Visits & medical services prices at FirstHealth Montgomery Memorial Hospital

Troy, NC · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $11,771.25 $11,771.25 1.6×
Admn Sarscov2 Vacc 1 Dose (90480) $123.75 $123.75 3.2×
Aep threshold estimation mlt frequencies i&r (92652) $844 $844 4.1×
Airway Inhalation Treatment (94640) $407.50 $407.50 1.9×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $111 $111 3.1×
Analyze Neurostim Simple (95971) $731.25 $731.25 8.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$155.50–$157.75 $155.50–$157.75 varies
Application Modality 1/> Areas Infrared (97026) $46 $46 6.9×
Application on-body injector (96377) $441.50 $441.50 9.9×
Behavral qualit analys voice (92524) $696 $696 6.4×
Biofeedback training any modality (90901) $246.75 $246.75 6.0×
Brief Emotional/Behav Assmt (96127) $94.50 $94.50 2.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$787.75–$797.75 $787.75–$797.75 varies
C motor evoked upr&lwr limbs (95939) $1,525.25 $1,525.25 1.9×
Car seat/bed test 60 min (94780) $339.50 $339.50 9.5×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$770.50–$782.25 $770.50–$782.25 varies
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$557.75–$1,488.50 $557.75–$1,488.50 varies
Cardioversion (92960) $675.50 $675.50 1.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $64.50 $64.50 2.5×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $26,900 $26,900 8.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $23,750 $23,750 7.7×
Cbt 1st hour (94644) $718.25 $718.25 5.6×
Chemo Anti-Neopl Sq/Im (96401) $252.50 $252.50 3.7×
Chemo Hormon Antineopl Sq/Im (96402) $252.50 $252.50 3.7×
Chemo IV infusion addl hr (96415) $402 $402 5.8×
Chemo IV push addl drug (96411) $420.50 $420.50 6.1×
Chemother Prolong Infuse W/Pump (96416) $639 $639 2.0×
Chemotherapy Into Cns (96450) $1,037.50 $1,037.50 3.3×
Chemotherapy Unspecified (96549)
range across 2 matching MRF lines
$252.50–$542 $252.50–$542 varies
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $402 $402 5.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $825 $825 2.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $420.50 $420.50 1.3×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $702 $702 2.2×
Chest Wall Manipulation (94668) $130 $130 1.0×
Chron Care Mgmt Srvc 20 Min (99490) $269.50 $269.50 2.8×
Color/duplex Doppler, complete (93975) $1,338.25 $1,338.25 5.9×
Color/duplex Doppler, limited (93976) $791.25 $791.25 7.9×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$120–$121 $120–$121 varies
Coronary Art/Grft Angio S&I (93455) $19,100 $19,100 6.2×
Coronary Artery Angio S&I (93454) $17,450 $17,450 5.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,378.25 $1,378.25 6.6×
Cpt initial (94667) $147.25 $147.25 1.2×
Critical care first hour (99291)
range across 2 matching MRF lines
$2,740.25–$3,135.75 $2,740.25–$3,135.75 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,325.75 $1,325.75 3.7×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$316.50–$536.75 $316.50–$536.75 varies
Dialysis One Evaluation (90945) $821 $821 2.1×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $419.75 $419.75 4.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,300.50 $1,300.50 5.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $782.25 $782.25 7.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$1,476.50–$1,748 $1,476.50–$1,748 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$1,126.75–$1,505 $1,126.75–$1,505 varies
Duplex Scan Hemodialysis Access (93990) $555 $555 5.6×
Duplex up extrem art bilat (93930) $1,300.50 $1,300.50 5.7×
Duplex up extrem art unilat/ltd (93931) $623.25 $623.25 6.2×
Echo Heart Xthoracic,Limited (93308) $1,685.50 $1,685.50 7.4×
Echo transesophag montr cardiac pump functj (93318) $3,803.25 $3,803.25 7.3×
Echo transesophageal (93312) $3,220 $3,220 6.2×
EEG awake and asleep (95819)
range across 2 matching MRF lines
$1,882.75–$1,977 $1,882.75–$1,977 varies
EEG awake drowsy (95816)
range across 2 matching MRF lines
