Visits & medical services prices at Adirondack Medical Center - Saranac Lake
Saranac Lake, NY · every code in this section with a posted price and a Medicare benchmark.
204 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $230.02 | $371 | 1.8× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$16.12–$75.02 | $26–$121 | varies |
| Advncd Care Plan 30 Min (99497) | $231.26 | $373 | 1.8× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $327.98 | $529 | 1.2× |
| Airway Inhalation Treatment (94640) | $261.02 | $421 | 1.0× |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$65.72–$104.78 | $106–$169 | varies |
| Analyze neurostim no prog (95970) | $314.96 | $508 | 1.9× |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$103.54–$436.48 | $167–$704 | varies |
| Anrct mano rct sensation&rct balo expulsion test (91125) range across 3 matching MRF lines |
$228.16–$777.48 | $368–$1,254 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $40.92 | $66 | 2.8× |
| Application on-body injector (96377) | $99.82 | $161 | 1.7× |
| Assessment of aphasia per hr (96105) | $163.06 | $263 | 1.7× |
| Behavral qualit analys voice (92524) | $203.98 | $329 | 1.9× |
| Brief Emotional/Behav Assmt (96127) | $127.72 | $206 | 2.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$270.94–$428.42 | $437–$691 | varies |
| Canalith repositioning proc (95992) | $115.32 | $186 | 2.8× |
| Car seat/bed test 60 min (94780) | $140.12 | $226 | 3.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $620 | $1,000 | 2.3× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$549.94–$645.42 | $887–$1,041 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$312.48–$808.48 | $504–$1,304 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $21.08 | $34 | 0.5× |
| Cbt 1st hour (94644) | $168.64 | $272 | 1.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $111.60 | $180 | 1.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $116.56 | $188 | 1.3× |
| Chemo IV infusion addl hr (96415) | $116.56 | $188 | 1.3× |
| Chemo IV push addl drug (96411) | $178.56 | $288 | 2.0× |
| Chemother Prolong Infuse W/Pump (96416) | $715.48 | $1,154 | 1.7× |
| Chemotherapy Into Cns (96450) | $770.04 | $1,242 | 1.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $116.56 | $188 | 1.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $443.30 | $715 | 1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $450.74 | $727 | 1.1× |
| Chest Wall Manipulation (94668) | $259.16 | $418 | 1.6× |
| Chron Care Mgmt Srvc 20 Min (99490) | $250.48 | $404 | 2.0× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $139.50 | $225 | 1.9× |
| Color/duplex Doppler, complete (93975) | $579.70 | $935 | 1.9× |
| Color/duplex Doppler, limited (93976) | $525.14 | $847 | 4.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $66.34 | $107 | 2.1× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $432.14 | $697 | 2.0× |
| Continuous Pulse Ox (94762) | $229.40 | $370 | 1.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $261.02 | $421 | 1.0× |
| Cpt initial (94667) | $206.46 | $333 | 1.2× |
| Critical care first hour (99291) range across 6 matching MRF lines |
$642.32–$1,609.52 | $1,036–$2,596 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$39.06–$648.52 | $63–$1,046 | varies |
| Duodenal motility study (91022) range across 2 matching MRF lines |
$367.04–$1,055.86 | $592–$1,703 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $653.48 | $1,054 | 2.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $525.14 | $847 | 4.0× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $665.88 | $1,074 | 5.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $653.48 | $1,054 | 2.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $525.14 | $847 | 4.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $653.48 | $1,054 | 2.2× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 5 matching MRF lines |
$253.58–$525.14 | $409–$847 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $497.24 | $802 | 1.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $218.86 | $353 | 1.7× |
| Duplex Scan Hemodialysis Access (93990) | $525.14 | $847 | 4.0× |
| Duplex up extrem art bilat (93930) | $653.48 | $1,054 | 2.2× |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$60.76–$525.14 | $98–$847 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$258.54–$510.26 | $417–$823 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$827.08–$1,810.40 | $1,334–$2,920 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,810.40 | $2,920 | 2.7× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,080.66 | $1,743 | 1.6× |
| EEG awake and asleep (95819) | $572.88 | $924 | 2.1× |
| EEG awake drowsy (95816) | $572.88 | $924 | 2.1× |
| Electrical Stimulation Ea 15 Min (97032) | $53.32 | $86 | 3.6× |
| Electrocardiogram Tracing (93005) | $76.88 | $124 | 1.0× |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$221.34–$279 | $357–$450 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$333.56–$487.94 | $538–$787 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$390.60–$819.64 | $630–$1,322 | varies |
