Visits & medical services prices at Delaware Valley Hospital, Inc
Walton, NY · every code in this section with a posted price and a Medicare benchmark.
169 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $121 | $121 | 2.4× |
| Airway Inhalation Treatment (94640) | $557 | $557 | 2.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $179 | $179 | 12.5× |
| Application Modality 1/> Areas Infrared (97026) | $23 | $23 | 3.4× |
| Assessment of aphasia per hr (96105) | $360 | $360 | 3.7× |
| Behavral qualit analys voice (92524) | $438 | $438 | 4.0× |
| Biofeedback training any modality (90901) | $124 | $124 | 3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $854 | $854 | 1.8× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$128–$135 | $128–$135 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$1,517–$2,018 | $1,517–$2,018 | varies |
| Cardiopulmonary resuscitation (92950) | $1,918 | $1,918 | 7.1× |
| Cardioversion (92960) | $1,189 | $1,189 | 1.4× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $68 | $68 | 2.6× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $13,677 | $13,677 | 3.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $13,426 | $13,426 | 3.3× |
| Cbt 1st hour (94644) | $220 | $220 | 1.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $168 | $168 | 1.9× |
| Chest Wall Manipulation (94668) | $323 | $323 | 1.9× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$1,978–$3,731 | $1,978–$3,731 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$977–$1,119 | $977–$1,119 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $208 | $208 | 6.5× |
| Continuous Pulse Ox (94762) | $478 | $478 | 3.0× |
| Coronary Art/Grft Angio S&I (93455) | $4,784 | $4,784 | 1.2× |
| Coronary Artery Angio S&I (93454) | $4,362 | $4,362 | 1.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $978 | $978 | 3.6× |
| Cpt initial (94667) | $323 | $323 | 1.9× |
| Critical care first hour (99291) | $2,296 | $2,296 | 2.2× |
| Debridement Open Wound 20 Sq Cm< (97597) | $321 | $321 | 1.3× |
| Developmental tst admin phys/qhp 1st hour (96112) | $483 | $483 | 3.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $2,391 | $2,391 | 8.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $296 | $296 | 2.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$2,398–$2,747 | $2,398–$2,747 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$1,216–$1,394 | $1,216–$1,394 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 7 matching MRF lines |
$1,979–$6,715 | $1,979–$6,715 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 6 matching MRF lines |
$1,370–$4,437 | $1,370–$4,437 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $658 | $658 | 2.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $329 | $329 | 2.5× |
| Duplex Scan Hemodialysis Access (93990) | $1,101 | $1,101 | 8.4× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$2,879–$3,289 | $2,879–$3,289 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$1,691–$2,035 | $1,691–$2,035 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$801–$910 | $801–$910 | varies |
| Echo r-t 2d w/probe placement only (93313) | $3,505 | $3,505 | 5.1× |
| Echo transesophageal (93312) | $1,762 | $1,762 | 2.6× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,381 | $1,381 | 2.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,316 | $2,316 | 3.4× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $403 | $403 | 1.5× |
| EEG w/o vid ea 12-26hr intmt (95709) | $1,334 | $1,334 | 2.9× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $772 | $772 | 2.9× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,334 | $1,334 | 2.9× |
| Electrical Stimulation Ea 15 Min (97032) | $93 | $93 | 6.3× |
| Electrocardiogram Tracing (93005) | $624 | $624 | 8.5× |
| Emergency Dept Visit Level 2 (99282) | $480 | $480 | 2.5× |
| Emergency Dept Visit Level 3 (99283) | $654 | $654 | 1.9× |
| Emergency Dept Visit Level 4 (99284) | $1,047 | $1,047 | 2.0× |
| Er level 1 (99281) | $347 | $347 | 3.3× |
| Er level v (99285) | $1,708 | $1,708 | 2.3× |
| Evaluate pt use of inhaler (94664) | $509 | $509 | 1.9× |
| Evaluate Speech Production (92522) | $423 | $423 | 3.8× |
| Evaluate Swallowing Function (92610) | $634 | $634 | 7.5× |
| Evaluation of speech fluency (92521) | $518 | $518 | 3.9× |
| External ECG rec>48hr<7d recording (93242) | $782 | $782 | 16.8× |
| External ECG rec>7d<15d recording (93246) | $977 | $977 | 21.0× |
| Extracranial Bilat Study (93880) | $2,979 | $2,979 | 10.0× |
| Extracranial Uni/Ltd Study (93882) | $1,217 | $1,217 | 9.3× |
| Flexible endoscopic eval swallow c/v rec (92612) | $470 | $470 | 2.4× |
| Group Therapeutic Procedures (97150) | $109 | $109 | 6.0× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $13,943 | $13,943 | 3.4× |
| Holter monitor recording (93225) | $521 | $521 | 3.1× |
| Icd Device Interrogate (93289) | $183 | $183 | 3.9× |
| Immunization administration (90471) | $34 | $34 | 0.4× |
| Iontophoresis 15 min (97033) | $206 | $206 | 10.8× |
| Irrig Drug Delivery Device (96523) | $318 | $318 | 4.3× |
| IV infusion hydration each additional hour (96361) | $268 | $268 | 4.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $419 | $419 | 1.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $215 | $215 | 2.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $215 | $215 | 3.7× |
| IV push initial (96374) | $191 | $191 | 0.7× |
| L Hrt Art/Grft Angio (93459) | $13,426 | $13,426 | 3.3× |
| Lung Function Test (Mbc/Mvv) (94200) | $345 | $345 | 4.7× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,230 | $1,230 | 4.6× |
| Mechanical chest wall oscillation per session (94669) | $509 | $509 | 1.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $140 | $140 | 4.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $159 | $159 | 4.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$79–$199 | $79–$199 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $1,024 | $1,024 | 2.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $501 | $501 | 2.0× |
