Visits & medical services prices at Rutherford Regional Medical Center

Rutherfordton, NC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $112 $280.02 0.5×
Application of heat wave therapy (97024) $18.38 $45.95 2.5×
Behavioral and qualitative analysis of voice and resonance (92524) $117.29 $293.22 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $306.84 $767.10 0.9×
Canalith Repositioning (95992) $90.06 $225.16 2.2×
Capsule endoscopy (91110) $2,856.09 $7,140.24 3.3×
Car seat/bed test 60 min (94780) $97.99 $244.97 2.7×
Cardiac Stress Tst,Tracing Only (93017) $1,025.63 $2,564.08 5.0×
Cardiopulmonary exercise testing (94621) $1,071.78 $2,679.46 3.0×
Cardiopulmonary resuscitation (92950) $669.96 $1,674.90 3.2×
Cardioversion (92960) $1,370.18 $3,425.46 2.2×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $11,345.52 $28,363.80 3.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $11,340.94 $28,352.34 3.7×
Cbt 1st hour (94644) $166.47 $416.17 1.3×
Chemo Hormon Antineopl Sq/Im (96402) $105.47 $263.67 1.5×
Chemo IV push addl drug (96411) $105.47 $263.67 1.5×
Chemo Iv Push Sngl Drug (96409) $416.67 $1,041.68 1.3×
Chemother, IV infusion, 1 hr (96413) $723.73 $1,809.32 2.3×
Chemother, IV infusion, ea add hr (96415) $105.47 $263.67 1.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $256.41 $641.03 3.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $105.47 $263.67 1.5×
Color/duplex Doppler, complete (93975) $1,037.22 $2,593.03 4.5×
Coronary artery angio s&i (93454) $11,339.37 $28,348.41 3.7×
Cpap initiation and management (94660) $97.82 $244.54 0.5×
Cpt initial (94667) $218.34 $545.86 1.7×
Critical care (99291) $1,823.33 $4,558.32 2.3×
Debridement Open Wound 20 Sq Cm< (97597) $180.55 $451.38 0.9×
Demo &/or eval,pt use,aerosol device (94664) $97.82 $244.54 0.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,037.22 $2,593.03 4.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $658.54 $1,646.36 6.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,037.22 $2,593.03 4.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $658.54 $1,646.36 6.6×
Dup-scan xtr veins unilateral/limited study (93971) $630.18 $1,575.46 6.3×
Duplex scan extracranial art compl bi study (93880) $766.63 $1,916.57 3.4×
Echo Heart Xthoracic,Limited (93308) $280.54 $701.36 1.2×
Echo transesophageal (93312) $1,174.98 $2,937.45 2.2×
Echo Transthoracic - Congenital Tte Complete (93303) $637.82 $1,594.54 1.2×
Echo Transthoracic - Congenital Tte Limited (93304) $301.30 $753.26 0.6×
EEG awake asleep (95819) $982.11 $2,455.28 4.8×
EEG awake drowsy (95816) $982.11 $2,455.28 4.8×
EEG cerebral death evaluation (95824) $1,172.27 $2,930.67 3.3×
EEG coma or sleep only (95822) $982.11 $2,455.28 4.8×
Eeg Extended Monitoring 61-119 Minutes (95813) $982.11 $2,455.28 4.8×
EKG (93005) $90.99 $227.47 1.6×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $982.11 $2,455.28 4.8×
EMG cranial nerve bilat (95868) $542.38 $1,355.97 2.6×
EMG four extremities (95864) $510.29 $1,275.72 4.1×
EMG one extremity (95860) $201.24 $503.12 1.6×
EMG three extremities (95863) $510.29 $1,275.72 4.1×
EMG two extremities (95861) $510.29 $1,275.72 4.0×
Er level 1 (99281) $164.81 $412.02 2.0×
Er level ii (99282) $295.99 $739.98 2.0×
Er level iii (99283) $541.82 $1,354.54 2.1×
Er level IV (99284) $955.58 $2,388.96 2.4×
Er level v (99285) $1,484.08 $3,710.20 2.6×
Evaluation of speech fluency (92521) $138.58 $346.46 1.0×
Evaluation of speech sound production (92522) $112.52 $281.32 1.0×
Evaluation of swallowing function (92610) $206.03 $515.08 2.4×
Exhaled Air Analysis (94690) $49.71 $124.27 0.9×
External ECG rec>48hr<7d recording (93242) $54.10 $135.26 1.5×
External ECG rec>7d<15d recording (93246) $91.59 $228.97 2.6×
External Ecg Scanning Analysis Report (93226) $228.10 $570.24 4.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $937.53 $2,343.83 1.1×
Group Therapeutic Procedures (97150) $65.87 $164.68 3.7×
Hemodialysis (90935) $470.42 $1,176.05 0.7×
Immunization Admin (90471) $73.72 $184.31 1.1×
Injection intra arterial (96373) $165.07 $412.68 0.8×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $235.48 $588.69 4.2×
IV infusion hydration each additional hour (96361) $71.85 $179.63 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $256.77 $641.92 1.3×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $106.22 $265.54 1.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $418.01 $1,045.02 2.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $94 $234.99 2.1×
IV push initial (96374) $256.77 $641.92 1.3×
Manual therapy 15 min (97140) $80.92 $202.30 2.9×
Massage 15 min (97124) $66.67 $166.67 2.2×
Mechanical traction (97012) $43.63 $109.08 3.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $63.88 $159.70 2.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $74.26 $185.66 2.0×
Methacholine challenge (94070) $552.08 $1,380.20 1.5×
Mnt Group Ea 30 Min (97804) $34.35 $85.87 2.0×
Motility study esophagus (91010) $1,268.43 $3,171.08 3.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $255.54 $638.87 2.8×
Multiple sleep latency test (95805) $4,664.21 $11,660.53 5.7×
