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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $343 | $343 | 2.3× |
| Acoustic Reflex Testing (92568) | $243 | $243 | 5.5× |
| Acupunct W/Stimul 15 Min (97813) | $320 | $320 | 9.4× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $218 | $218 | 6.4× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $270 | $270 | 5.6× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $287 | $287 | 1.1× |
| Aep neurodiagnostic i&r (92653) | $337 | $337 | 1.3× |
| Aep threshold estimation mlt frequencies i&r (92652) | $337 | $337 | 1.3× |
| Airway Inhalation Treatment (94640) range across 10 matching MRF lines |
$91–$316 | $91–$316 | varies |
| 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) range across 2 matching MRF lines |
$13–$25 | $13–$25 | varies |
| Application on-body injector (96377) | $251 | $251 | 4.5× |
| Assessment of aphasia per hr (96105) | $924 | $924 | 9.5× |
| Assessment of tinnitus (92625) | $573 | $573 | 3.8× |
| Audiometry Air & Bone (92553) | $390 | $390 | 2.6× |
| Behavral qualit analys voice (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 monothermal (92538) | $768 | $768 | 3.0× |
| Caloric Vstblr Test W/Rec (92537) | $768 | $768 | 5.1× |
| Canalith repositioning proc (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) range across 3 matching MRF lines |
$267–$2,336 | $267–$2,336 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$1,820–$3,010 | $1,820–$3,010 | varies |
| Cbt 1st hour (94644) | $214 | $214 | 1.4× |
| Chemo Admin Peritoneal Cavity (96446) | $1,237 | $1,237 | 3.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $516 | $516 | 6.1× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 4 matching MRF lines |
$112–$317 | $112–$317 | varies |
| Chemo Ia Push (96420) | $2,161 | $2,161 | 5.5× |
| Chemo Intralesional Over 7 (96406) | $660 | $660 | 2.6× |
| Chemo intralesional up to 7 (96405) | $381 | $381 | 4.5× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$194–$521 | $194–$521 | varies |
| Chemo IV push addl drug (96411) | $662 | $662 | 7.8× |
| Chemother Prolong Infuse W/Pump (96416) | $4,460 | $4,460 | 11.4× |
| 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 nfs tq up 1 hr 1/1st sbst/drug (96413) range across 4 matching MRF lines |
$582–$1,424 | $582–$1,424 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 4 matching MRF lines |
$23–$1,111 | $23–$1,111 | varies |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$230–$422 | $230–$422 | varies |
| 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× |
| Continuous Pulse Ox (94762) | $920 | $920 | 6.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 5 matching MRF lines |
$839–$1,123 | $839–$1,123 | varies |
| Cpt initial (94667) range across 3 matching MRF lines |
$102–$188 | $102–$188 | varies |
| Critical care first hour (99291) | $3,558 | $3,558 | 3.6× |
| Debridement Open Wound 20 Sq Cm< (97597) | $319 | $319 | 1.3× |
| 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 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 Hemodialysis Access (93990) | $1,206 | $1,206 | 9.8× |
| Duplex up extrem art bilat (93930) | $1,076 | $1,076 | 3.8× |
| Duplex up extrem art unilat/ltd (93931) | $652 | $652 | 5.3× |
| Echo Congenital Complete (93303) | $4,121 | $4,121 | 6.4× |
| Echo Heart Xthoracic,Limited (93308) | $1,481 | $1,481 | 5.3× |
| Echo transesophageal (93312) | $2,988 | $2,988 | 4.6× |
| Eeg 41-60 Minutes (95812) | $1,372 | $1,372 | 5.4× |
| 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 cont rec w/video by tech min 8 channels (95700) | $1,569 | $1,569 | 6.2× |
| Eeg Sleep Only (95822) | $920 | $920 | 3.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,569 | $1,569 | 6.2× |
| EEG w/o vid 2-12hr cont mntr (95707) | $1,954 | $1,954 | 7.7× |
| EEG w/o vid ea 12-26hr intmt (95709) | $2,538 | $2,538 | 5.8× |
| 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 wo vid ea 12-26hr unmntr (95708) | $2,247 | $2,247 | 5.1× |
