Visits & medical services prices at Memorial Hospital & Manor

Bainbridge, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Actinotherapy Ultraviolet Light (96900) $787.50 $1,125 24.1×
Airway Inhalation Treatment (94640)
range across 9 matching MRF lines
$42–$257.60 $60–$368 varies
Appl modality 1+ areas lllt po pain reduction (97037) $80.50 $115 2.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $87.50 $125 6.1×
Application Modality 1/> Areas Diathermy (97024) $58.80 $84 8.0×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $71.40 $102 0.9×
Bfb training ea addl 15 min (90913) $71.40 $102 2.2×
Biofeedback training any modality (90901) $110.60 $158 2.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $460.60 $658 1.4×
Car seat/bed test 60 min (94780) $56 $80 1.7×
Cardiopulmonary resuscitation (92950) $676.90 $967 3.6×
Cardioversion (92960) $649.60 $928 1.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $80.50 $115 3.1×
Cbt 1st hour (94644) $141.40 $202 1.2×
Chemo Hormon Antineopl Sq/Im (96402) $156.80 $224 2.5×
Chest Wall Manipulation (94668) $170.10 $243 1.5×
Chron Care Mgmt Srvc 20 Min (99490)
range across 3 matching MRF lines
$34.30–$85.40 $49–$122 varies
Color/duplex Doppler, limited (93976) $190.40 $272 2.1×
Community/Work Reintegration Trainj Ea 15 Min (97537) $64.40 $92 2.0×
Continuous Pulse Ox (94762) $122.50 $175 1.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $322 $460 1.7×
Cpt initial (94667) $280 $400 2.4×
Critical care first hour (99291)
range across 2 matching MRF lines
$476–$1,381.80 $680–$1,974 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 11 matching MRF lines
$58.80–$362.60 $84–$518 varies
Dialysis One Evaluation (90945) $528.50 $755 1.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $408.80 $584 2.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $252 $360 2.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $402.50 $575 1.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $190.40 $272 2.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $914.20 $1,306 4.4×
Dup-scan xtr veins unilateral/limited study (93971) $709.10 $1,013 7.7×
Duplex up extrem art bilat (93930) $402.50 $575 1.9×
Duplex up extrem art unilat/ltd (93931) $190.40 $272 2.1×
Echo Heart Xthoracic,Limited (93308) $356.30 $509 1.7×
Electrical Stimulation Ea 15 Min (97032) $77.70 $111 5.3×
Electrocardiogram Tracing (93005) $198.10 $283 3.8×
Emergency Dept Visit Level 2 (99282) $312.20 $446 2.3×
Emergency Dept Visit Level 3 (99283) $469 $670 2.0×
Emergency Dept Visit Level 4 (99284) $784 $1,120 2.1×
Er level 1 (99281) $121.10 $173 1.6×
Er level v (99285) $1,136.10 $1,623 2.2×
Evaluate Swallowing Function (92610) $202.30 $289 2.4×
External Ecg Scanning Analysis Report (93226) $425.60 $608 8.2×
Extracranial Bilat Study (93880) $608.30 $869 2.9×
Extracranial Uni/Ltd Study (93882) $251.30 $359 2.7×
Holter monitor recording (93225) $588 $840 5.0×
Immunization administration (90471)
range across 9 matching MRF lines
$33.60–$100.10 $48–$143 varies
Inital newborn e/m (99460) $184.10 $263 1.6×
Iontophoresis 15 min (97033) $81.90 $117 4.3×
Irrig Drug Delivery Device (96523) $77 $110 1.5×
IV infusion hydration each additional hour (96361)
range across 7 matching MRF lines
$46.20–$50.40 $66–$72 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 6 matching MRF lines
$143.50–$333.90 $205–$477 varies
IV infusion ther proph addl sequential to 1 hr (96367) $109.90 $157 1.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $46.20 $66 1.1×
IV push initial (96374) $221.90 $317 1.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $58.80 $84 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $69.30 $99 1.9×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $32.20 $46 1.9×
Motion Fluoroscopy/Swallow (92611) $291.90 $417 3.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$56–$645.40 $80–$922 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $645.40 $922 1.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 5 matching MRF lines
$98.70–$500.50 $141–$715 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 5 matching MRF lines
