Visits & medical services prices at Dorminy Medical Center
Fitzgerald, GA · every code in this section with a posted price and a Medicare benchmark.
111 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 4 matching MRF lines |
$38.63–$252 | $77.25–$504 | varies |
| Analyze neurostim complex (95972) | $244.25 | $488.50 | 2.9× |
| Application on-body injector (96377) | $103 | $206 | 2.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$71.88–$367.50 | $143.75–$735 | varies |
| Canalith repositioning proc (95992) | $66.88 | $133.75 | 1.6× |
| Cardiac Stress Tst,Tracing Only (93017) range across 7 matching MRF lines |
$461.38–$758 | $922.75–$1,516 | varies |
| Cardiopulmonary exercise testing (94621) | $367.50 | $735 | 1.1× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$305.38–$589.63 | $610.75–$1,179.25 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$57.88–$253.63 | $115.75–$507.25 | varies |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$59–$108.75 | $118–$217.50 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $69 | $138 | 1.1× |
| Chemo Hormon Antineopl Sq/Im (96402) | $91.13 | $182.25 | 1.4× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$90–$100.13 | $180–$200.25 | varies |
| Chemo IV push addl drug (96411) | $137.88 | $275.75 | 2.2× |
| Chemother Prolong Infuse W/Pump (96416) | $479 | $958 | 1.7× |
| Chemotherapy Into Cns (96450) | $398.38 | $796.75 | 1.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $182.25 | $364.50 | 2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$438–$479 | $876–$958 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $287.75 | $575.50 | 1.0× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$79.88–$151.50 | $159.75–$303 | varies |
| Color/duplex Doppler, complete (93975) | $269.13 | $538.25 | 1.3× |
| Continuous Pulse Ox (94762) range across 3 matching MRF lines |
$67.38–$89 | $134.75–$178 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$252–$577.63 | $504–$1,155.25 | varies |
| Cpt initial (94667) range across 3 matching MRF lines |
$59.88–$151.50 | $119.75–$303 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$346–$750 | $692–$1,500 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $79.50 | $159 | 0.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $269.13 | $538.25 | 2.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $534.50 | $1,069 | 2.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $355.88 | $711.75 | 3.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $558.88 | $1,117.75 | 2.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $393.38 | $786.75 | 4.3× |
| Duplex up extrem art bilat (93930) | $417.88 | $835.75 | 2.0× |
| Duplex up extrem art unilat/ltd (93931) | $306.50 | $613 | 3.3× |
| ECG/monitoring and analysis (93271) | $53.25 | $106.50 | 0.6× |
| Echo transesophageal (93312) | $1,452.25 | $2,904.50 | 3.0× |
| Eeg 41-60 Minutes (95812) | $622.63 | $1,245.25 | 3.3× |
| Electrocardiogram Tracing (93005) | $50.50 | $101 | 1.0× |
| Electrophysiology Evaluation (93642) | $38.50 | $77 | 0.0× |
| Emergency Dept Visit Level 2 (99282) | $333.13 | $666.25 | 2.5× |
| Emergency Dept Visit Level 3 (99283) | $563.75 | $1,127.50 | 2.4× |
| Emergency Dept Visit Level 4 (99284) | $1,153.13 | $2,306.25 | 3.2× |
| Emg 3 Extremities (95863) | $365.25 | $730.50 | 3.2× |
| Emg 4 Extremities (95864) | $422.75 | $845.50 | 3.7× |
| Er level 1 (99281) | $256.25 | $512.50 | 3.5× |
| Er level v (99285) | $1,409.36 | $2,818.72 | 2.7× |
| Evaluate pt use of inhaler (94664) range across 5 matching MRF lines |
$30.50–$252 | $61–$504 | varies |
| Evoked Auditory Test,Limited (92587) | $41 | $82 | 0.2× |
| Exercise test for bronchospasm (94617) | $151.50 | $303 | 1.3× |
| Exhaled Air Analysis O2 (94680) | $190.50 | $381 | 1.7× |
| External Ecg Scanning Analysis Report (93226) | $192.25 | $384.50 | 3.7× |
| Extracranial Bilat Study (93880) | $533.50 | $1,067 | 2.6× |
| Holter monitor recording (93225) | $138.38 | $276.75 | 1.2× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $25.50 | $51 | 0.4× |
| Immunization administration (90471) range across 5 matching MRF lines |
$21.88–$70.63 | $43.75–$141.25 | varies |
| Irrig Drug Delivery Device (96523) | $31.75 | $63.50 | 0.6× |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$51.25–$58.13 | $102.50–$116.25 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$61.88–$181.13 | $123.75–$362.25 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 5 matching MRF lines |
