Visits & medical services prices at Donalsonville Hospital

Donalsonville, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $179.35 $211 0.9×
Airway resistance by oscillometry (94728) $399.50 $470 3.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 8 matching MRF lines
$221–$268.60 $260–$316 varies
Application Modality 1/> Areas Diathermy (97024)
range across 4 matching MRF lines
$221–$268.60 $260–$316 varies
Assessment of aphasia per hr (96105) $210.80 $248 2.2×
Behavral qualit analys voice (92524) $237.15 $279 2.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $776.05 $913 2.4×
Car seat/bed test 60 min (94780) $231.20 $272 7.1×
Cardiac Stress Tst,Tracing Only (93017) $445.40 $524 2.4×
Cardiopulmonary exercise testing (94621) $405.45 $477 1.2×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$379.10–$957.10 $446–$1,126 varies
Cardioversion (92960)
range across 2 matching MRF lines
$475.15–$863.60 $559–$1,016 varies
Chemo IV infusion addl hr (96415) $187 $220 3.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $821.95 $967 2.8×
Chest Wall Manipulation (94668) $196.35 $231 1.7×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$689.35–$1,383.80 $811–$1,628 varies
Color/duplex Doppler, limited (93976) $669.80 $788 7.3×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines
$82.45–$123.25 $97–$145 varies
Continuous Pulse Ox (94762) $1,012.35 $1,191 9.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$345.10–$1,020.85 $406–$1,201 varies
Cpt initial (94667)
range across 2 matching MRF lines
$25.50–$253.30 $30–$298 varies
Critical care first hour (99291)
range across 5 matching MRF lines
$132.60–$911.20 $156–$1,072 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$143.65–$322.15 $169–$379 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $935 $1,100 4.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $331.50 $390 3.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$456.45–$1,672.80 $537–$1,968 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines
$304.30–$1,146.65 $358–$1,349 varies
Duplex up extrem art bilat (93930) $799.85 $941 3.8×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$492.15–$613.70 $579–$722 varies
EEG awake drowsy (95816) $233.75 $275 1.2×
Electrical Stimulation Ea 15 Min (97032)
range across 6 matching MRF lines
$192.10–$224.40 $226–$264 varies
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$65.45–$94.35 $77–$111 varies
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$317.90–$328.95 $374–$387 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$385.90–$400.35 $454–$471 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$466.65–$484.50 $549–$570 varies
Er level 1 (99281)
range across 3 matching MRF lines
$260.10–$271.15 $306–$319 varies
Er level v (99285)
range across 2 matching MRF lines
$582.25–$623.05 $685–$733 varies
Eval aud funcj cand/po surg implt dev 1st hr (92626) $257.55 $303 2.3×
Evaluate pt use of inhaler (94664) $253.30 $298 1.3×
Evaluate Speech Production (92522) $243.10 $286 2.2×
Evaluate Swallowing Function (92610) $235.45 $277 2.8×
Evaluation of speech fluency (92521)
range across 2 matching MRF lines
$277.10–$300.90 $326–$354 varies
Exhaled Air Analysis O2 (94680) $232.90 $274 2.1×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines
$72.25–$158.95 $85–$187 varies
Extracranial Bilat Study (93880) $596.70 $702 2.9×
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines
$554.20–$1,368.50 $652–$1,610 varies
Flexible endoscopic eval swallow c/v rec (92612) $685.95 $807 3.4×
Holter monitor recording (93225) $375.70 $442 3.2×
Immunization administration (90471)
range across 4 matching MRF lines
$34–$210.80 $40–$248 varies
Iontophoresis 15 min (97033)
range across 3 matching MRF lines
$42.50–$175.95 $50–$207 varies
Irrig Drug Delivery Device (96523) $125.80 $148 2.4×
IV infusion hydration each additional hour (96361) $122.40 $144 3.0×
IV infusion hydration initial 31 min-1 hour (96360) $96.05 $113 0.5×
