Visits & medical services prices at Doctors Memorial Hospital

Perry, 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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $167.20 $418 0.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $14.80 $37 1.0×
Assessment of aphasia per hr (96105) $105.20 $263 1.1×
Bedside Swallowing Eval (92610) $78 $195 0.9×
Behavioral and qualitative analysis of voice and resonance (92524) $89.60 $224 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $116.20 $290.50 0.3×
Cardiac Stress Tst,Tracing Only (93017) $224.80 $562 1.0×
Cardiopulmonary resuscitation (92950) $256.40 $641 1.1×
Cardioversion (92960) $414.60 $1,036.50 0.6×
Cbt 1st hour (94644) $94.40 $236 0.7×
Chemother, IV infusion, 1 hr (96413) $274.80 $687 0.8×
Chemother, IV infusion, ea add hr (96415) $53.60 $134 0.7×
Color/duplex Doppler, complete (93975) $325.20 $813 1.3×
Color/duplex Doppler, limited (93976) $184.80 $462 1.7×
Cpap/bipap (94660) $161 $402.50 0.7×
Cpt initial (94667) $94.40 $236 0.7×
Critical care (99291) $722.40 $1,806 0.8×
Debridement Open Wound 20 Sq Cm< (97597) $137.60 $344 0.7×
Developmental tst admin phys/qhp 1st hour (96112) $120.80 $302 0.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $246 $615 1.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $174 $435 1.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $338 $845 1.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $175.40 $438.50 1.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $268 $670 1.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $161.40 $403.50 1.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $264 $660 1.1×
Dup-scan xtr veins unilateral/limited study (93971) $156 $390 1.4×
Duplex scan extracranial art compl bi study (93880) $230.20 $575.50 0.9×
Duplex Scan Hemodialysis Access (93990) $240 $600 2.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $147.20 $368 0.3×
EEG awake drowsy (95816) $201.60 $504 0.9×
Electrocardiogram Tracing (93005) $61.60 $154 1.0×
Electroconvulsive Therapy (90870) $386.40 $966 0.4×
Er level 1 (99281) $64.80 $162 0.7×
Er level ii (99282) $135.80 $339.50 0.8×
Er level iii (99283) $258.80 $647 0.9×
Er level IV (99284) $406 $1,015 0.9×
Er level v (99285) $526.80 $1,317 0.8×
Eval speech sound production (92522) $92.80 $232 0.8×
Evaluate Pt Use Of Inhaler (94664) $163.20 $408 0.7×
Evaluation of speech fluency (92521) $114 $285 0.9×
External Ecg Scanning Analysis Report (93226) $116.80 $292 1.9×
Holter Monitor (93225) $128.40 $321 0.9×
Immunization Admin (90471) $52.40 $131 0.7×
Injection intra arterial (96373) $74.40 $186 0.3×
Iontophoresis 15 min (97033) $22.40 $56 1.2×
Irrig drug delivery device (96523) $48.80 $122 0.8×
IV infusion hydration each additional hour (96361) $31.20 $78 0.6×
IV infusion hydration initial 31 min-1 hour (96360) $163.20 $408 0.7×
IV infusion ther proph addl sequential to 1 hr (96367) $53.60 $134 0.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $142.20 $355.50 0.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $34 $85 0.7×
IV push ea addl new drug (96375) $33.60 $84 0.7×
IV push initial (96374) $171.60 $429 0.8×
Manual therapy 15 min (97140) $35.60 $89 1.3×
Massage 15 min (97124) $24.20 $60.50 0.8×
Maximum voluntary ventilation (94200) $46.40 $116 0.8×
Mechanical traction (97012) $18 $45 1.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $118 $295 1.3×
Neg press wound tx >50 cm (97608) $335.20 $838 0.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $335.20 $838 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $108 $270 0.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $155.80 $389.50 1.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $29.60 $74 0.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $34 $85 1.1×
Ot eval high complex 60 min (97167) $87.60 $219 0.9×
Ot eval low complex 30 min (97165) $87.60 $219 0.9×
Ot eval mod complex 45 min (97166) $87.60 $219 0.9×
Ot Prosthetic Training, Each 15 Min (97761) $29.60 $74 0.7×
Ot re-evaluation (97168) $47.20 $118 0.7×
Ot therapeutic activity 15 min (97530) $34.20 $85.50 1.0×
Paraffin bath pt (97018) $15.20 $38 2.5×
Phlebotomy therapeutic (99195) $56.80 $142 0.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,168.80 $2,922 1.3×
Pt diathermy (97024) $8 $20 1.1×
Pt Electrical Stimulation (97032) $19.20 $48 1.3×
Pt eval high complex 45 min (97163) $87.60 $219 0.9×
Pt eval low complex 20 min (97161) $87.60 $219 0.9×
Pt eval mod complex 30 min (97162) $87.60 $219 0.9×
Pt gait training 15 min (97116) $29.60 $74 1.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $34 $85 1.0×
Pt Physical Performance Test (97750) $34 $85 1.0×
Pt re-evaluation (97164) $47.20 $118 0.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $35.60 $89 1.1×
Pt Whirlpool Therapy (97022) $18 $45 1.1×
Pulm function test by gas (94727) $122.40 $306 0.5×
Pulmonary Service/Procedure (94799) $33.20 $83 0.2×
Pulmonary stress test simple (94618) $94.40 $236 0.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $58.80 $147 1.5×
Respiratory flow volume loop (94375) $74 $185 0.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $73.60 $184 0.4×
Rt Chest Wall Manipulation,Subsequent (94668) $24.40 $61 0.2×
Sensory Integration Ea 15 Min (97533) $34 $85 0.6×
Sleep study unattended (95806) $200.40 $501 0.9×
Smoking cessation > 10 min (99407) $29.60 $74 0.8×
Spirometry (94010) $60 $150 0.3×
Standardized Cognitive Performance Testing (96125) $111.20 $278 1.1×
Stress echo (93350) $240.80 $602 0.4×
Temp transcutaneous pacing (92953) $195.60 $489 0.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $34 $85 1.5×
Ther/prop/diag inj/inf proc (96379) $32 $80 0.7×
Therapeutic prophylactic/dx injection subq/im (96372) $29.60 $74 0.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $29.60 $74 0.8×
Tte w/doppler, complete (93306) $535.60 $1,339 0.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $156.80 $392 0.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $79.60 $199 1.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $23.60 $59 1.0×
Upr/lxtr art stdy 3+ lvls (93923) $160 $400 0.7×
Vasc Duplex Scan Extracranial,Limited (93882) $105.60 $264 1.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $208 $520 0.9×
Vent mgmt inpat init day (94002) $191 $477.50 0.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $178.40 $446 0.3×
Vital capacity, total (94150) $122.40 $306 0.9×
Wheelchair Mgmt Ea 15 Min (97542) $29.60 $74 1.0×