Visits & medical services prices at Athol Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Reflex Testing (92568) $91 $91 2.0×
Advncd Care Plan 30 Min (99497)
range across 2 matching MRF lines
$98–$207 $98–$207 varies
Airway Inhalation Treatment (94640) $291 $291 1.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$61–$96 $61–$96 varies
Application Modality 1/> Areas Diathermy (97024) $74 $74 10.1×
Application Modality 1/> Areas Infrared (97026) $90 $90 13.5×
Application on-body injector (96377) $143 $143 2.5×
Assessment of aphasia per hr (96105) $665 $665 6.8×
Audiometry Air & Bone (92553)
range across 2 matching MRF lines
$266–$525 $266–$525 varies
Auditory Function, 60 Min (92620) $359 $359 2.3×
Behavral qualit analys voice (92524) $665 $665 6.1×
Brief Emotional/Behav Assmt (96127) $56 $56 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$55–$383 $55–$383 varies
Cardiac Stress Tst,Tracing Only (93017) $1,153 $1,153 4.5×
Cardiopulmonary exercise testing (94621) $625 $625 1.4×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$1,135–$1,305 $1,135–$1,305 varies
Cardioversion (92960)
range across 3 matching MRF lines
$581–$799 $581–$799 varies
Cbt 1st hour (94644) $162 $162 1.0×
Chemo Anti-Neopl Sq/Im (96401) $230 $230 2.7×
Chemo Hormon Antineopl Sq/Im (96402) $230 $230 2.7×
Chemo IV infusion addl hr (96415) $655 $655 7.6×
Chemo IV push addl drug (96411) $298 $298 3.5×
Chemother Prolong Infuse W/Pump (96416) $655 $655 1.7×
Chemotherapy Into Cns (96450) $689 $689 1.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $357 $357 4.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $689 $689 1.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $534 $534 1.3×
Chest Wall Manipulation (94668) $162 $162 1.0×
Color/duplex Doppler, complete (93975) $1,009 $1,009 3.5×
Color/duplex Doppler, limited (93976) $1,619 $1,619 12.9×
Community/Work Reintegration Trainj Ea 15 Min (97537) $106 $106 3.3×
Comprehensive Hearing Test (92557)
range across 2 matching MRF lines
$673–$697 $673–$697 varies
Conditioning Play Audiometry (92582) $327 $327 2.1×
Cont Gluc Mntr Pt Prov Eqp (95249) $152 $152 2.1×
Continuous Pulse Ox (94762) $636 $636 4.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $291 $291 1.1×
Cpt initial (94667) $162 $162 1.0×
Critical care first hour (99291)
range across 4 matching MRF lines
$884–$1,962 $884–$1,962 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$46–$150 $46–$150 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $238 $238 0.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,045 $2,045 7.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,367 $1,367 10.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,126 $2,126 7.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,275 $1,275 10.2×
Duplex Scan Hemodialysis Access (93990) $362 $362 2.9×
Duplex up extrem art bilat (93930) $1,484 $1,484 5.2×
Duplex up extrem art unilat/ltd (93931) $783 $783 6.2×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$217–$665 $217–$665 varies
Echo transesophageal (93312) $894 $894 1.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 3 matching MRF lines
$447–$1,751 $447–$1,751 varies
EEG awake and asleep (95819) $111 $111 0.4×
EEG awake drowsy (95816) $111 $111 0.4×
Eeg Sleep Only (95822)
range across 3 matching MRF lines
$95–$604 $95–$604 varies
Electrical Stimulation Ea 15 Min (97032) $116 $116 7.9×
Electrocardiogram Tracing (93005) $186 $186 2.6×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$295–$375 $295–$375 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$412–$528 $412–$528 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$588–$746 $588–$746 varies
Er level 1 (99281) $177 $177 1.8×
Er level v (99285)
range across 2 matching MRF lines
$948–$1,209 $948–$1,209 varies
Evaluate pt use of inhaler (94664) $291 $291 1.1×
Evaluate Speech Production (92522) $665 $665 5.9×
Evaluate Swallowing Function (92610) $926 $926 10.9×
Evaluation of speech fluency (92521) $665 $665 5.0×
