Visits & medical services prices at Holyoke Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $418 $418 2.7×
Admn Sarscov2 Vacc 1 Dose (90480) $50 $50 1.0×
Advncd Care Plan 30 Min (99497) $169 $169 1.4×
Aep neurodiagnostic i&r (92653) $537 $537 2.1×
Airway Inhalation Treatment (94640) $296 $296 1.1×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $348 $348 2.2×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $369 $369 2.3×
Analyze neurostim no prog (95970) $269 $269 1.7×
Analyze Neurostim Simple (95971) $170 $170 1.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $92 $92 6.4×
Application on-body injector (96377) $91 $91 1.6×
Assessment of tinnitus (92625)
range across 2 matching MRF lines		 $164–$246 $164–$246 varies
Audiometry Air & Bone (92553) $205 $205 1.3×
Auditory Function, 60 Min (92620) $540 $540 3.5×
Behavral qualit analys voice (92524) $536 $536 4.9×
Biofeedback training any modality (90901) $135 $135 3.3×
Blink reflex test (95933) $207 $207 2.9×
Brief Emotional/Behav Assmt (96127) $83 $83 1.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines		 $44–$437 $44–$437 varies
Canalith repositioning proc (95992) $98 $98 2.4×
Car seat/bed test 60 min (94780) $109 $109 2.4×
Cardiac Stress Tst,Tracing Only (93017) $881 $881 3.4×
Cardioversion (92960) $884 $884 1.1×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $6,821 $6,821 1.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,821 $6,821 1.8×
Cbt 1st hour (94644) $183 $183 1.1×
Chemo Anti-Neopl Sq/Im (96401) $129 $129 1.5×
Chemo Hormon Antineopl Sq/Im (96402) $127 $127 1.5×
Chemo IV infusion addl hr (96415) $91 $91 1.1×
Chemo IV push addl drug (96411) $315 $315 3.7×
Chemother Prolong Infuse W/Pump (96416) $561 $561 1.4×
Chemotherapy Into Cns (96450) $526 $526 1.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $174 $174 2.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $526 $526 1.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $322 $322 0.8×
Chest Wall Manipulation (94668) $74 $74 0.5×
Color/duplex Doppler, complete (93975) $515 $515 1.8×
Color/duplex Doppler, limited (93976) $174 $174 1.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $95 $95 3.0×
Comprehensive Hearing Test (92557) $330 $330 2.1×
Conditioning Play Audiometry (92582) $360 $360 2.3×
Cont gluc mntr physician/qhp provided equiptment (95250) $211 $211 1.3×
Cont Gluc Mntr Pt Prov Eqp (95249) $77 $77 1.1×
Continuous Pulse Ox (94762) $250 $250 1.6×
Coronary Art/Grft Angio S&I (93455) $6,821 $6,821 1.8×
Coronary Artery Angio S&I (93454) $6,821 $6,821 1.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $311 $311 1.2×
Cpt initial (94667) $96 $96 0.6×
Critical care first hour (99291)
range across 3 matching MRF lines		 $556–$1,773 $556–$1,773 varies
Debridement Open Wound 20 Sq Cm< (97597) $295 $295 1.2×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $596 $596 1.3×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $611 $611 4.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $465 $465 1.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $359 $359 2.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $538 $538 1.9×
Dup-scan xtr veins unilateral/limited study (93971) $443 $443 3.5×
Duplex Scan Hemodialysis Access (93990) $221 $221 1.8×
Duplex up extrem art bilat (93930) $825 $825 2.9×
Duplex up extrem art unilat/ltd (93931) $409 $409 3.3×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $372 $372 2.4×
Echo Congenital Complete (93303) $2,185 $2,185 3.3×
Echo Heart Xthoracic,Limited (93308) $497 $497 1.7×
Echo transesophageal (93312) $1,147 $1,147 1.8×
