Visits & medical services prices at MelroseWakefield Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $11,330.90 $16,187 1.2×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $184.10 $263 1.2×
Acoustic Reflex Testing (92568) $184.10 $263 4.1×
Actinotherapy Ultraviolet Light (96900) $98.70 $141 2.2×
Admn Sarscov2 Vacc 1 Dose (90480) $50.40 $72 1.0×
Airway Inhalation Treatment (94640) $210 $300 0.8×
Analyze neurostim no prog (95970) $308 $440 1.9×
Appl modality 1+ areas lllt po pain reduction (97037) $91.70 $131 2.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $106.40 $152 7.4×
Assessment of aphasia per hr (96105)
range across 2 matching MRF lines
$228.90–$229.60 $327–$328 varies
Assmt & care planning pt w/cognitive impairment (99483) $210 $300 1.7×
Audiometry Air & Bone (92553) $184.10 $263 1.2×
Auditory Function, 60 Min (92620) $138.60 $198 0.9×
Behavral qualit analys voice (92524)
range across 2 matching MRF lines
$595.70–$651 $851–$930 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $601.30 $859 1.3×
Canalith repositioning proc (95992) $107.80 $154 2.6×
Cardiac Stress Tst,Tracing Only (93017) $581.70 $831 2.2×
Cardiopulmonary exercise testing (94621) $747.60 $1,068 1.7×
Cardiopulmonary resuscitation (92950) $955.50 $1,365 3.7×
Cardioversion (92960)
range across 2 matching MRF lines
$793.10–$1,586.20 $1,133–$2,266 varies
Care mgmt services behavioral hlth cond 20 mins (99484) $67.90 $97 1.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $53.90 $77 2.1×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $4,816 $6,880 1.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,596.80 $9,424 1.7×
Cbt 1st hour (94644) $318.50 $455 2.0×
Chemo Anti-Neopl Sq/Im (96401) $214.20 $306 2.5×
Chemo intralesional up to 7 (96405) $199.50 $285 2.3×
Chemotherapy Into Cns (96450) $548.80 $784 1.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $798.70 $1,141 2.0×
Chest Wall Manipulation (94668) $170.80 $244 1.1×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $202.30 $289 0.5×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$250.95–$501.90 $358.50–$717 varies
Color/duplex Doppler, limited (93976) $462 $660 3.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $86.10 $123 2.7×
Comprehensive Hearing Test (92557) $312.90 $447 2.0×
Conditioning Play Audiometry (92582) $392 $560 2.5×
Cont gluc mntr physician/qhp provided equiptment (95250) $284.20 $406 1.8×
Cont Gluc Mntr Pt Prov Eqp (95249) $123.20 $176 1.7×
Continuous Pulse Ox (94762) $312.90 $447 2.0×
Coronary Art/Grft Angio S&I (93455) $6,596.80 $9,424 1.7×
Coronary Artery Angio S&I (93454) $6,596.80 $9,424 1.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $402.50 $575 1.5×
Cpt initial (94667) $119.70 $171 0.8×
Critical care first hour (99291) $812.70 $1,161 0.8×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$497–$745.50 $710–$1,065 varies
Developmental tst admin phys/qhp 1st hour (96112) $238 $340 1.5×
Dialysis One Evaluation (90945) $796.60 $1,138 1.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $359.80 $514 1.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $186.20 $266 1.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $485.80 $694 1.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $353.50 $505 2.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$250.95–$501.90 $358.50–$717 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 12 matching MRF lines
$176.75–$530.25 $252.50–$757.50 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $231 $330 0.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $441.70 $631 3.5×
Duplex Scan Hemodialysis Access (93990) $213.50 $305 1.7×
Duplex up extrem art bilat (93930) $404.60 $578 1.4×
Duplex up extrem art unilat/ltd (93931) $334.60 $478 2.7×
ECG/monitoring and analysis (93271) $439.60 $628 3.9×
Echo Congenital Complete (93303) $245 $350 0.4×
