Visits & medical services prices at Upson Regional Medical Center
Thomaston, GA · every code in this section with a posted price and a Medicare benchmark.
202 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acupunct W/Stimul 15 Min (97813) | $286.20 | $477 | 10.1× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $201.60 | $336 | 7.1× |
| Airway Inhalation Treatment (94640) range across 10 matching MRF lines |
$178.96–$334.80 | $298.27–$558 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $292.80 | $488 | 8.0× |
| Analyze neurostim complex (95972) | $1,057.80 | $1,763 | 11.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 14 matching MRF lines |
$95.40–$139.20 | $159–$232 | varies |
| Assessment of aphasia per hr (96105) | $684 | $1,140 | 7.0× |
| Behavral qualit analys voice (92524) | $477 | $795 | 4.4× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $412.20 | $687 | 5.0× |
| Biofeedback training any modality (90901) | $152.40 | $254 | 3.7× |
| Bioimpedance Cv Analysis (93701) | $82.80 | $138 | 0.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$220.80–$3,009.60 | $368–$5,016 | varies |
| Car seat/bed test 60 min (94780) | $85.80 | $143 | 2.3× |
| Cardiac Stress Tst,Tracing Only (93017) range across 4 matching MRF lines |
$1,260–$1,450.20 | $2,100–$2,417 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$792–$871.20 | $1,320–$1,452 | varies |
| Cardioversion (92960) range across 7 matching MRF lines |
$1,429.20–$1,720.80 | $2,382–$2,868 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $8,144.40 | $13,574 | 2.6× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $8,029.80 | $13,383 | 2.5× |
| Cbt 1st hour (94644) | $645 | $1,075 | 4.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $229.80 | $383 | 3.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $199.20 | $332 | 2.8× |
| Chemo IV infusion addl hr (96415) | $294.60 | $491 | 4.2× |
| Chemo IV push addl drug (96411) | $234.60 | $391 | 3.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $513 | $855 | 1.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $322.20 | $537 | 1.0× |
| Chest Wall Manipulation (94668) | $139.20 | $232 | 1.1× |
| Color/duplex Doppler, complete (93975) | $1,224.60 | $2,041 | 5.2× |
| Color/duplex Doppler, limited (93976) | $658.20 | $1,097 | 6.4× |
| Coronary Art/Grft Angio S&I (93455) | $5,476.20 | $9,127 | 1.7× |
| Coronary Artery Angio S&I (93454) | $6,024 | $10,040 | 1.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $705 | $1,175 | 3.3× |
| Cpt initial (94667) | $129 | $215 | 1.0× |
| Critical care first hour (99291) range across 6 matching MRF lines |
$241.80–$4,623 | $403–$7,705 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $465 | $775 | 2.4× |
| Dialysis One Evaluation (90945) | $556.80 | $928 | 1.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,264.80 | $2,108 | 5.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $758.40 | $1,264 | 7.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,159.20 | $1,932 | 4.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $643.20 | $1,072 | 6.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $775.20 | $1,292 | 7.5× |
| Duplex Scan Hemodialysis Access (93990) | $256.20 | $427 | 2.5× |
| Duplex up extrem art bilat (93930) | $980.40 | $1,634 | 4.2× |
| Duplex up extrem art unilat/ltd (93931) | $616.20 | $1,027 | 6.0× |
| Echo Congenital Complete (93303) | $1,404.60 | $2,341 | 2.6× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$147–$773.40 | $245–$1,289 | varies |
| Echo transesophageal (93312) range across 5 matching MRF lines |
$283.20–$2,672.40 | $472–$4,454 | varies |
| Eeg 41-60 Minutes (95812) range across 3 matching MRF lines |
$60.60–$520.80 | $101–$868 | varies |
| EEG awake and asleep (95819) range across 5 matching MRF lines |
$60.60–$1,388.40 | $101–$2,314 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $191.40 | $319 | 0.9× |
| EEG extended monitoring 61-119 minutes (95813) | $506.40 | $844 | 2.4× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $191.40 | $319 | 0.9× |
