Visits & medical services prices at CaroMont Regional Medical Center

Gastonia, NC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $26,242 $26,242 3.5×
Advncd Care Plan 30 Min (99497) $239 $239 2.4×
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$161–$784 $161–$784 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $151 $151 10.5×
Application Modality 1/> Areas Infrared (97026) $169 $169 25.3×
Application on-body injector (96377) $236 $236 5.2×
Arrhythmia Induction (93618) $5,093 $5,093 4.3×
Assessment of aphasia per hr (96105) $549 $549 5.6×
Behavral qualit analys voice (92524) $490 $490 4.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $259 $259 3.2×
Bfb training ea addl 15 min (90913) $141 $141 4.3×
Biofeedback training any modality (90901) $260 $260 6.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $572 $572 1.6×
Bundle of his recording (93600) $4,852 $4,852 0.6×
Canalith repositioning proc (95992) $364 $364 8.9×
Car seat/bed test 60 min (94780) $362 $362 10.0×
Cardiac Stress Tst,Tracing Only (93017) $1,901 $1,901 9.1×
Cardiopulmonary exercise testing (94621) $1,543 $1,543 4.3×
Cardiopulmonary resuscitation (92950) $1,379 $1,379 6.6×
Cardioversion (92960)
range across 2 matching MRF lines
$2,679–$2,703 $2,679–$2,703 varies
Cardioversion elective internal (92961) $3,295 $3,295 5.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $82 $82 3.1×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $26,610 $26,610 8.4×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $26,990 $26,990 8.6×
Cbt 1st hour (94644) $576 $576 4.5×
Chemo Anti-Neopl Sq/Im (96401)
range across 3 matching MRF lines
$430–$473 $430–$473 varies
Chemo Hormon Antineopl Sq/Im (96402)
range across 2 matching MRF lines
$677–$742 $677–$742 varies
Chemo Ia Push (96420) $989 $989 3.1×
Chemo intralesional up to 7 (96405) $450 $450 6.4×
Chemo IV infusion addl hr (96415) $492 $492 7.0×
Chemo IV push addl drug (96411) $879 $879 12.6×
Chemother Prolong Infuse W/Pump (96416) $1,558 $1,558 4.9×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $828 $828 2.6×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $883 $883 19.4×
Chemotherapy Into Cns (96450) $497 $497 1.5×
Chemotherapy Intracavitary (96440) $901 $901 2.8×
Chemotherapy Unspecified (96549) $883 $883 19.4×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $747 $747 2.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $470 $470 6.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$1,470–$1,612 $1,470–$1,612 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 2 matching MRF lines
$926–$1,018 $926–$1,018 varies
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $402 $402 1.3×
Chest Wall Manipulation (94668) $303 $303 2.3×
Color/duplex Doppler, complete (93975) $1,892 $1,892 8.2×
Color/duplex Doppler, limited (93976) $1,267 $1,267 12.5×
Community/Work Reintegration Trainj Ea 15 Min (97537) $191 $191 6.0×
Cont gluc mntr physician/qhp provided equiptment (95250) $861 $861 6.7×
Cont Gluc Mntr Pt Prov Eqp (95249) $175 $175 3.1×
Continuous Pulse Ox (94762) $682 $682 5.5×
Coronary Art/Grft Angio S&I (93455) $22,701 $22,701 7.2×
Coronary Artery Angio S&I (93454) $21,048 $21,048 6.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,333 $1,333 6.3×
Cpt initial (94667) $452 $452 3.5×
Critical care first hour (99291)
range across 4 matching MRF lines
$4,869–$16,882 $4,869–$16,882 varies
Debridement Open Wound 20 Sq Cm< (97597) $527 $527 2.7×
Dialysis One Evaluation (90945) $3,554 $3,554 8.8×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,169 $1,169 5.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $751 $751 7.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,450 $1,450 6.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines
