Visits & medical services prices at Backus Hospital

Norwich, CT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $14,991 $14,991 1.6×
Advance care planning first 30 mins (99497) $190 $190 1.6×
Airway inhalation treatment (94640) $316 $316 1.2×
Ambulatory Bp Analysis (93788) $178 $178 1.1×
Ambulatory Bp Recording (93786) $263 $263 1.6×
Analyze neurostim no prog (95970) $110 $110 0.7×
Appl on-body injector for timed subq injection (96377) $172 $172 3.1×
Behavioral and qualitative analysis of voice and resonance (92524) $450 $450 4.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $793 $793 1.8×
Canalith Repositioning (95992) $179 $179 4.4×
Capsule endoscopy (91110) $3,288 $3,288 3.0×
Cardiac Stress Tst,Tracing Only (93017) $1,232 $1,232 4.8×
Cardiopulmonary resuscitation (92950) $795 $795 3.1×
Cardioversion (92960) $1,959 $1,959 2.5×
Cbt 1st hour (94644) $150 $150 0.9×
Chemo Hormon Antineopl Sq/Im (96402) $252 $252 2.9×
Chemo IV push addl drug (96411) $220 $220 2.5×
Chemo Iv Push Sngl Drug (96409) $723 $723 1.8×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,105 $1,105 2.8×
Chemother, IV infusion, 1 hr (96413) $1,105 $1,105 2.8×
Chemother, IV infusion, ea add hr (96415) $220 $220 2.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $252 $252 2.9×
Chemotherapy, unspecified procedure (96549) $353 $353 6.3×
Chemotx Admn Cns Req Spinal Puncture (96450) $1,026 $1,026 2.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $220 $220 2.5×
Color/duplex Doppler, complete (93975) $629 $629 2.2×
Color/duplex Doppler, limited (93976) $1,048 $1,048 8.4×
Cont Gluc Monitoring Patient Provided Equipment (95249) $109 $109 1.5×
Cpap initiation and management (94660) $327 $327 1.2×
Critical care (99291) $5,890 $5,890 5.9×
Debridement Open Wound 20 Sq Cm< (97597) $583 $583 2.4×
Demo &/or eval,pt use,aerosol device (94664) $366 $366 1.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,057 $1,057 3.7×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,057 $1,057 8.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $757 $757 2.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $499 $499 4.0×
Dup-scan xtr veins unilateral/limited study (93971) $1,105 $1,105 8.8×
Duplex hemodialysis access (93990) $961 $961 7.7×
Duplex scan extracranial art compl bi study (93880) $1,057 $1,057 3.7×
Echo Heart Xthoracic,Limited (93308) $1,339 $1,339 4.7×
Echo transesophageal (93312) $2,647.50 $2,647.50 4.0×
Echo Transthoracic - Congenital Tte Complete (93303) $1,921 $1,921 2.9×
EEG awake asleep (95819) $1,558 $1,558 6.0×
EEG awake drowsy (95816) $1,449 $1,449 5.6×
EEG cont rec w/video by tech min 8 channels (95700) $520 $520 2.0×
Eeg Extended Monitoring 61-119 Minutes (95813) $1,721 $1,721 6.6×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $2,059 $2,059 4.6×
EKG (93005) $232 $232 3.3×
Elec alys implt cplx cn npgt prgrmg (95977) $210 $210 1.8×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $172.50 $172.50 1.5×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,431 $1,431 5.5×
Ep & ablate supravent arrhyt (93653) $59,147 $59,147 1.9×
Er level 1 (99281) $614 $614 6.1×
Er level ii (99282) $975 $975 5.3×
Er level iii (99283) $2,167 $2,167 6.6×
Er level IV (99284) $3,483 $3,483 7.0×
Er level v (99285) $4,646 $4,646 6.5×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $292 $292 4.1×
Evaluation of speech fluency (92521) $603 $603 4.5×
Evaluation of speech sound production (92522) $460 $460 4.1×
Evaluation of swallowing function (92610) $350 $350 4.1×
Exercise tst brncspsm (94617) $134.75 $134.75 0.8×
External ECG rec>48hr<7d recording (93242) $250 $250 5.6×
External ECG rec>7d<15d recording (93246) $312 $312 7.0×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $834 $834 4.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,981 $1,981 1.9×
Group Therapeutic Procedures (97150) $105 $105 5.8×
Hemodialysis (90935) $307.50 $307.50 0.4×
Holter Monitor Recording (93225) $425 $425 2.7×
Ilr Device Eval Progr (93285) $96 $96 2.1×
Immunization Admin (90471) $85 $85 1.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $145 $145 2.1×
IV infusion hydration each additional hour (96361) $133 $133 2.4×
IV infusion hydration initial 31 min-1 hour (96360) $671 $671 2.6×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $205 $205 2.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $671 $671 2.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $133 $133 2.4×
IV push initial (96374) $671 $671 2.6×
Laryngeal Function Studies (92520) $338 $338 2.1×
Manual therapy 15 min (97140) $161 $161 5.8×
Maximum voluntary ventilation (94200) $133 $133 1.9×
Mechanical chest wall oscillation (94669) $319 $319 1.2×
Mechanical traction (97012) $86 $86 6.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $64 $64 2.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $64 $64 1.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $379 $379 4.1×
