Visits & medical services prices at Southeast Health Medical Center

Dothan, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $6,416.78 $16,041.94 0.9×
Airway inhalation treatment (94640) $206.28 $515.69 1.0×
Analyze Neurostim Complex (95972) $118.82 $297.05 1.3×
Analyze neurostim no prog (95970) $89.12 $222.79 0.7×
Appl on-body injector for timed subq injection (96377) $49.66 $124.14 1.1×
Assessment of aphasia (96105) $121.31 $303.28 1.2×
Behavioral and qualitative analysis of voice and resonance (92524) $101.55 $253.88 0.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $261.13 $652.82 0.7×
Bundle of his recording (93600) $6,511.61 $16,279.02 0.9×
Canalith Repositioning (95992) $44.28 $110.71 1.1×
Car seat/bed test 60 min (94780) $67.82 $169.55 1.9×
Cardiac Stress Tst,Tracing Only (93017) $276.36 $690.88 1.3×
Cardiopulmonary resuscitation (92950) $325.56 $813.91 1.6×
Cardioversion (92960) $661.58 $1,653.94 1.0×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $3,534.03 $8,835.08 1.1×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $3,534.03 $8,835.08 1.1×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $3,534.03 $8,835.08 1.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,534.03 $8,835.08 1.1×
Chemo Hormon Antineopl Sq/Im (96402) $78.32 $195.80 1.1×
Chemo IV push addl drug (96411) $78.32 $195.80 1.1×
Chemo Iv Push Sngl Drug (96409) $245.34 $613.36 0.8×
Chemo prolong 8+ hrs infuse w/pump (96416) $378.02 $945.04 1.2×
Chemother, IV infusion, 1 hr (96413) $378.02 $945.04 1.2×
Chemother, IV infusion, ea add hr (96415) $79.48 $198.69 1.1×
Chemother,Ia Push Technique (96420) $324.50 $811.24 1.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $79.48 $198.69 1.1×
Chemotx Admn Cns Req Spinal Puncture (96450) $383.60 $959.01 1.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $78.32 $195.80 1.1×
Color/duplex Doppler, limited (93976) $237.96 $594.88 2.4×
Coronary artery angio s&i (93454) $3,534.03 $8,835.08 1.1×
Cpap initiation and management (94660) $203.28 $508.18 1.0×
Cpt initial (94667) $111.83 $279.58 0.9×
Critical care (99291) $1,014.18 $2,535.45 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $212.18 $530.44 1.1×
Demo &/or eval,pt use,aerosol device (94664) $203.28 $508.18 1.0×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $241.47 $603.67 1.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $237.96 $594.88 1.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $116.12 $290.29 1.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $237.96 $594.88 1.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $116.12 $290.29 1.2×
Dup-scan xtr veins unilateral/limited study (93971) $116.12 $290.29 1.2×
Duplex hemodialysis access (93990) $116.12 $290.29 1.2×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $226.48 $566.20 1.0×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $100.13 $250.33 1.0×
Duplex scan extracranial art compl bi study (93880) $237.96 $594.88 1.0×
Echo Heart Xthoracic,Limited (93308) $966.37 $2,415.93 4.2×
Echo transesophageal (93312) $547.46 $1,368.66 1.0×
Echo Transthoracic - Congenital Tte Complete (93303) $698.46 $1,746.16 1.3×
EEG awake asleep (95819) $444.67 $1,111.67 2.1×
EEG awake drowsy (95816) $438.20 $1,095.48 2.1×
EEG cerebral death evaluation (95824) $478.16 $1,195.39 1.3×
EEG coma or sleep only (95822) $444.67 $1,111.67 2.1×
EEG cont rec w/video by tech min 8 channels (95700) $292.88 $732.19 1.4×
Eeg Extended Monitoring 61-119 Minutes (95813) $637.14 $1,592.85 3.1×
EKG (93005) $62.66 $156.65 1.1×
EKG rhythm strip (93041) $62.12 $155.30 1.1×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $506.44 $1,266.08 2.4×
EMG one extremity (95860) $323.82 $809.56 2.5×
EMG two extremities (95861) $323.82 $809.56 2.5×
Ep & ablate supravent arrhyt (93653) $23,530.12 $58,825.30 0.9×
Ep & ablate ventric tachy (93654) $24,137.26 $60,343.16 1.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $6,416.78 $16,041.94 0.9×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $6,511.61 $16,279.02 0.9×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $1,259 $3,147.50 1.1×
Ep Right Ventricular Recording (93603) $992.49 $2,481.23 0.8×
Er level 1 (99281) $100.74 $251.86 1.2×
Er level ii (99282) $187.62 $469.05 1.3×
Er level iii (99283) $322.51 $806.28 1.2×
Er level IV (99284) $522.28 $1,305.70 1.3×
Er level v (99285) $773.28 $1,933.19 1.3×
Esophgl balo distension dx std w/provocation (91040) $2,224.65 $5,561.62 6.2×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $84.68 $211.69 1.2×
