Visits & medical services prices at AdventHealth Gordon

Calhoun, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$494.59–$976.18 $494.59–$976.18 varies
Application on-body injector (96377) $649.26 $649.26 13.7×
Assessment of aphasia per hr (96105) $540.06 $540.06 5.6×
Behavral qualit analys voice (92524) $729.29 $729.29 6.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $704 $704 1.9×
Canalith repositioning proc (95992) $148.63 $148.63 3.6×
Car seat/bed test 60 min (94780) $448.12 $448.12 11.8×
Cardiac Stress Tst,Tracing Only (93017) $3,596.19 $3,596.19 16.4×
Cardiopulmonary resuscitation (92950) $708.44 $708.44 3.2×
Cardioversion (92960) $3,378.59 $3,378.59 5.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $26,469.93 $26,469.93 8.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $25,653.42 $25,653.42 7.8×
Cbt 1st hour (94644) $774.92 $774.92 5.7×
Chemo Anti-Neopl Sq/Im (96401) $527.96 $527.96 7.2×
Chemo Hormon Antineopl Sq/Im (96402) $514.43 $514.43 7.0×
Chemo IV infusion addl hr (96415) $518.84 $518.84 7.1×
Chemo IV push addl drug (96411) $688.24 $688.24 9.4×
Chemother Prolong Infuse W/Pump (96416) $2,016.04 $2,016.04 6.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $558.13 $558.13 7.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,493.35 $1,493.35 4.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,092.12 $1,092.12 3.3×
Chest Wall Manipulation (94668) $317.02 $317.02 2.3×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $1,385.78 $1,385.78 3.7×
Color/duplex Doppler, complete (93975) $2,995.97 $2,995.97 12.4×
Color/duplex Doppler, limited (93976) $1,927.90 $1,927.90 18.2×
Continuous Pulse Ox (94762) $562.37 $562.37 4.3×
Coronary Artery Angio S&I (93454) $15,600.43 $15,600.43 4.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$1,336.48–$2,282.24 $1,336.48–$2,282.24 varies
Cpt initial (94667) $316.29 $316.29 2.3×
Critical care first hour (99291) $9,199.72 $9,199.72 11.0×
Debridement Open Wound 20 Sq Cm< (97597) $961.97 $961.97 4.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,777.48 $1,777.48 7.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,179.65 $1,179.65 11.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $3,031.96 $3,031.96 12.5×
Dup-scan xtr veins unilateral/limited study (93971) $2,153.57 $2,153.57 20.3×
Duplex up extrem art bilat (93930) $1,947.92 $1,947.92 8.0×
Duplex up extrem art unilat/ltd (93931) $790.90 $790.90 7.4×
Echo Congenital Complete (93303) $4,435.06 $4,435.06 8.0×
Echo Heart Xthoracic,Limited (93308)
range across 4 matching MRF lines
$1,375.96–$3,031.96 $1,375.96–$3,031.96 varies
Echo transesophageal (93312)
range across 3 matching MRF lines
$5,044.96–$6,343.96 $5,044.96–$6,343.96 varies
Eeg 41-60 Minutes (95812) $1,544.04 $1,544.04 7.0×
EEG awake and asleep (95819) $2,726.54 $2,726.54 12.4×
EEG awake drowsy (95816) $2,616.23 $2,616.23 11.9×
EEG extended monitoring 61-119 minutes (95813) $2,587.82 $2,587.82 11.8×
Eeg Sleep Only (95822) $3,435.38 $3,435.38 15.7×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $2,076.23 $2,076.23 9.5×
Electrocardiogram Tracing (93005) $827.70 $827.70 13.8×
Emergency Dept Visit Level 2 (99282) $847.04 $847.04 5.4×
Emergency Dept Visit Level 3 (99283) $1,455.46 $1,455.46 5.2×
Emergency Dept Visit Level 4 (99284) $2,305.97 $2,305.97 5.4×
Er level 1 (99281)
range across 2 matching MRF lines
$349.23–$663.73 $349.23–$663.73 varies
Er level v (99285) $3,661.21 $3,661.21 6.1×
Evaluate pt use of inhaler (94664) $365.42 $365.42 1.6×
Evaluate Speech Production (92522) $703.16 $703.16 6.3×
Evaluate Swallowing Function (92610) $520.16 $520.16 6.1×
Evoked Auditory Test,Limited (92587) $360.71 $360.71 1.6×
External ECG rec>48hr<7d recording (93242) $2,393.65 $2,393.65 63.1×
External ECG rec>48hr<7d scanning alys w/report (93243) $892.27 $892.27 6.6×
External ECG rec>7d<15d recording (93246) $985.85 $985.85 26.0×
External ECG rec>7d<15d scanning alys w/report (93247) $892.27 $892.27 6.6×
External Ecg Scanning Analysis Report (93226) $4,812.94 $4,812.94 80.3×
Extracranial Bilat Study (93880) $1,167.11 $1,167.11 4.8×
Extracranial Uni/Ltd Study (93882) $786.16 $786.16 7.4×
Flexible endoscopic eval swallow c/v rec (92612) $249.56 $249.56 1.2×
Group Therapeutic Procedures (97150) $180.07 $180.07 10.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $26,469.93 $26,469.93 8.0×
Holter monitor recording (93225) $2,393.65 $2,393.65 17.7×
Immunization administration (90471) $143 $143 2.0×
Irrig Drug Delivery Device (96523) $265.77 $265.77 4.4×
IV infusion hydration each additional hour (96361) $713.65 $713.65 15.0×
