Visits & medical services prices at Boone Memorial Health
Madison, WV · every code in this section with a posted price and a Medicare benchmark.
168 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $51.50 | $103 | 1.3× |
| Advncd Care Plan 30 Min (99497) | $80 | $160 | 0.8× |
| Airway Inhalation Treatment (94640) range across 9 matching MRF lines |
$24.50–$335.30 | $35–$479 | varies |
| Analyze neurostim complex (95972) | $154.50 | $309 | 1.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $43 | $86 | 3.0× |
| Application Modality 1/> Areas Infrared (97026) | $27.30 | $39 | 4.1× |
| Arrhythmia Induction (93618) range across 2 matching MRF lines |
$255–$293 | $510–$586 | varies |
| Behavior id assessment by phys/qhp ea 15 min (97151) range across 4 matching MRF lines |
$41–$57.40 | $82 | varies |
| Behavral qualit analys voice (92524) | $101.50 | $203 | 0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 6 matching MRF lines |
$70–$385 | $100–$700 | varies |
| Canalith repositioning proc (95992) | $10 | $20 | 0.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $518.50 | $1,037 | 2.5× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$232.50–$266.50 | $465–$533 | varies |
| Cardioversion (92960) | $173 | $346 | 0.3× |
| Cardioversion elective internal (92961) | $983.50 | $1,405 | 1.6× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $50.50 | $101 | 1.4× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$37.80–$145 | $54–$290 | varies |
| Chemo IV infusion addl hr (96415) | $25 | $50 | 0.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $113 | $226 | 0.4× |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$66.50–$145 | $95–$290 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$44.50–$57.50 | $89–$115 | varies |
| Color/duplex Doppler, complete (93975) | $440 | $880 | 1.9× |
| Computerized dynamic posturography (92548) | $44.50 | $89 | 0.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $175 | $350 | 1.4× |
| Continuous Pulse Ox (94762) range across 3 matching MRF lines |
$29.40–$182 | $42–$364 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$66.50–$164 | $95–$328 | varies |
| Cpt initial (94667) range across 4 matching MRF lines |
$66.50–$145 | $95–$290 | varies |
| Critical care first hour (99291) range across 7 matching MRF lines |
$186–$977.20 | $372–$1,688 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $92 | $184 | 0.5× |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $237 | $474 | 1.2× |
| Developmental tst admin phys/qhp 1st hour (96112) | $207.50 | $415 | 1.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $258 | $516 | 2.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $440.50 | $881 | 1.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$293–$364.70 | $521–$586 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $491.50 | $983 | 2.1× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 5 matching MRF lines |
$321.50–$1,495.20 | $643–$2,136 | varies |
| Duplex up extrem art bilat (93930) | $416.50 | $833 | 1.8× |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$197.50–$746 | $395–$1,492 | varies |
| Ear and throat examination (92502) | $720 | $1,440 | 1.4× |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$38.50–$996.80 | $77–$1,424 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $700 | $1,400 | 1.3× |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$229.60–$970 | $328–$1,940 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$106–$936.50 | $212–$1,873 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $110.50 | $221 | 3.1× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$46–$48.50 | $92–$97 | varies |
| Electrocardiogram Tracing (93005) | $99.50 | $199 | 1.8× |
| Electroconvulsive Therapy (90870) | $604.50 | $1,209 | 0.7× |
| Emergency Dept Visit Level 2 (99282) range across 6 matching MRF lines |
$49.70–$192.50 | $71–$275 | varies |
| Emergency Dept Visit Level 3 (99283) range across 5 matching MRF lines |
$76.30–$212.50 | $109–$425 | varies |
| Emergency Dept Visit Level 4 (99284) range across 5 matching MRF lines |
$112.70–$350 | $161–$700 | varies |
| Er level 1 (99281) range across 5 matching MRF lines |
$34–$69.30 | $58–$119 | varies |
| Er level v (99285) range across 5 matching MRF lines |
$212.80–$487.50 | $304–$975 | varies |
| Evaluate Speech Production (92522) | $101.50 | $203 | 0.9× |
| Evaluate Swallowing Function (92610) | $157.50 | $315 | 1.9× |
| Evaluation of speech fluency (92521) | $101.50 | $203 | 0.8× |
| Exhaled Air Analysis O2 (94680) range across 7 matching MRF lines |
$16.80–$202.30 | $24–$289 | varies |
| External ECG rec>48hr<7d recording (93242) | $104.50 | $209 | 2.9× |
| External ECG rec>7d<15d recording (93246) | $104 | $208 | 2.9× |
| Extracranial Bilat Study (93880) | $825.50 | $1,651 | 3.6× |
| Extracranial Uni/Ltd Study (93882) | $692 | $1,384 | 6.9× |
| Eye exam w anesth; limited (92019) | $66.50 | $133 | 0.0× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $138 | $276 | 0.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $739.50 | $1,479 | 0.9× |
| Gi tract capsule endoscopy (91110) | $1,275 | $2,550 | 1.5× |
| Group Therapeutic Procedures (97150) | $26 | $52 | 1.4× |
| Holter monitor recording (93225) | $198 | $396 | 1.6× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $16 | $32 | 0.2× |
| Immunization administration (90471) | $16 | $32 | 0.2× |
| Iontophoresis 15 min (97033) | $43 | $86 | 2.3× |
| Irrig Drug Delivery Device (96523) | $86.50 | $173 | 1.5× |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$11.50–$48 | $22–$96 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $30 | $60 | 0.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$24–$28.70 | $41–$51 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$15–$89.60 | $26–$128 | varies |
| IV push initial (96374) | $33.50 | $67 | 0.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $366.50 | $733 | 1.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $22.50 | $45 | 0.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $26.50 | $53 | 0.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $12.50 | $25 | 0.7× |
| Multiple Family Group Psychotherapy (90849) | $43.08 | $86.16 | 0.3× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$723–$1,307.50 | $1,446–$2,615 | varies |