Echo Heart Xthoracic,Limited (93308) $588.70 $841 2.1×
Echo r-t 2d w/probe placement only (93313) $1,103.90 $1,577 1.7×
Echo transesophag montr cardiac pump functj (93318) $323.40 $462 0.5×
Echo transesophageal (93312) $1,045.80 $1,494 1.6×
Echo Transesophageal - Congenital Tee Complete (93315) $210 $300 0.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,401.40 $2,002 2.1×
Eeg 41-60 Minutes (95812) $744.80 $1,064 2.9×
EEG awake and asleep (95819) $581.70 $831 2.2×
EEG awake drowsy (95816) $429.80 $614 1.7×
EEG cerebral death evaluation (95824) $114.66 $163.80 0.3×
EEG cont rec w/video by tech min 8 channels (95700) $747.60 $1,068 2.9×
EEG extended monitoring 61-119 minutes (95813) $702 $1,002.85 2.7×
Eeg Sleep Only (95822) $1,136.10 $1,623 4.4×
EKG signal averaged (93278) $81.90 $117 1.2×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $280.70 $401 2.5×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $102.90 $147 2.3×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$75.60–$106.40 $108–$152 varies
Electrocardiogram Tracing (93005) $123.20 $176 1.7×
Electroconvulsive Therapy (90870) $589.84 $842.63 0.6×
Emergency Dept Visit Level 2 (99282) $480.90 $687 2.6×
Emergency Dept Visit Level 3 (99283) $535.50 $765 1.6×
Emergency Dept Visit Level 4 (99284) $660.10 $943 1.3×
Ep & ablate supravent arrhyt (93653) $41,267.80 $58,954 1.3×
Ep & ablate ventric tachy (93654) $41,267.80 $58,954 1.3×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $10,948.70 $15,641 1.2×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $11,965.80 $17,094 1.3×
Er level 1 (99281) $388.50 $555 3.8×
Er level v (99285) $991.90 $1,417 1.4×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,118.60 $1,598 2.5×
Evaluate pt use of inhaler (94664) $146.30 $209 0.6×
Evaluate Speech Production (92522)
range across 2 matching MRF lines
$595.70–$651 $851–$930 varies
Evaluate Swallowing Function (92610) $345.10 $493 4.1×
Evaluation of speech fluency (92521) $231.70 $331 1.7×
External ECG rec>48hr<7d recording (93242) $220.50 $315 4.9×
External ECG rec>7d<15d recording (93246) $220.50 $315 4.9×
External Ecg Scanning Analysis Report (93226) $417.90 $597 5.9×
Extracranial Bilat Study (93880) $485.80 $694 1.7×
Extracranial Uni/Ltd Study (93882) $352.80 $504 2.8×
Gi tract capsule endoscopy (91110) $2,258.90 $3,227 2.1×
Group Therapeutic Procedures (97150) $198.80 $284 11.0×
Health Behavior Assessment/Re-Assessment (96156) $210 $300 1.7×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $67.90 $97 1.5×
Health behavior ivntj group f2f 1st 30 min (96164) $67.90 $97 1.5×
Health behavior ivntj indiv f2f 1st 30 min (96158) $375.90 $537 1.8×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $4,545.80 $6,494 1.2×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $796.60 $1,138 1.0×
Holter monitor recording (93225) $241.50 $345 1.5×
Icd Device Interrogate (93289) $71.40 $102 1.6×
Icd device progr eval dual (93283) $81.90 $117 1.8×
Icd Device Progr Eval Mult (93284) $81.90 $117 1.8×
Icm Device Eval (93290) $71.40 $102 1.6×
Ilr Device Eval Progr (93285) $105 $150 2.3×
Ilr Device Interrogate (93291) $70 $100 2.0×
Im Adm Intransl/Oral 1 Vaccine (90473) $35 $50 0.4×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $907.90 $1,297 20.3×
Immunization administration (90471)
range across 2 matching MRF lines
$16.10–$102.20 $23–$146 varies
Insert/Place Heart Catheter (93503) $601.30 $859 0.3×
Interrogate Subq Defib (93261) $105 $150 2.3×
Interrogation vad in person (93750) $228.90 $327 2.0×
Iontophoresis 15 min (97033) $116.20 $166 6.1×
Irrig Drug Delivery Device (96523) $148.40 $212 2.1×
IV infusion hydration each additional hour (96361) $91 $130 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $429.10 $613 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $141.40 $202 1.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $91 $130 1.6×
