Visits & medical services prices at Wayne County Hospital

Monticello, KY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $61.59 $94.75 0.3×
Assessment of aphasia (96105) $131.56 $202.40 1.4×
Behavioral and qualitative analysis of voice and resonance (92524) $211.90 $326 1.9×
Bfb training 1st 15 min (90912) $87.72 $134.95 1.1×
Bfb training ea addl 15 min (90913) $49.53 $76.20 1.5×
Biofeedback training any modality (90901) $53.24 $81.90 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $362.86 $558.25 1.0×
Canalith Repositioning (95992) $54.89 $84.45 1.3×
Cardiopulmonary resuscitation (92950) $351.49 $540.75 1.7×
Cardioversion (92960) $747.18 $1,149.50 1.2×
Chemother, IV infusion, 1 hr (96413) $363.19 $558.75 1.2×
Chemother, IV infusion, ea add hr (96415) $60.94 $93.75 0.9×
Color/duplex Doppler, complete (93975) $202.18 $311.05 0.9×
Cpap initiation and management (94660) $154.49 $237.68 0.8×
Cpt initial (94667) $41.18 $63.35 0.3×
Critical care (99291) $1,066.52 $1,640.80 1.4×
Debridement Open Wound 20 Sq Cm< (97597) $59.75 $91.92 0.3×
Demo &/or eval,pt use,aerosol device (94664) $76.99 $118.45 0.4×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $145.96 $224.55 0.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $175.08 $269.35 0.8×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $106.78 $164.28 1.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $142.94 $219.90 0.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $40.84 $62.82 0.4×
Dup-scan xtr veins unilateral/limited study (93971) $130.88 $201.35 1.3×
Duplex scan extracranial art compl bi study (93880) $170.04 $261.60 0.8×
Echo Heart Xthoracic,Limited (93308) $114.82 $176.65 0.5×
EKG (93005) $66.27 $101.95 1.2×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $593.84 $913.60 2.9×
Er level 1 (99281) $44.85 $69 0.6×
Er level ii (99282) $161.68 $248.72 1.1×
Er level iii (99283) $237.17 $364.88 0.9×
Er level IV (99284) $330.90 $509.08 0.8×
Er level v (99285) $474.68 $730.28 0.8×
Evaluation of speech fluency (92521) $239.69 $368.75 1.8×
Evaluation of speech sound production (92522) $216.91 $333.70 1.9×
Evaluation of swallowing function (92610) $213.56 $328.55 2.5×
Evaluation with prescription of speech-generating alternative (92607) $220.61 $339.40 1.8×
External ECG rec>48hr<7d recording (93242) $86.94 $133.75 2.5×
External ECG rec>7d<15d recording (93246) $80.60 $124 2.3×
Flow volume loop (94375) $331.40 $509.85 1.6×
Group Therapeutic Procedures (97150) $37.83 $58.20 2.1×
Holter Monitor Recording (93225) $284.21 $437.25 2.3×
Immunization Admin (90471) $74.98 $115.35 1.1×
Immunotherapy, 2+ Injections (95117) $12.71 $19.55 0.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $115.15 $177.15 2.1×
IV infusion hydration each additional hour (96361) $81.02 $124.65 1.8×
IV infusion hydration initial 31 min-1 hour (96360) $331.40 $509.85 1.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $104.60 $160.92 1.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $328.74 $505.75 1.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $79.01 $121.55 1.8×
IV push initial (96374) $348.82 $536.65 1.7×
Manual therapy 15 min (97140) $75.30 $115.85 2.7×
Massage 15 min (97124) $52.55 $80.85 1.8×
Maximum voluntary ventilation (94200) $114.14 $175.60 2.1×
Mechanical chest wall oscillation (94669) $100.10 $154 0.5×
Mechanical traction (97012) $56.23 $86.50 3.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $32.79 $50.45 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $38.16 $58.70 1.0×
Mnt Group Ea 30 Min (97804) $32.79 $50.45 1.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $234.33 $360.50 2.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $122.17 $187.95 0.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $124.54 $191.60 0.3×
Newborn resuscitation (99465) $747.18 $1,149.50 1.2×
