Visits & medical services prices at Ashe Memorial Hospital
Jefferson, NC · every code in this section with a posted price and a Medicare benchmark.
82 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 8 matching MRF lines |
$14.80–$139 | $18.50–$173.75 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $68.20 | $85.25 | 4.7× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$256.60–$272 | $320.75–$340 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$235.60–$282.80 | $294.50–$353.50 | varies |
| Canalith repositioning proc (95992) | $157.40 | $196.75 | 3.9× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$353.80–$592.20 | $442.25–$740.25 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $159.20 | $199 | 2.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $87.60 | $109.50 | 1.3× |
| Chemo IV infusion addl hr (96415) range across 3 matching MRF lines |
$96.60–$143.40 | $120.75–$179.25 | varies |
| Chemo IV push addl drug (96411) | $169.40 | $211.75 | 2.5× |
| Chemother Prolong Infuse W/Pump (96416) | $454 | $567.50 | 1.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $203.40 | $254.25 | 3.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$267.40–$425.40 | $334.25–$531.75 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $295 | $368.75 | 0.9× |
| Color/duplex Doppler, complete (93975) | $1,775 | $2,218.75 | 7.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$174.60–$463.20 | $218.25–$579 | varies |
| Critical care first hour (99291) | $1,493 | $1,866.25 | 1.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $915.60 | $1,144.50 | 4.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $460 | $575 | 4.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $980.40 | $1,225.50 | 4.3× |
| Dup-scan xtr veins unilateral/limited study (93971) | $792.80 | $991 | 7.9× |
| Duplex up extrem art bilat (93930) | $784.20 | $980.25 | 3.4× |
| Echo Heart Xthoracic,Limited (93308) | $751.20 | $939 | 3.3× |
| Electrical Stimulation Ea 15 Min (97032) | $95.20 | $119 | 6.5× |
| Electrocardiogram Tracing (93005) | $223.20 | $279 | 4.0× |
| Emergency Dept Visit Level 2 (99282) | $243.40 | $304.25 | 1.7× |
| Emergency Dept Visit Level 3 (99283) | $386.40 | $483 | 1.5× |
| Emergency Dept Visit Level 4 (99284) | $607.20 | $759 | 1.5× |
| Er level 1 (99281) range across 2 matching MRF lines |
$45.20–$151 | $56.50–$188.75 | varies |
| Er level v (99285) | $878.60 | $1,098.25 | 1.5× |
| Evaluate pt use of inhaler (94664) | $92.40 | $115.50 | 0.4× |
| Evaluate Swallowing Function (92610) | $412.20 | $515.25 | 4.9× |
| Evaluation of speech fluency (92521) | $126 | $157.50 | 0.9× |
| External ECG rec>48hr<7d recording (93242) | $146.20 | $182.75 | 4.1× |
| External ECG rec>7d<15d recording (93246) | $243.40 | $304.25 | 6.8× |
| Extracranial Bilat Study (93880) | $943.40 | $1,179.25 | 4.1× |
| Flexible endoscopic eval swallow c/v rec (92612) | $574.40 | $718 | 2.9× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $435.20 | $544 | 0.5× |
| Immunization administration (90471) | $78 | $97.50 | 1.1× |
| Iontophoresis 15 min (97033) | $103.80 | $129.75 | 5.5× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$65–$71 | $81.25–$88.75 | varies |
| IV infusion hydration each additional hour (96361) | $74.40 | $93 | 1.7× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$205–$222 | $256.25–$277.50 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$109.20–$130.80 | $136.50–$163.50 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $78.60 | $98.25 | 1.8× |
| IV push initial (96374) range across 5 matching MRF lines |
$91.40–$109.60 | $114.25–$137 | varies |
| Motion Fluoroscopy/Swallow (92611) | $371.20 | $464 | 4.1× |
| Neuromuscular Reeducation (97112) | $125.60 | $157 | 3.8× |
| Oral Function Therapy (92526) | $429.40 | $536.75 | 5.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$100.80–$111.20 | $126–$139 | varies |
| Ot eval high complexity (97167) | $239.80 | $299.75 | 2.4× |
| Ot Eval Moderate Complexity (97166) | $180 | $225 | 1.8× |
| Ot manual therapy 15 min (97140) | $108.40 | $135.50 | 3.9× |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$85.40–$123 | $106.75–$153.75 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $131.40 | $164.25 | 1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $75.60 | $94.50 | 0.6× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$90.60–$95.20 | $113.25–$119 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $99.60 | $124.50 | 1.8× |
| Physical Performance Test (97750) | $120.60 | $150.75 | 3.6× |
| Plethysmography (94726) | $119 | $148.75 | 0.3× |
| Pt Eval High Complex (97163) | $261.40 | $326.75 | 2.7× |
| Pt eval low complex 20 min (97161) | $156 | $195 | 1.6× |
| Pt Eval Mod Complex (97162) | $176 | $220 | 1.8× |
| Pt gait training 15 min (97116) | $112.20 | $140.25 | 3.9× |
| Pt mechanical traction (97012) | $91.20 | $114 | 6.4× |
| Pt Re-Eval Est Plan Care (97164) | $133.40 | $166.75 | 2.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$35.40–$89.20 | $44.25–$111.50 | varies |
| Self Care Mngment Training (97535) | $111.20 | $139 | 3.4× |
| Speech sound lang comprehen (92523) | $219.20 | $274 | 1.0× |
| Spirometry (94010) range across 2 matching MRF lines |
$153.60–$195.40 | $192–$244.25 | varies |
| Standardized Cognitive Performance Testing (96125) | $183.60 | $229.50 | 1.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $71 | $88.75 | 3.2× |
| Ther Ivntj Ea Addl 15 Min (97130) | $68.40 | $85.50 | 3.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $113.80 | $142.25 | 3.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$41–$47.80 | $51.25–$59.75 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 6 matching MRF lines |
$205–$245 | $256.25–$306.25 | varies |
| Therapeutic Activities (97530) | $113.80 | $142.25 | 3.2× |
| Tte w/doppler, complete (93306) | $1,860 | $2,325 | 3.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$163.80–$429.40 | $204.75–$536.75 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$91.40–$109.60 | $114.25–$137 | varies |
| Vent Mgmt Inpat Init Day (94002) | $812.20 | $1,015.25 | 1.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $981.40 | $1,226.75 | 1.7× |
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.