Visits & medical services prices at SGMC Health Main

Valdosta, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $12,027.75 $16,037 1.8×
Actigraphy testing recording analysis i&r (95803) $106.50 $142 2.1×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $48 $64 1.9×
Aep hearing status deter broadband stimuli i&r (92651) $273.75 $365 1.4×
Airway inhalation treatment (94640) $174.75 $233 0.9×
Analyze Neurostim Complex (95972) $174 $232 2.1×
Appl on-body injector for timed subq injection (96377) $91.50 $122 2.2×
Arrhythmia induction (93618) $2,289.75 $3,053 2.1×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $78 $104 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $522 $696 1.6×
Bundle of his recording (93600) $11,505 $15,340 1.7×
C motor evoked uppr limbs (95928) $4,431.75 $5,909 5.9×
C motor evoked upr&lwr limbs (95939) $1,795.50 $2,394 2.4×
Capsule endoscopy (91110) $1,432.50 $1,910 1.8×
Car seat/bed test 60 min (94780) $183 $244 5.6×
Cardiac Stress Tst,Tracing Only (93017) $1,163.25 $1,551 6.1×
Cardiopulmonary exercise testing (94621) $603.75 $805 1.8×
Cardiopulmonary resuscitation (92950) $258 $344 1.4×
Cardioversion (92960) $954.75 $1,273 1.6×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $4,478.25 $5,971 1.6×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $6,646.50 $8,862 2.3×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $30,596.25 $40,795 1.9×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $2,273.25 $3,031 0.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,280.50 $12,374 3.3×
Cbt 1st hour (94644) $126.75 $169 1.1×
Chemo Admin Peritoneal Cavity (96446) $645.75 $861 2.2×
Chemo Hormon Antineopl Sq/Im (96402) $232.50 $310 3.7×
Chemo inj subarach/intravent (96542) $414 $552 1.4×
Chemo IV push addl drug (96411) $489.75 $653 7.8×
Chemo Iv Push Sngl Drug (96409) $150 $200 0.5×
Chemother, IV infusion, 1 hr (96413) $747 $996 2.6×
Chemother, IV infusion, ea add hr (96415) $147 $196 2.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $153 $204 2.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $340.50 $454 5.4×
Color/duplex Doppler, complete (93975) $1,482 $1,976 7.1×
Color/duplex Doppler, limited (93976) $761.25 $1,015 8.3×
Cont Gluc Monitoring Patient Provided Equipment (95249) $135.75 $181 2.6×
Continuous Glucose Monitoring (95250) $126 $168 1.1×
Coronary artery angio s&i (93454) $2,273.25 $3,031 0.8×
Cpap initiation and management (94660) $174.75 $233 0.9×
Cpt initial (94667) $105 $140 0.9×
Critical care (99291) $4,620 $6,160 6.4×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $933 $1,244 2.9×
Debridement Open Wound 20 Sq Cm< (97597) $165 $220 0.9×
Demo &/or eval,pt use,aerosol device (94664) $395.25 $527 2.1×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $1,062 $1,416 2.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $149.25 $199 0.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $846.75 $1,129 9.2×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $1,020.75 $1,361 11.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $550.50 $734 2.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $224.25 $299 2.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,242.75 $1,657 5.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $299.25 $399 3.3×
Dup-scan xtr veins unilateral/limited study (93971) $765 $1,020 8.3×
Duplex hemodialysis access (93990) $345.75 $461 3.8×
Duplex scan extracranial art compl bi study (93880) $241.50 $322 1.2×
Echo Heart Xthoracic,Limited (93308) $256.50 $342 1.2×
Echo transesophageal (93312) $633.75 $845 1.3×
Echo Transthoracic - Congenital Tte Complete (93303) $1,817.25 $2,423 3.8×
Echo Transthoracic - Congenital Tte Limited (93304) $946.50 $1,262 2.0×
EEG awake drowsy (95816) $513.75 $685 2.7×
EEG cerebral death evaluation (95824) $731.25 $975 2.2×
EEG cont rec w/video by tech min 8 channels (95700) $2,321.25 $3,095 12.3×
Eeg Extended Monitoring 61-119 Minutes (95813) $604.50 $806 3.2×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $1,075.50 $1,434 3.3×
EKG (93005) $164.25 $219 3.2×
EMG one extremity (95860) $136.50 $182 1.2×
EMG two extremities (95861) $747 $996 6.4×
