Visits & medical services prices at Carroll County Memorial Hospital
Carrollton, MO · every code in this section with a posted price and a Medicare benchmark.
185 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | — | $570 | — |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 2 matching MRF lines |
$15.75 | $21–$75 | 0.4× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) range across 2 matching MRF lines |
$71.25 | $75–$95 | 2.5× |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$82.50 | $110–$275 | 0.9× |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$48.75 | $65–$260 | 0.4× |
| Analyze Neurostim Simple (95971) | — | $320 | — |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | — | $85 | — |
| Application Modality 1/> Areas Diathermy (97024) | — | $75 | — |
| Application Modality 1/> Areas Infrared (97026) | — | $75 | — |
| Application on-body injector (96377) | — | $5,925 | — |
| Assessment of aphasia per hr (96105) | — | $290 | — |
| Behavral qualit analys voice (92524) | — | $305 | — |
| Blink reflex test (95933) range across 2 matching MRF lines |
$146.25 | $130–$195 | 2.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 6 matching MRF lines |
$26.25 | $35–$785 | 0.1× |
| Canalith repositioning proc (95992) | $71.25 | $95 | 1.7× |
| Cardiac Stress Tst,Tracing Only (93017) range across 5 matching MRF lines |
— | $330–$620 | — |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$420–$427.50 | $560–$825 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$243.75 | $103–$365 | 0.4× |
| Cbt 1st hour (94644) | — | $310 | — |
| Chemo Anti-Neopl Sq/Im (96401) | — | $195 | — |
| Chemo Hormon Antineopl Sq/Im (96402) | — | $195 | — |
| Chemo Intralesional Over 7 (96406) range across 2 matching MRF lines |
$97.50 | $130–$395 | 0.5× |
| Chemo intralesional up to 7 (96405) range across 2 matching MRF lines |
$67.50 | $90–$110 | 0.9× |
| Chemo IV infusion addl hr (96415) | — | $195 | — |
| Chemo IV push addl drug (96411) | — | $195 | — |
| Chemother Prolong Infuse W/Pump (96416) | — | $980 | — |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | — | $195 | — |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | — | $980 | — |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | — | $630 | — |
| Color/duplex Doppler, complete (93975) range across 4 matching MRF lines |
$127.50 | $170–$1,340 | 0.5× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$90 | $120–$880 | 0.9× |
| Continuous Pulse Ox (94762) | — | $205 | — |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | — | $570 | — |
| Cpt initial (94667) range across 2 matching MRF lines |
— | $90–$290 | — |
| Critical care first hour (99291) range across 6 matching MRF lines |
$502.50 | $670–$2,370 | 0.6× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$82.50–$142.50 | $110–$770 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$90 | $120–$1,135 | 0.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$56.25 | $75–$535 | 0.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$90 | $120–$1,240 | 0.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 8 matching MRF lines |
$41.25–$56.25 | $55–$990 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 6 matching MRF lines |
$78.75 | $105–$1,445 | 0.3× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 12 matching MRF lines |
$52.50 | $70–$930 | 0.5× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$90 | $120–$1,445 | 0.4× |
| Duplex up extrem art unilat/ltd (93931) range across 4 matching MRF lines |
$56.25 | $75–$980 | 0.5× |
| Ear and throat examination (92502) range across 2 matching MRF lines |
$210 | $280–$1,420 | 0.4× |
| Echo Heart Xthoracic,Limited (93308) | — | $1,135 | — |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | — | $2,475 | — |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$727.50 | $470–$970 | 3.4× |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$596.25 | $470–$795 | 2.8× |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$78.75 | $105–$560 | 0.2× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$855 | $470–$1,140 | 4.0× |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$607.50 | $470–$810 | 2.8× |
| Electrocardiogram Tracing (93005) | — | $335 | — |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$116.25 | $155–$465 | 0.8× |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$195 | $260–$775 | 0.7× |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$311.25 | $415–$1,185 | 0.7× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$360 | $330–$480 | 2.8× |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$412.50 | $330–$550 | 3.2× |
