Visits & medical services prices at Delta Health System – The Medical Center

Greenville, MS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Aep hearing status deter broadband stimuli i&r (92651) $315
Aep Neurodiagnostic I&R (92653) $773
Aep threshold estimation mlt frequencies i&r (92652) $773
Airway inhalation treatment (94640) $1,065
Behavioral and qualitative analysis of voice and resonance (92524) $558
Biofeedback training any modality (90901) $286
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,065
Cardiac Stress Tst,Tracing Only (93017) $1,076
Cardiopulmonary resuscitation (92950) $16,238.57
Cardioversion (92960) $6,119.15
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $11,362
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $11,362
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $21,081.34
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $21,003.86
Chemo Hormon Antineopl Sq/Im (96402) $262
Chemo IV push addl drug (96411) $801
Chemo Iv Push Sngl Drug (96409) $778
Chemo prolong 8+ hrs infuse w/pump (96416) $254
Chemother, IV infusion, 1 hr (96413) $1,290
Chemother, IV infusion, ea add hr (96415) $1,253
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $254
Chemotx Admn Cns Req Spinal Puncture (96450) $254
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $777
Color/duplex Doppler, limited (93976) $410
Coronary artery angio s&i (93454) $33,101.95
Cpap initiation and management (94660) $728
Cpt initial (94667) $735
Critical care (99291) $2,105
Debridement Open Wound 20 Sq Cm< (97597) $2,932.91
Demo &/or eval,pt use,aerosol device (94664) $728
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $104
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $410
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $897
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $403
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $859
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $403
Dup-scan xtr veins unilateral/limited study (93971) $403
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $410
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $897
Duplex scan extracranial art compl bi study (93880) $859
Echo Heart Xthoracic,Limited (93308) $897
Echo transesophageal (93312) $4,517.01
Echo Transthoracic - Congenital Tte Complete (93303) $1,932
Echo Transthoracic - Congenital Tte Limited (93304) $1,932
EEG awake drowsy (95816) $3,422
EEG cerebral death evaluation (95824) $1,065
EKG (93005) $228
EKG rhythm strip (93041) $1,076
EMG four extremities (95864) $548
EMG one extremity (95860) $1,839
EMG three extremities (95863) $442
EMG two extremities (95861) $442
Er level 1 (99281) $358
Er level ii (99282) $536
Er level iii (99283) $536
Er level IV (99284) $941
Er level v (99285) $2,105
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $250
Evaluation of speech fluency (92521) $558
Evaluation of speech sound production (92522) $558
Evaluation of swallowing function (92610) $284
Exhaled air analysis o2 (94680) $442
External ECG rec>48hr<7d recording (93242) $446
External ECG rec>7d<15d recording (93246) $130
Group Therapeutic Procedures (97150) $147
Holter Monitor Recording (93225) $221
Immunization Admin (90471) $1,953.94
Ins swan ganz bedside (93503) $11,362
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $509
IV infusion hydration each additional hour (96361) $793
IV infusion hydration initial 31 min-1 hour (96360) $2,363.34
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $262
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $801
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $793
IV push initial (96374) $9,190.22
Manual therapy 15 min (97140) $109
Massage 15 min (97124) $109
Mechanical traction (97012) $128
Methacholine challenge (94070) $1,065
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $421
Multiple sleep latency test (95805) $270
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $680
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,405
Nerve conduction studies 13/> studies (95913) $1,839
Nerve Conduction Studies 3-4 Studies (95908) $1,065
Nerve Conduction Studies 9-10 Studies (95911) $1,065
Nerve conduction studies; 1-2 studies (95907) $44
Nerve conduction studies; 11-12 studies (95912) $1,839
Nerve conduction studies; 5-6 studies (95909) $1,065
Nerve conduction studies; 7-8 studies (95910) $1,065
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $446
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $559
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $1,371
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $108
Ot Contrast Bath Ea 15 Min (97034) $109
Ot eval high complex 60 min (97167) $489
Ot eval low complex 30 min (97165) $250
Ot eval mod complex 45 min (97166) $369
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $95
Ot Prosthetic Training, Each 15 Min (97761) $109
Ot re-eval est plan care (97168) $489
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $452
Outpatient cardiac rehab w/o cont ECG monitor (93797) $1,857
Paraffin bath (97018) $78
Plethysmography (94726) $553
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,422
Prq card revasc chronic 1vsl (92943) $5,120
Prq Card Stent W/Angio 1 Vsl (92928) $40,767
Prq revasc byp graft 1 vsl (92937) $44,510.86
Prq trluml coronary angioplasty one art/branch (92920) $41,128.71
Psychiatric diagnostic evaluation (90791) $549
Pt Aquatic Therapy/Exercises (97113) $113
Pt Electric Current Therapy (97033) $109
Pt Electrical Stimulation (97032) $106
Pt eval high complex 45 min (97163) $489
Pt eval low complex 20 min (97161) $317
Pt Gait Training Therapy (97116) $113
Pt Infrared Therapy (97026) $138
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $109
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $369
Pt re-evaluation (97164) $489
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $109
Pt Ultrasound Therapy (97035) $109
Pt Whirlpool Therapy (97022) $138
R & l hrt cath w/njx l ventriculog img s&i (93453) $11,362
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $19,077.70
R hrt art/grft angio (93457) $11,362
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $16,732.24
Refill/maint, portable pump (96521) $1,222
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $221
Right heart cath (93451) $14,693.86
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $332
Rt Chest Wall Manipulation,Subsequent (94668) $442
Sensory Integration Ea 15 Min (97533) $109
Sleep study unattended (95806) $1,773
Speech sound lang comprehen (92523) $321
Spirometry (94010) $2,118
Stress echo (93350) $1,932
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $101
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $284
Ther/Proph/Diag Inj Sc/Im (96372) $3,531.77
Therapeutic Activities (97530) $250
Therapeutic phlebotomy (99195) $450
Tilt Table Eval (93660) $1,778.02
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,932
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,932
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $215
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $558
Tx/Pro/Dx Inj New Drug Addon (96375) $5,388.47
Ultraviolet Light Therapy (96900) $258
Unlisted Cardiovascular Service/Procedure (93799) $19,781.71
Unlisted noninvasive vascular diagnostic study (93998) $410
Unlisted otorhinolaryngological service (92700) $773
Vasc Duplex Extrem Venous,Bilat (93970) $897
Vasc Duplex Scan Extracranial,Limited (93882) $897
Vasopneumatic device (97016) $78
Ventilation assist & mgmt inpatient 1st day (94002) $96
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,118
Wheelchair Mgmt Ea 15 Min (97542) $95
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $134