Visits & medical services prices at Sisters of Charity Hospital

Buffalo, NY · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $12,447 $12,447 1.3×
Advncd Care Plan 30 Min (99497) $153 $153 1.2×
Airway Inhalation Treatment (94640) $385 $385 1.4×
Analyze neurostim no prog (95970) $231 $231 1.4×
Analyze Neurostim Simple (95971) $206 $206 1.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $50 $50 3.5×
Application on-body injector (96377) $82 $82 1.4×
Assessment of aphasia per hr (96105) $204 $204 2.1×
Behavral qualit analys voice (92524) $156 $156 1.4×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $91 $91 1.1×
Bfb training ea addl 15 min (90913) $43 $43 1.3×
Biofeedback training any modality (90901) $170 $170 4.1×
Brief Emotional/Behav Assmt (96127) $69 $69 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $542 $542 1.2×
Canalith repositioning proc (95992) $73 $73 1.8×
Car seat/bed test 60 min (94780) $69 $69 1.5×
Cardiac Stress Tst,Tracing Only (93017) $542 $542 2.0×
Cardiopulmonary resuscitation (92950) $643 $643 2.4×
Cardioversion (92960)
range across 4 matching MRF lines		 $746.44–$1,150 $1,150 varies
Caregiver hlth risk assmt score doc stnd instrm (96161) $54 $54 1.2×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $5,938 $5,938 1.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $1,592.24 $5,938 0.4×
Cbt 1st hour (94644) $231 $231 1.4×
Chemo Anti-Neopl Sq/Im (96401) $127 $127 1.4×
Chemo Hormon Antineopl Sq/Im (96402) $127 $127 1.4×
Chemo IV infusion addl hr (96415) $127 $127 1.4×
Chemo IV push addl drug (96411) $127 $127 1.4×
Chemother Prolong Infuse W/Pump (96416) $653 $653 1.6×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $538 $538 1.3×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $82 $82 1.4×
Chemotherapy Into Cns (96450) $538 $538 1.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $127 $127 1.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $218.74 $653 0.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $538 $538 1.3×
Chest Wall Manipulation (94668) $231 $231 1.4×
Color/duplex Doppler, complete (93975) $810 $810 2.7×
Color/duplex Doppler, limited (93976) $34.80 $530 0.3×
Community/Work Reintegration Trainj Ea 15 Min (97537) $88 $88 2.7×
Cont gluc mntr physician/qhp provided equiptment (95250) $309 $309 1.9×
Cont Gluc Mntr Pt Prov Eqp (95249) $114 $114 1.5×
Continuous Pulse Ox (94762) $286 $286 1.8×
Coronary Artery Angio S&I (93454) $5,938 $5,938 1.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $385 $385 1.4×
Cpt initial (94667) $231 $231 1.4×
Critical care first hour (99291) $2,700 $2,700 2.6×
Debridement Open Wound 20 Sq Cm< (97597) $355 $355 1.4×
Dialysis One Evaluation (90945) $745 $745 1.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $617 $617 2.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $540 $540 4.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $547 $547 1.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $529 $529 4.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 9 matching MRF lines		 $64.80–$591 $591 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 9 matching MRF lines		 $55.80–$404 $404 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $523 $523 1.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $259 $259 2.0×
Duplex Scan Hemodialysis Access (93990) $341 $341 2.6×
Duplex up extrem art bilat (93930) $544 $544 1.8×
Duplex up extrem art unilat/ltd (93931) $517 $517 4.0×
ECG/monitoring and analysis (93271) $305 $305 2.6×
Echo Congenital Complete (93303) $1,067 $1,067 1.6×
Echo Heart Xthoracic,Limited (93308) $500 $500 1.7×
Echo r-t 2d w/probe placement only (93313) $989 $989 1.4×
