Visits & medical services prices at Sampson Regional Medical Center

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $313.60 $448 1.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $123.90 $177 8.6×
Assessment of aphasia per hr (96105) $242.90 $347 2.5×
Behavral qualit analys voice (92524) $229.60 $328 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $406.70 $581 1.1×
Cardiac Stress Tst,Tracing Only (93017) $779.10 $1,113 3.8×
Cardiopulmonary resuscitation (92950) $700.70 $1,001 3.4×
Cardioversion (92960) $777 $1,110 1.2×
Cbt 1st hour (94644) $228.90 $327 1.8×
Chest Wall Manipulation (94668) $93.10 $133 0.7×
Color/duplex Doppler, complete (93975) $342.30 $489 1.5×
Color/duplex Doppler, limited (93976) $175 $250 1.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $91 $130 2.8×
Continuous Pulse Ox (94762) $288.40 $412 2.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $284.20 $406 1.4×
Cpt initial (94667)
range across 2 matching MRF lines
$284.20–$313.60 $406–$448 varies
Critical care first hour (99291) $1,170.40 $1,672 1.5×
Debridement Open Wound 20 Sq Cm< (97597) $509.60 $728 2.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $554.40 $792 2.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $359.10 $513 1.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $359.10 $513 3.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $425.60 $608 1.9×
Dup-scan xtr veins unilateral/limited study (93971) $425.60 $608 4.3×
Duplex Scan Hemodialysis Access (93990) $384.30 $549 3.8×
Duplex up extrem art bilat (93930) $359.10 $513 1.6×
ECG/monitoring and analysis (93271) $259 $370 2.9×
Echo Heart Xthoracic,Limited (93308) $320.60 $458 1.4×
Electrical Stimulation Ea 15 Min (97032) $169.40 $242 11.5×
Electrocardiogram Tracing (93005) $151.90 $217 2.7×
Emergency Dept Visit Level 2 (99282) $236.60 $338 1.6×
Emergency Dept Visit Level 3 (99283) $371.70 $531 1.4×
Emergency Dept Visit Level 4 (99284) $590.80 $844 1.5×
Er level 1 (99281) $147 $210 1.8×
Er level v (99285) $803.60 $1,148 1.4×
Evaluate Speech Production (92522) $221.90 $317 2.0×
Evaluate Swallowing Function (92610) $304.50 $435 3.6×
Evaluation of speech fluency (92521) $271.60 $388 2.0×
External ECG rec>48hr<7d recording (93242) $58.10 $83 1.6×
External Ecg Scanning Analysis Report (93226) $160.30 $229 2.8×
Extracranial Bilat Study (93880) $374.50 $535 1.6×
Flexible endoscopic eval swallow c/v rec (92612) $319.90 $457 1.6×
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines
$83.30–$87.50 $119–$125 varies
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,114.40 $1,592 1.7×
Holter monitor recording (93225) $127.40 $182 1.0×
Immunization administration (90471) $207.20 $296 3.0×
Iontophoresis 15 min (97033) $186.20 $266 9.8×
Irrig Drug Delivery Device (96523) $389.90 $557 6.9×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$93.10–$95.90 $133–$137 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$279.30–$287.70 $399–$411 varies
IV infusion ther proph addl sequential to 1 hr (96367) $95.90 $137 1.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $95.90 $137 2.1×
IV push initial (96374) $235.90 $337 1.2×
Lung Function Test (Mbc/Mvv) (94200) $252 $360 4.5×
Lwr Xtr Vasc Stdy Bilat (93924) $394.10 $563 1.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $43.40 $62 1.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $47.60 $68 1.3×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $22.40 $32 1.3×
Multiple Sleep Latency Test (95805) $2,167.20 $3,096 2.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $282.80 $404 1.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $494.20 $706 1.3×
Neuromuscular Reeducation (97112) $122.50 $175 3.7×
Newborn resuscitation (99465) $852.60 $1,218 1.3×
Oral Function Therapy (92526) $194.60 $278 2.3×
Oral Speech Device Eval (92597) $214.20 $306 3.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $108.50 $155 2.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $177.10 $253 3.8×
Ot eval high complexity (97167) $322 $460 3.2×
Ot Eval Low Complex (97165) $237.30 $339 2.4×
Ot Eval Moderate Complexity (97166) $295.40 $422 2.9×
Ot manual therapy 15 min (97140) $129.50 $185 4.7×
Ot paraffin bath (97018) $105 $150 17.5×
Ot Prosthetic Training, Each 15 Min (97761) $108.50 $155 2.7×
Ot Re-Eval Est Plan Care (97168) $160.30 $229 2.3×
Phlebotomy therapeutic (99195) $196 $280 1.5×
Physical Performance Test (97750) $123.20 $176 3.7×
Pm Device Progr Eval Sngl (93279) $68.60 $98 1.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,167.20 $3,096 2.6×
Pt Eval High Complex (97163) $284.20 $406 2.9×
Pt eval low complex 20 min (97161) $172.20 $246 1.8×
Pt Eval Mod Complex (97162) $228.90 $327 2.3×
Pt gait training 15 min (97116) $69.30 $99 2.4×
Pt mechanical traction (97012) $130.90 $187 9.1×
Pt Re-Eval Est Plan Care (97164) $160.30 $229 2.4×
Pulm function test by gas (94727) $284.20 $406 1.4×
Remote 30 Day Ecg Rev/Report (93270) $219.80 $314 6.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $98 $140 1.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $291.90 $417 1.5×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $111.30 $159 4.3×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$76.30–$79.80 $109–$114 varies
Sensory Integration Ea 15 Min (97533) $136.50 $195 2.2×
Speech sound lang comprehen (92523) $454.30 $649 2.0×
Spirometry (94010) $278.60 $398 1.3×
Standardized Cognitive Performance Testing (96125) $271.60 $388 2.6×
Subcutaneous Infusion Each Additional Hour (96370) $95.90 $137 2.1×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $305.20 $436 1.5×
Subq Infusion Additional Pump Infusion Site (96371) $231.70 $331 3.4×
Temp transcutaneous pacing (92953) $688.10 $983 1.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $122.50 $175 5.5×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $74.90 $107 2.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $113.40 $162 3.8×
Ther/Proph/Diag Inj Ia (96373) $235.90 $337 1.2×
Ther/Proph/Diag Inj Sc/Im (96372) $95.90 $137 1.4×
Ther/Proph/Diag Iv Inf Init (96365) $305.20 $436 1.5×
Therapeutic Activities (97530) $147.70 $211 4.2×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $84.70 $121 2.4×
Tte w/doppler, complete (93306)
range across 3 matching MRF lines
$177.80–$1,201.20 $254–$1,716 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $151.90 $217 2.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $235.90 $337 5.3×
Unlisted cardiovascular service/procedure (93799) $420.70 $601 3.4×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$244.30–$486.50 $349–$695 varies
Vasopneumatic device (97016) $66.50 $95 5.5×
Vent Mgmt Inpat Init Day (94002) $975.80 $1,394 1.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $975.80 $1,394 1.7×
Vital capacity, total (94150) $306.60 $438 2.5×
Wheelchair Mgmt Ea 15 Min (97542) $66.50 $95 2.1×
Whirlpool Therapy (97022) $184.80 $264 11.8×

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.