Visits & medical services prices at Southern Tennessee Regional Health System - Pulaski

Pulaski, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Aep hearing status deter broadband stimuli i&r (92651) $120.93 $412.72 0.6×
Aep threshold estimation mlt frequencies i&r (92652) $129.73 $442.76 0.6×
Airway inhalation treatment (94640) $59.48 $188.16 0.3×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $109.62 $378 2.9×
Biofeedback training any modality (90901) $63.64 $219.45 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $540.83 $1,855.76 1.5×
Cardiac Stress Tst,Tracing Only (93017) $1,027.99 $3,508.49 5.0×
Cardiopulmonary resuscitation (92950) $1,044.65 $3,565.36 5.1×
Cardioversion (92960) $733.38 $2,503.02 1.2×
Cardioversion internal (92961) $388.85 $1,340.85 0.6×
Cbt 1st hour (94644) $138.98 $474.34 1.1×
Chemo IV push addl drug (96411) $3.35 $11.55 0.0×
Chemo Iv Push Sngl Drug (96409) $103.53 $357 0.3×
Chemother, IV infusion, 1 hr (96413) $103.53 $357 0.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $103.53 $357 1.5×
Color/duplex Doppler, complete (93975) $975.16 $3,328.18 4.3×
Color/duplex Doppler, limited (93976) $747.97 $2,566.50 7.5×
Cpap initiation and management (94660) $323.91 $1,105.48 1.6×
Cpt initial (94667) $67.77 $231.29 0.5×
Critical care (99291) $1,701.08 $5,805.72 2.2×
Demo &/or eval,pt use,aerosol device (94664) $49.40 $168.59 0.2×
Developmental tst admin phys/qhp 1st hour (96112) $270.73 $924 2.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $741.40 $2,543.95 7.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $812.64 $2,773.52 3.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $473.23 $1,615.11 4.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $812.64 $2,773.52 3.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $284.28 $970.23 2.9×
Dup-scan xtr veins unilateral/limited study (93971) $603.46 $2,080.91 6.1×
Duplex hemodialysis access (93990) $604.40 $2,073.88 6.1×
Duplex scan extracranial art compl bi study (93880) $420.96 $1,436.72 1.9×
Echo Heart Xthoracic,Limited (93308) $485.31 $1,665.24 2.1×
EEG awake asleep (95819) $414.88 $1,423.55 2.0×
EEG awake drowsy (95816) $370.42 $1,271.02 1.8×
EEG cerebral death evaluation (95824) $370.42 $1,271.02 1.0×
Eeg Extended Monitoring 61-119 Minutes (95813) $364.03 $1,249.09 1.8×
EKG (93005) $302.65 $1,032.94 5.4×
EKG rhythm strip (93041) $168.39 $580.65 3.0×
Electroconvulsive Therapy (90870) $1,055.32 $3,601.79 1.3×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $407.72 $1,398.98 2.0×
Er level 1 (99281) $85 $290.09 1.1×
Er level ii (99282) $279.12 $952.62 1.9×
Er level iii (99283) $410.05 $1,399.49 1.6×
Er level IV (99284) $787.94 $2,689.23 2.0×
Er level v (99285) $1,297.91 $4,429.74 2.3×
Evaluation of speech fluency (92521) $91.39 $313.50 0.7×
Evaluation of speech sound production (92522) $125.36 $430.14 1.1×
Evaluation of swallowing function (92610) $326.52 $1,120.40 3.8×
Evaluation with prescription of speech-generating alternative (92607) $210.88 $723.45 1.7×
External ECG rec>48hr<7d recording (93242) $292.93 $999.77 8.3×
External ECG rec>7d<15d recording (93246) $292.93 $999.77 8.3×
External Ecg Scanning Analysis Report (93226) $215.93 $736.97 3.9×
Flow volume loop (94375) $213.10 $731.23 1.0×
Group Therapeutic Procedures (97150) $92.72 $318.10 5.1×
Holter Monitor Recording (93225) $332.52 $1,134.88 2.6×
Hydrotherapy (97036) $86 $295.05 2.5×
Immunization Admin (90471) $133.82 $456.72 2.0×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $248.18 $847.02 0.7×
Injection intra arterial (96373) $70.95 $244.65 0.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $195.26 $666.42 3.5×
IV infusion hydration each additional hour (96361) $230.29 $785.97 5.2×
IV infusion hydration initial 31 min-1 hour (96360) $345.15 $1,178 1.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $256.13 $874.18 3.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $403.16 $1,375.97 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $256.13 $874.18 5.8×
IV push initial (96374) $256.72 $876.17 1.3×
Manual therapy 15 min (97140) $108.43 $373.89 3.9×
Massage 15 min (97124) $69.36 $239.18 2.3×
Maximum voluntary ventilation (94200) $137.89 $473.16 2.5×
