Visits & medical services prices at Bon Secours St. Francis Hospital

Charleston, SC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $258.38 $397.50 2.7×
Airway inhalation treatment (94640) $32,687.73 $54,479.55 160.5×
Allergy skin tests (95028) $142.35 $219 4.1×
Analyze neurostim no prog (95970) $271.70 $418 2.2×
Appl on-body injector for timed subq injection (96377) $72.15 $111 1.7×
Assessment of aphasia (96105) $360.10 $554 3.7×
Behavioral and qualitative analysis of voice and resonance (92524) $467.35 $719 4.3×
Bfb training 1st 15 min (90912) $92.95 $143 1.1×
Biofeedback training any modality (90901) $115.05 $177 2.8×
Breath Hydrogen/Methane Test (91065) $235.30 $377.08 1.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $369.85 $569 1.1×
Canalith Repositioning (95992) $216.45 $333 5.3×
Car seat/bed test 60 min (94780) $80.60 $124 2.3×
Cardiac Stress Tst,Tracing Only (93017) $958.10 $1,474 4.8×
Cardiopulmonary resuscitation (92950) $275.60 $424 1.4×
Cardioversion (92960) $910.65 $1,401 1.5×
Caregiver training 1st 30 min (97550) $87.75 $135 1.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $40.95 $63 1.6×
Cbt 1st hour (94644) $429 $660 3.5×
Chemo Admin Peritoneal Cavity (96446) $938.60 $1,444 3.1×
Chemo Hormon Antineopl Sq/Im (96402) $181.35 $279 2.7×
Chemo inj subarach/intravent (96542) $130.65 $201 0.4×
Chemo IV push addl drug (96411) $280.80 $432 4.2×
Chemo Iv Push Sngl Drug (96409) $437.45 $673 1.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $722.80 $1,112 2.4×
Chemother, IV infusion, 1 hr (96413) $572.65 $881 1.9×
Chemother, IV infusion, ea add hr (96415) $245.05 $377 3.7×
Chemother,Ia Push Technique (96420) $6,704.10 $10,314 21.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $165.10 $254 2.5×
Chemotherapy, unspecified procedure (96549) $92.30 $142 2.1×
Chemotx Admn Cns Req Spinal Puncture (96450) $4,678.05 $7,197 15.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $245.05 $377 3.7×
Color/duplex Doppler, complete (93975) $1,706.25 $2,625 7.7×
Color/duplex Doppler, limited (93976) $748.80 $1,152 7.7×
Cpap initiation and management (94660) $540.15 $831 2.7×
Cpt initial (94667) $160.55 $247 1.3×
Critical care (99291) $3,214.90 $4,946 4.2×
Debridement Open Wound 20 Sq Cm< (97597) $378.95 $583 2.0×
Demo &/or eval,pt use,aerosol device (94664) $429 $660 2.1×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $830.70 $1,278 2.1×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,636.70 $2,518 7.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,227.20 $1,888 12.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,025.05 $1,577 4.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $956.15 $1,471 9.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,079.65 $1,661 4.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $964.60 $1,484 9.9×
Dup-scan xtr veins unilateral/limited study (93971) $1,056.25 $1,625 10.9×
Duplex hemodialysis access (93990) $794.30 $1,222 8.2×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $794.30 $1,222 3.6×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $598 $920 6.1×
Duplex scan extracranial art compl bi study (93880) $717.60 $1,104 3.2×
Echo Heart Xthoracic,Limited (93308) $612.30 $942 2.8×
Echo r-t 2d w/probe placement only (93313) $1,975.35 $3,039 3.9×
Echo transesophageal (93312) $1,104.35 $1,699 2.2×
Echo Transesophageal - Congenital Tee Complete (93315) $1,656.85 $2,549 3.3×
Echo Transthoracic - Congenital Tte Complete (93303) $1,204.45 $1,853 2.4×
Echo Transthoracic - Congenital Tte Limited (93304) $602.55 $927 1.2×
EEG awake asleep (95819) $1,675.05 $2,577 8.3×
EEG awake drowsy (95816) $1,177.15 $1,811 5.9×
EEG cerebral death evaluation (95824) $2,702.05 $4,157 7.8×
Eeg Extended Monitoring 61-119 Minutes (95813) $2,228.85 $3,429 11.1×
