Visits & medical services prices at TriCities Hospital

Hopewell, VA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $370 $370 1.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $367 $367 25.6×
Bedside Swallowing Eval (92610) $1,353 $1,353 15.9×
Behavioral and qualitative analysis of voice and resonance (92524) $1,241 $1,241 11.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $3,077 $3,077 8.5×
Canalith Repositioning Procedure (95992) $359 $359 8.8×
Cardiac Stress Tst,Tracing Only (93017) $4,513 $4,513 21.4×
Cardioversion (92960) $1,703 $1,703 2.6×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $56 $56 2.1×
Cbt 1st hour (94644) $453 $453 3.5×
Chemother, IV infusion, 1 hr (96413) $2,626 $2,626 8.1×
Chemother, IV infusion, ea add hr (96415) $233 $233 3.3×
Chemother,ia infusn tech,<1 hr (96422) $2,626 $2,626 8.1×
Color/duplex Doppler, complete (93975) $2,099 $2,099 9.0×
Color/duplex Doppler, limited (93976) $2,070 $2,070 20.3×
Cpap/bipap (94660) $3,608 $3,608 16.9×
Cpt initial (94667) $739 $739 5.7×
Critical care (99291) $6,363.50 $6,363.50 7.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,457 $1,457 6.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,252 $1,252 12.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,457 $1,457 6.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,252 $1,252 12.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,429 $2,429 10.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,247 $1,247 12.2×
Duplex scan extracranial art compl bi study (93880) $3,103 $3,103 13.3×
Duplex Scan Hemodialysis Access (93990) $657 $657 6.4×
Echo Heart Xthoracic,Limited (93308) $1,807 $1,807 7.8×
Echo r-t 2d w/probe placement only (93313) $4,937 $4,937 9.3×
Echo transesophageal (93312) $19,097 $19,097 35.8×
EEG awake and asleep (95819) $2,829 $2,829 13.4×
EEG awake drowsy (95816) $2,704 $2,704 12.8×
EEG coma or sleep only (95822) $2,704 $2,704 12.8×
EEG cont rec w/video by tech min 8 channels (95700) $4,504 $4,504 21.4×
EEG greater than 1 hour (95813) $4,505 $4,505 21.4×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $4,502 $4,502 21.4×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $5,065 $5,065 13.9×
Electrocardiogram Tracing (93005) $898 $898 15.6×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $3,759 $3,759 17.8×
Er level 1 (99281) $1,166 $1,166 14.2×
Er level ii (99282) $1,847 $1,847 12.3×
Er level iii (99283) $3,685.50 $3,685.50 13.8×
Er level IV (99284) $4,337 $4,337 10.7×
Er level v (99285) $5,022.50 $5,022.50 8.6×
Eval speech sound production (92522) $1,073 $1,073 9.6×
Gi tract capsule endoscopy (91110) $7,733 $7,733 8.7×
Immunization Admin (90471) $204 $204 2.9×
Injection intra arterial (96373) $742 $742 3.6×
Irrig drug delivery device (96523) $257 $257 4.5×
IV infusion hydration each additional hour (96361) $388 $388 8.5×
IV infusion hydration initial 31 min-1 hour (96360) $2,524 $2,524 12.2×
IV infusion ther proph addl sequential to 1 hr (96367) $387 $387 5.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $2,009.50 $2,009.50 9.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $387 $387 8.5×
IV push ea addl new drug (96375) $1,013 $1,013 22.2×
IV push initial (96374) $850 $850 4.1×
Manual therapy 15 min (97140) $367 $367 13.2×
Massage 15 min (97124) $367 $367 12.3×
Motility study esophagus (91010) $3,079 $3,079 8.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $1,530 $1,530 16.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $1,013 $1,013 7.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $367.50 $367.50 8.0×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $345 $345 10.8×
Ot eval high complex 60 min (97167) $1,045 $1,045 10.4×
Ot eval low complex 30 min (97165) $914 $914 9.1×
Ot eval mod complex 45 min (97166) $997 $997 9.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $367 $367 7.3×
Ot Prosthetic Training, Each 15 Min (97761) $367 $367 9.1×
Ot re-evaluation (97168) $385 $385 5.6×
Ot therapeutic activity 15 min (97530) $367 $367 10.5×
Pt Electrical Stimulation (97032) $367 $367 25.0×
Pt eval high complex 45 min (97163) $1,045 $1,045 10.7×
Pt eval low complex 20 min (97161) $914 $914 9.3×
Pt eval mod complex 30 min (97162) $997 $997 10.2×
Pt gait training 15 min (97116) $367 $367 12.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $359 $359 11.0×
Pt re-evaluation (97164) $385 $385 5.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $314 $314 9.7×
Pulm function test by gas (94727) $1,174 $1,174 5.6×
Rt Chest Wall Manipulation,Subsequent (94668) $739 $739 5.7×
Sensory Integration Ea 15 Min (97533) $295 $295 4.9×
Slp caregiver training 1st 30 min (97550) $101 $101 1.9×
Speech sound lang comprehen (92523) $1,241 $1,241 5.5×
Spirometry (94010) $1,630 $1,630 7.7×
Standardized Cognitive Performance Testing (96125) $581 $581 5.6×
Stress echo (93350) $9,170 $9,170 17.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $726 $726 32.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $726 $726 34.5×
Therapeutic prophylactic/dx injection subq/im (96372) $327.50 $327.50 4.7×
Tilt table evaluation (93660) $16,828 $16,828 46.2×
Tte w/doppler, complete (93306) $8,401 $8,401 15.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $818 $818 10.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $736 $736 8.7×
Upr/lxtr art stdy 3+ lvls (93923) $1,936 $1,936 9.2×
Vasc Duplex Scan Extracranial,Limited (93882) $1,189 $1,189 11.7×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $2,147 $2,147 10.2×
Veeg 2-12 hr unmonitored (95711) $4,504 $4,504 21.4×
Veeg Ea 12-26 Hr Unmntr (95714) $5,320 $5,320 14.6×
Vent mgmt inpat init day (94002) $12,039 $12,039 20.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $10,414 $10,414 17.3×
Vital capacity, total (94150) $197 $197 1.6×