Visits & medical services prices at Iredell Memorial Hospital

Statesville, NC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 5 matching MRF lines
$18.74–$503.55 $69.39–$1,865 varies
Airway resistance by oscillometry (94728) $82.25 $304.62 0.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 11 matching MRF lines
$47.25–$102.96 $175–$381.35 varies
Application Modality 1/> Areas Infrared (97026) $42.93 $159 6.4×
Assessment of aphasia per hr (96105)
range across 7 matching MRF lines
$99.18–$111.24 $367.35–$412 varies
Behavral qualit analys voice (92524) $22.95 $85 0.2×
Breath hydrogen/methane test (91065) $150.39 $557 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines
$107.38–$110.70 $397.70–$410 varies
Cardiac Stress Tst,Tracing Only (93017)
range across 7 matching MRF lines
$57.78–$333.99 $214–$1,237 varies
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$57.78–$168.48 $214–$624 varies
Cardioversion (92960) $565.65 $2,095 0.9×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $2,081.97 $7,711 0.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $4,455 $16,500 1.4×
Cbt 1st hour (94644)
range across 4 matching MRF lines
$18.74–$38.07 $69.39–$141 varies
Chemo Anti-Neopl Sq/Im (96401) $95.04 $352 1.4×
Chemo Hormon Antineopl Sq/Im (96402) $94.23 $349 1.3×
Chemo IV infusion addl hr (96415) $71.01 $263 1.0×
Chemo IV push addl drug (96411) $78.62 $291.18 1.1×
Chemotherapy Intracavitary (96440) $92.16 $341.35 0.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $69.37 $256.94 1.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $95.04 $352 0.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $78.62 $291.18 0.2×
Chest Wall Manipulation (94668) $13.77 $51 0.1×
Color/duplex Doppler, limited (93976) $244.73 $906.40 2.4×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 4 matching MRF lines
$18.41–$34.83 $68.18–$129 varies
Continuous Pulse Ox (94762) $61.02 $226 0.5×
Coronary Art/Grft Angio S&I (93455) $2,106 $7,800 0.7×
Coronary Artery Angio S&I (93454) $2,169.72 $8,036 0.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $168.75 $625 0.8×
Cpt initial (94667) $14.85 $55 0.1×
Critical care first hour (99291)
range across 2 matching MRF lines
$810–$945 $3,000–$3,500 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$16.54–$189.54 $61.25–$702 varies
Dialysis One Evaluation (90945)
range across 3 matching MRF lines
$305.10–$677.97 $1,130–$2,511 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $101.25 $375 0.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 3 matching MRF lines
$265.68–$571.32 $984–$2,116 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 4 matching MRF lines
$195.75–$294.30 $725–$1,090 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $571.32 $2,116 2.5×
Dup-scan xtr veins unilateral/limited study (93971)
range across 11 matching MRF lines
$264.87–$565.65 $981–$2,095 varies
Duplex Scan Hemodialysis Access (93990) $161.73 $599 1.6×
Duplex up extrem art bilat (93930) $530.01 $1,963 2.3×
Duplex up extrem art unilat/ltd (93931) $272.97 $1,011 2.7×
Echo Heart Xthoracic,Limited (93308) $227.61 $843 1.0×
Echo transesophageal (93312) $534.60 $1,980 1.0×
Eeg 41-60 Minutes (95812) $280.80 $1,040 1.3×
EEG awake and asleep (95819) $347.76 $1,288 1.7×
EEG awake drowsy (95816) $347.76 $1,288 1.7×
EEG cerebral death evaluation (95824)
range across 3 matching MRF lines
$272.31–$474.64 $1,008.55–$1,757.92 varies
EEG extended monitoring 61-119 minutes (95813) $337.41 $1,249.65 1.6×
Electrical Stimulation Ea 15 Min (97032)
range across 15 matching MRF lines
$47.25–$55.08 $175–$204 varies
Electrocardiogram Tracing (93005)
range across 6 matching MRF lines
$47.79–$90.18 $177–$334 varies
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
likely a partial charge, not the full procedure
$388.44 $1,438.65 0.1×
Electrophysiology Evaluation (93642) $388.44 $1,438.65 0.3×
Emergency Dept Visit Level 2 (99282) $229.50 $850 1.5×
Emergency Dept Visit Level 3 (99283) $432 $1,600 1.6×
Emergency Dept Visit Level 4 (99284) $607.50 $2,250 1.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
likely a partial charge, not the full procedure
$971.08 $3,596.60 0.1×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
likely a partial charge, not the full procedure
$971.08 $3,596.60 0.1×
Er level 1 (99281) $94.50 $350 1.2×
Er level v (99285) $810 $3,000 1.4×
Ergonovine provocation test (93024) $479.37 $1,775.45 1.1×
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines
$12.42–$19.17 $46–$71 varies
Evaluate Speech Production (92522)
range across 17 matching MRF lines
$22.14–$47.25 $82–$175 varies
