Visits & medical services prices at F F Thompson Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $68 — 1.3×
Advncd Care Plan 30 Min (99497) $150 — 1.2×
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines
$173–$331 — varies
Analyze neurostim complex (95972) — $111 —
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $46 — 3.2×
Application Modality 1/> Areas Diathermy (97024) $24 — 3.3×
Application Modality 1/> Areas Infrared (97026) $21 — 3.1×
Assessment of aphasia per hr (96105) $180 — 1.9×
Behavral qualit analys voice (92524) $282 — 2.6×
Brief Emotional/Behav Assmt (96127) $64 — 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines
$26–$532 — varies
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$44–$83 — varies
Cardiac Stress Tst,Tracing Only (93017) $506 — 1.9×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$408–$506 — varies
Cardioversion (92960)
range across 3 matching MRF lines
$168–$1,234 — varies
Caregiver hlth risk assmt score doc stnd instrm (96161) $48 — 1.0×
Cbt 1st hour (94644) $173 — 1.0×
Chemo Anti-Neopl Sq/Im (96401) $116 — 1.3×
Chemo Ia Push (96420) $540 — 1.3×
Chemo IV infusion addl hr (96415) $116 — 1.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $136 — 1.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $540 — 1.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $540 — 1.3×
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$173–$210 — varies
Chron Care Mgmt Srvc 20 Min (99490) — $140 —
Color/duplex Doppler, complete (93975) $394 — 1.3×
Color/duplex Doppler, limited (93976)
range across 3 matching MRF lines
$60–$484 — varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $83 — 2.6×
Continuous Pulse Ox (94762) $254 — 1.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $331 — 1.2×
Cpt initial (94667)
range across 2 matching MRF lines
$173–$210 — varies
Critical care first hour (99291)
range across 2 matching MRF lines
$508–$1,371 — varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$324–$409 — varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $394 — 1.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $277 — 2.1×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $277 — 2.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $394 — 1.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $277 — 2.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $791 — 2.7×
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines
$34–$334 — varies
Duplex Scan Hemodialysis Access (93990) $277 — 2.1×
Duplex up extrem art bilat (93930) $394 — 1.3×
Duplex up extrem art unilat/ltd (93931) $277 — 2.1×
ECG/monitoring and analysis (93271) $244 — 2.1×
Echo Heart Xthoracic,Limited (93308)
range across 4 matching MRF lines
$40–$652 — varies
Echo transesophageal (93312) $1,374 — 2.0×
Eeg 41-60 Minutes (95812)
range across 2 matching MRF lines
$506–$604 — varies
EEG awake and asleep (95819)
range across 4 matching MRF lines
$98–$604 — varies
EEG awake drowsy (95816)
range across 3 matching MRF lines
$98–$604 — varies
EEG cerebral death evaluation (95824) $864 — 1.9×
EEG cont rec w/video by tech min 8 channels (95700) $254 — 0.9×
EEG extended monitoring 61-119 minutes (95813)
range across 2 matching MRF lines
$506–$626 — varies
Eeg Sleep Only (95822)
range across 3 matching MRF lines
$98–$604 — varies
Eeg W/O Vid 2-12 Hr Unmntr (95705) $506 — 1.9×
EEG wo vid ea 12-26hr unmntr (95708) $864 — 1.9×
Electrical Stimulation Ea 15 Min (97032) $69 — 4.7×
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines
$95–$124 — varies
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$96–$341 — varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$144–$536 — varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$272–$896 — varies
Er level 1 (99281)
range across 3 matching MRF lines
$47–$194 — varies
Er level v (99285)
range across 2 matching MRF lines
$398–$1,319 — varies
Evaluate pt use of inhaler (94664)
range across 4 matching MRF lines
$27–$331 — varies
Evaluate Speech Production (92522) $282 — 2.5×
Evaluate Swallowing Function (92610) $302 — 3.6×
Evaluation of speech fluency (92521) $282 — 2.1×
External Ecg Scanning Analysis Report (93226) $163 — 2.2×
Extracranial Bilat Study (93880) $493 — 1.7×
Extracranial Uni/Ltd Study (93882) $379 — 2.9×
Flexible endoscopic eval swallow c/v rec (92612) $384 — 1.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $864 — 0.8×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,138 — 1.3×
Holter monitor recording (93225) $210 — 1.3×
Icd Device Interrogate (93289) $80 — 1.7×
Im Adm Intransl/Oral 1 Vaccine (90473) $116 — 1.3×
Img retina detcj/mntr ds poc auton a/r uni/bi (92229) — $133 —
Immunization administration (90471)
range across 2 matching MRF lines
$41–$116 — varies
Ingestion challenge test initial 120 minutes (95076) — $357 —
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $57.84 $97 0.1×
Insert/Place Heart Catheter (93503) $2,528 — 1.3×
Iontophoresis 15 min (97033) $83 — 4.4×
Irrig Drug Delivery Device (96523) $96 — 1.3×
IV infusion hydration each additional hour (96361) $75 — 1.3×
IV infusion hydration initial 31 min-1 hour (96360) $343 — 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $116 — 1.3×
IV infusion therapy prophylaxis/dx ea hour (96366) $75 — 1.3×
