Visits & medical services prices at Wilkes Medical Center

North Wilkesboro, NC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $72 $144 1.8×
Airway Inhalation Treatment (94640) $101 $202 0.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines		 $103.50–$117 $207–$234 varies
Application on-body injector (96377) $125 $250 2.8×
Behavral qualit analys voice (92524) $183 $366 1.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $281.50 $563 0.8×
Canalith repositioning proc (95992)
range across 2 matching MRF lines		 $111–$111.50 $222–$223 varies
Car seat/bed test 60 min (94780) $91.50 $183 2.5×
Cardiac Stress Tst,Tracing Only (93017) $607.50 $1,215 2.9×
Cardiopulmonary resuscitation (92950) $292.50 $585 1.4×
Cardioversion (92960)
range across 2 matching MRF lines		 $910.50–$919.50 $1,821–$1,839 varies
Cbt 1st hour (94644) $80.50 $161 0.6×
Chemo Anti-Neopl Sq/Im (96401) $162 $324 2.3×
Chemo Hormon Antineopl Sq/Im (96402) $67.50 $135 1.0×
Chemo IV infusion addl hr (96415) $143.50 $287 2.1×
Chemo IV push addl drug (96411) $169 $338 2.4×
Chemother Prolong Infuse W/Pump (96416) $233.50 $467 0.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $104 $208 1.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $710.50 $1,421 2.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $326 $652 1.0×
Chest Wall Manipulation (94668) $43 $86 0.3×
Color/duplex Doppler, complete (93975) $778.50 $1,557 3.4×
Color/duplex Doppler, limited (93976) $373.50 $747 3.7×
Continuous Pulse Ox (94762) $153.50 $307 1.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $206 $412 1.0×
Cpt initial (94667) $82.50 $165 0.6×
Critical care first hour (99291) $802 $1,604 1.0×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines		 $191–$194 $382–$388 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $442 $884 1.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $567.50 $1,135 2.5×
Dup-scan xtr veins unilateral/limited study (93971) $396.50 $793 3.9×
Echo Heart Xthoracic,Limited (93308) $353.50 $707 1.5×
Echo transesophageal (93312) $645 $1,290 1.2×
Eeg 41-60 Minutes (95812) $2,444.50 $4,889 11.7×
EEG awake and asleep (95819) $2,442 $4,884 11.7×
EEG awake drowsy (95816) $287.50 $575 1.4×
EEG cont rec w/video by tech min 8 channels (95700) $568.50 $1,137 2.7×
EEG extended monitoring 61-119 minutes (95813) $2,944.50 $5,889 14.1×
Eeg Sleep Only (95822) $445 $890 2.1×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines		 $97–$102 $194–$204 varies
Electrocardiogram Tracing (93005) $151 $302 2.7×
Emergency Dept Visit Level 2 (99282) $307 $614 2.1×
Emergency Dept Visit Level 3 (99283) $506.50 $1,013 1.9×
Emergency Dept Visit Level 4 (99284) $766 $1,532 1.9×
Er level 1 (99281) $169.50 $339 2.1×
Er level v (99285) $994 $1,988 1.7×
Evaluate pt use of inhaler (94664) $101 $202 0.5×
Evaluate Speech Production (92522) $164 $328 1.5×
Evaluate Swallowing Function (92610) $96.50 $193 1.1×
Evaluation of speech fluency (92521) $183 $366 1.4×
External ECG rec>48hr<7d recording (93242) $283 $566 7.9×
External ECG rec>7d<15d recording (93246) $392.50 $785 10.9×
Extracranial Bilat Study (93880) $790 $1,580 3.4×
Flexible endoscopic eval swallow c/v rec (92612) $335 $670 1.7×
Health Behavior Assessment/Re-Assessment (96156) $178.50 $357 1.8×
Health behavior ivntj indiv f2f 1st 30 min (96158) $92 $184 0.5×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $569 $1,138 0.9×
Holter monitor recording (93225) $399 $798 3.1×
Immunization administration (90471) $69.50 $139 1.0×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines		 $134–$142.50 $268–$285 varies
Irrig Drug Delivery Device (96523) $94.50 $189 1.7×
IV infusion hydration each additional hour (96361) $134.50 $269 3.0×
IV infusion hydration initial 31 min-1 hour (96360) $384 $768 1.9×
IV infusion ther proph addl sequential to 1 hr (96367) $384 $768 5.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $134.50 $269 3.0×
IV push initial (96374) $211 $422 1.0×
Lung Function Test (Mbc/Mvv) (94200) $67.50 $135 1.2×
Lwr Xtr Vasc Stdy Bilat (93924) $153.50 $307 0.7×
Mechanical chest wall oscillation per session (94669) $88.50 $177 0.4×