$1,198–$1,745 $1,198–$1,745 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,820 $1,820 7.8×
Dup-scan xtr veins unilateral/limited study (93971) $1,483 $1,483 14.6×
Duplex Scan Hemodialysis Access (93990) $937 $937 9.2×
Duplex up extrem art bilat (93930) $1,262 $1,262 5.4×
Duplex up extrem art unilat/ltd (93931) $802 $802 7.9×
Ear and throat examination (92502) $2,703 $2,703 5.2×
Echo Congenital Complete (93303) $4,272 $4,272 8.0×
Echo Heart Xthoracic,Limited (93308) $859 $859 3.7×
Echo transesophageal (93312) $3,407 $3,407 6.4×
Eeg 41-60 Minutes (95812) $1,307 $1,307 6.2×
EEG awake and asleep (95819) $1,358 $1,358 6.5×
EEG awake drowsy (95816) $1,358 $1,358 6.5×
EEG cont rec w/video by tech min 8 channels (95700) $1,076 $1,076 5.1×
EEG extended monitoring 61-119 minutes (95813) $1,406 $1,406 6.7×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,025 $1,025 4.9×
EEG w/o vid 2-12hr cont mntr (95707) $1,025 $1,025 4.9×
EEG w/o vid ea 12-26hr intmt (95709) $1,639 $1,639 4.5×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,639 $1,639 4.5×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $1,025 $1,025 4.9×
EEG wo vid ea 12-26hr unmntr (95708) $1,639 $1,639 4.5×
Electrical Stimulation Ea 15 Min (97032) $143 $143 9.7×
Electrocardiogram Tracing (93005) $268 $268 4.7×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $24,670 $24,670 3.3×
Electrophysiology Evaluation (93642) $4,852 $4,852 4.1×
Emergency Dept Visit Level 2 (99282) $1,277 $1,277 8.6×
Emergency Dept Visit Level 3 (99283) $2,485 $2,485 9.4×
Emergency Dept Visit Level 4 (99284) $2,887 $2,887 7.1×
Emg 3 Extremities (95863) $441 $441 3.5×
Emg 4 Extremities (95864) $470 $470 3.8×
Ep & ablate supravent arrhyt (93653) $94,021 $94,021 3.7×
Ep & ablate ventric tachy (93654) $94,021 $94,021 3.7×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $26,242 $26,242 3.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $23,430 $23,430 3.1×
Er level 1 (99281) $401 $401 4.9×
Er level v (99285)
range across 6 matching MRF lines
$3,289–$13,843 $3,289–$13,843 varies
Ergonovine provocation test (93024) $1,346 $1,346 3.1×
Esophgl Balo Distension Dx Std W/Provocation (91040) $1,714 $1,714 4.7×
Evaluate pt use of inhaler (94664) $284 $284 1.3×
Evaluate Speech Production (92522) $427 $427 3.8×
Evaluate Swallowing Function (92610) $427 $427 5.0×
Evaluation of speech fluency (92521) $452 $452 3.4×
Evoked Auditory Test,Limited (92587) $421 $421 2.0×
Extracranial Bilat Study (93880) $1,626 $1,626 7.0×
Extracranial Uni/Ltd Study (93882) $959 $959 9.4×
Eye exam w anesth; complete (92018) $3,082 $3,082 1.3×
Flexible endoscopic eval swallow c/v rec (92612) $353 $353 1.8×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,698 $1,698 4.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $3,494 $3,494 4.2×
Gi tract capsule endoscopy (91110) $4,989 $4,989 5.7×
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines
$105–$115 $105–$115 varies
Health Behavior Assessment/Re-Assessment (96156) $263 $263 2.7×
Health behavior ivntj indiv f2f 1st 30 min (96158) $458 $458 2.7×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $27,808 $27,808 8.8×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $4,450 $4,450 6.7×
Icd device progr eval dual (93283) $213 $213 5.9×
Immunization administration (90471) $211 $211 3.0×
Insert/Place Heart Catheter (93503) $5,563 $5,563 3.6×
Intra-atrial pacing (93610) $4,852 $4,852 0.6×
Intra-atrial recording (93602) $4,852 $4,852 0.6×
Intraventricular pacing (93612) $27,440 $27,440 3.6×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$213–$221 $213–$221 varies
