Visits & medical services prices at Calhoun-Liberty Hospital

Blountstown, FL · every code in this section with a posted price and a Medicare benchmark.

91 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) $60.90 $87 0.6×
Airway inhalation treatment (94640) $131.52 $187.88 0.6×
Allergy injection single (95115) $7.70 $11 0.2×
Cardiac stress test (93017) $257.60 $368 1.1×
Cardioversion elective external (92960) $351.22 $501.74 0.5×
Carotid duplex scan; bilat (93880) $296.45 $423.50 1.2×
Color/duplex Doppler, complete (93975) $276.50 $395 1.1×
Continuous inhalation tx, 1st hr (94644) $114.80 $164 0.8×
Cpap/bipap daily (94660) $239.40 $342 1.0×
Cpr (92950) $596.40 $852 2.6×
Cpt initial (94667) $86.78 $123.98 0.6×
Cpt subsequent (94668) $83.28 $118.98 0.6×
Critical care first hour (99291) $912.46 $1,303.52 1.1×
Duplex a ivc il/bpg; compl (93978) $261.10 $373 1.0×
Duplex ext veins; bilat (93970) $356.30 $509 1.4×
Duplex le art/bpg; bilat (93925) $536.20 $766 2.2×
Duplex le art/bpg; unil/limit (93926) $364.70 $521 3.3×
Duplex ue art/bpg; bilat (93930) $487.90 $697 2.0×
Duplex ue art/bpg; unil/limit (93931) $343 $490 3.1×
Duplex venous ext unilat/lmtd (93971) $332.85 $475.50 3.0×
Electrocardiogram (93005) $204.75 $292.50 3.3×
Emergency department visit high mdm (99285) $449.29 $641.84 0.7×
Emergency department visit low mdm (99283) $232.04 $331.50 0.8×
Emergency department visit may not req phys/qhp (99281) $92.40 $132 1.0×
Emergency department visit moderate mdm (99284) $319.69 $456.70 0.7×
Emergency department visit straightforward mdm (99282) $154.51 $220.72 1.0×
Endoscopy swallow (fees) vid (92612) $128.79 $183.98 0.6×
Evaluate pt use of inhaler (94664) $131.52 $187.88 0.6×
Evaluate speech production (92522) $64.77 $92.53 0.6×
Evaluation of speech fluency (92521) $78.11 $111.59 0.6×
Gait training 15 min (97116) $27.72 $39.60 1.0×
Immunization Admin (90471) $52.49 $74.98 0.7×
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $84.70 $121 1.7×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $142.45 $203.50 0.6×
IV hydration each add'l hr (96361) $70 $100 1.4×
IV infusion hydration initial 31 min-1 hour (96360) $197.40 $282 0.9×
IV infusion ther proph addl sequential to 1 hr (96367) $77.52 $110.74 1.0×
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $235.20 $336 1.1×
IV tx, each additional hour (96366) $76.30 $109 1.6×
Low frequency non-thermal us (97610) $135.10 $193 0.6×
Manual therapy ea 15 min (97140) $20.74 $29.63 0.7×
Massage therapy ea 15 mins (97124) $18.25 $26.07 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $18.99 $27.13 0.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $42.70 $61 1.2×
Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) $61.34 $87.63 0.7×
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) $26.38 $37.69 0.6×
Osteopathic manip,3-4 body regn (98926) $35 $50 1.6×
Osteopathic manipulative tx 1-2 body regions (98925) $35 $50 1.6×
Ot eval high complex 60 min (97167) $65.21 $93.15 0.6×
Ot eval low complex 30 min (97165) $65.21 $93.15 0.6×
Ot eval mod complex 45 min (97166) $65.21 $93.15 0.6×
Ot group therapy procedures (97150) $12.17 $17.39 0.7×
Ot Prosthetic Training, Each 15 Min (97761) $46.16 $65.94 1.1×
Ot re-eval est plan care (97168) $43.19 $61.70 0.6×
Ot Sensory Integrative Techniques Each 15 Minutes (97533) $20.27 $28.95 0.3×
Ot wheelchair management (97542) $21.57 $30.81 0.7×
Paraffin bath therapy (97018) $7.62 $10.88 1.3×
Phlebotomy therapeutic (99195) $141.71 $202.44 1.0×
Professional services for allergen immunotherapy; 2 or more injections (95117) $3.85 $5.50 0.1×
Psych diag eval w/med srvcs (90792) $205.10 $293 1.1×
Pt Community/Work Reintegration Trainj Ea 15 Min (97537) $21.08 $30.12 0.7×
Pt Debridement Open Wound 20 Sq Cm< (97597) $125.69 $179.55 0.6×
Pt Electrical Stimulation (97032) $13.34 $19.06 0.9×
Pt eval high complex 45 min (97163) $57.52 $82.17 0.6×
Pt eval low complex 20 min (97161) $57.52 $82.17 0.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $36.40 $52 1.1×
Pt Physical Performance Test (97750) $32.85 $46.93 1.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $57.52 $82.17 0.6×
Pt re-eval est plan care (97164) $38.72 $55.32 0.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $38.50 $55 1.2×
Pt Therapeut Actvity Direct Pt Contact Each 15 Min (97530) $39.90 $57 1.1×
Pulse oximetry continuous (94762) $161.70 $231 1.2×
Slp evaloral pharyngeal swallow function (92610) $60.38 $86.25 0.7×
Speech sound lang comprehen (92523) $137.76 $196.80 0.6×
Spirometry (94010) $97.69 $139.55 0.4×
Spirometry with bronchodilator (94060) $185.12 $264.45 0.5×
Standardized cognitive performance testing (96125) $81.33 $116.18 0.8×
Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment… (96371) $43.38 $61.97 0.6×
Temp transcutaneous pacing (92953) $393.34 $561.91 0.6×
Therapeutic prophylactic/dx injection subq/im (96372) $59.50 $85 0.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $23.10 $33 0.6×
Trans care mgmt 14 day disch (99495) $112 $160 0.8×
Trans care mgmt 7 day disch (99496) $161 $230 1.2×
Treat swallowing dysfunction (92526) $60.32 $86.17 0.7×
Tte W/Doppler Complete - Tte Complete (93306) $632.10 $903 1.1×
Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) $98.70 $141 1.3×
Ultrasound therapy ea 15 mins (97035) $9.02 $12.89 0.6×
Unlisted Ther Proph Dx Inj (96379) $58.10 $83 1.2×
Upr/l xtremity art 2 levels (93922) $309.75 $442.50 2.2×
Ventilator initial day (94002) $736.30 $1,051.85 1.1×
Vital capacity total (94150) $84.90 $121.28 0.6×