Visits & medical services prices at West Tennessee Healthcare Dyersburg Hospital

Dyersburg, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $4,237.50 $14,125 0.6×
Actigraphy Testing Recording Analysis I&R (95803) $114.90 $383 2.1×
Actinotherapy Ultraviolet Light (96900) $55.20 $184 1.6×
Advncd Care Plan 30 Min (99497) $45.90 $153 0.5×
Airway Inhalation Treatment (94640) $85.50 $285 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $39 $130 2.7×
Application Modality 1/> Areas Infrared (97026) $3.90 $13 0.6×
Application on-body injector (96377) $42.30 $141 1.0×
Behavral qualit analys voice (92524) $90.60 $302 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $134.10 $447 0.4×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$1,134.90 $3,783 0.2×
Canalith repositioning proc (95992) $62.40 $208 1.5×
Car seat/bed test 60 min (94780) $40.20 $134 1.2×
Cardiac Stress Tst,Tracing Only (93017) $271.20 $904 1.4×
Cardiopulmonary resuscitation (92950) $339 $1,130 1.7×
Cardioversion (92960) $447 $1,490 0.7×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $7,741.20 $25,804 2.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,091.70 $23,639 2.4×
Cbt 1st hour (94644) $120.90 $403 1.0×
Chemo Anti-Neopl Sq/Im (96401) $78 $260 1.2×
Chemo Hormon Antineopl Sq/Im (96402) $74.40 $248 1.1×
Chemo Ia Push (96420) $145.20 $484 0.5×
Chemo IV infusion addl hr (96415) $61.20 $204 0.9×
Chemo IV push addl drug (96411) $79.50 $265 1.2×
Chemother Prolong Infuse W/Pump (96416) $179.70 $599 0.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $81.30 $271 1.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $175.50 $585 0.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $110.10 $367 0.4×
Chest Wall Manipulation (94668) $29.40 $98 0.2×
Color/duplex Doppler, complete (93975) $397.80 $1,326 1.8×
Color/duplex Doppler, limited (93976) $258.60 $862 2.7×
Continuous Pulse Ox (94762) $77.40 $258 0.7×
Coronary Art/Grft Angio S&I (93455) $4,069.80 $13,566 1.4×
Coronary Artery Angio S&I (93454) $4,664.40 $15,548 1.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $143.10 $477 0.7×
Cpt initial (94667) $64.80 $216 0.5×
Critical care first hour (99291) $1,707.60 $5,692 2.3×
Debridement Open Wound 20 Sq Cm< (97597) $99 $330 0.5×
Developmental tst admin phys/qhp 1st hour (96112) $95.40 $318 0.8×
Dialysis One Evaluation (90945) $226.80 $756 0.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $223.80 $746 1.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $216.90 $723 2.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $251.70 $839 1.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $144.30 $481 1.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $560.40 $1,868 2.6×
Dup-scan xtr veins unilateral/limited study (93971) $373.80 $1,246 3.9×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $245.40 $818 1.1×
Duplex Scan Hemodialysis Access (93990) $147.30 $491 1.6×
Duplex up extrem art bilat (93930) $235.50 $785 1.1×
Duplex up extrem art unilat/ltd (93931) $144.30 $481 1.5×
Echo Congenital Complete (93303) $805.20 $2,684 1.6×
Echo Heart Xthoracic,Limited (93308) $331.50 $1,105 1.5×
Echo transesophageal (93312) $962.10 $3,207 1.9×
Eeg 41-60 Minutes (95812) $254.10 $847 1.3×
EEG awake and asleep (95819) $459 $1,530 2.3×
EEG awake drowsy (95816) $204.90 $683 1.0×
EEG cerebral death evaluation (95824) $227.40 $758 0.7×
EEG extended monitoring 61-119 minutes (95813) $307.50 $1,025 1.6×
Eeg Sleep Only (95822) $245.70 $819 1.3×
Electrical Stimulation Ea 15 Min (97032) $31.50 $105 2.1×
Electrocardiogram Tracing (93005) $141.60 $472 2.6×
Emergency Dept Visit Level 2 (99282) $230.40 $768 1.7×
Emergency Dept Visit Level 3 (99283) $444 $1,480 1.8×
Emergency Dept Visit Level 4 (99284) $1,365.90 $4,553 3.6×
Endomyocardial Biopsy (93505) $2,350.50 $7,835 0.8×
Ep & ablate supravent arrhyt (93653) $14,144.10 $47,147 0.6×
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure
