Visits & medical services prices at Grand Lake Health System
Saint Marys, OH · every code in this section with a posted price and a Medicare benchmark.
155 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 8 matching MRF lines |
$86.40–$458.10 | $96–$509 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $223.20 | $248 | 1.7× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $223.20 | $248 | 1.7× |
| Analyze neurostim no prog (95970) | $198.90 | $221 | 1.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 16 matching MRF lines |
$80.10–$86.40 | $89–$96 | varies |
| Application Modality 1/> Areas Infrared (97026) | $39.60 | $44 | 5.9× |
| Assessment of aphasia per hr (96105) | $173.70 | $193 | 1.8× |
| Behavral qualit analys voice (92524) | $337.50 | $375 | 3.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines |
$61.20–$794.70 | $68–$883 | varies |
| Car seat/bed test 60 min (94780) | $374.40 | $416 | 10.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,137.60 | $1,264 | 5.3× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$871.20–$1,094.40 | $968–$1,216 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$369.90–$1,701 | $411–$1,890 | varies |
| Cbt 1st hour (94644) | $229.50 | $255 | 1.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $169.20 | $188 | 2.4× |
| Chemo IV infusion addl hr (96415) | $169.20 | $188 | 2.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $618.30 | $687 | 1.9× |
| Chest Wall Manipulation (94668) | $133.20 | $148 | 1.0× |
| Chron Care Mgmt Srvc 20 Min (99490) | $90 | $100 | 0.9× |
| Color/duplex Doppler, complete (93975) | $871.20 | $968 | 3.7× |
| Color/duplex Doppler, limited (93976) | $533.70 | $593 | 5.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $81.90 | $91 | 2.6× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $86.40 | $96 | 1.5× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$321.30–$382.50 | $357–$425 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$150.30–$861.30 | $167–$957 | varies |
| Cpt initial (94667) | $291.60 | $324 | 2.2× |
| Critical care first hour (99291) range across 4 matching MRF lines |
$357.30–$2,007 | $397–$2,230 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 11 matching MRF lines |
$72–$512.10 | $80–$569 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $846.90 | $941 | 3.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,062 | $1,180 | 4.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 5 matching MRF lines |
$39.60–$641.70 | $44–$713 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,536.30 | $1,707 | 6.5× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 8 matching MRF lines |
$38.70–$1,008 | $43–$1,120 | varies |
| Duplex Scan Hemodialysis Access (93990) | $760.50 | $845 | 7.3× |
| Duplex up extrem art bilat (93930) | $838.80 | $932 | 3.5× |
| Duplex up extrem art unilat/ltd (93931) range across 4 matching MRF lines |
$41.40–$641.70 | $46–$713 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$45–$615.60 | $50–$684 | varies |
| Echo transesophageal (93312) | $2,087.10 | $2,319 | 3.9× |
| EEG cont rec w/video by tech min 8 channels (95700) | $420.30 | $467 | 2.0× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $495.90 | $551 | 5.3× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $447.30 | $497 | 12.1× |
| Electrical Stimulation Ea 15 Min (97032) range across 7 matching MRF lines |
$96.30–$117.90 | $107–$131 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$234–$279 | $260–$310 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$178.20–$315 | $198–$350 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$256.50–$539.10 | $285–$599 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$456.30–$947.70 | $507–$1,053 | varies |
| Er level 1 (99281) range across 3 matching MRF lines |
$37.80–$171.90 | $42–$191 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$807.30–$1,404 | $897–$1,560 | varies |
| Evaluate Speech Production (92522) | $337.50 | $375 | 3.0× |
| Evaluate Swallowing Function (92610) | $230.40 | $256 | 2.7× |
| Evaluation of speech fluency (92521) | $337.50 | $375 | 2.5× |
| External ECG rec>48hr<7d recording (93242) | $512.10 | $569 | 13.8× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $2,268.90 | $2,521 | 17.2× |
| External Ecg Scanning Analysis Report (93226) | $728.10 | $809 | 12.4× |
| Extracranial Bilat Study (93880) | $1,123.20 | $1,248 | 4.7× |
| Extracranial Uni/Ltd Study (93882) | $537.30 | $597 | 5.2× |
| Flexible endoscopic eval swallow c/v rec (92612) | $256.50 | $285 | 1.3× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $756 | $840 | 3.5× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $2,174.40 | $2,416 | 2.6× |
| Group Therapeutic Procedures (97150) | $73.80 | $82 | 4.1× |
| Holter monitor recording (93225) | $295.20 | $328 | 2.2× |
| Immunization administration (90471) range across 6 matching MRF lines |
$77.40–$169.20 | $86–$188 | varies |
| Insert/Place Heart Catheter (93503) | $146.70 | $163 | 0.1× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) | $447.30 | $497 | 4.7× |
| Interrogation without programming ipnss (93153) | $198.90 | $221 | 2.1× |
| Iontophoresis 15 min (97033) | $81.90 | $91 | 4.3× |
| Irrig Drug Delivery Device (96523) | $167.40 | $186 | 2.9× |
| IV infusion hydration each additional hour (96361) | $149.40 | $166 | 3.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $379.80 | $422 | 1.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $169.20 | $188 | 2.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $149.40 | $166 | 3.2× |
| IV push initial (96374) | $379.80 | $422 | 1.8× |
| Mechanical chest wall oscillation per session (94669) | $121.50 | $135 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $47.70 | $53 | 1.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $51.30 | $57 | 1.4× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $26.10 | $29 | 1.5× |
