Visits & medical services prices at DCH Regional Medical Center

Tuscaloosa, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $4,762.50 $9,525 0.6×
Admn Sarscov2 Vacc 1 Dose (90480) $30 $60 0.7×
Airway Inhalation Treatment (94640) $138.88 $277.75 0.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $43.38 $86.75 3.0×
Application on-body injector (96377) $47.38 $94.75 1.0×
Assessment of aphasia per hr (96105) $112.38 $224.75 1.2×
Assmt & care planning pt w/cognitive impairment (99483) $92.75 $185.50 0.9×
Behavral qualit analys voice (92524) $78.75 $157.50 0.7×
Blink reflex test (95933) $200.13 $400.25 3.4×
Breath hydrogen/methane test (91065) $235.25 $470.50 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $244.50 $489 0.7×
Bundle of his recording (93600) $4,762.50 $9,525 0.6×
Canalith repositioning proc (95992) $48.38 $96.75 1.2×
Car seat/bed test 60 min (94780) $56.25 $112.50 1.5×
Cardiac Stress Tst,Tracing Only (93017) $504.63 $1,009.25 2.3×
Cardiopulmonary resuscitation (92950) $258 $516 1.2×
Cardioversion (92960) $483.25 $966.50 0.7×
Cardioversion elective internal (92961) $630.75 $1,261.50 1.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $2,842.88 $5,685.75 0.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $2,842.88 $5,685.75 0.9×
Cbt 1st hour (94644) $97.38 $194.75 0.7×
Chemo Anti-Neopl Sq/Im (96401) $109.63 $219.25 1.5×
Chemo Hormon Antineopl Sq/Im (96402) $109.63 $219.25 1.5×
Chemo IV infusion addl hr (96415) $47.38 $94.75 0.7×
Chemo IV push addl drug (96411) $154.50 $309 2.2×
Chemotherapy Into Cns (96450) $310.75 $621.50 0.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $90.50 $181 1.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $310.25 $620.50 0.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $306 $612 0.9×
Chest Wall Manipulation (94668) $83.25 $166.50 0.6×
Color/duplex Doppler, complete (93975) $525.75 $1,051.50 2.2×
Color/duplex Doppler, limited (93976) $389.50 $779 3.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $42.63 $85.25 1.3×
Continuous Pulse Ox (94762) $136.13 $272.25 1.1×
Coronary Art/Grft Angio S&I (93455) $2,842.88 $5,685.75 0.9×
Coronary Artery Angio S&I (93454) $2,842.88 $5,685.75 0.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $361.38 $722.75 1.7×
Cpt initial (94667) $147.38 $294.75 1.1×
Critical care first hour (99291) $1,067.50 $2,135 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $228.25 $456.50 1.1×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $314 $628 3.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $277.63 $555.25 1.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $138.88 $277.75 1.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $508.63 $1,017.25 2.1×
Dup-scan xtr veins unilateral/limited study (93971) $306.25 $612.50 2.9×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $362.50 $725 1.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $306.25 $612.50 2.9×
Duplex Scan Hemodialysis Access (93990) $138.88 $277.75 1.3×
Duplex up extrem art bilat (93930) $195.13 $390.25 0.8×
Duplex up extrem art unilat/ltd (93931) $138.88 $277.75 1.3×
Echo Congenital Complete (93303) $615.88 $1,231.75 1.1×
Echo Heart Xthoracic,Limited (93308) $265.38 $530.75 1.1×
Echo transesophageal (93312) $618.75 $1,237.50 1.1×
Eeg 41-60 Minutes (95812) $815.88 $1,631.75 3.8×
EEG awake and asleep (95819) $422.88 $845.75 2.0×
EEG cerebral death evaluation (95824) $580.38 $1,160.75 1.6×
EEG extended monitoring 61-119 minutes (95813) $1,460.50 $2,921 6.8×
Electrical Stimulation Ea 15 Min (97032) $43.38 $86.75 3.0×
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines
$86–$160.75 $172–$321.50 varies
