Visits & medical services prices at Diley Ridge Medical Center

Canal Winchester, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $65 $100 1.7×
Aep neurodiagnostic i&r (92653) $464.75 $715 2.2×
Aep threshold estimation mlt frequencies i&r (92652) $439.40 $676 2.1×
Airway Inhalation Treatment (94640) $1,791.40 — 8.5×
Appl modality 1+ areas lllt po pain reduction (97037) $48.10 $74 1.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $46.80 $72 3.3×
Behavral qualit analys voice (92524) $232.05 $357 2.1×
Biofeedback training any modality (90901) $76.05 $117 1.9×
Brief Emotional/Behav Assmt (96127) $39 $60 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $363.35 $559 1.0×
Cardiac Stress Tst,Tracing Only (93017) $512.85 $789 2.5×
Cardiopulmonary exercise testing (94621) $366.60 $564 1.0×
Cardiopulmonary resuscitation (92950) $881.40 $1,356 4.2×
Cardioversion (92960) $2,060.50 $3,170 3.2×
Cardioversion elective internal (92961) $805.35 $1,239 1.3×
Cbt 1st hour (94644) $129.35 $199 1.0×
Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) $434.85 $669 3.4×
Chemo Ia Push (96420) $676 $1,040 2.1×
Chest Wall Manipulation (94668) $96.85 $149 0.8×
Color/duplex Doppler, complete (93975) $1,028.95 $1,583 4.5×
Color/duplex Doppler, limited (93976) $627.25 $965 6.2×
Community/Work Reintegration Trainj Ea 15 Min (97537) $46.80 $72 1.5×
Continuous Pulse Ox (94762) $138.45 $213 1.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $525.85 $809 2.5×
Cpt initial (94667) $124.80 $192 1.0×
Critical care first hour (99291) $5,166.85 $7,949 6.5×
Debridement Open Wound 20 Sq Cm< (97597) $375.70 $578 1.9×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $890.50 $1,370 3.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $928.20 $1,428 4.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $420.55 $647 4.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,692.60 $2,604 7.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,242.80 $1,912 12.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $814.45 $1,253 3.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $430.95 $663 4.3×
Duplex Scan Hemodialysis Access (93990) $739.70 $1,138 7.3×
Duplex up extrem art bilat (93930) $1,115.40 $1,716 4.8×
Duplex up extrem art unilat/ltd (93931) $421.20 $648 4.2×
Echo Heart Xthoracic,Limited (93308) $776.10 $1,194 3.4×
Echo transesophageal (93312) $2,526.55 $3,887 4.8×
Electrical Stimulation Ea 15 Min (97032) $83.20 $128 5.7×
Electrocardiogram Tracing (93005) $185.25 $285 3.3×
Emergency Dept Visit Level 2 (99282) $736.45 — 5.0×
Emergency Dept Visit Level 3 (99283) $1,614.79 — 6.1×
Emergency Dept Visit Level 4 (99284) $3,276 — 8.1×
Er level 1 (99281) $403.65 — 5.0×
Er level v (99285) $5,659.97 — 9.9×
Evaluate pt use of inhaler (94664) $169 $260 0.8×
Evaluate Speech Production (92522) $180.05 $277 1.6×
Evaluate Swallowing Function (92610) $201.50 $310 2.4×
Evaluation of speech fluency (92521) $195 $300 1.5×
Extracranial Bilat Study (93880) $663 $1,020 2.9×
Extracranial Uni/Ltd Study (93882) $476.45 $733 4.7×
Group Therapeutic Procedures (97150) $55.25 $85 3.1×
Im Adm Intransl/Oral 1 Vaccine (90473) $13.81 $21.25 0.2×
Immunization administration (90471)
range across 2 matching MRF lines
$13.81–$54.60 $21.25–$84 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $655.20 $1,008 1.8×
Intracranial Complete Study (93886) $714.35 $1,099 3.1×
Iontophoresis 15 min (97033) $68.90 $106 3.6×
Irrig Drug Delivery Device (96523) $176.80 $272 3.1×
IV infusion hydration each additional hour (96361) $210.60 $324 4.7×
IV infusion hydration initial 31 min-1 hour (96360) $581.10 $894 2.8×
IV infusion ther proph addl sequential to 1 hr (96367) $133.90 $206 1.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $139.75 $215 3.1×
IV push initial (96374) $412.75 $635 2.0×
Liver Elastography W/O Imag W/I&R (91200) $260 $400 2.1×
Lung Function Test (Mbc/Mvv) (94200) $58.50 $90 1.0×
Lwr Xtr Vasc Stdy Bilat (93924) $621.40 $956 3.0×
Mechanical chest wall oscillation per session (94669) $189.80 $292 0.9×
Methacholine challenge (94070) $366.60 $564 1.0×
