Visits & medical services prices at Fitzgibbon Hospital

Marshall, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $147.52 $184.40 0.7×
Application of heat wave therapy (97024) $73.18 $91.48 10.0×
Behavioral and qualitative analysis of voice and resonance (92524) $219.24 $274.05 2.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $156.70 $195.88 0.4×
Canalith Repositioning (95992) $45.08 $56.34 1.1×
Cardiac Stress Tst,Tracing Only (93017) $393.48 $491.84 1.8×
Cardiopulmonary resuscitation (92950) $1,802.08 $2,252.59 8.3×
Cardioversion (92960) $646.18 $807.72 1.0×
Cbt 1st hour (94644) $217.84 $272.30 1.6×
Chemo Hormon Antineopl Sq/Im (96402) $108.78 $135.98 1.5×
Chemo IV push addl drug (96411) $309.96 $387.45 4.3×
Chemo Iv Push Sngl Drug (96409) $417.48 $521.85 1.3×
Chemo prolong 8+ hrs infuse w/pump (96416) $465.36 $581.70 1.4×
Chemother, IV infusion, 1 hr (96413) $417.48 $521.85 1.3×
Chemother, IV infusion, ea add hr (96415) $146.16 $182.70 2.0×
Chemother,ia infusn tech,<1 hr (96422) $384.72 $480.90 1.2×
Chemother,Ia Push Technique (96420) $363.72 $454.65 1.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $185.64 $232.05 2.6×
Chemotherapy admn intraarterial infusion ea hr (96423) $152.04 $190.05 3.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $210.84 $263.55 2.9×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions (98940) $41 $51.25 1.9×
Chiropractic manipulative treatment (CMT); spinal, 3-4 regions (98941) $41 $51.25 1.9×
Chiropractic manipulative treatment (CMT); spinal, 5 regions (98942) $32.80 $41 1.5×
Color/duplex Doppler, limited (93976) $325.08 $406.35 3.1×
Cont Gluc Monitoring Patient Provided Equipment (95249) $98.28 $122.85 1.7×
Cpap initiation and management (94660) $626.82 $783.52 2.9×
Cpt initial (94667) $228.16 $285.20 1.7×
Critical care (99291) $398.52 $498.15 0.5×
Debridement Open Wound 20 Sq Cm< (97597) $148.95 $186.19 0.7×
Demo &/or eval,pt use,aerosol device (94664) $90.20 $112.75 0.4×
Developmental tst admin phys/qhp 1st hour (96112) $178.66 $223.32 1.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $423.86 $529.82 1.8×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $377.65 $472.06 3.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $411.76 $514.70 1.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $361.72 $452.16 3.5×
Dup-scan xtr veins unilateral/limited study (93971) $353.20 $441.50 3.4×
Duplex scan extracranial art compl bi study (93880) $566.25 $707.82 2.4×
Echo Heart Xthoracic,Limited (93308) $515.76 $644.70 2.2×
EEG awake asleep (95819) $272.10 $340.12 1.3×
EEG awake drowsy (95816) $63.71 $79.64 0.3×
EEG cerebral death evaluation (95824) $99.88 $124.85 0.3×
EEG coma or sleep only (95822) $63.71 $79.64 0.3×
EKG (93005) $152.88 $191.10 2.6×
EKG rhythm strip (93041) $909.74 $1,137.18 15.4×
Elec alys implt cplx cn npgt prgrmg (95977) $84 $105 0.9×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $192.86 $241.08 2.0×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $464.52 $580.65 2.1×
Er level 1 (99281) $51.66 $64.58 0.6×
Er level ii (99282) $100.86 $126.08 0.7×
Er level iii (99283) $151.70 $189.63 0.6×
Er level IV (99284) $289.46 $361.83 0.7×
Er level v (99285) $423.94 $529.93 0.7×
Evaluation of speech fluency (92521) $234.19 $292.74 1.8×
Evaluation of speech sound production (92522) $186.84 $233.55 1.7×
Evaluation of swallowing function (92610) $288.43 $360.54 3.4×
Evaluation with prescription of speech-generating alternative (92607) $309.96 $387.45 2.5×
External ECG rec>48hr<7d recording (93242) $46.77 $58.46 1.3×
