Visits & medical services prices at Vandalia Health Mon Preston Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $35.75 $71.50 0.9×
Advncd Care Plan 30 Min (99497) $98 $196 1.0×
Airway Inhalation Treatment (94640)
range across 9 matching MRF lines
$54.50–$163.25 $109–$326.50 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 8 matching MRF lines
$69.25–$69.88 $138.50–$139.75 varies
Application on-body injector (96377) $30.75 $61.50 0.7×
Assessment of aphasia per hr (96105) $98 $196 1.0×
Behavral qualit analys voice (92524)
range across 24 matching MRF lines
$118.25–$581 $236.50–$1,162 varies
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $57.12 $114.25 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $236.88 $473.75 0.7×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$5.62–$92.25 $11.25–$184.50 varies
Cardiac Stress Tst,Tracing Only (93017) $641.75 $1,283.50 3.1×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$478.75–$479 $957.50–$958 varies
Cardioversion (92960) $722.75 $1,445.50 1.1×
Chemo Anti-Neopl Sq/Im (96401)
range across 2 matching MRF lines
$152.88–$158 $305.75–$316 varies
Chemo Hormon Antineopl Sq/Im (96402)
range across 3 matching MRF lines
$45.38–$66.75 $90.75–$133.50 varies
Chemo IV infusion addl hr (96415)
range across 3 matching MRF lines
$65–$122.62 $130–$245.25 varies
Chemo IV push addl drug (96411) $92 $184 1.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417)
range across 2 matching MRF lines
$148.38–$240.25 $296.75–$480.50 varies
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 3 matching MRF lines
$304.88–$392.88 $609.75–$785.75 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) $199.88 $399.75 0.6×
Chest Wall Manipulation (94668) $81.88 $163.75 0.6×
Chron Care Mgmt Srvc 20 Min (99490) $20.88 $41.75 0.2×
Color/duplex Doppler, complete (93975) $452 $904 2.0×
Color/duplex Doppler, limited (93976) $250.62 $501.25 2.5×
Community/Work Reintegration Trainj Ea 15 Min (97537) $70.25 $140.50 2.2×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $65.12 $130.25 0.4×
Continuous Pulse Ox (94762) $120.50 $241 1.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $113.62 $227.25 0.5×
Cpt initial (94667) $105.75 $211.50 0.8×
Critical care first hour (99291) $1,041.88 $2,083.75 1.3×
Debridement Open Wound 20 Sq Cm< (97597)
range across 6 matching MRF lines
$32.75–$73.75 $65.50–$147.50 varies
Developmental tst admin phys/qhp 1st hour (96112)
range across 3 matching MRF lines
$175.38–$175.50 $350.75–$351 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$659–$788.38 $1,318–$1,576.75 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $331 $662 3.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,041.75 $2,083.50 4.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $654.25 $1,308.50 6.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$761.50–$763.25 $1,523–$1,526.50 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 6 matching MRF lines
$531.62–$532.88 $1,063.25–$1,065.75 varies
Duplex up extrem art bilat (93930) $831.50 $1,663 3.6×
Duplex up extrem art unilat/ltd (93931) $548.88 $1,097.75 5.5×
Echo Heart Xthoracic,Limited (93308) $377.25 $754.50 1.6×
Eeg 41-60 Minutes (95812) $470.12 $940.25 2.3×
EEG awake and asleep (95819)
range across 2 matching MRF lines
$470.62–$470.75 $941.25–$941.50 varies
EEG awake drowsy (95816) $365.88 $731.75 1.8×
EEG extended monitoring 61-119 minutes (95813)
range across 2 matching MRF lines
$560.75–$561 $1,121.50–$1,122 varies
EEG w/o vid 2-12hr cont mntr (95707) $673.12 $1,346.25 3.2×
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines
$42.75–$43.12 $85.50–$86.25 varies
Electrocardiogram Tracing (93005) $87.50 $175 1.5×
Emergency Dept Visit Level 2 (99282) $150.75 $301.50 1.0×
Emergency Dept Visit Level 3 (99283) $249.12 $498.25 1.0×
Emergency Dept Visit Level 4 (99284) $392 $784 1.0×
Emg 3 Extremities (95863) $158.62 $317.25 1.3×
Emg 4 Extremities (95864) $158.62 $317.25 1.3×
Er level 1 (99281) $96.88 $193.75 1.2×
