Visits & medical services prices at Henry County Hospital, Inc

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $54 $72 1.4×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$13.50–$243.75 $18–$325 varies
Airway resistance by oscillometry (94728) $75 $100 0.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$45–$48.75 $60–$65 varies
Application on-body injector (96377) $30.75 $41 0.7×
Assmt & care planning pt w/cognitive impairment (99483)
range across 3 matching MRF lines
$68.25–$341.25 $91–$455 varies
Behavral qualit analys voice (92524) $258.75 $345 2.4×
Brief Emotional/Behav Assmt (96127)
range across 2 matching MRF lines
$6–$71.25 $8–$95 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$66–$547.50 $88–$730 varies
Canalith repositioning proc (95992) $142.50 $190 3.5×
Car seat/bed test 60 min (94780) $45 $60 1.3×
Cardiac Stress Tst,Tracing Only (93017) $701.25 $935 3.4×
Cardiopulmonary resuscitation (92950) $371.25 $495 1.8×
Cardioversion (92960)
range across 2 matching MRF lines
$53.25–$1,271.25 $71–$1,695 varies
Cbt 1st hour (94644) $153.75 $205 1.2×
Chemo Anti-Neopl Sq/Im (96401) $191.25 $255 2.8×
Chemo Hormon Antineopl Sq/Im (96402) $191.25 $255 2.8×
Chemo IV infusion addl hr (96415) $191.25 $255 2.8×
Chemo IV push addl drug (96411) $191.25 $255 2.8×
Chemother Prolong Infuse W/Pump (96416) $892.50 $1,190 2.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $191.25 $255 2.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $892.50 $1,190 2.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $892.50 $1,190 2.9×
Chest Wall Manipulation (94668) $153.75 $205 1.2×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $930 $1,240 2.6×
Color/duplex Doppler, complete (93975) $543.75 $725 2.4×
Color/duplex Doppler, limited (93976) $240 $320 2.4×
Continuous Pulse Ox (94762)
range across 3 matching MRF lines
$41.25–$273.75 $55–$365 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $243.75 $325 1.2×
Cpt initial (94667) $153.75 $205 1.2×
Critical care first hour (99291) $1,635 $2,180 2.1×
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$33.75–$330 $45–$440 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $375 $500 1.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 3 matching MRF lines
$303–$543.75 $404–$725 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $240 $320 2.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $915 $1,220 4.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines
$240–$630 $320–$840 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$309.75–$678.75 $413–$905 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 5 matching MRF lines
$198.75–$540 $265–$720 varies
Duplex Scan Hemodialysis Access (93990) $240 $320 2.4×
Duplex up extrem art bilat (93930) $678.75 $905 3.0×
Duplex up extrem art unilat/ltd (93931) $472.50 $630 4.8×
Echo Congenital Complete (93303) $363.75 $485 0.7×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$164.25–$817.50 $219–$1,090 varies
Echo transesophageal (93312) $398.25 $531 0.8×
Echo Transesophageal - Congenital Tee Complete (93315) $963.75 $1,285 1.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $390 $520 0.8×
EKG signal averaged (93278) $10.50 $14 0.2×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$45–$48.75 $60–$65 varies
Electrocardiogram Tracing (93005) $127.50 $170 2.3×
Emergency Dept Visit Level 2 (99282) $307.50 $410 2.1×
Emergency Dept Visit Level 3 (99283) $536.25 $715 2.1×
Emergency Dept Visit Level 4 (99284) $828.75 $1,105 2.1×
Er level 1 (99281) $172.50 $230 2.2×
Er level v (99285) $1,192.50 $1,590 2.1×
Evaluate pt use of inhaler (94664) $243.75 $325 1.2×
Evaluate Speech Production (92522) $262.50 $350 2.3×
Evaluate Swallowing Function (92610) $198.75 $265 2.3×
Evaluation of speech fluency (92521) $315 $420 2.4×
External Ecg Scanning Analysis Report (93226) $206.25 $275 3.7×
Extracranial Bilat Study (93880) $678.75 $905 3.0×
F-up/limited tthrc echo congenital car anomaly (93304) $255 $340 0.5×
Group Therapeutic Procedures (97150)
range across 4 matching MRF lines
$56.25–$60 $75–$80 varies
Holter monitor recording (93225) $442.50 $590 3.5×
Icd Device Interrogate (93289)
range across 3 matching MRF lines
$24–$121.50 $32–$162 varies
Ilr Device Eval Progr (93285) $100.50 $134 2.8×
Ilr Device Interrogate (93291)
range across 3 matching MRF lines
$16.50–$81.75 $22–$109 varies
Im Adm Intransl/Oral 1 Vaccine (90473) $81 $108 1.2×
Immunization administration (90471) $99.75 $133 1.5×
Inital newborn e/m (99460) $161.25 $215 1.3×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$60–$63.75 $80–$85 varies
Irrig Drug Delivery Device (96523) $150 $200 2.7×
IV infusion hydration each additional hour (96361) $82.50 $110 1.9×
IV infusion hydration initial 31 min-1 hour (96360) $371.25 $495 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $123.75 $165 1.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $82.50 $110 1.9×
IV push initial (96374) $371.25 $495 1.8×
Low frequency non-thermal us (97610)
range across 3 matching MRF lines
$136.50–$681 $182–$908 varies
Lwr Xtr Vasc Stdy Bilat (93924) $918.75 $1,225 4.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $56.25 $75 1.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $63.75 $85 1.7×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $30 $40 1.8×
Motion Fluoroscopy/Swallow (92611) $213.75 $285 2.3×
Multiple Sleep Latency Test (95805) $3,120 $4,160 3.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 3 matching MRF lines
$111–$555 $148–$740 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 3 matching MRF lines
