Visits & medical services prices at Vandalia Health Mon Stonewall Jackson Memorial Hospital
Weston, WV · every code in this section with a posted price and a Medicare benchmark.
133 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $587.34 | $1,174.68 | 2.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $48.76 | $97.51 | 3.4× |
| Application Modality 1/> Areas Infrared (97026) | $21.67 | $43.33 | 3.2× |
| Application on-body injector (96377) | $130.81 | $261.62 | 2.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $864.34 | $1,728.67 | 2.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $864.34 | $1,728.67 | 4.2× |
| Cardiopulmonary resuscitation (92950) | $864.34 | $1,728.67 | 4.2× |
| Cardioversion (92960) | $1,792.19 | $3,584.38 | 2.8× |
| Cbt 1st hour (94644) | $351.77 | $703.53 | 2.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $193.99 | $387.98 | 2.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $193.99 | $387.98 | 2.8× |
| Chemo IV infusion addl hr (96415) | $193.99 | $387.98 | 2.8× |
| Chemo IV push addl drug (96411) | $193.99 | $387.98 | 2.8× |
| Chemother Prolong Infuse W/Pump (96416) | $932.60 | $1,865.20 | 2.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $193.99 | $387.98 | 2.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $932.60 | $1,865.20 | 2.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $932.60 | $1,865.20 | 2.9× |
| Chest Wall Manipulation (94668) | $351.77 | $703.53 | 2.8× |
| Color/duplex Doppler, complete (93975) | $674.77 | $1,349.53 | 2.9× |
| Color/duplex Doppler, limited (93976) | $302.75 | $605.49 | 3.0× |
| Continuous Pulse Ox (94762) | $430.14 | $860.28 | 3.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $587.34 | $1,174.68 | 2.8× |
| Cpt initial (94667) | $351.77 | $703.53 | 2.8× |
| Critical care first hour (99291) | $2,443.58 | $4,887.16 | 3.1× |
| Debridement Open Wound 20 Sq Cm< (97597) | $551.30 | $1,102.60 | 2.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $674.77 | $1,349.53 | 2.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $302.75 | $605.49 | 3.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $674.77 | $1,349.53 | 2.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $302.75 | $605.49 | 3.0× |
| Duplex up extrem art bilat (93930) | $674.77 | $1,349.53 | 2.9× |
| Duplex up extrem art unilat/ltd (93931) | $302.75 | $605.49 | 3.0× |
| Echo Heart Xthoracic,Limited (93308) | $674.77 | $1,349.53 | 2.9× |
| EEG awake and asleep (95819) | $864.34 | $1,728.67 | 4.2× |
| EEG awake drowsy (95816) | $864.34 | $1,728.67 | 4.2× |
| Eeg Sleep Only (95822) | $864.34 | $1,728.67 | 4.2× |
| Electrical Stimulation Ea 15 Min (97032) | $50.54 | $101.07 | 3.4× |
| Electrocardiogram Tracing (93005) | $168.44 | $336.88 | 3.0× |
| Emergency Dept Visit Level 2 (99282) | $450.38 | $900.75 | 3.1× |
| Emergency Dept Visit Level 3 (99283) | $785.70 | $1,571.39 | 3.0× |
| Emergency Dept Visit Level 4 (99284) | $1,219.65 | $2,439.30 | 3.0× |
| Er level 1 (99281) | $244.48 | $488.96 | 3.0× |
| Er level v (99285) | $1,768.76 | $3,537.51 | 3.1× |
| Evaluate pt use of inhaler (94664) | $587.34 | $1,174.68 | 2.8× |
| Evaluate Swallowing Function (92610) | $288.65 | $577.30 | 3.4× |
| External ECG rec>48hr<7d recording (93242) | $110.44 | $220.87 | 3.1× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $351.77 | $703.53 | 2.8× |
| External ECG rec>7d<15d recording (93246) | $110.44 | $220.87 | 3.1× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $351.77 | $703.53 | 2.8× |
| External Ecg Scanning Analysis Report (93226) | $168.44 | $336.88 | 3.0× |
| Extracranial Bilat Study (93880) | $674.77 | $1,349.53 | 2.9× |
| Extracranial Uni/Ltd Study (93882) | $302.75 | $605.49 | 3.0× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,924.31 | $3,848.61 | 2.9× |
| Holter monitor recording (93225) | $351.77 | $703.53 | 2.8× |
| Immunization administration (90471) | $193.99 | $387.98 | 2.8× |
| Iontophoresis 15 min (97033) | $67.73 | $135.45 | 3.6× |
| Irrig Drug Delivery Device (96523) | $168.44 | $336.88 | 3.0× |
| IV infusion hydration each additional hour (96361) | $130.81 | $261.62 | 2.9× |
| IV infusion hydration initial 31 min-1 hour (96360) | $590.23 | $1,180.46 | 2.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $193.99 | $387.98 | 2.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $130.81 | $261.62 | 2.9× |
| IV push initial (96374) | $590.23 | $1,180.46 | 2.9× |
| Lung Function Test (Mbc/Mvv) (94200) | $168.44 | $336.88 | 3.0× |
| Mechanical chest wall oscillation per session (94669) | $587.34 | $1,174.68 | 2.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $76.82 | $153.63 | 2.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $217.28 | $434.55 | 5.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $30 | $60 | 1.8× |
