Visits & medical services prices at Johnson Memorial Hospital

Stafford Springs, CT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $51.70 $94 1.1×
Airway Inhalation Treatment (94640) $1,892 — 7.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $61.05 $111 4.3×
Application Modality 1/> Areas Infrared (97026) $37.40 $68 5.6×
Application on-body injector (96377) $223.30 $406 4.0×
Assessment of aphasia per hr (96105) $190.85 $347 2.0×
Behavral qualit analys voice (92524) $229.90 $418 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $381.15 $693 0.9×
Cardiac Stress Tst,Tracing Only (93017) $915.20 $1,664 3.5×
Cardiopulmonary resuscitation (92950) $548.35 $997 2.1×
Cardioversion (92960) $1,028.50 $1,870 1.3×
Cbt 1st hour (94644) $59.40 $108 0.4×
Chemo Anti-Neopl Sq/Im (96401) $226.60 $412 2.6×
Chemo Hormon Antineopl Sq/Im (96402) $226.60 $412 2.6×
Chemo IV infusion addl hr (96415) $194.70 $354 2.3×
Chemo IV push addl drug (96411) $199.65 $363 2.3×
Chemother Prolong Infuse W/Pump (96416) $680.90 $1,238 1.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $234.85 $427 2.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $745.80 $1,356 1.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $330 $600 0.8×
Chest Wall Manipulation (94668) $70.40 $128 0.4×
Color/duplex Doppler, complete (93975) $832.15 $1,513 2.9×
Color/duplex Doppler, limited (93976) $283.25 $515 2.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $448.25 $815 1.7×
Cpt initial (94667) $255.75 $465 1.6×
Critical care first hour (99291) $1,299.10 $2,362 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $366.85 $667 1.5×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $725.45 $1,319 2.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,169.85 $2,127 9.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $747.45 $1,359 2.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $474.65 $863 3.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $736.45 $1,339 2.6×
Dup-scan xtr veins unilateral/limited study (93971) $603.90 — 4.8×
ECG/monitoring and analysis (93271) $496.10 $902 4.4×
Echo Congenital Complete (93303) $963.05 $1,751 1.5×
Echo Heart Xthoracic,Limited (93308) $554.40 $1,008 1.9×
EEG awake drowsy (95816) $705.10 $1,282 2.7×
EEG w/o vid 2-12hr cont mntr (95707) $629.20 $1,144 2.4×
Electrical Stimulation Ea 15 Min (97032) $46.20 $84 3.1×
Electrocardiogram Tracing (93005) $150.70 — 2.1×
Emergency Dept Visit Level 2 (99282) $278.30 — 1.5×
Emergency Dept Visit Level 3 (99283) $1,035.10 — 3.2×
Emergency Dept Visit Level 4 (99284) $1,841.84 — 3.7×
Er level 1 (99281) $155.10 — 1.5×
Er level v (99285)
range across 2 matching MRF lines
$2,317.15–$2,445.93 — varies
Evaluate pt use of inhaler (94664) $72.60 $132 0.3×
Evaluate Speech Production (92522) $194.70 $354 1.7×
Evaluate Swallowing Function (92610) $298.65 $543 3.5×
External Ecg Scanning Analysis Report (93226) $473.55 $861 6.7×
Extracranial Bilat Study (93880) $1,169.85 $2,127 4.1×
Flexible endoscopic eval swallow c/v rec (92612) $343.75 $625 1.7×
Gi tract imaging intraluminal colon i&r (91113) $1,204.50 $2,190 1.1×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $790.35 $1,437 1.0×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $248.05 $451 1.6×
Holter monitor recording (93225) $346.50 $630 2.2×
Immunization administration (90471) $64.90 $118 0.8×
Iontophoresis 15 min (97033) $53.90 $98 2.8×
Irrig Drug Delivery Device (96523) $108.90 $198 1.5×
IV infusion hydration each additional hour (96361) $6,473.25 — 115.3×
IV infusion hydration initial 31 min-1 hour (96360) $4,893.29 — 19.2×
IV infusion ther proph addl sequential to 1 hr (96367) $221.10 $402 2.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $8,458.45 — 150.7×
