Visits & medical services prices at Fairview Park Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $33,050 $33,050 4.7×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$383.25–$914.75 $383.25–$914.75 varies
Airway resistance by oscillometry (94728) $1,712.25 $1,712.25 14.9×
Analyze neurostim complex (95972) $1,332 $1,332 15.6×
Analyze neurostim no prog (95970) $1,332 $1,332 11.2×
Analyze Neurostim Simple (95971) $1,332 $1,332 15.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $765.50 $765.50 53.3×
Application Modality 1/> Areas Infrared (97026) $366 $366 54.8×
Arrhythmia Induction (93618) $8,239 $8,239 7.6×
Assessment of aphasia per hr (96105) $1,101.75 $1,101.75 11.3×
Basic vestibular evaluation (92540) $1,102 $1,102 5.7×
Behavral qualit analys voice (92524) $1,101.75 $1,101.75 10.1×
Biofeedback training any modality (90901) $463.75 $463.75 11.3×
Blink reflex test (95933) $858 $858 16.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $2,007.50 $2,007.50 6.0×
Caloric vestibular test w/rec bi monothermal (92538) $440.50 $440.50 2.3×
Caloric Vstblr Test W/Rec (92537) $440.50 $440.50 3.8×
Cardiac Stress Tst,Tracing Only (93017) $5,927 $5,927 30.6×
Cardioversion (92960)
range across 3 matching MRF lines
$7,405–$13,254 $7,405–$13,254 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $68.25 $68.25 2.6×
Cbt 1st hour (94644) $892.50 $892.50 7.5×
Chemo Anti-Neopl Sq/Im (96401) $1,844 $1,844 28.6×
Chemo IV infusion addl hr (96415)
range across 3 matching MRF lines
$440–$478 $440–$478 varies
Chemo IV push addl drug (96411) $1,265 $1,265 19.6×
Chemother Prolong Infuse W/Pump (96416) $1,448 $1,448 4.9×
Chemotherapy Into Cns (96450) $1,448 $1,448 4.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $473 $473 7.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 3 matching MRF lines
$1,420–$1,844 $1,420–$1,844 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,844 $1,844 6.2×
Chest Wall Manipulation (94668) $284.25 $284.25 2.4×
Color/duplex Doppler, complete (93975) $6,769 $6,769 31.7×
Color/duplex Doppler, limited (93976) $2,226 $2,226 23.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $271.75 $271.75 8.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $3,076.75 $3,076.75 15.7×
Cpt initial (94667) $503.75 $503.75 4.2×
Critical care first hour (99291) $5,630 $5,630 7.6×
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$639–$761.50 $639–$761.50 varies
Dialysis One Evaluation (90945) $2,154 $2,154 5.8×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $4,057 $4,057 19.0×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $2,530 $2,530 27.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $3,807 $3,807 17.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,660 $1,660 17.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $4,714 $4,714 22.1×
Dup-scan xtr veins unilateral/limited study (93971) $3,173 $3,173 33.9×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $2,958 $2,958 13.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $1,479 $1,479 15.8×
Duplex Scan Hemodialysis Access (93990) $1,786 $1,786 19.1×
Duplex up extrem art bilat (93930) $4,236 $4,236 19.8×
Duplex up extrem art unilat/ltd (93931) $1,725 $1,725 18.4×
Echo Congenital Complete (93303) $4,935 $4,935 10.1×
Echo Heart Xthoracic,Limited (93308) $6,743 $6,743 31.5×
Echo transesophageal (93312) $14,638 $14,638 29.9×
EEG awake drowsy (95816) $4,091 $4,091 21.1×
EEG cerebral death evaluation (95824) $4,091 $4,091 12.2×
EEG extended monitoring 61-119 minutes (95813) $4,473 $4,473 23.1×
EEG w/o vid 2-12hr cont mntr (95707) $842 $842 4.4×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $388 $388 4.6×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $137 $137 4.1×
Electrical Stimulation Ea 15 Min (97032) $878 $878 59.7×
Electrocardiogram Tracing (93005) $1,259 $1,259 23.8×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $24,716 $24,716 3.5×
Emergency Dept Visit Level 2 (99282) $1,240 $1,240 9.0×
Emergency Dept Visit Level 3 (99283) $2,035 $2,035 8.3×
