Visits & medical services prices at King's Daughters Medical Center - Ohio

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $12,459.05 $31,147.61 1.7×
Admn Sarscov2 Vacc 1 Dose (90480) $47.74 $119.35 1.2×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $327.30 $818.25 1.6×
Aep neurodiagnostic i&r (92653) $375.34 $938.35 1.8×
Aep threshold estimation mlt frequencies i&r (92652) $375.34 $938.35 1.8×
Airway Inhalation Treatment (94640) $103.78 $259.44 0.5×
Airway resistance by oscillometry (94728) $202.32 $505.80 1.7×
Analyze neurostim no prog (95970) $110.58 $276.45 0.9×
Analyze Pacemaker System (93724) $65.41 $163.52 0.2×
Anrct mano rct sensation&rct balo expulsion test (91125) $355.10 $887.73 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $60.74 $151.85 4.2×
Application Modality 1/> Areas Infrared (97026) $35.30 $88.25 5.3×
Application on-body injector (96377) $75.44 $188.60 1.7×
Arrhythmia Induction (93618) $1,042.76 $2,606.88 0.9×
Behavral qualit analys voice (92524) $151.56 $378.90 1.4×
Bioimpedance Cv Analysis (93701) $93.42 $233.53 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $259.56 $648.90 0.7×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$788.48 $1,971.18 0.1×
C motor evoked uppr limbs (95928) $164.10 $410.25 0.2×
C motor evoked upr&lwr limbs (95939) $328.20 $820.50 0.4×
Caloric vestibular test w/rec bi monothermal (92538) $429.12 $1,072.80 2.1×
Caloric Vstblr Test W/Rec (92537) $858.24 $2,145.60 7.1×
Canalith repositioning proc (95992) $101.80 $254.50 2.5×
Cardiac Stress Tst,Tracing Only (93017) $533.49 $1,333.72 2.6×
Cardiopulmonary exercise testing (94621) $589.12 $1,472.80 1.7×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$197.52–$273.61 $493.80–$684.02 varies
Cardioversion (92960) $1,005.29 $2,513.21 1.6×
Cardioversion elective internal (92961) $590.88 $1,477.18 0.9×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $10,229.09 $25,572.72 3.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,428.70 $21,071.74 2.7×
Cbt 1st hour (94644) $72.58 $181.45 0.6×
Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) $385.18 $962.95 3.1×
Chemo Ia Push (96420) $102.59 $256.46 0.3×
Chemotherapy Into Cns (96450) $140.44 $351.10 0.4×
Chest Wall Manipulation (94668) $51.78 $129.43 0.4×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $325.74 $814.35 0.9×
Color/duplex Doppler, complete (93975) $401.13 $1,002.82 1.8×
Color/duplex Doppler, limited (93976) $248.02 $620.03 2.5×
Community/Work Reintegration Trainj Ea 15 Min (97537) $59.96 $149.90 1.9×
Continuous Pulse Ox (94762) $113.26 $283.15 0.9×
Coronary Art/Grft Angio S&I (93455) $6,436.90 $16,092.24 2.1×
Coronary Artery Angio S&I (93454) $5,830.04 $14,575.10 1.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $218.68 $546.70 1.1×
Cpt initial (94667) $58.40 $145.99 0.5×
Critical care first hour (99291) $649.86 $1,624.64 0.8×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $164.10 $410.25 0.5×
Debridement Open Wound 20 Sq Cm< (97597) $136.72 $341.78 0.7×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $193.84 $484.60 0.5×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $536.33 $1,340.81 2.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $451.66 $1,129.14 4.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $564.88 $1,412.18 2.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $418.63 $1,046.57 4.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $674.15 $1,685.36 3.0×
Dup-scan xtr veins unilateral/limited study (93971) $473.15 $1,182.87 4.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $106.68 $266.70 1.1×
Duplex Scan Hemodialysis Access (93990) $248.62 $621.55 2.5×
Duplex up extrem art bilat (93930) $302.75 $756.86 1.3×
Duplex up extrem art unilat/ltd (93931) $396.95 $992.37 4.0×
Echo Heart Xthoracic,Limited (93308) $304.55 $761.36 1.3×
Echo transesophageal (93312) $940.79 $2,351.97 1.8×
EEG cont rec w/video by tech min 8 channels (95700) $140.08 $350.18 0.7×