Ep & ablate supravent arrhyt (93653) $42,461.25 $56,615 1.9×
Ep & ablate ventric tachy (93654) $44,117.25 $58,823 1.9×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $12,027.75 $16,037 1.8×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $11,505 $15,340 1.7×
Ep Electrophysiologic F/U Study (93624) $12,929.25 $17,239 1.9×
Ep Right Ventricular Recording (93603) $2,190.75 $2,921 2.1×
Er level 1 (99281) $312 $416 4.2×
Er level ii (99282) $378.75 $505 2.8×
Er level iii (99283) $672 $896 2.8×
Er level IV (99284) $4,475.25 $5,967 12.2×
Er level v (99285) $5,858.25 $7,811 11.2×
Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) $1,131.75 $1,509 3.5×
Evaluation of swallowing function (92610) $447.75 $597 5.3×
Evaluation with prescription of speech-generating alternative (92607) $415.50 $554 3.4×
External Ecg Scanning Analysis Report (93226) $255 $340 4.9×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $355.50 $474 1.8×
Flow volume loop (94375) $577.50 $770 3.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,089 $1,452 3.3×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $841.50 $1,122 4.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,089 $1,452 1.4×
Group Therapeutic Procedures (97150) $106.50 $142 5.9×
Holter Monitor Recording (93225) $540 $720 4.6×
Hydrotherapy (97036) $82.50 $110 2.4×
Immunization Admin (90471) $61.50 $82 1.0×
Immunotherapy, 2+ Injections (95117) $79.50 $106 1.9×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $975.75 $1,301 3.0×
Injection intra arterial (96373) $407.25 $543 2.2×
Intra Atrial Recording (93602) $11,953.50 $15,938 1.7×
Intra-atrial pacing (93610) $11,953.50 $15,938 1.7×
Intraventricular pacing (93612) $12,496.50 $16,662 1.8×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $129.38 $172.50 2.5×
IV infusion hydration each additional hour (96361) $227.25 $303 5.5×
IV infusion hydration initial 31 min-1 hour (96360) $749.25 $999 4.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $204 $272 3.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $384.75 $513 2.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $235.50 $314 5.7×
IV push initial (96374) $440.25 $587 2.4×
Liver elastography w/o imag w/i&r (91200) $443.25 $591 3.9×
Manual therapy 15 min (97140) $151.50 $202 5.5×
Massage 15 min (97124) $72 $96 2.4×
Maximum voluntary ventilation (94200) $112.50 $150 2.2×
Mechanical chest wall oscillation (94669) $357 $476 1.9×
Mechanical traction (97012) $86.25 $115 6.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $21.75 $29 0.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $39.75 $53 1.1×
Methacholine challenge (94070) $711.75 $949 2.2×
Mnt Group Ea 30 Min (97804) $15.75 $21 0.9×
Motility study esophagus (91010) $1,326 $1,768 4.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $522.75 $697 5.7×
Multiple sleep latency test (95805) $2,097 $2,796 2.8×
Nasopharyngoscopy (92511) $410.25 $547 2.3×
Neg press wnd tx </=50 sq cm (97607) $492.75 $657 1.4×
Neg press wound tx >50 cm (97608) $492.75 $657 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $278.25 $371 1.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $456 $608 1.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $292.50 $390 2.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $235.12 $313.50 1.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $136.50 $182 3.0×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $291.75 $389 9.1×
Ot eval high complex 60 min (97167) $608.25 $811 6.0×
Ot eval low complex 30 min (97165) $362.25 $483 3.6×
Ot eval mod complex 45 min (97166) $323.25 $431 3.2×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $111 $148 2.2×
Ot Prosthetic Training, Each 15 Min (97761) $111 $148 2.7×
Ot re-eval est plan care (97168) $351 $468 5.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $180 $240 1.6×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $4.50 $6 0.0×
Phy/qhp op pulm rhb w/mntr (94626) $115.88 $154.50 2.2×
Phy/qhp op pulm rhb w/o mntr (94625) $113.25 $151 2.2×
Plethysmography (94726) $321 $428 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,599.12 $7,465.50 7.4×