Echo transesophageal (93312) $1,149 $1,149 1.7×
Echo Transesophageal - Congenital Tee Complete (93315) $1,184 $1,184 1.7×
Eeg 41-60 Minutes (95812) $626 $626 2.3×
EEG awake and asleep (95819) $626 $626 2.3×
EEG awake drowsy (95816) $626 $626 2.3×
EEG cerebral death evaluation (95824) $1,036 $1,036 2.2×
EEG cont rec w/video by tech min 8 channels (95700) $542 $542 2.0×
EEG extended monitoring 61-119 minutes (95813) $763 $763 2.8×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $542 $542 2.0×
EEG w/o vid 2-12hr cont mntr (95707) $542 $542 2.0×
EEG w/o vid ea 12-26hr intmt (95709) $1,000 $1,000 2.1×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,000 $1,000 2.1×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $542 $542 2.0×
EEG wo vid ea 12-26hr unmntr (95708) $1,000 $1,000 2.1×
EKG signal averaged (93278) $198 $198 2.7×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $206 $206 1.7×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $76 $76 1.6×
Electrical Stimulation Ea 15 Min (97032) $62 $62 4.2×
Electrocardiogram Tracing (93005) $114 $114 1.5×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $12,447 $12,447 1.3×
Electrophysiology Evaluation (93642) $2,281 $2,281 1.5×
Emergency Dept Visit Level 2 (99282) $600 $600 3.1×
Emergency Dept Visit Level 3 (99283) $951 $951 2.8×
Emergency Dept Visit Level 4 (99284) $1,482 $1,482 2.8×
Ep & ablate supravent arrhyt (93653) $43,940 $43,940 1.3×
Ep & ablate ventric tachy (93654) $43,940 $43,940 1.3×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $12,447 $12,447 1.3×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $12,447 $12,447 1.3×
Er level 1 (99281) $400 $400 3.8×
Er level v (99285) $1,900 $1,900 2.6×
Evaluate pt use of inhaler (94664) $385 $385 1.4×
Evaluate Speech Production (92522) $151 $151 1.3×
Evaluate Swallowing Function (92610) $149 $149 1.8×
Evaluation of speech fluency (92521) $186 $186 1.4×
External ECG rec>48hr<7d recording (93242) $46 $46 1.0×
External ECG rec>7d<15d recording (93246) $46 $46 1.0×
Extracranial Bilat Study (93880)
range across 6 matching MRF lines		 $64.80–$525 $525 varies
Extracranial Uni/Ltd Study (93882) $529 $529 4.1×
F-up/limited tthrc echo congenital car anomaly (93304) $1,020 $1,020 1.5×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $484 $484 3.2×
Flexible endoscopic eval swallow c/v rec (92612) $571 $571 2.9×
Fundus photography (92250) $259 $259 1.6×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $611 $611 2.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,517 $1,517 1.4×
Gi tract capsule endoscopy (91110) $2,736 $2,736 2.4×
Group Therapeutic Procedures (97150) $65 $65 3.6×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $5,938 $5,938 1.5×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,341 $1,341 1.6×
Holter monitor recording (93225) $231 $231 1.4×
Hubbard tank 15 min (97036) $83 $83 2.4×
Icd Device Interrogate (93289) $133 $133 2.9×
Icd device progr eval dual (93283) $175 $175 3.8×
Icd Device Progr Eval Mult (93284) $196 $196 4.2×
Icm Device Eval (93290) $112 $112 2.4×
Ilr Device Eval Progr (93285) $120 $120 2.6×
Ilr Device Interrogate (93291) $82 $82 2.3×
Im Adm Intransl/Oral 1 Vaccine (90473) $127 $127 1.4×
Immunization administration (90471) $127 $127 1.4×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $1,000 $1,000 2.1×
Insert/Place Heart Catheter (93503) $2,879 $2,879 1.5×
Interrogation vad in person (93750) $206 $206 1.7×
Intra-atrial pacing (93610) $12,447 $12,447 1.3×
Intracranial Complete Study (93886) $648 $648 2.2×
Intraventricular pacing (93612) $12,447 $12,447 1.3×
Iontophoresis 15 min (97033) $53 $53 2.8×
