Visits & medical services prices at Tennova LaFollette Medical Center

LaFollette, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $10,564.28 $39,126.97 1.5×
Actigraphy testing recording analysis i&r (95803) $237.65 $880.19 4.4×
Airway inhalation treatment (94640) $289.92 $1,073.78 1.5×
Analyze Neurostim Complex (95972) $227.70 $843.35 2.6×
Arrhythmia induction (93618) $1,537.89 $5,695.88 1.4×
Assessment of aphasia (96105) $170.22 $630.45 1.8×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $48.23 $178.64 1.3×
Behavioral and qualitative analysis of voice and resonance (92524) $170.11 $630.03 1.6×
Bfb training 1st 15 min (90912) $101.89 $377.38 1.2×
Bfb training ea addl 15 min (90913) $25.47 $94.34 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $454.69 $1,684.02 1.3×
Bundle of his recording (93600) $8,162.88 $30,232.89 1.2×
Canalith Repositioning (95992) $55.83 $206.79 1.4×
Car seat/bed test 60 min (94780) $50.26 $186.13 1.5×
Cardiac Stress Tst,Tracing Only (93017) $763.83 $2,828.99 3.9×
Cardiopulmonary resuscitation (92950) $526.65 $1,950.56 2.7×
Cardioversion (92960) $1,036.94 $3,840.51 1.7×
Caregiver training 1st 30 min (97550) $52.41 $194.12 1.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $24.30 $90 0.9×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $6,699.39 $24,812.57 2.3×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $9,188.90 $34,032.95 3.1×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $26,999.94 $99,999.79 1.6×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $6,765.68 $25,058.09 2.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,452.15 $27,600.55 2.5×
Cbt 1st hour (94644) $214.82 $795.62 1.8×
Chemo Admin Peritoneal Cavity (96446) $305.32 $1,130.82 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $141.09 $522.57 2.2×
Chemo IV push addl drug (96411) $197.54 $731.62 3.0×
Chemo Iv Push Sngl Drug (96409) $412.85 $1,529.09 1.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $344.13 $1,274.57 1.1×
Chemother, IV infusion, 1 hr (96413) $673.02 $2,492.66 2.2×
Chemother, IV infusion, ea add hr (96415) $114.73 $424.94 1.8×
Chemother,Ia Push Technique (96420) $252.82 $936.37 0.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $253.93 $940.49 3.9×
Chemotx Admn Cns Req Spinal Puncture (96450) $715.08 $2,648.44 2.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $141.09 $522.57 2.2×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $429.37 $1,590.26 1.4×
Circadian respiratry pattern rec 12-24 hr infant (94772) $574.62 $2,128.24 1.7×
Color/duplex Doppler, complete (93975) $439.16 $1,626.50 2.0×
Color/duplex Doppler, limited (93976) $336.22 $1,245.26 3.5×
Coronary artery angio s&i (93454) $6,145.14 $22,759.77 2.1×
Cpap initiation and management (94660) $468.93 $1,736.76 2.4×
Cpt initial (94667) $268.44 $994.22 2.2×
Critical care (99291) $1,589.17 $5,885.81 2.1×
Debridement Open Wound 20 Sq Cm< (97597) $256.88 $951.39 1.4×
Demo &/or eval,pt use,aerosol device (94664) $268.44 $994.22 1.4×
Developmental tst admin phys/qhp 1st hour (96112) $112.36 $416.13 1.0×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $1,135.24 $4,204.60 3.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $139.17 $515.46 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $533.20 $1,974.83 2.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $362.21 $1,341.52 3.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $536.75 $1,987.98 2.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $438.59 $1,624.42 4.6×
Dup-scan xtr veins unilateral/limited study (93971) $434.38 $1,608.80 4.6×
Duplex hemodialysis access (93990) $277 $1,025.94 2.9×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $806.01 $2,985.22 3.7×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $537.04 $1,989.02 5.7×
Duplex scan extracranial art compl bi study (93880) $776.14 $2,874.61 3.6×
Echo Heart Xthoracic,Limited (93308) $588.83 $2,180.85 2.7×
Echo transesophageal (93312) $1,370.77 $5,076.91 2.8×
