Visits & medical services prices at Doctors Memorial Hospital
Bonifay, FL · every code in this section with a posted price and a Medicare benchmark.
144 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 11 matching MRF lines |
$18–$149.40 | $40–$332 | varies |
| Airway resistance by oscillometry (94728) | $214.20 | $476 | 1.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $52.20 | $116 | 3.6× |
| Assessment of aphasia per hr (96105) | $219.15 | $487 | 2.3× |
| Behavral qualit analys voice (92524) | $295.20 | $656 | 2.7× |
| Brief Emotional/Behav Assmt (96127) | $152.55 | $339 | 3.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $214.20 | $476 | 0.5× |
| C motor evoked uppr limbs (95928) | $1,012.95 | $2,251 | 1.1× |
| C motor evoked upr&lwr limbs (95939) | $1,012.95 | $2,251 | 1.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,410.75 | $3,135 | 6.3× |
| Cardiopulmonary exercise testing (94621) | $214.20 | $476 | 0.5× |
| Cardiopulmonary resuscitation (92950) range across 5 matching MRF lines |
$335.25–$403.20 | $745–$896 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$226.35–$372.15 | $503–$827 | varies |
| Cbt 1st hour (94644) | $75.60 | $168 | 0.5× |
| Chest Wall Manipulation (94668) | $64.35 | $143 | 0.5× |
| Color/duplex Doppler, complete (93975) | $839.25 | $1,865 | 3.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $54.90 | $122 | 1.7× |
| Continuous Pulse Ox (94762) | $124.65 | $277 | 0.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $149.40 | $332 | 0.7× |
| Cpt initial (94667) | $103.50 | $230 | 0.7× |
| Critical care first hour (99291) | $744.30 | $1,654 | 0.9× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,012.95 | $2,251 | 2.6× |
| Debridement Open Wound 20 Sq Cm< (97597) | $36.90 | $82 | 0.2× |
| Developmental tst admin phys/qhp 1st hour (96112) | $155.25 | $345 | 1.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $486.45 | $1,081 | 2.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $401.40 | $892 | 3.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$315–$337.50 | $700–$750 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $246.15 | $547 | 2.3× |
| Duplex up extrem art bilat (93930) | $486.45 | $1,081 | 2.0× |
| Duplex up extrem art unilat/ltd (93931) | $401.40 | $892 | 3.7× |
| Eeg 41-60 Minutes (95812) | $1,012.95 | $2,251 | 4.5× |
| EEG awake and asleep (95819) | $433.80 | $964 | 1.9× |
| EEG extended monitoring 61-119 minutes (95813) | $1,012.95 | $2,251 | 4.5× |
| Electrical Stimulation Ea 15 Min (97032) | $82.80 | $184 | 5.6× |
| Electrocardiogram Tracing (93005) | $176.85 | $393 | 2.9× |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$93.60–$152.55 | $208–$339 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$141.75–$200.25 | $315–$445 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$199.80–$385.65 | $444–$857 | varies |
| Emg 3 Extremities (95863) | $602.10 | $1,338 | 4.5× |
| Er level 1 (99281) | $54 | $120 | 0.6× |
| Er level v (99285) range across 2 matching MRF lines |
$256.05–$567.90 | $569–$1,262 | varies |
| Evaluate pt use of inhaler (94664) | $144 | $320 | 0.6× |
| Evaluate Speech Production (92522) | $295.20 | $656 | 2.6× |
| Evaluate Swallowing Function (92610) | $263.25 | $585 | 3.1× |
| Evaluation of speech fluency (92521) | $295.20 | $656 | 2.2× |
| Exhaled Air Analysis O2 (94680) | $68.40 | $152 | 0.5× |
| External ECG rec>48hr<7d recording (93242) | $165.15 | $367 | 4.2× |
| External ECG rec>7d<15d recording (93246) | $165.15 | $367 | 4.2× |
| Extracranial Bilat Study (93880) | $486 | $1,080 | 2.0× |
| Group Therapeutic Procedures (97150) | $49.50 | $110 | 2.7× |
| Holter monitor recording (93225) | $275.40 | $612 | 2.0× |
| Immunization administration (90471) | $69.30 | $154 | 0.9× |
| Inital newborn e/m (99460) | $152.55 | $339 | 1.1× |
| Intracutaneous tests w/allergenic extracts (95024) | $46.80 | $104 | 0.8× |
| Iontophoresis 15 min (97033) | $73.80 | $164 | 3.9× |
| IV infusion hydration each additional hour (96361) | $166.50 | $370 | 3.4× |
| IV infusion hydration initial 31 min-1 hour (96360) | $166.50 | $370 | 0.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $99.45 | $221 | 1.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $166.50 | $370 | 3.4× |
| IV push initial (96374) | $227.70 | $506 | 1.0× |
| Lung Function Test (Mbc/Mvv) (94200) | $124.20 | $276 | 2.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $663.30 | $1,474 | 2.9× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$96.30–$149.40 | $214–$332 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $19.35 | $43 | 0.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $152.55 | $339 | 4.2× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$214.20–$246.15 | $476–$547 | varies |
| Motion Fluoroscopy/Swallow (92611) | $161.10 | $358 | 1.8× |
| Muscle Test 2 Limbs (95861) | $602.10 | $1,338 | 4.3× |
| Muscle Test Nonparaspinal (95870) | $1,012.95 | $2,251 | 7.3× |
