Visits & medical services prices at Anna Jaques Hospital

Newburyport, MA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $22,094 $22,094 2.4×
Advncd Care Plan 30 Min (99497) $288 $288 2.4×
Airway Inhalation Treatment (94640) $384 $384 1.5×
Analyze neurostim complex (95972)
range across 2 matching MRF lines		 $308–$319 $308–$319 varies
Analyze neurostim no prog (95970) $401 $401 2.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $55 $55 3.8×
Application on-body injector (96377) $143 $143 2.5×
Assessment of aphasia per hr (96105) $565 $565 5.8×
Behavral qualit analys voice (92524) $450 $450 4.1×
Breath hydrogen/methane test (91065) $462 $462 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $540 $540 1.2×
Canalith repositioning proc (95992) $138 $138 3.4×
Cardiac Stress Tst,Tracing Only (93017) $1,374 $1,374 5.3×
Cardiopulmonary exercise testing (94621) $866 $866 1.9×
Cardiopulmonary resuscitation (92950) $2,207 $2,207 8.5×
Cardioversion (92960) $2,093 $2,093 2.6×
Cardioversion elective internal (92961) $2,032 $2,032 2.6×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $93 $93 3.6×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $28,341 $28,341 7.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $24,375 $24,375 6.3×
Cbt 1st hour (94644) $232 $232 1.5×
Cervical & Ocular Vemp Testing W/I&R (92519) $967 $967 3.7×
Chemo Anti-Neopl Sq/Im (96401) $694 $694 8.0×
Chemo Hormon Antineopl Sq/Im (96402) $410 $410 4.8×
Chemo IV infusion addl hr (96415) $501 $501 5.8×
Chemo IV push addl drug (96411) $806 $806 9.3×
Chemother Prolong Infuse W/Pump (96416) $2,010 $2,010 5.1×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $1,030 $1,030 2.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $900 $900 10.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,864 $1,864 4.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,378 $1,378 3.5×
Chest Wall Manipulation (94668) $64 $64 0.4×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $228 $228 3.2×
Color/duplex Doppler, complete (93975) $1,364 $1,364 4.8×
Color/duplex Doppler, limited (93976) $796 $796 6.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $101 $101 3.2×
Cont Gluc Mntr Pt Prov Eqp (95249) $184 $184 2.6×
Continuous Pulse Ox (94762) $544 $544 3.5×
Coronary Art/Grft Angio S&I (93455) $23,958 $23,958 6.2×
Coronary Artery Angio S&I (93454) $20,456 $20,456 5.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $466 $466 1.8×
Cpt initial (94667) $108 $108 0.7×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $967 $967 3.7×
Critical care first hour (99291) $5,181 $5,181 5.2×
Debridement Open Wound 20 Sq Cm< (97597) $713 $713 3.0×
Dialysis One Evaluation (90945) $1,322 $1,322 2.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,075 $1,075 3.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $597 $597 4.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,390 $1,390 4.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $925 $925 7.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,254 $1,254 4.4×
Dup-scan xtr veins unilateral/limited study (93971) $837 $837 6.7×
Duplex up extrem art bilat (93930) $1,022 $1,022 3.6×
Duplex up extrem art unilat/ltd (93931) $678 $678 5.4×
ECG/monitoring and analysis (93271) $308 $308 2.7×
Echo Congenital Complete (93303) $1,407 $1,407 2.1×
Echo Heart Xthoracic,Limited (93308) $2,160 $2,160 7.6×
Echo transesophag montr cardiac pump functj (93318) $1,632 $1,632 2.5×
Echo transesophageal (93312) $2,967 $2,967 4.5×
Echo Transesophageal - Congenital Tee Complete (93315) $1,703 $1,703 2.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,632 $1,632 2.5×
Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) $112 $112 2.5×
Eeg 41-60 Minutes (95812) $771 $771 3.0×
EEG awake and asleep (95819) $771 $771 3.0×
EEG awake drowsy (95816) $907 $907 3.5×
EEG cont rec w/video by tech min 8 channels (95700) $700 $700 2.7×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $700 $700 2.7×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,586 $1,586 3.5×
EEG wo vid ea 12-26hr unmntr (95708) $1,648 $1,648 3.7×
EKG signal averaged (93278) $181 $181 2.6×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $308 $308 2.7×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $308 $308 2.7×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $116 $116 2.6×
Electrical Stimulation Ea 15 Min (97032) $86 $86 5.9×
Electrocardiogram Tracing (93005) $219 $219 3.1×
