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×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $9.02 $12.89 0.6×
Bedside Swallowing Eval (92610) $60.38 $86.25 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $185.12 $264.45 0.5×
Cardiac Stress Tst,Tracing Only (93017) $257.60 $368 1.1×
Cardiopulmonary resuscitation (92950) $596.40 $852 2.6×
Cardioversion (92960) $351.22 $501.74 0.5×
Cbt 1st hour (94644) $114.80 $164 0.8×
Color/duplex Doppler, complete (93975) $276.50 $395 1.1×
Cpap/bipap (94660) $239.40 $342 1.0×
Cpt initial (94667) $86.78 $123.98 0.6×
Critical care (99291) $912.46 $1,303.52 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $125.69 $179.55 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $261.10 $373 1.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $536.20 $766 2.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $364.70 $521 3.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $487.90 $697 2.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $343 $490 3.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $356.30 $509 1.4×
Dup-scan xtr veins unilateral/limited study (93971) $332.85 $475.50 3.0×
Duplex scan extracranial art compl bi study (93880) $296.45 $423.50 1.2×
Electrocardiogram Tracing (93005) $204.75 $292.50 3.3×
Er level 1 (99281) $92.40 $132 1.0×
Er level ii (99282) $154.51 $220.72 1.0×
Er level iii (99283) $232.04 $331.50 0.8×
Er level IV (99284) $319.69 $456.70 0.7×
Er level v (99285) $449.29 $641.84 0.7×
Eval speech sound production (92522) $64.77 $92.53 0.6×
Evaluate Pt Use Of Inhaler (94664) $131.52 $187.88 0.6×
Evaluation of speech fluency (92521) $78.11 $111.59 0.6×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $128.79 $183.98 0.6×
Group Therapeutic Procedures (97150) $12.17 $17.39 0.7×
Immunization Admin (90471) $52.49 $74.98 0.7×
IV infusion hydration each additional hour (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, therap/proph/diagnost,initial,1st hour (96365) $235.20 $336 1.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $76.30 $109 1.6×
IV push ea addl new drug (96375) $84.70 $121 1.7×
IV push initial (96374) $142.45 $203.50 0.6×
Low frequency non-thermal us (97610) $135.10 $193 0.6×
Manual therapy 15 min (97140) $20.74 $29.63 0.7×
Massage 15 min (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 Fluor Eval Swlng Funcj C/V Rec (92611) $61.34 $87.63 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $309.75 $442.50 2.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $161.70 $231 1.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $26.38 $37.69 0.6×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $35 $50 1.6×
Osteopathic manipulative tx 3-4 body regions (98926) $35 $50 1.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $21.08 $30.12 0.7×
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 Prosthetic Training, Each 15 Min (97761) $46.16 $65.94 1.1×
Ot re-evaluation (97168) $43.19 $61.70 0.6×
Ot therapeutic activity 15 min (97530) $39.90 $57 1.1×
Paraffin bath pt (97018) $7.62 $10.88 1.3×
Phlebotomy therapeutic (99195) $141.71 $202.44 1.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $7.70 $11 0.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $3.85 $5.50 0.1×
Psych diag eval w/med srvcs (90792) $205.10 $293 1.1×
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 eval mod complex 30 min (97162) $57.52 $82.17 0.6×
Pt gait training 15 min (97116) $27.72 $39.60 1.0×
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 re-evaluation (97164) $38.72 $55.32 0.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $38.50 $55 1.2×
Rt Chest Wall Manipulation,Subsequent (94668) $83.28 $118.98 0.6×
Sensory Integration Ea 15 Min (97533) $20.27 $28.95 0.3×
Speech sound lang comprehen (92523) $137.76 $196.80 0.6×
Spirometry (94010) $97.69 $139.55 0.4×
Standardized Cognitive Performance Testing (96125) $81.33 $116.18 0.8×
Subq Infusion Additional Pump Infusion Site (96371) $43.38 $61.97 0.6×
Temp transcutaneous pacing (92953) $393.34 $561.91 0.6×
Ther/prop/diag inj/inf proc (96379) $58.10 $83 1.2×
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×
Tte w/doppler, complete (93306) $632.10 $903 1.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $98.70 $141 1.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $60.32 $86.17 0.7×
Vent mgmt inpat init day (94002) $736.30 $1,051.85 1.1×
Vital capacity, total (94150) $84.90 $121.28 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $21.57 $30.81 0.7×