Visits & medical services prices at Wright Memorial Hospital

Trenton, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $126 $210 0.6×
Assessment of aphasia (96105) $228 $380 2.3×
Behavioral and qualitative analysis of voice and resonance (92524) $216 $360 2.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $360 $600 1.0×
Canalith Repositioning (95992) $63.60 $106 1.6×
Cardiopulmonary resuscitation (92950) $1,020 $1,700 4.7×
Cardioversion (92960) $724.80 $1,208 1.1×
Caregiver training 1st 30 min (97550) $122.40 $204 2.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $61.20 $102 2.3×
Cbt 1st hour (94644) $145.80 $243 1.1×
Chemo Hormon Antineopl Sq/Im (96402) $115.80 $193 1.6×
Chemo IV push addl drug (96411) $177 $295 2.5×
Chemo Iv Push Sngl Drug (96409) $153 $255 0.5×
Chemother, IV infusion, 1 hr (96413) $516 $860 1.6×
Chemother, IV infusion, ea add hr (96415) $87 $145 1.2×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $115.80 $193 1.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $225 $375 3.1×
Color/duplex Doppler, complete (93975) $660 $1,100 2.8×
Color/duplex Doppler, limited (93976) $456 $760 4.4×
Cont Gluc Monitoring Patient Provided Equipment (95249) $69 $115 1.2×
Continuous Glucose Monitoring (95250) $164.40 $274 1.2×
Cpap initiation and management (94660) $412.20 $687 1.9×
Cpt initial (94667) $378 $630 2.8×
Critical care (99291) $986.40 $1,644 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $750.60 $1,251 3.7×
Demo &/or eval,pt use,aerosol device (94664) $123.60 $206 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $408 $680 1.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $306 $510 2.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $645 $1,075 2.7×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $450 $750 4.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $726 $1,210 3.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $513 $855 4.9×
Dup-scan xtr veins unilateral/limited study (93971) $489 $815 4.7×
Duplex scan extracranial art compl bi study (93880) $660 $1,100 2.8×
Echo Heart Xthoracic,Limited (93308) $576 $960 2.4×
EKG (93005) $504 $840 8.5×
EMG four extremities (95864) $129.60 $216 1.0×
EMG one extremity (95860) $129.60 $216 1.0×
EMG thoracic paraspinal (95869) $135 $225 0.6×
EMG three extremities (95863) $129.60 $216 1.0×
EMG two extremities (95861) $129.60 $216 1.0×
Er level 1 (99281) $123 $205 1.5×
Er level ii (99282) $180 $300 1.2×
Er level iii (99283) $310.80 $518 1.1×
Er level IV (99284) $490.20 $817 1.2×
Er level v (99285) $772.20 $1,287 1.3×
Evaluation of speech fluency (92521) $211.20 $352 1.6×
Evaluation of speech sound production (92522) $255.60 $426 2.3×
Evaluation of swallowing function (92610) $211.20 $352 2.5×
Flow volume loop (94375) $84 $140 0.4×
Holter Monitor Recording (93225) $418.20 $697 3.1×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $24 $40 0.6×
Immunization Admin (90471) $46.20 $77 0.6×
Immunotherapy, 2+ Injections (95117) $36.60 $61 0.8×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $88.50 $147.50 1.5×
IV infusion hydration each additional hour (96361) $91.50 $152.50 2.0×
IV infusion hydration initial 31 min-1 hour (96360) $234 $390 1.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $105.60 $176 1.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $237.60 $396 1.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $105.60 $176 2.3×
IV push initial (96374) $126 $210 0.6×
Manual therapy 15 min (97140) $81 $135 2.9×
Maximum voluntary ventilation (94200) $70.20 $117 1.2×
Mechanical traction (97012) $79.50 $132.50 5.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $34.80 $58 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $34.80 $58 0.9×
Methacholine challenge (94070) $360 $600 1.0×
Mnt Group Ea 30 Min (97804) $52.20 $87 3.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $234 $390 2.6×
Nasopharyngoscopy (92511) $147.60 $246 0.7×
Neg press wnd tx </=50 sq cm (97607) $200.40 $334 0.5×
Neg press wound tx >50 cm (97608) $424.20 $707 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $200.40 $334 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $424.20 $707 1.0×