Irrig Drug Delivery Device (96523) $282 $282 4.9×
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$273–$288 $273–$288 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$814–$861 $814–$861 varies
IV infusion ther proph addl sequential to 1 hr (96367) $481 $481 6.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $288 $288 6.3×
IV push initial (96374)
range across 4 matching MRF lines
$425–$468 $425–$468 varies
L Hrt Art/Grft Angio (93459) $28,638 $28,638 9.1×
Mechanical chest wall oscillation per session (94669) $547 $547 2.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 4 matching MRF lines
$144–$153 $144–$153 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 4 matching MRF lines
$90–$93 $90–$93 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $122 $122 7.2×
Methacholine challenge (94070) $1,312 $1,312 3.6×
Motility study esophagus (91010) $1,588 $1,588 4.4×
Motion Fluoroscopy/Swallow (92611) $742 $742 8.1×
Multiple Sleep Latency Test (95805) $4,994 $4,994 6.0×
Muscle Test 2 Limbs (95861) $410 $410 3.2×
Muscle Test Nonparaspinal (95870) $371 $371 2.9×
Muscle Test One Limb (95860) $388 $388 3.0×
Nasopharyngoscopy (92511) $884 $884 4.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $480 $480 2.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $563 $563 1.4×
Nerve Conduction Studies 1-2 Studies (95907) $926 $926 4.4×
Nerve Conduction Studies 3-4 Studies (95908) $1,233 $1,233 5.9×
Nerve conduction studies 5-6 studies (95909) $1,267 $1,267 6.0×
Nerve conduction studies 7-8 studies (95910) $1,297 $1,297 3.6×
Nerve Conduction Studies 9-10 Studies (95911) $1,328 $1,328 3.7×
Neuromuscular Reeducation (97112)
range across 3 matching MRF lines
$150–$157 $150–$157 varies
Newborn resuscitation (99465) $928 $928 1.4×
Oral Function Therapy (92526) $297 $297 3.5×
Oral Speech Device Eval (92597) $452 $452 6.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $143 $143 2.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$136–$139 $136–$139 varies
Ot eval high complexity (97167) $555 $555 5.5×
Ot Eval Low Complex (97165) $426 $426 4.2×
Ot Eval Moderate Complexity (97166) $486 $486 4.8×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$141–$149 $141–$149 varies
Ot paraffin bath (97018)
range across 2 matching MRF lines
$128–$133 $128–$133 varies
Ot Prosthetic Training, Each 15 Min (97761) $143 $143 3.5×
Ot Re-Eval Est Plan Care (97168) $222 $222 3.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $532 $532 4.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $478 $478 3.8×
Peripheral arterial disease rehab per session (93668) $344 $344 6.0×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $53,349 $53,349 3.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $33,937 $33,937 6.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $51,545 $51,545 4.6×
Phlebotomy therapeutic (99195)
range across 4 matching MRF lines
$503–$529 $503–$529 varies
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $302 $302 5.3×
Physical Performance Test (97750) $198 $198 5.9×
Plethysmography (94726) $1,069 $1,069 2.9×
Pm device eval in person (93288) $183 $183 5.0×
Pm device progr eval dual (93280) $266 $266 7.3×
Pm Device Progr Eval Sngl (93279) $222 $222 6.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $7,288 $7,288 8.7×
Polysom <6 yrs 4/> paramtrs (95782) $6,074 $6,074 7.3×
Prq Card Angio/Athrect 1 Art (92924) $68,140 $68,140 6.1×
Prq Card Stent W/Angio 1 Vsl (92928) $51,545 $51,545 4.6×
Prq Card Stent/Ath/Angio (92933) $54,279 $54,279 3.0×
Prq Revasc Byp Graft 1 Vsl (92937) $51,545 $51,545 4.6×
Pt Eval High Complex (97163) $529 $529 5.4×
