Visits & medical services prices at Fulton County Health Center

Wauseon, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $10,744.65 $15,349.50 1.5×
Airway Inhalation Treatment (94640) $304.58 $435.12 1.5×
Airway resistance by oscillometry (94728) $246.57 $352.24 2.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $99.20 $141.72 6.9×
Application on-body injector (96377) $49.43 $70.61 1.1×
Arrhythmia Induction (93618) $2,184.75 $3,121.07 1.9×
Behavral qualit analys voice (92524) $272.87 $389.81 2.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $125.46 $179.23 1.5×
Bfb training ea addl 15 min (90913) $125.46 $179.23 3.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $565.66 $808.08 1.6×
Bundle of his recording (93600) $4,870.91 $6,958.44 0.7×
Canalith repositioning proc (95992) $99.58 $142.26 2.4×
Car seat/bed test 60 min (94780) $87.06 $124.37 2.5×
Cardiac Stress Tst,Tracing Only (93017) $582.36 $831.94 2.9×
Cardiopulmonary resuscitation (92950) $580.16 $828.80 2.8×
Cardioversion (92960) $1,159.63 $1,656.62 1.9×
Cardioversion elective internal (92961) $818.18 $1,168.83 1.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $21 $30 0.8×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $9,312.03 $13,302.90 3.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,595.72 $12,279.60 2.8×
Cbt 1st hour (94644) $175.57 $250.82 1.4×
Chemo Admin Peritoneal Cavity (96446) $620.58 $886.55 2.0×
Chemo Anti-Neopl Sq/Im (96401)
range across 3 matching MRF lines
$154–$172.52 $220–$246.46 varies
Chemo Hormon Antineopl Sq/Im (96402) $257.56 $367.95 3.8×
Chemo IV infusion addl hr (96415) $472.03 $674.33 6.9×
Chemo IV push addl drug (96411) $343.06 $490.09 5.0×
Chemother Prolong Infuse W/Pump (96416)
range across 3 matching MRF lines
$509.66–$743.30 $728.09–$1,061.85 varies
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $472.03 $674.33 6.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $513.98 $734.26 1.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $385.77 $551.10 1.2×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $513.98 $734.26 1.6×
Chest Wall Manipulation (94668) $171.76 $245.37 1.4×
Color/duplex Doppler, complete (93975) $614.14 $877.34 2.7×
Color/duplex Doppler, limited (93976) $500.40 $714.85 5.1×
Community/Work Reintegration Trainj Ea 15 Min (97537) $42.37 $60.53 1.3×
Cont gluc mntr physician/qhp provided equiptment (95250) $253.64 $362.34 2.0×
Continuous Pulse Ox (94762) $257.26 $367.51 2.1×
Coronary Art/Grft Angio S&I (93455) $7,879.41 $11,256.30 2.6×
Coronary Artery Angio S&I (93454) $7,163.10 $10,233 2.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$381.69–$400.77 $545.27–$572.53 varies
Cpt initial (94667) $171.76 $245.37 1.4×
Critical care first hour (99291) $879.75 $1,256.79 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $267.18 $381.69 1.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$478.25–$648.10 $683.22–$925.86 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $537.41 $767.73 5.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $832.84 $1,189.77 3.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $592 $845.71 6.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $844.28 $1,206.12 3.7×
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines
$659.55–$763.37 $942.21–$1,090.53 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $839.71 $1,199.58 3.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $656.50 $937.85 6.6×
Duplex Scan Hemodialysis Access (93990) $655.74 $936.77 6.6×
Duplex up extrem art bilat (93930) $598.49 $854.98 2.7×
Duplex up extrem art unilat/ltd (93931) $300.01 $428.58 3.0×
Echo Heart Xthoracic,Limited (93308) $399.24 $570.35 1.8×
Echo transesophag montr cardiac pump functj (93318) $1,432.62 $2,046.60 2.8×
Echo transesophageal (93312)
range across 2 matching MRF lines
$1,053.84–$1,082.42 $1,505.48–$1,546.32 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $921.01 $1,315.73 1.8×
EEG awake and asleep (95819) $489.32 $699.03 2.4×
EEG awake drowsy (95816) $406.50 $580.71 2.0×
Electrical Stimulation Ea 15 Min (97032) $83.52 $119.31 5.7×
Electrocardiogram Tracing (93005) $136.26 $194.66 2.4×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $5,157.43 $7,367.76 0.7×
