Visits & medical services prices at Sibley Memorial Hospital

Washington, DC · every code in this section with a posted price and a Medicare benchmark.

234 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) $343 $343 2.3×
Acoustic reflex testing (92568) $243 $243 5.5×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $218 $218 6.4×
Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the… (97813) $320 $320 9.4×
Aep hearing status deter broadband stimuli i&r (92651) $287 $287 1.1×
Aep neurodiagnostic interpretation and report (92653) $337 $337 1.3×
Aep Thrshld Est Mlt Freq I&R (92652) $337 $337 1.3×
Airway inhalation treatment (94640) $109 $109 0.4×
Analyze neurostim simple (95971) $193 $193 1.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $228 $228 15.9×
Application Modality 1/> Areas Infrared (97026) $19 $19 2.8×
Application on-body injector (96377) $251 $251 4.5×
Assessment of aphasia per hr (96105) $924 $924 9.5×
Bedside Swallowing Eval (92610) $809 $809 9.5×
Behavioral and qualitative analysis of voice and resonance (92524) $609 $609 5.6×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $131 $131 1.6×
Bfb training ea addl 15 min (90913) $54 $54 1.6×
Biofeedback training any modality (90901) $184 $184 4.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,033 $1,033 2.3×
Caloric vestibular test w/rec bi bithermal (92537) $768 $768 5.1×
Caloric vestibular test w/rec bi monothermal (92538) $768 $768 3.0×
Canalith Repositioning Procedure (95992) $200 $200 4.9×
Cardiac Stress Tst,Tracing Only (93017) $1,526 $1,526 6.0×
Cardiopulmonary exercise testing (94621) $1,992 $1,992 4.5×
Cardiopulmonary resuscitation (92950) $1,276 $1,276 5.0×
Cardioversion (92960) $3,010 $3,010 3.9×
Cbt 1st hour (94644) $214 $214 1.4×
Chemo Admin Peritoneal Cavity (96446) $1,237 $1,237 3.2×
Chemo Hormon Antineopl Sq/Im (96402) $202.50 $202.50 2.4×
Chemo IV push addl drug (96411) $662 $662 7.8×
Chemo prolong 8+ hrs infuse w/pump (96416) $4,460 $4,460 11.4×
Chemother, IV infusion, 1 hr (96413) $658 $658 1.7×
Chemother, IV infusion, ea add hr (96415) $357.50 $357.50 4.2×
Chemother,Ia Push Technique (96420) $2,161 $2,161 5.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $516 $516 6.1×
Chemotherapy Administration Intralesional </7 (96405) $381 $381 4.5×
Chemotherapy into cns (96450) $1,209 $1,209 3.1×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $1,318 $1,318 3.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $442 $442 5.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $495 $495 1.3×
Color/duplex Doppler, complete (93975) $1,999 $1,999 7.1×
Color/duplex Doppler, limited (93976) $1,933 $1,933 15.7×
Comprehensive Hearing Test (92557) $831 $831 5.5×
Conditioning Play Audiometry (92582) $343 $343 2.3×
Cpap/bipap (94660) $840 $840 3.2×
Cpt initial (94667) $112 $112 0.7×
Critical care (99291) $3,558 $3,558 3.6×
Debridement Open Wound 20 Sq Cm< (97597) $319 $319 1.3×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $501.50 $501.50 2.0×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $859 $859 1.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $2,032 $2,032 7.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $2,032 $2,032 16.5×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $1,999 $1,999 16.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,076 $1,076 3.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $652 $652 5.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,076 $1,076 3.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $652 $652 5.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,015 $1,015 3.6×
Dup-scan xtr veins unilateral/limited study (93971) $846 $846 6.9×
Duplex scan extracranial art compl bi study (93880) $1,215 $1,215 4.3×
Duplex Scan Hemodialysis Access (93990) $1,206 $1,206 9.8×
Echo Heart Xthoracic,Limited (93308) $1,481 $1,481 5.3×
Echo transesophageal (93312) $2,988 $2,988 4.6×
Echo Transthoracic - Congenital Tte Complete (93303) $4,121 $4,121 6.4×
Echo Transthoracic - Congenital Tte Limited (93304) $4,121 $4,121 6.4×
EEG awake and asleep (95819) $920 $920 3.6×
EEG awake drowsy (95816) $920 $920 3.6×
EEG cerebral death evaluation (95824) $1,055 $1,055 2.4×
EEG coma or sleep only (95822) $920 $920 3.6×
EEG cont rec w/video by tech min 8 channels (95700) $1,569 $1,569 6.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,569 $1,569 6.2×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $2,538 $2,538 5.8×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $2,247 $2,247 5.1×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $4,213 $4,213 9.6×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $1,759 $1,759 6.9×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $1,954 $1,954 7.7×
