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.

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $71.60 $89.50 0.7×
Aerosol inhalation pentamidine (94642) $14.40 $18 0.1×
Airway inhalation treatment (94640) $94.40 $118 0.4×
Allergy injection single (95115) $20.80 $26 0.4×
Behav assmt w/score & docd/stand instrument (96127) $9.60 $12 0.2×
Behavioral & qualit analysis voice and resonance (92524) $404 $505 3.7×
Blink reflex test (95933) $93.60 $117 1.5×
C motor evoked lwr limbs (95929) $313.60 $392 0.8×
C motor evoked uppr limbs (95928) $308 $385 0.3×
Canalith repositioning (95992) $89.60 $112 2.2×
Cardiac stress test (93017) $398.40 $498 1.8×
Cardiovascular procedure unlisted (93799) $218.40 $273 1.6×
Cardioversion elective external (92960) $780.80 $976 1.1×
Carotid duplex scan; bilat (93880) $826.40 $1,033 3.3×
Carotid duplex scan; unil/limit (93882) $287.20 $359 2.6×
Chemo IV infusion addl hr (96415) $239.20 $299 3.2×
Chemother, IV infusion, 1 hr (96413) $1,153.60 $1,442 3.3×
Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) $254.40 $318 0.7×
Chron care mgmt srvc 20 min (99490) $29.20 $36.50 0.3×
Color/duplex Doppler, complete (93975) $546 $682.50 2.2×
Continuous inhalation tx, 1st hr (94644) $98.40 $123 0.7×
Cpap/bipap daily (94660) $298.40 $373 1.3×
Cpr (92950) $324.80 $406 1.4×
Cpt initial (94667) $108.80 $136 0.8×
Cpt subsequent (94668) $100.80 $126 0.7×
Critical care first hour (99291) $873.60 $1,092 1.0×
Ctr motr ep std transcrnl motr stim upr&low limb (95939) $832.80 $1,041 0.9×
Duplex ext veins; bilat (93970) $1,460.80 $1,826 5.9×
Duplex hemodialysis access (93990) $206.40 $258 1.9×
Duplex le art/bpg; bilat (93925) $1,032 $1,290 4.1×
Duplex le art/bpg; unil/limit (93926) $553.60 $692 5.1×
Duplex ue art/bpg; bilat (93930) $635.20 $794 2.5×
Duplex ue art/bpg; unil/limit (93931) $308 $385 2.8×
Duplex venous ext unilat/lmtd (93971) $534.40 $668 4.9×
ECG monit/reprt up to 48 hrs (93226) $351.20 $439 5.7×
ECG up to 48 hrs recording (93225) $452 $565 3.3×
Echo transesophageal (93312) $778.40 $973 1.4×
EEG awake & asleep (95819) $422.80 $528.50 1.9×
EEG coma or sleep only (95822) $673.60 $842 3.0×
EKG rhythm strip (93041) $76 $95 1.2×
Elec alys implt npgt cplx sp/pn prgrmg (95972) $276.80 $346 2.8×
Electrocardiogram (93005) $234.40 $293 3.8×
Electrode stimulation brain (95961) $320 $400 0.4×
Emergency department visit high mdm (99285) $847.20 $1,059 1.4×
Emergency department visit low mdm (99283) $339.60 $424.50 1.2×
Emergency department visit may not req phys/qhp (99281) $132 $165 1.5×
Emergency department visit moderate mdm (99284) $584.80 $731 1.3×
Emergency department visit straightforward mdm (99282) $243.60 $304.50 1.5×
EMG four extremities (95864) $242.40 $303 1.8×
EMG one extremity (95860) $143.20 $179 1.0×
EMG thoracic paraspinal (95869) $142.40 $178 0.6×
EMG three extremities (95863) $208 $260 1.5×
EMG two extremities (95861) $151.20 $189 1.1×
Endoscopy swallow (fees) vid (92612) $376 $470 1.9×
Evaluate pt use of inhaler (94664) $78.40 $98 0.3×
Evaluate speech production (92522) $404 $505 3.6×
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×
Flow volume loop (94375) $80.80 $101 0.4×
Gait training 15 min (97116) $47.20 $59 1.6×
Imm admn sarscov2 vaccine single dose (90480) $40 $50 0.9×
