Visits & medical services prices at Mosaic Medical Center - Maryville

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $212.50 $250 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $97.75 $115 6.8×
Application on-body injector (96377) $136 $160 2.9×
Assessment of aphasia per hr (96105) $323 $380 3.3×
Behavral qualit analys voice (92524) $255 $300 2.3×
Breath hydrogen/methane test (91065) $340 $400 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $552.50 $650 1.5×
Canalith repositioning proc (95992) $106.25 $125 2.6×
Cardiac Stress Tst,Tracing Only (93017) $935 $1,100 4.3×
Cardiopulmonary resuscitation (92950) $531.25 $625 2.5×
Cardioversion (92960) $1,445 $1,700 2.2×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $55.25 $65 2.1×
Cbt 1st hour (94644) $119 $140 0.9×
Chemo Anti-Neopl Sq/Im (96401) $127.50 $150 1.8×
Chemo Hormon Antineopl Sq/Im (96402) $130.05 $153 1.8×
Chemo IV infusion addl hr (96415) $174.25 $205 2.4×
Chemo IV push addl drug (96411) $97.75 $115 1.4×
Chemother Prolong Infuse W/Pump (96416) $297.50 $350 0.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $191.25 $225 2.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $807.50 $950 2.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $276.25 $325 0.8×
Chest Wall Manipulation (94668) $85 $100 0.6×
Chron Care Mgmt Srvc 20 Min (99490) $110.50 $130 1.1×
Color/duplex Doppler, complete (93975) $1,020 $1,200 4.3×
Color/duplex Doppler, limited (93976) $722.50 $850 6.9×
Cont Gluc Mntr Pt Prov Eqp (95249) $148.75 $175 2.5×
Continuous Pulse Ox (94762) $365.50 $430 2.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,190 $1,400 5.4×
Cpt initial (94667) $136 $160 1.0×
Critical care first hour (99291) $2,975 $3,500 3.6×
Debridement Open Wound 20 Sq Cm< (97597) $276.25 $325 1.4×
Duodenal motility study (91022) $1,275 $1,500 3.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $637.50 $750 2.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $552.50 $650 5.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $935 $1,100 3.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines		 $680–$765 $800–$900 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $850 $1,000 3.6×
Dup-scan xtr veins unilateral/limited study (93971) $807.50 $950 7.7×
Duplex Scan Hemodialysis Access (93990) $977.50 $1,150 9.3×
Duplex up extrem art bilat (93930) $1,105 $1,300 4.6×
Duplex up extrem art unilat/ltd (93931) $714 $840 6.8×
Echo Congenital Complete (93303) $1,700 $2,000 3.1×
Echo Heart Xthoracic,Limited (93308) $680 $800 2.8×
Echo transesophageal (93312) $3,145 $3,700 5.7×
Electrical Stimulation Ea 15 Min (97032) $93.50 $110 6.4×
Electrocardiogram Tracing (93005) $178.50 $210 3.0×
Emergency Dept Visit Level 2 (99282) $510 $600 3.3×
Emergency Dept Visit Level 3 (99283) $1,190 $1,400 4.4×
Emergency Dept Visit Level 4 (99284) $1,530 $1,800 3.7×
Er level 1 (99281) $276.25 $325 3.3×
Er level v (99285) $2,125 $2,500 3.6×
Esophgl Balo Distension Dx Std W/Provocation (91040) $765 $900 2.0×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,190 $1,400 3.2×
Evaluate pt use of inhaler (94664) $148.75 $175 0.7×
Evaluate Speech Production (92522) $297.50 $350 2.7×
Evaluate Swallowing Function (92610) $225.25 $265 2.7×
Evaluation of speech fluency (92521) $255 $300 1.9×
External ECG rec>48hr<7d recording (93242) $68 $80 1.8×
External ECG rec>7d<15d recording (93246) $127.50 $150 3.4×
External Ecg Scanning Analysis Report (93226) $318.75 $375 5.4×
Extracranial Bilat Study (93880) $680 $800 2.8×
Gastric motility studies (91020) $1,190 $1,400 3.2×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $680 $800 1.8×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $1,436.50 $1,690 6.6×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $467.50 $550 0.5×
Gi tract capsule endoscopy (91110) $1,615 $1,900 1.8×
Group Therapeutic Procedures (97150) $76.50 $90 4.2×
Holter monitor recording (93225) $374 $440 2.8×
Icd device progr eval dual (93283) $127.50 $150 3.4×
Icd Device Progr Eval Mult (93284)
range across 2 matching MRF lines		 $46.75–$106.25 $55–$125 varies
Icm Device Eval (93290) $85 $100 2.3×
Im Adm Intransl/Oral 1 Vaccine (90473) $68 $80 0.9×
Immunization administration (90471) $77.35 $91 1.1×
Iontophoresis 15 min (97033) $97.75 $115 5.1×
Irrig Drug Delivery Device (96523) $191.25 $225 3.2×
IV infusion hydration each additional hour (96361) $102 $120 2.2×