Emergency Dept Visit Level 2 (99282) $642 $642 3.5×
Emergency Dept Visit Level 3 (99283) $950 $950 2.9×
Emergency Dept Visit Level 4 (99284) $1,861 $1,861 3.7×
Ep & ablate supravent arrhyt (93653) $25,806 $25,806 0.8×
Er level 1 (99281) $600 $600 5.9×
Er level v (99285) $2,677 $2,677 3.8×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $427 $427 2.8×
Evaluate pt use of inhaler (94664) $385 $385 1.5×
Evaluate Speech Production (92522) $435 $435 3.9×
Evaluate Swallowing Function (92610) $567 $567 6.7×
Evaluation of speech fluency (92521) $534 $534 4.0×
External ECG rec>7d<15d recording (93246) $208 $208 4.6×
External Ecg Scanning Analysis Report (93226) $633 $633 9.0×
Extracranial Bilat Study (93880) $953 $953 3.3×
Fundus photography (92250) $401 $401 2.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,648 $1,648 1.6×
Gi tract capsule endoscopy (91110) $2,682 $2,682 2.5×
Gi tract imaging intraluminal colon i&r (91113) $2,831 $2,831 2.5×
Gi wireless capsule measure (91112) $2,911 $2,911 2.7×
Group Therapeutic Procedures (97150) $78 $78 4.3×
Health Behavior Assessment/Re-Assessment (96156) $288 $288 2.4×
Health behavior ivntj indiv f2f 1st 30 min (96158) $206 $206 1.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $32,968 $32,968 8.5×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $2,068 $2,068 2.5×
Holter monitor recording (93225) $403 $403 2.5×
Icd Device Interrogate (93289) $112 $112 2.5×
Icd device progr eval dual (93283) $116 $116 2.6×
Icd Device Progr Eval Mult (93284) $116 $116 2.6×
Icm Device Eval (93290) $116 $116 2.6×
Ilr Device Eval Progr (93285) $116 $116 2.6×
Ilr Device Interrogate (93291) $87 $87 2.5×
Immunization administration (90471)
range across 3 matching MRF lines		 $199–$273 $199–$273 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $1,648 $1,648 3.7×
Insert/Place Heart Catheter (93503) $4,823 $4,823 2.6×
Interrog&prgrmg impl phrenic nrv stimulator sys (93151) $285 $285 2.5×
Interrog&prgrmg ipnss during polysomnography (93152) $932 $932 2.5×
Interrogate Subq Defib (93261) $116 $116 2.6×
Interrogation vad in person (93750) $308 $308 2.7×
Interrogation without programming ipnss (93153) $287 $287 2.5×
Irrig Drug Delivery Device (96523) $579 $579 8.2×
IV infusion hydration each additional hour (96361) $253 $253 4.5×
IV infusion hydration initial 31 min-1 hour (96360) $834 $834 3.3×
IV infusion ther proph addl sequential to 1 hr (96367) $454 $454 5.3×
IV infusion therapy prophylaxis/dx ea hour (96366) $195 $195 3.5×
IV push initial (96374) $521 $521 2.0×
L Hrt Art/Grft Angio (93459) $5,403 $5,403 1.4×
Liver Elastography W/O Imag W/I&R (91200) $450 $450 2.9×
Lwr Xtr Vasc Stdy Bilat (93924) $649 $649 2.5×
Mechanical chest wall oscillation per session (94669) $773 $773 2.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $119 $119 3.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $132 $132 3.6×
Methacholine challenge (94070) $79 $79 0.2×
Motion Fluoroscopy/Swallow (92611) $567 $567 6.2×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $1,197 $1,197 2.2×
Multiple Sleep Latency Test (95805) $2,560 $2,560 2.5×
Muscle Test One Limb (95860) $401 $401 2.5×
Nasopharyngoscopy (92511) $602 $602 2.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,241 $1,241 2.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $514 $514 2.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $807 $807 1.7×
Nerve Conduction Studies 1-2 Studies (95907) $485 $485 1.9×
Nerve conduction studies 13 or more studies (95913) $1,648 $1,648 3.7×
Neuromuscular Reeducation (97112) $149 $149 4.6×
Oral Function Therapy (92526) $341 $341 4.1×
Oral Speech Device Eval (92597) $356 $356 5.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $208 $208 4.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $170 $170 3.7×
Ot Eval Low Complex (97165) $368 $368 3.7×
Ot Eval Moderate Complexity (97166) $368 $368 3.7×
Ot manual therapy 15 min (97140) $130 $130 4.7×
Ot paraffin bath (97018) $52 $52 8.7×
Ot Prosthetic Training, Each 15 Min (97761) $136 $136 3.4×
Ot Re-Eval Est Plan Care (97168) $236 $236 3.4×
Ot rom hand (95852) $50 $50 2.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $422 $422 2.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $365 $365 2.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $631 $631 2.4×
Perq Transcath Cls Aortic (93591) $55,755 $55,755 2.5×
Phlebotomy therapeutic (99195) $295 $295 1.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $114 $114 1.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $114 $114 1.6×