Echo Transesophageal - Congenital Tee Complete (93315) $2,185 $2,185 3.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $752 $752 1.1×
Eeg 41-60 Minutes (95812) $535 $535 2.1×
EEG awake and asleep (95819) $678 $678 2.6×
EEG awake drowsy (95816) $389 $389 1.5×
EEG cont rec w/video by tech min 8 channels (95700) $269 $269 1.0×
EEG extended monitoring 61-119 minutes (95813)
range across 2 matching MRF lines		 $208–$535 $208–$535 varies
Eeg Sleep Only (95822) $437 $437 1.7×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $535 $535 2.1×
EEG wo vid ea 12-26hr unmntr (95708) $758 $758 1.7×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $241 $241 2.1×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $264 $264 2.3×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $103 $103 2.3×
Electrical Stimulation Ea 15 Min (97032) $92 $92 6.3×
Electrocardiogram Tracing (93005) $132 $132 1.9×
Electroconvulsive Therapy (90870)
range across 2 matching MRF lines		 $222–$1,098 $222–$1,098 varies
Electrophysiology Evaluation (93642) $2,086 $2,086 1.4×
Emergency Dept Visit Level 2 (99282) $600 $600 3.3×
Emergency Dept Visit Level 3 (99283) $800 $800 2.4×
Emergency Dept Visit Level 4 (99284) $900 $900 1.8×
Emg 3 Extremities (95863) $672 $672 4.4×
Emg 4 Extremities (95864) $764 $764 5.0×
Er level 1 (99281) $500 $500 4.9×
Er level v (99285) $1,000 $1,000 1.4×
Evaluate pt use of inhaler (94664) $276 $276 1.1×
Evaluate Speech Production (92522) $510 $510 4.6×
Evaluate Swallowing Function (92610) $288 $288 3.4×
Evaluation of speech fluency (92521) $510 $510 3.8×
Evoked Auditory Test,Limited (92587)
range across 2 matching MRF lines		 $389–$542 $389–$542 varies
External ECG rec>48hr<7d recording (93242) $81 $81 1.8×
External ECG rec>7d<15d recording (93246) $87 $87 1.9×
External Ecg Scanning Analysis Report (93226) $400 $400 5.7×
Extracranial Bilat Study (93880) $681 $681 2.4×
Extracranial Uni/Ltd Study (93882) $428 $428 3.4×
F-up/limited tthrc echo congenital car anomaly (93304) $2,185 $2,185 3.3×
Filtered Speech Test (92571) $77 $77 1.7×
Gi tract capsule endoscopy (91110) $1,800 $1,800 1.7×
Group Therapeutic Procedures (97150) $89 $89 4.9×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $6,821 $6,821 1.8×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines		 $922–$1,083 $922–$1,083 varies
Holter monitor recording (93225) $366 $366 2.3×
Icd Device Interrogate (93289) $64 $64 1.4×
Icd device progr eval dual (93283) $64 $64 1.4×
Icd Device Progr Eval Mult (93284) $64 $64 1.4×
Ilr Device Eval Progr (93285) $43 $43 1.0×
Im Adm Intransl/Oral 1 Vaccine (90473) $192 $192 2.2×
Immunization administration (90471) $95 $95 1.1×
Iontophoresis 15 min (97033) $84 $84 4.4×
Irrig Drug Delivery Device (96523) $115 $115 1.6×
IV infusion hydration each additional hour (96361) $62 $62 1.1×
IV infusion hydration initial 31 min-1 hour (96360) $300 $300 1.2×
IV infusion ther proph addl sequential to 1 hr (96367) $91 $91 1.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $62 $62 1.1×
IV push initial (96374) $257 $257 1.0×
L Hrt Art/Grft Angio (93459) $6,821 $6,821 1.8×
Lwr Xtr Vasc Stdy Bilat (93924) $254 $254 1.0×
Mechanical chest wall oscillation per session (94669) $98 $98 0.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $105 $105 3.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines		 $85–$105 $85–$105 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $140 $140 8.2×
Methacholine challenge (94070) $413 $413 0.9×
Motion Fluoroscopy/Swallow (92611) $459 $459 5.0×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $665 $665 1.2×
Multiple Sleep Latency Test (95805) $1,530 $1,530 1.5×
Muscle Test 2 Limbs (95861) $579 $579 3.6×
