Visits & medical services prices at Freeman Hospital West

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $14,758.80 $24,598 1.9×
Admn Sarscov2 Vacc 1 Dose (90480) $45.60 $76 1.1×
Airway Inhalation Treatment (94640)
range across 16 matching MRF lines
$50.85–$118.50 $84.75–$197.50 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $88.80 $148 6.2×
Application Modality 1/> Areas Diathermy (97024) $94.20 $157 12.8×
Arrhythmia Induction (93618) $7,705.20 $12,842 6.3×
Assessment of aphasia per hr (96105) $352.80 $588 3.6×
Behavral qualit analys voice (92524) $352.80 $588 3.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $469.20 $782 1.3×
Bundle of his recording (93600) $5,783.25 $9,638.75 0.7×
C motor evoked uppr limbs (95928) $668.55 $1,114.25 0.8×
C motor evoked upr&lwr limbs (95939) $932.10 $1,553.50 1.1×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$87–$133.80 $145–$223 varies
Cardiac Stress Tst,Tracing Only (93017) $833.40 $1,389 3.9×
Cardiopulmonary exercise testing (94621) $845.25 $1,408.75 2.3×
Cardiopulmonary resuscitation (92950) $795.15 $1,325.25 3.7×
Cardioversion (92960) $1,555.20 $2,592 2.3×
Cardioversion elective internal (92961) $1,576.80 $2,628 2.4×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $11,449.20 $19,082 3.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $10,710 $17,850 3.3×
Cbt 1st hour (94644) $196.50 $327.50 1.5×
Chemo Anti-Neopl Sq/Im (96401) $151.20 $252 2.1×
Chemo Hormon Antineopl Sq/Im (96402) $151.20 $252 2.1×
Chemo IV infusion addl hr (96415) $138 $230 1.9×
Chemo IV push addl drug (96411) $286.20 $477 4.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $141 $235 2.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $392.55 $654.25 1.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $286.20 $477 0.9×
Chest Wall Manipulation (94668) $97.05 $161.75 0.7×
Color/duplex Doppler, complete (93975)
range across 4 matching MRF lines
$876–$1,140 $1,460–$1,900 varies
Color/duplex Doppler, limited (93976)
range across 3 matching MRF lines
$816.30–$816.60 $1,360.50–$1,361 varies
Cont Gluc Mntr Pt Prov Eqp (95249) $94.95 $158.25 1.6×
Coronary Art/Grft Angio S&I (93455) $12,529.50 $20,882.50 3.9×
Coronary Artery Angio S&I (93454) $10,743.60 $17,906 3.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,491.15 $2,485.25 6.8×
Cpt initial (94667) $107.55 $179.25 0.8×
Critical care first hour (99291)
range across 3 matching MRF lines
$396–$2,652.30 $660–$4,420.50 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $668.55 $1,114.25 1.8×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$135.15–$206.10 $225.25–$343.50 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 7 matching MRF lines
$876–$878.40 $1,460–$1,464 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 4 matching MRF lines
$606–$667.20 $1,010–$1,112 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 5 matching MRF lines
$948–$997.20 $1,580–$1,662 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 10 matching MRF lines
$735.45–$736.20 $1,225.75–$1,227 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 7 matching MRF lines
$1,097.85–$1,099.80 $1,829.75–$1,833 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 15 matching MRF lines
$841.35–$841.80 $1,402.25–$1,403 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $2,146.05 $3,576.75 9.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $1,631.10 $2,718.50 15.6×
Duplex Scan Hemodialysis Access (93990)
range across 2 matching MRF lines
$817.05–$817.20 $1,361.75–$1,362 varies
Duplex up extrem art bilat (93930)
range across 3 matching MRF lines
$988.20–$989.40 $1,647–$1,649 varies
Duplex up extrem art unilat/ltd (93931)
range across 6 matching MRF lines
$766.05–$766.80 $1,276.75–$1,278 varies
Echo Congenital Complete (93303) $1,087.80 $1,813 2.0×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$609.30–$610.20 $1,015.50–$1,017 varies
