Visits & medical services prices at Cuba Memorial Hospital, Inc

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $130 $130 2.6×
Advncd Care Plan 30 Min (99497) $92 $92 0.7×
Airway Inhalation Treatment (94640) $658 $658 2.4×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $74 $74 1.6×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $125 $125 0.5×
Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) $258 $258 1.6×
Ant sgm imaging w/microscopy endothelial analy (92286) $180 $180 1.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $53 $53 3.7×
Application Modality 1/> Areas Diathermy (97024) $48 $48 6.5×
Application Modality 1/> Areas Infrared (97026) $52 $52 7.8×
Application on-body injector (96377) $137 $137 2.3×
Assessment of aphasia per hr (96105) $270 $270 2.8×
Assmt & care planning pt w/cognitive impairment (99483) $121 $121 1.0×
Behavral qualit analys voice (92524) $292 $292 2.7×
Breathing response to hypoxia (94450) $407 $407 2.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $475 $475 1.0×
Canalith repositioning proc (95992) $145 $145 3.6×
Car seat/bed test 60 min (94780) $148 $148 3.2×
Cardiac Stress Tst,Tracing Only (93017) $549 $549 2.0×
Cardiopulmonary resuscitation (92950)
range across 5 matching MRF lines		 $188–$570 $188–$570 varies
Cardioversion (92960)
range across 6 matching MRF lines		 $415–$1,401 $415–$1,401 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $7,887 $7,887 1.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,887 $7,887 1.9×
Cbt 1st hour (94644) $118 $118 0.7×
Chemo Anti-Neopl Sq/Im (96401) $182 $182 2.0×
Chemo Hormon Antineopl Sq/Im (96402) $149 $149 1.7×
Chemo Ia Push (96420) $469 $469 1.1×
Chemo IV infusion addl hr (96415) $120 $120 1.3×
Chemo IV push addl drug (96411) $234 $234 2.6×
Chemother Prolong Infuse W/Pump (96416) $295 $295 0.7×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $527 $527 1.3×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $1,872 $1,872 32.0×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $703 $703 1.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $226 $226 2.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $536 $536 1.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $404 $404 1.0×
Chest Wall Manipulation (94668) $35 $35 0.2×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $517 $517 1.1×
Color/duplex Doppler, complete (93975) $691 $691 2.3×
Color/duplex Doppler, limited (93976) $565 $565 4.3×
Community/Work Reintegration Trainj Ea 15 Min (97537) $87 $87 2.7×
Continuous Pulse Ox (94762) $123 $123 0.8×
Coronary Art/Grft Angio S&I (93455) $8,093 $8,093 2.0×
Coronary Artery Angio S&I (93454) $7,887 $7,887 1.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $317 $317 1.2×
Cpt initial (94667) $58 $58 0.3×
Critical care first hour (99291)
range across 3 matching MRF lines		 $654–$1,994 $654–$1,994 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 11 matching MRF lines		 $70–$608 $70–$608 varies
Dialysis One Evaluation (90945) $1,030 $1,030 2.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $673 $673 2.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $673 $673 5.2×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $458 $458 3.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $692 $692 2.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $341 $341 2.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $673 $673 2.3×
Dup-scan xtr veins unilateral/limited study (93971) $401 $401 3.1×
Duplex Scan Hemodialysis Access (93990) $506 $506 3.9×
Duplex up extrem art bilat (93930) $692 $692 2.3×
Duplex up extrem art unilat/ltd (93931) $341 $341 2.6×
ECG/monitoring and analysis (93271) $276 $276 2.3×
Echo Congenital Complete (93303) $1,648 $1,648 2.4×
Echo Heart Xthoracic,Limited (93308) $747 $747 2.5×
Echo transesophageal (93312) $1,770 $1,770 2.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,770 $1,770 2.6×
Eeg 41-60 Minutes (95812) $712 $712 2.6×
EEG awake and asleep (95819) $525 $525 1.9×
EEG awake drowsy (95816) $525 $525 1.9×
EEG cerebral death evaluation (95824) $715 $715 1.5×
EEG extended monitoring 61-119 minutes (95813) $519 $519 1.9×
Eeg Sleep Only (95822) $640 $640 2.4×
Electrical Stimulation Ea 15 Min (97032) $53 $53 3.6×
Electrocardiogram Tracing (93005) $186 $186 2.5×
Electroconvulsive Therapy (90870) $1,205 $1,205 1.1×
Electrophysiology Evaluation (93642) $4,017 $4,017 2.6×
Emergency Dept Visit Level 2 (99282)
range across 10 matching MRF lines		 $57–$461 $57–$461 varies
Emergency Dept Visit Level 3 (99283)
range across 9 matching MRF lines		 $75–$646 $75–$646 varies
Emergency Dept Visit Level 4 (99284)
range across 9 matching MRF lines		 $167–$953 $167–$953 varies
Emg 3 Extremities (95863) $601 $601 3.7×
Er level 1 (99281)
range across 12 matching MRF lines		 $38–$191 $38–$191 varies
Er level v (99285)