| Emg 3 Extremities (95863) | $401.76 | $648 | 2.5× |
| Emg 4 Extremities (95864) | $424.70 | $685 | 2.6× |
| Er level 1 (99281) range across 3 matching MRF lines |
$127.72–$150.66 | $206–$243 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$476.16–$947.98 | $768–$1,529 | varies |
| Esophageal Capsule Endoscopy (91111) | $1,802.34 | $2,907 | 1.6× |
| Esophagus acid perfusion test esophagitis (91030) range across 2 matching MRF lines |
$308.14–$1,055.86 | $497–$1,703 | varies |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $1,055.86 | $1,703 | 2.3× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,055.86 | $1,703 | 2.3× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$166.16–$261.02 | $268–$421 | varies |
| Evaluate Speech Production (92522) | $175.46 | $283 | 1.6× |
| Evaluate Swallowing Function (92610) | $267.22 | $431 | 3.1× |
| Evaluation of speech fluency (92521) | $215.14 | $347 | 1.6× |
| External ECG rec>48hr<7d recording (93242) | $21.70 | $35 | 0.5× |
| External ECG rec>7d<15d recording (93246) | $22.32 | $36 | 0.5× |
| Extracranial Bilat Study (93880) | $515.22 | $831 | 1.7× |
| Extracranial Uni/Ltd Study (93882) | $284.58 | $459 | 2.2× |
| Gastric motility studies (91020) range across 2 matching MRF lines |
$584.66–$1,055.86 | $943–$1,703 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,055.86 | $1,703 | 2.3× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $648.52 | $1,046 | 2.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$916.98–$1,055.86 | $1,479–$1,703 | varies |
| Gi tract capsule endoscopy (91110) range across 3 matching MRF lines |
$326.12–$2,232 | $526–$3,600 | varies |
| Group Therapeutic Procedures (97150) | $52.70 | $85 | 2.9× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,019.28 | $1,644 | 1.2× |
| Holter monitor recording (93225) | $397.42 | $641 | 2.4× |
| Icd Device Interrogate (93289) | $205.84 | $332 | 4.4× |
| Ilr Device Interrogate (93291) | $63.24 | $102 | 1.8× |
| Immunization administration (90471) | $79.98 | $129 | 0.9× |
| Inital newborn e/m (99460) | $285.20 | $460 | 1.7× |
| Io anal gast n-stim subsq (95981) range across 3 matching MRF lines |
$47.12–$246.14 | $76–$397 | varies |
| Io ga n-stim subsq w/reprog (95982) range across 3 matching MRF lines |
$94.86–$185.38 | $153–$299 | varies |
| Iontophoresis 15 min (97033) | $60.76 | $98 | 3.2× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$196.54–$385.02 | $317–$621 | varies |
| IV infusion hydration each additional hour (96361) | $82.46 | $133 | 1.4× |
| IV infusion hydration initial 31 min-1 hour (96360) | $268.46 | $433 | 1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $150.66 | $243 | 1.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $82.46 | $133 | 1.4× |
| IV push initial (96374) | $268.46 | $433 | 1.0× |
| Liver Elastography W/O Imag W/I&R (91200) | $343.48 | $554 | 2.1× |
| Lung Function Test (Mbc/Mvv) (94200) | $161.82 | $261 | 2.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $390.60 | $630 | 1.4× |
| Mechanical chest wall oscillation per session (94669) | $261.02 | $421 | 1.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $65.72 | $106 | 2.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $78.12 | $126 | 2.1× |
| Methacholine challenge (94070) | $424.70 | $685 | 0.9× |
| Motility study esophagus (91010) | $1,055.86 | $1,703 | 2.3× |
| Motion Fluoroscopy/Swallow (92611) | $267.22 | $431 | 2.9× |
| Multiple Sleep Latency Test (95805) | $2,218.36 | $3,578 | 2.1× |
| Muscle Test 2 Limbs (95861) | $295.74 | $477 | 1.8× |
| Muscle Test Nonparaspinal (95870) | $152.52 | $246 | 0.9× |
| Muscle Test One Limb (95860) | $211.42 | $341 | 1.3× |
| Nasopharyngoscopy (92511) | $505.30 | $815 | 2.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $48.36 | $78 | 0.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$65.10–$374.48 | $105–$604 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$73.78–$378.20 | $119–$610 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$137.64–$478.02 | $222–$771 | varies |
| Neuromuscular Reeducation (97112) | $60.76 | $98 | 1.9× |
| Newborn resuscitation (99465) | $252.34 | $407 | 0.3× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $80.60 | $130 | 3.2× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $163.68 | $264 | 4.7× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $39.06 | $63 | 2.9× |
| Oral Function Therapy (92526) | $193.44 | $312 | 2.3× |
| Oral Speech Device Eval (92597) | $275.28 | $444 | 3.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $55.18 | $89 | 1.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $60.76 | $98 | 1.3× |
| Ot Contrast Bath Ea 15 Min (97034) | $40.92 | $66 | 2.9× |
| Ot eval high complexity (97167) | $222.58 | $359 | 2.2× |
| Ot Eval Low Complex (97165) | $167.40 | $270 | 1.7× |
| Ot Eval Moderate Complexity (97166) | $191.58 | $309 | 1.9× |
| Ot manual therapy 15 min (97140) | $66.34 | $107 | 2.4× |
