Visits & medical services prices at Wilson Health

Sidney, OH · 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
Aep neurodiagnostic i&r (92653) $422.53 $845.07 2.0×
Aep threshold estimation mlt frequencies i&r (92652) $422.53 $845.07 2.0×
Airway Inhalation Treatment (94640) $114.02 $228.05 0.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $98.97 $197.95 6.9×
Application Modality 1/> Areas Infrared (97026) $21.99 $43.99 3.3×
Behavral qualit analys voice (92524) $132.49 $264.99 1.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $342.08 $684.16 0.9×
Canalith repositioning proc (95992) $59.04 $118.08 1.4×
Car seat/bed test 60 min (94780) $201.04 $402.08 5.5×
Cardiac Stress Tst,Tracing Only (93017) $577.50 $1,155 2.7×
Cardiopulmonary resuscitation (92950) $386.64 $773.29 1.8×
Cardioversion (92960) $1,322.01 $2,644.02 2.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $11,929.32 $23,858.65 3.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $11,929.32 $23,858.65 3.7×
Cbt 1st hour (94644) $257.57 $515.14 2.0×
Chemo Anti-Neopl Sq/Im (96401) $96.08 $192.17 1.4×
Chemo Hormon Antineopl Sq/Im (96402) $187.58 $375.17 2.6×
Chemo IV infusion addl hr (96415) $96.08 $192.17 1.4×
Chemo IV push addl drug (96411) $87.10 $174.20 1.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $96.08 $192.17 1.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $494.88 $989.77 1.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $317.77 $635.54 1.0×
Chest Wall Manipulation (94668) $169.31 $338.63 1.3×
Color/duplex Doppler, complete (93975) $711.94 $1,423.88 3.0×
Color/duplex Doppler, limited (93976) $368.12 $736.25 3.6×
Cont gluc mntr physician/qhp provided equiptment (95250) $186.38 $372.76 1.4×
Cont Gluc Mntr Pt Prov Eqp (95249) $80.32 $160.64 1.4×
Continuous Pulse Ox (94762) $188.11 $376.23 1.5×
Coronary Art/Grft Angio S&I (93455) $11,929.32 $23,858.65 3.7×
Coronary Artery Angio S&I (93454) $11,929.32 $23,858.65 3.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$159.75–$266.25 $319.50–$532.51 varies
Cpt initial (94667) $169.18 $338.36 1.3×
Critical care first hour (99291) $1,293.06 $2,586.13 1.6×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$135.73–$163.80 $271.47–$327.61 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $368.12 $736.25 1.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $762.87 $1,525.75 3.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $535.98 $1,071.96 5.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,043.60 $2,087.20 4.4×
Dup-scan xtr veins unilateral/limited study (93971) $813.23 $1,626.46 7.9×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $304.71 $609.43 1.3×
Duplex up extrem art bilat (93930) $476.94 $953.88 2.0×
Duplex up extrem art unilat/ltd (93931) $417.90 $835.81 4.1×
Echo Heart Xthoracic,Limited (93308) $594.44 $1,188.88 2.5×
Echo transesophageal (93312) $1,120.58 $2,241.16 2.1×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,480.02 $2,960.05 2.7×
EEG awake and asleep (95819) $427.16 $854.33 2.0×
EEG awake drowsy (95816) $427.16 $854.33 2.0×
Eeg Sleep Only (95822) $408.71 $817.43 1.9×
EEG wo vid ea 12-26hr unmntr (95708) $1,257.76 $2,515.52 3.4×
Electrical Stimulation Ea 15 Min (97032) $98.98 $197.96 6.7×
Electrocardiogram Tracing (93005) $147.02 $294.04 2.5×
Emergency Dept Visit Level 2 (99282) $285.35 — 1.9×
Emergency Dept Visit Level 3 (99283) $655.32 — 2.4×
Emergency Dept Visit Level 4 (99284) $1,498.49 — 3.6×
Er level 1 (99281) $158.01 — 1.9×
Er level v (99285) $3,654.75 — 6.2×
Evaluate pt use of inhaler (94664) $281.30 $562.61 1.3×
Evaluate Speech Production (92522) $120.39 $240.79 1.1×
Evaluate Swallowing Function (92610) $263.94 $527.88 3.1×
External ECG rec>48hr<7d recording (93242) $54.98 $109.97 1.5×
External ECG rec>48hr<7d scanning alys w/report (93243) $164.27 $328.55 1.3×
External ECG rec>7d<15d recording (93246) $172.48 $344.97 4.7×
External Ecg Scanning Analysis Report (93226) $159.17 $318.35 2.7×
Extracranial Bilat Study (93880) $948.09 $1,896.19 4.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $10,844.63 $21,689.26 3.4×
Holter monitor recording (93225) $159.17 $318.35 1.2×
Immunization administration (90471) $51.51 $103.03 0.7×
Insert/Place Heart Catheter (93503) $2,194.85 $4,389.71 1.4×
Interrogation vad in person (93750) $120.47 $240.95 1.3×
Iontophoresis 15 min (97033) $98.97 $197.95 5.2×
Irrig Drug Delivery Device (96523) $107.67 $215.35 1.9×