Electrocardiogram Tracing (93005) $389.50 $389.50 5.6×
Electrocochleography (92584) $1,420 $1,420 9.3×
Electroconvulsive Therapy (90870) $1,009 $1,009 1.0×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,372 $1,372 5.4×
EMG one extremity (95860) $339 $339 2.2×
EMG three extremities (95863) $560 $560 3.7×
EMG two extremities (95861) $440 $440 2.8×
Er level 1 (99281) $406 $406 4.1×
Er level ii (99282) $707 $707 3.9×
Er level iii (99283) $1,039 $1,039 3.2×
Er level IV (99284) $1,451 $1,451 2.9×
Er level v (99285) $1,882 $1,882 2.7×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $484 $484 3.2×
Eval speech sound production (92522) $609 $609 5.4×
Eval to use/fit voice prosth (92597) $652 $652 9.2×
Evaluate Pt Use Of Inhaler (94664) $316 $316 1.2×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $527 $527 4.3×
Evaluation of speech fluency (92521) $609 $609 4.6×
Exercise tst brncspsm (94617) $2,585 $2,585 16.4×
External Ecg Scanning Analysis Report (93226) $1,115 $1,115 16.0×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $699 $699 3.5×
Full field electroretinography w/i&r (92273) $761 $761 3.0×
Gi tract capsule endoscopy (91110) $5,601 $5,601 5.2×
Group Therapeutic Procedures (97150) $151.50 $151.50 8.4×
Hemodialysis (90935) $2,550 $2,550 3.1×
Holter Monitor (93225) $533 $533 3.4×
Imm admn sarscov2 vaccine single dose (90480) $270 $270 5.6×
Immune Admin Oral/Nasal (90473) $94 $94 1.1×
Immunization Admin (90471) $157.71 $157.71 1.9×
Ins swan ganz bedside (93503) $2,716 $2,716 1.5×
Interrog dev eval scrms phys/qhp in person (93291) $487 $487 14.3×
Interrog device eval heart (93289) $487 $487 11.0×
Intralesional Chemo Admin,8+ Lesn (96406) $660 $660 2.6×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $967 $967 3.7×
Iontophoresis 15 min (97033) $228 $228 12.0×
Irrig drug delivery device (96523) $210 $210 3.0×
IV infusion hydration each additional hour (96361) $132 $132 2.4×
IV infusion hydration initial 31 min-1 hour (96360) $484 $484 1.9×
IV infusion ther proph addl sequential to 1 hr (96367) $191 $191 2.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $638 $638 2.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $202 $202 3.7×
IV push ea addl new drug (96375) $170 $170 3.1×
IV push initial (96374) $287 $287 1.1×
Laryngeal Function Studies (92520) $719 $719 4.6×
Manual therapy 15 min (97140) $153.50 $153.50 5.5×
Massage 15 min (97124) $134 $134 4.5×
Mechanical traction (97012) $204 $204 14.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $63 $63 2.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $63 $63 1.7×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $102 $102 6.0×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $699 $699 7.6×
Multifocal electroretinography w/i&r (92274) $410 $410 2.7×
Multiple Sleep Latency Test (95805) $3,612 $3,612 3.6×
Nasopharyngoscopy (92511) $604 $604 2.6×
Neg press wound tx >50 cm (97608) $518 $518 1.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $518 $518 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $333 $333 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $518 $518 1.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $390 $390 2.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $920 $920 6.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $344 $344 7.5×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $246 $246 9.6×
Ot Contrast Bath Ea 15 Min (97034) $265 $265 18.9×
Ot eval high complex 60 min (97167) $729 $729 7.3×
Ot eval low complex 30 min (97165) $380 $380 3.8×
Ot eval mod complex 45 min (97166) $553 $553 5.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $228 $228 4.6×
Ot Prosthetic Training, Each 15 Min (97761) $228 $228 5.6×
Ot re-evaluation (97168) $737 $737 10.8×
Ot therapeutic activity 15 min (97530) $265 $265 7.6×
Paraffin bath pt (97018) $238 $238 39.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $776 $776 3.0×
Phlebotomy therapeutic (99195) $542 $542 3.4×
Photochemotherapy; psoralens and ultraviolet A (PUVA) Facility (96912) $319 $319 4.6×
Pm device eval in person (93288) $487 $487 11.0×
Pm device progr eval dual (93280) $430 $430 9.8×
Pm device progr eval multi (93281) $430 $430 9.8×
Pm device progr eval sngl (93279) $430 $430 9.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $7,670 $7,670 7.6×
