Visits & medical services prices at Samaritan Hospital
Macon, MO · every code in this section with a posted price and a Medicare benchmark.
136 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $77 | $96 | 1.9× |
| Advncd Care Plan 30 Min (99497) | $120 | $150 | 1.2× |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$46–$151 | $57–$189 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $76 | $95 | 5.3× |
| Application Modality 1/> Areas Diathermy (97024) | $62 | $78 | 8.4× |
| Behavral qualit analys voice (92524) | $213 | $266 | 1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $311 | $389 | 0.8× |
| Canalith repositioning proc (95992) | $82 | $103 | 2.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $634 | $792 | 2.9× |
| Cardiopulmonary resuscitation (92950) | $759 | $949 | 3.5× |
| Cardioversion (92960) | $516 | $645 | 0.8× |
| Cbt 1st hour (94644) | $139 | $174 | 1.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $197 | $246 | 2.7× |
| Chemo Hormon Antineopl Sq/Im (96402) | $184 | $230 | 2.6× |
| Chemo IV infusion addl hr (96415) | $142 | $177 | 2.0× |
| Chemo IV push addl drug (96411) | $202 | $252 | 2.8× |
| Chemother Prolong Infuse W/Pump (96416) | $414 | $517 | 1.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $414 | $517 | 1.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $258 | $322 | 0.8× |
| Chest Wall Manipulation (94668) | $151 | $189 | 1.1× |
| Color/duplex Doppler, limited (93976) | $451 | $564 | 4.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $98 | $123 | 3.1× |
| Continuous Pulse Ox (94762) | $222 | $277 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 11 matching MRF lines |
$494–$908 | $618–$1,135 | varies |
| Cpt initial (94667) | $151 | $189 | 1.1× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$619–$904 | $774–$1,130 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$194–$365 | $243–$456 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $482 | $602 | 4.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $806 | $1,007 | 3.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $464 | $580 | 4.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $834 | $1,042 | 3.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $470 | $587 | 4.5× |
| Duplex Scan Hemodialysis Access (93990) | $528 | $660 | 5.0× |
| Duplex up extrem art bilat (93930) | $806 | $1,007 | 3.4× |
| Duplex up extrem art unilat/ltd (93931) | $505 | $631 | 4.8× |
| Echo Heart Xthoracic,Limited (93308) | $429 | $536 | 1.8× |
| Electrical Stimulation Ea 15 Min (97032) | $82 | $103 | 5.6× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$61–$166 | $76–$207 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$104–$117 | $130–$146 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$173–$182 | $216–$228 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$306–$329 | $383–$411 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$55–$59 | $69–$74 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$453–$486 | $566–$607 | varies |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$151–$161 | $189–$201 | varies |
| Evaluate Speech Production (92522) | $208 | $260 | 1.9× |
| Evaluate Swallowing Function (92610) | $187 | $234 | 2.2× |
| Evaluation of speech fluency (92521) | $237 | $296 | 1.8× |
| External Ecg Scanning Analysis Report (93226) | $406 | $508 | 6.9× |
| Extracranial Bilat Study (93880) | $690 | $862 | 2.9× |
| Group Therapeutic Procedures (97150) | $78 | $98 | 4.3× |
| Holter monitor recording (93225) | $103 | $129 | 0.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $24 | $30 | 0.3× |
| Immunization administration (90471) range across 6 matching MRF lines |
$24–$62 | $30–$78 | varies |
| Inital newborn e/m (99460) | $182 | $227 | 1.4× |
| Intracutaneous tests w/allergenic extracts (95024) | $10 | $13 | 0.2× |
| Iontophoresis 15 min (97033) | $86 | $108 | 4.5× |
| Irrig Drug Delivery Device (96523) | $98 | $123 | 1.7× |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$73–$79 | $91–$99 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$225–$227 | $281–$284 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $142 | $177 | 2.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $88 | $110 | 1.9× |
| IV push initial (96374) range across 3 matching MRF lines |
$141–$202 | $176–$252 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $36 | $45 | 1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $32 | $40 | 0.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $17 | $21 | 1.0× |
