Visits & medical services prices at Pocahontas Community Hospital

Pocahontas, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$126–$190 $126–$190 varies
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $187 $187 1.5×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $206 $206 1.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $65 $65 4.5×
Assessment of aphasia per hr (96105) $341 $341 3.5×
Behavral qualit analys voice (92524) $311 $311 2.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $371 $371 1.0×
Canalith repositioning proc (95992) $13 $13 0.3×
Cardiac Stress Tst,Tracing Only (93017) $743 $743 3.6×
Cardiopulmonary resuscitation (92950) $863 $863 4.2×
Cardioversion (92960) $936 $936 1.5×
Cbt 1st hour (94644) $176 $176 1.4×
Chemo IV infusion addl hr (96415) $166 $166 2.4×
Chemo IV push addl drug (96411) $240 $240 3.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $641 $641 2.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $342 $342 1.1×
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$100–$132 $100–$132 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $80 $80 2.5×
Cont gluc mntr physician/qhp provided equiptment (95250) $404 $404 3.2×
Continuous Pulse Ox (94762) $265 $265 2.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$498–$955 $498–$955 varies
Cpt initial (94667)
range across 2 matching MRF lines
$144–$173 $144–$173 varies
Critical care first hour (99291) $1,534 $1,534 1.9×
Debridement Open Wound 20 Sq Cm< (97597) $325 $325 1.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $729 $729 3.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $546 $546 5.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $962 $962 4.2×
Dup-scan xtr veins unilateral/limited study (93971) $650 $650 6.5×
Duplex up extrem art bilat (93930) $754 $754 3.3×
Duplex up extrem art unilat/ltd (93931) $546 $546 5.4×
ECG/monitoring and analysis (93271) $541 $541 5.9×
Echo Heart Xthoracic,Limited (93308) $1,009 $1,009 4.4×
EEG awake and asleep (95819)
range across 2 matching MRF lines
$649–$660 $649–$660 varies
EEG awake drowsy (95816)
range across 2 matching MRF lines
$649–$665 $649–$665 varies
Eeg Sleep Only (95822) $617 $617 3.0×
Electrical Stimulation Ea 15 Min (97032) $69 $69 4.7×
Electrocardiogram Tracing (93005) $209 $209 3.7×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$64–$260 $64–$260 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$63–$433 $63–$433 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$96–$707 $96–$707 varies
Er level 1 (99281)
range across 2 matching MRF lines
$64–$163 $64–$163 varies
Er level v (99285)
range across 2 matching MRF lines
$64–$1,051 $64–$1,051 varies
Evaluate pt use of inhaler (94664) $123 $123 0.6×
Evaluate Speech Production (92522) $245 $245 2.2×
Evaluate Swallowing Function (92610) $319 $319 3.8×
Evaluation of speech fluency (92521) $255 $255 1.9×
Exhaled Air Analysis O2 (94680) $209 $209 1.7×
External ECG rec>48hr<7d recording (93242) $531 $531 14.8×
External ECG rec>7d<15d recording (93246) $531 $531 14.8×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines
$464–$578 $464–$578 varies
Extracranial Bilat Study (93880) $1,195 $1,195 5.2×
Group Therapeutic Procedures (97150) $65 $65 3.6×
Holter monitor recording (93225)
range across 2 matching MRF lines
$523–$530 $523–$530 varies
Immunization administration (90471)
range across 4 matching MRF lines
$63–$82 $63–$82 varies
Iontophoresis 15 min (97033) $92 $92 4.8×
Irrig Drug Delivery Device (96523) $107 $107 1.9×
IV infusion hydration each additional hour (96361) $87 $87 1.9×
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$320–$352 $320–$352 varies
IV infusion ther proph addl sequential to 1 hr (96367) $142 $142 2.1×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$107–$131 $107–$131 varies
IV push initial (96374) $209 $209 1.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $35 $35 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $41 $41 1.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $49 $49 2.9×
Motion Fluoroscopy/Swallow (92611) $325 $325 3.6×
