Visits & medical services prices at Dallas County Hospital
Perry, IA · every code in this section with a posted price and a Medicare benchmark.
153 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $102 | $157 | 0.5× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $270 | $415 | 2.1× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $202 | $311 | 1.6× |
| Analyze Neurostim Simple (95971) | $140 | $215 | 1.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 4 matching MRF lines |
$51–$53 | $79–$82 | varies |
| Assessment of aphasia per hr (96105) | $103 | $158 | 1.1× |
| Behavral qualit analys voice (92524) | $148 | $227 | 1.4× |
| Biofeedback training any modality (90901) range across 2 matching MRF lines |
$61–$70 | $94–$108 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$66–$325 | $101–$500 | varies |
| Canalith repositioning proc (95992) | $88 | $135 | 2.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $988 | $1,520 | 4.7× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$335–$662 | $516–$1,018 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$289–$976 | $444–$1,502 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $89 | $137 | 1.3× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$89–$94 | $137–$145 | varies |
| Chemo IV infusion addl hr (96415) | $309 | $475 | 4.4× |
| Chemo IV push addl drug (96411) | $109 | $168 | 1.6× |
| Chemother Prolong Infuse W/Pump (96416) | $239 | $367 | 0.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $203 | $312 | 2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $378 | $582 | 1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $114 | $175 | 0.4× |
| Chest Wall Manipulation (94668) | $86 | $132 | 0.7× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$793–$841 | $1,220–$1,294 | varies |
| Color/duplex Doppler, limited (93976) | $401 | $617 | 4.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$44–$67 | $68–$103 | varies |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$309–$384 | $475–$591 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $119 | $183 | 0.6× |
| Cpt initial (94667) | $324 | $498 | 2.5× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$311–$1,603 | $479–$2,466 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $120 | $184 | 0.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$729–$772 | $1,121–$1,188 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $729 | $1,121 | 7.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$712–$939 | $1,095–$1,444 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $678 | $1,043 | 6.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$793–$912 | $1,220–$1,403 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$401–$573 | $617–$882 | varies |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$482–$712 | $742–$1,095 | varies |
| Duplex up extrem art unilat/ltd (93931) | $626 | $963 | 6.2× |
| Echo Heart Xthoracic,Limited (93308) | $532 | $818 | 2.3× |
| Electrical Stimulation Ea 15 Min (97032) | $64 | $98 | 4.4× |
| Electrocardiogram Tracing (93005) range across 5 matching MRF lines |
$170–$176 | $261–$270 | varies |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$139–$218 | $214–$336 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$209–$437 | $322–$672 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$316–$759 | $486–$1,168 | varies |
| Er level 1 (99281) range across 5 matching MRF lines |
$94–$147 | $145–$226 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$462–$1,230 | $711–$1,892 | varies |
| Evaluate pt use of inhaler (94664) | $49 | $75 | 0.2× |
| Evaluate Speech Production (92522) | $148 | $227 | 1.3× |
| Evaluate Swallowing Function (92610) | $383 | $589 | 4.5× |
| Evaluation of speech fluency (92521) | $148 | $227 | 1.1× |
| Exercise test for bronchospasm (94617) | $352 | $542 | 2.7× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$601–$749 | $925–$1,153 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$601–$749 | $925–$1,153 | varies |
| External Ecg Scanning Analysis Report (93226) | $729 | $1,122 | 12.8× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$788–$907 | $1,213–$1,395 | varies |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $1,080 | $1,661 | 4.7× |
| Group Therapeutic Procedures (97150) | $77 | $119 | 4.3× |
| Holter monitor recording (93225) | $387 | $596 | 3.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 5 matching MRF lines |
$15–$38 | $23–$58 | varies |
| Immunization administration (90471) range across 7 matching MRF lines |
$15–$38 | $23–$59 | varies |
| Iontophoresis 15 min (97033) | $85 | $130 | 4.5× |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$68–$103 | $105–$158 | varies |
| IV infusion hydration each additional hour (96361) range across 6 matching MRF lines |
$38–$40 | $59–$62 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 6 matching MRF lines |
$282–$409 | $434–$629 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$309–$328 | $476–$505 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 7 matching MRF lines |
$38–$51 | $59–$78 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$144–$152 | $221–$234 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $25 | $39 | 0.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $51 | $79 | 1.4× |
| Methacholine challenge (94070) | $267 | $411 | 0.7× |
| Motion Fluoroscopy/Swallow (92611) | $368 | $566 | 4.0× |
| Nasopharyngoscopy (92511) | $131 | $201 | 0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$96–$201 | $148–$309 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $253 | $389 | 0.6× |