External ECG rec>7d<15d recording (93246) $47.19 $58.99 1.3×
Group Therapeutic Procedures (97150) $72.33 $90.41 4.0×
Holter Monitor Recording (93225) $91.84 $114.80 0.7×
Icd Device Interrogate (93289) $125.30 $156.62 3.4×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $20.50 $25.63 0.3×
Immunization Admin (90471) $51.88 $64.85 0.7×
Immunotherapy, 2+ Injections (95117) $22.96 $28.70 0.5×
Inital newborn e/m (99460) $86.10 $107.63 0.6×
Initial normal newborn care, same day discharge (99463) $117.26 $146.58 0.9×
Interrog dev eval scrms phys/qhp in person (93291) $110.44 $138.06 3.8×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $127 $158.75 2.1×
IV infusion hydration each additional hour (96361) $120.30 $150.37 2.6×
IV infusion hydration initial 31 min-1 hour (96360) $214.10 $267.63 1.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $205.78 $257.22 2.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $242.19 $302.74 1.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $153.50 $191.88 3.3×
IV push initial (96374) $158.28 $197.85 0.7×
Manual therapy 15 min (97140) $119.25 $149.06 4.3×
Massage 15 min (97124) $79.64 $99.56 2.7×
Maximum voluntary ventilation (94200) $135.24 $169.05 2.3×
Mechanical chest wall oscillation (94669) $320.30 $400.37 1.5×
Mechanical traction (97012) $85.68 $107.10 6.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $47.04 $58.80 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $51.24 $64.05 1.4×
Methacholine challenge (94070) $148.38 $185.48 0.4×
Mnt Group Ea 30 Min (97804) $27.72 $34.65 1.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $384.43 $480.54 4.2×
Multiple Family Group Psychotherapy (90849) $46.74 $58.43 0.3×
Nasopharyngoscopy (92511) $133.56 $166.95 0.7×
Neg press wnd tx </=50 sq cm (97607) $577.28 $721.60 1.4×
Neg press wound tx >50 cm (97608) $558.68 $698.36 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $168.76 $210.94 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $48.22 $60.27 0.1×
Nerve conduction studies 13/> studies (95913) $337.77 $422.22 0.9×
Nerve Conduction Studies 3-4 Studies (95908) $181.01 $226.26 0.8×
Nerve Conduction Studies 9-10 Studies (95911) $307.84 $384.80 0.8×
Nerve conduction studies; 1-2 studies (95907) $166.90 $208.62 0.8×
Nerve conduction studies; 11-12 studies (95912) $322.19 $402.74 0.9×
Nerve conduction studies; 5-6 studies (95909) $279.96 $349.95 1.3×
Nerve conduction studies; 7-8 studies (95910) $294.31 $367.89 0.8×
Newborn resuscitation (99465) $259.12 $323.90 0.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $159.96 $199.95 1.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $344.10 $430.12 2.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $124.42 $155.52 2.7×
Osteopathic manipulative tx 1-2 body regions (98925) $37.02 $46.28 1.7×
Osteopathic manipulative tx 3-4 body regions (98926) $41.33 $51.66 1.9×
Osteopathic manipulative tx 5-6 body regions (98927) $56.82 $71.03 2.6×
Osteopathic manipulative tx 7-8 body regions (98928) $71.46 $89.33 3.3×
Osteopathic manipulative tx 9-10 body regions (98929) $86.10 $107.63 4.0×
Ot Contrast Bath Ea 15 Min (97034) $65.44 $81.80 4.7×
Ot eval high complex 60 min (97167) $218.70 $273.37 2.2×
Ot eval low complex 30 min (97165) $218.70 $273.37 2.2×
Ot eval mod complex 45 min (97166) $218.70 $273.37 2.2×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $82.66 $103.32 1.6×
Ot Prosthetic Training, Each 15 Min (97761) $82.66 $103.32 2.0×
Ot Range Motion Measure,Each Extrem (95851) $109.34 $136.68 4.2×
