Visits & medical services prices at Wayne Memorial Hospital

Jesup, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $211.50 $423 1.1×
Analyze Neurostim Complex (95972) $131 $262 1.6×
Appl on-body injector for timed subq injection (96377) $244.50 $489 6.0×
Assessment of aphasia (96105) $199.25 $398.50 2.0×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $45.50 $91 1.2×
Behavioral and qualitative analysis of voice and resonance (92524) $116 $232 1.1×
Biofeedback training any modality (90901) $107 $214 2.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $282 $564 0.9×
C motor evoked upr&lwr limbs (95939) $1,023 $2,046 1.4×
Cardiac Stress Tst,Tracing Only (93017) $282 $564 1.5×
Cardiopulmonary resuscitation (92950) $282 $564 1.5×
Cardioversion (92960) $581 $1,162 1.0×
Cbt 1st hour (94644) $119.50 $239 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $244 $488 3.9×
Chemo IV push addl drug (96411) $218 $436 3.5×
Chemo Iv Push Sngl Drug (96409) $413.50 $827 1.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $447.50 $895 1.5×
Chemother, IV infusion, 1 hr (96413) $412.25 $824.50 1.4×
Chemother, IV infusion, ea add hr (96415) $228.75 $457.50 3.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $303 $606 4.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $160.50 $321 2.5×
Color/duplex Doppler, complete (93975) $263.50 $527 1.3×
Color/duplex Doppler, limited (93976) $130 $260 1.4×
Cpap initiation and management (94660) $211.50 $423 1.1×
Cpt initial (94667) $119.50 $239 1.0×
Critical care (99291) $1,885 $3,770 2.6×
Debridement Open Wound 20 Sq Cm< (97597) $192 $384 1.1×
Demo &/or eval,pt use,aerosol device (94664) $211.50 $423 1.1×
Dup-scan xtr veins unilateral/limited study (93971) $130 $260 1.4×
Duplex scan extracranial art compl bi study (93880) $263.50 $527 1.3×
Echo Heart Xthoracic,Limited (93308) $263.50 $527 1.3×
EKG (93005) $64 $128 1.2×
EMG two extremities (95861) $119.50 $239 1.0×
Er level 1 (99281) $216 $432 2.9×
Er level ii (99282) $377.50 $755 2.8×
Er level iii (99283) $646.50 $1,293 2.7×
Er level IV (99284) $1,185 $2,370 3.2×
Er level v (99285) $1,615.50 $3,231 3.1×
Ergonovine provocation test (93024) $374.50 $749 1.0×
Evaluation of speech fluency (92521) $139.50 $279 1.0×
Evaluation of speech sound production (92522) $119 $238 1.1×
Evaluation of swallowing function (92610) $109 $218 1.3×
External Ecg Scanning Analysis Report (93226) $119.50 $239 2.3×
Group Therapeutic Procedures (97150) $24 $48 1.3×
Holter Monitor Recording (93225) $119.50 $239 1.0×
Immunization Admin (90471) $66.50 $133 1.1×
Ins swan ganz bedside (93503) $1,114 $2,228 0.8×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $128.50 $257 2.5×
IV infusion hydration each additional hour (96361) $42.50 $85 1.0×
IV infusion hydration initial 31 min-1 hour (96360) $217 $434 1.2×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $66.50 $133 1.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $217 $434 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $42.50 $85 1.0×
IV push initial (96374) $217 $434 1.2×
Manual therapy 15 min (97140) $41.75 $83.50 1.5×
Massage 15 min (97124) $32.50 $65 1.1×
Maximum voluntary ventilation (94200) $119.50 $239 2.3×
Mechanical traction (97012) $42.50 $85 3.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $32.75 $65.50 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $43.25 $86.50 1.2×
Mnt Group Ea 30 Min (97804) $21.50 $43 1.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $112 $224 1.2×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $119.50 $239 0.3×
Needle electromyography larynx (95865) $119.50 $239 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $192 $384 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $352.50 $705 1.0×
Neuromuscular junction test (95937) $155 $310 1.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $150.50 $301 1.3×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $155 $310 0.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $41 $82 0.9×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $44.50 $89 1.4×
Ot Contrast Bath Ea 15 Min (97034) $71 $142 5.1×
Ot eval high complex 60 min (97167) $109 $218 1.1×
Ot eval low complex 30 min (97165) $109 $218 1.1×
Ot eval mod complex 45 min (97166) $109 $218 1.1×
Ot Prosthetic Training, Each 15 Min (97761) $37 $74 0.9×
Ot re-eval est plan care (97168) $68 $136 1.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $132.50 $265 1.2×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $132.50 $265 1.2×
Paraffin bath (97018) $45 $90 7.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $211.50 $423 1.1×
Plethysmography (94726) $282 $564 0.9×
Pt Electric Current Therapy (97033) $42 $84 2.2×
Pt Electrical Stimulation (97032) $37.50 $75 2.6×
Pt eval high complex 45 min (97163) $96.50 $193 1.0×
Pt eval low complex 20 min (97161) $96.50 $193 1.0×
Pt Gait Training Therapy (97116) $37 $74 1.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $65.25 $130.50 2.0×
Pt Physical Performance Test (97750) $35.50 $71 1.1×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $96.50 $193 1.0×
Pt re-evaluation (97164) $54 $108 0.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $42.50 $85 1.3×
Pt Ultrasound Therapy (97035) $34.50 $69 2.4×
Pt Whirlpool Therapy (97022) $46 $92 2.9×
Pulm function test by gas (94727) $155 $310 0.8×
Pulmonary stress testing (94618) $119.50 $239 1.0×
Refill/maint, portable pump (96521) $366 $732 2.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $192.25 $384.50 1.1×
Rt Chest Wall Manipulation,Subsequent (94668) $119.50 $239 1.0×
Sensory Integration Ea 15 Min (97533) $35 $70 0.6×
Somatosensory testing (95938) $504 $1,008 0.7×
Speech sound lang comprehen (92523) $222.50 $445 1.0×
Spirometry (94010) $155 $310 0.8×
Standardized Cognitive Performance Testing (96125) $234 $468 2.3×
Stress echo (93350) $551.50 $1,103 1.2×
Temp transcutaneous pacing (92953) $581 $1,162 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $66.50 $133 1.1×
Therapeutic Activities (97530) $45.50 $91 1.3×
Therapeutic phlebotomy (99195) $110.48 $220.95 0.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,019 $2,038 2.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $104.75 $209.50 1.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $111 $222 1.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $42.50 $85 1.0×
Ultraviolet Therapy (97028) $42.50 $85 5.1×
Vasc Duplex Extrem Venous,Bilat (93970) $263.50 $527 1.3×
Vasopneumatic device (97016) $38.25 $76.50 3.2×
Ventilation assist & mgmt inpatient 1st day (94002) $522.50 $1,045 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $522.50 $1,045 1.0×
Vital capacity total (94150) $155 $310 1.4×
Wheelchair Mgmt Ea 15 Min (97542) $55.50 $111 1.8×