Visits & medical services prices at Clinch Memorial Hospital

Homerville, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$31.50–$143.99 $63–$287.98 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 6 matching MRF lines
$28.49–$41.60 $56.98–$83.20 varies
Assessment of aphasia per hr (96105) $73.50 $147 0.8×
Behavral qualit analys voice (92524) $129.50 $259 1.2×
Biofeedback training any modality (90901) $16 $32 0.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $712.69 $1,425.39 2.2×
Canalith repositioning proc (95992) $50 $100 1.2×
Cardiopulmonary exercise testing (94621) $249 $498 0.8×
Cardiopulmonary resuscitation (92950) $119 $238 0.6×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $11.82 $23.64 0.5×
Cbt 1st hour (94644) $62.50 $125 0.5×
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$27–$81.23 $54–$162.47 varies
Color/duplex Doppler, complete (93975) $300 $600 1.4×
Continuous Pulse Ox (94762) $53 $106 0.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 5 matching MRF lines
$77–$187 $154–$374 varies
Cpt initial (94667)
range across 2 matching MRF lines
$42–$105.50 $84–$211 varies
Debridement Open Wound 20 Sq Cm< (97597) $40.50 $81 0.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $87.50 $175 0.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $72.50 $145 0.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $163.50 $327 0.8×
Dup-scan xtr veins unilateral/limited study (93971) $108.50 $217 1.2×
Duplex up extrem art bilat (93930) $132.50 $265 0.6×
Duplex up extrem art unilat/ltd (93931) $87.50 $175 1.0×
Eeg 41-60 Minutes (95812) $750 $1,500 4.0×
EEG awake and asleep (95819) $600 $1,200 3.2×
EEG awake drowsy (95816) $750 $1,500 4.0×
EEG cont rec w/video by tech min 8 channels (95700) $126.55 $253.10 0.7×
EEG wo vid ea 12-26hr unmntr (95708) $242.80 $485.61 0.7×
Electrical Stimulation Ea 15 Min (97032) $39.50 $79 2.7×
Electrocardiogram Tracing (93005) $60.30 $120.60 1.2×
Emergency Dept Visit Level 2 (99282) $104 $208 0.8×
Emergency Dept Visit Level 3 (99283) $169 $338 0.7×
Emergency Dept Visit Level 4 (99284) $208 $416 0.6×
Emg 3 Extremities (95863) $69.77 $139.55 0.6×
Emg 4 Extremities (95864) $69.77 $139.55 0.6×
Er level 1 (99281) $60 $120 0.8×
Er level v (99285) $260 $520 0.5×
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines
$31.50–$187 $63–$374 varies
Evaluate Speech Production (92522) $61.50 $123 0.5×
Evaluate Swallowing Function (92610) $47.35 $94.71 0.6×
Exercise test for bronchospasm (94617) $105.50 $211 0.9×
External ECG rec>48hr<7d recording (93242) $16.92 $33.84 0.5×
External ECG rec>48hr<7d scanning alys w/report (93243) $27.83 $55.66 0.2×
External ECG rec>7d<15d recording (93246) $27.83 $55.66 0.9×
External ECG rec>7d<15d scanning alys w/report (93247) $55.97 $111.95 0.5×
Extracranial Bilat Study (93880) $313 $626 1.5×
Group Therapeutic Procedures (97150) $22.50 $45 1.2×
Immunization administration (90471) $29.25 $58.50 0.5×
Iontophoresis 15 min (97033)
range across 6 matching MRF lines
$48.50–$80.60 $97–$161.20 varies
Irrig Drug Delivery Device (96523) $98.94 $197.89 1.9×
IV infusion hydration each additional hour (96361) $87.10 $174.20 2.1×
IV infusion hydration initial 31 min-1 hour (96360) $135.80 $271.61 0.7×
IV infusion ther proph addl sequential to 1 hr (96367) $87.10 $174.20 1.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $26.56 $53.13 0.6×
IV push initial (96374) $72.15 $144.30 0.4×
Lung Function Test (Mbc/Mvv) (94200) $81.23 $162.47 1.6×
Mechanical chest wall oscillation per session (94669)
range across 2 matching MRF lines
$50–$186.50 $100–$373 varies
Motion Fluoroscopy/Swallow (92611) $115 $230 1.3×
Multiple Sleep Latency Test (95805) $1,135 $2,270 1.5×
Muscle Test 2 Limbs (95861) $55.97 $111.95 0.5×
Muscle Test One Limb (95860) $55.97 $111.95 0.5×
Nerve Conduction Studies 1-2 Studies (95907) $69.77 $139.55 0.4×