| Needle electromyography larynx (95865) | $1,012.95 | $2,251 | 7.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $589.05 | $1,309 | 2.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $589.05 | $1,309 | 1.4× |
| Neurobehavioral Status Exam (96116) | $144.45 | $321 | 0.6× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $1,012.95 | $2,251 | 7.5× |
| Neuromuscular Reeducation (97112) | $62.10 | $138 | 1.9× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$77.40–$618.30 | $172–$1,374 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $126.45 | $281 | 0.3× |
| Oculoelectromyography (92265) | $1,012.95 | $2,251 | 16.4× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $74.70 | $166 | 0.5× |
| Ophth medical xm&eval intermediate estab pt (92012) | $53.10 | $118 | 0.4× |
| Oral Function Therapy (92526) | $59.85 | $133 | 0.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $65.70 | $146 | 1.4× |
| Ot Contrast Bath Ea 15 Min (97034) | $102.15 | $227 | 7.3× |
| Ot eval high complexity (97167) | $272.25 | $605 | 2.7× |
| Ot Eval Low Complex (97165) | $148.50 | $330 | 1.5× |
| Ot Eval Moderate Complexity (97166) | $210.60 | $468 | 2.1× |
| Ot manual therapy 15 min (97140) | $69.30 | $154 | 2.5× |
| Ot paraffin bath (97018) | $36.45 | $81 | 6.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $65.70 | $146 | 1.6× |
| Ot Re-Eval Est Plan Care (97168) | $61.65 | $137 | 0.9× |
| Ot rom hand (95852) | $41.85 | $93 | 2.0× |
| Oxygen Uptake Rest Indirect (94690) | $57.60 | $128 | 0.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$96.30–$437.40 | $214–$972 | varies |
| Phlebotomy therapeutic (99195) | $188.10 | $418 | 1.4× |
| Plethysmography (94726) | $126.45 | $281 | 0.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $61.65 | $137 | 1.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $61.65 | $137 | 1.3× |
| Pt Eval High Complex (97163) | $295.65 | $657 | 3.0× |
| Pt eval low complex 20 min (97161) | $171.45 | $381 | 1.8× |
| Pt Eval Mod Complex (97162) | $234 | $520 | 2.4× |
| Pt gait training 15 min (97116) | $57.15 | $127 | 2.0× |
| Pt mechanical traction (97012) | $59.40 | $132 | 4.1× |
| Pt Re-Eval Est Plan Care (97164) | $103.05 | $229 | 1.5× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $83.70 | $186 | 2.1× |
| Pulm function test by gas (94727) | $124.65 | $277 | 0.6× |
| Pulmonary service/procedure (94799) | $68.40 | $152 | 0.5× |
| Pulmonary Stress Testing (94618) | $155.25 | $345 | 1.1× |
| Pure Tone Audiometry Air (92552) | $152.55 | $339 | 1.1× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $119.70 | $266 | 3.1× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $81.45 | $181 | 0.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $110.25 | $245 | 2.8× |
| Respiratory flow volume loop (94375) | $214.20 | $476 | 0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$188.10–$589.05 | $418–$1,309 | varies |
| Same day nb discharge (99463) | $152.55 | $339 | 1.1× |
| Self Care Mngment Training (97535) | $66.15 | $147 | 2.0× |
| Sensory Integration Ea 15 Min (97533) | $52.20 | $116 | 0.9× |
| Short-latency somatosens ep std upr limbs (95925) | $1,012.95 | $2,251 | 4.5× |
| Somatosensory Testing (95938) | $1,012.95 | $2,251 | 1.1× |
| Speech sound lang comprehen (92523) | $295.20 | $656 | 1.3× |
| Spirometry (94010) range across 4 matching MRF lines |
$25.20–$131.85 | $56–$293 | varies |
| Ssep lower limbs (95926) | $1,012.95 | $2,251 | 4.5× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$405.90–$502.20 | $902–$1,116 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $59.85 | $133 | 2.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $53.10 | $118 | 2.5× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$31.50–$67.05 | $70–$149 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $61.65 | $137 | 2.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $73.80 | $164 | 1.0× |
| Ther/Proph/Diag Iv Inf Init (96365) | $332.10 | $738 | 1.5× |
| Therapeutic Activities (97530) | $59.40 | $132 | 1.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $31.50 | $70 | 0.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$31.50–$93.60 | $70–$208 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $154.35 | $343 | 1.1× |
| Trans Care Mgmt 7 Day Disch (99496) | $197.55 | $439 | 1.4× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$59.40–$839.25 | $132–$1,865 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $59.85 | $133 | 0.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $227.70 | $506 | 4.7× |
| Upr/L Xtremity Art 2 Levels (93922) | $397.80 | $884 | 2.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $530.55 | $1,179 | 2.4× |
| Vasopneumatic device (97016) | $81.45 | $181 | 6.8× |
| Vent Mgmt Inpat Init Day (94002) | $530.55 | $1,179 | 0.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $397.80 | $884 | 0.6× |
| Vital capacity, total (94150) | $117 | $260 | 0.9× |
| Wheelchair Mgmt Ea 15 Min (97542) | $60.30 | $134 | 1.9× |
| Whirlpool Therapy (97022) | $89.10 | $198 | 5.7× |
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.