Visits & medical services prices at Bon Secours Southampton Medical Center

Franklin, VA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $89.70 $299 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $63.90 $213 4.4×
Bedside Swallowing Eval (92610) $272.10 $907 3.2×
Behavioral and qualitative analysis of voice and resonance (92524) $426.30 $1,421 3.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $297 $990 0.8×
Canalith Repositioning Procedure (95992) $103.20 $344 2.5×
Cardiac Stress Tst,Tracing Only (93017) $990.90 $3,303 4.7×
Cardiopulmonary resuscitation (92950) $1,426.20 $4,754 6.8×
Cardioversion (92960) $950.70 $3,169 1.5×
Cbt 1st hour (94644) $361.20 $1,204 2.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $205.80 $686 0.6×
Color/duplex Doppler, complete (93975) $1,032.90 $3,443 4.4×
Color/duplex Doppler, limited (93976) $713.40 $2,378 7.0×
Cpap/bipap (94660) $231.60 $772 1.1×
Cpt initial (94667) $150.90 $503 1.2×
Critical care (99291) $2,954.70 $9,849 3.7×
Debridement Open Wound 20 Sq Cm< (97597) $125.70 $419 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,032.90 $3,443 4.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $760.80 $2,536 3.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $697.50 $2,325 6.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $370.20 $1,234 1.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $624.30 $2,081 6.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,032.90 $3,443 4.4×
Dup-scan xtr veins unilateral/limited study (93971) $644.10 $2,147 6.3×
Duplex scan extracranial art compl bi study (93880) $1,093.20 $3,644 4.7×
Duplex Scan Hemodialysis Access (93990) $1,377.90 $4,593 13.5×
Echo Heart Xthoracic,Limited (93308) $958.50 $3,195 4.1×
Echo transesophag montr cardiac pump functj (93318) $524.40 $1,748 1.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,714.20 $5,714 3.2×
Electrocardiogram Tracing (93005) $180.30 $601 3.1×
Er level 1 (99281) $266.10 $887 3.2×
Er level ii (99282) $531.30 $1,771 3.5×
Er level iii (99283) $1,018.50 $3,395 3.8×
Er level IV (99284) $1,619.40 $5,398 4.0×
Er level v (99285) $2,391 $7,970 4.1×
Eval speech sound production (92522) $74.70 $249 0.7×
Evaluate Pt Use Of Inhaler (94664) $148.50 $495 0.7×
External Ecg Scanning Analysis Report (93226) $1,016.10 $3,387 17.7×
Group Therapeutic Procedures (97150) $61.20 $204 3.4×
Hemodialysis (90935) $1,367.70 $4,559 2.0×
Holter Monitor (93225) $700.20 $2,334 5.4×
Immunization Admin (90471) $194.10 $647 2.8×
Irrig drug delivery device (96523) $39.90 $133 0.7×
IV infusion hydration each additional hour (96361) $79.50 $265 1.7×
IV infusion hydration initial 31 min-1 hour (96360) $237.60 $792 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $79.50 $265 1.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $237.60 $792 1.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $79.50 $265 1.7×
IV push ea addl new drug (96375) $101.10 $337 2.2×
IV push initial (96374) $101.10 $337 0.5×
Manual therapy 15 min (97140) $78 $260 2.8×
Mechanical chest wall oscillation (94669) $83.10 $277 0.4×
Mechanical traction (97012) $91.80 $306 6.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $21.30 $71 0.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $341.40 $1,138 3.7×
Nasopharyngoscopy (92511) $124.50 $415 0.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $500.40 $1,668 3.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $430.20 $1,434 3.4×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $17.70 $59 0.8×
Ot eval high complex 60 min (97167) $202.20 $674 2.0×
Ot eval low complex 30 min (97165) $202.20 $674 2.0×
Ot eval mod complex 45 min (97166) $202.20 $674 2.0×
Ot Prosthetic Training, Each 15 Min (97761) $63.30 $211 1.6×
Ot re-evaluation (97168) $68.10 $227 1.0×
Ot therapeutic activity 15 min (97530) $119.40 $398 3.4×
Paraffin bath pt (97018) $54.60 $182 9.1×
Phlebotomy therapeutic (99195) $222 $740 1.7×
Plethysmography (94726) $120.90 $403 0.3×
Pt Electrical Stimulation (97032) $101.40 $338 6.9×
Pt eval high complex 45 min (97163) $202.20 $674 2.1×
Pt eval low complex 20 min (97161) $162 $540 1.7×
Pt eval mod complex 30 min (97162) $202.20 $674 2.1×
Pt gait training 15 min (97116) $119.40 $398 4.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $119.40 $398 3.6×
Pt re-evaluation (97164) $123.90 $413 1.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $119.40 $398 3.7×
Pulmonary Service/Procedure (94799) $151.50 $505 1.2×
Pulmonary stress test simple (94618) $143.70 $479 1.1×
Respiratory flow volume loop (94375) $120.60 $402 0.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $221.70 $739 1.1×
Rt Chest Wall Manipulation,Subsequent (94668) $99.60 $332 0.8×
Speech sound lang comprehen (92523) $426.30 $1,421 1.9×
Spirometry (94010) $234.90 $783 1.1×
Temp transcutaneous pacing (92953) $408.90 $1,363 0.6×
Ther/prop/diag inj/inf proc (96379) $44.10 $147 1.0×
Therapeutic prophylactic/dx injection subq/im (96372) $45.90 $153 0.7×
Tte w/doppler, complete (93306) $1,533.30 $5,111 2.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $239.10 $797 3.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $266.70 $889 3.2×
Upr/lxtr art stdy 3+ lvls (93923) $984.60 $3,282 4.7×
Vasc Duplex Scan Extracranial,Limited (93882) $832.80 $2,776 8.2×
Vasopneumatic device (97016) $63 $210 5.2×
Vent mgmt inpat init day (94002) $1,055.70 $3,519 1.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,004.40 $3,348 1.7×
Vital capacity, total (94150) $94.50 $315 0.8×
Wheelchair Mgmt Ea 15 Min (97542) $24 $80 0.8×