Visits & medical services prices at Brigham and Women's Faulkner Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $215.25 $287 0.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $51 $68 3.6×
Bedside Swallowing Eval (92610) $312.75 $417 3.7×
Behavioral and qualitative analysis of voice and resonance (92524) $389.25 $519 3.6×
Bis extracellular fluid alys lymphedema assmnt (93702) $1,824 $2,432 11.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $601.50 $802 1.3×
Cardiac Stress Tst,Tracing Only (93017) $699 $932 2.7×
Cardioversion (92960) $1,485 $1,980 1.9×
Chemother, IV infusion, 1 hr (96413) $812.25 $1,083 2.1×
Chemother, IV infusion, ea add hr (96415) $237.75 $317 2.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $585 $780 1.5×
Color/duplex Doppler, complete (93975) $2,328 $3,104 8.1×
Color/duplex Doppler, limited (93976) $1,271.25 $1,695 10.1×
Cpap/bipap (94660) $373.50 $498 1.4×
Cpt initial (94667) $260.25 $347 1.6×
Critical care (99291) $2,822.25 $3,763 2.9×
Debridement Open Wound 20 Sq Cm< (97597) $645 $860 2.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,553.25 $2,071 5.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,997.25 $2,663 7.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,550.25 $2,067 5.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,035 $1,380 8.3×
Duplex scan extracranial art compl bi study (93880) $1,575 $2,100 5.5×
Duplex Scan Hemodialysis Access (93990) $1,294.50 $1,726 10.3×
Echo Heart Xthoracic,Limited (93308) $738.75 $985 2.6×
Echo transesophageal (93312) $2,075.25 $2,767 3.2×
Echo Transthoracic - Congenital Tte Complete (93303) $1,393.50 $1,858 2.1×
EEG awake and asleep (95819) $1,182 $1,576 4.6×
EEG awake drowsy (95816) $1,038.75 $1,385 4.0×
EEG cont rec w/video by tech min 8 channels (95700) $1,141.50 $1,522 4.4×
EEG greater than 1 hour (95813) $1,258.50 $1,678 4.9×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,629 $2,172 6.3×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $1,899.75 $2,533 4.2×
Electrocardiogram Tracing (93005) $168 $224 2.4×
Electroconvulsive Therapy (90870) $1,092 $1,456 1.1×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,117.50 $1,490 4.3×
Er level iii (99283) $933 $1,244 2.9×
Er level IV (99284) $1,773 $2,364 3.5×
Er level v (99285) $2,526.75 $3,369 3.5×
Eval speech sound production (92522) $381.75 $509 3.4×
External ECG rec>48hr<7d recording (93242) $378 $504 8.4×
External ECG rec>7d<15d recording (93246) $1,027.50 $1,370 23.0×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,363.50 $1,818 1.3×
Gi tract capsule endoscopy (91110) $2,556 $3,408 2.4×
Hemodialysis (90935) $3,775.50 $5,034 4.6×
Holter Monitor (93225) $687.75 $917 4.3×
Imm admn sarscov2 vaccine single dose (90480) $36.75 $49 0.8×
Immunization Admin (90471) $21 $28 0.2×
IV infusion hydration each additional hour (96361) $159.75 $213 2.8×
IV infusion hydration initial 31 min-1 hour (96360) $435.75 $581 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $276 $368 3.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $540.75 $721 2.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $210.75 $281 3.8×
IV push ea addl new drug (96375) $238.50 $318 4.2×
IV push initial (96374) $583.50 $778 2.3×
Manual therapy 15 min (97140) $119.25 $159 4.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $88.50 $118 2.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $88.50 $118 2.4×
Methacholine challenge (94070) $631.50 $842 1.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $348.75 $465 3.8×
Multiple Sleep Latency Test (95805) $1,921.50 $2,562 1.9×
Nitric oxide expired gas determination (95012) $82.50 $110 1.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $714 $952 4.5×
Ot Contrast Bath Ea 15 Min (97034) $73.50 $98 5.2×
Ot eval high complex 60 min (97167) $327.75 $437 3.3×
Ot eval low complex 30 min (97165) $327.75 $437 3.3×
Ot eval mod complex 45 min (97166) $327.75 $437 3.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $213 $284 4.3×
Ot therapeutic activity 15 min (97530) $137.25 $183 3.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $417 $556 2.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $278.25 $371 1.8×
Phlebotomy therapeutic (99195) $435 $580 2.7×
Plethysmography (94726) $672 $896 1.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,017.75 $5,357 3.9×
Psych diag eval w/med srvcs (90792) $543 $724 2.6×
Psychiatric diagnostic evaluation (90791) $472.50 $630 2.2×
Pt eval high complex 45 min (97163) $339 $452 3.5×
Pt eval low complex 20 min (97161) $339 $452 3.5×
Pt eval mod complex 30 min (97162) $339 $452 3.5×
Pt gait training 15 min (97116) $112.50 $150 3.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $135.75 $181 4.1×
Pt re-evaluation (97164) $234 $312 3.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $140.25 $187 4.3×
Pulm function test by gas (94727) $366 $488 1.4×
Pulmonary Service/Procedure (94799) $390.75 $521 2.5×
Pulmonary stress test simple (94618) $141.75 $189 0.9×
Somatosensory testing (95938) $1,264.50 $1,686 1.2×
Spirometry (94010) $348 $464 1.3×
Standardized Cognitive Performance Testing (96125) $317.25 $423 3.1×
Stress echo (93350) $1,287.75 $1,717 2.0×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $1,540.50 $2,054 6.0×
Testing Autonomic Nervous System Function (95923) $522 $696 3.3×
Therapeutic prophylactic/dx injection subq/im (96372) $81 $108 0.9×
Transcranial Doppler Intracran Art Emboli Detect (93892) $1,812 $2,416 14.5×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $323.25 $431 2.1×
Tstg ans funcj parasymp&symp w/5 min pasive tilt (95924) $606.75 $809 2.3×
Tte w/doppler, complete (93306) $1,842.75 $2,457 2.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $519 $692 6.8×
Unlisted noninvasive vascular diagnostic study (93998) $1,623.75 $2,165 46.8×
Upr/lxtr art stdy 3+ lvls (93923) $1,168.50 $1,558 4.5×
Vasc Duplex Scan Extracranial,Limited (93882) $1,061.25 $1,415 8.5×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,499.25 $1,999 5.8×
Veeg 2-12 hr unmonitored (95711) $2,036.25 $2,715 7.9×
Veeg Ea 12-26 Hr Unmntr (95714) $2,378.25 $3,171 5.3×