Visits & medical services prices at Roper St. Francis Mount Pleasant Hospital

Mount Pleasant, SC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines		 $32,070.21–$53,642.88 $53,450.35–$89,404.80 varies
Analyze neurostim no prog (95970) $271.70 $418 2.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $126.10 $194 8.8×
Assessment of aphasia per hr (96105) $360.10 $554 3.7×
Behavral qualit analys voice (92524) $467.35 $719 4.3×
Biofeedback training any modality (90901) $115.05 $177 2.8×
Breath hydrogen/methane test (91065) $235.30 $362 1.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $369.85 $569 1.1×
Canalith repositioning proc (95992) $216.45 $333 5.3×
Cardiac Stress Tst,Tracing Only (93017) $958.10 $1,474 4.8×
Cardiopulmonary resuscitation (92950) $275.60 $424 1.4×
Cardioversion (92960)
range across 3 matching MRF lines		 $910.65–$4,296.50 $1,401–$7,160.83 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $40.95 $63 1.6×
Cbt 1st hour (94644) $429 $660 3.5×
Chemo Anti-Neopl Sq/Im (96401) $165.10 $254 2.5×
Chemo Ia Push (96420) $6,704.10 $10,314 21.8×
Chemotherapy Into Cns (96450) $4,678.05 $7,197 15.2×
Chest Wall Manipulation (94668) $70.85 $109 0.6×
Color/duplex Doppler, complete (93975) $1,706.25 $2,625 7.7×
Color/duplex Doppler, limited (93976) $748.80 $1,152 7.7×
Continuous Pulse Ox (94762) $293.80 $452 2.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $540.15 $831 2.7×
Cpt initial (94667) $160.55 $247 1.3×
Critical care first hour (99291) $3,214.90 $4,946 4.2×
Debridement Open Wound 20 Sq Cm< (97597) $378.95 $583 2.0×
Dialysis One Evaluation (90945) $830.70 $1,278 2.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,636.70 $2,518 7.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,227.20 $1,888 12.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,025.05 $1,577 4.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $956.15 $1,471 9.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,502.80 $2,312 6.8×
Dup-scan xtr veins unilateral/limited study (93971) $1,056.25 $1,625 10.9×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $794.30 $1,222 3.6×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $598 $920 6.1×
Duplex Scan Hemodialysis Access (93990) $794.30 $1,222 8.2×
Duplex up extrem art bilat (93930) $1,079.65 $1,661 4.9×
Duplex up extrem art unilat/ltd (93931) $964.60 $1,484 9.9×
Echo Congenital Complete (93303) $1,204.45 $1,853 2.4×
Echo Heart Xthoracic,Limited (93308) $612.30 $942 2.8×
Echo r-t 2d w/probe placement only (93313) $1,975.35 $3,039 3.9×
Echo transesophageal (93312) $1,104.35 $1,699 2.2×
Echo Transesophageal - Congenital Tee Complete (93315) $1,656.85 $2,549 3.3×
EKG signal averaged (93278) $326.30 $502 5.9×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $193.70 $298 2.2×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $78.65 $121 2.3×
Electrical Stimulation Ea 15 Min (97032) $133.90 $206 9.1×
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines		 $1,414.40–$14,541.21 $2,357.33–$24,235.35 varies
Emergency Dept Visit Level 2 (99282) $641.55 $987 4.5×
Emergency Dept Visit Level 3 (99283) $1,011.40 $1,556 4.0×
Emergency Dept Visit Level 4 (99284) $1,517.10 $2,334 3.9×
Er level 1 (99281) $429 $660 5.5×
Er level v (99285) $2,542.15 $3,911 4.6×
Evaluate pt use of inhaler (94664) $429 $660 2.1×
Evaluate Speech Production (92522) $450.45 $693 4.0×
Evaluate Swallowing Function (92610) $230.75 $355 2.7×
External ECG rec>7d<15d recording (93246) $247.65 $381 7.1×
External ECG rec>7d<15d scanning alys w/report (93247) $251.55 $387 2.0×
External Ecg Scanning Analysis Report (93226) $876.20 $1,348 16.0×
Extracranial Bilat Study (93880) $717.60 $1,104 3.2×
Extracranial Uni/Ltd Study (93882) $387.40 $596 4.0×
F-up/limited tthrc echo congenital car anomaly (93304) $602.55 $927 1.2×
Gi tract capsule endoscopy (91110) $2,089.10 $3,214 2.5×
Group Therapeutic Procedures (97150) $87.75 $135 4.9×
Holter monitor recording (93225) $586.95 $903 4.7×
Icd Device Interrogate (93289) $85.80 $132 2.5×
Icd device progr eval dual (93283) $85.80 $132 2.5×
Icd Device Progr Eval Mult (93284) $85.80 $132 2.5×
Ilr Device Eval Progr (93285) $85.80 $132 2.5×
Immunization administration (90471) $55.25 $85 0.8×
Insert/Place Heart Catheter (93503) $4,039.10 $6,214 2.8×
Iontophoresis 15 min (97033) $143.65 $221 7.5×
Irrig Drug Delivery Device (96523) $172.25 $265 3.1×
IV infusion hydration each additional hour (96361) $56.55 $87 1.3×
IV infusion hydration initial 31 min-1 hour (96360) $240.50 $370 1.2×
IV infusion ther proph addl sequential to 1 hr (96367) $63.70 $98 1.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $56.55 $87 1.3×
