Visits & medical services prices at Samaritan Medical Center
Watertown, NY · every code in this section with a posted price and a Medicare benchmark.
196 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$178.50–$205 | $178.50–$205 | varies |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$74.50–$446.50 | $74.50–$446.50 | varies |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $508 | $508 | 3.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $120 | $120 | 8.4× |
| Application Modality 1/> Areas Diathermy (97024) | $56.50 | $56.50 | 7.7× |
| Application on-body injector (96377) | $103 | $103 | 1.8× |
| Assessment of aphasia per hr (96105) | $1,229.50 | $1,229.50 | 12.6× |
| Behavral qualit analys voice (92524) | $315.50 | $315.50 | 2.9× |
| Bis Xtracell Fluid Analysis (93702) | $326 | $326 | 2.0× |
| Brief Emotional/Behav Assmt (96127) | $85.50 | $85.50 | 1.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$574–$717 | $574–$717 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$647.50–$1,044 | $647.50–$1,044 | varies |
| Cardiopulmonary exercise testing (94621) | $2,365 | $2,365 | 5.1× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$628.50–$1,060.50 | $628.50–$1,060.50 | varies |
| Cardioversion (92960) | $2,349 | $2,349 | 2.8× |
| Cbt 1st hour (94644) | $193 | $193 | 1.2× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$161.50–$366.50 | $161.50–$366.50 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 3 matching MRF lines |
$147.50–$164.50 | $147.50–$164.50 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$161.50–$222.50 | $161.50–$222.50 | varies |
| Chemo IV push addl drug (96411) | $388.50 | $388.50 | 4.3× |
| Chemother Prolong Infuse W/Pump (96416) | $1,042.50 | $1,042.50 | 2.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $465.50 | $465.50 | 5.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$824.50–$975 | $824.50–$975 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $677.50 | $677.50 | 1.6× |
| Chest Wall Manipulation (94668) | $279.50 | $279.50 | 1.7× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$167–$200.50 | $167–$200.50 | varies |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$681–$708 | $681–$708 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$413–$429 | $413–$429 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $78 | $78 | 2.4× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $256 | $256 | 1.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $384.50 | $384.50 | 2.3× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $129 | $129 | 1.8× |
| Continuous Pulse Ox (94762) range across 3 matching MRF lines |
$326–$381.50 | $326–$381.50 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $272 | $272 | 1.0× |
| Cpt initial (94667) | $279.50 | $279.50 | 1.7× |
| Critical care first hour (99291) | $3,153.50 | $3,153.50 | 3.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$231–$580.50 | $231–$580.50 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $505.50 | $505.50 | 2.0× |
| Dialysis One Evaluation (90945) | $826 | $826 | 1.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 4 matching MRF lines |
$483–$813 | $483–$813 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$402.50–$467 | $402.50–$467 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $467 | $467 | 3.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,232 | $1,232 | 4.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $740.50 | $740.50 | 5.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$824–$857 | $824–$857 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$514–$535 | $514–$535 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $586 | $586 | 2.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $282 | $282 | 2.2× |
| Duplex Scan Hemodialysis Access (93990) | $410.50 | $410.50 | 3.1× |
| Duplex up extrem art bilat (93930) | $1,076 | $1,076 | 3.6× |
| Duplex up extrem art unilat/ltd (93931) | $651 | $651 | 5.0× |
| ECG/monitoring and analysis (93271) | $1,362.50 | $1,362.50 | 11.5× |
| Echo Heart Xthoracic,Limited (93308) | $617 | $617 | 2.1× |
| Echo transesophageal (93312) | $1,809.50 | $1,809.50 | 2.7× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,137.50 | $1,137.50 | 1.7× |
| EEG awake and asleep (95819) | $1,439 | $1,439 | 5.3× |
| EEG awake drowsy (95816) | $586 | $586 | 2.2× |
| EEG cerebral death evaluation (95824) | $725 | $725 | 1.6× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$427–$761 | $427–$761 | varies |
| Eeg Sleep Only (95822) | $1,002.50 | $1,002.50 | 3.7× |
| Electrical Stimulation Ea 15 Min (97032) | $115 | $115 | 7.8× |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$133–$350 | $133–$350 | varies |
| Emergency Dept Visit Level 2 (99282) | $566.50 | $566.50 | 3.0× |
| Emergency Dept Visit Level 3 (99283) | $895 | $895 | 2.6× |
| Emergency Dept Visit Level 4 (99284) | $1,439 | $1,439 | 2.8× |