Pt eval low complex 20 min (97161) $426 $426 4.4×
Pt Eval Mod Complex (97162) $486 $486 5.0×
Pt gait training 15 min (97116) $157 $157 5.4×
Pt group caregiver training (97552) $91 $91 4.1×
Pt mechanical traction (97012) $150 $150 10.4×
Pt Re-Eval Est Plan Care (97164) $222 $222 3.3×
Pt ultraviolet (97028) $87 $87 10.4×
Pulm function test by gas (94727) $427 $427 2.0×
Pulmonary Stress Testing (94618) $489 $489 3.8×
R Hrt Art/Grft Angio (93457) $34,208 $34,208 10.9×
R hrt coronary artery angio (93456) $33,635 $33,635 10.7×
R&L Hrt Cath W/Ventriclgrphy (93453) $23,167 $23,167 7.4×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $209 $209 0.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $235 $235 4.1×
Right Heart Cath (93451) $18,080 $18,080 5.7×
Right ventricular recording (93603) $5,093 $5,093 4.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $186 $186 1.0×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $549 $549 4.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $219 $219 4.6×
Self Care Mngment Training (97535)
range across 3 matching MRF lines
$157–$163 $157–$163 varies
Sensory Integration Ea 15 Min (97533) $136 $136 2.2×
Sleep study attended (95807) $2,549 $2,549 7.0×
Sleep study unattended (95806) $1,009 $1,009 4.8×
Slp caregiver training 1st 30 min (97550) $163 $163 3.1×
Speech sound lang comprehen (92523) $446 $446 2.0×
Spirometry (94010) $340 $340 1.6×
Stress Tte Only (93350) $2,124 $2,124 4.0×
Surfactant Admin Thru Tube (94610) $784 $784 3.7×
Temp transcutaneous pacing (92953) $1,616 $1,616 2.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $138 $138 6.2×
Ther Ivntj Ea Addl 15 Min (97130) $74 $74 3.5×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $239 $239 6.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $136 $136 4.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $338 $338 3.3×
Ther/Proph/Diag Inj Ia (96373) $143 $143 0.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$253–$280 $253–$280 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines
$877–$964 $877–$964 varies
Therapeutic Activities (97530) $154 $154 4.4×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,148 $2,148 5.9×
Transcath Closure of Asd (93580) $57,666 $57,666 3.2×
Tte w/doppler, complete (93306) $3,594 $3,594 6.8×
Tx atrial fib pulm vein isol (93656) $94,021 $94,021 3.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $224 $224 2.9×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $112 $112 4.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $362 $362 8.0×
Unlisted cardiovascular service/procedure (93799) $18,234 $18,234 145.8×
Unlisted noninvasive vascular diagnostic study (93998) $136 $136 4.8×
Upr/L Xtremity Art 2 Levels (93922)
range across 5 matching MRF lines
$644–$709 $644–$709 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 4 matching MRF lines
$748–$782 $748–$782 varies
Valvuloplasty aortic valve (92986) $17,003 $17,003 3.1×
Vasopneumatic device (97016) $143 $143 11.9×
Veeg 2-12 Hr Cont Mntr (95713) $1,802 $1,802 5.0×
Veeg 2-12 hr intmt mntr (95712) $1,110 $1,110 3.1×
Veeg 2-12 hr unmonitored (95711) $1,110 $1,110 5.3×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,802 $1,802 5.0×
Veeg Ea 12-26 Hr Unmntr (95714) $1,802 $1,802 5.0×
Veeg ea 12-26hr cont mntr (95716) $2,451 $2,451 2.9×
Vent Mgmt Inpat Init Day (94002) $1,333 $1,333 2.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 3 matching MRF lines
$785–$1,433 $785–$1,433 varies
Vital capacity, total (94150) $239 $239 1.9×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$143–$150 $143–$150 varies
Whirlpool Therapy (97022) $140 $140 8.9×

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.