Echo r-t 2d w/probe placement only (93313) $1,059.75 $1,766.25 1.9×
Echo transesophageal (93312) $2,229 $3,715 4.1×
Echo Transesophageal - Congenital Tee Complete (93315) $2,016 $3,360 3.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,596 $2,660 2.9×
Eeg 41-60 Minutes (95812) $923.70 $1,539.50 4.3×
EEG awake and asleep (95819) $811.20 $1,352 3.8×
EEG cerebral death evaluation (95824) $1,073.85 $1,789.75 2.9×
EEG cont rec w/video by tech min 8 channels (95700) $399.15 $665.25 1.8×
EEG extended monitoring 61-119 minutes (95813) $1,695.60 $2,826 7.8×
Eeg Sleep Only (95822) $811.20 $1,352 3.8×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $492.90 $821.50 2.3×
EEG wo vid ea 12-26hr unmntr (95708) $985.65 $1,642.75 2.6×
EKG signal averaged (93278) $266.40 $444 4.5×
Electrical Stimulation Ea 15 Min (97032) $94.20 $157 6.4×
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines
$244.80–$258 $408–$430 varies
Electroconvulsive Therapy (90870) $1,237.65 $2,062.75 1.4×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
unusually low: confirm this is the full procedure
$2,521.05 $4,201.75 0.3×
Electrophysiology Evaluation (93642) $3,226.05 $5,376.75 2.6×
Emergency Dept Visit Level 2 (99282) $446.70 $744.50 2.9×
Emergency Dept Visit Level 3 (99283) $766.80 $1,278 2.8×
Emergency Dept Visit Level 4 (99284) $1,059.75 $1,766.25 2.5×
Endomyocardial Biopsy (93505) $2,564.55 $4,274.25 0.8×
Ep & ablate supravent arrhyt (93653) $30,261.15 $50,435.25 1.2×
Ep & ablate ventric tachy (93654) $27,059.55 $45,099.25 1.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $14,066.70 $23,444.50 1.8×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $8,073.30 $13,455.50 1.0×
Ep Esophageal Recording Atria+Pacing (93616) $3,873.45 $6,455.75 3.2×
Er level 1 (99281) $184.05 $306.75 2.2×
Er level v (99285) $1,650 $2,750 2.8×
Esoph Atrial Electrogram (93615) $7,004.55 $11,674.25 5.7×
Evaluate pt use of inhaler (94664) $123.60 $206 0.6×
Evaluate Speech Production (92522) $352.80 $588 3.2×
Evaluate Swallowing Function (92610) $330 $550 3.9×
Evaluation of speech fluency (92521) $388.20 $647 2.9×
Exercise test for bronchospasm (94617) $450.75 $751.25 3.4×
External ECG rec>48hr<7d recording (93242) $258 $430 6.9×
External ECG rec>7d<15d recording (93246) $258 $430 6.9×
External Ecg Scanning Analysis Report (93226) $523.80 $873 8.9×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$991.80–$992.40 $1,653–$1,654 varies
Extracranial Uni/Ltd Study (93882)
range across 4 matching MRF lines
$542.55–$544.20 $904.25–$907 varies
F-up/limited tthrc echo congenital car anomaly (93304) $621 $1,035 1.1×
Group Therapeutic Procedures (97150)
range across 3 matching MRF lines
$93.90–$94.20 $156.50–$157 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $13,053.15 $21,755.25 4.0×
Holter monitor recording (93225) $834 $1,390 6.3×
Immunization administration (90471) $45.60 $76 0.6×
Insert/Place Heart Catheter (93503) $2,329.20 $3,882 1.5×
Intra-atrial pacing (93610) $7,004.55 $11,674.25 0.9×
Intra-atrial recording (93602) $5,783.25 $9,638.75 0.7×
Intraventricular pacing (93612) $5,783.25 $9,638.75 0.7×
Iontophoresis 15 min (97033) $94.20 $157 4.9×
Irrig Drug Delivery Device (96523) $122.85 $204.75 2.1×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$65.85–$104.70 $109.75–$174.50 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$132.30–$348.30 $220.50–$580.50 varies
IV infusion ther proph addl sequential to 1 hr (96367) $104.70 $174.50 1.5×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$65.85–$104.70 $109.75–$174.50 varies
IV push initial (96374)
range across 2 matching MRF lines
$210.30–$211.20 $350.50–$352 varies
L Hrt Art/Grft Angio (93459) $11,941.65 $19,902.75 3.7×
Lung Function Test (Mbc/Mvv) (94200) $175.20 $292 3.0×
