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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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $218.35 $291.13 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $36.31 $48.41 2.5×
Assessment of aphasia per hr (96105) $95.79 $127.72 1.0×
Behavral qualit analys voice (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×
Breathing response to hypoxia (94450) $105.02 $140.03 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $413.26 $551.01 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)
range across 2 matching MRF lines
$254.20–$261.83 $338.93–$349.10 varies
Cardioversion (92960) $593.15 $790.86 0.9×
Cbt 1st hour (94644)
range across 2 matching MRF lines
$82.25–$84.98 $109.67–$113.30 varies
Chest Wall Manipulation (94668) $82.25 $109.67 0.6×
Color/duplex Doppler, complete (93975) $580.85 $774.47 2.4×
Color/duplex Doppler, limited (93976) $296.88 $395.84 2.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $44.03 $58.71 1.4×
Continuous Pulse Ox (94762) $105.02 $140.03 0.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines
$21.56–$254.36 $28.74–$339.14 varies
Cpt initial (94667) $82.25 $109.67 0.6×
Critical care first hour (99291) $795.60 $1,060.80 1.0×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$45.89–$340.56 $61.18–$454.08 varies
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 Xtr Veins Complete Bilateral Study (93970) $283.98 $378.64 1.2×
Dup-scan xtr veins unilateral/limited study (93971) $185.06 $246.74 1.8×
Duplex up extrem art bilat (93930) $241.38 $321.84 1.0×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$123.70–$142.25 $164.93–$189.67 varies
Echo Heart Xthoracic,Limited (93308) $446.12 $594.83 1.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $981.82 $1,309.09 1.8×
Eeg 41-60 Minutes (95812)
range across 2 matching MRF lines
$69.98–$243.34 $93.30–$324.45 varies
EEG awake and asleep (95819)
range across 2 matching MRF lines
$67.94–$243.34 $90.58–$324.45 varies
EEG awake drowsy (95816)
range across 2 matching MRF lines
$67.94–$243.34 $90.58–$324.45 varies
EEG cerebral death evaluation (95824) $341.45 $455.27 0.9×
EEG extended monitoring 61-119 minutes (95813)
range across 2 matching MRF lines
$108.53–$243.34 $144.70–$324.45 varies
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$37.85–$40.17 $50.47–$53.56 varies
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$171.07–$176.20 $228.09–$234.93 varies
Emergency Dept Visit Level 2 (99282) $141.19 $188.25 0.9×
Emergency Dept Visit Level 3 (99283) $224.06 $298.75 0.8×
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$357.17–$358.02 $476.23–$477.36 varies
Er level 1 (99281) $86.24 $114.99 1.0×
Er level v (99285) $530.90 $707.87 0.9×
Esophageal Capsule Endoscopy (91111) $909.58 $1,212.77 1.0×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$148.01–$187.72 $197.35–$250.29 varies
Evaluate Speech Production (92522) $111.24 $148.32 1.0×
Evaluate Swallowing Function (92610) $79.57 $106.09 0.9×
Evaluation of speech fluency (92521) $119.74 $159.65 0.9×
Exercise test for bronchospasm (94617) $82.25 $109.67 0.6×
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×
Extracranial Bilat Study (93880) $388.62 $518.16 1.6×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $705.13 $940.17 0.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $417.68 $556.91 0.5×
Gi tract capsule endoscopy (91110)
range across 2 matching MRF lines
$1,006.28–$1,061.05 $1,341.70–$1,414.73 varies
Group Therapeutic Procedures (97150) $56.25 $75 3.1×
Holter monitor recording (93225) $105.83 $141.10 0.8×
Im Adm Intransl/Oral 1 Vaccine (90473) $46.16 $61.54 0.6×
Immunization administration (90471)
range across 2 matching MRF lines
$46.16–$47.54 $61.54–$63.39 varies
Intracranial Complete Study (93886) $516.32 $688.42 2.2×
Iontophoresis 15 min (97033) $41.72 $55.62 2.2×
Irrig Drug Delivery Device (96523) $78.19 $104.25 1.3×
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$38.45–$40.79 $51.27–$54.39 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$140.39–$148.94 $187.18–$198.58 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines
$57.50–$59.22 $76.66–$78.96 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$39.61–$40.79 $52.81–$54.39 varies
