Visits & medical services prices at Novant Health Ballantyne Medical Center

Charlotte, NC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $146.50 $293 1.2×
Acoustic Reflex Testing (92568) $73.50 $147 2.0×
Airway Inhalation Treatment (94640)
range across 5 matching MRF lines
$133.50–$137.50 $267–$275 varies
Airway resistance by oscillometry (94728) $160 $320 1.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $66.50 $133 4.6×
Assessment of aphasia per hr (96105) $159 $318 1.6×
Auditory Function, 60 Min (92620) $196.50 $393 1.6×
Behavral qualit analys voice (92524) $190 $380 1.7×
Biofeedback training any modality (90901) $78 $156 1.9×
Bis Xtracell Fluid Analysis (93702) $160.50 $321 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $251.50 $503 0.7×
Canalith repositioning proc (95992) $68 $136 1.7×
Cardiopulmonary exercise testing (94621) $1,164.50 $2,329 3.2×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$613.50–$644.50 $1,227–$1,289 varies
Cardioversion (92960)
range across 2 matching MRF lines
$997–$1,046 $1,994–$2,092 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $52 $104 2.0×
Cbt 1st hour (94644) $192.50 $385 1.5×
Chemo Admin Peritoneal Cavity (96446) $707.50 $1,415 2.2×
Chemo Intralesional Over 7 (96406) $365 $730 1.8×
Chemo intralesional up to 7 (96405) $81.50 $163 1.2×
Chest Wall Manipulation (94668) $84 $168 0.6×
Color/duplex Doppler, complete (93975) $550 $1,100 2.4×
Color/duplex Doppler, limited (93976) $437 $874 4.3×
Community/Work Reintegration Trainj Ea 15 Min (97537) $66.50 $133 2.1×
Comprehensive Hearing Test (92557) $140 $280 1.1×
Continuous Pulse Ox (94762) $239.50 $479 1.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $488.50 $977 2.3×
Cpt initial (94667)
range across 2 matching MRF lines
$106.50–$249 $213–$498 varies
Critical care first hour (99291)
range across 2 matching MRF lines
$2,321.50–$2,322 $4,643–$4,644 varies
Debridement Open Wound 20 Sq Cm< (97597) $187 $374 1.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $499 $998 2.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $454.50 $909 4.5×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $465.50 $931 4.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $572 $1,144 2.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $347 $694 3.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $758 $1,516 3.3×
Dup-scan xtr veins unilateral/limited study (93971) $414.50 $829 4.1×
Duplex Scan Hemodialysis Access (93990) $512.50 $1,025 5.0×
Duplex up extrem art bilat (93930) $497 $994 2.1×
Duplex up extrem art unilat/ltd (93931) $317 $634 3.1×
Echo Congenital Complete (93303) $1,463 $2,926 2.8×
Echo Heart Xthoracic,Limited (93308) $486.50 $973 2.1×
Echo transesophag montr cardiac pump functj (93318) $1,686.50 $3,373 3.2×
Echo transesophageal (93312) $1,355 $2,710 2.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines
$1,355–$1,463 $2,710–$2,926 varies
Electrical Stimulation Ea 15 Min (97032) $66.50 $133 4.5×
Emergency Dept Visit Level 2 (99282) $286.50 $573 1.9×
Emergency Dept Visit Level 3 (99283) $863 $1,726 3.3×
Emergency Dept Visit Level 4 (99284) $1,227.50 $2,455 3.0×
Er level 1 (99281) $141 $282 1.7×
Er level v (99285) $1,726.50 $3,453 3.0×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $196.50 $393 1.6×
Evaluate pt use of inhaler (94664) $118 $236 0.6×
Evaluate Speech Production (92522) $190 $380 1.7×
Evaluate Swallowing Function (92610) $190 $380 2.2×
Evaluation of speech fluency (92521) $190 $380 1.4×
Exercise test for bronchospasm (94617) $160.50 $321 1.2×
Extracranial Bilat Study (93880) $691 $1,382 3.0×
Extracranial Uni/Ltd Study (93882) $397.50 $795 3.9×
F-up/limited tthrc echo congenital car anomaly (93304)
range across 2 matching MRF lines
$757.50–$1,023.50 $1,515–$2,047 varies
Flexible endoscopic eval swallow c/v rec (92612) $330 $660 1.7×
Group Therapeutic Procedures (97150) $42.50 $85 2.4×
High altitude simulation test (94452) $134.50 $269 1.0×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $135.50 $271 1.0×
Immunization administration (90471)
range across 4 matching MRF lines
$47.50–$48 $95–$96 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $395.50 $791 1.1×
Intracranial Complete Study (93886) $517.50 $1,035 2.2×
Iontophoresis 15 min (97033) $66.50 $133 3.5×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$218–$232 $436–$464 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$336.50–$358 $673–$716 varies
IV infusion ther proph addl sequential to 1 hr (96367) $215 $430 3.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $218 $436 4.8×
IV push initial (96374)
range across 2 matching MRF lines
$174.50–$185.50 $349–$371 varies