EEG awake asleep (95819) $505.50 $1,872.21 2.6×
EEG awake drowsy (95816) $505.50 $1,872.21 2.6×
EEG cerebral death evaluation (95824) $401.99 $1,488.86 1.2×
EEG coma or sleep only (95822) $387.78 $1,436.22 2.0×
Eeg Extended Monitoring 61-119 Minutes (95813) $505.50 $1,872.21 2.6×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $505.50 $1,872.21 2.6×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $588.29 $2,178.85 1.7×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $588.29 $2,178.85 1.7×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $588.29 $2,178.85 1.7×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $505.50 $1,872.21 2.6×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $505.50 $1,872.21 2.6×
EKG (93005) $180.20 $667.41 3.4×
EKG rhythm strip (93041) $193.55 $716.86 3.6×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $272.07 $1,007.65 3.2×
Electroconvulsive Therapy (90870) $760.53 $2,816.78 1.0×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $505.50 $1,872.21 2.6×
EMG four extremities (95864) $279.75 $1,036.11 2.4×
EMG one extremity (95860) $167.24 $619.42 1.4×
EMG two extremities (95861) $533.33 $1,975.30 4.4×
Endomyocardial biopsy (93505) $3,803.99 $14,088.86 1.3×
Ep & ablate supravent arrhyt (93653) $26,999.91 $99,999.66 1.1×
Ep & ablate ventric tachy (93654) $26,999.91 $99,999.66 1.1×
Ep Analyze Pacer Sys (93724) $823.10 $3,048.50 3.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $8,162.88 $30,232.89 1.2×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $9,942.86 $36,825.41 1.4×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $1,896.03 $7,022.34 1.7×
Ep Right Ventricular Recording (93603) $3,918.58 $14,513.27 3.5×
Er level 1 (99281) $175.51 $650.02 2.3×
Er level ii (99282) $237.04 $877.92 1.7×
Er level iii (99283) $454.92 $1,684.88 1.8×
Er level IV (99284) $689.94 $2,555.34 1.8×
Er level v (99285) $1,071 $3,966.68 2.0×
Ergonovine provocation test (93024) $430.25 $1,593.50 1.1×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $88.52 $327.85 0.8×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $114.93 $425.68 1.6×
Evaluation of speech fluency (92521) $196.91 $729.31 1.5×
Evaluation of speech sound production (92522) $226.80 $840 2.0×
Evaluation of swallowing function (92610) $120.17 $445.07 1.4×
Evaluation with prescription of speech-generating alternative (92607) $165.23 $611.96 1.4×
External ECG rec>48hr<7d recording (93242) $649.16 $2,404.28 19.2×
External ECG rec>7d<15d recording (93246) $649.16 $2,404.28 19.2×
External Ecg Scanning Analysis Report (93226) $649.16 $2,404.28 12.1×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $187.21 $693.37 0.9×
Flow volume loop (94375) $284.03 $1,051.98 1.4×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $594.99 $2,203.65 1.8×
Group Therapeutic Procedures (97150) $47.25 $174.99 2.6×
Hemodialysis (90935) $1,120.74 $4,150.88 1.8×
Holter Monitor Recording (93225) $533.86 $1,977.26 4.4×
Icd Device Interrogate (93289) $421.86 $1,562.44 12.5×
Immunization Admin (90471) $97.22 $360.05 1.5×
Injection intra arterial (96373) $246.38 $912.50 1.3×
Ins swan ganz bedside (93503) $2,534.60 $9,387.40 1.8×
Intra Atrial Recording (93602) $8,162.88 $30,232.89 1.2×
Intra-atrial pacing (93610) $8,162.88 $30,232.89 1.2×
Intraventricular pacing (93612) $8,162.88 $30,232.89 1.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $194.17 $719.16 3.6×
IV infusion hydration each additional hour (96361) $64.08 $237.32 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $322.30 $1,193.71 1.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $97.22 $360.05 1.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $382.33 $1,416.04 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $59.60 $220.75 1.4×
IV push initial (96374) $258.83 $958.62 1.3×
Maintenance of spinal canal or brain drug infusion pump (95990) $305.72 $1,132.29 1.0×
Manual therapy 15 min (97140) $52.24 $193.47 1.9×
Massage 15 min (97124) $53.33 $197.51 1.8×
Maximum voluntary ventilation (94200) $232 $859.25 4.3×
