Visits & medical services prices at St. Mary's Sacred Heart Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $168.35 $259 0.9×
Assessment of aphasia (96105) $299 $460 3.1×
Behavioral and qualitative analysis of voice and resonance (92524) $291.85 $449 2.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $456.30 $702 1.4×
Capsule endoscopy (91110) $1,883.70 $2,898 2.4×
Cardiac Stress Tst,Tracing Only (93017) $778.05 $1,197 4.1×
Cardiopulmonary resuscitation (92950) $726.05 $1,117 3.8×
Cardioversion (92960) $2,525.96 4.4×
Cbt 1st hour (94644) $182 $280 1.6×
Chemo Iv Push Sngl Drug (96409) $666.25 $1,025 2.3×
Chemother, IV infusion, 1 hr (96413) $648.70 $998 2.2×
Chemother, IV infusion, ea add hr (96415) $135.20 $208 2.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $141.05 $217 2.2×
Color/duplex Doppler, complete (93975) $760.50 $1,170 3.6×
Color/duplex Doppler, limited (93976) $628.55 $967 6.9×
Cpap initiation and management (94660) $964.60 $1,484 5.0×
Cpt initial (94667) $141.05 $217 1.2×
Critical care (99291) $1,487.85 $2,289 2.1×
Debridement Open Wound 20 Sq Cm< (97597) $356.85 2.0×
Demo &/or eval,pt use,aerosol device (94664) $130 $200 0.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $647.40 $996 3.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $243.10 $374 2.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,035.45 $1,593 5.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $690.30 $1,062 7.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $722.80 $1,112 7.9×
Dup-scan xtr veins unilateral/limited study (93971) $625.30 $962 6.8×
Duplex hemodialysis access (93990) $455 $700 5.0×
Duplex scan extracranial art compl bi study (93880) $1,014 $1,560 4.8×
Echo Heart Xthoracic,Limited (93308) $490.10 $754 2.3×
Echo transesophageal (93312) $1,299.35 $1,999 2.7×
EEG awake asleep (95819) $861.25 $1,325 4.6×
EEG awake drowsy (95816) $653.90 $1,006 3.5×
EKG (93005) $563.55 10.9×
Er level 1 (99281) $146.25 2.0×
Er level ii (99282) $392.60 2.9×
Er level iii (99283) $759.85 3.2×
Er level IV (99284) $1,988.35 5.4×
Er level v (99285) $2,848.43 5.5×
Evaluation of speech fluency (92521) $140.40 $216 1.1×
Evaluation of speech sound production (92522) $211.25 $325 1.9×
Evaluation of swallowing function (92610) $791.70 9.3×
External ECG rec>48hr<7d recording (93242) $94.90 $146 2.9×
External ECG rec>7d<15d recording (93246) $155.35 $239 4.7×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $434.20 $668 2.2×
Hemodialysis (90935) $2,234.05 $3,437 3.7×
Holter Monitor Recording (93225) $495.95 $763 4.3×
Immunization Admin (90471) $127.40 $196 2.0×
IV infusion hydration each additional hour (96361) $7,735 188.5×
IV infusion hydration initial 31 min-1 hour (96360) $7,542.92 40.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $126.10 $194 2.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $2,926.56 15.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $130 $200 3.2×
IV push initial (96374) $449.83 2.4×
Manual therapy 15 min (97140) $96.20 $148 3.5×
Massage 15 min (97124) $71.50 $110 2.4×
Maximum voluntary ventilation (94200) $1,010.75 19.6×
Mechanical chest wall oscillation (94669) $380.25 $585 2.0×
Mechanical traction (97012) $104.65 $161 7.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $42.25 $65 1.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $71.50 $110 1.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $250.90 $386 2.7×
Neg press wnd tx </=50 sq cm (97607) $629.85 $969 1.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $148.20 $228 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $208 $320 0.6×
Newborn resuscitation (99465) $1,213.55 $1,867 2.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $510.90 $786 4.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $949 $1,460 5.0×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $111.80 $172 2.4×
Ot eval high complex 60 min (97167) $289.90 $446 2.9×
Ot eval low complex 30 min (97165) $169 $260 1.7×
Ot eval mod complex 45 min (97166) $259.35 $399 2.6×
Ot re-eval est plan care (97168) $137.80 $212 2.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $271.70 $418 2.4×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $271.70 $418 2.4×
Paraffin bath (97018) $64.02 $98.50 10.7×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $400.40 $616 2.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,474.90 $5,346 4.6×
Pt Aquatic Therapy/Exercises (97113) $96.85 $149 2.6×
Pt Electric Current Therapy (97033) $105.30 $162 5.5×
Pt Electrical Stimulation (97032) $69.55 $107 4.7×
Pt eval high complex 45 min (97163) $185.90 $286 1.9×
Pt eval low complex 20 min (97161) $161.85 $249 1.7×
Pt Gait Training Therapy (97116) $86.45 $133 3.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $80.60 $124 2.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $181.35 $279 1.9×
Pt re-evaluation (97164) $133.25 $205 2.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $105.30 $162 3.3×
Pt Ultrasound Therapy (97035) $100.42 $154.50 7.0×
Pt Whirlpool Therapy (97022) $98.15 $151 6.3×
Pulm function test by gas (94727) $297.70 $458 1.6×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $362.70 $558 11.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $111.80 0.6×
Rt Chest Wall Manipulation,Subsequent (94668) $118.95 $183 1.0×
Speech group therapy (92508) $131.30 $202 5.5×
Speech sound lang comprehen (92523) $355.55 $547 1.6×
Spirometry (94010) $186.55 $287 1.0×
Standardized Cognitive Performance Testing (96125) $207.35 $319 2.0×
Stress echo (93350) $1,339 $2,060 2.8×
Stress Tte Complete (93351) $1,027 $1,580 2.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $95.88 $147.50 4.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $92.95 $143 4.4×
Ther/Proph/Diag Inj Sc/Im (96372) $8,199.36 129.9×
Therapeutic Activities (97530) $1,798.88 51.3×
Therapeutic phlebotomy (99195) $192.40 $296 1.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,462.50 $2,250 3.1×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $759.20 $1,168 3.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $213.20 $328 2.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $229.45 $353 2.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $762.32 18.6×
Vasc Duplex Extrem Venous,Bilat (93970) $936.65 $1,441 4.5×
Vasc Duplex Scan Extracranial,Limited (93882) $596.70 $918 6.5×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $768.30 $1,182 4.1×
Ventilation assist & mgmt inpatient 1st day (94002) $1,666.60 $2,564 3.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $940.55 $1,447 1.7×
Xtrnl mobile cv telemetry w/technical support (93229) $297.70 $458 0.9×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $176.80 $272 2.1×