Neg press wnd tx </=50 sq cm (97607) $437.54 $1,093.85 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $220.42 $551.04 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $388.12 $970.28 1.0×
Nerve conduction studies 13/> studies (95913) $1,267.34 $3,168.36 3.6×
Nerve Conduction Studies 3-4 Studies (95908) $1,267.34 $3,168.36 6.1×
Nerve Conduction Studies 9-10 Studies (95911) $1,267.34 $3,168.36 3.6×
Nerve conduction studies; 1-2 studies (95907) $746.59 $1,866.46 3.6×
Nerve conduction studies; 11-12 studies (95912) $1,267.34 $3,168.36 3.6×
Nerve conduction studies; 5-6 studies (95909) $1,267.34 $3,168.36 6.1×
Nerve conduction studies; 7-8 studies (95910) $1,267.34 $3,168.36 3.6×
Neuromuscular junction test (95937) $293.88 $734.68 2.4×
Newborn resuscitation (99465) $199.46 $498.65 0.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $232.34 $580.86 1.8×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $733.03 $1,832.58 3.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $284.31 $710.78 2.3×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $552.08 $1,380.20 1.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $112.60 $281.50 2.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $82.26 $205.66 2.6×
Ot Contrast Bath Ea 15 Min (97034) $48.70 $121.76 3.5×
Ot eval high complex 60 min (97167) $238.82 $597.04 2.4×
Ot eval low complex 30 min (97165) $82.50 $206.25 0.8×
Ot eval mod complex 45 min (97166) $173.01 $432.53 1.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $138.15 $345.38 2.8×
Ot Prosthetic Training, Each 15 Min (97761) $89.64 $224.11 2.2×
Ot re-eval est plan care (97168) $148.31 $370.78 2.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $260.80 $652 2.1×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $272.54 $681.34 2.2×
Paraffin bath (97018) $31.94 $79.87 5.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $169.66 $424.14 0.8×
Peripheral arterial disease rehab per session (93668) $131.26 $328.14 2.3×
Phy/qhp op pulm rhb w/mntr (94626) $110.39 $275.97 2.0×
Phy/qhp op pulm rhb w/o mntr (94625) $96.59 $241.47 1.7×
Plethysmography (94726) $200.96 $502.40 0.6×
Pm device progr eval dual (93280) $57.82 $144.56 1.6×
Pm device progr eval multi (93281) $57.82 $144.56 1.6×
Pm device progr eval sngl (93279) $57.82 $144.56 1.6×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $57.82 $144.56 1.6×
Programming of dual lead implantable defibrillator system (93283) $57.82 $144.56 1.6×
Programming of single lead implantable defibrillator system (93282) $57.82 $144.56 1.6×
Prq Card Stent W/Angio 1 Vsl (92928)
unusually low: confirm this is the full procedure
$5,127.77 $12,819.43 0.5×
Psychiatric diagnostic evaluation (90791) $466.28 $1,165.71 2.7×
Pt Aquatic Therapy/Exercises (97113) $115.01 $287.53 3.1×
Pt Electric Current Therapy (97033) $93.62 $234.04 4.9×
Pt Electrical Stimulation (97032) $56.33 $140.83 3.8×
Pt eval high complex 45 min (97163) $196.21 $490.54 2.0×
Pt eval low complex 20 min (97161) $92.39 $230.98 0.9×
Pt Gait Training Therapy (97116) $75.54 $188.84 2.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $90.44 $226.10 2.8×
Pt Physical Performance Test (97750) $99.04 $247.58 2.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $158.42 $396.05 1.6×
Pt re-evaluation (97164) $109.52 $273.81 1.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $103.02 $257.53 3.2×
Pt Ultrasound Therapy (97035) $38.07 $95.17 2.7×
Pt Whirlpool Therapy (97022) $68.68 $171.70 4.4×
Pulm function test by gas (94727) $200.96 $502.40 1.0×
Pulmonary stress testing (94618) $270.63 $676.58 2.1×
R & l hrt cath w/njx l ventriculog img s&i (93453) $11,456.98 $28,642.46 3.7×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $10,511.90 $26,279.75 3.4×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $79.59 $198.97 2.2×
Rt Chest Wall Manipulation,Subsequent (94668) $124.46 $311.15 1.0×
Sensory Integration Ea 15 Min (97533) $87.04 $217.60 1.4×
Smoking cessation > 10 min (99407) $61.13 $152.83 1.7×
Speech sound lang comprehen (92523) $233.72 $584.31 1.0×
Spirometry (94010) $200.96 $502.40 1.0×
Stress Tte Complete (93351) $1,546.24 $3,865.60 3.0×
Temp transcutaneous pacing (92953) $1,263.96 $3,159.90 2.0×
Ther/Proph/Diag Inj Sc/Im (96372) $106.22 $265.54 1.5×
Therapeutic Activities (97530) $94.42 $236.04 2.7×
Therapeutic phlebotomy (99195) $168.90 $422.24 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $36.19 $90.48 1.0×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,123.44 $2,808.60 2.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $224.40 $561 2.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $244.38 $610.97 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $106.22 $265.54 2.4×
Ultraviolet Light Therapy (96900) $124.97 $312.42 3.5×
Unlisted pulmonary service/procedure (94799) $304.02 $760.05 2.5×
Vasc Duplex Extrem Venous,Bilat (93970) $1,011.46 $2,528.64 4.4×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $334.74 $836.84 1.6×
Vasopneumatic device (97016) $55.91 $139.78 4.7×
Ventilation assist & mgmt inpatient 1st day (94002) $437.12 $1,092.81 0.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $437.12 $1,092.81 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $98.66 $246.65 3.2×