Visits & medical services prices at Lake Butler Hospital

Lake Butler, FL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$93.57–$136.53 $93.57–$136.53 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 12 matching MRF lines
$76.70–$93.57 $76.70–$93.57 varies
Assessment of aphasia per hr (96105) $478.61 $478.61 4.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$324.75–$349.75 $324.75–$349.75 varies
Canalith repositioning proc (95992) $147.26 $147.26 3.6×
Cardiopulmonary resuscitation (92950) $645.02 $645.02 2.9×
Cardioversion (92960) $493.95 $493.95 0.7×
Cbt 1st hour (94644)
range across 2 matching MRF lines
$225.09–$230.10 $225.09–$230.10 varies
Chest Wall Manipulation (94668) $101.24 $101.24 0.7×
Chron Care Mgmt Srvc 20 Min (99490) $133.34 $133.34 1.3×
Color/duplex Doppler, complete (93975)
range across 11 matching MRF lines
$136.48–$693.49 $136.48–$693.49 varies
Color/duplex Doppler, limited (93976) $150.33 $150.33 1.4×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $296.18 $296.18 1.6×
Continuous Pulse Ox (94762) $796.15 $796.15 5.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines
$162.84–$590.59 $162.84–$590.59 varies
Cpt initial (94667) $211.69 $211.69 1.5×
Critical care first hour (99291) $2,781.26 $2,781.26 3.2×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$107.38–$437.19 $107.38–$437.19 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,349.92 $1,349.92 5.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 10 matching MRF lines
$96.64–$1,349.92 $96.64–$1,349.92 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 10 matching MRF lines
$96.64–$1,349.92 $96.64–$1,349.92 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 4 matching MRF lines
$207.09–$1,070.26 $207.09–$1,070.26 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 5 matching MRF lines
$150.33–$2,012.61 $150.33–$2,012.61 varies
Duplex up extrem art bilat (93930)
range across 4 matching MRF lines
$349.75–$1,349.92 $349.75–$1,349.92 varies
Duplex up extrem art unilat/ltd (93931)
range across 10 matching MRF lines
$219.36–$777.74 $219.36–$777.74 varies
Eeg 41-60 Minutes (95812) $661.15 $661.15 2.9×
Electrical Stimulation Ea 15 Min (97032) $87.44 $87.44 5.9×
Electrocardiogram Tracing (93005) $402.38 $402.38 6.5×
Emergency Dept Visit Level 2 (99282) $936.92 $936.92 5.8×
Emergency Dept Visit Level 3 (99283) $1,123.36 $1,123.36 3.9×
Emergency Dept Visit Level 4 (99284) $1,681.50 $1,681.50 3.9×
Er level 1 (99281)
range across 4 matching MRF lines
$300.66–$599.44 $300.66–$599.44 varies
Er level v (99285)
range across 4 matching MRF lines
$1,467.92–$2,546.44 $1,467.92–$2,546.44 varies
Evaluate pt use of inhaler (94664) $96.64 $96.64 0.4×
Evaluate Speech Production (92522)
range across 18 matching MRF lines
$151.87–$312.94 $151.87–$312.94 varies
Evaluate Swallowing Function (92610) $460.20 $460.20 5.4×
Extracranial Bilat Study (93880)
range across 4 matching MRF lines
$319.07–$1,277.82 $319.07–$1,277.82 varies
Extracranial Uni/Ltd Study (93882) $319.07 $319.07 2.9×
Im Adm Intransl/Oral 1 Vaccine (90473) $131.92 $131.92 1.8×
Immunization administration (90471)
range across 2 matching MRF lines
$161.07–$250.16 $161.07–$250.16 varies
Iontophoresis 15 min (97033)
range across 12 matching MRF lines
$113.28–$147.26 $113.28–$147.26 varies
Irrig Drug Delivery Device (96523) $130.39 $130.39 2.1×
IV infusion hydration each additional hour (96361) $130.39 $130.39 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $352.82 $352.82 1.6×
IV infusion ther proph addl sequential to 1 hr (96367) $184.08 $184.08 2.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $136.88 $136.88 2.8×
