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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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$51–$136.78 $75–$201.14 varies
Analyze neurostim complex (95972) $742.56 $1,092 8.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$36.88–$38.42 $54.24–$56.50 varies
Assessment of aphasia per hr (96105) $313.51 $461.04 3.2×
Behavral qualit analys voice (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 proc (95992) $116.80 $171.76 2.9×
Cardiac Stress Tst,Tracing Only (93017) $822.19 $1,209.10 3.9×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$569.84–$720.80 $838–$1,060 varies
Cardioversion (92960)
range across 2 matching MRF lines
$380.80–$1,246.75 $560–$1,833.46 varies
Cbt 1st hour (94644) $210.54 $309.62 1.6×
Chemo Anti-Neopl Sq/Im (96401) $127.16 $187 1.8×
Chemo Hormon Antineopl Sq/Im (96402) $127.36 $187.30 1.8×
Chemo Ia Push (96420) $335.02 $492.68 1.0×
Chemo IV infusion addl hr (96415) $127.36 $187.30 1.8×
Chemo IV push addl drug (96411) $335.02 $492.68 4.8×
Chemother Prolong Infuse W/Pump (96416) $958.96 $1,410.24 3.0×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $958.96 $1,410.24 3.0×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $335.02 $492.68 7.4×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $958.96 $1,410.24 3.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $335.02 $492.68 4.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $958.96 $1,410.24 3.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $379.98 $558.80 1.2×
Chest Wall Manipulation (94668) $136.78 $201.14 1.1×
Color/duplex Doppler, complete (93975) $602.43 $885.92 2.6×
Color/duplex Doppler, limited (93976) $1,210.85 $1,780.66 11.9×
Continuous Pulse Ox (94762) $301.21 $442.96 2.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$115.60–$456.43 $170–$671.22 varies
Cpt initial (94667) $136.78 $201.14 1.1×
Critical care first hour (99291)
range across 2 matching MRF lines
$673.20–$1,235.83 $990–$1,817.40 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$73.44–$484.16 $108–$712 varies
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 Xtr Veins Complete Bilateral Study (93970) $1,060.39 $1,559.40 4.6×
Dup-scan xtr veins unilateral/limited study (93971) $675.92 $994 6.7×
Duplex up extrem art bilat (93930) $1,052.71 $1,548.10 4.5×
Duplex up extrem art unilat/ltd (93931) $666.97 $980.84 6.6×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$41.49–$55.32 $61.02–$81.36 varies
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$122.94–$123.08 $180.80–$181 varies
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$124.44–$399.57 $183–$587.60 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$187.68–$628.55 $276–$924.34 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$356.32–$1,009.68 $524–$1,484.82 varies
Emg 3 Extremities (95863) $689.72 $1,014.30 5.5×
Emg 4 Extremities (95864) $926.20 $1,362.06 7.4×
Er level 1 (99281)
range across 2 matching MRF lines
$63.24–$232.06 $93–$341.26 varies
Er level v (99285)
range across 2 matching MRF lines
$524.05–$1,492.23 $770.66–$2,194.46 varies
Evaluate pt use of inhaler (94664) $136.78 $201.14 0.6×
Evaluate Speech Production (92522) $278.12 $409 2.5×
Evaluate Swallowing Function (92610) $207.47 $305.10 2.4×
Evaluation of speech fluency (92521) $381.13 $560.48 2.9×
External Ecg Scanning Analysis Report (93226) $301.21 $442.96 5.3×
Extracranial Bilat Study (93880) $1,052.71 $1,548.10 4.5×
Extracranial Uni/Ltd Study (93882) $1,052.71 $1,548.10 10.4×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $210.54 $309.62 1.4×
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)
range across 2 matching MRF lines
$58.40–$59.76 $85.88–$87.88 varies
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $2,836.82 $4,171.80 4.3×
Holter monitor recording (93225) $301.21 $442.96 2.3×
Immunization administration (90471)
range across 3 matching MRF lines
$72.08–$161.36 $106–$237.30 varies
Intracranial Complete Study (93886) $1,193.33 $1,754.90 5.2×
Intracutaneous tests w/allergenic extracts (95024) $132.75 $195.22 2.3×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$69.16–$90.67 $101.70–$133.34 varies
Irrig Drug Delivery Device (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 ther proph addl sequential to 1 hr (96367) $100.16 $147.30 1.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $140.96 $207.30 3.1×
