Visits & medical services prices at George E Weems Memorial Hospital

Apalachicola, FL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $257.60 $368 1.1×
Allergy injection single (95115) $31.50 $45 0.6×
Assessment of aphasia (96105) $84.70 $121 0.9×
Canalith repositioning (95992) $31.50 $45 0.8×
Cardiovascular procedure unlisted (93799) $171.72 $245.31 1.3×
Cardioversion elective external (92960) $455 $650 0.7×
Carotid duplex scan; bilat (93880) $291.21 $416.02 1.2×
Color/duplex Doppler, complete (93975) $291.21 $416.02 1.2×
Color/duplex Doppler, limited (93976) $142.11 $203.01 1.3×
Continuous inhalation tx, 1st hr (94644) $30.80 $44 0.2×
Cpap/bipap daily (94660) $159.25 $227.50 0.7×
Cpr (92950) $175 $250 0.8×
Cpt initial (94667) $217.70 $311 1.6×
Cpt subsequent (94668) $163.80 $234 1.2×
Critical care first hour (99291) $910 $1,300 1.1×
Duplex ext veins; bilat (93970) $291.21 $416.02 1.2×
Duplex le art/bpg; bilat (93925) $291.21 $416.02 1.2×
Duplex ue art/bpg; bilat (93930) $291.21 $416.02 1.2×
Duplex ue art/bpg; unil/limit (93931) $142.11 $203.01 1.3×
Electrocardiogram (93005) $200.20 $286 3.2×
Emergency department visit high mdm (99285) $735 $1,050 1.2×
Emergency department visit low mdm (99283) $301 $430 1.1×
Emergency department visit may not req phys/qhp (99281) $91 $130 1.0×
Emergency department visit moderate mdm (99284) $490 $700 1.1×
Emergency department visit straightforward mdm (99282) $161 $230 1.0×
Evaluate pt use of inhaler (94664) $128.80 $184 0.6×
Immunization Admin (90471) $39.90 $57 0.5×
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $45.50 $65 0.9×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $245 $350 1.1×
Irrigaj implntd venous access drug delivery syst (96523) $70.60 $100.86 1.1×
IV hydration each add'l hr (96361) $40.60 $58 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $217 $310 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $73.50 $105 1.0×
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $224 $320 1.0×
IV tx, each additional hour (96366) $40.60 $58 0.8×
Osteopathic manipulative tx 1-2 body regions (98925) $31.30 $44.71 1.4×
Ot eval high complex 60 min (97167) $218.40 $312 2.2×
Ot eval low complex 30 min (97165) $211.40 $302 2.1×
Ot eval mod complex 45 min (97166) $214.90 $307 2.1×
Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted UNSCHEDULED (94681) $334.03 $477.18 0.9×
Professional services for allergen immunotherapy; 2 or more injections (95117) $13.30 $19 0.3×
Pt Debridement Open Wound 20 Sq Cm< (97597) $226.79 $323.98 1.1×
Pulmonary stress testing (94618) $251.30 $359 1.8×
Signal average EKG (93278) $99.40 $142 1.6×
Slp evaloral pharyngeal swallow function (92610) $57.40 $82 0.7×
Speech sound lang comprehen (92523) $152.60 $218 0.7×
Spirometry (94010) $156.80 $224 0.7×
Spirometry with bronchodilator (94060) $352.80 $504 0.9×
Therapeutic prophylactic/dx injection subq/im (96372) $42 $60 0.6×
Treat swallowing dysfunction (92526) $114.80 $164 1.4×
Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) $107.10 $153 1.4×
Ventilator initial day (94002) $298.90 $427 0.5×
Ventilator subsequent day (94003) $177.10 $253 0.3×
Wound care non-selective (97602) $587.79 $839.70 2.8×