Visits & medical services prices at TriHealth Clinton Regional Hospital

Wilmington, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Actigraphy Testing Recording Analysis I&R (95803) $114.61 $229.22 2.0×
Advncd Care Plan 30 Min (99497) $68.75 $137.50 0.7×
Airway Inhalation Treatment (94640)
range across 5 matching MRF lines
$180.24–$180.87 $360.47–$361.73 varies
Analyze neurostim complex (95972)
range across 4 matching MRF lines
$191.10–$284.97 $382.21–$569.94 varies
Analyze neurostim no prog (95970) $213.28 $426.57 1.7×
Analyze Neurostim Simple (95971) $191.10 $382.21 2.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines
$67.74–$70.85 $135.48–$141.70 varies
Application on-body injector (96377) $85.03 $170.05 1.9×
Assessment of aphasia per hr (96105) $139.32 $278.65 1.4×
Behavral qualit analys voice (92524) $77.25 $154.50 0.7×
Blink reflex test (95933) $424.63 $849.25 7.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $348.30 $696.60 1.0×
C motor evoked uppr limbs (95928) $981.60 $1,963.19 1.2×
C motor evoked upr&lwr limbs (95939) $953.30 $1,906.60 1.1×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$55.75–$96.19 $111.50–$192.38 varies
Car seat/bed test 60 min (94780) $70.91 $141.81 2.0×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$584.90–$639.93 $1,169.80–$1,279.86 varies
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$440.75–$575 $881.51–$1,150.01 varies
Cardioversion (92960)
range across 4 matching MRF lines
$803.50–$1,274.25 $1,607–$2,548.50 varies
Cbt 1st hour (94644) $181.47 $362.93 1.4×
Chemo Admin Peritoneal Cavity (96446) $665.59 $1,331.17 2.1×
Chemo Anti-Neopl Sq/Im (96401)
range across 2 matching MRF lines
$241.28–$249.75 $482.57–$499.51 varies
Chemo Hormon Antineopl Sq/Im (96402) $150.66 $301.32 2.2×
Chemo Ia Push (96420)
range across 2 matching MRF lines
$545.47–$665.59 $1,090.93–$1,331.17 varies
Chemo Intralesional Over 7 (96406) $411 $822 2.0×
Chemo intralesional up to 7 (96405) $101.03 $202.05 1.5×
Chemo IV infusion addl hr (96415)
range across 2 matching MRF lines
$131.20–$253.34 $262.40–$506.67 varies
Chemo IV push addl drug (96411) $284.61 $569.21 4.1×
Chemother Prolong Infuse W/Pump (96416) $665.59 $1,331.17 2.1×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $665.59 $1,331.17 2.1×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $100.69 $201.37 2.2×
Chemotherapy Into Cns (96450)
range across 2 matching MRF lines
$308.40–$665.59 $616.81–$1,331.17 varies
Chemotherapy Intracavitary (96440) $665.59 $1,331.17 2.1×
Chemotherapy Unspecified (96549) $66.07 $132.14 1.5×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $665.59 $1,331.17 2.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417)
range across 2 matching MRF lines
$131.20–$206.44 $262.40–$412.88 varies
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$611.14–$864.50 $1,222.28–$1,729 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 3 matching MRF lines
$253.96–$536.61 $507.92–$1,073.22 varies
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $411 $822 1.3×
Chest Wall Manipulation (94668) $38.09 $76.18 0.3×
Color/duplex Doppler, complete (93975) $563.73 $1,127.45 2.4×
Color/duplex Doppler, limited (93976) $391.98 $783.96 3.9×
Continuous Pulse Ox (94762)
range across 3 matching MRF lines
$113.36–$165.26 $226.71–$330.53 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines
$211.69–$257.05 $423.38–$514.09 varies
Cpt initial (94667) $81.67 $163.33 0.6×
Critical care first hour (99291) $2,905.89 $5,811.77 3.6×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $981.60 $1,963.19 2.7×
Developmental tst admin phys/qhp 1st hour (96112) $169.08 $338.16 1.4×
Dialysis One Evaluation (90945)
range across 2 matching MRF lines
$578.20–$604.79 $1,156.40–$1,209.59 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $361.02 $722.04 1.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $351.12 $702.24 3.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $367.65 $735.31 1.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $373.64 $747.28 3.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $448.96 $897.92 1.9×
Dup-scan xtr veins unilateral/limited study (93971) $284.19 $568.38 2.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $464.81 $929.63 2.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $223.53 $447.05 2.2×