Muscle Test One Limb (95860) $430 $430 2.7×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $526 $526 2.0×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $264 $264 1.0×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $151 $151 0.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $436 $436 0.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $540 $540 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $280 $280 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $491 $491 1.0×
Nerve Conduction Studies 1-2 Studies (95907) $298 $298 1.2×
Nerve Conduction Studies 11-12 Studies (95912) $2,070 $2,070 4.6×
Nerve conduction studies 13 or more studies (95913) $2,340 $2,340 5.2×
Nerve Conduction Studies 3-4 Studies (95908) $599 $599 2.3×
Nerve conduction studies 5-6 studies (95909) $990 $990 3.8×
Nerve conduction studies 7-8 studies (95910) $1,350 $1,350 3.0×
Nerve Conduction Studies 9-10 Studies (95911) $1,710 $1,710 3.8×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $579 $579 3.8×
Neuromuscular Reeducation (97112) $90 $90 2.7×
Newborn resuscitation (99465) $374 $374 0.5×
Nonphysician Telephone Assessment 11-20 Min (98967) $187 $187 7.5×
Nonphysician Telephone Assessment 21-30 Min (98968) $187 $187 5.4×
Nonphysician Telephone Assessment 5-10 Min (98966) $187 $187 13.7×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $276 $276 1.7×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $255 $255 1.6×
Ophth medical xm&eval intermediate estab pt (92012) $243 $243 1.5×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $251 $251 1.6×
Oral Function Therapy (92526) $288 $288 3.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $95 $95 1.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $100 $100 2.2×
Ot eval high complexity (97167) $380 $380 3.8×
Ot Eval Low Complex (97165) $314 $314 3.1×
Ot Eval Moderate Complexity (97166) $345 $345 3.4×
Ot manual therapy 15 min (97140) $95 $95 3.4×
Ot paraffin bath (97018) $89 $89 14.8×
Ot Re-Eval Est Plan Care (97168) $269 $269 3.9×
Ot rom hand (95852) $95 $95 4.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $186 $186 1.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $170 $170 1.1×
Penile Vascular Study,Ltd or F/U (93981) $371 $371 3.0×
Phlebotomy therapeutic (99195) $195 $195 1.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $132 $132 1.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $120 $120 1.7×
Pm device eval in person (93288) $58 $58 1.3×
Pm device progr eval dual (93280) $58 $58 1.3×
Pm Device Progr Eval Sngl (93279) $64 $64 1.4×
Pm/Icd Remote Tech Serv (93296) $57 $57 1.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,485 $2,485 2.4×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $64 $64 1.4×
Psych diag eval w/med srvcs (90792)
range across 4 matching MRF lines		 $320–$328 $320–$328 varies
Psychiatric diagnostic evaluation (90791)
range across 4 matching MRF lines		 $257–$300 $257–$300 varies
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $1,308 $1,308 2.4×
Pt Eval High Complex (97163) $328 $328 3.4×
Pt eval low complex 20 min (97161) $271 $271 2.8×
Pt Eval Mod Complex (97162) $298 $298 3.0×
Pt gait training 15 min (97116)
range across 3 matching MRF lines		 $80–$89 $80–$89 varies
Pt mechanical traction (97012) $89 $89 6.2×
Pt Re-Eval Est Plan Care (97164) $269 $269 4.0×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $78 $78 1.7×
Pulm function test by gas (94727) $417 $417 1.6×
Pulmonary Stress Testing (94618) $167 $167 1.0×
Pure Tone Audiometry Air (92552) $165 $165 1.0×
R Hrt Art/Grft Angio (93457) $6,821 $6,821 1.8×