Electrophysiology Evaluation (93642) $1,969.86 $2,814.08 1.7×
Emergency Dept Visit Level 2 (99282) $312.87 $446.96 2.2×
Emergency Dept Visit Level 3 (99283) $517.49 $739.27 2.0×
Emergency Dept Visit Level 4 (99284) $782.50 $1,117.85 2.0×
Ep & ablate supravent arrhyt (93653) $26,861.62 $38,373.75 1.1×
Ep & ablate ventric tachy (93654) $28,652.40 $40,932 1.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $9,598.55 $13,712.22 1.3×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $7,592.89 $10,846.98 1.0×
Er level 1 (99281) $190.85 $272.64 2.4×
Er level v (99285) $980.09 $1,400.13 1.7×
Evaluate pt use of inhaler (94664) $175.57 $250.82 0.8×
Evaluate Speech Production (92522) $272.87 $389.81 2.4×
Evaluate Swallowing Function (92610) $286.61 $409.44 3.4×
Evaluation of speech fluency (92521) $272.87 $389.81 2.0×
External ECG rec>48hr<7d recording (93242) $48.71 $69.58 1.4×
External ECG rec>7d<15d recording (93246) $107.45 $153.50 3.0×
External Ecg Scanning Analysis Report (93226) $467.56 $667.95 8.4×
Extracranial Bilat Study (93880) $695.43 $993.47 3.1×
Extracranial Uni/Ltd Study (93882) $261.07 $372.96 2.6×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $686.27 $980.38 0.8×
Group Therapeutic Procedures (97150)
range across 8 matching MRF lines
$48.24–$239.16 $68.92–$341.66 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $10,744.65 $15,349.50 3.5×
Holter monitor recording (93225) $141.22 $201.74 1.1×
Icd Device Interrogate (93289) $65.08 $92.97 1.8×
Icd Device Progr Eval Mult (93284) $88.63 $126.61 2.5×
Ilr Device Interrogate (93291) $51.37 $73.39 1.9×
Immunization administration (90471) $49.62 $70.88 0.7×
Insert/Place Heart Catheter (93503) $1,285.10 $1,835.85 0.9×
Interrogate Subq Defib (93261) $82.75 $118.21 2.3×
Intra-atrial pacing (93610) $5,372.32 $7,674.75 0.7×
Intra-atrial recording (93602) $4,870.91 $6,958.44 0.7×
Intraventricular pacing (93612) $5,372.32 $7,674.75 0.7×
Iontophoresis 15 min (97033) $49.43 $70.61 2.6×
Irrig Drug Delivery Device (96523) $106.88 $152.68 1.9×
IV infusion hydration each additional hour (96361)
range across 13 matching MRF lines
$91.60–$94.09 $130.86–$134.41 varies
IV infusion hydration initial 31 min-1 hour (96360) $212.90 $304.15 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $100.39 $143.41 1.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $81.95 $117.07 1.8×
IV push initial (96374)
range across 12 matching MRF lines
$170.23–$174.85 $243.19–$249.79 varies
L Hrt Art/Grft Angio (93459) $9,312.03 $13,302.90 3.0×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $7,879.41 $11,256.30 2.6×
Lung Function Test (Mbc/Mvv) (94200) $117.56 $167.94 2.1×
Lwr Xtr Vasc Stdy Bilat (93924) $835.51 $1,193.59 4.1×
Mechanical chest wall oscillation per session (94669) $167.94 $239.91 0.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$27.23–$34.50 $38.90–$49.29 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$31.03–$38.35 $44.33–$54.78 varies
Motility study esophagus (91010) $607.65 $868.07 1.7×
Motion Fluoroscopy/Swallow (92611) $257.98 $368.54 2.8×
Multiple Sleep Latency Test (95805) $1,371.40 $1,959.14 1.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $372.53 $532.18 1.0×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $396.19 $565.99 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $205.34 $293.35 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $303.06 $432.94 0.8×
Neuromuscular Reeducation (97112) $65.88 $94.11 2.0×
Newborn resuscitation (99465) $651.92 $931.32 1.0×
Oral Function Therapy (92526)
range across 8 matching MRF lines
$79.39–$194.47 $113.41–$277.82 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $54.12 $77.32 1.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $84.32 $120.45 1.8×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $37.25 $53.22 1.8×
Ot Contrast Bath Ea 15 Min (97034) $73.32 $104.74 5.2×
Ot eval high complexity (97167) $151.34 $216.20 1.5×
Ot Eval Low Complex (97165) $141.53 $202.18 1.4×
Ot Eval Moderate Complexity (97166) $146.22 $208.89 1.5×
Ot manual therapy 15 min (97140) $94.09 $134.41 3.4×
Ot paraffin bath (97018) $55.31 $79.01 9.2×
Ot Prosthetic Training, Each 15 Min (97761) $40.38 $57.69 1.0×
