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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ProcedurePosted cashPosted gross× 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×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $14 $168.86 1.0×
Assessment of aphasia per hr (96105) $98 $526 1.0×
Behavral qualit analys voice (92524)
range across 3 matching MRF lines		 $110 $440.04–$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 proc (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 Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $3,235 $21,792.40 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 Anti-Neopl Sq/Im (96401) $71 $515 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $71 $467.20 1.0×
Chemo Ia Push (96420) $329 $909 1.0×
Chemo IV infusion addl hr (96415) $71 $378.60 1.0×
Chemo IV push addl drug (96411) $71 $551.33 1.0×
Chemother Prolong Infuse W/Pump (96416) $329 $1,165 1.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $71 $443.24 1.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $329 $980.10 1.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $329 $1,310.26 1.0×
Chest Wall Manipulation (94668) $132 $393.92 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×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines		 $32 $109.50–$155 1.0×
Comprehensive Hearing Test (92557) $128 $142.60 1.0×
Continuous Pulse Ox (94762) $128 $712.95 1.0×
Coronary Art/Grft Angio S&I (93455) $3,235 $14,001.40 1.0×
Coronary Artery Angio S&I (93454) $3,235 $12,883.20 1.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $218 $1,559.80 1.0×
Cpt initial (94667) $132 $489.04 1.0×
Critical care first hour (99291) $824 $4,643.60 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $200 $840.65 1.0×
Dialysis One Evaluation (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 Xtr Veins Complete Bilateral Study (93970) $238 $2,283 1.0×
Dup-scan xtr veins unilateral/limited study (93971) $104 $1,731 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 Hemodialysis Access (93990) $104 $981.49 1.0×
Duplex up extrem art bilat (93930) $238 $1,732.82 1.0×
Duplex up extrem art unilat/ltd (93931) $104 $1,354.54 1.0×
Echo Congenital Complete (93303)
range across 2 matching MRF lines		 $545 $2,467.40–$3,715.48 1.0×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines		 $238 $1,175–$1,696.43 1.0×
Echo transesophageal (93312) $545 $3,566.95 1.0×
Eeg 41-60 Minutes (95812) $215 $1,478.82 1.0×
EEG awake and 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 extended monitoring 61-119 minutes (95813) $215 $1,956.58 1.0×
Eeg Sleep Only (95822) $215 $1,914.40 1.0×
EEG w/o vid ea 12-26hr intmt (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×
Electrical Stimulation Ea 15 Min (97032) $14 $203.68 1.0×
Electrocardiogram Tracing (93005) $58 $478.93 1.0×
Electrophysiology Evaluation (93642) $1,215 $4,988.34 1.0×
Emergency Dept Visit Level 2 (99282) $153 $802.95 1.0×
Emergency Dept Visit Level 3 (99283) $272 $1,399.30 1.0×
Emergency Dept Visit Level 4 (99284) $416 $2,261.30 1.0×
Emg 3 Extremities (95863) $128 $1,014.73 1.0×
Emg 4 Extremities (95864) $128 $998.13 1.0×
Er level 1 (99281)
range across 2 matching MRF lines		 $84 $300–$468.99 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×
Evaluate pt use of inhaler (94664) $218 $575.91 1.0×
Evaluate Speech Production (92522)
range across 2 matching MRF lines		 $113 $520–$558.17 1.0×
Evaluate Swallowing Function (92610) $58 $731.43 0.7×
Evaluation of speech fluency (92521) $134 $474.44 1.0×
Exercise test for bronchospasm (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×
Extracranial Bilat Study (93880) $238 $2,336 1.0×
Extracranial Uni/Ltd Study (93882) $104 $1,837.51 1.0×
F-up/limited tthrc echo congenital car anomaly (93304)
range across 2 matching MRF lines		 $545 $2,322.21–$2,467.40 1.0×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $54 $794 0.4×
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×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $3,235 $23,000 1.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines		 $685 $1,826–$3,344.55 1.0×
Holter monitor recording (93225) $132 $644.40 1.0×
Im Adm Intransl/Oral 1 Vaccine (90473) $71 $152.95 1.0×
Immunization administration (90471) $71 $316.60 1.0×
Insert/Place Heart Catheter (93503) $1,571 $4,342 1.0×
Interrogation vad in person (93750) $94 $461.15 1.0×
Intracranial Complete Study (93886) $238 $1,645 1.0×
Iontophoresis 15 min (97033) $19 $104.06 1.0×
Irrig Drug Delivery Device (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 ther proph addl sequential to 1 hr (96367) $71 $612.01 1.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $46 $281.10 1.0×
IV push initial (96374) $212 $1,044.65 1.0×
L Hrt Art/Grft Angio (93459) $3,235 $19,964.40 1.0×
Laryngeal Function Studies (92520) $132 $575.80 1.0×
Lung Function Test (Mbc/Mvv) (94200) $58 $291.40 1.0×
Lwr Xtr Vasc Stdy Bilat (93924) $215 $1,689.96 1.0×
Mechanical chest wall oscillation per session (94669) $218 $833.78 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×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $12 $44.89 0.7×
Methacholine challenge (94070) $372 $1,399.60 1.0×
Motility study esophagus (91010) $372 $2,810.65 1.0×
Motion Fluoroscopy/Swallow (92611)
range across 4 matching MRF lines		 $92 $773.80–$1,167.88 1.0×
Multiple Sleep Latency Test (95805) $857 $3,976.06 1.0×
Muscle Test 2 Limbs (95861) $132 $961.47 1.0×
Muscle Test Nonparaspinal (95870) $132 $369.51 1.0×
