Visits & medical services prices at Mary Rutan Health
Bellefontaine, OH · every code in this section with a posted price and a Medicare benchmark.
176 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $233.60 | $292 | 1.1× |
| Airway Inhalation Treatment (94640) range across 15 matching MRF lines |
$33.60–$144.80 | $42–$181 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $146.40 | $183 | 1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $124 | $155 | 8.6× |
| Assessment of aphasia per hr (96105) | $350.40 | $438 | 3.6× |
| Behavral qualit analys voice (92524) | $413.60 | $517 | 3.8× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $177.60 | $222 | 2.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 5 matching MRF lines |
$132.80–$767.20 | $166–$959 | varies |
| Canalith repositioning proc (95992) | $151.20 | $189 | 3.7× |
| Car seat/bed test 60 min (94780) | $149.60 | $187 | 4.1× |
| Cardiac Stress Tst,Tracing Only (93017) range across 4 matching MRF lines |
$200–$1,383.20 | $250–$1,729 | varies |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$144–$943.20 | $180–$1,179 | varies |
| Cardiopulmonary resuscitation (92950) | $904.80 | $1,131 | 4.3× |
| Cardioversion (92960) range across 4 matching MRF lines |
$486.40–$3,306.40 | $608–$4,133 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$928.80–$18,574.40 | $1,161–$23,218 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $16,820 | $21,025 | 5.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $291.20 | $364 | 4.1× |
| Chemo IV infusion addl hr (96415) | $269.60 | $337 | 3.8× |
| Chemo IV push addl drug (96411) | $473.60 | $592 | 6.7× |
| Chemother Prolong Infuse W/Pump (96416) | $776.80 | $971 | 2.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $269.60 | $337 | 3.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $991.20 | $1,239 | 3.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $586.40 | $733 | 1.8× |
| Chest Wall Manipulation (94668) | $120.80 | $151 | 0.9× |
| Color/duplex Doppler, complete (93975) | $1,381.60 | $1,727 | 5.9× |
| Color/duplex Doppler, limited (93976) | $606.40 | $758 | 5.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $161.60 | $202 | 5.0× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $417.60 | $522 | 3.2× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $188.80 | $236 | 3.2× |
| Continuous Pulse Ox (94762) | $492 | $615 | 3.9× |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$673.60–$12,864 | $842–$16,080 | varies |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$517.60–$12,367.20 | $647–$15,459 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $382.40 | $478 | 1.8× |
| Cpt initial (94667) | $217.60 | $272 | 1.7× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$616–$3,399.20 | $770–$4,249 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $524 | $655 | 2.7× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,048 | $1,310 | 4.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$288–$1,055.20 | $360–$1,319 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$172–$657.60 | $215–$822 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$225.60–$1,499.20 | $282–$1,874 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$144–$999.20 | $180–$1,249 | varies |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$235.20–$1,240 | $294–$1,550 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 4 matching MRF lines |
$148.80–$657.60 | $186–$822 | varies |
| Echo Congenital Complete (93303) | $1,732 | $2,165 | 3.2× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$68–$924 | $85–$1,155 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$275.20–$1,836.80 | $344–$2,296 | varies |
| EEG awake and asleep (95819) | $890.40 | $1,113 | 4.2× |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$774.40–$2,171.20 | $968–$2,714 | varies |
| EEG cerebral death evaluation (95824) | $1,661.60 | $2,077 | 4.5× |
| EEG wo vid ea 12-26hr unmntr (95708) | $3,535.20 | $4,419 | 9.6× |
| Electrical Stimulation Ea 15 Min (97032) | $152 | $190 | 10.3× |
| Electrocardiogram Tracing (93005) range across 6 matching MRF lines |
$8.80–$274.40 | $11–$343 | varies |
| Emergency Dept Visit Level 2 (99282) range across 4 matching MRF lines |
$158.40–$627.20 | $198–$784 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$356–$972.80 | $445–$1,216 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$571.20–$1,552.80 | $714–$1,941 | varies |
| Er level 1 (99281) | $328 | $410 | 3.9× |
| Er level v (99285) range across 4 matching MRF lines |
