Visits & medical services prices at Putnam County Memorial Hospital
Unionville, MO · every code in this section with a posted price and a Medicare benchmark.
133 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $609.66 | $609.66 | 2.8× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 2 matching MRF lines |
$46.31–$70.17 | $46.31–$70.17 | varies |
| Allg tstg perq & ic venoms immed react w/i&r (95017) range across 3 matching MRF lines |
$17.58–$69.51 | $17.58–$69.51 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $25.64 | $25.64 | 1.8× |
| Application Modality 1/> Areas Infrared (97026) | $16.72 | $16.72 | 2.5× |
| Biofeedback training any modality (90901) | $154.50 | $154.50 | 3.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $897.18 | $897.18 | 2.4× |
| Cardiopulmonary resuscitation (92950) | $897.18 | $897.18 | 4.1× |
| Cardioversion (92960) | $1,860.30 | $1,860.30 | 2.8× |
| Cbt 1st hour (94644) | $365.13 | $365.13 | 2.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $126.60 | $126.60 | 1.8× |
| Chemo IV infusion addl hr (96415) | $187.24 | $187.24 | 2.6× |
| Chemo IV push addl drug (96411) | $336.60 | $336.60 | 4.7× |
| Chemother Prolong Infuse W/Pump (96416) | $548.96 | $548.96 | 1.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $207.32 | $207.32 | 2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $783.45 | $783.45 | 2.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $336.60 | $336.60 | 1.0× |
| Chest Wall Manipulation (94668) | $365.13 | $365.13 | 2.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $60.19 | $60.19 | 1.9× |
| Continuous Pulse Ox (94762) | $446.49 | $446.49 | 3.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $609.66 | $609.66 | 2.8× |
| Cpt initial (94667) | $365.13 | $365.13 | 2.7× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$628.02–$2,536.44 | $628.02–$2,536.44 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,400.82 | $1,400.82 | 5.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,400.82 | $1,400.82 | 5.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $628.50 | $628.50 | 6.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,400.82 | $1,400.82 | 5.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $628.50 | $628.50 | 6.0× |
| Duplex up extrem art bilat (93930) | $440.26 | $440.26 | 1.8× |
| Duplex up extrem art unilat/ltd (93931) | $313.48 | $313.48 | 3.0× |
| Echo Heart Xthoracic,Limited (93308) | $1,400.82 | $1,400.82 | 5.9× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$36.78–$53.50 | $36.78–$53.50 | varies |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$116.96–$174.84 | $116.96–$174.84 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$123.72–$467.49 | $123.72–$467.49 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$210.78–$815.55 | $210.78–$815.55 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$356.31–$1,266 | $356.31–$1,266 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$63.87–$253.77 | $63.87–$253.77 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$517.71–$1,835.97 | $517.71–$1,835.97 | varies |
| Evaluate pt use of inhaler (94664) range across 4 matching MRF lines |
$45.78–$609.66 | $45.78–$609.66 | varies |
| Evaluate Speech Production (92522) | $50.15 | $50.15 | 0.4× |
| Evaluate Swallowing Function (92610) | $245.21 | $245.21 | 2.9× |
| Evaluation of speech fluency (92521) | $329.92 | $329.92 | 2.5× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$114.63–$119.45 | $114.63–$119.45 | varies |
| External ECG rec>7d<15d recording (93246) range across 3 matching MRF lines |
$114.63–$119.45 | $114.63–$119.45 | varies |
| External Ecg Scanning Analysis Report (93226) range across 3 matching MRF lines |
$174.84–$241.98 | $174.84–$241.98 | varies |
| Extracranial Bilat Study (93880) | $1,400.82 | $1,400.82 | 5.9× |
| Group Therapeutic Procedures (97150) | $33.60 | $33.60 | 1.9× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$241.98–$365.13 | $241.98–$365.13 | varies |
| Icd Device Interrogate (93289) | $74.58 | $74.58 | 2.0× |
| Icm Device Eval (93290) range across 2 matching MRF lines |
$78.06–$100.19 | $78.06–$100.19 | varies |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$48.98–$82.50 | $48.98–$82.50 | varies |
| Immunization administration (90471) range across 5 matching MRF lines |
$50.15–$201.36 | $50.15–$201.36 | varies |
| Ingestion challenge test initial 120 minutes (95076) range across 2 matching MRF lines |
$262.49–$985.32 | $262.49–$985.32 | varies |
| Intracutaneous tests w/allergenic extracts (95024) | $120.97 | $120.97 | 2.0× |
| Iontophoresis 15 min (97033) | $52.39 | $52.39 | 2.8× |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$44.46–$178.20 | $44.46–$178.20 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$80.93–$135.78 | $80.93–$135.78 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$394.97–$612.66 | $394.97–$612.66 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$139.32–$201.36 | $139.32–$201.36 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$120.94–$135.78 | $120.94–$135.78 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$233.40–$612.66 | $233.40–$612.66 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $57.96 | $57.96 | 1.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $57.96 | $57.96 | 1.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $32.41 | $32.41 | 1.9× |
