Visits & medical services prices at Holzer Medical Center - Gallipolis
Gallipolis, OH · every code in this section with a posted price and a Medicare benchmark.
212 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $8,771.50 | $17,543 | 1.2× |
| Actinotherapy Ultraviolet Light (96900) | $45.50 | $91 | 1.3× |
| Airway Inhalation Treatment (94640) | $251 | $502 | 1.2× |
| Analyze neurostim complex (95972) | $171.50 | $343 | 1.9× |
| Analyze Pacemaker System (93724) | $1,829.50 | $3,659 | 6.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $84 | $168 | 5.8× |
| Application Modality 1/> Areas Infrared (97026) | $20 | $40 | 3.0× |
| Application on-body injector (96377) | $55.50 | $111 | 1.3× |
| Arrhythmia Induction (93618) | $4,797 | $9,594 | 4.2× |
| Assessment of aphasia per hr (96105) | $146.50 | $293 | 1.5× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$146.50–$170 | $293–$340 | varies |
| Bioimpedance Cv Analysis (93701) | $152 | $304 | 1.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$177–$182.50 | $354–$365 | varies |
| Bundle of his recording (93600) | $4,649 | $9,298 | 0.6× |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$56–$66.50 | $112–$133 | varies |
| Car seat/bed test 60 min (94780) | $85.50 | $171 | 2.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $570 | $1,140 | 2.8× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$340–$366.50 | $680–$733 | varies |
| Cardioversion (92960) | $1,351 | $2,702 | 2.2× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $33.50 | $67 | 1.3× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $6,857.50 | $13,715 | 2.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $5,867.50 | $11,735 | 1.9× |
| Cbt 1st hour (94644) | $152 | $304 | 1.2× |
| Chemo Admin Peritoneal Cavity (96446) | $339 | $678 | 1.1× |
| Chemo Anti-Neopl Sq/Im (96401) | $85 | $170 | 1.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $85 | $170 | 1.2× |
| Chemo Ia Push (96420) | $231 | $462 | 0.7× |
| Chemo Intralesional Over 7 (96406) | $132 | $264 | 0.7× |
| Chemo intralesional up to 7 (96405) | $65.50 | $131 | 1.0× |
| Chemo IV infusion addl hr (96415) | $204 | $408 | 3.0× |
| Chemo IV push addl drug (96411) | $172 | $344 | 2.5× |
| Chemother Prolong Infuse W/Pump (96416) | $353 | $706 | 1.1× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $339 | $678 | 1.1× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $132 | $264 | 3.0× |
| Chemotherapy Into Cns (96450) | $506 | $1,012 | 1.6× |
| Chemotherapy Intracavitary (96440) | $339 | $678 | 1.1× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $339 | $678 | 1.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $204 | $408 | 3.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $376 | $752 | 1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $231 | $462 | 0.7× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $231 | $462 | 0.7× |
| Chest Wall Manipulation (94668) | $152 | $304 | 1.2× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $443 | $886 | 1.3× |
| Color/duplex Doppler, complete (93975) | $441.50 | $883 | 2.0× |
| Color/duplex Doppler, limited (93976) | $270.50 | $541 | 2.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 3 matching MRF lines |
$67–$77.50 | $134–$155 | varies |
| Continuous Pulse Ox (94762) | $190.50 | $381 | 1.6× |
| Coronary Art/Grft Angio S&I (93455) | $3,088 | $6,176 | 1.0× |
| Coronary Artery Angio S&I (93454) | $2,224 | $4,448 | 0.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $251 | $502 | 1.2× |
| Cpt initial (94667) | $152 | $304 | 1.2× |
| Critical care first hour (99291) | $1,008 | $2,016 | 1.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$151–$470 | $302–$940 | varies |
| Dialysis One Evaluation (90945) | $517 | $1,034 | 1.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $356.50 | $713 | 1.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $393 | $786 | 4.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $336 | $672 | 1.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $311 | $622 | 3.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $788 | $1,576 | 3.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $513 | $1,026 | 5.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $333.50 | $667 | 1.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $167 | $334 | 1.7× |
| Duplex Scan Hemodialysis Access (93990) | $227 | $454 | 2.3× |
| Duplex up extrem art bilat (93930) | $311 | $622 | 1.4× |
| Duplex up extrem art unilat/ltd (93931) | $446.50 | $893 | 4.5× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$302–$311 | $604–$622 | varies |
| Echo transesophageal (93312) range across 4 matching MRF lines |
$850.50–$876 | $1,701–$1,752 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 3 matching MRF lines |
$1,410.50–$1,453 | $2,821–$2,906 | varies |
| Eeg 41-60 Minutes (95812) | $562.50 | $1,125 | 2.8× |
| EEG awake and asleep (95819) | $617.50 | $1,235 | 3.0× |
| EEG awake drowsy (95816) | $562.50 | $1,125 | 2.8× |
