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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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $45 $75 1.2×
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)
range across 6 matching MRF lines		 $92.40–$241.80 $154–$403 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $82.20 $137 5.7×
Assessment of aphasia per hr (96105) $82.80 $138 0.9×
Behavral qualit analys voice (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 proc (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 Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $11,616 $19,360 3.7×
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 Anti-Neopl Sq/Im (96401) $137.40 $229 2.0×
Chemo IV infusion addl hr (96415) $86.40 $144 1.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $413.40 $689 1.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $204.60 $341 0.6×
Chest Wall Manipulation (94668) $90.60 $151 0.7×
Color/duplex Doppler, complete (93975) $986.40 $1,644 4.3×
Color/duplex Doppler, limited (93976) $572.40 $954 5.7×
Coronary Art/Grft Angio S&I (93455) $3,593.40 $5,989 1.2×
Coronary Artery Angio S&I (93454) $3,071.40 $5,119 1.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $55.20 $92 0.3×
Cpt initial (94667) $75 $125 0.6×
Critical care first hour (99291) $781.80 $1,303 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $327.60 $546 1.7×
Dialysis One Evaluation (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 Xtr Veins Complete Bilateral Study (93970) $1,329 $2,215 5.8×
Dup-scan xtr veins unilateral/limited study (93971) $984 $1,640 9.8×
Duplex Scan Hemodialysis Access (93990) $78 $130 0.8×
Duplex up extrem art bilat (93930) $280.20 $467 1.2×
Duplex up extrem art unilat/ltd (93931) $184.80 $308 1.8×
Echo Congenital Complete (93303) $556.20 $927 1.1×
Echo Heart Xthoracic,Limited (93308) $576.60 $961 2.5×
Echo transesophag montr cardiac pump functj (93318) $492.60 $821 0.9×
Echo transesophageal (93312) $1,025.40 $1,709 2.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines		 $784.80–$996.60 $1,308–$1,661 varies
EEG awake and 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 2-12hr cont mntr (95707) $324 $540 1.6×
EEG w/o vid ea 12-26hr intmt (95709) $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 wo vid ea 12-26hr unmntr (95708) $621 $1,035 1.7×
Electrical Stimulation Ea 15 Min (97032) $63.60 $106 4.3×
Electrocardiogram Tracing (93005) $300.60 $501 5.3×
Emergency Dept Visit Level 2 (99282) $441.60 $736 3.0×
Emergency Dept Visit Level 3 (99283) $813.60 $1,356 3.1×
Emergency Dept Visit Level 4 (99284) $1,089.60 $1,816 2.7×
Er level 1 (99281) $276 $460 3.4×
Er level v (99285) $1,379.40 $2,299 2.4×
Evaluate pt use of inhaler (94664) $33.60 $56 0.2×
Evaluate Speech Production (92522) $81.60 $136 0.7×
Evaluate Swallowing Function (92610) $49.20 $82 0.6×
Evaluation of speech fluency (92521) $93 $155 0.7×
Extracranial Bilat Study (93880) $1,109.40 $1,849 4.9×
Extracranial Uni/Ltd Study (93882) $709.80 $1,183 7.1×
F-up/limited tthrc echo congenital car anomaly (93304) $444 $740 0.9×
Group Therapeutic Procedures (97150) $69 $115 3.8×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $13,373.40 $22,289 4.3×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $618.60 $1,031 0.9×
Immunization administration (90471)
range across 4 matching MRF lines		 $73.20–$79.20 $122–$132 varies
Iontophoresis 15 min (97033) $86.40 $144 4.5×
Irrig Drug Delivery Device (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 ther proph addl sequential to 1 hr (96367) $204.60 $341 3.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $149.40 $249 3.3×
IV push initial (96374) $277.20 $462 1.4×
L Hrt Art/Grft Angio (93459) $10,835.40 $18,059 3.5×
Lwr Xtr Vasc Stdy Bilat (93924) $806.40 $1,344 3.9×
Mechanical chest wall oscillation per session (94669)
range across 2 matching MRF lines		 $246–$411 $410–$685 varies
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×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $10.80 $18 0.6×
