Visits & medical services prices at Cooley Dickinson Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $161.25 $215 0.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $27.75 $37 1.9×
Application on-body injector (96377) $241.50 $322 4.3×
Bedside Swallowing Eval (92610) $144 $192 1.7×
Behavioral and qualitative analysis of voice and resonance (92524) $321 $428 2.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $450.75 $601 1.0×
Canalith Repositioning Procedure (95992) $120 $160 2.9×
Cardiac Stress Tst,Tracing Only (93017) $546.75 $729 2.1×
Cardioversion (92960) $656.25 $875 0.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $12,940.50 $17,254 3.3×
Chemo Hormon Antineopl Sq/Im (96402) $335.25 $447 3.9×
Chemo IV push addl drug (96411) $456.75 $609 5.3×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,695.75 $2,261 4.3×
Chemother, IV infusion, 1 hr (96413) $789.75 $1,053 2.0×
Chemother, IV infusion, ea add hr (96415) $231 $308 2.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $549.75 $733 6.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $521.25 $695 6.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $568.50 $758 1.4×
Color/duplex Doppler, complete (93975) $996 $1,328 3.5×
Color/duplex Doppler, limited (93976) $543.75 $725 4.3×
Coronary artery angio s&i (93454) $10,720.50 $14,294 2.8×
Cpap/bipap (94660) $279.75 $373 1.1×
Critical care (99291) $1,512.75 $2,017 1.5×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $664.50 $886 2.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $854.25 $1,139 3.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $549.75 $733 4.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $573 $764 2.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $663 $884 2.3×
Dup-scan xtr veins unilateral/limited study (93971) $442.50 $590 3.5×
Duplex scan extracranial art compl bi study (93880) $673.50 $898 2.4×
Echo Heart Xthoracic,Limited (93308) $578.25 $771 2.0×
Echo transesophageal (93312) $1,624.50 $2,166 2.5×
Echo Transthoracic - Congenital Tte Complete (93303) $1,091.25 $1,455 1.7×
EEG awake and asleep (95819) $988.50 $1,318 3.8×
EEG awake drowsy (95816) $868.50 $1,158 3.4×
Electrocardiogram Tracing (93005) $131.25 $175 1.9×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $934.50 $1,246 3.6×
Er level iii (99283) $426.75 $569 1.3×
Er level IV (99284) $809.25 $1,079 1.6×
Er level v (99285) $1,198.50 $1,598 1.7×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $674.25 $899 1.5×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $674.25 $899 1.5×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $395.25 $527 1.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $674.25 $899 0.7×
Holter Monitor (93225) $538.50 $718 3.4×
Immunization Admin (90471) $28.88 $38.50 0.3×
Irrig drug delivery device (96523) $186 $248 2.6×
IV infusion hydration each additional hour (96361) $155.25 $207 2.8×
IV infusion hydration initial 31 min-1 hour (96360) $423.75 $565 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $268.50 $358 3.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $525.75 $701 2.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $204.75 $273 3.6×
IV push ea addl new drug (96375) $231.75 $309 4.1×
IV push initial (96374) $567.75 $757 2.2×
L hrt art/grft angio (93459) $15,135.75 $20,181 3.9×
Laryngeal Function Studies (92520) $146.25 $195 0.9×
Manual therapy 15 min (97140) $87 $116 3.1×
Maximum voluntary ventilation (94200) $224.25 $299 3.2×
Mechanical traction (97012) $43.50 $58 3.0×
Methacholine challenge (94070) $473.25 $631 1.1×
Motility study esophagus (91010) $674.25 $899 1.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $217.50 $290 2.4×
Nitric oxide expired gas determination (95012) $69 $92 1.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $113.25 $151 2.5×
Ot eval high complex 60 min (97167) $248.25 $331 2.5×
Ot eval low complex 30 min (97165) $248.25 $331 2.5×
Ot eval mod complex 45 min (97166) $248.25 $331 2.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $204 $272 4.1×
Ot re-evaluation (97168) $175.50 $234 2.6×
Ot therapeutic activity 15 min (97530) $102 $136 2.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $257.25 $343 1.7×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $525 $700 2.0×
Phlebotomy therapeutic (99195) $210.75 $281 1.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $330.75 $441 4.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $228.75 $305 3.2×
Plethysmography (94726) $503.25 $671 1.1×
Psych diag eval w/med srvcs (90792) $376.12 $501.50 1.8×
Pt Electrical Stimulation (97032) $61.50 $82 4.2×
Pt eval high complex 45 min (97163) $217.50 $290 2.2×
Pt eval low complex 20 min (97161) $217.50 $290 2.2×
Pt eval mod complex 30 min (97162) $217.50 $290 2.2×
Pt gait training 15 min (97116) $86.25 $115 3.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $95.25 $127 2.9×
Pt re-evaluation (97164) $159 $212 2.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $109.50 $146 3.4×
Pulm function test by gas (94727) $274.50 $366 1.1×
Pulmonary stress test simple (94618) $106.50 $142 0.7×
R & l hrt cath w/njx l ventriculog img s&i (93453) $14,427.75 $19,237 3.7×
R hrt coronary artery angio (93456) $13,052.25 $17,403 3.4×
R&l hrt art/ventricle angio (93460) $14,425.50 $19,234 3.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $270 $360 6.0×
Right heart cath (93451) $9,963.75 $13,285 2.6×
Speech sound lang comprehen (92523) $339.75 $453 1.5×
Spirometry (94010) $260.25 $347 1.0×
Stress echo (93350) $1,008 $1,344 1.5×
Therapeutic prophylactic/dx injection subq/im (96372) $91.50 $122 1.1×
Tilt table evaluation (93660) $2,695.50 $3,594 6.0×
Tte w/doppler, complete (93306) $1,442.25 $1,923 2.2×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,160.25 $1,547 4.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $295.50 $394 3.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $212.25 $283 2.5×
Unlisted noninvasive vascular diagnostic study (93998) $694.50 $926 20.0×
Upr/lxtr art stdy 3+ lvls (93923) $500.25 $667 1.9×
Vasopneumatic device (97016) $78 $104 6.5×