Visits & medical services prices at Newton Wellesley Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $215.25 $287 0.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $51 $68 3.6×
Behavral qualit analys voice (92524) $389.25 $519 3.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $601.50 $802 1.3×
Canalith repositioning proc (95992) $153 $204 3.8×
Cardiac Stress Tst,Tracing Only (93017) $699 $932 2.7×
Cardioversion (92960) $1,485 $1,980 1.9×
Chemo Anti-Neopl Sq/Im (96401) $565.50 $754 6.6×
Chemo Hormon Antineopl Sq/Im (96402) $345 $460 4.0×
Chemo IV infusion addl hr (96415) $237.75 $317 2.8×
Chemo IV push addl drug (96411) $469.50 $626 5.4×
Chemother Prolong Infuse W/Pump (96416) $1,743.75 $2,325 4.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $536.25 $715 6.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $812.25 $1,083 2.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $585 $780 1.5×
Color/duplex Doppler, complete (93975) $2,328 $3,104 8.1×
Color/duplex Doppler, limited (93976) $1,271.25 $1,695 10.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $373.50 $498 1.4×
Cpt initial (94667) $260.25 $347 1.6×
Critical care first hour (99291) $2,822.25 $3,763 2.9×
Developmental tst admin phys/qhp 1st hour (96112)
range across 5 matching MRF lines		 $393.75–$499.50 $525–$666 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,553.25 $2,071 5.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,110.75 $1,481 8.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,997.25 $2,663 7.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,284.75 $1,713 10.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,550.25 $2,067 5.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,035 $1,380 8.3×
Duplex Scan Hemodialysis Access (93990) $1,294.50 $1,726 10.3×
Ear and throat examination (92502) $740.25 $987 1.1×
Echo Congenital Complete (93303) $1,393.50 $1,858 2.1×
Echo Heart Xthoracic,Limited (93308) $738.75 $985 2.6×
Echo transesophageal (93312) $2,075.25 $2,767 3.2×
Eeg 41-60 Minutes (95812) $1,117.50 $1,490 4.3×
EEG awake drowsy (95816) $1,038.75 $1,385 4.0×
EEG cont rec w/video by tech min 8 channels (95700) $1,141.50 $1,522 4.4×
EEG extended monitoring 61-119 minutes (95813) $1,258.50 $1,678 4.9×
Electrical Stimulation Ea 15 Min (97032) $77.25 $103 5.3×
Electrocardiogram Tracing (93005) $168 $224 2.4×
Emergency Dept Visit Level 3 (99283) $933 $1,244 2.9×
Er level v (99285) $2,526.75 $3,369 3.5×
Esophgl Balo Distension Dx Std W/Provocation (91040) $1,726.50 $2,302 3.9×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $869.25 $1,159 1.9×
Evaluate pt use of inhaler (94664) $167.25 $223 0.6×
Evaluate Speech Production (92522) $381.75 $509 3.4×
Evaluate Swallowing Function (92610) $312.75 $417 3.7×
External ECG rec>48hr<7d recording (93242) $378 $504 8.4×
External ECG rec>7d<15d recording (93246) $1,027.50 $1,370 23.0×
Extracranial Bilat Study (93880) $1,575 $2,100 5.5×
Extracranial Uni/Ltd Study (93882) $1,061.25 $1,415 8.5×
F-up/limited tthrc echo congenital car anomaly (93304) $1,135.50 $1,514 1.7×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $711.75 $949 2.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,007 $2,676 2.0×
Gi tract capsule endoscopy (91110) $2,556 $3,408 2.4×
Holter monitor recording (93225) $687.75 $917 4.3×
Icd Device Interrogate (93289) $997.50 $1,330 22.3×
Icd device progr eval dual (93283) $936 $1,248 20.9×
Icd Device Progr Eval Mult (93284) $1,092 $1,456 24.4×
Ilr Device Eval Progr (93285) $729 $972 16.3×
Ilr Device Interrogate (93291) $437.25 $583 12.6×
Immunization administration (90471)
range across 2 matching MRF lines		 $17.25–$24.75 $23–$33 varies
Interrogate Subq Defib (93261) $317.25 $423 7.1×
Irrig Drug Delivery Device (96523) $191.25 $255 2.7×