IV push initial (96374) $205.80 $294 0.8×
L Hrt Art/Grft Angio (93459) $4,545.80 $6,494 1.2×
Lung Function Test (Mbc/Mvv) (94200) $274.40 $392 3.9×
Lwr Xtr Vasc Stdy Bilat (93924) $407.40 $582 1.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$68.60–$85.40 $98–$122 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$77–$79.80 $110–$114 varies
Methacholine challenge (94070) $476.70 $681 1.1×
Motility study esophagus (91010) $177.80 $254 0.4×
Motion Fluoroscopy/Swallow (92611) $309.40 $442 3.4×
Multiple Sleep Latency Test (95805) $1,654.80 $2,364 1.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $453.60 $648 0.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $453.60 $648 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $317.10 $453 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $501.20 $716 1.0×
Neuromuscular Reeducation (97112) $116.20 $166 3.6×
Newborn resuscitation (99465) $1,554.70 $2,221 2.0×
Oral Function Therapy (92526) $189.70 $271 2.3×
Oral Speech Device Eval (92597) $262.50 $375 3.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $86.10 $123 1.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$93.10–$101.50 $133–$145 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $72.10 $103 2.8×
Osteopathic manipulative tx 3-4 body regions (98926) $86.80 $124 3.4×
Osteopathic manipulative tx 5-6 body regions (98927) $44.10 $63 1.7×
Osteopathic manipulative tx 7-8 body regions (98928) $55.30 $79 2.1×
Osteopathic manipulative tx 9-10 body regions (98929) $66.50 $95 2.6×
Ot eval high complexity (97167) $192.50 $275 1.9×
Ot Eval Low Complex (97165) $192.50 $275 1.9×
Ot Eval Moderate Complexity (97166) $192.50 $275 1.9×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$106.40–$108.50 $152–$155 varies
Ot paraffin bath (97018)
range across 2 matching MRF lines
$106.40–$116.20 $152–$166 varies
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$85.40–$86.10 $122–$123 varies
Ot Re-Eval Est Plan Care (97168) $833 $1,190 12.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $327.60 $468 2.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $327.60 $468 2.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $164.50 $235 0.6×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $8,017.10 $11,453 1.2×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $9,935.80 $14,194 0.7×
Phlebotomy therapeutic (99195) $179.20 $256 1.1×
Physical Performance Test (97750)
range across 2 matching MRF lines
$144.90–$169.40 $207–$242 varies
Plethysmography (94726) $592.90 $847 1.3×
Pm device eval in person (93288) $105 $150 2.3×
Pm device progr eval dual (93280) $81.90 $117 1.8×
Pm device progr eval multi (93281) $105 $150 2.3×
Pm Device Progr Eval Sngl (93279) $105 $150 2.3×
Pm/Icd Remote Tech Serv (93296) $105 $150 2.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,942.50 $2,775 1.9×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $105 $150 2.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $60.20 $86 1.1×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $48.30 $69 0.9×
Prq Card Stent W/Angio 1 Vsl (92928) $20,767.60 $29,668 1.5×
Prq Card Stent/Ath/Angio (92933) $20,673.10 $29,533 0.9×
Prq Revasc Byp Graft 1 Vsl (92937) $10,693.20 $15,276 0.8×
Psych diag eval w/med srvcs (90792) $268.80 $384 1.3×
Psychiatric diagnostic evaluation (90791) $268.80 $384 1.3×
Psychoanalysis (90845) $192.50 $275 0.9×
Pt Eval High Complex (97163) $192.50 $275 2.0×
Pt eval low complex 20 min (97161) $192.50 $275 2.0×
Pt Eval Mod Complex (97162) $192.50 $275 2.0×
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$127.40–$139.30 $182–$199 varies
Pt group caregiver training (97552) $23.80 $34 1.1×
Pt mechanical traction (97012) $72.80 $104 5.1×
Pt Re-Eval Est Plan Care (97164) $135.10 $193 2.0×
