Visits & medical services prices at Caldwell Memorial Hospital

Lenoir, NC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Aep Neurodiagnostic I&R (92653) $162.60 $271 0.8×
Aep threshold estimation mlt frequencies i&r (92652) $162.60 $271 0.8×
Airway inhalation treatment (94640) $92.40 $154 0.4×
Assessment of aphasia (96105) $82.80 $138 0.9×
Behavioral and qualitative analysis of voice and resonance (92524) $78 $130 0.7×
Biofeedback training any modality (90901) $165 $275 4.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $607.80 $1,013 1.7×
C motor evoked upr&lwr limbs (95939) $1,142.40 $1,904 1.4×
Canalith Repositioning (95992) $214.20 $357 5.3×
Cardiac Stress Tst,Tracing Only (93017) $1,271.40 $2,119 6.2×
Cardiopulmonary resuscitation (92950) $346.80 $578 1.7×
Cardioversion (92960) $822 $1,370 1.3×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $3,593.40 $5,989 1.2×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $10,249.80 $17,083 3.3×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $10,835.40 $18,059 3.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,761.40 $16,269 3.2×
Cbt 1st hour (94644) $154.20 $257 1.2×
Chemo Iv Push Sngl Drug (96409) $204.60 $341 0.6×
Chemother, IV infusion, 1 hr (96413) $413.40 $689 1.3×
Chemother, IV infusion, ea add hr (96415) $86.40 $144 1.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $137.40 $229 2.0×
Color/duplex Doppler, complete (93975) $986.40 $1,644 4.3×
Color/duplex Doppler, limited (93976) $572.40 $954 5.7×
Coronary artery angio s&i (93454) $3,071.40 $5,119 1.0×
Cpap initiation and management (94660) $55.20 $92 0.3×
Cpt initial (94667) $75 $125 0.6×
Critical care (99291) $781.80 $1,303 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $327.60 $546 1.7×
Demo &/or eval,pt use,aerosol device (94664) $33.60 $56 0.2×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $507 $845 1.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $670.80 $1,118 2.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $177.60 $296 1.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $900.60 $1,501 3.9×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $522.60 $871 5.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $280.20 $467 1.2×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $184.80 $308 1.8×
Dup-scan xtr veins unilateral/limited study (93971) $984 $1,640 9.8×
Duplex hemodialysis access (93990) $78 $130 0.8×
Duplex scan extracranial art compl bi study (93880) $1,109.40 $1,849 4.9×
Echo Heart Xthoracic,Limited (93308) $576.60 $961 2.5×
Echo transesophageal (93312) $1,025.40 $1,709 2.0×
Echo Transthoracic - Congenital Tte Complete (93303) $556.20 $927 1.1×
Echo Transthoracic - Congenital Tte Limited (93304) $444 $740 0.9×
EEG awake asleep (95819) $753 $1,255 3.6×
EEG awake drowsy (95816) $649.20 $1,082 3.1×
EEG cont rec w/video by tech min 8 channels (95700) $324 $540 1.6×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $324 $540 1.6×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $621 $1,035 1.7×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $621 $1,035 1.7×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $621 $1,035 1.7×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $324 $540 1.6×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $324 $540 1.6×
EKG (93005) $300.60 $501 5.3×
EKG rhythm strip (93041) $36.60 $61 0.6×
Er level 1 (99281) $276 $460 3.4×
Er level ii (99282) $441.60 $736 3.0×
Er level iii (99283) $813.60 $1,356 3.1×
Er level IV (99284) $1,089.60 $1,816 2.7×
Er level v (99285) $1,379.40 $2,299 2.4×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $147 $245 2.1×
Evaluation of speech fluency (92521) $93 $155 0.7×
Evaluation of speech sound production (92522) $81.60 $136 0.7×
Evaluation of swallowing function (92610) $49.20 $82 0.6×
Group Therapeutic Procedures (97150) $69 $115 3.8×
Hemodialysis (90935) $618.60 $1,031 0.9×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $45 $75 1.2×
Immunization Admin (90471) $79.20 $132 1.2×
Injection intra arterial (96373) $226.80 $378 1.1×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $114.60 $191 2.0×
IV infusion hydration each additional hour (96361) $118.20 $197 2.6×
IV infusion hydration initial 31 min-1 hour (96360) $330.60 $551 1.6×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $204.60 $341 3.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $393.60 $656 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $149.40 $249 3.3×
IV push initial (96374) $277.20 $462 1.4×
Manual therapy 15 min (97140) $82.20 $137 3.0×
Mechanical chest wall oscillation (94669) $328.50 $547.50 1.6×
Mechanical traction (97012) $102.60 $171 7.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $25.80 $43 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $36 $60 1.0×
Methacholine challenge (94070) $373.80 $623 1.0×
Mnt Group Ea 30 Min (97804) $10.80 $18 0.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $58.80 $98 0.6×
