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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $84.26 $168.52 0.4×
Assessment of aphasia (96105) $73.50 $147 0.8×
Behavioral and qualitative analysis of voice and resonance (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 (95992) $50 $100 1.2×
Cardiopulmonary exercise testing (94621) $249 $498 0.8×
Cardiopulmonary resuscitation (92950) $119 $238 0.6×
Caregiver training 1st 30 min (97550) $22.05 $44.11 0.4×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $11.82 $23.64 0.5×
Cbt 1st hour (94644) $62.50 $125 0.5×
Color/duplex Doppler, complete (93975) $300 $600 1.4×
Cpap initiation and management (94660) $77 $154 0.4×
Cpt initial (94667) $73.75 $147.50 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $40.50 $81 0.2×
Demo &/or eval,pt use,aerosol device (94664) $84.26 $168.52 0.4×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $132.50 $265 0.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $87.50 $175 1.0×
Dup-scan xtr veins unilateral/limited study (93971) $108.50 $217 1.2×
Duplex scan extracranial art compl bi study (93880) $313 $626 1.5×
EEG awake 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 w/o vid by tech ea incr 12-26hr unmonitored (95708) $242.80 $485.61 0.7×
EKG (93005) $60.30 $120.60 1.2×
EKG rhythm strip (93041) $73.34 $146.68 1.4×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $750 $1,500 4.0×
EMG four extremities (95864) $69.77 $139.55 0.6×
EMG one extremity (95860) $55.97 $111.95 0.5×
EMG three extremities (95863) $69.77 $139.55 0.6×
EMG two extremities (95861) $55.97 $111.95 0.5×
Er level 1 (99281) $60 $120 0.8×
Er level ii (99282) $104 $208 0.8×
Er level iii (99283) $169 $338 0.7×
Er level IV (99284) $208 $416 0.6×
Er level v (99285) $260 $520 0.5×
Evaluation of speech sound production (92522) $61.50 $123 0.5×
Evaluation of swallowing function (92610) $47.35 $94.71 0.6×
Exercise tst brncspsm (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×
Flow volume loop (94375) $191.73 $383.46 1.0×
Group Therapeutic Procedures (97150) $22.50 $45 1.2×
Immunization Admin (90471) $29.25 $58.50 0.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $87.10 $174.20 1.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $135.80 $271.61 0.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $26.56 $53.13 0.6×
IV push initial (96374) $72.15 $144.30 0.4×
Manual therapy 15 min (97140) $49.56 $99.12 1.8×
Massage 15 min (97124) $22.50 $45 0.8×
Maximum voluntary ventilation (94200) $81.23 $162.47 1.6×
Mechanical chest wall oscillation (94669) $118.25 $236.50 0.6×
Mechanical traction (97012) $57.20 $114.40 4.0×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $115 $230 1.3×
Multiple sleep latency test (95805) $1,135 $2,270 1.5×
Nerve conduction studies 13/> studies (95913) $243.89 $487.78 0.7×
Nerve Conduction Studies 3-4 Studies (95908) $132.22 $264.45 0.7×
Nerve Conduction Studies 9-10 Studies (95911) $243.89 $487.78 0.7×
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; 5-6 studies (95909) $132.22 $264.45 0.7×
Nerve conduction studies; 7-8 studies (95910) $132.22 $264.45 0.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $132.50 $265 1.1×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $128.97 $257.95 0.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $53 $106 0.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $48.50 $97 1.1×
Ot eval high complex 60 min (97167) $135 $270 1.3×
Ot eval low complex 30 min (97165) $86.62 $173.25 0.9×
Ot eval mod complex 45 min (97166) $91.24 $182.49 0.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $50.47 $100.94 1.0×
Ot Prosthetic Training, Each 15 Min (97761) $18.50 $37 0.5×
Ot Range Motion Measure,Each Extrem (95851) $17 $34 0.7×
Paraffin bath (97018) $23.75 $47.50 4.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $187 $374 1.0×
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 Electric Current Therapy (97033) $64.55 $129.10 3.4×
Pt Electrical Stimulation (97032) $39.50 $79 2.7×
Pt eval high complex 45 min (97163) $64.68 $129.36 0.7×
Pt eval low complex 20 min (97161) $46.80 $93.60 0.5×
Pt Gait Training Therapy (97116) $26.95 $53.90 0.9×
Pt group caregiver training (97552) $5.19 $10.38 0.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $37.15 $74.30 1.1×
Pt Physical Performance Test (97750) $48.50 $97 1.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $47.74 $95.48 0.5×
Pt re-evaluation (97164) $26 $52 0.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $35.80 $71.61 1.1×
Pt Ultrasound Therapy (97035) $35.04 $70.09 2.4×
Pt Whirlpool Therapy (97022) $48 $96 3.1×
Pulm function test by gas (94727) $376.08 $752.17 2.0×
Pulmonary stress testing (94618) $67 $134 0.6×
Rt Chest Wall Manipulation,Subsequent (94668) $54.12 $108.24 0.5×
Sleep study attended (95807) $1,135 $2,270 3.5×
Sleep study unattended (95806) $600 $1,200 3.2×
Speech sound lang comprehen (92523) $163.24 $326.48 0.7×
Spirometry (94010) $276.20 $127.98 1.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $76.19 $152.39 3.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $76.19 $152.39 3.6×
Ther/Proph/Diag Inj Sc/Im (96372) $29.25 $58.50 0.5×
Therapeutic Activities (97530) $42.04 $84.08 1.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $703.95 $1,407.90 1.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $42.35 $84.70 0.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $42.35 $84.70 0.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $72.15 $144.30 1.8×
Unlisted pulmonary service/procedure (94799) $136.50 $273 1.2×
Vasc Duplex Extrem Venous,Bilat (93970) $163.50 $327 0.8×
Veeg by tech 2-12 hr intermittent monitoring (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×
Ventilation assist & mgmt inpatient 1st 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×