Visits & medical services prices at Southern Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Actigraphy testing recording analysis i&r (95803) $58 $284.25 1.0×
Aep Neurodiagnostic I&R (92653) $215 $1,513 1.0×
Aep threshold estimation mlt frequencies i&r (92652) $215 $1,513 1.0×
Airway inhalation treatment (94640) $218 $420.96 1.0×
Assessment of aphasia (96105) $98 $526 1.0×
Behavioral and qualitative analysis of voice and resonance (92524) $110 $560 1.0×
Biofeedback training any modality (90901) $16 $252 0.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $372 $1,002.67 1.0×
Canalith Repositioning (95992) $30 $224 0.7×
Car seat/bed test 60 min (94780) $37 $326.63 1.0×
Cardiac Stress Tst,Tracing Only (93017) $215 $2,510.61 1.0×
Cardiopulmonary exercise testing (94621) $372 $1,205.57 1.0×
Cardiopulmonary resuscitation (92950) $215 $2,630 1.0×
Cardioversion (92960) $659 $2,747.08 1.0×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $3,235 $14,001.40 1.0×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $3,235 $15,523.70 1.0×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $3,235 $19,964.40 1.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,235 $18,930.20 1.0×
Cbt 1st hour (94644) $132 $842.63 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $71 $467.20 1.0×
Chemo IV push addl drug (96411) $71 $551.33 1.0×
Chemo Iv Push Sngl Drug (96409) $329 $1,310.26 1.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $329 $1,165 1.0×
Chemother, IV infusion, 1 hr (96413) $329 $980.10 1.0×
Chemother, IV infusion, ea add hr (96415) $71 $378.60 1.0×
Chemother,Ia Push Technique (96420) $329 $909 1.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $71 $515 1.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $71 $443.24 1.0×
Circadian respiratry pattern rec 12-24 hr infant (94772) $372 $2,492.65 1.0×
Color/duplex Doppler, complete (93975) $238 $2,545 1.0×
Color/duplex Doppler, limited (93976) $104 $1,517.54 1.0×
Comprehensive Hearing Test (92557) $128 $142.60 1.0×
Coronary artery angio s&i (93454) $3,235 $12,883.20 1.0×
Cpap initiation and management (94660) $218 $1,559.80 1.0×
Cpt initial (94667) $132 $489.04 1.0×
Critical care (99291) $824 $4,643.60 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $200 $840.65 1.0×
Demo &/or eval,pt use,aerosol device (94664) $218 $575.91 1.0×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $416 $1,857.60 1.0×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $238 $1,529.16 1.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $104 $799.95 1.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $238 $2,011.09 1.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $104 $1,172.38 1.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $238 $1,732.82 1.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $104 $1,354.54 1.0×
Dup-scan xtr veins unilateral/limited study (93971) $104 $1,731 1.0×
Duplex hemodialysis access (93990) $104 $981.49 1.0×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $238 $1,165.20 1.0×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $104 $560.40 1.0×
Duplex scan extracranial art compl bi study (93880) $238 $2,336 1.0×
Echo Heart Xthoracic,Limited (93308) $238 $1,435.72 1.0×
Echo transesophageal (93312) $545 $3,566.95 1.0×
Echo Transthoracic - Congenital Tte Complete (93303) $545 $3,091.44 1.0×
Echo Transthoracic - Congenital Tte Limited (93304) $545 $2,394.80 1.0×
EEG awake asleep (95819) $215 $1,704.67 1.0×
EEG awake drowsy (95816) $215 $1,457.49 1.0×
EEG cerebral death evaluation (95824) $372 $1,932.22 1.0×
EEG coma or sleep only (95822) $215 $1,914.40 1.0×
Eeg Extended Monitoring 61-119 Minutes (95813) $215 $1,956.58 1.0×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $372 $2,417.15 1.0×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $215 $1,495.30 1.0×
EKG (93005) $58 $478.93 1.0×
EKG rhythm strip (93041) $58 $126.87 1.0×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $215 $1,478.82 1.0×
EMG cranial nerve bilat (95868) $215 $692.32 1.0×
EMG four extremities (95864) $128 $998.13 1.0×
EMG one extremity (95860) $132 $512 1.0×
EMG three extremities (95863) $128 $1,014.73 1.0×
EMG two extremities (95861) $132 $961.47 1.0×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $1,215 $4,988.34 1.0×
Er level 1 (99281) $84 $384.50 1.0×
Er level ii (99282) $153 $802.95 1.0×
Er level iii (99283) $272 $1,399.30 1.0×
Er level IV (99284) $416 $2,261.30 1.0×
Er level v (99285) $594 $3,598.62 1.0×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $128 $712.95 1.0×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $71 $531.04 1.0×
