Visits & medical services prices at Pemiscot Memorial Hospital
Hayti, MO · every code in this section with a posted price and a Medicare benchmark.
144 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 10 matching MRF lines |
$34.30–$101.50 | $49–$145 | varies |
| Analyze neurostim complex (95972) range across 5 matching MRF lines |
$58.10–$1,191.40 | $83–$1,702 | varies |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$57.40–$158.90 | $82–$227 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $83.30 | $119 | 5.8× |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$52.50–$245 | $75–$350 | varies |
| Behavral qualit analys voice (92524) | $250.60 | $358 | 2.3× |
| Breathing response to hypoxia (94450) | $84 | $120 | 0.7× |
| Brief Emotional/Behav Assmt (96127) | $10.50 | $15 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines |
$163.80–$588 | $25–$840 | varies |
| Canalith repositioning proc (95992) | $37.10 | $53 | 0.9× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$136.50–$163.10 | $195–$233 | varies |
| Cardiopulmonary exercise testing (94621) | $415.10 | $593 | 1.1× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$252–$740.60 | $360–$1,058 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$98–$1,126.30 | $140–$1,609 | varies |
| Cbt 1st hour (94644) | $133.70 | $191 | 1.0× |
| Chemo Admin Peritoneal Cavity (96446) | $605.50 | $865 | 1.8× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$125.30–$163.10 | $179–$233 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$125.30–$133 | $179–$190 | varies |
| Chemo IV infusion addl hr (96415) | $125.30 | $179 | 1.7× |
| Chemo IV push addl drug (96411) | $125.30 | $179 | 1.7× |
| Chemother Prolong Infuse W/Pump (96416) | $605.50 | $865 | 1.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $125.30 | $179 | 1.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $605.50 | $865 | 1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $393.40 | $562 | 1.2× |
| Chest Wall Manipulation (94668) | $81.90 | $117 | 0.6× |
| Chron Care Mgmt Srvc 20 Min (99490) | $65.10 | $93 | 0.6× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $202.30 | $289 | 0.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $74.20 | $106 | 2.3× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$16.80–$107.80 | $24–$154 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$163.10–$373.10 | $233–$533 | varies |
| Cpt initial (94667) | $52.50 | $75 | 0.4× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$308–$1,575 | $440–$2,250 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 10 matching MRF lines |
$21.70–$385 | $31–$550 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$315.70–$674.10 | $451–$963 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$186.20–$337.40 | $266–$482 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$243.60–$674.10 | $348–$963 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$20.30–$337.40 | $29–$482 | varies |
| Duplex up extrem art bilat (93930) | $257.60 | $368 | 1.1× |
| Duplex up extrem art unilat/ltd (93931) | $278.60 | $398 | 2.7× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$53.90–$157.50 | $77–$225 | varies |
| Eeg 41-60 Minutes (95812) | $280 | $400 | 1.3× |
| EEG awake and asleep (95819) | $1,050 | $1,500 | 4.9× |
| EEG extended monitoring 61-119 minutes (95813) | $307.30 | $439 | 1.4× |
| Electrical Stimulation Ea 15 Min (97032) | $74.20 | $106 | 5.0× |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$14–$200.90 | $20–$287 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$109.90–$268.80 | $157–$384 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$121.80–$469 | $174–$670 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$167.30–$763 | $239–$1,090 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$91–$146.30 | $130–$209 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$244.30–$1,106 | $349–$1,580 | varies |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$30.80–$42.70 | $44–$61 | varies |
| Evaluate Speech Production (92522) | $253.40 | $362 | 2.3× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$52.50–$210 | $75–$300 | varies |
| Evaluation of speech fluency (92521) | $84.70 | $121 | 0.6× |
| Exhaled Air Analysis O2 (94680) | $186.90 | $267 | 1.5× |
| External ECG rec>48hr<7d recording (93242) | $71.40 | $102 | 1.9× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$28–$120.40 | $40–$172 | varies |
| External Ecg Scanning Analysis Report (93226) range across 3 matching MRF lines |
$140.70–$243.60 | $201–$348 | varies |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$249.20–$314.30 | $356–$449 | varies |
| Group Therapeutic Procedures (97150) | $45.50 | $65 | 2.5× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$42–$243.60 | $60–$348 | varies |
| Immunization administration (90471) | $141.40 | $202 | 2.0× |
| Iontophoresis 15 min (97033) | $59.50 | $85 | 3.1× |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$35–$120.40 | $50–$172 | varies |
| IV infusion hydration each additional hour (96361) | $79.80 | $114 | 1.7× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$73.50–$385.70 | $105–$551 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$126.70–$141.40 | $181–$202 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $79.80 | $114 | 1.7× |
| IV push initial (96374) range across 2 matching MRF lines |
$245–$385.70 | $350–$551 | varies |
| Lung Function Test (Mbc/Mvv) (94200) range across 4 matching MRF lines |