| Electrical Stimulation Ea 15 Min (97032) | $228 | $228 | 15.5× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$388–$391 | $388–$391 | varies |
| Electrocochleography (92584) | $1,420 | $1,420 | 9.3× |
| Electroconvulsive Therapy (90870) | $1,009 | $1,009 | 1.0× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$661–$753 | $661–$753 | varies |
| Emergency Dept Visit Level 3 (99283) | $1,039 | $1,039 | 3.2× |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$1,317–$1,585 | $1,317–$1,585 | varies |
| Emg 3 Extremities (95863) | $560 | $560 | 3.7× |
| Er level 1 (99281) | $406 | $406 | 4.1× |
| 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× |
| Evaluate pt use of inhaler (94664) | $316 | $316 | 1.2× |
| Evaluate Speech Production (92522) | $609 | $609 | 5.4× |
| Evaluate Swallowing Function (92610) | $809 | $809 | 9.5× |
| Evaluation of speech fluency (92521) | $609 | $609 | 4.6× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$238–$765 | $238–$765 | varies |
| Exercise test for bronchospasm (94617) | $2,585 | $2,585 | 16.4× |
| External Ecg Scanning Analysis Report (93226) | $1,115 | $1,115 | 16.0× |
| Extracranial Bilat Study (93880) | $1,215 | $1,215 | 4.3× |
| Extracranial Uni/Ltd Study (93882) | $741 | $741 | 6.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $4,121 | $4,121 | 6.4× |
| 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) range across 2 matching MRF lines |
$144–$159 | $144–$159 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $2,550 | $2,550 | 3.1× |
| Holter monitor recording (93225) | $533 | $533 | 3.4× |
| Icd Device Interrogate (93289) | $487 | $487 | 11.0× |
| Icd device progr eval dual (93283) | $430 | $430 | 9.8× |
| Icd Device Progr Eval Mult (93284) | $430 | $430 | 9.8× |
| Ilr Device Interrogate (93291) | $487 | $487 | 14.3× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $94 | $94 | 1.1× |
| Immunization administration (90471) range across 9 matching MRF lines |
$76.71–$169 | $76.71–$169 | varies |
| Insert/Place Heart Catheter (93503) | $2,716 | $2,716 | 1.5× |
| Intracranial Complete Study (93886) | $3,041 | $3,041 | 10.8× |
| Iontophoresis 15 min (97033) | $228 | $228 | 12.0× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$117–$303 | $117–$303 | varies |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$58–$213 | $58–$213 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$287–$978 | $287–$978 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 7 matching MRF lines |
$44–$270 | $44–$270 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$87–$523 | $87–$523 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$176–$356 | $176–$356 | varies |
| Laryngeal Function Studies (92520) | $719 | $719 | 4.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,290 | $1,290 | 5.1× |
| 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 Fluoroscopy/Swallow (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× |
| Muscle Test 2 Limbs (95861) | $440 | $440 | 2.8× |
| Muscle Test One Limb (95860) | $339 | $339 | 2.2× |
| Nasopharyngoscopy (92511) | $604 | $604 | 2.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $518 | $518 | 1.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $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× |
| Neuromuscular Reeducation (97112) | $228 | $228 | 7.0× |
| Oral Function Therapy (92526) | $265 | $265 | 3.1× |
| Oral Speech Device Eval (92597) | $652 | $652 | 9.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $228 | $228 | 4.6× |
| 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 complexity (97167) | $729 | $729 | 7.3× |
| Ot Eval Low Complex (97165) | $380 | $380 | 3.8× |
| Ot Eval Moderate Complexity (97166) | $553 | $553 | 5.5× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$36–$271 | $36–$271 | varies |
| Ot paraffin bath (97018) | $238 | $238 | 39.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $228 | $228 | 5.6× |
