Visits & medical services prices at Washington County Memorial Hospital

Potosi, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $218.35 $291.13 1.0×
Assessment of aphasia (96105) $95.79 $127.72 1.0×
Behavioral and qualitative analysis of voice and resonance (92524) $111.24 $148.32 1.0×
Blink reflex test (95933) $82.25 $109.67 1.4×
Breath Hydrogen/Methane Test (91065) $223.88 $298.50 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $413.26 $551.01 1.1×
Capsule endoscopy (91110) $1,033.66 $1,378.22 1.1×
Cardiac Stress Tst,Tracing Only (93017) $367.50 $490 1.7×
Cardiopulmonary exercise testing (94621) $276.56 $368.74 0.7×
Cardiopulmonary resuscitation (92950) $258.02 $344.02 1.2×
Cardioversion (92960) $593.15 $790.86 0.9×
Caregiver training 1st 30 min (97550) $47.90 $63.86 0.9×
Cbt 1st hour (94644) $83.62 $111.48 0.6×
Color/duplex Doppler, complete (93975) $580.85 $774.47 2.4×
Color/duplex Doppler, limited (93976) $296.88 $395.84 2.8×
Cortical mapping 1st hr (95961) $705.13 $940.17 0.8×
Cpap initiation and management (94660) $145.86 $194.48 0.7×
Cpt initial (94667) $82.25 $109.67 0.6×
Critical care (99291) $795.60 $1,060.80 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $150.28 $200.37 0.7×
Demo &/or eval,pt use,aerosol device (94664) $167.86 $223.82 0.8×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $241.38 $321.84 1.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $326.57 $435.42 1.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $185.06 $246.74 1.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $241.38 $321.84 1.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $132.98 $177.30 1.3×
Dup-scan xtr veins unilateral/limited study (93971) $185.06 $246.74 1.8×
Duplex scan extracranial art compl bi study (93880) $388.62 $518.16 1.6×
Echo Heart Xthoracic,Limited (93308) $446.12 $594.83 1.9×
EEG awake asleep (95819) $155.64 $207.52 0.7×
EEG awake drowsy (95816) $155.64 $207.52 0.7×
EEG cerebral death evaluation (95824) $341.45 $455.27 0.9×
Eeg Extended Monitoring 61-119 Minutes (95813) $175.94 $234.58 0.8×
EKG (93005) $173.64 $231.51 2.9×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $156.66 $208.88 0.7×
Er level 1 (99281) $86.24 $114.99 1.0×
Er level ii (99282) $141.19 $188.25 0.9×
Er level iii (99283) $224.06 $298.75 0.8×
Er level IV (99284) $357.60 $476.80 0.9×
Er level v (99285) $530.90 $707.87 0.9×
Esophageal Capsule Endoscopy (91111) $909.58 $1,212.77 1.0×
Evaluation of speech fluency (92521) $119.74 $159.65 0.9×
Evaluation of speech sound production (92522) $111.24 $148.32 1.0×
Evaluation of swallowing function (92610) $79.57 $106.09 0.9×
Exercise tst brncspsm (94617) $82.25 $109.67 0.6×
Exhaled Air Analysis (94690) $164.51 $219.34 2.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $121.24 $161.65 0.9×
External Ecg Scanning Analysis Report (93226) $105.83 $141.10 1.8×
Flow volume loop (94375) $194.91 $259.88 0.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $417.68 $556.91 0.5×
Group Therapeutic Procedures (97150) $56.25 $75 3.1×
Holter Monitor Recording (93225) $105.83 $141.10 0.8×
Hypoxia Response Curve (94450) $105.02 $140.03 0.8×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $46.16 $61.54 0.6×
Immunization Admin (90471) $46.85 $62.46 0.6×
Injection intra arterial (96373) $144.60 $192.80 0.7×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $78.19 $104.25 1.3×
IV infusion hydration each additional hour (96361) $39.61 $52.81 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $144.60 $192.80 0.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $57.50 $76.66 0.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $204.68 $272.91 1.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $39.61 $52.81 0.8×
IV push initial (96374) $144.60 $192.80 0.7×
Manual therapy 15 min (97140) $51.76 $69.01 1.9×
Massage 15 min (97124) $36.31 $48.41 1.2×
Maximum voluntary ventilation (94200) $82.25 $109.67 1.4×
Mechanical chest wall oscillation (94669) $280.58 $374.10 1.3×
Mechanical traction (97012) $29.36 $39.14 2.0×
Methacholine challenge (94070) $293.55 $391.40 0.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $127.46 $169.95 1.4×
Multiple sleep latency test (95805) $1,200.47 $1,600.62 1.4×