Lwr Xtr Vasc Stdy Bilat (93924) $619.20 $1,032 2.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $40.05 $66.75 1.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $41.40 $69 1.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $52.50 $87.50 3.1×
Methacholine challenge (94070) $615.75 $1,026.25 1.6×
Motion Fluoroscopy/Swallow (92611) $426 $710 4.7×
Multiple Sleep Latency Test (95805) $2,009.55 $3,349.25 2.3×
Muscle Test Nonparaspinal (95870) $401.70 $669.50 3.0×
Nasopharyngoscopy (92511) $213.75 $356.25 1.1×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $447.15 $745.25 2.1×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $447.15 $745.25 2.1×
Needle electromyography larynx (95865) $406.35 $677.25 3.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $284.40 $474 0.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $273.60 $456 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $273.60 $456 0.7×
Nerve Conduction Studies 1-2 Studies (95907) $192.45 $320.75 0.9×
Neuromuscular Reeducation (97112) $129 $215 3.9×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $468.60 $781 1.3×
Ophth medical xm&eval intermediate estab pt (92012) $161.70 $269.50 1.2×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $203.40 $339 1.5×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $73.20 $122 1.2×
Oral Function Therapy (92526)
range across 3 matching MRF lines
$155.40–$292.20 $259–$487 varies
Oral Speech Device Eval (92597) $396 $660 5.6×
Orthc/Prostc Mgmt Sbsq Enc (97763) $82.20 $137 1.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $109.80 $183 2.4×
Ot Contrast Bath Ea 15 Min (97034) $130.80 $218 9.3×
Ot eval high complexity (97167) $255.60 $426 2.5×
Ot Eval Low Complex (97165) $153.60 $256 1.5×
Ot Eval Moderate Complexity (97166) $204.60 $341 2.0×
Ot manual therapy 15 min (97140) $115.20 $192 4.2×
Ot paraffin bath (97018) $111 $185 18.5×
Ot Prosthetic Training, Each 15 Min (97761) $71.40 $119 1.8×
Ot Re-Eval Est Plan Care (97168) $114 $190 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$245.55–$246 $409.25–$410 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $139.80 $233 1.1×
Penile Vascular Study,Ltd or F/U (93981) $816.60 $1,361 7.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $355.95 $593.25 1.6×
Perq transcath closure pda (93582) $21,765.15 $36,275.25 1.2×
Perq Transcath Cls Aortic (93591) $21,765.15 $36,275.25 1.2×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $12,556.80 $20,928 2.2×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $17,150.10 $28,583.50 1.5×
Phlebotomy therapeutic (99195) $185.40 $309 1.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $181.80 $303 3.1×
Physical Performance Test (97750)
range across 3 matching MRF lines
$58.20–$93 $97–$155 varies
Plethysmography (94726) $395.55 $659.25 1.1×
Pm device progr eval dual (93280) $61.95 $103.25 1.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 4 matching MRF lines
$3,593.85–$4,133.25 $5,989.75–$6,888.75 varies
Polysom <6 yrs 4/> paramtrs (95782)
range across 4 matching MRF lines
$3,867.15–$4,253.85 $6,445.25–$7,089.75 varies
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783)
range across 4 matching MRF lines
$3,593.85–$4,133.25 $5,989.75–$6,888.75 varies
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $61.95 $103.25 1.7×
Prq Card Angio/Athrect 1 Art (92924) $19,003.35 $31,672.25 1.6×
Prq Card Stent W/Angio 1 Vsl (92928) $15,179.40 $25,299 1.3×
Prq Card Stent/Ath/Angio (92933) $9,389.10 $15,648.50 0.5×
Prq Revasc Byp Graft 1 Vsl (92937) $14,656.35 $24,427.25 1.3×
Pt Eval High Complex (97163) $222 $370 2.3×
Pt eval low complex 20 min (97161) $153.60 $256 1.6×
Pt Eval Mod Complex (97162) $204.60 $341 2.1×
Pt gait training 15 min (97116) $99.60 $166 3.4×
Pt mechanical traction (97012) $79.80 $133 5.6×