Electrophysiology Evaluation (93642) $955.13 $1,910.25 0.8×
Emergency Dept Visit Level 2 (99282) $168.63 $337.25 1.1×
Emergency Dept Visit Level 3 (99283) $281 $562 1.0×
Emergency Dept Visit Level 4 (99284) $449.50 $899 1.1×
Emg 3 Extremities (95863)
range across 4 matching MRF lines
$92.50–$391.75 $185–$783.50 varies
Emg 4 Extremities (95864)
range across 3 matching MRF lines
$98.50–$448 $197–$896 varies
Ep & ablate supravent arrhyt (93653) $15,435 $30,870 0.6×
Ep & ablate ventric tachy (93654) $15,435 $30,870 0.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $4,762.50 $9,525 0.6×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $4,762.50 $9,525 0.6×
Er level 1 (99281) $112.38 $224.75 1.3×
Er level v (99285) $674.25 $1,348.50 1.1×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $555.75 $1,111.50 1.5×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $122.13 $244.25 1.0×
Evaluate pt use of inhaler (94664) $138.88 $277.75 0.6×
Evaluate Speech Production (92522) $76 $152 0.7×
Evaluate Swallowing Function (92610) $165.25 $330.50 1.9×
Evaluation of speech fluency (92521) $92.75 $185.50 0.7×
Extracranial Bilat Study (93880) $503.50 $1,007 2.1×
Extracranial Uni/Ltd Study (93882) $227.38 $454.75 2.2×
Flexible endoscopic eval swallow c/v rec (92612) $179.88 $359.75 0.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $917.50 $1,835 1.1×
Group Therapeutic Procedures (97150) $50.63 $101.25 2.8×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $2,842.88 $5,685.75 0.9×
Icd Device Interrogate (93289) $112.38 $224.75 3.0×
Ilr Device Eval Progr (93285) $84.38 $168.75 2.3×
Ilr Device Interrogate (93291) $84.38 $168.75 2.9×
Immunization administration (90471)
range across 3 matching MRF lines
$42–$47.38 $84–$94.75 varies
Interrogate Subq Defib (93261) $112.38 $224.75 3.0×
Intra-atrial pacing (93610) $4,762.50 $9,525 0.6×
Intra-atrial recording (93602) $4,762.50 $9,525 0.6×
Intracranial Complete Study (93886) $494.50 $989 2.1×
Intraventricular pacing (93612) $4,762.50 $9,525 0.6×
Irrig Drug Delivery Device (96523) $81 $162 1.4×
IV infusion hydration each additional hour (96361) $47.38 $94.75 1.0×
IV infusion hydration initial 31 min-1 hour (96360) $232.50 $465 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $47.38 $94.75 0.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $47.38 $94.75 1.0×
IV push initial (96374) $172.25 $344.50 0.8×
L Hrt Art/Grft Angio (93459) $2,842.88 $5,685.75 0.9×
Lwr Xtr Vasc Stdy Bilat (93924) $266.88 $533.75 1.2×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $1,999.75 $3,999.50 1.4×
Mechanical chest wall oscillation per session (94669) $168.63 $337.25 0.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 6 matching MRF lines
$28.13–$168.63 $56.25–$337.25 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 6 matching MRF lines
$42.25–$252.88 $84.50–$505.75 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804)
range across 4 matching MRF lines
$28.13–$112.38 $56.25–$224.75 varies
Motility study esophagus (91010) $400.38 $800.75 1.1×
Motion Fluoroscopy/Swallow (92611) $165.25 $330.50 1.8×
Multiple Sleep Latency Test (95805) $1,248.25 $2,496.50 1.5×
Muscle Test 2 Limbs (95861)
range across 3 matching MRF lines
$77–$249.25 $154–$498.50 varies
Muscle Test Nonparaspinal (95870)
range across 2 matching MRF lines
$30–$101.25 $60–$202.50 varies
Muscle Test One Limb (95860)
range across 4 matching MRF lines
$48–$169.50 $96–$339 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868)
range across 2 matching MRF lines
$60–$187.50 $120–$375 varies
Needle Electromyography Cranial Nrv Muscle Uni (95867)
range across 2 matching MRF lines
