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.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $313.60 $448 1.5×
Assessment of aphasia (96105) $242.90 $347 2.5×
Behavioral and qualitative analysis of voice and resonance (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×
Color/duplex Doppler, complete (93975) $342.30 $489 1.5×
Color/duplex Doppler, limited (93976) $175 $250 1.8×
Cpap initiation and management (94660) $284.20 $406 1.4×
Cpt initial (94667) $298.90 $427 2.4×
Critical care (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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $359.10 $513 1.6×
Dup-scan xtr veins unilateral/limited study (93971) $425.60 $608 4.3×
Duplex hemodialysis access (93990) $384.30 $549 3.8×
Duplex scan extracranial art compl bi study (93880) $374.50 $535 1.6×
Echo Heart Xthoracic,Limited (93308) $320.60 $458 1.4×
EKG (93005) $151.90 $217 2.7×
EKG rhythm strip (93041) $98 $140 1.7×
Er level 1 (99281) $147 $210 1.8×
Er level ii (99282) $236.60 $338 1.6×
Er level iii (99283) $371.70 $531 1.4×
Er level IV (99284) $590.80 $844 1.5×
Er level v (99285) $803.60 $1,148 1.4×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $214.20 $306 3.0×
Evaluation of speech fluency (92521) $271.60 $388 2.0×
Evaluation of speech sound production (92522) $221.90 $317 2.0×
Evaluation of swallowing function (92610) $304.50 $435 3.6×
External ECG rec>48hr<7d recording (93242) $58.10 $83 1.6×
External Ecg Scanning Analysis Report (93226) $160.30 $229 2.8×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $319.90 $457 1.6×
Group Therapeutic Procedures (97150) $85.40 $122 4.7×
Hemodialysis (90935) $1,114.40 $1,592 1.7×
Holter Monitor Recording (93225) $127.40 $182 1.0×
Immunization Admin (90471) $207.20 $296 3.0×
Injection intra arterial (96373) $235.90 $337 1.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $389.90 $557 6.9×
IV infusion hydration each additional hour (96361) $94.50 $135 2.1×
IV infusion hydration initial 31 min-1 hour (96360) $283.50 $405 1.4×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $95.90 $137 1.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $305.20 $436 1.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $95.90 $137 2.1×
IV push initial (96374) $235.90 $337 1.2×
Manual therapy 15 min (97140) $129.50 $185 4.7×
Massage 15 min (97124) $113.40 $162 3.8×
Maximum voluntary ventilation (94200) $252 $360 4.5×
Mechanical traction (97012) $130.90 $187 9.1×
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×
Mnt Group Ea 30 Min (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×
Newborn resuscitation (99465) $852.60 $1,218 1.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $365.40 $522 2.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $288.40 $412 2.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $177.10 $253 3.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $91 $130 2.8×
Ot eval high complex 60 min (97167) $322 $460 3.2×
Ot eval low complex 30 min (97165) $237.30 $339 2.4×
Ot eval mod complex 45 min (97166) $295.40 $422 2.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $108.50 $155 2.2×
Ot Prosthetic Training, Each 15 Min (97761) $108.50 $155 2.7×
Ot Range Motion Measure,Each Extrem (95851) $111.30 $159 4.3×
Ot re-eval est plan care (97168) $160.30 $229 2.3×
Paraffin bath (97018) $105 $150 17.5×
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 Aquatic Therapy/Exercises (97113) $74.90 $107 2.0×
Pt Electric Current Therapy (97033) $186.20 $266 9.8×
Pt Electrical Stimulation (97032) $169.40 $242 11.5×
Pt eval high complex 45 min (97163) $284.20 $406 2.9×
Pt eval low complex 20 min (97161) $172.20 $246 1.8×
Pt Gait Training Therapy (97116) $69.30 $99 2.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $122.50 $175 3.7×
Pt Physical Performance Test (97750) $123.20 $176 3.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $228.90 $327 2.3×
Pt re-evaluation (97164) $160.30 $229 2.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $78.05 $111.50 2.4×
Pt Ultrasound Therapy (97035) $123.90 $177 8.6×
Pt Whirlpool Therapy (97022) $184.80 $264 11.8×
Pulm function test by gas (94727) $284.20 $406 1.4×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $219.80 $314 6.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $291.90 $417 1.5×
Rt Chest Wall Manipulation,Subsequent (94668) $93.10 $133 0.7×
Sc Ther Infusion Reset Pump (96371) $231.70 $331 3.4×
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×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $95.90 $137 2.1×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $305.20 $436 1.5×
Temp transcutaneous pacing (92953) $688.10 $983 1.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $122.50 $175 5.5×
Ther/Proph/Diag Inj Sc/Im (96372) $95.90 $137 1.4×
Therapeutic Activities (97530) $147.70 $211 4.2×
Therapeutic phlebotomy (99195) $196 $280 1.5×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $84.70 $121 2.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $753.20 $1,076 1.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $151.90 $217 2.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $194.60 $278 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $235.90 $337 5.3×
Unlisted Cardiovascular Service/Procedure (93799) $420.70 $601 3.4×
Vasc Duplex Extrem Venous,Bilat (93970) $425.60 $608 1.9×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $394.10 $563 1.9×
Vasopneumatic device (97016) $66.50 $95 5.5×
Ventilation assist & mgmt inpatient 1st 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×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $259 $370 2.9×