Irrig Drug Delivery Device (96523) $114 $114 1.5×
IV infusion hydration each additional hour (96361) $82 $82 1.4×
IV infusion hydration initial 31 min-1 hour (96360) $538 $538 2.0×
IV infusion ther proph addl sequential to 1 hr (96367) $127 $127 1.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $82 $82 1.4×
IV push initial (96374) $538 $538 2.0×
L Hrt Art/Grft Angio (93459) $5,938 $5,938 1.5×
Low frequency non-thermal us (97610) $355 $355 1.4×
Mechanical chest wall oscillation per session (94669) $385 $385 1.4×
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) $27 $27 1.6×
Methacholine challenge (94070) $574 $574 1.2×
Motility study esophagus (91010) $1,082 $1,082 2.3×
Motion Fluoroscopy/Swallow (92611) $399 $399 4.4×
Multiple Sleep Latency Test (95805) $1,528 $1,528 1.4×
Nasopharyngoscopy (92511) $337 $337 1.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $452 $452 0.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $685 $685 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $355 $355 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $685 $685 1.3×
Nerve Conduction Studies 1-2 Studies (95907) $371 $371 1.4×
Nerve Conduction Studies 11-12 Studies (95912) $1,249 $1,249 2.7×
Nerve Conduction Studies 3-4 Studies (95908) $642 $642 2.4×
Nerve conduction studies 5-6 studies (95909) $667 $667 2.5×
Nerve conduction studies 7-8 studies (95910) $713 $713 1.5×
Nerve Conduction Studies 9-10 Studies (95911) $1,203 $1,203 2.6×
Neuromuscular Reeducation (97112) $101 $101 3.1×
Newborn resuscitation (99465) $1,150 $1,150 1.4×
Nonphysician Telephone Assessment 11-20 Min (98967) $44 $44 1.8×
Nonphysician Telephone Assessment 21-30 Min (98968) $64 $64 1.8×
Nonphysician Telephone Assessment 5-10 Min (98966) $22 $22 1.6×
Oral Function Therapy (92526) $118 $118 1.4×
Oral Speech Device Eval (92597) $247 $247 3.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $60 $60 1.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $80 $80 1.7×
Ot eval high complexity (97167) $105 $105 1.0×
Ot Eval Low Complex (97165) $105 $105 1.0×
Ot Eval Moderate Complexity (97166) $105 $105 1.0×
Ot manual therapy 15 min (97140) $90 $90 3.2×
Ot paraffin bath (97018) $50 $50 8.3×
Ot Prosthetic Training, Each 15 Min (97761) $73 $73 1.8×
Ot Re-Eval Est Plan Care (97168) $72 $72 1.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $238 $238 1.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $238 $238 1.5×
Perq Transcath Cls Aortic (93591) $18,316 $18,316 0.8×
Perq Transcath Cls Mitral (93590) $18,316 $18,316 0.8×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $10,149 $10,149 1.4×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $20,568 $20,568 1.4×
Phlebotomy therapeutic (99195) $231 $231 1.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $114 $114 1.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $114 $114 1.5×
Plethysmography (94726) $545 $545 1.2×
Pm device eval in person (93288) $106 $106 2.3×
Pm device progr eval dual (93280) $142 $142 3.0×
Pm device progr eval multi (93281) $149 $149 3.2×
Pm Device Progr Eval Sngl (93279) $131 $131 2.8×
Pm/Icd Remote Tech Serv (93296) $76 $76 1.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,202 $2,202 2.1×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $150 $150 3.2×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $148 $148 3.2×
Prq Card Angio/Athrect 1 Art (92924) $20,568 $20,568 1.4×
Prq Card Stent W/Angio 1 Vsl (92928) $20,568 $20,568 1.4×
Prq Card Stent/Ath/Angio (92933) $32,886 $32,886 1.4×
Prq Revasc Byp Graft 1 Vsl (92937) $20,568 $20,568 1.4×
Psych diag eval w/med srvcs (90792) $266 $266 1.2×
Psychiatric diagnostic evaluation (90791) $274 $274 1.2×
