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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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $14,758.80 $24,598 1.9×
Airway inhalation treatment (94640) $118.50 $197.50 0.5×
Application of heat wave therapy (97024) $94.20 $157 12.8×
Arrhythmia induction (93618) $7,705.20 $12,842 6.3×
Assessment of aphasia (96105) $352.80 $588 3.6×
Behavioral and qualitative analysis of voice and resonance (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 (95992) $110.40 $184 2.7×
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 internal (92961) $1,576.80 $2,628 2.4×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $12,529.50 $20,882.50 3.9×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $13,596 $22,660 4.2×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $21,765.15 $36,275.25 1.2×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $11,941.65 $19,902.75 3.7×
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 Hormon Antineopl Sq/Im (96402) $151.20 $252 2.1×
Chemo IV push addl drug (96411) $286.20 $477 4.0×
Chemo Iv Push Sngl Drug (96409) $286.20 $477 0.9×
Chemother, IV infusion, 1 hr (96413) $392.55 $654.25 1.2×
Chemother, IV infusion, ea add hr (96415) $138 $230 1.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $151.20 $252 2.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $141 $235 2.0×
Color/duplex Doppler, complete (93975) $1,137.15 $1,895.25 4.8×
Color/duplex Doppler, limited (93976) $816.60 $1,361 7.8×
Cont Gluc Monitoring Patient Provided Equipment (95249) $94.95 $158.25 1.6×
Coronary artery angio s&i (93454) $10,743.60 $17,906 3.3×
Cpap initiation and management (94660) $1,491.15 $2,485.25 6.8×
Cpt initial (94667) $107.55 $179.25 0.8×
Critical care (99291) $396.60 $661 0.5×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $668.55 $1,114.25 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $194.78 $324.62 1.0×
Demo &/or eval,pt use,aerosol device (94664) $123.60 $206 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $877.20 $1,462 3.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $606 $1,010 5.8×
Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) $816.60 $1,361 7.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $995.70 $1,659.50 4.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $735.45 $1,225.75 7.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $988.20 $1,647 4.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $766.05 $1,276.75 7.3×
Dup-scan xtr veins unilateral/limited study (93971) $841.35 $1,402.25 8.0×
Duplex hemodialysis access (93990) $817.12 $1,361.88 7.8×
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 extracranial art compl bi study (93880) $992.10 $1,653.50 4.2×
Echo Heart Xthoracic,Limited (93308) $610.20 $1,017 2.6×
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 Transthoracic - Congenital Tte Complete (93303) $1,087.80 $1,813 2.0×
Echo Transthoracic - Congenital Tte Limited (93304) $621 $1,035 1.1×
EEG awake asleep (95819) $811.20 $1,352 3.8×
EEG cerebral death evaluation (95824) $1,073.85 $1,789.75 2.9×
EEG coma or sleep only (95822) $811.20 $1,352 3.8×
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 W/O Vid 2-12 Hr Unmntr (95705) $492.90 $821.50 2.3×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $985.65 $1,642.75 2.6×
EKG (93005) $257.10 $428.50 4.4×
Ekg Signal Averaging (93278) $266.40 $444 4.5×
Electroconvulsive Therapy (90870) $1,237.65 $2,062.75 1.4×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $923.70 $1,539.50 4.3×
EMG cranial nerve bilat (95868) $447.15 $745.25 2.1×
EMG cranial nerve unilat (95867) $447.15 $745.25 2.1×
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 Electrophysiologic F/U Study (93624)
unusually low: confirm this is the full procedure
$2,521.05 $4,201.75 0.3×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $3,226.05 $5,376.75 2.6×
Ep Esophageal Recording Atria+Pacing (93616) $3,873.45 $6,455.75 3.2×
Ep Right Ventricular Recording (93603) $5,783.25 $9,638.75 4.7×
Er level 1 (99281) $184.05 $306.75 2.2×
Er level ii (99282) $446.70 $744.50 2.9×
Er level iii (99283) $766.80 $1,278 2.8×
Er level IV (99284) $1,059.75 $1,766.25 2.5×
Er level v (99285) $1,650 $2,750 2.8×
Esophageal recording (93615) $7,004.55 $11,674.25 5.7×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $396 $660 5.6×
Evaluation of speech fluency (92521) $388.20 $647 2.9×
Evaluation of speech sound production (92522) $352.80 $588 3.2×
Evaluation of swallowing function (92610) $330 $550 3.9×
Exercise tst brncspsm (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×
Group Therapeutic Procedures (97150) $94.20 $157 5.2×
Holter Monitor Recording (93225) $834 $1,390 6.3×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $45.60 $76 1.1×
Immunization Admin (90471) $45.60 $76 0.6×
Ins swan ganz bedside (93503) $2,329.20 $3,882 1.5×
Intra Atrial Recording (93602) $5,783.25 $9,638.75 0.7×
Intra-atrial pacing (93610) $7,004.55 $11,674.25 0.9×
Intraventricular pacing (93612) $5,783.25 $9,638.75 0.7×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $122.85 $204.75 2.1×
IV infusion hydration each additional hour (96361) $85.28 $142.12 1.8×
IV infusion hydration initial 31 min-1 hour (96360) $348.30 $580.50 1.6×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $104.70 $174.50 1.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $251.18 $418.62 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $85.28 $142.12 1.8×
IV push initial (96374) $210.75 $351.25 1.0×
Manual therapy 15 min (97140) $115.20 $192 4.2×
Massage 15 min (97124) $111.60 $186 3.8×
Maximum voluntary ventilation (94200) $175.20 $292 3.0×