Ot re-eval est plan care (97168) $143.78 $179.73 2.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $152.04 $190.05 1.2×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $108.36 $135.45 0.8×
Paraffin bath (97018) $88.45 $110.56 14.7×
Plethysmography (94726) $227.30 $284.13 0.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,778.32 $4,722.90 4.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $18.86 $23.58 0.4×
Psych diag eval w/med srvcs (90792) $204.92 $256.15 1.2×
Psychiatric diagnostic evaluation (90791) $237.80 $297.25 1.3×
Psychoanalysis (90845) $122.18 $152.73 0.7×
Psytx crisis initial 60 min (90839) $54.12 $67.65 0.3×
Pt Aquatic Therapy/Exercises (97113) $117.52 $146.91 3.2×
Pt Electric Current Therapy (97033) $123.12 $153.90 6.5×
Pt Electrical Stimulation (97032) $102.06 $127.58 6.9×
Pt eval high complex 45 min (97163) $210.94 $263.68 2.2×
Pt eval low complex 20 min (97161) $210.94 $263.68 2.2×
Pt Gait Training Therapy (97116) $109.34 $136.68 3.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $112.36 $140.45 3.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $210.94 $263.68 2.2×
Pt re-evaluation (97164) $177.37 $221.71 2.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $117.10 $146.37 3.6×
Pt Ultrasound Therapy (97035) $86.53 $108.16 6.0×
Pt Whirlpool Therapy (97022) $102.46 $128.07 6.5×
Pulm function test by gas (94727) $339.23 $424.04 1.6×
Pulmonary stress testing (94618) $60.68 $75.85 0.5×
Pure Tone Audiometry, Air (92552) $31.92 $39.90 0.2×
Refill/Maint Pump/Resvr Syst (96522) $276.36 $345.45 1.3×
Refill/maint, portable pump (96521) $311.64 $389.55 1.5×
Rem interrog icpms <30 d phys/qhp (93297) $51.74 $64.68 1.4×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $213.36 $266.70 1.6×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $122.64 $153.30 3.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $126.69 $158.36 0.6×
Rom meas&reprt hand w/wo comparison normal sid (95852) $109.34 $136.68 5.1×
Rt Chest Wall Manipulation,Subsequent (94668) $136.04 $170.04 1.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $126.57 $158.21 2.7×
Sensory Integration Ea 15 Min (97533) $103.32 $129.15 1.7×
Sleep study unattended (95806) $273.84 $342.30 1.3×
Speech sound lang comprehen (92523) $341.82 $427.27 1.5×
Spirometry (94010) $151.54 $189.42 0.7×
Temp transcutaneous pacing (92953) $110.94 $138.68 0.2×
Test for allergy using allergenic extract injected into skin (95024) $18.08 $22.60 0.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $146.37 $182.96 1.4×
Ther/Proph/Diag Inj Sc/Im (96372) $81.53 $101.92 1.1×
Therapeutic Activities (97530) $118.82 $148.52 3.4×
Therapeutic phlebotomy (99195) $155.70 $194.62 1.2×
Trans Care Mgmt 14 Day Disch (99495) $118.08 $147.60 0.9×
Trans Care Mgmt 7 Day Disch (99496) $170.56 $213.20 1.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $963.12 $1,203.90 1.8×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $256.58 $320.72 1.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $274.66 $343.32 3.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $258.30 $322.88 3.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $141.21 $176.51 3.0×
Tympanometry (92567) $33.58 $41.97 0.9×
Vasc Duplex Extrem Venous,Bilat (93970) $410.70 $513.37 1.7×
Vasopneumatic device (97016) $130.44 $163.05 10.9×
Ventilation assist & mgmt inpatient 1st day (94002) $1,786.58 $2,233.22 2.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,077.11 $1,346.39 1.7×
Vital capacity total (94150) $27.55 $34.44 0.2×
Wheelchair Mgmt Ea 15 Min (97542) $114.08 $142.60 3.7×