Visits & medical services prices at Aultman Orrville Hospital

Orrville, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$5.85–$113.40 $13–$252 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $29.70 $66 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $348.30 $774 1.0×
Canalith repositioning proc (95992) $75.15 $167 1.8×
Cardiac Stress Tst,Tracing Only (93017) $508.50 $1,130 2.5×
Cardiopulmonary resuscitation (92950) $869.40 $1,932 4.3×
Cardioversion (92960) $1,393.20 $3,096 2.2×
Cbt 1st hour (94644) $273.60 $608 2.2×
Chemo Anti-Neopl Sq/Im (96401) $222.75 $495 3.3×
Chest Wall Manipulation (94668) $108.45 $241 0.9×
Color/duplex Doppler, complete (93975) $541.35 $1,203 2.4×
Color/duplex Doppler, limited (93976) $298.80 $664 3.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $59.40 $132 1.9×
Cont gluc mntr physician/qhp provided equiptment (95250) $177.75 $395 1.4×
Cont Gluc Mntr Pt Prov Eqp (95249) $83.70 $186 1.5×
Continuous Pulse Ox (94762) $107.10 $238 0.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $168.75 $375 0.8×
Cpt initial (94667) $135.90 $302 1.1×
Critical care first hour (99291) $1,016.55 $2,259 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $386.55 $859 2.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $432 $960 1.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $250.20 $556 2.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $494.55 $1,099 2.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $282.15 $627 2.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $470.70 $1,046 2.1×
Dup-scan xtr veins unilateral/limited study (93971) $342.90 $762 3.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $221.40 $492 1.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $96.75 $215 1.0×
Duplex Scan Hemodialysis Access (93990) $200.25 $445 2.0×
Duplex up extrem art bilat (93930) $564.75 $1,255 2.5×
Duplex up extrem art unilat/ltd (93931) $282.15 $627 2.9×
Echo Congenital Complete (93303) $806.40 $1,792 1.6×
Echo Heart Xthoracic,Limited (93308) $761.40 $1,692 3.4×
Echo transesophageal (93312) $1,066.05 $2,369 2.1×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $90 $200 1.0×
Electrical Stimulation Ea 15 Min (97032) $35.10 $78 2.4×
Electrocardiogram Tracing (93005) $88.20 $196 1.6×
Emergency Dept Visit Level 2 (99282) $265.95 $591 1.8×
Emergency Dept Visit Level 3 (99283) $405 $900 1.6×
Emergency Dept Visit Level 4 (99284) $512.55 $1,139 1.3×
Er level 1 (99281) $203.85 $453 2.6×
Er level v (99285) $634.05 $1,409 1.1×
Evaluate pt use of inhaler (94664) $205.20 $456 1.0×
Evaluate Swallowing Function (92610) $351 $780 4.1×
External ECG rec>48hr<7d recording (93242) $30.60 $68 0.9×
External ECG rec>48hr<7d scanning alys w/report (93243) $130.95 $291 1.0×
External Ecg Scanning Analysis Report (93226) $317.70 $706 5.7×
Extracranial Bilat Study (93880) $590.40 $1,312 2.6×
Extracranial Uni/Ltd Study (93882) $320.40 $712 3.2×
F-up/limited tthrc echo congenital car anomaly (93304) $806.40 $1,792 1.6×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453)
range across 2 matching MRF lines
$13.05–$105.30 $29–$234 varies
Holter monitor recording (93225) $338.85 $753 2.7×
Immunization administration (90471) $47.25 $105 0.7×
Iontophoresis 15 min (97033) $51.30 $114 2.7×
Irrig Drug Delivery Device (96523) $73.80 $164 1.3×
IV infusion hydration each additional hour (96361) $70.20 $156 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $210.15 $467 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $70.20 $156 1.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $70.20 $156 1.6×
IV push initial (96374) $128.25 $285 0.6×
Liver Elastography W/O Imag W/I&R (91200) $168.75 $375 1.4×
