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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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $30 $40 0.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$16.50–$26.25 $22–$35 varies
Application Modality 1/> Areas Infrared (97026) $11.25 $15 1.7×
Cardiac Stress Tst,Tracing Only (93017) $57.75 $77 0.3×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$290.25–$348 $387–$464 varies
Cardioversion (92960)
range across 2 matching MRF lines
$110.25–$201 $147–$268 varies
Color/duplex Doppler, complete (93975) $286.50 $382 1.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $59.25 $79 1.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $28.50 $38 0.2×
Critical care first hour (99291) $406.50 $542 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $170.25 $227 1.0×
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)
range across 4 matching MRF lines
$258–$415.50 $344–$554 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$336–$379.50 $448–$506 varies
Dup-scan xtr veins unilateral/limited study (93971) $210 $280 2.3×
Duplex up extrem art unilat/ltd (93931) $415.50 $554 4.6×
EEG awake drowsy (95816) $626.25 $835 3.3×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$18.75–$27 $25–$36 varies
Electrocardiogram Tracing (93005) $14.25 $19 0.3×
Emergency Dept Visit Level 2 (99282) $80.25 $107 0.6×
Emergency Dept Visit Level 3 (99283) $120 $160 0.5×
Emergency Dept Visit Level 4 (99284) $219.75 $293 0.6×
Emg 3 Extremities (95863) $375 $500 3.4×
Emg 4 Extremities (95864) $438.75 $585 3.9×
Er level 1 (99281) $41.25 $55 0.6×
Er level v (99285) $318.75 $425 0.6×
Evaluate pt use of inhaler (94664) $28.50 $38 0.2×
External Ecg Scanning Analysis Report (93226) $61.50 $82 1.2×
Extracranial Bilat Study (93880) $344.25 $459 1.7×
Group Therapeutic Procedures (97150) $33 $44 1.8×
Holter monitor recording (93225) $42 $56 0.4×
Immunization administration (90471)
range across 2 matching MRF lines
$24.75–$31.50 $33–$42 varies
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$37.50–$53.25 $50–$71 varies
Irrig Drug Delivery Device (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)
range across 2 matching MRF lines
$55.50–$58.50 $74–$78 varies
IV infusion ther proph addl sequential to 1 hr (96367) $53.25 $71 0.9×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$37.50–$38.25 $50–$51 varies
IV push initial (96374) $67.50 $90 0.4×
Lung Function Test (Mbc/Mvv) (94200) $36.75 $49 0.7×
Multiple Sleep Latency Test (95805) $711.75 $949 1.0×
Muscle Test One Limb (95860) $210.75 $281 1.8×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $249 $332 1.3×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $189 $252 1.0×
Neuromuscular Reeducation (97112) $63.75 $85 1.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $87.75 $117 1.9×
Ot Contrast Bath Ea 15 Min (97034) $27 $36 1.9×
Ot manual therapy 15 min (97140) $51 $68 1.8×
Ot paraffin bath (97018) $10.50 $14 1.7×
Ot Prosthetic Training, Each 15 Min (97761) $75 $100 1.9×
Ot rom hand (95852) $33 $44 1.5×
Physical Performance Test (97750) $63 $84 1.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,098.75 $1,465 1.5×
Pt gait training 15 min (97116) $54.75 $73 1.9×
Pt mechanical traction (97012) $27.75 $37 1.9×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $38.25 $51 1.5×
Self Care Mngment Training (97535) $61.50 $82 1.9×
Sleep study unattended (95806) $204.75 $273 1.1×
Stress Tte Only (93350) $332.25 $443 0.7×
Subcutaneous Infusion Each Additional Hour (96370) $27 $36 0.7×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $271.50 $362 1.5×
Subq Infusion Additional Pump Infusion Site (96371) $107.25 $143 1.7×
Temp transcutaneous pacing (92953) $1.50 $2 0.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $69.75 $93 1.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $52.50 $70 1.8×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$24.75–$130.50 $33–$174 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$121.50–$144.75 $162–$193 varies
Therapeutic Activities (97530) $70.50 $94 2.0×
Tte w/doppler, complete (93306) $363 $484 0.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $23.25 $31 0.6×
Vasopneumatic device (97016) $22.50 $30 1.9×
Wheelchair Mgmt Ea 15 Min (97542) $60 $80 1.9×
Whirlpool Therapy (97022)
range across 2 matching MRF lines
$31.50–$40.50 $42–$54 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.