R hrt coronary artery angio (93456) $6,821 $6,821 1.8×
R&L Hrt Cath W/Ventriclgrphy (93453) $6,821 $6,821 1.8×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $84 $84 1.9×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $290 $290 1.8×
Remote 30 Day Ecg Rev/Report (93270) $369 $369 8.2×
Remote 30 Day Ecg Tech Supp (93229) $1,092 $1,092 2.4×
Repet tms tx initial w/map/motr threshld/del&m (90867)
range across 2 matching MRF lines		 $648–$800 $648–$800 varies
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869)
range across 2 matching MRF lines		 $648–$900 $648–$900 varies
Respiratory flow volume loop (94375) $415 $415 1.6×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $117 $117 1.7×
Right Heart Cath (93451) $6,821 $6,821 1.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $436 $436 1.8×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $95 $95 3.6×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $564 $564 4.6×
Select picture audiometry (92583) $215 $215 3.0×
Self Care Mngment Training (97535) $94 $94 2.9×
Short-latency somatosens ep std upr limbs (95925) $195 $195 0.8×
Sleep study attended (95807) $961 $961 2.1×
Sleep study unattended (95806) $389 $389 1.5×
Somatosensory Testing (95938) $506 $506 0.5×
Speech Audiometry Complete (92556) $120 $120 1.7×
Speech audiometry threshold (92555) $100 $100 1.4×
Speech sound lang comprehen (92523) $536 $536 2.4×
Spin/Brain Pump Refil & Main (95991) $507 $507 1.4×
Spirometry (94010) $230 $230 0.9×
Ssep lower limbs (95926) $176 $176 0.7×
Staggered Spondaic Word Test (92572) $219 $219 1.4×
Standardized Cognitive Performance Testing (96125) $131 $131 1.3×
Stenger Test Speech (92577) $182 $182 0.4×
Stenger Test, Pure Tone (92565) $118 $118 1.7×
Stress Tte Only (93350) $790 $790 1.2×
Subcutaneous Infusion Each Additional Hour (96370) $98 $98 1.7×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $502 $502 2.0×
Subq Infusion Additional Pump Infusion Site (96371) $152 $152 1.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $95 $95 3.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $169 $169 1.6×
Ther/Proph/Diag Inj Sc/Im (96372) $91 $91 1.1×
Ther/Proph/Diag Iv Inf Init (96365) $322 $322 1.3×
Therap repetitive tms tx subseq delivery & mng (90868)
range across 2 matching MRF lines		 $460–$648 $460–$648 varies
Therapeutic Activities (97530) $95 $95 2.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $78 $78 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $78 $78 1.7×
Tone Decay Test (92563) $104 $104 2.3×
Trans Care Mgmt 14 Day Disch (99495)
range across 2 matching MRF lines		 $300–$361 $300–$361 varies
Trans Care Mgmt 7 Day Disch (99496) $361 $361 2.3×
Tte w/doppler, complete (93306) $1,368 $1,368 2.1×
Tte W/O Doppler Complete (93307) $790 $790 2.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $250 $250 3.3×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $123 $123 5.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $62 $62 1.1×
Tympanometry (92567) $212 $212 4.7×
Tympanometry and reflex threshold measurements (92550) $123 $123 0.5×
Upr/L Xtremity Art 2 Levels (93922) $348 $348 2.2×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $254 $254 1.0×
Vasopneumatic device (97016) $85 $85 7.1×
Vent Mgmt Inpat Init Day (94002) $598 $598 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $687 $687 0.9×
Visual Evoked Potential Test (95930) $74 $74 0.3×
Visual reinforcement audiometry (vra) (92579) $271 $271 1.0×
Vital capacity, total (94150) $50 $50 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $95 $95 3.1×
Whirlpool Therapy (97022) $115 $115 7.3×

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.