Visits & medical services prices at Carilion Rockbridge Community Hospital

Lexington, VA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $53.55 $153 1.4×
Airway Inhalation Treatment (94640) $252.35 $721 1.2×
Airway resistance by oscillometry (94728) $302.75 $865 2.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $50.40 $144 3.5×
Behavral qualit analys voice (92524)
range across 3 matching MRF lines		 $182–$187.25 $520–$535 varies
Breathing response to hypoxia (94450) $194.25 $555 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $386.40 $1,104 1.1×
Canalith repositioning proc (95992) $77.35 $221 1.9×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines		 $476.35–$829.15 $1,361–$2,369 varies
Cardiopulmonary resuscitation (92950) $467.95 $1,337 2.2×
Cardioversion (92960) $811.65 $2,319 1.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $74.20 $212 2.8×
Cbt 1st hour (94644) $159.95 $457 1.2×
Chemo Anti-Neopl Sq/Im (96401) $158.55 $453 2.3×
Chemo IV infusion addl hr (96415) $139.65 $399 2.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $321.65 $919 4.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $653.45 $1,867 2.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $642.25 $1,835 2.0×
Chest Wall Manipulation (94668) $159.95 $457 1.2×
Color/duplex Doppler, complete (93975) $878.50 $2,510 3.8×
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines		 $505.05–$555.10 $1,443–$1,586 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $42.35 $121 1.3×
Continuous Pulse Ox (94762) $194.25 $555 1.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $252.35 $721 1.2×
Cpt initial (94667) $159.95 $457 1.2×
Critical care first hour (99291) $1,454.60 $4,156 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $246.75 $705 1.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $389.20 $1,112 1.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $274.75 $785 2.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $422.10 $1,206 1.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $277.20 $792 2.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines		 $572.25–$665 $1,635–$1,900 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines		 $381.50–$385.35 $1,090–$1,101 varies
Duplex Scan Hemodialysis Access (93990) $290.50 $830 2.8×
Duplex up extrem art bilat (93930) $716.80 $2,048 3.1×
Duplex up extrem art unilat/ltd (93931) $326.55 $933 3.2×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines		 $396.90–$428.40 $1,134–$1,224 varies
Echo transesophageal (93312) $1,715 $4,900 3.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,716.40 $4,904 3.2×
Eeg 41-60 Minutes (95812) $386.40 $1,104 1.8×
EEG awake and asleep (95819) $451.50 $1,290 2.1×
EEG awake drowsy (95816) $427 $1,220 2.0×
EEG extended monitoring 61-119 minutes (95813) $439.95 $1,257 2.1×
Electrical Stimulation Ea 15 Min (97032) $57.05 $163 3.9×
Electrocardiogram Tracing (93005) $104.30 $298 1.8×
Emergency Dept Visit Level 2 (99282) $280 $800 1.9×
Emergency Dept Visit Level 3 (99283) $462 $1,320 1.7×
Emergency Dept Visit Level 4 (99284) $762.30 $2,178 1.9×
Er level 1 (99281) $175 $500 2.1×
Er level v (99285) $1,160.25 $3,315 2.0×
Evaluate pt use of inhaler (94664) $252.35 $721 1.2×
Evaluate Speech Production (92522) $194.95 $557 1.7×
Evaluate Swallowing Function (92610) $145.25 $415 1.7×
Evaluation of speech fluency (92521) $178.15 $509 1.3×
External ECG rec>48hr<7d recording (93242) $155.75 $445 4.3×
External ECG rec>7d<15d recording (93246) $77.70 $222 2.1×
External Ecg Scanning Analysis Report (93226) $392.70 $1,122 6.8×
Extracranial Bilat Study (93880) $469.70 $1,342 2.0×
Extracranial Uni/Ltd Study (93882) $261.10 $746 2.6×
F-up/limited tthrc echo congenital car anomaly (93304) $912.45 $2,607 1.7×
Gastric motility studies (91020) $1,783.95 $5,097 4.9×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,088.50 $3,110 3.0×
Gi tract capsule endoscopy (91110) $1,356.60 $3,876 1.5×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $868 $2,480 1.3×
Holter monitor recording (93225) $306.25 $875 2.4×
Icd Device Interrogate (93289) $100.80 $288 2.8×
Immunization administration (90471)
range across 4 matching MRF lines		 $15.75–$88.55 $45–$253 varies
Iontophoresis 15 min (97033) $74.20 $212 3.9×
Irrig Drug Delivery Device (96523) $73.85 $211 1.3×
IV infusion hydration each additional hour (96361) $80.50 $230 1.8×
IV infusion hydration initial 31 min-1 hour (96360) $261.45 $747 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $133 $380 1.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $80.50 $230 1.8×
IV push initial (96374) $221.90 $634 1.1×
