Visits & medical services prices at Wayne General Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $94 $94 0.5×
Assessment of aphasia (96105) $154 $154 1.6×
Behav assmt w/score & docd/stand instrument (96127) $51.50 $51.50 1.6×
Behavioral and qualitative analysis of voice and resonance (92524) $251 $251 2.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $280 $280 0.9×
Cardiac Stress Tst,Tracing Only (93017) $438 $438 2.4×
Cardiopulmonary resuscitation (92950) $377 $377 2.0×
Cardioversion (92960) $392.50 $392.50 0.7×
Chemother, IV infusion, 1 hr (96413) $637 $637 2.2×
Chemother, IV infusion, ea add hr (96415) $249.50 $249.50 4.0×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $111.50 $111.50 1.3×
Cont Gluc Monitoring Patient Provided Equipment (95249) $177 $177 3.5×
Continuous Glucose Monitoring (95250) $366 $366 3.2×
Cpap initiation and management (94660) $231 $231 1.2×
Cpt initial (94667) $117 $117 1.0×
Critical care (99291) $397 $397 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $170 $170 1.0×
Demo &/or eval,pt use,aerosol device (94664) $133.50 $133.50 0.7×
Developmental tst admin phys/qhp 1st hour (96112) $718 $718 6.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $358 $358 1.7×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $263 $263 2.9×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $439 $439 2.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $358 $358 4.0×
Dup-scan xtr veins unilateral/limited study (93971) $358 $358 4.0×
Duplex scan extracranial art compl bi study (93880) $434 $434 2.1×
Echo Heart Xthoracic,Limited (93308) $315.50 $315.50 1.5×
Echo Transthoracic - Congenital Tte Complete (93303) $1,149 $1,149 2.4×
EEG awake drowsy (95816) $384 $384 2.1×
EKG (93005) $66.50 $66.50 1.3×
Er level 1 (99281) $130.50 $130.50 1.8×
Er level ii (99282) $120 $120 0.9×
Er level iii (99283) $134.50 $134.50 0.6×
Er level IV (99284) $195.50 $195.50 0.5×
Er level v (99285) $328 $328 0.6×
Evaluation of speech fluency (92521) $255 $255 1.9×
Evaluation of speech sound production (92522) $251 $251 2.2×
Evaluation of swallowing function (92610) $318 $318 3.7×
Evaluation with prescription of speech-generating alternative (92607) $226 $226 1.8×
External ECG rec>48hr<7d recording (93242) $87.50 $87.50 2.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $158 $158 1.4×
External ECG rec>7d<15d recording (93246) $87.50 $87.50 2.7×
External Ecg Scanning Analysis Report (93226) $153 $153 3.0×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $534 $534 2.7×
Flow volume loop (94375) $287 $287 1.5×
Holter Monitor Recording (93225) $155.50 $155.50 1.4×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $21 $21 0.3×
Immunization Admin (90471) $64.49 $64.49 1.0×
Immunotherapy, 2+ Injections (95117) $26 $26 0.6×
Inital newborn e/m (99460) $103 $103 0.9×
Initial normal newborn care, same day discharge (99463) $128 $128 1.1×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $116 $116 2.3×
IV infusion hydration each additional hour (96361) $82 $82 2.0×
IV infusion hydration initial 31 min-1 hour (96360) $165 $165 0.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $119 $119 1.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $383 $383 2.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $82 $82 2.0×
IV push initial (96374) $242 $242 1.3×
Manual therapy 15 min (97140) $88.50 $88.50 3.2×
Massage 15 min (97124) $90 $90 3.0×
Maximum voluntary ventilation (94200) $107 $107 2.1×
Mechanical traction (97012) $122 $122 8.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $46 $46 1.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $53 $53 1.4×
Mnt Group Ea 30 Min (97804) $26 $26 1.5×
Neg press wound tx >50 cm (97608) $100 $100 0.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $251 $251 1.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $466.50 $466.50 1.3×
