Visits & medical services prices at Manchester Memorial Hospital
Manchester, CT · every code in this section with a posted price and a Medicare benchmark.
145 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $182.50 | $182.50 | 4.1× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 3 matching MRF lines |
$20–$40 | $20–$40 | varies |
| Airway Inhalation Treatment (94640) | $684.56 | $684.56 | 2.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$51.81–$60.46 | $51.81–$60.46 | varies |
| Assessment of aphasia per hr (96105) | $389.70 | $389.70 | 4.0× |
| Behavral qualit analys voice (92524) | $195.91 | $195.91 | 1.8× |
| Breath hydrogen/methane test (91065) | $519.89 | $519.89 | 2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $1,001.17 | $1,001.17 | 2.2× |
| Canalith repositioning proc (95992) | $382.03 | $382.03 | 9.4× |
| Car seat/bed test 60 min (94780) | $121.40 | $121.40 | 2.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,001.17 | $1,001.17 | 3.9× |
| Cardiopulmonary resuscitation (92950) | $2,669.33 | $2,669.33 | 10.3× |
| Cardioversion (92960) range across 2 matching MRF lines |
$2,670.92–$2,959.18 | $2,670.92–$2,959.18 | varies |
| Cbt 1st hour (94644) | $415.05 | $415.05 | 2.6× |
| Chemo Anti-Neopl Sq/Im (96401) | $241.20 | $241.20 | 2.8× |
| Chemo IV infusion addl hr (96415) | $326.85 | $326.85 | 3.8× |
| Chemotherapy Into Cns (96450) | $1,189.05 | $1,189.05 | 3.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $264.99 | $264.99 | 3.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,671.03 | $1,671.03 | 4.2× |
| Chest Wall Manipulation (94668) | $415.05 | $415.05 | 2.6× |
| Color/duplex Doppler, complete (93975) | $1,104.21 | $1,104.21 | 3.9× |
| Color/duplex Doppler, limited (93976) | $886.14 | $886.14 | 7.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $432.03 | $432.03 | 2.7× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $205.47 | $205.47 | 2.9× |
| Continuous Pulse Ox (94762) | $1,096.32 | $1,096.32 | 7.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $684.56 | $684.56 | 2.6× |
| Cpt initial (94667) | $415.05 | $415.05 | 2.6× |
| Critical care first hour (99291) | $3,959 | $3,959 | 4.0× |
| Debridement Open Wound 20 Sq Cm< (97597) | $812.13 | $812.13 | 3.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,076.61 | $1,076.61 | 3.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$767.78–$828.18 | $767.78–$828.18 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,332.20 | $1,332.20 | 4.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,089.22 | $1,089.22 | 8.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,380.28 | $1,380.28 | 4.8× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,035.17 | $1,035.17 | 8.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,072.25 | $1,072.25 | 3.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $515.73 | $515.73 | 4.1× |
| Duplex Scan Hemodialysis Access (93990) | $828.18 | $828.18 | 6.6× |
| Duplex up extrem art bilat (93930) | $1,332.20 | $1,332.20 | 4.7× |
| Duplex up extrem art unilat/ltd (93931) | $1,089.22 | $1,089.22 | 8.7× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$935.29–$1,188.09 | $935.29–$1,188.09 | varies |
| Echo r-t 2d w/probe placement only (93313) | $1,879.01 | $1,879.01 | 2.9× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$2,107.49–$2,360.29 | $2,107.49–$2,360.29 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $3,508.88 | $3,508.88 | 5.4× |
| EEG awake and asleep (95819) | $1,001.17 | $1,001.17 | 3.9× |
| EEG awake drowsy (95816) | $1,001.17 | $1,001.17 | 3.9× |
| EEG cerebral death evaluation (95824) | $1,729.80 | $1,729.80 | 3.9× |
| Eeg Sleep Only (95822) | $1,001.17 | $1,001.17 | 3.9× |
| Electrical Stimulation Ea 15 Min (97032) | $77.71 | $77.71 | 5.3× |
| Electrocardiogram Tracing (93005) | $252.23 | $252.23 | 3.6× |
| Emergency Dept Visit Level 2 (99282) | $561.75 | $561.75 | 3.1× |
| Emergency Dept Visit Level 3 (99283) | $1,337.50 | $1,337.50 | 4.1× |
| Emergency Dept Visit Level 4 (99284) | $2,140 | $2,140 | 4.3× |
| Er level 1 (99281) | $268.42 | $268.42 | 2.7× |
| Er level v (99285) | $3,745 | $3,745 | 5.2× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $750.04 | $750.04 | 4.9× |
| Evaluate pt use of inhaler (94664) | $684.56 | $684.56 | 2.6× |
| Evaluate Speech Production (92522) | $183.67 | $183.67 | 1.6× |
| Evaluate Swallowing Function (92610) | $389.70 | $389.70 | 4.6× |
| Evaluation of speech fluency (92521) | $230.34 | $230.34 | 1.7× |
| External Ecg Scanning Analysis Report (93226) | $980.47 | $980.47 | 13.9× |
| Extracranial Bilat Study (93880) | $1,674.05 | $1,674.05 | 5.9× |
| Extracranial Uni/Ltd Study (93882) | $1,025.55 | $1,025.55 | 8.2× |
| Flexible endoscopic eval swallow c/v rec (92612) | $385.84 | $385.84 | 1.9× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $5,193.42 | $5,193.42 | 5.0× |
| Gi tract capsule endoscopy (91110) | $7,007.50 | $7,007.50 | 6.4× |
| Group Therapeutic Procedures (97150) | $77.71 | $77.71 | 4.3× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $2,320.99 | $2,320.99 | 2.8× |
| Holter monitor recording (93225) | $460.83 | $460.83 | 2.9× |
| Immunization administration (90471) range across 5 matching MRF lines |
$239.95–$241.20 | $239.95–$241.20 | varies |
| Iontophoresis 15 min (97033) | $86.35 | $86.35 | 4.5× |