Mechanical traction (97012) $79.80 $133 5.6×
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×
Methacholine challenge (94070) $615.75 $1,026.25 1.6×
Mnt Group Ea 30 Min (97804) $52.50 $87.50 3.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $426 $710 4.7×
Multiple sleep latency test (95805) $2,009.55 $3,349.25 2.3×
Nasopharyngoscopy (92511) $213.75 $356.25 1.1×
Needle electromyography larynx (95865) $406.35 $677.25 3.0×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $401.70 $669.50 3.0×
Neg press wnd tx </=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×
New patient problem focused exam of visual system (92002) $203.40 $339 1.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $440.18 $733.62 3.3×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $732 $1,220 3.4×
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×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $73.20 $122 1.2×
Orthotics mgmt & traing 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 complex 60 min (97167) $255.60 $426 2.5×
Ot eval low complex 30 min (97165) $153.60 $256 1.5×
Ot eval mod complex 45 min (97166) $204.60 $341 2.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $82.20 $137 1.6×
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) $245.78 $409.62 1.9×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $139.80 $233 1.1×
Paraffin bath (97018) $111 $185 18.5×
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 paravalvr leak 1 aortic valve (93591) $21,765.15 $36,275.25 1.2×
Phy/qhp op pulm rhb w/o mntr (94625) $181.80 $303 3.1×
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) $3,863.55 $6,439.25 4.5×
Polysom <6 yrs 4/> paramtrs (95782) $4,124.85 $6,874.75 4.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,863.55 $6,439.25 4.5×
Programming of single lead implantable defibrillator system (93282) $61.95 $103.25 1.7×
Prq balloon valvuloplasty aortic valve (92986) $11,274.45 $18,790.75 2.0×
Prq Balloon Valvuloplasty Mitral Valve (92987) $11,274.45 $18,790.75 1.0×
Prq card revasc chronic 1vsl (92943) $17,150.10 $28,583.50 1.5×
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×
Prq trluml coronary angio/atherect one art/brnch (92924) $19,003.35 $31,672.25 1.6×
Prq trluml coronary angioplasty one art/branch (92920) $12,556.80 $20,928 2.2×
Pt Aquatic Therapy/Exercises (97113) $113.40 $189 3.1×
Pt Electric Current Therapy (97033) $94.20 $157 4.9×
Pt Electrical Stimulation (97032) $94.20 $157 6.4×
Pt eval high complex 45 min (97163) $222 $370 2.3×
Pt eval low complex 20 min (97161) $153.60 $256 1.6×
Pt Gait Training Therapy (97116) $99.60 $166 3.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $129 $215 3.9×
Pt Physical Performance Test (97750) $93 $155 2.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $204.60 $341 2.1×
Pt re-evaluation (97164) $130.80 $218 1.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $115.20 $192 3.6×
Pt Ultrasound Therapy (97035) $88.80 $148 6.2×
Pulm function test by gas (94727) $268.95 $448.25 1.2×
Pulmonary stress testing (94618) $450.75 $751.25 3.4×
Pure Tone Audiometry, Air (92552) $37.20 $62 0.3×
R & l hrt cath w/njx l ventriculog img s&i (93453) $8,601.75 $14,336.25 2.6×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $11,449.20 $19,082 3.5×
R hrt art/grft angio (93457) $18,346.50 $30,577.50 5.6×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $13,053.15 $21,755.25 4.0×
Refill/Maint Pump/Resvr Syst (96522) $392.55 $654.25 1.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $258 $430 6.9×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $344.40 $574 1.1×
Right heart cath (93451) $9,690.45 $16,150.75 3.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $180.60 $301 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $97.05 $161.75 0.7×
Short-latency somatosens ep std lwr limbs (95926) $465.15 $775.25 2.2×
Short-latency somatosens ep std upr limbs (95925) $465.15 $775.25 2.2×
Smoking cessation > 10 min (99407) $67.20 $112 1.8×
Somatosensory testing (95938) $932.10 $1,553.50 1.1×
Speech group therapy (92508) $98.40 $164 4.1×
Speech sound lang comprehen (92523) $352.80 $588 1.6×
Spirometry (94010) $50.70 $84.50 0.2×
Standardized Cognitive Performance Testing (96125) $352.80 $588 3.4×
Stress Tte Complete (93351) $1,596 $2,660 2.9×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $105.60 $176 5.0×
Ther/prop/diag inj/inf proc (96379) $348.15 $580.25 7.4×
Ther/Proph/Diag Inj Sc/Im (96372) $53.55 $89.25 0.7×
Therapeutic Activities (97530) $123 $205 3.5×
Therapeutic phlebotomy (99195) $185.40 $309 1.4×
Tilt Table Eval (93660) $2,079.45 $3,465.75 5.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $44.40 $74 1.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,158.80 $3,598 3.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $258.60 $431 3.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $169.28 $282.12 3.6×
Unlisted Cardiovascular Service/Procedure (93799) $345.30 $575.50 2.7×
Unlisted otorhinolaryngological service (92700) $25.80 $43 0.9×
Unlisted pulmonary service/procedure (94799) $112.95 $188.25 0.9×
Valvuloplasty pulmonary valve (92990) $11,274.45 $18,790.75 1.0×
Vasc Duplex Extrem Venous,Bilat (93970) $1,097.85 $1,829.75 4.6×
Vasc Duplex Scan Extracranial,Limited (93882) $543.38 $905.62 5.2×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $619.20 $1,032 2.9×
Vasopneumatic device (97016) $81 $135 6.7×
Veeg by tech 2-12 hours unmonitored (95711) $1,482.90 $2,471.50 6.9×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $2,965.50 $4,942.50 7.9×
Veeg Ea 12-26 Hr Unmntr (95714) $2,965.50 $4,942.50 7.9×
Ventilation assist & mgmt inpatient 1st 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×