Visits & medical services prices at Montgomery General Hospital
Montgomery, WV · every code in this section with a posted price and a Medicare benchmark.
139 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$52.72–$461.96 | $70.30–$615.94 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 8 matching MRF lines |
$49.63–$52.53 | $66.18–$70.04 | varies |
| Behavral qualit analys voice (92524) | $173.81 | $231.75 | 1.6× |
| Bioimpedance Cv Analysis (93701) range across 2 matching MRF lines |
$32.45–$96.56 | $43.26–$128.75 | varies |
| Breath hydrogen/methane test (91065) range across 2 matching MRF lines |
$153.53–$221.32 | $204.71–$295.10 | varies |
| Brief Emotional/Behav Assmt (96127) | $11.59 | $15.45 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$115.88–$702.20 | $154.50–$936.27 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $608.34 | $811.13 | 2.9× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$296.83–$611.05 | $395.78–$814.73 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$213.02–$811.13 | $284.02–$1,081.50 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $11.59 | $15.45 | 0.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $324.45 | $432.60 | 1.0× |
| Chest Wall Manipulation (94668) | $135.19 | $180.25 | 1.1× |
| Color/duplex Doppler, complete (93975) range across 4 matching MRF lines |
$57.94–$405.56 | $77.25–$540.75 | varies |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$77.25–$243.34 | $103–$324.45 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $263.62 | $351.49 | 2.1× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $121.67 | $162.23 | 2.2× |
| Continuous Pulse Ox (94762) range across 3 matching MRF lines |
$42.29–$193.13 | $56.39–$257.50 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $309 | $412 | 1.5× |
| Cpt initial (94667) | $96.56 | $128.75 | 0.8× |
| Critical care first hour (99291) range across 5 matching MRF lines |
$340.67–$830.44 | $454.23–$1,107.25 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$60.06–$270.38 | $80.08–$360.50 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $340.48 | $453.97 | 1.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $233.68 | $311.58 | 2.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$66.05–$340.48 | $88.07–$453.97 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 6 matching MRF lines |
$44.03–$233.68 | $58.71–$311.58 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$78.22–$340.48 | $104.29–$453.97 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 7 matching MRF lines |
$50.79–$233.68 | $67.72–$311.58 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$40.56–$340.48 | $54.08–$453.97 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 6 matching MRF lines |
$26.07–$233.68 | $34.76–$311.58 | varies |
| EEG awake and asleep (95819) | $488.03 | $650.70 | 2.4× |
| EEG awake drowsy (95816) | $488.03 | $650.70 | 2.4× |
| EEG cerebral death evaluation (95824) | $488.03 | $650.70 | 1.4× |
| EKG signal averaged (93278) | $216.11 | $288.14 | 3.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$73.58–$77.64 | $98.11–$103.52 | varies |
| Electrocardiogram Tracing (93005) | $110.85 | $147.81 | 2.0× |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$30.13–$213.02 | $40.17–$284.02 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$68.95–$298.19 | $91.93–$397.58 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$170.34–$405.56 | $227.12–$540.75 | varies |
| Er level 1 (99281) range across 3 matching MRF lines |
$17.96–$127.85 | $23.95–$170.47 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$255.50–$544.61 | $340.67–$726.15 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$55.43–$193.13 | $73.90–$257.50 | varies |
| Evaluate Speech Production (92522) | $212.44 | $283.25 | 1.9× |
| Evaluate Swallowing Function (92610) | $135.96 | $181.28 | 1.6× |
| Evaluation of speech fluency (92521) | $208.58 | $278.10 | 1.6× |
| External ECG rec>48hr<7d recording (93242) | $56.25 | $75 | 1.6× |
| External ECG rec>7d<15d recording (93246) | $90 | $120 | 2.5× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$68.37–$466.98 | $91.16–$622.64 | varies |
| Extracranial Uni/Ltd Study (93882) range across 6 matching MRF lines |
$47.12–$233.68 | $62.83–$311.58 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 4 matching MRF lines |
$146–$730.01 | $194.67–$973.35 | varies |
| Gi tract capsule endoscopy (91110) | $324.45 | $432.60 | 0.4× |
| Group Therapeutic Procedures (97150) | $33.41 | $44.55 | 1.9× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $28.58 | $38.11 | 0.4× |
| Immunization administration (90471) range across 3 matching MRF lines |
$21.05–$101.39 | $28.07–$135.19 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $354.82 | $473.10 | 1.7× |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$251.45–$1,892.63 | $335.27–$2,523.50 | varies |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$49.63–$52.53 | $66.18–$70.04 | varies |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$50.21–$101.39 | $66.95–$135.19 | varies |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$29.93–$86.25 | $39.91–$115 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$85.17–$333.75 | $113.56–$445 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$25.69–$101.39 | $34.25–$135.19 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$51.18–$277.13 | $68.24–$369.51 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$81.11–$324.45 | $108.15–$432.60 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $38.63 | $51.50 | 0.3× |
| Lung Function Test (Mbc/Mvv) (94200) | $63.92 | $85.23 | 1.1× |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$141.95–$730.01 | $189.26–$973.35 | varies |