| Er level 1 (99281) | $344 | $344 | 3.3× |
| Er level v (99285) | $2,135 | $2,135 | 2.9× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,148.50 | $1,148.50 | 2.5× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$440.50–$499 | $440.50–$499 | varies |
| Evaluate Speech Production (92522) | $304.50 | $304.50 | 2.7× |
| Evaluate Swallowing Function (92610) | $730.50 | $730.50 | 8.6× |
| Evaluation of speech fluency (92521) | $373.50 | $373.50 | 2.8× |
| Excimer laser tx psoriasis 250-500 sq cm (96921) | $340.50 | $340.50 | 1.4× |
| Excimer laser tx psoriasis >500 sq cm (96922) | $834 | $834 | 1.6× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $404 | $404 | 1.6× |
| External ECG rec>48hr<7d recording (93242) range across 3 matching MRF lines |
$76.50–$133 | $76.50–$133 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$129–$133 | $129–$133 | varies |
| External Ecg Scanning Analysis Report (93226) | $1,051.50 | $1,051.50 | 14.3× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$909.50–$946 | $909.50–$946 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$656.50–$683 | $656.50–$683 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $1,187 | $1,187 | 5.9× |
| Fundus photography (92250) | $291.50 | $291.50 | 1.8× |
| Group Therapeutic Procedures (97150) | $111 | $111 | 6.2× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$1,455.50–$1,589.50 | $1,455.50–$1,589.50 | varies |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$264–$350.50 | $264–$350.50 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $161.50 | $161.50 | 1.8× |
| Immunization administration (90471) range across 9 matching MRF lines |
$96–$171 | $96–$171 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) range across 2 matching MRF lines |
$1,148.50–$1,158.50 | $1,148.50–$1,158.50 | varies |
| Insert/Place Heart Catheter (93503) | $3,335 | $3,335 | 1.7× |
| Iontophoresis 15 min (97033) | $152 | $152 | 8.0× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$154.50–$256.50 | $154.50–$256.50 | varies |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$75–$171 | $75–$171 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$530–$776 | $530–$776 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$117–$171 | $117–$171 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$75–$171 | $75–$171 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$530–$794.50 | $530–$794.50 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $322.50 | $322.50 | 2.0× |
| Lung Function Test (Mbc/Mvv) (94200) | $133 | $133 | 1.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $871 | $871 | 3.2× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $4,658.50 | $4,658.50 | 2.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $59 | $59 | 1.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $59 | $59 | 1.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $22 | $22 | 1.3× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$628.50–$674 | $628.50–$674 | varies |
| Motility study esophagus (91010) | $1,158.50 | $1,158.50 | 2.5× |
| Motion Fluoroscopy/Swallow (92611) | $1,023.50 | $1,023.50 | 11.2× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$586–$3,912 | $586–$3,912 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$257–$391 | $257–$391 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $747.50 | $747.50 | 1.5× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $747.50 | $747.50 | 1.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $504 | $504 | 2.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$703–$747.50 | $703–$747.50 | varies |
| Neuromuscular Reeducation (97112) | $205 | $205 | 6.3× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $262 | $262 | 1.6× |
| Oral Function Therapy (92526) | $367.50 | $367.50 | 4.4× |
| Oral Speech Device Eval (92597) | $625 | $625 | 8.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$101.50–$130 | $101.50–$130 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $128.50 | $128.50 | 2.8× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$27–$63.50 | $27–$63.50 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 3 matching MRF lines |
$40.50–$63.50 | $40.50–$63.50 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 3 matching MRF lines |
$43.50–$63.50 | $43.50–$63.50 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) | $48 | $48 | 1.8× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $43.50 | $43.50 | 1.6× |
| Ot Contrast Bath Ea 15 Min (97034) | $76 | $76 | 5.4× |
| Ot eval high complexity (97167) | $223.50 | $223.50 | 2.2× |
| Ot Eval Low Complex (97165) | $161.50 | $161.50 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $223.50 | $223.50 | 2.2× |
| Ot manual therapy 15 min (97140) | $187 | $187 | 6.7× |
| Ot paraffin bath (97018) | $168 | $168 | 28.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $328 | $328 | 8.1× |
