Visits & medical services prices at Bristol Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $782.65 $1,423 3.0×
Airway Inhalation Treatment (94640) $537.35 $977 2.0×
Analyze neurostim no prog (95970) $304.15 $553 1.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 6 matching MRF lines
$88–$96.25 $160–$175 varies
Application Modality 1/> Areas Infrared (97026)
range across 3 matching MRF lines
$26.40–$31.35 $48–$57 varies
Application on-body injector (96377) $118.25 $215 2.1×
Behavral qualit analys voice (92524)
range across 2 matching MRF lines
$318.45–$349.80 $579–$636 varies
Biofeedback training any modality (90901) $100.10 $182 2.4×
Breath hydrogen/methane test (91065) $389.40 $708 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $782.65 $1,423 1.7×
Canalith repositioning proc (95992) $88 $160 2.2×
Car seat/bed test 60 min (94780) $100.10 $182 2.2×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$1,042.80–$1,147.30 $1,896–$2,086 varies
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$782.65–$809.60 $1,423–$1,472 varies
Cardioversion (92960) $1,623.05 $2,951 2.0×
Cbt 1st hour (94644) $318.45 $579 2.0×
Chemo Anti-Neopl Sq/Im (96401)
range across 3 matching MRF lines
$260.67–$260.70 $473.93–$474 varies
Chemo Hormon Antineopl Sq/Im (96402) $332.75 $605 3.9×
Chemo Ia Push (96420) $855.80 $1,556 2.2×
Chemo IV infusion addl hr (96415)
range across 3 matching MRF lines
$187–$187.39 $340–$340.70 varies
Chemo IV push addl drug (96411) $267.30 $486 3.1×
Chemother Prolong Infuse W/Pump (96416) $965.25 $1,755 2.4×
Chemotherapy Into Cns (96450) $855.80 $1,556 2.2×
Chemotherapy Unspecified (96549) $118.25 $215 2.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $187 $340 2.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$965.17–$965.25 $1,754.84–$1,755 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) $844.80 $1,536 2.1×
Chest Wall Manipulation (94668) $318.61 $579.28 2.0×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $1,434.95 $2,609 3.2×
Color/duplex Doppler, complete (93975) $798.05 $1,451 2.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $99 $180 3.1×
Cont gluc mntr physician/qhp provided equiptment (95250) $329.45 $599 2.1×
Continuous Pulse Ox (94762) $389.40 $708 2.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $531.85 $967 2.0×
Cpt initial (94667) $318.45 $579 2.0×
Critical care first hour (99291) $2,684 $4,880 2.7×
Debridement Open Wound 20 Sq Cm< (97597) $499.40 $908 2.1×
Dialysis One Evaluation (90945) $1,104.40 $2,008 2.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $740.30 $1,346 2.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $598.95 $1,089 4.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,701.15 $3,093 5.9×
Dup-scan xtr veins unilateral/limited study (93971) $1,028.50 $1,870 8.2×
Duplex up extrem art bilat (93930) $673.20 $1,224 2.4×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$598.80–$598.95 $1,088.72–$1,089 varies
Echo Heart Xthoracic,Limited (93308) $1,214.95 $2,209 4.2×
Echo transesophag montr cardiac pump functj (93318) $1,804.55 $3,281 2.8×
Echo transesophageal (93312) $1,955.80 $3,556 3.0×
Eeg 41-60 Minutes (95812) $800.80 $1,456 3.1×
EEG awake and asleep (95819) $800.80 $1,456 3.1×
EEG awake drowsy (95816) $800.80 $1,456 3.1×
EEG extended monitoring 61-119 minutes (95813) $800.80 $1,456 3.1×
EEG w/o vid ea 12-26hr intmt (95709) $1,477.85 $2,687 3.3×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $800.80 $1,456 3.1×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $261.25 $475 2.3×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $91.85 $167 2.1×
Electrical Stimulation Ea 15 Min (97032)
range across 4 matching MRF lines
$72.05–$78.65 $131–$143 varies
Electrocardiogram Tracing (93005) $152.35 $277 2.2×