Motion Fluoroscopy/Swallow (92611) $102 $204 1.1×
Multiple Sleep Latency Test (95805) $821.50 $1,643 1.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $129.50 $259 0.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $195 $390 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $195 $390 0.5×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines		 $115–$115.50 $230–$231 varies
Newborn resuscitation (99465) $725.50 $1,451 1.1×
Oral Function Therapy (92526) $116 $232 1.4×
Oral Speech Device Eval (92597) $264.50 $529 3.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $77 $154 1.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $77 $154 1.7×
Ot eval high complexity (97167) $236 $472 2.3×
Ot Eval Low Complex (97165) $235.50 $471 2.3×
Ot Eval Moderate Complexity (97166) $235.50 $471 2.3×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines		 $124.50–$129 $249–$258 varies
Ot paraffin bath (97018) $75.50 $151 12.6×
Ot Prosthetic Training, Each 15 Min (97761) $199.50 $399 4.9×
Ot Re-Eval Est Plan Care (97168) $88.50 $177 1.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $122 $244 1.0×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $77.50 $155 0.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $157 $314 0.7×
Phlebotomy therapeutic (99195) $100.50 $201 0.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $98.50 $197 1.7×
Physical Performance Test (97750) $238 $476 7.1×
Plethysmography (94726) $246.50 $493 0.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,700.50 $3,401 2.1×
Polysom <6 yrs 4/> paramtrs (95782) $3,054.50 $6,109 3.7×
Psych diag eval w/med srvcs (90792) $329 $658 1.9×
Pt Eval High Complex (97163) $235.50 $471 2.4×
Pt eval low complex 20 min (97161) $236 $472 2.4×
Pt Eval Mod Complex (97162) $235.50 $471 2.4×
Pt gait training 15 min (97116) $27.50 $55 0.9×
Pt mechanical traction (97012) $118.50 $237 8.3×
Pt Re-Eval Est Plan Care (97164) $88.50 $177 1.3×
Pulm function test by gas (94727) $153.50 $307 0.7×
Pulmonary service/procedure (94799) $127.50 $255 1.0×
Pulmonary Stress Testing (94618) $207 $414 1.6×
Refill/Maint Pump/Resvr Syst (96522) $126.50 $253 0.6×
Rem Mntr Wrls P-Art Prs Snr (93264) $60 $120 1.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $30 $60 0.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $89.50 $179 0.5×
Self Care Mngment Training (97535) $35 $70 1.1×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $418 $836 2.0×
Speech sound lang comprehen (92523) $200 $400 0.9×
Spirometry (94010) $167.50 $335 0.8×
Standardized Cognitive Performance Testing (96125) $128.50 $257 1.2×
Stress Tte Only (93350) $935 $1,870 1.8×
Subcutaneous Infusion Each Additional Hour (96370) $101 $202 2.2×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $307 $614 1.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $30 $60 1.3×
Ther Ivntj Ea Addl 15 Min (97130) $27 $54 1.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $111 $222 3.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $88.50 $177 3.0×
Ther/Proph/Diag Inj Ia (96373) $118.50 $237 0.6×
Ther/Proph/Diag Inj Sc/Im (96372) $154 $308 2.2×
Ther/Proph/Diag Iv Inf Init (96365) $510 $1,020 2.5×
Therapeutic Activities (97530) $54.50 $109 1.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $21.50 $43 0.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $32.50 $65 0.9×
Tte w/doppler, complete (93306) $1,225 $2,450 2.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $189 $378 2.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $211 $422 4.7×
Unlisted cardiovascular service/procedure (93799) $652 $1,304 5.3×
Upr/L Xtremity Art 2 Levels (93922) $119 $238 0.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $153.50 $307 0.7×
Vasopneumatic device (97016) $63.50 $127 5.3×
Vent Mgmt Inpat Init Day (94002) $475.50 $951 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $366 $732 0.6×
Vital capacity, total (94150) $41 $82 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $32.50 $65 1.0×
Whirlpool Therapy (97022) $61.50 $123 3.9×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $132.50 $265 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.