IV push initial (96374)
range across 2 matching MRF lines
$893.56–$8,501.65 — varies
Liver Elastography W/O Imag W/I&R (91200) $300.30 $546 1.9×
Lung Function Test (Mbc/Mvv) (94200) $1,283.70 — 18.2×
Mechanical chest wall oscillation per session (94669) $130.35 $237 0.5×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $22 $40 1.3×
Motion Fluoroscopy/Swallow (92611) $394.90 $718 4.3×
Nasopharyngoscopy (92511) $397.10 $722 1.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $811.80 $1,476 1.7×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $811.80 $1,476 1.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $196.35 $357 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $251.90 $458 0.5×
Neuromuscular Reeducation (97112) $87.45 $159 2.7×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $628.65 $1,143 1.4×
Oral Function Therapy (92526)
range across 2 matching MRF lines
$168.85–$179.30 $307–$326 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $65.45 $119 1.4×
Ot Eval Low Complex (97165) $181.50 $330 1.8×
Ot Eval Moderate Complexity (97166) $194.70 $354 1.9×
Ot manual therapy 15 min (97140) $130.35 $237 4.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $209.55 $381 1.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $3.85 $7 0.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $400.95 $729 1.5×
Peripheral arterial disease rehab per session (93668) $105.05 $191 1.5×
Phlebotomy therapeutic (99195) $188.65 $343 1.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $114.95 $209 1.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $114.95 $209 1.6×
Plethysmography (94726) $639.10 $1,162 1.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,666.85 $6,667 3.6×
Psychiatric diagnostic evaluation (90791) $350.90 $638 1.6×
Pt Eval High Complex (97163) $215.60 $392 2.2×
Pt eval low complex 20 min (97161) $188.10 $342 1.9×
Pt Eval Mod Complex (97162) $201.30 $366 2.1×
Pt gait training 15 min (97116) $86.35 $157 3.0×
Pt mechanical traction (97012) $73.70 $134 5.1×
Pt Re-Eval Est Plan Care (97164) $116.60 $212 1.7×
Pulm function test by gas (94727) $1,800.15 — 7.0×
Pulmonary Stress Testing (94618) $263.45 $479 1.7×
Remote 30 Day Ecg Rev/Report (93270) $296.45 $539 6.6×
Respiratory flow volume loop (94375) $183.15 $333 0.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $352 $640 5.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $146.85 $267 0.6×
Self Care Mngment Training (97535)
range across 6 matching MRF lines
$64.35–$69.30 $117–$126 varies
Sleep study unattended (95806) $512.60 $932 2.0×
Speech sound lang comprehen (92523)
range across 2 matching MRF lines
$315.15–$337.70 $573–$614 varies
Spirometry (94010) $286.55 $521 1.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $174.35 $317 4.7×
Ther/Proph/Diag Inj Sc/Im (96372) $2,313.16 — 26.8×
Ther/Proph/Diag Iv Inf Init (96365) $4,514.62 — 17.7×
Therapeutic Activities (97530) $108.90 $198 3.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $57.20 $104 1.3×
Tte w/doppler, complete (93306) $1,299.65 $2,363 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $223.30 $406 2.9×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $185.35 $337 7.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $12,339.96 — 219.8×
Upr/L Xtremity Art 2 Levels (93922) $232.10 $422 1.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $756.25 $1,375 2.9×
Veeg Ea 12-26 Hr Unmntr (95714) $1,074.15 $1,953 2.4×
Vent Mgmt Inpat Init Day (94002) $413.05 $751 0.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $259.05 $471 0.3×
Vital capacity, total (94150) $312.95 $569 2.0×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $122.65 $223 1.7×

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.