Visits & medical services prices at Desoto Memorial Hospital

Arcadia, FL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $132 $264 0.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $59.50 $119 4.1×
Assessment of aphasia per hr (96105) $133 $266 1.4×
Behavral qualit analys voice (92524) $117 $234 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $437.50 $875 1.1×
Canalith repositioning proc (95992) $84 $168 2.1×
Cardiac Stress Tst,Tracing Only (93017) $512 $1,024 2.3×
Cardiopulmonary resuscitation (92950) $408 $816 1.8×
Chemo IV infusion addl hr (96415) $96.50 $193 1.3×
Chemo IV push addl drug (96411) $126.50 $253 1.7×
Chemother Prolong Infuse W/Pump (96416) $298.50 $597 0.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $113 $226 1.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $252 $504 0.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $173 $346 0.5×
Color/duplex Doppler, complete (93975) $533.50 $1,067 2.1×
Color/duplex Doppler, limited (93976) $298.50 $597 2.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $62 $124 1.9×
Continuous Pulse Ox (94762) $189.50 $379 1.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $437.50 $875 1.9×
Critical care first hour (99291) $1,370 $2,740 1.6×
Debridement Open Wound 20 Sq Cm< (97597) $345 $690 1.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $533.50 $1,067 2.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $518.50 $1,037 4.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $533.50 $1,067 2.1×
Dup-scan xtr veins unilateral/limited study (93971) $533.50 $1,067 4.9×
Duplex Scan Hemodialysis Access (93990) $492.50 $985 4.5×
Duplex up extrem art bilat (93930) $533.50 $1,067 2.1×
Duplex up extrem art unilat/ltd (93931) $518.50 $1,037 4.7×
Echo Congenital Complete (93303) $591 $1,182 1.0×
Electrical Stimulation Ea 15 Min (97032) $76 $152 5.2×
Electrocardiogram Tracing (93005) $152.50 $305 2.5×
Emergency Dept Visit Level 2 (99282) $345 $690 2.2×
Emergency Dept Visit Level 3 (99283) $750 $1,500 2.6×
Emergency Dept Visit Level 4 (99284) $935 $1,870 2.1×
Er level 1 (99281) $165 $330 1.9×
Er level v (99285) $1,125 $2,250 1.8×
Evaluate pt use of inhaler (94664) $211 $422 0.9×
Evaluate Speech Production (92522) $117 $234 1.0×
Evaluate Swallowing Function (92610) $159.50 $319 1.9×
Evaluation of speech fluency (92521) $146.50 $293 1.1×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines		 $518.50–$533.50 $1,037–$1,067 varies
Extracranial Uni/Ltd Study (93882) $518.50 $1,037 4.7×
F-up/limited tthrc echo congenital car anomaly (93304) $518.50 $1,037 0.9×
Flexible endoscopic eval swallow c/v rec (92612) $212.50 $425 1.1×
Group Therapeutic Procedures (97150) $50.50 $101 2.8×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $763 $1,526 1.1×
Immunization administration (90471) $80 $160 1.1×
Intracranial Complete Study (93886) $518.50 $1,037 2.1×
Irrig Drug Delivery Device (96523) $126.50 $253 2.1×
IV infusion hydration each additional hour (96361) $63.50 $127 1.3×
IV infusion hydration initial 31 min-1 hour (96360) $189.50 $379 0.9×
IV infusion ther proph addl sequential to 1 hr (96367) $85 $170 1.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $96.50 $193 2.0×
IV push initial (96374) $159 $318 0.7×
Mechanical chest wall oscillation per session (94669) $125.50 $251 0.5×
Motion Fluoroscopy/Swallow (92611) $117 $234 1.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $593.50 $1,187 1.4×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $593.50 $1,187 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $345 $690 1.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $593.50 $1,187 1.4×
Neurobehavioral Status Exam (96116) $451.50 $903 2.0×
Neuromuscular Reeducation (97112) $59.50 $119 1.8×
Oral Function Therapy (92526) $117 $234 1.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $53.50 $107 1.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $62 $124 1.3×
Ot Contrast Bath Ea 15 Min (97034) $62 $124 4.4×
Ot eval high complexity (97167) $223 $446 2.2×
Ot Eval Low Complex (97165) $151 $302 1.5×
Ot Eval Moderate Complexity (97166) $167.50 $335 1.7×
Ot manual therapy 15 min (97140) $76 $152 2.7×
Ot paraffin bath (97018) $59.50 $119 9.9×
Ot Prosthetic Training, Each 15 Min (97761) $64.50 $129 1.6×
Ot Re-Eval Est Plan Care (97168) $112 $224 1.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $194.50 $389 1.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $130 $260 1.0×
Phlebotomy therapeutic (99195) $61 $122 0.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $96.50 $193 1.6×
Physical Performance Test (97750) $73.50 $147 2.2×
Psych diag eval w/med srvcs (90792) $178 $356 1.0×
Psychiatric diagnostic evaluation (90791) $178 $356 1.0×
Pt Eval High Complex (97163) $223 $446 2.3×
Pt eval low complex 20 min (97161) $151 $302 1.5×
Pt Eval Mod Complex (97162) $167.50 $335 1.7×
Pt gait training 15 min (97116) $59.50 $119 2.0×
Pt mechanical traction (97012) $67 $134 4.7×
Pt Re-Eval Est Plan Care (97164) $112 $224 1.7×
Pulm function test by gas (94727) $159 $318 0.7×
Pulmonary Stress Testing (94618) $159 $318 1.1×
Refill/Maint Portable Pump (96521) $173 $346 0.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $345 $690 1.6×
Self Care Mngment Training (97535) $56.50 $113 1.7×
Sensory Integration Ea 15 Min (97533) $45.50 $91 0.7×
Speech sound lang comprehen (92523) $175.50 $351 0.8×
Spirometry (94010)
range across 2 matching MRF lines		 $88–$282 $176–$564 varies
Subcutaneous Infusion Each Additional Hour (96370) $96.50 $193 2.0×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $227.50 $455 1.0×
Subq Infusion Additional Pump Infusion Site (96371) $96.50 $193 1.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $64 $128 2.9×
Ther Ivntj Ea Addl 15 Min (97130) $64 $128 3.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $56.50 $113 1.9×
Ther/Proph/Diag Inj Sc/Im (96372) $80 $160 1.1×
Ther/Proph/Diag Iv Inf Init (96365) $194.50 $389 0.9×
Therapeutic Activities (97530) $59.50 $119 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $30 $60 0.8×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $518.50 $1,037 4.7×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines		 $110–$533.50 $220–$1,067 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $133 $266 1.7×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $45.50 $91 1.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $85 $170 1.7×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines		 $348–$518.50 $696–$1,037 varies
Vasopneumatic device (97016) $45 $90 3.7×
Vent Mgmt Inpat Init Day (94002) $624 $1,248 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $437.50 $875 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $45 $90 1.4×

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.