Visits & medical services prices at Champlain Valley Physicians Hospital

Plattsburgh, NY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $19,095 $19,095 2.0×
Aep threshold estimation mlt frequencies i&r (92652) $742 $742 2.8×
Airway Inhalation Treatment (94640) $388 $388 1.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $188 $188 13.1×
Application Modality 1/> Areas Diathermy (97024) $354 $354 48.2×
Application on-body injector (96377) $119 $119 2.0×
Arrhythmia Induction (93618) $2,931 $2,931 1.9×
Assessment of aphasia per hr (96105) $796 $796 8.2×
Assessment of tinnitus (92625) $372 $372 2.3×
Audiometry Air & Bone (92553) $386 $386 2.4×
Auditory Function, 60 Min (92620) $386 $386 2.4×
Basic vestibular evaluation (92540) $386 $386 1.4×
Behavral qualit analys voice (92524) $367 $367 3.4×
Biofeedback training any modality (90901) $416 $416 10.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $803 $803 1.7×
Bundle of his recording (93600)
likely a partial charge, not the full procedure		 $2,495 $2,495 0.3×
Caloric vestibular test w/rec bi monothermal (92538) $386 $386 1.4×
Caloric Vstblr Test W/Rec (92537) $386 $386 2.4×
Canalith repositioning proc (95992) $259 $259 6.4×
Car seat/bed test 60 min (94780) $192 $192 4.1×
Cardiac Stress Tst,Tracing Only (93017) $2,268 $2,268 8.4×
Cardiopulmonary resuscitation (92950) $435 $435 1.6×
Cardioversion (92960) $2,273 $2,273 2.8×
Cardioversion elective internal (92961) $1,677 $1,677 2.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $22,027 $22,027 5.4×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $15,602 $15,602 3.9×
Cbt 1st hour (94644) $217 $217 1.3×
Cervical & Ocular Vemp Testing W/I&R (92519) $742 $742 2.8×
Chemo Anti-Neopl Sq/Im (96401) $346 $346 3.8×
Chemo Hormon Antineopl Sq/Im (96402) $377 $377 4.2×
Chemo IV infusion addl hr (96415) $483 $483 5.4×
Chemo IV push addl drug (96411) $483 $483 5.4×
Chemother Prolong Infuse W/Pump (96416) $1,368 $1,368 3.3×
Chemotherapy Into Cns (96450) $1,598 $1,598 3.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $803 $803 8.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,024 $1,024 2.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $564 $564 1.4×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $324 $324 0.8×
Chest Wall Manipulation (94668) $192 $192 1.2×
Color/duplex Doppler, complete (93975) $2,157 $2,157 7.2×
Color/duplex Doppler, limited (93976) $1,231 $1,231 9.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $191 $191 6.0×
Comprehensive Hearing Test (92557) $386 $386 2.4×
Conditioning Play Audiometry (92582) $372 $372 2.3×
Cont gluc mntr physician/qhp provided equiptment (95250) $354 $354 2.1×
Continuous Pulse Ox (94762) $410 $410 2.6×
Coronary Art/Grft Angio S&I (93455) $15,602 $15,602 3.9×
Coronary Artery Angio S&I (93454) $14,149 $14,149 3.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,570 $1,570 5.7×
Cpt initial (94667) $351 $351 2.1×
Critical care first hour (99291) $3,649 $3,649 3.5×
Debridement Open Wound 20 Sq Cm< (97597) $625 $625 2.5×
Dialysis One Evaluation (90945) $1,277 $1,277 2.5×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $742 $742 1.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,590 $1,590 5.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,002 $1,002 7.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,870 $1,870 6.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $259 $259 2.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $515 $515 1.7×
Dup-scan xtr veins unilateral/limited study (93971) $1,540 $1,540 11.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $651 $651 2.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $325 $325 2.5×
Duplex Scan Hemodialysis Access (93990) $354 $354 2.7×
Duplex up extrem art bilat (93930) $1,702 $1,702 5.7×
Duplex up extrem art unilat/ltd (93931) $1,045 $1,045 8.0×
Echo Congenital Complete (93303)
range across 2 matching MRF lines		 $2,156–$2,362 $2,156–$2,362 varies
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines		 $600–$1,598 $600–$1,598 varies
Echo transesophageal (93312) $3,428 $3,428 5.0×
Echo Transesophageal - Congenital Tee Complete (93315) $1,504 $1,504 2.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines		 $2,496–$2,988 $2,496–$2,988 varies
EEG awake and asleep (95819) $791 $791 2.9×
EEG awake drowsy (95816) $929 $929 3.4×
EEG cerebral death evaluation (95824) $1,185 $1,185 2.5×
Eeg Sleep Only (95822) $934 $934 3.5×
Electrical Stimulation Ea 15 Min (97032) $172 $172 11.7×
Electrocardiogram Tracing (93005) $161 $161 2.2×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $17,111 $17,111 1.8×
Electrophysiology Evaluation (93642) $3,324 $3,324 2.2×
Ep & ablate supravent arrhyt (93653) $49,828 $49,828 1.5×