Emergency Dept Visit Level 2 (99282) $488.40 $888 2.7×
Emergency Dept Visit Level 3 (99283) $1,031.25 $1,875 3.2×
Emergency Dept Visit Level 4 (99284) $1,531.75 $2,785 3.1×
Er level 1 (99281)
range across 2 matching MRF lines
$35.20–$348.70 $64–$634 varies
Er level v (99285) $1,993.75 $3,625 2.8×
Esophageal Capsule Endoscopy (91111) $2,261.05 $4,111 2.1×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,337.05 $2,431 3.0×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$531.85–$531.96 $967–$967.20 varies
Evaluate Speech Production (92522)
range across 2 matching MRF lines
$318.45–$349.80 $579–$636 varies
Evaluate Swallowing Function (92610)
range across 2 matching MRF lines
$196.35–$216.15 $357–$393 varies
Evaluation of speech fluency (92521) $328.35 $597 2.5×
External ECG rec>48hr<7d recording (93242) $168.85 $307 3.8×
External ECG rec>7d<15d recording (93246) $168.85 $307 3.8×
External Ecg Scanning Analysis Report (93226) $509.30 $926 7.2×
Extracranial Bilat Study (93880) $754.05 $1,371 2.6×
Extracranial Uni/Ltd Study (93882) $632.50 $1,150 5.0×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,337.05 $2,431 3.0×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $783.75 $1,425 3.0×
Gi tract capsule endoscopy (91110) $2,261.05 $4,111 2.1×
Group Therapeutic Procedures (97150)
range across 5 matching MRF lines
$44–$78.10 $80–$142 varies
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,742.95 $3,169 2.1×
Holter monitor recording (93225) $318.45 $579 2.0×
Immunization administration (90471) $175.45 $319 2.0×
Insert/Place Heart Catheter (93503) $3,994.10 $7,262 2.1×
Iontophoresis 15 min (97033)
range across 3 matching MRF lines
$85.25–$93.50 $155–$170 varies
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines
$152.35–$153.45 $277–$279 varies
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$118.25–$118.47 $215–$215.40 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$534.58–$534.60 $971.96–$972 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$175.45–$175.70 $319–$319.44 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$118.25–$156.16 $215–$283.92 varies
IV push initial (96374) $534.60 $972 2.1×
Liver Elastography W/O Imag W/I&R (91200) $389.40 $708 2.5×
Lwr Xtr Vasc Stdy Bilat (93924) $1,460.80 $2,656 5.6×
Mechanical chest wall oscillation per session (94669) $558.80 $1,016 2.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 5 matching MRF lines
$67.65–$186.45 $123–$339 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 6 matching MRF lines
$79.75–$293.15 $145–$533 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804)
range across 3 matching MRF lines
$37.95–$130.90 $69–$238 varies
Motility study esophagus (91010) $1,337.05 $2,431 3.0×
Motion Fluoroscopy/Swallow (92611)
range across 2 matching MRF lines
$441.10–$658.90 $802–$1,198 varies
Multiple Sleep Latency Test (95805) $1,734.70 $3,154 1.7×
Muscle Test 2 Limbs (95861) $318.45 $579 2.0×
Muscle Test One Limb (95860) $318.45 $579 2.0×
Nasopharyngoscopy (92511) $493.90 $898 2.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $994.40 $1,808 2.0×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $994.40 $1,808 2.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $499.40 $908 2.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $994.40 $1,808 2.0×
Neuromuscular Reeducation (97112)
range across 5 matching MRF lines
$84.15–$90.20 $153–$164 varies
Nonphysician Telephone Assessment 11-20 Min (98967) $81.40 $148 3.2×
Nonphysician Telephone Assessment 21-30 Min (98968) $89.65 $163 2.6×
Oral Function Therapy (92526)
range across 2 matching MRF lines
$223.30–$244.75 $406–$445 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $134.75 $245 2.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $122.65 $223 2.7×
Ot Contrast Bath Ea 15 Min (97034) $79.75 $145 5.7×