| Neuromuscular Reeducation (97112) | $254 | $254 | 7.8× |
| Oral Function Therapy (92526) | $401 | $401 | 4.8× |
| Oral Speech Device Eval (92597) | $541 | $541 | 7.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$153–$328 | $153–$328 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $254 | $254 | 5.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $133 | $133 | 9.5× |
| Ot eval high complexity (97167) | $422 | $422 | 4.2× |
| Ot Eval Low Complex (97165) | $422 | $422 | 4.2× |
| Ot Eval Moderate Complexity (97166) | $422 | $422 | 4.2× |
| Ot manual therapy 15 min (97140) | $218 | $218 | 7.9× |
| Ot paraffin bath (97018) | $177 | $177 | 29.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $155 | $155 | 3.8× |
| Ot Re-Eval Est Plan Care (97168) | $320 | $320 | 4.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $301 | $301 | 1.9× |
| Peripheral arterial disease rehab per session (93668) | $163 | $163 | 2.2× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $6,663 | $6,663 | 0.9× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) unusually low: confirm this is the full procedure |
$6,003 | $6,003 | 0.4× |
| Phlebotomy therapeutic (99195) | $654 | $654 | 3.9× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $166 | $166 | 2.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $166 | $166 | 2.3× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$171–$184 | $171–$184 | varies |
| Plethysmography (94726) | $319 | $319 | 0.7× |
| Pm device progr eval dual (93280) | $98 | $98 | 2.1× |
| Prq Card Angio/Athrect 1 Art (92924) unusually low: confirm this is the full procedure |
$6,601 | $6,601 | 0.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) unusually low: confirm this is the full procedure |
$6,631 | $6,631 | 0.5× |
| Prq Revasc Byp Graft 1 Vsl (92937) unusually low: confirm this is the full procedure |
$6,059 | $6,059 | 0.4× |
| Psytx Crisis Initial 60 Min (90839) range across 7 matching MRF lines |
$598–$1,580 | $598–$1,580 | varies |
| Pt Eval High Complex (97163) | $422 | $422 | 4.3× |
| Pt eval low complex 20 min (97161) | $422 | $422 | 4.3× |
| Pt Eval Mod Complex (97162) | $422 | $422 | 4.3× |
| Pt gait training 15 min (97116) | $179 | $179 | 6.2× |
| Pt group caregiver training (97552) | $57 | $57 | 2.6× |
| Pt mechanical traction (97012) | $179 | $179 | 12.5× |
| Pt Re-Eval Est Plan Care (97164) | $320 | $320 | 4.7× |
| Pulm function test by gas (94727) | $569 | $569 | 2.1× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$87–$355 | $87–$355 | varies |
| Pulmonary Stress Testing (94618) | $321 | $321 | 1.9× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $103 | $103 | 4.5× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $161 | $161 | 4.7× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $60 | $60 | 4.9× |
| R Hrt Art/Grft Angio (93457) | $5,422 | $5,422 | 1.3× |
| R hrt coronary artery angio (93456) | $7,478 | $7,478 | 1.8× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $8,151 | $8,151 | 2.0× |
| Refill/Maint Portable Pump (96521) | $635 | $635 | 2.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $1,485 | $1,485 | 31.9× |
| Right Heart Cath (93451) | $3,128 | $3,128 | 0.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $315 | $315 | 1.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$431–$539 | $431–$539 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $153 | $153 | 3.2× |
| Self Care Mngment Training (97535) | $212 | $212 | 6.5× |
| Sensory Integration Ea 15 Min (97533) | $194 | $194 | 3.2× |
| Slp caregiver training 1st 30 min (97550) | $135 | $135 | 2.6× |
| Speech sound lang comprehen (92523) | $872 | $872 | 3.9× |
| Spirometry (94010) range across 2 matching MRF lines |
$355–$574 | $355–$574 | varies |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$306–$357 | $306–$357 | varies |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$1,770–$2,871 | $1,770–$2,871 | varies |
| Temp transcutaneous pacing (92953) | $1,989 | $1,989 | 2.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $79 | $79 | 3.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $75 | $75 | 3.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $204 | $204 | 6.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $456 | $456 | 4.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $126 | $126 | 1.4× |
| Ther/Proph/Diag Iv Inf Init (96365) | $556 | $556 | 2.1× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$135–$271 | $135–$271 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $140 | $140 | 3.0× |
| Tte w/doppler, complete (93306) | $3,667 | $3,667 | 5.4× |
| Tte W/O Doppler Complete (93307) | $1,769 | $1,769 | 5.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $511 | $511 | 6.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $115 | $115 | 4.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $126 | $126 | 2.2× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$414–$669 | $414–$669 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,442 | $1,442 | 5.4× |
| Vasopneumatic device (97016) | $162 | $162 | 13.5× |
| Veeg 2-12 hr intmt mntr (95712) | $831 | $831 | 1.8× |
| Veeg 2-12 hr unmonitored (95711) | $832 | $832 | 3.1× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,530 | $1,530 | 3.3× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,602 | $1,602 | 3.4× |
| Vent Mgmt Inpat Init Day (94002) | $3,250 | $3,250 | 4.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $2,623 | $2,623 | 3.4× |
| Visual Evoked Potential Test (95930) | $1,493 | $1,493 | 5.5× |
| Vital capacity, total (94150) | $75 | $75 | 0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $74 | $74 | 2.4× |
| Whirlpool Therapy (97022) | $198 | $198 | 12.6× |
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.