.50 $150 5.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $63.75 $85 2.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$37.50–$105 $50–$140 varies
Ther/Proph/Diag Iv Inf Init (96365) $423.75 $565 2.1×
Therapeutic Activities (97530) $82.50 $110 2.4×
Trans Care Mgmt 14 Day Disch (99495)
range across 2 matching MRF lines
$187.50–$206.25 $250–$275 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 3 matching MRF lines
$225–$292.50 $300–$390 varies
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$146.25–$1,972.50 $195–$2,630 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $277.50 $370 3.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $75 $100 1.7×
Tympanometry (92567)
range across 2 matching MRF lines
$22.50–$90 $30–$120 varies
Tympanometry and reflex threshold measurements (92550)
range across 2 matching MRF lines
$30–$63.75 $40–$85 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$390–$450 $520–$600 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$517.50–$652.50 $690–$870 varies
Vent Mgmt Inpat Init Day (94002) $1,042.50 $1,390 1.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $926.25 $1,235 1.6×
Vital capacity, total (94150) $198.75 $265 1.6×
Whirlpool Therapy (97022) $112.50 $150 7.2×

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.