Visits & medical services prices at Baystate Franklin Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $227.13 $227.13 1.5×
Actigraphy testing recording analysis i&r (95803) $192 $192 2.7×
Aep Thrshld Est Mlt Freq I&R (92652) $481.65 $481.65 1.9×
Airway inhalation treatment (94640) $333.66 $333.66 1.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $130.62 $130.62 9.1×
Assessment of aphasia per hr (96105) $525 $525 5.4×
Basic vestibular evaluation (92540) $310 $310 1.2×
Bedside Swallowing Eval (92610) $436 $436 5.1×
Brief Emotional/Behavioral Assessment (96127) $64 $64 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $756 $756 1.7×
Canalith Repositioning Procedure (95992) $176.97 $176.97 4.3×
Car seat/bed test 60 min (94780) $415.04 $415.04 9.3×
Cardiac Stress Tst,Tracing Only (93017) $1,146.15 $1,146.15 4.4×
Cardiopulmonary resuscitation (92950) $806.50 $806.50 3.1×
Cardioversion (92960) $2,103.30 $2,103.30 2.7×
Cbt 1st hour (94644) $339 $339 2.1×
Chemo Hormon Antineopl Sq/Im (96402) $280.20 $280.20 3.2×
Chemo IV push addl drug (96411) $459 $459 5.3×
Chemother, IV infusion, 1 hr (96413) $1,395.90 $1,395.90 3.5×
Chemother, IV infusion, ea add hr (96415) $294 $294 3.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $450.59 $450.59 5.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $421.20 $421.20 4.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $801.90 $801.90 2.0×
Color/duplex Doppler, complete (93975) $1,345.72 $1,345.72 4.7×
Color/duplex Doppler, limited (93976) $1,011.79 $1,011.79 8.1×
Comprehensive Hearing Test (92557) $623 $623 4.0×
Conditioning Play Audiometry (92582) $227.97 $227.97 1.5×
Cpap/bipap (94660) $698 $698 2.7×
Cpt initial (94667) $158.60 $158.60 1.0×
Critical care (99291) $1,195 $1,195 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $830 $830 3.5×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $296 $296 1.9×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming Facility (92601) $360 $360 2.3×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $418.20 $418.20 1.6×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $409.77 $409.77 0.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,105.02 $1,105.02 3.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $942.79 $942.79 7.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,026 $1,026 3.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $932 $932 7.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,026 $1,026 3.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $932 $932 7.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,231.20 $1,231.20 4.3×
Dup-scan xtr veins unilateral/limited study (93971) $932 $932 7.4×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $503 $503 1.8×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $364 $364 2.9×
Duplex scan extracranial art compl bi study (93880) $1,056 $1,056 3.7×
Duplex Scan Hemodialysis Access (93990) $489 $489 3.9×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $399.60 $399.60 2.6×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $399.60 $399.60 2.6×
Echo Heart Xthoracic,Limited (93308) $834 $834 2.9×
Echo r-t 2d w/probe placement only (93313) $1,806 $1,806 2.8×
Echo transesophageal (93312) $1,977 $1,977 3.0×
Echo Transthoracic - Congenital Tte Complete (93303) $1,766 $1,766 2.7×
EEG awake and asleep (95819) $1,189.29 $1,189.29 4.6×
EEG awake drowsy (95816) $1,115.55 $1,115.55 4.3×
EEG coma or sleep only (95822) $932 $932 3.6×
Electrocardiogram Tracing (93005) $240.30 $240.30 3.4×
Electrocochleography (92584) $572.04 $572.04 3.7×
Er level 1 (99281) $172 $172 1.7×
Er level ii (99282) $343 $343 1.9×
Er level iii (99283) $508 $508 1.6×
Er level IV (99284) $862 $862 1.7×
Er level v (99285) $1,049 $1,049 1.5×
Eval speech sound production (92522) $447.43 $447.43 4.0×
Evaluate Pt Use Of Inhaler (94664) $359 $359 1.4×
Evaluation of speech fluency (92521) $575.40 $575.40 4.3×
External Ecg Scanning Analysis Report (93226) $793 $793 11.2×
Gi tract capsule endoscopy (91110) $3,023 $3,023 2.8×
Group Therapeutic Procedures (97150) $100.86 $100.86 5.6×
Holter Monitor (93225) $588.85 $588.85 3.7×
Imm admn sarscov2 vaccine single dose (90480) $109.35 $109.35 2.2×
Immune Admin Oral/Nasal (90473) $113.05 $113.05 1.3×
Immunization Admin (90471) $119 $119 1.4×
Injection intra arterial (96373) $341 $341 1.3×
Iontophoresis 15 min (97033) $150 $150 7.9×
Irrig drug delivery device (96523) $294.69 $294.69 4.2×
IV infusion hydration each additional hour (96361) $166.44 $166.44 3.0×
IV infusion hydration initial 31 min-1 hour (96360) $530.55 $530.55 2.1×
IV infusion ther proph addl sequential to 1 hr (96367) $363.15 $363.15 4.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $591.60 $591.60 2.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $192 $192 3.4×
IV push ea addl new drug (96375) $152 $152 2.7×
IV push initial (96374) $341 $341 1.3×
Manual therapy 15 min (97140) $149.06 $149.06 5.4×
Maximum voluntary ventilation (94200) $382 $382 5.4×
Mechanical chest wall oscillation (94669) $244.39 $244.39 0.9×
Mechanical traction (97012) $96 $96 6.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $116.93 $116.93 3.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $129.57 $129.57 3.5×
Methacholine challenge (94070) $1,062.09 $1,062.09 2.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $438 $438 4.8×
