Visits & medical services prices at Summersville Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $38.50 $77 1.4×
Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the… (97813) $38.50 $77 1.4×
Advance care planning first 30 mins (99497) $86.25 $172.50 0.9×
Airway inhalation treatment (94640) $164.50 $329 0.8×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $60 $120 1.7×
Analyze neurostim complex (95972) $124.50 $249 1.4×
Analyze neurostim no prog (95970) $130.50 $261 1.0×
Analyze neurostim simple (95971) $107.75 $215.50 1.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $48.25 $96.50 3.4×
Application on-body injector (96377) $73.75 $147.50 1.6×
Bedside Swallowing Eval (92610) $139.50 $279 1.6×
Behavioral and qualitative analysis of voice and resonance (92524) $118 $236 1.1×
Brief Emotional/Behavioral Assessment (96127) $51.50 $103 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $358.75 $717.50 1.0×
Canalith Repositioning Procedure (95992) $117.50 $235 2.9×
Cardiac Stress Tst,Tracing Only (93017) $603.50 $1,207 2.9×
Cardiopulmonary resuscitation (92950) $502.75 $1,005.50 2.4×
Cardioversion (92960) $818.25 $1,636.50 1.3×
Caregiver hlth risk assmt score doc stnd instrm (96161) $36 $72 1.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $22 $44 0.8×
Cbt 1st hour (94644) $220 $440 1.7×
Chemo Hormon Antineopl Sq/Im (96402) $69 $138 1.0×
Chemo IV push addl drug (96411) $74 $148 1.1×
Chemother, IV infusion, 1 hr (96413) $385.75 $771.50 1.2×
Chemother, IV infusion, ea add hr (96415) $132.75 $265.50 1.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $78.75 $157.50 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $198.75 $397.50 2.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $316.50 $633 1.0×
Chronic care management services 1st 20 min (99490) $92 $184 0.9×
Color/duplex Doppler, complete (93975) $980 $1,960 4.3×
Color/duplex Doppler, limited (93976) $744.50 $1,489 7.4×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $189 $378 1.1×
Comprehensive Hearing Test (92557) $123 $246 1.0×
Conditioning Play Audiometry (92582) $123.50 $247 1.0×
Cont Gluc Monitoring Patient Provided Equipment (95249) $56.50 $113 1.0×
Continuous Glucose Monitoring (95250) $162 $324 1.3×
Cpap/bipap (94660) $200.50 $401 1.0×
Cpt initial (94667) $94 $188 0.7×
Cptrized oph dx img pst segment uni/bi retina (92134) $320.50 $641 5.7×
Critical care (99291) $641.25 $1,282.50 0.8×
Debridement Open Wound 20 Sq Cm< (97597) $166.50 $333 0.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $247.50 $495 1.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $683.50 $1,367 3.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $617 $1,234 6.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $578.50 $1,157 2.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $518 $1,036 5.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $759 $1,518 3.3×
Dup-scan xtr veins unilateral/limited study (93971) $265.75 $531.50 2.6×
Duplex scan extracranial art compl bi study (93880) $521.50 $1,043 2.3×
Echo Heart Xthoracic,Limited (93308) $202 $404 0.9×
EEG awake and asleep (95819) $447.50 $895 2.2×
EEG greater than 1 hour (95813) $466.50 $933 2.3×
Electrocardiogram Tracing (93005) $142.50 $285 2.5×
Er level 1 (99281) $122.50 $245 1.5×
Er level ii (99282) $184 $368 1.2×
Er level iii (99283) $415 $830 1.6×
Er level IV (99284) $654 $1,308 1.6×
Er level v (99285) $949 $1,898 1.7×
Eval speech sound production (92522) $123.50 $247 1.1×
Eval to use/fit voice prosth (92597) $39.50 $79 0.6×
Evaluate Pt Use Of Inhaler (94664) $160.50 $321 0.8×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $356 $712 2.9×
External ECG rec>48hr<7d recording (93242) $54.50 $109 1.5×
External ECG rec>7d<15d recording (93246) $92 $184 2.6×
Group Therapeutic Procedures (97150) $57.50 $115 3.2×
Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or… (92229) $57 $114 1.0×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $29.50 $59 0.5×
Immune Admin Oral/Nasal (90473) $37 $74 0.5×
Immunization Admin (90471) $57 $114 0.8×
Interrogate subq defib (93261) $38 $76 1.1×
Iontophoresis 15 min (97033) $49.50 $99 2.6×
Irrig drug delivery device (96523) $103.75 $207.50 1.8×
IV infusion hydration each additional hour (96361) $62 $124 1.4×
IV infusion hydration initial 31 min-1 hour (96360) $215.75 $431.50 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $141.50 $283 2.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $218 $436 1.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $152.25 $304.50 3.4×
IV push ea addl new drug (96375) $137 $274 3.0×
IV push initial (96374) $218 $436 1.1×
Liver Elastography W/O Imag W/I&R (91200) $123.50 $247 1.0×
Manual therapy 15 min (97140) $48.25 $96.50 1.7×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $1,360 $2,720 1.0×