Eeg Sleep Only (95822) $282.10 $705.25 1.4×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $517.36 $1,293.39 2.5×
EEG w/o vid 2-12hr cont mntr (95707) $818.33 $2,045.81 4.0×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,576.70 $3,941.73 4.5×
EEG wo vid ea 12-26hr unmntr (95708) $1,130.51 $2,826.26 3.2×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $83.88 $209.70 0.9×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $32.64 $81.60 0.9×
Electrical Stimulation Ea 15 Min (97032) $66.06 $165.15 4.5×
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$112.41–$133.38 $281.02–$333.43 varies
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $5,030.78 $12,576.94 0.7×
Electrophysiology Evaluation (93642) $944.08 $2,360.19 0.8×
Emergency Dept Visit Level 2 (99282) $210.50 $526.24 1.4×
Emergency Dept Visit Level 3 (99283) $306.63 $766.57 1.2×
Emergency Dept Visit Level 4 (99284) $448.48 $1,121.19 1.1×
Emg 3 Extremities (95863) $543.63 $1,359.07 4.5×
Emg 4 Extremities (95864) $791.14 $1,977.83 6.5×
Ep & ablate supravent arrhyt (93653) $16,477.09 $41,192.71 0.7×
Ep & ablate ventric tachy (93654) $16,477.09 $41,192.71 0.7×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $11,645.75 $29,114.37 1.6×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $11,645.75 $29,114.37 1.6×
Er level 1 (99281) $141.88 $354.68 1.8×
Er level v (99285) $558.33 $1,395.82 1.0×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,121.74 $2,804.33 3.2×
Evaluate pt use of inhaler (94664) $73.65 $184.12 0.4×
Evaluate Speech Production (92522) $151.56 $378.90 1.4×
Evaluation of speech fluency (92521) $151.56 $378.90 1.1×
Evoked Auditory Test,Limited (92587) $104.74 $261.85 0.5×
Exhaled Air Analysis O2 (94680) $291.24 $728.10 2.4×
External Ecg Scanning Analysis Report (93226) $538.53 $1,346.32 9.6×
Extracranial Bilat Study (93880) $592.97 $1,482.42 2.6×
Extracranial Uni/Ltd Study (93882) $390.36 $975.90 3.9×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $828.40 $2,070.98 2.3×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $780.49 $1,951.21 3.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,789.54 $4,473.85 2.2×
Gi tract capsule endoscopy (91110) $486.88 $1,217.20 0.6×
Group Therapeutic Procedures (97150) $83.94 $209.85 4.7×
Health Behavior Assessment/Re-Assessment (96156) $94.46 $236.15 1.0×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $83.24 $208.10 2.3×
Health behavior ivntj group f2f 1st 30 min (96164) $48.20 $120.50 1.4×
Health behavior ivntj indiv f2f 1st 30 min (96158) $83.24 $208.10 0.5×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $7,609.05 $19,022.61 2.5×
Holter monitor recording (93225) $312.67 $781.66 2.5×
Hubbard tank 15 min (97036) $73.98 $184.95 2.1×
Icd Device Interrogate (93289) $92.22 $230.55 2.6×
Icd device progr eval dual (93283) $128.68 $321.70 3.6×
Icm Device Eval (93290) $56.10 $140.25 1.6×
Im Adm Intransl/Oral 1 Vaccine (90473) $73.22 $183.05 1.1×
Immunization administration (90471) $37.26 $93.15 0.5×
Insert/Place Heart Catheter (93503) $1,937.94 $4,844.84 1.3×
Interrog&prgrmg impl phrenic nrv stimulator sys (93151) $83.80 $209.50 0.9×
Interrog&prgrmg ipnss during polysomnography (93152) $258.62 $646.53 0.9×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$788.48 $1,971.18 0.1×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure
$788.48 $1,971.18 0.1×
Intracranial Complete Study (93886) $654.69 $1,636.71 2.9×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$788.48 $1,971.18 0.1×
Iontophoresis 15 min (97033) $72.60 $181.50 3.8×
Irrig Drug Delivery Device (96523) $63.50 $158.75 1.1×
IV infusion hydration each additional hour (96361) $51.80 $129.50 1.2×
IV infusion hydration initial 31 min-1 hour (96360) $187.58 $468.95 0.9×
IV infusion ther proph addl sequential to 1 hr (96367) $51.80 $129.50 0.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $51.80 $129.50 1.2×
IV push initial (96374) $122.70 $306.75 0.6×
L Hrt Art/Grft Angio (93459) $8,758.18 $21,895.43 2.9×
