Visits & medical services prices at Tyler Holmes Memorial Hospital

Winona, MS · 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) $207 $276 1.1×
Assessment of aphasia (96105) $187.50 $250 1.9×
Behavioral and qualitative analysis of voice and resonance (92524) $167.25 $223 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $560.25 $747 1.7×
Canalith Repositioning (95992) $90.75 $121 2.2×
Cardiopulmonary resuscitation (92950) $241.50 $322 1.3×
Cardioversion (92960) $603.75 $805 1.1×
Cbt 1st hour (94644) $311.25 $415 2.7×
Cpap initiation and management (94660) $241.50 $322 1.3×
Cpt initial (94667) $141 $188 1.2×
Critical care (99291) $581.25 $775 0.8×
Debridement Open Wound 20 Sq Cm< (97597) $381.38 $508.50 2.2×
Demo &/or eval,pt use,aerosol device (94664) $207 $276 1.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $675.75 $901 3.3×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $339 $452 3.8×
Dup-scan xtr veins unilateral/limited study (93971) $339 $452 3.8×
Duplex scan extracranial art compl bi study (93880) $675.75 $901 3.3×
Echo Heart Xthoracic,Limited (93308) $777 $1,036 3.8×
EKG (93005) $189.75 $253 3.7×
Er level 1 (99281) $81 $108 1.1×
Er level ii (99282) $120.75 $161 0.9×
Er level iii (99283) $202.50 $270 0.9×
Er level IV (99284) $285 $380 0.8×
Er level v (99285) $420 $560 0.8×
Evaluation of speech fluency (92521) $199.50 $266 1.5×
Evaluation of speech sound production (92522) $199.50 $266 1.8×
Evaluation of swallowing function (92610) $255 $340 3.0×
Evaluation with prescription of speech-generating alternative (92607) $237.75 $317 1.9×
External ECG rec>48hr<7d recording (93242) $999 $1,332 31.0×
External ECG rec>7d<15d recording (93246) $999 $1,332 31.0×
Group Therapeutic Procedures (97150) $72 $96 4.0×
Holter Monitor Recording (93225) $999 $1,332 8.7×
Immunization Admin (90471) $45.38 $60.50 0.7×
Immunotherapy, 2+ Injections (95117) $24.75 $33 0.6×
IV infusion hydration each additional hour (96361) $52.50 $70 1.3×
IV infusion hydration initial 31 min-1 hour (96360) $270 $360 1.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $52.50 $70 0.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $270 $360 1.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $52.50 $70 1.3×
IV push initial (96374) $270 $360 1.5×
Manual therapy 15 min (97140) $80.25 $107 2.9×
Massage 15 min (97124) $72 $96 2.4×
Mechanical traction (97012) $47.25 $63 3.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $30.75 $41 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $36.75 $49 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $329.25 $439 1.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $579 $772 1.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $99.75 $133 0.9×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $285 $380 0.9×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $65.25 $87 1.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $63.75 $85 2.0×
Ot Contrast Bath Ea 15 Min (97034) $25.50 $34 1.8×
Ot eval high complex 60 min (97167) $183 $244 1.8×
Ot eval low complex 30 min (97165) $151.50 $202 1.5×
Ot eval mod complex 45 min (97166) $167.25 $223 1.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $77.62 $103.50 1.5×
Ot Prosthetic Training, Each 15 Min (97761) $72 $96 1.8×
Ot Range Motion Measure,Each Extrem (95851) $71.25 $95 2.7×
Ot re-eval est plan care (97168) $102.75 $137 1.5×
Paraffin bath (97018) $44.25 $59 7.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $20.25 $27 0.5×
Psychiatric diagnostic evaluation (90791) $187.50 $250 1.2×
Pt Electrical Stimulation (97032) $72 $96 4.9×
Pt eval high complex 45 min (97163) $183 $244 1.9×
Pt eval low complex 20 min (97161) $151.50 $202 1.5×
Pt Gait Training Therapy (97116) $72 $96 2.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $72 $96 2.2×
Pt Physical Performance Test (97750) $75.75 $101 2.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $167.25 $223 1.7×
Pt re-evaluation (97164) $102.75 $137 1.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $72 $96 2.2×
Pt Ultrasound Therapy (97035) $72 $96 5.0×
Pt Whirlpool Therapy (97022) $228.75 $305 14.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $329.25 $439 1.9×
Rom meas&reprt hand w/wo comparison normal sid (95852) $58.50 $78 2.7×
Rt Chest Wall Manipulation,Subsequent (94668) $132 $176 1.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $94.50 $126 2.0×
Sensory Integration Ea 15 Min (97533) $94.88 $126.50 1.6×
Smoking cessation > 10 min (99407) $21.75 $29 0.7×
Speech group therapy (92508) $68.25 $91 2.8×
Speech sound lang comprehen (92523) $255 $340 1.1×
Spirometry (94010) $360 $480 1.9×
Standardized Cognitive Performance Testing (96125) $96.75 $129 0.9×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $43.50 $58 1.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $42 $56 2.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $86.25 $115 0.8×
Ther/Proph/Diag Inj Sc/Im (96372) $51.38 $68.50 0.8×
Therapeutic Activities (97530) $72 $96 2.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $45 $60 1.4×
Trans Care Mgmt 14 Day Disch (99495) $139.50 $186 1.2×
Trans Care Mgmt 7 Day Disch (99496) $195 $260 1.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,554 $2,072 3.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $135.75 $181 1.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $135.75 $181 1.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $52.50 $70 1.3×
Unlisted pulmonary service/procedure (94799) $156 $208 1.4×
Vasc Duplex Extrem Venous,Bilat (93970) $675.75 $901 3.3×
Vasopneumatic device (97016) $48 $64 4.0×
Ventilation assist & mgmt inpatient 1st day (94002) $522.75 $697 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $72 $96 2.3×