Visits & medical services prices at Massac Memorial Hospital

Metropolis, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $137.20 $196 1.0×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$70–$75.60 $100–$108 varies
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$14–$193.90 $20–$277 varies
Analyze neurostim complex (95972)
range across 2 matching MRF lines
$91–$303.10 $130–$433 varies
Analyze neurostim no prog (95970) $197.55 $282.22 1.4×
Analyze Neurostim Simple (95971)
range across 2 matching MRF lines
$91–$267.49 $130–$382.13 varies
Appl modality 1+ areas lllt po pain reduction (97037) $130.20 $186 3.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $140.70 $201 9.8×
Assessment of aphasia per hr (96105) $210.70 $301 2.2×
Audiometry Air & Bone (92553)
range across 2 matching MRF lines
$35.33–$112.70 $50.47–$161 varies
Behavral qualit analys voice (92524) $251.30 $359 2.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$127.40–$514.50 $182–$735 varies
Cardiac Stress Tst,Tracing Only (93017) $1,094.10 $1,563 4.7×
Cardiopulmonary resuscitation (92950) $973.70 $1,391 4.2×
Cardioversion (92960)
range across 2 matching MRF lines
$241.63–$1,085.18 $345.18–$1,550.25 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $43.40 $62 1.7×
Cbt 1st hour (94644) $266 $380 1.9×
Chemo Hormon Antineopl Sq/Im (96402) $144.90 $207 1.9×
Chest Wall Manipulation (94668) $100.10 $143 0.7×
Chron Care Mgmt Srvc 20 Min (99490) $124.01 $177.16 1.1×
Color/duplex Doppler, complete (93975) $447.30 $639 1.7×
Color/duplex Doppler, limited (93976) $707.70 $1,011 6.3×
Comprehensive Hearing Test (92557)
range across 3 matching MRF lines
$55.30–$161 $79–$230 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $335.30 $479 1.4×
Cpt initial (94667) $179.90 $257 1.3×
Critical care first hour (99291) $320.60 $458 0.4×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$60.90–$462 $87–$660 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $910.70 $1,301 3.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $620.20 $886 2.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $443.10 $633 4.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,711.50 $2,445 6.7×
Dup-scan xtr veins unilateral/limited study (93971) $909.30 $1,299 8.1×
Ear and throat examination (92502) $168 $240 0.3×
ECG/monitoring and analysis (93271) $854 $1,220 8.4×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$39.97–$502.60 $57.10–$718 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines
$962.50–$2,283.40 $1,375–$3,262 varies
EEG awake drowsy (95816) $670.60 $958 2.9×
Electrical Stimulation Ea 15 Min (97032) $126 $180 8.6×
Electrocardiogram Tracing (93005) $251.30 $359 4.0×
Emergency Dept Visit Level 2 (99282) $336 $480 2.0×
Emergency Dept Visit Level 3 (99283) $574 $820 2.0×
Emergency Dept Visit Level 4 (99284) $282.80 $404 0.6×
Er level 1 (99281) $163.80 $234 1.8×
Er level v (99285) $1,589 $2,270 2.5×
Evaluate Speech Production (92522) $273.70 $391 2.4×
Evaluate Swallowing Function (92610) $254.10 $363 3.0×
Evaluation of speech fluency (92521) $228.20 $326 1.7×
Evoked Auditory Test,Limited (92587)
range across 3 matching MRF lines
$46.90–$224.70 $67–$321 varies
External ECG rec>48hr<7d recording (93242) $32.20 $46 0.8×
External ECG rec>7d<15d recording (93246) $32.20 $46 0.8×
External Ecg Scanning Analysis Report (93226) $616 $880 9.7×
Extracranial Bilat Study (93880) $1,205.40 $1,722 4.7×
Extracranial Uni/Ltd Study (93882) $620.20 $886 5.5×
Flexible endoscopic eval swallow c/v rec (92612) $313.60 $448 1.6×
Group Therapeutic Procedures (97150) $81.90 $117 4.5×
Holter monitor recording (93225) $760.20 $1,086 5.3×
Immunization administration (90471)
range across 5 matching MRF lines
$19.60–$111.30 $28–$159 varies
Iontophoresis 15 min (97033) $181.30 $259 9.5×
Irrig Drug Delivery Device (96523)
range across 4 matching MRF lines
$201.60–$266 $288–$380 varies
IV infusion hydration each additional hour (96361)
range across 4 matching MRF lines
$81.20–$107.80 $116–$154 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 4 matching MRF lines
$294.70–$387.10 $421–$553 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 4 matching MRF lines
$123.90–$163.10 $177–$233 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$209.30–$238.70 $299–$341 varies
IV push initial (96374)
range across 4 matching MRF lines
$128.80–$289.10 $184–$413 varies
Motion Fluoroscopy/Swallow (92611) $273.70 $391 3.0×
Multiple Sleep Latency Test (95805) $3,154.20 $4,506 3.4×
Nasopharyngoscopy (92511) $177.37 $253.38 0.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$91–$420 $130–$600 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $427.70 $611 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$70–$310.10 $100–$443 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$77–$459.90 $110–$657 varies
Neuromuscular Reeducation (97112) $141.40 $202 4.3×
Newborn resuscitation (99465) $476 $680 0.7×
Nonphysician Telephone Assessment 11-20 Min (98967) $43.26 $61.80 1.7×
Nonphysician Telephone Assessment 21-30 Min (98968) $64.89 $92.70 1.9×
Nonphysician Telephone Assessment 5-10 Min (98966) $21.63 $30.90 1.6×