| Neurobehavioral Status Exam (96116) | $78 | $120 | 0.4× |
| Neuromuscular Reeducation (97112) | $78 | $120 | 2.4× |
| Nitric oxide expired gas determination (95012) | $38 | $59 | 1.1× |
| Oral Function Therapy (92526) | $173 | $266 | 2.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $67 | $103 | 1.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $81 | $125 | 1.8× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$10–$51 | $16–$79 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 3 matching MRF lines |
$13–$66 | $20–$102 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 3 matching MRF lines |
$16–$77 | $24–$119 | varies |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$40–$49 | $62–$76 | varies |
| Ot eval high complexity (97167) | $123 | $189 | 1.2× |
| Ot Eval Low Complex (97165) | $95 | $146 | 0.9× |
| Ot Eval Moderate Complexity (97166) | $112 | $173 | 1.1× |
| Ot manual therapy 15 min (97140) range across 8 matching MRF lines |
$33–$130 | $50–$200 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$38 | $58–$59 | 6.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $44 | $68 | 1.1× |
| Ot Re-Eval Est Plan Care (97168) | $73 | $113 | 1.1× |
| Ot rom hand (95852) | $32 | $49 | 1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $238 | $366 | 1.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $224 | $345 | 1.8× |
| Peripheral arterial disease rehab per session (93668) | $116 | $179 | 2.0× |
| Phlebotomy therapeutic (99195) | $86 | $133 | 0.7× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $283 | $435 | 5.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$283–$300 | $435–$461 | varies |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$38–$73 | $59–$113 | varies |
| Plethysmography (94726) | $252 | $388 | 0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$4,116–$4,365 | $6,333–$6,715 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $23 | $36 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $39 | $60 | 0.9× |
| Pt Eval High Complex (97163) | $123 | $189 | 1.3× |
| Pt eval low complex 20 min (97161) | $95 | $146 | 1.0× |
| Pt Eval Mod Complex (97162) | $112 | $173 | 1.1× |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$64–$70 | $99–$108 | varies |
| Pt mechanical traction (97012) | $67 | $103 | 4.7× |
| Pt Re-Eval Est Plan Care (97164) | $73 | $113 | 1.1× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$185–$238 | $284–$366 | varies |
| Pulmonary Stress Testing (94618) | $307 | $473 | 2.4× |
| Pure Tone Audiometry Air (92552) | $49 | $75 | 0.4× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $59 | $90 | 2.6× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $65 | $100 | 1.9× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $49 | $75 | 4.0× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $146 | $224 | 4.0× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $53 | $82 | 0.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $613 | $943 | 17.0× |
| Respiratory flow volume loop (94375) | $83 | $128 | 0.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$96–$103 | $148–$158 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $111 | $171 | 0.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $179 | $276 | 1.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $85 | $130 | 1.8× |
| Self Care Mngment Training (97535) range across 6 matching MRF lines |
$70–$73 | $108–$113 | varies |
| Sensory Integration Ea 15 Min (97533) | $67 | $103 | 1.1× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$432–$626 | $664–$963 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $621 | $955 | 3.0× |
| Speech sound lang comprehen (92523) | $148 | $227 | 0.7× |
| Spirometry (94010) range across 3 matching MRF lines |
$33–$166 | $51–$255 | varies |
| Standardized Cognitive Performance Testing (96125) | $148 | $227 | 1.4× |
| Temp transcutaneous pacing (92953) | $1,620 | $2,493 | 2.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$70–$74 | $108–$114 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $74 | $114 | 3.5× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $73 | $113 | 2.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $47 | $73 | 1.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $74 | $114 | 0.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 7 matching MRF lines |
$46–$107 | $70–$165 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 7 matching MRF lines |
$385–$409 | $593–$629 | varies |
| Therapeutic Activities (97530) range across 5 matching MRF lines |
$70–$74 | $108–$114 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$27–$134 | $42–$206 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 3 matching MRF lines |
$44–$222 | $68–$342 | varies |
| Tte w/doppler, complete (93306) | $1,684 | $2,590 | 3.2× |
| Tte W/O Doppler Complete (93307) | $877 | $1,349 | 3.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $176 | $270 | 2.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$136–$144 | $209–$221 | varies |
| Tympanometry (92567) | $69 | $106 | 1.9× |
| Upr/L Xtremity Art 2 Levels (93922) | $398 | $613 | 3.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$270–$560 | $415–$862 | varies |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$44–$67 | $68–$103 | varies |
| Vital capacity, total (94150) | $82 | $126 | 0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$40–$49 | $62–$76 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$70–$73 | $108–$113 | varies |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $352 | $542 | 6.2× |
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.