Multiple Sleep Latency Test (95805) $2,992.95 $2,992.95 2.9×
Nasopharyngoscopy (92511) $478.50 $478.50 2.0×
Needle Emg W/1 Fiber Electrode Quan Meas Jitter (95872) $347.62 $347.62 1.3×
Neg press wound tx >50 cm (97608) $724 $724 1.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $724 $724 1.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $409 $409 1.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $610 $610 1.3×
Nerve Conduction Studies 11-12 Studies (95912) $2,334.15 $2,334.15 5.2×
Nerve conduction studies 13/> studies (95913) $1,217.45 $1,217.45 2.7×
Nerve Conduction Studies 3-4 Studies (95908) $881 $881 3.4×
Nerve Conduction Studies 5-6 Studies (95909) $1,320.96 $1,320.96 5.1×
Nerve Conduction Studies 7-8 Studies (95910) $1,556.55 $1,556.55 3.5×
Nerve Conduction Studies 9-10 Studies (95911) $2,106 $2,106 4.7×
Nerve conduction studies; 1-2 studies (95907) $488 $488 1.9×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $488 $488 3.2×
Newborn resuscitation (99465) $918.65 $918.65 1.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $591 $591 3.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $556 $556 3.6×
Orbicularis Oculi Reflx Electrodiagnostic Test (95933) $872 $872 12.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $130 $130 5.0×
Osteopathic manipulative tx 3-4 body regions (98926) $107.25 $107.25 4.1×
Osteopathic manipulative tx 5-6 body regions (98927) $192 $192 7.4×
Osteopathic manipulative tx 7-8 body regions (98928) $229 $229 8.8×
Osteopathic manipulative tx 9-10 body regions (98929) $171.60 $171.60 6.6×
Ot eval high complex 60 min (97167) $375 $375 3.7×
Ot eval low complex 30 min (97165) $375 $375 3.7×
Ot eval mod complex 45 min (97166) $375 $375 3.7×
Ot re-evaluation (97168) $180.13 $180.13 2.6×
Ot therapeutic activity 15 min (97530) $149 $149 4.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $332.40 $332.40 2.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $277 $277 1.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $380.49 $380.49 1.4×
Phlebotomy therapeutic (99195) $362 $362 2.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $311 $311 4.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $311 $311 4.4×
Plethysmography (94726) $641.26 $641.26 1.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,041 $3,041 3.0×
Polysom <6 yrs 4/> paramtrs (95782) $2,738 $2,738 2.7×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,925 $2,925 2.8×
Psychiatric diagnostic evaluation (90791) $428 $428 2.0×
Psytx crisis initial 60 min (90839) $703 $703 3.3×
Pt Electrical Stimulation (97032) $87.17 $87.17 5.9×
Pt eval high complex 45 min (97163) $493.78 $493.78 5.0×
Pt eval low complex 20 min (97161) $425.05 $425.05 4.3×
Pt eval mod complex 30 min (97162) $493.78 $493.78 5.0×
Pt gait training 15 min (97116) $128 $128 4.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $145 $145 4.4×
Pt re-evaluation (97164) $309 $309 4.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $156 $156 4.8×
Pulm function test by gas (94727) $471.60 $471.60 1.8×
Pulmonary Service/Procedure (94799) $263.25 $263.25 1.7×
Pulmonary stress test simple (94618) $419 $419 2.6×
Pure Tone Audiometry Air & Bone (92553) $293 $293 1.9×
Pure Tone Audiometry Air Only (92552) $232 $232 1.5×
Refill/Maint Portable Pump (96521) $596 $596 2.3×
Respiratory flow volume loop (94375) $732 $732 2.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $445 $445 1.9×
Rt Chest Wall Manipulation,Subsequent (94668) $210 $210 1.3×
Select Picture Audiometry (92583) $130.39 $130.39 1.8×
Sleep study attended (95807) $1,732 $1,732 3.9×
Smoking cessation > 10 min (99407) $84.50 $84.50 1.9×
Speech Audiometry Complete (92556) $175 $175 2.5×
Speech audiometry threshold (92555) $152 $152 2.1×
Speech sound lang comprehen (92523) $795.58 $795.58 3.5×
Spirometry (94010) $415.57 $415.57 1.6×
Standardized Cognitive Performance Testing (96125) $254.60 $254.60 2.5×
Stress echo (93350) $1,705.20 $1,705.20 2.6×
Temp transcutaneous pacing (92953) $811 $811 1.0×
Testing Autonomic Nervous System Function (95923) $485 $485 3.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $125 $125 5.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $120 $120 5.7×
Therapeutic prophylactic/dx injection subq/im (96372) $150 $150 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $73 $73 1.6×
Tone Decay Test (92563) $95.90 $95.90 2.1×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $340 $340 2.2×
Tstg Ans Funcj Vasomotor Adrenergic Innervaj (95922) $575 $575 3.6×
Tte w/doppler, complete (93306) $2,010 $2,010 3.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $460.80 $460.80 6.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $274 $274 3.3×
Tympanometry (92567) $223.32 $223.32 5.0×
Tympanometry And Reflex Threshold Measurements (92550) $219 $219 0.8×
Upr/lxtr art stdy 3+ lvls (93923) $1,008.10 $1,008.10 3.9×
Vasc Duplex Scan Extracranial,Limited (93882) $959 $959 7.7×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,136.70 $1,136.70 4.4×
Vent mgmt inpat init day (94002) $1,160 $1,160 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $931.16 $931.16 1.3×
Visual reinforcement audiometry (vra) (92579) $270 $270 1.0×
Vital capacity, total (94150) $353 $353 2.3×
Wheelchair Mgmt Ea 15 Min (97542) $65 $65 2.1×