Visits & medical services prices at Stephens County Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $115.95 $193.25 1.3×
Airway inhalation treatment (94640) $157.20 $262 0.8×
Analysis and programming of inner ear implant (younger than 7 years) (92601) $243.75 $406.25 2.2×
Analysis and reprogramming of inner ear implant (younger than 7 years) (92602) $243.75 $406.25 2.2×
Analyze Neurostim Complex (95972) $150.90 $251.50 1.8×
Assessment of aphasia (96105) $243.75 $406.25 2.5×
Behavioral and qualitative analysis of voice and resonance (92524) $185.70 $309.50 1.7×
Bfb training 1st 15 min (90912) $118.05 $196.75 1.4×
Bfb training ea addl 15 min (90913) $118.05 $196.75 3.6×
Biofeedback training any modality (90901) $91.65 $152.75 2.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $337.20 $562 1.0×
Car seat/bed test 60 min (94780) $52.80 $88 1.6×
Cardiac Stress Tst,Tracing Only (93017) $639.60 $1,066 3.4×
Cardiopulmonary resuscitation (92950) $354.60 $591 1.9×
Cardioversion (92960) $796.05 $1,326.75 1.4×
Cardioversion internal (92961) $756 $1,260 1.3×
Chemother, IV infusion, 1 hr (96413) $298.50 $497.50 1.0×
Chemother, IV infusion, ea add hr (96415) $56.40 $94 0.9×
Color/duplex Doppler, complete (93975) $257.87 $429.78 1.2×
Color/duplex Doppler, limited (93976) $274.35 $457.25 3.0×
Comprehensive Hearing Test (92557) $30 $50 0.3×
Cpap initiation and management (94660) $217.08 $361.80 1.1×
Cpt initial (94667) $121.20 $202 1.0×
Critical care (99291) $483.68 $806.12 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $312.60 $521 1.8×
Demo &/or eval,pt use,aerosol device (94664) $135.60 $226 0.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $459.75 $766.25 2.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $470.92 $784.88 2.3×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $137.70 $229.50 1.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $360.75 $601.25 1.7×
Dup-scan xtr veins unilateral/limited study (93971) $442.05 $736.75 4.8×
Duplex hemodialysis access (93990) $311.55 $519.25 3.4×
Duplex scan extracranial art compl bi study (93880) $434.40 $724 2.1×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $243.75 $406.25 2.2×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $243.75 $406.25 2.2×
Ear and throat examination (92502) $54 $90 0.1×
Echo Heart Xthoracic,Limited (93308) $183.15 $305.25 0.9×
Echo transesophageal (93312) $1,350 $2,250 2.8×
EEG awake asleep (95819) $388.65 $647.75 2.1×
EKG (93005) $93.60 $156 1.8×
EKG rhythm strip (93041) $67.65 $112.75 1.3×
Er level 1 (99281) $87.58 $145.96 1.2×
Er level ii (99282) $107.92 $179.88 0.8×
Er level iii (99283) $161.85 $269.75 0.7×
Er level IV (99284) $220.50 $367.50 0.6×
Er level v (99285) $325.35 $542.25 0.6×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $243.75 $406.25 2.2×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $159.75 $266.25 2.2×
Evaluation of speech fluency (92521) $278.85 $464.75 2.1×
Evaluation of speech sound production (92522) $192.45 $320.75 1.7×
Evaluation of swallowing function (92610) $155.25 $258.75 1.8×
Evaluation with prescription of speech-generating alternative (92607) $243.75 $406.25 2.0×
Exhaled air analysis o2 (94680) $3 $5 0.0×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $355.50 $592.50 1.8×
Group Therapeutic Procedures (97150) $29.10 $48.50 1.6×
Hemodialysis (90935) $806.26 $1,343.78 1.3×
Immunization Admin (90471) $87.60 $146 1.4×
Immunotherapy, 2+ Injections (95117) $57.75 $96.25 1.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $75.49 $125.82 1.5×
IV infusion hydration each additional hour (96361) $70.74 $117.90 1.7×
IV infusion hydration initial 31 min-1 hour (96360) $122.25 $203.75 0.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $90.79 $151.32 1.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $286.80 $478 1.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $40.40 $67.32 1.0×
IV push initial (96374) $296.85 $494.75 1.6×
Manual therapy 15 min (97140) $54.60 $91 2.0×
Massage 15 min (97124) $36 $60 1.2×
Mechanical chest wall oscillation (94669) $289.35 $482.25 1.5×
Mechanical traction (97012) $26.02 $43.38 1.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $24.90 $41.50 0.7×
Mnt Group Ea 30 Min (97804) $27.90 $46.50 1.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $290.70 $484.50 3.2×
Multiple sleep latency test (95805) $772.20 $1,287 1.0×
