Visits & medical services prices at Onslow Memorial Hospital

Jacksonville, NC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $204 $204 1.0×
Application of heat wave therapy (97024) $46.58 $46.58 6.3×
Assessment of aphasia (96105) $275 $275 2.8×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $90.05 $90.05 2.4×
Behavioral and qualitative analysis of voice and resonance (92524) $321 $321 2.9×
Biofeedback training any modality (90901) $184.23 $184.23 4.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $650 $650 1.8×
Canalith Repositioning (95992) $156 $156 3.8×
Cardiac Stress Tst,Tracing Only (93017) $1,397.50 $1,397.50 6.7×
Cardiopulmonary resuscitation (92950) $971 $971 4.7×
Cardioversion (92960) $1,332 $1,332 2.1×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $12,141 $12,141 3.9×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $13,167 $13,167 4.2×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $13,744 $13,744 4.4×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $13,045 $13,045 4.2×
Cbt 1st hour (94644) $157 $157 1.2×
Chemo Hormon Antineopl Sq/Im (96402) $279 $279 4.0×
Chemo IV push addl drug (96411) $453 $453 6.5×
Chemo Iv Push Sngl Drug (96409) $492 $492 1.5×
Chemo prolong 8+ hrs infuse w/pump (96416) $591 $591 1.9×
Chemother, IV infusion, 1 hr (96413) $783 $783 2.5×
Chemother, IV infusion, ea add hr (96415) $286 $286 4.1×
Chemother,ia infusn tech,<1 hr (96422) $550 $550 1.7×
Chemother,Ia Push Technique (96420) $486 $486 1.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $280 $280 4.0×
Chemotherapy admn intraarterial infusion ea hr (96423) $215 $215 4.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $389 $389 5.6×
Color/duplex Doppler, complete (93975) $1,154 $1,154 5.0×
Color/duplex Doppler, limited (93976) $834 $834 8.3×
Coronary artery angio s&i (93454) $8,352 $8,352 2.7×
Cpap initiation and management (94660) $392 $392 1.9×
Cpt initial (94667) $153 $153 1.2×
Critical care (99291) $4,915.50 $4,915.50 6.2×
Debridement Open Wound 20 Sq Cm< (97597) $367 $367 1.9×
Developmental tst admin phys/qhp 1st hour (96112) $410.90 $410.90 3.3×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $757 $757 1.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $117 $117 1.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $767 $767 3.3×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $583 $583 5.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $716.50 $716.50 3.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $741 $741 7.4×
Dup-scan xtr veins unilateral/limited study (93971) $460 $460 4.6×
Duplex hemodialysis access (93990) $200 $200 2.0×
Duplex scan extracranial art compl bi study (93880) $1,117 $1,117 4.9×
Echo Heart Xthoracic,Limited (93308) $887 $887 3.9×
Echo transesophageal (93312) $2,417.50 $2,417.50 4.6×
Echo Transthoracic - Congenital Tte Complete (93303) $1,999 $1,999 3.8×
Echo Transthoracic - Congenital Tte Limited (93304) $1,294 $1,294 2.5×
EEG awake asleep (95819) $1,245 $1,245 6.0×
EEG awake drowsy (95816) $897 $897 4.3×
EEG cerebral death evaluation (95824) $639 $639 1.8×
EKG (93005) $229.50 $229.50 4.0×
EKG rhythm strip (93041) $109 $109 1.9×
Ekg Signal Averaging (93278) $1,039 $1,039 18.3×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $750 $750 3.6×
Er level 1 (99281) $352 $352 4.3×
Er level ii (99282) $623 $623 4.2×
Er level iii (99283) $1,457 $1,457 5.5×
Er level IV (99284) $2,757.50 $2,757.50 6.9×
Er level v (99285) $3,982 $3,982 6.9×
Ergonovine provocation test (93024) $808.34 $808.34 1.9×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $242 $242 2.0×
Evaluation of speech fluency (92521) $357 $357 2.7×
Evaluation of speech sound production (92522) $298 $298 2.7×
Evaluation of swallowing function (92610) $274 $274 3.2×
Evaluation with prescription of speech-generating alternative (92607) $338.45 $338.45 2.8×
External Ecg Scanning Analysis Report (93226) $1,094 $1,094 19.3×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,363.10 $1,363.10 3.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,445.90 $1,445.90 1.7×
Group Therapeutic Procedures (97150) $103 $103 5.7×
Holter Monitor Recording (93225) $1,017 $1,017 7.9×
Immunization Admin (90471) $85 $85 1.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $159.50 $159.50 2.8×
IV infusion hydration each additional hour (96361) $205.50 $205.50 4.6×
IV infusion hydration initial 31 min-1 hour (96360) $435 $435 2.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $269 $269 3.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $385 $385 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $205.50 $205.50 4.6×
IV push initial (96374) $302 $302 1.5×
Manual therapy 15 min (97140) $395 $395 14.2×
Massage 15 min (97124) $102 $102 3.4×
Maximum voluntary ventilation (94200) $62 $62 1.1×
