Visits & medical services prices at Pocahontas Memorial Hospital

Buckeye, WV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $77 $110 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $48.30 $69 3.4×
Bedside Swallowing Eval (92610) $189 $270 2.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $602 $860 1.7×
Cardiopulmonary resuscitation (92950) $577.50 $825 2.8×
Chemother, IV infusion, 1 hr (96413) $213.50 $305 0.7×
Chemother, IV infusion, ea add hr (96415) $46.20 $66 0.7×
Color/duplex Doppler, limited (93976) $245 $350 2.4×
Cpap/bipap (94660) $2,555.70 $3,651 12.2×
Cpt initial (94667) $58.80 $84 0.5×
Critical care (99291) $787.50 $1,125 1.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $273.70 $391 1.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $280 $400 2.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $705.60 $1,008 3.1×
Dup-scan xtr veins unilateral/limited study (93971) $392 $560 3.9×
Duplex scan extracranial art compl bi study (93880) $525 $750 2.3×
Electrocardiogram Tracing (93005) $131.60 $188 2.3×
Er level ii (99282) $131.25 $187.50 0.9×
Er level iii (99283) $182 $260 0.7×
Er level IV (99284) $256.90 $367 0.6×
Er level v (99285) $292.95 $418.50 0.5×
External ECG rec>48hr<7d recording (93242) $216.30 $309 6.0×
External ECG rec>7d<15d recording (93246) $288.40 $412 8.0×
Holter Monitor (93225) $165.20 $236 1.3×
Immunization Admin (90471) $18.90 $27 0.3×
Inhalation bronchial challenge testing (95070) $73.50 $105 0.2×
Irrig drug delivery device (96523) $45.50 $65 0.8×
IV infusion hydration each additional hour (96361) $52.50 $75 1.2×
IV infusion hydration initial 31 min-1 hour (96360) $157.50 $225 0.8×
IV infusion ther proph addl sequential to 1 hr (96367) $70 $100 1.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $210 $300 1.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $70 $100 1.6×
IV push ea addl new drug (96375) $48.30 $69 1.1×
IV push initial (96374) $105 $150 0.5×
Manual therapy 15 min (97140) $58.80 $84 2.1×
Methacholine challenge (94070) $73.50 $105 0.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $288.40 $412 2.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $205.10 $293 1.7×
Ot eval low complex 30 min (97165) $137.90 $197 1.4×
Ot eval mod complex 45 min (97166) $137.90 $197 1.4×
Ot therapeutic activity 15 min (97530) $63 $90 1.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $45.50 $65 0.4×
Phlebotomy therapeutic (99195) $93.10 $133 0.7×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $35 $50 0.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $25.90 $37 0.6×
Psychiatric diagnostic evaluation (90791) $243.60 $348 1.4×
Pt Electrical Stimulation (97032) $49.70 $71 3.4×
Pt eval high complex 45 min (97163) $137.90 $197 1.4×
Pt eval low complex 20 min (97161) $137.90 $197 1.4×
Pt eval mod complex 30 min (97162) $137.90 $197 1.4×
Pt gait training 15 min (97116) $55.30 $79 1.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $55.30 $79 1.7×
Pt re-evaluation (97164) $74.20 $106 1.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $51.80 $74 1.6×
Pulm function test by gas (94727) $197.40 $282 1.0×
Pulmonary Service/Procedure (94799) $200.20 $286 1.6×
Pulmonary stress test simple (94618) $73.50 $105 0.6×
Rt Chest Wall Manipulation,Subsequent (94668) $38.50 $55 0.3×
Speech sound lang comprehen (92523) $212.80 $304 0.9×
Spirometry (94010) $268.10 $383 1.3×
Standardized Cognitive Performance Testing (96125) $176.40 $252 1.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $22.40 $32 1.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $31.50 $45 1.5×
Therapeutic prophylactic/dx injection subq/im (96372) $101.50 $145 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $22.40 $32 0.6×
Tte w/doppler, complete (93306) $1,081.50 $1,545 2.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $106.40 $152 1.4×
Vital capacity, total (94150) $24.50 $35 0.2×