Emergency Dept Visit Level 4 (99284) $2,516.75 $2,516.75 6.7×
Emg 3 Extremities (95863) $2,960 $2,960 25.7×
Emg 4 Extremities (95864) $3,750 $3,750 32.5×
Ep & ablate supravent arrhyt (93653) $100,731 $100,731 4.3×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $24,716 $24,716 3.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $23,067 $23,067 3.3×
Er level 1 (99281) $755.25 $755.25 10.0×
Er level v (99285) $3,746.25 $3,746.25 7.0×
Evaluate pt use of inhaler (94664) $301.25 $301.25 1.5×
Evaluate Speech Production (92522) $1,101.75 $1,101.75 9.8×
Evaluate Swallowing Function (92610) $765.50 $765.50 9.0×
Evaluation of speech fluency (92521) $1,101.75 $1,101.75 8.3×
External ECG rec>48hr<7d recording (93242) $3,874 $3,874 115.8×
Extracranial Bilat Study (93880) $6,471 $6,471 30.3×
Extracranial Uni/Ltd Study (93882) $4,392 $4,392 46.9×
F-up/limited tthrc echo congenital car anomaly (93304) $2,917 $2,917 6.0×
Flexible endoscopic eval swallow c/v rec (92612) $233 $233 1.2×
Group Therapeutic Procedures (97150) $702.25 $702.25 38.9×
Icd Device Interrogate (93289) $580 $580 17.3×
Immunization administration (90471)
range across 4 matching MRF lines
$329–$400 $329–$400 varies
Intra-atrial pacing (93610) $8,239 $8,239 1.2×
Intra-atrial recording (93602) $8,239 $8,239 1.2×
Intracranial Complete Study (93886) $2,235 $2,235 10.5×
Intraventricular pacing (93612) $8,239 $8,239 1.2×
Iontophoresis 15 min (97033) $639 $639 33.6×
Irrig Drug Delivery Device (96523)
range across 4 matching MRF lines
$416–$608 $416–$608 varies
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$238–$242.25 $238–$242.25 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$888–$902.50 $888–$902.50 varies
IV infusion ther proph addl sequential to 1 hr (96367) $238 $238 3.7×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$238–$242.25 $238–$242.25 varies
IV push initial (96374)
range across 6 matching MRF lines
$314–$424.25 $314–$424.25 varies
Lung Function Test (Mbc/Mvv) (94200) $409.25 $409.25 7.7×
Methacholine challenge (94070) $3,103 $3,103 9.3×
Motion Fluoroscopy/Swallow (92611) $2,139 $2,139 23.4×
Multiple Sleep Latency Test (95805) $9,150 $9,150 11.9×
Muscle Test 2 Limbs (95861) $2,434 $2,434 20.4×
Muscle Test Nonparaspinal (95870) $1,304 $1,304 10.9×
Muscle Test One Limb (95860) $2,228 $2,228 18.7×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $1,304 $1,304 6.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$609–$729.25 $609–$729.25 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$730–$876.75 $730–$876.75 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$609–$729.25 $609–$729.25 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$730–$876.75 $730–$876.75 varies
Nerve Conduction Studies 1-2 Studies (95907) $1,878 $1,878 9.7×
Nerve Conduction Studies 11-12 Studies (95912) $11,261 $11,261 33.7×
Nerve conduction studies 13 or more studies (95913) $12,198 $12,198 36.5×
Nerve Conduction Studies 3-4 Studies (95908) $3,754 $3,754 19.4×
Nerve conduction studies 5-6 studies (95909) $5,629 $5,629 29.1×
Nerve conduction studies 7-8 studies (95910) $7,507 $7,507 22.5×
Nerve Conduction Studies 9-10 Studies (95911) $9,384 $9,384 28.1×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $980 $980 8.5×
Neuromuscular Reeducation (97112) $463.75 $463.75 14.2×
Newborn resuscitation (99465) $1,922.75 $1,922.75 3.2×
Optokinetic Nystagmus Test (92544) $359 $359 3.1×
Oral Function Therapy (92526) $305 $305 3.6×
Oral Speech Device Eval (92597) $560 $560 7.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $305 $305 6.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $305 $305 6.6×
Oscillating Tracking Test (92545) $663.75 $663.75 3.4×
Ot Contrast Bath Ea 15 Min (97034)
range across 4 matching MRF lines
$305–$378.75 $305–$378.75 varies
Ot eval high complexity (97167) $1,432.25 $1,432.25 14.2×
Ot Eval Low Complex (97165) $1,293.50 $1,293.50 12.9×
Ot Eval Moderate Complexity (97166) $1,379.75 $1,379.75 13.7×
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$305–$571.50 $305–$571.50 varies