$1,752.75–$1,840.50 $1,752.75–$1,840.50 varies
EEG cont rec w/video by tech min 8 channels (95700) $793.25 $793.25 3.8×
EEG extended monitoring 61-119 minutes (95813)
range across 2 matching MRF lines
$1,969.50–$2,068 $1,969.50–$2,068 varies
Eeg Sleep Only (95822)
range across 2 matching MRF lines
$1,971.50–$2,070 $1,971.50–$2,070 varies
Eeg W/O Vid 2-12 Hr Unmntr (95705) $793.25 $793.25 3.8×
EEG w/o vid ea 12-26hr intmt (95709) $1,522.50 $1,522.50 4.3×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $793.25 $793.25 3.8×
EEG wo vid ea 12-26hr unmntr (95708) $1,522.50 $1,522.50 4.3×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $278.50 $278.50 3.1×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $120.25 $120.25 3.4×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$155.50–$180.50 $155.50–$180.50 varies
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$208.25–$374.75 $208.25–$374.75 varies
Electrophysiology Evaluation (93642) $3,229.50 $3,229.50 2.8×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$524–$635.25 $524–$635.25 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$931.25–$1,128.75 $931.25–$1,128.75 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$1,070–$1,296.75 $1,070–$1,296.75 varies
Emg 3 Extremities (95863) $763.50 $763.50 6.2×
Endomyocardial Biopsy (93505) $8,518.75 $8,518.75 2.8×
Ep & ablate supravent arrhyt (93653) $45,160.75 $45,160.75 1.8×
Ep & ablate ventric tachy (93654) $45,160.75 $45,160.75 1.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $15,533.25 $15,533.25 2.1×
Er level 1 (99281)
range across 2 matching MRF lines
$316–$383.25 $316–$383.25 varies
Er level v (99285)
range across 2 matching MRF lines
$1,624.25–$1,968.75 $1,624.25–$1,968.75 varies
Evaluate pt use of inhaler (94664) $302.50 $302.50 1.4×
Evaluate Speech Production (92522) $696 $696 6.2×
Evaluate Swallowing Function (92610) $609.50 $609.50 7.2×
External Ecg Scanning Analysis Report (93226) $898 $898 15.9×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$1,287.25–$1,792.50 $1,287.25–$1,792.50 varies
Extracranial Uni/Ltd Study (93882) $1,217.50 $1,217.50 12.2×
Flexible endoscopic eval swallow c/v rec (92612) $624.25 $624.25 3.1×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $2,542 $2,542 3.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,573.25 $1,573.25 4.4×
Gi tract capsule endoscopy (91110) $2,382.25 $2,382.25 2.7×
Group Therapeutic Procedures (97150) $93.50 $93.50 5.2×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $27,900 $27,900 9.0×
Holter monitor recording (93225) $898 $898 7.1×
Icd Device Interrogate (93289) $114 $114 3.2×
Icd device progr eval dual (93283) $158.50 $158.50 4.4×
Immunization administration (90471) $205.75 $205.75 3.0×
Ingestion challenge test initial 120 minutes (95076) $1,334 $1,334 3.7×
Insert/Place Heart Catheter (93503) $2,478.50 $2,478.50 1.6×
Iontophoresis 15 min (97033)
range across 3 matching MRF lines
$155.50–$268.25 $155.50–$268.25 varies
Irrig Drug Delivery Device (96523) $81 $81 1.4×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$168–$203.50 $168–$203.50 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$671–$813.75 $671–$813.75 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$389.50–$472.50 $389.50–$472.50 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$189–$229.75 $189–$229.75 varies
IV push initial (96374)
range across 2 matching MRF lines
$519.75–$630 $519.75–$630 varies
L Hrt Art/Grft Angio (93459) $25,650 $25,650 8.3×
Liver Elastography W/O Imag W/I&R (91200) $463.50 $463.50 3.8×
Lwr Xtr Vasc Stdy Bilat (93924) $1,885.75 $1,885.75 9.1×
Mechanical chest wall oscillation per session (94669) $153.75 $153.75 0.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $69.50 $69.50 2.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $69.50 $69.50 1.9×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $86.25 $86.25 5.1×
Motility study esophagus (91010) $1,573.25 $1,573.25 4.4×
Motion Fluoroscopy/Swallow (92611) $1,039.75 $1,039.75 11.4×
