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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $257.60 $368 1.3×
Appl modality 1+lllt po pain (97037) $80.50 $115 2.5×
Application of heat wave therapy (97024) $58.80 $84 8.0×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $79.10 $113 2.1×
Bfb training 1st 15 min (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 1st 30 min (97550) $94.50 $135 1.8×
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×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $51.10 $73 0.6×
Color/duplex Doppler, limited (93976) $190.40 $272 2.1×
Cpap initiation and management (94660) $322 $460 1.7×
Cpt initial (94667) $280 $400 2.4×
Critical care (99291) $928.90 $1,327 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $362.60 $518 2.1×
Dialysis other/than hemodialysis 1 phys/qhp eval (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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $402.50 $575 1.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $190.40 $272 2.1×
Dup-scan xtr veins unilateral/limited study (93971) $709.10 $1,013 7.7×
Duplex scan extracranial art compl bi study (93880) $608.30 $869 2.9×
Echo Heart Xthoracic,Limited (93308) $356.30 $509 1.7×
EKG (93005) $198.10 $283 3.8×
EKG rhythm strip (93041) $199.50 $285 3.9×
Er level 1 (99281) $121.10 $173 1.6×
Er level ii (99282) $312.20 $446 2.3×
Er level iii (99283) $469 $670 2.0×
Er level IV (99284) $784 $1,120 2.1×
Er level v (99285) $1,136.10 $1,623 2.2×
Evaluation of swallowing function (92610) $202.30 $289 2.4×
External Ecg Scanning Analysis Report (93226) $425.60 $608 8.2×
Holter Monitor Recording (93225) $588 $840 5.0×
Immunization Admin (90471) $67.90 $97 1.1×
Immunotherapy, 2+ Injections (95117) $27.30 $39 0.7×
Inital newborn e/m (99460) $184.10 $263 1.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $77 $110 1.5×
IV infusion hydration each additional hour (96361) $46.20 $66 1.1×
IV infusion hydration initial 31 min-1 hour (96360) $333.90 $477 1.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $109.90 $157 1.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $463.40 $662 2.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $46.20 $66 1.1×
IV push initial (96374) $221.90 $317 1.2×
Manual therapy 15 min (97140) $103.60 $148 3.7×
Mechanical traction (97012) $94.50 $135 6.6×
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×
Mnt Group Ea 30 Min (97804) $32.20 $46 1.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $291.90 $417 3.2×
Neg press wnd tx </=50 sq cm (97607) $350.70 $501 1.0×
Neg press wound tx >50 cm (97608) $645.40 $922 1.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $500.50 $715 2.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $741.30 $1,059 2.1×
Newborn resuscitation (99465) $156.80 $224 0.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $182 $260 1.6×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $279.30 $399 1.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $122.50 $175 1.1×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) $68.60 $98 2.0×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98970) $25.20 $36 2.0×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98971) $44.10 $63 1.9×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $100.80 $144 2.2×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $64.40 $92 2.0×
Ot Contrast Bath Ea 15 Min (97034) $51.10 $73 3.6×
Ot eval high complex 60 min (97167) $133 $190 1.3×
Ot eval low complex 30 min (97165) $133 $190 1.3×
Ot eval mod complex 45 min (97166) $114.80 $164 1.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $67.20 $96 1.3×
Ot Prosthetic Training, Each 15 Min (97761) $88.20 $126 2.2×
Ot Range Motion Measure,Each Extrem (95851) $68.60 $98 2.6×
Ot re-eval est plan care (97168) $87.50 $125 1.3×
Paraffin bath (97018) $58.10 $83 9.7×
Phy/qhp op pulm rhb w/mntr (94626) $79.80 $114 1.5×
Phy/qhp op pulm rhb w/o mntr (94625) $212.10 $303 4.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $21 $30 0.5×
Pt Aquatic Therapy/Exercises (97113) $147.70 $211 4.0×
Pt Electric Current Therapy (97033) $81.90 $117 4.3×
Pt Electrical Stimulation (97032) $77.70 $111 5.3×
Pt eval high complex 45 min (97163) $137.20 $196 1.4×
Pt eval low complex 20 min (97161) $137.20 $196 1.4×
Pt Gait Training Therapy (97116) $65.80 $94 2.3×
Pt group caregiver training (97552) $82.60 $118 3.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $78.40 $112 2.4×
Pt Physical Performance Test (97750) $79.80 $114 2.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $119 $170 1.2×
Pt re-evaluation (97164) $92.40 $132 1.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $93.80 $134 2.9×
Pt Ultrasound Therapy (97035) $87.50 $125 6.1×
Pt Whirlpool Therapy (97022) $80.50 $115 5.1×
Pulm function test by gas (94727) $398.30 $569 2.1×
Pulmonary stress testing (94618) $221.90 $317 1.9×
Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) $79.80 $114 2.4×
Rem ther mntr dev supply w/rec respir sys ea 30d (98976) $79.80 $114 2.4×
Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) $102.20 $146 1.9×
Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) $83.30 $119 2.0×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $233.10 $333 2.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $471.10 $673 2.7×
Rom meas&reprt hand w/wo comparison normal sid (95852) $80.50 $115 3.8×
Rt Chest Wall Manipulation,Subsequent (94668) $170.10 $243 1.5×
Sensory Integration Ea 15 Min (97533) $67.90 $97 1.1×
Smoking cessation > 10 min (99407) $35 $50 1.1×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $72.80 $104 3.5×
Ther/Proph/Diag Inj Sc/Im (96372) $114.80 $164 1.8×
Therapeutic Activities (97530) $93.10 $133 2.7×
Therapeutic phlebotomy (99195) $225.40 $322 1.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $18.20 $26 0.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,280.30 $1,829 2.7×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $408.80 $584 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $185.50 $265 2.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $200.90 $287 2.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $195.30 $279 4.8×
Ultraviolet Light Therapy (96900) $787.50 $1,125 24.1×
Unlisted pulmonary service/procedure (94799) $265.30 $379 2.4×
Vasc Duplex Extrem Venous,Bilat (93970) $914.20 $1,306 4.4×
Vasc Duplex Scan Extracranial,Limited (93882) $251.30 $359 2.7×
Vasopneumatic device (97016) $79.80 $114 6.6×
Ventilation assist & mgmt inpatient 1st 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×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $97.30 $139 1.9×