Visits & medical services prices at Community Hospital of Stokes

Danbury, NC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Administration of prolonged chemotherapy into artery (96425) $958.96 $1,410.24 3.0×
Airway inhalation treatment (94640) $136.73 $201.07 0.6×
Analyze Neurostim Complex (95972) $742.56 $1,092 8.1×
Assessment of aphasia (96105) $313.51 $461.04 3.2×
Behavioral and qualitative analysis of voice and resonance (92524) $288.92 $424.88 2.6×
Biofeedback training any modality (90901) $63.01 $92.66 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $456.43 $671.22 1.3×
Canalith Repositioning (95992) $116.80 $171.76 2.9×
Cardiac Stress Tst,Tracing Only (93017) $822.19 $1,209.10 3.9×
Cardiopulmonary resuscitation (92950) $720.76 $1,059.94 3.4×
Cardioversion (92960) $813.78 $1,196.73 1.3×
Cbt 1st hour (94644) $210.54 $309.62 1.6×
Chemo Hormon Antineopl Sq/Im (96402) $127.36 $187.30 1.8×
Chemo IV push addl drug (96411) $335.02 $492.68 4.8×
Chemo Iv Push Sngl Drug (96409) $379.98 $558.80 1.2×
Chemo prolong 8+ hrs infuse w/pump (96416) $958.96 $1,410.24 3.0×
Chemother, IV infusion, 1 hr (96413) $958.96 $1,410.24 3.0×
Chemother, IV infusion, ea add hr (96415) $127.36 $187.30 1.8×
Chemother,ia infusn tech,<1 hr (96422) $958.96 $1,410.24 3.0×
Chemother,Ia Push Technique (96420) $335.02 $492.68 1.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $127.16 $187 1.8×
Chemotherapy admn intraarterial infusion ea hr (96423) $335.02 $492.68 7.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $335.02 $492.68 4.8×
Color/duplex Doppler, complete (93975) $602.43 $885.92 2.6×
Color/duplex Doppler, limited (93976) $1,210.85 $1,780.66 11.9×
Cpap initiation and management (94660) $456.28 $671 2.1×
Cpt initial (94667) $136.78 $201.14 1.1×
Critical care (99291) $954.52 $1,403.70 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $73.77 $108.48 0.4×
Demo &/or eval,pt use,aerosol device (94664) $136.78 $201.14 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,052.71 $1,548.10 4.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $818.72 $1,204 3.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $676.19 $994.40 6.7×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,052.71 $1,548.10 4.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $666.97 $980.84 6.6×
Dup-scan xtr veins unilateral/limited study (93971) $675.92 $994 6.7×
Duplex scan extracranial art compl bi study (93880) $1,052.71 $1,548.10 4.5×
EKG (93005) $122.94 $180.80 2.1×
EKG rhythm strip (93041) $87.66 $128.91 1.5×
EMG four extremities (95864) $926.20 $1,362.06 7.4×
EMG one extremity (95860) $547.40 $805 4.2×
EMG three extremities (95863) $689.72 $1,014.30 5.5×
EMG two extremities (95861) $589 $866.18 4.6×
Er level 1 (99281) $147.65 $217.13 1.8×
Er level ii (99282) $262 $385.30 1.8×
Er level iii (99283) $408.12 $600.17 1.5×
Er level IV (99284) $683 $1,004.41 1.7×
Er level v (99285) $1,008.14 $1,482.56 1.7×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $253.57 $372.90 3.6×
Evaluation of speech fluency (92521) $381.13 $560.48 2.9×
Evaluation of speech sound production (92522) $278.12 $409 2.5×
Evaluation of swallowing function (92610) $207.47 $305.10 2.4×
Evaluation with prescription of speech-generating alternative (92607) $431.84 $635.06 3.5×
External Ecg Scanning Analysis Report (93226) $301.21 $442.96 5.3×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $737.66 $1,084.80 3.7×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $307.36 $452 1.3×
Group Therapeutic Procedures (97150) $59.08 $86.88 3.3×
Hemodialysis (90935) $2,836.82 $4,171.80 4.3×
Holter Monitor Recording (93225) $301.21 $442.96 2.3×
Immunization Admin (90471) $127.16 $187 1.8×
Immunotherapy, 2+ Injections (95117) $61.20 $90 1.3×
Injection intra arterial (96373) $127.36 $187.30 0.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $196.71 $289.28 3.4×
IV infusion hydration each additional hour (96361) $113.72 $167.24 2.5×
IV infusion hydration initial 31 min-1 hour (96360) $335.02 $492.68 1.6×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $100.16 $147.30 1.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $437.02 $642.68 2.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $140.96 $207.30 3.1×
IV push initial (96374) $144.36 $212.30 0.7×
Laryngeal Function Studies (92520) $620.72 $912.82 4.8×
Laryngoscopic Sensory Test (92614) $210.54 $309.62 1.4×
Manual therapy 15 min (97140) $76.84 $113 2.8×
