Visits & medical services prices at Hilo Benioff Medical Center

Hilo, HI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $655.20 $1,092 2.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $40.80 $68 2.8×
Application on-body injector (96377) $143.40 $239 2.6×
Assessment of aphasia per hr (96105) $272.40 $454 2.8×
Bedside Swallowing Eval (92610) $196.80 $328 2.3×
Behavioral and qualitative analysis of voice and resonance (92524) $313.20 $522 2.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $743.40 $1,239 1.7×
Car seat/bed test 60 min (94780) $91.80 $153 2.1×
Cardiac Stress Tst,Tracing Only (93017) $929.40 $1,549 3.6×
Cardiopulmonary resuscitation (92950) $929.40 $1,549 3.6×
Cardioversion (92960) $1,953 $3,255 2.5×
Caregiver hlth risk assmt score doc stnd instrm (96161) $71.40 $119 1.6×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $64.80 $108 2.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,600 $16,000 2.5×
Cbt 1st hour (94644) $415.80 $693 2.6×
Chemo Hormon Antineopl Sq/Im (96402) $169.80 $283 2.0×
Chemo IV push addl drug (96411) $169.80 $283 2.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $792 $1,320 2.0×
Chemother, IV infusion, 1 hr (96413) $792 $1,320 2.0×
Chemother, IV infusion, ea add hr (96415) $169.80 $283 2.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $169.80 $283 2.0×
Chemotherapy into cns (96450) $792 $1,320 2.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $169.80 $283 2.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $792 $1,320 2.0×
Color/duplex Doppler, complete (93975) $577.20 $962 2.0×
Color/duplex Doppler, limited (93976) $253.80 $423 2.1×
Coronary art/grft angio s&i (93455) $9,600 $16,000 2.5×
Coronary artery angio s&i (93454) $9,600 $16,000 2.5×
Cpap/bipap (94660) $655.20 $1,092 2.5×
Cpt initial (94667) $415.80 $693 2.6×
Critical care (99291) $3,942 $6,570 4.0×
Debridement Open Wound 20 Sq Cm< (97597) $474.60 $791 2.0×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $743.40 $1,239 2.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $253.80 $423 2.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $577.20 $962 2.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $253.80 $423 2.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $577.20 $962 2.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $253.80 $423 2.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $577.20 $962 2.0×
Dup-scan xtr veins unilateral/limited study (93971) $253.80 $423 2.1×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $1,154.40 $1,924 4.1×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $253.80 $423 2.1×
Duplex scan extracranial art compl bi study (93880) $577.20 $962 2.0×
Duplex Scan Hemodialysis Access (93990) $253.80 $423 2.1×
Echo Heart Xthoracic,Limited (93308) $649.50 $1,082.50 2.3×
Echo r-t 2d w/probe placement only (93313) $1,282.20 $2,137 2.0×
Echo transesophageal (93312) $1,636.80 $2,728 2.5×
Echo Transthoracic - Congenital Tte Complete (93303) $1,636.80 $2,728 2.5×
Echo Transthoracic - Congenital Tte Limited (93304) $1,636.80 $2,728 2.5×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,636.80 $2,728 2.5×
EEG greater than 1 hour (95813) $743.40 $1,239 2.9×
Electrocardiogram Tracing (93005) $141.60 $236 2.0×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $743.40 $1,239 2.9×
Er level 1 (99281) $457.20 $762 4.6×
Er level ii (99282) $792.60 $1,321 4.4×
Er level iii (99283) $1,084.20 $1,807 3.4×
Er level IV (99284) $1,842.60 $3,071 3.7×
Er level v (99285) $2,532 $4,220 3.6×
Eval speech sound production (92522) $319.20 $532 2.9×
Evaluate Pt Use Of Inhaler (94664) $655.20 $1,092 2.5×
Evaluation of speech fluency (92521) $383.40 $639 2.9×
External ECG rec>48hr<7d recording (93242) $91.80 $153 2.1×
External ECG rec>7d<15d recording (93246) $91.80 $153 2.1×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $184.80 $308 0.9×
Hemodialysis (90935) $1,671 $2,785 2.1×
Ilr Device Eval Progr (93285) $111 $185 2.5×
Imm admn sarscov2 vaccine single dose (90480) $97.20 $162 2.0×
Immune Admin Oral/Nasal (90473) $166.20 $277 2.0×
Immunization Admin (90471) $169.80 $283 2.0×
Injection intra arterial (96373) $502.80 $838 2.0×
Interrog dev eval scrms phys/qhp in person (93291) $72.60 $121 2.1×
Interrog device eval heart (93289) $111 $185 2.5×
Interrogate subq defib (93261) $111 $185 2.5×
Interrogation eval in person wr defibrillator (93292) $111 $185 2.5×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $475.80 $793 1.8×
Irrig drug delivery device (96523) $141.60 $236 2.0×
IV infusion hydration each additional hour (96361) $126.90 $211.50 2.3×
