Visits & medical services prices at Pomerene Hospital
Millersburg, OH · every code in this section with a posted price and a Medicare benchmark.
142 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acupunct W/Stimul 15 Min (97813) range across 2 matching MRF lines |
$63.20–$169.60 | $79–$212 | varies |
| Airway Inhalation Treatment (94640) | $184.80 | $231 | 0.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $58.40 | $73 | 4.1× |
| Application Modality 1/> Areas Infrared (97026) | $48.80 | $61 | 7.3× |
| Assessment of aphasia per hr (96105) | $232 | $290 | 2.4× |
| Behavral qualit analys voice (92524) | $216 | $270 | 2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$32.80–$966.40 | $41–$1,208 | varies |
| Canalith repositioning proc (95992) range across 4 matching MRF lines |
$56.80–$85.60 | $71–$107 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 4 matching MRF lines |
$566.40–$600 | $708–$750 | varies |
| Cardiopulmonary resuscitation (92950) range across 5 matching MRF lines |
$288–$960 | $360–$1,200 | varies |
| Cardioversion (92960) range across 5 matching MRF lines |
$169.60–$2,243 | $212–$2,803.75 | varies |
| Chemo IV infusion addl hr (96415) | $91.20 | $114 | 1.3× |
| Chemo IV push addl drug (96411) | $184 | $230 | 2.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $550.40 | $688 | 1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $293.60 | $367 | 0.9× |
| Chest Wall Manipulation (94668) | $108 | $135 | 0.9× |
| Color/duplex Doppler, complete (93975) | $624 | $780 | 2.8× |
| Color/duplex Doppler, limited (93976) | $401.60 | $502 | 4.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $58.40 | $73 | 1.8× |
| Continuous Pulse Ox (94762) | $160.80 | $201 | 1.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $240 | $300 | 1.2× |
| Cpt initial (94667) | $124 | $155 | 1.0× |
| Critical care first hour (99291) range across 4 matching MRF lines |
$616–$1,320 | $770–$1,650 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $191.20 | $239 | 1.0× |
| Developmental tst admin phys/qhp 1st hour (96112) | $328.80 | $411 | 2.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $668 | $835 | 3.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $400 | $500 | 4.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $605.60 | $757 | 2.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $480 | $600 | 4.9× |
| Duplex up extrem art bilat (93930) | $463.20 | $579 | 2.1× |
| Duplex up extrem art unilat/ltd (93931) | $312 | $390 | 3.2× |
| ECG/monitoring and analysis (93271) | $369.60 | $462 | 4.1× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$146.40–$694.40 | $183–$868 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$184.80–$640 | $231–$800 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$1,081.60–$1,114.40 | $1,352–$1,393 | varies |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$200–$400 | $250–$500 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$200–$592.80 | $250–$741 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$200–$514.40 | $250–$643 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$200–$400 | $250–$500 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $52.80 | $66 | 3.6× |
| Electrocardiogram Tracing (93005) | $120 | $150 | 2.2× |
| Emergency Dept Visit Level 2 (99282) range across 4 matching MRF lines |
$119.20–$349.60 | $149–$437 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$193.60–$492.80 | $242–$616 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$323.20–$594.40 | $404–$743 | varies |
| Er level 1 (99281) range across 5 matching MRF lines |
$70.40–$246.40 | $88–$308 | varies |
| Er level v (99285) range across 4 matching MRF lines |
$472.80–$896.80 | $591–$1,121 | varies |
| Evaluate pt use of inhaler (94664) | $168 | $210 | 0.8× |
| Evaluate Speech Production (92522) | $220 | $275 | 2.0× |
| Evaluate Swallowing Function (92610) | $260 | $325 | 3.1× |
| Evaluation of speech fluency (92521) | $220 | $275 | 1.7× |
| Exercise test for bronchospasm (94617) | $164.80 | $206 | 1.3× |
| External ECG rec>48hr<7d recording (93242) | $169.60 | $212 | 4.8× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $284.80 | $356 | 2.3× |
| External Ecg Scanning Analysis Report (93226) | $284.80 | $356 | 5.1× |
| Extracranial Bilat Study (93880) | $697.60 | $872 | 3.1× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$99.20–$615.20 | $124–$769 | varies |
| Group Therapeutic Procedures (97150) | $96 | $120 | 5.3× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $136 | $170 | 0.8× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$169.60–$454.40 | $212–$568 | varies |
| Immunization administration (90471) range across 10 matching MRF lines |
$60–$61.60 | $75–$77 | varies |
| Iontophoresis 15 min (97033) | $58.40 | $73 | 3.1× |
| Irrig Drug Delivery Device (96523) | $119.20 | $149 | 2.1× |
| IV infusion hydration each additional hour (96361) | $212.80 | $266 | 4.8× |
| IV infusion hydration initial 31 min-1 hour (96360) | $227.20 | $284 | 1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $63.20 | $79 | 0.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $50.40 | $63 | 1.1× |
