Visits & medical services prices at Wilcox Medical Center

Lihue, HI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $253.20 $422 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $66 $110 4.6×
Application on-body injector (96377) $99.60 $166 1.8×
Assessment of aphasia per hr (96105) $205.20 $342 2.1×
Bedside Swallowing Eval (92610) $279.60 $466 3.3×
Behavioral and qualitative analysis of voice and resonance (92524) $219.60 $366 2.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $423 $705 1.0×
Canalith Repositioning Procedure (95992) $96 $160 2.4×
Car seat/bed test 60 min (94780) $249 $415 5.6×
Cardiac Stress Tst,Tracing Only (93017) $611.40 $1,019 2.4×
Cardiopulmonary resuscitation (92950) $671.40 $1,119 2.6×
Cardioversion (92960) $1,338 $2,230 1.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $126 $210 4.8×
Cbt 1st hour (94644) $211.80 $353 1.3×
Chemo Hormon Antineopl Sq/Im (96402) $170.40 $284 2.0×
Chemo IV push addl drug (96411) $201.60 $336 2.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $708 $1,180 1.8×
Chemother, IV infusion, 1 hr (96413) $708 $1,180 1.8×
Chemother, IV infusion, ea add hr (96415) $213 $355 2.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $193.80 $323 2.3×
Chemotherapy, unspecified procedure (96549) $218.40 $364 3.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $155.40 $259 1.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $447 $745 1.1×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $427.80 $713 1.1×
Color/duplex Doppler, complete (93975) $783.60 $1,306 2.8×
Color/duplex Doppler, limited (93976) $592.20 $987 4.8×
Cpap/bipap (94660) $294 $490 1.1×
Cpt initial (94667) $156 $260 1.0×
Critical care (99291) $4,584 $7,640 4.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $637.20 $1,062 2.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $385.80 $643 3.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $537.60 $896 1.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $501 $835 4.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $555.60 $926 2.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $345.60 $576 2.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $822.60 $1,371 2.9×
Dup-scan xtr veins unilateral/limited study (93971) $357 $595 2.9×
Duplex penile vessels ltd (93981) $232.80 $388 1.9×
Duplex scan extracranial art compl bi study (93880) $761.40 $1,269 2.7×
Duplex Scan Hemodialysis Access (93990) $275.40 $459 2.2×
Echo Heart Xthoracic,Limited (93308) $638.10 $1,063.50 2.3×
Echo transesophageal (93312) $1,317 $2,195 2.0×
Echo Transesophageal - Congenital Tee Complete (93315) $1,170 $1,950 1.8×
Echo Transthoracic - Congenital Tte Complete (93303) $1,327.20 $2,212 2.1×
Echo Transthoracic - Congenital Tte Limited (93304) $1,153.20 $1,922 1.8×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,098.60 $1,831 1.7×
EEG awake and asleep (95819) $707.40 $1,179 2.8×
EEG awake drowsy (95816) $707.40 $1,179 2.8×
EEG cerebral death evaluation (95824) $640.80 $1,068 1.5×
EEG coma or sleep only (95822) $659.40 $1,099 2.6×
Electrocardiogram Tracing (93005) $249 $415 3.6×
Er level 1 (99281) $222 $370 2.2×
Er level ii (99282) $466.80 $778 2.6×
Er level iii (99283) $985.20 $1,642 3.1×
Er level IV (99284) $1,534.80 $2,558 3.1×
Er level v (99285) $2,757.60 $4,596 3.9×
Eval speech sound production (92522) $219 $365 2.0×
Eval to use/fit voice prosth (92597) $129.90 $216.50 1.8×
Evaluate Pt Use Of Inhaler (94664) $133.80 $223 0.5×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $253.80 $423 2.1×
Evaluation of speech fluency (92521) $247.20 $412 1.9×
Exercise tst brncspsm (94617) $355.80 $593 2.3×
External ECG rec>48hr<7d recording (93242) $62.40 $104 1.4×
External ECG rec>7d<15d recording (93246) $144 $240 3.3×
External Ecg Scanning Analysis Report (93226) $438.60 $731 6.3×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $570.60 $951 2.9×
Holter Monitor (93225) $295.20 $492 1.9×
Imm admn sarscov2 vaccine single dose (90480) $45.60 $76 0.9×