Polysom <6 yrs 4/> paramtrs (95782) $2,097 $2,796 2.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,084.25 $2,779 2.8×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $1,759.50 $2,346 2.3×
Prq balloon valvuloplasty aortic valve (92986) $9,098.25 $12,131 1.8×
Prq Card Stent W/Angio 1 Vsl (92928) $19,055.25 $25,407 1.9×
Prq revasc byp graft 1 vsl (92937) $22,902.75 $30,537 2.3×
Prq trluml coronary angio/atherect one art/brnch (92924) $23,943.75 $31,925 2.4×
Prq trluml coronary angioplasty one art/branch (92920) $9,170.25 $12,227 1.8×
Pt Electric Current Therapy (97033) $90.75 $121 4.8×
Pt Electrical Stimulation (97032) $101.25 $135 6.9×
Pt eval high complex 45 min (97163) $510.75 $681 5.2×
Pt eval low complex 20 min (97161) $290.25 $387 3.0×
Pt Gait Training Therapy (97116) $120.75 $161 4.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $153 $204 4.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $270.75 $361 2.8×
Pt re-evaluation (97164) $162.75 $217 2.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $103.12 $137.50 3.2×
Pt Ultrasound Therapy (97035) $77.25 $103 5.4×
Pt Whirlpool Therapy (97022) $96.75 $129 6.2×
Pulmonary stress testing (94618) $153 $204 1.3×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $2,462.25 $3,283 0.9×
R hrt art/grft angio (93457) $6,646.50 $8,862 2.3×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $6,397.50 $8,530 2.3×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $234 $312 2.0×
Right heart cath (93451) $6,397.50 $8,530 2.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $214.50 $286 1.2×
Rt Chest Wall Manipulation,Subsequent (94668) $168.75 $225 1.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $174 $232 3.6×
Sleep study unattended (95806) $856.50 $1,142 4.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $953.25 $1,271 5.0×
Smoking cessation > 10 min (99407) $43.50 $58 1.3×
Speech group therapy (92508) $217.50 $290 9.0×
Speech sound lang comprehen (92523) $381 $508 1.7×
Spirometry (94010) $106.50 $142 0.6×
Stress echo (93350) $1,006.12 $1,341.50 2.1×
Stress Tte Complete (93351) $1,142.25 $1,523 2.4×
Surfactant Admin Thru Tube (94610) $384.75 $513 2.0×
Temp transcutaneous pacing (92953) $925.50 $1,234 1.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $139.50 $186 6.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $123 $164 5.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $253.50 $338 2.5×
Ther/Proph/Diag Inj Sc/Im (96372) $193.12 $257.50 3.1×
Therapeutic Activities (97530) $150 $200 4.3×
Therapeutic phlebotomy (99195) $486.75 $649 4.2×
Tilt Table Eval (93660) $644.25 $859 2.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $52.50 $70 1.6×
Trans Care Mgmt 14 Day Disch (99495) $213 $284 1.8×
Trans Care Mgmt 7 Day Disch (99496) $213 $284 1.8×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $2,748 $3,664 13.1×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,142.25 $1,523 2.4×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,572 $2,096 7.5×
Tx atrial fib pulm vein isol (93656) $31,059.75 $41,413 1.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $261.75 $349 3.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $263.25 $351 3.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $171.75 $229 4.2×
Unlisted Cardiovascular Service/Procedure (93799) $300 $400 2.7×
Unlisted pulmonary service/procedure (94799) $300 $400 2.7×
Vasc Duplex Extrem Venous,Bilat (93970) $960 $1,280 4.6×
Vasc Duplex Scan Extracranial,Limited (93882) $350.25 $467 3.8×
Vasopneumatic device (97016) $65.25 $87 5.4×
Veeg by tech 2-12 hours unmonitored (95711) $2,569.50 $3,426 13.6×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $2,669.25 $3,559 8.2×
Veeg by tech 2-12 hr intermittent monitoring (95712) $2,669.25 $3,559 8.2×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $2,669.25 $3,559 3.5×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $2,669.25 $3,559 8.2×
Veeg Ea 12-26 Hr Unmntr (95714) $1,798.50 $2,398 5.5×
Ventilation assist & mgmt inpatient 1st day (94002) $515.25 $687 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $456 $608 0.8×
Vital capacity total (94150) $137.25 $183 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $120 $160 3.9×