Visits & medical services prices at Person Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $303.20 $758 1.4×
Behavioral and qualitative analysis of voice and resonance (92524) $281.40 $703.50 2.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $617 $1,542.50 1.7×
Cardiac Stress Tst,Tracing Only (93017) $1,010 $2,525 4.7×
Cardiopulmonary resuscitation (92950) $1,342.80 $3,357 6.2×
Cardioversion (92960) $1,228.80 $3,072 1.9×
Cbt 1st hour (94644) $323.60 $809 2.4×
Color/duplex Doppler, complete (93975) $945.60 $2,364 4.0×
Color/duplex Doppler, limited (93976) $466.60 $1,166.50 4.5×
Cpap initiation and management (94660) $580 $1,450 2.7×
Cpt initial (94667) $170.40 $426 1.3×
Critical care (99291) $2,213.20 $5,533 2.7×
Debridement Open Wound 20 Sq Cm< (97597) $413.20 $1,033 2.1×
Demo &/or eval,pt use,aerosol device (94664) $278 $695 1.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $920.60 $2,301.50 3.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $425.60 $1,064 4.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,432.40 $3,581 6.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $903.20 $2,258 8.7×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,432.40 $3,581 6.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $910.20 $2,275.50 8.7×
Dup-scan xtr veins unilateral/limited study (93971) $1,033.20 $2,583 9.9×
Duplex scan extracranial art compl bi study (93880) $1,477.80 $3,694.50 6.2×
Echo Heart Xthoracic,Limited (93308) $932.60 $2,331.50 3.9×
EKG (93005) $249.20 $623 4.2×
EKG rhythm strip (93041) $75.60 $189 1.3×
Er level 1 (99281) $388.80 $972 4.6×
Er level ii (99282) $518.40 $1,296 3.4×
Er level iii (99283) $745.20 $1,863 2.7×
Er level IV (99284) $1,036.80 $2,592 2.5×
Er level v (99285) $1,603.20 $4,008 2.7×
Evaluation of speech fluency (92521) $281.40 $703.50 2.1×
Evaluation of speech sound production (92522) $281.40 $703.50 2.5×
Evaluation of swallowing function (92610) $401 $1,002.50 4.7×
External Ecg Scanning Analysis Report (93226) $49.60 $124 0.8×
Holter Monitor Recording (93225) $103.20 $258 0.8×
Immunization Admin (90471) $144.40 $361 2.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $178 $445 3.0×
IV infusion hydration each additional hour (96361) $100.40 $251 2.2×
IV infusion hydration initial 31 min-1 hour (96360) $368 $920 1.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $144.40 $361 2.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $521.60 $1,304 2.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $144.40 $361 3.1×
IV push initial (96374) $173.60 $434 0.8×
Manual therapy 15 min (97140) $127.20 $318 4.6×
Massage 15 min (97124) $113.20 $283 3.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $44 $110 1.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $401 $1,002.50 4.4×
Multiple sleep latency test (95805) $3,147.20 $7,868 3.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $243.60 $609 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $461.60 $1,154 1.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $468.60 $1,171.50 3.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $842.80 $2,107 3.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $319.60 $799 2.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $119.20 $298 2.6×
Ot eval high complex 60 min (97167) $336.60 $841.50 3.3×
Ot eval low complex 30 min (97165) $336.60 $841.50 3.3×
Ot eval mod complex 45 min (97166) $336.60 $841.50 3.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $100.40 $251 2.0×
Ot Prosthetic Training, Each 15 Min (97761) $94.20 $235.50 2.3×
Ot re-eval est plan care (97168) $146 $365 2.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $202 $505 1.6×
Paraffin bath (97018) $196.20 $490.50 32.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,558.80 $11,397 5.3×
Pt Aquatic Therapy/Exercises (97113) $141 $352.50 3.8×
Pt Electric Current Therapy (97033) $110.40 $276 5.8×
Pt Electrical Stimulation (97032) $81.20 $203 5.5×
Pt eval high complex 45 min (97163) $336.60 $841.50 3.4×
Pt eval low complex 20 min (97161) $336.60 $841.50 3.4×
Pt Gait Training Therapy (97116) $118 $295 4.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $118 $295 3.6×
Pt Physical Performance Test (97750) $146 $365 4.3×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $336.60 $841.50 3.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $127.20 $318 3.9×
Pt Ultrasound Therapy (97035) $101.20 $253 7.0×
Pulm function test by gas (94727) $252.60 $631.50 1.2×
Rt Chest Wall Manipulation,Subsequent (94668) $128.40 $321 1.0×
Sensory Integration Ea 15 Min (97533) $139.60 $349 2.3×
Smoking cessation > 10 min (99407) $100.80 $252 2.7×
Speech sound lang comprehen (92523) $281.40 $703.50 1.2×
Spirometry (94010) $285.60 $714 1.3×
Standardized Cognitive Performance Testing (96125) $371.80 $929.50 3.6×
Stress echo (93350) $2,177.80 $5,444.50 4.0×
Temp transcutaneous pacing (92953) $864.40 $2,161 1.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $124.80 $312 5.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $63.60 $159 3.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $281.40 $703.50 2.7×
Ther/Proph/Diag Inj Sc/Im (96372) $144.40 $361 2.0×
Therapeutic Activities (97530) $127.20 $318 3.6×
Therapeutic phlebotomy (99195) $178 $445 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $100.80 $252 2.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,636.80 $6,592 4.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $238.40 $596 3.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $245 $612.50 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $144.40 $361 3.1×
Vasc Duplex Extrem Venous,Bilat (93970) $1,180.80 $2,952 5.0×
Vasc Duplex Scan Extracranial,Limited (93882) $786.40 $1,966 7.6×
Ventilation assist & mgmt inpatient 1st day (94002) $844.40 $2,111 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,069.20 $2,673 1.7×
Wheelchair Mgmt Ea 15 Min (97542) $96.20 $240.50 3.1×