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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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $24 $40 0.6×
Airway Inhalation Treatment (94640)
range across 10 matching MRF lines
$91.20–$198.60 $152–$331 varies
Allg test perq & ic drug/biol immed react w/ i&r (95018) $34.80 $58 0.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 4 matching MRF lines
$72–$88.80 $120–$148 varies
Application Modality 1/> Areas Infrared (97026) $57.60 $96 8.6×
Assessment of aphasia per hr (96105) $228 $380 2.3×
Audiometry Air & Bone (92553) $25.80 $43 0.2×
Behavral qualit analys voice (92524) $216 $360 2.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $360 $600 1.0×
Canalith repositioning proc (95992)
range across 4 matching MRF lines
$60.60–$66.60 $101–$111 varies
Cardiopulmonary resuscitation (92950) $1,020 $1,700 4.7×
Cardioversion (92960) $724.80 $1,208 1.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $61.20 $102 2.3×
Cbt 1st hour (94644) $145.80 $243 1.1×
Chemo Anti-Neopl Sq/Im (96401) $115.80 $193 1.6×
Chemo Hormon Antineopl Sq/Im (96402) $115.80 $193 1.6×
Chemo IV infusion addl hr (96415) $87 $145 1.2×
Chemo IV push addl drug (96411) $177 $295 2.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $225 $375 3.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $516 $860 1.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $153 $255 0.5×
Chest Wall Manipulation (94668) $145.80 $243 1.1×
Color/duplex Doppler, complete (93975) $660 $1,100 2.8×
Color/duplex Doppler, limited (93976) $456 $760 4.4×
Cont gluc mntr physician/qhp provided equiptment (95250) $164.40 $274 1.2×
Cont Gluc Mntr Pt Prov Eqp (95249) $69 $115 1.2×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$177–$229.20 $295–$382 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$297–$432.60 $495–$721 varies
Cpt initial (94667) $378 $630 2.8×
Critical care first hour (99291) $986.40 $1,644 1.2×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$429.60–$822.60 $716–$1,371 varies
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 Xtr Veins Complete Bilateral Study (93970) $660 $1,100 2.8×
Dup-scan xtr veins unilateral/limited study (93971) $489 $815 4.7×
Duplex up extrem art bilat (93930) $726 $1,210 3.0×
Duplex up extrem art unilat/ltd (93931) $513 $855 4.9×
Echo Heart Xthoracic,Limited (93308) $576 $960 2.4×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$75–$125.40 $125–$209 varies
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines
$220.20–$2,978.34 $367–$4,963.90 varies
Emergency Dept Visit Level 2 (99282) $180 $300 1.2×
Emergency Dept Visit Level 3 (99283) $310.80 $518 1.1×
Emergency Dept Visit Level 4 (99284) $490.20 $817 1.2×
Emg 3 Extremities (95863) $129.60 $216 1.0×
Emg 4 Extremities (95864) $129.60 $216 1.0×
Er level 1 (99281) $123 $205 1.5×
Er level v (99285) $772.20 $1,287 1.3×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$121.20–$126 $202–$210 varies
Evaluate Speech Production (92522) $255.60 $426 2.3×
Evaluate Swallowing Function (92610) $211.20 $352 2.5×
Evaluation of speech fluency (92521) $211.20 $352 1.6×
Extracranial Bilat Study (93880) $660 $1,100 2.8×
Extracranial Uni/Ltd Study (93882) $507 $845 4.8×
Holter monitor recording (93225) $418.20 $697 3.1×
Immunization administration (90471) $46.20 $77 0.6×
Intracutaneous tests w/allergenic extracts (95024) $10.80 $18 0.2×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$117.60–$123.60 $196–$206 varies
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$75–$102 $125–$170 varies
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$72.60–$110.40 $121–$184 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 4 matching MRF lines
$199.80–$234 $333–$390 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$85.20–$126 $142–$210 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$85.20–$126 $142–$210 varies
IV push initial (96374)
range across 4 matching MRF lines
$109.20–$126 $182–$210 varies
Lung Function Test (Mbc/Mvv) (94200) $70.20 $117 1.2×
Lwr Xtr Vasc Stdy Bilat (93924) $564 $940 2.6×
