Visits & medical services prices at St. James Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Advncd Care Plan 30 Min (99497) $176 — 1.4×
Airway Inhalation Treatment (94640) $194 — 0.7×
Analyze neurostim complex (95972) $62.31 $104.50 0.5×
Analyze Neurostim Simple (95971) $45.32 $76 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $66 — 4.6×
Basic vestibular evaluation (92540) $155.78 $261.25 0.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines		 $592–$699 — varies
Canalith repositioning proc (95992) $26 — 0.6×
Cardiac Stress Tst,Tracing Only (93017) $592 — 2.2×
Cardiopulmonary resuscitation (92950) $592 — 2.2×
Cardioversion (92960) $1,244 — 1.5×
Chemo IV infusion addl hr (96415) $136 — 1.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $630 — 1.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $630 — 1.5×
Chest Wall Manipulation (94668) $194 — 1.2×
Color/duplex Doppler, complete (93975) $460 — 1.5×
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines		 $32–$202 — varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $42 — 1.3×
Continuous Pulse Ox (94762) $298 — 1.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $194 — 0.7×
Cpt initial (94667) $194 — 1.2×
Critical care first hour (99291)
range across 2 matching MRF lines		 $363–$1,602 — varies
Debridement Open Wound 20 Sq Cm< (97597) $378 — 1.5×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $460 — 1.5×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $202 — 1.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $460 — 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $202 — 1.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $460 — 1.5×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines		 $18–$202 — varies
Duplex Scan Hemodialysis Access (93990) $202 — 1.5×
Duplex up extrem art bilat (93930) $460 — 1.5×
Duplex up extrem art unilat/ltd (93931) $202 — 1.5×
Echo Congenital Complete (93303) $1,042 — 1.5×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines		 $63–$460 — varies
Eeg 41-60 Minutes (95812) $592 — 2.2×
EEG awake and asleep (95819) $592 — 2.2×
EEG awake drowsy (95816) $592 — 2.2×
Eeg Sleep Only (95822) $592 — 2.2×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines		 $42–$64 — varies
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines		 $113–$149 — varies
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines		 $99–$301 — varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines		 $163–$526 — varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines		 $243–$810 — varies
Er level 1 (99281)
range across 2 matching MRF lines		 $61–$168 — varies
Er level v (99285)
range across 2 matching MRF lines		 $368–$1,166 — varies
Evaluate pt use of inhaler (94664) $194 — 0.7×
Evaluate Speech Production (92522)
range across 2 matching MRF lines		 $71–$124 — varies
Evaluate Swallowing Function (92610) $209 — 2.5×
External Ecg Scanning Analysis Report (93226) $113 — 1.5×
Extracranial Bilat Study (93880) $460 — 1.5×
Extracranial Uni/Ltd Study (93882) $202 — 1.5×
Fundus photography (92250) $53.22 $89.25 0.3×
Holter monitor recording (93225) $245 — 1.5×
Icd device progr eval dual (93283) $71 — 1.5×
Icd Device Progr Eval Mult (93284) $71 — 1.5×
Ilr Device Eval Progr (93285) $71 — 1.5×
Im Adm Intransl/Oral 1 Vaccine (90473) $14.97 $25.10 0.2×
Immunization administration (90471)
range across 2 matching MRF lines		 $13–$136 — varies
Ingestion challenge test initial 120 minutes (95076) $212.88 $357 0.5×
Interrogate Subq Defib (93261) $71 — 1.5×
Iontophoresis 15 min (97033) $54 — 2.8×
Irrig Drug Delivery Device (96523) $112 — 1.5×
IV infusion hydration each additional hour (96361) $88 — 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $400 — 1.5×
IV infusion ther proph addl sequential to 1 hr (96367) $136 — 1.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $88 — 1.5×
IV push initial (96374)
range across 2 matching MRF lines		 $200–$400 — varies
Motion Fluoroscopy/Swallow (92611) $209 — 2.3×
Nasopharyngoscopy (92511) $172.03 $288.50 0.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $378 — 1.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $760 — 1.5×
Neuromuscular Reeducation (97112) $58 — 1.8×
Oral Function Therapy (92526) $121 — 1.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $114 — 2.5×
Osteopathic manipulative tx 5-6 body regions (98927) $48 — 1.8×
Osteopathic manipulative tx 7-8 body regions (98928) $48 — 1.8×
Osteopathic manipulative tx 9-10 body regions (98929) $24 — 0.9×
Ot Contrast Bath Ea 15 Min (97034) $48 — 3.4×
Ot eval high complexity (97167) $61 — 0.6×
Ot Eval Low Complex (97165) $114 — 1.1×
Ot Eval Moderate Complexity (97166) $114 — 1.1×
Ot manual therapy 15 min (97140) $47 — 1.7×
Ot paraffin bath (97018) $48 — 8.0×
Ot Prosthetic Training, Each 15 Min (97761) $37 — 0.9×
Ot Re-Eval Est Plan Care (97168) $61 — 0.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $240 — 1.5×
Phlebotomy therapeutic (99195) $244 — 1.5×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $112 — 1.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $112 — 1.5×
Physical Performance Test (97750) $118 — 3.5×
Plethysmography (94726) $62.61 $105 0.1×
Pm device progr eval dual (93280) $71 — 1.5×
Pm device progr eval multi (93281) $66 — 1.4×
Pm Device Progr Eval Sngl (93279) $71 — 1.5×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $71 — 1.5×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $71 — 1.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $88 — 1.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $88 — 1.5×
Pt Eval High Complex (97163) $68 — 0.7×
Pt eval low complex 20 min (97161) $118 — 1.2×
Pt Eval Mod Complex (97162) $118 — 1.2×
Pt gait training 15 min (97116) $44 — 1.5×
Pt mechanical traction (97012) $49 — 3.4×
Pt Re-Eval Est Plan Care (97164) $18 — 0.3×
Pulm function test by gas (94727)
range across 2 matching MRF lines		 $298–$333 — varies
Pulmonary service/procedure (94799) $194 — 1.2×
Remote 30 Day Ecg Rev/Report (93270) $71 — 1.5×
Self Care Mngment Training (97535) $44 — 1.4×
Sensory Integration Ea 15 Min (97533) $55 — 0.9×
Speech sound lang comprehen (92523) $257 — 1.1×
Spirometry (94010)
range across 3 matching MRF lines		 $194–$360 — varies
Stress Tte Only (93350) $1,042 — 1.5×
Temp transcutaneous pacing (92953) $1,244 — 1.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $20 — 0.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $62 — 2.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines		 $68–$135 — varies
Ther/Proph/Diag Iv Inf Init (96365) $400 — 1.5×
Therapeutic Activities (97530) $224 — 6.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $56 — 1.2×
Trans Care Mgmt 14 Day Disch (99495) $217.20 $364.25 1.3×
Trans Care Mgmt 7 Day Disch (99496) $306.95 $514.75 1.8×
Tte w/doppler, complete (93306) $1,042 — 1.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $91 — 1.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $21 — 0.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $87 — 1.5×
Tympanometry (92567) $41.89 $70.25 0.9×
Upr/L Xtremity Art 2 Levels (93922) $245 — 1.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $298 — 1.1×
Vent Mgmt Inpat Init Day (94002) $1,257 — 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,257 — 1.6×
Vital capacity, total (94150)
range across 2 matching MRF lines		 $194–$297 — varies
Wheelchair Mgmt Ea 15 Min (97542) $45 — 1.4×
Whirlpool Therapy (97022) $45 — 2.9×

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.