Visits & medical services prices at Evergreen Medical Center

Evergreen, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $48.10 $74 0.3×
Analyze Neurostim Complex (95972) $196.95 $303 2.4×
Analyze neurostim no prog (95970) $106.92 $164.50 0.9×
Cardiopulmonary resuscitation (92950) $352.30 $542 1.9×
Cardioversion (92960) $479.38 $737.50 0.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $146.25 $225 2.4×
Color/duplex Doppler, limited (93976) $357.50 $550 4.0×
Cpap initiation and management (94660) $289.90 $446 1.5×
Cpt initial (94667) $22.75 $35 0.2×
Critical care (99291) $828.75 $1,275 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $159.25 $245 0.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $320.45 $493 1.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $221.65 $341 2.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $307.45 $473 1.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $211.90 $326 2.4×
Dup-scan xtr veins unilateral/limited study (93971) $256.75 $395 2.8×
Duplex scan extracranial art compl bi study (93880) $370.50 $570 1.8×
EKG (93005) $88.40 $136 1.7×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $189.80 $292 2.3×
Er level 1 (99281) $90.35 $139 1.2×
Er level ii (99282) $136.50 $210 1.0×
Er level iii (99283) $230.75 $355 1.0×
Er level IV (99284) $393.90 $606 1.1×
Er level v (99285) $577.85 $889 1.1×
Group Therapeutic Procedures (97150) $36.40 $56 2.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $76.70 $118 1.5×
IV infusion hydration each additional hour (96361) $73.45 $113 1.8×
IV infusion hydration initial 31 min-1 hour (96360) $217.75 $335 1.2×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $118.30 $182 1.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $244.40 $376 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $84.50 $130 2.1×
IV push initial (96374) $117.65 $181 0.6×
Manual therapy 15 min (97140) $42.90 $66 1.5×
Massage 15 min (97124) $34.45 $53 1.2×
Mechanical traction (97012) $42.25 $65 2.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $163.80 $252 1.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $271.70 $418 1.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $97.50 $150 0.9×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $42.90 $66 0.9×
Ot Contrast Bath Ea 15 Min (97034) $39 $60 2.8×
Ot Prosthetic Training, Each 15 Min (97761) $40.30 $62 1.0×
Paraffin bath (97018) $33.15 $51 5.5×
Pt Electric Current Therapy (97033) $43.55 $67 2.3×
Pt eval high complex 45 min (97163) $114.40 $176 1.2×
Pt eval low complex 20 min (97161) $101.40 $156 1.0×
Pt Gait Training Therapy (97116) $37.70 $58 1.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $45.50 $70 1.4×
Pt Physical Performance Test (97750) $39.65 $61 1.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $107.90 $166 1.1×
Pt re-evaluation (97164) $48.75 $75 0.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $51.35 $79 1.6×
Pt Ultrasound Therapy (97035) $44.20 $68 3.1×
Pt Whirlpool Therapy (97022) $49.40 $76 3.1×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $165.75 $255 0.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $74.75 $115 0.4×
Spirometry (94010) $48.75 $75 0.3×
Temp transcutaneous pacing (92953) $277.55 $427 0.5×
Ther/Proph/Diag Inj Sc/Im (96372) $63.70 $98 1.0×
Therapeutic Activities (97530) $42.25 $65 1.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $758.55 $1,167 1.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $102.70 $158 2.5×
Vasc Duplex Extrem Venous,Bilat (93970) $332.15 $511 1.6×
Vasc Duplex Scan Extracranial,Limited (93882) $259.35 $399 2.9×
Vasopneumatic device (97016) $48.75 $75 4.1×