Visits & medical services prices at Summers County ARH Hospital

Hinton, WV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $241.20 $402 1.1×
Ambulatory Bp Recording (93786) $136.80 $228 1.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $163.80 $273 11.4×
Assessment of aphasia per hr (96105) $553.80 $923 5.7×
Bedside Swallowing Eval (92610) $426 $710 5.0×
Behavioral and qualitative analysis of voice and resonance (92524) $438 $730 4.0×
Canalith Repositioning Procedure (95992) $96.60 $161 2.4×
Cardiac Stress Tst,Tracing Only (93017) $1,134 $1,890 5.5×
Cardiopulmonary resuscitation (92950) $730.80 $1,218 3.5×
Cardioversion (92960) $821.40 $1,369 1.3×
Chemo Hormon Antineopl Sq/Im (96402) $54 $90 0.8×
Cpap/bipap (94660) $990.60 $1,651 4.7×
Cpt initial (94667) $174.60 $291 1.4×
Dermatological procedure (96999) $227.40 $379 1.2×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $574.80 $958 2.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $755.40 $1,259 3.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $598.80 $998 6.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $693 $1,155 3.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $598.80 $998 6.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $806.40 $1,344 3.5×
Dup-scan xtr veins unilateral/limited study (93971) $721.20 $1,202 7.2×
Duplex scan extracranial art compl bi study (93880) $693 $1,155 3.0×
Echo Heart Xthoracic,Limited (93308) $689.40 $1,149 3.0×
Electrocardiogram Tracing (93005) $238.20 $397 4.2×
Er level 1 (99281) $141.60 $236 1.8×
Er level ii (99282) $279 $465 1.9×
Er level iii (99283) $378 $630 1.4×
Er level IV (99284) $552 $920 1.4×
Er level v (99285) $1,109.40 $1,849 1.9×
Eval speech sound production (92522) $323.40 $539 2.9×
External ECG rec>48hr<7d recording (93242) $51.60 $86 1.4×
External ECG rec>7d<15d recording (93246) $82.20 $137 2.3×
Hemodialysis (90935) $1,500 $2,500 2.3×
Holter Monitor (93225) $127.20 $212 1.0×
Immune Admin Oral/Nasal (90473) $64.20 $107 0.9×
Immunization Admin (90471) $58.20 $97 0.8×
Irrig drug delivery device (96523) $90.60 $151 1.6×
IV infusion hydration each additional hour (96361) $73.80 $123 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $289.20 $482 1.4×
IV infusion ther proph addl sequential to 1 hr (96367) $229.80 $383 3.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $366 $610 1.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $120.60 $201 2.7×
IV push ea addl new drug (96375) $126 $210 2.8×
IV push initial (96374) $202.80 $338 1.0×
Manual therapy 15 min (97140) $184.80 $308 6.7×
Mechanical traction (97012) $180.60 $301 12.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $585 $975 6.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $265.80 $443 2.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $542.40 $904 4.4×
Ot eval low complex 30 min (97165) $231.60 $386 2.3×
Ot eval mod complex 45 min (97166) $231.60 $386 2.3×
Ot re-evaluation (97168) $180.60 $301 2.6×
Ot therapeutic activity 15 min (97530) $148.80 $248 4.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $3 $5 0.0×
Peritoneal Dialysis (90945) $1,500 $2,500 3.7×
Phlebotomy therapeutic (99195) $156 $260 1.2×
Psych diag eval w/med srvcs (90792) $162 $270 1.0×
Pt Electrical Stimulation (97032) $148.80 $248 10.1×
Pt eval high complex 45 min (97163) $231.60 $386 2.4×
Pt eval low complex 20 min (97161) $231.60 $386 2.4×
Pt eval mod complex 30 min (97162) $231.60 $386 2.4×
Pt gait training 15 min (97116) $126 $210 4.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $135.60 $226 4.1×
Pt re-evaluation (97164) $180.60 $301 2.7×
Pt Whirlpool Therapy (97022) $133.20 $222 8.5×
Pulmonary stress test simple (94618) $602.40 $1,004 4.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $181.20 $302 5.1×
Rt Chest Wall Manipulation,Subsequent (94668) $158.40 $264 1.2×
Speech sound lang comprehen (92523) $323.40 $539 1.4×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $300 $500 1.5×
Therapeutic prophylactic/dx injection subq/im (96372) $84.60 $141 1.2×
Transtelephonic rhythm strip pacemaker eval (93293) $252.60 $421 7.1×
Tte w/doppler, complete (93306) $2,376.60 $3,961 4.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $210.60 $351 2.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $165.60 $276 2.0×
Vent mgmt inpat init day (94002) $1,340.40 $2,234 2.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $687 $1,145 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $126 $210 4.1×