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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $19.17 $71 0.1×
Assessment of aphasia (96105) $103.15 $382.05 1.1×
Behavioral and qualitative analysis of voice and resonance (92524) $22.95 $85 0.2×
Breath Hydrogen/Methane Test (91065) $150.39 $557 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $108.45 $401.68 0.3×
Capsule endoscopy (91110) $519.48 $1,924 0.6×
Cardiac Stress Tst,Tracing Only (93017) $250.56 $928 1.2×
Cardiopulmonary resuscitation (92950) $113.13 $419 0.5×
Cardioversion (92960) $565.65 $2,095 0.9×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $2,106 $7,800 0.7×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $1,732.08 $6,415.10 0.5×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $4,131 $15,300 1.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $4,455 $16,500 1.4×
Cbt 1st hour (94644) $18.96 $70.20 0.1×
Chemo Hormon Antineopl Sq/Im (96402) $94.23 $349 1.3×
Chemo IV push addl drug (96411) $78.62 $291.18 1.1×
Chemo Iv Push Sngl Drug (96409) $78.62 $291.18 0.2×
Chemother, IV infusion, 1 hr (96413) $95.04 $352 0.3×
Chemother, IV infusion, ea add hr (96415) $71.01 $263 1.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $95.04 $352 1.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $69.37 $256.94 1.0×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $92.16 $341.35 0.3×
Color/duplex Doppler, limited (93976) $244.73 $906.40 2.4×
Coronary artery angio s&i (93454) $2,169.72 $8,036 0.7×
Cpap initiation and management (94660) $168.75 $625 0.8×
Cpt initial (94667) $14.85 $55 0.1×
Critical care (99291) $877.50 $3,250 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $16.54 $61.25 0.1×
Demo &/or eval,pt use,aerosol device (94664) $16.74 $62 0.1×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $339.12 $1,256 0.8×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $101.25 $375 0.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $265.68 $984 1.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $245.02 $907.50 2.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $530.01 $1,963 2.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $272.97 $1,011 2.7×
Dup-scan xtr veins unilateral/limited study (93971) $294.30 $1,090 2.9×
Duplex hemodialysis access (93990) $161.73 $599 1.6×
Duplex scan extracranial art compl bi study (93880) $660.15 $2,445 2.8×
Echo Heart Xthoracic,Limited (93308) $227.61 $843 1.0×
Echo transesophageal (93312) $534.60 $1,980 1.0×
EEG awake asleep (95819) $347.76 $1,288 1.7×
EEG awake drowsy (95816) $347.76 $1,288 1.7×
EEG cerebral death evaluation (95824) $272.31 $1,008.55 0.8×
Eeg Extended Monitoring 61-119 Minutes (95813) $337.41 $1,249.65 1.6×
EKG (93005) $90.18 $334 1.6×
EKG rhythm strip (93041) $58.28 $215.85 1.0×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $280.80 $1,040 1.3×
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×
Ep Electrophysiologic F/U Study (93624)
likely a partial charge, not the full procedure
$388.44 $1,438.65 0.1×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $388.44 $1,438.65 0.3×
Er level 1 (99281) $94.50 $350 1.2×
Er level ii (99282) $229.50 $850 1.5×
Er level iii (99283) $432 $1,600 1.6×
Er level IV (99284) $607.50 $2,250 1.5×
Er level v (99285) $810 $3,000 1.4×
Ergonovine provocation test (93024) $479.37 $1,775.45 1.1×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $127.10 $470.75 1.8×
Evaluation of speech fluency (92521) $25.99 $96.25 0.2×
Evaluation of speech sound production (92522) $34.02 $126 0.3×
Evaluation of swallowing function (92610) $106.11 $393 1.3×
Evaluation with prescription of speech-generating alternative (92607) $129.64 $480.18 1.1×
External ECG rec>7d<15d recording (93246) $114.48 $424 3.2×
External Ecg Scanning Analysis Report (93226) $153.09 $567 2.7×
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 wireless capsule measure (91112) $594 $2,200 0.7×
Group Therapeutic Procedures (97150) $27.65 $102.41 1.5×
Health Behavior Assessment/Re-Assessment (96156) $82.22 $304.50 0.8×
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×
Holter Monitor Recording (93225) $77.22 $286 0.6×
Immunization Admin (90471) $15.39 $57 0.2×
Injection intra arterial (96373) $29.77 $110.25 0.1×
Ins swan ganz bedside (93503) $229.51 $850.05 0.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $46.44 $172 0.8×
IV infusion hydration each additional hour (96361) $63.63 $235.68 1.4×
IV infusion hydration initial 31 min-1 hour (96360) $97.47 $361 0.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $68.58 $254 1.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $150.12 $556 0.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $82.62 $306 1.8×
IV push initial (96374) $75.06 $278 0.4×
Manual therapy 15 min (97140) $59.40 $220 2.1×
Massage 15 min (97124) $51.16 $189.50 1.7×
