Visits & medical services prices at Shriners Children's Boston

Boston, MA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $895.66 $895.66 5.8×
Airway inhalation treatment (94640) $156.70 $156.70 0.6×
Anrct mano rct sensation&rct balo expulsion test (91125) $2,294.30 $2,294.30 5.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $75.60 $75.60 5.3×
Application Modality 1/> Areas Infrared (97026) $33.90 $33.90 5.1×
Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes Facility (97036) $164.20 $164.20 4.7×
Assessment of aphasia per hr (96105) $461.90 $461.90 4.8×
Auditory Function, 60 Min (92620) $895.66 $895.66 5.8×
Bedside Swallowing Eval (92610) $642.35 $642.35 7.6×
Behavioral and qualitative analysis of voice and resonance (92524) $328.20 $328.20 3.0×
Biofeedback training any modality (90901) $84.70 $84.70 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $651.20 $651.20 1.5×
Canalith Repositioning Procedure (95992) $163 $163 4.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $104.60 $104.60 4.0×
Cbt 1st hour (94644) $732.45 $732.45 4.6×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,941.89 $1,941.89 4.9×
Chemother, IV infusion, 1 hr (96413) $1,941.89 $1,941.89 4.9×
Chemother, IV infusion, ea add hr (96415) $403.93 $403.93 4.7×
Colon Motility 6 Hr Study (91117) $1,874.01 $1,874.01 7.2×
Color/duplex Doppler, complete (93975) $1,538.10 $1,538.10 5.4×
Color/duplex Doppler, limited (93976) $828.40 $828.40 6.6×
Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) $3,073.27 $3,073.27 6.9×
Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure… (96001) $5,995.01 $5,995.01 5.8×
Comprehensive Hearing Test (92557) $895.66 $895.66 5.8×
Conditioning Play Audiometry (92582) $895.66 $895.66 5.8×
Cpap/bipap (94660) $651.20 $651.20 2.5×
Cpt initial (94667) $224.20 $224.20 1.4×
Debridement Open Wound 20 Sq Cm< (97597) $1,147.93 $1,147.93 4.8×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $1,799.74 $1,799.74 7.0×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $1,799.74 $1,799.74 4.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,059.20 $1,059.20 3.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $664.50 $664.50 5.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,059.20 $1,059.20 3.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $664.50 $664.50 5.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,059.20 $1,059.20 3.7×
Dup-scan xtr veins unilateral/limited study (93971) $664.50 $664.50 5.3×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $941.58 $941.58 6.1×
Dyn surf EMG,walking/func act,1-12 mus (96002) $1,799.74 $1,799.74 7.0×
Ear and throat examination (92502) $3,064.12 $3,064.12 4.7×
Electrocardiogram Tracing (93005) $181.40 $181.40 2.6×
EMG four extremities (95864) $180.60 $180.60 1.2×
EMG one extremity (95860) $732.45 $732.45 4.6×
EMG three extremities (95863) $865.40 $865.40 5.6×
EMG two extremities (95861) $664.40 $664.40 4.2×
Eval speech sound production (92522) $312.30 $312.30 2.8×
Eval to use/fit voice prosth (92597) $674.50 $674.50 9.5×
Evaluate Pt Use Of Inhaler (94664) $1,222.98 $1,222.98 4.7×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $1,020.80 $1,020.80 8.4×
Evaluation of speech fluency (92521) $384.70 $384.70 2.9×
Exhaled Air Analysis (94690) $274.80 $274.80 3.9×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $293.50 $293.50 1.9×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $299.30 $299.30 1.5×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $440.80 $440.80 1.9×
Gastric motility studies (91020) $3,193.15 $3,193.15 7.1×
Gi wireless capsule measure (91112) $5,642.24 $5,642.24 5.2×
Group Therapeutic Procedures (97150) $115.80 $115.80 6.4×
Injection intra arterial (96373) $1,229 $1,229 4.8×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $364.80 $364.80 1.4×
Iontophoresis 15 min (97033) $154.40 $154.40 8.1×
Irrig drug delivery device (96523) $350.73 $350.73 5.0×
IV infusion hydration each additional hour (96361) $182.50 $182.50 3.3×
IV infusion hydration initial 31 min-1 hour (96360) $1,229 $1,229 4.8×
IV infusion ther proph addl sequential to 1 hr (96367) $403.93 $403.93 4.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $923.40 $923.40 3.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $182.50 $182.50 3.3×
IV push ea addl new drug (96375) $255 $255 4.5×
IV push initial (96374) $1,229 $1,229 4.8×
Laryngeal Function Studies (92520) $732.45 $732.45 4.6×
Low frequency non-thermal us (97610) $1,147.93 $1,147.93 4.8×
Manual therapy 15 min (97140) $171.70 $171.70 6.2×
Massage 15 min (97124) $149.20 $149.20 5.0×
Maximum voluntary ventilation (94200) $268.10 $268.10 3.8×
Mechanical chest wall oscillation (94669) $1,272.80 $1,272.80 4.9×
Mechanical traction (97012) $95.60 $95.60 6.7×
Motility study esophagus (91010) $3,193.15 $3,193.15 7.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $611.50 $611.50 6.7×