Ot Re-Eval Est Plan Care (97168) $92.52 $132.17 1.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $181.15 $258.78 1.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $130.15 $185.93 1.1×
Peripheral arterial disease rehab per session (93668) $80.77 $115.38 1.4×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $9,491.11 $13,558.73 1.8×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $12,535.42 $17,907.75 1.1×
Phlebotomy therapeutic (99195) $256.42 $366.31 2.0×
Physical Performance Test (97750) $89.78 $128.25 2.7×
Pm device eval in person (93288) $65.08 $92.97 1.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,337.84 $4,768.34 4.1×
Prq Card Angio/Athrect 1 Art (92924) $14,326.20 $20,466 1.3×
Prq Card Stent W/Angio 1 Vsl (92928) $12,893.58 $18,419.40 1.2×
Prq Card Stent/Ath/Angio (92933) $13,968.04 $19,954.35 0.8×
Prq Revasc Byp Graft 1 Vsl (92937) $12,893.58 $18,419.40 1.2×
Psytx Crisis Initial 60 Min (90839) $257.56 $367.95 1.5×
Pt Eval High Complex (97163) $151.34 $216.20 1.5×
Pt eval low complex 20 min (97161) $141.53 $202.18 1.4×
Pt Eval Mod Complex (97162) $146.22 $208.89 1.5×
Pt gait training 15 min (97116) $84.69 $120.99 2.9×
Pt group caregiver training (97552) $42 $60 1.9×
Pt mechanical traction (97012) $107.45 $153.50 7.5×
Pt Re-Eval Est Plan Care (97164) $93.32 $133.32 1.4×
Pulm function test by gas (94727) $203.06 $290.09 1.0×
Pulmonary Stress Testing (94618) $267.18 $381.69 2.1×
Pure Tone Audiometry Air (92552) $21 $30 0.2×
R Hrt Art/Grft Angio (93457) $8,595.72 $12,279.60 2.8×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $7,521.26 $10,744.65 2.5×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $6,088.64 $8,698.05 2.0×
R hrt coronary artery angio (93456) $8,595.72 $12,279.60 2.8×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $7,879.41 $11,256.30 2.6×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $8,595.72 $12,279.60 2.8×
R&L Hrt Cath W/Ventriclgrphy (93453) $8,595.72 $12,279.60 2.8×
Refill/Maint Portable Pump (96521) $257.56 $367.95 1.3×
Remote 30 Day Ecg Rev/Report (93270) $142.55 $203.64 4.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $67.18 $95.97 1.2×
Right Heart Cath (93451) $6,088.64 $8,698.05 2.0×
Right ventricular recording (93603) $1,898.22 $2,711.75 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $176.41 $252.02 0.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $267.37 $381.96 2.2×
Self Care Mngment Training (97535) $60 $85.71 1.9×
Sensory Integration Ea 15 Min (97533) $112.90 $161.29 1.9×
Sleep study unattended (95806)
range across 2 matching MRF lines
$396.95–$801.16 $567.07–$1,144.51 varies
Slp caregiver training 1st 30 min (97550) $45.50 $65 0.9×
Speech sound lang comprehen (92523) $272.87 $389.81 1.2×
Spirometry (94010) $248.86 $355.51 1.2×
Stress Tte Only (93350) $738.18 $1,054.54 1.4×
Temp transcutaneous pacing (92953) $518.29 $740.42 0.8×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $94.09 $134.41 2.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $105.08 $150.11 3.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $182.29 $260.42 1.8×
Ther/Proph/Diag Inj Sc/Im (96372) $53.32 $76.17 0.8×
Ther/Proph/Diag Iv Inf Init (96365) $341.07 $487.24 1.7×
Therapeutic Activities (97530) $63.13 $90.18 1.8×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,074.46 $1,534.95 3.0×
Tte w/doppler, complete (93306) $1,285.14 $1,835.91 2.5×
Tte W/O Doppler Complete (93307) $660.32 $943.31 2.9×
Tx atrial fib pulm vein isol (93656) $28,652.40 $40,932 1.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 8 matching MRF lines
$72.52–$203.48 $103.60–$290.68 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $174.85 $249.79 3.9×
Upr/L Xtremity Art 2 Levels (93922) $381.69 $545.27 3.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $499.25 $713.21 2.4×
Vasopneumatic device (97016) $90.19 $128.84 7.5×
Vent Mgmt Inpat Init Day (94002) $1,187.81 $1,696.87 2.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,024.44 $1,463.49 1.8×
Vital capacity, total (94150) $117.56 $167.94 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $43.13 $61.61 1.4×
Whirlpool Therapy (97022) $81.56 $116.52 5.2×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $396.95 $567.07 7.1×

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.