IV infusion ther proph addl sequential to 1 hr (96367) $152.15 $179 2.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $96.05 $113 2.3×
IV push initial (96374) $251.60 $296 1.3×
Lung Function Test (Mbc/Mvv) (94200) $352.75 $415 6.8×
Mechanical chest wall oscillation per session (94669) $360.40 $424 1.9×
Motion Fluoroscopy/Swallow (92611) $339.15 $399 3.7×
Nerve Conduction Studies 3-4 Studies (95908) $330.65 $389 1.7×
Neuromuscular Reeducation (97112)
range across 5 matching MRF lines
$175.95–$182.75 $207–$215 varies
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $416.50 $490 1.3×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $124.10 $146 1.1×
Oral Function Therapy (92526) $162.35 $191 1.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $176.80 $208 3.8×
Ot Contrast Bath Ea 15 Min (97034) $135.15 $159 9.6×
Ot eval high complexity (97167) $169.15 $199 1.7×
Ot Eval Low Complex (97165) $151.30 $178 1.5×
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines
$153.85–$300.90 $181–$354 varies
Ot manual therapy 15 min (97140) $73.10 $86 2.6×
Ot paraffin bath (97018)
range across 3 matching MRF lines
$153.85–$192.10 $181–$226 varies
Ot Re-Eval Est Plan Care (97168)
range across 2 matching MRF lines
$114.75–$140.25 $135–$165 varies
Phlebotomy therapeutic (99195) $146.20 $172 1.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $549.10 $646 10.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $272 $320 5.3×
Plethysmography (94726) $147.90 $174 0.5×
Pt Eval High Complex (97163) $175.10 $206 1.8×
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$156.40–$183.60 $184–$216 varies
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$159.80–$176.80 $188–$208 varies
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$176.80–$300.90 $208–$354 varies
Pt mechanical traction (97012)
range across 7 matching MRF lines
$221–$268.60 $260–$316 varies
Pt Re-Eval Est Plan Care (97164) $221 $260 3.3×
Pulm function test by gas (94727) $207.40 $244 1.1×
Pulmonary Stress Testing (94618) $192.95 $227 1.7×
Respiratory flow volume loop (94375) $222.70 $262 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $283.90 $334 1.6×
Self Care Mngment Training (97535)
range across 6 matching MRF lines
$90.10–$176.80 $106–$208 varies
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines
$73.95–$153.85 $87–$181 varies
Speech sound lang comprehen (92523)
range across 2 matching MRF lines
$237.15–$243.10 $279–$286 varies
Spirometry (94010) $314.50 $370 1.7×
Standardized Cognitive Performance Testing (96125) $401.20 $472 3.9×
Stress Tte Only (93350) $569.50 $670 1.2×
Temp transcutaneous pacing (92953) $787.95 $927 1.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $82.45 $97 3.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $221 $260 7.4×
Ther/Prop/Diag Inj/Inf Proc (96379) $240.55 $283 5.9×
Ther/Proph/Diag Inj Ia (96373) $130.05 $153 0.7×
Ther/Proph/Diag Inj Sc/Im (96372) $173.40 $204 2.7×
Ther/Proph/Diag Iv Inf Init (96365) $96.05 $113 0.5×
Therapeutic Activities (97530)
range across 12 matching MRF lines
$82.45–$208.25 $97–$245 varies
Tte w/doppler, complete (93306) $1,399.95 $1,647 2.9×
Tte W/O Doppler Complete (93307) $1,466.25 $1,725 7.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $144.50 $170 1.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $243.95 $287 5.9×
Tympanometry (92567) $216.75 $255 6.6×
Tympanometry and reflex threshold measurements (92550) $44.20 $52 0.2×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$201.45–$1,025.10 $237–$1,206 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $427.55 $503 2.3×
Vasopneumatic device (97016) $249.90 $294 20.8×
Vent Mgmt Inpat Init Day (94002) $907.80 $1,068 1.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $299.20 $352 0.6×
Vital capacity, total (94150) $120.70 $142 1.1×
Whirlpool Therapy (97022)
range across 4 matching MRF lines
$160.65–$249.90 $189–$294 varies

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.