Visits & medical services prices at Adventist Health Lodi Memorial
Lodi, CA · every code in this section with a posted price and a Medicare benchmark.
368 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Reflex Testing (92568) | $5.46 | $78 | 0.1× |
| Acupunct W/Stimul 15 Min (97813) | $9.38 | $134 | 0.2× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$5.39–$8.12 | $77–$116 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 5 matching MRF lines |
$3.08–$9.24 | $44–$132 | varies |
| Advncd Care Plan 30 Min (99497) range across 4 matching MRF lines |
$11.76–$14.28 | $168–$204 | varies |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$2.24–$38.15 | $32–$545 | varies |
| Airway resistance by oscillometry (94728) range across 2 matching MRF lines |
$2.10–$2.17 | $30–$31 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 2 matching MRF lines |
$1.19–$3.78 | $17–$54 | varies |
| Allg tstg perq & ic venoms immed react w/i&r (95017) range across 3 matching MRF lines |
$1.26–$1.54 | $9–$22 | varies |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$6.72–$13.79 | $96–$197 | varies |
| Analyze neurostim no prog (95970) | $6.51 | $93 | 0.0× |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$6.58–$8.33 | $94–$119 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$5.46–$16.17 | $78–$231 | varies |
| Assessment of aphasia per hr (96105) | $49.07 | $701 | 0.5× |
| Assessment of tinnitus (92625) range across 2 matching MRF lines |
$10.57–$11.83 | $151–$169 | varies |
| Assmt & care planning pt w/cognitive impairment (99483) range across 4 matching MRF lines |
$33.04–$49.28 | $472–$704 | varies |
| Audiometry Air & Bone (92553) range across 3 matching MRF lines |
$8.96–$18.06 | $128–$258 | varies |
| Basic vestibular evaluation (92540) | $18.69 | $267 | 0.1× |
| Behavral qualit analys voice (92524) range across 3 matching MRF lines |
$35.70–$89.53 | $510–$1,279 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $7.28 | $104 | 0.1× |
| Blink reflex test (95933) range across 2 matching MRF lines |
$5.32–$5.46 | $76–$78 | varies |
| Breath hydrogen/methane test (91065) | $1.61 | $23 | 0.0× |
| Brief Emotional/Behav Assmt (96127) | $1.40 | $20 | 0.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines |
$3.43–$58.17 | $25–$831 | varies |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$18.76 | $268 | 0.0× |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$6.16–$26.67 | $88–$381 | varies |
| Car seat/bed test 60 min (94780) | $14.28 | $204 | 0.3× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$35.98–$210.28 | $138–$3,004 | varies |
| Cardiopulmonary exercise testing (94621) | $11.48 | $164 | 0.0× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$30.59–$866.46 | $437–$12,378 | varies |
| Cardioversion (92960) range across 5 matching MRF lines |
$18.48–$196 | $264–$2,800 | varies |
| Cardioversion elective internal (92961) | $39.48 | $564 | 0.0× |
| Care mgmt services behavioral hlth cond 20 mins (99484) range across 4 matching MRF lines |
$7.35–$10.01 | $105–$143 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) range across 2 matching MRF lines |
$1.68 | $8–$24 | 0.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 4 matching MRF lines |
$1,769.74–$1,855.42 | $861–$26,506 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 4 matching MRF lines |
$1,331.54–$1,395.94 | $678–$19,942 | varies |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$10.64–$96.88 | $152–$1,384 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$12.46–$59.43 | $178–$849 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $6.51 | $93 | 0.1× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$4.90–$47.18 | $70–$674 | varies |
| Chemo IV push addl drug (96411) | $9.52 | $136 | 0.1× |
| Chemother Prolong Infuse W/Pump (96416) | $23.73 | $339 | 0.1× |
| Chemotherapy Into Cns (96450) | $13.02 | $186 | 0.0× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $29.33 | $419 | 0.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $11.06 | $158 | 0.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$22.54–$154.14 | $322–$2,202 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$17.43–$78.33 | $249–$1,119 | varies |
| Chest Wall Manipulation (94668) | $32.20 | $460 | 0.2× |
| Chiropract manj 3-4 regions (98941) | $7 | $100 | 0.2× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $4.83 | $69 | 0.2× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $9.10 | $130 | 0.3× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$8.40–$10.92 | $120–$156 | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $106.12 | $1,516 | 0.2× |
| Cmptr ophth dx img ant segmt (92132) range across 2 matching MRF lines |
$2.66–$5.32 | $38–$76 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $1.47 | $21 | 0.0× |
| Color/duplex Doppler, complete (93975) range across 4 matching MRF lines |
$14.84–$275.03 | $212–$3,929 | varies |
| Color/duplex Doppler, limited (93976) range across 4 matching MRF lines |