| Irrig Drug Delivery Device (96523) | $257.46 | $257.46 | 3.6× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$151.45–$301.59 | $151.45–$301.59 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$738.43–$793.70 | $738.43–$793.70 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $328.81 | $328.81 | 3.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$161.78–$328.81 | $161.78–$328.81 | varies |
| IV push initial (96374) | $738.43 | $738.43 | 2.9× |
| Mechanical chest wall oscillation per session (94669) | $684.56 | $684.56 | 2.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 4 matching MRF lines |
$26.75–$110.18 | $26.75–$110.18 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 5 matching MRF lines |
$40.13–$110.18 | $40.13–$110.18 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$42.80–$60.74 | $42.80–$60.74 | varies |
| Methacholine challenge (94070) | $1,801.09 | $1,801.09 | 4.0× |
| Motility study esophagus (91010) | $6,135.92 | $6,135.92 | 13.7× |
| Motion Fluoroscopy/Swallow (92611) | $428.67 | $428.67 | 4.7× |
| Multiple Sleep Latency Test (95805) | $5,178.80 | $5,178.80 | 5.0× |
| Nasopharyngoscopy (92511) | $694 | $694 | 2.9× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,333.66 | $1,333.66 | 2.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $645.53 | $645.53 | 2.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $1,333.66 | $1,333.66 | 2.7× |
| Neuromuscular Reeducation (97112) | $120.90 | $120.90 | 3.7× |
| Oral Function Therapy (92526) | $181.33 | $181.33 | 2.2× |
| Oral Speech Device Eval (92597) | $389.70 | $389.70 | 5.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $193.50 | $193.50 | 3.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $120.90 | $120.90 | 2.6× |
| Ot eval high complexity (97167) | $385.84 | $385.84 | 3.8× |
| Ot Eval Low Complex (97165) | $385.84 | $385.84 | 3.8× |
| Ot Eval Moderate Complexity (97166) | $385.84 | $385.84 | 3.8× |
| Ot manual therapy 15 min (97140) | $120.90 | $120.90 | 4.4× |
| Ot paraffin bath (97018) | $51.81 | $51.81 | 8.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $108.04 | $108.04 | 2.7× |
| Ot Re-Eval Est Plan Care (97168) | $308.68 | $308.68 | 4.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $429.21 | $429.21 | 2.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $684.56 | $684.56 | 2.6× |
| Peripheral arterial disease rehab per session (93668) | $272.09 | $272.09 | 3.8× |
| Phlebotomy therapeutic (99195) | $580.98 | $580.98 | 3.6× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $205.47 | $205.47 | 2.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $205.47 | $205.47 | 2.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $5,708.45 | $5,708.45 | 5.5× |
| Psych diag eval w/med srvcs (90792) | $636.83 | $636.83 | 3.0× |
| Psychiatric diagnostic evaluation (90791) | $605.35 | $605.35 | 2.8× |
| Psychoanalysis (90845) | $800.29 | $800.29 | 3.8× |
| Pt Eval High Complex (97163) | $385.84 | $385.84 | 3.9× |
| Pt eval low complex 20 min (97161) | $385.84 | $385.84 | 3.9× |
| Pt Eval Mod Complex (97162) | $385.84 | $385.84 | 3.9× |
| Pt gait training 15 min (97116) | $112.25 | $112.25 | 3.9× |
| Pt mechanical traction (97012) | $131.27 | $131.27 | 9.1× |
| Pt Re-Eval Est Plan Care (97164) | $308.68 | $308.68 | 4.6× |
| Pulm function test by gas (94727) | $1,091.16 | $1,091.16 | 4.2× |
| Pulmonary Stress Testing (94618) | $460.80 | $460.80 | 2.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $668.10 | $668.10 | 2.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $555.62 | $555.62 | 4.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $123.48 | $123.48 | 2.6× |
| Self Care Mngment Training (97535) | $120.90 | $120.90 | 3.7× |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$84.88–$92.60 | $84.88–$92.60 | varies |
| Sleep study unattended (95806) | $5,708.45 | $5,708.45 | 22.1× |
| Speech sound lang comprehen (92523) | $382.03 | $382.03 | 1.7× |
| Spirometry (94010) | $548.16 | $548.16 | 2.1× |
| Standardized Cognitive Performance Testing (96125) | $389.70 | $389.70 | 3.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$73.38–$103.62 | $73.38–$103.62 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$70.04–$103.62 | $70.04–$103.62 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$123.48–$138.17 | $123.48–$138.17 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$86.35–$93.25 | $86.35–$93.25 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) | $241.20 | $241.20 | 2.8× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$738.43–$1,073.15 | $738.43–$1,073.15 | varies |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$112.25–$120.90 | $112.25–$120.90 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,375.61 | $2,375.61 | 5.3× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,798.60–$1,908.25 | $1,798.60–$1,908.25 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $302.23 | $302.23 | 4.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$151.45–$328.81 | $151.45–$328.81 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $1,023.05 | $1,023.05 | 6.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,920.44 | $1,920.44 | 7.4× |
| Vent Mgmt Inpat Init Day (94002) | $1,990.17 | $1,990.17 | 2.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,990.17 | $1,990.17 | 2.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $102.87 | $102.87 | 3.3× |
| Whirlpool Therapy (97022) | $64.91 | $64.91 | 4.1× |
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.