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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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $4,762.50 $9,525 0.6×
Airway inhalation treatment (94640) $138.88 $277.75 0.6×
Appl on-body injector for timed subq injection (96377) $47.38 $94.75 1.0×
Assessment of aphasia (96105) $112.38 $224.75 1.2×
Assmt & care planning pt w/cognitive impairment (99483) $92.75 $185.50 0.9×
Behavioral and qualitative analysis of voice and resonance (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 (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 internal (92961) $630.75 $1,261.50 1.0×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $2,842.88 $5,685.75 0.9×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $4,242.38 $8,484.75 1.3×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $14,795.63 $29,591.25 0.8×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $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 Hormon Antineopl Sq/Im (96402) $109.63 $219.25 1.5×
Chemo IV push addl drug (96411) $154.50 $309 2.2×
Chemo Iv Push Sngl Drug (96409) $306 $612 0.9×
Chemother, IV infusion, 1 hr (96413) $310.25 $620.50 0.9×
Chemother, IV infusion, ea add hr (96415) $47.38 $94.75 0.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $109.63 $219.25 1.5×
Chemotx Admn Cns Req Spinal Puncture (96450) $310.75 $621.50 0.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $90.50 $181 1.3×
Color/duplex Doppler, complete (93975) $525.75 $1,051.50 2.2×
Color/duplex Doppler, limited (93976) $389.50 $779 3.7×
Coronary artery angio s&i (93454) $2,842.88 $5,685.75 0.9×
Cpap initiation and management (94660) $361.38 $722.75 1.7×
Cpt initial (94667) $147.38 $294.75 1.1×
Critical care (99291) $1,067.50 $2,135 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $228.25 $456.50 1.1×
Demo &/or eval,pt use,aerosol device (94664) $138.88 $277.75 0.6×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $195.13 $390.25 0.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $138.88 $277.75 1.3×
Dup-scan xtr veins unilateral/limited study (93971) $306.25 $612.50 2.9×
Duplex hemodialysis access (93990) $138.88 $277.75 1.3×
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 extracranial art compl bi study (93880) $503.50 $1,007 2.1×
Echo Heart Xthoracic,Limited (93308) $265.38 $530.75 1.1×
Echo transesophageal (93312) $618.75 $1,237.50 1.1×
Echo Transthoracic - Congenital Tte Complete (93303) $615.88 $1,231.75 1.1×
EEG awake 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×
EKG (93005) $160.75 $321.50 2.7×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $815.88 $1,631.75 3.8×
EMG cranial nerve bilat (95868) $123.75 $247.50 0.6×
EMG cranial nerve unilat (95867) $108 $216 0.5×
EMG four extremities (95864) $110.88 $221.75 0.9×
EMG one extremity (95860) $102.44 $204.88 0.8×
EMG thoracic paraspinal (95869) $103.75 $207.50 0.5×
EMG three extremities (95863) $226.32 $452.62 1.8×
EMG two extremities (95861) $86.63 $173.25 0.7×
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×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $955.13 $1,910.25 0.8×
Ep Right Ventricular Recording (93603) $1,308.50 $2,617 1.1×
Er level 1 (99281) $112.38 $224.75 1.3×
Er level ii (99282) $168.63 $337.25 1.1×
Er level iii (99283) $281 $562 1.0×
Er level IV (99284) $449.50 $899 1.1×
Er level v (99285) $674.25 $1,348.50 1.1×
Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (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×
Evaluation of speech fluency (92521) $92.75 $185.50 0.7×
Evaluation of speech sound production (92522) $76 $152 0.7×
Evaluation of swallowing function (92610) $165.25 $330.50 1.9×
Evaluation with prescription of speech-generating alternative (92607) $132.13 $264.25 1.1×
Exhaled Air Analysis (94690) $318.38 $636.75 5.4×
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×
Icd Device Interrogate (93289) $112.38 $224.75 3.0×
Ilr Device Eval Progr (93285) $84.38 $168.75 2.3×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $30 $60 0.7×
Immunization Admin (90471) $42 $84 0.6×
Interrog dev eval scrms phys/qhp in person (93291) $84.38 $168.75 2.9×
Interrogate subq defib (93261) $112.38 $224.75 3.0×
Intra Atrial Recording (93602) $4,762.50 $9,525 0.6×
Intra-atrial pacing (93610) $4,762.50 $9,525 0.6×
Intraventricular pacing (93612) $4,762.50 $9,525 0.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $47.38 $94.75 0.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $232.50 $465 1.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $47.38 $94.75 1.0×
IV push initial (96374) $172.25 $344.50 0.8×
Maintenance of spinal canal or brain drug infusion pump (95990) $286.13 $572.25 0.9×
Manual therapy 15 min (97140) $67 $134 2.4×
Massage 15 min (97124) $47.38 $94.75 1.6×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $1,999.75 $3,999.50 1.4×
Mechanical chest wall oscillation (94669) $168.63 $337.25 0.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $98.38 $196.75 3.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $147.56 $295.12 4.0×
Mnt Group Ea 30 Min (97804) $70.32 $140.62 4.1×
Motility study esophagus (91010) $400.38 $800.75 1.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $165.25 $330.50 1.8×
