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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ProcedureCash priceGross charge× Medicare
Acoustic reflex testing (92568) $91 $91 2.0×
Advance care planning first 30 mins (99497) $152.50 $152.50 1.3×
Airway inhalation treatment (94640) $291 $291 1.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $78.50 $78.50 5.5×
Application Modality 1/> Areas Infrared (97026) $90 $90 13.5×
Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes Facility (97036) $90 $90 2.6×
Application on-body injector (96377) $143 $143 2.5×
Assessment of aphasia per hr (96105) $665 $665 6.8×
Auditory Function, 60 Min (92620) $359 $359 2.3×
Bedside Swallowing Eval (92610) $926 $926 10.9×
Behavioral and qualitative analysis of voice and resonance (92524) $665 $665 6.1×
Brief Emotional/Behavioral Assessment (96127) $56 $56 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $219 $219 0.5×
Cardiac Stress Tst,Tracing Only (93017) $1,153 $1,153 4.5×
Cardiopulmonary exercise testing (94621) $625 $625 1.4×
Cardiopulmonary resuscitation (92950) $1,220 $1,220 4.7×
Cardioversion (92960) $676 $676 0.9×
Cbt 1st hour (94644) $162 $162 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $230 $230 2.7×
Chemo IV push addl drug (96411) $298 $298 3.5×
Chemo prolong 8+ hrs infuse w/pump (96416) $655 $655 1.7×
Chemother, IV infusion, 1 hr (96413) $689 $689 1.7×
Chemother, IV infusion, ea add hr (96415) $655 $655 7.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $230 $230 2.7×
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 push tq 1/1st sbst/drug (96409) $534 $534 1.3×
Color/duplex Doppler, complete (93975) $1,009 $1,009 3.5×
Color/duplex Doppler, limited (93976) $1,619 $1,619 12.9×
Comprehensive Hearing Test (92557) $685 $685 4.4×
Conditioning Play Audiometry (92582) $327 $327 2.1×
Cont Gluc Monitoring Patient Provided Equipment (95249) $152 $152 2.1×
Cpap/bipap (94660) $291 $291 1.1×
Cpt initial (94667) $162 $162 1.0×
Critical care (99291) $1,806.50 $1,806.50 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $98 $98 0.4×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $198.50 $198.50 0.8×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,484 $1,484 5.2×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $783 $783 6.2×
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 extracranial art compl bi study (93880) $1,597 $1,597 5.6×
Duplex Scan Hemodialysis Access (93990) $362 $362 2.9×
Echo Heart Xthoracic,Limited (93308) $665 $665 2.3×
Echo transesophageal (93312) $894 $894 1.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,751 $1,751 2.7×
EEG awake and asleep (95819) $111 $111 0.4×
EEG awake drowsy (95816) $111 $111 0.4×
EEG coma or sleep only (95822) $109 $109 0.4×
EKG rhythm strip (93041) $85 $85 1.2×
Electrocardiogram Tracing (93005) $186 $186 2.6×
Er level 1 (99281) $177 $177 1.8×
Er level ii (99282) $335 $335 1.8×
Er level iii (99283) $470 $470 1.4×
Er level IV (99284) $667 $667 1.3×
Er level v (99285) $1,078.50 $1,078.50 1.5×
Eval speech sound production (92522) $665 $665 5.9×
Evaluate Pt Use Of Inhaler (94664) $291 $291 1.1×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $393 $393 3.2×
Evaluation of speech fluency (92521) $665 $665 5.0×
External Ecg Scanning Analysis Report (93226) $438 $438 6.2×
Group Therapeutic Procedures (97150) $129 $129 7.2×
Holter Monitor (93225) $318.50 $318.50 2.0×
Immune Admin Oral/Nasal (90473) $62 $62 0.7×
Immunization Admin (90471) $118 $118 1.4×
Interrog dev eval scrms phys/qhp in person (93291) $63 $63 1.8×
Iontophoresis 15 min (97033) $88.50 $88.50 4.6×
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, therap/proph/diagnost,initial,1st hour (96365) $463 $463 1.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $281 $281 5.0×
IV push ea addl new drug (96375) $105 $105 1.9×
IV push initial (96374) $281 $281 1.1×
Manual therapy 15 min (97140) $116 $116 4.2×
Massage 15 min (97124) $55 $55 1.8×
Maximum voluntary ventilation (94200) $171 $171 2.4×
Mechanical chest wall oscillation (94669) $533 $533 2.0×
Mechanical traction (97012) $96 $96 6.7×
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) $731 $731 1.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $396 $396 4.3×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $166 $166 0.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $160 $160 0.7×
Nerve Conduction Studies 11-12 Studies (95912) $302 $302 0.7×