IV push initial (96374) $250.16 $250.16 1.1×
Lwr Xtr Vasc Stdy Bilat (93924) $96.64 $96.64 0.4×
Mechanical chest wall oscillation per session (94669) $120.95 $120.95 0.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $237.77 $237.77 7.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $237.77 $237.77 6.5×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $575.25 $575.25 33.8×
Neuromuscular Reeducation (97112) $151.87 $151.87 4.6×
Oral Function Therapy (92526) $411.82 $411.82 4.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $214.76 $214.76 4.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $173.34 $173.34 3.8×
Ot Contrast Bath Ea 15 Min (97034) $82.84 $82.84 5.9×
Ot eval high complexity (97167) $472 $472 4.7×
Ot Eval Low Complex (97165) $429.52 $429.52 4.3×
Ot Eval Moderate Complexity (97166) $429.52 $429.52 4.3×
Ot manual therapy 15 min (97140)
range across 16 matching MRF lines
$15.81–$136.53 $15.81–$136.53 varies
Ot paraffin bath (97018) $84.37 $84.37 14.0×
Ot Re-Eval Est Plan Care (97168) $283.79 $283.79 4.1×
Physical Performance Test (97750)
range across 5 matching MRF lines
$115.64–$184.08 $115.64–$184.08 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $44.49 $44.49 0.9×
Pt Eval High Complex (97163) $444.86 $444.86 4.5×
Pt eval low complex 20 min (97161) $444.86 $444.86 4.5×
Pt Eval Mod Complex (97162) $444.86 $444.86 4.5×
Pt gait training 15 min (97116) $204.14 $204.14 7.0×
Pt mechanical traction (97012) $73.63 $73.63 5.1×
Pt Re-Eval Est Plan Care (97164) $299.13 $299.13 4.4×
Pulmonary Stress Testing (94618) $202.49 $202.49 1.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $876.74 $876.74 14.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $302.20 $302.20 1.4×
Self Care Mngment Training (97535)
range across 12 matching MRF lines
$160.38–$166.38 $160.38–$166.38 varies
Spirometry (94010) $174.88 $174.88 0.8×
Stress Tte Only (93350) $1,247.14 $1,247.14 2.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $168.74 $168.74 7.5×
Ther Ivntj Ea Addl 15 Min (97130) $168.74 $168.74 8.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $127.32 $127.32 4.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$44.49–$250.16 $44.49–$250.16 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$237.77–$674.96 $237.77–$674.96 varies
Therapeutic Activities (97530) $166.38 $166.38 4.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $64.90 $64.90 1.7×
Trans Care Mgmt 14 Day Disch (99495) $349.80 $349.80 2.5×
Trans Care Mgmt 7 Day Disch (99496) $476.95 $476.95 3.4×
Tte w/doppler, complete (93306)
range across 15 matching MRF lines
$314.47–$1,024.71 $314.47–$1,024.71 varies
Tte W/O Doppler Complete (93307)
range across 9 matching MRF lines
$314.47–$1,859.21 $314.47–$1,859.21 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $363.56 $363.56 4.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $184.08 $184.08 3.8×
Upr/L Xtremity Art 2 Levels (93922)
range across 4 matching MRF lines
$96.64–$498.55 $96.64–$498.55 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $96.64 $96.64 0.4×
Vent Mgmt Inpat Init Day (94002)
range across 3 matching MRF lines
$211.69–$392.35 $211.69–$392.35 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 3 matching MRF lines
$159.30–$837.56 $159.30–$837.56 varies
Vital capacity, total (94150)
range across 2 matching MRF lines
$49.09–$81.30 $49.09–$81.30 varies
Wheelchair Mgmt Ea 15 Min (97542) $187.15 $187.15 6.0×
Whirlpool Therapy (97022)
range across 18 matching MRF lines
$96.17–$161.07 $96.17–$161.07 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.