Visits & medical services prices at Walthall General Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $48.11 $171.82 0.3×
Application of heat wave therapy (97024) $9.83 $35.09 1.3×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $29.82 $106.48 0.8×
Behavioral and qualitative analysis of voice and resonance (92524) $45.74 $163.35 0.4×
Blink reflex test (95933) $54.21 $193.60 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $292.22 $1,043.62 0.9×
Canalith Repositioning (95992) $36.93 $131.89 0.9×
Cardiac Stress Tst,Tracing Only (93017) $171.78 $613.47 0.9×
Cardiopulmonary exercise testing (94621) $151.96 $542.68 0.5×
Cardiopulmonary resuscitation (92950) $143.32 $511.83 0.8×
Cardioversion (92960) $150.43 $537.24 0.3×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580)
unusually low: confirm this is the full procedure
$4,876.69 $17,416.74 0.3×
Chemo IV push addl drug (96411) $97.24 $347.27 1.6×
Chemo Iv Push Sngl Drug (96409) $100.97 $360.58 0.4×
Chemother, IV infusion, 1 hr (96413) $194.48 $694.54 0.7×
Chemother, IV infusion, ea add hr (96415) $35.58 $127.05 0.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $69.46 $248.05 1.1×
Color/duplex Doppler, complete (93975) $388.95 $1,389.08 1.9×
Color/duplex Doppler, limited (93976) $260.20 $929.28 2.9×
Cpap initiation and management (94660) $251.06 $896.61 1.3×
Cpt initial (94667) $56.58 $202.07 0.5×
Critical care (99291) $386.99 $1,382.10 0.5×
Debridement Open Wound 20 Sq Cm< (97597) $72.51 $258.94 0.4×
Demo &/or eval,pt use,aerosol device (94664) $48.11 $171.82 0.3×
Developmental tst admin phys/qhp 1st hour (96112) $118.58 $423.50 1.1×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $317.46 $1,133.77 1.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $236.83 $845.79 2.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $365.91 $1,306.80 1.8×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $248.35 $886.93 2.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $340.16 $1,214.84 1.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $236.83 $845.79 2.6×
Dup-scan xtr veins unilateral/limited study (93971) $269.35 $961.95 3.0×
Duplex hemodialysis access (93990) $103.34 $369.05 1.1×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $163.31 $583.22 0.8×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $75.90 $271.04 0.8×
Duplex scan extracranial art compl bi study (93880) $122.99 $439.23 0.6×
Echo Heart Xthoracic,Limited (93308) $242.92 $867.57 1.2×
Echo r-t 2d w/probe placement only (93313) $457.38 $1,633.50 1.0×
Echo transesophageal (93312) $699.63 $2,498.65 1.5×
Echo Transthoracic - Congenital Tte Complete (93303) $630.17 $2,250.60 1.3×
EEG awake asleep (95819) $164.66 $588.06 0.9×
EEG awake drowsy (95816) $175.50 $626.78 0.9×
EEG cerebral death evaluation (95824) $189.73 $677.60 0.6×
EEG coma or sleep only (95822) $164.66 $588.06 0.9×
Eeg Extended Monitoring 61-119 Minutes (95813) $533.61 $1,905.75 2.9×
EKG (93005) $21.69 $77.44 0.4×
EKG rhythm strip (93041) $20.33 $72.60 0.4×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $171.44 $612.26 0.9×
EMG cranial nerve bilat (95868) $132.48 $473.11 0.7×
EMG cranial nerve unilat (95867) $117.91 $421.08 0.6×
EMG four extremities (95864) $202.95 $724.79 1.8×
EMG one extremity (95860) $124.01 $442.86 1.1×
EMG three extremities (95863) $173.13 $618.31 1.6×
EMG two extremities (95861) $139.25 $497.31 1.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $4,124.22 $14,729.33 0.6×
Er level 1 (99281) $57.94 $206.91 0.8×
Er level ii (99282) $44.21 $157.86 0.3×
Er level iii (99283) $74.70 $266.76 0.3×
Er level IV (99284) $176.34 $629.76 0.5×
Er level v (99285) $244.10 $871.76 0.5×