Nerve conduction studies 13/> 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×
Nerve conduction studies; 1-2 studies (95907) $102 $102 0.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $636 $636 4.1×
Nonphysician Telephone Assessment 21-30 Min (98968) $79 $79 2.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $151.50 $151.50 3.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $62 $62 2.4×
Osteopathic manipulative tx 3-4 body regions (98926) $84.50 $84.50 3.3×
Osteopathic manipulative tx 5-6 body regions (98927) $106.50 $106.50 4.1×
Osteopathic manipulative tx 7-8 body regions (98928) $130.50 $130.50 5.0×
Osteopathic manipulative tx 9-10 body regions (98929) $154 $154 6.0×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $106 $106 3.3×
Ot Contrast Bath Ea 15 Min (97034) $73.50 $73.50 5.2×
Ot eval high complex 60 min (97167) $435 $435 4.3×
Ot eval low complex 30 min (97165) $435 $435 4.3×
Ot eval mod complex 45 min (97166) $435 $435 4.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $81 $81 1.6×
Ot Prosthetic Training, Each 15 Min (97761) $81 $81 2.0×
Ot Range Motion Measure,Each Extrem (95851) $83 $83 3.2×
Ot re-evaluation (97168) $105 $105 1.5×
Ot therapeutic activity 15 min (97530) $107 $107 3.1×
Paraffin bath pt (97018) $61 $61 10.1×
Phlebotomy therapeutic (99195) $333 $333 2.1×
Plethysmography (94726) $225.50 $225.50 0.5×
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×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $243 $243 5.4×
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×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $203 $203 4.5×
Psych diag eval w/med srvcs (90792) $338.50 $338.50 1.6×
Psychiatric diagnostic evaluation (90791) $548.50 $548.50 2.6×
Psytx crisis initial 60 min (90839) $818 $818 3.8×
Pt Aquatic Therapy/Exercises (97113) $90 $90 2.4×
Pt diathermy (97024) $74 $74 10.1×
Pt Electrical Stimulation (97032) $116 $116 7.9×
Pt eval high complex 45 min (97163) $384 $384 3.9×
Pt eval low complex 20 min (97161) $384 $384 3.9×
Pt eval mod complex 30 min (97162) $384 $384 3.9×
Pt gait training 15 min (97116) $140 $140 4.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $128 $128 3.9×
Pt Physical Performance Test (97750) $105 $105 3.1×
Pt re-evaluation (97164) $128 $128 1.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $116 $116 3.6×
Pt ultraviolet (97028) $90 $90 10.8×
Pt Whirlpool Therapy (97022) $67.50 $67.50 4.3×
Pt-focused hlth risk assmt (96160) $61 $61 1.4×
Pulm function test by gas (94727) $376.50 $376.50 1.5×
Pulmonary Service/Procedure (94799) $230 $230 1.5×
Pulmonary stress test simple (94618) $154.50 $154.50 1.0×
Pure Tone Audiometry Air & Bone (92553) $395.50 $395.50 2.6×
Pure Tone Audiometry Air Only (92552) $122 $122 0.8×
Refill/Maint Portable Pump (96521) $652 $652 2.6×
Refill/Maint Pump/Resvr Syst (96522) $476.50 $476.50 1.9×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $461.50 $461.50 10.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $136 $136 0.6×
Rom meas&reprt hand w/wo comparison normal sid (95852) $87 $87 4.1×
Rt Chest Wall Manipulation,Subsequent (94668) $162 $162 1.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $119 $119 2.5×
Select Picture Audiometry (92583) $63 $63 0.9×
Sensory Integration Ea 15 Min (97533) $95 $95 1.6×
Smoking cessation > 10 min (99407) $100 $100 2.2×
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) $118.50 $118.50 0.5×
Staggered Spondaic Word Test (92572) $259 $259 1.7×
Standardized Cognitive Performance Testing (96125) $665 $665 6.5×
Stress echo (93350) $756 $756 1.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $55 $55 2.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $247 $247 2.4×
Ther/prop/diag inj/inf proc (96379) $82 $82 1.5×
Therapeutic prophylactic/dx injection subq/im (96372) $230 $230 2.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $27 $27 0.6×
Trans Care Mgmt 14 Day Disch (99495) $581 $581 3.6×
Trans Care Mgmt 7 Day Disch (99496) $781 $781 4.9×
Tte w/doppler, complete (93306) $1,190 $1,190 1.8×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $448 $448 5.3×
Tympanometry (92567) $135 $135 3.0×
Upr/lxtr art stdy 3+ lvls (93923) $380 $380 1.5×
Vasc Duplex Scan Extracranial,Limited (93882) $1,484 $1,484 11.8×
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×
Xtrnl mobile cv telemetry w/technical support (93229) $784 $784 1.8×