| EEG cerebral death evaluation (95824) | $617.50 | $1,235 | 1.7× |
| Eeg Sleep Only (95822) | $562.50 | $1,125 | 2.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$85.50–$99 | $171–$198 | varies |
| Electrocardiogram Tracing (93005) | $103 | $206 | 1.8× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $4,500.50 | $9,001 | 0.6× |
| Electrophysiology Evaluation (93642) | $3,224.50 | $6,449 | 2.8× |
| Emergency Dept Visit Level 2 (99282) | $227 | $454 | 1.6× |
| Emergency Dept Visit Level 3 (99283) | $284 | $568 | 1.1× |
| Emergency Dept Visit Level 4 (99284) | $339.50 | $679 | 0.9× |
| Emg 3 Extremities (95863) | $230 | $460 | 1.9× |
| Ep & ablate supravent arrhyt (93653) | $18,417.50 | $36,835 | 0.7× |
| Ep & ablate ventric tachy (93654) | $17,540.50 | $35,081 | 0.7× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $7,607 | $15,214 | 1.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $7,157.50 | $14,315 | 1.0× |
| Ep Esophageal Recording Atria+Pacing (93616) | $7,787.50 | $15,575 | 6.8× |
| Er level 1 (99281) | $112.50 | $225 | 1.4× |
| Er level v (99285) | $417.50 | $835 | 0.7× |
| Esoph Atrial Electrogram (93615) | $7,707.50 | $15,415 | 6.7× |
| Evaluate pt use of inhaler (94664) | $251 | $502 | 1.2× |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$146.50–$170 | $293–$340 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$236.50–$274.50 | $473–$549 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$146.50–$170 | $293–$340 | varies |
| External ECG rec>48hr<7d recording (93242) | $77.50 | $155 | 2.2× |
| External ECG rec>7d<15d recording (93246) | $77.50 | $155 | 2.2× |
| External Ecg Scanning Analysis Report (93226) | $379.50 | $759 | 6.8× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$622.50–$641 | $1,245–$1,282 | varies |
| Extracranial Uni/Ltd Study (93882) | $463.50 | $927 | 4.7× |
| Flexible endoscopic eval swallow c/v rec (92612) | $238 | $476 | 1.2× |
| Group Therapeutic Procedures (97150) range across 6 matching MRF lines |
$47–$54.50 | $94–$109 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $7,397 | $14,794 | 2.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $870 | $1,740 | 1.3× |
| Holter monitor recording (93225) | $372.50 | $745 | 3.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $43.50 | $87 | 0.6× |
| Immunization administration (90471) | $84 | $168 | 1.2× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $597 | $1,194 | 1.7× |
| Insert/Place Heart Catheter (93503) | $910 | $1,820 | 0.6× |
| Interrogation eval in person wr defibrillator (93292) | $51.50 | $103 | 1.5× |
| Intra-atrial pacing (93610) | $3,868 | $7,736 | 0.5× |
| Intra-atrial recording (93602) | $4,562.50 | $9,125 | 0.6× |
| Intraventricular pacing (93612) | $3,975.50 | $7,951 | 0.5× |
| Iontophoresis 15 min (97033) | $34.50 | $69 | 1.8× |
| Irrig Drug Delivery Device (96523) | $71.50 | $143 | 1.3× |
| IV infusion hydration each additional hour (96361) | $59.50 | $119 | 1.3× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 8 matching MRF lines |
$132–$172 | $264–$344 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $59.50 | $119 | 0.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $59.50 | $119 | 1.3× |
| IV push initial (96374) | $110 | $220 | 0.5× |
| L Hrt Art/Grft Angio (93459) | $6,249 | $12,498 | 2.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $446.50 | $893 | 2.2× |
| Mechanical chest wall oscillation per session (94669) | $251 | $502 | 1.2× |
| Methacholine challenge (94070) | $370.50 | $741 | 1.0× |
| Microvolt T-Wave Assess (93025) | $774.50 | $1,549 | 6.4× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$354–$410.50 | $708–$821 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $470 | $940 | 1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $470 | $940 | 1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $208 | $416 | 1.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $307.50 | $615 | 0.8× |
| Nerve Conduction Studies 1-2 Studies (95907) | $76.50 | $153 | 0.4× |
| Nerve Conduction Studies 9-10 Studies (95911) | $142.50 | $285 | 0.4× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$65.50–$75.50 | $131–$151 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $32.50 | $65 | 1.3× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $59.50 | $119 | 1.7× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $21.50 | $43 | 1.6× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $85 | $170 | 0.2× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$110–$127.50 | $220–$255 | varies |
| Oral Speech Device Eval (92597) | $160 | $320 | 2.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 5 matching MRF lines |
$47–$54.50 | $94–$109 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$72–$75.50 | $144–$151 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $32 | $64 | 2.3× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$123–$138.50 | $246–$277 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$123–$138.50 | $246–$277 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$123–$138.50 | $246–$277 | varies |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$65.50–$75.50 | $131–$151 | varies |
