Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (CPT 97155)
97155 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
65 of 2639 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Ochsner Medical Center - New Orleans | New Orleans, LA | $8.58 | $39 | $166.61 | 0.1× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $12.16 | $38 | $160.72 | 0.1× |
| Covenant Medical Center | Lubbock, TX | $16.59 | $39.50 | $178.30 | 0.1× |
| Covenant Childrens Hospital | Lubbock, TX | $16.59 | $39.50 | $178.30 | 0.1× |
| Cumberland Medical Center | Crossville, TN | $18.91 | $61 | $161.04 | 0.1× |
| Covenant Health Morristown-Hamblen | Morristown, TN | $18.91 | $61 | $161.04 | 0.1× |
| Covenant Health Roane | Harriman, TN | $18.91 | $61 | $161.04 | 0.1× |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | $18.91 | $61 | $161.04 | 0.1× |
| Covenant Health LeConte | Sevierville, TN | $18.91 | $61 | $161.04 | 0.1× |
| Fort Sanders Regional Medical Center | Knoxville, TN | $18.91 | $61 | $161.04 | 0.1× |
| Covenant Health Fort Loudoun | Lenoir City, TN | $19.52 | $61 | $161.04 | 0.1× |
| Providence Regional Medical Center Everett | Everett, WA | $20.02 | $38.50 | $202.13 | 0.1× |
| Pikeville Medical Center | Pikeville, KY | $24 | $80 | $166.54 | 0.1× |
| Cook Childrens Medical Center | Fort Worth, TX | $28.13 | $37.50 | $178.30 | 0.2× |
| Family Health West Hospital | Fruita, CO | $29.40 | $42 | $187.24 | 0.2× |
| Tufts Medical Center | Boston, MA | $31.50 | $45 | $212.72 | 0.1× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $45.68 | $157.50 | $169.49 | 0.3× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $45.68 | $157.50 | $168.50 | 0.3× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $45.68 | $157.50 | $170.29 | 0.3× |
| Nebraska Medical Center | Omaha, NE | $52 | $80 | $184.31 | 0.3× |
| Bellevue Medical Center | Bellevue, NE | $52 | $80 | $184.31 | 0.3× |
| Bryan Medical Center | Lincoln, NE | $53.40 | $89 | $184.31 | 0.3× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $152.97 | 0.4× |
| Virginia Mason Medical Center | Seattle, WA | $61.71 | $121 | $206.11 | 0.3× |
| Baptist Beaumont Hospital | Beaumont, TX | $62.66 | $482 | $178.30 | 0.4× |
| Childrens Medical Ctr of Dallas | Dallas, TX | $65.25 | $87 | $178.30 | 0.4× |
| Childrens Medical Center Plano | Plano, TX | $65.25 | $87 | $178.30 | 0.4× |
| Hardeman County Memorial Hospital | Quanah, TX | $78.81 | $78.81 | $178.30 | 0.4× |
| Mercy Hospital St. Louis | St. Louis, MO | $82.22 | $126.50 | $177.78 | 0.5× |
| Vanderbilt University Hospital | Nashville, TN | $85.05 | $157.50 | $174.24 | 0.5× |
| Children's Hospital Colorado | Aurora, CO | $88.72 | $136.50 | $187.24 | 0.5× |
| Children's Hospital Colorado - Colorado Springs | Colorado Springs, CO | $88.72 | $136.50 | $187.24 | 0.5× |
| Hilton Head Medical Center | Hilton Head Island, SC | $107.45 | — | $165.08 | 0.7× |
| East Cooper Medical Center | Mount Pleasant, SC | $107.45 | — | $165.08 | 0.7× |
| Coastal Carolina Medical Center | Hardeeville, SC | $107.45 | — | $165.08 | 0.7× |
| Winchester Hospital | Winchester, MA | $114 | $114 | $212.72 | 0.5× |
| New England Baptist Hospital | Boston, MA | $121 | $121 | $212.72 | 0.6× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $124.65 | $277 | $187.24 | 0.7× |
| University Hospital | Columbia, MO | $124.80 | $208 | $177.78 | 0.7× |
| Lakeside Medical Center | Belle Glade, FL | $161.28 | — | $185.35 | 0.9× |
| Harborview Medical Center | Seattle, WA | $174.66 | $249.52 | $205.54 | 0.8× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $176.42 | — | $161.19 | 1.1× |
| Griffin Hospital | Derby, CT | $192.08 | — | $212.78 | 0.9× |
| Boston Children's Hospital | Boston, MA | $193 | $193 | $212.72 | 0.9× |
| Nexus Childrens Hospital Dallas | Dallas, TX | $201 | $402 | $178.30 | 1.1× |
| Valleywise Health Medical Center | Phoenix, AZ | $217.81 | — | $189.40 | 1.2× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $221.92 | — | $170.29 | 1.3× |
| Fred Hutch Cancer Center | Seattle, WA | $327.53 | $363.92 | $206.11 | 1.6× |
| Duncan Regional Hospital, Inc | Duncan, OK | $327.58 | — | $170.71 | 1.9× |
| Boston Medical Center | Boston, MA | $329.40 | $732 | $212.72 | 1.5× |
| UW Medical Center | Seattle, WA | $343.90 | $491.29 | $205.54 | 1.7× |
| AdventHealth Ottawa | Ottawa, KS | $360.94 | $360.94 | $166.91 | 2.2× |
| AdventHealth Shawnee Mission | Shawnee Mission, KS | $360.94 | $360.94 | $168.04 | 2.1× |
| AdventHealth South Overland Park, Inc | Overland Park, KS | $360.94 | $360.94 | $168.04 | 2.1× |
| Northwest Surgical Hospital | Oklahoma City, OK | $512.13 | — | $170.71 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $512.13 | — | $170.71 | 3.0× |
| AdventHealth Orlando | Orlando, FL | $543 | $543 | $185.35 | 2.9× |
| Cleveland Clinic Hospital | Weston, FL | $600.60 | $924 | $185.35 | 3.2× |
| Lahey Hospital & Medical Center | Burlington, MA | $602 | $602 | $212.72 | 2.8× |
| Texas Health Hospital Mansfield | Mansfield, TX | $642.77 | $642.77 | $178.30 | 3.6× |
| AdventHealth Carrollwood | Tampa, FL | $926.54 | $926.54 | $185.35 | 5.0× |
| Broward Health Medical Center | Fort Lauderdale, FL | $943.74 | $943.74 | $185.35 | 5.1× |
| Broward Health North | Pompano Beach, FL | $943.74 | $943.74 | $185.35 | 5.1× |
| Broward Health Imperial Point | Fort Lauderdale, FL | $943.74 | $943.74 | $185.35 | 5.1× |
| Broward Health Coral Springs | Coral Springs, FL | $943.74 | $943.74 | $185.35 | 5.1× |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.