Visits & medical services prices at Franklin General Hospital

Hampton, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480)
range across 3 matching MRF lines
$56.70–$97.20 $63–$108 varies
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$69.30–$116.10 $77–$129 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $86.40 $96 6.0×
Application Modality 1/> Areas Infrared (97026) $69.30 $77 10.4×
Assessment of aphasia per hr (96105) $378 $420 3.9×
Behavral qualit analys voice (92524) $366.30 $407 3.3×
Biofeedback training any modality (90901) $132.30 $147 3.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$190.80–$405.90 $212–$451 varies
Canalith repositioning proc (95992) $117.90 $131 2.9×
Cardiac Stress Tst,Tracing Only (93017) $804.60 $894 3.9×
Cardiopulmonary exercise testing (94621) $1,051.20 $1,168 2.9×
Cardiopulmonary resuscitation (92950) $792 $880 3.8×
Cardioversion (92960) $825.30 $917 1.3×
Cbt 1st hour (94644) $240.30 $267 1.9×
Chemo IV infusion addl hr (96415) $209.70 $233 3.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $489.60 $544 1.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $349.20 $388 1.1×
Chest Wall Manipulation (94668) $88.20 $98 0.7×
Color/duplex Doppler, complete (93975) $1,058.40 $1,176 4.6×
Color/duplex Doppler, limited (93976) $718.20 $798 7.1×
Community/Work Reintegration Trainj Ea 15 Min (97537) $114.30 $127 3.6×
Continuous Pulse Ox (94762) $271.80 $302 2.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $669.60 $744 3.2×
Cpt initial (94667) $145.80 $162 1.1×
Critical care first hour (99291) $873 $970 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $267.30 $297 1.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $772.20 $858 3.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $762.30 $847 7.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $907.20 $1,008 4.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,129.50 $1,255 4.9×
Dup-scan xtr veins unilateral/limited study (93971) $759.60 $844 7.6×
Duplex up extrem art bilat (93930) $913.50 $1,015 4.0×
Duplex up extrem art unilat/ltd (93931) $631.80 $702 6.3×
Echo Heart Xthoracic,Limited (93308) $542.70 $603 2.4×
Electrical Stimulation Ea 15 Min (97032) $116.10 $129 7.9×
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$32.40–$137.70 $36–$153 varies
Emergency Dept Visit Level 2 (99282) $156.60 $174 1.1×
Emergency Dept Visit Level 3 (99283) $237.60 $264 0.9×
Emergency Dept Visit Level 4 (99284) $356.40 $396 0.9×
Er level 1 (99281) $99 $110 1.2×
Er level v (99285) $545.40 $606 1.0×
Evaluate pt use of inhaler (94664) $109.80 $122 0.5×
Evaluate Speech Production (92522) $349.20 $388 3.1×
Evaluate Swallowing Function (92610)
range across 2 matching MRF lines
$344.70–$378 $383–$420 varies
Evaluation of speech fluency (92521) $366.30 $407 2.7×
Exercise test for bronchospasm (94617) $383.40 $426 3.0×
Exhaled Air Analysis O2 (94680) $240.30 $267 1.9×
External ECG rec>48hr<7d recording (93242) $415.80 $462 11.6×
External ECG rec>7d<15d recording (93246) $415.80 $462 11.6×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines
$230.40–$679.50 $256–$755 varies
Extracranial Bilat Study (93880) $913.50 $1,015 4.0×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $431.10 $479 1.9×
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines
$67.50–$68.40 $75–$76 varies
Holter monitor recording (93225)
range across 3 matching MRF lines
$135.90–$415.80 $151–$462 varies
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 3 matching MRF lines
$19.80–$56.70 $22–$63 varies
Immunization administration (90471)
range across 3 matching MRF lines
$18–$68.40 $20–$76 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070)
range across 2 matching MRF lines
$695.70–$745.20 $773–$828 varies
Iontophoresis 15 min (97033) $112.50 $125 5.9×
Irrig Drug Delivery Device (96523) $135 $150 2.4×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$171–$171.90 $190–$191 varies
IV infusion hydration initial 31 min-1 hour (96360) $281.70 $313 1.4×
IV infusion ther proph addl sequential to 1 hr (96367) $143.10 $159 2.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $143.10 $159 3.2×
IV push initial (96374) $161.10 $179 0.8×
Lung Function Test (Mbc/Mvv) (94200) $56.70 $63 1.0×
Mechanical chest wall oscillation per session (94669) $117 $130 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $46.80 $52 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $46.80 $52 1.3×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $92.70 $103 5.4×
Motion Fluoroscopy/Swallow (92611) $413.10 $459 4.5×
Neuromuscular Reeducation (97112) $104.40 $116 3.2×
