Visits & medical services prices at Medina Memorial Hospital

Medina, NY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $20 $50 0.4×
Advncd Care Plan 30 Min (99497) $44 $110 0.3×
Airway Inhalation Treatment (94640) $76 $190 0.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $28 $70 1.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $176 $440 0.4×
Canalith repositioning proc (95992) $44 $110 1.1×
Cardiac Stress Tst,Tracing Only (93017) $302 $755 1.1×
Cardiopulmonary resuscitation (92950) $284 $710 1.1×
Cardioversion (92960) $492 $1,230 0.6×
Chemo IV infusion addl hr (96415) $68 $170 0.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $92 $230 1.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $240 $600 0.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $144 $360 0.3×
Chest Wall Manipulation (94668) $44 $110 0.3×
Color/duplex Doppler, complete (93975) $460 $1,150 1.5×
Color/duplex Doppler, limited (93976) $322 $805 2.5×
Continuous Pulse Ox (94762) $100 $250 0.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $170 $425 0.6×
Cpt initial (94667) $56 $140 0.3×
Critical care first hour (99291)
range across 2 matching MRF lines
$210–$768 $525–$1,920 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$40–$158 $100–$395 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$80–$404 $202–$1,010 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 4 matching MRF lines
$53–$266 $133–$665 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$85–$426 $213–$1,065 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines
$58–$290 $145–$725 varies
Duplex up extrem art bilat (93930)
range across 2 matching MRF lines
$76–$382 $191–$955 varies
Duplex up extrem art unilat/ltd (93931)
range across 4 matching MRF lines
$51–$256 $128–$640 varies
Echo Heart Xthoracic,Limited (93308) $270 $675 0.9×
Echo transesophageal (93312) $750 $1,875 1.1×
Electrocardiogram Tracing (93005) $70 $175 1.0×
Emergency Dept Visit Level 2 (99282) $140 $350 0.7×
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$60–$230 $150–$575 varies
Emergency Dept Visit Level 4 (99284) $356 $890 0.7×
Er level 1 (99281) $110 $275 1.0×
Er level v (99285) $534 $1,335 0.7×
Evaluate pt use of inhaler (94664) $76 $190 0.3×
Evaluate Swallowing Function (92610) $118 $295 1.4×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$94–$474 $237–$1,185 varies
Holter monitor recording (93225) $128 $320 0.8×
Immunization administration (90471) $26 $65 0.3×
Irrig Drug Delivery Device (96523) $50 $125 0.7×
IV infusion hydration each additional hour (96361) $44 $110 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $130 $325 0.5×
IV infusion ther proph addl sequential to 1 hr (96367) $60 $150 0.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $46 $115 0.8×
IV push initial (96374) $84 $210 0.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $18 $45 0.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $20 $50 0.5×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $16 $40 0.9×
Motion Fluoroscopy/Swallow (92611) $146 $365 1.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $192 $480 0.4×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $218 $545 0.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $98 $245 0.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $146 $365 0.3×
Neuromuscular Reeducation (97112) $40 $100 1.2×
Oral Function Therapy (92526) $90 $225 1.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $40 $100 0.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$38–$42 $95–$105 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $12 $30 0.4×
Ot eval high complexity (97167) $116 $290 1.2×
Ot Eval Low Complex (97165) $88 $220 0.9×
Ot Eval Moderate Complexity (97166) $102 $255 1.0×
Ot manual therapy 15 min (97140) $38 $95 1.4×
Ot paraffin bath (97018) $22 $55 3.7×
Ot Re-Eval Est Plan Care (97168) $60 $150 0.9×
Ot rom hand (95852) $20 $50 0.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $92 $230 0.3×
Phlebotomy therapeutic (99195) $72 $180 0.4×
Plethysmography (94726) $134 $335 0.3×
Pt Eval High Complex (97163) $110 $275 1.1×
Pt eval low complex 20 min (97161) $84 $210 0.9×
Pt Eval Mod Complex (97162) $96 $240 1.0×
Pt gait training 15 min (97116) $36 $90 1.2×
Pt mechanical traction (97012) $30 $75 2.1×
Pt Re-Eval Est Plan Care (97164) $56 $140 0.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $86 $215 0.3×
Self Care Mngment Training (97535) $40 $100 1.2×
Sensory Integration Ea 15 Min (97533) $36 $90 0.6×
Speech sound lang comprehen (92523) $150 $375 0.7×
Spirometry (94010) $94 $235 0.3×
Stress Tte Only (93350) $550 $1,375 0.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $30 $75 1.0×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$40–$54 $100–$135 varies
Ther/Proph/Diag Iv Inf Init (96365) $152 $380 0.6×
Therapeutic Activities (97530) $40 $100 1.1×
Tobacco Use Cessation Intensive >10 Minutes (99407) $16 $40 0.3×
Tte w/doppler, complete (93306) $660 $1,650 1.0×
Tte W/O Doppler Complete (93307) $424 $1,060 1.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $88 $220 1.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $52 $130 0.9×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$38–$192 $96–$480 varies
Vent Mgmt Inpat Init Day (94002) $392 $980 0.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $338 $845 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $36 $90 1.2×

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.