Visits & medical services prices at Lackey Memorial Hospital
Forest, MS · every code in this section with a posted price and a Medicare benchmark.
155 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actigraphy Testing Recording Analysis I&R (95803) range across 2 matching MRF lines |
$236–$357 | $236–$357 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) | $43 | $43 | 1.2× |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$53–$80 | $53–$80 | varies |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$21–$629 | $21–$629 | varies |
| Airway resistance by oscillometry (94728) range across 2 matching MRF lines |
$63–$96 | $63–$96 | varies |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) range across 2 matching MRF lines |
$130.90–$199 | $130.90–$199 | varies |
| Anrct mano rct sensation&rct balo expulsion test (91125) range across 2 matching MRF lines |
$514–$734 | $514–$734 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$20–$26 | $20–$26 | varies |
| Assessment of aphasia per hr (96105) | $217 | $217 | 2.2× |
| Behavral qualit analys voice (92524) | $319 | $319 | 2.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $316 | $316 | 0.9× |
| Canalith repositioning proc (95992) | $81 | $81 | 2.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $963 | $963 | 4.9× |
| Cardiopulmonary exercise testing (94621) | $600 | $600 | 1.8× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$511–$775 | $511–$775 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$263–$1,190 | $263–$1,190 | varies |
| Cbt 1st hour (94644) | $399 | $399 | 3.3× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$95–$399 | $95–$399 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) range across 4 matching MRF lines |
$56–$140 | $56–$140 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$382–$886 | $382–$886 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$70–$106 | $70–$106 | varies |
| Continuous Pulse Ox (94762) | $484 | $484 | 4.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$80–$629 | $80–$629 | varies |
| Cpt initial (94667) | $399 | $399 | 3.3× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$393.40–$618 | $393.40–$618 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$39–$334 | $39–$334 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$319–$728 | $319–$728 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$202–$658 | $202–$658 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$140–$467 | $140–$467 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 6 matching MRF lines |
$242–$788 | $242–$788 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 5 matching MRF lines |
$158–$476 | $158–$476 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$122–$728 | $122–$728 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$157–$461 | $157–$461 | varies |
| Ear and throat examination (92502) range across 2 matching MRF lines |
$161–$244 | $161–$244 | varies |
| ECG/monitoring and analysis (93271) | $358 | $358 | 4.2× |
| Echo Congenital Complete (93303) | $2,768 | $2,768 | 5.6× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$292–$1,057 | $292–$1,057 | varies |
| EEG awake and asleep (95819) | $542 | $542 | 2.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$29–$39 | $29–$39 | varies |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$14.70–$184 | $14.70–$184 | varies |
| Emergency Dept Visit Level 2 (99282) | $122 | $122 | 0.9× |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$104–$208 | $104–$208 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$168–$354 | $168–$354 | varies |
| Er level 1 (99281) | $34 | $34 | 0.4× |
| Er level v (99285) | $513 | $513 | 1.0× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$30.10–$629 | $30.10–$629 | varies |
| Evaluate Speech Production (92522) | $322 | $322 | 2.9× |
| Evaluate Swallowing Function (92610) | $144 | $144 | 1.7× |
| Evaluation of speech fluency (92521) | $384 | $384 | 2.9× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$51.10–$77 | $51.10–$77 | varies |
| External ECG rec>48hr<7d recording (93242) | $122 | $122 | 3.6× |
| External ECG rec>7d<15d recording (93246) | $122 | $122 | 3.6× |
| External Ecg Scanning Analysis Report (93226) | $209 | $209 | 3.9× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$122–$835 | $122–$835 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $509 | $509 | 2.5× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$41–$42 | $41–$42 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
$10–$67 | $10–$67 | varies |
| Immunization administration (90471) range across 7 matching MRF lines |
$10–$112 | $10–$112 | varies |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$48–$63 | $48–$63 | varies |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$38–$128 | $38–$128 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$26.60–$79 | $26.60–$79 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$99.40–$232 | $99.40–$232 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $112 | $112 | 1.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$32.90–$112 | $32.90–$112 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$98.70–$149 | $98.70–$149 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 3 matching MRF lines |
$50.40–$84 | $50.40–$84 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$58.10–$100 | $58.10–$100 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 3 matching MRF lines |
$27.30–$46 | $27.30–$46 | varies |
| Multiple Family Group Psychotherapy (90849) | $107 | $107 | 0.7× |
| Multiple Sleep Latency Test (95805) range across 4 matching MRF lines |
$180–$2,532 | $180–$2,532 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $243 | $243 | 0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$58–$197 | $58–$197 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $63 | $63 | 0.2× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$51–$67 | $51–$67 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $112 | $112 | 4.5× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $163 | $163 | 4.7× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $58 | $58 | 4.2× |