$41–$175 $82–$350 varies
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869)
range across 2 matching MRF lines
$20–$187.50 $40–$375 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $536.63 $1,073.25 1.3×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $564.75 $1,129.50 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $228.75 $457.50 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $262.50 $525 0.6×
Nerve Conduction Studies 1-2 Studies (95907)
range across 4 matching MRF lines
$49–$157.50 $98–$315 varies
Nerve Conduction Studies 11-12 Studies (95912)
range across 4 matching MRF lines
$147.50–$944 $295–$1,888 varies
Nerve conduction studies 13 or more studies (95913)
range across 4 matching MRF lines
$175.50–$1,022.63 $351–$2,045.25 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 4 matching MRF lines
$61.50–$314.75 $123–$629.50 varies
Nerve conduction studies 5-6 studies (95909)
range across 4 matching MRF lines
$74–$472 $148–$944 varies
Nerve conduction studies 7-8 studies (95910)
range across 4 matching MRF lines
$98.50–$629.25 $197–$1,258.50 varies
Nerve Conduction Studies 9-10 Studies (95911)
range across 4 matching MRF lines
$123–$786.63 $246–$1,573.25 varies
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $151.50 $303 1.2×
Neuromuscular Reeducation (97112) $47.38 $94.75 1.4×
Newborn resuscitation (99465) $747.88 $1,495.75 1.1×
Oral Function Therapy (92526) $125.13 $250.25 1.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $47.38 $94.75 0.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $47.38 $94.75 1.0×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $62 $124 2.9×
Osteopathic manipulative tx 3-4 body regions (98926) $62 $124 2.9×
Osteopathic manipulative tx 5-6 body regions (98927) $62 $124 2.9×
Ot eval high complexity (97167) $127.88 $255.75 1.3×
Ot Eval Low Complex (97165) $127.88 $255.75 1.3×
Ot Eval Moderate Complexity (97166) $127.88 $255.75 1.3×
Ot manual therapy 15 min (97140) $67 $134 2.4×
Ot Prosthetic Training, Each 15 Min (97761) $47.38 $94.75 1.2×
Ot Re-Eval Est Plan Care (97168) $67.50 $135 1.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $95.63 $191.25 0.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $95.63 $191.25 0.7×
Oxygen Uptake Rest Indirect (94690) $318.38 $636.75 5.4×
Patch/Application Test Specify Number Tests (95044) $1,162.38 $2,324.75 1.4×
Peripheral arterial disease rehab per session (93668) $95.63 $191.25 1.6×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $18,500 $37,000 1.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $4,182.13 $8,364.25 0.7×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $15,248.50 $30,497 1.3×
Phlebotomy therapeutic (99195) $79.50 $159 0.6×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $70.25 $140.50 1.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $70.25 $140.50 1.2×
Plethysmography (94726)
range across 2 matching MRF lines
$17.88–$354.88 $35.75–$709.75 varies
Pm device eval in person (93288) $112.38 $224.75 3.0×
Pm device progr eval dual (93280) $112.38 $224.75 3.0×
Pm Device Progr Eval Sngl (93279) $112.38 $224.75 3.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$674.25–$2,247.25 $1,348.50–$4,494.50 varies
Polysom <6 yrs 4/> paramtrs (95782) $2,013.38 $4,026.75 2.4×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,163.88 $4,327.75 2.5×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $112.38 $224.75 3.0×
Prq Card Angio/Athrect 1 Art (92924) $7,974.25 $15,948.50 0.7×
Prq Card Stent W/Angio 1 Vsl (92928) $11,853.50 $23,707 1.0×
Prq Card Stent/Ath/Angio (92933) $15,254.13 $30,508.25 0.8×
Prq Revasc Byp Graft 1 Vsl (92937) $9,887.75 $19,775.50 0.9×
