Visits & medical services prices at Missouri Delta Medical Center

Sikeston, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $132.50 $530 0.6×
Assessment of aphasia (96105) $65.10 $260.38 0.7×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $54.44 $217.75 1.4×
Behavioral and qualitative analysis of voice and resonance (92524) $61.72 $246.88 0.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $240.81 $963.25 0.6×
Canalith Repositioning (95992) $60.88 $243.50 1.5×
Cardiac Stress Tst,Tracing Only (93017) $335.31 $1,341.25 1.6×
Cardiopulmonary resuscitation (92950) $274.22 $1,096.88 1.3×
Cardioversion (92960) $1,470.68 $5,882.73 2.2×
Cbt 1st hour (94644) $132.50 $530 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $49.81 $199.25 0.7×
Chemo IV push addl drug (96411) $95.88 $383.50 1.3×
Chemo Iv Push Sngl Drug (96409) $254.38 $1,017.50 0.8×
Chemo prolong 8+ hrs infuse w/pump (96416) $401.63 $1,606.50 1.2×
Chemother, IV infusion, 1 hr (96413) $401.63 $1,606.50 1.2×
Chemother, IV infusion, ea add hr (96415) $75.44 $301.75 1.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $49.81 $199.25 0.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $75.44 $301.75 1.0×
Color/duplex Doppler, complete (93975) $374.25 $1,497 1.6×
Color/duplex Doppler, limited (93976) $182.50 $730 1.7×
Cpap initiation and management (94660) $180.75 $723 0.8×
Cpt initial (94667) $132.50 $530 1.0×
Critical care (99291) $881.25 $3,525 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $205.88 $823.50 1.0×
Demo &/or eval,pt use,aerosol device (94664) $132.50 $530 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $226.19 $904.75 0.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $827.50 $3,310 3.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $405.63 $1,622.50 3.9×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $314.13 $1,256.50 1.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $271.56 $1,086.25 2.6×
Dup-scan xtr veins unilateral/limited study (93971) $207.56 $830.25 2.0×
Duplex hemodialysis access (93990) $197.63 $790.50 1.9×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $333.69 $1,334.75 1.4×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $157.94 $631.75 1.5×
Duplex scan extracranial art compl bi study (93880) $267.19 $1,068.75 1.1×
Echo Heart Xthoracic,Limited (93308) $183.56 $734.25 0.8×
Echo transesophageal (93312) $586.38 $2,345.50 1.1×
EEG awake asleep (95819) $248.88 $995.50 1.2×
EEG awake drowsy (95816) $248.88 $995.50 1.2×
Eeg Extended Monitoring 61-119 Minutes (95813) $325.19 $1,300.75 1.5×
EKG (93005) $115.06 $460.25 1.9×
EKG rhythm strip (93041) $86.88 $347.50 1.5×
EMG cranial nerve bilat (95868) $92.13 $368.50 0.4×
EMG cranial nerve unilat (95867) $92.13 $368.50 0.4×
EMG two extremities (95861) $72.19 $288.75 0.5×
Er level 1 (99281) $83.19 $332.75 1.0×
Er level ii (99282) $155.13 $620.50 1.0×
Er level iii (99283) $272.84 $1,091.38 1.0×
Er level IV (99284) $459 $1,836 1.1×
Er level v (99285) $677.53 $2,710.12 1.1×
Evaluation of speech fluency (92521) $61.72 $246.88 0.5×
Evaluation of speech sound production (92522) $61.72 $246.88 0.6×
Evaluation of swallowing function (92610) $92 $368 1.1×
Evaluation with prescription of speech-generating alternative (92607) $84.22 $336.88 0.7×
Evoked auditory test,limited (92587) $209.56 $838.25 1.0×
External ECG rec>48hr<7d recording (93242) $45.60 $182.38 1.2×
External ECG rec>7d<15d recording (93246) $76.97 $307.88 2.1×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $105.88 $423.50 0.5×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $136.81 $547.25 0.6×
Flow volume loop (94375) $127.31 $509.25 0.6×
Group Therapeutic Procedures (97150) $25.47 $101.88 1.4×
Hemodialysis (90935) $864.25 $3,457 1.3×
Holter Monitor Recording (93225) $179.38 $717.50 1.3×
Immunization Admin (90471) $17.63 $70.50 0.2×
Injection intra arterial (96373) $152.50 $610 0.7×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $111.06 $444.25 1.9×
IV infusion hydration each additional hour (96361) $46 $184 1.0×
IV infusion hydration initial 31 min-1 hour (96360) $152.50 $610 0.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $75.44 $301.75 1.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $249.47 $997.88 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $46 $184 1.0×
IV push initial (96374) $152.50 $610 0.7×
Manual therapy 15 min (97140) $30 $120 1.1×
Massage 15 min (97124) $25.06 $100.25 0.8×
Maximum voluntary ventilation (94200) $106.06 $424.25 1.8×
Mechanical chest wall oscillation (94669) $280.54 $1,122.12 1.3×
Mechanical traction (97012) $33.12 $132.50 2.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $38.75 $155 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $46.38 $185.50 1.3×