Multiple Family Group Psychotherapy (90849) $293.50 $293.50 1.7×
Multiple Sleep Latency Test (95805) $2,271 $2,271 2.8×
Muscle Test 2 Limbs (95861) $717 $717 5.6×
Muscle Test Nonparaspinal (95870)
range across 2 matching MRF lines
$322–$644.25 $322–$644.25 varies
Muscle Test One Limb (95860) $505 $505 4.0×
Nasopharyngoscopy (92511) $293.50 $293.50 1.5×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $508.50 $508.50 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $619 $619 3.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,125.75 $1,125.75 2.9×
Nerve conduction studies 13 or more studies (95913) $4,805.75 $4,805.75 13.5×
Nerve Conduction Studies 3-4 Studies (95908) $1,246.25 $1,246.25 6.0×
Nerve conduction studies 5-6 studies (95909) $1,957.75 $1,957.75 9.5×
Nerve conduction studies 7-8 studies (95910) $2,670 $2,670 7.5×
Nerve Conduction Studies 9-10 Studies (95911) $3,383.75 $3,383.75 9.5×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $382.50 $382.50 3.1×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$155.50–$157.75 $155.50–$157.75 varies
Nrpsyc tst eval phys/qhp 1st (96132) $1,348 $1,348 3.8×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $755.50 $755.50 2.1×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $172.75 $172.75 3.1×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $172.75 $172.75 3.1×
Oral Function Therapy (92526) $396.75 $396.75 4.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $157.75 $157.75 3.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $157.75 $157.75 3.4×
Ot eval high complexity (97167)
range across 2 matching MRF lines
$779.25–$836.50 $779.25–$836.50 varies
Ot Eval Low Complex (97165) $536.75 $536.75 5.3×
Ot Eval Moderate Complexity (97166) $625 $625 6.2×
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines
$155.50–$157.75 $155.50–$157.75 varies
Ot paraffin bath (97018)
range across 3 matching MRF lines
$140.25–$160.50 $140.25–$160.50 varies
Ot Prosthetic Training, Each 15 Min (97761) $157.75 $157.75 3.9×
Ot Re-Eval Est Plan Care (97168) $369.50 $369.50 5.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $328.50 $328.50 2.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $246.75 $246.75 2.0×
Oxygen Uptake Rest Indirect (94690) $203.25 $203.25 3.6×
Peripheral arterial disease rehab per session (93668) $204.75 $204.75 3.6×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $20,250 $20,250 3.7×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $31,031.75 $31,031.75 2.8×
Phlebotomy therapeutic (99195) $336.25 $336.25 2.6×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $165.75 $165.75 2.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $165.75 $165.75 2.9×
Physical Performance Test (97750)
range across 3 matching MRF lines
$113.25–$140 $113.25–$140 varies
Plethysmography (94726) $783.75 $783.75 2.2×
Pm device eval in person (93288) $114 $114 3.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$2,124.50–$6,959 $2,124.50–$6,959 varies
Polysom <6 yrs 4/> paramtrs (95782) $6,196.50 $6,196.50 7.5×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $6,196.50 $6,196.50 7.5×
Prq Card Angio/Athrect 1 Art (92924) $27,050 $27,050 2.5×
Prq Card Stent W/Angio 1 Vsl (92928) $26,843.75 $26,843.75 2.4×
Prq Card Stent/Ath/Angio (92933) $18,790.50 $18,790.50 1.1×
Prq Revasc Byp Graft 1 Vsl (92937) $26,843.75 $26,843.75 2.4×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $1,052.75 $1,052.75 2.5×
Pt Eval High Complex (97163) $894.75 $894.75 9.1×
Pt eval low complex 20 min (97161) $536.75 $536.75 5.5×
Pt Eval Mod Complex (97162) $716 $716 7.3×
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$155.50–$157.75 $155.50–$157.75 varies
Pt group caregiver training (97552) $28 $28 1.3×
Pt mechanical traction (97012)
range across 2 matching MRF lines
$155.50–$157.75 $155.50–$157.75 varies
Pt Re-Eval Est Plan Care (97164) $357.25 $357.25 5.3×
Pulm function test by gas (94727) $265.25 $265.25 1.3×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$522–$643.25 $522–$643.25 varies