$1,016.80–$2,224 | $1,271–$2,780 | varies |
| Evaluate pt use of inhaler (94664) | $216 | $270 | 1.0× |
| Evaluate Speech Production (92522) | $427.20 | $534 | 3.8× |
| Evaluate Swallowing Function (92610) range across 3 matching MRF lines |
$360.80–$568 | $451–$710 | varies |
| Evaluation of speech fluency (92521) | $515.20 | $644 | 3.9× |
| External Ecg Scanning Analysis Report (93226) | $611.20 | $764 | 10.5× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$94.40–$792.80 | $118–$991 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $844 | $1,055 | 4.2× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $892.80 | $1,116 | 3.9× |
| Group Therapeutic Procedures (97150) | $93.60 | $117 | 5.2× |
| Health Behavior Assessment/Re-Assessment (96156) | $203.20 | $254 | 2.0× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $203.20 | $254 | 1.2× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $1,073.60 | $1,342 | 0.3× |
| Holter monitor recording (93225) | $566.40 | $708 | 4.3× |
| Icd Device Interrogate (93289) | $146.40 | $183 | 4.0× |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$156.80–$196 | $196–$245 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$168.80–$207.20 | $211–$259 | varies |
| Icm Device Eval (93290) range across 2 matching MRF lines |
$48–$146.40 | $60–$183 | varies |
| Ilr Device Interrogate (93291) | $122.40 | $153 | 4.3× |
| Immunization administration (90471) range across 13 matching MRF lines |
$62.40–$70.40 | $78–$88 | varies |
| Inital newborn e/m (99460) | $228 | $285 | 1.7× |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$952.80–$3,464 | $1,191–$4,330 | varies |
| Interrogate Subq Defib (93261) | $139.20 | $174 | 3.8× |
| Iontophoresis 15 min (97033) | $124 | $155 | 6.5× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$68–$233.60 | $85–$292 | varies |
| IV infusion hydration each additional hour (96361) | $137.60 | $172 | 3.0× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$263.20–$490.40 | $329–$613 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 5 matching MRF lines |
$132.80–$227.20 | $166–$284 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 5 matching MRF lines |
$132.80–$137.60 | $166–$172 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$53.60–$300 | $67–$375 | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$760–$18,799.20 | $950–$23,499 | varies |
| Laryngeal Function Studies (92520) | $452 | $565 | 3.4× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$188.80–$446.40 | $236–$558 | varies |
| Mechanical chest wall oscillation per session (94669) | $122.40 | $153 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $79.20 | $99 | 2.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $100 | $125 | 2.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $43.20 | $54 | 2.5× |
| Methacholine challenge (94070) range across 3 matching MRF lines |
$80–$1,320 | $100–$1,650 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$108–$828.80 | $135–$1,036 | varies |
| Multiple Sleep Latency Test (95805) | $5,836.80 | $7,296 | 6.9× |
| Nasopharyngoscopy (92511) | $242.40 | $303 | 1.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $954.40 | $1,193 | 2.4× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $954.40 | $1,193 | 2.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$93.60–$524 | $117–$655 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$110.40–$954.40 | $138–$1,193 | varies |
| Neuromuscular Reeducation (97112) | $176.80 | $221 | 5.4× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$205.60–$348 | $257–$435 | varies |
| Oral Function Therapy (92526) | $398.40 | $498 | 4.7× |
| Oral Speech Device Eval (92597) range across 2 matching MRF lines |
$306.40–$443.20 | $383–$554 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $231.20 | $289 | 4.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $206.40 | $258 | 4.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $98.40 | $123 | 7.0× |
| Ot eval high complexity (97167) | $465.60 | $582 | 4.6× |
| Ot Eval Low Complex (97165) | $385.60 | $482 | 3.8× |
| Ot Eval Moderate Complexity (97166) | $428.80 | $536 | 4.3× |
| Ot manual therapy 15 min (97140) | $189.60 | $237 | 6.8× |
| Ot Re-Eval Est Plan Care (97168) | $296.80 | $371 | 4.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $231.20 | $289 | 1.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 3 matching MRF lines |
$217.60–$392 | $272–$490 | varies |
| Peripheral arterial disease rehab per session (93668) | $256.80 | $321 | 4.4× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 10 matching MRF lines |
