Home › Hospitals › Upper Connecticut Valley Hospital › Procedures & surgery 28 codes. Prices are the hospital's own posted facility charges.
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Procedure Posted cash Posted gross × Medicare
Abd paracentesis w/imaging (49083) $727.05
$1,310
0.8×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $183.15
$330
0.2×
Application finger splint static (29130) $104.90
$189
0.7×
Application short arm splint forearm-hand static (29125) $96.57
$174
0.7×
Application short leg splint calf foot (29515) $107.12
$193
0.6×
Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines $118.77–$237.54
$214–$428
varies
Blood Transfusion Service (36430) $764.79
$1,378
1.6×
Bx breast 1st lesion us imag (19083) $1,280.39
$2,307
0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $400.71
$722
1.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $606.06
$1,092
0.4×
Cltx post hip arthrp dislc w/o anes (27265) $565.55
$1,019
2.1×
Collection of venous blood by venipuncture (36415) $14.43
$26
1.5×
Cystourethroscopy (52000) $2,000.22
$3,604
2.7×
Cystourethroscopy inj chemodenervation bladder (52287) $3,069.71
$5,531
1.4×
Egd dilation gastric/duodenal stricture (43245) $4,160.84
$7,497
2.0×
I&d abscess simple (10060) $156.51
$282
0.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $334.67
$603
0.4×
Insert Temp Bladder Cath (51702) $130.98
$236
0.9×
Insert,Non-Indwelling Bladder Catheter (51701) $98.24
$177
0.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines $2,403.15–$2,564.10
$4,330–$4,620
varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,072.26
$1,932
1.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $870.24
$1,568
1.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $63.27
$114
1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $311.91
$562
1.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $320.79
$578
1.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $480.63
$866
2.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $315.80
$569
1.5×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $1,207.68
$2,176
0.3×
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.