| Ot Re-Eval Est Plan Care (97168) | $737 | $737 | 10.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $776 | $776 | 3.0× |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$268–$544 | $268–$544 | varies |
| Photochemotx Psoralens&Ultraviolet Puva (96912) | $319 | $319 | 4.6× |
| Physical Performance Test (97750) | $371 | $371 | 11.0× |
| 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× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $430 | $430 | 9.8× |
| Pt Eval High Complex (97163) | $729 | $729 | 7.4× |
| Pt eval low complex 20 min (97161) | $380 | $380 | 3.9× |
| Pt Eval Mod Complex (97162) | $553 | $553 | 5.7× |
| Pt gait training 15 min (97116) | $228 | $228 | 7.8× |
| Pt mechanical traction (97012) | $204 | $204 | 14.2× |
| Pt Re-Eval Est Plan Care (97164) | $737 | $737 | 10.9× |
| Pulm function test by gas (94727) | $524 | $524 | 2.1× |
| Pulmonary service/procedure (94799) range across 18 matching MRF lines |
$28–$3,351 | $28–$3,351 | varies |
| Pulmonary Stress Testing (94618) | $2,585 | $2,585 | 16.4× |
| Pure Tone Audiometry Air (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× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $319 | $319 | 1.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $527 | $527 | 4.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $332 | $332 | 7.0× |
| Select picture audiometry (92583) | $544 | $544 | 7.8× |
| Self Care Mngment Training (97535) | $265 | $265 | 8.2× |
| 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/Anal (95801) | $924 | $924 | 13.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $924 | $924 | 3.6× |
| 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× |
| Spin/Brain Pump Refil & Main (95991) | $993 | $993 | 2.7× |
| Spirometry (94010) range across 2 matching MRF lines |
$386–$640 | $386–$640 | varies |
| 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 Tte Only (93350) | $4,121 | $4,121 | 6.4× |
| Surfactant Admin Thru Tube (94610) | $967 | $967 | 3.7× |
| Temp transcutaneous pacing (92953) | $817 | $817 | 1.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $214 | $214 | 9.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $214 | $214 | 10.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $228 | $228 | 6.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$40–$228 | $40–$228 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $435 | $435 | 4.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$94–$239 | $94–$239 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 7 matching MRF lines |
$287–$1,369 | $287–$1,369 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $894 | $894 | 3.5× |
| Therapeutic Activities (97530) | $265 | $265 | 7.6× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $3,622 | $3,622 | 8.2× |
| 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 (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/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$86–$344 | $86–$344 | varies |
| Tympanometry (92567) | $243 | $243 | 5.5× |
| Tympanometry and reflex threshold measurements (92550) | $271 | $271 | 1.1× |
| Upr/L Xtremity Art 2 Levels (93922) | $390 | $390 | 2.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $3,241 | $3,241 | 12.7× |
| Vasopneumatic device (97016) | $228 | $228 | 19.0× |
| Veeg 2-12 Hr Cont Mntr (95713) | $2,999 | $2,999 | 6.8× |
| Veeg 2-12 hr intmt mntr (95712) | $1,759 | $1,759 | 4.0× |
| Veeg 2-12 hr unmonitored (95711) | $1,569 | $1,569 | 6.2× |
| 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× |
| Veeg ea 12-26hr cont mntr (95716) | $5,613 | $5,613 | 5.5× |
| Vent Mgmt Inpat Init Day (94002) range across 6 matching MRF lines |
$1,054–$1,410 | $1,054–$1,410 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 6 matching MRF lines |
$872–$1,168 | $872–$1,168 | varies |
| 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× |
| Whirlpool Therapy (97022) | $379 | $379 | 24.1× |
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.