$116.20–$741.30 $166–$1,059 varies
Neuromuscular Reeducation (97112) $78.40 $112 2.4×
Newborn resuscitation (99465) $156.80 $224 0.3×
Oral Function Therapy (92526) $200.90 $287 2.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $67.20 $96 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $100.80 $144 2.2×
Ot Contrast Bath Ea 15 Min (97034) $51.10 $73 3.6×
Ot eval high complexity (97167) $133 $190 1.3×
Ot Eval Low Complex (97165) $133 $190 1.3×
Ot Eval Moderate Complexity (97166) $114.80 $164 1.1×
Ot manual therapy 15 min (97140) $103.60 $148 3.7×
Ot paraffin bath (97018) $58.10 $83 9.7×
Ot Prosthetic Training, Each 15 Min (97761) $88.20 $126 2.2×
Ot Re-Eval Est Plan Care (97168) $87.50 $125 1.3×
Ot rom hand (95852) $80.50 $115 3.8×
Phlebotomy therapeutic (99195) $225.40 $322 1.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $79.80 $114 1.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $212.10 $303 4.1×
Physical Performance Test (97750) $79.80 $114 2.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $21 $30 0.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $27.30 $39 0.7×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $79.10 $113 2.1×
Pt Eval High Complex (97163) $137.20 $196 1.4×
Pt eval low complex 20 min (97161) $137.20 $196 1.4×
Pt Eval Mod Complex (97162) $119 $170 1.2×
Pt gait training 15 min (97116) $65.80 $94 2.3×
Pt group caregiver training (97552) $82.60 $118 3.7×
Pt mechanical traction (97012) $94.50 $135 6.6×
Pt Re-Eval Est Plan Care (97164) $92.40 $132 1.4×
Pulm function test by gas (94727) $398.30 $569 2.1×
Pulmonary service/procedure (94799) $265.30 $379 2.4×
Pulmonary Stress Testing (94618) $221.90 $317 1.9×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $44.10 $63 1.9×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $68.60 $98 2.0×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $25.20 $36 2.0×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $79.80 $114 2.4×
Rem ther mntr dev sply resp (98976) $79.80 $114 2.4×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $233.10 $333 2.0×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $83.30 $119 2.0×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $102.20 $146 1.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $199.50 $285 3.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$362.60–$471.10 $518–$673 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $68.60 $98 2.6×
Self Care Mngment Training (97535) $93.80 $134 2.9×
Sensory Integration Ea 15 Min (97533) $67.90 $97 1.1×
Slp caregiver training 1st 30 min (97550) $94.50 $135 1.8×
Speech sound lang comprehen (92523) $452.90 $647 2.0×
Spirometry (94010) $249.20 $356 1.3×
Temp transcutaneous pacing (92953) $392.70 $561 0.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $94.50 $135 4.2×
Ther Ivntj Ea Addl 15 Min (97130) $72.80 $104 3.5×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $147.70 $211 4.0×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 6 matching MRF lines
$39.90–$133 $57–$190 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 8 matching MRF lines
$128.10–$463.40 $183–$662 varies
Therapeutic Activities (97530) $93.10 $133 2.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $35 $50 1.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $18.20 $26 0.6×
Tte w/doppler, complete (93306) $1,280.30 $1,829 2.7×
Tte W/O Doppler Complete (93307) $408.80 $584 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $185.50 $265 2.4×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 5 matching MRF lines
$195.30–$196 $279–$280 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$109.20–$218.40 $156–$312 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $279.30 $399 1.5×
Vasopneumatic device (97016) $79.80 $114 6.6×
Vent Mgmt Inpat Init Day (94002) $641.20 $916 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $963.90 $1,377 1.8×
Wheelchair Mgmt Ea 15 Min (97542) $58.80 $84 1.9×
Whirlpool Therapy (97022) $80.50 $115 5.1×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $97.30 $139 1.9×

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.