Visits & medical services prices at Adventist Health Castle
Kailua, HI · every code in this section with a posted price and a Medicare benchmark.
260 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) range across 2 matching MRF lines |
$435.84–$4,748.80 | $1,362–$14,840 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) | $32.32 | $101 | 0.7× |
| Advncd Care Plan 30 Min (99497) | $60.16 | $188 | 0.5× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$82.24–$153.20 | $257–$478.75 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $41.60 | $130 | 2.9× |
| Application on-body injector (96377) range across 3 matching MRF lines |
$35.20–$51.84 | $110–$162 | varies |
| Arrhythmia Induction (93618) | $873.60 | $2,730 | 0.6× |
| Assessment of aphasia per hr (96105) | $81.60 | $255 | 0.8× |
| Audiometry Air & Bone (92553) | $69.12 | $216 | 0.5× |
| Behavral qualit analys voice (92524) | $130.56 | $408 | 1.2× |
| Brief Emotional/Behav Assmt (96127) | $23.72 | $74.12 | 0.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$139.20–$364.80 | $435–$1,140 | varies |
| Bundle of his recording (93600) | $4,748.80 | $14,840 | 0.5× |
| C motor evoked uppr limbs (95928) | $402.88 | $1,259 | 0.4× |
| C motor evoked upr&lwr limbs (95939) | $402.88 | $1,259 | 0.4× |
| Canalith repositioning proc (95992) | $52.48 | $164 | 1.3× |
| Car seat/bed test 60 min (94780) | $27.20 | $85 | 0.6× |
| Cardiac Stress Tst,Tracing Only (93017) | $452.80 | $1,415 | 1.8× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$141.12–$364.80 | $441–$1,140 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$85.76–$539.20 | $268–$1,685 | varies |
| Cardioversion elective internal (92961) | $339.20 | $1,060 | 0.4× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$279.04–$5,342.40 | $872–$16,695 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$220.16–$4,452.16 | $688–$13,913 | varies |
| Cbt 1st hour (94644) | $74.88 | $234 | 0.5× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$105.28–$129.60 | $329–$405 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$53.98–$108.16 | $168.68–$338 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$52.80–$65.60 | $165–$205 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$73.92–$91.52 | $231–$286 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $468.48 | $1,464 | 1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$73.92–$85.12 | $231–$266 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $308.80 | $965 | 0.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$130.56–$156.48 | $408–$489 | varies |
| Chest Wall Manipulation (94668) | $105.28 | $329 | 0.7× |
| Color/duplex Doppler, complete (93975) | $413.12 | $1,291 | 1.5× |
| Color/duplex Doppler, limited (93976) | $352.64 | $1,102 | 2.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $42.56 | $133 | 1.3× |
| Comprehensive Hearing Test (92557) | $69.12 | $216 | 0.5× |
| Continuous Pulse Ox (94762) | $125.12 | $391 | 0.8× |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$208–$4,630.08 | $650–$14,469 | varies |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$178.56–$4,273.92 | $558–$13,356 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $402.24 | $1,257 | 1.6× |
| Cpt initial (94667) | $105.28 | $329 | 0.7× |
| Critical care first hour (99291) | $232.32 | $726 | 0.2× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $220.48 | $689 | 0.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$27.52–$112.96 | $86–$353 | varies |
| Dialysis One Evaluation (90945) | $406.08 | $1,269 | 0.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $382.08 | $1,194 | 1.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $212.80 | $665 | 1.7× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $230.72 | $721 | 1.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $498.56 | $1,558 | 1.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $287.36 | $898 | 2.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $342.72 | $1,071 | 1.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $258.88 | $809 | 2.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $271.36 | $848 | 1.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $135.68 | $424 | 1.1× |
| Duplex Scan Hemodialysis Access (93990) | $170.88 | $534 | 1.4× |
| Duplex up extrem art bilat (93930) | $342.72 | $1,071 | 1.2× |
| Duplex up extrem art unilat/ltd (93931) | $252.48 | $789 | 2.0× |
| Ear and throat examination (92502) | $77.76 | $243 | 0.1× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$27.52–$298.56 | $86–$933 | varies |
| Echo transesophag montr cardiac pump functj (93318) range across 2 matching MRF lines |
$110.08–$559.68 | $344–$1,749 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$116.80–$682.56 | $365–$2,133 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$91.20–$635.52 | $285–$1,986 | varies |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$41.60–$457.92 | $130–$1,431 | varies |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$41.60–$251.84 | $130–$787 | varies |