range across 7 matching MRF lines		 $261–$1,465 $261–$1,465 varies
Eval aud funcj cand/po surg implt dev 1st hr (92626) $212 $212 1.3×
Evaluate pt use of inhaler (94664) $99 $99 0.4×
Evaluate Speech Production (92522) $302 $302 2.7×
Evaluate Swallowing Function (92610) $327 $327 3.9×
Evaluation of speech fluency (92521) $359 $359 2.7×
Exercise test for bronchospasm (94617) $314 $314 1.9×
External Ecg Scanning Analysis Report (93226) $292 $292 4.0×
Extracranial Bilat Study (93880) $538 $538 1.8×
Extracranial Uni/Ltd Study (93882) $254 $254 1.9×
Eye Exam With Photos (92230)
range across 2 matching MRF lines		 $97–$879 $97–$879 varies
F-up/limited tthrc echo congenital car anomaly (93304) $1,183 $1,183 1.7×
Fluorescein angiography (92235) $420 $420 1.6×
Gastric motility studies (91020) $602 $602 1.3×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $823 $823 1.8×
Group Therapeutic Procedures (97150) $52 $52 2.9×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $7,887 $7,887 1.9×
Holter monitor recording (93225) $230 $230 1.4×
Icm Device Eval (93290) $70 $70 1.5×
Im Adm Intransl/Oral 1 Vaccine (90473) $30 $30 0.3×
Immunization administration (90471) $159 $159 1.8×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $1,323 $1,323 2.8×
Insert/Place Heart Catheter (93503) $1,132 $1,132 0.6×
Iontophoresis 15 min (97033)
range across 3 matching MRF lines		 $52.85–$53 $52.85–$53 varies
Irrig Drug Delivery Device (96523) $242 $242 3.3×
IV infusion hydration each additional hour (96361) $96 $96 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $322 $322 1.2×
IV infusion ther proph addl sequential to 1 hr (96367) $191 $191 2.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $96 $96 1.6×
IV push initial (96374) $322 $322 1.2×
L Hrt Art/Grft Angio (93459) $7,887 $7,887 1.9×
Low frequency non-thermal us (97610) $54 $54 0.2×
Lung Function Test (Mbc/Mvv) (94200) $171 $171 2.3×
Lwr Xtr Vasc Stdy Bilat (93924) $308 $308 1.1×
Measurement Lung Volumes Infant/Child/2 Yrs (94013) $239 $239 0.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $95 $95 3.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $109 $109 3.0×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $51 $51 3.0×
Methacholine challenge (94070) $415 $415 0.9×
Motility study esophagus (91010) $610 $610 1.3×
Motion Fluoroscopy/Swallow (92611) $282 $282 3.1×
Multiple Family Group Psychotherapy (90849) $128 $128 0.6×
Multiple Sleep Latency Test (95805) $2,688 $2,688 2.5×
Muscle Test 2 Limbs (95861) $515 $515 3.1×
Muscle Test One Limb (95860) $428 $428 2.6×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $105 $105 0.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,236 $1,236 2.4×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,236 $1,236 2.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $632 $632 2.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,007 $1,007 2.0×
Nerve Conduction Studies 11-12 Studies (95912) $644 $644 1.4×
Nerve conduction studies 13 or more studies (95913) $644 $644 1.4×
Nerve conduction studies 7-8 studies (95910) $356 $356 0.8×
Nerve Conduction Studies 9-10 Studies (95911) $644 $644 1.4×
Neurobehavioral Status Exam (96116) $370 $370 1.4×
Neuromuscular Reeducation (97112) $98 $98 3.0×
Newborn resuscitation (99465) $830 $830 1.0×
Nrpsyc tst eval phys/qhp 1st (96132) $637 $637 1.4×
Oral Function Therapy (92526) $282 $282 3.4×
Oral Speech Device Eval (92597) $290 $290 4.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $141 $141 2.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $112 $112 2.4×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $50 $50 1.9×
Osteopathic manipulative tx 3-4 body regions (98926) $51 $51 1.9×
Osteopathic manipulative tx 5-6 body regions (98927) $65 $65 2.4×
Osteopathic manipulative tx 7-8 body regions (98928) $76 $76 2.8×
Osteopathic manipulative tx 9-10 body regions (98929) $86 $86 3.2×
Ot Contrast Bath Ea 15 Min (97034) $68 $68 4.8×
Ot eval high complexity (97167) $279 $279 2.8×
Ot Eval Low Complex (97165) $229 $229 2.3×
Ot Eval Moderate Complexity (97166) $254 $254 2.5×
Ot manual therapy 15 min (97140) $89 $89 3.2×
Ot paraffin bath (97018) $53 $53 8.8×
Ot Prosthetic Training, Each 15 Min (97761) $96 $96 2.4×
Ot Re-Eval Est Plan Care (97168) $151 $151 2.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $227 $227 1.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797)
range across 3 matching MRF lines		 $70–$182 $70–$182 varies
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $74 $74 0.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $11,976 $11,976 1.7×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $18,190 $18,190 1.3×
Phlebotomy therapeutic (99195)
range across 3 matching MRF lines		 $57–$242 $57–$242 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $204 $204 2.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $204 $204 2.8×