Mechanical traction (97012) $99 $99 6.9×
Methacholine challenge (94070) $320 $320 0.9×
Motility study esophagus (91010) $1,371.38 $1,371.38 3.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $347 $347 3.8×
Nasopharyngoscopy (92511) $314 $314 1.6×
Neg press wnd tx </=50 sq cm (97607) $736 $736 1.9×
Neg press wound tx >50 cm (97608) $741 $741 1.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $421.50 $421.50 2.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $550 $550 1.4×
Newborn resuscitation (99465) $777 $777 1.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $425.50 $425.50 3.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $379 $379 3.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $192 $192 4.2×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $113 $113 3.5×
Ot Contrast Bath Ea 15 Min (97034) $50.72 $50.72 3.6×
Ot eval high complex 60 min (97167) $329 $329 3.3×
Ot eval low complex 30 min (97165) $270 $270 2.7×
Ot eval mod complex 45 min (97166) $287 $287 2.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $265 $265 5.3×
Ot Prosthetic Training, Each 15 Min (97761) $144 $144 3.6×
Ot re-eval est plan care (97168) $154 $154 2.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $127 $127 1.0×
Paraffin bath (97018) $90.50 $90.50 15.1×
Peripheral arterial disease rehab per session (93668) $120 $120 2.1×
Plethysmography (94726) $330 $330 0.9×
Prq card revasc chronic 1vsl (92943) $14,062.50 $14,062.50 1.3×
Prq Card Stent W/Angio 1 Vsl (92928) $15,750 $15,750 1.4×
Prq Card Stent/Ath/Angio (92933) $19,000 $19,000 1.1×
Prq revasc byp graft 1 vsl (92937) $14,625 $14,625 1.3×
Prq trluml coronary angio/atherect one art/brnch (92924) $12,750 $12,750 1.1×
Prq trluml coronary angioplasty one art/branch (92920) $10,800.50 $10,800.50 2.0×
Pt Electric Current Therapy (97033) $145 $145 7.6×
Pt Electrical Stimulation (97032) $115 $115 7.8×
Pt eval high complex 45 min (97163) $279 $279 2.9×
Pt eval low complex 20 min (97161) $270 $270 2.8×
Pt Gait Training Therapy (97116) $195 $195 6.7×
Pt Infrared Therapy (97026) $62.10 $62.10 9.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $424 $424 13.0×
Pt Physical Performance Test (97750) $243 $243 7.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $280 $280 2.9×
Pt re-evaluation (97164) $163 $163 2.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $184 $184 5.7×
Pt Ultrasound Therapy (97035) $110 $110 7.7×
Pt Whirlpool Therapy (97022) $134 $134 8.5×
Pulm function test by gas (94727) $544 $544 2.6×
R & l hrt cath w/njx l ventriculog img s&i (93453) $11,919 $11,919 3.8×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $14,707 $14,707 4.7×
R hrt art/grft angio (93457) $15,575 $15,575 5.0×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $16,318 $16,318 5.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $565 $565 15.7×
Right heart cath (93451) $5,176 $5,176 1.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $275 $275 1.4×
Rt Chest Wall Manipulation,Subsequent (94668) $122 $122 1.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $57.96 $57.96 1.2×
Sensory Integration Ea 15 Min (97533) $93.16 $93.16 1.5×
Smoking cessation > 10 min (99407) $77 $77 2.1×
Speech group therapy (92508) $168.71 $168.71 7.0×
Speech sound lang comprehen (92523) $389 $389 1.7×
Spirometry (94010) $343 $343 1.6×
Temp transcutaneous pacing (92953) $1,383 $1,383 2.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $116.50 $116.50 5.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $157 $157 7.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $225.63 $225.63 2.2×
Ther/Proph/Diag Inj Sc/Im (96372) $139 $139 2.0×
Therapeutic Activities (97530) $262 $262 7.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $50 $50 1.4×
Trans Care Mgmt 14 Day Disch (99495) $294 $294 2.3×
Trans Care Mgmt 7 Day Disch (99496) $294 $294 2.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,895 $1,895 3.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,029 $1,029 4.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $246 $246 3.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $195 $195 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $222 $222 4.9×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $1,571 $1,571 3.0×
Unlisted Cardiovascular Service/Procedure (93799) $475 $475 3.8×
Unlisted pulmonary service/procedure (94799) $149 $149 1.2×
Vasc Duplex Extrem Venous,Bilat (93970) $1,415 $1,415 6.2×
Vasopneumatic device (97016) $83 $83 6.9×
Ventilation assist & mgmt inpatient 1st day (94002) $955 $955 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $748 $748 1.3×
Vital capacity total (94150) $159.40 $159.40 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $132 $132 4.2×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $354 $354 3.9×