Ot paraffin bath (97018) $366 $366 60.9×
Ot Prosthetic Training, Each 15 Min (97761) $305 $305 7.5×
Ot Re-Eval Est Plan Care (97168) $832.75 $832.75 12.2×
Ot rom hand (95852) $284 $284 13.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $325 $325 2.8×
Peripheral arterial disease rehab per session (93668) $400 $400 7.6×
Phlebotomy therapeutic (99195) $571 $571 4.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $248 $248 4.7×
Physical Performance Test (97750)
range across 4 matching MRF lines
$286.50–$841 $286.50–$841 varies
Pm device eval in person (93288) $226 $226 6.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$4,942–$9,885 $4,942–$9,885 varies
Polysom <6 yrs 4/> paramtrs (95782) $9,521 $9,521 12.4×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $9,885 $9,885 12.8×
Positional nystagmus test (92542) $282.25 $282.25 2.4×
Pt Eval High Complex (97163) $1,432.25 $1,432.25 14.6×
Pt eval low complex 20 min (97161) $1,293.50 $1,293.50 13.2×
Pt Eval Mod Complex (97162) $1,379.75 $1,379.75 14.1×
Pt gait training 15 min (97116) $404 $404 13.9×
Pt group caregiver training (97552) $57.25 $57.25 2.6×
Pt mechanical traction (97012) $785.25 $785.25 54.7×
Pt Re-Eval Est Plan Care (97164) $1,146.50 $1,146.50 17.0×
Pulm function test by gas (94727) $837 $837 4.3×
Pulmonary Stress Testing (94618) $459.75 $459.75 3.9×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $1,034 $1,034 3.5×
Refill/Maint Portable Pump (96521) $920 $920 4.8×
Remote 30 Day Ecg Rev/Report (93270) $917 $917 27.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $359 $359 6.8×
Right ventricular recording (93603) $8,239 $8,239 7.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 5 matching MRF lines
$702.25–$730 $702.25–$730 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $284 $284 10.9×
Self Care Mngment Training (97535) $305 $305 9.4×
Sensory Integration Ea 15 Min (97533) $386 $386 6.3×
Sleep study unattended (95806) $3,006 $3,006 15.5×
Slp caregiver training 1st 30 min (97550) $136.75 $136.75 2.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $3,006 $3,006 15.5×
Speech sound lang comprehen (92523) $1,101.75 $1,101.75 4.9×
Spirometry (94010) $1,728.75 $1,728.75 8.9×
Spontaneous Nystagmus Test (92541) $282.25 $282.25 2.4×
Standardized Cognitive Performance Testing (96125) $587 $587 5.7×
Stress Tte Only (93350) $8,055 $8,055 16.5×
Surfactant Admin Thru Tube (94610) $614.50 $614.50 3.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $392.50 $392.50 17.5×
Ther Ivntj Ea Addl 15 Min (97130)
range across 6 matching MRF lines
$321–$392.50 $321–$392.50 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $425 $425 11.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $392.50 $392.50 13.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$292–$395.25 $292–$395.25 varies
Ther/Proph/Diag Iv Inf Init (96365) $888 $888 4.7×
Therapeutic Activities (97530)
range across 4 matching MRF lines
$305–$366 $305–$366 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $12,643 $12,643 37.8×
Tte w/doppler, complete (93306) $12,197 $12,197 24.9×
Tx atrial fib pulm vein isol (93656) $110,804 $110,804 4.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$954.75–$960 $954.75–$960 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $702.25 $702.25 29.2×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 6 matching MRF lines
$314–$424.25 $314–$424.25 varies
Unlisted cardiovascular service/procedure (93799) $484 $484 4.2×
Upr/L Xtremity Art 2 Levels (93922) $1,529 $1,529 12.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$1,566–$1,917 $1,566–$1,917 varies
Vasopneumatic device (97016) $386 $386 32.1×
Vent Mgmt Inpat Init Day (94002) $2,308.50 $2,308.50 4.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,262.25 $1,262.25 2.3×
Wheelchair Mgmt Ea 15 Min (97542)
range across 6 matching MRF lines
$284–$284.75 $284–$284.75 varies
Whirlpool Therapy (97022) $917.25 $917.25 58.4×

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.