Lwr Xtr Vasc Stdy Bilat (93924) $502.88 $1,257.20 2.5×
Mechanical chest wall oscillation per session (94669) $101.87 $254.67 0.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $25.58 $63.94 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $60.84 $152.09 1.7×
Methacholine challenge (94070) $255.38 $638.45 0.7×
Motility study esophagus (91010) $849.04 $2,122.60 2.4×
Multiple Sleep Latency Test (95805)
range across 3 matching MRF lines
$486.13–$1,726.62 $1,215.32–$4,316.54 varies
Muscle Test 2 Limbs (95861) $345.16 $862.90 2.7×
Muscle Test One Limb (95860) $310 $774.99 2.5×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $240.58 $601.45 1.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $354.90 $887.23 0.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $390.38 $975.95 1.0×
Nerve Conduction Studies 1-2 Studies (95907) $681.74 $1,704.35 3.3×
Nerve Conduction Studies 11-12 Studies (95912) $2,690.72 $6,726.80 7.6×
Nerve conduction studies 13 or more studies (95913) $3,261.42 $8,153.55 9.2×
Nerve Conduction Studies 3-4 Studies (95908) $894.88 $2,237.20 4.4×
Nerve conduction studies 5-6 studies (95909) $1,107.94 $2,769.85 5.4×
Nerve conduction studies 7-8 studies (95910) $1,832.50 $4,581.25 5.2×
Nerve Conduction Studies 9-10 Studies (95911) $2,120.02 $5,300.05 6.0×
Neuromuscular Reeducation (97112) $68.10 $170.25 2.1×
Nitric oxide expired gas determination (95012) $98.04 $245.10 2.8×
Nonphysician Telephone Assessment 11-20 Min (98967) $29.20 $73 1.2×
Nonphysician Telephone Assessment 21-30 Min (98968) $42.80 $107 1.2×
Nonphysician Telephone Assessment 5-10 Min (98966) $14.96 $37.40 1.1×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $278.76 $696.90 0.8×
Optokinetic Nystagmus Test (92544) $107.94 $269.85 0.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $63.18 $157.95 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $104.76 $261.90 2.3×
Oscillating Tracking Test (92545) $107.94 $269.85 0.5×
Ot Contrast Bath Ea 15 Min (97034) $48.66 $121.65 3.5×
Ot eval high complexity (97167) $157.22 $393.05 1.6×
Ot Eval Low Complex (97165) $104.80 $262 1.0×
Ot Eval Moderate Complexity (97166) $131.02 $327.55 1.3×
Ot manual therapy 15 min (97140) $72.80 $182 2.6×
Ot paraffin bath (97018) $52.76 $131.90 8.8×
Ot Prosthetic Training, Each 15 Min (97761) $65 $162.50 1.6×
Ot Re-Eval Est Plan Care (97168) $63.90 $159.75 0.9×
Ot rom hand (95852) $47.72 $119.30 2.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $84.30 $210.75 0.7×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $5,947.41 $14,868.52 1.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $10,985.38 $27,463.45 1.0×
Phlebotomy therapeutic (99195) $127.36 $318.38 1.0×
Physical Performance Test (97750) $159.62 $399.05 4.7×
Plethysmography (94726) $110.10 $275.25 0.3×
Pm device progr eval dual (93280) $85.36 $213.39 2.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$2,247.30–$2,472.01 $5,618.25–$6,180.02 varies
Polysom <6 yrs 4/> paramtrs (95782)
range across 2 matching MRF lines
$1,895.84–$2,287.82 $4,739.58–$5,719.54 varies
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783)
range across 2 matching MRF lines
$1,895.84–$2,287.82 $4,739.58–$5,719.54 varies
Positional nystagmus test (92542) $107.94 $269.85 0.9×
Prepj& antigen allergen immunotherapy 2 insect (95146) $31.76 $79.38 0.7×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $109.06 $272.65 3.1×
Prq Card Angio/Athrect 1 Art (92924) $11,340.57 $28,351.41 1.0×
Prq Card Stent W/Angio 1 Vsl (92928)
range across 2 matching MRF lines
$6,830.46–$9,033.28 $17,076.13–$22,583.18 varies
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$6,830.46 $17,076.13 0.4×
Prq Revasc Byp Graft 1 Vsl (92937)
range across 2 matching MRF lines
$6,830.46–$9,033.28 $17,076.13–$22,583.18 varies
Pt Eval High Complex (97163) $202.66 $506.65 2.1×
Pt eval low complex 20 min (97161) $134.54 $336.35 1.4×
Pt Eval Mod Complex (97162) $168.88 $422.20 1.7×