Ep & ablate ventric tachy (93654) $38,913 $38,913 1.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $13,526 $13,526 1.4×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $15,913 $15,913 1.6×
Ep Esophageal Recording Atria+Pacing (93616) $3,324 $3,324 2.2×
Er level v (99285) $2,668 $2,668 3.6×
Ergonovine provocation test (93024) $811 $811 1.5×
Esoph Atrial Electrogram (93615) $3,324 $3,324 2.2×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $386 $386 2.4×
Evaluate pt use of inhaler (94664) $393 $393 1.4×
Evaluate Speech Production (92522) $420 $420 3.8×
Evaluate Swallowing Function (92610) $674 $674 7.9×
Evaluation of speech fluency (92521) $420 $420 3.2×
Evoked Auditory Test,Limited (92587) $742 $742 2.8×
External ECG rec>48hr<7d recording (93242) $106 $106 2.3×
External ECG rec>48hr<7d scanning alys w/report (93243) $173 $173 1.0×
External ECG rec>7d<15d recording (93246) $173 $173 3.7×
External ECG rec>7d<15d scanning alys w/report (93247) $348 $348 2.1×
External Ecg Scanning Analysis Report (93226) $1,101 $1,101 15.0×
Extracranial Bilat Study (93880) $413 $413 1.4×
Extracranial Uni/Ltd Study (93882) $1,007 $1,007 7.7×
F-up/limited tthrc echo congenital car anomaly (93304) $1,347 $1,347 2.0×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $578 $578 3.8×
Flexible endoscopic eval swallow c/v rec (92612) $878 $878 4.4×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $2,330 $2,330 5.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,890 $2,890 2.7×
Gi tract capsule endoscopy (91110) $2,415 $2,415 2.1×
Gi tract imaging intraluminal colon i&r (91113) $2,177 $2,177 1.9×
Gi wireless capsule measure (91112) $2,415 $2,415 2.1×
Group Therapeutic Procedures (97150) $125 $125 6.9×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $22,309 $22,309 5.5×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,955 $1,955 2.3×
Holter monitor recording (93225) $894 $894 5.4×
Icd Device Interrogate (93289) $603 $603 12.9×
Icd device progr eval dual (93283) $603 $603 12.9×
Icd Device Progr Eval Mult (93284) $483 $483 10.4×
Ilr Device Eval Progr (93285) $110 $110 2.4×
Ilr Device Interrogate (93291) $111 $111 3.1×
Immunization administration (90471) $145 $145 1.6×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $1,588 $1,588 3.4×
Insert/Place Heart Catheter (93503) $5,919 $5,919 3.0×
Interrogate Subq Defib (93261) $66 $66 1.4×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure		 $2,931 $2,931 0.3×
Intra-atrial recording (93602)
unusually low: confirm this is the full procedure		 $2,931 $2,931 0.3×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure		 $2,930 $2,930 0.3×
Iontophoresis 15 min (97033) $181 $181 9.5×
Irrig Drug Delivery Device (96523) $197 $197 2.7×
IV infusion hydration each additional hour (96361) $323 $323 5.5×
IV infusion hydration initial 31 min-1 hour (96360) $611 $611 2.3×
IV infusion ther proph addl sequential to 1 hr (96367) $509 $509 5.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $323 $323 5.5×
IV push initial (96374) $413 $413 1.6×
L Hrt Art/Grft Angio (93459) $16,314 $16,314 4.0×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $8,228 $8,228 2.0×
Laryngeal Function Studies (92520) $304 $304 1.8×
Liver Elastography W/O Imag W/I&R (91200) $500 $500 3.1×
Low frequency non-thermal us (97610) $364 $364 1.5×
Mechanical chest wall oscillation per session (94669) $562 $562 2.1×
Methacholine challenge (94070) $1,283 $1,283 2.8×
Microvolt T-Wave Assess (93025) $417 $417 2.6×
Motility study esophagus (91010) $2,655 $2,655 5.7×
Motion Fluoroscopy/Swallow (92611) $1,184 $1,184 12.9×
Multiple Sleep Latency Test (95805) $111 $111 0.1×
Nasopharyngoscopy (92511) $676 $676 2.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,011 $1,011 2.0×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,011 $1,011 2.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $324 $324 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $653 $653 1.3×
Neuromuscular Reeducation (97112) $236 $236 7.2×
Newborn resuscitation (99465) $1,596 $1,596 1.9×
Nitric oxide expired gas determination (95012) $101 $101 2.2×
Oral Function Therapy (92526) $312 $312 3.7×
Oral Speech Device Eval (92597) $595 $595 8.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $171 $171 3.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $174 $174 3.8×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $119 $119 4.4×
Ot Contrast Bath Ea 15 Min (97034) $170 $170 12.1×
Ot eval high complexity (97167) $259 $259 2.6×
Ot Eval Low Complex (97165) $259 $259 2.6×
Ot Eval Moderate Complexity (97166) $388 $388 3.9×
Ot manual therapy 15 min (97140) $162 $162 5.8×
Ot paraffin bath (97018) $199 $199 33.1×
Ot Prosthetic Training, Each 15 Min (97761) $226 $226 5.6×