Nerve conduction studies 13/> studies (95913) $1,516.80 $2,528 4.1×
Nerve Conduction Studies 3-4 Studies (95908) $433.80 $723 2.0×
Nerve Conduction Studies 9-10 Studies (95911) $1,084.20 $1,807 2.9×
Nerve conduction studies; 11-12 studies (95912) $1,300.20 $2,167 3.5×
Nerve conduction studies; 5-6 studies (95909) $650.40 $1,084 3.0×
Nerve conduction studies; 7-8 studies (95910) $867 $1,445 2.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $264 $440 2.0×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $444 $740 2.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $203.10 $338.50 1.6×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $105 $175 2.3×
Ot Contrast Bath Ea 15 Min (97034) $85.20 $142 6.1×
Ot eval high complex 60 min (97167) $199.80 $333 2.0×
Ot eval low complex 30 min (97165) $166.20 $277 1.7×
Ot eval mod complex 45 min (97166) $183 $305 1.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $104.10 $173.50 2.1×
Ot re-eval est plan care (97168) $151.80 $253 2.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $127.20 $212 1.0×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $127.20 $212 1.0×
Paraffin bath (97018) $114 $190 19.0×
Patch/Application Test Specify Number Tests (95044) $27.60 $46 0.0×
Percutaneous tests w/allergenic extracts (95004) $13.20 $22 0.0×
Phy/qhp op pulm rhb w/mntr (94626) $391.80 $653 6.6×
Phy/qhp op pulm rhb w/o mntr (94625) $361.80 $603 6.1×
Plethysmography (94726) $360 $600 1.0×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $7.20 $12 0.2×
Prepj& antigen allergen immunotherapy 5 insect (95149) $67.80 $113 0.9×
Pt Electric Current Therapy (97033) $120.60 $201 6.3×
Pt Electrical Stimulation (97032) $100.20 $167 6.8×
Pt eval high complex 45 min (97163) $249.60 $416 2.6×
Pt eval low complex 20 min (97161) $155.40 $259 1.6×
Pt Gait Training Therapy (97116) $82.20 $137 2.8×
Pt Infrared Therapy (97026) $57.60 $96 8.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $79.20 $132 2.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $202.80 $338 2.1×
Pt re-evaluation (97164) $159.60 $266 2.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $78.30 $130.50 2.4×
Pt Ultrasound Therapy (97035) $83.10 $138.50 5.8×
Pulmonary stress testing (94618) $145.80 $243 1.1×
Pure Tone Audiometry Air & Bone (92553) $25.80 $43 0.2×
Refill/Maint Pump/Resvr Syst (96522) $225.60 $376 1.1×
Refill/maint, portable pump (96521) $267 $445 1.3×
Rt Chest Wall Manipulation,Subsequent (94668) $145.80 $243 1.1×
Sensory Integration Ea 15 Min (97533) $81 $135 1.3×
Smoking cessation > 10 min (99407) $33 $55 0.9×
Speech sound lang comprehen (92523) $295.20 $492 1.3×
Spirometry (94010) $177 $295 0.8×
Standardized Cognitive Performance Testing (96125) $202.20 $337 2.0×
Temp transcutaneous pacing (92953) $358.80 $598 0.5×
Test for allergy using allergenic extract injected into skin (95024) $10.80 $18 0.2×
Test for allergy using combination of methods with drug or biological (95018) $34.80 $58 0.9×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $69 $115 3.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $69 $115 3.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $216.60 $361 2.1×
Ther/Proph/Diag Inj Sc/Im (96372) $55.50 $92.50 0.8×
Therapeutic Activities (97530) $79.20 $132 2.3×
Therapeutic phlebotomy (99195) $87 $145 0.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $33 $55 0.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,293 $2,155 2.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $153.60 $256 2.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $142.20 $237 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $100.20 $167 2.1×
Unlisted pulmonary service/procedure (94799) $207.30 $345.50 1.6×
Vasc Duplex Extrem Venous,Bilat (93970) $660 $1,100 2.8×
Vasc Duplex Scan Extracranial,Limited (93882) $507 $845 4.8×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $564 $940 2.6×
Ventilation assist & mgmt inpatient 1st day (94002) $747 $1,245 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $717 $1,195 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $78.30 $130.50 2.5×