Evoked Auditory Test,Limited (92587)
range across 2 matching MRF lines
$159–$238 $159–$238 varies
External Ecg Scanning Analysis Report (93226) $438 $438 6.2×
Extracranial Bilat Study (93880) $1,597 $1,597 5.6×
Extracranial Uni/Ltd Study (93882) $1,484 $1,484 11.8×
Group Therapeutic Procedures (97150)
range across 10 matching MRF lines
$70–$129 $70–$129 varies
Holter monitor recording (93225)
range across 2 matching MRF lines
$244–$393 $244–$393 varies
Hubbard tank 15 min (97036) $90 $90 2.6×
Icd device progr eval dual (93283) $203 $203 4.5×
Icd Device Progr Eval Mult (93284) $243 $243 5.4×
Ilr Device Interrogate (93291) $63 $63 1.8×
Im Adm Intransl/Oral 1 Vaccine (90473) $62 $62 0.7×
Immunization administration (90471)
range across 4 matching MRF lines
$82–$154 $82–$154 varies
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$81–$96 $81–$96 varies
Irrig Drug Delivery Device (96523) $110 $110 1.6×
IV infusion hydration each additional hour (96361) $463 $463 8.3×
IV infusion hydration initial 31 min-1 hour (96360) $463 $463 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $136 $136 1.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $281 $281 5.0×
IV push initial (96374) $281 $281 1.1×
Lung Function Test (Mbc/Mvv) (94200)
range across 2 matching MRF lines
$6–$336 $6–$336 varies
Mechanical chest wall oscillation per session (94669) $533 $533 2.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $97 $97 3.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $97 $97 2.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $37 $37 2.2×
Methacholine challenge (94070)
range across 2 matching MRF lines
$106–$1,356 $106–$1,356 varies
Motion Fluoroscopy/Swallow (92611) $396 $396 4.3×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869)
range across 2 matching MRF lines
$42–$290 $42–$290 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $160 $160 0.7×
Nerve Conduction Studies 1-2 Studies (95907) $102 $102 0.4×
Nerve Conduction Studies 11-12 Studies (95912) $302 $302 0.7×
Nerve conduction studies 13 or more studies (95913) $356 $356 0.8×
Nerve Conduction Studies 3-4 Studies (95908) $127 $127 0.5×
Nerve conduction studies 5-6 studies (95909) $151 $151 0.6×
Nerve conduction studies 7-8 studies (95910) $203 $203 0.5×
Nerve Conduction Studies 9-10 Studies (95911) $254 $254 0.6×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$116–$140 $116–$140 varies
Nonphysician Telephone Assessment 21-30 Min (98968) $79 $79 2.3×
Oral Function Therapy (92526) $448 $448 5.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $81 $81 1.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$96–$207 $96–$207 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 2 matching MRF lines
$46–$78 $46–$78 varies
Osteopathic manipulative tx 3-4 body regions (98926)
range across 2 matching MRF lines
$69–$100 $69–$100 varies
Osteopathic manipulative tx 5-6 body regions (98927)
range across 2 matching MRF lines
$59–$154 $59–$154 varies
Osteopathic manipulative tx 7-8 body regions (98928)
range across 2 matching MRF lines
$76–$185 $76–$185 varies
Osteopathic manipulative tx 9-10 body regions (98929)
range across 2 matching MRF lines
$90–$218 $90–$218 varies
Ot Contrast Bath Ea 15 Min (97034)
range across 2 matching MRF lines
$47–$100 $47–$100 varies
Ot eval high complexity (97167) $435 $435 4.3×
Ot Eval Low Complex (97165) $435 $435 4.3×
Ot Eval Moderate Complexity (97166) $435 $435 4.3×
Ot manual therapy 15 min (97140) $116 $116 4.2×
Ot paraffin bath (97018) $61 $61 10.1×
Ot Prosthetic Training, Each 15 Min (97761) $81 $81 2.0×
Ot Re-Eval Est Plan Care (97168) $105 $105 1.5×
Ot rom hand (95852) $87 $87 4.1×
Phlebotomy therapeutic (99195) $333 $333 2.1×
Physical Performance Test (97750) $105 $105 3.1×
Plethysmography (94726)
range across 2 matching MRF lines
$30–$421 $30–$421 varies
Pm device eval in person (93288) $82 $82 1.8×
Pm device progr eval dual (93280) $147 $147 3.3×
Pm device progr eval multi (93281) $172 $172 3.8×
