Visits & medical services prices at Baystate Wing Hospital

Palmer, 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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ProcedurePosted cashPosted gross× 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×
Admn Sarscov2 Vacc 1 Dose (90480) $109.35 $109.35 2.2×
Aep threshold estimation mlt frequencies i&r (92652) $597 $597 2.3×
Airway Inhalation Treatment (94640)
range across 12 matching MRF lines		 $359–$1,876 $359–$1,876 varies
Allg tstg perq & ic venoms immed react w/i&r (95017) $92 $92 2.7×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $360 $360 2.3×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $356 $356 1.5×
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×
Audiometry Air & Bone (92553) $293 $293 1.9×
Basic vestibular evaluation (92540) $310 $310 1.2×
Brief Emotional/Behav Assmt (96127) $64 $64 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $756 $756 1.7×
Canalith repositioning proc (95992) $176.97 $176.97 4.3×
Cardiac Stress Tst,Tracing Only (93017) $1,146.15 $1,146.15 4.4×
Cardiopulmonary exercise testing (94621) $1,524.15 $1,524.15 3.4×
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×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $263 $263 4.7×
Chest Wall Manipulation (94668) $210 $210 1.3×
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×
Continuous Pulse Ox (94762) $827 $827 5.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $698 $698 2.7×
Cpt initial (94667) $158.60 $158.60 1.0×
Critical care first hour (99291) $3,118 $3,118 3.1×
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×
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 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 Hemodialysis Access (93990) $489 $489 3.9×
Duplex up extrem art bilat (93930) $1,026 $1,026 3.6×
Duplex up extrem art unilat/ltd (93931) $932 $932 7.4×
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 Congenital Complete (93303) $1,907 $1,907 2.9×
Echo Heart Xthoracic,Limited (93308) $834 $834 2.9×
Echo transesophageal (93312) $1,977 $1,977 3.0×
Eeg 41-60 Minutes (95812) $1,115.29 $1,115.29 4.3×
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 extended monitoring 61-119 minutes (95813) $1,294.37 $1,294.37 5.0×
Eeg Sleep Only (95822) $1,181 $1,181 4.6×
EEG wo vid ea 12-26hr unmntr (95708) $2,276 $2,276 5.1×
Electrical Stimulation Ea 15 Min (97032) $115 $115 7.8×
Electrocardiogram Tracing (93005) $240.30 $240.30 3.4×
Electrocochleography (92584) $572.04 $572.04 3.7×
Electroconvulsive Therapy (90870) $1,321 $1,321 1.3×
Emergency Dept Visit Level 2 (99282) $459 $459 2.5×
Emergency Dept Visit Level 3 (99283) $658 $658 2.0×
Emergency Dept Visit Level 4 (99284) $1,015 $1,015 2.0×
Er level 1 (99281) $342 $342 3.4×
Er level v (99285) $1,222 $1,222 1.7×
Evaluate pt use of inhaler (94664) $359 $359 1.4×
Evaluate Speech Production (92522) $466 $466 4.2×
Evaluate Swallowing Function (92610) $588.60 $588.60 6.9×
Evaluation of speech fluency (92521) $548 $548 4.1×
Evoked Auditory Test,Limited (92587) $418.20 $418.20 1.6×
Exercise test for bronchospasm (94617) $626.40 $626.40 3.9×
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×
Extracranial Bilat Study (93880) $1,056 $1,056 3.7×
Flexible endoscopic eval swallow c/v rec (92612) $492 $492 2.5×
Gi tract capsule endoscopy (91110) $3,023 $3,023 2.8×
Holter monitor recording (93225) $588.85 $588.85 3.7×
Icd Device Interrogate (93289) $492.46 $492.46 11.0×
Icd device progr eval dual (93283) $431.89 $431.89 9.7×
Icd Device Progr Eval Mult (93284) $469.03 $469.03 10.5×
Icm Device Eval (93290) $275 $275 6.1×
Immunization administration (90471) $119 $119 1.4×
Insert/Place Heart Catheter (93503) $3,079 $3,079 1.6×
Interrogate Subq Defib (93261) $62 $62 1.4×
Iontophoresis 15 min (97033) $150 $150 7.9×
Irrig Drug Delivery Device (96523) $263 $263 3.7×
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 therapy prophylaxis/dx ea hour (96366) $192 $192 3.4×
IV push initial (96374) $341 $341 1.3×
Low frequency non-thermal us (97610) $597 $597 2.5×
