Douglas Gardens Hospital

Cash prices

1. Physical therapy: therapeutic exercise (15 min)

   CPT 97110

   Facility fee only
   $29.65
   US typical $88.80

   Doctor fees are billed separately.
2. Gait (walking) training, each 15 min

   CPT 97116

   Facility fee only
   $29.65
   US typical $83.09

   Doctor fees are billed separately.
3. Physical therapy evaluation (low complexity)

   CPT 97161

   Facility fee only
   $101
   US typical $202

   Doctor fees are billed separately.
4. Therapeutic activities (one-on-one), each 15 min

   CPT 97530

   Facility fee only
   $35.64
   US typical $89.48

   Doctor fees are billed separately.
5. Neuromuscular re-education, each 15 min

   CPT 97112

   Facility fee only
   $32.93
   US typical $90.10

   Doctor fees are billed separately.
6. Manual therapy, each 15 min

   CPT 97140

   Facility fee only
   $28.01
   US typical $89.25

   Doctor fees are billed separately.
7. Physical therapy evaluation (moderate complexity)

   CPT 97162

   Facility fee only
   $101
   US typical $233

   Doctor fees are billed separately.
8. Self-care and home management training, each 15 min

   CPT 97535

   Facility fee only
   $32.97
   US typical $85.50

   Doctor fees are billed separately.
9. Physical therapy evaluation (high complexity)

   CPT 97163

   Facility fee only
   $101
   US typical $262

   Doctor fees are billed separately.
10. Physical therapy re-evaluation

    CPT 97164

    Facility fee only
    $69.54
    US typical $143

    Doctor fees are billed separately.
11. Occupational therapy evaluation, low complexity

    CPT 97165

    Facility fee only
    $104
    US typical $212

    Doctor fees are billed separately.
12. Swallowing evaluation (clinical)

    CPT 92610

    Facility fee only
    $86.48
    US typical $250

    Doctor fees are billed separately.
13. Occupational therapy evaluation, moderate complexity

    CPT 97166

    Facility fee only
    $104
    US typical $240

    Doctor fees are billed separately.
14. Therapeutic ultrasound, each 15 minutes

    CPT 97035

    Scan only
    $14.58
    US typical $65.07

    The radiologist read is billed separately.
15. Swallowing and feeding therapy session

    CPT 92526

    Facility fee only
    $85.30
    US typical $202

    Doctor fees are billed separately.
16. Speech therapy session, individual

    CPT 92507

    Facility fee only
    $77.36
    US typical $201

    Doctor fees are billed separately.
17. Occupational therapy evaluation, high complexity

    CPT 97167

    Facility fee only
    $104
    US typical $268

    Doctor fees are billed separately.
18. Speech sound and language evaluation

    CPT 92523

    Facility fee only
    $231
    US typical $353

    Doctor fees are billed separately.
19. Electrical stimulation therapy (attended), each 15 min

    CPT 97032

    Facility fee only
    $14.87
    US typical $73.31

    Doctor fees are billed separately.
20. Occupational therapy re-evaluation

    CPT 97168

    Facility fee only
    $72.01
    US typical $147

    Doctor fees are billed separately.
21. Brace/orthotic fitting and training, first visit, each 15 min

    CPT 97760

    Facility fee only
    $47.21
    US typical $103

    Doctor fees are billed separately.
22. Speech sound production evaluation

    CPT 92522

    Facility fee only
    $113
    US typical $253

    Doctor fees are billed separately.
23. Wheelchair assessment, fitting or training, each 15 min

    CPT 97542

    Facility fee only
    $31.62
    US typical $84.56

    Doctor fees are billed separately.
24. Voice and resonance evaluation

    CPT 92524

    Facility fee only
    $110
    US typical $257

    Doctor fees are billed separately.
25. Cognitive therapy, first 15 min

    CPT 97129

    Facility fee only
    $22.30
    US typical $78.28

    Doctor fees are billed separately.
26. Short arm splint (forearm to hand), static

