Visits & medical services prices at Connecticut Children's Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $213 $355 1.4×
Administration of prolonged chemotherapy into artery (96425) $367.80 $613 0.9×
Aep hearing status deter broadband stimuli i&r (92651) $294 $490 1.1×
Aep Neurodiagnostic I&R (92653) $883.80 $1,473 3.4×
Aep threshold estimation mlt frequencies i&r (92652) $906 $1,510 3.5×
Airway inhalation treatment (94640) $383.40 $639 1.5×
Analysis and programming of inner ear implant (younger than 7 years) (92601) $569.40 $949 3.7×
Analysis and reprogramming of inner ear implant (younger than 7 years) (92602) $284.40 $474 1.8×
Anorectal manometry (91125) $870 $1,450 1.9×
Appl on-body injector for timed subq injection (96377) $108.60 $181 1.9×
Basic vestibular evaluation (92540) $585.60 $976 2.3×
Behavioral and qualitative analysis of voice and resonance (92524) $243.60 $406 2.2×
Bfb training 1st 15 min (90912) $256.20 $427 3.1×
Bfb training ea addl 15 min (90913) $115.80 $193 3.5×
Biofeedback training any modality (90901) $125.40 $209 3.1×
Blink reflex test (95933) $168 $280 2.4×
Breath Hydrogen/Methane Test (91065) $389.40 $649 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $653.40 $1,089 1.5×
Caloric vestibular test w/rec bi bithermal (92537) $234 $390 1.5×
Caloric vestibular test w/rec bi monothermal (92538) $117.60 $196 0.5×
Capsule endoscopy (91110) $2,181.60 $3,636 2.0×
Car seat/bed test 60 min (94780) $91.20 $152 2.0×
Cardiac Stress Tst,Tracing Only (93017) $653.40 $1,089 2.5×
Cardiopulmonary exercise testing (94621) $653.40 $1,089 1.5×
Cardiopulmonary resuscitation (92950) $653.40 $1,089 2.5×
Cardioversion (92960) $961.80 $1,603 1.2×
Cardioversion internal (92961) $1,399.20 $2,332 1.8×
Caregiver training 1st 30 min (97550) $36.60 $61 0.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $51 $85 2.0×
Cbt 1st hour (94644) $275.40 $459 1.7×
Cervical & ocular vemp testing w/i&r (92519) $208.80 $348 0.8×
Cervical vemp testing w/i&r (92517) $117.60 $196 0.8×
Chemo Admin Peritoneal Cavity (96446) $214.80 $358 0.5×
Chemo Hormon Antineopl Sq/Im (96402) $128.40 $214 1.5×
Chemo inj subarach/intravent (96542) $420.60 $701 1.1×
Chemo IV push addl drug (96411) $128.40 $214 1.5×
Chemo Iv Push Sngl Drug (96409) $420.60 $701 1.1×
Chemother, IV infusion, 1 hr (96413) $519.60 $866 1.3×
Chemother, IV infusion, ea add hr (96415) $224.10 $373.50 2.6×
Chemother,Ia Push Technique (96420) $794.40 $1,324 2.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $128.40 $214 1.5×
Chemotx Admn Cns Req Spinal Puncture (96450) $465.30 $775.50 1.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $227.70 $379.50 2.6×
Colon Motility 6 Hr Study (91117) $726 $1,210 2.8×
Color/duplex Doppler, complete (93975) $610.20 $1,017 2.1×
Color/duplex Doppler, limited (93976) $273 $455 2.2×
Compre cptr mtn alys video taping 3d kinematics (96000) $1,509 $2,515 3.4×
Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) $1,830 $3,050 1.8×
Comprehensive Hearing Test (92557) $247.80 $413 1.6×
Conditioning Play Audiometry (92582) $238.80 $398 1.5×
Cont Gluc Monitoring Patient Provided Equipment (95249) $139.80 $233 2.0×
Cortical mapping 1st hr (95961) $1,989.60 $3,316 1.9×
Cpap initiation and management (94660) $383.40 $639 1.5×
Cpt initial (94667) $275.40 $459 1.7×
Critical care (99291) $1,810.80 $3,018 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $477 $795 2.0×
Demo &/or eval,pt use,aerosol device (94664) $383.40 $639 1.5×
Dermatological procedure (96999) $136.20 $227 0.6×
Developmental tst admin phys/qhp 1st hour (96112) $203.40 $339 1.3×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $698.10 $1,163.50 1.4×
Duodenal Motility Study (91022) $1,267.20 $2,112 2.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $610.20 $1,017 2.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $300.60 $501 2.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $890.40 $1,484 3.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $300.60 $501 2.4×
Dup-scan xtr veins unilateral/limited study (93971) $735.60 $1,226 5.9×
