Visits & medical services prices at Northeast Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $117.29 $488.72 0.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $477.57 $1,989.88 1.3×
Capsule endoscopy (91110) $1,256.91 $5,237.14 1.4×
Car seat/bed test 60 min (94780) $83.14 $346.42 2.2×
Cardiac Stress Tst,Tracing Only (93017) $332.98 $1,387.43 1.5×
Cardiopulmonary resuscitation (92950) $252.08 $1,050.34 1.2×
Cardioversion (92960) $700.42 $2,918.41 1.1×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $3,967.81 $16,532.55 1.2×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $10,121.64 $42,173.52 3.1×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $7,302.69 $30,427.88 2.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,200.79 $30,003.31 2.2×
Cbt 1st hour (94644) $98.26 $409.41 0.7×
Chemother, IV infusion, 1 hr (96413) $424.10 $1,767.10 1.3×
Chemother, IV infusion, ea add hr (96415) $61.86 $257.77 0.9×
Color/duplex Doppler, complete (93975) $385.62 $1,606.72 1.6×
Color/duplex Doppler, limited (93976) $402.69 $1,677.86 3.8×
Continuous Glucose Monitoring (95250) $173.28 $722 1.3×
Coronary artery angio s&i (93454) $4,104.70 $17,102.92 1.3×
Cpap initiation and management (94660) $664.29 $2,767.87 3.0×
Cpt initial (94667) $127.09 $529.55 1.0×
Critical care (99291) $2,134.09 $8,892.05 2.6×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $293.65 $1,223.55 0.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $117.01 $487.56 0.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $81.25 $338.55 0.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $766.74 $3,194.77 3.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $488.49 $2,035.37 4.7×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $766.74 $3,194.77 3.2×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $488.49 $2,035.37 4.7×
Dup-scan xtr veins unilateral/limited study (93971) $481.89 $2,007.86 4.6×
Duplex scan extracranial art compl bi study (93880) $846.53 $3,527.19 3.5×
Echo Heart Xthoracic,Limited (93308) $400.03 $1,666.79 1.7×
Echo transesophageal (93312) $807.61 $3,365.06 1.5×
EEG awake asleep (95819) $439.50 $1,831.25 2.0×
EEG awake drowsy (95816) $374.83 $1,561.81 1.7×
EEG cerebral death evaluation (95824) $414.20 $1,725.84 1.1×
EEG coma or sleep only (95822) $229.03 $954.28 1.1×
EEG cont rec w/video by tech min 8 channels (95700) $115.07 $479.44 0.5×
Eeg Extended Monitoring 61-119 Minutes (95813) $229.03 $954.28 1.1×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $390.24 $1,625.99 1.0×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $229.03 $954.28 1.1×
EKG (93005) $67.74 $282.27 1.1×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $229.03 $954.28 1.1×
Er level 1 (99281) $133.53 $556.37 1.6×
Er level ii (99282) $220.87 $920.29 1.4×
Er level iii (99283) $484.85 $2,020.20 1.8×
Er level IV (99284) $620.90 $2,587.08 1.5×
Er level v (99285) $649.54 $2,706.44 1.1×
Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) $502.20 $2,092.52 1.3×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $115.61 $481.72 1.6×
Evaluation of swallowing function (92610) $343.76 $1,432.34 4.1×
External ECG rec>48hr<7d recording (93242) $25.75 $107.31 0.7×
External ECG rec>7d<15d recording (93246) $42.27 $176.13 1.1×
External Ecg Scanning Analysis Report (93226) $1,162.29 $4,842.89 19.7×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $406.93 $1,695.54 1.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $4,437.97 $18,491.53 5.2×
Hemodialysis (90935) $500.25 $2,084.36 0.7×
Holter Monitor Recording (93225) $503.60 $2,098.35 3.8×
Icd Device Interrogate (93289) $37.23 $155.13 1.0×
Immunization Admin (90471) $63.68 $265.36 0.9×
Ins swan ganz bedside (93503) $2,221.30 $9,255.38 1.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $114.49 $477.06 1.9×
IV infusion hydration each additional hour (96361) $43.11 $179.62 0.9×
IV infusion hydration initial 31 min-1 hour (96360) $154.52 $643.86 0.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $63.68 $265.36 0.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $251.24 $1,046.84 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $43.11 $179.62 0.9×
IV push initial (96374) $159 $662.52 0.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $56.27 $234.45 1.5×
