Visits & medical services prices at Lucas County Health Center
Chariton, IA · every code in this section with a posted price and a Medicare benchmark.
102 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$61.20–$108 | $68–$120 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $83.70 | $93 | 5.8× |
| Assessment of aphasia per hr (96105) | $405.90 | $451 | 4.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $450 | $500 | 1.3× |
| Canalith repositioning proc (95992) | $95.40 | $106 | 2.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $684.90 | $761 | 3.3× |
| Cardiopulmonary resuscitation (92950) | $473.40 | $526 | 2.3× |
| Cardioversion (92960) | $239.40 | $266 | 0.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $121.50 | $135 | 1.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $121.50 | $135 | 1.8× |
| Chemo IV infusion addl hr (96415) | $103.50 | $115 | 1.5× |
| Chemo IV push addl drug (96411) | $90 | $100 | 1.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $180 | $200 | 2.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $190.80 | $212 | 0.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $121.50 | $135 | 0.4× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$91.80–$105.30 | $102–$117 | varies |
| Color/duplex Doppler, complete (93975) | $800.10 | $889 | 3.5× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $324 | $360 | 2.5× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $162 | $180 | 2.9× |
| Continuous Pulse Ox (94762) | $441 | $490 | 3.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$270–$639 | $300–$710 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$105.30–$117 | $117–$130 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$543.60–$1,602 | $604–$1,780 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$204.30–$219.60 | $227–$244 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $800.10 | $889 | 3.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,201.50 | $1,335 | 5.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $675.90 | $751 | 6.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,201.50 | $1,335 | 5.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $556.20 | $618 | 5.5× |
| Duplex up extrem art unilat/ltd (93931) | $675.90 | $751 | 6.7× |
| Echo Heart Xthoracic,Limited (93308) | $1,006.20 | $1,118 | 4.4× |
| Electrical Stimulation Ea 15 Min (97032) | $83.70 | $93 | 5.7× |
| Electrocardiogram Tracing (93005) | $135 | $150 | 2.4× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$149.40–$285.30 | $166–$317 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$190.80–$531.90 | $212–$591 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$232.20–$726.30 | $258–$807 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$101.70–$191.70 | $113–$213 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$346.50–$1,033.20 | $385–$1,148 | varies |
| Evaluate Swallowing Function (92610) | $352.80 | $392 | 4.2× |
| External ECG rec>48hr<7d recording (93242) | $531 | $590 | 14.8× |
| External ECG rec>7d<15d recording (93246) | $576 | $640 | 16.0× |
| External Ecg Scanning Analysis Report (93226) | $585 | $650 | 10.3× |
| Extracranial Bilat Study (93880) | $1,006.20 | $1,118 | 4.4× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$315–$486 | $350–$540 | varies |
| Immunization administration (90471) | $73.80 | $82 | 1.1× |
| Iontophoresis 15 min (97033) | $83.70 | $93 | 4.4× |
| Irrig Drug Delivery Device (96523) | $70.20 | $78 | 1.2× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$67.50–$108 | $75–$120 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $108 | $120 | 0.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 7 matching MRF lines |
$67.50–$144 | $75–$160 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$67.50–$72 | $75–$80 | varies |
| IV push initial (96374) | $67.50 | $75 | 0.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $36 | $40 | 1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $54 | $60 | 1.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$67.50–$132.30 | $75–$147 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$72–$219.60 | $80–$244 | varies |
| Neuromuscular Reeducation (97112) | $83.70 | $93 | 2.6× |
| Oral Function Therapy (92526) | $352.80 | $392 | 4.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $83.70 | $93 | 1.8× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $73.80 | $82 | 3.6× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $95.40 | $106 | 4.6× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $116.10 | $129 | 5.6× |
| Ot eval high complexity (97167) | $200.70 | $223 | 2.0× |
| Ot Eval Low Complex (97165) | $200.70 | $223 | 2.0× |
| Ot Eval Moderate Complexity (97166) | $200.70 | $223 | 2.0× |
| Ot manual therapy 15 min (97140) | $83.70 | $93 | 3.0× |
| Ot Re-Eval Est Plan Care (97168) | $135 | $150 | 2.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $175.50 | $195 | 1.4× |
| Phlebotomy therapeutic (99195) | $168.30 | $187 | 1.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $175.50 | $195 | 3.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $175.50 | $195 | 3.1× |
| Physical Performance Test (97750) | $90 | $100 | 2.7× |
| Plethysmography (94726) | $270 | $300 | 0.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,880 | $3,200 | 3.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $18 | $20 | 0.4× |
| Pt Eval High Complex (97163) | $200.70 | $223 | 2.1× |
| Pt eval low complex 20 min (97161) | $200.70 | $223 | 2.1× |
| Pt Eval Mod Complex (97162) | $200.70 | $223 | 2.1× |
| Pt gait training 15 min (97116) | $83.70 | $93 | 2.9× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $45 | $50 | 1.2× |
| Pulmonary Stress Testing (94618) | $450 | $500 | 3.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$180–$225 | $200–$250 | varies |
| Self Care Mngment Training (97535) | $83.70 | $93 | 2.6× |
| Sensory Integration Ea 15 Min (97533) | $72 | $80 | 1.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $675 | $750 | 3.3× |
| Spirometry (94010) | $216 | $240 | 1.0× |
| Standardized Cognitive Performance Testing (96125) | $301.50 | $335 | 2.9× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $352.80 | $392 | 15.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $352.80 | $392 | 16.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $95.40 | $106 | 3.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $67.50 | $75 | 1.0× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 5 matching MRF lines |
$67.50–$144 | $75–$160 | varies |
| Therapeutic Activities (97530) | $83.70 | $93 | 2.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $67.50 | $75 | 1.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $22.50 | $25 | 0.6× |
| Trans Care Mgmt 14 Day Disch (99495) | $216 | $240 | 1.7× |
| Trans Care Mgmt 7 Day Disch (99496) | $301.50 | $335 | 2.4× |
| Tte w/doppler, complete (93306) | $1,249.20 | $1,388 | 2.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $352.80 | $392 | 4.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$67.50–$72 | $75–$80 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $718.20 | $798 | 5.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $63 | $70 | 2.0× |
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.