Er level v (99285) $622.75 $1,245.50 1.1×
Evaluate pt use of inhaler (94664) $57.50 $115 0.3×
Evaluate Speech Production (92522)
range across 21 matching MRF lines
$115.50–$587.88 $231–$1,175.75 varies
Evaluate Swallowing Function (92610)
range across 23 matching MRF lines
$47.88–$366.75 $95.75–$733.50 varies
Evaluation of speech fluency (92521)
range across 19 matching MRF lines
$142–$614 $284–$1,228 varies
External ECG rec>48hr<7d recording (93242) $27 $54 0.8×
External ECG rec>7d<15d recording (93246) $27 $54 0.8×
External Ecg Scanning Analysis Report (93226) $346.88 $693.75 6.1×
Extracranial Bilat Study (93880) $782.12 $1,564.25 3.4×
Extracranial Uni/Ltd Study (93882) $509.38 $1,018.75 5.1×
Fundus photography (92250) $31 $62 0.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,343.75 $2,687.50 1.6×
Group Therapeutic Procedures (97150)
range across 5 matching MRF lines
$46.62–$46.75 $93.25–$93.50 varies
Holter monitor recording (93225)
range across 2 matching MRF lines
$312.62–$341.88 $625.25–$683.75 varies
Im Adm Intransl/Oral 1 Vaccine (90473) $14.12 $28.25 0.2×
Immunization administration (90471)
range across 39 matching MRF lines
$6.25–$26.50 $12.50–$53 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $46.62 $93.25 0.1×
Iontophoresis 15 min (97033)
range across 3 matching MRF lines
$61.75–$62 $123.50–$124 varies
Irrig Drug Delivery Device (96523)
range across 10 matching MRF lines
$61.88–$92.88 $123.75–$185.75 varies
IV infusion hydration each additional hour (96361)
range across 22 matching MRF lines
$71.62–$71.75 $143.25–$143.50 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 28 matching MRF lines
$80.12–$184.12 $160.25–$368.25 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 14 matching MRF lines
$104.88–$108.62 $209.75–$217.25 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 22 matching MRF lines
$77.25–$92.25 $154.50–$184.50 varies
IV push initial (96374)
range across 19 matching MRF lines
$99.88–$100 $199.75–$200 varies
Mechanical chest wall oscillation per session (94669) $123 $246 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $39.25 $78.50 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $43.88 $87.75 1.2×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $20.38 $40.75 1.2×
Methacholine challenge (94070) $487.62 $975.25 1.4×
Motility study esophagus (91010) $346.88 $693.75 1.0×
Motion Fluoroscopy/Swallow (92611) $348.12 $696.25 3.8×
Multiple Sleep Latency Test (95805) $1,217 $2,434 1.5×
Muscle Test 2 Limbs (95861) $158.62 $317.25 1.2×
Muscle Test One Limb (95860) $158.62 $317.25 1.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$215.50–$977.25 $431–$1,954.50 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 7 matching MRF lines
$11–$55.12 $22–$110.25 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$18.75–$32 $37.50–$64 varies
Nerve Conduction Studies 1-2 Studies (95907) $95.50 $191 0.5×
Nerve Conduction Studies 11-12 Studies (95912) $176.12 $352.25 0.5×
Nerve conduction studies 13 or more studies (95913) $176.12 $352.25 0.5×
Nerve Conduction Studies 3-4 Studies (95908) $95.50 $191 0.5×
Nerve conduction studies 5-6 studies (95909) $95.50 $191 0.5×
Nerve conduction studies 7-8 studies (95910) $95.50 $191 0.3×
Nerve Conduction Studies 9-10 Studies (95911) $175.88 $351.75 0.5×
Neuromuscular Reeducation (97112)
range across 11 matching MRF lines
$75.75–$77.38 $151.50–$154.75 varies
Oral Function Therapy (92526)
range across 29 matching MRF lines
$39–$343.50 $78–$687 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $84.12 $168.25 1.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $83.62 $167.25 1.8×
Ot Contrast Bath Ea 15 Min (97034) $37.38 $74.75 2.7×
Ot eval high complexity (97167)
range across 2 matching MRF lines
$238–$238.38 $476–$476.75 varies
Ot Eval Low Complex (97165)
range across 2 matching MRF lines
$159.12–$159.25 $318.25–$318.50 varies
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines
$198.25–$198.50 $396.50–$397 varies
Ot manual therapy 15 min (97140) $68.12 $136.25 2.5×