| Methacholine challenge (94070) range across 3 matching MRF lines |
$54–$1,552.50 | $60–$1,725 | varies |
| Motility study esophagus (91010) | $1,786.50 | $1,985 | 4.8× |
| Motion Fluoroscopy/Swallow (92611) | $230.40 | $256 | 2.5× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$159.30–$1,644.30 | $177–$1,827 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $608.40 | $676 | 1.5× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $608.40 | $676 | 1.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$67.50–$429.30 | $75–$477 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$135–$784.80 | $150–$872 | varies |
| Neuromuscular Reeducation (97112) | $75.60 | $84 | 2.3× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$460.80–$769.50 | $512–$855 | varies |
| Oral Function Therapy (92526) | $172.80 | $192 | 2.1× |
| Oral Speech Device Eval (92597) | $321.30 | $357 | 4.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $81.90 | $91 | 1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $102.60 | $114 | 2.2× |
| Ot Contrast Bath Ea 15 Min (97034) | $86.40 | $96 | 6.2× |
| Ot eval high complexity (97167) | $183.60 | $204 | 1.8× |
| Ot Eval Low Complex (97165) range across 5 matching MRF lines |
$95.40–$183.60 | $106–$204 | varies |
| Ot Eval Moderate Complexity (97166) | $183.60 | $204 | 1.8× |
| Ot manual therapy 15 min (97140) | $90 | $100 | 3.2× |
| Ot paraffin bath (97018) | $61.20 | $68 | 10.2× |
| Ot Prosthetic Training, Each 15 Min (97761) | $97.20 | $108 | 2.4× |
| Ot Re-Eval Est Plan Care (97168) | $97.20 | $108 | 1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $261 | $290 | 2.0× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $261 | $290 | 2.0× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $40.50 | $45 | 1.6× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$236.70–$238.50 | $263–$265 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $223.20 | $248 | 3.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $234 | $260 | 4.0× |
| Physical Performance Test (97750) | $77.40 | $86 | 2.3× |
| Plethysmography (94726) range across 3 matching MRF lines |
$23.40–$549.90 | $26–$611 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$348.30–$4,167.90 | $387–$4,631 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $149.40 | $166 | 3.2× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $149.40 | $166 | 3.2× |
| Pt Eval High Complex (97163) | $183.60 | $204 | 1.9× |
| Pt eval low complex 20 min (97161) range across 5 matching MRF lines |
$95.40–$183.60 | $106–$204 | varies |
| Pt Eval Mod Complex (97162) | $183.60 | $204 | 1.9× |
| Pt gait training 15 min (97116) | $68.40 | $76 | 2.4× |
| Pt mechanical traction (97012) | $86.40 | $96 | 6.0× |
| Pt Re-Eval Est Plan Care (97164) | $97.20 | $108 | 1.4× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$23.40–$315 | $26–$350 | varies |
| Pulmonary service/procedure (94799) | $459 | $510 | 3.6× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$164.70–$206.10 | $183–$229 | varies |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $47.70 | $53 | 2.1× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $70.20 | $78 | 2.0× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $23.40 | $26 | 1.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$333.90–$345.60 | $371–$384 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $321.30 | $357 | 2.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $86.40 | $96 | 1.8× |
| Self Care Mngment Training (97535) | $81.90 | $91 | 2.5× |
| Sensory Integration Ea 15 Min (97533) | $72 | $80 | 1.2× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$105.30–$815.40 | $117–$906 | varies |
| Speech sound lang comprehen (92523) | $337.50 | $375 | 1.5× |
| Spirometry (94010) range across 3 matching MRF lines |
$36.90–$389.70 | $41–$433 | varies |
| Standardized Cognitive Performance Testing (96125) range across 4 matching MRF lines |
$178.20–$187.20 | $198–$208 | varies |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$225.90–$1,258.20 | $251–$1,398 | varies |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$111.60–$1,701 | $124–$1,890 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $96.30 | $107 | 4.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $96.30 | $107 | 4.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $100.80 | $112 | 2.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $85.50 | $95 | 2.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $196.20 | $218 | 1.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$111.60–$169.20 | $124–$188 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $379.80 | $422 | 1.8× |
| Therapeutic Activities (97530) | $72 | $80 | 2.1× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$202.50–$2,241.90 | $225–$2,491 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$144–$1,076.40 | $160–$1,196 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $230.40 | $256 | 3.0× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $86.40 | $96 | 3.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $149.40 | $166 | 3.2× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$208.80–$620.10 | $232–$689 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$263.70–$838.80 | $293–$932 | varies |
| Vasopneumatic device (97016) | $53.10 | $59 | 4.4× |
| Veeg 2-12 Hr Cont Mntr (95713) | $842.40 | $936 | 2.3× |
| Veeg ea 12-26hr cont mntr (95716) | $1,685.70 | $1,873 | 2.0× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$153–$1,384.20 | $170–$1,538 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$107.10–$1,146.60 | $119–$1,274 | varies |
| Vital capacity, total (94150) | $107.10 | $119 | 0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 8 matching MRF lines |
$81.90–$86.40 | $91–$96 | varies |
| Whirlpool Therapy (97022) range across 10 matching MRF lines |
$91.80–$123.30 | $102–$137 | varies |
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.