Immunization Admin (90471) $24 $30 0.3×
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $115.60 $144.50 2.4×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $268 $335 1.2×
Irrigaj implntd venous access drug delivery syst (96523) $138.80 $173.50 2.3×
IV hydration each add'l hr (96361) $107.20 $134 2.2×
IV infusion hydration initial 31 min-1 hour (96360) $290.40 $363 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $223.20 $279 3.0×
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $305.60 $382 1.4×
IV tx, each additional hour (96366) $135.20 $169 2.8×
Manual therapy ea 15 min (97140) $47.20 $59 1.7×
Massage therapy ea 15 mins (97124) $47.20 $59 1.6×
Maximum voluntary ventilation (94200) $185.60 $232 3.0×
Mechanical chest wall oscillation lung function (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×
Nasopharyngoscopy (92511) $34 $42.50 0.2×
Needle electromyography cranial nrv muscle uni (95867) $122.40 $153 0.5×
Needle electromyography; larynx (95865) $128.80 $161 0.9×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $142.40 $178 1.0×
Neg pressure wound therapy non dme </= 50 sq cm (97607) $462.40 $578 1.1×
Neg pressure wound therapy non dme >50 sq cm (97608) $980 $1,225 2.3×
Negative pressure wound therapy dme </= 50 sq cm (97605) $24.80 $31 0.1×
Negative pressure wound therapy dme >50 sq cm (97606) $26.40 $33 0.1×
Nerve conduction studies 1-2 studies (95907) $145.60 $182 0.6×
Nerve conduction studies 11-12 studies (95912) $711.20 $889 1.8×
Nerve conduction studies 13/> studies (95913) $438.40 $548 1.1×
Nerve conduction studies 3-4 studies (95908) $243.60 $304.50 1.1×
Nerve conduction studies 5-6 studies (95909) $244.40 $305.50 1.1×
Nerve conduction studies 7-8 studies (95910) $260 $325 0.7×
Nerve conduction studies 9-10 studies (95911) $711.20 $889 1.8×
Neuromuscular junction test (95937) $132.80 $166 1.0×
Non-invasive physiologic study extremity 3 levels (93923) $806.40 $1,008 3.6×
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) $47.20 $59 1.0×
Osteopathic manip,3-4 body regn (98926) $9.60 $12 0.4×
Osteopathic manipulative tx 1-2 body regions (98925) $7.20 $9 0.3×
Ot eval high complex 60 min (97167) $212.80 $266 2.1×
Ot eval low complex 30 min (97165) $212.80 $266 2.1×
Ot eval mod complex 45 min (97166) $212.80 $266 2.1×
Ot group therapy procedures (97150) $33.60 $42 1.9×
Ot mechanical traction (97012) $47.20 $59 3.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $47.20 $59 0.9×
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 wheelchair management (97542) $47.20 $59 1.5×
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×
Paraffin bath therapy (97018) $51.20 $64 8.5×
Phlebotomy therapeutic (99195) $108.40 $135.50 0.8×
Phy/qhp op pulm rhb w/o mntr (94625) $120.80 $151 2.0×
Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) $1,301.60 $1,627 1.5×
PR Needle Electromyography Cranial Nerve Supplied Muscle Bilateral|PROFESSIONAL COMPONENT (95868) $145.60 $182 0.6×
Professional services for allergen immunotherapy; 2 or more injections (95117) $24.80 $31 0.5×
Psych diag eval w/med srvcs (90792) $205.60 $257 1.1×
Psychiatric Diagnostic Evaluation (90791) $236 $295 1.3×
Psytx crisis initial 60 min (90839) $276 $345 1.5×
Pt Aquatic Therapy/Exercises (97113) $47.20 $59 1.3×