$11,561.70 $38,539 0.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $4,931.40 $16,438 0.7×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure
$2,684.40 $8,948 0.4×
Er level 1 (99281) $136.80 $456 1.8×
Er level v (99285) $1,536.60 $5,122 2.8×
Evaluate pt use of inhaler (94664) $41.70 $139 0.2×
Evaluate Speech Production (92522) $90.60 $302 0.8×
Evaluate Swallowing Function (92610) $83.40 $278 1.0×
Evaluation of speech fluency (92521) $90.60 $302 0.7×
External ECG rec>48hr<7d recording (93242) $36 $120 1.1×
External ECG rec>7d<15d recording (93246) $58.50 $195 1.7×
External Ecg Scanning Analysis Report (93226) $150.90 $503 2.8×
Extracranial Bilat Study (93880) $511.80 $1,706 2.4×
F-up/limited tthrc echo congenital car anomaly (93304) $466.80 $1,556 0.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $708.60 $2,362 0.9×
Gi tract capsule endoscopy (91110) $1,255.50 $4,185 1.5×
Group Therapeutic Procedures (97150) $22.80 $76 1.3×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $7,843.20 $26,144 2.7×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $379.20 $1,264 0.6×
Holter monitor recording (93225) $120 $400 1.0×
Icd Device Interrogate (93289) $93.90 $313 2.8×
Immunization administration (90471) $21.60 $72 0.3×
Insert/Place Heart Catheter (93503) $712.50 $2,375 0.5×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$1,197.60 $3,992 0.2×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure
$1,084.80 $3,616 0.2×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$1,410.60 $4,702 0.2×
Iontophoresis 15 min (97033) $36.60 $122 1.9×
Irrig Drug Delivery Device (96523) $117.60 $392 2.2×
IV infusion hydration each additional hour (96361) $36.90 $123 0.9×
IV infusion hydration initial 31 min-1 hour (96360) $101.40 $338 0.5×
IV infusion ther proph addl sequential to 1 hr (96367) $49.50 $165 0.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $40.20 $134 0.9×
IV push initial (96374) $111.90 $373 0.6×
L Hrt Art/Grft Angio (93459) $7,420.80 $24,736 2.5×
Liver Elastography W/O Imag W/I&R (91200) $212.10 $707 1.8×
Mechanical chest wall oscillation per session (94669) $113.10 $377 0.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $20.10 $67 0.5×
Methacholine challenge (94070) $200.70 $669 0.6×
Motility study esophagus (91010) $609.30 $2,031 1.8×
Motion Fluoroscopy/Swallow (92611) $115.80 $386 1.3×
Multiple Sleep Latency Test (95805) $1,264.50 $4,215 1.6×
Nasopharyngoscopy (92511) $79.50 $265 0.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $233.10 $777 0.6×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $285 $950 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $105.60 $352 0.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $123.90 $413 0.3×
Nerve Conduction Studies 11-12 Studies (95912) $384 $1,280 1.1×
Nerve conduction studies 13 or more studies (95913) $386.40 $1,288 1.1×
Nerve Conduction Studies 3-4 Studies (95908) $140.40 $468 0.7×
Nerve conduction studies 5-6 studies (95909) $169.20 $564 0.9×
Nerve conduction studies 7-8 studies (95910) $216 $720 0.6×
Nerve Conduction Studies 9-10 Studies (95911) $293.40 $978 0.9×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $84.60 $282 0.7×
Neuromuscular Reeducation (97112) $29.70 $99 0.9×
Oral Function Therapy (92526) $120.60 $402 1.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $31.50 $105 0.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $35.10 $117 0.8×
Ot eval high complexity (97167) $95.40 $318 0.9×
Ot Eval Low Complex (97165) $79.80 $266 0.8×
Ot Eval Moderate Complexity (97166) $87.90 $293 0.9×
Ot manual therapy 15 min (97140) $38.70 $129 1.4×
Ot paraffin bath (97018) $18.90 $63 3.1×
Ot Prosthetic Training, Each 15 Min (97761) $40.20 $134 1.0×
Ot Re-Eval Est Plan Care (97168) $41.40 $138 0.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $146.40 $488 1.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $91.50 $305 0.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $131.40 $438 0.7×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $5,608.20 $18,694 1.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