Maximum voluntary ventilation (94200) $56.16 $208 1.0×
Mechanical chest wall oscillation (94669) $42.39 $157 0.2×
Mechanical traction (97012) $55.08 $204 3.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $7.56 $28 0.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $7.56 $28 0.2×
Methacholine challenge (94070) $109.97 $407.28 0.3×
Mnt Group Ea 30 Min (97804) $9.60 $35.55 0.6×
Motility study esophagus (91010) $317.71 $1,176.70 0.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $97.25 $360.17 1.1×
Multiple sleep latency test (95805) $466.86 $1,729.10 0.6×
Neg press wnd tx </=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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $122.58 $454 0.9×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $141.73 $524.94 0.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $61.02 $226 0.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $50.45 $186.85 1.1×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $18.68 $69.19 0.6×
Ot eval high complex 60 min (97167) $54 $200 0.5×
Ot eval low complex 30 min (97165) $59.40 $220 0.6×
Ot eval mod complex 45 min (97166) $106.92 $396 1.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $53.45 $197.96 1.1×
Ot Prosthetic Training, Each 15 Min (97761) $20.26 $75.05 0.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $40.72 $150.80 0.3×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $22.21 $82.26 0.2×
Paraffin bath (97018) $47.25 $175 7.9×
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×
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 balloon valvuloplasty aortic valve (92986)
unusually low: confirm this is the full procedure
$2,349 $8,700 0.4×
Prq card revasc chronic 1vsl (92943)
unusually low: confirm this is the full procedure
$5,423.22 $20,086 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 coronary angio/atherect one art/brnch (92924)
unusually low: confirm this is the full procedure
$5,130 $19,000 0.5×
Prq trluml coronary angioplasty one art/branch (92920) $2,798.28 $10,364 0.5×
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 Electric Current Therapy (97033) $48.33 $179 2.5×
Pt Electrical Stimulation (97032) $54 $200 3.7×
Pt eval high complex 45 min (97163) $54 $200 0.6×
Pt eval low complex 20 min (97161) $59.40 $220 0.6×
Pt Gait Training Therapy (97116) $55.08 $204 1.9×
Pt Infrared Therapy (97026) $42.93 $159 6.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $59.40 $220 1.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $50.62 $187.50 0.5×
Pt re-evaluation (97164) $31.05 $115 0.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $59.40 $220 1.8×
Pt Ultrasound Therapy (97035) $55.08 $204 3.8×
Pt Whirlpool Therapy (97022) $18.66 $69.10 1.2×
Pulm Funct Test Oscillometry (94728) $82.25 $304.62 0.7×
Pulmonary stress testing (94618) $100.17 $371 0.8×
R & l hrt cath w/njx l ventriculog img s&i (93453) $2,528.28 $9,364 0.8×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $2,081.97 $7,711 0.7×
R hrt art/grft angio (93457) $2,168.73 $8,032.35 0.7×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $2,875.23 $10,649 0.9×
Right heart cath (93451) $4,131 $15,300 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $25.54 $94.60 0.1×
Rt Chest Wall Manipulation,Subsequent (94668) $13.77 $51 0.1×
Sensory Integration Ea 15 Min (97533) $47.25 $175 0.8×
Sleep study unattended (95806) $130.01 $481.50 0.6×
Smoking cessation > 10 min (99407) $12.27 $45.45 0.3×
Speech sound lang comprehen (92523) $49 $181.50 0.2×
Spirometry (94010) $52.11 $193 0.2×
Standardized Cognitive Performance Testing (96125) $101.94 $377.57 1.0×
Stress echo (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) $47.25 $175 2.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $55.08 $204 2.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $97.22 $360.10 0.9×
Ther/prop/diag inj/inf proc (96379) $16.01 $59.30 0.4×
Ther/Proph/Diag Inj Sc/Im (96372) $58.09 $215.14 0.8×
Therapeutic Activities (97530) $59.40 $220 1.7×
Therapeutic phlebotomy (99195) $32.40 $120 0.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $12.34 $45.70 0.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $891 $3,300 1.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $141.48 $524 1.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $81.27 $301 1.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $74.25 $275 1.6×
Unlisted Cardiovascular Service/Procedure (93799) $97.47 $361 0.8×
Vasc Duplex Extrem Venous,Bilat (93970) $571.32 $2,116 2.5×
Vasc Duplex Scan Extracranial,Limited (93882) $268.65 $995 2.6×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $153.63 $569 0.7×
Vasopneumatic device (97016) $55.08 $204 4.6×
Ventilation assist & mgmt inpatient 1st day (94002) $268.61 $994.85 0.4×
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) $41.18 $152.50 1.3×