Nerve Conduction Studies 11-12 Studies (95912) $243.89 $487.78 0.7×
Nerve conduction studies 13 or more studies (95913) $243.89 $487.78 0.7×
Nerve Conduction Studies 3-4 Studies (95908) $132.22 $264.45 0.7×
Nerve conduction studies 5-6 studies (95909) $132.22 $264.45 0.7×
Nerve conduction studies 7-8 studies (95910) $132.22 $264.45 0.4×
Nerve Conduction Studies 9-10 Studies (95911) $243.89 $487.78 0.7×
Neuromuscular Reeducation (97112)
range across 6 matching MRF lines
$36.57–$37.73 $73.15–$75.46 varies
Oral Function Therapy (92526) $42.35 $84.70 0.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $50.47 $100.94 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $48.50 $97 1.1×
Ot eval high complexity (97167) $135 $270 1.3×
Ot Eval Low Complex (97165) $86.62 $173.25 0.9×
Ot Eval Moderate Complexity (97166) $91.24 $182.49 0.9×
Ot manual therapy 15 min (97140)
range across 6 matching MRF lines
$35.42–$63.70 $70.84–$127.40 varies
Ot paraffin bath (97018)
range across 6 matching MRF lines
$23–$24.50 $46–$49 varies
Ot Prosthetic Training, Each 15 Min (97761) $18.50 $37 0.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $187 $374 1.0×
Physical Performance Test (97750) $48.50 $97 1.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,135 $2,270 1.5×
Polysom <6 yrs 4/> paramtrs (95782) $1,702.50 $3,405 2.3×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,702.50 $3,405 2.3×
Pt Eval High Complex (97163) $64.68 $129.36 0.7×
Pt eval low complex 20 min (97161) $46.80 $93.60 0.5×
Pt Eval Mod Complex (97162) $47.74 $95.48 0.5×
Pt gait training 15 min (97116) $26.95 $53.90 0.9×
Pt group caregiver training (97552) $5.19 $10.38 0.2×
Pt mechanical traction (97012) $57.20 $114.40 4.0×
Pt Re-Eval Est Plan Care (97164) $26 $52 0.4×
Pulm function test by gas (94727) $376.08 $752.17 2.0×
Pulmonary service/procedure (94799) $136.50 $273 1.2×
Pulmonary Stress Testing (94618) $67 $134 0.6×
Respiratory flow volume loop (94375) $191.73 $383.46 1.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 2 matching MRF lines
$44.66–$102.02 $89.32–$204.05 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $17 $34 0.7×
Self Care Mngment Training (97535) $35.80 $71.61 1.1×
Sleep study attended (95807) $1,135 $2,270 3.5×
Sleep study unattended (95806) $600 $1,200 3.2×
Slp caregiver training 1st 30 min (97550) $22.05 $44.11 0.4×
Speech sound lang comprehen (92523) $163.24 $326.48 0.7×
Spirometry (94010)
range across 3 matching MRF lines
$63.99–$488.42 $20–$976.85 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $76.19 $152.39 3.4×
Ther Ivntj Ea Addl 15 Min (97130)
range across 3 matching MRF lines
$73.81–$76.19 $147.63–$152.39 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $22.50 $45 0.8×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$29.25–$90.03 $58.50–$180.07 varies
Ther/Proph/Diag Iv Inf Init (96365) $135.80 $271.61 0.7×
Therapeutic Activities (97530)
range across 6 matching MRF lines
$36.57–$47.50 $73.15–$95 varies
Tte w/doppler, complete (93306) $703.95 $1,407.90 1.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $42.35 $84.70 0.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $72.15 $144.30 1.8×
Upr/L Xtremity Art 2 Levels (93922) $132.50 $265 1.1×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $128.97 $257.95 0.7×
Veeg 2-12 hr intmt mntr (95712) $980.21 $1,960.42 3.0×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,692 $3,384.01 5.2×
Veeg Ea 12-26 Hr Unmntr (95714) $1,692 $3,384.01 5.2×
Vent Mgmt Inpat Init Day (94002) $67.50 $135 0.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $244.95 $489.91 0.5×
Vital capacity, total (94150) $136.50 $273 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $42.50 $85 1.4×
Whirlpool Therapy (97022) $48 $96 3.1×

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.