$38.88–$76.25 | $77.75–$152.50 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 9 matching MRF lines |
$38.88–$77.13 | $77.75–$154.25 | varies |
| IV push initial (96374) range across 6 matching MRF lines |
$38.63–$272.50 | $77.25–$545 | varies |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$75–$86.75 | $150–$173.50 | varies |
| Mechanical chest wall oscillation per session (94669) | $252 | $504 | 1.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $39 | $78 | 1.2× |
| Multiple Sleep Latency Test (95805) | $1,306.25 | $2,612.50 | 1.7× |
| Muscle Test 2 Limbs (95861) | $386.88 | $773.75 | 3.3× |
| Muscle Test Nonparaspinal (95870) | $92.50 | $185 | 0.8× |
| Muscle Test One Limb (95860) | $248.88 | $497.75 | 2.1× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $263.25 | $526.50 | 1.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $62.25 | $124.50 | 0.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $86.38 | $172.75 | 0.2× |
| Nerve Conduction Studies 1-2 Studies (95907) | $58 | $116 | 0.3× |
| Nerve Conduction Studies 11-12 Studies (95912) | $221.88 | $443.75 | 0.7× |
| Nerve conduction studies 13 or more studies (95913) | $239.38 | $478.75 | 0.7× |
| Nerve Conduction Studies 3-4 Studies (95908) | $76.13 | $152.25 | 0.4× |
| Nerve conduction studies 5-6 studies (95909) | $140.63 | $281.25 | 0.7× |
| Nerve conduction studies 7-8 studies (95910) | $167.75 | $335.50 | 0.5× |
| Nerve Conduction Studies 9-10 Studies (95911) | $194.88 | $389.75 | 0.6× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 3 matching MRF lines |
$161.63–$367.50 | $323.25–$735 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$48.13–$72.50 | $96.25–$145 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $75 | $150 | 1.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $126 | $252 | 2.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,069.38 | $4,138.75 | 2.7× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$137.75–$190.50 | $275.50–$381 | varies |
| Pulmonary service/procedure (94799) | $190.50 | $381 | 1.7× |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$147.38–$426.50 | $294.75–$853 | varies |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$217.38–$272.50 | $434.75–$545 | varies |
| Refill/Maint Pump/Resvr Syst (96522) | $217.38 | $434.75 | 1.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $362 | $724 | 11.1× |
| Remote 30 Day Ecg Tech Supp (93229) range across 3 matching MRF lines |
$61.50–$92.63 | $123–$185.25 | varies |
| Respiratory flow volume loop (94375) | $367.50 | $735 | 1.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$21.13–$94.25 | $42.25–$188.50 | varies |
| Sleep study unattended (95806) | $253.63 | $507.25 | 1.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $250 | $500 | 1.3× |
| Spirometry (94010) range across 4 matching MRF lines |
$69.50–$190.50 | $139–$381 | varies |
| Surfactant Admin Thru Tube (94610) | $192.25 | $384.50 | 1.0× |
| Temp transcutaneous pacing (92953) | $250 | $500 | 0.4× |
| Testing Autonomic Nervous System Function (95923) | $152.50 | $305 | 1.3× |
| Ther/Proph/Diag Inj Ia (96373) | $65.38 | $130.75 | 0.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 11 matching MRF lines |
$38.63–$65 | $77.25–$130 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 10 matching MRF lines |
$112.25–$272.50 | $224.50–$545 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $144.63 | $289.25 | 1.2× |
| Trans Care Mgmt 7 Day Disch (99496) | $199.38 | $398.75 | 1.7× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $191.50 | $383 | 1.7× |
| Tte w/doppler, complete (93306) | $870.69 | $1,741.38 | 1.8× |
| Tte W/O Doppler Complete (93307) | $403.63 | $807.25 | 1.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$51.25–$76.25 | $102.50–$152.50 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $152.50 | $305 | 1.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $316.25 | $632.50 | 1.7× |
| Vent Mgmt Inpat Init Day (94002) | $872.50 | $1,745 | 1.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $340.50 | $681 | 0.6× |
| Vital capacity, total (94150) | $190.50 | $381 | 1.7× |
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.