Nasopharyngoscopy (92511) $1,075.72 $1,075.72 4.5×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $180.60 $180.60 0.7×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $844.30 $844.30 3.3×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $732.45 $732.45 4.6×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $180.60 $180.60 0.7×
Needle Emg W/1 Fiber Electrode Quan Meas Jitter (95872) $180.60 $180.60 0.7×
Neg press wound tx >50 cm (97608) $2,139.38 $2,139.38 4.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $2,265.75 $2,265.75 4.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $2,245.14 $2,245.14 9.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $2,286.36 $2,286.36 4.7×
Nerve Conduction Studies 11-12 Studies (95912) $3,073.27 $3,073.27 6.9×
Nerve Conduction Studies 3-4 Studies (95908) $1,799.74 $1,799.74 7.0×
Nerve Conduction Studies 5-6 Studies (95909) $1,799.74 $1,799.74 7.0×
Nerve Conduction Studies 7-8 Studies (95910) $1,799.74 $1,799.74 4.0×
Nerve Conduction Studies 9-10 Studies (95911) $3,073.27 $3,073.27 6.9×
Nerve conduction studies; 1-2 studies (95907) $895.66 $895.66 3.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $895.66 $895.66 5.8×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $391.10 $391.10 0.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $218.90 $218.90 4.7×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $172.30 $172.30 5.4×
Ot Contrast Bath Ea 15 Min (97034) $93.60 $93.60 6.7×
Ot eval high complex 60 min (97167) $616.40 $616.40 6.1×
Ot eval low complex 30 min (97165) $308.20 $308.20 3.1×
Ot eval mod complex 45 min (97166) $462.30 $462.30 4.6×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $218.70 $218.70 4.4×
Ot Prosthetic Training, Each 15 Min (97761) $191.20 $191.20 4.7×
Ot Range Motion Measure,Each Extrem (95851) $122.80 $122.80 4.7×
Ot re-evaluation (97168) $379.20 $379.20 5.5×
Ot therapeutic activity 15 min (97530) $195.10 $195.10 5.6×
Paraffin bath pt (97018) $51.90 $51.90 8.6×
Plethysmography (94726) $403.20 $403.20 0.9×
Pt Aquatic Therapy/Exercises (97113) $218.60 $218.60 5.9×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $217.70 $217.70 5.8×
Pt diathermy (97024) $36.60 $36.60 5.0×
Pt Electrical Stimulation (97032) $107.25 $107.25 7.3×
Pt eval high complex 45 min (97163) $545.40 $545.40 5.6×
Pt eval low complex 20 min (97161) $242.25 $242.25 2.5×
Pt eval mod complex 30 min (97162) $363.50 $363.50 3.7×
Pt gait training 15 min (97116) $161.90 $161.90 5.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $192.50 $192.50 5.9×
Pt Physical Performance Test (97750) $191.80 $191.80 5.7×
Pt re-evaluation (97164) $304 $304 4.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $395.20 $395.20 12.2×
Pt ultraviolet (97028) $43.90 $43.90 5.3×
Pt Whirlpool Therapy (97022) $111.90 $111.90 7.1×
Pulm Funct Test Oscillometry (94728) $364.80 $364.80 2.4×
Pulm function test by gas (94727) $373.90 $373.90 1.4×
Pure Tone Audiometry Air & Bone (92553) $895.66 $895.66 5.8×
Pure Tone Audiometry Air Only (92552) $732.45 $732.45 4.6×
Rectal sensation tone&compliance study (91124) $1,327.57 $1,327.57 5.1×
Respiratory flow volume loop (94375) $364.80 $364.80 1.4×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $1,698.28 $1,698.28 4.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $766.62 $766.62 3.2×
Rom meas&reprt hand w/wo comparison normal sid (95852) $97.10 $97.10 4.5×
Rt Chest Wall Manipulation,Subsequent (94668) $186.70 $186.70 1.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $217 $217 4.5×
Sensory Integration Ea 15 Min (97533) $164.70 $164.70 2.7×
Slp caregiver training 1st 30 min (97550) $210.50 $210.50 4.0×
Speech Audiometry Complete (92556) $350.73 $350.73 5.0×
Speech audiometry threshold (92555) $350.73 $350.73 5.0×
Speech sound lang comprehen (92523) $648.90 $648.90 2.9×
Spirometry (94010) $391.10 $391.10 1.5×
Standardized Cognitive Performance Testing (96125) $496.70 $496.70 4.8×
Stenger Test Speech (92577) $3,073.27 $3,073.27 6.9×
Stenger Test, Pure Tone (92565) $350.73 $350.73 5.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $166.30 $166.30 7.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $161.20 $161.20 7.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $543.20 $543.20 5.3×
Therapeutic prophylactic/dx injection subq/im (96372) $272.30 $272.30 3.2×
Tinnitus assessment (92625) $895.66 $895.66 5.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $456.10 $456.10 6.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $197.80 $197.80 8.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $570.40 $570.40 6.8×
Tympanometry (92567) $229.95 $229.95 5.1×
Vasopneumatic device (97016) $99 $99 8.2×
Vent mgmt inpat init day (94002) $1,705.30 $1,705.30 2.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,421.10 $1,421.10 1.9×
Visual reinforcement audiometry (vra) (92579) $895.66 $895.66 3.5×
Vital capacity, total (94150) $274.80 $274.80 1.8×
Wheelchair Mgmt Ea 15 Min (97542) $188.70 $188.70 6.1×