IV push initial (96374) $208 $320 1.1×
Lwr Xtr Vasc Stdy Bilat (93924) $1,214.20 $1,868 6.0×
Mechanical chest wall oscillation per session (94669) $322.40 $496 1.6×
Methacholine challenge (94070) $1,213.55 $1,867 3.5×
Motion Fluoroscopy/Swallow (92611) $331.50 $510 3.6×
Multiple Sleep Latency Test (95805) $4,505.15 $6,931 5.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $528.45 $813 1.4×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $528.45 $813 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $178.75 $275 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $299.65 $461 0.8×
Neuromuscular Reeducation (97112) $103.35 $159 3.2×
Newborn resuscitation (99465) $73.45 $113 0.1×
Oral Function Therapy (92526) $225.55 $347 2.7×
Oral Speech Device Eval (92597) $310.70 $478 4.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $104 $160 2.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $133.90 $206 2.9×
Ot Contrast Bath Ea 15 Min (97034)
range across 2 matching MRF lines		 $96.85–$115.05 $149–$177 varies
Ot eval high complexity (97167) $221.65 $341 2.2×
Ot Eval Low Complex (97165) $119.60 $184 1.2×
Ot Eval Moderate Complexity (97166) $155.35 $239 1.5×
Ot manual therapy 15 min (97140) $126.10 $194 4.5×
Ot paraffin bath (97018) $93.60 $144 15.6×
Ot Prosthetic Training, Each 15 Min (97761) $87.75 $135 2.2×
Ot Re-Eval Est Plan Care (97168) $104.65 $161 1.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $267.80 $412 2.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $200.85 $309 1.7×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $209.30 $322 1.0×
Peripheral arterial disease rehab per session (93668) $218.40 $336 4.0×
Phlebotomy therapeutic (99195) $214.50 $330 1.7×
Physical Performance Test (97750) $126.10 $194 3.7×
Plethysmography (94726) $379.60 $584 1.1×
Pm device progr eval dual (93280) $85.80 $132 2.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,730.35 $5,739 4.7×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $85.80 $132 2.5×
Pt Eval High Complex (97163) $211.90 $326 2.2×
Pt eval low complex 20 min (97161) $113.10 $174 1.2×
Pt Eval Mod Complex (97162) $147.55 $227 1.5×
Pt gait training 15 min (97116) $106.60 $164 3.7×
Pt group caregiver training (97552) $36.40 $56 1.7×
Pt mechanical traction (97012) $189.80 $292 13.2×
Pt Re-Eval Est Plan Care (97164) $99.45 $153 1.5×
Pt ultraviolet (97028) $126.10 $194 15.1×
Pulm function test by gas (94727) $267.15 $411 1.3×
Pulmonary service/procedure (94799) $319.15 $491 2.7×
Pulmonary Stress Testing (94618) $251.55 $387 2.0×
Respiratory flow volume loop (94375) $608.40 $936 3.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $68.90 $106 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $164.45 $253 0.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $453.70 $698 3.7×
Self Care Mngment Training (97535)
range across 2 matching MRF lines		 $85.15–$113.10 $131–$174 varies
Sensory Integration Ea 15 Min (97533) $96.85 $149 1.6×
Slp caregiver training 1st 30 min (97550) $87.75 $135 1.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $583.70 $898 2.9×
Speech sound lang comprehen (92523) $314.60 $484 1.4×
Spirometry (94010) $225.55 $347 1.1×
Stress Tte Only (93350) $1,263.60 $1,944 2.5×
Subcutaneous Infusion Each Additional Hour (96370) $56.55 $87 1.3×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $173.55 $267 0.9×
Surfactant Admin Thru Tube (94610) $287.95 $443 1.4×
Temp transcutaneous pacing (92953) $1,284.40 $1,976 2.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $120.90 $186 5.4×
Ther Ivntj Ea Addl 15 Min (97130) $120.90 $186 5.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $126.10 $194 4.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $266.50 $410 2.6×
Ther/Prop/Diag Inj/Inf Proc (96379) $92.30 $142 2.1×
Ther/Proph/Diag Inj Ia (96373) $173.55 $267 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $66.30 $102 1.0×
Ther/Proph/Diag Iv Inf Init (96365) $240.50 $370 1.2×
Therapeutic Activities (97530) $93.60 $144 2.7×
Tte w/doppler, complete (93306) $2,187.25 $3,365 4.3×
Tte W/O Doppler Complete (93307) $1,232.40 $1,896 5.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $287.95 $443 3.8×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $161.85 $249 6.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $59.15 $91 1.4×
Upr/L Xtremity Art 2 Levels (93922) $526.50 $810 4.3×
Vasopneumatic device (97016) $133.90 $206 11.1×
Vent Mgmt Inpat Init Day (94002) $1,020.50 $1,570 1.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,019.85 $1,569 1.8×
Vital capacity, total (94150) $29.90 $46 0.2×
Wheelchair Mgmt Ea 15 Min (97542) $100.10 $154 3.2×

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.