IV infusion hydration initial 31 min-1 hour (96360) $1,351.33 $1,351.33 6.3×
IV infusion ther proph addl sequential to 1 hr (96367) $1,523.43 $1,523.43 20.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $256.67 $256.67 5.4×
IV push initial (96374) $408.79 $408.79 1.9×
L Hrt Art/Grft Angio (93459) $25,191.46 $25,191.46 7.7×
Lung Function Test (Mbc/Mvv) (94200) $239.36 $239.36 4.0×
Mechanical chest wall oscillation per session (94669) $204.70 $204.70 0.9×
Motion Fluoroscopy/Swallow (92611) $452.31 $452.31 4.9×
Multiple Sleep Latency Test (95805) $5,935.29 $5,935.29 6.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $493.08 $493.08 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $576.34 $576.34 2.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $711.95 $711.95 1.7×
Neuromuscular Reeducation (97112) $236.16 $236.16 7.2×
Newborn resuscitation (99465) $4,783.23 $4,783.23 7.1×
Nrpsyc tst eval phys/qhp 1st (96132) $824.52 $824.52 2.2×
Oral Function Therapy (92526) $481.92 $481.92 5.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $195.24 $195.24 3.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $250.31 $250.31 5.4×
Ot eval high complexity (97167) $692.69 $692.69 6.9×
Ot Eval Low Complex (97165) $692.69 $692.69 6.9×
Ot Eval Moderate Complexity (97166) $692.69 $692.69 6.9×
Ot manual therapy 15 min (97140) $330.56 $330.56 11.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $413.27 $413.27 3.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $531.33 $531.33 4.1×
Penile Vascular Study,Ltd or F/U (93981) $1,411.96 $1,411.96 13.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $1,386.01 $1,386.01 6.2×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 5 matching MRF lines
$17,522.11–$39,362.47 $17,522.11–$39,362.47 varies
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $35,501.14 $35,501.14 3.0×
Phlebotomy therapeutic (99195) $732.03 $732.03 5.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $10,435.57 $10,435.57 12.0×
Prq Card Stent W/Angio 1 Vsl (92928) $35,501.14 $35,501.14 3.0×
Prq Revasc Byp Graft 1 Vsl (92937) $35,501.14 $35,501.14 3.0×
Psych diag eval w/med srvcs (90792) $1,122.37 $1,122.37 6.2×
Psychiatric diagnostic evaluation (90791) $1,122.93 $1,122.93 6.2×
Pt Eval High Complex (97163) $893.45 $893.45 9.1×
Pt eval low complex 20 min (97161) $893.45 $893.45 9.1×
Pt Eval Mod Complex (97162) $893.45 $893.45 9.1×
Pt gait training 15 min (97116) $219.48 $219.48 7.6×
Pt group caregiver training (97552) $59.63 $59.63 2.7×
Pt mechanical traction (97012) $306.95 $306.95 21.4×
Pt Re-Eval Est Plan Care (97164) $315.34 $315.34 4.7×
R hrt coronary artery angio (93456) $21,960.16 $21,960.16 6.7×
Refill/Maint Portable Pump (96521) $563.66 $563.66 2.6×
Remote 30 Day Ecg Rev/Report (93270) $493.41 $493.41 13.0×
Right Heart Cath (93451) $21,952.36 $21,952.36 6.7×
Self Care Mngment Training (97535) $237.82 $237.82 7.3×
Sensory Integration Ea 15 Min (97533) $187.11 $187.11 3.1×
Sleep study unattended (95806) $4,112.99 $4,112.99 18.8×
Speech sound lang comprehen (92523) $703.16 $703.16 3.1×
Spirometry (94010) $487.39 $487.39 2.2×
Standardized Cognitive Performance Testing (96125) $624.71 $624.71 6.1×
Stress Tte Only (93350) $6,273.25 $6,273.25 11.3×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $621.22 $621.22 2.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $226.91 $226.91 10.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $224.34 $224.34 6.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$201.64–$259.91 $201.64–$259.91 varies
Ther/Proph/Diag Iv Inf Init (96365) $1,179.66 $1,179.66 5.5×
Therapeutic Activities (97530) $252.08 $252.08 7.2×
Tobacco Use Cessation Intensive >10 Minutes (99407) $153.88 $153.88 4.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $77.22 $77.22 2.0×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$4,972.47–$6,553.69 $4,972.47–$6,553.69 varies
Tte W/O Doppler Complete (93307) $2,739.45 $2,739.45 11.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $787.53 $787.53 10.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $520.31 $520.31 10.9×
Upr/L Xtremity Art 2 Levels (93922) $1,151.55 $1,151.55 8.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,803.88 $1,803.88 8.2×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$2,185.46–$4,682.13 $2,185.46–$4,682.13 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,965.61 $3,965.61 6.3×
Vital capacity, total (94150) $288.16 $288.16 2.2×
Wheelchair Mgmt Ea 15 Min (97542) $126.52 $126.52 4.1×

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.