| EEG cerebral death evaluation (95824) range across 3 matching MRF lines |
$31.04–$356.16 | $97–$1,113 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$68.48–$233.92 | $214–$731 | varies |
| Eeg Sleep Only (95822) range across 3 matching MRF lines |
$41.60–$186.56 | $130–$583 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $53.12 | $166 | 3.6× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$52.80–$135.68 | $165–$424 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $4,748.80 | $14,840 | 0.5× |
| Emergency Dept Visit Level 2 (99282) | $45.12 | $141 | 0.2× |
| Emergency Dept Visit Level 3 (99283) | $76.48 | $239 | 0.2× |
| Emergency Dept Visit Level 4 (99284) | $129.92 | $406 | 0.3× |
| Emg 3 Extremities (95863) | $152.64 | $477 | 1.0× |
| Emg 4 Extremities (95864) | $178.24 | $557 | 1.2× |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$623.68–$12,211.20 | $1,949–$38,160 | varies |
| Ep & ablate ventric tachy (93654) unusually low: confirm this is the full procedure |
$13,262.72 | $41,446 | 0.4× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $4,748.80 | $14,840 | 0.5× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $5,152 | $16,100 | 0.6× |
| Er level 1 (99281) | $7.04 | $22 | 0.1× |
| Er level v (99285) | $188.16 | $588 | 0.3× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $44.16 | $138 | 0.1× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$82.24–$95.36 | $257–$298 | varies |
| Evaluate Speech Production (92522) | $120.32 | $376 | 1.1× |
| Evaluate Swallowing Function (92610) | $178.88 | $559 | 2.1× |
| Evaluation of speech fluency (92521) | $81.28 | $254 | 0.6× |
| Evoked Auditory Test,Limited (92587) | $120.96 | $378 | 0.5× |
| External ECG rec>48hr<7d recording (93242) | $33.92 | $106 | 0.8× |
| External ECG rec>7d<15d recording (93246) | $93.12 | $291 | 2.1× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$64–$256.32 | $200–$801 | varies |
| Extracranial Bilat Study (93880) | $464.64 | $1,452 | 1.6× |
| Extracranial Uni/Ltd Study (93882) | $323.20 | $1,010 | 2.6× |
| Flexible endoscopic eval swallow c/v rec (92612) | $196.48 | $614 | 1.0× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $402.88 | $1,259 | 0.4× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $38.40 | $120 | 0.2× |
| Gi tract capsule endoscopy (91110) | $89.60 | $280 | 0.1× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$42.56–$74.56 | $133–$233 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$308.48–$5,794.88 | $964–$18,109 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $883.20 | $2,760 | 1.1× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $158.08 | $494 | 1.0× |
| Holter monitor recording (93225) range across 3 matching MRF lines |
$41.28–$359.68 | $129–$1,124 | varies |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$34.24–$72.96 | $107–$228 | varies |
| Icd device progr eval dual (93283) range across 3 matching MRF lines |
$38.40–$72.96 | $120–$228 | varies |
| Icd Device Progr Eval Mult (93284) range across 3 matching MRF lines |
$41.28–$72.96 | $129–$228 | varies |
| Ilr Device Eval Progr (93285) | $19.84 | $62 | 0.4× |
| Ilr Device Interrogate (93291) | $14.08 | $44 | 0.4× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $11.20 | $35 | 0.1× |
| Immunization administration (90471) range across 7 matching MRF lines |
$7.40–$40.64 | $23.11–$127 | varies |
| Inital newborn e/m (99460) | $73.28 | $229 | 0.5× |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$66.56–$814.08 | $208–$2,544 | varies |
| Intra-atrial pacing (93610) | $4,748.80 | $14,840 | 0.5× |
| Intra-atrial recording (93602) | $4,748.80 | $14,840 | 0.5× |
| Intracranial Complete Study (93886) | $301.76 | $943 | 1.1× |
| Intraventricular pacing (93612) | $4,748.80 | $14,840 | 0.5× |
| Iontophoresis 15 min (97033) | $33.92 | $106 | 1.8× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$23.68–$73.92 | $74–$231 | varies |
| IV infusion hydration each additional hour (96361) | $99.84 | $312 | 1.8× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$82.56–$193.28 | $258–$604 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $115.20 | $360 | 1.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$18.24–$134.40 | $57–$420 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$82.56–$156.48 | $258–$489 | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$249.28–$4,808.32 | $779–$15,026 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $127.36 | $398 | 1.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $427.52 | $1,336 | 1.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $11.52 | $36 | 0.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $11.52 | $36 | 0.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $11.52 | $36 | 0.7× |
