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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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (99497) | $60.90 | $87 | 0.6× |
| Airway Inhalation Treatment (94640) range across 9 matching MRF lines |
$23.10–$413 | $33–$590 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $9.02 | $12.89 | 0.6× |
| 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) range across 3 matching MRF lines |
$324.10–$1,231.30 | $463–$1,759 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$309.09–$393.34 | $441.56–$561.91 | varies |
| Cbt 1st hour (94644) | $114.80 | $164 | 0.8× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$78.37–$88.20 | $111.95–$126 | varies |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$100.80–$452.20 | $144–$646 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $21.08 | $30.12 | 0.7× |
| Continuous Pulse Ox (94762) | $161.70 | $231 | 1.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $239.40 | $342 | 1.0× |
| Cpt initial (94667) range across 2 matching MRF lines |
$78.37–$95.20 | $111.95–$136 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$370.30–$1,454.63 | $529–$2,078.04 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $125.69 | $179.55 | 0.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$38.50–$483.70 | $55–$691 | varies |
| 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 Xtr Veins Complete Bilateral Study (93970) range across 5 matching MRF lines |
$40.60–$571.20 | $58–$816 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$76.28–$406 | $108.97–$580 | varies |
| Duplex up extrem art bilat (93930) | $487.90 | $697 | 2.0× |
| Duplex up extrem art unilat/ltd (93931) | $343 | $490 | 3.1× |
| Electrical Stimulation Ea 15 Min (97032) | $13.34 | $19.06 | 0.9× |
| Electrocardiogram Tracing (93005) | $204.75 | $292.50 | 3.3× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$154–$155.02 | $220–$221.45 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$231–$233.09 | $330–$332.99 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$308–$331.38 | $440–$473.40 | varies |
| Er level 1 (99281) range across 3 matching MRF lines |
$77–$92.40 | $110–$132 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$385–$513.58 | $550–$733.68 | varies |
| Evaluate pt use of inhaler (94664) | $131.52 | $187.88 | 0.6× |
| Evaluate Speech Production (92522) | $64.77 | $92.53 | 0.6× |
| Evaluate Swallowing Function (92610) | $60.38 | $86.25 | 0.7× |
| Evaluation of speech fluency (92521) | $78.11 | $111.59 | 0.6× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$35.70–$557.20 | $51–$796 | varies |
| 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 administration (90471) range across 2 matching MRF lines |
$43.38–$61.60 | $61.97–$88 | varies |
| 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 therapy prophylaxis/dx ea hour (96366) | $76.30 | $109 | 1.6× |
| IV push initial (96374) range across 3 matching MRF lines |
$108.50–$142.45 | $155–$203.50 | varies |
| Low frequency non-thermal us (97610) | $135.10 | $193 | 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 Fluoroscopy/Swallow (92611) | $61.34 | $87.63 | 0.7× |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$23.49–$36.40 | $33.56–$52 | varies |
| Oral Function Therapy (92526) | $60.32 | $86.17 | 0.7× |
| 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 eval high complexity (97167) | $65.21 | $93.15 | 0.6× |
| Ot Eval Low Complex (97165) | $65.21 | $93.15 | 0.6× |
| Ot Eval Moderate Complexity (97166) | $65.21 | $93.15 | 0.6× |
| Ot manual therapy 15 min (97140) | $20.74 | $29.63 | 0.7× |
| Ot paraffin bath (97018) | $7.62 | $10.88 | 1.3× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$23.01–$69.30 | $32.87–$99 | varies |
| Ot Re-Eval Est Plan Care (97168) | $43.19 | $61.70 | 0.6× |
| Phlebotomy therapeutic (99195) | $141.71 | $202.44 | 1.0× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$23–$42.70 | $32.86–$61 | varies |
| 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 Eval High Complex (97163) | $57.52 | $82.17 | 0.6× |
| Pt eval low complex 20 min (97161) | $57.52 | $82.17 | 0.6× |
| Pt Eval Mod Complex (97162) | $57.52 | $82.17 | 0.6× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$19.75–$35.70 | $28.21–$51 | varies |
| Pt Re-Eval Est Plan Care (97164) | $38.72 | $55.32 | 0.6× |
| Self Care Mngment Training (97535) | $38.50 | $55 | 1.2× |
| 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 Px 1/> Areas Each 15 Minutes Massage (97124) | $18.25 | $26.07 | 0.6× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $58.10 | $83 | 1.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$34.65–$61.60 | $49.50–$88 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $235.20 | $336 | 1.1× |
| Therapeutic Activities (97530) | $39.90 | $57 | 1.1× |
| 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) range across 3 matching MRF lines |
$459.90–$1,117.90 | $657–$1,597 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $98.70 | $141 | 1.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $84.70 | $121 | 1.7× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$238–$381.50 | $340–$545 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$438.90–$1,033.69 | $627–$1,476.70 | varies |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$72.10–$97.69 | $103–$139.55 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $21.57 | $30.81 | 0.7× |
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.