Visits & medical services prices at Soldiers & Sailors Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $56.34 $140.85 1.1×
Advncd Care Plan 30 Min (99497) $86.32 $215.79 0.7×
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$230.37–$334.03 $575.91–$835.07 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $17.22 $43.05 1.2×
Assessment of aphasia per hr (96105) $117.04 $292.59 1.2×
Behavral qualit analys voice (92524) $131.33 $328.32 1.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $442.20 $1,105.49 0.9×
Canalith repositioning proc (95992) $51.83 $129.57 1.3×
Cardiac Stress Tst,Tracing Only (93017) $442.20 $1,105.50 1.6×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$318.71–$442.20 $796.77–$1,105.49 varies
Cardioversion (92960)
range across 2 matching MRF lines
$688.48–$929.24 $1,721.19–$2,323.10 varies
Chemo IV infusion addl hr (96415) $101.07 $252.66 1.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $471.02 $1,177.53 1.1×
Chest Wall Manipulation (94668) $183.05 $457.61 1.1×
Color/duplex Doppler, complete (93975) $316.83 $792.06 1.1×
Continuous Pulse Ox (94762) $165.51 $413.76 1.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 5 matching MRF lines
$230.37–$288.82 $575.91–$722.05 varies
Cpt initial (94667) $138.20 $345.48 0.8×
Critical care first hour (99291) $1,196.54 $2,991.33 1.2×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$220.08–$282.16 $550.20–$705.40 varies
Dialysis One Evaluation (90945) $506.40 $1,266 1.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $274.62 $686.53 0.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $133.43 $333.57 1.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$274.62–$343.26 $686.53–$858.13 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$133.43–$151.01 $333.57–$377.52 varies
Duplex up extrem art bilat (93930) $274.62 $686.53 0.9×
Duplex up extrem art unilat/ltd (93931) $133.43 $333.57 1.0×
Echo Congenital Complete (93303) $591.66 $1,479.13 0.9×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$274.62–$343.26 $686.53–$858.13 varies
Echo transesophageal (93312) $778.61 $1,946.51 1.1×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $778.61 $1,946.51 1.1×
Eeg 41-60 Minutes (95812)
range across 2 matching MRF lines
$54.70–$318.71 $136.75–$796.77 varies
EEG awake and asleep (95819) $318.71 $796.77 1.2×
EEG awake drowsy (95816)
range across 2 matching MRF lines
$54.70–$318.71 $136.75–$796.77 varies
EEG cont rec w/video by tech min 8 channels (95700) $165.51 $413.76 0.6×
EEG extended monitoring 61-119 minutes (95813)
range across 3 matching MRF lines
$82.80–$318.71 $207–$796.77 varies
Eeg W/O Vid 2-12 Hr Unmntr (95705) $165.51 $413.76 0.6×
EEG w/o vid 2-12hr cont mntr (95707) $318.71 $796.77 1.2×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $318.71 $796.77 1.2×
Electrical Stimulation Ea 15 Min (97032) $17.72 $44.28 1.2×
Electrocardiogram Tracing (93005) $68.22 $170.55 0.9×
Emergency Dept Visit Level 2 (99282) $224.88 $562.19 1.2×
Emergency Dept Visit Level 3 (99283) $347.32 $868.30 1.0×
Emergency Dept Visit Level 4 (99284) $801.21 $2,003.01 1.5×
Er level 1 (99281) $125.04 $312.58 1.2×
Er level v (99285) $1,153.58 $2,883.93 1.6×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$230.37–$288.82 $575.91–$722.05 varies
Evaluate Speech Production (92522) $133.31 $333.27 1.2×
Evaluate Swallowing Function (92610) $103.83 $259.56 1.2×
Evaluation of speech fluency (92521) $152.84 $382.08 1.1×
Exhaled Air Analysis O2 (94680) $165.51 $413.76 1.0×
External ECG rec>48hr<7d recording (93242) $55.74 $139.34 1.2×
External ECG rec>48hr<7d scanning alys w/report (93243) $183.05 $457.61 1.1×
External ECG rec>7d<15d recording (93246) $55.74 $139.34 1.2×
External ECG rec>7d<15d scanning alys w/report (93247) $183.05 $457.61 1.1×
External Ecg Scanning Analysis Report (93226) $84.35 $210.87 1.1×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$274.62–$343.26 $686.53–$858.13 varies
Extracranial Uni/Ltd Study (93882) $133.43 $333.57 1.0×
F-up/limited tthrc echo congenital car anomaly (93304) $591.66 $1,479.13 0.9×
Group Therapeutic Procedures (97150) $21.93 $54.81 1.2×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $798.98 $1,997.43 0.9×
Holter monitor recording (93225) $183.05 $457.61 1.1×
Ilr Device Eval Progr (93285) $39.83 $99.57 0.9×
Immunization administration (90471)
range across 2 matching MRF lines
$76.78–$101.07 $191.94–$252.66 varies
Iontophoresis 15 min (97033) $24.75 $61.86 1.3×
Irrig Drug Delivery Device (96523) $84.35 $210.87 1.1×
IV infusion hydration each additional hour (96361)
range across 4 matching MRF lines
$49.05–$98.28 $122.61–$245.70 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$250.72–$448.79 $626.79–$1,121.96 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 4 matching MRF lines