Physical Performance Test (97750) $30 $30 0.9×
Plethysmography (94726) $659 $659 1.4×
Pm device eval in person (93288) $105 $105 2.3×
Pm device progr eval dual (93280) $101 $101 2.2×
Pm/Icd Remote Tech Serv (93296) $102 $102 2.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines		 $2,016–$2,688 $2,016–$2,688 varies
Polysom <6 yrs 4/> paramtrs (95782) $1,689 $1,689 1.6×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,796 $1,796 1.7×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $2,688 $2,688 2.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $64 $64 1.1×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $68 $68 1.2×
Prq Card Angio/Athrect 1 Art (92924) $22,836 $22,836 1.6×
Prq Card Stent W/Angio 1 Vsl (92928) $18,190 $18,190 1.3×
Prq Card Stent/Ath/Angio (92933) $18,190 $18,190 0.8×
Prq Revasc Byp Graft 1 Vsl (92937) $18,190 $18,190 1.3×
Psych diag eval w/med srvcs (90792) $382 $382 1.7×
Psychiatric diagnostic evaluation (90791) $367 $367 1.7×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $479 $479 0.9×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $154 $154 0.9×
Pt Eval High Complex (97163) $286 $286 2.9×
Pt eval low complex 20 min (97161) $236 $236 2.4×
Pt Eval Mod Complex (97162) $261 $261 2.7×
Pt gait training 15 min (97116) $84 $84 2.9×
Pt mechanical traction (97012) $53 $53 3.7×
Pt Re-Eval Est Plan Care (97164) $158 $158 2.3×
Pt ultraviolet (97028) $37 $37 4.4×
Pulm function test by gas (94727) $281 $281 1.0×
Pulmonary service/procedure (94799)
range across 6 matching MRF lines		 $31–$251 $31–$251 varies
Pulmonary Stress Testing (94618) $314 $314 1.9×
Pure Tone Audiometry Air (92552) $184 $184 1.1×
R Hrt Art/Grft Angio (93457) $10,579 $10,579 2.6×
R hrt coronary artery angio (93456) $7,887 $7,887 1.9×
R&L Hrt Cath W/Ventriclgrphy (93453) $7,454 $7,454 1.8×
Refill/Maint Portable Pump (96521) $289 $289 1.1×
Refill/Maint Pump/Resvr Syst (96522) $246 $246 0.9×
Remote 30 Day Ecg Rev/Report (93270) $482 $482 10.3×
Respiratory flow volume loop (94375) $96 $96 0.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $88 $88 1.2×
Right Heart Cath (93451) $8,098 $8,098 2.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $442 $442 1.8×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $336 $336 2.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $143 $143 3.0×
Self Care Mngment Training (97535) $102 $102 3.1×
Sensory Integration Ea 15 Min (97533) $87 $87 1.4×
Sleep study attended (95807) $1,468 $1,468 3.2×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $540 $540 2.0×
Speech sound lang comprehen (92523) $640 $640 2.8×
Spirometry (94010) $297 $297 1.1×
Standardized Cognitive Performance Testing (96125) $381 $381 3.7×
Stress Tte Only (93350) $1,138 $1,138 1.7×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $383 $383 1.4×
Temp transcutaneous pacing (92953) $399 $399 0.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $96 $96 4.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $98 $98 2.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $77 $77 2.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $266 $266 2.6×
Ther/Prop/Diag Inj/Inf Proc (96379) $30 $30 0.5×
Ther/Proph/Diag Inj Ia (96373) $117 $117 0.4×
Ther/Proph/Diag Inj Sc/Im (96372) $131 $131 1.5×
Ther/Proph/Diag Iv Inf Init (96365) $517 $517 1.9×
Therapeutic Activities (97530) $102 $102 2.9×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $668 $668 1.4×
Tobacco Use Cessation Intensive >10 Minutes (99407) $93 $93 2.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $52 $52 1.1×
Trans Care Mgmt 14 Day Disch (99495) $156 $156 0.9×
Trans Care Mgmt 7 Day Disch (99496) $156 $156 0.9×
Tte w/doppler, complete (93306) $1,272 $1,272 1.9×
Tte W/O Doppler Complete (93307) $1,272 $1,272 4.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $260 $260 3.4×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $71 $71 3.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $96 $96 1.6×
Tympanometry (92567) $52 $52 1.1×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines		 $38–$216 $38–$216 varies
Unlisted Diagnostic Gastroenterology Procedure (91299) $355 $355 2.2×
Unlisted Psychiatric Service/Procedure (90899) $142 $142 3.0×
Upr/L Xtremity Art 2 Levels (93922) $230 $230 1.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $362 $362 1.3×
Vasopneumatic device (97016) $70 $70 5.8×
Veeg ea 12-26hr cont mntr (95716) $3,572 $3,572 3.3×
Vent Mgmt Inpat Init Day (94002) $655 $655 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $437 $437 0.6×
Vital capacity, total (94150) $281 $281 1.7×
Wheelchair Mgmt Ea 15 Min (97542) $90 $90 2.9×
Whirlpool Therapy (97022) $69 $69 4.4×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $90 $90 1.9×

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.