Visits & medical services prices at Northwest Florida Community Hospital
Chipley, FL · every code in this section with a posted price and a Medicare benchmark.
176 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $40 | $50 | 0.9× |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$68.80–$74.40 | $86–$93 | varies |
| Airway Inhalation Treatment (94640) range across 9 matching MRF lines |
$16.80–$100 | $21–$125 | varies |
| Analyze neurostim complex (95972) | $276.80 | $346 | 2.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 4 matching MRF lines |
$41.60–$47.20 | $52–$59 | varies |
| Application Modality 1/> Areas Infrared (97026) | $72 | $90 | 10.8× |
| Behavral qualit analys voice (92524) | $404 | $505 | 3.7× |
| Blink reflex test (95933) range across 2 matching MRF lines |
$89.60–$97.60 | $112–$122 | varies |
| Brief Emotional/Behav Assmt (96127) | $9.60 | $12 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $436.80 | $546 | 1.1× |
| C motor evoked uppr limbs (95928) | $308 | $385 | 0.3× |
| C motor evoked upr&lwr limbs (95939) | $832.80 | $1,041 | 0.9× |
| Canalith repositioning proc (95992) | $89.60 | $112 | 2.2× |
| Cardiac Stress Tst,Tracing Only (93017) range across 6 matching MRF lines |
$398.40–$698.40 | $498–$873 | varies |
| Cardiopulmonary resuscitation (92950) range across 5 matching MRF lines |
$236–$681.60 | $295–$852 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$244.80–$820 | $306–$1,025 | varies |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$96.80–$100 | $121–$125 | varies |
| Chemo IV infusion addl hr (96415) | $239.20 | $299 | 3.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,153.60 | $1,442 | 3.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $254.40 | $318 | 0.7× |
| Chest Wall Manipulation (94668) | $100.80 | $126 | 0.7× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$28–$30.40 | $35–$38 | varies |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$402.40–$689.60 | $503–$862 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $45.60 | $57 | 1.4× |
| Continuous Pulse Ox (94762) | $321.60 | $402 | 2.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$12–$421.60 | $15–$527 | varies |
| Cpt initial (94667) | $108.80 | $136 | 0.8× |
| Critical care first hour (99291) range across 7 matching MRF lines |
$308.80–$1,388 | $386–$1,735 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $313.60 | $392 | 0.8× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$20.80–$172.80 | $26–$216 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,032 | $1,290 | 4.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $553.60 | $692 | 5.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$730.40–$1,460.80 | $913–$1,826 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $534.40 | $668 | 4.9× |
| Duplex Scan Hemodialysis Access (93990) | $206.40 | $258 | 1.9× |
| Duplex up extrem art bilat (93930) | $635.20 | $794 | 2.5× |
| Duplex up extrem art unilat/ltd (93931) | $308 | $385 | 2.8× |
| Echo Heart Xthoracic,Limited (93308) | $210.40 | $263 | 0.8× |
| Echo transesophageal (93312) | $778.40 | $973 | 1.4× |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$192.80–$652.80 | $241–$816 | varies |
| Eeg Sleep Only (95822) | $673.60 | $842 | 3.0× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$41.60–$47.20 | $52–$59 | varies |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$15.20–$256 | $19–$320 | varies |
| Emergency Dept Visit Level 2 (99282) range across 4 matching MRF lines |
$163.20–$324 | $204–$405 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$246.40–$432.80 | $308–$541 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$468.80–$700.80 | $586–$876 | varies |
| Emg 3 Extremities (95863) | $208 | $260 | 1.5× |
| Emg 4 Extremities (95864) | $242.40 | $303 | 1.8× |
| Er level 1 (99281) range across 5 matching MRF lines |
$56.80–$172 | $71–$215 | varies |
| Er level v (99285) range across 4 matching MRF lines |
$684.80–$1,009.60 | $856–$1,262 | varies |
| Evaluate pt use of inhaler (94664) range across 11 matching MRF lines |
$16.80–$80.80 | $21–$101 | varies |
| Evaluate Speech Production (92522) | $404 | $505 | 3.6× |
| Evaluate Swallowing Function (92610) | $404 | $505 | 4.8× |
| Evaluation of speech fluency (92521) | $404 | $505 | 3.0× |
| External ECG rec>48hr<7d recording (93242) | $901.60 | $1,127 | 23.1× |
| External ECG rec>7d<15d recording (93246) | $1,803.20 | $2,254 | 46.2× |