Pt gait training 15 min (97116) $58.78 $146.95 2.0×
Pt mechanical traction (97012) $66.80 $167 4.7×
Pt Re-Eval Est Plan Care (97164) $72.82 $182.05 1.1×
Pulm function test by gas (94727) $110.08 $275.20 0.5×
Pulmonary service/procedure (94799) $84.56 $211.40 0.7×
Pulmonary Stress Testing (94618) $99 $247.50 0.8×
Pure Tone Audiometry Air (92552) $58.12 $145.30 0.5×
R Hrt Art/Grft Angio (93457) $8,157.05 $20,392.61 2.7×
R hrt coronary artery angio (93456) $7,952.58 $19,881.43 2.6×
R&L Hrt Cath W/Ventriclgrphy (93453) $6,646.54 $16,616.35 2.2×
Remote 30 Day Ecg Rev/Report (93270) $138.79 $346.96 3.9×
Respiratory flow volume loop (94375) $148.34 $370.85 0.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $110.15 $275.37 2.0×
Right Heart Cath (93451) $5,316.94 $13,292.33 1.7×
Right ventricular recording (93603) $788.48 $1,971.18 0.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $171.36 $428.38 0.9×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $48.44 $121.10 1.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $139.30 $348.25 1.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $59.26 $148.15 1.2×
Self Care Mngment Training (97535) $53.24 $133.10 1.6×
Short-latency somatosens ep std upr limbs (95925) $741.44 $1,853.60 3.6×
Sleep study attended (95807) $1,030.22 $2,575.53 2.9×
Sleep study unattended (95806) $225.93 $564.82 1.1×
Somatosensory Testing (95938) $1,495.06 $3,737.65 1.8×
Speech sound lang comprehen (92523) $151.56 $378.90 0.7×
Spirometry (94010) $70.96 $177.40 0.3×
Spontaneous Nystagmus Test (92541) $107.94 $269.85 0.9×
Ssep lower limbs (95926) $753.62 $1,884.05 3.7×
Stress Tte Only (93350) $891.74 $2,229.35 1.7×
Surfactant Admin Thru Tube (94610) $45.59 $113.97 0.2×
Temp transcutaneous pacing (92953) $619 $1,547.50 1.0×
Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) $83.80 $209.50 0.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $24.82 $62.05 1.1×
Ther Ivntj Ea Addl 15 Min (97130) $24.06 $60.15 1.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $71.64 $179.10 1.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $60.16 $150.40 2.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $127.24 $318.10 1.2×
Ther/Proph/Diag Inj Ia (96373) $109.21 $273.01 0.5×
Ther/Proph/Diag Inj Sc/Im (96372) $75.44 $188.60 1.1×
Ther/Proph/Diag Iv Inf Init (96365) $228.84 $572.10 1.1×
Therapeutic Activities (97530) $63.16 $157.90 1.8×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $748.34 $1,870.85 2.1×
Transcath Closure of Asd (93580) $17,702.55 $44,256.37 1.0×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $327.35 $818.36 3.3×
Tte w/doppler, complete (93306) $1,254.36 $3,135.89 2.4×
Tte W/O Doppler Complete (93307) $635.38 $1,588.44 2.8×
Tx atrial fib pulm vein isol (93656) $16,477.09 $41,192.71 0.7×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $62.90 $157.25 2.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $127.24 $318.10 2.9×
Tympanometry (92567) $48.12 $120.30 1.4×
Unlisted Diagnostic Gastroenterology Procedure (91299)
range across 2 matching MRF lines
$562.98–$566.68 $1,407.45–$1,416.70 varies
Upr/L Xtremity Art 2 Levels (93922) $290 $725 2.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $476.78 $1,191.95 2.3×
Valvuloplasty aortic valve (92986) $5,947.41 $14,868.52 1.1×
Valvuloplasty mitral valve (92987) $5,947.41 $14,868.52 0.5×
Vasopneumatic device (97016) $60.70 $151.75 5.0×
Veeg 2-12 Hr Cont Mntr (95713) $1,059.25 $2,648.12 3.0×
Veeg 2-12 hr unmonitored (95711) $706.17 $1,765.41 3.5×
Veeg Ea 12-26 Hr Unmntr (95714) $1,412.33 $3,530.82 4.0×
Veeg ea 12-26hr cont mntr (95716) $2,118.50 $5,296.23 2.6×
Vent Mgmt Inpat Init Day (94002) $463.32 $1,158.30 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $267.94 $669.85 0.5×
Vital capacity, total (94150) $70.08 $175.20 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $56.54 $141.35 1.8×
Whirlpool Therapy (97022) $73.18 $182.95 4.7×

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.