Visits & medical services prices at Rome Memorial Hospital, Inc

Rome, NY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $17.76 $44 0.4×
Advncd Care Plan 30 Min (99497) $99.71 $247 0.8×
Airway Inhalation Treatment (94640) $171.98 $426 0.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $54.90 $136 3.8×
Application Modality 1/> Areas Diathermy (97024) $58.13 $144 7.9×
Assessment of aphasia per hr (96105) $144.93 $359 1.5×
Assmt & care planning pt w/cognitive impairment (99483) $102.54 $254 0.8×
Behavral qualit analys voice (92524) $162.29 $402 1.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $197.81 $490 2.4×
Brief Emotional/Behav Assmt (96127) $6.06 $15 0.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $445.28 $1,103 1.0×
Canalith repositioning proc (95992) $58.13 $144 1.4×
Cardiac Stress Tst,Tracing Only (93017) $449.32 $1,113 1.7×
Cardiopulmonary resuscitation (92950) $852.21 $2,111 3.2×
Cardioversion (92960) $1,796.42 $4,449.90 2.2×
Cbt 1st hour (94644) $194.58 $482 1.2×
Chemo IV infusion addl hr (96415) $237.78 $589 2.6×
Chemo IV push addl drug (96411) $176.01 $436 2.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $237.78 $589 2.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $476.77 $1,181 1.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $280.57 $695 0.7×
Chest Wall Manipulation (94668) $43.60 $108 0.3×
Color/duplex Doppler, complete (93975) $722.22 $1,789 2.4×
Color/duplex Doppler, limited (93976) $686.29 $1,700 5.3×
Community/Work Reintegration Trainj Ea 15 Min (97537) $58.13 $144 1.8×
Continuous Pulse Ox (94762) $235.36 $583 1.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $417.43 $1,034 1.5×
Cpt initial (94667) $43.60 $108 0.3×
Critical care first hour (99291) $903.48 $2,238 0.9×
Debridement Open Wound 20 Sq Cm< (97597) $242.62 $601 1.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $722.22 $1,789 2.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $570.83 $1,414 4.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $722.22 $1,789 2.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $570.83 $1,414 4.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $722.22 $1,789 2.4×
Dup-scan xtr veins unilateral/limited study (93971) $570.83 $1,414 4.4×
Duplex up extrem art bilat (93930) $722.22 $1,789 2.4×
Duplex up extrem art unilat/ltd (93931) $570.83 $1,414 4.4×
Echo Heart Xthoracic,Limited (93308) $11,746.27 $29,096.54 39.4×
Echo transesophageal (93312) $1,382.27 $3,424 2.0×
EEG awake and asleep (95819) $551.05 $1,365 2.0×
EEG awake drowsy (95816) $551.05 $1,365 2.0×
Electrical Stimulation Ea 15 Min (97032) $58.13 $144 4.0×
Electrocardiogram Tracing (93005) $144.12 $357 2.0×
Emergency Dept Visit Level 2 (99282) $235.36 $583 1.2×
Emergency Dept Visit Level 3 (99283) $299.55 $742 0.9×
Emergency Dept Visit Level 4 (99284) $449.32 $1,113 0.9×
Er level 1 (99281) $191.35 $474 1.8×
Er level v (99285) $564.37 $1,398 0.8×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $67.82 $168 0.4×
Evaluate pt use of inhaler (94664) $171.98 $426 0.6×
Evaluate Speech Production (92522) $156.64 $388 1.4×
Evaluate Swallowing Function (92610) $253.12 $627 3.0×
Evaluation of speech fluency (92521) $191.76 $475 1.4×
External ECG rec>48hr<7d recording (93242) $44 $109 0.9×
External ECG rec>48hr<7d scanning alys w/report (93243) $156.23 $387 0.9×
External ECG rec>7d<15d recording (93246) $72.67 $180 1.6×
External ECG rec>7d<15d scanning alys w/report (93247) $153.41 $380 0.9×
External Ecg Scanning Analysis Report (93226) $757.74 $1,877 10.3×
Extracranial Bilat Study (93880) $722.22 $1,789 2.4×
Extracranial Uni/Ltd Study (93882) $722.22 $1,789 5.5×
Fundus photography (92250) $153.41 $380 0.9×
Group Therapeutic Procedures (97150) $54.90 $136 3.0×
Holter monitor recording (93225) $549.44 $1,361 3.3×
Im Adm Intransl/Oral 1 Vaccine (90473) $56.52 $140 0.6×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $73.47 $182 1.0×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $48.04 $119 1.0×
Immunization administration (90471) $37.95 $94 0.4×
Iontophoresis 15 min (97033) $90.43 $224 4.7×
Irrig Drug Delivery Device (96523) $64.19 $159 0.9×
IV infusion hydration each additional hour (96361) $46.43 $115 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $125.15 $310 0.5×
IV infusion ther proph addl sequential to 1 hr (96367) $150.98 $374 1.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $13,071.66 $32,379.63 223.6×
IV push initial (96374) $8,148.09 $20,183.53 30.7×
Lung Function Test (Mbc/Mvv) (94200) $67.82 $168 0.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $21.40 $53 0.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $21.40 $53 0.6×
Methacholine challenge (94070) $445.28 $1,103 1.0×
