Visits & medical services prices at Iron County Medical Center

Pilot Knob, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $278.10 $309 1.3×
Analyze Neurostim Complex (95972) $264.20 $293.55 2.8×
Analyze neurostim no prog (95970) $184.82 $205.35 1.4×
Assmt & care planning pt w/cognitive impairment (99483) $584.10 $649 5.7×
Behav assmt w/score & docd/stand instrument (96127) $14.40 $16 0.4×
Behavioral and qualitative analysis of voice and resonance (92524) $115.20 $128 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $268.83 $298.70 0.7×
Canalith Repositioning (95992) $92.70 $103 2.3×
Cardiac Stress Tst,Tracing Only (93017) $639.63 $710.70 3.0×
Cardiopulmonary exercise testing (94621) $431.06 $478.95 1.2×
Cardiopulmonary resuscitation (92950) $573.30 $637 2.7×
Cardioversion (92960) $551.57 $612.85 0.8×
Chemo Hormon Antineopl Sq/Im (96402) $165.60 $184 2.3×
Chemo IV push addl drug (96411) $69.26 $76.95 1.0×
Chemother, IV infusion, 1 hr (96413) $574.74 $638.60 1.7×
Chemother, IV infusion, ea add hr (96415) $199.31 $221.45 2.8×
Color/duplex Doppler, complete (93975) $254.25 $282.50 1.1×
Color/duplex Doppler, limited (93976) $204.75 $227.50 2.0×
Cpap initiation and management (94660) $296.64 $329.60 1.4×
Cpt initial (94667) $163.62 $181.80 1.2×
Critical care (99291) $1,251.45 $1,390.50 1.5×
Debridement Open Wound 20 Sq Cm< (97597) $301.50 $335 1.5×
Demo &/or eval,pt use,aerosol device (94664) $175.20 $194.67 0.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $346.50 $385 1.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $63 $70 0.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $241.88 $268.75 1.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $63 $70 0.6×
Dup-scan xtr veins unilateral/limited study (93971) $63 $70 0.6×
Duplex scan extracranial art compl bi study (93880) $65.70 $73 0.3×
Echo Heart Xthoracic,Limited (93308) $376.20 $418 1.6×
EKG (93005) $216.50 $240.56 3.7×
EKG rhythm strip (93041) $117 $130 2.0×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $185.26 $205.85 1.9×
Er level 1 (99281) $114.75 $127.50 1.4×
Er level ii (99282) $216.45 $240.50 1.4×
Er level iii (99283) $396.90 $441 1.5×
Er level IV (99284) $501.30 $557 1.2×
Er level v (99285) $766.80 $852 1.3×
Evaluation of speech fluency (92521) $135.90 $151 1.0×
Evaluation of speech sound production (92522) $110.70 $123 1.0×
Evaluation of swallowing function (92610) $248.40 $276 2.9×
Exercise tst brncspsm (94617) $208.58 $231.75 1.6×
External ECG rec>48hr<7d recording (93242) $105.68 $117.42 2.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $215.06 $238.96 1.6×
External ECG rec>7d<15d recording (93246) $105.68 $117.42 2.8×
External ECG rec>7d<15d scanning alys w/report (93247) $214.14 $237.93 1.6×
External Ecg Scanning Analysis Report (93226) $185.40 $206 3.1×
Flow volume loop (94375) $101.97 $113.30 0.5×
Group Therapeutic Procedures (97150) $57.60 $64 3.2×
Holter Monitor Recording (93225) $389.34 $432.60 2.9×
Hypoxia Response Curve (94450) $101.97 $113.30 0.8×
Icd Device Interrogate (93289) $101.70 $113 2.7×
Ilr Device Eval Progr (93285) $63.41 $70.45 1.7×
Immunization Admin (90471) $62.94 $69.93 0.9×
Immunotherapy, 2+ Injections (95117) $70.32 $78.12 1.5×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $342.38 $380.42 0.9×
Interrog dev eval scrms phys/qhp in person (93291) $90 $100 3.1×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $136.27 $151.41 2.3×
IV infusion hydration each additional hour (96361) $97.34 $108.15 2.1×
IV infusion hydration initial 31 min-1 hour (96360) $231.98 $257.75 1.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $110.31 $122.57 1.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $368.95 $409.94 1.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $157.59 $175.10 3.4×
IV push initial (96374) $171 $190 0.8×
Manual therapy 15 min (97140) $87.75 $97.50 3.2×
Massage 15 min (97124) $91.35 $101.50 3.1×
Maximum voluntary ventilation (94200) $93.63 $104.03 1.6×
Measurement of heart blood flow and respiration (93701) $99 $110 0.7×
Mechanical traction (97012) $51.30 $57 3.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $60.26 $66.95 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $55.02 $61.13 1.5×
Methacholine challenge (94070) $243.34 $270.38 0.7×
Mnt Group Ea 30 Min (97804) $35.61 $39.57 2.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $359.10 $399 3.9×
Multiple sleep latency test (95805) $2,410.20 $2,678 2.8×
Nasopharyngoscopy (92511) $360.90 $401 1.8×