Multiple sleep latency test (95805) $1,248.25 $2,496.50 1.5×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $65.62 $131.25 0.5×
Neg press wnd tx </=50 sq cm (97607) $536.63 $1,073.25 1.3×
Neg press wound tx >50 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 13/> studies (95913) $553.69 $1,107.38 1.5×
Nerve Conduction Studies 3-4 Studies (95908) $174.62 $349.25 0.8×
Nerve Conduction Studies 9-10 Studies (95911) $419.19 $838.38 1.1×
Nerve conduction studies; 1-2 studies (95907) $97.56 $195.12 0.5×
Nerve conduction studies; 11-12 studies (95912) $502.94 $1,005.88 1.4×
Nerve conduction studies; 5-6 studies (95909) $251.62 $503.25 1.2×
Nerve conduction studies; 7-8 studies (95910) $335.44 $670.88 0.9×
Neuromuscular junction test (95937) $151.50 $303 1.2×
Newborn resuscitation (99465) $747.88 $1,495.75 1.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $252.88 $505.75 1.9×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $266.88 $533.75 1.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $136.13 $272.25 1.1×
Orthotics mgmt & traing 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 Community/Work Reintegration Trainj Ea 15 Min (97537) $42.63 $85.25 1.3×
Ot eval high complex 60 min (97167) $127.88 $255.75 1.3×
Ot eval low complex 30 min (97165) $127.88 $255.75 1.3×
Ot eval mod complex 45 min (97166) $127.88 $255.75 1.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $47.38 $94.75 0.9×
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×
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×
Phy/qhp op pulm rhb w/mntr (94626) $70.25 $140.50 1.2×
Phy/qhp op pulm rhb w/o mntr (94625) $70.25 $140.50 1.2×
Plethysmography (94726) $186.38 $372.75 0.5×
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) $1,460.75 $2,921.50 1.7×
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×
Programming of single lead implantable defibrillator system (93282) $112.38 $224.75 3.0×
Prq balloon valvuloplasty aortic valve (92986) $4,650.13 $9,300.25 0.8×
Prq card revasc chronic 1vsl (92943) $15,248.50 $30,497 1.3×
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×
Prq tcat plmt ntrac st 2+les (92930) $18,500 $37,000 1.0×
Prq trluml coronary angio/atherect one art/brnch (92924) $7,974.25 $15,948.50 0.7×
Prq trluml coronary angioplasty one art/branch (92920) $4,182.13 $8,364.25 0.7×
Psychiatric diagnostic evaluation (90791) $125.88 $251.75 0.7×
Pt Electrical Stimulation (97032) $43.38 $86.75 3.0×
Pt eval high complex 45 min (97163) $127.88 $255.75 1.3×
Pt eval low complex 20 min (97161) $127.88 $255.75 1.3×
Pt Gait Training Therapy (97116) $47.38 $94.75 1.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $47.38 $94.75 1.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $127.88 $255.75 1.3×
Pt re-evaluation (97164) $51.88 $103.75 0.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $42.63 $85.25 1.3×
Pt Ultrasound Therapy (97035) $43.38 $86.75 3.0×
Pulm function test by gas (94727) $82.62 $165.25 0.4×
R & l hrt cath w/njx l ventriculog img s&i (93453) $2,842.88 $5,685.75 0.9×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $2,842.88 $5,685.75 0.9×
R hrt art/grft angio (93457) $4,415.63 $8,831.25 1.4×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $2,842.88 $5,685.75 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×
Rt Chest Wall Manipulation,Subsequent (94668) $83.25 $166.50 0.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $51.88 $103.75 1.1×
Sensory Integration Ea 15 Min (97533) $54.63 $109.25 0.9×
Short-latency somatosens ep std lwr limbs (95926) $452.38 $904.75 2.1×
Short-latency somatosens ep std upr limbs (95925) $452.38 $904.75 2.1×
Sleep study attended (95807) $830.50 $1,661 2.2×
Smoking cessation > 10 min (99407) $33.88 $67.75 0.9×
Speech group therapy (92508) $64.25 $128.50 2.7×
Speech sound lang comprehen (92523) $157.50 $315 0.7×
Spirometry (94010) $36.13 $72.25 0.2×
Standardized Cognitive Performance Testing (96125) $112.38 $224.75 1.1×
Stress echo (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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $54.63 $109.25 2.6×
Ther/Proph/Diag Inj Sc/Im (96372) $47.38 $94.75 0.7×
Therapeutic Activities (97530) $50.63 $101.25 1.4×
Therapeutic phlebotomy (99195) $79.50 $159 0.6×
Tilt Table Eval (93660) $555.75 $1,111.50 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $27.76 $55.50 0.7×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $494.50 $989 2.1×
Tte W/Doppler Complete - Tte Complete W/ Contrast (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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $125.13 $250.25 1.5×
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×
Unlisted pulmonary service/procedure (94799) $101.88 $203.75 0.8×
Vasc Duplex Extrem Venous,Bilat (93970) $508.63 $1,017.25 2.1×
Vasc Duplex Scan Extracranial,Limited (93882) $227.38 $454.75 2.2×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $266.88 $533.75 1.2×
Vasopneumatic device (97016) $32.13 $64.25 2.7×
Veeg by tech 2-12 hr continuous r-t monitoring (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×
Ventilation assist & mgmt inpatient 1st 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×