Visits & medical services prices at Greene County Medical Center

Jefferson, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $94.64 $169 0.4×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $162.40 $290 1.3×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $236.88 $423 1.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $59.92 $107 4.2×
Application on-body injector (96377) $96.32 $172 2.1×
Assessment of aphasia per hr (96105) $238.56 $426 2.5×
Behavral qualit analys voice (92524) $215.04 $384 2.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $302.96 $541 0.8×
Canalith repositioning proc (95992) $98 $175 2.4×
Cardiac Stress Tst,Tracing Only (93017) $443.52 $792 2.1×
Cardiopulmonary resuscitation (92950) $644.56 $1,151 3.1×
Cardioversion (92960) $281.12 $502 0.4×
Cbt 1st hour (94644) $89.04 $159 0.7×
Chemo Anti-Neopl Sq/Im (96401) $96.32 $172 1.4×
Chemo Hormon Antineopl Sq/Im (96402) $94.64 $169 1.4×
Chemo IV infusion addl hr (96415) $60.48 $108 0.9×
Chemo IV push addl drug (96411) $132.16 $236 1.9×
Chemother Prolong Infuse W/Pump (96416) $258.72 $462 0.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $168 $300 2.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $355.60 $635 1.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $233.52 $417 0.7×
Chest Wall Manipulation (94668)
range across 2 matching MRF lines		 $57.12–$86.80 $102–$155 varies
Color/duplex Doppler, complete (93975) $379.68 $678 1.7×
Color/duplex Doppler, limited (93976) $378 $675 3.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $53.20 $95 1.7×
Comprehensive Hearing Test (92557) $19.60 $35 0.2×
Cont gluc mntr physician/qhp provided equiptment (95250) $348.88 $623 2.7×
Cont Gluc Mntr Pt Prov Eqp (95249) $89.04 $159 1.6×
Continuous Pulse Ox (94762) $304.08 $543 2.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $688.80 $1,230 3.3×
Cpt initial (94667)
range across 2 matching MRF lines		 $78.96–$189.28 $141–$338 varies
Critical care first hour (99291) $1,268.96 $2,266 1.6×
Debridement Open Wound 20 Sq Cm< (97597) $278.32 $497 1.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $383.60 $685 1.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $379.68 $678 1.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $334.32 $597 3.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $651.28 $1,163 2.8×
Dup-scan xtr veins unilateral/limited study (93971) $313.04 $559 3.1×
Duplex Scan Hemodialysis Access (93990) $254.24 $454 2.5×
Duplex up extrem art bilat (93930) $533.68 $953 2.3×
Duplex up extrem art unilat/ltd (93931) $334.32 $597 3.3×
Echo Heart Xthoracic,Limited (93308) $548.80 $980 2.4×
EEG awake and asleep (95819) $651.28 $1,163 3.1×
Electrical Stimulation Ea 15 Min (97032) $57.68 $103 3.9×
Electrocardiogram Tracing (93005) $138.32 $247 2.4×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines		 $12.88–$159.60 $23–$285 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines		 $257.60 $23–$460 1.0×
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines		 $419.44 $23–$749 1.0×
Er level 1 (99281)
range across 2 matching MRF lines		 $12.88–$106.40 $23–$190 varies
Er level v (99285) $966 $1,725 1.7×
Evaluate pt use of inhaler (94664) $86.80 $155 0.4×
Evaluate Speech Production (92522) $208.32 $372 1.9×
Evaluate Swallowing Function (92610) $254.24 $454 3.0×
Evaluation of speech fluency (92521) $255.92 $457 1.9×
Evoked Auditory Test,Limited (92587)
range across 2 matching MRF lines		 $14.56–$171.92 $26–$307 varies
Exercise test for bronchospasm (94617) $124.32 $222 1.0×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines		 $400.40–$600.88 $715–$1,073 varies
Extracranial Bilat Study (93880) $760.48 $1,358 3.3×
Extracranial Uni/Ltd Study (93882) $379.68 $678 3.8×
Group Therapeutic Procedures (97150) $43.68 $78 2.4×
Holter monitor recording (93225)
range across 2 matching MRF lines		 $296.24–$443.52 $529–$792 varies
Im Adm Intransl/Oral 1 Vaccine (90473) $48.16 $86 0.7×
Immunization administration (90471)
range across 6 matching MRF lines		 $16.24–$60 $24–$60 varies
Iontophoresis 15 min (97033) $131.60 $235 6.9×
Irrig Drug Delivery Device (96523) $157.92 $282 2.8×
IV infusion hydration each additional hour (96361) $31.36 $56 0.7×
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines		 $119.84–$355.60 $214–$635 varies
IV infusion ther proph addl sequential to 1 hr (96367) $62.16 $111 0.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $38.64 $69 0.9×
IV push initial (96374)
range across 2 matching MRF lines		 $96.32–$157.92 $172–$282 varies
Lung Function Test (Mbc/Mvv) (94200) $128.24 $229 2.3×
