Visits & medical services prices at Scottish Rite Hospital

Atlanta, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Acoustic reflex testing (92568) $158 $158 4.2×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $85 $85 2.9×
Aep hearing status deter broadband stimuli i&r (92651) $2,331 $2,331 10.8×
Aep Neurodiagnostic I&R (92653) $2,331 $2,331 10.8×
Aep threshold estimation mlt frequencies i&r (92652) $2,917 $2,917 13.5×
Airway inhalation treatment (94640) $146 $146 0.7×
Ambulatory Bp Recording (93786) $146 $146 1.1×
Analysis and programming of inner ear implant (younger than 7 years) (92601) $714 $714 5.5×
Analysis and reprogramming of inner ear implant (younger than 7 years) (92602) $525.50 $525.50 4.1×
Anogenital exam, child (99170) $272 $272 1.3×
Anorectal manometry (91125) $4,520 $4,520 12.1×
Art pressure waveform analys (93050) $291 $291 10.0×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $478 $478 12.7×
Auditory Function, 60 Min (92620) $1,561 $1,561 12.1×
Basic vestibular evaluation (92540) $1,038 $1,038 4.8×
Behavioral and qualitative analysis of voice and resonance (92524) $591.50 $591.50 5.4×
Breath Hydrogen/Methane Test (91065) $2,865 $2,865 13.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $612 $612 1.6×
C motor evoked uppr limbs (95928) $1,000 $1,000 1.2×
C motor evoked upr&lwr limbs (95939) $2,860 $2,860 3.3×
Caloric vestibular test w/rec bi bithermal (92537) $623 $623 4.8×
Caloric vestibular test w/rec bi monothermal (92538) $313 $313 1.4×
Capsule endoscopy (91110) $19,426 $19,426 21.4×
Car seat/bed test 60 min (94780) $536 $536 14.3×
Cardiac Stress Tst,Tracing Only (93017) $2,996 $2,996 13.8×
Cardiopulmonary exercise testing (94621) $4,358 $4,358 11.6×
Cardiopulmonary resuscitation (92950) $3,273 $3,273 15.1×
Cardioversion (92960) $3,908 $3,908 5.9×
Cardioversion internal (92961) $7,335 $7,335 11.1×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $45,135 $45,135 2.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $28,810 $28,810 8.9×
Cbt 1st hour (94644) $387 $387 2.9×
Cervical vemp testing w/i&r (92517) $193 $193 1.5×
Chemo Hormon Antineopl Sq/Im (96402) $1,051 $1,051 14.6×
Chemo inj subarach/intravent (96542) $2,072 $2,072 6.3×
Chemo IV push addl drug (96411) $1,044 $1,044 14.5×
Chemo Iv Push Sngl Drug (96409) $1,044 $1,044 3.2×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,440 $1,440 4.3×
Chemother, IV infusion, 1 hr (96413) $1,646 $1,646 5.0×
Chemother, IV infusion, ea add hr (96415) $1,226 $1,226 17.0×
Chemother,ia infusn tech,<1 hr (96422) $6,847 $6,847 20.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $1,048 $1,048 14.5×
Chemotherapy, unspecified procedure (96549) $517 $517 11.0×
Chemotx Admn Cns Req Spinal Puncture (96450) $2,954 $2,954 8.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $804 $804 11.1×
Colon Motility 6 Hr Study (91117) $3,685 $3,685 17.0×
Color/duplex Doppler, complete (93975) $2,676 $2,676 11.2×
Color/duplex Doppler, limited (93976) $1,667.50 $1,667.50 15.9×
Comprehensive Hearing Test (92557) $468 $468 3.6×
Computerized dynamic posturography (92548) $1,062 $1,062 8.0×
Conditioning Play Audiometry (92582) $313 $313 2.4×
Cpap initiation and management (94660) $3,513 $3,513 16.0×
Cpt initial (94667) $204 $204 1.5×
Critical care (99291) $12,156 $12,156 14.7×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $1,081 $1,081 2.9×
Debridement Open Wound 20 Sq Cm< (97597) $771 $771 3.8×
Demo &/or eval,pt use,aerosol device (94664) $146 $146 0.7×
Duodenal Motility Study (91022) $4,168 $4,168 11.1×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,518 $1,518 6.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,086 $1,086 10.4×
Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) $1,816 $1,816 17.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,916 $1,916 8.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,307 $1,307 12.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,554 $1,554 6.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,100 $1,100 10.5×
Dup-scan xtr veins unilateral/limited study (93971) $1,189.50 $1,189.50 11.3×
Duplex scan extracranial art compl bi study (93880) $1,709 $1,709 7.1×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $1,067.50 $1,067.50 8.3×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $337 $337 2.6×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $714 $714 5.5×
Echo Heart Xthoracic,Limited (93308) $1,233 $1,233 5.2×
Echo transesophageal (93312) $3,128 $3,128 5.7×
Echo Transthoracic - Congenital Tte Complete (93303) $3,408 $3,408 6.2×
Echo Transthoracic - Congenital Tte Limited (93304) $1,868 $1,868 3.4×
EEG awake asleep (95819) $1,330 $1,330 6.1×
EEG awake drowsy (95816) $1,133 $1,133 5.2×
EEG cont rec w/video by tech min 8 channels (95700) $887 $887 4.1×
Eeg Extended Monitoring 61-119 Minutes (95813) $1,790 $1,790 8.3×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,412 $1,412 6.5×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $11,322 $11,322 30.2×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $2,352 $2,352 6.3×
EKG (93005) $511 $511 8.6×
EKG rhythm strip (93041) $335 $335 5.7×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,456 $1,456 6.7×
EMG cranial nerve bilat (95868) $335 $335 1.5×
EMG cranial nerve unilat (95867) $256 $256 1.2×
EMG four extremities (95864) $724 $724 5.6×
EMG one extremity (95860) $391 $391 2.9×
EMG thoracic paraspinal (95869) $106 $106 0.5×
EMG two extremities (95861) $682 $682 5.1×
Endomyocardial biopsy (93505) $8,152 $8,152 2.6×
Ep & ablate supravent arrhyt (93653) $49,493 $49,493 1.9×
Ep & ablate ventric tachy (93654) $49,493 $49,493 1.9×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $20,236 $20,236 2.6×
Er level 1 (99281) $894 $894 10.6×
Er level ii (99282) $1,762 $1,762 11.4×
Er level iii (99283) $1,981 $1,981 7.2×
Er level IV (99284) $2,180 $2,180 5.2×
Er level v (99285) $2,379 $2,379 4.0×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $1,890.50 $1,890.50 26.6×
Evaluation of speech fluency (92521) $1,062.50 $1,062.50 8.0×
Evaluation of speech sound production (92522) $826 $826 7.4×
Evaluation of swallowing function (92610) $1,259 $1,259 14.8×
Evaluation with prescription of speech-generating alternative (92607) $2,042 $2,042 16.7×
Evoked Auditory Test,Comprehsv (92588) $468 $468 1.3×
Evoked auditory test,limited (92587) $313 $313 1.4×
Exercise tst brncspsm (94617) $443 $443 3.3×
Exhaled Air Analysis (94690) $406 $406 6.9×
Exhaled air analysis o2 (94680) $399 $399 3.1×
External Ecg Scanning Analysis Report (93226) $1,434 $1,434 24.2×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $1,671 $1,671 8.4×
Flow volume loop (94375) $169 $169 0.8×
Fundus photography w/interpretation & report (92250) $350 $350 2.6×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $15,311 $15,311 40.9×
Group Therapeutic Procedures (97150) $617 $617 34.2×
Hemodialysis (90935) $2,940 $2,940 4.3×
Holter Monitor Recording (93225) $1,357 $1,357 10.2×
Icd Device Interrogate (93289) $491 $491 13.1×
Ilr Device Eval Progr (93285) $254 $254 6.8×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $58 $58 1.4×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $143 $143 2.0×
Immunization Admin (90471) $111 $111 1.5×
Injection intra arterial (96373) $506 $506 2.4×
Interrog dev eval scrms phys/qhp in person (93291) $208 $208 7.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $378 $378 6.4×
IV infusion hydration each additional hour (96361) $301 $301 6.4×
