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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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $33,050 $33,050 4.7×
Airway inhalation treatment (94640) $383.25 $383.25 2.0×
Analyze Neurostim Complex (95972) $1,332 $1,332 15.6×
Analyze neurostim no prog (95970) $1,332 $1,332 11.2×
Arrhythmia induction (93618) $8,239 $8,239 7.6×
Assessment of aphasia (96105) $1,101.75 $1,101.75 11.3×
Basic vestibular evaluation (92540) $1,102 $1,102 5.7×
Behavioral and qualitative analysis of voice and resonance (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 bithermal (92537) $440.50 $440.50 3.8×
Caloric vestibular test w/rec bi monothermal (92538) $440.50 $440.50 2.3×
Cardiac Stress Tst,Tracing Only (93017) $5,927 $5,927 30.6×
Cardioversion (92960) $13,017 $13,017 22.0×
Caregiver training 1st 30 min (97550) $136.75 $136.75 2.6×
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 IV push addl drug (96411) $1,265 $1,265 19.6×
Chemo Iv Push Sngl Drug (96409) $1,844 $1,844 6.2×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,448 $1,448 4.9×
Chemother, IV infusion, 1 hr (96413) $1,542 $1,542 5.2×
Chemother, IV infusion, ea add hr (96415) $473 $473 7.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $1,844 $1,844 28.6×
Chemotx Admn Cns Req Spinal Puncture (96450) $1,448 $1,448 4.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $473 $473 7.3×
Color/duplex Doppler, complete (93975) $6,769 $6,769 31.7×
Color/duplex Doppler, limited (93976) $2,226 $2,226 23.8×
Cpap initiation and management (94660) $3,076.75 $3,076.75 15.7×
Cpt initial (94667) $503.75 $503.75 4.2×
Critical care (99291) $5,630 $5,630 7.6×
Debridement Open Wound 20 Sq Cm< (97597) $761.50 $761.50 4.2×
Demo &/or eval,pt use,aerosol device (94664) $301.25 $301.25 1.5×
Dialysis other/than hemodialysis 1 phys/qhp eval (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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $4,236 $4,236 19.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,725 $1,725 18.4×
Dup-scan xtr veins unilateral/limited study (93971) $3,173 $3,173 33.9×
Duplex hemodialysis access (93990) $1,786 $1,786 19.1×
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 extracranial art compl bi study (93880) $6,471 $6,471 30.3×
Echo Heart Xthoracic,Limited (93308) $6,743 $6,743 31.5×
Echo transesophageal (93312) $14,638 $14,638 29.9×
Echo Transthoracic - Congenital Tte Complete (93303) $4,935 $4,935 10.1×
Echo Transthoracic - Congenital Tte Limited (93304) $2,917 $2,917 6.0×
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 video by tech 2-12hr continuous r-t mntr (95707) $842 $842 4.4×
EKG (93005) $1,259 $1,259 23.8×
EKG rhythm strip (93041) $359 $359 6.8×
Elec alys implt cplx cn npgt prgrmg (95977) $388 $388 4.6×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $137 $137 4.1×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $1,332 $1,332 15.6×
EMG four extremities (95864) $3,750 $3,750 32.5×
EMG one extremity (95860) $2,228 $2,228 18.7×
EMG thoracic paraspinal (95869) $1,304 $1,304 6.7×
EMG three extremities (95863) $2,960 $2,960 25.7×
EMG two extremities (95861) $2,434 $2,434 20.4×
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×
Ep Electrophysiologic F/U Study (93624) $24,716 $24,716 3.5×
Ep Right Ventricular Recording (93603) $8,239 $8,239 7.6×
Er level 1 (99281) $755.25 $755.25 10.0×
Er level ii (99282) $1,240 $1,240 9.0×
Er level iii (99283) $2,035 $2,035 8.3×
Er level IV (99284) $2,516.75 $2,516.75 6.7×
Er level v (99285) $3,746.25 $3,746.25 7.0×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $560 $560 7.9×
Evaluation of speech fluency (92521) $1,101.75 $1,101.75 8.3×
Evaluation of speech sound production (92522) $1,101.75 $1,101.75 9.8×
Evaluation of swallowing function (92610) $765.50 $765.50 9.0×
External ECG rec>48hr<7d recording (93242) $3,874 $3,874 115.8×
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 Admin (90471) $380 $380 5.9×
Intra Atrial Recording (93602) $8,239 $8,239 1.2×
Intra-atrial pacing (93610) $8,239 $8,239 1.2×
Intraventricular pacing (93612) $8,239 $8,239 1.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $445.50 $445.50 8.4×
IV infusion hydration each additional hour (96361) $240.12 $240.12 5.7×
IV infusion hydration initial 31 min-1 hour (96360) $895.25 $895.25 4.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $238 $238 3.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $888 $888 4.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $240.12 $240.12 5.7×
IV push initial (96374) $363 $363 1.9×
Maintenance of spinal canal or brain drug infusion pump (95990) $1,034 $1,034 3.5×
Manual therapy 15 min (97140) $438.25 $438.25 15.8×
Massage 15 min (97124) $392.50 $392.50 13.2×
Maximum voluntary ventilation (94200) $409.25 $409.25 7.7×
Mechanical traction (97012) $785.25 $785.25 54.7×