Multiple Sleep Latency Test (95805) $2,139 $2,139 2.6×
Muscle Test Nonparaspinal (95870) $216 $216 1.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $215 $215 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $359 $359 0.9×
Nerve Conduction Studies 1-2 Studies (95907) $71 $71 0.3×
Nerve Conduction Studies 11-12 Studies (95912) $724 $724 2.0×
Nerve conduction studies 13 or more studies (95913) $769 $769 2.1×
Nerve Conduction Studies 3-4 Studies (95908) $299 $299 1.4×
Nerve conduction studies 5-6 studies (95909) $367 $367 1.8×
Nerve conduction studies 7-8 studies (95910) $503 $503 1.4×
Nerve Conduction Studies 9-10 Studies (95911) $577 $577 1.6×
Neuromuscular Reeducation (97112) $90 $90 2.7×
Nitric oxide expired gas determination (95012) $75 $75 2.1×
Oral Function Therapy (92526) $212 $212 2.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $96 $96 1.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $91 $91 2.0×
Ot Contrast Bath Ea 15 Min (97034) $61 $61 4.3×
Ot eval high complexity (97167) $215 $215 2.1×
Ot Eval Low Complex (97165) $177 $177 1.8×
Ot Eval Moderate Complexity (97166) $195 $195 1.9×
Ot manual therapy 15 min (97140) $88 $88 3.2×
Ot paraffin bath (97018) $59 $59 9.8×
Ot Re-Eval Est Plan Care (97168) $122 $122 1.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $255 $255 2.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $222 $222 1.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $409 $409 1.9×
Phlebotomy therapeutic (99195) $268 $268 2.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $212 $212 3.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $212 $212 3.7×
Physical Performance Test (97750) $75 $75 2.2×
Plethysmography (94726) $297 $297 0.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,184 $3,184 3.9×
Pt Eval High Complex (97163) $208 $208 2.1×
Pt eval low complex 20 min (97161) $172 $172 1.8×
Pt Eval Mod Complex (97162) $196 $196 2.0×
Pt gait training 15 min (97116) $80 $80 2.8×
Pt mechanical traction (97012) $65 $65 4.5×
Pt Re-Eval Est Plan Care (97164) $112 $112 1.7×
Pulm function test by gas (94727) $329 $329 1.6×
Pulmonary service/procedure (94799) $159 $159 1.3×
Pulmonary Stress Testing (94618) $212 $212 1.7×
Remote 30 Day Ecg Rev/Report (93270) $271 $271 7.6×
Remote 30 Day Ecg Tech Supp (93229) $1,488 $1,488 4.1×
Respiratory flow volume loop (94375) $214 $214 1.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $183 $183 3.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$230–$313 $230–$313 varies
Self Care Mngment Training (97535) $82 $82 2.5×
Sleep study unattended (95806) $513 $513 2.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $655 $655 3.2×
Speech sound lang comprehen (92523) $319 $319 1.4×
Spirometry (94010)
range across 2 matching MRF lines
$243–$246 $243–$246 varies
Standardized Cognitive Performance Testing (96125) $303 $303 2.9×
Stress Tte Only (93350) $955 $955 1.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $100 $100 4.5×
Ther Ivntj Ea Addl 15 Min (97130) $88 $88 4.2×
Ther/Proph/Diag Inj Ia (96373) $338 $338 1.7×
Ther/Proph/Diag Inj Sc/Im (96372) $103 $103 1.5×
Ther/Proph/Diag Iv Inf Init (96365) $320 $320 1.6×
Therapeutic Activities (97530) $88 $88 2.5×
Tobacco Use Cessation Intensive >10 Minutes (99407) $72 $72 2.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $54 $54 1.5×
Tte w/doppler, complete (93306) $1,717 $1,717 3.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $205 $205 2.7×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $149 $149 6.2×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$97–$124 $97–$124 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$199–$482 $199–$482 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 3 matching MRF lines
$260–$564 $260–$564 varies
Vasopneumatic device (97016) $73 $73 6.1×
Vent Mgmt Inpat Init Day (94002) $1,375 $1,375 2.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $722 $722 1.2×
Vital capacity, total (94150) $114 $114 0.9×
Wheelchair Mgmt Ea 15 Min (97542) $75 $75 2.4×
Whirlpool Therapy (97022) $80 $80 5.1×

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.