Visits & medical services prices at Sullivan County Memorial Hospital
Milan, MO · every code in this section with a posted price and a Medicare benchmark.
77 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) | $204 | $204 | 0.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $50 | $50 | 3.5× |
| Application Modality 1/> Areas Infrared (97026) | $25 | $25 | 3.7× |
| Behavral qualit analys voice (92524) | $200 | $200 | 1.8× |
| Canalith repositioning proc (95992) | $83 | $83 | 2.0× |
| Cardiopulmonary resuscitation (92950) | $840 | $840 | 3.9× |
| Cardioversion (92960) range across 3 matching MRF lines |
$215–$1,764 | $215–$1,764 | varies |
| Cardioversion elective internal (92961) | $1,764 | $1,764 | 2.7× |
| Chest Wall Manipulation (94668) | $89 | $89 | 0.7× |
| Color/duplex Doppler, complete (93975) | $380 | $380 | 1.6× |
| Color/duplex Doppler, limited (93976) | $190 | $190 | 1.8× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$50–$60 | $50–$60 | varies |
| Continuous Pulse Ox (94762) | $86 | $86 | 0.7× |
| Cpt initial (94667) | $92 | $92 | 0.7× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$880–$2,303 | $880–$2,303 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $355 | $355 | 1.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $215 | $215 | 2.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $690 | $690 | 2.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $460 | $460 | 4.4× |
| Duplex up extrem art bilat (93930) | $355 | $355 | 1.5× |
| Duplex up extrem art unilat/ltd (93931) | $215 | $215 | 2.1× |
| Electrical Stimulation Ea 15 Min (97032) | $50 | $50 | 3.4× |
| Electrocardiogram Tracing (93005) | $115 | $115 | 1.9× |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$280–$419 | $280–$419 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$420–$735 | $420–$735 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$560–$1,145 | $560–$1,145 | varies |
| Er level 1 (99281) range across 3 matching MRF lines |
$125–$225 | $125–$225 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$700–$1,644 | $700–$1,644 | varies |
| Evaluate pt use of inhaler (94664) | $204 | $204 | 0.9× |
| Evaluate Speech Production (92522) | $200 | $200 | 1.8× |
| Evaluate Swallowing Function (92610) | $200 | $200 | 2.4× |
| External ECG rec>48hr<7d recording (93242) | $50 | $50 | 1.3× |
| External ECG rec>7d<15d recording (93246) | $50 | $50 | 1.3× |
| Extracranial Bilat Study (93880) | $380 | $380 | 1.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $665 | $665 | 1.2× |
| Filtered Speech Test (92571) | $90 | $90 | 2.4× |
| Immunization administration (90471) range across 3 matching MRF lines |
$56–$202 | $56–$202 | varies |
| Iontophoresis 15 min (97033) | $50 | $50 | 2.6× |
| Irrig Drug Delivery Device (96523) | $86 | $86 | 1.5× |
| IV infusion hydration each additional hour (96361) | $54 | $54 | 1.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $205 | $205 | 1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $96 | $96 | 1.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $68 | $68 | 1.4× |
| IV push initial (96374) | $205 | $205 | 1.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $30 | $30 | 0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $40 | $40 | 1.1× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $16 | $16 | 0.9× |
| Neuromuscular Reeducation (97112) | $90 | $90 | 2.7× |
| Oral Function Therapy (92526) | $200 | $200 | 2.4× |
| Oral Speech Device Eval (92597) | $200 | $200 | 2.8× |
| Ot eval high complexity (97167) | $240 | $240 | 2.4× |
| Ot Eval Low Complex (97165) | $160 | $160 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $200 | $200 | 2.0× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$50–$60 | $50–$60 | varies |
| Ot Re-Eval Est Plan Care (97168) | $125 | $125 | 1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $132 | $132 | 1.0× |
| Phlebotomy therapeutic (99195) | $261 | $261 | 2.0× |
| Pt Eval High Complex (97163) | $200 | $200 | 2.0× |
| Pt eval low complex 20 min (97161) | $150 | $150 | 1.5× |
| Pt Eval Mod Complex (97162) | $160 | $160 | 1.6× |
| Pt gait training 15 min (97116) | $45 | $45 | 1.5× |
| Pt Re-Eval Est Plan Care (97164) | $125 | $125 | 1.9× |
| Self Care Mngment Training (97535) | $60 | $60 | 1.9× |
| Speech sound lang comprehen (92523) | $360 | $360 | 1.6× |
| Temp transcutaneous pacing (92953) | $1,764 | $1,764 | 2.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $45 | $45 | 1.5× |
| Ther/Proph/Diag Inj Ia (96373) | $620 | $620 | 2.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $70 | $70 | 1.0× |
| Ther/Proph/Diag Iv Inf Init (96365) | $205 | $205 | 1.0× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$50–$60 | $50–$60 | varies |
| Tte w/doppler, complete (93306) | $985 | $985 | 1.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $200 | $200 | 2.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $78 | $78 | 1.7× |
| Tympanometry (92567) | $102 | $102 | 2.7× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$215–$355 | $215–$355 | varies |
| Vital capacity, total (94150) | $54 | $54 | 0.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $60 | $60 | 1.9× |
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.