| Ot paraffin bath (97018) | $32 | $64 | 5.3× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$68.50–$79 | $137–$158 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$90–$101.50 | $180–$203 | varies |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $6,332 | $12,664 | 1.2× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $9,616 | $19,232 | 0.9× |
| Phlebotomy therapeutic (99195) | $85 | $170 | 0.7× |
| Physical Performance Test (97750) | $62.50 | $125 | 1.9× |
| Plethysmography (94726) range across 3 matching MRF lines |
$118–$121.50 | $236–$243 | varies |
| Pm device eval in person (93288) | $55.50 | $111 | 1.6× |
| Pm Device Progr Eval Sngl (93279) | $55.50 | $111 | 1.6× |
| Pm/Icd Remote Tech Serv (93296) | $82.50 | $165 | 2.3× |
| Prq Card Angio/Athrect 1 Art (92924) | $12,073 | $24,146 | 1.1× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $9,616 | $19,232 | 0.9× |
| Prq Card Stent/Ath/Angio (92933) | $9,616 | $19,232 | 0.6× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $9,616 | $19,232 | 0.9× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$123–$138.50 | $246–$277 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$123–$138.50 | $246–$277 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$123–$138.50 | $246–$277 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$43.50–$51 | $87–$102 | varies |
| Pt group caregiver training (97552) | $28 | $56 | 1.3× |
| Pt mechanical traction (97012) | $53 | $106 | 3.7× |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$90–$101.50 | $180–$203 | varies |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $31.50 | $63 | 1.4× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $48 | $96 | 1.4× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $17.50 | $35 | 1.4× |
| R Hrt Art/Grft Angio (93457) | $5,328 | $10,656 | 1.7× |
| R hrt coronary artery angio (93456) | $4,464 | $8,928 | 1.5× |
| Refill/Maint Portable Pump (96521) | $339 | $678 | 1.7× |
| Refill/Maint Pump/Resvr Syst (96522) | $231 | $462 | 1.1× |
| Remote 30 Day Ecg Rev/Report (93270) | $51.50 | $103 | 1.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $67 | $134 | 1.2× |
| Right Heart Cath (93451) | $2,838.50 | $5,677 | 0.9× |
| Right ventricular recording (93603) | $4,577 | $9,154 | 4.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $308.50 | $617 | 1.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $186.50 | $373 | 1.5× |
| Self Care Mngment Training (97535) range across 6 matching MRF lines |
$75.50–$88 | $151–$176 | varies |
| Sensory Integration Ea 15 Min (97533) | $64.50 | $129 | 1.1× |
| Sleep study unattended (95806) | $198.50 | $397 | 1.0× |
| Slp caregiver training 1st 30 min (97550) | $67 | $134 | 1.3× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$146.50–$170 | $293–$340 | varies |
| Spirometry (94010) range across 7 matching MRF lines |
$116–$190 | $232–$380 | varies |
| Standardized Cognitive Performance Testing (96125) | $147.50 | $295 | 1.4× |
| Stress Tte Only (93350) | $633.50 | $1,267 | 1.2× |
| Temp transcutaneous pacing (92953) | $326 | $652 | 0.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$35–$90 | $70–$180 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $33.50 | $67 | 1.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $77.50 | $155 | 2.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $65.50 | $131 | 2.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $155.50 | $311 | 1.5× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $33 | $66 | 0.7× |
| Ther/Proph/Diag Inj Ia (96373) | $85 | $170 | 0.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $85 | $170 | 1.2× |
| Ther/Proph/Diag Iv Inf Init (96365) | $172 | $344 | 0.9× |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$66.50–$76.50 | $133–$153 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $771.50 | $1,543 | 2.2× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$671–$691 | $1,342–$1,382 | varies |
| Tx atrial fib pulm vein isol (93656) | $17,540.50 | $35,081 | 0.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$99.50–$115.50 | $199–$231 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $35 | $70 | 1.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $108.50 | $217 | 2.4× |
| Upr/L Xtremity Art 2 Levels (93922) | $356.50 | $713 | 2.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $424.50 | $849 | 2.1× |
| Vasopneumatic device (97016) | $48 | $96 | 4.0× |
| Vent Mgmt Inpat Init Day (94002) | $728.50 | $1,457 | 1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $728.50 | $1,457 | 1.2× |
| Vital capacity, total (94150) | $190 | $380 | 1.6× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 3 matching MRF lines |
$64.50–$74.50 | $129–$149 | varies |
| Whirlpool Therapy (97022) | $77.50 | $155 | 4.9× |
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.