Home › Hospitals › Mercy Health - St. Elizabeth Boardman Hospital › Visits & medical services 34 codes. Prices are the hospital's own posted facility charges.
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Procedure Posted cash Posted gross × Medicare
Airway Inhalation Treatment (94640) range across 3 matching MRF lines $11,095.57–$39,647.66
$18,492.62–$66,079.43
varies
Chemo Admin Peritoneal Cavity (96446) $936.60
$1,561
3.0×
Chemo Anti-Neopl Sq/Im (96401) $961.80
$1,603
14.1×
Chemo Hormon Antineopl Sq/Im (96402) $961.80
$1,603
14.1×
Chemo IV infusion addl hr (96415) $157.80
$263
2.3×
Chemo IV push addl drug (96411) $1,012.20
$1,687
14.9×
Chemother Prolong Infuse W/Pump (96416) $2,356.80
$3,928
7.5×
Chemotherapy Unspecified (96549) $57.60
$96
1.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $213
$355
3.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,050
$1,750
3.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,012.20
$1,687
3.2×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $442.20
$737
1.4×
Debridement Open Wound 20 Sq Cm< (97597) $462
$770
2.4×
Ear and throat examination (92502) $5,277
$8,795
10.3×
Electrocardiogram Tracing (93005) range across 6 matching MRF lines $121.80–$16,519.02
$203–$27,531.70
varies
Eye exam w anesth; limited (92019) $5,329.44
$8,882.40
2.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $5,446.96
$9,078.27
6.7×
IV infusion hydration each additional hour (96361) $66.60
$111
1.5×
IV infusion hydration initial 31 min-1 hour (96360) $647.40
$1,079
3.2×
IV infusion ther proph addl sequential to 1 hr (96367) $102.60
$171
1.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $67.80
$113
1.5×
IV push initial (96374) $435
$725
2.2×
Motility study esophagus (91010) $1,163.40
$1,939
3.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $432.60
$721
1.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $432.60
$721
1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $420
$700
2.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $511.80
$853
1.3×
Refill/Maint Portable Pump (96521) $664.80
$1,108
3.3×
Refill/Maint Pump/Resvr Syst (96522) $372.60
$621
1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $228
$380
1.2×
Ther/Prop/Diag Inj/Inf Proc (96379) $73.80
$123
1.7×
Ther/Proph/Diag Inj Sc/Im (96372) $114.60
$191
1.7×
Ther/Proph/Diag Iv Inf Init (96365) $679.80
$1,133
3.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $435
$725
9.8×
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.