Visits & medical services prices at Charlotte Hungerford Hospital

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

165 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) $110 $110 0.7×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $219 $219 6.3×
Advncd Care Plan 30 Min (99497) $190 $190 1.6×
Airway Inhalation Treatment (94640) $213.53 $213.53 0.8×
Analyze neurostim no prog (95970)
range across 2 matching MRF lines
$103.65–$115 $103.65–$115 varies
Analyze Neurostim Simple (95971) $145 $145 1.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$59.40–$136.08 $59.40–$136.08 varies
Application on-body injector (96377) $172 $172 3.1×
Behavral qualit analys voice (92524) $450.36 $450.36 4.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $502.01 $502.01 1.1×
Canalith repositioning proc (95992) $179.28 $179.28 4.4×
Cardiac Stress Tst,Tracing Only (93017) $1,231.88 $1,231.88 4.8×
Cardiopulmonary resuscitation (92950) $944.99 $944.99 3.7×
Cardioversion (92960) $1,958.96 $1,958.96 2.5×
Cbt 1st hour (94644) $217.42 $217.42 1.4×
Chemo Anti-Neopl Sq/Im (96401) $251.85 $251.85 2.9×
Chemo Hormon Antineopl Sq/Im (96402) $251.85 $251.85 2.9×
Chemo IV infusion addl hr (96415) $220.10 $220.10 2.5×
Chemotherapy Into Cns (96450) $1,026.02 $1,026.02 2.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,104.86 $1,104.86 2.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $722.70 $722.70 1.8×
Color/duplex Doppler, complete (93975) $709.21 $709.21 2.5×
Color/duplex Doppler, limited (93976) $547.60 $547.60 4.4×
Comprehensive Hearing Test (92557)
range across 2 matching MRF lines
$74.35–$150 $74.35–$150 varies
Conditioning Play Audiometry (92582) $305.70 $305.70 2.0×
Cont Gluc Mntr Pt Prov Eqp (95249) $128.19 $128.19 1.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $327.41 $327.41 1.2×
Cpt initial (94667) $129.21 $129.21 0.8×
Critical care first hour (99291) $5,890 $5,890 5.9×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$83.15–$160 $83.15–$160 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $537.14 $537.14 4.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $709.21 $709.21 2.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $537.14 $537.14 4.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $569.54 $569.54 2.0×
Dup-scan xtr veins unilateral/limited study (93971) $487.65 $487.65 3.9×
Duplex Scan Hemodialysis Access (93990) $332.37 $332.37 2.7×
Duplex up extrem art bilat (93930) $650.55 $650.55 2.3×
Duplex up extrem art unilat/ltd (93931) $541.98 $541.98 4.3×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$1,284.44–$1,393.94 $1,284.44–$1,393.94 varies
Echo transesophageal (93312) $2,480.18 $2,480.18 3.8×
Eeg 41-60 Minutes (95812) $1,431.17 $1,431.17 5.5×
EEG awake and asleep (95819) $1,558.19 $1,558.19 6.0×
EEG awake drowsy (95816) $1,448.69 $1,448.69 5.6×
EEG cont rec w/video by tech min 8 channels (95700) $520.13 $520.13 2.0×
EEG extended monitoring 61-119 minutes (95813) $1,721.34 $1,721.34 6.6×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $843.15 $843.15 3.3×
EEG w/o vid ea 12-26hr intmt (95709) $1,678.64 $1,678.64 3.8×
EEG wo vid ea 12-26hr unmntr (95708) $2,058.60 $2,058.60 4.6×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $314.57 $314.57 2.8×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977)
range across 2 matching MRF lines
$119.35–$230 $119.35–$230 varies
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $262.80 $262.80 5.9×
Electrical Stimulation Ea 15 Min (97032) $86.40 $86.40 5.9×