Pm Device Progr Eval Sngl (93279) $123 $123 2.7×
Pm/Icd Remote Tech Serv (93296) $61 $61 1.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $58 $58 1.0×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $58 $58 1.0×
Psych diag eval w/med srvcs (90792)
range across 2 matching MRF lines
$285–$392 $285–$392 varies
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$279–$818 $279–$818 varies
Psytx Crisis Initial 60 Min (90839) $818 $818 3.8×
Pt Eval High Complex (97163) $384 $384 3.9×
Pt eval low complex 20 min (97161) $384 $384 3.9×
Pt Eval Mod Complex (97162) $384 $384 3.9×
Pt gait training 15 min (97116) $140 $140 4.8×
Pt mechanical traction (97012) $96 $96 6.7×
Pt Re-Eval Est Plan Care (97164) $128 $128 1.9×
Pt ultraviolet (97028) $90 $90 10.8×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $61 $61 1.4×
Pulm function test by gas (94727)
range across 2 matching MRF lines
$46–$707 $46–$707 varies
Pulmonary service/procedure (94799) $230 $230 1.5×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$37–$272 $37–$272 varies
Pure Tone Audiometry Air (92552) $122 $122 0.8×
Refill/Maint Portable Pump (96521) $652 $652 2.6×
Refill/Maint Pump/Resvr Syst (96522)
range across 2 matching MRF lines
$448–$505 $448–$505 varies
Remote 30 Day Ecg Rev/Report (93270)
range across 2 matching MRF lines
$81–$842 $81–$842 varies
Remote 30 Day Ecg Tech Supp (93229) $784 $784 1.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $85 $85 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$100–$172 $100–$172 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851)
range across 2 matching MRF lines
$79–$87 $79–$87 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $393 $393 3.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $119 $119 2.5×
Select picture audiometry (92583) $63 $63 0.9×
Self Care Mngment Training (97535) $116 $116 3.6×
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines
$90–$100 $90–$100 varies
Speech Audiometry Complete (92556) $99 $99 1.4×
Speech audiometry threshold (92555) $74 $74 1.0×
Speech sound lang comprehen (92523) $665 $665 2.9×
Spirometry (94010)
range across 2 matching MRF lines
$30–$207 $30–$207 varies
Staggered Spondaic Word Test (92572) $259 $259 1.7×
Standardized Cognitive Performance Testing (96125) $665 $665 6.5×
Stress Tte Only (93350) $756 $756 1.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $55 $55 2.5×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $90 $90 2.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $55 $55 1.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $247 $247 2.4×
Ther/Prop/Diag Inj/Inf Proc (96379) $82 $82 1.5×
Ther/Proph/Diag Inj Sc/Im (96372) $230 $230 2.7×
Ther/Proph/Diag Iv Inf Init (96365) $463 $463 1.8×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$98–$116 $98–$116 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $100 $100 2.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $27 $27 0.6×
Trans Care Mgmt 14 Day Disch (99495)
range across 3 matching MRF lines
$183–$763 $183–$763 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 3 matching MRF lines
$248–$1,029 $248–$1,029 varies
Tte w/doppler, complete (93306)
range across 3 matching MRF lines
$217–$1,715 $217–$1,715 varies
Tte W/O Doppler Complete (93307) $3,308 $3,308 11.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $411 $411 5.4×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $219 $219 9.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $105 $105 1.9×
Tympanometry (92567) $135 $135 3.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $380 $380 1.5×
Vasopneumatic device (97016) $90 $90 7.5×
Vent Mgmt Inpat Init Day (94002) $774 $774 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $774 $774 1.0×
Visual reinforcement audiometry (vra) (92579) $216 $216 0.8×
Wheelchair Mgmt Ea 15 Min (97542) $74 $74 2.4×
Whirlpool Therapy (97022)
range across 2 matching MRF lines
$61–$74 $61–$74 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.