Visits & medical services prices at Ed Fraser Memorial Hospital

Macclenny, FL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $518 $518 2.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $113 $113 7.9×
Behavioral and qualitative analysis of voice and resonance (92524) $202 $202 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,196 $1,196 3.1×
Cardiopulmonary resuscitation (92950) $1,051.50 $1,051.50 4.7×
Cardioversion (92960) $1,548 $1,548 2.2×
Cbt 1st hour (94644) $314 $314 2.3×
Cpap/bipap (94660) $518 $518 2.3×
Critical care (99291) $4,201 $4,201 4.9×
Dup-scan xtr veins unilateral/limited study (93971) $863 $863 7.9×
Echo transesophageal (93312) $453 $453 0.8×
Er level 1 (99281) $457 $457 5.2×
Er level ii (99282) $749 $749 4.7×
Er level iii (99283) $1,184 $1,184 4.2×
Er level IV (99284) $2,136 $2,136 4.9×
Er level v (99285) $3,030 $3,030 4.9×
Evaluate Pt Use Of Inhaler (94664) $416 $416 1.8×
External ECG rec>48hr<7d recording (93242) $153 $153 3.9×
External ECG rec>48hr<7d scanning alys w/report (93243) $487 $487 3.5×
External ECG rec>7d<15d recording (93246) $153 $153 3.9×
External ECG rec>7d<15d scanning alys w/report (93247) $487 $487 3.5×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $875 $875 4.4×
Immunization Admin (90471) $149 $149 2.0×
IV infusion hydration each additional hour (96361) $73 $73 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $558 $558 2.5×
IV infusion ther proph addl sequential to 1 hr (96367) $214 $214 2.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $622 $622 2.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $252 $252 5.2×
IV push ea addl new drug (96375) $181 $181 3.7×
IV push initial (96374) $817 $817 3.7×
Manual therapy 15 min (97140) $96 $96 3.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $332 $332 2.5×
Ot eval low complex 30 min (97165) $185 $185 1.8×
Ot eval mod complex 45 min (97166) $200 $200 2.0×
Ot therapeutic activity 15 min (97530) $100 $100 2.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,985 $3,985 4.4×
Pt Electrical Stimulation (97032) $103 $103 7.0×
Pt eval low complex 20 min (97161) $185 $185 1.9×
Pt eval mod complex 30 min (97162) $200 $200 2.0×
Pt gait training 15 min (97116) $156.50 $156.50 5.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $103 $103 3.1×
Pt Physical Performance Test (97750) $136 $136 4.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $112 $112 3.5×
Pulm function test by gas (94727) $595 $595 2.6×
Pulmonary stress test simple (94618) $314 $314 2.3×
Sleep study unattended (95806) $595 $595 2.6×
Speech sound lang comprehen (92523) $155 $155 0.7×
Standardized Cognitive Performance Testing (96125) $122 $122 1.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $82 $82 3.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $43 $43 2.0×
Therapeutic prophylactic/dx injection subq/im (96372) $139.50 $139.50 1.9×
Tilt table evaluation (93660) $1,233 $1,233 3.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $101 $101 1.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $63 $63 0.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,504 $1,504 2.3×
Wheelchair Mgmt Ea 15 Min (97542) $124.50 $124.50 4.0×