Visits & medical services prices at Macon Community Hospital

Lafayette, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $366.12 $610.20 1.7×
Assessment of aphasia (96105) $160.68 $267.80 1.7×
Behavioral and qualitative analysis of voice and resonance (92524) $182.76 $304.60 1.7×
Bfb training 1st 15 min (90912) $129.84 $216.40 1.6×
Bfb training ea addl 15 min (90913) $53.04 $88.40 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $560.52 $934.20 1.6×
Canalith Repositioning (95992) $70.20 $117 1.7×
Cardiac Stress Tst,Tracing Only (93017) $560.52 $934.20 2.7×
Cardiopulmonary resuscitation (92950) $560.52 $934.20 2.7×
Cardioversion (92960) $1,177.86 $1,963.10 1.9×
Cbt 1st hour (94644) $232.02 $386.70 1.8×
Color/duplex Doppler, limited (93976) $311.28 $518.80 3.1×
Cpap initiation and management (94660) $366.12 $610.20 1.7×
Cpt initial (94667) $232.02 $386.70 1.8×
Critical care (99291) $1,516.68 $2,527.80 1.9×
Debridement Open Wound 20 Sq Cm< (97597) $357.66 $596.10 1.9×
Demo &/or eval,pt use,aerosol device (94664) $366.12 $610.20 1.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $580.14 $966.90 2.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $277.56 $462.60 2.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $580.14 $966.90 2.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $256.98 $428.30 2.6×
Dup-scan xtr veins unilateral/limited study (93971) $255.24 $425.40 2.5×
Duplex scan extracranial art compl bi study (93880) $580.14 $966.90 2.5×
Echo transesophageal (93312) $1,315.92 $2,193.20 2.5×
EKG (93005) $106.92 $178.20 1.9×
EKG rhythm strip (93041) $106.92 $178.20 1.9×
Er level 1 (99281) $158.52 $264.20 2.0×
Er level ii (99282) $285.06 $475.10 1.9×
Er level iii (99283) $498.42 $830.70 1.9×
Er level IV (99284) $766.50 $1,277.50 1.9×
Er level v (99285) $1,103.58 $1,839.30 1.9×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $121.56 $202.60 1.7×
Evaluation of speech fluency (92521) $223.32 $372.20 1.7×
Evaluation of speech sound production (92522) $185.70 $309.50 1.7×
Evaluation of swallowing function (92610) $141.66 $236.10 1.7×
Evaluation with prescription of speech-generating alternative (92607) $205.50 $342.50 1.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $364.98 $608.30 2.9×
External Ecg Scanning Analysis Report (93226) $106.92 $178.20 1.9×
Group Therapeutic Procedures (97150) $29.70 $49.50 1.6×
Holter Monitor Recording (93225) $232.02 $386.70 1.8×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $74.76 $124.60 1.9×
Immunization Admin (90471) $128.10 $213.50 1.9×
Injection intra arterial (96373) $379.26 $632.10 1.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $106.92 $178.20 1.9×
IV infusion hydration each additional hour (96361) $83.04 $138.40 1.8×
IV infusion hydration initial 31 min-1 hour (96360) $379.26 $632.10 1.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $128.10 $213.50 1.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $379.26 $632.10 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $83.04 $138.40 1.8×
IV push initial (96374) $379.26 $632.10 1.9×
Manual therapy 15 min (97140) $49.86 $83.10 1.8×
Massage 15 min (97124) $49.92 $83.20 1.7×
Mechanical traction (97012) $24.24 $40.40 1.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $52.62 $87.70 1.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $60.42 $100.70 1.6×
Mnt Group Ea 30 Min (97804) $27.90 $46.50 1.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $150.54 $250.90 1.6×
Multiple sleep latency test (95805) $1,273.44 $2,122.40 1.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $309.36 $515.60 2.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $375.48 $625.80 1.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $281.64 $469.40 2.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $76.92 $128.20 1.7×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $53.82 $89.70 1.7×
Ot eval high complex 60 min (97167) $170.76 $284.60 1.7×
Ot eval low complex 30 min (97165) $170.76 $284.60 1.7×
Ot eval mod complex 45 min (97166) $170.76 $284.60 1.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $83.58 $139.30 1.7×
Ot Prosthetic Training, Each 15 Min (97761) $68.04 $113.40 1.7×
Ot Range Motion Measure,Each Extrem (95851) $38.82 $64.70 1.5×
Ot re-eval est plan care (97168) $117.36 $195.60 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $453.30 $755.50 3.7×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $226.62 $377.70 1.8×
Paraffin bath (97018) $10.08 $16.80 1.7×
Phy/qhp op pulm rhb w/mntr (94626) $134.04 $223.40 2.4×
Phy/qhp op pulm rhb w/o mntr (94625) $122.40 $204 2.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,441.76 $4,069.60 3.0×
Pt Electrical Stimulation (97032) $24.24 $40.40 1.6×
Pt eval high complex 45 min (97163) $166.56 $277.60 1.7×
Pt eval low complex 20 min (97161) $166.56 $277.60 1.7×
Pt Gait Training Therapy (97116) $48.96 $81.60 1.7×
Pt Infrared Therapy (97026) $11.10 $18.50 1.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $54.48 $90.80 1.7×
Pt Physical Performance Test (97750) $56.28 $93.80 1.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $166.56 $277.60 1.7×
Pt re-evaluation (97164) $114.42 $190.70 1.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $54.18 $90.30 1.7×
Pt Ultrasound Therapy (97035) $23.52 $39.20 1.6×
Pulm function test by gas (94727) $281.64 $469.40 1.4×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $67.14 $111.90 1.9×
Rom meas&reprt hand w/wo comparison normal sid (95852) $32.82 $54.70 1.5×
Rt Chest Wall Manipulation,Subsequent (94668) $232.02 $386.70 1.8×
Sensory Integration Ea 15 Min (97533) $100.26 $167.10 1.6×
Sleep study unattended (95806) $375.48 $625.80 1.8×
Speech sound lang comprehen (92523) $381.72 $636.20 1.7×
Spirometry (94010) $281.64 $469.40 1.4×
Standardized Cognitive Performance Testing (96125) $169.98 $283.30 1.7×
Stress echo (93350) $1,315.92 $2,193.20 2.5×
Temp transcutaneous pacing (92953) $1,177.86 $1,963.10 1.9×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $37.80 $63 1.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $36.12 $60.20 1.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $171.06 $285.10 1.7×
Ther/Proph/Diag Inj Sc/Im (96372) $128.10 $213.50 1.9×
Therapeutic Activities (97530) $68.52 $114.20 2.0×
Therapeutic phlebotomy (99195) $464.04 $773.40 3.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,315.92 $2,193.20 2.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $128.28 $213.80 1.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $141.06 $235.10 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $83.04 $138.40 1.8×
Unlisted pulmonary service/procedure (94799) $281.64 $469.40 2.3×
Vasc Duplex Extrem Venous,Bilat (93970) $580.14 $966.90 2.5×
Wheelchair Mgmt Ea 15 Min (97542) $52.26 $87.10 1.7×