Mechanical chest wall oscillation (94669) $224.65 $832.04 1.1×
Mechanical traction (97012) $111.52 $413.04 7.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $46.92 $173.79 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $54.70 $202.61 1.5×
Methacholine challenge (94070) $572.04 $2,118.65 1.7×
Mnt Group Ea 30 Min (97804) $24.36 $90.21 1.4×
Motility study esophagus (91010) $578.94 $2,144.21 1.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $222.95 $825.74 2.4×
Multiple sleep latency test (95805) $2,473.71 $9,161.90 3.2×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $59.19 $219.22 0.5×
Neg press wnd tx </=50 sq cm (97607) $484.15 $1,793.14 1.3×
Neg press wound tx >50 cm (97608) $484.15 $1,793.14 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $222.55 $824.25 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $191.94 $710.89 0.5×
Nerve conduction studies 13/> studies (95913) $541.07 $2,003.98 1.6×
Nerve Conduction Studies 3-4 Studies (95908) $509.24 $1,886.09 2.6×
Nerve Conduction Studies 9-10 Studies (95911) $509.24 $1,886.09 1.5×
Nerve conduction studies; 1-2 studies (95907) $279.75 $1,036.11 1.4×
Nerve conduction studies; 11-12 studies (95912) $509.24 $1,886.09 1.5×
Nerve conduction studies; 5-6 studies (95909) $509.24 $1,886.09 2.6×
Nerve conduction studies; 7-8 studies (95910) $763.87 $2,829.16 2.3×
Newborn resuscitation (99465) $828.60 $3,068.90 1.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $457.65 $1,695.01 3.8×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $567.89 $2,103.29 2.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $326.83 $1,210.48 2.8×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $429.36 $1,590.22 1.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $61.22 $226.75 1.3×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $40.05 $148.34 1.2×
Ot eval high complex 60 min (97167) $137.03 $507.50 1.4×
Ot eval low complex 30 min (97165) $137.03 $507.50 1.4×
Ot eval mod complex 45 min (97166) $137.03 $507.50 1.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $74.04 $274.22 1.5×
Ot Prosthetic Training, Each 15 Min (97761) $43.56 $161.34 1.1×
Ot re-eval est plan care (97168) $99.79 $369.58 1.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $123.16 $456.16 1.1×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $123.16 $456.16 1.1×
Paraffin bath (97018) $41.89 $155.14 7.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $298.54 $1,105.71 1.5×
Peripheral arterial disease rehab per session (93668) $80.54 $298.30 1.5×
Perq Transcath Cls Mitral (93590) $26,999.88 $99,999.54 1.6×
Perq transcath cls paravalvr leak 1 aortic valve (93591) $26,999.85 $99,999.43 1.6×
Phy/qhp op pulm rhb w/mntr (94626) $61.29 $227 1.1×
Phy/qhp op pulm rhb w/o mntr (94625) $61.29 $227 1.1×
Plethysmography (94726) $284.45 $1,053.53 0.8×
Pm device eval in person (93288) $313 $1,159.26 9.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,996.05 $14,800.20 5.1×
Polysom <6 yrs 4/> paramtrs (95782) $1,465.01 $5,425.98 1.9×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,465.01 $5,425.98 1.9×
Prq balloon valvuloplasty aortic valve (92986) $7,993.95 $29,607.24 1.5×
Prq Balloon Valvuloplasty Mitral Valve (92987)
unusually low: confirm this is the full procedure
$5,074.59 $18,794.79 0.5×
Prq card revasc chronic 1vsl (92943) $16,955.48 $62,798.09 1.6×
Prq Card Stent W/Angio 1 Vsl (92928) $16,955.48 $62,798.09 1.6×
Prq Card Stent/Ath/Angio (92933) $26,999.94 $99,999.77 1.6×
Prq revasc byp graft 1 vsl (92937) $16,955.48 $62,798.09 1.6×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $26,999.87 $99,999.53 1.6×
Prq tcat plmt ntrac st 2+les (92930) $19,066.97 $70,618.41 1.1×
Prq trluml coronary angio/atherect one art/brnch (92924) $16,955.48 $62,798.09 1.6×
Prq trluml coronary angioplasty one art/branch (92920) $8,123.52 $30,087.12 1.6×
Pt Aquatic Therapy/Exercises (97113) $68.62 $254.16 1.9×
Pt Electric Current Therapy (97033) $84.22 $311.94 4.4×