| External Ecg Scanning Analysis Report (93226) | $351.20 | $439 | 5.7× |
| Extracranial Bilat Study (93880) | $826.40 | $1,033 | 3.3× |
| Extracranial Uni/Ltd Study (93882) | $287.20 | $359 | 2.6× |
| Flexible endoscopic eval swallow c/v rec (92612) | $376 | $470 | 1.9× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $320 | $400 | 0.4× |
| Group Therapeutic Procedures (97150) | $33.60 | $42 | 1.9× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$322.40–$581.60 | $403–$727 | varies |
| Immunization administration (90471) range across 8 matching MRF lines |
$12–$84 | $15–$105 | varies |
| Iontophoresis 15 min (97033) | $47.20 | $59 | 2.5× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$53.60–$224 | $67–$280 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$51.20–$151.20 | $64–$189 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$290.40–$748.80 | $363–$936 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$52.80–$239.20 | $66–$299 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$52.80–$151.20 | $66–$189 | varies |
| IV push initial (96374) range across 5 matching MRF lines |
$12.80–$748.80 | $16–$936 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $185.60 | $232 | 3.0× |
| Mechanical chest wall oscillation per session (94669) | $68.80 | $86 | 0.3× |
| Multiple Family Group Psychotherapy (90849) | $196 | $245 | 1.1× |
| Multiple Sleep Latency Test (95805) | $2,142.40 | $2,678 | 2.4× |
| Muscle Test 2 Limbs (95861) | $151.20 | $189 | 1.1× |
| Muscle Test Nonparaspinal (95870) | $142.40 | $178 | 1.0× |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$118.40–$168 | $148–$210 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$32.80–$35.20 | $41–$44 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $145.60 | $182 | 0.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $122.40 | $153 | 0.5× |
| Needle electromyography larynx (95865) | $128.80 | $161 | 0.9× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $142.40 | $178 | 0.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$197.60–$660 | $247–$825 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $980 | $1,225 | 2.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$22.40–$112 | $28–$140 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$24–$172.80 | $30–$216 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$72.80–$218.40 | $91–$273 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) | $711.20 | $889 | 1.8× |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$165.60–$711.20 | $207–$889 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$88.80–$398.40 | $111–$498 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$90.40–$398.40 | $113–$498 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$121.60–$398.40 | $152–$498 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) | $711.20 | $889 | 1.8× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $132.80 | $166 | 1.0× |
| Neuromuscular Reeducation (97112) | $47.20 | $59 | 1.4× |
| Oral Function Therapy (92526) range across 5 matching MRF lines |
$223.20–$283.20 | $279–$354 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $47.20 | $59 | 0.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $47.20 | $59 | 1.0× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $7.20 | $9 | 0.3× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $9.60 | $12 | 0.4× |
| Ot eval high complexity (97167) | $212.80 | $266 | 2.1× |
| Ot Eval Low Complex (97165) | $212.80 | $266 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $212.80 | $266 | 2.1× |
| Ot manual therapy 15 min (97140) range across 8 matching MRF lines |
$47.20–$49.60 | $59–$62 | varies |
| Ot paraffin bath (97018) | $51.20 | $64 | 8.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $47.20 | $59 | 1.2× |
| Ot Re-Eval Est Plan Care (97168) | $212.80 | $266 | 3.1× |
| Ot rom hand (95852) | $56.80 | $71 | 2.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $186.40 | $233 | 1.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $186.40 | $233 | 1.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 4 matching MRF lines |
$14.40–$79.20 | $18–$99 | varies |
| Phlebotomy therapeutic (99195) range across 4 matching MRF lines |
$73.60–$425.60 | $92–$532 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $120.80 | $151 | 2.0× |
| Physical Performance Test (97750) | $47.20 | $59 | 1.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $1,301.60 | $1,627 | 1.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 7 matching MRF lines |
