Visits & medical services prices at Knoxville Hospital & Clinics

Knoxville, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines		 $11.81–$24 $19.68–$40 varies
Advncd Care Plan 30 Min (99497)
range across 2 matching MRF lines		 $15–$74.40 $25–$124 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $78 $130 5.4×
Application on-body injector (96377) $38.40 $64 0.9×
Biofeedback training any modality (90901) $69.60 $116 1.7×
Brief Emotional/Behav Assmt (96127) $10.20 $17 0.3×
Cardiac Stress Tst,Tracing Only (93017) $489.60 $816 2.4×
Cardiopulmonary resuscitation (92950) $572.40 $954 2.8×
Cardioversion (92960) $444 $740 0.7×
Chemo Anti-Neopl Sq/Im (96401) $142.80 $238 2.1×
Chemo Hormon Antineopl Sq/Im (96402) $55.20 $92 0.8×
Chemo IV infusion addl hr (96415) $55.20 $92 0.8×
Chemo IV push addl drug (96411) $104.40 $174 1.5×
Chemother Prolong Infuse W/Pump (96416) $256.80 $428 0.8×
Chemotherapy Unspecified (96549) $72 $120 1.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $121.20 $202 1.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $252 $420 0.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $194.40 $324 0.6×
Chron Care Mgmt Srvc 20 Min (99490)
range across 2 matching MRF lines		 $15.60–$79.20 $26–$132 varies
Color/duplex Doppler, complete (93975) $643.80 $1,073 2.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $31.20 $52 1.0×
Complex chronic care mgmt svc 1st 60 min cal mo (99487)
range across 2 matching MRF lines		 $33–$163.80 $55–$273 varies
Cont gluc mntr physician/qhp provided equiptment (95250) $275.40 $459 2.2×
Cont Gluc Mntr Pt Prov Eqp (95249) $103.20 $172 1.8×
Continuous Pulse Ox (94762) $138.60 $231 1.1×
Critical care first hour (99291)
range across 2 matching MRF lines		 $420.60–$423 $701–$705 varies
Debridement Open Wound 20 Sq Cm< (97597) $91.20 $152 0.5×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $558 $930 2.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $510 $850 5.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $547.80 $913 2.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $355.20 $592 3.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $558 $930 2.4×
Dup-scan xtr veins unilateral/limited study (93971) $331.80 $553 3.3×
Duplex up extrem art bilat (93930) $430.20 $717 1.9×
Duplex up extrem art unilat/ltd (93931) $384 $640 3.8×
Echo Heart Xthoracic,Limited (93308) $627.60 $1,046 2.7×
Electrical Stimulation Ea 15 Min (97032) $48 $80 3.3×
Electrocardiogram Tracing (93005) $86.40 $144 1.5×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines		 $188.40–$189 $314–$315 varies
Emergency Dept Visit Level 3 (99283) $234.60 $391 0.9×
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines		 $304.80–$306 $508–$510 varies
Er level 1 (99281) $141 $235 1.7×
Er level v (99285) $423 $705 0.7×
Extracranial Bilat Study (93880) $778.20 $1,297 3.4×
Extracranial Uni/Ltd Study (93882) $300 $500 3.0×
Group Therapeutic Procedures (97150) $21.60 $36 1.2×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines		 $11.81–$49.80 $19.68–$83 varies
Immunization administration (90471)
range across 3 matching MRF lines		 $11.81–$44.40 $19.68–$74 varies
Inital newborn e/m (99460) $179.40 $299 1.4×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines		 $33–$72 $55–$120 varies
Irrig Drug Delivery Device (96523) $46.20 $77 0.8×
IV infusion hydration each additional hour (96361) $46.20 $77 1.0×
IV infusion hydration initial 31 min-1 hour (96360) $129.60 $216 0.6×
IV infusion ther proph addl sequential to 1 hr (96367) $79.20 $132 1.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $52.80 $88 1.2×
IV push initial (96374)
range across 2 matching MRF lines		 $110.40–$112.20 $184–$187 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $46.20 $77 0.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $49.20 $82 0.1×
Neuromuscular Reeducation (97112) $72 $120 2.2×
Newborn resuscitation (99465) $400.20 $667 0.6×
Nonphysician Telephone Assessment 11-20 Min (98967) $37.20 $62 1.5×
Nonphysician Telephone Assessment 21-30 Min (98968) $55.20 $92 1.6×
Nonphysician Telephone Assessment 5-10 Min (98966) $19.20 $32 1.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $72 $120 1.6×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $52.20 $87 2.5×
Osteopathic manipulative tx 3-4 body regions (98926) $79.80 $133 3.8×
Osteopathic manipulative tx 5-6 body regions (98927) $90 $150 4.3×
Ot Contrast Bath Ea 15 Min (97034) $18 $30 1.3×
Ot eval high complexity (97167) $135 $225 1.3×
Ot Eval Low Complex (97165) $135 $225 1.3×
Ot Eval Moderate Complexity (97166) $135 $225 1.3×
Ot manual therapy 15 min (97140) $72 $120 2.6×
Ot paraffin bath (97018) $10.80 $18 1.8×
Ot Re-Eval Est Plan Care (97168) $96 $160 1.4×
Ot rom hand (95852) $28.20 $47 1.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $175.20 $292 1.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $175.20 $292 1.4×
Peripheral arterial disease rehab per session (93668) $210 $350 3.7×
Phlebotomy therapeutic (99195) $187.20 $312 1.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $62.40 $104 1.1×
Physical Performance Test (97750) $72 $120 2.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $13.20 $22 0.3×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $15.60 $26 0.3×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines		 $46.80–$232.80 $78–$388 varies
Pt Re-Eval Est Plan Care (97164) $96 $160 1.4×
Pulmonary Stress Testing (94618) $66 $110 0.5×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $30 $50 1.3×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972)
range across 2 matching MRF lines		 $46.20–$48.60 $77–$81 varies
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970)
range across 2 matching MRF lines		 $16.80–$18 $28–$30 varies
Remote 30 Day Ecg Rev/Report (93270) $16.80 $28 0.5×
Same day nb discharge (99463) $217.20 $362 1.7×
Self Care Mngment Training (97535) $72 $120 2.2×
Sensory Integration Ea 15 Min (97533) $72 $120 1.2×
Standardized Cognitive Performance Testing (96125) $340.20 $567 3.3×
Temp transcutaneous pacing (92953) $352.20 $587 0.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $74.40 $124 3.3×
Ther Ivntj Ea Addl 15 Min (97130) $74.40 $124 3.5×
Ther/Proph/Diag Inj Ia (96373) $34.20 $57 0.2×
Ther/Proph/Diag Inj Sc/Im (96372) $44.40 $74 0.6×
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines		 $144.60–$151.80 $241–$253 varies
Therapeutic Activities (97530) $72 $120 2.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $23.40 $39 0.6×
Trans Care Mgmt 14 Day Disch (99495)
range across 2 matching MRF lines		 $45–$225.60 $75–$376 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 2 matching MRF lines		 $63.60–$318 $106–$530 varies
Tte w/doppler, complete (93306) $1,527.60 $2,546 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $52.80 $88 1.2×
Unlisted allergy/clinical immunologic srvc/px (95199) $90 $150 3.2×
Upr/L Xtremity Art 2 Levels (93922) $246 $410 1.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $384 $640 1.8×
Wheelchair Mgmt Ea 15 Min (97542) $72 $120 2.3×
Whirlpool Therapy (97022) $23.40 $39 1.5×

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.