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×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $52.20 $87 3.1×
Methacholine challenge (94070) $360 $600 1.0×
Motion Fluoroscopy/Swallow (92611) $234 $390 2.6×
Muscle Test 2 Limbs (95861) $129.60 $216 1.0×
Muscle Test One Limb (95860) $129.60 $216 1.0×
Nasopharyngoscopy (92511) $147.60 $246 0.7×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $135 $225 0.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $200.40 $334 0.5×
Neg Pressure Wound Therapy Non Dme >50 Sq 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 11-12 Studies (95912) $1,300.20 $2,167 3.5×
Nerve conduction studies 13 or more studies (95913) $1,516.80 $2,528 4.1×
Nerve Conduction Studies 3-4 Studies (95908) $433.80 $723 2.0×
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×
Nerve Conduction Studies 9-10 Studies (95911) $1,084.20 $1,807 2.9×
Neuromuscular Reeducation (97112)
range across 24 matching MRF lines
$67.20–$86.40 $112–$144 varies
Oral Function Therapy (92526) $142.20 $237 1.7×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines
$101.40–$106.80 $169–$178 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$103.80–$106.20 $173–$177 varies
Ot Contrast Bath Ea 15 Min (97034) $85.20 $142 6.1×
Ot eval high complexity (97167)
range across 2 matching MRF lines
$185.40–$214.20 $309–$357 varies
Ot Eval Low Complex (97165) $166.20 $277 1.7×
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines
$175.80–$190.20 $293–$317 varies
Ot manual therapy 15 min (97140)
range across 36 matching MRF lines
$78–$85.20 $130–$142 varies
Ot paraffin bath (97018) $114 $190 19.0×
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×
Patch/Application Test Specify Number Tests (95044) $27.60 $46 0.0×
Percutaneous tests w/allergenic extracts (95004) $13.20 $22 0.0×
Phlebotomy therapeutic (99195) $87 $145 0.7×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $391.80 $653 6.6×
Phys/qhp svcs op pulm rehab wo cont oximtry 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×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $36.60 $61 0.8×
Pt Eval High Complex (97163) $249.60 $416 2.6×
Pt eval low complex 20 min (97161) $155.40 $259 1.6×
Pt Eval Mod Complex (97162) $202.80 $338 2.1×
Pt gait training 15 min (97116) $82.20 $137 2.8×
Pt mechanical traction (97012)
range across 4 matching MRF lines
$79.20–$79.80 $132–$133 varies
Pt Re-Eval Est Plan Care (97164) $159.60 $266 2.4×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$177–$237.60 $295–$396 varies
Pulmonary Stress Testing (94618) $145.80 $243 1.1×
Refill/Maint Portable Pump (96521) $267 $445 1.3×
Refill/Maint Pump/Resvr Syst (96522) $225.60 $376 1.1×
Respiratory flow volume loop (94375) $84 $140 0.4×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$75.60–$81 $126–$135 varies
Sensory Integration Ea 15 Min (97533) $81 $135 1.3×
Slp caregiver training 1st 30 min (97550) $122.40 $204 2.3×
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×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $69 $115 3.1×
Ther Ivntj Ea Addl 15 Min (97130) $69 $115 3.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $216.60 $361 2.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 32 matching MRF lines
$52.80–$58.20 $88–$97 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 8 matching MRF lines
$232.20–$237.60 $387–$396 varies
Therapeutic Activities (97530)
range across 2 matching MRF lines
$77.40–$81 $129–$135 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $33 $55 0.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $33 $55 0.9×
Tte w/doppler, complete (93306) $1,293 $2,155 2.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $153.60 $256 2.0×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$86.40–$100.20 $144–$167 varies
Upr/L Xtremity Art 2 Levels (93922) $264 $440 2.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $444 $740 2.1×
Vent Mgmt Inpat Init 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)
range across 2 matching MRF lines
$75.60–$81 $126–$135 varies

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.