Measurement of lung volumes (ie, functional residual capacity ºFRC», forced vital capacity ºFVC», and expiratory… (94013) $528 $1,056 1.5×
Mechanical traction (97012) $54.50 $109 3.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $37 $74 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $28.50 $57 0.8×
Methacholine challenge (94070) $303.50 $607 0.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $189.75 $379.50 2.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $471.25 $942.50 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $192.50 $385 1.0×
Nerve Conduction Studies 3-4 Studies (95908) $467 $934 2.3×
Nerve Conduction Studies 5-6 Studies (95909) $467 $934 2.3×
Nerve Conduction Studies 7-8 Studies (95910) $467 $934 1.3×
Nerve Conduction Studies 9-10 Studies (95911) $860 $1,720 2.4×
Nerve conduction studies; 1-2 studies (95907) $207 $414 1.0×
Newborn resuscitation (99465) $646 $1,292 1.0×
Nitric oxide expired gas determination (95012) $124 $248 3.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $267.75 $535.50 2.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $145.25 $290.50 1.2×
Oph Bmtry Prtl Coher Intrfrmtry Io Lens Pwr Cal (92136) $132.50 $265 1.0×
Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording Non-Facility (92544) $123.50 $247 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $66 $132 1.4×
Oscillating Tracking Test (92545) $207 $414 1.0×
Ot eval high complex 60 min (97167) $86.50 $173 0.9×
Ot eval low complex 30 min (97165) $84.25 $168.50 0.8×
Ot eval mod complex 45 min (97166) $86.50 $173 0.9×
Ot Prosthetic Training, Each 15 Min (97761) $63.25 $126.50 1.6×
Ot Range Motion Measure,Each Extrem (95851) $47 $94 1.8×
Ot re-evaluation (97168) $70.50 $141 1.0×
Ot therapeutic activity 15 min (97530) $51.50 $103 1.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $128.75 $257.50 1.0×
Paraffin bath pt (97018) $48.25 $96.50 8.0×
Phlebotomy therapeutic (99195) $124.50 $249 1.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $96 $192 1.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $92.50 $185 1.6×
Plethysmography (94726) $302 $604 0.8×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $54.50 $109 1.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $45 $90 1.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $45 $90 1.0×
Psych diag eval w/med srvcs (90792) $189 $378 1.1×
Pt Electrical Stimulation (97032) $69.75 $139.50 4.7×
Pt eval high complex 45 min (97163) $90 $180 0.9×
Pt eval low complex 20 min (97161) $87.75 $175.50 0.9×
Pt eval mod complex 30 min (97162) $90 $180 0.9×
Pt gait training 15 min (97116) $51.50 $103 1.8×
Pt group caregiver training (97552) $22 $44 1.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $43 $86 1.3×
Pt re-evaluation (97164) $60 $120 0.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $70.50 $141 2.2×
Pt Whirlpool Therapy (97022) $79.50 $159 5.1×
Pulm function test by gas (94727) $249 $498 1.2×
Pulmonary stress test simple (94618) $183 $366 1.4×
Pure Tone Audiometry Air Only (92552) $130.50 $261 1.0×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $325.50 $651 1.0×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $53.50 $107 1.5×
Remote Monitoring Of Physiologic Parameter(s) (Eg, Weight, Blood Pressure, Pulse Oximetry, Respiratory Flow Rate);… (99445) $35.50 $71 1.0×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $294 $588 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $166.50 $333 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $94 $188 0.7×
Sleep study unattended (95806) $340.50 $681 1.6×
Smoking cessation > 10 min (99407) $58.50 $117 1.6×
Speech Audiometry Complete (92556) $78.50 $157 1.4×
Speech sound lang comprehen (92523) $233 $466 1.0×
Spirometry (94010) $216.50 $433 1.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $15.50 $31 0.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $17 $34 0.8×
Therapeutic prophylactic/dx injection subq/im (96372) $71 $142 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $31.50 $63 0.9×
Trans Care Mgmt 14 Day Disch (99495) $133.50 $267 1.0×
Trans Care Mgmt 7 Day Disch (99496) $122 $244 1.0×
Tte w/doppler, complete (93306) $1,062.50 $2,125 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $109.75 $219.50 1.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $109.75 $219.50 1.3×
Upr/lxtr art stdy 3+ lvls (93923) $192.50 $385 0.9×
Vasc Duplex Scan Extracranial,Limited (93882) $107 $214 1.1×
Vasopneumatic device (97016) $52 $104 4.3×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $502.50 $1,005 1.4×
Vent mgmt inpat init day (94002) $690.50 $1,381 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $690.50 $1,381 1.2×
Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) $127.50 $255 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $44.25 $88.50 1.4×