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Hospital Profile Critical Access Hospitals Voluntary non-profit - Other

Perry County Memorial Hospital

8885 STATE ROAD 237, Tell City, IN 47586

CMS Overall Rating ★★☆☆☆
Factual Overview

Perry County Memorial Hospital is a Critical Access Hospitals (Voluntary non-profit - Other) operating in Tell City, IN. Mapped commercial insurance prices across 80 procedures average 4.47x the Medicare baseline. The facility holds a CMS quality rating of 2/5 stars with a patient recommendation score of 66%.

Facility Overview

Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 556

Patient Experience

Recommendation Rate: 66% High Patient Rating: 74% ER Wait Time (Med): 140 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 80 codes Avg Markup vs Medicare: 4.47x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Blood transfusion
CPT Code: 36430
 $927 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,043 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,525 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $1,718 Calc
CT scan, sinuses
CPT Code: 70486
 $1,043 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $1,840 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $2,998 Calc
X-ray, chest (single view)
CPT Code: 71045
 $234 Calc
X-ray, chest (two views)
CPT Code: 71046
 $266 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,551 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $319 Calc
X-ray, lower back
CPT Code: 72110
 $410 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,144 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,224 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $1,840 Calc
X-ray, pelvis
CPT Code: 72170
 $284 Calc
CT scan, pelvis
CPT Code: 72192
 $1,125 Calc
X-ray, shoulder
CPT Code: 73030
 $355 Calc
X-ray, hand
CPT Code: 73130
 $311 Calc
X-ray, hip
CPT Code: 73502
 $420 Calc
X-ray, ankle
CPT Code: 73610
 $323 Calc
X-ray, foot
CPT Code: 73630
 $355 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $3,025 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $1,357 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $2,155 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $640 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $789 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $703 Calc
Ultrasound, pelvis
CPT Code: 76856
 $676 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $304 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $413 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $134 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $146 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $105 Calc
Blood test, liver function panel
CPT Code: 80076
 $288 Calc
Blood test, amylase
CPT Code: 82150
 $70 Calc
Blood test, vitamin D
CPT Code: 82306
 $145 Calc
Blood test, calcium
CPT Code: 82310
 $69 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $52 Calc
Blood test, vitamin B12
CPT Code: 82607
 $150 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $96 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $69 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $92 Calc
Blood test, lipase
CPT Code: 83690
 $101 Calc
Blood test, magnesium
CPT Code: 83735
 $79 Calc
Blood test, potassium
CPT Code: 84132
 $69 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $177 Calc
Blood test, sodium
CPT Code: 84295
 $66 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $111 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $52 Calc
Blood test, hemoglobin
CPT Code: 85018
 $57 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $76 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $57 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $76 Calc
Blood antibody screen
CPT Code: 86850
 $63 Calc
Culture, blood
CPT Code: 87040
 $149 Calc
Culture, bacterial
CPT Code: 87070
 $119 Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
 $440 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $193 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $283 Calc
Family therapy session
CPT Code: 90847
 $218 Calc
Group therapy session
CPT Code: 90853
 $174 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $272 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $215 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,878 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,097 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $394 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $2,827 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $122 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $174 Calc
Physical therapy (gait training)
CPT Code: 97116
 $255 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $211 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $220 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $252 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $82 Calc
Orthotic fitting and training
CPT Code: 97760
 $103 Calc
Prosthetic fitting and training
CPT Code: 97761
 $125 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $240 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $158 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $246 Calc