Visits & medical services prices at Tippah County Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $70.46 $70.46 0.4×
Anogenital exam, child (99170) $397 $397 2.3×
Behavioral and qualitative analysis of voice and resonance (92524) $266.27 $266.27 2.4×
Bfb training 1st 15 min (90912) $50 $50 0.6×
Bfb training ea addl 15 min (90913) $60 $60 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $247.23 $247.23 0.8×
Canalith Repositioning (95992) $93 $93 2.3×
Cardiopulmonary resuscitation (92950) $673.50 $673.50 3.6×
Cardioversion (92960) $1,023.50 $1,023.50 1.8×
Cbt 1st hour (94644) $97.02 $97.02 0.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $130 $130 2.1×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions (98940) $65 $65 3.5×
Chiropractic manipulative treatment (CMT); spinal, 3-4 regions (98941) $96 $96 5.2×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $80 $80 0.9×
Color vision examination (92283) $122 $122 2.4×
Color/duplex Doppler, complete (93975) $397.50 $397.50 1.9×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $100 $100 0.7×
Computerized Ophthalmic Imaging Anterior Segment (92132) $82 $82 1.6×
Computerized Ophthalmic Imaging Optic Nerve (92133) $103 $103 2.0×
Cont Gluc Monitoring Patient Provided Equipment (95249) $130 $130 2.6×
Contact lens fitting (92312) $267 $267 2.3×
Contact lens fitting (92311) $236 $236 0.6×
Continuous Glucose Monitoring (95250) $195 $195 1.7×
Corneal Topography (92025) $87 $87 1.7×
Cpap initiation and management (94660) $338.18 $338.18 1.8×
Cpt initial (94667) $140.91 $140.91 1.2×
Cptrized oph dx img pst segment uni/bi retina (92134) $105 $105 2.1×
Critical care (99291) $1,232 $1,232 1.7×
Dark adaptation exam w int & rep (92284) $134 $134 0.3×
Debridement Open Wound 20 Sq Cm< (97597) $316.50 $316.50 1.8×
Demo &/or eval,pt use,aerosol device (94664) $104.16 $104.16 0.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $428.97 $428.97 2.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $382.60 $382.60 4.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $391.47 $391.47 1.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $309.50 $309.50 3.4×
Dup-scan xtr veins unilateral/limited study (93971) $310 $310 3.4×
Duplex scan extracranial art compl bi study (93880) $492.05 $492.05 2.4×
Ear and throat examination (92502) $230 $230 0.5×
Echo Heart Xthoracic,Limited (93308) $470.18 $470.18 2.3×
Ed special anterior segment photography with interpretation and report; with fluorescein angiography (92287) $309 $309 2.7×
EEG awake asleep (95819) $493.19 $493.19 2.6×
EKG (93005) $140.91 $140.91 2.8×
Electro-oculography w/i&r (92270) $206 $206 1.8×
Er level 1 (99281) $111.45 $111.45 1.5×
Er level ii (99282) $280 $280 2.1×
Er level iii (99283) $527.50 $527.50 2.2×
Er level IV (99284) $830.50 $830.50 2.3×
Er level v (99285) $1,207 $1,207 2.4×
Evaluation of speech fluency (92521) $315 $315 2.4×
Evaluation of speech sound production (92522) $255 $255 2.3×
Evaluation of swallowing function (92610) $238 $238 2.8×
Evaluation with prescription of speech-generating alternative (92607) $357.61 $357.61 2.9×
Exam of visual field with extended testing (92083) $146 $146 1.3×
Exam of visual field with intermediate testing (92082) $112 $112 2.2×
Exam of visual field with limited testing (92081) $78 $78 1.5×
External ocular photography (92285) $45 $45 1.4×
Eye exam w anesth; complete (92018) $353 $353 0.2×
Eye exam w anesth; limited (92019) $173 $173 0.1×
Eye exam, new patient,comprehesv (92004) $347 $347 3.0×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $268.50 $268.50 1.3×
Fluorescein angiography (92235) $249 $249 1.3×
Fluorescein angioscopy (92230) $136 $136 0.4×
Fundus photography w/interpretation & report (92250) $176 $176 1.5×
Gonioscopy (92020) $64 $64 0.6×
Group Therapeutic Procedures (97150) $49.96 $49.96 2.8×
Holter Monitor Recording (93225) $256.20 $256.20 2.2×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $81 $81 2.5×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $56 $56 0.9×
Immunization Admin (90471) $47.48 $47.48 0.8×
Indocyanine-green angiography (92240) $566 $566 3.0×
Inital newborn e/m (99460) $227 $227 2.0×
Initial normal newborn care, same day discharge (99463) $273 $273 2.4×
Internal eye photography (92286) $88 $88 0.8×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $154 $154 3.0×
IV infusion hydration each additional hour (96361) $52.52 $52.52 1.3×
IV infusion hydration initial 31 min-1 hour (96360) $235.70 $235.70 1.3×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $63 $63 1.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $235.70 $235.70 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $52.52 $52.52 1.3×
IV push initial (96374) $113 $113 0.6×
Manual therapy 15 min (97140) $56.36 $56.36 2.0×
Massage 15 min (97124) $86 $86 2.9×
Mechanical traction (97012) $49.96 $49.96 3.5×