$115.50–$578.25 $154–$771 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$15–$75 $20–$100 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$18–$89.25 $24–$119 varies
Neuromuscular Reeducation (97112)
range across 4 matching MRF lines
$101.25–$112.50 $135–$150 varies
Newborn resuscitation (99465) $780 $1,040 1.2×
Oral Function Therapy (92526) $228.75 $305 2.7×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines
$153.75–$172.50 $205–$230 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$142.50–$157.50 $190–$210 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 3 matching MRF lines
$11.25–$54.75 $15–$73 varies
Osteopathic manipulative tx 3-4 body regions (98926)
range across 3 matching MRF lines
$15.75–$79.50 $21–$106 varies
Osteopathic manipulative tx 5-6 body regions (98927)
range across 3 matching MRF lines
$21–$103.50 $28–$138 varies
Osteopathic manipulative tx 7-8 body regions (98928)
range across 3 matching MRF lines
$25.50–$126 $34–$168 varies
Osteopathic manipulative tx 9-10 body regions (98929)
range across 3 matching MRF lines
$30–$148.50 $40–$198 varies
Ot eval high complexity (97167) $255 $340 2.5×
Ot Eval Low Complex (97165) $127.50 $170 1.3×
Ot Eval Moderate Complexity (97166) $195 $260 1.9×
Ot manual therapy 15 min (97140)
range across 7 matching MRF lines
$86.25–$93.75 $115–$125 varies
Ot paraffin bath (97018) $18.75 $25 3.1×
Ot Prosthetic Training, Each 15 Min (97761) $138.75 $185 3.4×
Ot Re-Eval Est Plan Care (97168) $86.25 $115 1.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $315 $420 2.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $210 $280 1.7×
Patient-initiated spirometric phys/qhp r&i only (94016) $42.75 $57 1.7×
Phlebotomy therapeutic (99195) $153.75 $205 1.2×
Physical Performance Test (97750)
range across 4 matching MRF lines
$105–$116.25 $140–$155 varies
Plethysmography (94726)
range across 2 matching MRF lines
$95.25–$547.50 $127–$730 varies
Pm device eval in person (93288)
range across 3 matching MRF lines
$18.75–$93.75 $25–$125 varies
Pm device progr eval dual (93280)
range across 3 matching MRF lines
$26.25–$132 $35–$176 varies
Pm device progr eval multi (93281) $141 $188 4.0×
Pm Device Progr Eval Sngl (93279)
range across 3 matching MRF lines
$22.50–$113.25 $30–$151 varies
Pm/Icd Remote Tech Serv (93296)
range across 3 matching MRF lines
$6.75–$33 $9–$44 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,981.25 $7,975 7.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $18 $24 0.4×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $20.25 $27 0.5×
Pt Eval High Complex (97163) $262.50 $350 2.7×
Pt eval low complex 20 min (97161) $131.25 $175 1.3×
Pt Eval Mod Complex (97162) $198.75 $265 2.0×
Pt gait training 15 min (97116) $101.25 $135 3.5×
Pt mechanical traction (97012) $48.75 $65 3.4×
Pt Re-Eval Est Plan Care (97164) $90 $120 1.3×
Pulm function test by gas (94727)
range across 2 matching MRF lines
$76.50–$273.75 $102–$365 varies
Pulmonary Stress Testing (94618) $225 $300 1.8×
Refill/Maint Portable Pump (96521) $528.75 $705 2.6×
Refill/Maint Pump/Resvr Syst (96522) $528.75 $705 2.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$74.25–$372 $99–$496 varies
Same day nb discharge (99463) $191.25 $255 1.5×
Self Care Mngment Training (97535)
range across 6 matching MRF lines
$97.50–$112.50 $130–$150 varies
Sleep study unattended (95806) $918.75 $1,225 4.5×
Speech sound lang comprehen (92523) $540 $720 2.4×
Spirometry (94010)
range across 2 matching MRF lines
$46.50–$273.75 $62–$365 varies
Standardized Cognitive Performance Testing (96125) $277.50 $370 2.7×
Stress Tte Only (93350)
range across 2 matching MRF lines
$310.50–$1,848.75 $414–$2,465 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $60 $80 2.7×
Ther Ivntj Ea Addl 15 Min (97130) $60 $80 2.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 2 matching MRF lines
$112.50–$127.50 $150–$170 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines
$90–$101.25 $120–$135 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$5.25–$86.25 $7–$115 varies
Ther/Proph/Diag Iv Inf Init (96365) $371.25 $495 1.8×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$108.75–$120 $145–$160 varies
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 3 matching MRF lines
$9.75–$48.75 $13–$65 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 3 matching MRF lines
$5.25–$25.50 $7–$34 varies
Trans Care Mgmt 14 Day Disch (99495)
range across 3 matching MRF lines
$72–$360 $96–$480 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 3 matching MRF lines
$97.50–$488.25 $130–$651 varies
Transtelephonic Rhythm Strip Pacemaker Eval (93293)
range across 3 matching MRF lines
$14.25–$70.50 $19–$94 varies
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$329.25–$1,848.75 $439–$2,465 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $206.25 $275 2.7×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $63.75 $85 2.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $82.50 $110 1.9×
Tympanometry (92567)
range across 3 matching MRF lines
$5.25–$27.75 $7–$37 varies
Upr/L Xtremity Art 2 Levels (93922) $423.75 $565 3.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $585 $780 2.9×
Vasopneumatic device (97016) $41.25 $55 3.4×
Vent Mgmt Inpat Init Day (94002) $787.50 $1,050 1.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $787.50 $1,050 1.3×
Vital capacity, total (94150) $32.25 $43 0.3×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$97.50–$105 $130–$140 varies
Whirlpool Therapy (97022) $52.50 $70 3.3×

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.