| Ot Re-Eval Est Plan Care (97168) | $147.50 | $147.50 | 2.2× |
| Patch/Application Test Specify Number Tests (95044) | $58 | $58 | 0.1× |
| Pdt dstr prmlg les phys/qhp (96573) | $505.50 | $505.50 | 2.0× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $505.50 | $505.50 | 2.0× |
| Penile Vascular Study,Ltd or F/U (93981) | $425 | $425 | 3.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $522 | $522 | 1.9× |
| Phlebotomy therapeutic (99195) | $291.50 | $291.50 | 1.8× |
| Physical Performance Test (97750) | $201 | $201 | 6.0× |
| Plethysmography (94726) range across 2 matching MRF lines |
$602–$752 | $602–$752 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$5,000.50–$6,714.50 | $5,000.50–$6,714.50 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $4,706 | $4,706 | 4.4× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) range across 3 matching MRF lines |
$107.50–$184.50 | $107.50–$184.50 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $52 | $52 | 0.9× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $53 | $53 | 0.9× |
| Psych diag eval w/med srvcs (90792) | $329 | $329 | 1.5× |
| Psychiatric diagnostic evaluation (90791) | $329 | $329 | 1.5× |
| Psytx Crisis Initial 60 Min (90839) | $326.50 | $326.50 | 1.5× |
| Pt Eval High Complex (97163) | $230 | $230 | 2.4× |
| Pt eval low complex 20 min (97161) | $230 | $230 | 2.4× |
| Pt Eval Mod Complex (97162) | $230 | $230 | 2.4× |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$102.50–$201 | $102.50–$201 | varies |
| Pt mechanical traction (97012) | $168 | $168 | 11.7× |
| Pt Re-Eval Est Plan Care (97164) | $113 | $113 | 1.7× |
| Pt ultraviolet (97028) | $168 | $168 | 20.1× |
| Pulm function test by gas (94727) | $240.50 | $240.50 | 0.9× |
| Pulmonary Stress Testing (94618) range across 4 matching MRF lines |
$252–$1,173 | $252–$1,173 | varies |
| Refill/Maint Portable Pump (96521) | $701.50 | $701.50 | 2.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $278 | $278 | 6.0× |
| Remote 30 Day Ecg Tech Supp (93229) | $648 | $648 | 1.4× |
| Respiratory flow volume loop (94375) | $674 | $674 | 2.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$129–$168.50 | $129–$168.50 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$504–$747.50 | $504–$747.50 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $656.50 | $656.50 | 5.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $135.50 | $135.50 | 2.8× |
| Self Care Mngment Training (97535) | $101 | $101 | 3.1× |
| Sensory Integration Ea 15 Min (97533) | $93.50 | $93.50 | 1.5× |
| Speech sound lang comprehen (92523) | $630.50 | $630.50 | 2.8× |
| Spirometry (94010) range across 4 matching MRF lines |
$314.50–$392.50 | $314.50–$392.50 | varies |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$319.50–$440.50 | $319.50–$440.50 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $103 | $103 | 1.8× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $530 | $530 | 2.0× |
| Subq Infusion Additional Pump Infusion Site (96371) | $161.50 | $161.50 | 1.8× |
| Temp transcutaneous pacing (92953) | $853.50 | $853.50 | 1.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $79.50 | $79.50 | 3.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $79.50 | $79.50 | 3.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $340 | $340 | 3.3× |
| Ther/Proph/Diag Inj Ia (96373) | $530 | $530 | 2.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 8 matching MRF lines |
$117–$274.50 | $117–$274.50 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$530–$776 | $530–$776 | varies |
| Therapeutic Activities (97530) | $160 | $160 | 4.6× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 5 matching MRF lines |
$59.50–$74 | $59.50–$74 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 6 matching MRF lines |
$54–$63 | $54–$63 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$279.50–$333.50 | $279.50–$333.50 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$279.50–$471 | $279.50–$471 | varies |
| Tte w/doppler, complete (93306) | $2,005.50 | $2,005.50 | 2.9× |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$1,487–$1,487.50 | $1,487–$1,487.50 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $312 | $312 | 4.1× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $128.50 | $128.50 | 5.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$75–$347 | $75–$347 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$268–$576.50 | $268–$576.50 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$322.50–$605.50 | $322.50–$605.50 | varies |
| Vent Mgmt Inpat Init Day (94002) | $972.50 | $972.50 | 1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$1,155.50–$1,431 | $1,155.50–$1,431 | varies |
| Vital capacity, total (94150) | $499 | $499 | 3.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $113 | $113 | 3.6× |
| Whirlpool Therapy (97022) | $107 | $107 | 6.8× |
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.