Visits & medical services prices at Allendale County Hospital

Fairfax, SC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $102 $120 0.5×
Assessment of aphasia (96105) $148.75 $175 1.5×
Behavioral and qualitative analysis of voice and resonance (92524) $148.75 $175 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $276.25 $325 0.8×
Canalith Repositioning (95992) $63.75 $75 1.6×
Cardiopulmonary exercise testing (94621) $382.50 $450 1.1×
Cardiopulmonary resuscitation (92950) $293.25 $345 1.5×
Cardioversion (92960) $595 $700 1.0×
Cbt 1st hour (94644) $102 $120 0.8×
Cpap initiation and management (94660) $255 $300 1.3×
Cpt initial (94667) $85 $100 0.7×
Critical care (99291) $558.88 $657.50 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $239.59 $281.86 1.3×
Demo &/or eval,pt use,aerosol device (94664) $259.25 $305 1.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $214.62 $252.50 1.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $214.62 $252.50 1.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $142.38 $167.50 1.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $127.50 $150 0.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $157.25 $185 1.6×
Dup-scan xtr veins unilateral/limited study (93971) $242.25 $285 2.5×
Duplex scan extracranial art compl bi study (93880) $184.88 $217.50 0.8×
Echo Heart Xthoracic,Limited (93308) $595 $700 2.7×
EKG (93005) $127.50 $150 2.3×
Er level 1 (99281) $78.62 $92.50 1.0×
Er level ii (99282) $129.62 $152.50 0.9×
Er level iii (99283) $184.88 $217.50 0.7×
Er level IV (99284) $265.62 $312.50 0.7×
Er level v (99285) $363.38 $427.50 0.7×
Evaluation of speech fluency (92521) $148.75 $175 1.1×
Evaluation of speech sound production (92522) $148.75 $175 1.3×
Evaluation of swallowing function (92610) $148.75 $175 1.8×
Exhaled air analysis o2 (94680) $170.85 $201 1.4×
External ECG rec>48hr<7d recording (93242) $86.70 $102 2.5×
External ECG rec>48hr<7d scanning alys w/report (93243) $510 $600 4.1×
External ECG rec>7d<15d recording (93246) $142.80 $168 4.1×
External ECG rec>7d<15d scanning alys w/report (93247) $573.75 $675 4.6×
External Ecg Scanning Analysis Report (93226) $127.50 $150 2.3×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $335.75 $395 1.7×
Flow volume loop (94375) $303.88 $357.50 1.5×
Group Therapeutic Procedures (97150) $68 $80 3.8×
Holter Monitor Recording (93225) $297.50 $350 2.4×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $76.50 $90 1.1×
Immunization Admin (90471) $170 $200 2.5×
IV infusion hydration each additional hour (96361) $170 $200 3.9×
IV infusion hydration initial 31 min-1 hour (96360) $170 $200 0.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $106.25 $125 1.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $340 $400 1.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $382.50 $450 8.8×
IV push initial (96374) $170 $200 0.9×
Manual therapy 15 min (97140) $75.65 $89 2.7×
Massage 15 min (97124) $55.25 $65 1.9×
Maximum voluntary ventilation (94200) $142.80 $168 2.6×
Mechanical chest wall oscillation (94669) $255 $300 1.3×
Methacholine challenge (94070) $382.50 $450 1.1×
Neg press wnd tx </=50 sq cm (97607) $742.75 $873.82 2.0×
Neg press wound tx >50 cm (97608) $742.75 $873.82 2.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $372.92 $438.73 2.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $742.75 $873.82 2.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $163.20 $192 1.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $85 $100 0.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $75.65 $89 1.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $148.75 $175 4.6×
Ot eval high complex 60 min (97167) $242.25 $285 2.4×
Ot eval low complex 30 min (97165) $110.50 $130 1.1×
Ot eval mod complex 45 min (97166) $165.75 $195 1.6×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $63.75 $75 1.3×
Ot Prosthetic Training, Each 15 Min (97761) $85 $100 2.1×
Ot Range Motion Measure,Each Extrem (95851) $55.25 $65 2.1×
Ot re-eval est plan care (97168) $110.50 $130 1.6×
Paraffin bath (97018) $65.45 $77 10.9×
Phy/qhp op pulm rhb w/mntr (94626) $102 $120 1.9×
Phy/qhp op pulm rhb w/o mntr (94625) $102 $120 1.9×
Plethysmography (94726) $170 $200 0.5×
Pt Electric Current Therapy (97033) $51 $60 2.7×
Pt Electrical Stimulation (97032) $46.75 $55 3.2×
Pt eval high complex 45 min (97163) $242.25 $285 2.5×
Pt eval low complex 20 min (97161) $110.50 $130 1.1×
Pt Gait Training Therapy (97116) $75.65 $89 2.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $75.65 $89 2.3×
Pt Physical Performance Test (97750) $59.50 $70 1.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $165.75 $195 1.7×
Pt re-evaluation (97164) $63.75 $75 0.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $63.32 $74.50 2.0×
Pt Ultrasound Therapy (97035) $51 $60 3.6×
Pulm Funct Test Oscillometry (94728) $382.50 $450 3.2×
Pulmonary stress testing (94618) $168.30 $198 1.4×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $340 $400 9.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $250.21 $294.36 1.3×
Rom meas&reprt hand w/wo comparison normal sid (95852) $75.65 $89 3.5×
Rt Chest Wall Manipulation,Subsequent (94668) $86.70 $102 0.7×
Smoking cessation > 10 min (99407) $50.10 $58.94 1.4×
Speech group therapy (92508) $116.88 $137.50 4.9×
Speech sound lang comprehen (92523) $148.75 $175 0.7×
Spirometry (94010) $140.25 $165 0.7×
Temp transcutaneous pacing (92953) $21.25 $25 0.0×
Ther/prop/diag inj/inf proc (96379) $127.50 $150 2.9×
Ther/Proph/Diag Inj Sc/Im (96372) $340 $400 5.1×
Therapeutic Activities (97530) $75.65 $89 2.2×
Therapeutic phlebotomy (99195) $97.75 $115 0.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $53.45 $62.88 1.5×
Trans Care Mgmt 14 Day Disch (99495) $170 $200 1.4×
Trans Care Mgmt 7 Day Disch (99496) $170 $200 1.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $807.50 $950 1.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $127.08 $149.50 1.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $67.15 $79 0.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $170 $200 3.9×
Unlisted pulmonary service/procedure (94799) $286.88 $337.50 2.4×
Vasc Duplex Extrem Venous,Bilat (93970) $127.50 $150 0.6×
Ventilation assist & mgmt inpatient 1st day (94002) $947.75 $1,115 1.6×
Vital capacity total (94150) $178.50 $210 1.5×
Wheelchair Mgmt Ea 15 Min (97542) $79.48 $93.50 2.6×