Visits & medical services prices at Baystate Noble Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Actigraphy testing recording analysis i&r (95803) $192 $192 2.7×
Airway inhalation treatment (94640) $359 $359 1.4×
Analyze neurostim complex (95972) $1,798.20 $1,798.20 15.8×
Analyze neurostim no prog (95970) $719 $719 4.5×
Analyze neurostim simple (95971) $484.56 $484.56 4.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $130.62 $130.62 9.1×
Assessment of aphasia per hr (96105) $388.66 $388.66 4.0×
Bedside Swallowing Eval (92610) $588.60 $588.60 6.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $756 $756 1.7×
Canalith Repositioning Procedure (95992) $176.97 $176.97 4.3×
Cardiac Stress Tst,Tracing Only (93017) $1,146.15 $1,146.15 4.4×
Cardiopulmonary resuscitation (92950) $858 $858 3.3×
Cardioversion (92960) $2,103.30 $2,103.30 2.7×
Cbt 1st hour (94644) $339 $339 2.1×
Chemo Admin Peritoneal Cavity (96446) $725.80 $725.80 1.8×
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×
Chemotherapy into cns (96450) $2,199 $2,199 5.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $382.80 $382.80 4.4×
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×
Cpap/bipap (94660) $698 $698 2.7×
Cpt initial (94667) $158.60 $158.60 1.0×
Critical care (99291) $2,387 $2,387 2.4×
Debridement Open Wound 20 Sq Cm< (97597) $830 $830 3.5×
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 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 extracranial art compl bi study (93880) $1,056 $1,056 3.7×
Echo Heart Xthoracic,Limited (93308) $834 $834 2.9×
Echo Transthoracic - Congenital Tte Complete (93303) $1,907 $1,907 2.9×
EEG awake and asleep (95819) $1,189.29 $1,189.29 4.6×
EEG awake drowsy (95816) $1,181 $1,181 4.6×
EEG cerebral death evaluation (95824) $1,453 $1,453 3.2×
EEG coma or sleep only (95822) $1,181 $1,181 4.6×
EEG greater than 1 hour (95813) $1,294.37 $1,294.37 5.0×
Electrocardiogram Tracing (93005) $240.30 $240.30 3.4×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,115.29 $1,115.29 4.3×
Er level 1 (99281) $168 $168 1.7×
Er level ii (99282) $244 $244 1.3×
Er level iii (99283) $458 $458 1.4×
Er level IV (99284) $754 $754 1.5×
Er level v (99285) $855 $855 1.2×
Eval speech sound production (92522) $466 $466 4.2×
Evaluate Pt Use Of Inhaler (94664) $359 $359 1.4×
Evaluation of speech fluency (92521) $548 $548 4.1×
Exercise tst brncspsm (94617) $626.40 $626.40 3.9×
Exhaled Air Analysis (94690) $212 $212 3.0×
External ECG rec>48hr<7d recording (93242) $244 $244 5.5×
External ECG rec>7d<15d recording (93246) $244 $244 5.5×
External Ecg Scanning Analysis Report (93226) $793 $793 11.2×
Group Therapeutic Procedures (97150) $100.86 $100.86 5.6×
Hemodialysis (90935) $1,341 $1,341 1.6×
Holter Monitor (93225) $588.85 $588.85 3.7×
Immunization Admin (90471) $119 $119 1.4×
Injection intra arterial (96373) $341 $341 1.3×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $364 $364 1.4×
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) $515.70 $515.70 7.3×
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) $591.30 $591.30 6.5×
Multiple Sleep Latency Test (95805) $2,992.95 $2,992.95 2.9×
Nasopharyngoscopy (92511) $610.97 $610.97 2.6×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $769.65 $769.65 3.0×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $605.45 $605.45 2.3×
Needle electromyography larynx (95865) $410.48 $410.48 2.6×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $231 $231 1.4×
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×
Ot eval high complex 60 min (97167) $490.88 $490.88 4.9×
Ot eval low complex 30 min (97165) $415.57 $415.57 4.1×
Ot eval mod complex 45 min (97166) $476.66 $476.66 4.7×
Ot re-evaluation (97168) $180.13 $180.13 2.6×
Ot therapeutic activity 15 min (97530) $169.07 $169.07 4.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $277 $277 1.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $277 $277 1.8×
Paraffin bath pt (97018) $84 $84 14.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $380.49 $380.49 1.4×
Peripheral arterial disease rehab per session (93668) $124 $124 1.8×
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) $3,696.30 $3,696.30 3.6×
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) $115 $115 7.8×
Pt eval high complex 45 min (97163) $476.14 $476.14 4.9×
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) $150.37 $150.37 5.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $155.38 $155.38 4.7×
Pt re-evaluation (97164) $280.20 $280.20 4.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $158.80 $158.80 4.9×
Pulm function test by gas (94727) $393 $393 1.5×
Pulmonary Service/Procedure (94799) $263.25 $263.25 1.7×
Pulmonary stress test simple (94618) $419 $419 2.6×
Refill/Maint Portable Pump (96521) $596 $596 2.3×
Rem interrog icpms <30 d phys/qhp (93297) $353 $353 7.9×
Respiratory flow volume loop (94375) $732 $732 2.8×
Rt Chest Wall Manipulation,Subsequent (94668) $210 $210 1.3×
Sensory Integration Ea 15 Min (97533) $82 $82 1.3×
Sleep study attended (95807) $1,732 $1,732 3.9×
Smoking cessation > 10 min (99407) $84.50 $84.50 1.9×
Speech sound lang comprehen (92523) $795.58 $795.58 3.5×
Spirometry (94010) $415.57 $415.57 1.6×
Standardized Cognitive Performance Testing (96125) $268 $268 2.6×
Stress echo (93350) $1,705.20 $1,705.20 2.6×
Temp transcutaneous pacing (92953) $1,181 $1,181 1.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $160.64 $160.64 7.2×
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×
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 Speech Language Voice Commj Auditry 2/>Indiv (92508) $58.03 $58.03 2.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $369.90 $369.90 4.4×
Upr/lxtr art stdy 3+ lvls (93923) $1,008.10 $1,008.10 3.9×
Vasopneumatic device (97016) $122 $122 10.1×
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×
Vital capacity, total (94150) $353 $353 2.3×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $427 $427 6.0×