range across 2 matching MRF lines
$8,472.30–$8,744.40 $28,241–$29,148 varies
Phlebotomy therapeutic (99195) $102.90 $343 0.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $114.60 $382 2.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $55.50 $185 1.0×
Physical Performance Test (97750) $34.20 $114 1.0×
Plethysmography (94726) $97.50 $325 0.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,074.80 $6,916 2.7×
Prq Card Angio/Athrect 1 Art (92924) $9,039.90 $30,133 0.9×
Prq Card Stent W/Angio 1 Vsl (92928)
range across 2 matching MRF lines
$7,881–$8,525.70 $26,270–$28,419 varies
Prq Card Stent/Ath/Angio (92933) $9,207.90 $30,693 0.6×
Prq Revasc Byp Graft 1 Vsl (92937)
range across 2 matching MRF lines
$8,452.20–$8,614.20 $28,174–$28,714 varies
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $28.20 $94 0.7×
Pt Eval High Complex (97163) $95.40 $318 1.0×
Pt eval low complex 20 min (97161) $79.80 $266 0.8×
Pt Eval Mod Complex (97162) $87.90 $293 0.9×
Pt gait training 15 min (97116) $30.90 $103 1.1×
Pt mechanical traction (97012) $24 $80 1.7×
Pt Re-Eval Est Plan Care (97164) $41.40 $138 0.6×
Pulm function test by gas (94727) $77.40 $258 0.4×
R Hrt Art/Grft Angio (93457) $5,691.60 $18,972 1.9×
R hrt coronary artery angio (93456) $5,179.50 $17,265 1.8×
R&L Hrt Cath W/Ventriclgrphy (93453) $3,565.50 $11,885 1.2×
Refill/Maint Portable Pump (96521) $108 $360 0.6×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $38.10 $127 1.1×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $121.50 $405 1.0×
Right Heart Cath (93451) $2,693.10 $8,977 0.9×
Right ventricular recording (93603) $1,490.40 $4,968 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $105.60 $352 0.6×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $140.10 $467 1.1×
Self Care Mngment Training (97535) $26.70 $89 0.8×
Sleep study attended (95807) $1,236.60 $4,122 3.7×
Speech sound lang comprehen (92523) $93.60 $312 0.4×
Spirometry (94010) $69.60 $232 0.4×
Standardized Cognitive Performance Testing (96125) $123.90 $413 1.2×
Stress Tte Only (93350) $717.90 $2,393 1.4×
Subcutaneous Infusion Each Additional Hour (96370) $51.30 $171 1.2×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $120.90 $403 0.6×
Surfactant Admin Thru Tube (94610) $60.30 $201 0.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $26.70 $89 1.2×
Ther Ivntj Ea Addl 15 Min (97130) $25.80 $86 1.2×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $48.30 $161 1.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $92.70 $309 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $102.30 $341 1.6×
Ther/Proph/Diag Iv Inf Init (96365) $119.70 $399 0.6×
Therapeutic Activities (97530) $45.60 $152 1.3×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $653.10 $2,177 1.9×
Transcath Closure of Asd (93580)
unusually low: confirm this is the full procedure
$7,568.70 $25,229 0.5×
Tte w/doppler, complete (93306) $1,205.70 $4,019 2.4×
Tx atrial fib pulm vein isol (93656) $17,066.10 $56,887 0.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $119.10 $397 1.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $96.60 $322 2.3×
Upr/L Xtremity Art 2 Levels (93922) $108 $360 0.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $249.30 $831 1.3×
Valvuloplasty aortic valve (92986) $5,243.10 $17,477 1.0×
Vasopneumatic device (97016) $40.20 $134 3.3×
Veeg 2-12 hr unmonitored (95711) $284.10 $947 1.5×
Veeg Ea 12-26 Hr Unmntr (95714) $595.50 $1,985 1.8×
Vent Mgmt Inpat Init Day (94002) $434.70 $1,449 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $370.80 $1,236 0.7×
Vital capacity, total (94150) $124.80 $416 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $23.70 $79 0.8×
Whirlpool Therapy (97022) $36.60 $122 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.