Visits & medical services prices at Shenandoah Memorial Hospital

Woodstock, VA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $149.80 $214 0.7×
Appl modality 1+lllt po pain (97037) $58.10 $83 1.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $86.80 $124 6.0×
Application Modality 1/> Areas Infrared (97026) $59.50 $85 8.9×
Assessment of aphasia per hr (96105) $336.70 $481 3.5×
Bedside Swallowing Eval (92610) $193.90 $277 2.3×
Behavioral and qualitative analysis of voice and resonance (92524) $400.40 $572 3.7×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $196.70 $281 2.4×
Bfb training ea addl 15 min (90913) $113.40 $162 3.5×
Biofeedback training any modality (90901) $105 $150 2.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $235.20 $336 0.6×
Canalith Repositioning Procedure (95992) $192.50 $275 4.7×
Cardiac Stress Tst,Tracing Only (93017) $648.90 $927 3.1×
Cardiopulmonary exercise testing (94621) $308 $440 0.8×
Cardiopulmonary resuscitation (92950) $993.30 $1,419 4.7×
Cardioversion (92960) $1,145.20 $1,636 1.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $60.20 $86 2.3×
Cbt 1st hour (94644) $203.70 $291 1.6×
Chemo Hormon Antineopl Sq/Im (96402) $247.80 $354 3.5×
Chemo IV push addl drug (96411) $497.70 $711 7.1×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,295 $1,850 4.0×
Chemother, IV infusion, 1 hr (96413) $469 $670 1.5×
Chemother, IV infusion, ea add hr (96415) $185.50 $265 2.6×
Chemother,Ia Push Technique (96420) $245.70 $351 0.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $360.50 $515 5.1×
Chemotherapy into cns (96450) $447.30 $639 1.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $588 $840 8.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $254.80 $364 0.8×
Color/duplex Doppler, complete (93975) $940.10 $1,343 4.0×
Color/duplex Doppler, limited (93976) $612.50 $875 6.0×
Continuous Glucose Monitoring (95250) $245.70 $351 1.9×
Cpap/bipap (94660) $630.70 $901 3.0×
Cpt initial (94667) $100.80 $144 0.8×
Critical care (99291) $2,635.50 $3,765 3.3×
Debridement Open Wound 20 Sq Cm< (97597) $261.80 $374 1.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $940.10 $1,343 4.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $612.50 $875 6.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $815.50 $1,165 3.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $473.90 $677 4.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $838.60 $1,198 3.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $505.40 $722 5.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $816.20 $1,166 3.5×
Dup-scan xtr veins unilateral/limited study (93971) $523.60 $748 5.1×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $797.30 $1,139 3.4×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $693 $990 6.8×
Duplex scan extracranial art compl bi study (93880) $815.50 $1,165 3.5×
Duplex Scan Hemodialysis Access (93990) $471.80 $674 4.6×
Echo Heart Xthoracic,Limited (93308) $490 $700 2.1×
Echo transesophageal (93312) $963.20 $1,376 1.8×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,730.40 $2,472 3.2×
EEG awake and asleep (95819) $348.60 $498 1.7×
EEG awake drowsy (95816) $422.80 $604 2.0×
EEG cerebral death evaluation (95824) $291.90 $417 0.8×
EEG coma or sleep only (95822) $368.20 $526 1.7×
Electrocardiogram Tracing (93005) $135.10 $193 2.3×
Er level 1 (99281) $206.50 $295 2.5×
Er level ii (99282) $398.30 $569 2.7×
Er level iii (99283) $581 $830 2.2×
Er level IV (99284) $1,310.40 $1,872 3.2×
Er level v (99285) $1,881.60 $2,688 3.2×
Eval speech sound production (92522) $293.30 $419 2.6×
Eval to use/fit voice prosth (92597) $387.10 $553 5.4×
Evaluate Pt Use Of Inhaler (94664) $99.40 $142 0.5×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $440.30 $629 3.6×
Evaluation of speech fluency (92521) $380.10 $543 2.9×
Exercise tst brncspsm (94617) $325.50 $465 2.5×
External ECG rec>48hr<7d recording (93242) $228.20 $326 6.3×
External ECG rec>48hr<7d scanning alys w/report (93243) $406 $580 3.1×
External Ecg Scanning Analysis Report (93226) $406 $580 7.1×
Group Therapeutic Procedures (97150) $72.10 $103 4.0×
Holter Monitor (93225) $263.90 $377 2.0×
Immunization Admin (90471) $39.20 $56 0.6×
Injection intra arterial (96373) $112.70 $161 0.5×
Iontophoresis 15 min (97033) $65.80 $94 3.5×
Irrig drug delivery device (96523) $154 $220 2.7×
IV infusion hydration each additional hour (96361) $109.90 $157 2.4×
IV infusion hydration initial 31 min-1 hour (96360) $346.50 $495 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $233.10 $333 3.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $422.80 $604 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $142.10 $203 3.1×
IV push ea addl new drug (96375) $154 $220 3.4×
IV push initial (96374) $316.40 $452 1.5×
Manual therapy 15 min (97140) $58.10 $83 2.1×
Massage 15 min (97124) $58.10 $83 2.0×
Maximum voluntary ventilation (94200) $55.30 $79 1.0×