| Motion Fluoroscopy/Swallow (92611) | $243.34 | $324.45 | 2.7× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$1,107.19–$1,158.75 | $1,476.25–$1,545 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$77.25–$656.63 | $103–$875.50 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$115.88–$424.88 | $154.50–$566.50 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$193.13–$772.50 | $257.50–$1,030 | varies |
| Neurobehavioral Status Exam (96116) | $106.61 | $142.14 | 0.5× |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$24.72–$51.18 | $32.96–$68.24 | varies |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$135.19–$193.13 | $180.25–$257.50 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$40.17–$104.29 | $53.56–$139.05 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$43.65–$51.18 | $58.20–$68.24 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $60.83 | $81.11 | 2.9× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $81.11 | $108.15 | 3.9× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $101.39 | $135.19 | 4.9× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $121.67 | $162.23 | 5.9× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $141.95 | $189.26 | 6.9× |
| Ot Contrast Bath Ea 15 Min (97034) | $21.05 | $28.07 | 1.5× |
| Ot eval high complexity (97167) | $182.50 | $243.34 | 1.8× |
| Ot Eval Low Complex (97165) | $119.74 | $159.65 | 1.2× |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$61.41–$162.23 | $81.89–$216.30 | varies |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$49.25–$51.95 | $65.66–$69.27 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$49.63–$52.53 | $66.18–$70.04 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 3 matching MRF lines |
$43.65–$81.11 | $58.20–$108.15 | varies |
| Ot rom hand (95852) range across 2 matching MRF lines |
$57.94–$60.26 | $77.25–$80.34 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $73.39 | $97.85 | 0.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $48.67 | $64.89 | 0.4× |
| Phlebotomy therapeutic (99195) | $89.61 | $119.48 | 0.7× |
| Plethysmography (94726) range across 2 matching MRF lines |
$115.88–$248.75 | $154.50–$331.66 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$1,004.25–$1,581.69 | $1,339–$2,108.93 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$309–$1,581.69 | $412–$2,108.93 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $29.93 | $39.91 | 0.7× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $38.43 | $51.24 | 0.9× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$193.13–$231.75 | $257.50–$309 | varies |
| Psychiatric diagnostic evaluation (90791) | $193.13 | $257.50 | 1.1× |
| Psytx Crisis Initial 60 Min (90839) | $231.75 | $309 | 1.4× |
| Pt Eval High Complex (97163) | $182.50 | $243.34 | 1.9× |
| Pt eval low complex 20 min (97161) | $119.74 | $159.65 | 1.2× |
| Pt Eval Mod Complex (97162) | $162.23 | $216.30 | 1.7× |
| Pt gait training 15 min (97116) | $54.08 | $72.10 | 1.9× |
| Pt mechanical traction (97012) | $59.68 | $79.57 | 4.2× |
| Pt Re-Eval Est Plan Care (97164) | $75.13 | $100.17 | 1.1× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) range across 3 matching MRF lines |
$11.59–$34.76 | $15.45–$46.35 | varies |
| Pure Tone Audiometry Air (92552) | $36.50 | $48.67 | 0.3× |
| Remote 30 Day Ecg Tech Supp (93229) | $750 | $1,000 | 2.1× |
| Respiratory flow volume loop (94375) | $193.13 | $257.50 | 0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$24.33–$189.26 | $32.45–$252.35 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 2 matching MRF lines |
$49.63–$52.53 | $66.18–$70.04 | varies |
| Self Care Mngment Training (97535) range across 12 matching MRF lines |
$43.65–$47.51 | $58.20–$63.35 | varies |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$193.13–$309 | $257.50–$412 | varies |
| Slp caregiver training 1st 30 min (97550) | $100.43 | $133.90 | 1.9× |
| Speech sound lang comprehen (92523) | $328.31 | $437.75 | 1.4× |
| Spirometry (94010) range across 2 matching MRF lines |
$108.15–$207.22 | $144.20–$276.30 | varies |
| Standardized Cognitive Performance Testing (96125) | $270.38 | $360.50 | 2.6× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$42.68–$376.01 | $56.91–$501.35 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $57.94 | $77.25 | 2.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $42.49 | $56.65 | 2.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $77.25 | $103 | 2.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$43.65–$45.96 | $58.20–$61.29 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 10 matching MRF lines |
$16.22–$132.10 | $21.63–$176.13 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$127.85–$3,000.61 | $170.47–$4,000.81 | varies |
| Therapeutic Activities (97530) range across 8 matching MRF lines |
$43.26–$51.18 | $57.68–$68.24 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $348.20 | $464.27 | 1.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$22.02–$48.67 | $29.36–$64.89 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$12.17–$24.33 | $16.22–$32.45 | varies |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$309–$1,462.92 | $412–$1,950.56 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$51.18–$127.46 | $68.24–$169.95 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $55.43 | $73.90 | 1.2× |
| Tympanometry (92567) | $38.63 | $51.50 | 1.1× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$21.24–$153.34 | $28.33–$204.46 | varies |
| Vasopneumatic device (97016) | $19.31 | $25.75 | 1.6× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$146–$254.93 | $194.67–$339.90 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $204.33 | $272.44 | 0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $46.93 | $62.57 | 1.5× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$45.96–$48.67 | $61.29–$64.89 | varies |
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.