$76.78–$101.07 $191.94–$252.66 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$49.05–$65.52 $122.61–$163.80 varies
IV push initial (96374)
range across 4 matching MRF lines
$250.72–$376.08 $626.79–$940.19 varies
Lwr Xtr Vasc Stdy Bilat (93924) $318.71 $796.77 1.2×
Motion Fluoroscopy/Swallow (92611) $109.73 $274.32 1.2×
Multiple Family Group Psychotherapy (90849) $165.81 $414.51 0.7×
Multiple Sleep Latency Test (95805) $568.50 $1,421.23 0.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$220.08–$282.16 $550.20–$705.40 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $424.56 $1,061.40 0.8×
Neuromuscular Reeducation (97112) $42.04 $105.09 1.3×
Nitric oxide expired gas determination (95012) $39.86 $99.63 0.9×
Nonphysician Telephone Assessment 11-20 Min (98967) $28.53 $71.31 1.1×
Nonphysician Telephone Assessment 21-30 Min (98968) $40.34 $100.83 1.2×
Nonphysician Telephone Assessment 5-10 Min (98966) $15.46 $38.64 1.1×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $318.71 $796.77 0.7×
Oral Function Therapy (92526) $104.45 $261.12 1.2×
Orthc/Prostc Mgmt Sbsq Enc (97763) $64.19 $160.47 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$53.21–$57.88 $133.02–$144.69 varies
Ot eval high complexity (97167) $120.47 $301.17 1.2×
Ot Eval Low Complex (97165) $120.47 $301.17 1.2×
Ot Eval Moderate Complexity (97166) $120.47 $301.17 1.2×
Ot manual therapy 15 min (97140)
range across 6 matching MRF lines
$31.71–$33.64 $79.26–$84.09 varies
Ot paraffin bath (97018) $7.02 $17.55 1.2×
Ot Re-Eval Est Plan Care (97168) $82.76 $206.88 1.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $170.86 $427.14 1.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $170.86 $427.14 1.1×
Oxygen Uptake Rest Indirect (94690) $68.22 $170.55 0.9×
Physical Performance Test (97750) $39.94 $99.84 1.2×
Pm device eval in person (93288) $39.83 $99.57 0.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,444.73 $3,611.82 1.3×
Polysom <6 yrs 4/> paramtrs (95782) $1,098.78 $2,746.94 1.0×
Psychiatric diagnostic evaluation (90791)
range across 8 matching MRF lines
$165.81–$228.16 $414.51–$570.39 varies
Psytx Crisis Initial 60 Min (90839) $228.16 $570.39 1.0×
Pt Eval High Complex (97163) $119.68 $299.19 1.2×
Pt eval low complex 20 min (97161)
range across 4 matching MRF lines
$114.33–$119.68 $285.81–$299.19 varies
Pt Eval Mod Complex (97162) $119.68 $299.19 1.2×
Pt gait training 15 min (97116) $36.57 $91.41 1.3×
Pt mechanical traction (97012) $17.04 $42.60 1.2×
Pt Re-Eval Est Plan Care (97164) $82.36 $205.89 1.2×
Pulm function test by gas (94727) $222.18 $555.45 0.8×
Pulmonary Stress Testing (94618) $183.05 $457.61 1.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $147.94 $369.84 1.2×
Self Care Mngment Training (97535) $39.15 $97.86 1.2×
Sensory Integration Ea 15 Min (97533) $76.48 $191.19 1.3×
Speech sound lang comprehen (92523) $271.48 $678.69 1.2×
Spirometry (94010) $222.18 $555.45 0.8×
Standardized Cognitive Performance Testing (96125) $123.77 $309.42 1.2×
Stress Tte Only (93350) $591.66 $1,479.13 0.9×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $250.72 $626.79 0.9×
Temp transcutaneous pacing (92953) $688.48 $1,721.19 0.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $28.84 $72.09 1.3×
Ther Ivntj Ea Addl 15 Min (97130) $27.56 $68.88 1.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $35.48 $88.68 1.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $123.96 $309.90 1.2×
Ther/Proph/Diag Inj Ia (96373) $250.72 $626.79 0.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$76.78–$101.07 $191.94–$252.66 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$250.72–$448.79 $626.79–$1,121.96 varies
Therapeutic Activities (97530) $46.86 $117.15 1.3×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $568.50 $1,421.23 1.2×
Tobacco Use Cessation Intensive >10 Minutes (99407) $33.78 $84.45 0.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 4 matching MRF lines
$12.24–$33.78 $30.60–$84.45 varies
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$630.76–$883.06 $1,576.89–$2,207.65 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $94.88 $237.18 1.2×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$49.05–$98.28 $122.61–$245.70 varies
Upr/L Xtremity Art 2 Levels (93922) $138.20 $345.48 0.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$165.51–$222.18 $413.76–$555.45 varies
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$633.56–$938.79 $1,583.88–$2,346.96 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines
$633.56–$938.79 $1,583.88–$2,346.96 varies
Wheelchair Mgmt Ea 15 Min (97542) $38.01 $95.01 1.2×

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.