Physical Performance Test (97750) $109 $109 3.2×
Plethysmography (94726) $824 $824 1.8×
Pm device eval in person (93288) $112 $112 2.5×
Pm device progr eval dual (93280) $116 $116 2.6×
Pm Device Progr Eval Sngl (93279) $116 $116 2.6×
Pm/Icd Remote Tech Serv (93296) $116 $116 2.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,314 $4,314 4.2×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $116 $116 2.6×
Prq Revasc Byp Graft 1 Vsl (92937) $34,022 $34,022 2.5×
Psych diag eval w/med srvcs (90792) $472 $472 2.2×
Psychiatric diagnostic evaluation (90791) $499 $499 2.3×
Psytx Crisis Initial 60 Min (90839) $499 $499 2.3×
Pt Eval High Complex (97163) $328 $328 3.4×
Pt eval low complex 20 min (97161) $328 $328 3.4×
Pt Eval Mod Complex (97162) $328 $328 3.4×
Pt gait training 15 min (97116) $126 $126 4.3×
Pt mechanical traction (97012) $70 $70 4.9×
Pt Re-Eval Est Plan Care (97164) $186 $186 2.8×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $87 $87 1.9×
Pulm function test by gas (94727) $599 $599 2.3×
Pulmonary service/procedure (94799) $485 $485 3.1×
Pulmonary Stress Testing (94618) $430 $430 2.7×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $9,987 $9,987 2.6×
R hrt coronary artery angio (93456) $25,562 $25,562 6.6×
R&L Hrt Cath W/Ventriclgrphy (93453) $25,792 $25,792 6.6×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $116 $116 2.6×
Remote 30 Day Ecg Rev/Report (93270) $112 $112 2.5×
Respiratory flow volume loop (94375) $233 $233 0.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $481 $481 6.8×
Right Heart Cath (93451) $20,490 $20,490 5.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $514 $514 2.1×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $46 $46 1.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $152 $152 3.2×
Self Care Mngment Training (97535) $155 $155 4.8×
Sleep study unattended (95806) $1,271 $1,271 4.9×
Slp caregiver training 1st 30 min (97550) $148 $148 2.8×
Speech sound lang comprehen (92523) $903 $903 4.0×
Spirometry (94010) $512 $512 2.0×
Standardized Cognitive Performance Testing (96125) $326 $326 3.2×
Stress Tte Only (93350) $1,865 $1,865 2.8×
Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) $285 $285 2.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $118 $118 5.3×
Ther Ivntj Ea Addl 15 Min (97130) $118 $118 5.6×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $161 $161 4.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $112 $112 3.8×
Ther/Proph/Diag Inj Sc/Im (96372) $348 $348 4.0×
Ther/Proph/Diag Iv Inf Init (96365) $920 $920 3.6×
Therapeutic Activities (97530) $155 $155 4.4×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,040 $2,040 4.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $92 $92 2.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $130 $130 2.9×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $331 $331 2.6×
Tte w/doppler, complete (93306) $2,158 $2,158 3.3×
Tte W/O Doppler Complete (93307) $785 $785 2.7×
Tx atrial fib pulm vein isol (93656) $73,597 $73,597 2.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $376 $376 4.9×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $70 $70 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $119 $119 2.1×
Unlisted cardiovascular service/procedure (93799)
range across 6 matching MRF lines		 $451–$557 $451–$557 varies
Unlisted noninvasive vascular diagnostic study (93998) $76 $76 2.2×
Unlisted ophthalmological service/procedure (92499) $76 $76 2.2×
Unlisted otorhinolaryngological service (92700) $88 $88 2.5×
Upr/L Xtremity Art 2 Levels (93922) $424 $424 2.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $764 $764 3.0×
Vasopneumatic device (97016) $38 $38 3.2×
Veeg 2-12 Hr Cont Mntr (95713) $1,586 $1,586 3.5×
Veeg 2-12 hr intmt mntr (95712) $771 $771 1.7×
Veeg 2-12 hr unmonitored (95711) $866 $866 3.3×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,648 $1,648 3.7×
Veeg Ea 12-26 Hr Unmntr (95714) $1,586 $1,586 3.5×
Veeg ea 12-26hr cont mntr (95716) $3,094 $3,094 3.0×
Vent Mgmt Inpat Init Day (94002) $2,217 $2,217 3.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,774 $1,774 2.4×
Visual Field Exam Extended (92083) $401 $401 2.5×
Vital capacity, total (94150) $462 $462 3.0×
Wheelchair Mgmt Ea 15 Min (97542) $102 $102 3.3×
Whirlpool Therapy (97022) $57 $57 3.6×

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.