Massage 15 min (97124) $76.84 $113 2.6×
Mechanical chest wall oscillation (94669) $759.15 $1,116.40 3.6×
Mechanical traction (97012) $47.60 $70 3.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $190.40 $280 6.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $209.44 $308 5.7×
Mnt Group Ea 30 Min (97804) $106.39 $156.46 6.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $298.14 $438.44 3.3×
Multiple Family Group Psychotherapy (90849) $261.26 $384.20 1.5×
Nasopharyngoscopy (92511) $3,030.41 $4,456.48 15.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $284.31 $418.10 1.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $90.67 $133.34 0.2×
Neurobehavioral Status Exam (96116) $1,094.80 $1,610 5.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $453.36 $666.70 3.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $737.66 $1,084.80 3.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $301.21 $442.96 2.4×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $96.82 $142.38 2.1×
Osteopathic manipulative tx 1-2 body regions (98925) $72.76 $107 3.5×
Ot Contrast Bath Ea 15 Min (97034) $44.56 $65.54 3.2×
Ot eval high complex 60 min (97167) $102 $150 1.0×
Ot eval low complex 30 min (97165) $102 $150 1.0×
Ot eval mod complex 45 min (97166) $102 $150 1.0×
Ot Prosthetic Training, Each 15 Min (97761) $84.47 $124.22 2.1×
Ot re-eval est plan care (97168) $64.60 $95 0.9×
Paraffin bath (97018) $26.86 $39.50 4.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $53.72 $79 1.2×
Psych diag eval w/med srvcs (90792) $537.88 $791 3.1×
Psytx crisis initial 60 min (90839) $299.68 $440.70 1.7×
Pt Aquatic Therapy/Exercises (97113) $122.94 $180.80 3.3×
Pt Electric Current Therapy (97033) $79.92 $117.52 4.2×
Pt Electrical Stimulation (97032) $48.40 $71.19 3.3×
Pt eval high complex 45 min (97163) $102 $150 1.0×
Pt eval low complex 20 min (97161) $102 $150 1.0×
Pt Gait Training Therapy (97116) $82.99 $122.04 2.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $85.30 $125.43 2.6×
Pt Physical Performance Test (97750) $86.06 $126.56 2.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $102 $150 1.0×
Pt re-evaluation (97164) $68 $100 1.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $101.43 $149.16 3.1×
Pt Ultrasound Therapy (97035) $37.65 $55.37 2.6×
Pt Whirlpool Therapy (97022) $66.08 $97.18 4.2×
Refill/Maint Pump/Resvr Syst (96522) $583.98 $858.80 2.8×
Refill/maint, portable pump (96521) $583.98 $858.80 2.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $282.77 $415.84 1.5×
Rt Chest Wall Manipulation,Subsequent (94668) $136.78 $201.14 1.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $139.85 $205.66 2.9×
Sensory Integration Ea 15 Min (97533) $86.06 $126.56 1.4×
Smoking cessation > 10 min (99407) $96.82 $142.38 2.7×
Speech group therapy (92508) $69.16 $101.70 2.9×
Speech sound lang comprehen (92523) $642.38 $944.68 2.8×
Spirometry (94010) $238.20 $350.30 1.1×
Standardized Cognitive Performance Testing (96125) $339.63 $499.46 3.3×
Temp transcutaneous pacing (92953) $377.38 $554.97 0.6×
Test for allergy using allergenic extract injected into skin (95024) $132.75 $195.22 2.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $121.41 $178.54 5.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $76.84 $113 3.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $307.36 $452 3.0×
Ther/Proph/Diag Inj Sc/Im (96372) $127.36 $187.30 1.8×
Therapeutic Activities (97530) $105.27 $154.81 3.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $96.82 $142.38 2.7×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $1,193.33 $1,754.90 5.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,326.68 $1,951 2.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $230.52 $339 3.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $253.57 $372.90 3.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $144.36 $212.30 3.2×
Vasc Duplex Extrem Venous,Bilat (93970) $1,060.39 $1,559.40 4.6×
Vasc Duplex Scan Extracranial,Limited (93882) $1,052.71 $1,548.10 10.4×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $906.71 $1,333.40 4.3×
Vasopneumatic device (97016) $55.09 $81.02 4.6×
Ventilation assist & mgmt inpatient 1st day (94002) $991.24 $1,457.70 1.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $991.24 $1,457.70 1.7×
Visual Evoked Potential Test (95930) $1,182.38 $1,738.80 5.6×
Wheelchair Mgmt Ea 15 Min (97542) $79.14 $116.39 2.5×