IV infusion hydration initial 31 min-1 hour (96360) $578.10 $963.50 2.3×
IV infusion ther proph addl sequential to 1 hr (96367) $195.30 $325.50 2.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $578.10 $963.50 2.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $126.90 $211.50 2.3×
IV push ea addl new drug (96375) $126.90 $211.50 2.3×
IV push initial (96374) $578.10 $963.50 2.3×
L hrt art/grft angio (93459) $9,600 $16,000 2.5×
Manual therapy 15 min (97140) $78.60 $131 2.8×
Methacholine challenge (94070) $743.40 $1,239 1.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $261.60 $436 2.9×
Neg press wound tx >50 cm (97608) $1,170 $1,950 2.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $307.80 $513 2.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $190.20 $317 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $141.60 $236 3.1×
Ot eval high complex 60 min (97167) $294 $490 2.9×
Ot eval low complex 30 min (97165) $294 $490 2.9×
Ot eval mod complex 45 min (97166) $294 $490 2.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $157.20 $262 3.1×
Ot Prosthetic Training, Each 15 Min (97761) $123 $205 3.0×
Ot re-evaluation (97168) $205.20 $342 3.0×
Ot therapeutic activity 15 min (97530) $108.60 $181 3.1×
Peritoneal Dialysis (90945) $1,017 $1,695 2.1×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $17,017.80 $28,363 2.5×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $33,848.40 $56,414 2.5×
Phlebotomy therapeutic (99195) $400.20 $667 2.5×
Plethysmography (94726) $743.40 $1,239 1.7×
Pm device eval in person (93288) $111 $185 2.5×
Pm device progr eval dual (93280) $111 $185 2.5×
Pm device progr eval multi (93281) $111 $185 2.5×
Pm device progr eval sngl (93279) $111 $185 2.5×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $111 $185 2.5×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $111 $185 2.5×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $111 $185 2.5×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $111 $185 2.5×
Prq Card Stent W/Angio 1 Vsl (92928) $26,514.60 $44,191 1.9×
Prq tcat plmt ntrac st 2+les (92930) $37,869.60 $63,116 1.7×
Prq trluml coronary angio/atherect one art/brnch (92924) $33,848.40 $56,414 2.5×
Pt Electrical Stimulation (97032) $40.80 $68 2.8×
Pt eval high complex 45 min (97163) $291.60 $486 3.0×
Pt eval low complex 20 min (97161) $291.60 $486 3.0×
Pt eval mod complex 30 min (97162) $291.60 $486 3.0×
Pt gait training 15 min (97116) $85.20 $142 2.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $97.80 $163 3.0×
Pt re-evaluation (97164) $203.40 $339 3.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $95.40 $159 2.9×
Pt-focused hlth risk assmt (96160) $71.40 $119 1.6×
Pulm function test by gas (94727) $373.80 $623 1.5×
Pulmonary stress test simple (94618) $307.80 $513 2.0×
R & l hrt cath w/njx l ventriculog img s&i (93453) $9,600 $16,000 2.5×
R hrt coronary artery angio (93456) $9,600 $16,000 2.5×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $9,600 $16,000 2.5×
R&l hrt art/ventricle angio (93460) $9,600 $16,000 2.5×
Refill/Maint Portable Pump (96521) $502.80 $838 2.0×
Refill/Maint Pump/Resvr Syst (96522) $502.80 $838 2.0×
Respiratory flow volume loop (94375) $727.80 $1,213 2.9×
Right heart cath (93451) $9,600 $16,000 2.5×
Rt Chest Wall Manipulation,Subsequent (94668) $415.80 $693 2.6×
Sensory Integration Ea 15 Min (97533) $135.60 $226 2.2×
Slp caregiver training 1st 30 min (97550) $142.80 $238 2.7×
Speech sound lang comprehen (92523) $657 $1,095 2.9×
Spirometry (94010) $373.80 $623 1.5×
Standardized Cognitive Performance Testing (96125) $294 $490 2.9×
Stress echo (93350) $1,636.80 $2,728 2.5×
Temp transcutaneous pacing (92953) $1,562.40 $2,604 2.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $61.80 $103 2.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $59.40 $99 2.8×
Therapeutic prophylactic/dx injection subq/im (96372) $195.30 $325.50 2.3×
Tte w/doppler, complete (93306) $2,358 $3,930 3.7×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $252.60 $421 0.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $219.60 $366 2.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $245.40 $409 2.9×
Unlisted Cardiovascular Service/Procedure (93799) $467.40 $779 3.1×
Upr/lxtr art stdy 3+ lvls (93923) $373.80 $623 1.5×
Vasc Duplex Scan Extracranial,Limited (93882) $253.80 $423 2.1×
Vent mgmt inpat init day (94002) $2,131.20 $3,552 2.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,131.20 $3,552 2.9×
Vital capacity, total (94150) $373.80 $623 2.5×
Wheelchair Mgmt Ea 15 Min (97542) $92.40 $154 3.0×