| Motility study esophagus (91010) | $51.20 | $160 | 0.1× |
| Motion Fluoroscopy/Swallow (92611) | $182.40 | $570 | 2.0× |
| Multiple Sleep Latency Test (95805) | $45.12 | $141 | 0.0× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$55.68–$118.72 | $174–$371 | varies |
| Muscle Test Nonparaspinal (95870) | $57.60 | $180 | 0.4× |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$35.20–$84.80 | $110–$265 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$31.04–$110.40 | $97–$345 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $120.96 | $378 | 0.5× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $120.96 | $378 | 0.5× |
| Needle electromyography larynx (95865) | $81.28 | $254 | 0.5× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $120.96 | $378 | 0.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $14.08 | $44 | 0.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$19.52–$105.28 | $61–$329 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$21.44–$227.20 | $67–$710 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $74.24 | $232 | 0.3× |
| Nerve Conduction Studies 3-4 Studies (95908) | $52.80 | $165 | 0.2× |
| Neuromuscular Reeducation (97112) | $57.60 | $180 | 1.8× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$112.32–$275.84 | $351–$862 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 2 matching MRF lines |
$17.60–$20.48 | $55–$64 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 2 matching MRF lines |
$24.32–$30.40 | $76–$95 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 2 matching MRF lines |
$8.96–$10.24 | $28–$32 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $156.16 | $488 | 0.4× |
| Oral Function Therapy (92526) | $117.12 | $366 | 1.4× |
| Oral Speech Device Eval (92597) | $169.60 | $530 | 2.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$52.80–$127.68 | $165–$399 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$52.80–$90.24 | $165–$282 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $13.44 | $42 | 0.5× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $13.44 | $42 | 0.5× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $27.84 | $87 | 1.1× |
| Ot Contrast Bath Ea 15 Min (97034) | $23.68 | $74 | 1.7× |
| Ot eval high complexity (97167) | $141.44 | $442 | 1.4× |
| Ot Eval Low Complex (97165) | $115.20 | $360 | 1.1× |
| Ot Eval Moderate Complexity (97166) | $119.36 | $373 | 1.2× |
| Ot manual therapy 15 min (97140) | $58.56 | $183 | 2.1× |
| Ot paraffin bath (97018) | $15.36 | $48 | 2.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $47.36 | $148 | 1.2× |
| Ot Re-Eval Est Plan Care (97168) | $84.80 | $265 | 1.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $192.96 | $603 | 0.7× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) range across 2 matching MRF lines |
$17,324.80 | $1,259–$54,140 | 0.8× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 3 matching MRF lines |
$392.32–$5,378.56 | $1,226–$16,808 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$489.92–$8,760 | $1,531–$27,375 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$57.60–$130.56 | $180–$408 | varies |
| Plethysmography (94726) | $194.88 | $609 | 0.4× |
| Pm device eval in person (93288) range across 3 matching MRF lines |
$16.32–$54.08 | $51–$169 | varies |
| Pm device progr eval dual (93280) range across 3 matching MRF lines |
$29.12–$72.96 | $91–$228 | varies |
| Pm device progr eval multi (93281) range across 3 matching MRF lines |
$32.64–$72.96 | $102–$228 | varies |
| Pm Device Progr Eval Sngl (93279) range across 3 matching MRF lines |
$24.64–$72.96 | $77–$228 | varies |
| Pm/Icd Remote Tech Serv (93296) | $39.04 | $122 | 0.9× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 3 matching MRF lines |
$32.32–$72.96 | $101–$228 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $18.24 | $57 | 0.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $18.88 | $59 | 0.3× |
| Prq Card Angio/Athrect 1 Art (92924) range across 2 matching MRF lines |
$467.84–$6,603.20 | $1,462–$20,635 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$436.48–$8,083.84 | $1,364–$25,262 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 2 matching MRF lines |
$489.28–$8,802.24 | $1,529–$27,507 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$436.16–$5,868.16 | $1,363–$18,338 | varies |
| Prq trl rvs ch occ ant&rtrgr (92945) range across 2 matching MRF lines |
$10,910.08 | $1,574–$34,094 | 0.8× |
| Psych diag eval w/med srvcs (90792) | $134.08 | $419 | 0.6× |
| Psychiatric diagnostic evaluation (90791) | $116.80 | $365 | 0.6× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $50.88 | $159 | 1.3× |
| Pt Eval High Complex (97163) | $162.88 | $509 | 1.7× |
| Pt eval low complex 20 min (97161) | $115.20 | $360 | 1.2× |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$110.40–$127.68 | $345–$399 | varies |
| Pt gait training 15 min (97116) | $44.80 | $140 | 1.5× |
