Visits & medical services prices at Martha's Vineyard Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $337.50 $450 2.8×
Airway inhalation treatment (94640) $219.75 $293 0.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $51 $68 3.6×
Bedside Swallowing Eval (92610) $312 $416 3.7×
Behavioral and qualitative analysis of voice and resonance (92524) $386.25 $515 3.5×
Brief Emotional/Behavioral Assessment (96127) $31.50 $42 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $334.50 $446 0.7×
Cardiac Stress Tst,Tracing Only (93017) $1,016.25 $1,355 3.9×
Cardioversion (92960) $1,473.38 $1,964.50 1.9×
Caregiver hlth risk assmt score doc stnd instrm (96161) $16.50 $22 0.4×
Chemo Hormon Antineopl Sq/Im (96402) $603.75 $805 7.0×
Chemo IV push addl drug (96411) $635.25 $847 7.4×
Chemother, IV infusion, 1 hr (96413) $864 $1,152 2.2×
Chemother, IV infusion, ea add hr (96415) $271.50 $362 3.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $800.25 $1,067 9.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $543 $724 6.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $956.25 $1,275 2.4×
Color/duplex Doppler, complete (93975) $1,692 $2,256 5.9×
Color/duplex Doppler, limited (93976) $1,293 $1,724 10.3×
Cpap/bipap (94660) $422.25 $563 1.6×
Cpt initial (94667) $291.75 $389 1.8×
Critical care (99291) $1,537.12 $2,049.50 1.6×
Debridement Open Wound 20 Sq Cm< (97597) $379.12 $505.50 1.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,500 $2,000 5.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $2,480.25 $3,307 8.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,332.75 $1,777 10.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,195.25 $2,927 7.7×
Dup-scan xtr veins unilateral/limited study (93971) $586.12 $781.50 4.7×
Duplex scan extracranial art compl bi study (93880) $2,031.75 $2,709 7.1×
Echo Heart Xthoracic,Limited (93308) $885.75 $1,181 3.1×
Echo Transthoracic - Congenital Tte Complete (93303) $921 $1,228 1.4×
Electrocardiogram Tracing (93005) $179.25 $239 2.5×
Er level iii (99283) $545.62 $727.50 1.7×
Er level IV (99284) $897.38 $1,196.50 1.8×
Er level v (99285) $1,396.50 $1,862 2.0×
Eval speech sound production (92522) $379.50 $506 3.4×
External ECG rec>48hr<7d recording (93242) $791.25 $1,055 17.7×
External ECG rec>7d<15d recording (93246) $1,057.50 $1,410 23.6×
Hemodialysis (90935) $2,043.75 $2,725 2.5×
Imm admn sarscov2 vaccine single dose (90480) $36.75 $49 0.8×
Immune Admin Oral/Nasal (90473) $21 $28 0.2×
Immunization Admin (90471) $18.75 $25 0.2×
Inital newborn e/m (99460) $128.25 $171 0.8×
Irrig drug delivery device (96523) $158.25 $211 2.2×
IV infusion hydration each additional hour (96361) $114 $152 2.0×
IV infusion hydration initial 31 min-1 hour (96360) $349.50 $466 1.4×
IV infusion ther proph addl sequential to 1 hr (96367) $259.50 $346 3.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $382.50 $510 1.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $206.25 $275 3.7×
IV push ea addl new drug (96375) $163.50 $218 2.9×
IV push initial (96374) $383.25 $511 1.5×
Manual therapy 15 min (97140) $118.50 $158 4.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $96.75 $129 3.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $105 $140 2.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $347.25 $463 3.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $92.25 $123 0.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $89.62 $119.50 0.4×
Nerve Conduction Studies 11-12 Studies (95912) $846.75 $1,129 1.9×
Nerve conduction studies 13/> studies (95913) $987.38 $1,316.50 2.2×
Nerve Conduction Studies 3-4 Studies (95908) $423.38 $564.50 1.6×
Nerve Conduction Studies 5-6 Studies (95909) $447.38 $596.50 1.7×
Nerve Conduction Studies 7-8 Studies (95910) $590.62 $787.50 1.3×
Nerve Conduction Studies 9-10 Studies (95911) $718.88 $958.50 1.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $153.75 $205 3.3×
Ot eval low complex 30 min (97165) $325.50 $434 3.2×
Ot therapeutic activity 15 min (97530) $139.50 $186 4.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $436.50 $582 2.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $291.75 $389 1.9×
Phlebotomy therapeutic (99195) $339.75 $453 2.1×
Pm device eval in person (93288) $139.50 $186 3.1×
Pm device progr eval dual (93280) $163.50 $218 3.7×
Pm device progr eval sngl (93279) $140.25 $187 3.1×
Pm/Icd Remote Tech Serv (93296) $604.50 $806 13.5×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $191.25 $255 4.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $57.75 $77 1.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $68.25 $91 1.2×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $151.50 $202 3.4×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $165.75 $221 3.7×
Psychiatric diagnostic evaluation (90791) $379.50 $506 1.8×
Psytx crisis initial 60 min (90839) $403.88 $538.50 1.9×
Pt Electrical Stimulation (97032) $76.50 $102 5.2×
Pt eval low complex 20 min (97161) $337.50 $450 3.4×
Pt eval mod complex 30 min (97162) $337.50 $450 3.4×
Pt gait training 15 min (97116) $114 $152 3.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $134.25 $179 4.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $139.50 $186 4.3×
Pt-focused hlth risk assmt (96160) $81 $108 1.8×
Pulm function test by gas (94727) $207 $276 0.8×
Pulmonary stress test simple (94618) $123 $164 0.8×
Pure Tone Audiometry Air Only (92552) $107.25 $143 0.7×
Rem interrog icpms <30 d phys/qhp (93297) $363 $484 8.1×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $259.88 $346.50 5.8×
Respiratory flow volume loop (94375) $278.25 $371 1.1×
Speech sound lang comprehen (92523) $773.25 $1,031 3.4×
Spirometry (94010) $222 $296 0.9×
Standardized Cognitive Performance Testing (96125) $313.50 $418 3.0×
Stress echo (93350) $1,030.50 $1,374 1.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $98.25 $131 4.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $95.25 $127 4.5×
Therapeutic prophylactic/dx injection subq/im (96372) $96.75 $129 1.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $51.75 $69 1.2×
Trans Care Mgmt 14 Day Disch (99495) $459.75 $613 2.9×
Trans Care Mgmt 7 Day Disch (99496) $366.38 $488.50 2.3×
Tte w/doppler, complete (93306) $1,092.75 $1,457 1.7×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,521 $2,028 5.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $514.50 $686 6.8×
Upr/lxtr art stdy 3+ lvls (93923) $294 $392 1.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $522 $696 2.0×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $708.75 $945 10.0×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $168.75 $225 3.8×