Duplex scan extracranial art compl bi study (93880) $610.20 $1,017 2.1×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $366 $610 2.4×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $284.40 $474 1.8×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $569.40 $949 3.7×
Dyn surf EMG,walking/func act,1-12 mus (96002) $357.60 $596 1.4×
Echo Heart Xthoracic,Limited (93308) $610.20 $1,017 2.1×
Echo transesophageal (93312) $1,276.20 $2,127 1.9×
Echo Transesophageal - Congenital Tee Complete (93315) $831 $1,385 1.3×
Echo Transthoracic - Congenital Tte Complete (93303) $1,276.20 $2,127 1.9×
Echo Transthoracic - Congenital Tte Limited (93304) $1,276.20 $2,127 1.9×
EEG awake asleep (95819) $1,093.80 $1,823 4.2×
EEG awake drowsy (95816) $549 $915 2.1×
EEG cerebral death evaluation (95824) $1,597.80 $2,663 3.6×
EEG coma or sleep only (95822) $1,441.20 $2,402 5.6×
EEG cont rec w/video by tech min 8 channels (95700) $657.60 $1,096 2.5×
Eeg Extended Monitoring 61-119 Minutes (95813) $1,795.80 $2,993 6.9×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $657.60 $1,096 2.5×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $1,261.80 $2,103 2.8×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $1,261.80 $2,103 2.8×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $1,261.80 $2,103 2.8×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $657.60 $1,096 2.5×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $657.60 $1,096 2.5×
EKG (93005) $123 $205 1.7×
EKG rhythm strip (93041) $73.80 $123 1.0×
Elec alys implt cplx cn npgt prgrmg (95977) $336.60 $561 3.0×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $106.80 $178 2.4×
Electrocochleography (92584) $219 $365 1.4×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $549 $915 2.1×
EMG cranial nerve bilat (95868) $288.60 $481 1.1×
EMG cranial nerve unilat (95867) $357.60 $596 1.4×
EMG four extremities (95864) $361.20 $602 2.3×
EMG one extremity (95860) $216.60 $361 1.4×
EMG thoracic paraspinal (95869) $168 $280 0.6×
EMG three extremities (95863) $312 $520 2.0×
EMG two extremities (95861) $264 $440 1.7×
Er level 1 (99281) $206.40 $344 2.0×
Er level ii (99282) $396 $660 2.2×
Er level iii (99283) $836.40 $1,394 2.6×
Er level IV (99284) $1,084.80 $1,808 2.2×
Er level v (99285) $1,732.80 $2,888 2.4×
Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) $1,267.20 $2,112 2.8×
Esophagus acid perfusion test esophagitis (91030) $1,267.20 $2,112 2.8×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $324.60 $541 2.1×
Evaluation of speech fluency (92521) $243.60 $406 1.8×
Evaluation of speech sound production (92522) $243.60 $406 2.2×
Evaluation of swallowing function (92610) $203.10 $338.50 2.4×
Evaluation with prescription of speech-generating alternative (92607) $324.60 $541 2.7×
Evoked Auditory Test,Comprehsv (92588) $388.80 $648 0.9×
Evoked auditory test,limited (92587) $171 $285 0.7×
Exercise tst brncspsm (94617) $275.40 $459 1.7×
Exhaled Air Analysis (94690) $83.40 $139 1.2×
External ECG rec>48hr<7d recording (93242) $135.60 $226 3.0×
External ECG rec>7d<15d recording (93246) $135.60 $226 3.0×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $162.60 $271 0.8×
Fluorescein angiography (92235) $594.60 $991 2.3×
Fluorescein angioscopy (92230) $1,797.60 $2,996 4.0×
Fundus photography w/interpretation & report (92250) $295.80 $493 1.9×
Gastric motility studies (91020) $1,267.20 $2,112 2.8×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $545.40 $909 1.2×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $701.40 $1,169 2.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,267.20 $2,112 1.2×
Group Therapeutic Procedures (97150) $162.60 $271 9.0×
Hemodialysis (90935) $1,423.80 $2,373 1.7×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $85.20 $142 1.9×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $94.80 $158 1.9×
Immunization Admin (90471) $99.30 $165.50 1.2×
Ingestion challenge test initial 120 minutes (95076) $2,347.80 $3,913 5.2×
Injection intra arterial (96373) $137.10 $228.50 0.5×