Multiple sleep latency test (95805) $660.60 $1,101 0.8×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $64.80 $108 0.5×
Neg press wnd tx </=50 sq cm (97607) $453 $755 1.2×
Neg press wound tx >50 cm (97608) $453 $755 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $352.20 $587 1.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $648 $1,080 1.7×
Nerve conduction studies 13/> studies (95913) $1,645.80 $2,743 4.6×
Nerve Conduction Studies 3-4 Studies (95908) $855.60 $1,426 4.1×
Nerve Conduction Studies 9-10 Studies (95911) $1,645.80 $2,743 4.6×
Nerve conduction studies; 1-2 studies (95907) $460.80 $768 2.2×
Nerve conduction studies; 11-12 studies (95912) $1,645.80 $2,743 4.6×
Nerve conduction studies; 5-6 studies (95909) $855.60 $1,426 4.1×
Nerve conduction studies; 7-8 studies (95910) $855.60 $1,426 2.4×
Neuromuscular junction test (95937) $175.80 $293 1.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $419.40 $699 3.3×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $645 $1,075 3.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $103.20 $172 2.2×
Ot eval high complex 60 min (97167) $154.80 $258 1.5×
Ot eval low complex 30 min (97165) $93 $155 0.9×
Ot eval mod complex 45 min (97166) $124.20 $207 1.2×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $79.80 $133 1.6×
Ot re-eval est plan care (97168) $93 $155 1.4×
Paraffin bath (97018) $35.40 $59 5.9×
Plethysmography (94726) $427.80 $713 1.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,744 $6,240 4.6×
Polysom <6 yrs 4/> paramtrs (95782) $3,190.80 $5,318 3.9×
Prq card revasc chronic 1vsl (92943) $16,374 $27,290 1.5×
Prq Card Stent W/Angio 1 Vsl (92928) $16,374 $27,290 1.5×
Prq revasc byp graft 1 vsl (92937) $16,374 $27,290 1.5×
Prq trluml coronary angioplasty one art/branch (92920) $11,298 $18,830 2.1×
Pt Aquatic Therapy/Exercises (97113) $65.40 $109 1.8×
Pt Electric Current Therapy (97033) $86.40 $144 4.5×
Pt Electrical Stimulation (97032) $63.60 $106 4.3×
Pt eval high complex 45 min (97163) $100.80 $168 1.0×
Pt eval low complex 20 min (97161) $60.60 $101 0.6×
Pt Gait Training Therapy (97116) $76.80 $128 2.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $80.40 $134 2.5×
Pt Physical Performance Test (97750) $19.80 $33 0.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $80.40 $134 0.8×
Pt re-evaluation (97164) $60.60 $101 0.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $65.40 $109 2.0×
Pt Ultrasound Therapy (97035) $82.20 $137 5.7×
Pt Whirlpool Therapy (97022) $76.80 $128 4.9×
Pulm function test by gas (94727) $342 $570 1.7×
Pulmonary stress testing (94618) $189 $315 1.5×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $11,616 $19,360 3.7×
R hrt art/grft angio (93457) $3,612 $6,020 1.2×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $13,373.40 $22,289 4.3×
Right heart cath (93451) $5,051.40 $8,419 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $180 $300 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $90.60 $151 0.7×
Sleep study unattended (95806) $222.90 $371.50 1.1×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $178.80 $298 0.9×
Smoking cessation > 10 min (99407) $55.20 $92 1.5×
Somatosensory testing (95938) $595.80 $993 0.7×
Speech sound lang comprehen (92523) $121.20 $202 0.5×
Spirometry (94010) $279 $465 1.4×
Standardized Cognitive Performance Testing (96125) $117.60 $196 1.1×
Stress Tte Complete (93351) $890.70 $1,484.50 1.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $19.80 $33 0.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $19.80 $33 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $444.60 $741 6.5×
Therapeutic Activities (97530) $29.40 $49 0.8×
Therapeutic phlebotomy (99195) $125.40 $209 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $27 $45 0.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,553.10 $2,588.50 3.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $51.60 $86 0.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $40.80 $68 0.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $210 $350 4.7×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $492.60 $821 0.9×
Unlisted pulmonary service/procedure (94799) $180.30 $300.50 1.5×
Vasc Duplex Extrem Venous,Bilat (93970) $1,329 $2,215 5.8×
Vasc Duplex Scan Extracranial,Limited (93882) $709.80 $1,183 7.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $806.40 $1,344 3.9×
Vasopneumatic device (97016) $74.40 $124 6.2×
Veeg by tech 2-12 hours unmonitored (95711) $324 $540 1.6×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $621 $1,035 1.7×
Veeg by tech 2-12 hr intermittent monitoring (95712) $324 $540 0.9×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $1,162.80 $1,938 1.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $621 $1,035 1.7×
Veeg Ea 12-26 Hr Unmntr (95714) $621 $1,035 1.7×
Wheelchair Mgmt Ea 15 Min (97542) $86.70 $144.50 2.8×