IV push initial (96374) $343 — 1.3×
Laryngeal Function Studies (92520) $210 — 1.3×
Lwr Xtr Vasc Stdy Bilat (93924) $266 — 1.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $40 — 1.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $53 — 1.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $28 — 1.6×
Methacholine challenge (94070)
range across 3 matching MRF lines
$51–$558 — varies
Motion Fluoroscopy/Swallow (92611) $316 — 3.5×
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
$80–$2,040 — varies
Nasopharyngoscopy (92511) $316 — 1.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $650 — 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $324 — 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $650 — 1.3×
Neuromuscular Reeducation (97112) $74 — 2.3×
Newborn resuscitation (99465) $1,065 — 1.3×
Nitric oxide expired gas determination (95012) $64 — 1.4×
Oral Function Therapy (92526) $172 — 2.0×
Oral Speech Device Eval (92597) $277 — 3.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $84 — 1.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $84 — 1.8×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) — $64 —
Osteopathic manipulative tx 3-4 body regions (98926) $41 — 1.5×
Osteopathic manipulative tx 5-6 body regions (98927) — $130 —
Osteopathic manipulative tx 7-8 body regions (98928) — $164 —
Ot Contrast Bath Ea 15 Min (97034) $64 — 4.6×
Ot eval high complexity (97167) $136 — 1.4×
Ot Eval Low Complex (97165) $136 — 1.4×
Ot Eval Moderate Complexity (97166) $136 — 1.4×
Ot manual therapy 15 min (97140) $81 — 2.9×
Ot paraffin bath (97018) $37 — 6.2×
Ot Prosthetic Training, Each 15 Min (97761) $74 — 1.8×
Ot Re-Eval Est Plan Care (97168) $90 — 1.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $205 — 1.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $205 — 1.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $113 — 0.4×
Peripheral arterial disease rehab per session (93668) $96 — 1.3×
Phlebotomy therapeutic (99195) $210 — 1.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $96 — 1.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $96 — 1.3×
Physical Performance Test (97750) $75 — 2.2×
Plethysmography (94726)
range across 3 matching MRF lines
$22–$528 — varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 3 matching MRF lines
$172–$2,082 — varies
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $2,130 — 2.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $75 — 1.3×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $75 — 1.3×
Pt Eval High Complex (97163) $141 — 1.4×
Pt eval low complex 20 min (97161) $141 — 1.4×
Pt Eval Mod Complex (97162) $141 — 1.4×
Pt gait training 15 min (97116) $76 — 2.6×
Pt mechanical traction (97012) $59 — 4.1×
Pt Re-Eval Est Plan Care (97164) $95 — 1.4×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $48 — 1.0×
Pulm function test by gas (94727)
range across 3 matching MRF lines
$21–$276 — varies
Pulmonary service/procedure (94799) $173 — 1.1×
Pulmonary Stress Testing (94618)
range across 3 matching MRF lines
$39–$248 — varies
Remote 30 Day Ecg Rev/Report (93270) $163 — 3.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $96 — 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $324 — 1.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $382 — 3.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $74 — 1.5×
Self Care Mngment Training (97535) $78 — 2.4×
Sleep study unattended (95806) $310 — 1.2×
Speech sound lang comprehen (92523)
range across 2 matching MRF lines
$270–$282 — varies
Spirometry (94010)
range across 4 matching MRF lines
$14–$269 — varies
Standardized Cognitive Performance Testing (96125) $242 — 2.4×
Stress Tte Only (93350)
range across 2 matching MRF lines
$1,076–$1,412 — varies
Temp transcutaneous pacing (92953) $1,065 — 1.3×
Tensilon Test (95857) $506 — 1.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $43 — 1.9×
Ther Ivntj Ea Addl 15 Min (97130) $42 — 2.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $94 — 2.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $70 — 2.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $198 — 1.9×
Ther/Proph/Diag Inj Ia (96373) $343 — 1.3×
Ther/Proph/Diag Inj Sc/Im (96372) $116 — 1.3×
Ther/Proph/Diag Iv Inf Init (96365) $370 — 1.4×
Therapeutic Activities (97530) $78 — 2.2×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $864 — 1.9×
Tobacco Use Cessation Intensive >10 Minutes (99407) $48 — 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $48 — 1.0×
Trans Care Mgmt 14 Day Disch (99495) $210 — 1.3×
Trans Care Mgmt 7 Day Disch (99496) $210 — 1.3×
Tte w/doppler, complete (93306) $1,076 — 1.6×
Tte W/O Doppler Complete (93307) $1,331 — 4.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $203 — 2.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $76 — 1.3×
Upr/L Xtremity Art 2 Levels (93922) $210 — 1.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $266 — 1.0×
Vasopneumatic device (97016) $68 — 5.7×
Vent Mgmt Inpat Init Day (94002) $1,076 — 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,076 — 1.4×
Vital capacity, total (94150) $254 — 1.6×
Wheelchair Mgmt Ea 15 Min (97542) $84 — 2.7×
Whirlpool Therapy (97022) $59 — 3.8×

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.