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.

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $120 $150 1.2×
Airway inhalation treatment (94640) $151 $189 0.7×
Application of heat wave therapy (97024) $62 $78 8.4×
Behavioral and qualitative analysis of voice and resonance (92524) $213 $266 1.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $311 $389 0.8×
Canalith Repositioning (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 Hormon Antineopl Sq/Im (96402) $184 $230 2.6×
Chemo IV push addl drug (96411) $202 $252 2.8×
Chemo Iv Push Sngl Drug (96409) $258 $322 0.8×
Chemo prolong 8+ hrs infuse w/pump (96416) $414 $517 1.3×
Chemother, IV infusion, 1 hr (96413) $414 $517 1.3×
Chemother, IV infusion, ea add hr (96415) $142 $177 2.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $197 $246 2.7×
Color/duplex Doppler, limited (93976) $451 $564 4.3×
Cpap initiation and management (94660) $678 $848 3.1×
Cpt initial (94667) $151 $189 1.1×
Critical care (99291) $761.50 $952 0.9×
Debridement Open Wound 20 Sq Cm< (97597) $365 $456 1.8×
Demo &/or eval,pt use,aerosol device (94664) $151 $189 0.7×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $806 $1,007 3.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $505 $631 4.8×
Dup-scan xtr veins unilateral/limited study (93971) $470 $587 4.5×
Duplex hemodialysis access (93990) $528 $660 5.0×
Duplex scan extracranial art compl bi study (93880) $690 $862 2.9×
Echo Heart Xthoracic,Limited (93308) $429 $536 1.8×
EKG (93005) $113.50 $141.50 1.9×
Er level 1 (99281) $57 $71.50 0.7×
Er level ii (99282) $110.50 $138 0.7×
Er level iii (99283) $177.50 $222 0.6×
Er level IV (99284) $317.50 $397 0.8×
Er level v (99285) $469.50 $586.50 0.8×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $187 $234 2.6×
Evaluation of speech fluency (92521) $237 $296 1.8×
Evaluation of speech sound production (92522) $208 $260 1.9×
Evaluation of swallowing function (92610) $187 $234 2.2×
External Ecg Scanning Analysis Report (93226) $406 $508 6.9×
Group Therapeutic Procedures (97150) $78 $98 4.3×
Holter Monitor Recording (93225) $103 $129 0.8×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $77 $96 1.9×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $24 $30 0.3×
Immunization Admin (90471) $62 $78 0.9×
Immunotherapy, 2+ Injections (95117) $63 $78.50 1.3×
Inital newborn e/m (99460) $182 $227 1.4×
Initial normal newborn care, same day discharge (99463) $1,108 $1,385 8.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $98 $123 1.7×
IV infusion hydration each additional hour (96361) $76 $95 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $226 $282.50 1.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $142 $177 2.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $386 $483 1.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $88 $110 1.9×
IV push initial (96374) $202 $252 0.9×
Manual therapy 15 min (97140) $72 $90 2.6×
Massage 15 min (97124) $72 $90 2.4×
Mechanical traction (97012) $83 $104 5.8×
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×
Mnt Group Ea 30 Min (97804) $17 $21 1.0×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $216 $270 2.4×
Neg press wnd tx </=50 sq cm (97607) $406 $507 1.0×
Neg press wound tx >50 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×
Newborn resuscitation (99465) $478 $598 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $313 $391 2.3×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $538 $672 2.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $222 $277 1.7×
Orthotics mgmt & traing 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 Community/Work Reintegration Trainj Ea 15 Min (97537) $98 $123 3.1×
Ot Contrast Bath Ea 15 Min (97034) $62 $78 4.4×
Ot eval high complex 60 min (97167) $187 $234 1.9×
Ot eval low complex 30 min (97165) $161 $201 1.6×
Ot eval mod complex 45 min (97166) $174 $217 1.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $75 $94 1.5×
Ot Prosthetic Training, Each 15 Min (97761) $90 $112 2.2×
Ot Range Motion Measure,Each Extrem (95851) $49 $61 1.9×
Ot re-eval est plan care (97168) $111 $139 1.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $132 $165 1.0×
Paraffin bath (97018) $69 $86 11.5×
Phy/qhp op pulm rhb w/mntr (94626) $122 $152 2.1×
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) $37.50 $47 0.8×
Pt Electric Current Therapy (97033) $86 $108 4.5×
Pt Electrical Stimulation (97032) $82 $103 5.6×
Pt eval high complex 45 min (97163) $170 $212 1.7×
Pt eval low complex 20 min (97161) $119 $148.50 1.2×
Pt Gait Training Therapy (97116) $73 $91 2.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $89 $111 2.7×
Pt Physical Performance Test (97750) $94 $118 2.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $156 $195 1.6×
Pt re-evaluation (97164) $111 $139 1.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $74 $92 2.3×
Pt Ultrasound Therapy (97035) $76 $95 5.3×
Pt Whirlpool Therapy (97022) $75 $94 4.8×
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 - Cardiac Event Monitor (93270) $85 $106 2.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $406 $507 2.0×
Rom meas&reprt hand w/wo comparison normal sid (95852) $42 $52 2.0×
Rt Chest Wall Manipulation,Subsequent (94668) $151 $189 1.1×
Sleep study unattended (95806) $276 $345 1.3×
Smoking cessation > 10 min (99407) $53 $66 1.4×
Speech group therapy (92508) $87 $109 3.6×
Speech sound lang comprehen (92523) $351.50 $439 1.6×
Spirometry (94010) $200 $250 0.9×
Temp transcutaneous pacing (92953) $432 $540 0.7×
Test for allergy using allergenic extract injected into skin (95024) $10 $13 0.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $86 $108 3.8×
Ther/prop/diag inj/inf proc (96379) $118 $147 2.5×
Ther/Proph/Diag Inj Sc/Im (96372) $79 $99 1.1×
Therapeutic Activities (97530) $55 $69 1.6×
Therapeutic phlebotomy (99195) $182 $227 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 - Tte Complete W/ Contrast (93306) $1,807 $2,259 3.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $281 $351 3.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $225 $281 2.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $111 $139 2.4×
Unlisted Cardiovascular Service/Procedure (93799) $46 $46.50 0.4×
Vasc Duplex Extrem Venous,Bilat (93970) $834 $1,042 3.5×
Vasopneumatic device (97016) $71 $89 5.9×
Ventilation assist & mgmt inpatient 1st 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×