Visits & medical services prices at Sistersville General Hospital
Sistersville, WV · every code in this section with a posted price and a Medicare benchmark.
191 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acupunct W/Stimul 15 Min (97813) | $51.92 | $86.54 | 1.9× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $48.63 | $81.05 | 1.8× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $39.89 | $66.48 | 1.0× |
| Advncd Care Plan 30 Min (99497) | $140.42 | $234.04 | 1.4× |
| Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
$21.03–$216.06 | $35.05–$360.10 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $31.64 | $52.74 | 0.9× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $26.80 | $44.67 | 1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $104 | $173.33 | 7.2× |
| Assessment of aphasia per hr (96105) | $189.53 | $315.89 | 1.9× |
| Behavral qualit analys voice (92524) | $120.05 | $200.08 | 1.1× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $190.65 | $317.75 | 2.3× |
| Bfb training ea addl 15 min (90913) | $78.30 | $130.50 | 2.4× |
| Biofeedback training any modality (90901) | $111.20 | $185.33 | 2.7× |
| Bis Xtracell Fluid Analysis (93702) range across 2 matching MRF lines |
$101.65–$210.12 | $169.42–$350.20 | varies |
| Brief Emotional/Behav Assmt (96127) | $18.90 | $31.50 | 0.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$168.44–$634.22 | $280.74–$1,057.03 | varies |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$57.62–$127.74 | $96.03–$212.90 | varies |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$235.81–$622.41 | $393.02–$1,037.35 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$324.78–$1,947.32 | $541.30–$3,245.53 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $51.67 | $86.11 | 2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) | $32.95 | $54.92 | 0.5× |
| Chemo IV infusion addl hr (96415) | $219.53 | $365.88 | 3.2× |
| Chemotherapy Into Cns (96450) | $607.84 | $1,013.06 | 1.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,167.22 | $1,945.36 | 3.7× |
| Chest Wall Manipulation (94668) | $152.03 | $253.38 | 1.2× |
| Chron Care Mgmt Srvc 20 Min (99490) | $88.91 | $148.19 | 0.9× |
| Cmptr ophth dx img ant segmt (92132) | $60.04 | $100.06 | 1.1× |
| Color/duplex Doppler, complete (93975) | $455.78 | $759.64 | 2.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 7 matching MRF lines |
$13.78–$108.38 | $22.97–$180.63 | varies |
| Computerized Ophthalmic Imaging Retina (92134) | $72.51 | $120.85 | 1.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $63.89 | $106.49 | 0.5× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $30.83 | $51.39 | 0.5× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$236.46–$426.13 | $394.10–$710.21 | varies |
| Corneal Topography (92025) | $64.81 | $108.02 | 1.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $219.77 | $366.28 | 1.0× |
| Cpt initial (94667) | $129.28 | $215.46 | 1.0× |
| Critical care first hour (99291) range across 4 matching MRF lines |
$253.36–$817.34 | $422.26–$1,362.24 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$89.39–$540.21 | $148.99–$900.35 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $235.60 | $392.67 | 2.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $503.62 | $839.36 | 2.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 8 matching MRF lines |
$377.27–$496.18 | $628.78–$826.96 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$252.17–$662.75 | $420.29–$1,104.59 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 11 matching MRF lines |
$366.43–$398.63 | $610.72–$664.39 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $348.22 | $580.36 | 1.5× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $239.84 | $399.73 | 1.9× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $239.84 | $399.73 | 1.9× |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$807.76–$2,488.51 | $1,346.27–$4,147.51 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $67.88 | $113.13 | 4.6× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$16.41–$133.37 | $27.35–$222.28 | varies |
| Emergency Dept Visit Level 2 (99282) range across 6 matching MRF lines |
$47.36–$152.55 | $78.94–$254.25 | varies |
| Emergency Dept Visit Level 3 (99283) range across 6 matching MRF lines |
$70.93–$237.19 | $118.22–$395.31 | varies |
| Emergency Dept Visit Level 4 (99284) range across 6 matching MRF lines |
$134.65–$337.41 | $224.41–$562.35 | varies |
| Er level 1 (99281) range across 4 matching MRF lines |
$41.93–$81.29 | $69.89–$135.49 | varies |
| Er level v (99285) range across 6 matching MRF lines |
$198.45–$619.13 | $330.75–$1,031.89 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $239.84 | $399.73 | 1.9× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$21.03–$216.06 | $35.05–$360.10 | varies |
| Evaluate Speech Production (92522) range across 3 matching MRF lines |
$109.55–$115.03 | $182.58–$191.71 | varies |
| Evaluate Swallowing Function (92610) | $108.42 | $180.70 | 1.3× |
| Evaluation of speech fluency (92521) | $141.65 | $236.08 | 1.1× |
| Extracranial Bilat Study (93880) | $595.08 | $991.80 | 2.6× |
| Extracranial Uni/Ltd Study (93882) | $386.71 | $644.51 | 3.9× |
| Flexible endoscopic eval swallow c/v rec (92612) | $45.50 | $75.84 | 0.2× |