| Electrical Stimulation Ea 15 Min (97032) range across 5 matching MRF lines |
$141.60–$186.60 | $236–$311 | varies |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$40.20–$416.40 | $67–$694 | varies |
| Electroconvulsive Therapy (90870) | $132 | $220 | 0.2× |
| Emergency Dept Visit Level 2 (99282) | $657.60 | $1,096 | 4.4× |
| Emergency Dept Visit Level 3 (99283) | $1,335.60 | $2,226 | 5.0× |
| Emergency Dept Visit Level 4 (99284) | $1,669.20 | $2,782 | 4.1× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$534–$712.80 | $890–$1,188 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$782.40–$1,014 | $1,304–$1,690 | varies |
| Er level 1 (99281) range across 3 matching MRF lines |
$400.80–$474.60 | $668–$791 | varies |
| Er level v (99285) | $2,347.20 | $3,912 | 4.0× |
| Evaluate pt use of inhaler (94664) | $231.60 | $386 | 1.1× |
| Evaluate Speech Production (92522) | $342 | $570 | 3.1× |
| Evaluate Swallowing Function (92610) | $543.60 | $906 | 6.4× |
| Evaluation of speech fluency (92521) | $421.80 | $703 | 3.2× |
| Evoked Auditory Test,Limited (92587) | $629.40 | $1,049 | 3.0× |
| External ECG rec>48hr<7d recording (93242) | $64.80 | $108 | 1.8× |
| External ECG rec>7d<15d recording (93246) | $106.80 | $178 | 2.9× |
| External Ecg Scanning Analysis Report (93226) range across 3 matching MRF lines |
$394.20–$996.60 | $657–$1,661 | varies |
| Extracranial Bilat Study (93880) | $1,237.20 | $2,062 | 5.3× |
| Extracranial Uni/Ltd Study (93882) | $941.40 | $1,569 | 9.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,404.60 | $2,341 | 2.6× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,330.20 | $2,217 | 3.6× |
| Group Therapeutic Procedures (97150) range across 11 matching MRF lines |
$83.40–$120 | $139–$200 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $8,144.40 | $13,574 | 2.6× |
| Holter monitor recording (93225) range across 5 matching MRF lines |
$350.40–$489 | $584–$815 | varies |
| Icd Device Interrogate (93289) range across 3 matching MRF lines |
$58.20–$497.40 | $97–$829 | varies |
| Icd device progr eval dual (93283) range across 3 matching MRF lines |
$149.40–$170.40 | $249–$284 | varies |
| Ilr Device Eval Progr (93285) | $99 | $165 | 2.7× |
| Ilr Device Interrogate (93291) range across 3 matching MRF lines |
$171–$198.60 | $285–$331 | varies |
| Immunization administration (90471) range across 11 matching MRF lines |
$238.20–$246 | $397–$410 | varies |
| Inital newborn e/m (99460) range across 3 matching MRF lines |
$180–$231.60 | $300–$386 | varies |
| Insert/Place Heart Catheter (93503) | $2,508.60 | $4,181 | 1.6× |
| Interrogate Subq Defib (93261) | $75.60 | $126 | 2.1× |
| Interrogation eval in person wr defibrillator (93292) | $268.20 | $447 | 7.3× |
| Iontophoresis 15 min (97033) range across 7 matching MRF lines |
$102.60–$136.80 | $171–$228 | varies |
| Irrig Drug Delivery Device (96523) | $184.80 | $308 | 3.2× |
| IV infusion hydration each additional hour (96361) | $234.60 | $391 | 5.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $674.40 | $1,124 | 3.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $229.20 | $382 | 3.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $234.60 | $391 | 5.1× |
| IV push initial (96374) | $370.20 | $617 | 1.8× |
| L Hrt Art/Grft Angio (93459) | $8,029.80 | $13,383 | 2.5× |
| Laryngeal Function Studies (92520) | $868.20 | $1,447 | 6.6× |
| Motion Fluoroscopy/Swallow (92611) | $704.40 | $1,174 | 7.7× |
| Multiple Sleep Latency Test (95805) | $3,238.80 | $5,398 | 3.8× |
| Muscle Test 2 Limbs (95861) | $759 | $1,265 | 5.8× |
| Muscle Test Nonparaspinal (95870) range across 3 matching MRF lines |
$214.80–$271.80 | $358–$453 | varies |
| Muscle Test One Limb (95860) | $689.40 | $1,149 | 5.3× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $399.60 | $666 | 1.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $927.60 | $1,546 | 2.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 6 matching MRF lines |