Methacholine challenge (94070) $257.60 $1,030.38 0.7×
Mnt Group Ea 30 Min (97804) $21.69 $86.75 1.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $92.84 $371.38 1.0×
Multiple sleep latency test (95805) $1,455.69 $5,822.75 1.7×
Needle electromyography larynx (95865) $133.88 $535.50 1.0×
Neg press wnd tx </=50 sq cm (97607) $284.94 $1,139.75 0.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $122.28 $489.12 0.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $93.76 $375 0.2×
Nerve conduction studies; 1-2 studies (95907) $92.13 $368.50 0.4×
Neurobehavioral Status Exam (96116) $280.88 $1,123.50 1.3×
Neuromuscular junction test (95937) $92.13 $368.50 0.7×
Nitric oxide expired gas determination (95012) $30.88 $123.50 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $142 $568 1.1×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $121 $484 0.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $142.13 $568.50 1.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $31.75 $127 0.7×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $33.12 $132.50 1.0×
Ot Contrast Bath Ea 15 Min (97034) $27.19 $108.75 1.9×
Ot eval high complex 60 min (97167) $59.94 $239.75 0.6×
Ot eval low complex 30 min (97165) $59.94 $239.75 0.6×
Ot eval mod complex 45 min (97166) $59.94 $239.75 0.6×
Ot Prosthetic Training, Each 15 Min (97761) $25.13 $100.50 0.6×
Ot Range Motion Measure,Each Extrem (95851) $10.19 $40.75 0.4×
Ot re-eval est plan care (97168) $35.94 $143.75 0.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $142.13 $568.50 1.1×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $145.63 $582.50 1.1×
Paraffin bath (97018) $22.63 $90.50 3.8×
Peripheral arterial disease rehab per session (93668) $17.38 $69.50 0.3×
Phy/qhp op pulm rhb w/mntr (94626) $53.88 $215.50 0.9×
Phy/qhp op pulm rhb w/o mntr (94625) $80.75 $323 1.4×
Plethysmography (94726) $282.94 $1,131.75 0.8×
Pm/Icd Remote Tech Serv (93296) $48.31 $193.25 1.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,033.40 $8,133.62 2.4×
Pt Aquatic Therapy/Exercises (97113) $35.13 $140.50 0.9×
Pt Electric Current Therapy (97033) $33.56 $134.25 1.8×
Pt Electrical Stimulation (97032) $31.75 $127 2.2×
Pt eval high complex 45 min (97163) $59.94 $239.75 0.6×
Pt eval low complex 20 min (97161) $59.94 $239.75 0.6×
Pt Gait Training Therapy (97116) $28.69 $114.75 1.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $30 $120 0.9×
Pt Physical Performance Test (97750) $25.10 $100.38 0.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $60 $240 0.6×
Pt re-evaluation (97164) $35.94 $143.75 0.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $33.13 $132.50 1.0×
Pt Ultrasound Therapy (97035) $27.19 $108.75 1.9×
Pt Whirlpool Therapy (97022) $28.75 $115 1.8×
Pulmonary stress testing (94618) $85.56 $342.25 0.6×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $38.41 $153.62 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $200.97 $803.88 1.0×
Rt Chest Wall Manipulation,Subsequent (94668) $42.13 $168.50 0.3×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $63.19 $252.75 1.3×
Sensory Integration Ea 15 Min (97533) $32.47 $129.88 0.5×
Short-latency somatosens ep std lwr limbs (95926) $171 $684 0.8×
Short-latency somatosens ep std upr limbs (95925) $171 $684 0.8×
Sleep study attended (95807) $592 $2,368 1.6×
Sleep study unattended (95806) $248.88 $995.50 1.2×
Somatosensory testing (95938) $308.38 $1,233.50 0.4×
Speech group therapy (92508) $29.40 $117.62 1.2×
Speech sound lang comprehen (92523) $61.72 $246.88 0.3×
Spirometry (94010) $129.81 $519.25 0.6×
Stress echo (93350) $395.44 $1,581.75 0.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $24.81 $99.25 1.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $19.19 $76.75 0.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $64.44 $257.75 0.6×
Ther/Proph/Diag Inj Sc/Im (96372) $75.44 $301.75 1.0×
Therapeutic Activities (97530) $32.38 $129.50 0.9×
Therapeutic phlebotomy (99195) $75.81 $303.25 0.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $609.75 $2,439 1.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $54.90 $219.62 0.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $47.38 $189.50 0.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $46 $184 1.0×
Unlisted pulmonary service/procedure (94799) $124.81 $499.25 1.0×
Vasc Duplex Extrem Venous,Bilat (93970) $318.81 $1,275.25 1.3×
Vasc Duplex Scan Extracranial,Limited (93882) $272.54 $1,090.12 2.6×
Vasopneumatic device (97016) $32.69 $130.75 2.7×
Ventilation assist & mgmt inpatient 1st day (94002) $684.97 $2,739.88 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $696.63 $2,786.50 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $25.94 $103.75 0.8×