IV infusion hydration initial 31 min-1 hour (96360) $255 $300 1.2×
IV infusion ther proph addl sequential to 1 hr (96367) $204 $240 2.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $123.25 $145 2.6×
IV push initial (96374) $221 $260 1.0×
Mechanical chest wall oscillation per session (94669) $255 $300 1.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $60.35 $71 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $78.20 $92 2.1×
Motility study esophagus (91010) $4,675 $5,500 12.5×
Motion Fluoroscopy/Swallow (92611) $276.25 $325 3.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,020 $1,200 2.5×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $510 $600 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $318.75 $375 1.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $276.25 $325 0.7×
Neuromuscular Reeducation (97112) $114.75 $135 3.5×
Oral Function Therapy (92526) $212.50 $250 2.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $119 $140 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $106.25 $125 2.3×
Ot eval high complexity (97167) $212.50 $250 2.1×
Ot Eval Low Complex (97165) $208.25 $245 2.1×
Ot Eval Moderate Complexity (97166) $212.50 $250 2.1×
Ot manual therapy 15 min (97140) $106.25 $125 3.8×
Ot paraffin bath (97018) $85 $100 14.1×
Ot Prosthetic Training, Each 15 Min (97761) $72.25 $85 1.8×
Ot Re-Eval Est Plan Care (97168) $136 $160 2.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $255 $300 2.0×
Phlebotomy therapeutic (99195) $235.45 $277 1.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $238 $280 4.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $212.50 $250 3.6×
Physical Performance Test (97750) $85 $100 2.5×
Plethysmography (94726) $446.25 $525 1.2×
Pm device eval in person (93288) $110.50 $130 3.0×
Pm device progr eval dual (93280) $110.50 $130 3.0×
Pm device progr eval multi (93281)
range across 2 matching MRF lines		 $46.75–$51 $55–$60 varies
Pm Device Progr Eval Sngl (93279)
range across 2 matching MRF lines		 $46.75–$131.75 $55–$155 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,058.75 $4,775 4.7×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $38.25 $45 0.8×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $106.25 $125 2.8×
Pt Eval High Complex (97163) $212.50 $250 2.2×
Pt eval low complex 20 min (97161) $212.50 $250 2.2×
Pt Eval Mod Complex (97162) $212.50 $250 2.2×
Pt gait training 15 min (97116) $68 $80 2.3×
Pt group caregiver training (97552)
range across 4 matching MRF lines		 $22.10–$23.80 $26–$28 varies
Pt mechanical traction (97012) $93.50 $110 6.5×
Pt Re-Eval Est Plan Care (97164) $153 $180 2.3×
Pulm function test by gas (94727) $398.65 $469 1.8×
Pulmonary service/procedure (94799) $38.25 $45 0.3×
Pulmonary Stress Testing (94618) $148.75 $175 1.1×
Remote 30 Day Ecg Rev/Report (93270) $72.25 $85 1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $255 $300 1.3×
Self Care Mngment Training (97535) $85 $100 2.6×
Sensory Integration Ea 15 Min (97533) $76.50 $90 1.3×
Sleep study unattended (95806) $488.75 $575 2.3×
Slp caregiver training 1st 30 min (97550) $106.25 $125 2.0×
Speech sound lang comprehen (92523) $403.75 $475 1.8×
Spirometry (94010) $212.50 $250 1.0×
Standardized Cognitive Performance Testing (96125) $318.75 $375 3.1×
Stress Tte Only (93350)
range across 2 matching MRF lines		 $1,955–$2,040 $2,300–$2,400 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $63.75 $75 2.8×
Ther Ivntj Ea Addl 15 Min (97130) $68 $80 3.2×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $106.25 $125 2.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $63.75 $75 2.1×
Ther/Prop/Diag Inj/Inf Proc (96379) $127.50 $150 2.7×
Ther/Proph/Diag Inj Ia (96373) $255 $300 1.2×
Ther/Proph/Diag Inj Sc/Im (96372) $127.50 $150 1.8×
Ther/Proph/Diag Iv Inf Init (96365) $340 $400 1.6×
Therapeutic Activities (97530) $85 $100 2.4×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $487.90 $574 4.7×
Tte w/doppler, complete (93306) $2,125 $2,500 3.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $276.25 $325 3.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $127.50 $150 2.7×
Unlisted Special Dermatological Service/Px (96999) $425 $500 2.1×
Upr/L Xtremity Art 2 Levels (93922) $467.50 $550 3.5×
Vent Mgmt Inpat Init Day (94002) $1,275 $1,500 2.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,275 $1,500 2.1×
Whirlpool Therapy (97022) $68 $80 4.3×

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.