Evaluation of speech fluency (92521) $134 $474.44 1.0×
Evaluation of speech sound production (92522) $113 $539.08 1.0×
Evaluation of swallowing function (92610) $58 $731.43 0.7×
Evaluation with prescription of speech-generating alternative (92607) $123 $468.56 1.0×
Exercise tst brncspsm (94617) $132 $502.75 1.0×
Exhaled air analysis o2 (94680) $128 $427.77 1.0×
External Ecg Scanning Analysis Report (93226) $58 $806.12 1.0×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $54 $783.70 0.3×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $80 $1,484.10 0.3×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $372 $3,494.42 1.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $857 $3,489 1.0×
Group Therapeutic Procedures (97150) $18 $179.50 1.0×
Hemodialysis (90935) $685 $2,585.28 1.0×
Holter Monitor Recording (93225) $132 $644.40 1.0×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $71 $152.95 1.0×
Immunization Admin (90471) $71 $316.60 1.0×
Injection intra arterial (96373) $212 $1,032.85 1.0×
Ins swan ganz bedside (93503) $1,571 $4,342 1.0×
Interrogation of vad (93750) $94 $461.15 1.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $58 $273.80 1.0×
IV infusion hydration each additional hour (96361) $46 $250.10 1.0×
IV infusion hydration initial 31 min-1 hour (96360) $212 $736.01 1.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $71 $612.01 1.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $212 $934.81 1.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $46 $281.10 1.0×
IV push initial (96374) $212 $1,044.65 1.0×
Laryngeal Function Studies (92520) $132 $575.80 1.0×
Laryngoscopic Sensory Test (92614) $54 $794 0.4×
Manual therapy 15 min (97140) $28 $239.22 1.0×
Massage 15 min (97124) $30 $191.86 1.0×
Maximum voluntary ventilation (94200) $58 $291.40 1.0×
Mechanical chest wall oscillation (94669) $218 $833.78 1.0×
Mechanical traction (97012) $14 $168 1.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $22 $95 0.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $26 $60.56 0.7×
Methacholine challenge (94070) $372 $1,399.60 1.0×
Mnt Group Ea 30 Min (97804) $12 $44.89 0.7×
Motility study esophagus (91010) $372 $2,810.65 1.0×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $92 $773.80 1.0×
Multiple sleep latency test (95805) $857 $3,976.06 1.0×
Nasal function studies (92512) $215 $1,351.45 1.0×
Nasopharyngoscopy (92511) $199 $840.60 1.0×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $132 $369.51 1.0×
Neg press wnd tx </=50 sq cm (97607) $405 $1,037.92 1.0×
Neg press wound tx >50 cm (97608) $405 $1,072.39 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $200 $917 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $405 $1,765 1.0×
Nerve conduction studies 13/> studies (95913) $372 $3,173.60 1.0×
Nerve Conduction Studies 3-4 Studies (95908) $215 $1,493.52 1.0×
Nerve Conduction Studies 9-10 Studies (95911) $372 $3,355.83 1.0×
Nerve conduction studies; 1-2 studies (95907) $215 $928.96 1.0×
Nerve conduction studies; 11-12 studies (95912) $372 $2,832.70 1.0×
Nerve conduction studies; 5-6 studies (95909) $215 $2,041.47 1.0×
Nerve conduction studies; 7-8 studies (95910) $372 $1,892.03 1.0×
Neuromuscular junction test (95937) $128 $454.67 1.0×
Newborn resuscitation (99465) $2,868.65
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $132 $1,360.95 1.0×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $215 $998.13 1.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $128 $712.95 1.0×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $46 $232.17 1.0×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $32 $132.25 1.0×
Ot Contrast Bath Ea 15 Min (97034) $14 $85.05 1.0×
Ot eval high complex 60 min (97167) $101 $524.08 1.0×
Ot eval low complex 30 min (97165) $101 $528.78 1.0×
Ot eval mod complex 45 min (97166) $101 $499.65 1.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $50 $199.51 1.0×
Ot Prosthetic Training, Each 15 Min (97761) $40 $183.41 1.0×
Ot Range Motion Measure,Each Extrem (95851) $6 $199.24 0.2×
Ot re-eval est plan care (97168) $69 $369.27 1.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $128 $522.22 1.0×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $128 $559.25 1.0×
Paraffin bath (97018) $6 $177.61 1.0×
Phy/qhp op pulm rhb w/mntr (94626) $58 $287.40 1.0×
Phy/qhp op pulm rhb w/o mntr (94625) $58 $287.40 1.0×
Plethysmography (94726) $372 $1,351.45 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $857 $7,515 1.0×