$32.90–$42.70 | $47–$61 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$26.60–$205.10 | $38–$293 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$52.50–$210 | $75–$300 | varies |
| Multiple Sleep Latency Test (95805) | $677.60 | $968 | 0.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $56 | $80 | 0.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $44.80 | $64 | 0.1× |
| Neuromuscular Reeducation (97112) | $77 | $110 | 2.4× |
| Newborn resuscitation (99465) | $192.50 | $275 | 0.3× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $186.90 | $267 | 0.5× |
| Oral Function Therapy (92526) | $193.20 | $276 | 2.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$59.50–$107.80 | $85–$154 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $59.50 | $85 | 4.2× |
| Ot eval high complexity (97167) | $231 | $330 | 2.3× |
| Ot Eval Low Complex (97165) | $231 | $330 | 2.3× |
| Ot Eval Moderate Complexity (97166) | $231 | $330 | 2.3× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$67.90–$77 | $97–$110 | varies |
| Ot paraffin bath (97018) | $74.20 | $106 | 12.3× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$81.90–$107.80 | $117–$154 | varies |
| Ot Re-Eval Est Plan Care (97168) | $95.90 | $137 | 1.4× |
| Ot rom hand (95852) | $192.50 | $275 | 9.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $70.70 | $101 | 0.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $10.50 | $15 | 0.1× |
| Oxygen Uptake Rest Indirect (94690) | $84 | $120 | 1.4× |
| Percutaneous tests w/allergenic extracts (95004) | $7.70 | $11 | 0.0× |
| Phlebotomy therapeutic (99195) | $129.50 | $185 | 1.0× |
| Physical Performance Test (97750) | $192.50 | $275 | 5.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$84.70–$1,016.40 | $121–$1,452 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $11.90 | $17 | 0.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$7.70–$18.20 | $11–$26 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 3 matching MRF lines |
$11.90–$30.80 | $17–$44 | varies |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$203–$378.70 | $290–$541 | varies |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$203–$330.40 | $290–$472 | varies |
| Psytx Crisis Initial 60 Min (90839) | $203 | $290 | 1.1× |
| Pt Eval High Complex (97163) | $231 | $330 | 2.4× |
| Pt eval low complex 20 min (97161) | $231 | $330 | 2.4× |
| Pt Eval Mod Complex (97162) | $231 | $330 | 2.4× |
| Pt gait training 15 min (97116) | $67.20 | $96 | 2.3× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$59.50–$111.30 | $85–$159 | varies |
| Pt Re-Eval Est Plan Care (97164) | $158.20 | $226 | 2.3× |
| Pulm function test by gas (94727) | $305.20 | $436 | 1.4× |
| Pulmonary service/procedure (94799) range across 28 matching MRF lines |
$9.80–$163.80 | $8–$234 | varies |
| Pulmonary Stress Testing (94618) | $243.60 | $348 | 1.8× |
| Remote 30 Day Ecg Tech Supp (93229) | $1,610 | $2,300 | 4.3× |
| Respiratory flow volume loop (94375) | $588 | $840 | 2.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 3 matching MRF lines |
$84–$373.10 | $120–$533 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$96.60–$256.90 | $138–$367 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $192.50 | $275 | 7.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $866.60 | $1,238 | 7.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $122.50 | $175 | 2.6× |
| Self Care Mngment Training (97535) | $83.30 | $119 | 2.6× |
| Sensory Integration Ea 15 Min (97533) | $83.30 | $119 | 1.4× |
| Speech sound lang comprehen (92523) | $519.40 | $742 | 2.3× |
| Spirometry (94010) | $163.80 | $234 | 0.8× |
| Standardized Cognitive Performance Testing (96125) | $233.10 | $333 | 2.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $75.60 | $108 | 3.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $74.20 | $106 | 2.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 2 matching MRF lines |
$37.10–$179.90 | $53–$257 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $385.70 | $551 | 1.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$30.10–$126.70 | $43–$181 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$245–$385.70 | $350–$551 | varies |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$77–$84.70 | $110–$121 | varies |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$105–$269.50 | $150–$385 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$150.50–$898.80 | $215–$1,284 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 4 matching MRF lines |
$175–$179.90 | $250–$257 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 2 matching MRF lines |
$53.90–$95.90 | $77–$137 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $79.80 | $114 | 1.7× |
| Tympanometry (92567) | $31.50 | $45 | 0.8× |
| Unlisted cardiovascular service/procedure (93799) | $279.30 | $399 | 2.2× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$72.10–$243.60 | $103–$348 | varies |
| Vasopneumatic device (97016) range across 3 matching MRF lines |
$44.10–$51.80 | $63–$74 | varies |
| Vent Mgmt Inpat Init Day (94002) | $280 | $400 | 0.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $280 | $400 | 0.5× |
| Vital capacity, total (94150) | $9.80 | $14 | 0.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $74.20 | $106 | 2.4× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$78.40–$126.70 | $112–$181 | 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.