Visits & medical services prices at Three Rivers Medical Center

Louisa, KY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $147.41 $245.68 0.7×
Behavioral and qualitative analysis of voice and resonance (92524) $341.48 $569.14 3.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,260.64 $2,101.06 3.6×
Canalith Repositioning (95992) $371.98 $619.96 9.1×
Cardiac Stress Tst,Tracing Only (93017) $1,620.72 $2,701.20 8.0×
Cardiopulmonary exercise testing (94621) $1,562.11 $2,603.52 4.5×
Cardiopulmonary resuscitation (92950) $1,163.42 $1,939.04 5.7×
Cardioversion (92960) $788.43 $1,314.04 1.3×
Cbt 1st hour (94644) $322.18 $536.96 2.6×
Chemother, IV infusion, 1 hr (96413) $210.23 $350.38 0.7×
Chemother, IV infusion, ea add hr (96415) $126.70 $211.16 1.9×
Circadian respiratry pattern rec 12-24 hr infant (94772) $415.54 $692.56 1.2×
Color/duplex Doppler, complete (93975) $390 $650 1.7×
Color/duplex Doppler, limited (93976) $1,167.98 $1,946.64 11.9×
Cpap initiation and management (94660) $1,832 $3,053.34 8.9×
Cpt initial (94667) $319.02 $531.70 2.6×
Critical care (99291) $4,152.88 $6,921.47 5.4×
Debridement Open Wound 20 Sq Cm< (97597) $472.74 $787.90 2.5×
Demo &/or eval,pt use,aerosol device (94664) $48.43 $80.72 0.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $827.56 $1,379.27 8.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $827.56 $1,379.27 3.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $416.59 $694.31 4.2×
Dup-scan xtr veins unilateral/limited study (93971) $496.96 $828.26 5.1×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $594.88 $991.46 2.7×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $594.88 $991.46 6.1×
Duplex scan extracranial art compl bi study (93880) $3,158.62 $5,264.37 14.1×
Echo Heart Xthoracic,Limited (93308) $1,685.65 $2,809.41 7.5×
Echo transesophageal (93312) $2,534.97 $4,224.95 4.9×
EEG awake asleep (95819) $1,152.90 $1,921.50 5.7×
EEG cerebral death evaluation (95824) $1,165.53 $1,942.55 3.3×
EEG coma or sleep only (95822) $1,424.89 $2,374.82 7.0×
EKG (93005) $387.10 $645.17 7.0×
EKG rhythm strip (93041) $387.10 $645.17 7.0×
Electroconvulsive Therapy (90870) $3,826.14 $6,376.90 4.7×
Er level 1 (99281) $512.40 $854 6.5×
Er level ii (99282) $843.70 $1,406.16 5.9×
Er level iii (99283) $1,348.37 $2,247.29 5.3×
Er level IV (99284) $2,026.43 $3,377.38 5.2×
Er level v (99285) $3,044.91 $5,074.85 5.4×
Evaluation of speech fluency (92521) $334.46 $557.44 2.5×
Evaluation of speech sound production (92522) $339.73 $566.21 3.0×
Evaluation of swallowing function (92610) $397.64 $662.73 4.7×
External Ecg Scanning Analysis Report (93226) $2,932.60 $4,887.67 53.0×
Flow volume loop (94375) $261.47 $435.78 1.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,094.29 $1,823.81 1.4×
Group Therapeutic Procedures (97150) $87.74 $146.23 4.9×
Hemodialysis (90935) $2,074.86 $3,458.10 3.2×
Holter Monitor Recording (93225) $1,363.12 $2,271.87 10.9×
Immunization Admin (90471) $88.96 $148.27 1.3×
Ins swan ganz bedside (93503) $2,848.02 $4,746.70 1.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $90.90 $151.50 1.6×
IV infusion hydration each additional hour (96361) $106.69 $177.82 2.4×
IV infusion hydration initial 31 min-1 hour (96360) $232.16 $386.93 1.2×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $322.36 $537.26 4.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $210.23 $350.38 1.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $126.87 $211.45 2.9×
IV push initial (96374) $232.16 $386.93 1.2×
Liver elastography w/o imag w/i&r (91200) $958.20 $1,597 7.9×
Manual therapy 15 min (97140) $200.75 $334.58 7.2×
Massage 15 min (97124) $215.84 $359.73 7.3×
Maximum voluntary ventilation (94200) $78.62 $131.03 1.4×
Mechanical traction (97012) $208.12 $346.86 14.5×
Methacholine challenge (94070) $501.17 $835.28 1.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $679.45 $1,132.42 7.4×