Lung Function Test (Mbc/Mvv) (94200) $515.70 $515.70 7.3×
Mechanical chest wall oscillation per session (94669) $244.39 $244.39 0.9×
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 Fluoroscopy/Swallow (92611) $591.30 $591.30 6.5×
Multiple Sleep Latency Test (95805) $2,992.95 $2,992.95 2.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $724 $724 1.5×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $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×
Neurobehavioral Status Exam (96116) $686 $686 2.7×
Neuromuscular Reeducation (97112) $155.38 $155.38 4.7×
Newborn resuscitation (99465) $918.65 $918.65 1.2×
Nonphysician Telephone Assessment 11-20 Min (98967) $158 $158 6.3×
Nonphysician Telephone Assessment 5-10 Min (98966) $123 $123 9.0×
Nrpsyc tst eval phys/qhp 1st (96132) $705 $705 1.6×
Oral Function Therapy (92526) $369.90 $369.90 4.4×
Ot eval high complexity (97167) $490.88 $490.88 4.9×
Ot Eval Low Complex (97165) $415.57 $415.57 4.1×
Ot Eval Moderate Complexity (97166) $476.66 $476.66 4.7×
Ot manual therapy 15 min (97140) $149.06 $149.06 5.4×
Oxygen Uptake Rest Indirect (94690) $212 $212 3.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $380.49 $380.49 1.4×
Plethysmography (94726) $641.26 $641.26 1.4×
Pm device eval in person (93288) $494 $494 11.0×
Pm device progr eval dual (93280) $340.25 $340.25 7.6×
Pm device progr eval multi (93281) $505 $505 11.3×
Pm Device Progr Eval Sngl (93279) $328.25 $328.25 7.3×
Pm/Icd Remote Tech Serv (93296) $353 $353 7.9×
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×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $531 $531 11.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $85 $85 1.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $89 $89 1.6×
Psychiatric diagnostic evaluation (90791) $513.60 $513.60 2.4×
Psychological tst eval svc phys/qhp first hour (96130) $682 $682 2.6×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $353 $353 2.2×
Psytx Crisis Initial 60 Min (90839) $703 $703 3.3×
Pt Eval High Complex (97163) $476.14 $476.14 4.9×
Pt eval low complex 20 min (97161) $425.05 $425.05 4.3×
Pt Eval Mod Complex (97162) $493.78 $493.78 5.0×
Pt gait training 15 min (97116) $150.37 $150.37 5.2×
Pt mechanical traction (97012) $96 $96 6.7×
Pt Re-Eval Est Plan Care (97164) $280.20 $280.20 4.2×
Pulm function test by gas (94727) $393 $393 1.5×
Pulmonary service/procedure (94799) $263.25 $263.25 1.7×
Pulmonary Stress Testing (94618) $419 $419 2.6×
Pure Tone Audiometry Air (92552) $232 $232 1.5×
Rem interrog icpms <30 d phys/qhp (93297) $353 $353 7.9×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $321 $321 7.2×
Remote 30 Day Ecg Rev/Report (93270) $228 $228 5.1×
Respiratory flow volume loop (94375) $732 $732 2.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $577.26 $577.26 2.4×
Select picture audiometry (92583) $130.39 $130.39 1.8×
Self Care Mngment Training (97535) $158.80 $158.80 4.9×
Sleep study attended (95807) $1,732 $1,732 3.9×
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) $268 $268 2.6×
Stress Tte Only (93350) $1,705.20 $1,705.20 2.6×
Surfactant Admin Thru Tube (94610) $364 $364 1.4×
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 Ea Addl 15 Min (97130) $120 $120 5.7×
Ther/Proph/Diag Inj Sc/Im (96372) $150 $150 1.7×
Ther/Proph/Diag Iv Inf Init (96365) $591.60 $591.60 2.3×
Therapeutic Activities (97530) $169.07 $169.07 4.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $84.50 $84.50 1.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $73 $73 1.6×
Tone Decay Test (92563) $95.90 $95.90 2.1×
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/Pro/Dx Inj New Drug Addon (96375) $152 $152 2.7×
Tympanometry (92567) $223.32 $223.32 5.0×
Tympanometry and reflex threshold measurements (92550) $219 $219 0.8×
Upr/L Xtremity Art 2 Levels (93922) $591 $591 3.7×
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×
Visual reinforcement audiometry (vra) (92579) $270 $270 1.0×
Vital capacity, total (94150) $353 $353 2.3×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $427 $427 6.0×

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.