| Pt mechanical traction (97012) | $42.88 | $134 | 3.0× |
| Pt Re-Eval Est Plan Care (97164) | $83.84 | $262 | 1.2× |
| Pulm function test by gas (94727) | $170.24 | $532 | 0.7× |
| Pulmonary service/procedure (94799) | $156.16 | $488 | 1.0× |
| Pulmonary Stress Testing (94618) | $170.24 | $532 | 1.1× |
| Pure Tone Audiometry Air (92552) | $106.56 | $333 | 0.7× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $20.48 | $64 | 0.9× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $30.40 | $95 | 0.9× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $10.24 | $32 | 0.8× |
| R Hrt Art/Grft Angio (93457) | $5,520.64 | $17,252 | 1.4× |
| R hrt coronary artery angio (93456) | $5,392.32 | $16,851 | 1.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $5,461.12 | $17,066 | 1.4× |
| Refill/Maint Portable Pump (96521) | $149.12 | $466 | 0.6× |
| Refill/Maint Pump/Resvr Syst (96522) | $115.20 | $360 | 0.5× |
| Rem interrog icpms <30 d phys/qhp (93297) | $19.52 | $61 | 0.4× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $19.52 | $61 | 0.4× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $17.60 | $55 | 0.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $27.20 | $85 | 0.4× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$3,493.76 | $308–$10,918 | 0.9× |
| Right ventricular recording (93603) | $873.60 | $2,730 | 0.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $112.96 | $353 | 0.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $169.60 | $530 | 1.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $59.52 | $186 | 1.2× |
| Same day nb discharge (99463) | $86.08 | $269 | 0.5× |
| Self Care Mngment Training (97535) | $49.92 | $156 | 1.5× |
| Sensory Integration Ea 15 Min (97533) | $40.64 | $127 | 0.7× |
| Short-latency somatosens ep std upr limbs (95925) | $292.48 | $914 | 1.1× |
| Somatosensory Testing (95938) | $220.48 | $689 | 0.2× |
| Speech audiometry threshold (92555) | $27.20 | $85 | 0.4× |
| Speech sound lang comprehen (92523) | $145.92 | $456 | 0.6× |
| Spirometry (94010) range across 2 matching MRF lines |
$69.12–$161.28 | $216–$504 | varies |
| Ssep lower limbs (95926) | $292.48 | $914 | 1.1× |
| Standardized Cognitive Performance Testing (96125) | $156.16 | $488 | 1.5× |
| Stress Tte Only (93350) | $679.04 | $2,122 | 1.1× |
| Temp transcutaneous pacing (92953) | $250.88 | $784 | 0.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $32.96 | $103 | 1.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $31.04 | $97 | 1.5× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $57.60 | $180 | 1.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $100.80 | $315 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$12.16–$63.04 | $38–$197 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $209.92 | $656 | 0.8× |
| Therapeutic Activities (97530) | $52.80 | $165 | 1.5× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $72 | $225 | 0.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$11.20–$21.44 | $35–$67 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$9.28–$17.92 | $29–$56 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$93.12–$111.68 | $291–$349 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$113.28–$151.68 | $354–$474 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $301.76 | $943 | 2.4× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$76.16–$614.40 | $238–$1,920 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$48–$370.24 | $150–$1,157 | varies |
| Tx atrial fib pulm vein isol (93656) range across 2 matching MRF lines |
$707.52–$12,211.20 | $2,211–$38,160 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $80.96 | $253 | 1.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$18.24–$78.08 | $57–$244 | varies |
| Tympanometry (92567) | $17.60 | $55 | 0.4× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$122.24–$250.88 | $382–$784 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $166.08 | $519 | 1.1× |
| Unlisted noninvasive vascular diagnostic study (93998) | $27.20 | $85 | 0.8× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$109.12–$145.28 | $341–$454 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $213.76 | $668 | 0.8× |
| Valvuloplasty aortic valve (92986) | $5,378.88 | $16,809 | 0.8× |
| Vasopneumatic device (97016) | $39.04 | $122 | 3.2× |
| Veeg 2-12 hr unmonitored (95711) | $208.32 | $651 | 0.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $813.76 | $2,543 | 1.8× |
| Vent Mgmt Inpat Init Day (94002) | $1,424.64 | $4,452 | 2.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,210.88 | $3,784 | 1.7× |
| Visual Evoked Potential Test (95930) | $213.12 | $666 | 0.8× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$69.12–$102.72 | $216–$321 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $50.24 | $157 | 1.6× |
| Whirlpool Therapy (97022) | $25.60 | $80 | 1.6× |
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.