Visits & medical services prices at Lake Martin Community Hospital

Dadeville, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $30 $40 0.2×
Cardiac Stress Tst,Tracing Only (93017) $57.75 $77 0.3×
Cardiopulmonary resuscitation (92950) $319.12 $425.50 1.7×
Cardioversion (92960) $155.62 $207.50 0.3×
Color/duplex Doppler, complete (93975) $286.50 $382 1.4×
Cpap initiation and management (94660) $28.50 $38 0.2×
Critical care (99291) $406.50 $542 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $170.25 $227 1.0×
Demo &/or eval,pt use,aerosol device (94664) $28.50 $38 0.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $415.50 $554 2.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $415.50 $554 4.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $415.50 $554 4.6×
Dup-scan xtr veins unilateral/limited study (93971) $210 $280 2.3×
Duplex scan extracranial art compl bi study (93880) $344.25 $459 1.7×
EEG awake drowsy (95816) $626.25 $835 3.3×
EKG (93005) $14.25 $19 0.3×
EMG cranial nerve bilat (95868) $249 $332 1.3×
EMG cranial nerve unilat (95867) $189 $252 1.0×
EMG four extremities (95864) $438.75 $585 3.9×
EMG one extremity (95860) $210.75 $281 1.8×
EMG three extremities (95863) $375 $500 3.4×
Er level 1 (99281) $41.25 $55 0.6×
Er level ii (99282) $80.25 $107 0.6×
Er level iii (99283) $120 $160 0.5×
Er level IV (99284) $219.75 $293 0.6×
Er level v (99285) $318.75 $425 0.6×
External Ecg Scanning Analysis Report (93226) $61.50 $82 1.2×
Group Therapeutic Procedures (97150) $33 $44 1.8×
Holter Monitor Recording (93225) $42 $56 0.4×
Immunization Admin (90471) $28.12 $37.50 0.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $47.25 $63 0.9×
IV infusion hydration each additional hour (96361) $23.25 $31 0.6×
IV infusion hydration initial 31 min-1 hour (96360) $57 $76 0.3×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $53.25 $71 0.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $142.50 $190 0.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $37.88 $50.50 0.9×
IV push initial (96374) $67.50 $90 0.4×
Manual therapy 15 min (97140) $51 $68 1.8×
Massage 15 min (97124) $52.50 $70 1.8×
Maximum voluntary ventilation (94200) $36.75 $49 0.7×
Mechanical traction (97012) $27.75 $37 1.9×
Multiple sleep latency test (95805) $711.75 $949 1.0×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $87.75 $117 1.9×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $59.25 $79 1.8×
Ot Contrast Bath Ea 15 Min (97034) $27 $36 1.9×
Ot Prosthetic Training, Each 15 Min (97761) $75 $100 1.9×
Ot Range Motion Measure,Each Extrem (95851) $38.25 $51 1.5×
Paraffin bath (97018) $10.50 $14 1.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,098.75 $1,465 1.5×
Pt Aquatic Therapy/Exercises (97113) $69.75 $93 1.9×
Pt Electric Current Therapy (97033) $45.38 $60.50 2.4×
Pt Electrical Stimulation (97032) $22.88 $30.50 1.6×
Pt Gait Training Therapy (97116) $54.75 $73 1.9×
Pt Infrared Therapy (97026) $11.25 $15 1.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $63.75 $85 1.9×
Pt Physical Performance Test (97750) $63 $84 1.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $61.50 $82 1.9×
Pt Ultrasound Therapy (97035) $21.38 $28.50 1.5×
Pt Whirlpool Therapy (97022) $36 $48 2.3×
Rom meas&reprt hand w/wo comparison normal sid (95852) $33 $44 1.5×
Sc Ther Infusion Reset Pump (96371) $107.25 $143 1.7×
Sleep study unattended (95806) $204.75 $273 1.1×
Stress echo (93350) $332.25 $443 0.7×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $27 $36 0.7×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $271.50 $362 1.5×
Temp transcutaneous pacing (92953) $1.50 $2 0.0×
Ther/Proph/Diag Inj Sc/Im (96372) $28.12 $37.50 0.5×
Therapeutic Activities (97530) $70.50 $94 2.0×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $363 $484 0.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $23.25 $31 0.6×
Vasc Duplex Extrem Venous,Bilat (93970) $357.75 $477 1.7×
Vasopneumatic device (97016) $22.50 $30 1.9×
Wheelchair Mgmt Ea 15 Min (97542) $60 $80 1.9×