Multiple Sleep Latency Test (95805) $2,171.65 $3,341 2.6×
Nerve Conduction Studies 1-2 Studies (95907) $241.80 $372 1.2×
Nerve Conduction Studies 11-12 Studies (95912) $1,261 $1,940 3.5×
Nerve conduction studies 13 or more studies (95913) $1,462.50 $2,250 4.1×
Nerve Conduction Studies 3-4 Studies (95908) $529.75 $815 2.5×
Nerve conduction studies 5-6 studies (95909) $542.75 $835 2.6×
Nerve conduction studies 7-8 studies (95910) $607.10 $934 1.7×
Nerve Conduction Studies 9-10 Studies (95911) $1,177.80 $1,812 3.3×
Neuromuscular Reeducation (97112) $89.05 $137 2.7×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $418.60 $644 1.2×
Oral Function Therapy (92526) $144.95 $223 1.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $99.45 $153 2.2×
Ot Contrast Bath Ea 15 Min (97034) $58.50 $90 4.2×
Ot eval high complexity (97167) $512.85 $789 5.1×
Ot Eval Low Complex (97165) $347.75 $535 3.5×
Ot Eval Moderate Complexity (97166) $451.10 $694 4.5×
Ot manual therapy 15 min (97140) $98.80 $152 3.6×
Ot paraffin bath (97018) $36.40 $56 6.1×
Ot Prosthetic Training, Each 15 Min (97761) $91 $140 2.3×
Ot Re-Eval Est Plan Care (97168) $135.20 $208 2.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $231.40 $356 1.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $84.50 $130 1.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $114.40 $176 2.0×
Plethysmography (94726) $232.70 $358 0.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,635.75 $4,055 3.2×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $113.10 $174 1.2×
Pt Eval High Complex (97163) $575.25 $885 5.9×
Pt eval low complex 20 min (97161) $324.35 $499 3.3×
Pt Eval Mod Complex (97162) $474.50 $730 4.8×
Pt gait training 15 min (97116) $94.25 $145 3.2×
Pt Re-Eval Est Plan Care (97164) $146.90 $226 2.2×
Pulm function test by gas (94727) $265.20 $408 1.3×
Pulmonary Stress Testing (94618) $241.15 $371 1.9×
Respiratory flow volume loop (94375) $344.50 $530 1.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $105.95 $163 1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $374.40 $576 1.9×
Self Care Mngment Training (97535) $89.05 $137 2.7×
Short-latency somatosens ep std upr limbs (95925) $819.65 $1,261 3.9×
Sinusoidal Vertical Axis Rotational Testing (92546) $377 $580 3.0×
Speech sound lang comprehen (92523) $315.90 $486 1.4×
Spirometry (94010) $201.50 $310 1.0×
Ssep lower limbs (95926) $559.65 $861 2.7×
Standardized Cognitive Performance Testing (96125) $167.05 $257 1.6×
Stress Tte Only (93350) $2,052.05 $3,157 3.9×
Subcutaneous Infusion Each Additional Hour (96370) $103.35 $159 2.3×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $327.60 $504 1.6×
Subq Infusion Additional Pump Infusion Site (96371) $163.15 $251 2.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $75.40 $116 3.4×
Ther Ivntj Ea Addl 15 Min (97130) $66.95 $103 3.2×
Ther/Proph/Diag Inj Sc/Im (96372) $184.60 $284 2.7×
Ther/Proph/Diag Iv Inf Init (96365) $594.10 $914 2.9×
Therapeutic Activities (97530) $165.10 $254 4.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $67.60 $104 1.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $42.90 $66 1.2×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $326.30 $502 3.2×
Tte w/doppler, complete (93306) $2,639.65 $4,061 5.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $233.35 $359 5.2×
Upr/L Xtremity Art 2 Levels (93922) $699.40 $1,076 5.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,079 $1,660 5.2×
Vasopneumatic device (97016) $62.40 $96 5.2×
Veeg 2-12 hr intmt mntr (95712) $3,497.65 $5,381 9.7×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $3,747.90 $5,766 10.4×
Vent Mgmt Inpat Init Day (94002) $688.35 $1,059 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $574.60 $884 1.0×
Visual Evoked Potential Test (95930) $497.25 $765 2.4×
Vital capacity, total (94150) $233.35 $359 1.9×
Wheelchair Mgmt Ea 15 Min (97542) $85.80 $132 2.8×
Whirlpool Therapy (97022) $73.45 $113 4.7×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $148.20 $228 2.6×

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.