Newborn resuscitation (99465) $258 $258 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $148 $148 1.3×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $228 $228 1.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $184 $184 1.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $90 $90 2.0×
Osteopathic manipulative tx 1-2 body regions (98925) $56 $56 3.0×
Osteopathic manipulative tx 3-4 body regions (98926) $90 $90 4.8×
Osteopathic manipulative tx 5-6 body regions (98927) $133 $133 7.1×
Osteopathic manipulative tx 7-8 body regions (98928) $162.20 $162.20 8.7×
Osteopathic manipulative tx 9-10 body regions (98929) $189 $189 10.2×
Ot Contrast Bath Ea 15 Min (97034) $80 $80 5.7×
Ot eval high complex 60 min (97167) $197 $197 2.0×
Ot eval low complex 30 min (97165) $147 $147 1.5×
Ot eval mod complex 45 min (97166) $197 $197 2.0×
Ot Prosthetic Training, Each 15 Min (97761) $85 $85 2.1×
Ot re-eval est plan care (97168) $114 $114 1.7×
Paraffin bath (97018) $57 $57 9.5×
Percutaneous tests w/allergenic extracts (95004) $9 $9 0.0×
Plethysmography (94726) $287 $287 0.9×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $17 $17 0.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $21 $21 0.5×
Psychiatric diagnostic evaluation (90791) $385 $385 2.5×
Psytx crisis initial 60 min (90839) $343 $343 2.2×
Pt Electric Current Therapy (97033) $85 $85 4.5×
Pt eval high complex 45 min (97163) $197 $197 2.0×
Pt eval low complex 20 min (97161) $143.50 $143.50 1.5×
Pt Gait Training Therapy (97116) $85 $85 2.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $85 $85 2.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $197 $197 2.0×
Pt re-evaluation (97164) $197 $197 2.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $73.50 $73.50 2.3×
Pt Ultrasound Therapy (97035) $85 $85 5.9×
Pt Whirlpool Therapy (97022) $97.50 $97.50 6.2×
Pulm function test by gas (94727) $102.50 $102.50 0.6×
Pulmonary stress testing (94618) $137 $137 1.2×
Rem mntr physiol param 1st dev supply ea 30 days (99454) $65 $65 2.0×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $21.50 $21.50 0.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $153 $153 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $116.98 $116.98 1.0×
Sensory Integration Ea 15 Min (97533) $90 $90 1.5×
Smoking cessation > 10 min (99407) $82.64 $82.64 2.6×
Speech sound lang comprehen (92523) $255 $255 1.1×
Spirometry (94010) $143 $143 0.8×
Standardized Cognitive Performance Testing (96125) $154 $154 1.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $75 $75 3.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $197 $197 1.9×
Ther/Proph/Diag Inj Sc/Im (96372) $37 $37 0.6×
Therapeutic Activities (97530) $87 $87 2.5×
Therapeutic phlebotomy (99195) $116.98 $116.98 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $66.38 $66.38 2.1×
Trans Care Mgmt 14 Day Disch (99495) $201 $201 1.8×
Trans Care Mgmt 7 Day Disch (99496) $279 $279 2.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $947 $947 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $167.50 $167.50 2.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $187 $187 2.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $88.50 $88.50 2.2×
Unlisted allergy/clinical immunologic service or procedure Cardiac Catheterization (95199) $9 $9 0.4×
Unlisted pulmonary service/procedure (94799) $142.99 $142.99 1.3×
Vasc Duplex Extrem Venous,Bilat (93970) $439 $439 2.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $286 $286 1.5×
Vasopneumatic device (97016) $85 $85 7.1×
Ventilation assist & mgmt inpatient 1st day (94002) $1,036 $1,036 1.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $571.34 $571.34 1.1×
Vital capacity total (94150) $143 $143 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $68 $68 2.2×