Pt Re-Eval Est Plan Care (97164) $130.80 $218 1.9×
Pulm function test by gas (94727) $268.95 $448.25 1.2×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$105.45–$159.90 $175.75–$266.50 varies
Pulmonary Stress Testing (94618) $450.75 $751.25 3.4×
Pure Tone Audiometry Air (92552)
range across 3 matching MRF lines
$24.30–$45 $40.50–$75 varies
R Hrt Art/Grft Angio (93457) $18,346.50 $30,577.50 5.6×
R hrt coronary artery angio (93456) $13,596 $22,660 4.2×
R&L Hrt Cath W/Ventriclgrphy (93453) $8,601.75 $14,336.25 2.6×
Refill/Maint Pump/Resvr Syst (96522) $392.55 $654.25 1.8×
Remote 30 Day Ecg Rev/Report (93270) $258 $430 6.9×
Right Heart Cath (93451) $9,690.45 $16,150.75 3.0×
Right ventricular recording (93603) $5,783.25 $9,638.75 4.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $180.60 $301 0.9×
Self Care Mngment Training (97535)
range across 3 matching MRF lines
$114.75–$115.20 $191.25–$192 varies
Short-latency somatosens ep std upr limbs (95925) $465.15 $775.25 2.2×
Somatosensory Testing (95938) $932.10 $1,553.50 1.1×
Speech sound lang comprehen (92523) $352.80 $588 1.6×
Spin/Brain Pump Refil & Main (95991) $344.40 $574 1.1×
Spirometry (94010)
range across 3 matching MRF lines
$50.70–$187.05 $84.50–$311.75 varies
Ssep lower limbs (95926) $465.15 $775.25 2.2×
Standardized Cognitive Performance Testing (96125) $352.80 $588 3.4×
Surfactant Admin Thru Tube (94610) $137.55 $229.25 0.6×
Temp transcutaneous pacing (92953) $154.20 $257 0.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $105.60 $176 4.7×
Ther Ivntj Ea Addl 15 Min (97130) $105.60 $176 5.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $113.40 $189 3.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $111.60 $186 3.8×
Ther/Prop/Diag Inj/Inf Proc (96379) $348.15 $580.25 7.4×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$17.25–$54.60 $28.75–$91 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$132.30–$370.05 $220.50–$616.75 varies
Therapeutic Activities (97530)
range across 5 matching MRF lines
$46.05–$123 $76.75–$205 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,079.45 $3,465.75 5.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $67.20 $112 1.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 3 matching MRF lines
$43.95–$44.40 $73.25–$74 varies
Transcath Closure of Asd (93580) $21,765.15 $36,275.25 1.2×
Tte w/doppler, complete (93306) $2,158.80 $3,598 3.9×
Tte W/O Doppler Complete (93307) $990 $1,650 4.1×
Tx atrial fib pulm vein isol (93656) $32,674.05 $54,456.75 1.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $254.40 $424 3.3×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $98.40 $164 4.1×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$168.75–$169.80 $281.25–$283 varies
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines
$101.40–$549.60 $169–$916 varies
Unlisted otorhinolaryngological service (92700) $25.80 $43 0.9×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$434.40–$445.95 $724–$743.25 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 5 matching MRF lines
$732–$733.20 $1,220–$1,222 varies
Valvuloplasty aortic valve (92986) $11,274.45 $18,790.75 2.0×
Valvuloplasty mitral valve (92987) $11,274.45 $18,790.75 1.0×
Valvuloplasty pulmonary valve (92990) $11,274.45 $18,790.75 1.0×
Vasopneumatic device (97016) $81 $135 6.7×
Veeg 2-12 Hr Cont Mntr (95713) $2,965.50 $4,942.50 7.9×
Veeg 2-12 hr unmonitored (95711) $1,482.90 $2,471.50 6.9×
Veeg Ea 12-26 Hr Unmntr (95714) $2,965.50 $4,942.50 7.9×
Vent Mgmt Inpat Init Day (94002) $1,491.15 $2,485.25 2.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $826.20 $1,377 1.3×
Visual Evoked Potential Test (95930) $814.20 $1,357 3.8×
Wheelchair Mgmt Ea 15 Min (97542) $95.40 $159 3.1×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $450.75 $751.25 7.6×

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.