Polysom <6 yrs 4/> paramtrs (95782) $857 $8,273.65 1.0×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $857 $8,273.65 1.0×
Prq card revasc chronic 1vsl (92943) $11,522 $25,669 1.0×
Prq Card Stent W/Angio 1 Vsl (92928) $11,522 $33,726 1.0×
Prq revasc byp graft 1 vsl (92937) $11,522 $33,726 1.0×
Prq trluml coronary angioplasty one art/branch (92920) $5,680 $25,309.50 1.0×
Psychiatric diagnostic evaluation (90791) $177 $1,341.10 1.0×
Psytx crisis initial 60 min (90839) $177 $1,034.80 1.0×
Pt Aquatic Therapy/Exercises (97113) $37 $185 1.0×
Pt Electric Current Therapy (97033) $19 $104.06 1.0×
Pt Electrical Stimulation (97032) $14 $203.68 1.0×
Pt eval high complex 45 min (97163) $98 $570.60 1.0×
Pt eval low complex 20 min (97161) $98 $512.40 1.0×
Pt Gait Training Therapy (97116) $29 $217.50 1.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $33 $214.93 1.0×
Pt Physical Performance Test (97750) $34 $153 1.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $98 $541.60 1.0×
Pt re-evaluation (97164) $68 $374.56 1.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $32 $217.44 1.0×
Pt Ultrasound Therapy (97035) $14 $168.86 1.0×
Pt Whirlpool Therapy (97022) $15 $222.61 1.0×
Pulm function test by gas (94727) $215 $546.73 1.0×
Pulmonary stress testing (94618) $132 $314.52 1.0×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $3,235 $21,792.40 1.0×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $3,235 $23,000 1.0×
Refill/maint, portable pump (96521) $212 $1,081.50 1.0×
Right heart cath (93451) $3,235 $13,683.80 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $200 $706.59 1.0×
Rom meas&reprt hand w/wo comparison normal sid (95852) $5 $248.20 0.2×
Rt Chest Wall Manipulation,Subsequent (94668) $132 $393.92 1.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $48 $314 1.0×
Sc Ther Infusion Reset Pump (96371) $71 $455 1.0×
Sensory Integration Ea 15 Min (97533) $61 $165 1.0×
Short-latency somatosens ep std lwr limbs (95926) $215 $1,878.65 1.0×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $215 $1,172.53 1.0×
Short-latency somatosens ep std upr limbs (95925) $215 $1,907.63 1.0×
Sleep study attended (95807) $372 $2,492.65 1.0×
Sleep study unattended (95806) $215 $980.20 1.0×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $215 $886.80 1.0×
Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) $58 $1,026.90 1.0×
Smoking cessation > 10 min (99407) $37 $134.20 1.0×
Speech group therapy (92508) $24 $145.72 1.0×
Speech sound lang comprehen (92523) $228 $700 1.0×
Spirometry (94010) $215 $712.95 1.0×
Standardized Cognitive Performance Testing (96125) $104 $502 1.0×
Stress echo (93350) $545 $3,311.28 1.0×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $46 $135 1.0×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $212 $1,003 1.0×
Surfactant Admin Thru Tube (94610) $218 $598.06 1.0×
Tensilon test (95857) $215 $810.87 1.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $19 $227.34 0.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $18 $217.17 0.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $103 $437 1.0×
Ther/prop/diag inj/inf proc (96379) $46 $286.09 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $71 $284.91 1.0×
Therapeutic Activities (97530) $35 $241.33 1.0×
Therapeutic phlebotomy (99195) $132 $512.75 1.0×
Tilt Table Eval (93660) $372 $1,723 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $37 $134.20 1.0×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $238 $1,645 1.0×
Transcranial Doppler Limited (93888) $104 $778.33 1.0×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $545 $2,832.45 1.0×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $238 $1,610.62 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $76 $648.59 1.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $85 $441.84 1.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $46 $428.01 1.0×
Unlisted Cardiovascular Service/Procedure (93799) $128 $7,665.56 1.0×
Unlisted otorhinolaryngological service (92700) $28 $141.85 1.0×
Unlisted pulmonary service/procedure (94799) $128 $712.95 1.0×
Vasc Duplex Extrem Venous,Bilat (93970) $238 $2,283 1.0×
Vasc Duplex Scan Extracranial,Limited (93882) $104 $1,837.51 1.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $215 $1,689.96 1.0×
Vasopneumatic device (97016) $12 $159.95 1.0×
Ventilation assist & mgmt inpatient 1st day (94002) $616 $2,487.70 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $616 $3,687.98 1.0×
Visual Evoked Potential Test (95930) $215 $1,447.75 1.0×
Vital capacity total (94150) $128 $712.95 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $31 $180.85 1.0×