$214.20–$337.80 | $357–$563 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 5 matching MRF lines |
$287.40–$656.40 | $479–$1,094 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$312–$412.20 | $520–$687 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$568.80–$835.20 | $948–$1,392 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$568.80–$835.20 | $948–$1,392 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$312–$412.20 | $520–$687 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$312–$456 | $520–$760 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$312–$456 | $520–$760 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$433.80–$835.20 | $723–$1,392 | varies |
| Neuromuscular Reeducation (97112) range across 9 matching MRF lines |
$117–$171 | $195–$285 | varies |
| Newborn resuscitation (99465) range across 4 matching MRF lines |
$121.20–$1,042.80 | $202–$1,738 | varies |
| Oral Function Therapy (92526) | $321.60 | $536 | 3.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 5 matching MRF lines |
$51.60–$92.40 | $86–$154 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$68.40–$127.80 | $114–$213 | varies |
| Ot eval high complexity (97167) range across 3 matching MRF lines |
$243–$355.80 | $405–$593 | varies |
| Ot Eval Low Complex (97165) | $355.80 | $593 | 3.5× |
| Ot Eval Moderate Complexity (97166) range across 3 matching MRF lines |
$243–$355.80 | $405–$593 | varies |
| Ot manual therapy 15 min (97140) range across 8 matching MRF lines |
$49.80–$173.40 | $83–$289 | varies |
| Ot paraffin bath (97018) range across 6 matching MRF lines |
$60.60–$80.40 | $101–$134 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 8 matching MRF lines |
$66.60–$89.40 | $111–$149 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 5 matching MRF lines |
$136.20–$355.80 | $227–$593 | varies |
| Ot rom hand (95852) | $91.20 | $152 | 4.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$45–$585 | $75–$975 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $90 | $150 | 0.7× |
| Perq Transcath Cls Mitral (93590) | $29,513.40 | $49,189 | 1.6× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $8,227.80 | $13,713 | 1.5× |
| Phlebotomy therapeutic (99195) | $491.40 | $819 | 3.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $514.20 | $857 | 8.9× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$129–$175.80 | $215–$293 | varies |
| Plethysmography (94726) | $1,501.20 | $2,502 | 4.1× |
| Pm device eval in person (93288) range across 3 matching MRF lines |
$48–$516 | $80–$860 | varies |
| Pm device progr eval dual (93280) range across 4 matching MRF lines |
$49.80–$117 | $83–$195 | varies |
| Pm Device Progr Eval Sngl (93279) | $117 | $195 | 3.2× |
| Pm/Icd Remote Tech Serv (93296) range across 4 matching MRF lines |
$322.80–$372.60 | $538–$621 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $7,021.20 | $11,702 | 8.3× |
| Polysom <6 yrs 4/> paramtrs (95782) | $3,274.80 | $5,458 | 3.9× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $3,273.60 | $5,456 | 3.9× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $75.60 | $126 | 2.1× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 3 matching MRF lines |
$24–$204 | $40–$340 | varies |
| Prq Card Angio/Athrect 1 Art (92924) | $19,101.60 | $31,836 | 1.7× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $14,960.40 | $24,934 | 1.3× |
| Prq Card Stent/Ath/Angio (92933) | $28,010.40 | $46,684 | 1.6× |
| Psych diag eval w/med srvcs (90792) | $154.80 | $258 | 0.9× |
| Psychiatric diagnostic evaluation (90791) | $154.80 | $258 | 0.9× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$186–$304.20 | $310–$507 | varies |
| Pt eval low complex 20 min (97161) | $304.20 | $507 | 3.1× |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$186–$304.20 | $310–$507 | varies |
| Pt gait training 15 min (97116) range across 8 matching MRF lines |
$115.80–$133.80 | $193–$223 | varies |
| Pt mechanical traction (97012) range across 6 matching MRF lines |
$117.60–$148.80 | $196–$248 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 4 matching MRF lines |
