Visits & medical services prices at Livingston Hospital

Salem, KY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Advncd Care Plan 30 Min (99497) $117.30 $195.50 1.2×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$26.55–$30.45 $44.25–$50.75 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $67.50 $112.50 4.7×
Behavral qualit analys voice (92524) $156.60 $261 1.4×
Brief Emotional/Behav Assmt (96127) $6.60 $11 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $753.75 $1,256.25 2.2×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$445.80–$459.15 $743–$765.25 varies
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$463.95–$1,152.45 $773.25–$1,920.75 varies
Cardioversion (92960)
range across 6 matching MRF lines
$137.40–$1,145.55 $229–$1,909.25 varies
Chest Wall Manipulation (94668) $40.65 $67.75 0.3×
Color/duplex Doppler, complete (93975) $562.05 $936.75 2.5×
Color/duplex Doppler, limited (93976) $268.20 $447 2.7×
Continuous Pulse Ox (94762) $207.30 $345.50 1.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,386.45 $2,310.75 6.7×
Cpt initial (94667)
range across 3 matching MRF lines
$37.50–$118.20 $62.50–$197 varies
Critical care first hour (99291)
range across 2 matching MRF lines
$1,033.95–$1,580.10 $1,723.25–$2,633.50 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$28.50–$197.40 $47.50–$329 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,053.75 $1,756.25 4.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,023.90 $1,706.50 10.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,001.10 $1,668.50 4.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $566.10 $943.50 5.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,001.10 $1,668.50 4.5×
Dup-scan xtr veins unilateral/limited study (93971) $777.75 $1,296.25 7.9×
Duplex up extrem art bilat (93930) $900.30 $1,500.50 4.0×
Duplex up extrem art unilat/ltd (93931) $450.45 $750.75 4.6×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$40.05–$654.60 $66.75–$1,091 varies
Echo transesophageal (93312) $1,238.70 $2,064.50 2.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $133.05 $221.75 0.3×
Electrical Stimulation Ea 15 Min (97032)
range across 4 matching MRF lines
$20.25–$88.20 $33.75–$147 varies
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$14.55–$150.45 $24.25–$250.75 varies
Emergency Dept Visit Level 2 (99282) $164.85 $274.75 1.1×
Emergency Dept Visit Level 3 (99283) $334.95 $558.25 1.3×
Emergency Dept Visit Level 4 (99284)
range across 4 matching MRF lines
$195.45–$521.85 $325.75–$869.75 varies
Er level 1 (99281) $89.55 $149.25 1.1×
Er level v (99285) $890.40 $1,484 1.6×
Esophgl Balo Distension Dx Std W/Provocation (91040)
range across 6 matching MRF lines
$73.80–$774.60 $123–$1,291 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$90.75–$129 $151.25–$215 varies
Evaluate Speech Production (92522)
range across 2 matching MRF lines
$220.20–$314.25 $367–$523.75 varies
Evaluate Swallowing Function (92610)
range across 3 matching MRF lines
$146.55–$150.90 $244.25–$251.50 varies
Evaluation of speech fluency (92521) $207.60 $346 1.6×
External ECG rec>48hr<7d recording (93242) $19.05 $31.75 0.5×
External ECG rec>7d<15d recording (93246) $19.05 $31.75 0.5×
External Ecg Scanning Analysis Report (93226) $326.55 $544.25 5.9×
Extracranial Bilat Study (93880) $827.10 $1,378.50 3.7×
Extracranial Uni/Ltd Study (93882) $550.05 $916.75 5.6×
Gastroesophag reflx test w/telemtry ph eltrd (91035)
range across 3 matching MRF lines
$122.40–$667.80 $204–$1,113 varies
Holter monitor recording (93225)
range across 2 matching MRF lines
$429.90–$442.80 $716.50–$738 varies
Icd Device Interrogate (93289)
range across 2 matching MRF lines
$55.65–$58.95 $92.75–$98.25 varies
Ilr Device Eval Progr (93285)
range across 2 matching MRF lines
$41.40–$54.45 $69–$90.75 varies
Ilr Device Interrogate (93291)
range across 2 matching MRF lines
$28.80–$49.20 $48–$82 varies
Immunization administration (90471)
range across 3 matching MRF lines
$31.20–$31.35 $52–$52.25 varies
Interrogate Subq Defib (93261)
range across 2 matching MRF lines
$51.75–$58.95 $86.25–$98.25 varies
Iontophoresis 15 min (97033) $75.15 $125.25 3.9×
Irrig Drug Delivery Device (96523) $58.95 $98.25 1.1×
IV infusion hydration each additional hour (96361) $57.75 $96.25 1.3×
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$115.05–$118.50 $191.75–$197.50 varies
IV infusion ther proph addl sequential to 1 hr (96367) $99 $165 1.5×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$70.80–$72.90 $118–$121.50 varies
