Visits & medical services prices at Claiborne County Medical Center

Port Gibson, MS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $444.60 $494 2.4×
Anogenital exam, child (99170) $156.44 $173.82 0.9×
Assessment of aphasia (96105) $197.10 $219 2.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $215.10 $239 0.7×
Cardiac Stress Tst,Tracing Only (93017) $307.78 $341.98 1.7×
Cardiopulmonary resuscitation (92950) $551.74 $613.04 3.0×
Cbt 1st hour (94644) $180 $200 1.6×
Color/duplex Doppler, complete (93975) $558.14 $620.15 2.7×
Cpap initiation and management (94660) $1,044 $1,160 5.5×
Cpt initial (94667) $229.16 $254.63 2.0×
Critical care (99291) $3,420 $3,800 4.8×
Debridement Open Wound 20 Sq Cm< (97597) $395.10 $439 2.3×
Demo &/or eval,pt use,aerosol device (94664) $444.60 $494 2.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $611.37 $679.30 3.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $371.70 $413 4.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $564.78 $627.53 2.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $371.70 $413 4.1×
Dup-scan xtr veins unilateral/limited study (93971) $297 $330 3.3×
Duplex scan extracranial art compl bi study (93880) $591.86 $657.63 2.9×
EKG (93005) $148.50 $165 2.9×
EKG rhythm strip (93041) $459 $510 9.0×
Er level 1 (99281) $131.85 $146.50 1.8×
Er level ii (99282) $231.30 $257 1.7×
Er level iii (99283) $403.65 $448.50 1.7×
Er level IV (99284) $699.75 $777.50 1.9×
Er level v (99285) $1,075.50 $1,195 2.1×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $214.20 $238 3.0×
Evaluation of swallowing function (92610) $217.80 $242 2.6×
Eye exam, new patient,comprehesv (92004) $157.93 $175.48 1.4×
Group Therapeutic Procedures (97150) $60.75 $67.50 3.4×
Immunization Admin (90471) $209.25 $232.50 3.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $59.40 $66 1.2×
IV infusion hydration each additional hour (96361) $106.20 $118 2.6×
IV infusion hydration initial 31 min-1 hour (96360) $381.60 $424 2.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $158.40 $176 2.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $620.10 $689 3.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $106.20 $118 2.6×
IV push initial (96374) $381.60 $424 2.1×
Manual therapy 15 min (97140) $53.10 $59 1.9×
Massage 15 min (97124) $70.65 $78.50 2.4×
Maximum voluntary ventilation (94200) $296.33 $329.26 5.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $72 $80 2.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $72 $80 2.0×
Mnt Group Ea 30 Min (97804) $72 $80 4.2×
Multiple Family Group Psychotherapy (90849) $126 $140 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $742.50 $825 6.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $499.02 $554.47 2.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $607.50 $675 5.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $88.20 $98 1.9×
Ot Contrast Bath Ea 15 Min (97034) $44.10 $49 3.1×
Ot eval high complex 60 min (97167) $142.20 $158 1.4×
Ot eval low complex 30 min (97165) $142.20 $158 1.4×
Ot eval mod complex 45 min (97166) $142.20 $158 1.4×
Ot Prosthetic Training, Each 15 Min (97761) $45 $50 1.1×
Ot Range Motion Measure,Each Extrem (95851) $51.30 $57 2.0×
Ot re-eval est plan care (97168) $88.20 $98 1.3×
Paraffin bath (97018) $57.60 $64 9.6×
Pm device progr eval dual (93280) $58.44 $64.94 1.8×
Pm device progr eval sngl (93279) $46.46 $51.63 1.4×
Pr unlisted procedure psychiatric service/therapy, psychiatric service (90899) $180 $200 5.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $32.40 $36 0.8×
Programming of dual lead implantable defibrillator system (93283) $83.25 $92.50 2.6×
Programming of single lead implantable defibrillator system (93282) $67.34 $74.82 2.1×
Psych diag eval w/med srvcs (90792) $384.30 $427 2.5×
Pt Electric Current Therapy (97033) $55.35 $61.50 2.9×
Pt Electrical Stimulation (97032) $94.50 $105 6.4×
Pt eval high complex 45 min (97163) $142.20 $158 1.5×
Pt eval low complex 20 min (97161) $142.20 $158 1.5×
Pt Gait Training Therapy (97116) $83.70 $93 2.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $83.70 $93 2.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $142.20 $158 1.5×
Pt re-evaluation (97164) $88.20 $98 1.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $76.95 $85.50 2.4×
Pt Ultrasound Therapy (97035) $51.30 $57 3.6×
Pt Whirlpool Therapy (97022) $90.90 $101 5.8×
Rt Chest Wall Manipulation,Subsequent (94668) $148.50 $165 1.3×
Sensory Integration Ea 15 Min (97533) $57.60 $64 0.9×
Short-latency somatosens ep std lwr limbs (95926) $265.64 $295.16 1.4×
Speech group therapy (92508) $86.40 $96 3.6×
Spirometry (94010) $290.30 $322.56 1.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $97.20 $108 4.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $97.20 $108 4.6×
Ther/Proph/Diag Inj Sc/Im (96372) $238.50 $265 3.8×
Therapeutic Activities (97530) $99.90 $111 2.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $585 $650 1.2×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $81.09 $90.10 0.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $158.40 $176 2.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $144.90 $161 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $49.50 $55 1.2×
Unlisted pulmonary service/procedure (94799) $290.30 $322.56 2.6×
Vasc Duplex Extrem Venous,Bilat (93970) $710.68 $789.65 3.5×
Vasc Duplex Scan Extracranial,Limited (93882) $1,102.50 $1,225 12.2×
Vasopneumatic device (97016) $34.20 $38 2.8×
Ventilation assist & mgmt inpatient 1st day (94002) $243 $270 0.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $175.50 $195 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $51.30 $57 1.7×