Evaluation of speech fluency (92521) $129.58 $323.97 1.0×
Evaluation of speech sound production (92522) $104.80 $262.01 0.9×
Evaluation of swallowing function (92610) $83.62 $209.06 1.0×
Evaluation with prescription of speech-generating alternative (92607) $114.98 $287.46 0.9×
External ECG rec>48hr<7d recording (93242) $57.60 $144.01 1.6×
External Ecg Scanning Analysis Report (93226) $117.90 $294.74 2.1×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $78.74 $196.86 0.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $898.20 $2,245.50 1.1×
Group Therapeutic Procedures (97150) $21.33 $53.33 1.2×
Holter Monitor Recording (93225) $117.90 $294.74 0.9×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $63.04 $157.61 0.9×
Immunization Admin (90471) $75.90 $189.74 1.1×
Interrog dev eval icpms phys/qhp in person (93290) $86.44 $216.11 2.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $59.44 $148.62 1.0×
IV infusion hydration each additional hour (96361) $85 $212.51 1.9×
IV infusion hydration initial 31 min-1 hour (96360) $194.38 $485.95 0.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $62.75 $156.88 0.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $194.38 $485.95 0.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $113.06 $282.64 2.5×
IV push initial (96374) $194.38 $485.95 0.9×
Maintenance of spinal canal or brain drug infusion pump (95990) $173.56 $433.91 0.5×
Manual therapy 15 min (97140) $48.66 $121.64 1.8×
Massage 15 min (97124) $40.68 $101.68 1.4×
Mechanical chest wall oscillation (94669) $203.28 $508.18 1.0×
Mechanical traction (97012) $17.27 $43.17 1.2×
Motility study esophagus (91010) $170.95 $427.38 0.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $103.67 $259.17 1.1×
Multiple sleep latency test (95805) $559.06 $1,397.64 0.7×
Neg press wnd tx </=50 sq cm (97607) $369.34 $923.34 0.9×
Neg press wound tx >50 cm (97608) $374.80 $936.99 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $202.25 $505.62 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $354.28 $885.69 0.9×
Nerve conduction studies 13/> studies (95913) $516.31 $1,290.77 1.4×
Nerve Conduction Studies 3-4 Studies (95908) $257.91 $644.78 1.2×
Nerve Conduction Studies 9-10 Studies (95911) $413.14 $1,032.85 1.1×
Nerve conduction studies; 11-12 studies (95912) $464.72 $1,161.81 1.3×
Nerve conduction studies; 5-6 studies (95909) $309.50 $773.74 1.5×
Nerve conduction studies; 7-8 studies (95910) $361.56 $903.89 1.0×
Newborn resuscitation (99465) $688.79 $1,721.98 1.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $124.32 $310.80 1.0×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $140.31 $350.78 0.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $142.78 $356.96 1.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $52.76 $131.90 1.1×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $41.28 $103.19 1.3×
Ot eval high complex 60 min (97167) $98.88 $247.22 1.0×
Ot eval low complex 30 min (97165) $83.68 $209.18 0.8×
Ot eval mod complex 45 min (97166) $98.88 $247.22 1.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $55.31 $138.28 1.1×
Ot Prosthetic Training, Each 15 Min (97761) $72.02 $180.03 1.8×
Ot re-eval est plan care (97168) $61.49 $153.73 0.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $150.09 $375.22 1.2×
Paraffin bath (97018) $12.06 $30.15 2.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $206.28 $515.69 1.0×
Phy/qhp op pulm rhb w/mntr (94626) $57.60 $144.01 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,056.96 $2,642.39 1.3×
Polysom <6 yrs 4/> paramtrs (95782) $1,072.58 $2,681.44 1.3×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $570.28 $1,425.70 0.7×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $1,072.58 $2,681.44 1.3×
Prq balloon valvuloplasty aortic valve (92986)
likely a partial charge, not the full procedure
$1,266.38 $3,165.94 0.2×
Prq card revasc chronic 1vsl (92943) $12,016.18 $30,040.44 1.1×
Prq Card Stent W/Angio 1 Vsl (92928) $12,016.18 $30,040.44 1.1×
Prq Card Stent/Ath/Angio (92933) $19,081.78 $47,704.45 1.1×
Prq revasc byp graft 1 vsl (92937) $11,841.18 $29,602.96 1.1×
Prq tcat plmt ntrac st 2+les (92930) $17,660.03 $44,150.08 1.0×
Prq trl rvs ch occ ant&rtrgr (92945) $17,660.03 $44,150.08 1.6×
Prq trluml coronary angio/atherect one art/brnch (92924) $11,841.18 $29,602.96 1.1×
Prq trluml coronary angioplasty one art/branch (92920) $5,896.30 $14,740.74 1.1×
Pt Aquatic Therapy/Exercises (97113) $87.06 $217.64 2.3×
Pt Electric Current Therapy (97033) $27.06 $67.66 1.4×
