Visits & medical services prices at Tallahatchie General Hospital

Charleston, MS · every code in this section with a posted price and a Medicare benchmark.

117 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) $131.01 $132.56 1.5×
Airway inhalation treatment (94640) $58.80 $84 0.3×
Application of heat wave therapy (97024) $100
Assessment of aphasia (96105) $478.50
Behavioral and qualitative analysis of voice and resonance (92524) $147.70 $150.70 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $155.05 $184 0.5×
Canalith Repositioning (95992) $72.80 $104 1.8×
Cardiopulmonary resuscitation (92950) $292.60 $400 1.6×
Cardioversion (92960) $268.10 $316.50 0.5×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $80
Color/duplex Doppler, complete (93975) $550.05 $785.78 2.7×
Cpap initiation and management (94660) $147 $210 0.8×
Cpt initial (94667) $61.60 $64 0.5×
Critical care (99291) $399.70 $571 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $210 $210 1.2×
Demo &/or eval,pt use,aerosol device (94664) $43.40 $79.80 0.2×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $305.42 $436.32 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $82.40 $103 0.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $48 $60 0.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $84 $105 0.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $52.80 $66 0.6×
Dup-scan xtr veins unilateral/limited study (93971) $48 $60 0.5×
Duplex scan extracranial art compl bi study (93880) $84 $105 0.4×
EKG (93005) $97 $120 1.9×
EKG rhythm strip (93041) $19.60 $120 0.4×
Er level 1 (99281) $42.27 $60.38 0.6×
Er level ii (99282) $79.53 $113.61 0.6×
Er level iii (99283) $150.63 $215.18 0.6×
Er level IV (99284) $217.46 $310.65 0.6×
Er level v (99285) $338.98 $484.25 0.7×
Evaluation of speech fluency (92521) $190.40 $189.53 1.4×
Evaluation of speech sound production (92522) $153.30 $240.50 1.4×
Evaluation of swallowing function (92610) $209
External Ecg Scanning Analysis Report (93226) $130.90 $187 2.6×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $142.80 $302 0.7×
Group Therapeutic Procedures (97150) $90
Holter Monitor Recording (93225) $91.70 $135.50 0.8×
Immunization Admin (90471) $19.20 $24 0.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $40.04 $57.20 0.8×
IV infusion hydration each additional hour (96361) $50.05 $62.25 1.2×
IV infusion hydration initial 31 min-1 hour (96360) $180.95 $205.25 1.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $144.76 $206.80 2.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $225.61 $289.65 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $136.29 $123.85 3.4×
IV push initial (96374) $177.10 $88.80 1.0×
Manual therapy 15 min (97140) $46.90 $67 1.7×
Massage 15 min (97124) $50.40 $73 1.7×
Mechanical traction (97012) $26.60 $89 1.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $292.70 $360 1.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $480 $420 1.4×
Neurobehavioral Status Exam (96116) $568.50
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $162.97 $232.81 1.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $48 $60 0.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $50.82 $68.18 0.5×
Nonphysician Telephone Assessment 5-10 Min (98966) $42
Nrpsyc tst eval phys/qhp 1st (96132) $264.86 $378.36 0.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $262.50
Osteopathic manipulative tx 1-2 body regions (98925) $20
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $55.30 $109.50 1.7×
Ot Contrast Bath Ea 15 Min (97034) $90 $90 6.4×
Ot eval high complex 60 min (97167) $139.65 $218.75 1.4×
Ot eval low complex 30 min (97165) $139.65 $218.75 1.4×
Ot eval mod complex 45 min (97166) $139.65 $218.75 1.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $78.75 $170 1.6×
Ot Prosthetic Training, Each 15 Min (97761) $160
Ot re-eval est plan care (97168) $101.50 $164.38 1.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $73.15 $104.50 0.7×
Paraffin bath (97018) $140
Pr unlisted procedure psychiatric service/therapy, psychiatric service (90899) $420 $420 13.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $7
Psychiatric diagnostic evaluation (90791) $130
Pt Electric Current Therapy (97033) $42 $88 2.2×
Pt Electrical Stimulation (97032) $31.50 $54 2.1×
Pt eval high complex 45 min (97163) $139.65 $206.75 1.4×
Pt eval low complex 20 min (97161) $139.65 $206.75 1.4×
Pt Gait Training Therapy (97116) $50.40 $76 1.7×
Pt Infrared Therapy (97026) $10.50 $15 1.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $58.10 $88.50 1.8×
Pt Physical Performance Test (97750) $150
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $139.65 $206.75 1.4×
Pt re-evaluation (97164) $93.94 $126.60 1.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $57.40 $89.50 1.8×
Pt Ultrasound Therapy (97035) $22.40 $36 1.6×
Pt Whirlpool Therapy (97022) $170
Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) $104.52 $149.31 3.2×
Rem ther mntr dev supply w/rec respir sys ea 30d (98976) $104.52 $149.31 3.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $141.40 $202 4.4×
Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) $70.81 $101.15 1.3×
Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) $69.29 $98.98 1.7×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $39.76 $56.80 0.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $76.80 $96 0.4×
Rt Chest Wall Manipulation,Subsequent (94668) $67.20 $73 0.6×
Sensory Integration Ea 15 Min (97533) $56.70 $120.50 0.9×
Smoking cessation > 10 min (99407) $70
Speech group therapy (92508) $38.50 $55 1.6×
Speech sound lang comprehen (92523) $329.70 $471 1.5×
Spirometry (94010) $87.90 $96 0.5×
Standardized Cognitive Performance Testing (96125) $196.70 $199.80 1.9×
Stress Tte Complete (93351) $368
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $59.43 $80.45 2.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $59.50 $80.50 2.8×
Ther/Proph/Diag Inj Sc/Im (96372) $70.84 $63.60 1.1×
Therapeutic Activities (97530) $66.50 $96 1.9×
Therapeutic phlebotomy (99195) $57.40 $66 0.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $60
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $639.84 $642.52 1.4×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $450 $450 2.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $132.30 $208 1.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $194.75 $246 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $73.15 $74 1.8×
Vasc Duplex Extrem Venous,Bilat (93970) $72 $90 0.4×
Vasc Duplex Scan Extracranial,Limited (93882) $491.72 $702.46 5.5×
Vasopneumatic device (97016) $70
Ventilation assist & mgmt inpatient 1st day (94002) $175 $250 0.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $158.20 $213 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $55.65 $82.75 1.8×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $424.20 $606 5.2×