Visits & medical services prices at St. Anthony Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $747 $747 52.0×
Application on-body injector (96377) $787 $787 13.5×
Assessment of aphasia per hr (96105) $1,059 $1,059 10.9×
Behavral qualit analys voice (92524) $699 $699 6.4×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $304 $304 3.7×
Bfb training ea addl 15 min (90913) $122 $122 3.7×
Biofeedback training any modality (90901) $154 $154 3.7×
Canalith repositioning proc (95992)
range across 3 matching MRF lines		 $182–$423 $182–$423 varies
Cardiac Stress Tst,Tracing Only (93017) $3,950 $3,950 14.7×
Cardiopulmonary resuscitation (92950) $10,390 $10,390 38.5×
Cardioversion (92960) $6,489 $6,489 7.9×
Chemo Anti-Neopl Sq/Im (96401) $861 $861 9.6×
Chemo Hormon Antineopl Sq/Im (96402) $879 $879 9.8×
Chemo IV infusion addl hr (96415) $824 $824 9.2×
Chemo IV push addl drug (96411) $694 $694 7.7×
Chemother Prolong Infuse W/Pump (96416) $1,655 $1,655 4.0×
Chemotherapy Unspecified (96549) $444 $444 7.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $1,682 $1,682 18.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,718 $1,718 4.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $789 $789 1.9×
Color/duplex Doppler, complete (93975) $6,903 $6,903 23.2×
Color/duplex Doppler, limited (93976) $4,370 $4,370 33.5×
Community/Work Reintegration Trainj Ea 15 Min (97537) $246 $246 7.7×
Cont gluc mntr physician/qhp provided equiptment (95250) $810 $810 4.9×
Cont Gluc Mntr Pt Prov Eqp (95249) $2,346 $2,346 31.9×
Critical care first hour (99291) $12,375 $12,375 12.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $4,034 $4,034 13.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $2,359 $2,359 18.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $4,110 $4,110 13.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $3,064 $3,064 23.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $4,416 $4,416 14.8×
Dup-scan xtr veins unilateral/limited study (93971) $3,856 $3,856 29.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $842 $842 2.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $406 $406 3.1×
Duplex Scan Hemodialysis Access (93990) $1,264 $1,264 9.7×
Duplex up extrem art bilat (93930) $2,453 $2,453 8.2×
Duplex up extrem art unilat/ltd (93931) $2,185 $2,185 16.7×
Echo Congenital Complete (93303) $5,198 $5,198 7.6×
Echo Heart Xthoracic,Limited (93308) $2,488 $2,488 8.4×
Echo transesophageal (93312) $6,507 $6,507 9.5×
Echo Transesophageal - Congenital Tee Complete (93315) $1,906 $1,906 2.8×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $7,553 $7,553 11.1×
EEG awake drowsy (95816) $5,046 $5,046 18.7×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $979 $979 3.6×
EEG wo vid ea 12-26hr unmntr (95708) $10,264 $10,264 22.0×
Electrical Stimulation Ea 15 Min (97032) $595 $595 40.5×
Electrocardiogram Tracing (93005) $774 $774 10.5×
Emergency Dept Visit Level 2 (99282) $4,173 $4,173 21.8×
Emergency Dept Visit Level 3 (99283) $5,842 $5,842 17.1×
Emergency Dept Visit Level 4 (99284) $7,011 $7,011 13.5×
Er level 1 (99281) $3,338 $3,338 31.7×
Er level v (99285) $10,709 $10,709 14.4×
Evaluate Speech Production (92522) $699 $699 6.2×
Evaluate Swallowing Function (92610) $1,191 $1,191 14.0×
Evaluation of speech fluency (92521) $864 $864 6.5×
External Ecg Scanning Analysis Report (93226) $1,291 $1,291 17.5×
Extracranial Bilat Study (93880) $5,303 $5,303 17.8×
Extracranial Uni/Ltd Study (93882) $2,992 $2,992 22.9×
F-up/limited tthrc echo congenital car anomaly (93304) $3,676 $3,676 5.4×
Flexible endoscopic eval swallow c/v rec (92612) $583 $583 2.9×
Gi tract capsule endoscopy (91110) $7,273 $7,273 6.4×
Group Therapeutic Procedures (97150) $155 $155 8.6×
Health Behavior Assessment/Re-Assessment (96156) $328 $328 2.6×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $3,274 $3,274 3.8×
Icd Device Interrogate (93289) $965 $965 20.7×
Ilr Device Interrogate (93291) $243 $243 6.7×
Immunization administration (90471) $175 $175 1.9×
Interrogate Subq Defib (93261) $218 $218 4.7×
Interrogation eval in person wr defibrillator (93292) $933 $933 20.0×
Iontophoresis 15 min (97033) $249 $249 13.1×