IV infusion hydration each additional hour (96361) $159.75 $213 2.8×
IV infusion hydration initial 31 min-1 hour (96360) $435.75 $581 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $276 $368 3.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $210.75 $281 3.8×
IV push initial (96374) $583.50 $778 2.3×
Lung Function Test (Mbc/Mvv) (94200) $299.25 $399 4.2×
Lwr Xtr Vasc Stdy Bilat (93924) $1,499.25 $1,999 5.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $88.50 $118 2.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $88.50 $118 2.4×
Methacholine challenge (94070) $631.50 $842 1.4×
Motility study esophagus (91010) $869.25 $1,159 1.9×
Motion Fluoroscopy/Swallow (92611) $348.75 $465 3.8×
Nerve Conduction Studies 11-12 Studies (95912) $1,038 $1,384 2.3×
Nerve conduction studies 13 or more studies (95913) $1,038 $1,384 2.3×
Nerve Conduction Studies 3-4 Studies (95908) $580.50 $774 2.2×
Nerve conduction studies 5-6 studies (95909) $580.50 $774 2.2×
Nerve conduction studies 7-8 studies (95910) $763.50 $1,018 1.7×
Nerve Conduction Studies 9-10 Studies (95911) $644.25 $859 1.4×
Neuromuscular Reeducation (97112) $135.75 $181 4.1×
Oral Function Therapy (92526) $218.25 $291 2.6×
Orthc/Prostc Mgmt Sbsq Enc (97763) $213 $284 4.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $155.25 $207 3.4×
Ot eval high complexity (97167) $327.75 $437 3.3×
Ot Eval Low Complex (97165) $327.75 $437 3.3×
Ot Eval Moderate Complexity (97166) $327.75 $437 3.3×
Ot manual therapy 15 min (97140) $119.25 $159 4.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $417 $556 2.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $278.25 $371 1.8×
Phlebotomy therapeutic (99195) $435 $580 2.7×
Physical Performance Test (97750) $133.50 $178 4.0×
Plethysmography (94726) $672 $896 1.5×
Pm device eval in person (93288) $474.75 $633 10.6×
Pm device progr eval dual (93280) $711.75 $949 15.9×
Pm device progr eval multi (93281) $1,160.25 $1,547 25.9×
Pm Device Progr Eval Sngl (93279) $836.25 $1,115 18.7×
Pm/Icd Remote Tech Serv (93296) $604.50 $806 13.5×
Psychiatric diagnostic evaluation (90791)
range across 3 matching MRF lines		 $360–$472.50 $480–$630 varies
Pt Eval High Complex (97163) $339 $452 3.5×
Pt eval low complex 20 min (97161) $339 $452 3.5×
Pt Eval Mod Complex (97162) $339 $452 3.5×
Pt gait training 15 min (97116) $112.50 $150 3.9×
Pt Re-Eval Est Plan Care (97164) $234 $312 3.5×
Pulmonary Stress Testing (94618) $141.75 $189 0.9×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $444.75 $593 9.9×
Remote 30 Day Ecg Rev/Report (93270) $345 $460 7.7×
Right Heart Cath (93451) $15,339.75 $20,453 3.9×
Self Care Mngment Training (97535) $140.25 $187 4.3×
Speech sound lang comprehen (92523) $779.25 $1,039 3.4×
Spirometry (94010) $348 $464 1.3×
Standardized Cognitive Performance Testing (96125) $317.25 $423 3.1×
Stress Tte Only (93350) $1,287.75 $1,717 2.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $99.75 $133 4.5×
Ther Ivntj Ea Addl 15 Min (97130) $96.75 $129 4.6×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines		 $17.25–$170.25 $23–$227 varies
Ther/Proph/Diag Iv Inf Init (96365) $540.75 $721 2.1×
Therapeutic Activities (97530) $137.25 $183 3.9×
Trans Care Mgmt 14 Day Disch (99495) $418.50 $558 2.6×
Trans Care Mgmt 7 Day Disch (99496) $600 $800 3.8×
Tte w/doppler, complete (93306) $1,842.75 $2,457 2.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $519 $692 6.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $238.50 $318 4.2×
Unlisted noninvasive vascular diagnostic study (93998) $1,623.75 $2,165 46.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,168.50 $1,558 4.5×
Veeg 2-12 hr unmonitored (95711) $2,036.25 $2,715 7.9×
Wheelchair Mgmt Ea 15 Min (97542) $123.75 $165 4.0×

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.