R Hrt Art/Grft Angio (93457) $25,250 $25,250 8.1×
R hrt coronary artery angio (93456) $22,950 $22,950 7.4×
R&L Hrt Cath W/Ventriclgrphy (93453) $18,596 $18,596 6.0×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $604 $604 1.9×
Refill/Maint Portable Pump (96521) $409.75 $409.75 2.0×
Respiratory flow volume loop (94375) $479.25 $479.25 2.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $358 $358 6.3×
Right Heart Cath (93451) $10,446.75 $10,446.75 3.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $420.25 $420.25 2.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $318 $318 6.7×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$159.25–$160.50 $159.25–$160.50 varies
Sleep study attended (95807) $669.75 $669.75 1.9×
Slp caregiver training 1st 30 min (97550) $119.75 $119.75 2.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $388.75 $388.75 1.9×
Somatosensory Testing (95938) $916.25 $916.25 1.1×
Speech sound lang comprehen (92523) $869.75 $869.75 3.8×
Spirometry (94010)
range across 2 matching MRF lines
$445–$479.25 $445–$479.25 varies
Ssep lower limbs (95926) $457.75 $457.75 2.2×
Stress Tte Only (93350) $3,310.75 $3,310.75 6.3×
Surfactant Admin Thru Tube (94610) $715.25 $715.25 3.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $80 $80 3.6×
Ther Ivntj Ea Addl 15 Min (97130) $76.25 $76.25 3.6×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $157.75 $157.75 4.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $163 $163 5.5×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$414–$441.50 $414–$441.50 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$758–$918.75 $758–$918.75 varies
Therapeutic Activities (97530)
range across 2 matching MRF lines
$155.50–$178 $155.50–$178 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,707.25 $1,707.25 4.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $111.50 $111.50 3.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $111.50 $111.50 3.1×
Transcath Closure of Asd (93580) $26,484.50 $26,484.50 1.5×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$3,030.50–$3,043.50 $3,030.50–$3,043.50 varies
Tx atrial fib pulm vein isol (93656) $50,200 $50,200 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $541.75 $541.75 7.1×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$181.75–$220.50 $181.75–$220.50 varies
Unlisted cardiovascular service/procedure (93799)
range across 4 matching MRF lines
$415.25–$4,599 $415.25–$4,599 varies
Upr/L Xtremity Art 2 Levels (93922) $499.50 $499.50 3.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,657.50 $1,657.50 8.0×
Valvuloplasty aortic valve (92986) $14,245.25 $14,245.25 2.6×
Valvuloplasty mitral valve (92987) $28,334.75 $28,334.75 2.6×
Valvuloplasty pulmonary valve (92990) $37,100 $37,100 3.4×
Vasopneumatic device (97016) $155.50 $155.50 12.9×
Veeg 2-12 Hr Cont Mntr (95713)
range across 2 matching MRF lines
$1,366.75–$1,435 $1,366.75–$1,435 varies
Veeg 2-12 hr intmt mntr (95712)
range across 2 matching MRF lines
$755.50–$793.25 $755.50–$793.25 varies
Veeg 2-12 hr unmonitored (95711)
range across 2 matching MRF lines
$755.50–$793.25 $755.50–$793.25 varies
Veeg by tech ea incr 12-26 hr intermittent mntr (95715)
range across 2 matching MRF lines
$1,450–$1,522.50 $1,450–$1,522.50 varies
Veeg Ea 12-26 Hr Unmntr (95714)
range across 2 matching MRF lines
$1,450–$1,522.50 $1,450–$1,522.50 varies
Veeg ea 12-26hr cont mntr (95716)
range across 2 matching MRF lines
$2,577.50–$2,706.50 $2,577.50–$2,706.50 varies
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$2,866.50–$4,331.25 $2,866.50–$4,331.25 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,579.75 $2,579.75 4.4×
Visual Evoked Potential Test (95930) $2,275.25 $2,275.25 11.0×
Vital capacity, total (94150) $390.75 $390.75 3.2×
Wheelchair Mgmt Ea 15 Min (97542) $157.75 $157.75 5.1×
Whirlpool Therapy (97022)
range across 2 matching MRF lines
$157.75–$453.50 $157.75–$453.50 varies

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.