| Er level 1 (99281) range across 3 matching MRF lines |
$60 | $80–$260 | 0.7× |
| Er level v (99285) range across 3 matching MRF lines |
$427.50 | $570–$1,650 | 0.7× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $125 | $150 | 1.0× |
| Evaluate pt use of inhaler (94664) | — | $90 | — |
| Evaluate Speech Production (92522) | — | $305 | — |
| Evaluate Swallowing Function (92610) | — | $305 | — |
| Evaluation of speech fluency (92521) | — | $360 | — |
| External ECG rec>48hr<7d recording (93242) | — | $110 | — |
| External ECG rec>7d<15d recording (93246) | — | $180 | — |
| Extracranial Bilat Study (93880) range across 4 matching MRF lines |
$90 | $120–$1,340 | 0.4× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) range across 2 matching MRF lines |
$506.25 | $560–$675 | 0.6× |
| Health Behavior Assessment/Re-Assessment (96156) range across 2 matching MRF lines |
$52.50 | $70–$200 | 0.5× |
| Holter monitor recording (93225) range across 3 matching MRF lines |
— | $205–$415 | — |
| Icd Device Interrogate (93289) | — | $110 | — |
| Immunization administration (90471) range across 5 matching MRF lines |
— | $52–$55 | — |
| Ingestion challenge test initial 120 minutes (95076) range across 2 matching MRF lines |
$168.75 | $225–$1,135 | 0.5× |
| Intracutaneous tests w/allergenic extracts (95024) range across 2 matching MRF lines |
$15 | $20–$140 | 0.3× |
| Iontophoresis 15 min (97033) | — | $85 | — |
| Irrig Drug Delivery Device (96523) | — | $180 | — |
| Ischemic limb exercise test (95875) range across 2 matching MRF lines |
$225 | $300–$330 | 1.7× |
| IV infusion hydration each additional hour (96361) | — | $125 | — |
| IV infusion hydration initial 31 min-1 hour (96360) | — | $630 | — |
| IV infusion ther proph addl sequential to 1 hr (96367) | — | $195 | — |
| IV infusion therapy prophylaxis/dx ea hour (96366) | — | $125 | — |
| IV push initial (96374) | — | $630 | — |
| Lung Function Test (Mbc/Mvv) (94200) | — | $130 | — |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 5 matching MRF lines |
$60 | $80–$1,240 | 0.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
— | $16–$30 | — |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | — | $30 | — |
| Motion Fluoroscopy/Swallow (92611) | — | $460 | — |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) range across 2 matching MRF lines |
$116.25 | $130–$155 | 0.3× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$157.50 | $210–$2,060 | 0.2× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$296.25 | $330–$395 | 2.2× |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$150 | $140–$200 | 1.1× |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$213.75 | $130–$285 | 1.6× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$228.75 | $305–$330 | 1.1× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$165 | $220–$330 | 0.8× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$131.25 | $130–$175 | 0.6× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) range across 2 matching MRF lines |
$371.25 | $330–$495 | 1.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 4 matching MRF lines |
$52.50 | $70–$990 | 0.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$60 | $80–$990 | 0.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | — | $545 | — |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$63.75 | $85–$990 | 0.2× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$168.75 | $225–$330 | 0.8× |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$472.50 | $560–$630 | 1.3× |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$547.50 | $560–$730 | 1.5× |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$210 | $280–$560 | 1.0× |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$251.25 | $335–$560 | 1.2× |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$330 | $440–$560 | 0.9× |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$401.25 | $535–$560 | 1.1× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$142.50 | $130–$190 | 1.1× |
| Neuromuscular Reeducation (97112) | — | $140 | — |
| Nonphysician Telephone Assessment 11-20 Min (98967) | — | $85 | — |
| Nonphysician Telephone Assessment 21-30 Min (98968) | — | $125 | — |
| Nonphysician Telephone Assessment 5-10 Min (98966) | — | $42 | — |
| Oral Function Therapy (92526) | — | $260 | — |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | — | $115 | — |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$45 | $47–$60 | 2.1× |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$67.50 | $47–$90 | 3.1× |
| Ot Contrast Bath Ea 15 Min (97034) | — | $95 | — |