IV infusion hydration initial 31 min-1 hour (96360) $592 $592 2.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $452 $452 6.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $657.50 $657.50 3.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $301 $301 6.4×
IV push initial (96374) $441 $441 2.1×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $11,240 $11,240 3.5×
Laryngeal Function Studies (92520) $316 $316 2.4×
Liver elastography w/o imag w/i&r (91200) $341 $341 2.6×
Manual therapy 15 min (97140) $160 $160 5.8×
Massage 15 min (97124) $160 $160 5.4×
Methacholine challenge (94070) $1,527 $1,527 4.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $1,691 $1,691 18.5×
Multiple sleep latency test (95805) $5,267 $5,267 6.1×
Nasal function studies (92512) $316 $316 1.5×
Nasopharyngoscopy (92511) $542 $542 2.7×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $104 $104 0.8×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $339 $339 1.6×
Nerve conduction studies 13/> studies (95913) $6,439 $6,439 17.2×
Nerve Conduction Studies 3-4 Studies (95908) $912 $912 4.2×
Nerve Conduction Studies 9-10 Studies (95911) $1,738 $1,738 4.6×
Nerve conduction studies; 1-2 studies (95907) $740 $740 3.4×
Nerve conduction studies; 11-12 studies (95912) $5,562 $5,562 14.9×
Nerve conduction studies; 5-6 studies (95909) $1,094 $1,094 5.1×
Nerve conduction studies; 7-8 studies (95910) $1,437 $1,437 3.8×
Neuromuscular junction test (95937) $168 $168 1.3×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $1,187 $1,187 5.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $316 $316 6.9×
Oscillating Tracking Test (92545) $214 $214 1.0×
Ot eval high complex 60 min (97167) $1,583 $1,583 15.7×
Ot eval low complex 30 min (97165) $577 $577 5.7×
Ot eval mod complex 45 min (97166) $788 $788 7.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $160 $160 3.2×
Ot Prosthetic Training, Each 15 Min (97761) $160 $160 4.0×
Ot re-eval est plan care (97168) $600 $600 8.8×
Pediatric apnea monitor analyses computer (94776) $1,727 $1,727 13.4×
Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of… (94775) $372 $372 2.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $399 $399 1.8×
Perq transcath cls paravalvr leak 1 aortic valve (93591) $55,089 $55,089 3.0×
Plethysmography (94726) $537 $537 1.4×
Pm device progr eval dual (93280) $572 $572 15.3×
Pm device progr eval multi (93281) $584 $584 15.6×
Pm device progr eval sngl (93279) $491 $491 13.1×
Pm/Icd Remote Tech Serv (93296) $441 $441 11.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,442 $5,442 6.3×
Polysom <6 yrs 4/> paramtrs (95782) $5,321 $5,321 6.2×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $5,442 $5,442 6.3×
Positional Nystagmus Test (92542) $272 $272 2.0×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $621 $621 16.6×
Programming of dual lead implantable defibrillator system (93283) $578 $578 15.4×
Programming of single lead implantable defibrillator system (93282) $528 $528 14.1×
Prq balloon valvuloplasty aortic valve (92986) $29,247 $29,247 5.1×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
unusually low: confirm this is the full procedure		 $4,172 $4,172 0.4×
Pt Aquatic Therapy/Exercises (97113) $160 $160 4.3×
Pt Electrical Stimulation (97032) $160 $160 10.9×
Pt eval high complex 45 min (97163) $1,582 $1,582 16.2×
Pt eval low complex 20 min (97161) $577 $577 5.9×
Pt Gait Training Therapy (97116) $160 $160 5.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $160 $160 4.9×
Pt Physical Performance Test (97750) $160 $160 4.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $788 $788 8.1×
Pt re-evaluation (97164) $554 $554 8.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $160 $160 4.9×
Pt Ultrasound Therapy (97035) $160 $160 11.1×
Pt Whirlpool Therapy (97022) $629 $629 40.1×