EKG (93005) $1,644.11 $2,740.18 30.0×
EKG rhythm strip (93041) $68.90 $106 1.3×
Ekg Signal Averaging (93278) $326.30 $502 5.9×
Elec alys implt cplx cn npgt prgrmg (95977) $193.70 $298 2.2×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $78.65 $121 2.3×
Er level 1 (99281) $429 $660 5.5×
Er level ii (99282) $641.55 $987 4.5×
Er level iii (99283) $1,011.40 $1,556 4.0×
Er level IV (99284) $1,517.10 $2,334 3.9×
Er level v (99285) $2,542.15 $3,911 4.6×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $310.70 $478 4.4×
Evaluation of speech sound production (92522) $450.45 $693 4.0×
Evaluation of swallowing function (92610) $230.75 $355 2.7×
Evaluation with prescription of speech-generating alternative (92607) $453.70 $698 3.7×
Evoked auditory test,limited (92587) $116.35 $179 0.6×
External ECG rec>7d<15d recording (93246) $247.65 $381 7.1×
External ECG rec>7d<15d scanning alys w/report (93247) $251.55 $387 2.0×
External Ecg Scanning Analysis Report (93226) $876.20 $1,348 16.0×
Flow volume loop (94375) $608.40 $936 3.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,077.05 $1,795.08 1.3×
Group Therapeutic Procedures (97150) $87.75 $135 4.9×
Holter Monitor Recording (93225) $586.95 $903 4.7×
Imaging of colon using capsule endoscope, with interpretation and report (91113) $2,089.10 $3,481.83 2.4×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $91 $140 2.4×
Immunization Admin (90471) $55.25 $85 0.8×
Injection intra arterial (96373) $173.55 $267 0.9×
Ins swan ganz bedside (93503) $4,039.10 $6,214 2.8×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $175.50 $270 3.2×
IV infusion hydration each additional hour (96361) $56.55 $87 1.3×
IV infusion hydration initial 31 min-1 hour (96360) $240.50 $370 1.2×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $63.70 $98 1.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $240.50 $370 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $56.55 $87 1.3×
IV push initial (96374) $208 $320 1.1×
Manual therapy 15 min (97140) $126.10 $194 4.5×
Massage 15 min (97124) $126.10 $194 4.2×
Mechanical chest wall oscillation (94669) $322.40 $496 1.6×
Mechanical traction (97012) $189.80 $292 13.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $27.30 $42 0.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $61.75 $95 1.7×
Methacholine challenge (94070) $1,213.55 $1,867 3.5×
Mnt Group Ea 30 Min (97804) $24.05 $37 1.4×
Motility study esophagus (91010) $1,077.05 $1,795.08 3.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $331.50 $510 3.6×
Multiple sleep latency test (95805) $4,505.15 $6,931 5.6×
Nasopharyngoscopy (92511) $120.25 $185 0.6×
Neg press wnd tx </=50 sq cm (97607) $528.45 $813 1.4×
Neg press wound tx >50 cm (97608) $528.45 $813 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $178.75 $275 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $299.65 $461 0.8×
Nerve conduction studies; 1-2 studies (95907) $376.35 $579 1.9×
Newborn resuscitation (99465) $73.45 $113 0.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $526.50 $810 4.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $293.80 $452 2.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $133.90 $206 2.9×
Ot Contrast Bath Ea 15 Min (97034) $115.05 $177 8.2×
Ot eval high complex 60 min (97167) $221.65 $341 2.2×
Ot eval low complex 30 min (97165) $119.60 $184 1.2×
Ot eval mod complex 45 min (97166) $155.35 $239 1.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $104 $160 2.1×
Ot Prosthetic Training, Each 15 Min (97761) $87.75 $135 2.2×
Ot re-eval est plan care (97168) $104.65 $161 1.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $267.80 $412 2.2×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $200.85 $309 1.7×
Paraffin bath (97018) $93.60 $144 15.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $209.30 $322 1.0×