| Motion Fluoroscopy/Swallow (92611) | $313.37 | $626.74 | 3.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $1,098.04 | $2,196.07 | 2.8× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,098.04 | $2,196.07 | 2.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $551.30 | $1,102.60 | 2.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $1,098.04 | $2,196.07 | 2.8× |
| Neuromuscular Reeducation (97112) | $117.02 | $234.04 | 3.6× |
| Oral Function Therapy (92526) | $289.37 | $578.73 | 3.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $177.29 | $354.57 | 3.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $162.76 | $325.51 | 3.5× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $71.45 | $142.89 | 3.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $49.83 | $99.66 | 3.6× |
| Ot eval high complexity (97167) | $330.09 | $660.18 | 3.3× |
| Ot Eval Low Complex (97165) | $330.09 | $660.18 | 3.3× |
| Ot Eval Moderate Complexity (97166) | $330.09 | $660.18 | 3.3× |
| Ot manual therapy 15 min (97140) | $93.48 | $186.95 | 3.4× |
| Ot paraffin bath (97018) | $19.57 | $39.14 | 3.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $139.36 | $278.71 | 3.4× |
| Ot Re-Eval Est Plan Care (97168) | $221.64 | $443.27 | 3.2× |
| Ot rom hand (95852) | $58.70 | $117.40 | 2.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $363.88 | $727.75 | 2.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $363.88 | $727.75 | 2.9× |
| Peripheral arterial disease rehab per session (93668) | $168.44 | $336.88 | 3.0× |
| Phlebotomy therapeutic (99195) | $330.14 | $660.28 | 2.6× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $168.44 | $336.88 | 3.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $168.44 | $336.88 | 3.0× |
| Physical Performance Test (97750) | $114.04 | $228.07 | 3.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,879.13 | $5,758.26 | 3.5× |
| Pt Eval High Complex (97163) | $339.65 | $679.30 | 3.5× |
| Pt eval low complex 20 min (97161) | $339.65 | $679.30 | 3.5× |
| Pt Eval Mod Complex (97162) | $339.65 | $679.30 | 3.5× |
| Pt gait training 15 min (97116) | $101.25 | $202.49 | 3.5× |
| Pt mechanical traction (97012) | $50.54 | $101.07 | 3.5× |
| Pt Re-Eval Est Plan Care (97164) | $231.22 | $462.44 | 3.4× |
| Pulm function test by gas (94727) | $430.14 | $860.28 | 2.1× |
| Pulmonary service/procedure (94799) | $430.14 | $860.28 | 3.5× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$330.14–$351.77 | $660.28–$703.53 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $103.85 | $207.69 | 2.9× |
| Respiratory flow volume loop (94375) | $864.34 | $1,728.67 | 4.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $551.30 | $1,102.60 | 2.9× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $73.42 | $146.83 | 2.8× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$94.45–$111.91 | $188.90–$223.81 | varies |
| Sleep study attended (95807) | $1,475.95 | $2,951.90 | 4.1× |
| Sleep study unattended (95806) | $430.14 | $860.28 | 2.1× |
| Slp Stdy Unatnd W/Anal (95801) | $168.44 | $336.88 | 3.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $430.14 | $860.28 | 2.1× |
| Spirometry (94010) | $430.14 | $860.28 | 2.1× |
| Subcutaneous Infusion Each Additional Hour (96370) | $130.81 | $261.62 | 2.9× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $590.23 | $1,180.46 | 2.9× |
| Temp transcutaneous pacing (92953) | $1,792.19 | $3,584.38 | 2.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $80.86 | $161.72 | 3.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $78.41 | $156.82 | 3.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $96.95 | $193.90 | 3.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $193.99 | $387.98 | 2.8× |
| Ther/Proph/Diag Iv Inf Init (96365) | $590.23 | $1,180.46 | 2.9× |
| Therapeutic Activities (97530) | $128.74 | $257.47 | 3.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $79.02 | $158.03 | 2.2× |
| Tte w/doppler, complete (93306) | $1,519.16 | $3,038.32 | 2.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $263.16 | $526.31 | 3.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $130.81 | $261.62 | 2.9× |
| Unlisted Special Dermatological Service/Px (96999) | $551.30 | $1,102.60 | 2.9× |
| Upr/L Xtremity Art 2 Levels (93922) | $351.77 | $703.53 | 2.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $430.14 | $860.28 | 2.1× |
| Vasopneumatic device (97016) | $40.81 | $81.62 | 3.4× |
| Vent Mgmt Inpat Init Day (94002) | $1,725.66 | $3,451.32 | 2.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,725.66 | $3,451.32 | 2.9× |
| Vital capacity, total (94150) | $430.14 | $860.28 | 3.5× |
| Whirlpool Therapy (97022) | $58.70 | $117.40 | 3.7× |
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.