Oral Function Therapy (92526) $263.70 $293 3.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $115.20 $128 2.5×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $81.90 $91 3.9×
Osteopathic manipulative tx 3-4 body regions (98926) $108.90 $121 5.2×
Osteopathic manipulative tx 5-6 body regions (98927) $136.80 $152 6.6×
Osteopathic manipulative tx 7-8 body regions (98928) $162 $180 7.8×
Ot eval high complexity (97167) $216 $240 2.1×
Ot Eval Low Complex (97165) $183.60 $204 1.8×
Ot Eval Moderate Complexity (97166) $208.80 $232 2.1×
Ot manual therapy 15 min (97140) $111.60 $124 4.0×
Ot paraffin bath (97018)
range across 2 matching MRF lines
$62.10–$63.90 $69–$71 varies
Ot Prosthetic Training, Each 15 Min (97761) $121.50 $135 3.0×
Ot Re-Eval Est Plan Care (97168) $108.90 $121 1.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $217.80 $242 1.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $217.80 $242 1.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $232.20 $258 1.1×
Percutaneous tests w/allergenic extracts (95004) $14.40 $16 0.0×
Peripheral arterial disease rehab per session (93668) $199.80 $222 3.5×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$167.40–$256.50 $186–$285 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $252.90 $281 4.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $270.90 $301 4.8×
Physical Performance Test (97750) $84.60 $94 2.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,801.60 $4,224 4.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $49.50 $55 1.1×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $45.90 $51 1.0×
Pt Eval High Complex (97163) $252 $280 2.6×
Pt eval low complex 20 min (97161) $234.90 $261 2.4×
Pt Eval Mod Complex (97162) $234.90 $261 2.4×
Pt gait training 15 min (97116) $80.10 $89 2.8×
Pt mechanical traction (97012) $110.70 $123 7.7×
Pt Re-Eval Est Plan Care (97164) $166.50 $185 2.5×
Pulm function test by gas (94727) $215.10 $239 1.0×
Pulmonary service/procedure (94799) $206.10 $229 1.7×
Pulmonary Stress Testing (94618) $286.20 $318 2.2×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $86.40 $96 3.7×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $97.20 $108 2.8×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $72.90 $81 5.9×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $135.90 $151 3.8×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $41.40 $46 0.3×
Respiratory flow volume loop (94375) $170.10 $189 0.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 2 matching MRF lines
$19.80–$82.80 $22–$92 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $184.50 $205 1.0×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $378 $420 3.1×
Self Care Mngment Training (97535) $100.80 $112 3.1×
Sensory Integration Ea 15 Min (97533) $108.90 $121 1.8×
Sleep study unattended (95806) $502.20 $558 2.4×
Speech sound lang comprehen (92523) $353.70 $393 1.6×
Spirometry (94010)
range across 2 matching MRF lines
$108.90–$165.60 $121–$184 varies
Standardized Cognitive Performance Testing (96125) $378 $420 3.7×
Stress Tte Only (93350) $1,310.40 $1,456 2.5×
Temp transcutaneous pacing (92953) $306 $340 0.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $99.90 $111 4.5×
Ther Ivntj Ea Addl 15 Min (97130) $99.90 $111 4.7×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $97.20 $108 2.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $108.90 $121 3.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$67.50–$85.50 $75–$95 varies
Ther/Proph/Diag Iv Inf Init (96365) $353.70 $393 1.7×
Therapeutic Activities (97530) $93.60 $104 2.7×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$45–$111.60 $50–$124 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $20.70 $23 0.6×
Trans Care Mgmt 14 Day Disch (99495) $326.70 $363 2.6×
Trans Care Mgmt 7 Day Disch (99496) $482.40 $536 3.8×
Tte w/doppler, complete (93306) $2,493.90 $2,771 4.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $274.50 $305 3.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $139.50 $155 3.1×
Tympanometry (92567) $57.60 $64 1.6×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$293.40–$315 $326–$350 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$857.70–$858.60 $953–$954 varies
Vasopneumatic device (97016) $99 $110 8.2×
Vent Mgmt Inpat Init Day (94002) $1,353.60 $1,504 2.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,125 $1,250 1.9×
Vital capacity, total (94150) $132.30 $147 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $83.70 $93 2.7×
Whirlpool Therapy (97022) $192.60 $214 12.3×

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.