Evaluate Swallowing Function (92610)
range across 6 matching MRF lines
$95.32–$106.11 $353.05–$393 varies
Evaluation of speech fluency (92521) $25.99 $96.25 0.2×
External ECG rec>7d<15d recording (93246) $114.48 $424 3.2×
External Ecg Scanning Analysis Report (93226) $153.09 $567 2.7×
Extracranial Bilat Study (93880) $660.15 $2,445 2.8×
Extracranial Uni/Ltd Study (93882) $268.65 $995 2.6×
Flexible endoscopic eval swallow c/v rec (92612) $94.50 $350 0.5×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $343.82 $1,273.40 0.9×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $202.50 $750 1.0×
Gi tract capsule endoscopy (91110) $519.48 $1,924 0.6×
Gi wireless capsule measure (91112) $594 $2,200 0.7×
Group Therapeutic Procedures (97150)
range across 7 matching MRF lines
$27.38–$28.47 $101.40–$105.45 varies
Health Behavior Assessment/Re-Assessment (96156)
range across 2 matching MRF lines
$79.65–$84.78 $295–$314 varies
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $29.43 $109 0.8×
Health behavior ivntj group f2f 1st 30 min (96164) $29.43 $109 0.8×
Health behavior ivntj indiv f2f 1st 30 min (96158) $49.14 $182 0.3×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $2,875.23 $10,649 0.9×
Holter monitor recording (93225) $77.22 $286 0.6×
Immunization administration (90471)
range across 5 matching MRF lines
$4.05–$27.27 $15–$101 varies
Insert/Place Heart Catheter (93503) $229.51 $850.05 0.2×
Iontophoresis 15 min (97033)
range across 9 matching MRF lines
$47.25–$55.08 $175–$204 varies
Irrig Drug Delivery Device (96523) $46.44 $172 0.8×
IV infusion hydration each additional hour (96361)
range across 8 matching MRF lines
$20.52–$82.62 $76–$306 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 7 matching MRF lines
$68.85–$166.11 $255–$615.24 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 8 matching MRF lines
$20.52–$68.85 $76–$255 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 8 matching MRF lines
$20.52–$82.62 $76–$306 varies
IV push initial (96374)
range across 8 matching MRF lines
$41.58–$166.11 $154–$615.24 varies
L Hrt Art/Grft Angio (93459) $4,131 $15,300 1.3×
Lung Function Test (Mbc/Mvv) (94200) $56.16 $208 1.0×
Lwr Xtr Vasc Stdy Bilat (93924) $153.63 $569 0.7×
Mechanical chest wall oscillation per session (94669) $42.39 $157 0.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 3 matching MRF lines
$7.31–$7.56 $27.07–$28 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $7.56 $28 0.2×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $9.60 $35.55 0.6×
Methacholine challenge (94070) $109.97 $407.28 0.3×
Motility study esophagus (91010) $317.71 $1,176.70 0.9×
Motion Fluoroscopy/Swallow (92611)
range across 3 matching MRF lines
$97.25–$107.19 $360.17–$397 varies
Multiple Sleep Latency Test (95805) $466.86 $1,729.10 0.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $330.72 $1,224.88 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $189.54 $702 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $337.50 $1,250 0.9×
Neuromuscular Reeducation (97112)
range across 8 matching MRF lines
$54–$59.40 $200–$220 varies
Oral Function Therapy (92526) $81.27 $301 1.0×
Oral Speech Device Eval (92597) $127.10 $470.75 1.8×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 3 matching MRF lines
$52.92–$53.45 $196–$197.96 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 18 matching MRF lines
$27–$76.37 $100–$282.85 varies
Ot eval high complexity (97167)
range across 3 matching MRF lines
$47.25–$54 $175–$200 varies
Ot Eval Low Complex (97165)
range across 3 matching MRF lines
$47.25–$59.40 $175–$220 varies
Ot Eval Moderate Complexity (97166)
range across 4 matching MRF lines
$96.12–$106.92 $356–$396 varies
Ot manual therapy 15 min (97140)
range across 15 matching MRF lines
$47.25–$59.40 $175–$220 varies
Ot paraffin bath (97018)
range across 7 matching MRF lines
$27.69–$55.08 $102.55–$204 varies
Ot Prosthetic Training, Each 15 Min (97761)
range across 7 matching MRF lines
$14.73–$43.20 $54.55–$160 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$39.15–$42.28 $145–$156.60 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $22.21 $82.26 0.2×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $54 $200 0.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $73.31 $271.50 0.3×
Peripheral arterial disease rehab per session (93668) $59.40 $220 1.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $2,798.28 $10,364 0.5×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
unusually low: confirm this is the full procedure
$5,423.22 $20,086 0.5×
Phlebotomy therapeutic (99195)
range across 4 matching MRF lines