Electrocardiogram Tracing (93005) $232.14 $232.14 3.3×
Emergency Dept Visit Level 2 (99282) $975 $975 5.3×
Emergency Dept Visit Level 3 (99283) $2,167 $2,167 6.6×
Emergency Dept Visit Level 4 (99284) $3,483 $3,483 7.0×
Er level 1 (99281) $614 $614 6.1×
Er level v (99285) $4,646 $4,646 6.5×
Evaluate pt use of inhaler (94664) $213.53 $213.53 0.8×
Evaluate Speech Production (92522) $460.08 $460.08 4.1×
Evaluate Swallowing Function (92610) $349.92 $349.92 4.1×
External ECG rec>48hr<7d recording (93242) $249.66 $249.66 5.6×
External ECG rec>7d<15d recording (93246) $312.08 $312.08 7.0×
Extracranial Bilat Study (93880) $709.21 $709.21 2.5×
Flexible endoscopic eval swallow c/v rec (92612) $779.76 $779.76 3.9×
Holter monitor recording (93225) $424.86 $424.86 2.7×
Icd Device Interrogate (93289)
range across 2 matching MRF lines
$45–$116 $45–$116 varies
Icd device progr eval dual (93283) $420.48 $420.48 9.4×
Icd Device Progr Eval Mult (93284) $420.48 $420.48 9.4×
Ilr Device Eval Progr (93285) $52 $52 1.2×
Ilr Device Interrogate (93291) $22 $22 0.6×
Immunization administration (90471) $83.20 $83.20 1.0×
Interrogate Subq Defib (93261) $134.69 $134.69 3.0×
IV infusion hydration each additional hour (96361) $132.50 $132.50 2.4×
IV infusion hydration initial 31 min-1 hour (96360) $671.24 $671.24 2.6×
IV infusion ther proph addl sequential to 1 hr (96367) $204.77 $204.77 2.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $132.50 $132.50 2.4×
IV push initial (96374)
range across 2 matching MRF lines
$12.37–$671.24 $12.37–$671.24 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $93.13 $93.13 2.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $93.13 $93.13 2.5×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $115.13 $115.13 6.8×
Methacholine challenge (94070) $621.11 $621.11 1.4×
Motion Fluoroscopy/Swallow (92611) $379.08 $379.08 4.1×
Multiple Sleep Latency Test (95805) $3,738.33 $3,738.33 3.6×
Muscle Test Hemidiaphragm (95866) $170 $170 1.1×
Muscle Test One Limb (95860)
range across 2 matching MRF lines
$182–$243 $182–$243 varies
Nasopharyngoscopy (92511) $315 $315 1.3×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $372.94 $372.94 1.4×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $357.15 $357.15 1.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$64.95–$100 $64.95–$100 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $72.80 $72.80 0.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $392.01 $392.01 1.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $819.06 $819.06 1.7×
Nerve Conduction Studies 1-2 Studies (95907) $636.83 $636.83 2.5×
Nerve Conduction Studies 11-12 Studies (95912) $1,681.12 $1,681.12 3.8×
Nerve conduction studies 13 or more studies (95913) $1,910.32 $1,910.32 4.3×
Nerve Conduction Studies 3-4 Studies (95908) $775.19 $775.19 3.0×
Nerve conduction studies 5-6 studies (95909) $916.99 $916.99 3.5×
Nerve conduction studies 7-8 studies (95910) $1,214.41 $1,214.41 2.7×
Nerve Conduction Studies 9-10 Studies (95911) $1,425.92 $1,425.92 3.2×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $326.99 $326.99 2.1×
Neuromuscular Reeducation (97112) $142.56 $142.56 4.4×
Oral Function Therapy (92526) $349.92 $349.92 4.2×
Oral Speech Device Eval (92597) $291.60 $291.60 4.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $226.80 $226.80 4.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $206.28 $206.28 4.5×
Ot eval high complexity (97167) $398.52 $398.52 4.0×
Ot Eval Low Complex (97165) $398.52 $398.52 4.0×