| Motion Fluoroscopy/Swallow (92611) | $216 | $270 | 2.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $406 | $507 | 1.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $406 | $507 | 1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $274 | $342 | 1.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $406 | $507 | 1.0× |
| Neuromuscular Reeducation (97112) | $89 | $111 | 2.7× |
| Newborn resuscitation (99465) | $478 | $598 | 0.7× |
| Oral Function Therapy (92526) | $225 | $281 | 2.7× |
| Oral Speech Device Eval (92597) | $187 | $234 | 2.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $75 | $94 | 1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $72 | $90 | 1.6× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $59 | $74 | 2.7× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $82 | $103 | 3.8× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $108 | $135 | 5.0× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $94 | $117 | 4.3× |
| Ot Contrast Bath Ea 15 Min (97034) | $62 | $78 | 4.4× |
| Ot eval high complexity (97167) | $187 | $234 | 1.9× |
| Ot Eval Low Complex (97165) | $161 | $201 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $174 | $217 | 1.7× |
| Ot manual therapy 15 min (97140) | $72 | $90 | 2.6× |
| Ot paraffin bath (97018) | $69 | $86 | 11.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $90 | $112 | 2.2× |
| Ot Re-Eval Est Plan Care (97168) | $111 | $139 | 1.6× |
| Ot rom hand (95852) | $42 | $52 | 2.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $132 | $165 | 1.0× |
| Phlebotomy therapeutic (99195) | $182 | $227 | 1.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $122 | $152 | 2.1× |
| Physical Performance Test (97750) | $94 | $118 | 2.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,321 | $4,151 | 3.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$29–$46 | $36–$58 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$56–$70 | $70–$87 | varies |
| Pt Eval High Complex (97163) | $170 | $212 | 1.7× |
| Pt eval low complex 20 min (97161) range across 6 matching MRF lines |
$79–$238 | $99–$297 | varies |
| Pt Eval Mod Complex (97162) | $156 | $195 | 1.6× |
| Pt gait training 15 min (97116) | $73 | $91 | 2.5× |
| Pt mechanical traction (97012) | $83 | $104 | 5.8× |
| Pt Re-Eval Est Plan Care (97164) | $111 | $139 | 1.6× |
| Pulm function test by gas (94727) | $177 | $221 | 0.8× |
| Pulmonary Stress Testing (94618) | $246 | $308 | 1.8× |
| Refill/Maint Portable Pump (96521) | $258 | $322 | 1.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $85 | $106 | 2.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$406–$419 | $507–$524 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $49 | $61 | 1.9× |
| Same day nb discharge (99463) | $1,108 | $1,385 | 8.3× |
| Self Care Mngment Training (97535) | $74 | $92 | 2.3× |
| Sleep study unattended (95806) | $276 | $345 | 1.3× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$277–$426 | $346–$532 | varies |
| Spirometry (94010) | $200 | $250 | 0.9× |
| Temp transcutaneous pacing (92953) | $432 | $540 | 0.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $86 | $108 | 3.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $72 | $90 | 2.4× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $118 | $147 | 2.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$30–$79 | $38–$99 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$386–$401 | $483–$501 | varies |
| Therapeutic Activities (97530) | $55 | $69 | 1.6× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $53 | $66 | 1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $53 | $66 | 1.4× |
| Trans Care Mgmt 14 Day Disch (99495) | $219 | $274 | 1.6× |
| Trans Care Mgmt 7 Day Disch (99496) | $310 | $387 | 2.3× |
| Tte w/doppler, complete (93306) | $1,807 | $2,259 | 3.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $281 | $351 | 3.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $87 | $109 | 3.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$57–$111 | $71–$139 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 4 matching MRF lines |
$28–$342 | $7–$428 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $313 | $391 | 2.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $538 | $672 | 2.5× |
| Vasopneumatic device (97016) | $71 | $89 | 5.9× |
| Vent Mgmt Inpat Init Day (94002) | $602 | $753 | 1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $602 | $753 | 1.0× |
| Wheelchair Mgmt Ea 15 Min (97542) | $60 | $75 | 1.9× |
| Whirlpool Therapy (97022) | $75 | $94 | 4.8× |
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.