Immunization Admin (90471) $84.60 $141 1.0×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $202.20 $337 0.8×
Irrig drug delivery device (96523) $126.60 $211 1.8×
IV infusion hydration each additional hour (96361) $184.80 $308 3.3×
IV infusion hydration initial 31 min-1 hour (96360) $418.80 $698 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $198 $330 2.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $414 $690 1.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $195.60 $326 3.5×
IV push ea addl new drug (96375) $134.40 $224 2.4×
IV push initial (96374) $250.20 $417 1.0×
Manual therapy 15 min (97140) $125.40 $209 4.5×
Mechanical traction (97012) $62.40 $104 4.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $34.80 $58 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $42 $70 1.1×
Methacholine challenge (94070) $658.20 $1,097 1.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $210 $350 2.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $201.30 $335.50 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $102.90 $171.50 2.2×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $40.20 $67 1.6×
Osteopathic manipulative tx 3-4 body regions (98926) $61.20 $102 2.4×
Ot eval high complex 60 min (97167) $253.80 $423 2.5×
Ot eval low complex 30 min (97165) $214.80 $358 2.1×
Ot eval mod complex 45 min (97166) $240.60 $401 2.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $126 $210 2.5×
Ot Prosthetic Training, Each 15 Min (97761) $92.40 $154 2.3×
Ot re-evaluation (97168) $160.20 $267 2.3×
Ot therapeutic activity 15 min (97530) $106.80 $178 3.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $268.80 $448 1.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $268.80 $448 1.8×
Phlebotomy therapeutic (99195) $280.80 $468 1.8×
Plethysmography (94726) $389.40 $649 0.9×
Pt Electrical Stimulation (97032) $79.80 $133 5.4×
Pt eval high complex 45 min (97163) $253.80 $423 2.6×
Pt eval low complex 20 min (97161) $229.80 $383 2.3×
Pt eval mod complex 30 min (97162) $232.80 $388 2.4×
Pt gait training 15 min (97116) $88.20 $147 3.0×
Pt group caregiver training (97552) $81.60 $136 3.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $112.20 $187 3.4×
Pt Physical Performance Test (97750) $87 $145 2.6×
Pt re-evaluation (97164) $149.40 $249 2.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $86.40 $144 2.7×
Pulm function test by gas (94727) $253.80 $423 1.0×
Pulmonary Service/Procedure (94799) $196.80 $328 1.3×
Pulmonary stress test simple (94618) $293.40 $489 1.9×
Refill/Maint Portable Pump (96521) $315.60 $526 1.3×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $69.60 $116 1.6×
Rt Chest Wall Manipulation,Subsequent (94668) $133.20 $222 0.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $93.60 $156 2.0×
Sensory Integration Ea 15 Min (97533) $109.20 $182 1.8×
Slp caregiver training 1st 30 min (97550) $165.60 $276 3.1×
Smoking cessation > 10 min (99407) $69 $115 1.6×
Speech sound lang comprehen (92523) $262.80 $438 1.2×
Spirometry (94010) $298.80 $498 1.2×
Standardized Cognitive Performance Testing (96125) $322.80 $538 3.1×
Stress echo (93350) $1,137.60 $1,896 1.8×
Temp transcutaneous pacing (92953) $869.40 $1,449 1.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $84 $140 3.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $85.50 $142.50 4.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $210.60 $351 2.1×
Therapeutic prophylactic/dx injection subq/im (96372) $123.60 $206 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $63.60 $106 1.4×
Tte w/doppler, complete (93306) $1,476 $2,460 2.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $171 $285 2.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $95.40 $159 4.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $220.80 $368 2.6×
Vasc Duplex Scan Extracranial,Limited (93882) $597.60 $996 4.8×
Vasopneumatic device (97016) $139.20 $232 11.6×
Vent mgmt inpat init day (94002) $1,395 $2,325 1.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,168.50 $1,947.50 1.6×
Vital capacity, total (94150) $232.20 $387 1.5×