Pt Eval High Complex (97163) $105 $105 1.1×
Pt eval low complex 20 min (97161) $105 $105 1.1×
Pt Eval Mod Complex (97162) $105 $105 1.1×
Pt gait training 15 min (97116) $84 $84 2.9×
Pt mechanical traction (97012) $50 $50 3.5×
Pt Re-Eval Est Plan Care (97164) $72 $72 1.1×
Pt ultraviolet (97028) $50 $50 6.0×
Pulm function test by gas (94727) $298 $298 1.1×
Pulmonary service/procedure (94799) $286 $286 1.8×
Pulmonary Stress Testing (94618) $262 $262 1.6×
R Hrt Art/Grft Angio (93457) $5,938 $5,938 1.5×
R hrt coronary artery angio (93456) $5,938 $5,938 1.5×
Refill/Maint Portable Pump (96521) $419 $419 1.6×
Remote 30 Day Ecg Rev/Report (93270) $160 $160 3.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $114 $114 1.5×
Right Heart Cath (93451) $5,938 $5,938 1.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $355 $355 1.4×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $389 $389 3.2×
Self Care Mngment Training (97535) $109 $109 3.4×
Sensory Integration Ea 15 Min (97533) $88 $88 1.4×
Sleep study unattended (95806) $645 $645 2.4×
Speech sound lang comprehen (92523) $313 $313 1.4×
Spirometry (94010) $291 $291 1.1×
Standardized Cognitive Performance Testing (96125) $165 $165 1.6×
Stress Tte Only (93350) $1,081 $1,081 1.6×
Subcutaneous Infusion Each Additional Hour (96370) $82 $82 1.4×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $538 $538 2.0×
Surfactant Admin Thru Tube (94610) $385 $385 1.4×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $794 $794 6.1×
Temp transcutaneous pacing (92953) $1,150 $1,150 1.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $50 $50 2.2×
Ther Ivntj Ea Addl 15 Min (97130) $50 $50 2.4×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $106 $106 2.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $76 $76 2.6×
Ther/Proph/Diag Inj Sc/Im (96372) $127 $127 1.4×
Ther/Proph/Diag Iv Inf Init (96365) $538 $538 2.0×
Therapeutic Activities (97530) $120 $120 3.4×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,131 $1,131 2.4×
Tobacco Use Cessation Intensive >10 Minutes (99407) $82 $82 1.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $82 $82 1.8×
Trans Care Mgmt 14 Day Disch (99495) $296 $296 1.8×
Trans Care Mgmt 7 Day Disch (99496) $280 $280 1.7×
Transcath Closure of Asd (93580) $32,886 $32,886 1.4×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $533 $533 4.1×
Tte w/doppler, complete (93306) $1,081 $1,081 1.6×
Tte W/O Doppler Complete (93307) $818 $818 2.7×
Tx atrial fib pulm vein isol (93656) $43,940 $43,940 1.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $116 $116 1.5×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $58 $58 2.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $82 $82 1.4×
Tympanometry (92567) $69 $69 1.5×
Unlisted cardiovascular service/procedure (93799) $286 $286 1.8×
Upr/L Xtremity Art 2 Levels (93922) $243 $243 1.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 6 matching MRF lines		 $43.20–$377 $377 varies
Valvuloplasty aortic valve (92986) $10,149 $10,149 1.4×
Veeg 2-12 Hr Cont Mntr (95713) $1,000 $1,000 2.1×
Veeg 2-12 hr intmt mntr (95712) $542 $542 1.2×
Veeg 2-12 hr unmonitored (95711) $542 $542 2.0×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,000 $1,000 2.1×
Veeg Ea 12-26 Hr Unmntr (95714) $1,000 $1,000 2.1×
Veeg ea 12-26hr cont mntr (95716) $1,884 $1,884 1.8×
Vent Mgmt Inpat Init Day (94002) $998 $998 1.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $998 $998 1.3×
Vital capacity, total (94150) $286 $286 1.8×
Wheelchair Mgmt Ea 15 Min (97542) $91 $91 2.9×
Whirlpool Therapy (97022) $58 $58 3.7×

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.