| IV push initial (96374) | $180.80 | $226 | 0.9× |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$12–$102.40 | $15–$128 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $605.60 | $757 | 3.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$56–$88.80 | $70–$111 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $72 | $90 | 2.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $44.80 | $56 | 2.6× |
| Motion Fluoroscopy/Swallow (92611) | $300 | $375 | 3.3× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$150.40–$2,236.80 | $188–$2,796 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $157.60 | $197 | 0.8× |
| Neuromuscular Reeducation (97112) | $80 | $100 | 2.4× |
| Newborn resuscitation (99465) | $832.80 | $1,041 | 1.3× |
| Oral Function Therapy (92526) | $220.80 | $276 | 2.6× |
| Oral Speech Device Eval (92597) | $103.20 | $129 | 1.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $98.40 | $123 | 2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $103.20 | $129 | 2.2× |
| Ot Contrast Bath Ea 15 Min (97034) | $36 | $45 | 2.6× |
| Ot eval high complexity (97167) | $192 | $240 | 1.9× |
| Ot Eval Low Complex (97165) | $164 | $205 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $176 | $220 | 1.8× |
| Ot manual therapy 15 min (97140) | $96 | $120 | 3.5× |
| Ot paraffin bath (97018) | $48.80 | $61 | 8.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $84.80 | $106 | 2.1× |
| Ot Re-Eval Est Plan Care (97168) | $92.80 | $116 | 1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $140 | $175 | 1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $120 | $150 | 1.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $175.20 | $219 | 0.8× |
| Phlebotomy therapeutic (99195) | $132.80 | $166 | 1.1× |
| Physical Performance Test (97750) range across 10 matching MRF lines |
$14.40–$88.80 | $18–$111 | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$48.80–$89.60 | $61–$112 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$187.20–$4,216.80 | $234–$5,271 | varies |
| Pt Eval High Complex (97163) | $184 | $230 | 1.9× |
| Pt eval low complex 20 min (97161) | $160 | $200 | 1.6× |
| Pt Eval Mod Complex (97162) | $168 | $210 | 1.7× |
| Pt gait training 15 min (97116) | $64 | $80 | 2.2× |
| Pt mechanical traction (97012) | $56.80 | $71 | 4.0× |
| Pt Re-Eval Est Plan Care (97164) | $92.80 | $116 | 1.4× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$36–$240.80 | $45–$301 | varies |
| Pulmonary service/procedure (94799) | $128.80 | $161 | 1.1× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$32.80–$164.80 | $41–$206 | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $54.40 | $68 | 1.5× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $174.40 | $218 | 1.4× |
| Remote 30 Day Ecg Rev/Report (93270) range across 3 matching MRF lines |
$13.60–$584 | $17–$730 | varies |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$43.20–$337.60 | $54–$422 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $173.60 | $217 | 1.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $69.60 | $87 | 1.5× |
| Self Care Mngment Training (97535) | $87.20 | $109 | 2.7× |
| Sensory Integration Ea 15 Min (97533) | $62.40 | $78 | 1.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$60–$504 | $75–$630 | varies |
| Speech sound lang comprehen (92523) | $224 | $280 | 1.0× |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$390.40–$396.80 | $488–$496 | varies |
| Spirometry (94010) range across 4 matching MRF lines |
$43.20–$214.40 | $54–$268 | varies |
| Stress Tte Only (93350) | $722.40 | $903 | 1.4× |
| Subcutaneous Infusion Each Additional Hour (96370) | $64 | $80 | 1.4× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $275.20 | $344 | 1.4× |
| Temp transcutaneous pacing (92953) | $706.40 | $883 | 1.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $68 | $85 | 1.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $58.40 | $73 | 2.0× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $140 | $175 | 1.4× |
| Ther/Proph/Diag Inj Ia (96373) | $176.80 | $221 | 0.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 17 matching MRF lines |
$41.60–$70.40 | $52–$88 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$227.20–$464.80 | $284–$581 | varies |
| Therapeutic Activities (97530) | $84 | $105 | 2.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $40 | $50 | 1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $40 | $50 | 1.1× |
| Tte w/doppler, complete (93306) range across 6 matching MRF lines |
$313.60–$1,400 | $392–$1,750 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $184 | $230 | 2.4× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $52 | $65 | 2.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $117.60 | $147 | 2.7× |
| Upr/L Xtremity Art 2 Levels (93922) | $248 | $310 | 2.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $445.60 | $557 | 2.2× |
| Vasopneumatic device (97016) | $52.80 | $66 | 4.4× |
| Vent Mgmt Inpat Init Day (94002) | $624 | $780 | 1.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $509.60 | $637 | 0.9× |
| Vital capacity, total (94150) | $175.20 | $219 | 1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $58.40 | $73 | 1.9× |
| Whirlpool Therapy (97022) | $48.80 | $61 | 3.1× |
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.