| Oral Function Therapy (92526) | $176 | $176 | 2.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$78–$112 | $78–$112 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$58–$107.50 | $58–$107.50 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$42–$64 | $42–$64 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$63–$96 | $63–$96 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$83.30–$127 | $83.30–$127 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$106.40–$162 | $106.40–$162 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$128.10–$194 | $128.10–$194 | varies |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$27–$36 | $27–$36 | varies |
| Ot eval high complexity (97167) | $130 | $130 | 1.3× |
| Ot Eval Low Complex (97165) | $211 | $211 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $211 | $211 | 2.1× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$46–$74 | $46–$74 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$16–$22 | $16–$22 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$50–$67 | $50–$67 | varies |
| Ot Re-Eval Est Plan Care (97168) | $80 | $80 | 1.2× |
| Patient-initiated spirometric phys/qhp r&i only (94016) range across 2 matching MRF lines |
$37.10–$57 | $37.10–$57 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$130–$198 | $130–$198 | varies |
| Phlebotomy therapeutic (99195) | $107 | $107 | 0.9× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$51–$68 | $51–$68 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$389–$2,532 | $389–$2,532 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$398–$2,566 | $398–$2,566 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$435–$2,566 | $435–$2,566 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 2 matching MRF lines |
$11.20–$16 | $11.20–$16 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 3 matching MRF lines |
$15.40–$38 | $15.40–$38 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 3 matching MRF lines |
$18.20–$43 | $18.20–$43 | varies |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$150.50–$504 | $150.50–$504 | varies |
| Psychiatric diagnostic evaluation (90791) range across 4 matching MRF lines |
$115–$485 | $115–$485 | varies |
| Psychoanalysis (90845) | $258 | $258 | 1.6× |
| Psytx Crisis Initial 60 Min (90839) range across 3 matching MRF lines |
$136.50–$418 | $136.50–$418 | varies |
| Pt Eval High Complex (97163) | $211 | $211 | 2.2× |
| Pt eval low complex 20 min (97161) | $211 | $211 | 2.2× |
| Pt Eval Mod Complex (97162) | $211 | $211 | 2.2× |
| Pt gait training 15 min (97116) | $58 | $58 | 2.0× |
| Pt mechanical traction (97012) | $33 | $33 | 2.3× |
| Pt Re-Eval Est Plan Care (97164) | $86 | $86 | 1.3× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) range across 2 matching MRF lines |
$10.50–$15 | $10.50–$15 | varies |
| Pulmonary Stress Testing (94618) | $199 | $199 | 1.7× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $96 | $96 | 4.2× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $160 | $160 | 4.7× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $48 | $48 | 3.9× |
| Rectal sensation tone&compliance study (91124) range across 2 matching MRF lines |
$934–$1,334 | $934–$1,334 | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $75 | $75 | 2.2× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $25 | $25 | 0.2× |
| Remote 30 Day Ecg Tech Supp (93229) | $1,988 | $1,988 | 5.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $61 | $61 | 1.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 5 matching MRF lines |
$146.30–$221 | $146.30–$221 | varies |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$52–$71 | $52–$71 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$45–$60 | $45–$60 | varies |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$293–$586 | $293–$586 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $684 | $684 | 3.5× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$444–$659 | $444–$659 | varies |
| Spirometry (94010) range across 3 matching MRF lines |
$42.70–$165 | $42.70–$165 | varies |
| Standardized Cognitive Performance Testing (96125) | $235 | $235 | 2.3× |
| Temp transcutaneous pacing (92953) | $498 | $498 | 0.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $65 | $65 | 2.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $62 | $62 | 2.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$64–$85 | $64–$85 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$40–$54 | $40–$54 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $112 | $112 | 0.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$44.10–$112 | $44.10–$112 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$120.40–$403 | $120.40–$403 | varies |
| Therapeutic Activities (97530) | $93 | $93 | 2.7× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$281–$425 | $281–$425 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$52.50–$92 | $52.50–$92 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$35–$92 | $35–$92 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$232–$351 | $232–$351 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$326–$493 | $326–$493 | varies |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$287–$2,334 | $287–$2,334 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $160 | $160 | 2.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$34–$112 | $34–$112 | varies |
| Unlisted cardiovascular service/procedure (93799) | $245 | $245 | 2.1× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$37–$224 | $37–$224 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$245–$372 | $245–$372 | varies |
| Vasopneumatic device (97016) | $39 | $39 | 3.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $2,043 | $2,043 | 3.7× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$47–$63 | $47–$63 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$34–$46 | $34–$46 | 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.