$32.13–$111.01 $119–$411.15 varies
Plethysmography (94726) $271.08 $1,004 0.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $980.79 $3,632.57 1.2×
Prq Card Angio/Athrect 1 Art (92924)
unusually low: confirm this is the full procedure
$5,130 $19,000 0.5×
Prq Card Stent W/Angio 1 Vsl (92928) $6,885 $25,500 0.6×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$8,674.56 $32,128 0.5×
Prq Revasc Byp Graft 1 Vsl (92937)
unusually low: confirm this is the full procedure
$4,117.50 $15,250 0.4×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
likely a partial charge, not the full procedure
$2,442.77 $9,047.30 0.2×
Pt Eval High Complex (97163)
range across 3 matching MRF lines
$47.25–$54 $175–$200 varies
Pt eval low complex 20 min (97161)
range across 6 matching MRF lines
$22.96–$68.04 $85.05–$252 varies
Pt Eval Mod Complex (97162)
range across 12 matching MRF lines
$22.96–$59.40 $85.05–$220 varies
Pt gait training 15 min (97116)
range across 5 matching MRF lines
$25.15–$59.40 $93.15–$220 varies
Pt mechanical traction (97012)
range across 5 matching MRF lines
$47.25–$55.08 $175–$204 varies
Pt Re-Eval Est Plan Care (97164)
range across 5 matching MRF lines
$25.31–$62.64 $93.75–$232 varies
Pulmonary Stress Testing (94618) $100.17 $371 0.8×
R Hrt Art/Grft Angio (93457) $2,168.73 $8,032.35 0.7×
R hrt coronary artery angio (93456) $1,732.08 $6,415.10 0.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $2,528.28 $9,364 0.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $58.28 $215.85 1.0×
Right Heart Cath (93451) $4,131 $15,300 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$25.54–$189.54 $94.60–$702 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607)
range across 4 matching MRF lines
$127.10–$132.19 $470.75–$489.60 varies
Self Care Mngment Training (97535)
range across 17 matching MRF lines
$20.26–$59.40 $75.05–$220 varies
Sensory Integration Ea 15 Min (97533) $47.25 $175 0.8×
Sleep study unattended (95806) $130.01 $481.50 0.6×
Speech sound lang comprehen (92523)
range across 4 matching MRF lines
$47.25–$50.76 $175–$188 varies
Spirometry (94010)
range across 3 matching MRF lines
$51.57–$54 $191–$200 varies
Standardized Cognitive Performance Testing (96125)
range across 5 matching MRF lines
$47.25–$101.94 $175–$377.57 varies
Stress Tte Only (93350) $333.99 $1,237 0.6×
Temp transcutaneous pacing (92953) $127.98 $474 0.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 3 matching MRF lines
$47.25–$55.08 $175–$204 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 3 matching MRF lines
$47.25–$55.08 $175–$204 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 8 matching MRF lines
$47.25–$59.40 $175–$220 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 4 matching MRF lines
$95.32–$99.13 $353.05–$367.15 varies
Ther/Prop/Diag Inj/Inf Proc (96379)
range across 4 matching MRF lines
$14.85–$39.49 $55–$146.27 varies
Ther/Proph/Diag Inj Ia (96373) $29.77 $110.25 0.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 10 matching MRF lines
$26.78–$82.62 $99.20–$306 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 8 matching MRF lines
$92.88–$167.78 $344–$621.39 varies
Therapeutic Activities (97530)
range across 10 matching MRF lines
$54–$59.40 $200–$220 varies
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 3 matching MRF lines
$12.15–$12.42 $45–$46 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 3 matching MRF lines
$12.34–$12.46 $45.70–$46.16 varies
Tte w/doppler, complete (93306) $891 $3,300 1.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 7 matching MRF lines
$47.25–$141.48 $175–$524 varies
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 8 matching MRF lines
$32.65–$74.25 $120.92–$275 varies
Unlisted cardiovascular service/procedure (93799) $97.47 $361 0.8×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$111.01–$122.58 $411.15–$454 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $141.73 $524.94 0.7×
Valvuloplasty aortic valve (92986)
unusually low: confirm this is the full procedure
$2,349 $8,700 0.4×
Vasopneumatic device (97016)
range across 7 matching MRF lines
$47.25–$55.08 $175–$204 varies
Vent Mgmt Inpat Init Day (94002)
range across 3 matching MRF lines
$268.61–$274.05 $994.85–$1,015 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $295.65 $1,095 0.5×
Vital capacity, total (94150) $16.20 $60 0.1×
Wheelchair Mgmt Ea 15 Min (97542)
range across 8 matching MRF lines
$18.23–$55.08 $67.50–$204 varies
Whirlpool Therapy (97022)
range across 14 matching MRF lines
$15.85–$59.16 $58.70–$219.10 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.