IV push initial (96374)
range across 2 matching MRF lines
$127.36–$161.36 $187.30–$237.30 varies
Laryngeal Function Studies (92520) $620.72 $912.82 4.8×
Lwr Xtr Vasc Stdy Bilat (93924) $906.71 $1,333.40 4.3×
Mechanical chest wall oscillation per session (94669) $759.15 $1,116.40 3.6×
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×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $106.39 $156.46 6.2×
Motion Fluoroscopy/Swallow (92611) $298.14 $438.44 3.3×
Multiple Family Group Psychotherapy (90849) $261.26 $384.20 1.5×
Muscle Test 2 Limbs (95861) $589 $866.18 4.6×
Muscle Test One Limb (95860) $547.40 $805 4.2×
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×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$73.77–$96.82 $108.48–$142.38 varies
Oral Function Therapy (92526) $253.57 $372.90 3.0×
Oral Speech Device Eval (92597) $253.57 $372.90 3.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$82.99–$110.65 $122.04–$162.72 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $72.76 $107 3.5×
Ot Contrast Bath Ea 15 Min (97034)
range across 2 matching MRF lines
$38.42–$50.71 $56.50–$74.58 varies
Ot eval high complexity (97167) $102 $150 1.0×
Ot Eval Low Complex (97165) $102 $150 1.0×
Ot Eval Moderate Complexity (97166) $102 $150 1.0×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$66.08–$87.60 $97.18–$128.82 varies
Ot paraffin bath (97018)
range across 2 matching MRF lines
$23.12–$30.60 $34–$45 varies
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$72.23–$96.71 $106.22–$142.22 varies
Ot Re-Eval Est Plan Care (97168) $64.60 $95 0.9×
Physical Performance Test (97750)
range across 2 matching MRF lines
$73.77–$98.36 $108.48–$144.64 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $53.72 $79 1.2×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $61.20 $90 1.3×
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 Eval High Complex (97163) $102 $150 1.0×
Pt eval low complex 20 min (97161) $102 $150 1.0×
Pt Eval Mod Complex (97162) $102 $150 1.0×
Pt gait training 15 min (97116) $82.99 $122.04 2.9×
Pt mechanical traction (97012) $47.60 $70 3.3×
Pt Re-Eval Est Plan Care (97164) $68 $100 1.0×
Refill/Maint Portable Pump (96521) $583.98 $858.80 2.8×
Refill/Maint Pump/Resvr Syst (96522) $583.98 $858.80 2.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 2 matching MRF lines
$87.60–$87.72 $128.82–$129 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $282.77 $415.84 1.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $431.84 $635.06 3.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $139.85 $205.66 2.9×
Self Care Mngment Training (97535)
range across 3 matching MRF lines
$75.30–$136.78 $110.74–$201.14 varies
Sensory Integration Ea 15 Min (97533)
range across 3 matching MRF lines
$64.55–$86.06 $94.92–$126.56 varies
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)
range across 2 matching MRF lines
$34–$720.76 $50–$1,059.94 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $121.41 $178.54 5.4×
Ther Ivntj Ea Addl 15 Min (97130) $76.84 $113 3.7×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $122.94 $180.80 3.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $76.84 $113 2.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $307.36 $452 3.0×
Ther/Proph/Diag Inj Ia (96373) $127.36 $187.30 0.6×
Ther/Proph/Diag Inj Sc/Im (96372) $127.36 $187.30 1.8×
Ther/Proph/Diag Iv Inf Init (96365) $437.02 $642.68 2.1×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$76.84–$133.70 $113–$196.62 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $96.82 $142.38 2.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $96.82 $142.38 2.7×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$409.36–$2,244 $602–$3,300 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $230.52 $339 3.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $69.16 $101.70 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$127.36–$161.36 $187.30–$237.30 varies
Upr/L Xtremity Art 2 Levels (93922) $453.36 $666.70 3.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $737.66 $1,084.80 3.5×
Vasopneumatic device (97016) $55.09 $81.02 4.6×
Vent Mgmt Inpat Init 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)
range across 2 matching MRF lines
$67.62–$90.67 $99.44–$133.34 varies
Whirlpool Therapy (97022) $66.08 $97.18 4.2×

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.