Visits & medical services prices at Saint Mary's Hospital

Waterbury, CT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $40,189.13 153.1×
Appl on-body injector for timed subq injection (96377) $58.30 $106 1.0×
Behavioral and qualitative analysis of voice and resonance (92524) $136.95 $249 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $552.20 $1,004 1.2×
Canalith Repositioning (95992) $106.70 $194 2.6×
Capsule endoscopy (91110) $2,682.90 $4,878 2.5×
Car seat/bed test 60 min (94780) $163.35 $297 3.6×
Cardiac Stress Tst,Tracing Only (93017) $3,729.55 14.4×
Cardiopulmonary resuscitation (92950) $668.80 $1,216 2.6×
Cardioversion (92960) $4,286.67 5.4×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $6,146.25 $11,175 1.6×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $8,360 $15,200 2.2×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $14,261.50 $25,930 3.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $13,026.20 $23,684 3.4×
Cbt 1st hour (94644) $4,068.84 25.5×
Chemo Hormon Antineopl Sq/Im (96402) $92.40 $168 1.1×
Chemo inj subarach/intravent (96542) $551.10 $1,002 1.4×
Chemo IV push addl drug (96411) $133.65 $243 1.5×
Chemo Iv Push Sngl Drug (96409) $233.20 $424 0.6×
Chemo prolong 8+ hrs infuse w/pump (96416) $337.15 $613 0.9×
Chemother, IV infusion, 1 hr (96413) $367.95 $669 0.9×
Chemother, IV infusion, ea add hr (96415) $87.45 $159 1.0×
Chemother,Ia Push Technique (96420) $697.40 $1,268 1.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $266.20 $484 3.1×
Chemotx Admn Cns Req Spinal Puncture (96450) $697.40 $1,268 1.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $153.45 $279 1.8×
Color/duplex Doppler, complete (93975) $1,417.35 $2,577 5.0×
Color/duplex Doppler, limited (93976) $1,058.48 8.4×
Coronary artery angio s&i (93454) $5,731.55 $10,421 1.5×
Cpap initiation and management (94660) $35,341.58 134.6×
Cpt initial (94667) $26,140.94 163.9×
Critical care (99291) $2,324.30 $4,226 2.3×
Debridement Open Wound 20 Sq Cm< (97597) $333.30 1.4×
Demo &/or eval,pt use,aerosol device (94664) $136.40 $248 0.5×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,417.35 $2,577 5.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $420.20 $764 3.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $778.25 $1,415 2.7×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $537.90 $978 4.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $885.50 $1,610 3.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $805.75 $1,465 6.4×
Dup-scan xtr veins unilateral/limited study (93971) $821.15 $1,493 6.6×
Duplex hemodialysis access (93990) $348.70 $634 2.8×
Duplex scan extracranial art compl bi study (93880) $1,089 $1,980 3.8×
Echo Heart Xthoracic,Limited (93308) $636.90 $1,158 2.2×
Echo transesophageal (93312) $1,689.60 $3,072 2.6×
Echo Transthoracic - Congenital Tte Complete (93303) $1,370.05 $2,491 2.1×
EEG awake asleep (95819) $1,270.50 $2,310 4.9×
EEG awake drowsy (95816) $1,145.65 $2,083 4.4×
EEG cerebral death evaluation (95824) $1,266.10 $2,302 2.8×
EEG coma or sleep only (95822) $1,270.50 $2,310 4.9×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $617.10 $1,122 2.4×
EKG (93005) $263.45 3.7×
EKG rhythm strip (93041) $102.30 $186 1.4×
Ep & ablate supravent arrhyt (93653) $28,604.40 $52,008 0.9×
Er level 1 (99281) $312.95 3.1×
Er level ii (99282) $558.80 3.0×
Er level iii (99283) $1,281.50 3.9×
Er level IV (99284) $1,946.45 3.9×
Er level v (99285) $2,614.34 3.7×
Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) $1,119.80 $2,036 2.5×
Evaluation of speech sound production (92522) $132 $240 1.2×
Evaluation of swallowing function (92610) $508.20 6.0×
Exercise tst brncspsm (94617) $332.20 $604 2.1×
External Ecg Scanning Analysis Report (93226) $663.85 $1,207 9.4×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $464.75 $845 2.3×
Flow volume loop (94375) $135.30 $246 0.5×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,119.25 $2,035 2.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,101.92 $2,003.50 1.1×
Hemodialysis (90935) $1,062.05 $1,931 1.3×
Holter Monitor Recording (93225) $591.25 $1,075 3.7×
Imaging of colon using capsule endoscope, with interpretation and report (91113) $1,452 $2,640 1.3×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $51.15 $93 1.0×
Immunization Admin (90471) $38.22 $69.50 0.4×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $1,067 $1,940 2.4×
Injection intra arterial (96373) $372.35 $677 1.5×
Ins swan ganz bedside (93503) $2,445.85 $4,447 1.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $98.45 $179 1.4×
IV infusion hydration each additional hour (96361) $3,109.07 55.4×
IV infusion hydration initial 31 min-1 hour (96360) $1,565.46 6.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $21,564.45 249.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $4,725.35 18.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $6,967.10 124.1×
IV push initial (96374) $515.48 2.0×
Liver elastography w/o imag w/i&r (91200) $319 $580 2.1×
Manual therapy 15 min (97140) $118.80 $216 4.3×