Neg press wnd tx </=50 sq cm (97607) $335.94 $447.92 0.8×
Neg press wound tx >50 cm (97608) $348.42 $464.56 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $53.73 $71.64 0.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $606.57 $808.76 1.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $84.72 $112.96 0.6×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $117.12 $156.16 0.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $105.02 $140.03 0.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $218.70 $291.61 4.7×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $44.03 $58.71 1.4×
Ot Contrast Bath Ea 15 Min (97034) $22.40 $29.87 1.6×
Ot eval high complex 60 min (97167) $173.04 $230.72 1.7×
Ot eval low complex 30 min (97165) $74.93 $99.91 0.7×
Ot eval mod complex 45 min (97166) $111.24 $148.32 1.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $72.53 $96.70 1.4×
Ot Prosthetic Training, Each 15 Min (97761) $31.67 $42.23 0.8×
Ot Range Motion Measure,Each Extrem (95851) $28.28 $37.70 1.1×
Ot re-eval est plan care (97168) $41.72 $55.62 0.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $96.56 $128.75 0.7×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $23.95 $31.93 0.2×
Paraffin bath (97018) $23.95 $31.93 4.0×
Peripheral arterial disease rehab per session (93668) $86 $114.66 1.5×
Phy/qhp op pulm rhb w/mntr (94626) $59.48 $79.31 1.0×
Phy/qhp op pulm rhb w/o mntr (94625) $59.48 $79.31 1.0×
Plethysmography (94726) $194.91 $259.88 0.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,148.32 $2,864.43 2.5×
Pt Electric Current Therapy (97033) $41.72 $55.62 2.2×
Pt Electrical Stimulation (97032) $39.01 $52.02 2.7×
Pt eval high complex 45 min (97163) $190.81 $254.41 1.9×
Pt eval low complex 20 min (97161) $90.38 $120.51 0.9×
Pt Gait Training Therapy (97116) $50.22 $66.95 1.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $45.58 $60.77 1.4×
Pt Physical Performance Test (97750) $44.03 $58.71 1.3×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $129.01 $172.01 1.3×
Pt re-evaluation (97164) $41.72 $55.62 0.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $47.90 $63.86 1.5×
Pt Ultrasound Therapy (97035) $36.31 $48.41 2.5×
Pt Whirlpool Therapy (97022) $36.31 $48.41 2.3×
Pulm function test by gas (94727) $105.02 $140.03 0.5×
Pulmonary stress testing (94618) $87.29 $116.39 0.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $156.44 $208.58 0.8×
Rt Chest Wall Manipulation,Subsequent (94668) $82.25 $109.67 0.6×
Sleep study attended (95807) $982.24 $1,309.64 2.6×
Sleep study unattended (95806) $262.50 $350 1.2×
Smoking cessation > 10 min (99407) $66.38 $88.50 1.8×
Speech group therapy (92508) $58.50 $78 2.4×
Speech sound lang comprehen (92523) $159.14 $212.18 0.7×
Spirometry (94010) $105.02 $140.03 0.5×
Standardized Cognitive Performance Testing (96125) $142.50 $190 1.4×
Stress echo (93350) $384.31 $512.41 0.7×
Stress Tte Complete (93351) $981.82 $1,309.09 1.8×
Temp transcutaneous pacing (92953) $418.91 $558.55 0.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $36.54 $48.72 1.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $34.95 $46.60 1.7×
Ther/Proph/Diag Inj Sc/Im (96372) $46.16 $61.54 0.6×
Therapeutic Activities (97530) $37.85 $50.47 1.1×
Therapeutic phlebotomy (99195) $82.25 $109.67 0.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $43.97 $58.63 1.2×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $516.32 $688.42 2.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $885.11 $1,180.14 1.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $95.79 $127.72 1.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $71.84 $95.79 0.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $57.50 $76.66 1.2×
Unlisted pulmonary service/procedure (94799) $218.15 $290.86 1.7×
Vasc Duplex Extrem Venous,Bilat (93970) $283.98 $378.64 1.2×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $231.32 $308.42 1.1×
Vasopneumatic device (97016) $30.13 $40.17 2.5×
Ventilation assist & mgmt inpatient 1st day (94002) $393.98 $525.30 0.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $393.95 $525.27 0.6×
Vital capacity total (94150) $105.02 $140.03 0.8×
Wada Activation Test Hemispheric Function W/Eeg (95958) $705.13 $940.17 0.8×