Evaluation of speech fluency (92521) $54.21 $193.60 0.4×
Evaluation of speech sound production (92522) $44.05 $157.30 0.4×
Evaluation of swallowing function (92610) $83.01 $296.45 1.0×
Exhaled Air Analysis (94690) $69.46 $248.05 1.4×
External Ecg Scanning Analysis Report (93226) $51.16 $182.71 1.0×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $127.05 $453.75 0.7×
Group Therapeutic Procedures (97150) $17.12 $61.10 0.9×
Holter Monitor Recording (93225) $51.16 $182.71 0.4×
Hydrotherapy (97036) $29.82 $106.48 0.9×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $13.56 $48.40 0.2×
Immunization Admin (90471) $10.85 $38.72 0.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $30.84 $110.11 0.6×
IV infusion hydration each additional hour (96361) $27.11 $96.80 0.7×
IV infusion hydration initial 31 min-1 hour (96360) $102.15 $364.82 0.6×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $26.43 $94.38 0.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $105.03 $375.10 0.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $84.70 $302.50 2.1×
IV push initial (96374) $81.66 $291.61 0.4×
Manual therapy 15 min (97140) $35.58 $127.05 1.3×
Massage 15 min (97124) $31.17 $111.32 1.0×
Mechanical chest wall oscillation (94669) $56.58 $202.07 0.3×
Mechanical traction (97012) $18.98 $67.76 1.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $26.77 $95.59 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $32.19 $114.95 0.9×
Motility study esophagus (91010) $278.33 $994.02 0.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $80.64 $287.98 0.9×
Multiple Family Group Psychotherapy (90849) $68.44 $244.42 0.4×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $68.10 $243.21 0.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $37.95 $135.52 0.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $71.15 $254.10 0.2×
Nerve conduction studies 13/> studies (95913) $348.63 $1,245.09 1.1×
Nerve Conduction Studies 3-4 Studies (95908) $241.91 $863.94 1.3×
Nerve Conduction Studies 9-10 Studies (95911) $305.94 $1,092.63 1.0×
Nerve conduction studies; 1-2 studies (95907) $220.56 $787.71 1.2×
Nerve conduction studies; 11-12 studies (95912) $327.29 $1,168.86 1.0×
Nerve conduction studies; 5-6 studies (95909) $263.25 $940.17 1.4×
Nerve conduction studies; 7-8 studies (95910) $284.60 $1,016.40 0.9×
Neuromuscular junction test (95937) $83.35 $297.66 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $131.97 $471.30 1.2×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $114.52 $408.98 0.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $120.11 $428.94 1.1×
Nrpsyc tst eval phys/qhp 1st (96132) $569.19 $2,032.80 1.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $26.60 $94.98 0.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $33.55 $119.79 1.0×
Ot Contrast Bath Ea 15 Min (97034) $13.90 $49.61 1.0×
Ot eval high complex 60 min (97167) $98.26 $350.90 1.0×
Ot eval low complex 30 min (97165) $69.46 $248.05 0.7×
Ot eval mod complex 45 min (97166) $84.70 $302.50 0.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $13.22 $47.19 0.3×
Ot Prosthetic Training, Each 15 Min (97761) $22.37 $79.86 0.6×
Ot Range Motion Measure,Each Extrem (95851) $18.98 $67.76 0.7×
Ot re-eval est plan care (97168) $45.74 $163.35 0.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $56.76 $202.68 0.5×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $56.76 $202.68 0.5×
Paraffin bath (97018) $16.94 $60.50 2.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $220.56 $787.71 1.2×
Peripheral arterial disease rehab per session (93668) $56.92 $203.28 1.1×
Phy/qhp op pulm rhb w/mntr (94626) $83.69 $298.87 1.6×
Phy/qhp op pulm rhb w/o mntr (94625) $83.69 $298.87 1.6×