    CPT 29125

    Facility fee only
    $72.47
    US typical $181

    Doctor fees are billed separately.
27. Massage therapy, each 15 minutes

    CPT 97124

    Facility fee only
    $30.73
    US typical $77.35

    Doctor fees are billed separately.
28. Video X-ray swallow study (modified barium swallow)

    CPT 92611

    Scan only
    $92.57
    US typical $334

    The radiologist read is billed separately.
29. Paraffin wax bath therapy

    CPT 97018

    Facility fee only
    $6.74
    US typical $53.20

    Doctor fees are billed separately.
30. Brace/prosthesis training, follow-up visit, each 15 min

    CPT 97763

    Facility fee only
    $51.55
    US typical $96.60

    Doctor fees are billed separately.
31. Cognitive therapy, each additional 15 minutes

    CPT 97130

    Facility fee only
    $21.32
    US typical $70.67

    Doctor fees are billed separately.
32. Group therapy session, physical/occupational (2+ people)

    CPT 97150

    Facility fee only
    $18.16
    US typical $64.16

    Doctor fees are billed separately.
33. Sensory integration therapy, one-on-one, each 15 min

    CPT 97533

    Facility fee only
    $62.18
    US typical $91.59

    Doctor fees are billed separately.
34. Standardized cognitive performance testing, per hour

    CPT 96125

    Facility fee only
    $103
    US typical $268

    Doctor fees are billed separately.
35. Whirlpool bath therapy session

    CPT 97022

    Facility fee only
    $16.27
    US typical $73.32

    Doctor fees are billed separately.
36. Aphasia (language) assessment, per hour

    CPT 96105

    Facility fee only
    $97.67
    US typical $280

    Doctor fees are billed separately.
37. Aquatic therapy with exercises, each 15 min

    CPT 97113

    Facility fee only
    $37.60
    US typical $97.50

    Doctor fees are billed separately.
38. Evaluation for speech-generating communication device, first hour

    CPT 92607

    Facility fee only
    $125
    US typical $344

    Doctor fees are billed separately.
39. Speech-generating device therapy and programming

    CPT 92609

    Facility fee only
    $104
    US typical $224

    Doctor fees are billed separately.
40. Contrast bath therapy, each 15 minutes

    CPT 97034

    Facility fee only
    $14.25
    US typical $57.60

    Doctor fees are billed separately.
41. Swallowing evaluation with flexible scope and video (FEES)

    CPT 92612

    Facility fee only
    $200
    US typical $338

    Doctor fees are billed separately.
42. Electrical stimulation therapy, unattended, not for wound care

    HCPCS G0283

    Facility fee only
    $12.94
    US typical $67

    Doctor fees are billed separately.
43. Electrical stimulation therapy, unattended

    CPT 97014

    Facility fee only
    $14.87
    US typical $66.50

    Doctor fees are billed separately.
44. Voice prosthesis evaluation and fitting

    CPT 92597

    Facility fee only
    $73.89
    US typical $264

    Doctor fees are billed separately.
45. Group breathing therapy to improve lung function (2 or more patients)

    HCPCS G0239

    Facility fee only
    $13.76
    US typical $100

    Doctor fees are billed separately.
46. Breathing muscle strengthening therapy, one-on-one, each 15 min

    HCPCS G0237

    Facility fee only
    $12.10
    US typical $78

    Doctor fees are billed separately.
47. One-on-one breathing therapy to improve lung function, per 15 min

    HCPCS G0238

    Facility fee only
    $10.77
    US typical $75.25

    Doctor fees are billed separately.
48. Speech-generating device evaluation, each additional 30 minutes

    CPT 92608

    Facility fee only
    $49.17
    US typical $129

    Doctor fees are billed separately.
49. Tympanometry (eardrum and middle ear test)

    CPT 92567

    Facility fee only
    $16.25
    US typical $61.56

    Doctor fees are billed separately.
50. Otoacoustic emissions hearing test, limited

    CPT 92587

    Facility fee only
    $22.24
    US typical $234

    Doctor fees are billed separately.

Prices are published cash prices with their source and the date we last checked. Confirm with the provider before you book. Hospital prices for a billing code are often the facility charge only.