Visits & medical services prices at Big South Fork Medical Center

Oneida, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $220.80 $736 1.1×
Ambulatory Bp Recording (93786) $31.20 $104 0.3×
Application of heat wave therapy (97024) $7.80 $26 1.1×
Assessment of aphasia (96105) $96.24 $321 1.0×
Behavioral and qualitative analysis of voice and resonance (92524) $78.82 $263 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $303.60 $1,012 0.9×
Canalith Repositioning (95992) $5.40 $18 0.1×
Cardiac Stress Tst,Tracing Only (93017) $303.60 $1,012 1.5×
Cardiopulmonary resuscitation (92950) $385.76 $1,286 2.0×
Cardioversion (92960) $69 $230 0.1×
Cbt 1st hour (94644) $130.80 $436 1.1×
Cpap initiation and management (94660) $220.80 $736 1.1×
Cpt initial (94667) $130.80 $436 1.1×
Critical care (99291) $731.80 $2,439.50 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $104.70 $349 0.6×
Demo &/or eval,pt use,aerosol device (94664) $220.80 $736 1.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $218.84 $729 1.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $199.10 $664 2.1×
Dup-scan xtr veins unilateral/limited study (93971) $345.67 $1,152 3.6×
Duplex scan extracranial art compl bi study (93880) $335.12 $1,117 1.5×
EEG awake asleep (95819) $303.60 $1,012 1.5×
EEG awake drowsy (95816) $303.60 $1,012 1.5×
EEG coma or sleep only (95822) $303.60 $1,012 1.5×
EKG (93005) $49.50 $165 0.9×
Er level 1 (99281) $69.56 $232 0.9×
Er level ii (99282) $105.96 $353 0.8×
Er level iii (99283) $189.07 $630 0.8×
Er level IV (99284) $308.40 $1,028 0.8×
Er level v (99285) $478.73 $1,596 0.9×
Evaluation of speech fluency (92521) $99.05 $330 0.7×
Evaluation of speech sound production (92522) $83.70 $279 0.7×
Evaluation of swallowing function (92610) $15.60 $52 0.2×
Evaluation with prescription of speech-generating alternative (92607) $113.38 $378 0.9×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $144.60 $482 0.7×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $127.80 $426 0.6×
Group Therapeutic Procedures (97150) $23.30 $77.50 1.3×
Holter Monitor Recording (93225) $130.80 $436 1.1×
Immunization Admin (90471) $23.70 $79 0.4×
Immunotherapy, 2+ Injections (95117) $15.30 $51 0.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $82.50 $275 1.5×
IV infusion hydration each additional hour (96361) $57.30 $191 1.3×
IV infusion hydration initial 31 min-1 hour (96360) $275.70 $919 1.4×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $90.60 $302 1.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $275.70 $919 1.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $57.30 $191 1.3×
IV push initial (96374) $275.70 $919 1.4×
Manual therapy 15 min (97140) $36.36 $121 1.3×
Massage 15 min (97124) $44.89 $149.50 1.5×
Mechanical traction (97012) $20.80 $69.50 1.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $95.73 $319 1.0×
Multiple sleep latency test (95805) $1,015.25 $3,384 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $130.95 $436.50 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $191.70 $639 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $101.40 $338 0.8×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $265.69 $886 1.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $165.90 $553 1.4×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $56.40 $188 1.2×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $37.80 $126 1.2×
Ot Contrast Bath Ea 15 Min (97034) $17.40 $58 1.2×
Ot eval low complex 30 min (97165) $104.70 $349 1.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $60 $200 1.2×
Ot Prosthetic Training, Each 15 Min (97761) $48 $160 1.2×
Ot re-eval est plan care (97168) $66.13 $220.50 1.0×
Paraffin bath (97018) $6.60 $22 1.1×
Plethysmography (94726) $303.60 $1,012 0.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $828.50 $2,762 1.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $12.30 $41 0.3×
Pt Aquatic Therapy/Exercises (97113) $44.40 $148 1.2×
Pt Electric Current Therapy (97033) $24 $80 1.3×
Pt Electrical Stimulation (97032) $38.42 $128 2.6×
Pt eval high complex 45 min (97163) $109.01 $363 1.1×
Pt eval low complex 20 min (97161) $72.72 $242 0.7×
Pt Gait Training Therapy (97116) $31.46 $105 1.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $38.84 $129.50 1.2×
Pt Physical Performance Test (97750) $40.20 $134 1.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $109.01 $363 1.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $39.30 $131 1.2×
Pt Ultrasound Therapy (97035) $38.66 $129 2.7×
Pt Whirlpool Therapy (97022) $20.40 $68 1.3×
Pulmonary stress testing (94618) $50.09 $167 0.4×
Pure Tone Audiometry Air & Bone (92553) $165.90 $553 1.4×
Pure Tone Audiometry, Air (92552) $130.80 $436 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $104.70 $349 0.6×
Rt Chest Wall Manipulation,Subsequent (94668) $130.80 $436 1.1×
Sensory Integration Ea 15 Min (97533) $58.80 $196 1.0×
Smoking cessation > 10 min (99407) $27.38 $91 0.8×
Speech group therapy (92508) $19.91 $66 0.8×
Speech sound lang comprehen (92523) $175.44 $585 0.8×
Spirometry (94010) $165.90 $553 0.8×
Standardized Cognitive Performance Testing (96125) $104.30 $347.50 1.0×
Temp transcutaneous pacing (92953) $804.60 $2,682 1.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $24.30 $81 0.2×
Ther/Proph/Diag Inj Sc/Im (96372) $90.60 $302 1.4×
Therapeutic Activities (97530) $45 $150 1.3×
Therapeutic phlebotomy (99195) $196.20 $654 1.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $27.38 $91 0.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,011.30 $3,371 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $92.40 $308 1.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $92.38 $308 1.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $57.30 $191 1.3×
Tympanometry (92567) $40.20 $134 1.2×
Vasc Duplex Extrem Venous,Bilat (93970) $472.16 $1,574 2.2×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $184.30 $614 0.9×
Vasopneumatic device (97016) $14.10 $47 1.2×
Ventilation assist & mgmt inpatient 1st day (94002) $557.40 $1,858 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $557.40 $1,858 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $38.40 $128 1.2×