Oral Function Therapy (92526) $196 $280 2.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $75.60 $108 1.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $96.60 $138 2.1×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $46.90 $67 2.0×
Ot Contrast Bath Ea 15 Min (97034) $43.40 $62 3.1×
Ot eval high complexity (97167) $249.90 $357 2.5×
Ot Eval Low Complex (97165) $229.60 $328 2.3×
Ot Eval Moderate Complexity (97166) $240.80 $344 2.4×
Ot manual therapy 15 min (97140) $145.60 $208 5.3×
Ot paraffin bath (97018) $72.10 $103 12.0×
Ot Prosthetic Training, Each 15 Min (97761) $74.20 $106 1.8×
Ot Re-Eval Est Plan Care (97168) $172.20 $246 2.5×
Ot rom hand (95852) $49.70 $71 2.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $260.40 $372 1.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $7.70 $11 0.1×
Phlebotomy therapeutic (99195) $119.70 $171 0.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625)
range across 2 matching MRF lines
$8.40–$63.70 $12–$91 varies
Physical Performance Test (97750) $100.80 $144 3.0×
Pm device eval in person (93288)
range across 2 matching MRF lines
$32.80–$62.88 $46.85–$89.83 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $6,482 $9,260 7.0×
Psych diag eval w/med srvcs (90792) $297.50 $425 1.6×
Psychiatric diagnostic evaluation (90791) $185.30 $264.71 1.0×
Pt Eval High Complex (97163) $252.70 $361 2.6×
Pt eval low complex 20 min (97161) $229.60 $328 2.3×
Pt Eval Mod Complex (97162) $240.80 $344 2.5×
Pt gait training 15 min (97116) $92.40 $132 3.2×
Pt mechanical traction (97012) $140 $200 9.7×
Pt Re-Eval Est Plan Care (97164) $173.60 $248 2.6×
Pure Tone Audiometry Air (92552)
range across 2 matching MRF lines
$25.24–$100.10 $36.05–$143 varies
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $59.84 $85.49 2.6×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $91.57 $130.81 2.7×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $33.89 $48.41 2.7×
Remote 30 Day Ecg Rev/Report (93270) $198.10 $283 5.0×
Remote 30 Day Ecg Tech Supp (93229) $1,665.30 $2,379 4.2×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $35 $50 0.2×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $54.60 $78 1.3×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $56.70 $81 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$53.20–$275.10 $76–$393 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $68.60 $98 2.6×
Select picture audiometry (92583) $85.40 $122 1.4×
Self Care Mngment Training (97535) $116.20 $166 3.6×
Sensory Integration Ea 15 Min (97533) $109.90 $157 1.8×
Sleep study unattended (95806) $453.60 $648 2.0×
Slp caregiver training 1st 30 min (97550) $93.80 $134 1.8×
Speech Audiometry Complete (92556) $36.05 $51.50 0.6×
Speech audiometry threshold (92555) $44.80 $64 0.7×
Speech sound lang comprehen (92523) $273.70 $391 1.2×
Spirometry (94010)
range across 2 matching MRF lines
$56.70–$386.40 $81–$552 varies
Standardized Cognitive Performance Testing (96125) $248.50 $355 2.4×
Stress Tte Only (93350)
range across 2 matching MRF lines
$110.53–$1,185.80 $157.90–$1,694 varies
Temp transcutaneous pacing (92953) $1,145.20 $1,636 1.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
$122.50–$132.30 $175–$189 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines
$91–$98 $130–$140 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $91.70 $131 3.1×
Ther/Proph/Diag Inj Ia (96373) $203 $290 0.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 6 matching MRF lines
$14.70–$150.50 $21–$215 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines
$470.40–$578.20 $672–$826 varies
Therapeutic Activities (97530) $132.30 $189 3.8×
Tilt table test with heart rhythm and blood pressure monitoring (93660)
range across 2 matching MRF lines
$146.30–$893.69 $209–$1,276.70 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $17.30 $24.72 0.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $13.70 $19.57 0.3×
Tone Decay Test (92563) $25.96 $37.08 0.6×
Trans Care Mgmt 14 Day Disch (99495)
range across 3 matching MRF lines
$188.30–$224.23 $269–$320.33 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 2 matching MRF lines
$209.30–$260.28 $299–$371.83 varies
Tte w/doppler, complete (93306)
range across 3 matching MRF lines
$234.50–$2,658.60 $335–$3,798 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $196 $280 2.6×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 4 matching MRF lines
$113.40–$150.50 $162–$215 varies
Tympanometry (92567)
range across 2 matching MRF lines
$28.12–$58.10 $40.17–$83 varies
Tympanometry and reflex threshold measurements (92550) $162.40 $232 0.7×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$261.80–$392.70 $374–$561 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$284.90–$427.70 $407–$611 varies
Vent Mgmt Inpat Init Day (94002) $870.10 $1,243 1.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $948.50 $1,355 1.4×
Visual reinforcement audiometry (vra) (92579) $162.40 $232 0.7×
Vital capacity, total (94150) $168.70 $241 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $60.90 $87 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.