Interrog&prgrmg ipnss during polysomnography (93152) $720 $1,200 2.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $139.80 $233 2.0×
IV infusion hydration each additional hour (96361) $97.20 $162 1.7×
IV infusion hydration initial 31 min-1 hour (96360) $501 $835 2.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $152.40 $254 1.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $501 $835 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $97.20 $162 1.7×
IV push initial (96374) $501 $835 2.0×
Laryngeal Function Studies (92520) $247.20 $412 1.5×
Maintenance of spinal canal or brain drug infusion pump (95990) $826.80 $1,378 2.1×
Manual therapy 15 min (97140) $81 $135 2.9×
Massage 15 min (97124) $81 $135 2.7×
Maximum voluntary ventilation (94200) $275.40 $459 3.9×
Mechanical chest wall oscillation (94669) $275.40 $459 1.0×
Mechanical traction (97012) $649.80 $1,083 45.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $70.80 $118 2.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $84.60 $141 2.3×
Methacholine challenge (94070) $653.40 $1,089 1.5×
Mnt Group Ea 30 Min (97804) $40.20 $67 2.4×
Motility study esophagus (91010) $1,267.20 $2,112 2.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $476.40 $794 5.2×
Multiple sleep latency test (95805) $1,989.60 $3,316 1.9×
Nasopharyngoscopy (92511) $399.60 $666 1.7×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $147 $245 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $200.40 $334 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $200.40 $334 0.4×
Nerve conduction studies 13/> studies (95913) $1,165.80 $1,943 2.6×
Nerve Conduction Studies 3-4 Studies (95908) $653.40 $1,089 2.5×
Nerve Conduction Studies 9-10 Studies (95911) $1,165.80 $1,943 2.6×
Nerve conduction studies; 1-2 studies (95907) $357.60 $596 1.4×
Nerve conduction studies; 11-12 studies (95912) $1,165.80 $1,943 2.6×
Nerve conduction studies; 5-6 studies (95909) $653.40 $1,089 2.5×
Nerve conduction studies; 7-8 studies (95910) $653.40 $1,089 1.5×
Neuromuscular junction test (95937) $357.60 $596 2.3×
Newborn resuscitation (99465) $1,344.60 $2,241 1.7×
Nitric oxide expired gas determination (95012) $83.40 $139 1.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $300.60 $501 1.9×
Ocular vemp testing w/i&r (92518) $117.60 $196 0.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $86.40 $144 1.9×
Oscillating Tracking Test (92545) $90.60 $151 0.4×
Ot eval high complex 60 min (97167) $315 $525 3.1×
Ot eval low complex 30 min (97165) $315 $525 3.1×
Ot eval mod complex 45 min (97166) $315 $525 3.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $81 $135 1.6×
Ot Prosthetic Training, Each 15 Min (97761) $81 $135 2.0×
Ot Range Motion Measure,Each Extrem (95851) $260.40 $434 10.0×
Ot re-eval est plan care (97168) $406.80 $678 5.9×
Paraffin bath (97018) $53.41 $89.02 8.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $383.40 $639 1.5×
Percutaneous tests w/allergenic extracts (95004) $2,615.40 $4,359 2.5×
Plethysmography (94726) $643.80 $1,073 1.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,290.20 $3,817 2.2×
Polysom <6 yrs 4/> paramtrs (95782) $1,989.60 $3,316 1.9×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,989.60 $3,316 1.9×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $2,590.80 $4,318 2.5×
Positional Nystagmus Test (92542) $271.20 $452 1.7×
Psych diag eval w/med srvcs (90792) $327 $545 1.5×
Psychiatric diagnostic evaluation (90791) $342.60 $571 1.6×
Pt Aquatic Therapy/Exercises (97113) $103.20 $172 2.8×
Pt Electric Current Therapy (97033) $81 $135 4.3×
Pt Electrical Stimulation (97032) $41.40 $69 2.8×
Pt eval high complex 45 min (97163) $324.60 $541 3.3×
Pt eval low complex 20 min (97161) $324.60 $541 3.3×
Pt Gait Training Therapy (97116) $81 $135 2.8×
Pt group caregiver training (97552) $48 $80 2.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $91.80 $153 2.8×
Pt Physical Performance Test (97750) $81 $135 2.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $324.60 $541 3.3×
Pt re-evaluation (97164) $324.60 $541 4.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $91.80 $153 2.8×