Nasopharyngoscopy (92511) $181.35 $302.25 1.0×
Neg press wnd tx </=50 sq cm (97607) $721.28 $1,202.12 2.0×
Neg press wound tx >50 cm (97608) $766.28 $1,277.12 2.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $477 $795 2.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $292.65 $487.75 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $139.05 $231.75 1.2×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $211.80 $353 1.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $108.60 $181 1.0×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $46.11 $76.85 1.0×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $58.50 $97.50 1.8×
Ot Contrast Bath Ea 15 Min (97034) $57.90 $96.50 4.1×
Ot eval high complex 60 min (97167) $100.20 $167 1.0×
Ot eval low complex 30 min (97165) $60.60 $101 0.6×
Ot eval mod complex 45 min (97166) $100.20 $167 1.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $75.08 $125.12 1.5×
Ot Prosthetic Training, Each 15 Min (97761) $54.60 $91 1.4×
Ot Range Motion Measure,Each Extrem (95851) $48.75 $81.25 1.9×
Ot re-eval est plan care (97168) $66.90 $111.50 1.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $118.20 $197 1.0×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $105.60 $176 0.9×
Paraffin bath (97018) $29.28 $48.80 4.9×
Peripheral arterial disease rehab per session (93668) $84 $140 1.6×
Phy/qhp op pulm rhb w/mntr (94626) $88.80 $148 1.7×
Phy/qhp op pulm rhb w/o mntr (94625) $58.80 $98 1.1×
Plethysmography (94726) $386.25 $643.75 1.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,681.95 $2,803.25 2.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $37.20 $62 0.9×
Pt Aquatic Therapy/Exercises (97113) $47.40 $79 1.3×
Pt Electric Current Therapy (97033) $42.30 $70.50 2.2×
Pt Electrical Stimulation (97032) $37.58 $62.62 2.6×
Pt eval high complex 45 min (97163) $145.52 $242.54 1.5×
Pt eval low complex 20 min (97161) $57 $95 0.6×
Pt Gait Training Therapy (97116) $36 $60 1.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $54.12 $90.20 1.7×
Pt Physical Performance Test (97750) $51.24 $85.40 1.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $93.60 $156 1.0×
Pt re-evaluation (97164) $66.90 $111.50 1.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $45.97 $76.61 1.4×
Pt Ultrasound Therapy (97035) $42.93 $71.55 3.0×
Pt Whirlpool Therapy (97022) $54.24 $90.40 3.5×
Pulm Funct Test Oscillometry (94728) $386.25 $643.75 3.4×
Pulmonary stress testing (94618) $87.60 $146 0.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $166.35 $277.25 0.9×
Rom meas&reprt hand w/wo comparison normal sid (95852) $43.83 $73.05 2.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $121.95 $203.25 2.6×
Sensory Integration Ea 15 Min (97533) $54.60 $91 0.9×
Smoking cessation > 10 min (99407) $63.60 $106 1.9×
Speech group therapy (92508) $48.45 $80.75 2.0×
Speech sound lang comprehen (92523) $513.94 $856.56 2.3×
Spirometry (94010) $211.80 $353 1.1×
Standardized Cognitive Performance Testing (96125) $243.75 $406.25 2.4×
Temp transcutaneous pacing (92953) $597.45 $521.12 1.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $54.60 $91 2.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $54.60 $91 2.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $83.10 $138.50 0.8×
Ther/Proph/Diag Inj Sc/Im (96372) $90.60 $151 1.4×
Therapeutic Activities (97530) $26.64 $44.40 0.8×
Therapeutic phlebotomy (99195) $163.35 $272.25 1.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $46.80 $78 1.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $678.74 $1,131.23 1.4×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $362.70 $604.50 1.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $152.63 $254.38 2.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $179.40 $299 2.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $72.19 $120.31 1.8×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $1,350 $2,250 2.8×
Unlisted Cardiovascular Service/Procedure (93799) $61.50 $102.50 0.5×
Unlisted pulmonary service/procedure (94799) $21 $35 0.2×
Vasc Duplex Extrem Venous,Bilat (93970) $468.60 $781 2.2×
Vasopneumatic device (97016) $24 $40 2.0×
Ventilation assist & mgmt inpatient 1st day (94002) $378 $630 0.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $657 $1,095 1.2×
Vital capacity total (94150) $48.15 $80.25 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $56.34 $93.90 1.8×