Neg press wnd tx </=50 sq cm (97607) $431.06 $478.95 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $269.76 $299.73 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $818.54 $909.49 2.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $113.85 $126.50 0.9×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $209.70 $233 1.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $296.64 $329.60 2.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $107.10 $119 2.3×
Osteopathic manipulative tx 1-2 body regions (98925) $55.80 $62 2.6×
Osteopathic manipulative tx 3-4 body regions (98926) $53.27 $59.19 2.5×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $87.30 $97 2.7×
Ot Contrast Bath Ea 15 Min (97034) $48.60 $54 3.5×
Ot eval high complex 60 min (97167) $315 $350 3.1×
Ot eval low complex 30 min (97165) $234 $260 2.3×
Ot eval mod complex 45 min (97166) $252 $280 2.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $109.80 $122 2.2×
Ot re-eval est plan care (97168) $165.60 $184 2.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $301.28 $334.75 2.3×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $310.55 $345.05 2.4×
Paraffin bath (97018) $40.50 $45 6.7×
Phy/qhp op pulm rhb w/mntr (94626) $69.53 $77.25 1.2×
Phy/qhp op pulm rhb w/o mntr (94625) $69.53 $77.25 1.2×
Plethysmography (94726) $55.62 $61.80 0.1×
Pm device eval in person (93288) $47.25 $52.50 1.3×
Pm device progr eval dual (93280) $67.50 $75 1.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,066.97 $2,296.64 2.4×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $45 $50 1.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $27 $30 0.6×
Programming of dual lead implantable defibrillator system (93283) $111.26 $123.62 3.0×
Psych diag eval w/med srvcs (90792) $148.50 $165 0.8×
Psychiatric diagnostic evaluation (90791) $279.90 $311 1.6×
Psytx crisis initial 60 min (90839) $266.55 $296.17 1.5×
Pt Aquatic Therapy/Exercises (97113) $117 $130 3.2×
Pt Electric Current Therapy (97033) $84.15 $93.50 4.4×
Pt Electrical Stimulation (97032) $82.80 $92 5.6×
Pt eval high complex 45 min (97163) $292.50 $325 3.0×
Pt eval low complex 20 min (97161) $224.10 $249 2.3×
Pt Gait Training Therapy (97116) $82.80 $92 2.8×
Pt Infrared Therapy (97026) $17.10 $19 2.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $106.20 $118 3.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $236.70 $263 2.4×
Pt re-evaluation (97164) $184.50 $205 2.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $94.50 $105 2.9×
Pt Ultrasound Therapy (97035) $74.25 $82.50 5.2×
Pt Whirlpool Therapy (97022) $62.10 $69 4.0×
Pulm function test by gas (94727) $259.56 $288.40 1.2×
Pulmonary stress testing (94618) $205.54 $228.38 1.5×
Pure Tone Audiometry, Air (92552) $126.07 $140.08 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $185.40 $206 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $69.53 $77.25 0.5×
Sensory Integration Ea 15 Min (97533) $124.20 $138 2.0×
Sleep study unattended (95806) $426.42 $473.80 2.0×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $294.79 $327.54 1.4×
Smoking cessation > 10 min (99407) $55.35 $61.50 1.5×
Speech sound lang comprehen (92523) $229.50 $255 1.0×
Spirometry (94010) $134.62 $149.58 0.6×
Stress echo (93350) $122.40 $136 0.2×
Temp transcutaneous pacing (92953) $268.37 $298.19 0.4×
Ther/Proph/Diag Inj Sc/Im (96372) $129.78 $144.20 1.8×
Therapeutic Activities (97530) $189 $210 5.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $41.85 $46.50 1.1×
Trans Care Mgmt 14 Day Disch (99495) $233.10 $259 1.7×
Trans Care Mgmt 7 Day Disch (99496) $298.80 $332 2.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,639.44 $1,821.60 3.0×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $122.40 $136 0.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $321.30 $357 4.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $268.20 $298 3.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $81.58 $90.64 1.7×
Tympanometry (92567) $61.58 $68.42 1.6×
Unlisted pulmonary service/procedure (94799) $11.12 $12.36 0.1×
Vasc Duplex Extrem Venous,Bilat (93970) $457.20 $508 1.9×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $259.20 $288 1.2×
Vasopneumatic device (97016) $52.20 $58 4.3×
Ventilation assist & mgmt inpatient 1st day (94002) $941.83 $1,046.48 1.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $695.25 $772.50 1.1×
Vital capacity total (94150) $93.63 $104.03 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $83.70 $93 2.7×
Xtrnl mobile cv telemetry w/technical support (93229) $1,122.60 $1,247.33 3.0×