Ot Re-Eval Est Plan Care (97168) $171 $171 2.5×
Ot rom hand (95852) $102 $102 4.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $346 $346 2.2×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $14,631 $14,631 2.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
range across 2 matching MRF lines		 $26,141–$29,437 $26,141–$29,437 varies
Phlebotomy therapeutic (99195) $334 $334 2.0×
Physical Performance Test (97750) $240 $240 7.1×
Plethysmography (94726) $743 $743 1.6×
Pm device eval in person (93288) $143 $143 3.1×
Pm device progr eval dual (93280) $603 $603 12.9×
Pm device progr eval multi (93281) $375 $375 8.0×
Pm Device Progr Eval Sngl (93279) $375 $375 8.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,985 $2,985 2.8×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $144 $144 3.1×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $483 $483 10.4×
Prq Card Angio/Athrect 1 Art (92924) $27,895 $27,895 1.9×
Prq Card Stent W/Angio 1 Vsl (92928)
range across 2 matching MRF lines		 $26,141–$26,885 $26,141–$26,885 varies
Prq Card Stent/Ath/Angio (92933) $26,141 $26,141 1.1×
Prq Revasc Byp Graft 1 Vsl (92937)
range across 3 matching MRF lines		 $26,141–$26,885 $26,141–$26,885 varies
Psych diag eval w/med srvcs (90792) $441 $441 2.0×
Pt Eval High Complex (97163) $264 $264 2.7×
Pt eval low complex 20 min (97161) $264 $264 2.7×
Pt Eval Mod Complex (97162) $388 $388 4.0×
Pt gait training 15 min (97116) $172 $172 5.9×
Pt mechanical traction (97012) $170 $170 11.8×
Pt Re-Eval Est Plan Care (97164) $228 $228 3.4×
Pulmonary Stress Testing (94618) $416 $416 2.5×
Pure Tone Audiometry Air (92552) $307 $307 1.8×
R Hrt Art/Grft Angio (93457) $16,314 $16,314 4.0×
R hrt coronary artery angio (93456) $15,602 $15,602 3.9×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $12,604 $12,604 3.1×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $12,666 $12,666 3.1×
R&L Hrt Cath W/Ventriclgrphy (93453) $14,183 $14,183 3.5×
Refill/Maint Portable Pump (96521) $603 $603 2.3×
Refill/Maint Pump/Resvr Syst (96522) $1,002 $1,002 3.8×
Remote 30 Day Ecg Rev/Report (93270) $439 $439 9.4×
Right Heart Cath (93451) $13,477 $13,477 3.3×
Right ventricular recording (93603) $2,931 $2,931 1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines		 $511–$522 $511–$522 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $144 $144 5.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $544 $544 4.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $219 $219 4.6×
Self Care Mngment Training (97535) $162 $162 5.0×
Sensory Integration Ea 15 Min (97533) $200 $200 3.3×
Sleep study attended (95807) $47 $47 0.1×
Sleep study unattended (95806) $386 $386 1.4×
Speech Audiometry Complete (92556) $153 $153 2.1×
Speech audiometry threshold (92555) $90 $90 1.2×
Speech sound lang comprehen (92523) $310 $310 1.4×
Spirometry (94010) $541 $541 2.0×
Standardized Cognitive Performance Testing (96125) $579 $579 5.6×
Stenger Test, Pure Tone (92565) $90 $90 1.2×
Surfactant Admin Thru Tube (94610) $534 $534 2.0×
Temp transcutaneous pacing (92953) $1,099 $1,099 1.3×
Tensilon Test (95857) $630 $630 2.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $404 $404 18.1×
Ther Ivntj Ea Addl 15 Min (97130) $404 $404 19.2×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $190 $190 5.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $154 $154 5.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $587 $587 5.7×
Ther/Proph/Diag Inj Ia (96373) $391 $391 1.5×
Ther/Proph/Diag Inj Sc/Im (96372) $159 $159 1.8×
Ther/Proph/Diag Iv Inf Init (96365) $699 $699 2.6×
Therapeutic Activities (97530) $215 $215 6.1×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,493 $2,493 5.4×
Tobacco Use Cessation Intensive >10 Minutes (99407) $96 $96 2.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $78 $78 1.7×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines		 $3,591–$3,795 $3,591–$3,795 varies
Tte W/O Doppler Complete (93307) $2,137 $2,137 7.2×
Tx atrial fib pulm vein isol (93656) $49,828 $49,828 1.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $281 $281 3.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $323 $323 5.5×
Tympanometry (92567) $90 $90 1.9×
Tympanometry and reflex threshold measurements (92550) $386 $386 1.4×
Upr/L Xtremity Art 2 Levels (93922) $710 $710 4.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,259 $1,259 4.7×
Vent Mgmt Inpat Init Day (94002) $2,238 $2,238 2.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,647 $1,647 2.1×
Visual reinforcement audiometry (vra) (92579) $386 $386 1.4×
Vital capacity, total (94150) $223 $223 1.4×
Wheelchair Mgmt Ea 15 Min (97542) $182 $182 5.9×
Whirlpool Therapy (97022) $143 $143 9.1×

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.