Visits & medical services prices at Bon Secours Rappahannock General Hospital

Kilmarnock, VA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $163.20 $272 0.8×
Appl modality 1+lllt po pain (97037) $69 $115 1.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $21.30 $35.50 1.5×
Application on-body injector (96377) $112.20 $187 2.5×
Bedside Swallowing Eval (92610) $211.20 $352 2.5×
Behavioral and qualitative analysis of voice and resonance (92524) $221.40 $369 2.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $283.20 $472 0.8×
Canalith Repositioning Procedure (95992) $169.20 $282 4.2×
Cardiac Stress Tst,Tracing Only (93017) $391.80 $653 1.9×
Cardiopulmonary resuscitation (92950) $704.70 $1,174.50 3.3×
Cardioversion (92960) $455.10 $758.50 0.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $41.40 $69 1.6×
Cbt 1st hour (94644) $205.20 $342 1.6×
Chemo Hormon Antineopl Sq/Im (96402) $169.80 $283 2.4×
Chemo IV push addl drug (96411) $338.40 $564 4.8×
Chemo prolong 8+ hrs infuse w/pump (96416) $884.40 $1,474 2.7×
Chemother, IV infusion, 1 hr (96413) $910.80 $1,518 2.8×
Chemother, IV infusion, ea add hr (96415) $159 $265 2.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $246 $410 3.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $342.60 $571 4.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $582 $970 1.8×
Color/duplex Doppler, complete (93975) $561.60 $936 2.4×
Color/duplex Doppler, limited (93976) $327.60 $546 3.2×
Cpap/bipap (94660) $130.20 $217 0.6×
Cpt initial (94667) $122.40 $204 0.9×
Critical care (99291) $553.20 $922 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $130.20 $217 0.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $447 $745 1.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $298.20 $497 2.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $383.40 $639 3.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $495 $825 2.1×
Dup-scan xtr veins unilateral/limited study (93971) $329.40 $549 3.2×
Duplex scan extracranial art compl bi study (93880) $446.40 $744 1.9×
Echo Heart Xthoracic,Limited (93308) $471.60 $786 2.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,239 $2,065 2.3×
Electrocardiogram Tracing (93005) $57 $95 1.0×
Er level 1 (99281) $116.40 $194 1.4×
Er level ii (99282) $294.60 $491 2.0×
Er level iii (99283) $486.60 $811 1.8×
Er level IV (99284) $857.40 $1,429 2.1×
Er level v (99285) $1,330.80 $2,218 2.3×
Eval speech sound production (92522) $90.60 $151 0.8×
Eval to use/fit voice prosth (92597) $230.40 $384 3.2×
Evaluate Pt Use Of Inhaler (94664) $163.20 $272 0.8×
Evaluation of speech fluency (92521) $213 $355 1.6×
External ECG rec>48hr<7d recording (93242) $67.80 $113 1.9×
External ECG rec>7d<15d recording (93246) $103.20 $172 2.8×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $380.40 $634 1.9×
Holter Monitor (93225) $836.40 $1,394 6.4×
Immunization Admin (90471) $46.20 $77 0.7×
Irrig drug delivery device (96523) $92.40 $154 1.6×
IV infusion hydration each additional hour (96361) $66.60 $111 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $221.40 $369 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $118.80 $198 1.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $359.40 $599 1.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $84.60 $141 1.9×
IV push ea addl new drug (96375) $91.80 $153 2.0×
IV push initial (96374) $189 $315 0.9×
Manual therapy 15 min (97140) $48.60 $81 1.8×
Massage 15 min (97124) $84 $140 2.8×
Mechanical chest wall oscillation (94669) $115.20 $192 0.5×
Mechanical traction (97012) $282 $470 19.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $46.20 $77 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $46.20 $77 1.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $211.20 $352 2.3×
Nasopharyngoscopy (92511) $129 $215 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $140.40 $234 1.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $96 $160 0.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $118.80 $198 2.6×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $18 $30 0.9×
Ot eval high complex 60 min (97167) $101.40 $169 1.0×
Ot eval low complex 30 min (97165) $208.20 $347 2.1×
Ot eval mod complex 45 min (97166) $208.20 $347 2.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $30.60 $51 0.6×
Ot re-evaluation (97168) $138.60 $231 2.0×
Ot therapeutic activity 15 min (97530) $51.60 $86 1.5×
Paraffin bath pt (97018) $13.80 $23 2.3×
Phlebotomy therapeutic (99195) $169.20 $282 1.3×
Plethysmography (94726) $333 $555 0.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,793.40 $2,989 2.1×
Psychiatric diagnostic evaluation (90791) $276.60 $461 1.6×
Psytx crisis initial 60 min (90839) $289.20 $482 1.7×
Pt Electrical Stimulation (97032) $33.60 $56 2.3×
Pt eval high complex 45 min (97163) $215.40 $359 2.2×
Pt eval low complex 20 min (97161) $215.40 $359 2.2×
Pt eval mod complex 30 min (97162) $215.40 $359 2.2×
Pt gait training 15 min (97116) $44.40 $74 1.5×
Pt group caregiver training (97552) $37.20 $62 1.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $52.80 $88 1.6×
Pt Physical Performance Test (97750) $47.40 $79 1.4×
Pt re-evaluation (97164) $147 $245 2.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $124.20 $207 3.8×
Pulm function test by gas (94727) $185.40 $309 0.9×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $720 $1,200 19.8×
Respiratory flow volume loop (94375) $500.40 $834 2.4×
Rt Chest Wall Manipulation,Subsequent (94668) $85.80 $143 0.7×
Slp caregiver training 1st 30 min (97550) $90 $150 1.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $391.20 $652 1.9×
Speech sound lang comprehen (92523) $561.60 $936 2.5×
Spirometry (94010) $185.40 $309 0.9×
Stress echo (93350) $905.40 $1,509 1.7×
Temp transcutaneous pacing (92953) $423.60 $706 0.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $78.60 $131 3.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $127.80 $213 6.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $150.60 $251 1.5×
Ther/prop/diag inj/inf proc (96379) $76.20 $127 1.7×
Therapeutic prophylactic/dx injection subq/im (96372) $91.80 $153 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $53.40 $89 1.5×
Tte w/doppler, complete (93306) $976.80 $1,628 1.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $144.60 $241 1.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $136.20 $227 1.6×
Upr/lxtr art stdy 3+ lvls (93923) $273.60 $456 1.3×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $286.20 $477 1.4×
Vasopneumatic device (97016) $23.40 $39 1.9×
Vent mgmt inpat init day (94002) $321 $535 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $88.80 $148 2.9×
Xtrnl mobile cv telemetry w/technical support (93229) $261.60 $436 0.7×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $378 $630 4.1×