| Gonioscopy (92020) | $93.89 | $156.48 | 0.7× |
| Group Therapeutic Procedures (97150) | $74.44 | $124.07 | 4.1× |
| Health Behavior Assessment/Re-Assessment (96156) | $165.66 | $276.10 | 1.7× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $128.84 | $214.74 | 0.8× |
| Holter monitor recording (93225) | $322.21 | $537.02 | 2.5× |
| Immunization administration (90471) range across 5 matching MRF lines |
$39.89–$138 | $66.48–$230 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $408.45 | $680.75 | 1.1× |
| Inital newborn e/m (99460) | $123.94 | $206.56 | 1.0× |
| Intracutaneous tests w/allergenic extracts (95024) | $38.77 | $64.62 | 0.7× |
| Iontophoresis 15 min (97033) | $107.28 | $178.80 | 5.6× |
| Irrig Drug Delivery Device (96523) | $19.52 | $32.53 | 0.3× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$25.29–$67.21 | $42.15–$112.02 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$124.96–$184.83 | $208.26–$308.05 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$105.61–$134.42 | $176.02–$224.04 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$94.24–$99.29 | $157.07–$165.48 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$124.96–$180.02 | $208.26–$300.04 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $629.97 | $1,049.95 | 3.0× |
| Mechanical chest wall oscillation per session (94669) | $184.85 | $308.09 | 0.9× |
| Motion Fluoroscopy/Swallow (92611) | $118.04 | $196.74 | 1.3× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$142.15–$1,111.04 | $236.91–$1,851.73 | varies |
| Nasopharyngoscopy (92511) | $133.33 | $222.22 | 0.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$241.25–$759.31 | $402.08–$1,265.52 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $759.31 | $1,265.52 | 1.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$134.97–$347.75 | $224.95–$579.58 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $456.10 | $760.17 | 1.2× |
| Nerve Conduction Studies 11-12 Studies (95912) | $550.84 | $918.07 | 1.5× |
| Nerve conduction studies 7-8 studies (95910) | $321.69 | $536.15 | 0.9× |
| Neurobehavioral Status Exam (96116) | $286.42 | $477.36 | 1.4× |
| Neuromuscular Reeducation (97112) | $119.32 | $198.86 | 3.6× |
| Nitric oxide expired gas determination (95012) | $38.98 | $64.97 | 1.1× |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 2 matching MRF lines |
$15.14–$24.04 | $25.24–$40.06 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 2 matching MRF lines |
$22.01–$34.93 | $36.68–$58.22 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 2 matching MRF lines |
$7.67–$12.18 | $12.79–$20.30 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) | $325.04 | $541.74 | 0.9× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $200.23 | $333.71 | 1.6× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $174.67 | $291.11 | 1.4× |
| Ophth medical xm&eval intermediate estab pt (92012) | $140.11 | $233.51 | 1.1× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $134.35 | $223.91 | 1.1× |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$93.77–$98.45 | $156.28–$164.08 | varies |
| Oral Speech Device Eval (92597) range across 2 matching MRF lines |
$97.10–$101.97 | $161.84–$169.95 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $153.28 | $255.46 | 3.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $134.65 | $224.41 | 2.9× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $43.70 | $72.83 | 2.1× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $58.32 | $97.20 | 2.8× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $72.56 | $120.94 | 3.5× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $87.14 | $145.24 | 4.2× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $102.57 | $170.95 | 5.0× |
| Ot Contrast Bath Ea 15 Min (97034) | $63.49 | $105.82 | 4.5× |
| Ot eval high complexity (97167) | $335 | $558.33 | 3.3× |
| Ot Eval Low Complex (97165) range across 4 matching MRF lines |
$118.21–$335 | $197.02–$558.33 | varies |
| Ot Eval Moderate Complexity (97166) range across 4 matching MRF lines |
$56.27–$335 | $93.79–$558.33 | varies |
| Ot manual therapy 15 min (97140) range across 5 matching MRF lines |
$87.92–$107.28 | $146.54–$178.80 | varies |
| Ot paraffin bath (97018) range across 3 matching MRF lines |
$35.45–$37.21 | $59.08–$62.02 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $120.42 | $200.70 | 3.0× |
| Ot Re-Eval Est Plan Care (97168) range across 4 matching MRF lines |
$86.05–$186.10 | $143.42–$310.17 | varies |
| Ot rom hand (95852) | $44.60 | $74.33 | 2.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $191.24 | $318.73 | 1.5× |
| Patch/Application Test Specify Number Tests (95044) | $8.20 | $13.66 | 0.0× |
| Percutaneous tests w/allergenic extracts (95004) | $614.94 | $1,024.90 | 0.7× |
| Peripheral arterial disease rehab per session (93668) | $121.61 | $202.68 | 2.1× |
| Phlebotomy therapeutic (99195) | $213.49 | $355.82 | 1.7× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $175.41 | $292.35 | 3.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $175.41 | $292.35 | 3.1× |
| Physical Performance Test (97750) | $121.52 | $202.54 | 3.6× |