Ot eval high complexity (97167) $250.25 $455 2.5×
Ot Eval Low Complex (97165) $250.25 $455 2.5×
Ot Eval Moderate Complexity (97166) $250.25 $455 2.5×
Ot manual therapy 15 min (97140)
range across 5 matching MRF lines
$88.55–$98.45 $161–$179 varies
Ot paraffin bath (97018) $53.90 $98 9.0×
Ot Prosthetic Training, Each 15 Min (97761) $105.05 $191 2.6×
Ot Re-Eval Est Plan Care (97168) $173.25 $315 2.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$329.45–$480.70 $599–$874 varies
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $531.85 $967 2.0×
Peripheral arterial disease rehab per session (93668) $152.35 $277 2.2×
Phlebotomy therapeutic (99195) $318.45 $579 2.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $255.75 $465 3.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $152.55 $277.36 2.2×
Physical Performance Test (97750) $106.15 $193 3.1×
Plethysmography (94726) $782.65 $1,423 1.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,607.55 $4,741 2.5×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $2,607.55 $4,741 2.5×
Psych diag eval w/med srvcs (90792) $397.65 $723 1.9×
Psychiatric diagnostic evaluation (90791) $397.65 $723 1.9×
Pt Eval High Complex (97163) $250.25 $455 2.6×
Pt eval low complex 20 min (97161) $250.25 $455 2.6×
Pt Eval Mod Complex (97162) $250.25 $455 2.6×
Pt gait training 15 min (97116) $73.15 $133 2.5×
Pt mechanical traction (97012)
range across 3 matching MRF lines
$81.40–$90.20 $148–$164 varies
Pt Re-Eval Est Plan Care (97164) $173.80 $316 2.6×
Pulm function test by gas (94727) $389.40 $708 1.5×
Pulmonary service/procedure (94799) $31.35 $57 0.2×
Refill/Maint Portable Pump (96521) $534.60 $972 2.1×
Refill/Maint Pump/Resvr Syst (96522) $534.60 $972 2.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $499.40 $908 2.1×
Self Care Mngment Training (97535)
range across 5 matching MRF lines
$81.95–$105.05 $149–$191 varies
Sensory Integration Ea 15 Min (97533) $161.15 $293 2.7×
Sleep study attended (95807) $1,577.40 $2,868 3.5×
Sleep study unattended (95806) $389.40 $708 1.5×
Speech sound lang comprehen (92523) $563.75 $1,025 2.5×
Spirometry (94010) $389.40 $708 1.5×
Standardized Cognitive Performance Testing (96125) $253.55 $461 2.5×
Stress Tte Only (93350) $1,376.10 $2,502 2.1×
Temp transcutaneous pacing (92953) $1,623.05 $2,951 2.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $54.45 $99 2.4×
Ther Ivntj Ea Addl 15 Min (97130) $52.80 $96 2.5×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 4 matching MRF lines
$98.45–$107.25 $179–$195 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $75.90 $138 2.6×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$200.20–$220.55 $364–$401 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$534.58–$534.60 $971.96–$972 varies
Therapeutic Activities (97530)
range across 3 matching MRF lines
$92.95–$100.10 $169–$182 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $76.35 $138.81 1.7×
Tte w/doppler, complete (93306) $1,860.10 $3,382 2.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $189.20 $344 2.5×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$118.25–$444.40 $215–$808 varies
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$31.35–$35.20 $57–$64 varies
Unlisted Diagnostic Gastroenterology Procedure (91299) $402.05 $731 2.6×
Upr/L Xtremity Art 2 Levels (93922) $318.45 $579 2.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $579.70 $1,054 2.2×
Vasopneumatic device (97016) $77 $140 6.4×
Vent Mgmt Inpat Init Day (94002) $1,563.10 $2,842 2.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,563.10 $2,842 2.1×
Wheelchair Mgmt Ea 15 Min (97542) $79.20 $144 2.5×
Whirlpool Therapy (97022)
range across 4 matching MRF lines
$113.30–$124.30 $206–$226 varies

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.