Visits & medical services prices at Optim Medical Center-Screven

Sylvania, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$47.05–$1,441 $47.05–$1,441 varies
Analyze neurostim complex (95972) $639 $639 7.7×
Analyze Neurostim Simple (95971) $200 $200 2.4×
Assessment of aphasia per hr (96105) $272.22 $272.22 2.8×
Behavral qualit analys voice (92524) $277.29 $277.29 2.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,797 $1,797 5.5×
Cardiopulmonary exercise testing (94621) $284.65 $284.65 0.9×
Cardiopulmonary resuscitation (92950) $1,796.81 $1,796.81 9.5×
Cardioversion (92960)
range across 2 matching MRF lines
$477.32–$3,725.61 $477.32–$3,725.61 varies
Cbt 1st hour (94644) $712 $712 6.1×
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$47.60–$78.65 $47.60–$78.65 varies
Color/duplex Doppler, complete (93975) $256.29 $256.29 1.2×
Continuous Pulse Ox (94762) $291.50 $291.50 2.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $188.95 $188.95 1.0×
Cpt initial (94667) $731.22 $731.22 6.3×
Critical care first hour (99291) $4,709 $4,709 6.5×
Debridement Open Wound 20 Sq Cm< (97597) $159.80 $159.80 0.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$1,167.70–$1,401.24 $1,167.70–$1,401.24 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$672.05–$806.46 $672.05–$806.46 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$881.80–$1,058.16 $881.80–$1,058.16 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$533.55–$640.26 $533.55–$640.26 varies
Duplex up extrem art bilat (93930) $1,331.58 $1,331.58 6.4×
Duplex up extrem art unilat/ltd (93931) $892.14 $892.14 9.7×
Echo Heart Xthoracic,Limited (93308) $1,160 $1,160 5.5×
Electrocardiogram Tracing (93005) $350.13 $350.13 6.8×
Emergency Dept Visit Level 2 (99282) $837 $837 6.2×
Emergency Dept Visit Level 3 (99283) $1,474 $1,474 6.2×
Emergency Dept Visit Level 4 (99284) $2,317 $2,317 6.3×
Emg 4 Extremities (95864) $894.18 $894.18 7.9×
Er level 1 (99281)
range across 2 matching MRF lines
$231–$462 $231–$462 varies
Er level v (99285) $3,326 $3,326 6.4×
Evaluate pt use of inhaler (94664) $1,596 $1,596 8.3×
Evaluate Speech Production (92522) $266.58 $266.58 2.4×
Evaluation of speech fluency (92521) $327.27 $327.27 2.5×
External ECG rec>48hr<7d recording (93242) $230 $230 7.0×
External Ecg Scanning Analysis Report (93226) $555.25 $555.25 10.7×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$1,106.15–$1,329 $1,106.15–$1,329 varies
Group Therapeutic Procedures (97150) $122.65 $122.65 6.8×
Holter monitor recording (93225) $675 $675 5.8×
Immunization administration (90471) $403.26 $403.26 6.4×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$354–$447.68 $354–$447.68 varies
IV infusion hydration each additional hour (96361)
range across 4 matching MRF lines
$56.28–$900.48 $56.28–$900.48 varies
IV infusion hydration initial 31 min-1 hour (96360) $1,226.99 $1,226.99 6.6×
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines
$97.13–$117.56 $97.13–$117.56 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 4 matching MRF lines
$80.76–$403.80 $80.76–$403.80 varies
IV push initial (96374) $1,226.99 $1,226.99 6.6×
Lung Function Test (Mbc/Mvv) (94200) $47.05 $47.05 0.9×
Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) $78.65 $78.65 0.4×
Measurement Lung Volumes Infant/Child/2 Yrs (94013) $78.65 $78.65 0.2×
Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) $78.65 $78.65 0.7×
Methacholine challenge (94070) $288.20 $288.20 0.9×
Multiple Sleep Latency Test (95805) $3,000 $3,000 4.0×
Muscle Test Hemidiaphragm (95866) $894.18 $894.18 7.9×
Muscle Test Nonparaspinal (95870) $731.22 $731.22 6.3×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $1,796.81 $1,796.81 9.5×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $1,796.81 $1,796.81 9.5×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $894.18 $894.18 4.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $2,283 $2,283 6.4×
Nerve Conduction Studies 1-2 Studies (95907) $894.18 $894.18 4.7×
Nerve Conduction Studies 11-12 Studies (95912) $3,068.21 $3,068.21 9.4×
Nerve conduction studies 13 or more studies (95913) $3,068 $3,068 9.4×
Nerve Conduction Studies 3-4 Studies (95908) $1,796.81 $1,796.81 9.5×
Nerve conduction studies 5-6 studies (95909) $1,796.82 $1,796.82 9.5×
Nerve conduction studies 7-8 studies (95910) $1,796.82 $1,796.82 5.5×
Nerve Conduction Studies 9-10 Studies (95911) $3,068.21 $3,068.21 9.4×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$129.55–$259.10 $129.55–$259.10 varies
Ot manual therapy 15 min (97140) $149 $149 5.4×
Patient-initiated spirometric recording (94015) $234.05 $234.05 1.2×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $234.05 $234.05 0.6×
Phlebotomy therapeutic (99195) $369.28 $369.28 3.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $472 $472 9.1×
Physical Performance Test (97750) $165 $165 4.9×
Plethysmography (94726) $1,796.81 $1,796.81 5.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,000 $3,000 4.0×
Pt Eval High Complex (97163) $215.13 $215.13 2.2×
Pt eval low complex 20 min (97161) $215.13 $215.13 2.2×
Pt Eval Mod Complex (97162) $215.13 $215.13 2.2×
Pt gait training 15 min (97116) $80.28 $80.28 2.8×
Pt mechanical traction (97012) $45.72 $45.72 3.2×
Pulm function test by gas (94727) $894 $894 4.7×
Pulmonary Stress Testing (94618) $731.22 $731.22 6.3×
Respiratory flow volume loop (94375) $47.05 $47.05 0.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $350 $350 6.8×
Speech sound lang comprehen (92523) $552.48 $552.48 2.4×
Spirometry (94010) $894.18 $894.18 4.7×
Subcutaneous Infusion Each Additional Hour (96370) $64.88 $64.88 1.6×
Subcutaneous infusion initial 1 hr w/pump set-up (96369)
range across 2 matching MRF lines
$765.64–$765.65 $765.64–$765.65 varies
Subq Infusion Additional Pump Infusion Site (96371) $765.60 $765.60 12.1×
Ther/Proph/Diag Inj Ia (96373) $74.52 $74.52 0.4×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 5 matching MRF lines
$71.16–$2,016.30 $71.16–$2,016.30 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$271.90–$1,226.98 $271.90–$1,226.98 varies
Therapeutic Activities (97530) $144.65 $144.65 4.1×
Tobacco Use Cessation Intensive >10 Minutes (99407) $99.24 $99.24 3.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $47.72 $47.72 1.5×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$873.70–$1,048.44 $873.70–$1,048.44 varies
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 5 matching MRF lines
$271.90–$1,631.40 $271.90–$1,631.40 varies
Upr/L Xtremity Art 2 Levels (93922) $513.12 $513.12 4.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $797.94 $797.94 4.2×
Vent Mgmt Inpat Init Day (94002) $2,395 $2,395 4.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines
$270.68–$541.36 $270.68–$541.36 varies

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.