$153–$304.20 | $255–$507 | varies |
| Pulm function test by gas (94727) | $647.40 | $1,079 | 3.0× |
| Pulmonary service/procedure (94799) | $519 | $865 | 4.1× |
| R Hrt Art/Grft Angio (93457) | $5,475.60 | $9,126 | 1.7× |
| R hrt coronary artery angio (93456) | $5,475.60 | $9,126 | 1.7× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $8,144.40 | $13,574 | 2.6× |
| Refill/Maint Pump/Resvr Syst (96522) | $456.60 | $761 | 2.2× |
| Rem interrog icpms <30 d phys/qhp (93297) | $48 | $80 | 1.3× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 3 matching MRF lines |
$51–$159.60 | $85–$266 | varies |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$196.80–$427.80 | $328–$713 | varies |
| Right Heart Cath (93451) | $5,475.60 | $9,126 | 1.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$330.60–$654.60 | $551–$1,091 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 4 matching MRF lines |
$91.80–$123 | $153–$205 | varies |
| Same day nb discharge (99463) range across 3 matching MRF lines |
$215.40–$221.40 | $359–$369 | varies |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$61.80–$165.60 | $103–$276 | varies |
| Sensory Integration Ea 15 Min (97533) | $98.40 | $164 | 1.6× |
| Sleep study unattended (95806) | $271.80 | $453 | 1.3× |
| Somatosensory Testing (95938) | $1,975.20 | $3,292 | 2.3× |
| Speech sound lang comprehen (92523) | $709.80 | $1,183 | 3.1× |
| Spirometry (94010) range across 3 matching MRF lines |
$109.80–$1,209 | $183–$2,015 | varies |
| Standardized Cognitive Performance Testing (96125) | $414.60 | $691 | 4.0× |
| Subcutaneous Infusion Each Additional Hour (96370) | $266.40 | $444 | 5.8× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $625.20 | $1,042 | 3.0× |
| Surfactant Admin Thru Tube (94610) | $377.40 | $629 | 1.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$115.80–$153.60 | $193–$256 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $123.60 | $206 | 3.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 4 matching MRF lines |
$78.60–$114.60 | $131–$191 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) | $222 | $370 | 3.1× |
| Ther/Proph/Diag Iv Inf Init (96365) | $926.40 | $1,544 | 4.4× |
| Therapeutic Activities (97530) range across 7 matching MRF lines |
$115.80–$177.60 | $193–$296 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $55.80 | $93 | 1.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$44.40–$91.80 | $74–$153 | varies |
| Transcath Closure of Asd (93580) | $29,513.40 | $49,189 | 1.6× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 5 matching MRF lines |
$30–$395.40 | $50–$659 | varies |
| Tte w/doppler, complete (93306) | $2,801.40 | $4,669 | 5.2× |
| Tte W/O Doppler Complete (93307) | $1,438.80 | $2,398 | 6.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $398.40 | $664 | 5.2× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $117 | $195 | 4.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $270.60 | $451 | 5.9× |
| Unlisted cardiovascular service/procedure (93799) | $247.20 | $412 | 2.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $1,359.60 | $2,266 | 10.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $2,400 | $4,000 | 11.3× |
| Valvuloplasty aortic valve (92986) | $9,371.40 | $15,619 | 1.7× |
| Vasopneumatic device (97016) range across 5 matching MRF lines |
$48–$92.40 | $80–$154 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $933.60 | $1,556 | 2.5× |
| Veeg 2-12 hr intmt mntr (95712) | $506.40 | $844 | 1.4× |
| Veeg 2-12 hr unmonitored (95711) | $506.40 | $844 | 2.4× |
| Vent Mgmt Inpat Init Day (94002) | $676.20 | $1,127 | 1.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $450.60 | $751 | 0.7× |
| Vital capacity, total (94150) | $586.80 | $978 | 4.6× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$78–$103.80 | $130–$173 | varies |
| Whirlpool Therapy (97022) range across 7 matching MRF lines |
$62.40–$130.20 | $104–$217 | 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.