Duplex Scan Hemodialysis Access (93990) $251.09 $502.17 2.5×
Duplex up extrem art bilat (93930) $367.65 $735.31 1.6×
Duplex up extrem art unilat/ltd (93931) $323.93 $647.85 3.2×
Echo Congenital Complete (93303)
range across 2 matching MRF lines
$783.67–$791.04 $1,567.34–$1,582.08 varies
Echo Heart Xthoracic,Limited (93308)
range across 4 matching MRF lines
$194.03–$448.96 $388.06–$897.92 varies
Echo transesophageal (93312)
range across 2 matching MRF lines
$1,194.96–$1,250.06 $2,389.92–$2,500.11 varies
Eeg 41-60 Minutes (95812)
range across 3 matching MRF lines
$461.06–$484.15 $922.11–$968.30 varies
EEG awake and asleep (95819)
range across 2 matching MRF lines
$440.75–$484.15 $881.51–$968.30 varies
EEG awake drowsy (95816) $484.15 $968.30 2.3×
EEG extended monitoring 61-119 minutes (95813)
range across 4 matching MRF lines
$484.15–$583.89 $968.30–$1,167.79 varies
EEG w/o vid 2-12hr cont mntr (95707)
range across 6 matching MRF lines
$484.15–$568.67 $968.30–$1,137.35 varies
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines
$69.65–$72.86 $139.30–$145.73 varies
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$107.15–$134.64 $214.30–$269.28 varies
Emergency Dept Visit Level 2 (99282) $306.13 $612.25 2.1×
Emergency Dept Visit Level 3 (99283) $613.05 $1,226.11 2.3×
Emergency Dept Visit Level 4 (99284) $917.29 $1,834.59 2.3×
Emg 4 Extremities (95864) $193.46 $386.91 1.6×
Er level 1 (99281) $178.12 $356.24 2.2×
Er level v (99285) $1,215.74 $2,431.48 2.1×
Ergonovine provocation test (93024) $439.38 $878.75 1.0×
Evaluate pt use of inhaler (94664) $307.70 $615.40 1.5×
Evaluate Speech Production (92522) $115.27 $230.53 1.0×
Evaluate Swallowing Function (92610) $77.25 $154.50 0.9×
Evaluation of speech fluency (92521) $115.27 $230.53 0.9×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines
$287.40–$331.24 $574.80–$662.48 varies
Extracranial Bilat Study (93880) $367.65 $735.31 1.6×
Extracranial Uni/Ltd Study (93882) $227.57 $455.15 2.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $476.24 $952.47 0.6×
Group Therapeutic Procedures (97150) $53.82 $107.64 3.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $496.87 $993.74 0.7×
Holter monitor recording (93225)
range across 2 matching MRF lines
$358.46–$377.61 $716.92–$755.22 varies
Immunization administration (90471)
range across 6 matching MRF lines
$40.13–$78.14 $80.25–$156.28 varies
Iontophoresis 15 min (97033)
range across 3 matching MRF lines
$101.97–$106.64 $203.93–$213.28 varies
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$99.17–$103.75 $198.35–$207.50 varies
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$25.43–$66.15 $50.85–$132.30 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 4 matching MRF lines
$140.60–$192.07 $281.20–$384.15 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines
$79.38–$101.13 $158.75–$202.25 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$27.27–$84.22 $54.55–$168.45 varies
IV push initial (96374)
range across 8 matching MRF lines
$59.60–$192.07 $119.20–$384.15 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $18.34 $36.68 0.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $22.52 $45.04 0.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $12.04 $24.09 0.7×
Motion Fluoroscopy/Swallow (92611) $210.23 $420.46 2.3×
Multiple Sleep Latency Test (95805) $2,026.52 $4,053.03 2.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $518 $1,036 1.3×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $518 $1,036 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$176.88–$278.30 $353.75–$556.60 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$184.84–$487.70 $369.67–$975.40 varies
Neuromuscular Reeducation (97112)
range across 4 matching MRF lines
$52.56–$62.70 $105.13–$125.40 varies
Newborn resuscitation (99465) $519.58 $1,039.15 0.8×
Oral Function Therapy (92526) $55.70 $111.40 0.7×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 3 matching MRF lines
$31.01–$33.57 $62.02–$67.14 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 3 matching MRF lines
$33.57–$35.11 $67.14–$70.22 varies