Pulm function test by gas (94727) $229.60 $328 0.9×
Pulmonary service/procedure (94799)
range across 4 matching MRF lines
$189–$410.90 $270–$587 varies
Pulmonary Stress Testing (94618) $293.30 $419 1.8×
Pure Tone Audiometry Air (92552) $184.10 $263 1.2×
R Hrt Art/Grft Angio (93457) $2,656.50 $3,795 0.7×
R hrt coronary artery angio (93456) $6,596.80 $9,424 1.7×
R&L Hrt Cath W/Ventriclgrphy (93453) $4,545.80 $6,494 1.2×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $888.30 $1,269 2.2×
Rem interrog icpms <30 d phys/qhp (93297) $35.70 $51 0.8×
Remote 30 Day Ecg Rev/Report (93270) $205.80 $294 4.6×
Repet tms tx initial w/map/motr threshld/del&m (90867) $746.20 $1,066 2.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $144.20 $206 2.0×
Right Heart Cath (93451) $3,648.40 $5,212 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 6 matching MRF lines
$373.80–$560.70 $534–$801 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $116.20 $166 4.5×
Self Care Mngment Training (97535) $83.30 $119 2.6×
Sensory Integration Ea 15 Min (97533) $86.10 $123 1.4×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $466.20 $666 1.8×
Short-latency somatosens ep std upr limbs (95925) $189.70 $271 0.7×
Sleep study unattended (95806) $455 $650 1.8×
Slp caregiver training 1st 30 min (97550) $100.80 $144 1.9×
Speech Audiometry Complete (92556) $168 $240 2.4×
Speech audiometry threshold (92555) $168 $240 2.4×
Speech sound lang comprehen (92523) $390.60 $558 1.7×
Spirometry (94010) $303.10 $433 1.2×
Ssep lower limbs (95926) $163.80 $234 0.6×
Standardized Cognitive Performance Testing (96125) $145.60 $208 1.4×
Stenger Test, Pure Tone (92565) $184.10 $263 2.6×
Stress Tte Only (93350) $1,045.80 $1,494 1.6×
Subcutaneous Infusion Each Additional Hour (96370) $112 $160 2.0×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $572.60 $818 2.2×
Subq Infusion Additional Pump Infusion Site (96371) $191.10 $273 2.2×
Surfactant Admin Thru Tube (94610) $539.70 $771 2.1×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $317.10 $453 2.5×
Temp transcutaneous pacing (92953) $177.80 $254 0.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 3 matching MRF lines
$172.90–$226.80 $247–$324 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines
$86.80–$91 $124–$130 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $106.40 $152 3.6×
Ther/Proph/Diag Inj Ia (96373) $531.30 $759 2.1×
Ther/Proph/Diag Inj Sc/Im (96372) $104.30 $149 1.2×
Ther/Proph/Diag Iv Inf Init (96365) $368.90 $527 1.4×
Therapeutic Activities (97530) $112.70 $161 3.2×
Tobacco Use Cessation Intensive >10 Minutes (99407) $74.20 $106 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $56.70 $81 1.3×
Tone Decay Test (92563) $87.50 $125 2.0×
Tte w/doppler, complete (93306) $1,080.10 $1,543 1.6×
Tte W/O Doppler Complete (93307) $977.20 $1,396 3.4×
Tx atrial fib pulm vein isol (93656) $45,101.70 $64,431 1.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $256.90 $367 3.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $66.50 $95 1.2×
Tympanometry (92567) $168 $240 3.8×
Unlisted cardiovascular service/procedure (93799) $394.10 $563 2.6×
Unlisted noninvasive vascular diagnostic study (93998) $324.10 $463 9.4×
Unlisted otorhinolaryngological service (92700)
range across 2 matching MRF lines
$70–$79.80 $100–$114 varies
Upr/L Xtremity Art 2 Levels (93922) $241.50 $345 1.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$151.55–$303.10 $216.50–$433 varies
Vent Mgmt Inpat Init Day (94002) $334.60 $478 0.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $892.50 $1,275 1.2×
Visual Evoked Potential Test (95930) $163.80 $234 0.6×
Visual reinforcement audiometry (vra) (92579) $330.40 $472 1.3×
Vital capacity, total (94150) $106.40 $152 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $86.10 $123 2.8×

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.