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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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $77 $110 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $48.30 $69 3.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $602 $860 1.7×
Cardiopulmonary resuscitation (92950) $577.50 $825 2.8×
Chemo IV infusion addl hr (96415) $46.20 $66 0.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $213.50 $305 0.7×
Chest Wall Manipulation (94668) $38.50 $55 0.3×
Color/duplex Doppler, limited (93976) $245 $350 2.4×
Continuous Pulse Ox (94762) $205.10 $293 1.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $2,555.70 $3,651 12.2×
Cpt initial (94667) $58.80 $84 0.5×
Critical care first hour (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×
Electrical Stimulation Ea 15 Min (97032) $49.70 $71 3.4×
Electrocardiogram Tracing (93005)
range across 5 matching MRF lines
$21–$144.20 $30–$206 varies
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$58.80–$203.70 $84–$291 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$81.90–$282.10 $117–$403 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$102.90–$410.90 $147–$587 varies
Er level v (99285)
range across 2 matching MRF lines
$130.90–$455 $187–$650 varies
Evaluate Swallowing Function (92610) $189 $270 2.2×
External ECG rec>48hr<7d recording (93242) $216.30 $309 6.0×
External ECG rec>7d<15d recording (93246) $288.40 $412 8.0×
Extracranial Bilat Study (93880) $525 $750 2.3×
Holter monitor recording (93225)
range across 3 matching MRF lines
$151.90–$203.70 $217–$291 varies
Immunization administration (90471)
range across 11 matching MRF lines
$3.50–$25.20 $5–$36 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (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 therapy prophylaxis/dx ea hour (96366)
range across 4 matching MRF lines
$40.60–$70 $58–$100 varies
IV push initial (96374) $105 $150 0.5×
Methacholine challenge (94070) $73.50 $105 0.2×
Neuromuscular Reeducation (97112) $55.30 $79 1.7×
Ot Eval Low Complex (97165) $137.90 $197 1.4×
Ot Eval Moderate Complexity (97166) $137.90 $197 1.4×
Ot manual therapy 15 min (97140) $58.80 $84 2.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$10.50–$80.50 $15–$115 varies
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 Eval High Complex (97163) $137.90 $197 1.4×
Pt eval low complex 20 min (97161) $137.90 $197 1.4×
Pt Eval Mod Complex (97162) $137.90 $197 1.4×
Pt gait training 15 min (97116) $55.30 $79 1.9×
Pt Re-Eval Est Plan Care (97164) $74.20 $106 1.1×
Pulm function test by gas (94727) $197.40 $282 1.0×
Pulmonary service/procedure (94799) $200.20 $286 1.6×
Pulmonary Stress Testing (94618) $73.50 $105 0.6×
Self Care Mngment Training (97535) $51.80 $74 1.6×
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 Ea Addl 15 Min (97130) $31.50 $45 1.5×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 6 matching MRF lines
$45.50–$101.50 $65–$145 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines
$184.10–$210 $263–$300 varies
Therapeutic Activities (97530) $63 $90 1.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$19.60–$25.20 $28–$36 varies
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×
Tx/Pro/Dx Inj New Drug Addon (96375) $48.30 $69 1.1×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$114.10–$288.40 $163–$412 varies
Vital capacity, total (94150)
range across 3 matching MRF lines
$24.50–$103.60 $35–$148 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.