Polysom <6 yrs 4/> paramtrs (95782) $3,837 $3,837 3.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,837 $3,837 3.8×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $430 $430 9.8×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $430 $430 9.8×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $430 $430 9.8×
Pt Aquatic Therapy/Exercises (97113) $228 $228 6.2×
Pt Electrical Stimulation (97032) $228 $228 15.5×
Pt eval high complex 45 min (97163) $729 $729 7.4×
Pt eval low complex 20 min (97161) $380 $380 3.9×
Pt eval mod complex 30 min (97162) $553 $553 5.7×
Pt gait training 15 min (97116) $228 $228 7.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $228 $228 7.0×
Pt Physical Performance Test (97750) $371 $371 11.0×
Pt re-evaluation (97164) $737 $737 10.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $265 $265 8.2×
Pt Whirlpool Therapy (97022) $379 $379 24.1×
Pulm function test by gas (94727) $524 $524 2.1×
Pulmonary Service/Procedure (94799) $200 $200 1.3×
Pulmonary stress test simple (94618) $2,585 $2,585 16.4×
Pure Tone Audiometry Air & Bone (92553) $390 $390 2.6×
Pure Tone Audiometry Air Only (92552) $264 $264 1.7×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $889 $889 2.3×
Refill/Maint Portable Pump (96521) $1,862 $1,862 7.4×
Refill/Maint Pump/Resvr Syst (96522) $903 $903 3.6×
Rem interrog icpms <30 d phys/qhp (93297) $487 $487 11.0×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $487 $487 11.0×
Repet tms tx initial w/map/motr threshld/del&m (90867) $341 $341 1.3×
Respiratory flow volume loop (94375) $955 $955 3.7×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $993 $993 2.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $319 $319 1.3×
Rt Chest Wall Manipulation,Subsequent (94668) $230 $230 1.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $332 $332 7.0×
Select Picture Audiometry (92583) $544 $544 7.8×
Sensory Integration Ea 15 Min (97533) $265 $265 4.4×
Short-latency somatosens ep std upr limbs (95925) $985 $985 3.9×
Sleep study unattended (95806) $1,290 $1,290 5.1×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $924 $924 3.6×
Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) $924 $924 13.3×
Speech Audiometry Complete (92556) $343 $343 4.9×
Speech audiometry threshold (92555) $243 $243 3.5×
Speech sound lang comprehen (92523) $609 $609 2.7×
Spirometry (94010) $513 $513 2.0×
Ssep lower limbs (95926) $985 $985 3.9×
Standardized Cognitive Performance Testing (96125) $676 $676 6.6×
Stenger Test, Pure Tone (92565) $188 $188 2.7×
Stress echo (93350) $4,121 $4,121 6.4×
Temp transcutaneous pacing (92953) $817 $817 1.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $214 $214 9.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $214 $214 10.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $435 $435 4.2×
Therap repetitive tms tx subseq delivery & mng (90868) $894 $894 3.5×
Therapeutic prophylactic/dx injection subq/im (96372) $126 $126 1.5×
Tilt table evaluation (93660) $3,622 $3,622 8.2×
Tinnitus assessment (92625) $573 $573 3.8×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $3,041 $3,041 10.8×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $2,031 $2,031 16.4×
Tte w/doppler, complete (93306) $4,121 $4,121 6.4×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,970 $1,970 7.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $265 $265 3.5×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $280 $280 11.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $265 $265 3.1×
Tympanometry (92567) $243 $243 5.5×
Tympanometry And Reflex Threshold Measurements (92550) $271 $271 1.1×
Upr/lxtr art stdy 3+ lvls (93923) $3,241 $3,241 12.7×
Vasc Duplex Scan Extracranial,Limited (93882) $741 $741 6.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,290 $1,290 5.1×
Vasopneumatic device (97016) $228 $228 19.0×
Veeg 2-12 hr unmonitored (95711) $1,569 $1,569 6.2×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $2,999 $2,999 6.8×
Veeg by tech 2-12 hr intermittent monitoring (95712) $1,759 $1,759 4.0×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $5,613 $5,613 5.5×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $3,383 $3,383 7.7×
Veeg Ea 12-26 Hr Unmntr (95714) $2,999 $2,999 6.8×
Vent mgmt inpat init day (94002) $1,054 $1,054 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $872 $872 1.2×
Visual Evoked Potential Test (95930) $577 $577 2.3×
Visual reinforcement audiometry (vra) (92579) $443 $443 1.7×
Vital capacity, total (94150) $257 $257 1.7×
Wheelchair Mgmt Ea 15 Min (97542) $265 $265 8.5×