Visits & medical services prices at Community Hospital – Fairfax

Fairfax, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $129 $129 1.3×
Airway inhalation treatment (94640) $281 $281 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $585 $585 1.6×
Cardiac Stress Tst,Tracing Only (93017) $1,163 $1,163 5.4×
Cardioversion (92960) $982.50 $982.50 1.5×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $99 $99 1.0×
Cpap initiation and management (94660) $281 $281 1.3×
Cpt initial (94667) $231 $231 1.7×
Critical care (99291) $996 $996 1.2×
Demo &/or eval,pt use,aerosol device (94664) $281 $281 1.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $527.50 $527.50 2.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $404 $404 3.9×
Dup-scan xtr veins unilateral/limited study (93971) $888 $888 8.5×
Duplex scan extracranial art compl bi study (93880) $573 $573 2.4×
Echo Heart Xthoracic,Limited (93308) $618 $618 2.6×
EKG (93005) $282 $282 4.8×
Er level 1 (99281) $200 $200 2.4×
Er level ii (99282) $150 $150 1.0×
Er level iii (99283) $350 $350 1.3×
Er level IV (99284) $525 $525 1.3×
Er level v (99285) $850 $850 1.4×
Evaluation of swallowing function (92610) $295 $295 3.5×
External Ecg Scanning Analysis Report (93226) $624 $624 10.6×
Holter Monitor Recording (93225) $284 $284 2.1×
Immunization Admin (90471) $20 $20 0.3×
Immunotherapy, 2+ Injections (95117) $30 $30 0.6×
Inital newborn e/m (99460) $100 $100 0.7×
IV infusion hydration each additional hour (96361) $106 $106 2.3×
IV infusion hydration initial 31 min-1 hour (96360) $381 $381 1.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $131 $131 1.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $424.50 $424.50 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $106 $106 2.3×
IV push initial (96374) $318 $318 1.5×
Manual therapy 15 min (97140) $123 $123 4.4×
Mechanical traction (97012) $66 $66 4.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $29 $29 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $214 $214 1.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $472 $472 3.7×
Ot eval high complex 60 min (97167) $290 $290 2.9×
Ot eval low complex 30 min (97165) $290 $290 2.9×
Ot eval mod complex 45 min (97166) $290 $290 2.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $310 $310 2.4×
Paraffin bath (97018) $55 $55 9.2×
Plethysmography (94726) $383 $383 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,969 $3,969 4.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $28 $28 0.6×
Psych diag eval w/med srvcs (90792) $210 $210 1.2×
Pt Electrical Stimulation (97032) $53 $53 3.6×
Pt eval high complex 45 min (97163) $261 $261 2.7×
Pt eval low complex 20 min (97161) $261 $261 2.7×
Pt Gait Training Therapy (97116) $97 $97 3.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $114 $114 3.5×
Pt Physical Performance Test (97750) $114 $114 3.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $261 $261 2.7×
Pt re-evaluation (97164) $109 $109 1.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $119 $119 3.7×
Pt Ultrasound Therapy (97035) $57 $57 4.0×
Pt Whirlpool Therapy (97022) $63 $63 4.0×
Pulmonary stress testing (94618) $158 $158 1.2×
Rt Chest Wall Manipulation,Subsequent (94668) $231 $231 1.7×
Standardized Cognitive Performance Testing (96125) $321 $321 3.1×
Ther/Proph/Diag Inj Sc/Im (96372) $75.50 $75.50 1.0×
Therapeutic Activities (97530) $118 $118 3.4×
Therapeutic phlebotomy (99195) $121 $121 0.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,751 $1,751 3.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $334 $334 4.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $301 $301 3.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $131 $131 2.8×
Vasc Duplex Extrem Venous,Bilat (93970) $633 $633 2.6×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $474 $474 2.2×
Vasopneumatic device (97016) $70 $70 5.8×
Ventilation assist & mgmt inpatient 1st day (94002) $692 $692 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $86 $86 2.8×