$1,392.80–$16,455.20 | $1,741–$20,569 | varies |
| Phlebotomy therapeutic (99195) | $222.40 | $278 | 1.7× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $231.20 | $289 | 4.0× |
| Physical Performance Test (97750) | $189.60 | $237 | 5.6× |
| Plethysmography (94726) range across 2 matching MRF lines |
$65.60–$303.20 | $82–$379 | varies |
| Pm device eval in person (93288) | $146.40 | $183 | 4.0× |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$104.80–$193.60 | $131–$242 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$126.40–$196 | $158–$245 | varies |
| Pm Device Progr Eval Sngl (93279) | $193.60 | $242 | 5.3× |
| Pm/Icd Remote Tech Serv (93296) | $146.40 | $183 | 4.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$2,840–$6,419.20 | $3,550–$8,024 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$120–$196 | $150–$245 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $17.60 | $22 | 0.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 10 matching MRF lines |
$1,631.20–$25,709.60 | $2,039–$32,137 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 9 matching MRF lines |
$1,599.20–$25,709.60 | $1,999–$32,137 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $189.60 | $237 | 5.0× |
| Pt Eval High Complex (97163) | $465.60 | $582 | 4.8× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$192.80–$385.60 | $241–$482 | varies |
| Pt Eval Mod Complex (97162) | $428.80 | $536 | 4.4× |
| Pt gait training 15 min (97116) | $146.40 | $183 | 5.0× |
| Pt mechanical traction (97012) | $124 | $155 | 8.6× |
| Pt Re-Eval Est Plan Care (97164) | $296.80 | $371 | 4.4× |
| Pulmonary service/procedure (94799) | $108.80 | $136 | 0.9× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$74.40–$217.60 | $93–$272 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$647.20–$18,007.20 | $809–$22,509 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $494.40 | $618 | 13.4× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$321.60–$11,827.20 | $402–$14,784 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $524 | $655 | 2.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $536 | $670 | 4.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $222.40 | $278 | 4.7× |
| Same day nb discharge (99463) | $272 | $340 | 2.1× |
| Self Care Mngment Training (97535) | $178.40 | $223 | 5.5× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$156.80–$946.40 | $196–$1,183 | varies |
| Speech sound lang comprehen (92523) | $782.40 | $978 | 3.5× |
| Spirometry (94010) range across 5 matching MRF lines |
$79.20–$412.80 | $99–$516 | varies |
| Standardized Cognitive Performance Testing (96125) | $486.40 | $608 | 4.7× |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$291.20–$1,849.60 | $364–$2,312 | varies |
| Temp transcutaneous pacing (92953) | $2,224 | $2,780 | 3.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $140.80 | $176 | 6.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $132 | $165 | 6.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $197.60 | $247 | 5.3× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $409.60 | $512 | 4.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$62.40–$175.20 | $78–$219 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$274.40–$490.40 | $343–$613 | varies |
| Therapeutic Activities (97530) range across 5 matching MRF lines |
$110.40–$178.40 | $138–$223 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$223.20–$1,515.20 | $279–$1,894 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $66.40 | $83 | 1.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $66.40 | $83 | 1.8× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$280.80–$1,836.80 | $351–$2,296 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$154.40–$319.20 | $193–$399 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$48–$150.40 | $60–$188 | varies |
| Tympanometry (92567) | $76.80 | $96 | 2.1× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$248.80–$352.80 | $311–$441 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$362.40–$446.40 | $453–$558 | varies |
| Vasopneumatic device (97016) | $124 | $155 | 10.3× |
| Vent Mgmt Inpat Init Day (94002) | $1,009.60 | $1,262 | 1.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $925.60 | $1,157 | 1.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $162.40 | $203 | 5.2× |
| Whirlpool Therapy (97022) | $122.40 | $153 | 7.8× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $290.40 | $363 | 5.0× |
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.