| Nasopharyngoscopy (92511) | $250 | $500 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$91–$271.50 | $182–$543 | varies |
| Neuromuscular Reeducation (97112) | $38 | $76 | 1.2× |
| Nitric oxide expired gas determination (95012) range across 2 matching MRF lines |
$17.50–$24.50 | $35 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 2 matching MRF lines |
$135–$189 | $270 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $262.50 | $375 | 7.6× |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 2 matching MRF lines |
$67.50–$94.50 | $135 | varies |
| Oral Function Therapy (92526) | $130 | $260 | 1.5× |
| Oral Speech Device Eval (92597) | $140 | $280 | 2.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $73 | $146 | 1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $33 | $66 | 0.7× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $97.50 | $195 | 4.7× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $97.50 | $195 | 4.7× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $97.50 | $195 | 4.7× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $97.50 | $195 | 4.7× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $97.50 | $195 | 4.7× |
| Ot eval high complexity (97167) | $135 | $270 | 1.3× |
| Ot Eval Low Complex (97165) | $112.50 | $225 | 1.1× |
| Ot Eval Moderate Complexity (97166) | $118.50 | $237 | 1.2× |
| Ot manual therapy 15 min (97140) range across 5 matching MRF lines |
$43–$66.50 | $62–$95 | varies |
| Ot paraffin bath (97018) | $43 | $86 | 7.2× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 3 matching MRF lines |
$33–$34.50 | $66–$69 | varies |
| Ot Re-Eval Est Plan Care (97168) | $60.50 | $121 | 0.9× |
| Ot rom hand (95852) | $50 | $100 | 2.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$79.80–$150 | $114–$300 | varies |
| Pdt dstr prmlg les phys/qhp (96573) | $191.50 | $383 | 1.0× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $112.50 | $225 | 0.6× |
| Penile Vascular Study,Ltd or F/U (93981) | $749.70 | $1,071 | 7.5× |
| Phlebotomy therapeutic (99195) | $145 | $290 | 1.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $86 | $172 | 1.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $86 | $172 | 1.5× |
| Physical Performance Test (97750) | $37 | $74 | 1.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$1,264.20–$1,705 | $1,806–$3,410 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,563 | $3,126 | 1.9× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $1,578.50 | $3,157 | 1.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $63.50 | $127 | 1.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $63.50 | $127 | 1.4× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$167.50–$204 | $335–$408 | varies |
| Psychiatric diagnostic evaluation (90791) | $197 | $394 | 1.2× |
| Psytx Crisis Initial 60 Min (90839) | $185.50 | $371 | 1.1× |
| Pt Eval High Complex (97163) | $113.74 | $227.47 | 1.2× |
| Pt eval low complex 20 min (97161) | $86 | $172 | 0.9× |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$86–$98.90 | $172–$197.80 | varies |
| Pt gait training 15 min (97116) | $35 | $70 | 1.2× |
| Pt mechanical traction (97012) | $49.50 | $99 | 3.4× |
| Pt Re-Eval Est Plan Care (97164) | $60.50 | $121 | 0.9× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $4 | $8 | 0.1× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$100–$140 | $200 | varies |
| Pulmonary Stress Testing (94618) range across 4 matching MRF lines |
$125–$175 | $250 | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $37 | $74 | 1.0× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $17.50 | $35 | 0.1× |
| Remote 30 Day Ecg Rev/Report (93270) | $39.50 | $79 | 1.1× |
| Remote 30 Day Ecg Tech Supp (93229) | $105 | $150 | 0.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $72 | $144 | 1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $48 | $96 | 0.2× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 2 matching MRF lines |
$25–$51.50 | $50–$103 | varies |
| Self Care Mngment Training (97535) | $33 | $66 | 1.0× |
| Sensory Integration Ea 15 Min (97533) | $37.50 | $75 | 0.6× |
| Sleep study attended (95807) | $437.50 | $875 | 1.2× |
| Sleep study unattended (95806) | $275.50 | $551 | 1.3× |
| Slp Stdy Unatnd W/Anal (95801) | $229 | $458 | 4.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $270.50 | $541 | 1.3× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$142.10–$272 | $203–$544 | varies |
| Spirometry (94010) range across 8 matching MRF lines |
$37.10–$280 | $53–$400 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $23.10 | $33 | 0.5× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 2 matching MRF lines |
$43.50–$378.50 | $87–$757 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) | $34 | $68 | 0.5× |
| Temp transcutaneous pacing (92953) | $736 | $1,472 | 1.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $43 | $86 | 1.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $47.50 | $95 | 2.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 5 matching MRF lines |
$9.80–$65.10 | $14–$93 | varies |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $10 | $20 | 0.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $13 | $26 | 0.2× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$51.10–$210 | $73–$300 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$37–$47.50 | $74–$95 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $27 | $54 | 0.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $14 | $28 | 0.4× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$152.60–$1,538.60 | $218–$2,198 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$423–$914.20 | $846–$1,306 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $95 | $190 | 1.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $14 | $28 | 0.3× |
| Unlisted Psychiatric Service/Procedure (90899) | $169.40 | $242 | 4.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$645–$860.30 | $1,229–$1,290 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 5 matching MRF lines |
$119–$459.90 | $170–$657 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$119–$420 | $170–$600 | varies |
| Vital capacity, total (94150) | $22.40 | $32 | 0.2× |
| Whirlpool Therapy (97022) range across 3 matching MRF lines |
$43–$90.30 | $86–$129 | varies |
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.