Multiple sleep latency test (95805) $3,738 $3,738 3.6×
Neg press wnd tx </=50 sq cm (97607) $95 $95 0.2×
Neg press wound tx >50 cm (97608) $110 $110 0.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $392 $392 1.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $115 $115 0.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $965 $965 6.1×
Nonphysician Telephone Assessment 21-30 Min (98968) $137.50 $137.50 4.0×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $206 $206 4.5×
Osteopathic manipulative tx 1-2 body regions (98925) $40 $40 1.5×
Osteopathic manipulative tx 3-4 body regions (98926) $57 $57 2.2×
Osteopathic manipulative tx 5-6 body regions (98927) $59 $59 2.3×
Ot eval high complex 60 min (97167) $399 $399 4.0×
Ot eval low complex 30 min (97165) $399 $399 4.0×
Ot eval mod complex 45 min (97166) $399 $399 4.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $227 $227 4.5×
Ot Prosthetic Training, Each 15 Min (97761) $174 $174 4.3×
Ot Range Motion Measure,Each Extrem (95851) $104 $104 4.0×
Ot re-eval est plan care (97168) $270 $270 3.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $274 $274 1.8×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $393 $393 2.5×
Paraffin bath (97018) $55 $55 9.2×
Peripheral arterial disease rehab per session (93668) $142 $142 2.0×
Phy/qhp op pulm rhb w/mntr (94626) $650 $650 9.2×
Phy/qhp op pulm rhb w/o mntr (94625) $591 $591 8.4×
Plethysmography (94726) $563 $563 1.3×
Pm device progr eval dual (93280) $344 $344 7.7×
Pm device progr eval multi (93281) $344 $344 7.7×
Pm device progr eval sngl (93279) $289 $289 6.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,288 $5,288 5.1×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $376 $376 8.4×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $420 $420 9.4×
Programming of dual lead implantable defibrillator system (93283) $420 $420 9.4×
Programming of single lead implantable defibrillator system (93282) $376 $376 8.4×
Psych diag eval w/med srvcs (90792) $380 $380 1.8×
Psychiatric diagnostic evaluation (90791) $367.50 $367.50 1.7×
Psytx crisis initial 60 min (90839) $313 $313 1.5×
Pt Aquatic Therapy/Exercises (97113) $157 $157 4.2×
Pt Electrical Stimulation (97032) $86 $86 5.9×
Pt eval high complex 45 min (97163) $413 $413 4.2×
Pt eval low complex 20 min (97161) $413 $413 4.2×
Pt Gait Training Therapy (97116) $123 $123 4.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $143 $143 4.4×
Pt Physical Performance Test (97750) $140 $140 4.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $413 $413 4.2×
Pt re-evaluation (97164) $283 $283 4.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $87.94 $87.94 2.7×
Pt Ultrasound Therapy (97035) $136 $136 9.5×
Pulmonary stress testing (94618) $425 $425 2.7×
Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) $78 $78 1.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $563 $563 12.6×
Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) $88 $88 1.6×
Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) $72 $72 1.7×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $270 $270 1.7×
Rom meas&reprt hand w/wo comparison normal sid (95852) $77 $77 3.6×
Sensory Integration Ea 15 Min (97533) $251 $251 4.1×
Sleep study unattended (95806) $1,235 $1,235 4.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $1,070 $1,070 4.1×
Speech sound lang comprehen (92523) $948 $948 4.2×
Spirometry (94010) $348 $348 1.3×
Standardized Cognitive Performance Testing (96125) $432 $432 4.2×
Stress echo (93350) $1,813.50 $1,813.50 2.8×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $154 $154 2.7×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $412 $412 1.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $93 $93 4.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $90 $90 4.3×
Ther/Proph/Diag Inj Sc/Im (96372) $205 $205 2.4×
Therapeutic Activities (97530) $161 $161 4.6×
Therapeutic phlebotomy (99195) $150 $150 0.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $55 $55 1.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,289 $2,289 3.5×
Tx atrial fib pulm vein isol (93656) $54,545 $54,545 1.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $314 $314 4.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $350 $350 4.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $133 $133 2.4×
Vasc Duplex Extrem Venous,Bilat (93970) $1,057 $1,057 3.7×
Vasc Duplex Scan Extracranial,Limited (93882) $926 $926 7.4×
Vasopneumatic device (97016) $50 $50 4.2×
Ventilation assist & mgmt inpatient 1st day (94002) $845 $845 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $715 $715 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $133 $133 4.3×