Nitric oxide expired gas determination (95012) $69.62 $107.10 2.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $128.54 $197.75 1.0×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $271.83 $418.20 1.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $133.90 $206 1.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $44.02 $67.72 1.0×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $48.04 $73.90 1.5×
Ot Contrast Bath Ea 15 Min (97034) $51.22 $78.80 3.7×
Ot eval high complex 60 min (97167) $290.91 $447.55 2.9×
Ot eval low complex 30 min (97165) $193.83 $298.20 1.9×
Ot eval mod complex 45 min (97166) $225.62 $347.10 2.2×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $37.15 $57.15 0.7×
Ot Prosthetic Training, Each 15 Min (97761) $48.04 $73.90 1.2×
Ot Range Motion Measure,Each Extrem (95851) $55.58 $85.50 2.1×
Ot re-eval est plan care (97168) $150.64 $231.75 2.2×
Paraffin bath (97018) $24.77 $38.10 4.1×
Plethysmography (94726) $361.53 $556.20 1.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $6.37 $9.80 0.1×
Psych diag eval w/med srvcs (90792) $308.75 $475 1.9×
Psychiatric diagnostic evaluation (90791) $243.75 $375 1.5×
Psytx crisis initial 60 min (90839) $55.67 $85.65 0.3×
Pt Electric Current Therapy (97033) $75.30 $115.85 4.0×
Pt Electrical Stimulation (97032) $75.30 $115.85 5.1×
Pt eval high complex 45 min (97163) $290.91 $447.55 3.0×
Pt eval low complex 20 min (97161) $193.83 $298.20 2.0×
Pt Gait Training Therapy (97116) $75.30 $115.85 2.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $52.55 $80.85 1.6×
Pt Physical Performance Test (97750) $85.86 $132.10 2.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $225.62 $347.10 2.3×
Pt re-evaluation (97164) $150.64 $231.75 2.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $41.84 $64.38 1.3×
Pt Ultrasound Therapy (97035) $75.30 $115.85 5.2×
Pt Whirlpool Therapy (97022) $43.19 $66.45 2.8×
Pulmonary stress testing (94618) $154.31 $237.40 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $161.18 $247.98 0.9×
Rom meas&reprt hand w/wo comparison normal sid (95852) $28.44 $43.75 1.3×
Rt Chest Wall Manipulation,Subsequent (94668) $31.14 $47.90 0.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $48.52 $74.65 1.0×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $400.01 $615.40 2.0×
Speech group therapy (92508) $48.88 $75.20 2.0×
Speech sound lang comprehen (92523) $441.19 $678.75 1.9×
Spirometry (94010) $193.15 $297.15 1.0×
Standardized Cognitive Performance Testing (96125) $272.81 $419.70 2.7×
Temp transcutaneous pacing (92953) $747.18 $1,149.50 1.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $62.60 $96.30 2.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $63.28 $97.35 3.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $96.75 $148.85 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $121.52 $186.95 1.8×
Therapeutic Activities (97530) $49.21 $75.70 1.4×
Therapeutic phlebotomy (99195) $34.81 $53.55 0.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $376.09 $578.60 0.7×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $181.09 $278.60 0.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $118.82 $182.80 1.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $136.24 $209.60 1.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $134.58 $207.05 3.1×
Unlisted pulmonary service/procedure (94799) $34.16 $52.55 0.3×
Vasc Duplex Extrem Venous,Bilat (93970) $167.05 $257 0.7×
Vasc Duplex Scan Extracranial,Limited (93882) $110.79 $170.45 1.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $235.01 $361.55 1.2×
Vasopneumatic device (97016) $36.14 $55.60 3.0×
Ventilation assist & mgmt inpatient 1st day (94002) $652.10 $1,003.22 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $231.99 $356.90 0.4×
Vital capacity total (94150) $34.98 $53.82 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $36.32 $55.88 1.2×