Modification of contact lens (separate procedure), with medical supervision of adaptation SCHEDULED (92325) $90 $90 0.8×
Needle oculography 1/ xoc musc 1/both eye w/i&r (92265) $177 $177 3.5×
Neg press wnd tx </=50 sq cm (97607) $1,023.72 $1,023.72 2.9×
Nerve Conduction Studies 3-4 Studies (95908) $146 $146 0.8×
Nerve conduction studies; 1-2 studies (95907) $146 $146 0.8×
New patient problem focused exam of visual system (92002) $189 $189 1.6×
Newborn resuscitation (99465) $353 $353 0.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $444.85 $444.85 4.0×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $288 $288 2.5×
Ophth medical xm&eval intermediate estab pt (92012) $198 $198 1.7×
Ophthalmic biometry (92136) $202 $202 1.8×
Ophthalmoscopy/dynamometry (92260) $43 $43 1.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $94.23 $94.23 2.0×
Osteopathic manipulative tx 1-2 body regions (98925) $70 $70 3.8×
Osteopathic manipulative tx 3-4 body regions (98926) $88.50 $88.50 4.8×
Osteopathic manipulative tx 5-6 body regions (98927) $105 $105 5.6×
Osteopathic manipulative tx 7-8 body regions (98928) $121 $121 6.5×
Osteopathic manipulative tx 9-10 body regions (98929) $138.50 $138.50 7.4×
Ot Contrast Bath Ea 15 Min (97034) $42.27 $42.27 3.0×
Ot eval high complex 60 min (97167) $271 $271 2.7×
Ot eval low complex 30 min (97165) $271 $271 2.7×
Ot eval mod complex 45 min (97166) $271 $271 2.7×
Ot Prosthetic Training, Each 15 Min (97761) $110 $110 2.7×
Ot Range Motion Measure,Each Extrem (95851) $49.96 $49.96 1.9×
Ot re-eval est plan care (97168) $164 $164 2.4×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $175 $175 1.6×
Paraffin bath (97018) $35.87 $35.87 6.0×
Peripheral arterial disease rehab per session (93668) $175 $175 3.4×
Phy/qhp op pulm rhb w/o mntr (94625) $84 $84 1.7×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92313) $225 $225 2.0×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) $207 $207 1.8×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) $165 $165 1.4×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) $170 $170 5.3×
Psych diag eval w/med srvcs (90792) $320.88 $320.88 2.1×
Psychiatric diagnostic evaluation (90791) $320.88 $320.88 2.1×
Psytx crisis initial 60 min (90839) $452 $452 3.0×
Pt Aquatic Therapy/Exercises (97113) $139 $139 3.7×
Pt Electric Current Therapy (97033) $67.89 $67.89 3.6×
Pt Electrical Stimulation (97032) $64.05 $64.05 4.4×
Pt eval high complex 45 min (97163) $139 $139 1.4×
Pt eval low complex 20 min (97161) $139 $139 1.4×
Pt Gait Training Therapy (97116) $64.05 $64.05 2.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $55.08 $55.08 1.7×
Pt Physical Performance Test (97750) $70.46 $70.46 2.1×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $139 $139 1.4×
Pt re-evaluation (97164) $74 $74 1.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $87 $87 2.7×
Pt Ultrasound Therapy (97035) $42.27 $42.27 2.9×
Pt Whirlpool Therapy (97022) $70.46 $70.46 4.5×
Pulmonary stress testing (94618) $47 $47 0.4×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $256.20 $256.20 8.0×
Remote dx retinal imaging (92227) $31 $31 0.6×
Replace contact lens (92326) $77 $77 1.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $84.55 $84.55 0.5×
Rom meas&reprt hand w/wo comparison normal sid (95852) $39.71 $39.71 1.9×
Rt Chest Wall Manipulation,Subsequent (94668) $106.32 $106.32 0.9×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $151 $151 3.0×
Smoking cessation > 10 min (99407) $65 $65 2.0×
Speech sound lang comprehen (92523) $195.48 $195.48 0.9×
Spirometry (94010) $169.09 $169.09 0.9×
Temp transcutaneous pacing (92953) $2,084 $2,084 3.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $70 $70 3.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $59 $59 2.8×
Ther/Proph/Diag Inj Sc/Im (96372) $48 $48 0.8×
Therapeutic Activities (97530) $64.05 $64.05 1.8×
Therapeutic phlebotomy (99195) $201.96 $201.96 1.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $37.64 $37.64 1.2×
Trans Care Mgmt 14 Day Disch (99495) $414 $414 3.6×
Trans Care Mgmt 7 Day Disch (99496) $581 $581 5.1×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,203.76 $1,203.76 2.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $539.30 $539.30 2.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $280 $280 3.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $159 $159 1.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $106.32 $106.32 2.6×
Unlisted pulmonary service/procedure (94799) $81.98 $81.98 0.7×
Vasc Duplex Extrem Venous,Bilat (93970) $430.55 $430.55 2.1×
Vasc Duplex Scan Extracranial,Limited (93882) $377.90 $377.90 4.2×
Vasopneumatic device (97016) $70.46 $70.46 5.9×
Ventilation assist & mgmt inpatient 1st day (94002) $775.01 $775.01 1.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $704.55 $704.55 1.3×
Vital capacity total (94150) $99.33 $99.33 0.9×
Wheelchair Mgmt Ea 15 Min (97542) $64.05 $64.05 2.1×