Methacholine challenge (94070) $373.80 $623 1.0×
Motion Fluoroscopy/Swallow (92611) $58.80 $98 0.6×
Multiple Sleep Latency Test (95805) $660.60 $1,101 0.8×
Muscle Test Nonparaspinal (95870) $64.80 $108 0.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $453 $755 1.2×
Neg Pressure Wound Therapy Non Dme >50 Sq 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 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 13 or more 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 5-6 studies (95909) $855.60 $1,426 4.1×
Nerve conduction studies 7-8 studies (95910) $855.60 $1,426 2.4×
Nerve Conduction Studies 9-10 Studies (95911) $1,645.80 $2,743 4.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $175.80 $293 1.4×
Neuromuscular Reeducation (97112) $80.40 $134 2.5×
Oral Function Therapy (92526) $40.80 $68 0.5×
Oral Speech Device Eval (92597) $147 $245 2.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $79.80 $133 1.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $103.20 $172 2.2×
Ot eval high complexity (97167) $154.80 $258 1.5×
Ot Eval Low Complex (97165) $93 $155 0.9×
Ot Eval Moderate Complexity (97166) $124.20 $207 1.2×
Ot manual therapy 15 min (97140) $82.20 $137 3.0×
Ot paraffin bath (97018) $35.40 $59 5.9×
Ot Re-Eval Est Plan Care (97168) $93 $155 1.4×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 5 matching MRF lines		 $8,677.80–$11,298 $14,463–$18,830 varies
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $16,374 $27,290 1.5×
Phlebotomy therapeutic (99195) $125.40 $209 1.0×
Physical Performance Test (97750) $19.80 $33 0.6×
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 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×
Pt Eval High Complex (97163) $100.80 $168 1.0×
Pt eval low complex 20 min (97161) $60.60 $101 0.6×
Pt Eval Mod Complex (97162) $80.40 $134 0.8×
Pt gait training 15 min (97116) $76.80 $128 2.6×
Pt mechanical traction (97012) $102.60 $171 7.1×
Pt Re-Eval Est Plan Care (97164) $60.60 $101 0.9×
Pulm function test by gas (94727) $342 $570 1.7×
Pulmonary service/procedure (94799)
range across 4 matching MRF lines		 $37.80–$181.20 $63–$302 varies
Pulmonary Stress Testing (94618) $189 $315 1.5×
R Hrt Art/Grft Angio (93457) $3,612 $6,020 1.2×
R hrt coronary artery angio (93456) $10,249.80 $17,083 3.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $36.60 $61 0.6×
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×
Self Care Mngment Training (97535) $65.40 $109 2.0×
Sleep study unattended (95806)
range across 2 matching MRF lines		 $187.80–$258 $313–$430 varies
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $178.80 $298 0.9×
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×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $19.80 $33 0.9×
Ther Ivntj Ea Addl 15 Min (97130) $19.80 $33 0.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $65.40 $109 1.8×
Ther/Proph/Diag Inj Ia (96373) $226.80 $378 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $444.60 $741 6.5×
Ther/Proph/Diag Iv Inf Init (96365) $393.60 $656 1.9×
Therapeutic Activities (97530) $29.40 $49 0.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $55.20 $92 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $27 $45 0.8×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines		 $1,380.60–$1,725.60 $2,301–$2,876 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $51.60 $86 0.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $210 $350 4.7×
Upr/L Xtremity Art 2 Levels (93922) $419.40 $699 3.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $645 $1,075 3.1×
Vasopneumatic device (97016) $74.40 $124 6.2×
Veeg 2-12 Hr Cont Mntr (95713) $621 $1,035 1.7×
Veeg 2-12 hr intmt mntr (95712) $324 $540 0.9×
Veeg 2-12 hr unmonitored (95711) $324 $540 1.6×
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×
Veeg ea 12-26hr cont mntr (95716) $1,162.80 $1,938 1.4×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines		 $86.40–$87 $144–$145 varies
Whirlpool Therapy (97022) $76.80 $128 4.9×

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.