Mechanical traction (97012) $125.20 $427.30 8.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $44.22 $150.93 1.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $97.07 $331.28 2.6×
Mnt Group Ea 30 Min (97804) $40.51 $138.27 2.4×
Motility study esophagus (91010) $10.72 $36.75 0.0×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $329.52 $1,130.67 3.6×
Multiple sleep latency test (95805) $3,800.11 $13,039.28 4.7×
Newborn resuscitation (99465) $719.84 $2,482.20 1.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $206.48 $712 1.6×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $592.17 $2,031.90 2.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $200.43 $684.06 1.6×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $107.19 $369.62 2.3×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $103.50 $354.78 3.2×
Ot Contrast Bath Ea 15 Min (97034) $36.24 $124.95 2.6×
Ot eval high complex 60 min (97167) $335.20 $1,150.19 3.3×
Ot eval low complex 30 min (97165) $295 $1,012.21 2.9×
Ot eval mod complex 45 min (97166) $321.80 $1,104.20 3.2×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $85.36 $292.90 1.7×
Ot Prosthetic Training, Each 15 Min (97761) $121.76 $415.56 3.0×
Ot re-eval est plan care (97168) $120.67 $414.05 1.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $148.74 $507.66 1.2×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $2.74 $9.34 0.0×
Paraffin bath (97018) $110.27 $376.35 18.3×
Phy/qhp op pulm rhb w/mntr (94626) $75.80 $258.72 1.4×
Phy/qhp op pulm rhb w/o mntr (94625) $75.80 $258.72 1.4×
Plethysmography (94726) $407.72 $1,398.98 1.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,159.46 $14,272.34 5.1×
Pt Aquatic Therapy/Exercises (97113) $57.86 $199.50 1.6×
Pt Electric Current Therapy (97033) $134.97 $460.64 7.1×
Pt Electrical Stimulation (97032) $70.04 $241.50 4.8×
Pt eval high complex 45 min (97163) $311.08 $1,067.38 3.2×
Pt eval low complex 20 min (97161) $276.22 $947.76 2.8×
Pt Gait Training Therapy (97116) $80.55 $277.75 2.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $118.96 $410.22 3.6×
Pt Physical Performance Test (97750) $129.23 $441.05 3.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $303.03 $1,039.78 3.1×
Pt re-evaluation (97164) $138.12 $473.91 2.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $91.70 $316.20 2.8×
Pt Ultrasound Therapy (97035) $125.20 $427.30 8.7×
Pt Whirlpool Therapy (97022) $51.46 $177.45 3.3×
Pulm function test by gas (94727) $259.96 $891.99 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $127.67 $691.90 0.7×
Rt Chest Wall Manipulation,Subsequent (94668) $49.40 $168.59 0.4×
Sensory Integration Ea 15 Min (97533) $56.01 $192.15 0.9×
Sleep study unattended (95806) $632.09 $2,157.30 3.1×
Smoking cessation > 10 min (99407) $38.06 $131.25 1.1×
Speech sound lang comprehen (92523) $297.66 $1,021.36 1.3×
Spirometry (94010) $277.58 $952.46 1.4×
Standardized Cognitive Performance Testing (96125) $108.29 $369.60 1.1×
Stress echo (93350) $1,702.64 $5,842.26 3.3×
Temp transcutaneous pacing (92953) $370.58 $1,277.85 0.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $86.99 $298.48 3.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $86.99 $298.48 4.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $53.26 $182.70 0.5×
Ther/Proph/Diag Inj Sc/Im (96372) $133.82 $456.72 2.0×
Therapeutic Activities (97530) $115.10 $396.90 3.3×
Therapeutic phlebotomy (99195) $231.78 $791.07 1.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $51.69 $176.41 1.5×
Transcranial Doppler Limited (93888) $325.76 $1,117.78 3.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,474.23 $5,031.49 2.8×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,532.34 $5,257.90 6.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $308.62 $1,058.95 4.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $130.14 $446.53 1.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $195.26 $666.42 4.4×
Vasc Duplex Extrem Venous,Bilat (93970) $1,119.32 $3,820.19 4.9×
Ventilation assist & mgmt inpatient 1st day (94002) $348.02 $1,187.79 0.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $348.02 $1,187.79 0.6×
Vital capacity total (94150) $40.59 $139.26 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $59.53 $203.97 1.9×