Peripheral arterial disease rehab per session (93668) $218.40 $336 4.0×
Plethysmography (94726) $379.60 $584 1.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,730.35 $5,739 4.7×
Pt Aquatic Therapy/Exercises (97113) $97.50 $150 2.6×
Pt Electric Current Therapy (97033) $143.65 $221 7.5×
Pt Electrical Stimulation (97032) $133.90 $206 9.1×
Pt eval high complex 45 min (97163) $211.90 $326 2.2×
Pt eval low complex 20 min (97161) $113.10 $174 1.2×
Pt Gait Training Therapy (97116) $106.60 $164 3.7×
Pt group caregiver training (97552) $36.40 $56 1.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $103.35 $159 3.2×
Pt Physical Performance Test (97750) $126.10 $194 3.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $147.55 $227 1.5×
Pt re-evaluation (97164) $99.45 $153 1.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $113.10 $174 3.5×
Pt Ultrasound Therapy (97035) $126.10 $194 8.8×
Pulm function test by gas (94727) $267.15 $411 1.3×
Pulmonary stress testing (94618) $251.55 $387 2.0×
Refill/Maint Pump/Resvr Syst (96522) $310.05 $477 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $164.45 $253 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $70.85 $109 0.6×
Sensory Integration Ea 15 Min (97533) $96.85 $149 1.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $583.70 $898 2.9×
Smoking cessation > 10 min (99407) $57.20 $88 1.6×
Speech group therapy (92508) $161.85 $249 6.7×
Speech sound lang comprehen (92523) $314.60 $484 1.4×
Spirometry (94010) $225.55 $347 1.1×
Stress echo (93350) $1,263.60 $1,944 2.5×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $56.55 $87 1.3×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $173.55 $267 0.9×
Surfactant Admin Thru Tube (94610) $287.95 $443 1.4×
Temp transcutaneous pacing (92953) $1,284.40 $1,976 2.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $120.90 $186 5.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $120.90 $186 5.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $266.50 $410 2.6×
Ther/prop/diag inj/inf proc (96379) $92.30 $142 2.1×
Ther/Proph/Diag Inj Sc/Im (96372) $66.30 $102 1.0×
Therapeutic Activities (97530) $93.60 $144 2.7×
Therapeutic phlebotomy (99195) $214.50 $330 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $18.85 $29 0.5×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,187.25 $3,365 4.3×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,232.40 $1,896 5.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $287.95 $443 3.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $225.55 $347 2.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $59.15 $91 1.4×
Ultraviolet Therapy (97028) $126.10 $194 15.1×
Unlisted Diagnostic Gastroenterology Procedure (91299) $1,077.05 $1,795.08 9.0×
Unlisted pulmonary service/procedure (94799) $319.15 $491 2.7×
Vasc Duplex Extrem Venous,Bilat (93970) $1,502.80 $2,312 6.8×
Vasc Duplex Scan Extracranial,Limited (93882) $387.40 $596 4.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,214.20 $1,868 6.0×
Vasopneumatic device (97016) $133.90 $206 11.1×
Veeg by tech 2-12 hours unmonitored (95711) $1,293.50 $1,990 6.4×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $2,744.30 $4,222 7.9×
Veeg by tech 2-12 hr intermittent monitoring (95712) $1,684.80 $2,592 4.9×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $3,575 $5,500 4.5×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $2,744.30 $4,222 7.9×
Veeg Ea 12-26 Hr Unmntr (95714) $1,684.80 $2,592 4.9×
Ventilation assist & mgmt inpatient 1st day (94002) $1,020.50 $1,570 1.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,019.85 $1,569 1.8×
Vital capacity total (94150) $29.90 $46 0.2×
Wheelchair Mgmt Ea 15 Min (97542) $100.10 $154 3.2×
Xtrnl mobile cv telemetry w/technical support (93229) $315.25 $485 0.9×