Pt Ultrasound Therapy (97035) $65.40 $109 4.6×
Pulm Funct Test Oscillometry (94728) $653.40 $1,089 4.2×
Pulm function test by gas (94727) $528 $880 2.0×
Pulmonary stress testing (94618) $275.40 $459 1.7×
Pure Tone Audiometry Air & Bone (92553) $194.40 $324 1.3×
Pure Tone Audiometry, Air (92552) $156 $260 1.0×
Rectal sensation tone&compliance study (91124) $504 $840 1.9×
Refill/maint, portable pump (96521) $420.60 $701 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $200.40 $334 0.8×
Rt Chest Wall Manipulation,Subsequent (94668) $275.40 $459 1.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $162.60 $271 3.4×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $2,074.50 $3,457.50 4.6×
Select picture audiometry (92583) $48.60 $81 0.7×
Sensory Integration Ea 15 Min (97533) $134.40 $224 2.2×
Sleep study attended (95807) $2,590.80 $4,318 5.8×
Speech Audiometry Threshold (92555) $70.20 $117 1.0×
Speech Audiometry, Complete (92556) $88.80 $148 1.3×
Speech group therapy (92508) $53.40 $89 2.2×
Speech sound lang comprehen (92523) $552 $920 2.4×
Spirometry (94010) $357.60 $596 1.4×
Spontaneous Nystagmus Test (92541) $150 $250 0.9×
Standardized Cognitive Performance Testing (96125) $324.60 $541 3.2×
Stenger Test, Pure Tone (92565) $70.20 $117 1.0×
Stenger Test, Speech (92577) $147 $245 0.3×
Stress echo (93350) $1,120.80 $1,868 1.7×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $97.20 $162 1.7×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $501 $835 2.0×
Surfactant Admin Thru Tube (94610) $489 $815 1.9×
Tcd Emboli Detect W/O Inj - Us Tc Dplr Ic Art Emb Det Wo Iv Mb Inj (93892) $1,374.90 $2,291.50 11.0×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $1,263.30 $2,105.50 10.1×
Temp transcutaneous pacing (92953) $673.80 $1,123 0.9×
Tensilon test (95857) $722.40 $1,204 2.8×
Test for abnormal eye movement using a moving target with recording (92544) $90.60 $151 0.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $40.80 $68 1.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $39.60 $66 1.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $243.60 $406 2.4×
Ther/prop/diag inj/inf proc (96379) $110.40 $184 2.0×
Ther/Proph/Diag Inj Sc/Im (96372) $152.40 $254 1.8×
Therapeutic Activities (97530) $81 $135 2.3×
Therapeutic phlebotomy (99195) $305.40 $509 1.9×
Tinnitus assessment (92625) $345 $575 2.2×
Tone Decay Test (92563) $72.60 $121 1.6×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $699.60 $1,166 2.4×
Transcranial Doppler Limited (93888) $490.20 $817 3.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,276.20 $2,127 1.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $576 $960 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $160.20 $267 2.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $160.20 $267 1.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $97.20 $162 1.7×
Tympanometry (92567) $70.20 $117 1.6×
Tympanometry And Reflex Threshold Measurements (92550) $142.80 $238 0.6×
Unlisted Diagnostic Gastroenterology Procedure (91299) $400.20 $667 2.6×
Unlisted otorhinolaryngological service (92700) $114 $190 3.3×
Unlisted pulmonary service/procedure (94799) $41.40 $69 0.3×
Vasc Duplex Extrem Venous,Bilat (93970) $610.20 $1,017 2.1×
Veeg by tech 2-12 hours unmonitored (95711) $657.60 $1,096 2.5×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $1,261.80 $2,103 2.8×
Veeg by tech 2-12 hr intermittent monitoring (95712) $657.60 $1,096 1.5×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $2,363.40 $3,939 2.3×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,261.80 $2,103 2.8×
Veeg Ea 12-26 Hr Unmntr (95714) $1,261.80 $2,103 2.8×
Ventilation assist & mgmt inpatient 1st day (94002) $1,209 $2,015 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,209 $2,015 1.6×
Visual Evoked Potential Test (95930) $301.20 $502 1.2×
Visual reinforcement audiometry (vra) (92579) $223.20 $372 0.9×
Vital capacity total (94150) $357.60 $596 2.3×
Wada Activation Test Hemispheric Function W/Eeg (95958) $2,802.90 $4,671.50 2.7×
Wheelchair Mgmt Ea 15 Min (97542) $81 $135 2.6×