Psychiatric diagnostic evaluation (90791) $125.88 $251.75 0.7×
Pt Eval High Complex (97163) $127.88 $255.75 1.3×
Pt eval low complex 20 min (97161) $127.88 $255.75 1.3×
Pt Eval Mod Complex (97162) $127.88 $255.75 1.3×
Pt gait training 15 min (97116) $47.38 $94.75 1.6×
Pt Re-Eval Est Plan Care (97164) $51.88 $103.75 0.8×
Pulm function test by gas (94727)
range across 4 matching MRF lines
$17.88–$146.25 $35.75–$292.50 varies
Pulmonary service/procedure (94799) $101.88 $203.75 0.8×
R Hrt Art/Grft Angio (93457) $4,415.63 $8,831.25 1.4×
R hrt coronary artery angio (93456) $4,242.38 $8,484.75 1.3×
R&L Hrt Cath W/Ventriclgrphy (93453) $2,842.88 $5,685.75 0.9×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $286.13 $572.25 0.9×
Refill/Maint Portable Pump (96521) $178.75 $357.50 0.8×
Right Heart Cath (93451) $2,842.88 $5,685.75 0.9×
Right ventricular recording (93603) $1,308.50 $2,617 1.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $132.13 $264.25 1.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $51.88 $103.75 1.1×
Self Care Mngment Training (97535) $42.63 $85.25 1.3×
Sensory Integration Ea 15 Min (97533) $54.63 $109.25 0.9×
Short-latency somatosens ep std upr limbs (95925) $452.38 $904.75 2.1×
Sleep study attended (95807) $830.50 $1,661 2.2×
Speech sound lang comprehen (92523) $157.50 $315 0.7×
Spirometry (94010)
range across 9 matching MRF lines
$17.88–$165.88 $35.75–$331.75 varies
Ssep lower limbs (95926) $452.38 $904.75 2.1×
Standardized Cognitive Performance Testing (96125) $112.38 $224.75 1.1×
Stress Tte Only (93350) $678.25 $1,356.50 1.2×
Surfactant Admin Thru Tube (94610) $138.88 $277.75 0.6×
Temp transcutaneous pacing (92953) $747.88 $1,495.75 1.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $54.63 $109.25 2.4×
Ther Ivntj Ea Addl 15 Min (97130) $54.63 $109.25 2.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $47.38 $94.75 1.6×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 11 matching MRF lines
$42–$47.38 $84–$94.75 varies
Ther/Proph/Diag Iv Inf Init (96365) $232.50 $465 1.1×
Therapeutic Activities (97530) $50.63 $101.25 1.4×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $555.75 $1,111.50 1.5×
Tobacco Use Cessation Intensive >10 Minutes (99407) $33.88 $67.75 0.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$27.38–$28.13 $54.75–$56.25 varies
Transcath Closure of Asd (93580) $14,795.63 $29,591.25 0.8×
Tte w/doppler, complete (93306) $512.13 $1,024.25 0.9×
Tx atrial fib pulm vein isol (93656) $14,157.38 $28,314.75 0.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $125.38 $250.75 1.6×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $64.25 $128.50 2.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $47.38 $94.75 1.0×
Tympanometry and reflex threshold measurements (92550) $121.38 $242.75 0.6×
Unlisted cardiovascular service/procedure (93799) $126.50 $253 1.0×
Unlisted otorhinolaryngological service (92700) $154.50 $309 5.4×
Upr/L Xtremity Art 2 Levels (93922) $252.88 $505.75 1.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $266.88 $533.75 1.2×
Valvuloplasty aortic valve (92986) $4,650.13 $9,300.25 0.8×
Vasopneumatic device (97016) $32.13 $64.25 2.7×
Veeg 2-12 Hr Cont Mntr (95713) $1,460.50 $2,921 3.9×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,460.50 $2,921 3.9×
Vent Mgmt Inpat Init Day (94002) $732.13 $1,464.25 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $463 $926 0.8×
Visual Evoked Potential Test (95930) $411.38 $822.75 1.9×
Vital capacity, total (94150) $90 $180 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $50.63 $101.25 1.6×

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.