Lwr Xtr Vasc Stdy Bilat (93924) $631 $1,262 3.0×
Methacholine challenge (94070) $645.50 $1,291 1.8×
Motion Fluoroscopy/Swallow (92611) $190 $380 2.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $313 $626 1.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $519.50 $1,039 1.3×
Neuromuscular Reeducation (97112) $66.50 $133 2.0×
Newborn resuscitation (99465) $391.50 $783 0.6×
Nonphysician Telephone Assessment 11-20 Min (98967) $26 $52 1.0×
Nonphysician Telephone Assessment 21-30 Min (98968) $37 $74 1.1×
Nonphysician Telephone Assessment 5-10 Min (98966) $20.50 $41 1.5×
Oral Function Therapy (92526) $131 $262 1.6×
Oral Speech Device Eval (92597) $77 $154 1.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $66.50 $133 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $66.50 $133 1.4×
Ot Contrast Bath Ea 15 Min (97034) $66.50 $133 4.7×
Ot Eval Low Complex (97165) $155 $310 1.5×
Ot Eval Moderate Complexity (97166) $155 $310 1.5×
Ot manual therapy 15 min (97140) $66.50 $133 2.4×
Ot paraffin bath (97018) $66.50 $133 11.1×
Ot Prosthetic Training, Each 15 Min (97761) $66.50 $133 1.6×
Ot Re-Eval Est Plan Care (97168) $82 $164 1.2×
Oxygen Uptake Rest Indirect (94690) $119 $238 2.1×
Penile Vascular Study,Ltd or F/U (93981) $374 $748 3.7×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $165 $330 0.8×
Physical Performance Test (97750) $66.50 $133 2.0×
Plethysmography (94726) $186 $372 0.5×
Pt Eval High Complex (97163) $150 $300 1.5×
Pt eval low complex 20 min (97161) $150 $300 1.5×
Pt Eval Mod Complex (97162) $150 $300 1.5×
Pt gait training 15 min (97116) $66.50 $133 2.3×
Pt group caregiver training (97552) $47 $94 2.1×
Pt mechanical traction (97012) $66.50 $133 4.6×
Pt Re-Eval Est Plan Care (97164) $82 $164 1.2×
Pulm function test by gas (94727) $127 $254 0.6×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$100–$461 $200–$922 varies
Pulmonary Stress Testing (94618) $159 $318 1.2×
Remote 30 Day Ecg Tech Supp (93229) $162 $324 0.4×
Respiratory flow volume loop (94375) $186 $372 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $293 $586 1.5×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $66.50 $133 2.6×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $328 $656 2.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $87 $174 1.8×
Self Care Mngment Training (97535) $66.50 $133 2.1×
Sensory Integration Ea 15 Min (97533) $66.50 $133 1.1×
Sleep study unattended (95806) $367.50 $735 1.8×
Slp caregiver training 1st 30 min (97550) $104 $208 2.0×
Speech sound lang comprehen (92523) $190 $380 0.8×
Spirometry (94010)
range across 3 matching MRF lines
$124–$145.50 $248–$291 varies
Standardized Cognitive Performance Testing (96125) $255 $510 2.5×
Stenger Test Speech (92577) $288.50 $577 0.8×
Stress Tte Only (93350)
range across 2 matching MRF lines
$1,355–$1,463 $2,710–$2,926 varies
Surfactant Admin Thru Tube (94610) $120.50 $241 0.6×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $372.50 $745 3.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
$66.50–$214 $133–$428 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines
$66.50–$214 $133–$428 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $66.50 $133 1.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $170 $340 1.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$101–$107 $202–$214 varies
Ther/Proph/Diag Iv Inf Init (96365) $336.50 $673 1.6×
Therapeutic Activities (97530) $66.50 $133 1.9×
Tone Decay Test (92563) $59.50 $119 1.6×
Transcranial Doppler Intracran Art Emboli Detect (93892) $372.50 $745 3.7×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $360.50 $721 3.5×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$1,355–$1,463 $2,710–$2,926 varies
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines
$1,078–$1,133 $2,156–$2,266 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $131 $262 1.7×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $49 $98 2.0×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$174.50–$185.50 $349–$371 varies
Unlisted noninvasive vascular diagnostic study (93998) $125 $250 4.4×
Upr/L Xtremity Art 2 Levels (93922) $268.50 $537 2.1×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $525.50 $1,051 2.5×
Vasopneumatic device (97016) $66.50 $133 5.5×
Vent Mgmt Inpat Init Day (94002)
range across 4 matching MRF lines
$663–$13,189.50 $1,326–$26,379 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 4 matching MRF lines
$463.50–$10,025 $927–$20,050 varies
Vital capacity, total (94150) $104.50 $209 0.8×
Wheelchair Mgmt Ea 15 Min (97542) $66.50 $133 2.1×
Whirlpool Therapy (97022) $98.50 $197 6.3×

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.