Pt Electrical Stimulation (97032) $17.02 $42.54 1.2×
Pt eval high complex 45 min (97163) $95 $237.51 1.0×
Pt eval low complex 20 min (97161) $45.49 $113.72 0.5×
Pt Gait Training Therapy (97116) $35.07 $87.67 1.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $78.32 $195.80 2.4×
Pt Physical Performance Test (97750) $39.52 $98.78 1.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $74.25 $185.62 0.8×
Pt re-evaluation (97164) $33.41 $83.52 0.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $41.28 $103.19 1.3×
Pt Ultrasound Therapy (97035) $16.72 $41.79 1.2×
Pt Whirlpool Therapy (97022) $28.72 $71.79 1.8×
Pulm function test by gas (94727) $140.70 $351.76 0.7×
Pulmonary stress testing (94618) $110.20 $275.51 0.9×
R & l hrt cath w/njx l ventriculog img s&i (93453) $3,586.26 $8,965.65 1.1×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $3,534.03 $8,835.08 1.1×
R hrt art/grft angio (93457) $3,534.03 $8,835.08 1.1×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $3,534.03 $8,835.08 1.1×
Remote Monitoring Of Physiologic Parameter(s) (Eg, Weight, Blood Pressure, Pulse Oximetry, Respiratory Flow Rate);… (99445) $35.95 $89.88 1.0×
Remote Therapeutic Monitoring (Eg, Therapy Adherence, Therapy Response, Digital Therapeutic Intervention); Device(s)… (98985) $35.95 $89.88 1.0×
Remote Therapeutic Monitoring (Eg, Therapy Adherence, Therapy Response, Digital Therapeutic Intervention); Device(s)… (98986) $35.95 $89.88 1.0×
Remote Therapeutic Monitoring (Eg, Therapy Adherence, Therapy Response, Digital Therapeutic Intervention); Device(s)… (98984) $35.95 $89.88 1.0×
Remote Therapeutic Monitoring Treatment Management Services, Physician Or Other Qualified Health Care Professional Time… (98979) $11.19 $27.98 0.4×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $103.97 $259.92 0.4×
Right heart cath (93451) $3,534.03 $8,835.08 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $199.67 $499.17 1.0×
Rt Chest Wall Manipulation,Subsequent (94668) $111.83 $279.58 0.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $59.86 $149.65 1.3×
Sensory Integration Ea 15 Min (97533) $48.76 $121.89 0.8×
Short-latency somatosens ep std upr limbs (95925) $520.12 $1,300.31 2.5×
Sleep study unattended (95806) $517.39 $1,293.48 2.5×
Speech sound lang comprehen (92523) $220.14 $550.34 1.0×
Spirometry (94010) $140.70 $351.76 0.7×
Standardized Cognitive Performance Testing (96125) $101.50 $253.74 1.0×
Stress echo (93350) $543.94 $1,359.84 1.0×
Surfactant Admin Thru Tube (94610) $206.28 $515.69 1.0×
Temp transcutaneous pacing (92953) $552.95 $1,382.38 0.9×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $29.14 $72.85 1.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $27 $67.51 1.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $94.90 $237.25 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $64.48 $161.20 0.9×
Therapeutic Activities (97530) $88.28 $220.70 2.5×
Therapeutic phlebotomy (99195) $110.20 $275.51 0.9×
Tilt Table Eval (93660) $572.12 $1,430.28 1.6×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $241.12 $602.79 1.0×
Transcranial Doppler Limited (93888) $117.83 $294.58 1.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $543.94 $1,359.84 1.0×
Tx atrial fib pulm vein isol (93656) $24,341.65 $60,854.13 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $91.61 $229.02 1.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $99.93 $249.82 1.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $50.39 $125.97 1.1×
Unlisted Cardiovascular Service/Procedure (93799) $170.96 $427.40 1.4×
Unlisted pulmonary service/procedure (94799) $138.62 $346.56 1.1×
Vasc Duplex Extrem Venous,Bilat (93970) $241.47 $603.67 1.1×
Vasc Duplex Scan Extracranial,Limited (93882) $117.83 $294.58 1.2×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $140.31 $350.78 0.7×
Vasopneumatic device (97016) $17.18 $42.94 1.4×
Veeg by tech 2-12 hours unmonitored (95711) $292.88 $732.19 1.4×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $561.92 $1,404.80 1.6×
Veeg by tech 2-12 hr intermittent monitoring (95712) $292.88 $732.19 0.8×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $1,051.79 $2,629.48 1.3×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $561.92 $1,404.80 1.6×
Veeg Ea 12-26 Hr Unmntr (95714) $826.51 $2,066.28 2.3×
Ventilation assist & mgmt inpatient 1st day (94002) $643.20 $1,607.98 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $527.80 $1,319.51 0.9×
Vital capacity total (94150) $140.70 $351.76 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $38.32 $95.79 1.2×