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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$40.80–$259.25 | $48–$305 | varies |
| Airway resistance by oscillometry (94728) | $382.50 | $450 | 3.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $51 | $60 | 3.6× |
| Assessment of aphasia per hr (96105) | $148.75 | $175 | 1.5× |
| Behavral qualit analys voice (92524) | $148.75 | $175 | 1.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$170–$382.50 | $200–$450 | varies |
| Canalith repositioning proc (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) range across 2 matching MRF lines |
$297.50–$892.50 | $350–$1,050 | varies |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$97.75–$106.25 | $115–$125 | varies |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$76.50–$96.90 | $90–$114 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $148.75 | $175 | 4.6× |
| Continuous Pulse Ox (94762) | $85 | $100 | 0.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$255–$325.55 | $300–$383 | varies |
| Cpt initial (94667) range across 3 matching MRF lines |
$85–$158.10 | $100–$186 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$454.75–$663 | $535–$780 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$106.25–$372.92 | $125–$438.73 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$127.50–$301.75 | $150–$355 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$127.50–$301.75 | $150–$355 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$127.50–$157.25 | $150–$185 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$106.25–$276.25 | $125–$325 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 7 matching MRF lines |
$127.50–$242.25 | $150–$285 | varies |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$127.50–$301.75 | $150–$355 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$127.50–$157.25 | $150–$185 | varies |
| Echo Heart Xthoracic,Limited (93308) | $595 | $700 | 2.7× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$43.35–$51 | $51–$60 | varies |
| Electrocardiogram Tracing (93005) | $127.50 | $150 | 2.3× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$114.75–$144.50 | $135–$170 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$157.25–$212.50 | $185–$250 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$208.25–$323 | $245–$380 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$76.50–$80.75 | $90–$95 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$259.25–$467.50 | $305–$550 | varies |
| Evaluate pt use of inhaler (94664) | $259.25 | $305 | 1.3× |
| Evaluate Speech Production (92522) | $148.75 | $175 | 1.3× |
| Evaluate Swallowing Function (92610) | $148.75 | $175 | 1.8× |
| Evaluation of speech fluency (92521) | $148.75 | $175 | 1.1× |
| 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× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$127.50–$242.25 | $150–$285 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $335.75 | $395 | 1.7× |
| Group Therapeutic Procedures (97150) | $68 | $80 | 3.8× |
| Holter monitor recording (93225) | $297.50 | $350 | 2.4× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $76.50 | $90 | 1.1× |
| Immunization administration (90471) range across 2 matching MRF lines |
$85–$255 | $100–$300 | varies |
| Iontophoresis 15 min (97033) | $51 | $60 | 2.7× |
| 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 ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$85–$127.50 | $100–$150 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$170–$510 | $200–$600 | varies |
| IV push initial (96374) | $170 | $200 | 0.9× |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$127.50–$158.10 | $150–$186 | varies |
| Mechanical chest wall oscillation per session (94669) | $255 | $300 | 1.3× |
| Methacholine challenge (94070) | $382.50 | $450 | 1.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $742.75 | $873.82 | 2.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq 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× |
| Neuromuscular Reeducation (97112) | $75.65 | $89 | 2.3× |
| Oral Function Therapy (92526) | $67.15 | $79 | 0.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 3 matching MRF lines |
$42.50–$85 | $50–$100 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $75.65 | $89 | 1.6× |
| Ot eval high complexity (97167) | $242.25 | $285 | 2.4× |
| Ot Eval Low Complex (97165) | $110.50 | $130 | 1.1× |
| Ot Eval Moderate Complexity (97166) | $165.75 | $195 | 1.6× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$51–$75.65 | $60–$89 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$55.25–$75.65 | $65–$89 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $85 | $100 | 2.1× |
| Ot Re-Eval Est Plan Care (97168) | $110.50 | $130 | 1.6× |
| Ot rom hand (95852) | $75.65 | $89 | 3.5× |
| Phlebotomy therapeutic (99195) | $97.75 | $115 | 0.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $102 | $120 | 1.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $102 | $120 | 1.9× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$51.85–$178.50 | $61–$210 | varies |
| Plethysmography (94726) | $170 | $200 | 0.5× |
| Pt Eval High Complex (97163) | $242.25 | $285 | 2.5× |
| Pt eval low complex 20 min (97161) | $110.50 | $130 | 1.1× |
| Pt Eval Mod Complex (97162) | $165.75 | $195 | 1.7× |
| Pt gait training 15 min (97116) | $75.65 | $89 | 2.6× |
| Pt Re-Eval Est Plan Care (97164) | $63.75 | $75 | 0.9× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$191.25–$382.50 | $225–$450 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$158.10–$178.50 | $186–$210 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $340 | $400 | 9.8× |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$225.25–$382.50 | $265–$450 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$127.50–$372.92 | $150–$438.73 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $55.25 | $65 | 2.1× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$51–$75.65 | $60–$89 | varies |
| Speech sound lang comprehen (92523) | $148.75 | $175 | 0.7× |
| Spirometry (94010) range across 2 matching MRF lines |
$55.25–$225.25 | $65–$265 | varies |
| Temp transcutaneous pacing (92953) | $21.25 | $25 | 0.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $55.25 | $65 | 1.9× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $127.50 | $150 | 2.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$170–$510 | $200–$600 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$170–$510 | $200–$600 | varies |
| Therapeutic Activities (97530) | $75.65 | $89 | 2.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$46.75–$53.45 | $55–$62.88 | varies |
| 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 (93306) | $807.50 | $950 | 1.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 4 matching MRF lines |
$67.15–$187 | $79–$220 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 2 matching MRF lines |
$46.75–$187 | $55–$220 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $170 | $200 | 3.9× |
| Upr/L Xtremity Art 2 Levels (93922) | $163.20 | $192 | 1.3× |
| Vent Mgmt Inpat Init Day (94002) | $947.75 | $1,115 | 1.6× |
| Vital capacity, total (94150) | $178.50 | $210 | 1.5× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$75.65–$83.30 | $89–$98 | varies |
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.