Muscle Test One Limb (95860) $132 $512 1.0×
Nasal function studies (92512) $215 $1,351.45 1.0×
Nasopharyngoscopy (92511) $199 $840.60 1.0×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $215 $692.32 1.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $405 $1,037.92 1.0×
Neg Pressure Wound Therapy Non Dme >50 Sq 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 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 13 or more studies (95913) $372 $3,173.60 1.0×
Nerve Conduction Studies 3-4 Studies (95908) $215 $1,493.52 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×
Nerve Conduction Studies 9-10 Studies (95911) $372 $3,355.83 1.0×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $128 $454.67 1.0×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines		 $33 $196–$233.86 1.0×
Newborn resuscitation (99465) — $2,868.65 —
Oral Function Therapy (92526)
range across 5 matching MRF lines		 $85 $425–$524.12 1.0×
Oral Speech Device Eval (92597) $71 $531.04 1.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $50 $199.51 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $46 $232.17 1.0×
Ot Contrast Bath Ea 15 Min (97034) $14 $85.05 1.0×
Ot eval high complexity (97167) $101 $524.08 1.0×
Ot Eval Low Complex (97165) $101 $528.78 1.0×
Ot Eval Moderate Complexity (97166) $101 $499.65 1.0×
Ot manual therapy 15 min (97140) $28 $239.22 1.0×
Ot paraffin bath (97018) $6 $177.61 1.0×
Ot Prosthetic Training, Each 15 Min (97761) $40 $183.41 1.0×
Ot Re-Eval Est Plan Care (97168) $69 $369.27 1.0×
Ot rom hand (95852) $5 $248.20 0.2×
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×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $5,680 $25,309.50 1.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $11,522 $25,669 1.0×
Phlebotomy therapeutic (99195) $132 $512.75 1.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $58 $287.40 1.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $58 $287.40 1.0×
Physical Performance Test (97750) $34 $153 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 Stent W/Angio 1 Vsl (92928)
range across 3 matching MRF lines		 $11,522 $33,726–$51,292.40 1.0×
Prq Revasc Byp Graft 1 Vsl (92937) $11,522 $33,726 1.0×
Psychiatric diagnostic evaluation (90791) $177 $1,341.10 1.0×
Psytx Crisis Initial 60 Min (90839)
range across 2 matching MRF lines		 $177 $728.50–$1,341.10 1.0×
Pt Eval High Complex (97163) $98 $570.60 1.0×
Pt eval low complex 20 min (97161) $98 $512.40 1.0×
Pt Eval Mod Complex (97162) $98 $541.60 1.0×
Pt gait training 15 min (97116) $29 $217.50 1.0×
Pt mechanical traction (97012) $14 $168 1.0×
Pt Re-Eval Est Plan Care (97164) $68 $374.56 1.0×
Pulm function test by gas (94727) $215 $546.73 1.0×
Pulmonary service/procedure (94799) $128 $712.95 1.0×
Pulmonary Stress Testing (94618) $132 $314.52 1.0×
R hrt coronary artery angio (93456) $3,235 $15,523.70 1.0×
Refill/Maint Portable Pump (96521) $212 $1,081.50 1.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $58 $126.87 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 Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $6 $199.24 0.2×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $123 $468.56 1.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $48 $314 1.0×
Self Care Mngment Training (97535)
range across 2 matching MRF lines		 $32 $189.20–$245.67 1.0×
Sensory Integration Ea 15 Min (97533) $61 $165 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)
range across 2 matching MRF lines		 $215 $860.40–$1,100 1.0×
Slp Stdy Unatnd W/Anal (95801) $58 $1,026.90 1.0×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $215 $886.80 1.0×
Speech sound lang comprehen (92523) $228 $700 1.0×
Spirometry (94010) $215 $712.95 1.0×
Ssep lower limbs (95926) $215 $1,878.65 1.0×
Standardized Cognitive Performance Testing (96125) $104 $502 1.0×
Stress Tte Only (93350) $545 $3,311.28 1.0×
Subcutaneous Infusion Each Additional Hour (96370) $46 $135 1.0×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $212 $1,003 1.0×
Subq Infusion Additional Pump Infusion Site (96371) $71 $455 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 Ea Addl 15 Min (97130) $18 $217.17 0.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $37 $185 1.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $30 $191.86 1.0×
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 Ia (96373) $212 $1,032.85 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $71 $284.91 1.0×
Ther/Proph/Diag Iv Inf Init (96365) $212 $934.81 1.0×
Therapeutic Activities (97530) $35 $241.33 1.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $372 $1,723 1.0×
Tobacco Use Cessation Intensive >10 Minutes (99407) $37 $134.20 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $37 $134.20 1.0×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $104 $778.33 1.0×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines		 $545 $2,467.40–$3,197.50 1.0×
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines		 $238 $1,175–$2,046.25 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 6 matching MRF lines		 $76 $648.54–$648.64 1.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $24 $145.72 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×
Upr/L Xtremity Art 2 Levels (93922) $132 $1,360.95 1.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $215 $998.13 1.0×
Vasopneumatic device (97016) $12 $159.95 1.0×
Vent Mgmt Inpat Init 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×
Whirlpool Therapy (97022) $15 $222.61 1.0×

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.