| Plethysmography (94726) | $157.03 | $261.71 | 0.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$301.25–$2,133.58 | $502.09–$3,555.96 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $27.87 | $46.45 | 0.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $28.31 | $47.19 | 0.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $39.45 | $65.75 | 0.9× |
| Psych diag eval w/med srvcs (90792) | $264.83 | $441.39 | 1.6× |
| Psychiatric diagnostic evaluation (90791) | $243.54 | $405.90 | 1.4× |
| Psychological tst eval svc phys/qhp first hour (96130) | $243.14 | $405.24 | 1.2× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $14.23 | $23.72 | 0.5× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $45.78 | $76.30 | 0.4× |
| Psytx Crisis Initial 60 Min (90839) | $254.88 | $424.80 | 1.5× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $90.67 | $151.11 | 2.4× |
| Pt Eval High Complex (97163) | $336.09 | $560.15 | 3.4× |
| Pt eval low complex 20 min (97161) range across 3 matching MRF lines |
$233.35–$336.09 | $388.92–$560.15 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$233.35–$336.09 | $388.92–$560.15 | varies |
| Pt gait training 15 min (97116) | $100.72 | $167.87 | 3.5× |
| Pt group caregiver training (97552) | $45.71 | $76.18 | 2.1× |
| Pt mechanical traction (97012) | $59.11 | $98.52 | 4.1× |
| Pt Re-Eval Est Plan Care (97164) | $154.36 | $257.26 | 2.3× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$102.80–$384.48 | $171.34–$640.80 | varies |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) range across 3 matching MRF lines |
$50.08–$52.16 | $83.47–$86.94 | varies |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) range across 3 matching MRF lines |
$77.66–$80.90 | $129.43–$134.84 | varies |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) range across 3 matching MRF lines |
$28.36–$29.54 | $47.27–$49.23 | varies |
| Rapid Desensitization Procedure Each Hour (95180) | $352.99 | $588.32 | 0.8× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $36.49 | $60.81 | 1.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $39.43 | $65.72 | 0.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 6 matching MRF lines |
$103.82–$354.20 | $173.03–$590.34 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $52.30 | $87.17 | 2.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $182.84 | $304.74 | 1.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $54.75 | $91.25 | 1.1× |
| Self Care Mngment Training (97535) range across 7 matching MRF lines |
$110.87–$123.70 | $184.79–$206.16 | varies |
| Sensory Integration Ea 15 Min (97533) | $95.92 | $159.87 | 1.6× |
| Sleep study attended (95807) range across 2 matching MRF lines |
$134.98–$1,153.13 | $224.97–$1,921.88 | varies |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$134.98–$485.38 | $224.97–$808.96 | varies |
| Slp caregiver training 1st 30 min (97550) | $111.49 | $185.81 | 2.1× |
| Speech sound lang comprehen (92523) range across 4 matching MRF lines |
$227.23–$238.60 | $378.71–$397.66 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$52.94–$382.49 | $88.24–$637.48 | varies |
| Standardized Cognitive Performance Testing (96125) | $143.15 | $238.59 | 1.4× |
| Temp transcutaneous pacing (92953) | $28.69 | $47.82 | 0.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $57.13 | $95.22 | 2.6× |
| Ther Ivntj Ea Addl 15 Min (97130) range across 4 matching MRF lines |
$54.63–$57.13 | $91.05–$95.22 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $147.80 | $246.33 | 4.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $91.95 | $153.25 | 3.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $174.80 | $291.34 | 1.7× |
| Ther/Proph/Diag Inj Ia (96373) | $124.96 | $208.26 | 0.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$28.98–$133.07 | $48.30–$221.79 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$124.96–$384.06 | $208.26–$640.10 | varies |
| Therapeutic Activities (97530) | $123.70 | $206.16 | 3.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $54.28 | $90.46 | 1.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$16–$36.92 | $26.66–$61.53 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $214.43 | $357.39 | 1.7× |
| Trans Care Mgmt 7 Day Disch (99496) | $278.29 | $463.82 | 2.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $20.22 | $33.70 | 0.3× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $28.65 | $47.75 | 1.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$45.98–$72.02 | $76.64–$120.04 | varies |
| Tympanometry (92567) | $21.44 | $35.74 | 0.6× |
| Upr/L Xtremity Art 2 Levels (93922) | $403.13 | $671.88 | 3.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $430.36 | $717.26 | 2.1× |
| Vasopneumatic device (97016) range across 4 matching MRF lines |
$63.59–$66.77 | $105.98–$111.29 | varies |
| Vent Mgmt Inpat Init Day (94002) | $444.37 | $740.62 | 0.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $444.37 | $740.62 | 0.7× |
| Visual Field Exam Extended (92083) | $102.53 | $170.88 | 0.8× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $55.93 | $93.21 | 1.0× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 5 matching MRF lines |
$57.41–$101.37 | $95.69–$168.95 | varies |
| Whirlpool Therapy (97022) | $78.83 | $131.39 | 5.0× |
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.