Plethysmography (94726) $70.81 $252.89 0.2×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
unusually low: confirm this is the full procedure
$5,423.52 $19,369.68 0.3×
Psychiatric diagnostic evaluation (90791) $77.59 $277.09 0.5×
Psycl tst eval phys/qhp 1st (96130) $177.88 $635.25 1.0×
Pt Aquatic Therapy/Exercises (97113) $44.73 $159.72 1.2×
Pt Electric Current Therapy (97033) $56.25 $200.86 3.0×
Pt Electrical Stimulation (97032) $39.98 $142.78 2.7×
Pt eval high complex 45 min (97163) $89.79 $320.65 0.9×
Pt eval low complex 20 min (97161) $62.68 $223.85 0.6×
Pt Gait Training Therapy (97116) $50.66 $180.90 1.7×
Pt Infrared Therapy (97026) $9.15 $32.67 1.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $47.44 $169.40 1.4×
Pt Physical Performance Test (97750) $20.67 $73.81 0.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $76.23 $272.25 0.8×
Pt re-evaluation (97164) $42.35 $151.25 0.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $22.70 $81.07 0.7×
Pt Ultrasound Therapy (97035) $27.45 $98.01 1.9×
Pt Whirlpool Therapy (97022) $57.26 $204.49 3.6×
Pulm Funct Test Oscillometry (94728) $70.81 $252.89 0.6×
Pulm function test by gas (94727) $82.67 $295.24 0.4×
Pulmonary stress testing (94618) $115.20 $411.40 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $56.76 $202.68 0.3×
Rom meas&reprt hand w/wo comparison normal sid (95852) $8.14 $29.04 0.4×
Rt Chest Wall Manipulation,Subsequent (94668) $56.58 $202.07 0.5×
Sensory Integration Ea 15 Min (97533) $28.46 $101.64 0.5×
Short-latency somatosens ep std lwr limbs (95926) $200.24 $715.11 1.1×
Short-latency somatosens ep std upr limbs (95925) $202.27 $722.37 1.1×
Somatosensory testing (95938) $322.20 $1,150.71 0.4×
Speech group therapy (92508) $35.58 $127.05 1.5×
Speech sound lang comprehen (92523) $91.48 $326.70 0.4×
Spirometry (94010) $118.25 $422.29 0.6×
Standardized Cognitive Performance Testing (96125) $51.50 $183.92 0.5×
Temp transcutaneous pacing (92953) $150.43 $537.24 0.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $23.72 $84.70 1.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $28.46 $101.64 1.4×
Ther/Proph/Diag Inj Sc/Im (96372) $35.92 $128.26 0.6×
Therapeutic Activities (97530) $33.21 $118.58 0.9×
Therapeutic phlebotomy (99195) $33.88 $121 0.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $11.19 $39.93 0.3×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $246.99 $882.09 1.2×
Transcranial Doppler Limited (93888) $165 $589.27 1.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $319.49 $1,141.03 0.7×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $276.80 $988.57 1.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $63.52 $226.88 0.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $58.62 $209.33 0.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $49.13 $175.45 1.2×
Ultraviolet Therapy (97028) $9.15 $32.67 1.1×
Valvuloplasty pulmonary valve (92990)
unusually low: confirm this is the full procedure
$3,071.57 $10,969.86 0.3×
Vasc Duplex Extrem Venous,Bilat (93970) $390.30 $1,393.92 1.9×
Vasc Duplex Scan Extracranial,Limited (93882) $236.83 $845.79 2.6×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $190.07 $678.81 1.0×
Vasopneumatic device (97016) $16.78 $59.90 1.4×
Veeg by tech 2-12 hours unmonitored (95711) $582.74 $2,081.20 3.1×
Veeg Ea 12-26 Hr Unmntr (95714) $802.96 $2,867.70 2.5×
Ventilation assist & mgmt inpatient 1st day (94002) $551.91 $1,971.09 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $551.91 $1,971.09 1.0×
Visual Evoked Potential Test (95930) $173.13 $618.31 0.9×
Vital capacity total (94150) $41.68 $148.83 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $24.40 $87.12 0.8×