Ot paraffin bath (97018) $77.38 $154.75 12.9×
Ot Re-Eval Est Plan Care (97168) $118.75 $237.50 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $160.88 $321.75 1.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $160.88 $321.75 1.3×
Phlebotomy therapeutic (99195) $51.38 $102.75 0.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $160.88 $321.75 2.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $160.88 $321.75 2.8×
Physical Performance Test (97750) $33.62 $67.25 1.0×
Plethysmography (94726) $53.50 $107 0.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,800.75 $3,601.50 2.2×
Polysom <6 yrs 4/> paramtrs (95782) $1,768 $3,536 2.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $24.12 $48.25 0.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $31 $62 0.7×
Psych diag eval w/med srvcs (90792) $200.50 $401 1.2×
Psychiatric diagnostic evaluation (90791) $154.25 $308.50 0.9×
Pt Eval High Complex (97163) $221.88 $443.75 2.3×
Pt eval low complex 20 min (97161) $147.88 $295.75 1.5×
Pt Eval Mod Complex (97162)
range across 4 matching MRF lines
$184.62–$184.75 $369.25–$369.50 varies
Pt gait training 15 min (97116) $63.75 $127.50 2.2×
Pt mechanical traction (97012) $38 $76 2.6×
Pt Re-Eval Est Plan Care (97164)
range across 5 matching MRF lines
$99.62–$99.75 $199.25–$199.50 varies
Pulm function test by gas (94727)
range across 2 matching MRF lines
$45.75–$158.38 $91.50–$316.75 varies
Pulmonary service/procedure (94799) $356.62 $713.25 2.9×
Pulmonary Stress Testing (94618)
range across 3 matching MRF lines
$75.38–$100.12 $150.75–$200.25 varies
Pure Tone Audiometry Air (92552)
range across 3 matching MRF lines
$13.88–$30.25 $27.75–$60.50 varies
Remote 30 Day Ecg Rev/Report (93270) $122.62 $245.25 3.4×
Respiratory flow volume loop (94375) $69.12 $138.25 0.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $35.38 $70.75 0.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $11.62 $23.25 0.1×
Self Care Mngment Training (97535)
range across 8 matching MRF lines
$77.50–$78.12 $155–$156.25 varies
Sensory Integration Ea 15 Min (97533) $67 $134 1.1×
Sleep study unattended (95806) $208.62 $417.25 1.0×
Speech sound lang comprehen (92523)
range across 17 matching MRF lines
$240.12–$712 $480.25–$1,424 varies
Spirometry (94010)
range across 5 matching MRF lines
$31–$166.12 $62–$332.25 varies
Standardized Cognitive Performance Testing (96125) $117.88 $235.75 1.1×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $205.88 $411.75 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $23.50 $47 1.1×
Ther Ivntj Ea Addl 15 Min (97130) $22.38 $44.75 1.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $88.25 $176.50 2.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $60.62 $121.25 2.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $82.62 $165.25 0.8×
Ther/Proph/Diag Inj Ia (96373)
range across 3 matching MRF lines
$31.38–$34.12 $62.75–$68.25 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 22 matching MRF lines
$29.62–$373.62 $59.25–$747.25 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 18 matching MRF lines
$187.50–$187.62 $375–$375.25 varies
Therapeutic Activities (97530)
range across 11 matching MRF lines
$76.25–$77.25 $152.50–$154.50 varies
Tte w/doppler, complete (93306) $1,173.50 $2,347 2.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 31 matching MRF lines
$47.88–$366.75 $95.75–$733.50 varies
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 20 matching MRF lines
$74.88–$75 $149.75–$150 varies
Upr/L Xtremity Art 2 Levels (93922) $411.38 $822.75 3.2×
Vasopneumatic device (97016) $39.25 $78.50 3.3×
Veeg 2-12 Hr Cont Mntr (95713) $807.62 $1,615.25 2.3×
Vent Mgmt Inpat Init Day (94002) $209.50 $419 0.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $306.75 $613.50 0.5×
Visual Evoked Potential Test (95930) $68.12 $136.25 0.3×
Wheelchair Mgmt Ea 15 Min (97542)
range across 6 matching MRF lines
$70.88–$78.12 $141.75–$156.25 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.