Motion Fluoroscopy/Swallow (92611) $310.04 $768 3.4×
Multiple Family Group Psychotherapy (90849) $194.18 $481 0.9×
Multiple Sleep Latency Test (95805) $1,687.47 $4,180 1.6×
Nasopharyngoscopy (92511) $4,127.94 $10,225.27 16.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $466.68 $1,156 0.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $547.42 $1,356 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $601.51 $1,490 2.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $601.51 $1,490 1.2×
Nerve Conduction Studies 1-2 Studies (95907) $257.56 $638 1.0×
Nerve Conduction Studies 11-12 Studies (95912) $606.76 $1,503 1.3×
Nerve conduction studies 13 or more studies (95913) $687.50 $1,703 1.5×
Nerve Conduction Studies 3-4 Studies (95908) $338.30 $838 1.3×
Nerve conduction studies 5-6 studies (95909) $419.04 $1,038 1.6×
Nerve conduction studies 7-8 studies (95910) $445.28 $1,103 1.0×
Nerve Conduction Studies 9-10 Studies (95911) $526.02 $1,303 1.1×
Neuromuscular Reeducation (97112) $58.13 $144 1.8×
Oral Function Therapy (92526) $244.64 $606 2.9×
Oral Speech Device Eval (92597) $119.09 $295 1.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $56.92 $141 1.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $58.13 $144 1.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $24.22 $60 0.9×
Osteopathic manipulative tx 3-4 body regions (98926) $24.22 $60 0.9×
Osteopathic manipulative tx 5-6 body regions (98927) $24.22 $60 0.9×
Osteopathic manipulative tx 7-8 body regions (98928) $24.22 $60 0.9×
Osteopathic manipulative tx 9-10 body regions (98929) $24.22 $60 0.9×
Ot Contrast Bath Ea 15 Min (97034) $47.64 $118 3.4×
Ot eval high complexity (97167) $132.82 $329 1.3×
Ot Eval Low Complex (97165) $106.98 $265 1.1×
Ot Eval Moderate Complexity (97166) $122.32 $303 1.2×
Ot manual therapy 15 min (97140) $56.92 $141 2.1×
Ot paraffin bath (97018) $54.90 $136 9.1×
Ot Prosthetic Training, Each 15 Min (97761) $58.13 $144 1.4×
Ot Re-Eval Est Plan Care (97168) $64.59 $160 0.9×
Phlebotomy therapeutic (99195) $132.41 $328 0.8×
Physical Performance Test (97750) $70.24 $174 2.1×
Plethysmography (94726) $366.56 $908 0.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,853.76 $7,069 2.7×
Polysom <6 yrs 4/> paramtrs (95782) $2,691.06 $6,666 2.5×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,853.76 $7,069 2.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $37.14 $92 0.6×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $43.60 $108 0.7×
Pt Eval High Complex (97163) $132.82 $329 1.4×
Pt eval low complex 20 min (97161) $106.98 $265 1.1×
Pt Eval Mod Complex (97162) $122.32 $303 1.2×
Pt gait training 15 min (97116) $54.90 $136 1.9×
Pt mechanical traction (97012) $54.90 $136 3.8×
Pt Re-Eval Est Plan Care (97164) $64.59 $160 1.0×
Pulmonary Stress Testing (94618) $158.65 $393 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $207.50 $514 0.8×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $165.11 $409 1.4×
Self Care Mngment Training (97535) $58.13 $144 1.8×
Sensory Integration Ea 15 Min (97533) $67.82 $168 1.1×
Slp Stdy Unatnd W/Anal (95801) $286.22 $709 3.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $335.47 $831 1.2×
Speech sound lang comprehen (92523) $325.79 $807 1.4×
Spirometry (94010) $183.28 $454 0.7×
Standardized Cognitive Performance Testing (96125) $127.17 $315 1.2×
Stress Tte Only (93350) $1,268.74 $3,142.77 1.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $67.82 $168 3.0×
Ther Ivntj Ea Addl 15 Min (97130) $38.35 $95 1.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $54.90 $136 1.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $188.12 $466 1.8×
Ther/Proph/Diag Inj Ia (96373) $280.57 $695 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $2,459.25 $6,091.78 27.4×
Ther/Proph/Diag Iv Inf Init (96365) $298.33 $739 1.1×
Therapeutic Activities (97530) $58.13 $144 1.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $60.56 $150 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $60.56 $150 1.3×
Trans Care Mgmt 14 Day Disch (99495) $161.88 $401 1.0×
Trans Care Mgmt 7 Day Disch (99496) $222.84 $552 1.3×
Tte w/doppler, complete (93306) $3,735.53 $9,253.23 5.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $228.90 $567 3.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $54.90 $136 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $7,923.07 $19,626.14 135.6×
Upr/L Xtremity Art 2 Levels (93922) $463.45 $1,148 2.8×
Vasopneumatic device (97016) $37.54 $93 3.1×
Vent Mgmt Inpat Init Day (94002) $417.43 $1,034 0.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $417.43 $1,034 0.5×
Vital capacity, total (94150) $127.57 $316 0.8×
Wheelchair Mgmt Ea 15 Min (97542) $58.13 $144 1.9×
Whirlpool Therapy (97022) $125.95 $312 8.0×