Irrig Drug Delivery Device (96523) $251 $251 3.4×
IV infusion hydration each additional hour (96361) $493 $493 8.4×
IV infusion hydration initial 31 min-1 hour (96360) $2,063 $2,063 7.8×
IV infusion ther proph addl sequential to 1 hr (96367) $766 $766 8.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $488 $488 8.3×
IV push initial (96374) $1,173 $1,173 4.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $156 $156 4.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $178 $178 4.8×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $85 $85 5.0×
Motion Fluoroscopy/Swallow (92611) $1,286 $1,286 14.1×
Nasopharyngoscopy (92511) $777 $777 3.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $2,301 $2,301 4.5×
Neuromuscular Reeducation (97112) $422 $422 12.9×
Oral Function Therapy (92526) $949 $949 11.3×
Oral Speech Device Eval (92597) $996 $996 14.0×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 5 matching MRF lines		 $202–$223 $202–$223 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $361 $361 7.8×
Ot eval high complexity (97167) $1,348 $1,348 13.4×
Ot Eval Low Complex (97165) $1,348 $1,348 13.4×
Ot Eval Moderate Complexity (97166) $1,348 $1,348 13.4×
Ot manual therapy 15 min (97140) $532 $532 19.2×
Ot paraffin bath (97018) $278 $278 46.3×
Ot Prosthetic Training, Each 15 Min (97761) $260 $260 6.4×
Ot Re-Eval Est Plan Care (97168) $785 $785 11.5×
Phlebotomy therapeutic (99195) $930 $930 5.6×
Physical Performance Test (97750) $399 $399 11.8×
Pm device eval in person (93288) $854 $854 18.3×
Pm/Icd Remote Tech Serv (93296) $999 $999 21.4×
Psych diag eval w/med srvcs (90792) $741 $741 3.3×
Psychiatric diagnostic evaluation (90791) $952 $952 4.3×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $461 $461 12.2×
Pt Eval High Complex (97163) $1,164 $1,164 11.9×
Pt eval low complex 20 min (97161) $1,164 $1,164 11.9×
Pt Eval Mod Complex (97162) $1,164 $1,164 11.9×
Pt gait training 15 min (97116) $538 $538 18.5×
Pt mechanical traction (97012) $523 $523 36.4×
Pt Re-Eval Est Plan Care (97164) $1,158 $1,158 17.2×
Rem interrog icpms <30 d phys/qhp (93297) $59 $59 1.3×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $59 $59 1.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $1,446 $1,446 11.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $423 $423 8.9×
Self Care Mngment Training (97535) $333 $333 10.3×
Sensory Integration Ea 15 Min (97533) $261 $261 4.3×
Speech sound lang comprehen (92523) $1,455 $1,455 6.4×
Standardized Cognitive Performance Testing (96125) $922 $922 9.0×
Subcutaneous Infusion Each Additional Hour (96370) $378 $378 6.5×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $1,533 $1,533 5.8×
Subq Infusion Additional Pump Infusion Site (96371) $312 $312 3.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $321 $321 14.3×
Ther Ivntj Ea Addl 15 Min (97130) $232 $232 11.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $330 $330 11.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $935 $935 9.1×
Ther/Proph/Diag Inj Ia (96373) $1,066 $1,066 4.0×
Ther/Proph/Diag Inj Sc/Im (96372) $769 $769 8.6×
Ther/Proph/Diag Iv Inf Init (96365) $2,044 $2,044 7.7×
Therapeutic Activities (97530) $493 $493 14.1×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $5,134 $5,134 11.0×
Tte w/doppler, complete (93306) $8,296 $8,296 12.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $1,060 $1,060 13.9×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $221 $221 9.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $787 $787 13.5×
Unlisted Psychiatric Service/Procedure (90899) $114 $114 2.4×
Upr/L Xtremity Art 2 Levels (93922) $2,546 $2,546 15.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $2,781 $2,781 10.3×
Vasopneumatic device (97016) $281 $281 23.4×
Veeg 2-12 Hr Cont Mntr (95713) $1,876 $1,876 4.0×
Veeg 2-12 hr intmt mntr (95712) $979 $979 2.1×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,876 $1,876 4.0×
Veeg ea 12-26hr cont mntr (95716) $3,565 $3,565 3.3×
Wheelchair Mgmt Ea 15 Min (97542) $229 $229 7.4×
Whirlpool Therapy (97022) $592 $592 37.7×

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.