Massage 15 min (97124) $74.25 $135 2.5×
Mechanical chest wall oscillation (94669) $129.80 $236 0.5×
Mechanical traction (97012) $1,254 87.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $65.45 $119 2.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $73.70 $134 2.0×
Methacholine challenge (94070) $607.20 $1,104 1.4×
Mnt Group Ea 30 Min (97804) $44.55 $81 2.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $267.30 $486 2.9×
Multiple sleep latency test (95805) $4,173.95 $7,589 4.1×
Neg press wnd tx </=50 sq cm (97607) $260.70 $474 0.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $177.10 $322 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $250.25 $455 0.5×
Newborn resuscitation (99465) $1,290.85 $2,347 1.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $452.10 $822 2.8×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $671 $1,220 2.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $176 $320 1.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $105.60 $192 2.3×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $62.15 $113 1.9×
Ot eval high complex 60 min (97167) $521.95 $949 5.2×
Ot eval low complex 30 min (97165) $270.60 $492 2.7×
Ot eval mod complex 45 min (97166) $368.50 $670 3.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $232.10 $422 4.6×
Ot re-eval est plan care (97168) $306.90 $558 4.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $223.30 $406 1.4×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $2.75 $5 0.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $251.35 $457 1.0×
Phy/qhp op pulm rhb w/mntr (94626) $118.25 $215 1.7×
Phy/qhp op pulm rhb w/o mntr (94625) $118.25 $215 1.7×
Plethysmography (94726) $211.20 $384 0.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,271.20 $9,584 5.1×
Polysom <6 yrs 4/> paramtrs (95782) $5,945.50 $10,810 5.8×
Prq card revasc chronic 1vsl (92943) $11,945.45 $21,719 0.9×
Prq Card Stent W/Angio 1 Vsl (92928) $11,364.10 $20,662 0.8×
Prq revasc byp graft 1 vsl (92937) $11,925.10 $21,682 0.9×
Prq tcat plmt ntrac st 2+les (92930) $36,260.95 $65,929 1.7×
Prq trluml coronary angioplasty one art/branch (92920) $6,042.30 $10,986 0.9×
Psychiatric diagnostic evaluation (90791) $337.15 $613 1.6×
Pt Aquatic Therapy/Exercises (97113) $67.65 $123 1.8×
Pt Electrical Stimulation (97032) $105.60 $192 7.2×
Pt eval high complex 45 min (97163) $460.35 $837 4.7×
Pt eval low complex 20 min (97161) $230.45 $419 2.4×
Pt Gait Training Therapy (97116) $94.05 $171 3.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $98.45 $179 3.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $362.45 $659 3.7×
Pt re-evaluation (97164) $306.90 $558 4.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $126.22 $229.50 3.9×
Pt Ultrasound Therapy (97035) $89.65 $163 6.2×
Pulm function test by gas (94727) $427.35 $777 1.7×
Pulmonary stress testing (94618) $332.20 $604 2.1×
R & l hrt cath w/njx l ventriculog img s&i (93453) $6,471.30 $11,766 1.7×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $5,916.35 $10,757 1.5×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $9,162.45 $16,659 2.4×
Right heart cath (93451) $3,345.65 $6,083 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $142.45 $259 0.6×
Rt Chest Wall Manipulation,Subsequent (94668) $79.20 $144 0.5×
Sleep study unattended (95806) $2,105.40 $3,828 8.1×
Speech sound lang comprehen (92523) $239.80 $436 1.1×
Spirometry (94010) $696.30 $1,266 2.7×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $421.30 $766 1.7×
Surfactant Admin Thru Tube (94610) $409.20 $744 1.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $76.45 $139 3.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $74.25 $135 3.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $296.45 $539 2.9×
Ther/Proph/Diag Inj Sc/Im (96372) $1,124.23 13.0×
Therapeutic Activities (97530) $83.60 $152 2.4×
Therapeutic phlebotomy (99195) $398.20 $724 2.5×
Tilt Table Eval (93660) $657.80 $1,196 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $39.60 $72 0.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,961.30 $3,566 3.0×
Tx atrial fib pulm vein isol (93656) $26,508.35 $48,197 0.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $173.25 $315 2.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $244.75 $445 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $15,520.45 276.5×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $1,167.65 $2,123 1.8×
Unlisted Cardiovascular Service/Procedure (93799) $314.60 $572 2.0×
Unlisted pulmonary service/procedure (94799) $114.95 $209 0.7×
Vasc Duplex Extrem Venous,Bilat (93970) $1,119.80 $2,036 3.9×
Vasc Duplex Scan Extracranial,Limited (93882) $512.05 $931 4.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $806.85 $1,467 3.1×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $732.05 $1,331 0.7×
Veeg Ea 12-26 Hr Unmntr (95714) $1,053.80 $1,916 2.4×
Ventilation assist & mgmt inpatient 1st day (94002) $777.15 $1,413 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $615.45 $1,119 0.8×
Wheelchair Mgmt Ea 15 Min (97542) $64.35 $117 2.1×