Pt Community/Work Reintegration Trainj Ea 15 Min (97537) $45.60 $57 1.4×
Pt Debridement Open Wound 20 Sq Cm< (97597) $48.80 $61 0.2×
Pt Electric Current Therapy (97033) $47.20 $59 2.5×
Pt Electrical Stimulation (97032) $47.20 $59 3.2×
Pt eval high complex 45 min (97163) $212.80 $266 2.2×
Pt eval low complex 20 min (97161) $212.80 $266 2.2×
Pt infrared therapy (97026) $72 $90 10.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $47.20 $59 1.4×
Pt Physical Performance Test (97750) $47.20 $59 1.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $212.80 $266 2.2×
Pt re-eval est plan care (97164) $106.40 $133 1.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $47.20 $59 1.5×
Pt Therapeut Actvity Direct Pt Contact Each 15 Min (97530) $47.20 $59 1.3×
Pt Whirlpool Therapy (97022) $55.20 $69 3.5×
Pulmonary service/procedure (94799) $13.60 $17 0.1×
Pulmonary stress testing (94618) $168 $210 1.2×
Pulse oximetry continuous (94762) $321.60 $402 2.4×
Pure tone audiometry, air only (92552) $164.80 $206 1.2×
Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Other… (95852) $56.80 $71 2.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $216 $270 5.5×
Short-latency somatosens ep std upr & low limbs (95938) $623.20 $779 0.7×
Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95927) $294.40 $368 1.3×
Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) $247.20 $309 1.1×
Slp evaloral pharyngeal swallow function (92610) $404 $505 4.8×
Speech sound lang comprehen (92523) $404 $505 1.8×
Spirometry (94010) $124 $155 0.5×
Spirometry with bronchodilator (94060) $436.80 $546 1.1×
Ssep upper limbs (95925) $280.80 $351 1.2×
Stress echocardiogram (93350) $778.40 $973 1.4×
Temp transcutaneous pacing (92953) $582.80 $728.50 0.8×
Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function),… (95922) $94.40 $118 0.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $283.20 $354 12.7×
Ther ivntj cog funcj cntct ea addl 15 minutes (97130) $283.20 $354 13.5×
Therapeutic prophylactic/dx injection subq/im (96372) $51.60 $64.50 0.7×
Tilt table evaluation (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) $99.60 $124.50 0.7×
Trans care mgmt 7 day disch (99496) $144.80 $181 1.0×
Treat swallowing dysfunction (92526) $283.20 $354 3.4×
Tte f-up or lmtd (93308) $210.40 $263 0.8×
Tte W/Doppler Complete - Tte Complete (93306) $738.40 $923 1.3×
Tte w/o doppler complete (93307) $716.80 $896 2.9×
Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) $128 $160 1.7×
Tx speech language voice commj auditry 2/>indiv (92508) $24.80 $31 1.0×
Tympanometry (92567) $10 $12.50 0.3×
Ultrasound therapy ea 15 mins (97035) $47.20 $59 3.3×
Unlisted psychiatric service or procedure UNSCHEDULED (90899) $150.80 $188.50 3.9×
Unlisted Ther Proph Dx Inj (96379) $59.20 $74 1.2×
Upr/l xtremity art 2 levels (93922) $218.80 $273.50 1.6×
Us transcranial doppler lmtd (93888) $255.20 $319 2.3×
Vasopneumatic device therapy (97016) $47.20 $59 3.9×
Ventilator initial day (94002) $175.60 $219.50 0.3×
Ventilator subsequent day (94003) $132.80 $166 0.2×
Visual ep testing cns except glaucoma w/i&r (95930) $93.60 $117 0.4×
Vital capacity total (94150) $98.80 $123.50 0.7×
Wound care non-selective (97602) $731.20 $914 3.5×
Xtrnl mobile cv telemetry w/technical support (93229) $52.80 $66 0.1×