Pt Electrical Stimulation (97032) $106.43 $394.18 7.2×
Pt eval high complex 45 min (97163) $185.31 $686.32 1.9×
Pt eval low complex 20 min (97161) $185.31 $686.32 1.9×
Pt Gait Training Therapy (97116) $44.71 $165.60 1.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $54.16 $200.58 1.7×
Pt Physical Performance Test (97750) $24.31 $90.04 0.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $185.31 $686.32 1.9×
Pt re-evaluation (97164) $68.41 $253.38 1.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $56.52 $209.32 1.7×
Pt Ultrasound Therapy (97035) $66.61 $246.72 4.6×
Pt Whirlpool Therapy (97022) $4.33 $16.03 0.3×
Pulm function test by gas (94727) $284.03 $1,051.98 1.4×
R & l hrt cath w/njx l ventriculog img s&i (93453) $6,362.05 $23,563.16 2.2×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $6,900.51 $25,557.45 2.3×
R hrt art/grft angio (93457) $9,807.20 $36,322.95 3.3×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $8,393.35 $31,086.48 2.9×
Refill/maint, portable pump (96521) $390.36 $1,445.77 2.0×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $63.69 $235.90 1.9×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $461.42 $1,708.96 1.7×
Right heart cath (93451) $4,557.66 $16,880.24 1.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $190.23 $704.55 1.0×
Rt Chest Wall Manipulation,Subsequent (94668) $92.45 $342.39 0.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $82.61 $305.98 1.7×
Sc Ther Infusion Reset Pump (96371) $85.02 $314.90 1.3×
Sensory Integration Ea 15 Min (97533) $44.53 $164.92 0.7×
Sleep study unattended (95806) $426.59 $1,579.95 2.2×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $319.93 $1,184.93 1.6×
Smoking cessation > 10 min (99407) $68.78 $254.72 2.0×
Somatosensory testing (95938) $830.33 $3,075.31 1.1×
Speech group therapy (92508) $47.06 $174.30 2.0×
Speech sound lang comprehen (92523) $313.16 $1,159.87 1.4×
Spirometry (94010) $310.31 $1,149.31 1.6×
Standardized Cognitive Performance Testing (96125) $213.58 $791.02 2.1×
Stress echo (93350) $1,529.36 $5,664.29 3.1×
Stress Tte Complete (93351) $911.31 $3,375.24 1.8×
Temp transcutaneous pacing (92953) $828.60 $3,068.90 1.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $49.84 $184.61 2.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $10.48 $38.81 0.5×
Ther/Proph/Diag Inj Sc/Im (96372) $91.90 $340.36 1.4×
Therapeutic Activities (97530) $56.22 $208.24 1.6×
Therapeutic phlebotomy (99195) $190.94 $707.19 1.6×
Tilt Table Eval (93660) $1,167.80 $4,325.18 3.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $43.55 $161.29 1.3×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $586.39 $2,171.82 2.7×
Transcranial Doppler Limited (93888) $593.57 $2,198.40 6.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,501.45 $5,560.93 3.0×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $946.70 $3,506.30 4.4×
Tx atrial fib pulm vein isol (93656) $26,999.91 $99,999.66 1.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $157.86 $584.66 2.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $141.51 $524.12 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $228.59 $846.63 5.4×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $634.52 $2,350.08 1.3×
Unlisted Cardiovascular Service/Procedure (93799) $760.98 $2,818.44 6.5×
Vasc Duplex Extrem Venous,Bilat (93970) $537 $1,988.92 2.5×
Vasc Duplex Scan Extracranial,Limited (93882) $420.67 $1,558.05 4.4×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $668.84 $2,477.19 3.4×
Vasopneumatic device (97016) $54.49 $201.82 4.5×
Ventilation assist & mgmt inpatient 1st day (94002) $828 $3,066.65 1.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $840.71 $3,113.75 1.5×
Visual Evoked Potential Test (95930) $517.16 $1,915.39 2.6×
Vital capacity total (94150) $284.03 $1,051.98 2.4×
Wheelchair Mgmt Ea 15 Min (97542) $50.04 $185.33 1.6×
Xtrnl mobile cv telemetry w/technical support (93229) $156.46 $579.48 0.5×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $131.81 $488.17 1.5×