Mechanical chest wall oscillation per session (94669) $75.60 $168 0.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $36.90 $82 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $66.15 $147 1.8×
Methacholine challenge (94070)
range across 2 matching MRF lines
$19.35–$304.20 $43–$676 varies
Multiple Sleep Latency Test (95805) $3,564 $7,920 4.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $400.50 $890 2.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $719.10 $1,598 1.9×
Neuromuscular Reeducation (97112) $58.05 $129 1.8×
Newborn resuscitation (99465) $808.65 $1,797 1.3×
Oral Function Therapy (92526) $98.10 $218 1.2×
Orthc/Prostc Mgmt Sbsq Enc (97763) $72.90 $162 1.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $69.75 $155 1.5×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $32.40 $72 1.6×
Ot Contrast Bath Ea 15 Min (97034) $29.70 $66 2.1×
Ot eval high complexity (97167) $170.55 $379 1.7×
Ot Eval Low Complex (97165) $139.95 $311 1.4×
Ot Eval Moderate Complexity (97166) $154.80 $344 1.5×
Ot manual therapy 15 min (97140) $67.95 $151 2.5×
Ot paraffin bath (97018) $16.65 $37 2.8×
Ot Prosthetic Training, Each 15 Min (97761) $63 $140 1.6×
Ot Re-Eval Est Plan Care (97168) $139.95 $311 2.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $139.50 $310 1.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $65.25 $145 1.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $65.25 $145 1.2×
Physical Performance Test (97750) $62.10 $138 1.8×
Plethysmography (94726) $257.40 $572 0.7×
Pm/Icd Remote Tech Serv (93296) $23.40 $52 0.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,396.50 $9,770 5.4×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $4,396.50 $9,770 5.4×
Pt Eval High Complex (97163) $164.25 $365 1.7×
Pt eval low complex 20 min (97161) $135 $300 1.4×
Pt Eval Mod Complex (97162) $149.85 $333 1.5×
Pt gait training 15 min (97116) $49.95 $111 1.7×
Pt mechanical traction (97012) $37.35 $83 2.6×
Pt Re-Eval Est Plan Care (97164) $135 $300 2.0×
Pulm function test by gas (94727)
range across 3 matching MRF lines
$8.55–$135.45 $19–$301 varies
Pulmonary service/procedure (94799) $42.30 $94 0.3×
Pulmonary Stress Testing (94618) $135.45 $301 1.1×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $26.10 $58 1.1×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $38.70 $86 1.1×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $14.40 $32 1.2×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $40.95 $91 1.2×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $129.60 $288 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $429.75 $955 2.3×
Self Care Mngment Training (97535) $60.30 $134 1.9×
Sensory Integration Ea 15 Min (97533) $59.40 $132 1.0×
Speech sound lang comprehen (92523) $159.75 $355 0.7×
Spirometry (94010)
range across 3 matching MRF lines
$201.15 $13–$447 1.0×
Stress Tte Only (93350) $575.10 $1,278 1.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $59.40 $132 2.7×
Ther Ivntj Ea Addl 15 Min (97130) $59.40 $132 2.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $43.65 $97 1.5×
Ther/Proph/Diag Inj Sc/Im (96372) $75.15 $167 1.1×
Ther/Proph/Diag Iv Inf Init (96365) $206.55 $459 1.0×
Therapeutic Activities (97530) $59.85 $133 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $36.45 $81 1.0×
Tte w/doppler, complete (93306) $1,082.25 $2,405 2.1×
Tte W/O Doppler Complete (93307) $694.80 $1,544 3.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $169.65 $377 2.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $128.25 $285 2.9×
Upr/L Xtremity Art 2 Levels (93922) $555.75 $1,235 4.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $535.05 $1,189 2.6×
Vent Mgmt Inpat Init Day (94002) $345.15 $767 0.6×
Whirlpool Therapy (97022) $35.55 $79 2.3×

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.