Mechanical traction (97012) $117.60 $168 8.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $35.70 $51 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $35.70 $51 1.0×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $22.40 $32 1.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $213.50 $305 2.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $352.10 $503 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $261.80 $374 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $330.40 $472 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $289.80 $414 2.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $143.50 $205 1.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $122.50 $175 2.7×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $30.10 $43 1.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $158.90 $227 5.0×
Ot Contrast Bath Ea 15 Min (97034) $58.80 $84 4.2×
Ot eval high complex 60 min (97167) $359.10 $513 3.6×
Ot eval low complex 30 min (97165) $346.50 $495 3.4×
Ot eval mod complex 45 min (97166) $357.70 $511 3.6×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $98 $140 2.0×
Ot Prosthetic Training, Each 15 Min (97761) $122.50 $175 3.0×
Ot Range Motion Measure,Each Extrem (95851) $58.10 $83 2.2×
Ot re-evaluation (97168) $168.70 $241 2.5×
Ot therapeutic activity 15 min (97530) $60.20 $86 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $117.60 $168 0.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $133 $190 1.1×
Paraffin bath pt (97018) $37.80 $54 6.3×
Peripheral arterial disease rehab per session (93668) $82.60 $118 1.4×
Phlebotomy therapeutic (99195) $193.90 $277 1.5×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $100.10 $143 1.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $95.20 $136 1.7×
Plethysmography (94726) $266 $380 0.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,612.40 $3,732 3.1×
Psych diag eval w/med srvcs (90792) $400.40 $572 2.3×
Psychiatric diagnostic evaluation (90791) $445.20 $636 2.6×
Pt Electrical Stimulation (97032) $58.10 $83 4.0×
Pt eval high complex 45 min (97163) $371.70 $531 3.8×
Pt eval low complex 20 min (97161) $335.30 $479 3.4×
Pt eval mod complex 30 min (97162) $357.70 $511 3.7×
Pt gait training 15 min (97116) $58.10 $83 2.0×
Pt group caregiver training (97552) $60.20 $86 2.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $58.80 $84 1.8×
Pt Physical Performance Test (97750) $65.80 $94 2.0×
Pt re-evaluation (97164) $172.20 $246 2.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $60.20 $86 1.9×
Pt Whirlpool Therapy (97022) $77 $110 4.9×
Pulm function test by gas (94727) $190.40 $272 0.9×
Pulmonary Service/Procedure (94799) $114.10 $163 0.9×
Pulmonary stress test simple (94618) $325.50 $465 2.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $229.60 $328 6.3×
Respiratory flow volume loop (94375) $150.50 $215 0.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $141.40 $202 0.7×
Rom meas&reprt hand w/wo comparison normal sid (95852) $72.10 $103 3.4×
Rt Chest Wall Manipulation,Subsequent (94668) $81.90 $117 0.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $117.60 $168 2.5×
Sensory Integration Ea 15 Min (97533) $58.10 $83 1.0×
Sleep study unattended (95806) $652.40 $932 3.1×
Slp caregiver training 1st 30 min (97550) $60.20 $86 1.1×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $793.80 $1,134 3.8×
Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) $660.80 $944 11.5×
Speech sound lang comprehen (92523) $400.40 $572 1.8×
Spirometry (94010) $114.10 $163 0.5×
Standardized Cognitive Performance Testing (96125) $422.10 $603 4.1×
Stress echo (93350) $993.30 $1,419 1.9×
Temp transcutaneous pacing (92953) $262.50 $375 0.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $98.70 $141 4.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $98.70 $141 4.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $194.60 $278 1.9×
Ther/prop/diag inj/inf proc (96379) $33.60 $48 0.7×
Therapeutic prophylactic/dx injection subq/im (96372) $102.20 $146 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $74.90 $107 2.0×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $793.10 $1,133 3.4×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $536.20 $766 5.3×
Tte w/doppler, complete (93306) $2,011.80 $2,874 3.8×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $962.50 $1,375 4.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $62.30 $89 0.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $142.80 $204 1.7×
Upr/lxtr art stdy 3+ lvls (93923) $504.70 $721 2.4×
Vasc Duplex Scan Extracranial,Limited (93882) $465.50 $665 4.6×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $550.20 $786 2.6×
Vasopneumatic device (97016) $58.10 $83 4.8×
Vent mgmt inpat init day (94002) $889 $1,270 1.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $889 $1,270 1.5×
Vital capacity, total (94150) $63 $90 0.5×
Wada Activation Test Hemispheric Function W/Eeg (95958) $830.20 $1,186 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $58.10 $83 1.9×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $282.80 $404 4.9×