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×
Behavioral & qualit analysis voice and resonance (92524) $202 $202 1.8×
Cardioversion elective external (92960) $1,548 $1,548 2.2×
Continuous inhalation tx, 1st hr (94644) $314 $314 2.3×
Cpap/bipap daily (94660) $518 $518 2.3×
Cpr (92950) $1,051.50 $1,051.50 4.7×
Critical care first hour (99291) $4,201 $4,201 4.9×
Duplex venous ext unilat/lmtd (93971) $863 $863 7.9×
Echo transesophageal (93312) $453 $453 0.8×
Emergency department visit high mdm (99285) $3,030 $3,030 4.9×
Emergency department visit low mdm (99283) $1,184 $1,184 4.2×
Emergency department visit may not req phys/qhp (99281) $457 $457 5.2×
Emergency department visit moderate mdm (99284) $2,136 $2,136 4.9×
Emergency department visit straightforward mdm (99282) $749 $749 4.7×
Endoscopy swallow (fees) vid (92612) $875 $875 4.4×
Evaluate pt use of inhaler (94664) $416 $416 1.8×
Ext ECG>48hr<7d scan a/r (93243) $487 $487 3.5×
Ext ECG>7d<15d scan a/r (93247) $487 $487 3.5×
External ECG rec>48hr<7d recording (93242) $153 $153 3.9×
External ECG rec>7d<15d recording (93246) $153 $153 3.9×
Gait training 15 min (97116) $156.50 $156.50 5.4×
Gas dilut/washout lung vol w/wo distrib vent&vol (94727) $595 $595 2.6×
Immunization Admin (90471) $149 $149 2.0×
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $181 $181 3.7×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $817 $817 3.7×
IV hydration each add'l hr (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 therapy/prophylaxis /dx 1st to 1 hr (96365) $622 $622 2.8×
IV tx, each additional hour (96366) $252 $252 5.2×
Manual therapy ea 15 min (97140) $96 $96 3.5×
Ot eval low complex 30 min (97165) $185 $185 1.8×
Ot eval mod complex 45 min (97166) $200 $200 2.0×
Ot wheelchair management (97542) $124.50 $124.50 4.0×
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 Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $103 $103 3.1×
Pt Physical Performance Test (97750) $136 $136 4.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $200 $200 2.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $112 $112 3.5×
Pt Therapeut Actvity Direct Pt Contact Each 15 Min (97530) $100 $100 2.9×
Pulmonary stress testing (94618) $314 $314 2.3×
Pulse oximetry continuous (94762) $332 $332 2.5×
Sleep study unattended (95806) $595 $595 2.6×
Speech sound lang comprehen (92523) $155 $155 0.7×
Spirometry with bronchodilator (94060) $1,196 $1,196 3.1×
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×
Treat swallowing dysfunction (92526) $63 $63 0.7×
Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) $101 $101 1.3×
Ultrasound therapy ea 15 mins (97035) $113 $113 7.9×
Ventilator subsequent day (94003) $1,504 $1,504 2.3×