Ot Contrast Bath Ea 15 Min (97034) $42.42 $84.85 3.0×
Ot eval high complexity (97167) $178.20 $356.40 1.8×
Ot Eval Low Complex (97165) $150.38 $300.75 1.5×
Ot Eval Moderate Complexity (97166) $150.38 $300.75 1.5×
Ot manual therapy 15 min (97140) $92.72 $185.44 3.3×
Ot Prosthetic Training, Each 15 Min (97761) $39.90 $79.79 1.0×
Ot Re-Eval Est Plan Care (97168) $41.72 $83.44 0.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $211.55 $423.10 1.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $211.55 $423.10 1.7×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$82.42–$103.75 $164.85–$207.50 varies
Physical Performance Test (97750)
range across 9 matching MRF lines
$36.35–$379.99 $72.70–$759.98 varies
Plethysmography (94726) $319.80 $639.59 0.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,859.93 $5,719.86 3.4×
Pt Eval High Complex (97163) $242.54 $485.09 2.5×
Pt eval low complex 20 min (97161) $204.56 $409.12 2.1×
Pt Eval Mod Complex (97162) $242.54 $485.09 2.5×
Pt gait training 15 min (97116) $28.50 $57 1.0×
Pt mechanical traction (97012) $86.76 $173.52 6.0×
Pt Re-Eval Est Plan Care (97164) $43.05 $86.11 0.6×
Pulm function test by gas (94727) $119.05 $238.10 0.6×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$254.38–$265.82 $508.75–$531.64 varies
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$171.62–$210.67 $343.23–$421.34 varies
Pure Tone Audiometry Air (92552) $142.49 $284.97 1.1×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $519.40 $1,038.80 1.6×
Refill/Maint Portable Pump (96521) $341.50 $683.01 1.7×
Refill/Maint Pump/Resvr Syst (96522) $341.50 $683.01 1.7×
Remote 30 Day Ecg Rev/Report (93270) $82.32 $164.64 2.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $142.44 $284.87 0.7×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $93.73 $187.47 0.8×
Self Care Mngment Training (97535)
range across 3 matching MRF lines
$22.78–$28.50 $45.56–$57 varies
Sensory Integration Ea 15 Min (97533) $38.62 $77.23 0.6×
Short-latency somatosens ep std upr limbs (95925) $440.75 $881.51 2.1×
Somatosensory Testing (95938) $596.23 $1,192.45 0.7×
Speech sound lang comprehen (92523) $189.98 $379.96 0.8×
Spin/Brain Pump Refil & Main (95991) $436.45 $872.90 1.5×
Spirometry (94010) $202.63 $405.25 1.0×
Ssep lower limbs (95926) $423.04 $846.08 2.0×
Stress Tte Only (93350)
range across 4 matching MRF lines
$485.01–$993.61 $970.02–$1,987.22 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $51.13 $102.25 2.3×
Ther Ivntj Ea Addl 15 Min (97130) $49.53 $99.07 2.4×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $100.69 $201.37 2.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $41.80 $83.60 1.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $116.52 $233.04 1.1×
Ther/Prop/Diag Inj/Inf Proc (96379) $61.23 $122.45 1.4×
Ther/Proph/Diag Inj Ia (96373) $183.63 $367.25 0.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$51.50–$88.13 $103–$176.25 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 6 matching MRF lines
$140.60–$359.45 $281.20–$718.90 varies
Therapeutic Activities (97530)
range across 3 matching MRF lines
$39.90–$41.72 $79.79–$83.44 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $725.05 $1,450.10 2.0×
Tobacco Use Cessation Intensive >10 Minutes (99407) $62.08 $124.15 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $46.09 $92.17 1.3×
Tte w/doppler, complete (93306)
range across 3 matching MRF lines
$130.94–$1,291.15 $261.88–$2,582.30 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 3 matching MRF lines
$107.66–$128.53 $215.32–$257.07 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $51.99 $103.98 2.2×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 6 matching MRF lines
$66.15–$88.13 $132.30–$176.25 varies
Upr/L Xtremity Art 2 Levels (93922) $334.56 $669.11 2.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $336.91 $673.82 1.6×
Vent Mgmt Inpat Init Day (94002) $514.12 $1,028.23 0.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $514.12 $1,028.23 0.9×
Vital capacity, total (94150) $174.15 $348.30 1.4×
Wheelchair Mgmt Ea 15 Min (97542) $36.10 $72.21 1.2×
Whirlpool Therapy (97022)
range across 2 matching MRF lines
$85.50–$89.45 $171.01–$178.90 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.