Mechanical chest wall oscillation per session (94669) $47.04 $84 0.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $28.56 $51 0.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $28.56 $51 0.8×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $28.56 $51 1.7×
Motion Fluoroscopy/Swallow (92611) $284.48 $508 3.1×
Multiple Sleep Latency Test (95805) $878.64 $1,569 1.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $559.44 $999 1.4×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $559.44 $999 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $278.32 $497 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $559.44 $999 1.4×
Neuromuscular Reeducation (97112) $79.52 $142 2.4×
Oral Function Therapy (92526) $193.20 $345 2.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $94.64 $169 1.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $80.64 $144 1.7×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $44.80 $80 2.2×
Ot Contrast Bath Ea 15 Min (97034) $56 $100 4.0×
Ot eval high complexity (97167) $283.36 $506 2.8×
Ot Eval Low Complex (97165) $256.48 $458 2.6×
Ot Eval Moderate Complexity (97166) $269.92 $482 2.7×
Ot manual therapy 15 min (97140) $72.24 $129 2.6×
Ot paraffin bath (97018) $86.80 $155 14.4×
Ot Prosthetic Training, Each 15 Min (97761) $70 $125 1.7×
Ot Re-Eval Est Plan Care (97168) $143.92 $257 2.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $198.24 $354 1.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $201.04 $359 1.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $585.76 $1,046 2.8×
Peripheral arterial disease rehab per session (93668) $24.64 $44 0.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $114.24 $204 2.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $134.40 $240 2.4×
Physical Performance Test (97750) $72.24 $129 2.1×
Plethysmography (94726) $99.12 $177 0.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,107.28 $3,763 2.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $22.40 $40 0.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $17.92 $32 0.4×
Pt Eval High Complex (97163) $176.40 $315 1.8×
Pt eval low complex 20 min (97161) $149.52 $267 1.5×
Pt Eval Mod Complex (97162) $162.96 $291 1.7×
Pt gait training 15 min (97116) $62.72 $112 2.2×
Pt mechanical traction (97012) $57.68 $103 4.0×
Pt Re-Eval Est Plan Care (97164) $90.16 $161 1.3×
Pulm function test by gas (94727) $257.04 $459 1.2×
Pulmonary service/procedure (94799) $128.24 $229 1.0×
Pulmonary Stress Testing (94618) $124.32 $222 1.0×
Remote 30 Day Ecg Rev/Report (93270) $525.84 $939 14.7×
Respiratory flow volume loop (94375) $128.24 $229 0.6×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $179.76 $321 3.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $278.32 $497 1.4×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $68.88 $123 2.6×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $328.16 $586 2.7×
Self Care Mngment Training (97535) $72.24 $129 2.2×
Sensory Integration Ea 15 Min (97533) $56.56 $101 0.9×
Sleep study attended (95807) $635.04 $1,134 1.8×
Sleep study unattended (95806) $336.56 $601 1.6×
Speech sound lang comprehen (92523) $431.20 $770 1.9×
Spirometry (94010) $73.36 $131 0.4×
Standardized Cognitive Performance Testing (96125) $231.84 $414 2.3×
Stress Tte Only (93350) $975.52 $1,742 1.9×
Subcutaneous Infusion Each Additional Hour (96370) $355.60 $635 7.9×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $355.60 $635 1.7×
Temp transcutaneous pacing (92953) $70 $125 0.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $75.60 $135 3.4×
Ther Ivntj Ea Addl 15 Min (97130) $75.60 $135 3.6×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $66.08 $118 1.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $143.36 $256 1.4×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines		 $56.56–$96.32 $101–$172 varies
Ther/Proph/Diag Iv Inf Init (96365) $286.16 $511 1.4×
Therapeutic Activities (97530) $73.92 $132 2.1×
Tobacco Use Cessation Intensive >10 Minutes (99407) $54.88 $98 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $26.32 $47 0.7×
Tte w/doppler, complete (93306) $1,306.48 $2,333 2.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $175.28 $313 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $68.32 $122 1.5×
Upr/L Xtremity Art 2 Levels (93922) $238.56 $426 1.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $269.92 $482 1.3×
Vasopneumatic device (97016) $43.68 $78 3.6×
Vent Mgmt Inpat Init Day (94002) $688.80 $1,230 1.2×
Vital capacity, total (94150) $67.20 $120 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $72.24 $129 2.3×

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.