| Ot paraffin bath (97018) | $40.92 | $66 | 6.8× |
| Ot Prosthetic Training, Each 15 Min (97761) | $65.10 | $105 | 1.6× |
| Ot Re-Eval Est Plan Care (97168) | $128.96 | $208 | 1.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $287.06 | $463 | 1.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $270.32 | $436 | 1.7× |
| Penile Vascular Study,Ltd or F/U (93981) | $498.48 | $804 | 3.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $261.02 | $421 | 1.0× |
| Peripheral arterial disease rehab per session (93668) | $144.46 | $233 | 2.0× |
| Phlebotomy therapeutic (99195) | $196.54 | $317 | 1.2× |
| Plethysmography (94726) | $382.54 | $617 | 0.8× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$114.70–$144.46 | $185–$233 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,826.58 | $4,559 | 2.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $68.20 | $110 | 1.2× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $70.68 | $114 | 1.2× |
| Psych diag eval w/med srvcs (90792) | $239.94 | $387 | 1.1× |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$203.36–$436.48 | $328–$704 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $56.42 | $91 | 1.5× |
| Pt Eval High Complex (97163) | $208.94 | $337 | 2.1× |
| Pt eval low complex 20 min (97161) | $161.20 | $260 | 1.6× |
| Pt Eval Mod Complex (97162) | $184.76 | $298 | 1.9× |
| Pt gait training 15 min (97116) | $65.10 | $105 | 2.2× |
| Pt mechanical traction (97012) | $50.84 | $82 | 3.5× |
| Pt Re-Eval Est Plan Care (97164) | $136.40 | $220 | 2.0× |
| Pt ultraviolet (97028) | $55.80 | $90 | 6.7× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $21.08 | $34 | 0.5× |
| Pulm function test by gas (94727) | $228.16 | $368 | 0.8× |
| Pulmonary Stress Testing (94618) | $258.54 | $417 | 1.6× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) range across 5 matching MRF lines |
$52.08–$147.56 | $84–$238 | varies |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) range across 5 matching MRF lines |
$163.68–$175.46 | $264–$283 | varies |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) range across 5 matching MRF lines |
$39.06–$133.92 | $63–$216 | varies |
| Rectal sensation tone&compliance study (91124) range across 3 matching MRF lines |
$126.48–$611.94 | $204–$987 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 3 matching MRF lines |
$50.84–$153.14 | $82–$247 | varies |
| Respiratory flow volume loop (94375) | $382.54 | $617 | 1.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $440.82 | $711 | 1.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $275.28 | $444 | 2.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $60.14 | $97 | 1.3× |
| Same day nb discharge (99463) | $187.86 | $303 | 1.1× |
| Sbsq Psyc Collab Care Mgmt (99493) | $207.08 | $334 | 1.6× |
| Self Care Mngment Training (97535) | $67.58 | $109 | 2.1× |
| Sensory Integration Ea 15 Min (97533) | $67.58 | $109 | 1.1× |
| Sleep study unattended (95806) | $336.66 | $543 | 1.2× |
| Speech sound lang comprehen (92523) | $360.22 | $581 | 1.6× |
| Spirometry (94010) range across 2 matching MRF lines |
$158.72–$228.16 | $256–$368 | varies |
| Standardized Cognitive Performance Testing (96125) | $150.66 | $243 | 1.5× |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$125.86–$1,080.66 | $203–$1,743 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $65.10 | $105 | 2.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $60.14 | $97 | 2.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $76.88 | $124 | 2.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $55.80 | $90 | 1.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$63.86–$112.84 | $103–$182 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $427.80 | $690 | 1.6× |
| Therapeutic Activities (97530) | $67.58 | $109 | 1.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 6 matching MRF lines |
$67.58–$84.32 | $109–$136 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $37.20 | $60 | 0.8× |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$262.26–$427.80 | $423–$690 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$239.32–$448.26 | $386–$723 | varies |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$112.84–$1,080.66 | $182–$1,743 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $179.80 | $290 | 2.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $82.46 | $133 | 1.4× |
| Tympanometry (92567) | $82.46 | $133 | 1.8× |
| Upr/L Xtremity Art 2 Levels (93922) | $339.14 | $547 | 2.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$339.14–$439.58 | $547–$709 | varies |
| Vasopneumatic device (97016) | $48.98 | $79 | 4.1× |
| Vent Mgmt Inpat Init Day (94002) | $792.98 | $1,279 | 1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $792.98 | $1,279 | 1.0× |
| Vital capacity, total (94150) | $228.16 | $368 | 1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $59.52 | $96 | 1.9× |
| Whirlpool Therapy (97022) | $100.44 | $162 | 6.4× |
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.