Mechanical chest wall oscillation per session (94669) $252.35 $721 1.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $10.50 $30 0.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $10.50 $30 0.3×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $10.50 $30 0.6×
Motility study esophagus (91010) $757.40 $2,164 2.1×
Motion Fluoroscopy/Swallow (92611) $134.40 $384 1.5×
Multiple Sleep Latency Test (95805) $1,296.75 $3,705 1.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $316.75 $905 0.8×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $494.20 $1,412 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $246.75 $705 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $495.60 $1,416 1.2×
Neuromuscular Reeducation (97112) $60.90 $174 1.9×
Oral Function Therapy (92526) $120.75 $345 1.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $68.60 $196 1.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $64.40 $184 1.4×
Ot Contrast Bath Ea 15 Min (97034) $51.45 $147 3.7×
Ot eval high complexity (97167) $192.50 $550 1.9×
Ot Eval Low Complex (97165) $116.55 $333 1.2×
Ot Eval Moderate Complexity (97166) $126 $360 1.3×
Ot manual therapy 15 min (97140) $114.80 $328 4.1×
Ot paraffin bath (97018) $37.10 $106 6.2×
Ot Prosthetic Training, Each 15 Min (97761) $95.55 $273 2.4×
Ot Re-Eval Est Plan Care (97168) $73.15 $209 1.1×
Ot rom hand (95852) $40.25 $115 1.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $180.95 $517 1.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $156.45 $447 1.2×
Phlebotomy therapeutic (99195) $128.80 $368 1.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $141.40 $404 2.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $123.55 $353 2.1×
Physical Performance Test (97750) $53.55 $153 1.6×
Plethysmography (94726) $386.40 $1,104 1.1×
Pm device eval in person (93288) $57.75 $165 1.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,981 $5,660 2.4×
Polysom <6 yrs 4/> paramtrs (95782) $2,181.55 $6,233 2.6×
Pt Eval High Complex (97163) $166.25 $475 1.7×
Pt eval low complex 20 min (97161) $137.55 $393 1.4×
Pt Eval Mod Complex (97162) $151.20 $432 1.5×
Pt gait training 15 min (97116) $50.40 $144 1.7×
Pt group caregiver training (97552) $31.85 $91 1.4×
Pt mechanical traction (97012) $50.40 $144 3.5×
Pt Re-Eval Est Plan Care (97164) $80.50 $230 1.2×
Pulm function test by gas (94727) $209.65 $599 1.0×
Pulmonary service/procedure (94799) $194.25 $555 1.5×
Pulmonary Stress Testing (94618) $166.60 $476 1.3×
Remote 30 Day Ecg Rev/Report (93270) $110.25 $315 3.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $73.85 $211 1.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $222.60 $636 1.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $71.40 $204 1.5×
Self Care Mngment Training (97535) $59.85 $171 1.8×
Sleep study unattended (95806) $435.40 $1,244 2.1×
Slp caregiver training 1st 30 min (97550) $148.05 $423 2.8×
Speech sound lang comprehen (92523) $216.65 $619 1.0×
Spirometry (94010) $220.50 $630 1.0×
Stress Tte Only (93350) $1,542.10 $4,406 2.9×
Temp transcutaneous pacing (92953) $811.65 $2,319 1.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $32.55 $93 1.5×
Ther Ivntj Ea Addl 15 Min (97130) $31.85 $91 1.5×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $101.50 $290 2.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $49.35 $141 1.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $206.85 $591 2.0×
Ther/Proph/Diag Inj Ia (96373) $261.45 $747 1.3×
Ther/Proph/Diag Inj Sc/Im (96372) $88.55 $253 1.3×
Ther/Proph/Diag Iv Inf Init (96365) $261.45 $747 1.3×
Therapeutic Activities (97530) $59.50 $170 1.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $63.70 $182 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $64.75 $185 1.8×
Tte w/doppler, complete (93306) $982.10 $2,806 1.8×
Tte W/O Doppler Complete (93307) $869.05 $2,483 3.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $111.30 $318 1.5×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $40.25 $115 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $127.75 $365 2.8×
Unlis neurological/neuromuscular dx px (95999) $672 $1,920 5.4×
Upr/L Xtremity Art 2 Levels (93922) $202.65 $579 1.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $324.45 $927 1.5×
Vasopneumatic device (97016) $41.30 $118 3.4×
Vent Mgmt Inpat Init Day (94002) $900.55 $2,573 1.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $820.05 $2,343 1.4×
Vital capacity, total (94150) $194.25 $555 1.5×
Wheelchair Mgmt Ea 15 Min (97542) $46.20 $132 1.5×
Whirlpool Therapy (97022) $61.25 $175 3.9×

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.