| Multiple Family Group Psychotherapy (90849) | $89.55 | $89.55 | 0.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $344.41 | $344.41 | 1.7× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$99.20–$290.86 | $99.20–$290.86 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$295.84–$966.86 | $295.84–$966.86 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$350.66–$966.86 | $350.66–$966.86 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$123.66–$560.52 | $123.66–$560.52 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$148.78–$560.52 | $148.78–$560.52 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$197.80–$560.52 | $197.80–$560.52 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$246.82–$966.86 | $246.82–$966.86 | varies |
| Neuromuscular Reeducation (97112) | $101.72 | $101.72 | 3.1× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $897.18 | $897.18 | 2.4× |
| Oral Function Therapy (92526) | $186.13 | $186.13 | 2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$55.73–$76.90 | $55.73–$76.90 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$53.50–$74.16 | $53.50–$74.16 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) | $54.49 | $54.49 | 2.5× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $152.04 | $152.04 | 7.0× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $194.68 | $194.68 | 9.0× |
| Ot eval high complexity (97167) | $258.62 | $258.62 | 2.6× |
| Ot Eval Low Complex (97165) | $249.12 | $249.12 | 2.5× |
| Ot Eval Moderate Complexity (97166) | $249.12 | $249.12 | 2.5× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$55.73–$90.30 | $55.73–$90.30 | varies |
| Ot paraffin bath (97018) | $16.72 | $16.72 | 2.8× |
| Ot Prosthetic Training, Each 15 Min (97761) | $62.42 | $62.42 | 1.5× |
| Ot Re-Eval Est Plan Care (97168) | $163.75 | $163.75 | 2.4× |
| Patch/Application Test Specify Number Tests (95044) | $1,894.83 | $1,894.83 | 2.2× |
| Percutaneous tests w/allergenic extracts (95004) | $20.06 | $20.06 | 0.0× |
| Phlebotomy therapeutic (99195) | $235.23 | $235.23 | 1.8× |
| Pm device eval in person (93288) | $78.06 | $78.06 | 2.1× |
| Pm device progr eval dual (93280) | $74.58 | $74.58 | 2.0× |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$74.58–$114.88 | $74.58–$114.88 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $81.98 | $81.98 | 1.7× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $129.32 | $129.32 | 1.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $14.49 | $14.49 | 0.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $16.72 | $16.72 | 0.4× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $129.32 | $129.32 | 1.8× |
| Psych diag eval w/med srvcs (90792) | $325.46 | $325.46 | 1.8× |
| Psychiatric diagnostic evaluation (90791) | $202.85 | $202.85 | 1.1× |
| Psychoanalysis (90845) | $205.16 | $205.16 | 1.2× |
| Psytx Crisis Initial 60 Min (90839) | $301 | $301 | 1.7× |
| Pt Eval High Complex (97163) | $256.31 | $256.31 | 2.6× |
| Pt eval low complex 20 min (97161) | $266.20 | $266.20 | 2.7× |
| Pt Eval Mod Complex (97162) | $256.31 | $256.31 | 2.6× |
| Pt gait training 15 min (97116) | $75.75 | $75.75 | 2.6× |
| Pt mechanical traction (97012) | $33.44 | $33.44 | 2.3× |
| Pt Re-Eval Est Plan Care (97164) | $173.14 | $173.14 | 2.6× |
| Pulmonary Stress Testing (94618) | $365.13 | $365.13 | 2.7× |
| Rem interrog icpms <30 d phys/qhp (93297) | $53.66 | $53.66 | 1.4× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $53.66 | $53.66 | 1.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $107.79 | $107.79 | 2.9× |
| Self Care Mngment Training (97535) | $121.20 | $121.20 | 3.7× |
| Sleep study unattended (95806) | $446.49 | $446.49 | 2.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $446.49 | $446.49 | 2.1× |
| Speech sound lang comprehen (92523) | $329.92 | $329.92 | 1.5× |
| Spirometry (94010) | $446.49 | $446.49 | 2.1× |
| Subcutaneous Infusion Each Additional Hour (96370) | $135.78 | $135.78 | 2.9× |
| Temp transcutaneous pacing (92953) | $1,860.30 | $1,860.30 | 2.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 4 matching MRF lines |
$50.15–$57.96 | $50.15–$57.96 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$42.04–$201.36 | $42.04–$201.36 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$331–$612.66 | $331–$612.66 | varies |
| Therapeutic Activities (97530) | $91.98 | $91.98 | 2.6× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$69.67–$82.02 | $69.67–$82.02 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$56.24–$82.02 | $56.24–$82.02 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $341.20 | $341.20 | 2.6× |
| Trans Care Mgmt 7 Day Disch (99496) | $483.37 | $483.37 | 3.6× |
| Tte w/doppler, complete (93306) | $3,153.78 | $3,153.78 | 5.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $141.54 | $141.54 | 1.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$135.78–$138.98 | $135.78–$138.98 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $730.26 | $730.26 | 5.5× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$60.19–$63.53 | $60.19–$63.53 | 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.