Pulm function test by gas (94727) $420 $420 1.9×
Pulmonary stress testing (94618) $641 $641 4.8×
Pure Tone Audiometry Air & Bone (92553) $313 $313 2.4×
Pure Tone Audiometry, Air (92552) $158 $158 1.2×
R & l hrt cath w/njx l ventriculog img s&i (93453) $31,718 $31,718 9.8×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $37,838 $37,838 11.6×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $11,240 $11,240 3.5×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $11,240 $11,240 3.5×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $25,332 $25,332 7.8×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $25,332 $25,332 7.8×
Refill/maint, portable pump (96521) $1,619 $1,619 7.6×
Rem interrog icpms <30 d phys/qhp (93297) $125 $125 3.3×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $131 $131 3.5×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $1,100 $1,100 3.6×
Right heart cath (93451) $16,929 $16,929 5.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $316 $316 1.6×
Rt Chest Wall Manipulation,Subsequent (94668) $173 $173 1.3×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $316 $316 6.6×
Select picture audiometry (92583) $158 $158 2.7×
Short-latency somatosens ep std lwr limbs (95926) $555 $555 2.6×
Short-latency somatosens ep std upr limbs (95925) $550 $550 2.5×
Sinusoidal Rotational Test (92546) $1,050 $1,050 8.1×
Sleep study attended (95807) $3,698 $3,698 9.9×
Somatosensory testing (95938) $1,940 $1,940 2.3×
Speech Audiometry Threshold (92555) $158 $158 2.7×
Speech Audiometry, Complete (92556) $158 $158 2.7×
Speech group therapy (92508) $907 $907 37.7×
Speech sound lang comprehen (92523) $1,299 $1,299 5.7×
Spontaneous Nystagmus Test (92541) $314 $314 2.4×
Stenger Test, Pure Tone (92565) $158 $158 2.7×
Stress Tte Complete (93351) $4,508 $4,508 8.2×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $710 $710 3.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $1,458 $1,458 14.2×
Ther/Proph/Diag Inj Sc/Im (96372) $187 $187 2.6×
Therapeutic Activities (97530) $160 $160 4.6×
Therapeutic phlebotomy (99195) $179 $179 1.3×
Tilt Table Eval (93660) $3,356 $3,356 9.0×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $1,973 $1,973 8.2×
Transcranial Doppler Limited (93888) $1,318 $1,318 12.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $4,355 $4,355 7.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $668 $668 8.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $1,042 $1,042 12.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $284.50 $284.50 6.1×
Tympanometry (92567) $158 $158 4.2×
Tympanometry And Reflex Threshold Measurements (92550) $313 $313 1.4×
Unlisted Cardiovascular Service/Procedure (93799) $3,534 $3,534 27.4×
Unlisted noninvasive vascular diagnostic study (93998) $766 $766 26.4×
Unlisted otorhinolaryngological service (92700) $1,249.50 $1,249.50 43.1×
Unlisted pulmonary service/procedure (94799) $214 $214 1.7×
Valvuloplasty pulmonary valve (92990) $24,630 $24,630 2.1×
Vasc Duplex Extrem Venous,Bilat (93970) $1,671 $1,671 7.0×
Vasc Duplex Scan Extracranial,Limited (93882) $1,169 $1,169 11.1×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $7,988 $7,988 21.3×
Veeg by tech 2-12 hr intermittent monitoring (95712) $6,125 $6,125 16.4×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $16,129 $16,129 18.7×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $11,243 $11,243 30.0×
Ventilation assist & mgmt inpatient 1st day (94002) $3,513 $3,513 5.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,513 $3,513 5.7×
Visual reinforcement audiometry (vra) (92579) $313 $313 1.4×
Vital capacity total (94150) $264 $264 2.0×
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,790 $1,790 2.1×
Wheelchair Mgmt Ea 15 Min (97542) $160 $160 5.2×