Methacholine challenge (94070) $3,103 $3,103 9.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $2,139 $2,139 23.4×
Multiple sleep latency test (95805) $9,150 $9,150 11.9×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $1,304 $1,304 10.9×
Neg press wnd tx </=50 sq cm (97607) $669.12 $669.12 1.8×
Neg press wound tx >50 cm (97608) $803.38 $803.38 2.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $669.12 $669.12 3.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $803.38 $803.38 2.2×
Nerve conduction studies 13/> studies (95913) $12,198 $12,198 36.5×
Nerve Conduction Studies 3-4 Studies (95908) $3,754 $3,754 19.4×
Nerve Conduction Studies 9-10 Studies (95911) $9,384 $9,384 28.1×
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; 5-6 studies (95909) $5,629 $5,629 29.1×
Nerve conduction studies; 7-8 studies (95910) $7,507 $7,507 22.5×
Neuromuscular junction test (95937) $980 $980 8.5×
Newborn resuscitation (99465) $1,922.75 $1,922.75 3.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $1,529 $1,529 12.8×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $1,741.50 $1,741.50 9.0×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $305 $305 6.6×
Oscillating Tracking Test (92545) $663.75 $663.75 3.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $271.75 $271.75 8.5×
Ot Contrast Bath Ea 15 Min (97034) $341.88 $341.88 24.4×
Ot eval high complex 60 min (97167) $1,432.25 $1,432.25 14.2×
Ot eval low complex 30 min (97165) $1,293.50 $1,293.50 12.9×
Ot eval mod complex 45 min (97166) $1,379.75 $1,379.75 13.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $305 $305 6.1×
Ot Prosthetic Training, Each 15 Min (97761) $305 $305 7.5×
Ot Range Motion Measure,Each Extrem (95851) $284 $284 10.9×
Ot re-eval est plan care (97168) $832.75 $832.75 12.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $325 $325 2.8×
Paraffin bath (97018) $366 $366 60.9×
Peripheral arterial disease rehab per session (93668) $400 $400 7.6×
Phy/qhp op pulm rhb w/mntr (94626) $248 $248 4.7×
Pm device eval in person (93288) $226 $226 6.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $7,413.50 $7,413.50 9.6×
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 Aquatic Therapy/Exercises (97113) $425 $425 11.5×
Pt Electric Current Therapy (97033) $639 $639 33.6×
Pt Electrical Stimulation (97032) $878 $878 59.7×
Pt eval high complex 45 min (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 Gait Training Therapy (97116) $404 $404 13.9×
Pt group caregiver training (97552) $57.25 $57.25 2.6×
Pt Infrared Therapy (97026) $366 $366 54.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $463.75 $463.75 14.2×
Pt Physical Performance Test (97750) $305 $305 9.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $1,379.75 $1,379.75 14.1×
Pt re-evaluation (97164) $1,146.50 $1,146.50 17.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $305 $305 9.4×
Pt Ultrasound Therapy (97035) $765.50 $765.50 53.3×
Pt Whirlpool Therapy (97022) $917.25 $917.25 58.4×
Pulm Funct Test Oscillometry (94728) $1,712.25 $1,712.25 14.9×
Pulm function test by gas (94727) $837 $837 4.3×
Pulmonary stress testing (94618) $459.75 $459.75 3.9×
Refill/maint, portable pump (96521) $920 $920 4.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $917 $917 27.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $702.25 $702.25 3.9×
Rom meas&reprt hand w/wo comparison normal sid (95852) $284 $284 13.3×
Rt Chest Wall Manipulation,Subsequent (94668) $284.25 $284.25 2.4×
Sensory Integration Ea 15 Min (97533) $386 $386 6.3×
Sleep study unattended (95806) $3,006 $3,006 15.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $3,006 $3,006 15.5×
Speech group therapy (92508) $702.25 $702.25 29.2×
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 echo (93350) $8,055 $8,055 16.5×
Surfactant Admin Thru Tube (94610) $614.50 $614.50 3.1×
Test for abnormal eye movement using a moving target with recording (92544) $359 $359 3.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $392.50 $392.50 17.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $392.50 $392.50 18.7×
Ther/Proph/Diag Inj Sc/Im (96372) $340 $340 5.3×
Therapeutic Activities (97530) $335.50 $335.50 9.6×
Therapeutic phlebotomy (99195) $571 $571 4.8×
Tilt Table Eval (93660) $12,643 $12,643 37.8×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $2,235 $2,235 10.5×
Tte W/Doppler Complete - Tte Complete W/ Contrast (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) $957.38 $957.38 12.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $305 $305 3.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $363 $363 8.7×
Unlisted Cardiovascular Service/Procedure (93799) $484 $484 4.2×
Vasc Duplex Extrem Venous,Bilat (93970) $4,714 $4,714 22.1×
Vasc Duplex Scan Extracranial,Limited (93882) $4,392 $4,392 46.9×
Vasopneumatic device (97016) $386 $386 32.1×
Ventilation assist & mgmt inpatient 1st 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) $284 $284 9.1×