Ot Eval Moderate Complexity (97166) $398.52 $398.52 4.0×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$112.32–$160.92 $112.32–$160.92 varies
Ot paraffin bath (97018) $55.08 $55.08 9.2×
Ot Re-Eval Est Plan Care (97168) $270 $270 3.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $448.21 $448.21 2.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $271.23 $271.23 1.8×
Percutaneous tests w/allergenic extracts (95004) $54.75 $54.75 0.1×
Peripheral arterial disease rehab per session (93668) $141.91 $141.91 2.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $591.30 $591.30 8.4×
Plethysmography (94726) $562.83 $562.83 1.3×
Pm device eval in person (93288) $276 $276 6.2×
Pm device progr eval dual (93280) $343.83 $343.83 7.7×
Pm device progr eval multi (93281) $343.83 $343.83 7.7×
Pm Device Progr Eval Sngl (93279) $289.08 $289.08 6.5×
Pm/Icd Remote Tech Serv (93296) $261 $261 5.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,287.76 $5,287.76 5.1×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $375.59 $375.59 8.4×
Psych diag eval w/med srvcs (90792) $293.46 $293.46 1.4×
Psychiatric diagnostic evaluation (90791) $293.46 $293.46 1.4×
Pt Eval High Complex (97163) $412.56 $412.56 4.2×
Pt eval low complex 20 min (97161) $412.56 $412.56 4.2×
Pt Eval Mod Complex (97162) $412.56 $412.56 4.2×
Pt gait training 15 min (97116) $123.12 $123.12 4.2×
Pt mechanical traction (97012) $86.40 $86.40 6.0×
Pt Re-Eval Est Plan Care (97164) $282.96 $282.96 4.2×
Pulm function test by gas (94727) $409.53 $409.53 1.6×
Pulmonary Stress Testing (94618) $424.86 $424.86 2.7×
Rem interrog icpms <30 d phys/qhp (93297) $293 $293 6.5×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $297 $297 6.6×
Rem Mntr Wrls P-Art Prs Snr (93264)
range across 2 matching MRF lines
$110–$165 $110–$165 varies
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $78 $78 1.7×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $270 $270 1.7×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $72 $72 1.7×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $88 $88 1.6×
Self Care Mngment Training (97535) $137.16 $137.16 4.2×
Sleep study unattended (95806) $1,235.16 $1,235.16 4.8×
Speech sound lang comprehen (92523) $948.24 $948.24 4.2×
Spin/Brain Pump Refil & Main (95991) $468 $468 1.3×
Spirometry (94010) $308.42 $308.42 1.2×
Standardized Cognitive Performance Testing (96125) $432 $432 4.2×
Ther/Proph/Diag Inj Sc/Im (96372) $204.77 $204.77 2.4×
Ther/Proph/Diag Iv Inf Init (96365) $671.24 $671.24 2.6×
Therapeutic Activities (97530) $160.92 $160.92 4.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $59.90 $59.90 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $85.41 $85.41 1.9×
Trans Care Mgmt 14 Day Disch (99495) $381.25 $381.25 2.4×
Trans Care Mgmt 7 Day Disch (99496) $229.13 $229.13 1.4×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$2,152.77–$2,425.43 $2,152.77–$2,425.43 varies
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines
$107.38–$222 $107.38–$222 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $314.28 $314.28 4.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $132.50 $132.50 2.4×
Tympanometry (92567)
range across 2 matching MRF lines
$50–$53.75 $50–$53.75 varies
Upr/L Xtremity Art 2 Levels (93922) $457.91 $457.91 2.9×
Veeg ea 12-26hr cont mntr (95716) $3,251.06 $3,251.06 3.2×
Vent Mgmt Inpat Init Day (94002) $845.34 $845.34 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $715.43 $715.43 1.0×
Visual reinforcement audiometry (vra) (92579) $273.06 $273.06 1.1×

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.