Multiple sleep latency test (95805) $1,987.82 $3,313.03 2.5×
Neg press wnd tx </=50 sq cm (97607) $574.52 $957.53 1.5×
Neg press wound tx >50 cm (97608) $707.18 $1,178.63 1.9×
Newborn resuscitation (99465) $394.83 $658.05 0.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $871.43 $1,452.38 7.0×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $1,246.25 $2,077.09 6.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $329.54 $549.24 2.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $151.62 $252.70 3.3×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $178.99 $298.31 5.6×
Ot Contrast Bath Ea 15 Min (97034) $173.73 $289.55 12.4×
Ot eval high complex 60 min (97167) $310.60 $517.66 3.1×
Ot eval low complex 30 min (97165) $310.60 $517.66 3.1×
Ot eval mod complex 45 min (97166) $310.60 $517.66 3.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $110.90 $184.84 2.2×
Ot Prosthetic Training, Each 15 Min (97761) $151.62 $252.70 3.8×
Ot re-eval est plan care (97168) $210.23 $350.38 3.1×
Paraffin bath (97018) $181.09 $301.82 30.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $1,123.77 $1,872.95 5.5×
Plethysmography (94726) $406.06 $676.77 1.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,987.82 $3,313.03 2.5×
Polysom <6 yrs 4/> paramtrs (95782) $1,987.82 $3,313.03 2.5×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,987.82 $3,313.03 2.5×
Pt Aquatic Therapy/Exercises (97113) $106.69 $177.82 2.9×
Pt Electric Current Therapy (97033) $295.15 $491.92 15.5×
Pt Electrical Stimulation (97032) $322.18 $536.96 21.9×
Pt eval high complex 45 min (97163) $310.60 $517.66 3.2×
Pt eval low complex 20 min (97161) $310.60 $517.66 3.2×
Pt Gait Training Therapy (97116) $208.12 $346.86 7.2×
Pt Infrared Therapy (97026) $41.77 $69.61 6.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $106.69 $177.82 3.3×
Pt Physical Performance Test (97750) $218.65 $364.42 6.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $310.60 $517.66 3.2×
Pt re-evaluation (97164) $241.81 $403.01 3.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $187.41 $312.35 5.8×
Pt Ultrasound Therapy (97035) $230.93 $384.88 16.1×
Pt Whirlpool Therapy (97022) $152.67 $254.45 9.7×
Pulm Funct Test Oscillometry (94728) $406.06 $676.77 3.4×
Pulm function test by gas (94727) $406.06 $676.77 2.0×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $439.40 $732.33 12.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $265.68 $442.80 1.4×
Rt Chest Wall Manipulation,Subsequent (94668) $274.09 $456.82 2.2×
Sensory Integration Ea 15 Min (97533) $180.04 $300.07 3.0×
Sleep study attended (95807) $1,987.82 $3,313.03 5.7×
Sleep study unattended (95806) $474.14 $790.23 2.3×
Speech sound lang comprehen (92523) $677.35 $1,128.91 3.0×
Spirometry (94010) $1,059.89 $1,766.49 5.2×
Stress echo (93350) $1,857.27 $3,095.45 3.6×
Temp transcutaneous pacing (92953) $2,129.26 $3,548.76 3.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $178.99 $298.31 8.0×
Ther/Proph/Diag Inj Sc/Im (96372) $210.23 $350.38 3.1×
Therapeutic Activities (97530) $215.84 $359.73 6.2×
Therapeutic phlebotomy (99195) $375.53 $625.88 3.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $50.89 $84.82 1.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,745.55 $4,575.91 5.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $460.81 $768.01 6.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $581.54 $969.23 6.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $140.03 $233.39 3.2×
Vasc Duplex Extrem Venous,Bilat (93970) $688.58 $1,147.63 3.1×
Vasc Duplex Scan Extracranial,Limited (93882) $2,762.03 $4,603.39 28.2×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,360.31 $2,267.19 6.7×
Ventilation assist & mgmt inpatient 1st day (94002) $1,832 $3,053.34 3.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,594.39 $2,657.32 2.8×
Vital capacity total (94150) $78.62 $131.03 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $218.65 $364.42 7.0×