IV infusion hydration each additional hour (96361) $92.03 $184.06 2.0×
IV infusion hydration initial 31 min-1 hour (96360) $333.51 $667.02 1.6×
IV infusion ther proph addl sequential to 1 hr (96367) $68.65 $137.30 1.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $80.07 $160.15 1.7×
IV push initial (96374) $180.68 $361.36 0.9×
L Hrt Art/Grft Angio (93459) $11,929.32 $23,858.65 3.7×
Lwr Xtr Vasc Stdy Bilat (93924) $284.19 $568.39 1.3×
Mechanical chest wall oscillation per session (94669) $295.37 $590.74 1.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $33.47 $66.94 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $39.57 $79.15 1.1×
Methacholine challenge (94070) $394.75 $789.50 1.1×
Motion Fluoroscopy/Swallow (92611) $263.94 $527.88 2.9×
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
$1,900.24–$2,552.56 $3,800.48–$5,105.13 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $56.89 $113.78 0.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $67.10 $134.21 0.2×
Neuromuscular Reeducation (97112) $98.97 $197.95 3.0×
Newborn resuscitation (99465) $159.75 $319.50 0.2×
Oral Function Therapy (92526) $178.27 $356.55 2.1×
Ot eval high complexity (97167) $298.66 $597.33 3.0×
Ot Eval Low Complex (97165) $298.66 $597.33 3.0×
Ot Eval Moderate Complexity (97166) $298.66 $597.33 3.0×
Ot manual therapy 15 min (97140) $137.75 $275.51 5.0×
Ot Re-Eval Est Plan Care (97168) $100.13 $200.27 1.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $200.27 $400.54 1.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $200.27 $400.54 1.6×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $23,410.86 $46,821.73 1.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $8,299.59 $16,599.18 1.5×
Phlebotomy therapeutic (99195) $142.96 $285.93 1.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $182.32 $364.65 3.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $151.94 $303.88 2.6×
Physical Performance Test (97750) $103.92 $207.85 3.1×
Plethysmography (94726) $138.91 $277.83 0.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,075.73 $6,151.46 3.6×
Prq Card Stent W/Angio 1 Vsl (92928) $16,598.02 $33,196.05 1.5×
Pt Eval High Complex (97163) $298.66 $597.33 3.1×
Pt eval low complex 20 min (97161) $298.66 $597.33 3.1×
Pt Eval Mod Complex (97162) $298.66 $597.33 3.1×
Pt gait training 15 min (97116) $98.97 $197.95 3.4×
Pt mechanical traction (97012) $98.97 $197.95 6.9×
Pt Re-Eval Est Plan Care (97164) $100.13 $200.27 1.5×
Pulmonary service/procedure (94799) $215.36 $430.72 1.7×
Pulmonary Stress Testing (94618) $131.39 $262.78 1.0×
R hrt coronary artery angio (93456) $11,929.32 $23,858.65 3.7×
R&L Hrt Cath W/Ventriclgrphy (93453) $11,961.19 $23,922.38 3.7×
Right Heart Cath (93451) $11,929.32 $23,858.65 3.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$88.56–$293.46 $177.12–$586.92 varies
Self Care Mngment Training (97535) $98.97 $197.95 3.1×
Sleep study unattended (95806) $555.08 $1,110.16 2.6×
Speech sound lang comprehen (92523) $248.31 $496.62 1.1×
Spirometry (94010) $105.92 $211.85 0.5×
Stress Tte Only (93350) $1,480.02 $2,960.04 2.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $98.97 $197.95 4.4×
Ther Ivntj Ea Addl 15 Min (97130) $98.97 $197.95 4.7×
Ther/Proph/Diag Inj Ia (96373) $111.13 $222.26 0.5×
Ther/Proph/Diag Inj Sc/Im (96372) $100.71 $201.43 1.4×
Ther/Proph/Diag Iv Inf Init (96365) $317.52 $635.04 1.5×
Therapeutic Activities (97530) $104.76 $209.53 3.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $776.19 $1,552.38 2.1×
Tobacco Use Cessation Intensive >10 Minutes (99407) $53.25 $106.50 1.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $27.20 $54.41 0.7×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$2,052.41–$2,126.25 $4,104.83–$4,252.50 varies
Tte W/O Doppler Complete (93307) $2,113.82 $4,227.65 9.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $178.27 $356.55 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $64.21 $128.42 1.4×
Upr/L Xtremity Art 2 Levels (93922) $369.86 $739.72 2.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $446.26 $892.53 2.1×
Valvuloplasty aortic valve (92986)
likely a partial charge, not the full procedure
$1,039.54 $2,079.09 0.2×
Vent Mgmt Inpat Init Day (94002) $557.39 $1,114.79 0.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $408.64 $817.28 0.7×
Vital capacity, total (94150) $205.35 $410.71 1.6×

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.