Visits & medical services prices at Bon Secours Southern Virginia Medical Center

Emporia, VA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $140.10 $467 0.7×
Appl modality 1+lllt po pain (97037) $38.10 $127 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $163.50 $545 11.4×
Assessment of aphasia per hr (96105) $537.30 $1,791 5.5×
Bedside Swallowing Eval (92610) $285 $950 3.4×
Behavioral and qualitative analysis of voice and resonance (92524) $127.80 $426 1.2×
Canalith Repositioning Procedure (95992) $93.30 $311 2.3×
Cardiac Stress Tst,Tracing Only (93017) $1,019.40 $3,398 4.8×
Cardiopulmonary resuscitation (92950) $1,309.95 $4,366.50 6.2×
Cardioversion (92960) $828.30 $2,761 1.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $22.80 $76 0.9×
Cbt 1st hour (94644) $136.80 $456 1.1×
Chemother, IV infusion, 1 hr (96413) $460.50 $1,535 1.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $358.50 $1,195 1.1×
Color/duplex Doppler, complete (93975) $527.10 $1,757 2.3×
Cpap/bipap (94660) $444.30 $1,481 2.1×
Cpt initial (94667) $172.80 $576 1.3×
Critical care (99291) $3,422.40 $11,408 4.2×
Debridement Open Wound 20 Sq Cm< (97597) $75.30 $251 0.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,366.20 $4,554 5.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $901.50 $3,005 8.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $254.10 $847 1.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $222 $740 2.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,763.40 $5,878 7.6×
Dup-scan xtr veins unilateral/limited study (93971) $958.50 $3,195 9.4×
Duplex scan extracranial art compl bi study (93880) $862.20 $2,874 3.7×
Echo Heart Xthoracic,Limited (93308) $707.10 $2,357 3.0×
Echo transesophag montr cardiac pump functj (93318) $524.40 $1,748 1.0×
Electrocardiogram Tracing (93005) $181.50 $605 3.2×
Er level 1 (99281) $167.70 $559 2.0×
Er level ii (99282) $825.60 $2,752 5.5×
Er level iii (99283) $1,014.60 $3,382 3.8×
Er level IV (99284) $1,534.20 $5,114 3.8×
Er level v (99285) $2,010.90 $6,703 3.5×
Eval speech sound production (92522) $511.50 $1,705 4.6×
Eval to use/fit voice prosth (92597) $139.80 $466 2.0×
Evaluate Pt Use Of Inhaler (94664) $92.70 $309 0.4×
Evaluation of speech fluency (92521) $123.60 $412 0.9×
External ECG rec>48hr<7d recording (93242) $39.30 $131 1.1×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $220.20 $734 1.1×
Group Therapeutic Procedures (97150) $163.50 $545 9.1×
Hemodialysis (90935) $1,296.60 $4,322 1.9×
Holter Monitor (93225) $993.90 $3,313 7.7×
Immunization Admin (90471) $208.50 $695 3.0×
Irrig drug delivery device (96523) $143.85 $479.50 2.5×
IV infusion hydration each additional hour (96361) $101.70 $339 2.2×
IV infusion hydration initial 31 min-1 hour (96360) $290.40 $968 1.4×
IV infusion ther proph addl sequential to 1 hr (96367) $197.10 $657 2.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $335.10 $1,117 1.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $197.10 $657 4.3×
IV push ea addl new drug (96375) $362.70 $1,209 7.9×
IV push initial (96374) $541.50 $1,805 2.6×
Manual therapy 15 min (97140) $190.50 $635 6.9×
Mechanical chest wall oscillation (94669) $66.90 $223 0.3×
Mechanical traction (97012) $163.50 $545 11.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $23.70 $79 0.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $23.70 $79 0.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $167.70 $559 1.8×
Multiple Family Group Psychotherapy (90849) $151.80 $506 0.9×
Multiple Sleep Latency Test (95805) $851.10 $2,837 1.0×
Nasopharyngoscopy (92511) $74.70 $249 0.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $637.50 $2,125 4.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $238.20 $794 1.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $53.70 $179 1.2×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $10.80 $36 0.5×
Ot Contrast Bath Ea 15 Min (97034) $163.50 $545 11.7×
Ot eval high complex 60 min (97167) $443.70 $1,479 4.4×
Ot eval low complex 30 min (97165) $443.70 $1,479 4.4×
Ot eval mod complex 45 min (97166) $443.70 $1,479 4.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $48 $160 1.0×
Ot therapeutic activity 15 min (97530) $190.50 $635 5.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $234.30 $781 1.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $234.30 $781 1.9×
Peripheral arterial disease rehab per session (93668) $72 $240 1.3×
Phlebotomy therapeutic (99195) $306 $1,020 2.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $63.30 $211 1.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $63.30 $211 1.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,274.30 $17,581 6.3×
Psych diag eval w/med srvcs (90792) $142.80 $476 0.8×
Psychiatric diagnostic evaluation (90791) $153.90 $513 0.9×
Psytx crisis initial 60 min (90839) $296.10 $987 1.7×
Pt Electrical Stimulation (97032) $190.50 $635 13.0×
Pt eval high complex 45 min (97163) $443.70 $1,479 4.5×
Pt eval low complex 20 min (97161) $443.70 $1,479 4.5×
Pt eval mod complex 30 min (97162) $443.70 $1,479 4.5×
Pt gait training 15 min (97116) $190.50 $635 6.6×
Pt group caregiver training (97552) $20.40 $68 0.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $172.20 $574 5.3×
Pt re-evaluation (97164) $190.50 $635 2.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $172.20 $574 5.3×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $483.30 $1,611 13.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $206.40 $688 1.1×
Rt Chest Wall Manipulation,Subsequent (94668) $150.30 $501 1.2×
Sleep study unattended (95806) $359.40 $1,198 1.7×
Slp caregiver training 1st 30 min (97550) $49.80 $166 0.9×
Speech sound lang comprehen (92523) $511.50 $1,705 2.3×
Standardized Cognitive Performance Testing (96125) $421.20 $1,404 4.1×
Stress echo (93350) $868.20 $2,894 1.6×
Temp transcutaneous pacing (92953) $428.85 $1,429.50 0.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $55.80 $186 2.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $77.70 $259 3.7×
Ther/prop/diag inj/inf proc (96379) $44.10 $147 1.0×
Therapeutic prophylactic/dx injection subq/im (96372) $338.10 $1,127 4.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $27.90 $93 0.8×
Tte w/doppler, complete (93306) $1,680.30 $5,601 3.2×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $231.60 $772 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $430.80 $1,436 5.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $430.80 $1,436 5.1×
Upr/lxtr art stdy 3+ lvls (93923) $1,152.60 $3,842 5.5×
Vasopneumatic device (97016) $163.50 $545 13.6×
Vent mgmt inpat init day (94002) $1,164 $3,880 1.9×
Wheelchair Mgmt Ea 15 Min (97542) $40.65 $135.50 1.3×
Xtrnl mobile cv telemetry w/technical support (93229) $144.30 $481 0.4×