Methacholine challenge (94070) $758.91 $3,162.11 2.0×
Motility study esophagus (91010) $487.69 $2,032.04 1.3×
Multiple sleep latency test (95805) $1,826.58 $7,610.76 2.1×
Neg press wnd tx </=50 sq cm (97607) $220.39 $918.28 0.5×
Neg press wound tx >50 cm (97608) $220.39 $918.28 0.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $106.68 $444.50 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $220.39 $918.28 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $309.89 $1,291.20 2.3×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $622.02 $2,591.74 2.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $290.85 $1,211.89 2.3×
Ot eval high complex 60 min (97167) $249.42 $1,039.26 2.5×
Ot eval low complex 30 min (97165) $249.42 $1,039.26 2.5×
Ot eval mod complex 45 min (97166) $249.42 $1,039.26 2.5×
Ot re-eval est plan care (97168) $163.76 $682.34 2.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $214.99 $895.80 1.7×
Peripheral arterial disease rehab per session (93668) $52.63 $219.28 0.9×
Phy/qhp op pulm rhb w/mntr (94626) $87.62 $365.08 1.5×
Phy/qhp op pulm rhb w/o mntr (94625) $87.62 $365.08 1.5×
Plethysmography (94726) $165.44 $689.34 0.4×
Pm device eval in person (93288) $37.23 $155.13 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,370.43 $14,043.46 3.9×
Prq Card Stent W/Angio 1 Vsl (92928) $9,902.46 $41,260.23 0.9×
Prq revasc byp graft 1 vsl (92937) $8,160.42 $34,001.73 0.7×
Prq trluml coronary angioplasty one art/branch (92920) $6,520.27 $27,167.79 1.1×
Pt Electric Current Therapy (97033) $49.70 $207.09 2.6×
Pt eval high complex 45 min (97163) $269.86 $1,124.41 2.8×
Pt eval low complex 20 min (97161) $269.86 $1,124.41 2.8×
Pt Gait Training Therapy (97116) $107.22 $446.73 3.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $119.53 $498.05 3.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $269.86 $1,124.41 2.8×
Pt re-evaluation (97164) $195.12 $812.98 2.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $107.22 $446.73 3.3×
Pulm function test by gas (94727) $301.21 $1,255.05 1.4×
Pulmonary stress testing (94618) $56.83 $236.78 0.4×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $7,200.79 $30,003.31 2.2×
R hrt art/grft angio (93457) $10,223.26 $42,596.93 3.1×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $7,302.69 $30,427.88 2.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $339.56 $1,414.84 9.1×
Right heart cath (93451) $6,016.94 $25,070.60 1.9×
Rt Chest Wall Manipulation,Subsequent (94668) $108.61 $452.56 0.8×
Smoking cessation > 10 min (99407) $17.53 $73.06 0.5×
Speech sound lang comprehen (92523) $214.71 $894.63 0.9×
Spirometry (94010) $149.49 $622.86 0.7×
Standardized Cognitive Performance Testing (96125) $214.71 $894.63 2.1×
Stress echo (93350) $564.35 $2,351.46 1.0×
Stress Tte Complete (93351) $718.60 $2,994.15 1.3×
Temp transcutaneous pacing (92953) $271.56 $1,131.50 0.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $119.53 $498.05 5.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $119.53 $498.05 5.7×
Ther/Proph/Diag Inj Sc/Im (96372) $63.68 $265.36 0.9×
Therapeutic Activities (97530) $107.22 $446.73 3.1×
Therapeutic phlebotomy (99195) $114.49 $477.06 0.9×
Tilt Table Eval (93660) $382.95 $1,595.64 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $17.53 $73.06 0.5×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $737.91 $3,074.63 1.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $143.89 $599.53 1.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $143.89 $599.53 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $63.68 $265.36 1.4×
Unlisted Cardiovascular Service/Procedure (93799) $190.62 $794.26 1.5×
Vasc Duplex Extrem Venous,Bilat (93970) $868.78 $3,619.90 3.6×
Vasc Duplex Scan Extracranial,Limited (93882) $421.86 $1,757.76 4.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $887.40 $3,697.49 4.1×
Veeg by tech 2-12 hr intermittent monitoring (95712) $229.02 $954.27 0.6×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $390.24 $1,625.99 1.0×
Ventilation assist & mgmt inpatient 1st day (94002) $509.48 $2,122.85 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $352.16 $1,467.33 0.6×
Vital capacity total (94150) $134.65 $561.04 1.0×