| Ot eval high complexity (97167) | — | $295 | — |
| Ot Eval Low Complex (97165) | — | $295 | — |
| Ot Eval Moderate Complexity (97166) | — | $295 | — |
| Ot manual therapy 15 min (97140) | — | $140 | — |
| Ot paraffin bath (97018) | — | $75 | — |
| Ot Prosthetic Training, Each 15 Min (97761) | — | $140 | — |
| Ot Re-Eval Est Plan Care (97168) | — | $190 | — |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | — | $340 | — |
| Patch/Application Test Specify Number Tests (95044) | $15 | $655 | 0.0× |
| Pdt dstr prmlg les skn illum/activj per day (96567) range across 2 matching MRF lines |
$273.75 | $325–$365 | 1.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | — | $515 | — |
| Percutaneous tests w/allergenic extracts (95004) | $15.75 | $660 | 0.0× |
| Phlebotomy therapeutic (99195) | — | $365 | — |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | — | $185 | — |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | — | $185 | — |
| Pm device eval in person (93288) range across 2 matching MRF lines |
— | $45–$110 | — |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$273.75 | $365–$3,760 | 0.3× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | — | $35 | — |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | — | $100 | — |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | — | $120 | — |
| Psychiatric diagnostic evaluation (90791) | $292.50 | $390 | 1.6× |
| Pt Eval High Complex (97163) | — | $295 | — |
| Pt eval low complex 20 min (97161) | — | $295 | — |
| Pt Eval Mod Complex (97162) | — | $295 | — |
| Pt gait training 15 min (97116) | — | $140 | — |
| Pt mechanical traction (97012) | — | $75 | — |
| Pt Re-Eval Est Plan Care (97164) | — | $190 | — |
| Pulm function test by gas (94727) range across 4 matching MRF lines |
$30 | $40–$440 | 0.1× |
| Pulmonary Stress Testing (94618) | — | $310 | — |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | — | $70 | — |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | — | $105 | — |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | — | $40 | — |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | — | $955 | — |
| Remote 30 Day Ecg Rev/Report (93270) | — | $120 | — |
| Remote 30 Day Ecg Tech Supp (93229) | — | $80 | — |
| Respiratory flow volume loop (94375) range across 4 matching MRF lines |
$33.75 | $45–$870 | 0.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
— | $75–$210 | — |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
— | $190–$545 | — |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | — | $375 | — |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | — | $155 | — |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) range across 2 matching MRF lines |
$753.75 | $330–$1,005 | 2.0× |
| Self Care Mngment Training (97535) | — | $95 | — |
| Sensory Integration Ea 15 Min (97533) | — | $140 | — |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$116.25 | $155–$825 | 0.5× |
| Speech sound lang comprehen (92523) | — | $615 | — |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$93.75 | $125–$635 | 0.3× |
| Spirometry (94010) range across 4 matching MRF lines |
$19.50 | $26–$430 | 0.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | — | $125 | — |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | — | $140 | — |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | — | $140 | — |
| Ther/Proph/Diag Inj Sc/Im (96372) | — | $195 | — |
| Ther/Proph/Diag Iv Inf Init (96365) | — | $630 | — |
| Therapeutic Activities (97530) | — | $140 | — |
| Tte w/doppler, complete (93306) | — | $2,060 | — |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | — | $390 | — |
| Tx/Pro/Dx Inj New Drug Addon (96375) | — | $125 | — |
| Unlisted allergy/clinical immunologic srvc/px (95199) | — | $35 | — |
| Unlisted Special Dermatological Service/Px (96999) range across 3 matching MRF lines |
$63.75 | $85–$850 | 0.3× |
| Upr/L Xtremity Art 2 Levels (93922) range across 8 matching MRF lines |
$33.75 | $45–$620 | 0.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 6 matching MRF lines |
$52.50 | $70–$695 | 0.2× |
| Vasopneumatic device (97016) | — | $75 | — |
| Vent Mgmt Inpat Init Day (94002) | — | $1,500 | — |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | — | $1,500 | — |
| Vital capacity, total (94150) range across 2 matching MRF lines |
— | $130–$375 | — |
| Wada Activation Test Hemispheric Function W/Eeg (95958) range across 2 matching MRF lines |
$978.75 | $1,305–$2,225 | 1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | — | $140 | — |
| Whirlpool Therapy (97022) | — | $75 | — |
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.