IV push initial (96374) $145.95 $243.25 0.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $25.05 $41.75 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $25.05 $41.75 0.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$19.80–$31.20 $33–$52 varies
Nerve Conduction Studies 1-2 Studies (95907)
range across 2 matching MRF lines
$67.35–$91.80 $112.25–$153 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 2 matching MRF lines
$83.40–$114.45 $139–$190.75 varies
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines
$100.05–$137.70 $166.75–$229.50 varies
Neuromuscular Reeducation (97112)
range across 4 matching MRF lines
$71.40–$80.40 $119–$134 varies
Nonphysician Telephone Assessment 11-20 Min (98967)
range across 2 matching MRF lines
$17.55–$21.15 $29.25–$35.25 varies
Oral Function Therapy (92526)
range across 2 matching MRF lines
$149.85–$154.35 $249.75–$257.25 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $70.95 $118.25 1.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 3 matching MRF lines
$65.55–$71.40 $109.25–$119 varies
Ot Contrast Bath Ea 15 Min (97034) $67.50 $112.50 4.8×
Ot eval high complexity (97167) $209.25 $348.75 2.1×
Ot Eval Low Complex (97165) $204.60 $341 2.0×
Ot Eval Moderate Complexity (97166) $207.90 $346.50 2.1×
Ot manual therapy 15 min (97140) $69.90 $116.50 2.5×
Ot paraffin bath (97018) $58.95 $98.25 9.8×
Ot Prosthetic Training, Each 15 Min (97761)
range across 3 matching MRF lines
$57.90–$70.65 $96.50–$117.75 varies
Ot Re-Eval Est Plan Care (97168) $143.10 $238.50 2.1×
Ot rom hand (95852)
range across 2 matching MRF lines
$4.35–$5.25 $7.25–$8.75 varies
Phlebotomy therapeutic (99195) $87.90 $146.50 0.7×
Physical Performance Test (97750) $52.20 $87 1.5×
Pm device eval in person (93288)
range across 2 matching MRF lines
$33.30–$55.05 $55.50–$91.75 varies
Pm/Icd Remote Tech Serv (93296) $34.05 $56.75 1.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$9.60–$9.90 $16–$16.50 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines
$17.55–$18.15 $29.25–$30.25 varies
Psych diag eval w/med srvcs (90792)
range across 2 matching MRF lines
$145.50–$348.60 $242.50–$581 varies
Psychoanalysis (90845) $91.05 $151.75 0.5×
Psytx Crisis Initial 60 Min (90839) $133.05 $221.75 0.8×
Pt Eval High Complex (97163) $303.90 $506.50 3.1×
Pt eval low complex 20 min (97161) $264.30 $440.50 2.7×
Pt Eval Mod Complex (97162) $287.10 $478.50 2.9×
Pt gait training 15 min (97116) $67.50 $112.50 2.3×
Pt mechanical traction (97012) $67.50 $112.50 4.7×
Pt Re-Eval Est Plan Care (97164) $179.40 $299 2.7×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $9.90 $16.50 0.3×
Pulm function test by gas (94727) $85.65 $142.75 0.4×
Pulmonary Stress Testing (94618) $83.40 $139 0.7×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $42 $70 1.2×
Self Care Mngment Training (97535)
range across 3 matching MRF lines
$60.75–$92.40 $101.25–$154 varies
Speech sound lang comprehen (92523)
range across 2 matching MRF lines
$317.10–$317.13 $528.50–$528.55 varies
Spirometry (94010) $326.25 $543.75 1.6×
Stress Tte Only (93350) $609.90 $1,016.50 1.2×
Temp transcutaneous pacing (92953) $66.90 $111.50 0.1×
Ther/Prop/Diag Inj/Inf Proc (96379) $70.65 $117.75 1.6×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$6.45–$57.75 $10.75–$96.25 varies
Ther/Proph/Diag Iv Inf Init (96365) $145.95 $243.25 0.7×
Therapeutic Activities (97530)
range across 3 matching MRF lines
$67.50–$78.90 $112.50–$131.50 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $146.25 $243.75 0.4×
Tobacco Use Cessation Intensive >10 Minutes (99407) $36.90 $61.50 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $20.55 $34.25 0.6×
Trans Care Mgmt 14 Day Disch (99495) $218.10 $363.50 1.7×
Trans Care Mgmt 7 Day Disch (99496) $313.65 $522.75 2.5×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $85.20 $142 2.4×
Tte w/doppler, complete (93306)
range across 3 matching MRF lines
$110.85–$1,752.30 $184.75–$2,920.50 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$123.60–$182.70 $206–$304.50 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $88.20 $147 2.0×
Tympanometry (92567) $42.75 $71.25 1.2×
Vent Mgmt Inpat Init Day (94002) $1,365 $2,275 2.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,062.75 $1,771.25 1.8×
Wheelchair Mgmt Ea 15 Min (97542)
range across 4 matching MRF lines
$44.55–$68.40 $74.25–$114 varies
Whirlpool Therapy (97022) $107.10 $178.50 6.8×

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.