IV push initial (96374)
range across 3 matching MRF lines
$140.39–$148.94 $187.18–$198.58 varies
Lung Function Test (Mbc/Mvv) (94200) $82.25 $109.67 1.4×
Lwr Xtr Vasc Stdy Bilat (93924) $231.32 $308.42 1.1×
Mechanical chest wall oscillation per session (94669) $280.58 $374.10 1.3×
Methacholine challenge (94070) $293.55 $391.40 0.8×
Motion Fluoroscopy/Swallow (92611) $127.46 $169.95 1.4×
Multiple Sleep Latency Test (95805) $1,200.47 $1,600.62 1.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$49.87–$622.02 $66.49–$829.36 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$53.73–$643.11 $71.64–$857.48 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$49.87–$340.56 $66.49–$454.08 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $606.57 $808.76 1.5×
Neuromuscular Reeducation (97112) $45.58 $60.77 1.4×
Oral Function Therapy (92526) $71.84 $95.79 0.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $72.53 $96.70 1.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$47.12–$390.29 $62.83–$520.39 varies
Ot Contrast Bath Ea 15 Min (97034) $22.40 $29.87 1.6×
Ot eval high complexity (97167) $173.04 $230.72 1.7×
Ot Eval Low Complex (97165) $74.93 $99.91 0.7×
Ot Eval Moderate Complexity (97166) $111.24 $148.32 1.1×
Ot manual therapy 15 min (97140) $51.76 $69.01 1.9×
Ot paraffin bath (97018) $23.95 $31.93 4.0×
Ot Prosthetic Training, Each 15 Min (97761) $31.67 $42.23 0.8×
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×
Oxygen Uptake Rest Indirect (94690) $164.51 $219.34 2.8×
Peripheral arterial disease rehab per session (93668) $86 $114.66 1.5×
Phlebotomy therapeutic (99195) $82.25 $109.67 0.6×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $59.48 $79.31 1.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $59.48 $79.31 1.0×
Physical Performance Test (97750) $44.03 $58.71 1.3×
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 Eval High Complex (97163) $190.81 $254.41 1.9×
Pt eval low complex 20 min (97161) $90.38 $120.51 0.9×
Pt Eval Mod Complex (97162) $129.01 $172.01 1.3×
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$48.67–$51.76 $64.89–$69.01 varies
Pt mechanical traction (97012) $29.36 $39.14 2.0×
Pt Re-Eval Est Plan Care (97164) $41.72 $55.62 0.6×
Pulm function test by gas (94727) $105.02 $140.03 0.5×
Pulmonary service/procedure (94799) $218.15 $290.86 1.7×
Pulmonary Stress Testing (94618) $87.29 $116.39 0.7×
Respiratory flow volume loop (94375) $194.91 $259.88 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$136.31–$340.56 $181.74–$454.08 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $28.28 $37.70 1.1×
Self Care Mngment Training (97535) $47.90 $63.86 1.5×
Sleep study attended (95807)
range across 2 matching MRF lines
$764–$1,200.47 $1,018.67–$1,600.62 varies
Sleep study unattended (95806) $262.50 $350 1.2×
Slp caregiver training 1st 30 min (97550) $47.90 $63.86 0.9×
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 Tte Only (93350) $384.31 $512.41 0.7×
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 Ea Addl 15 Min (97130) $34.95 $46.60 1.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $36.31 $48.41 1.2×
Ther/Proph/Diag Inj Ia (96373) $144.60 $192.80 0.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$46.16–$47.54 $61.54–$63.39 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$204.68–$210.83 $272.91–$281.10 varies
Therapeutic Activities (97530) $37.85 $50.47 1.1×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$48.98–$83.78 $65.30–$111.70 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$23.48–$64.46 $31.31–$85.95 varies
Tte w/doppler, complete (93306) $885.11 $1,180.14 1.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $95.79 $127.72 1.3×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $58.50 $78 2.4×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$55.82–$59.22 $74.43–$78.96 varies
Upr/L Xtremity Art 2 Levels (93922) $84.72 $112.96 0.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $117.12 $156.16 0.5×
Vasopneumatic device (97016) $30.13 $40.17 2.5×
Vent Mgmt Inpat Init 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×
Whirlpool Therapy (97022) $36.31 $48.41 2.3×

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.