$4.80–$47.20 | $6–$59 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 3 matching MRF lines |
$16.80–$24.80 | $21–$31 | varies |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$153.60–$257.60 | $192–$322 | varies |
| Psychiatric diagnostic evaluation (90791) | $236 | $295 | 1.3× |
| Psytx Crisis Initial 60 Min (90839) | $276 | $345 | 1.5× |
| Pt Eval High Complex (97163) | $212.80 | $266 | 2.2× |
| Pt eval low complex 20 min (97161) | $212.80 | $266 | 2.2× |
| Pt Eval Mod Complex (97162) | $212.80 | $266 | 2.2× |
| Pt gait training 15 min (97116) | $47.20 | $59 | 1.6× |
| Pt mechanical traction (97012) | $47.20 | $59 | 3.3× |
| Pt Re-Eval Est Plan Care (97164) | $106.40 | $133 | 1.6× |
| Pulmonary service/procedure (94799) range across 5 matching MRF lines |
$6.40–$80 | $8–$100 | varies |
| Pulmonary Stress Testing (94618) | $168 | $210 | 1.2× |
| Pure Tone Audiometry Air (92552) | $164.80 | $206 | 1.2× |
| Remote 30 Day Ecg Rev/Report (93270) range across 3 matching MRF lines |
$60–$321.60 | $75–$402 | varies |
| Remote 30 Day Ecg Tech Supp (93229) | $52.80 | $66 | 0.1× |
| Respiratory flow volume loop (94375) | $80.80 | $101 | 0.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 3 matching MRF lines |
$73.60–$89.60 | $92–$112 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$57.60–$750.40 | $72–$938 | varies |
| Self Care Mngment Training (97535) range across 6 matching MRF lines |
$41.60–$47.20 | $52–$59 | varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $294.40 | $368 | 1.3× |
| Short-latency somatosens ep std upr limbs (95925) | $280.80 | $351 | 1.2× |
| Somatosensory Testing (95938) | $623.20 | $779 | 0.7× |
| Speech sound lang comprehen (92523) | $404 | $505 | 1.8× |
| Spirometry (94010) | $124 | $155 | 0.5× |
| Ssep lower limbs (95926) | $247.20 | $309 | 1.1× |
| Stress Tte Only (93350) | $778.40 | $973 | 1.4× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$345.60–$820 | $432–$1,025 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $283.20 | $354 | 12.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $283.20 | $354 | 13.5× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $47.20 | $59 | 1.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $47.20 | $59 | 1.6× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $59.20 | $74 | 1.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 12 matching MRF lines |
$5.60–$239.20 | $7–$299 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 5 matching MRF lines |
$255.20–$748.80 | $319–$936 | varies |
| Therapeutic Activities (97530) | $47.20 | $59 | 1.3× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $711.20 | $889 | 1.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $56 | $70 | 1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $27.20 | $34 | 0.7× |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$96–$103.20 | $120–$129 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$139.20–$150.40 | $174–$188 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $255.20 | $319 | 2.3× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $94.40 | $118 | 0.7× |
| Tte w/doppler, complete (93306) | $738.40 | $923 | 1.3× |
| Tte W/O Doppler Complete (93307) | $716.80 | $896 | 2.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$37.60–$128 | $47–$160 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 4 matching MRF lines |
$24.80–$26.40 | $31–$33 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$12.80–$126.40 | $16–$158 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$9.60–$10.40 | $12–$13 | varies |
| Unlisted cardiovascular service/procedure (93799) | $218.40 | $273 | 1.6× |
| Unlisted Psychiatric Service/Procedure (90899) range across 2 matching MRF lines |
$150.40–$151.20 | $188–$189 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$199.20–$238.40 | $249–$298 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $806.40 | $1,008 | 3.6× |
| Vasopneumatic device (97016) | $47.20 | $59 | 3.9× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$160.80–$190.40 | $201–$238 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $132.80 | $166 | 0.2× |
| Visual Evoked Potential Test (95930) | $93.60 | $117 | 0.4× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$98.40–$99.20 | $123–$124 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $47.20 | $59 | 1.5× |
| Whirlpool Therapy (97022) | $55.20 | $69 | 3.5× |
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.