$10.29–$183.33 | $147–$2,619 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $22.61 | $323 | 0.7× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 4 matching MRF lines |
$13.58–$24.01 | $194–$343 | varies |
| Comprehensive Hearing Test (92557) | $6.44 | $92 | 0.0× |
| Computerized dynamic posturography (92548) | $5.74 | $82 | 0.0× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 2 matching MRF lines |
$2.87–$5.46 | $41–$78 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$3.08–$5.81 | $44–$83 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $12.11 | $173 | 0.2× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$115.85 | $65–$1,655 | 0.7× |
| Corneal Topography (92025) | $6.51 | $93 | 0.1× |
| Coronary Art/Grft Angio S&I (93455) range across 4 matching MRF lines |
$1,773.03–$1,858.85 | $642–$26,555 | varies |
| Coronary Artery Angio S&I (93454) range across 4 matching MRF lines |
$1,285.69–$1,347.92 | $550–$19,256 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$11.62–$295.68 | $89–$4,224 | varies |
| Cpt initial (94667) | $32.13 | $459 | 0.2× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$50.40–$66.43 | $720–$949 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$6.02–$70.91 | $86–$1,013 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $20.79 | $297 | 0.1× |
| Dialysis One Evaluation (90945) | $90.44 | $1,292 | 0.2× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $6.79 | $97 | 0.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 3 matching MRF lines |
$10.15–$51.94 | $145–$742 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 3 matching MRF lines |
$6.23–$33.88 | $89–$484 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $16.31 | $233 | 0.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 6 matching MRF lines |
$47.32–$262.64 | $143–$3,752 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 5 matching MRF lines |
$6.09–$183.33 | $87–$2,619 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 6 matching MRF lines |
$36.19–$267.19 | $125–$3,817 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 8 matching MRF lines |
$5.67–$191.94 | $81–$2,742 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 3 matching MRF lines |
$168.21–$336.35 | $143–$4,805 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 4 matching MRF lines |
$6.02–$183.33 | $86–$2,619 | varies |
| Duplex up extrem art bilat (93930) range across 4 matching MRF lines |
$37.80–$357.28 | $145–$5,104 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 5 matching MRF lines |
$6.16–$182.07 | $88–$2,601 | varies |
| Ear and throat examination (92502) | $16.73 | $239 | 0.0× |
| ECG/monitoring and analysis (93271) range across 2 matching MRF lines |
$36.61–$60.20 | $523–$860 | varies |
| Echo Congenital Complete (93303) range across 5 matching MRF lines |
$16.73–$62.58 | $239–$894 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$6.72–$128.52 | $96–$1,836 | varies |
| Echo r-t 2d w/probe placement only (93313) | $7.35 | $105 | 0.0× |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$28.91–$531.37 | $413–$7,591 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 2 matching MRF lines |
$34.09–$35.14 | $487–$502 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 5 matching MRF lines |
$22.47–$342.02 | $321–$4,886 | varies |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$9.66–$192.15 | $138–$2,745 | varies |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$9.66–$173.46 | $138–$2,478 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$195.02 | $116–$2,786 | 0.4× |
| EEG extended monitoring 61-119 minutes (95813) | $158.06 | $2,258 | 0.6× |
| Eeg Sleep Only (95822) range across 3 matching MRF lines |
$230.16 | $138–$3,288 | 0.8× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $9.94 | $142 | 0.1× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $7.49 | $107 | 0.2× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$5.46–$22.61 | $78–$323 | varies |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$13.79–$74.83 | $33–$1,069 | varies |
| Electrophysiology Evaluation (93642) | $502.81 | $7,183 | 0.3× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$9.80–$10.01 | $140–$143 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$16.59–$17.01 | $237–$243 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$28.21–$28.98 | $403–$414 | varies |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$16.87–$37.80 | $241–$540 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$17.92–$39.90 | $256–$570 | varies |
| Endomyocardial Biopsy (93505) | $36.96 | $528 | 0.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) likely a partial charge, not the full procedure |
$62.09 | $887 | 0.0× |
| Er level 1 (99281) range across 2 matching MRF lines |
— | $38–$39 | — |
| Er level v (99285) range across 2 matching MRF lines |
$40.88–$41.93 | $584–$599 | varies |
| Ergonovine provocation test (93024) | $14.98 | $214 | 0.0× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $292.18 | $4,174 | 0.6× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$3.29–$34.37 | $47–$491 | varies |
| Evaluate Speech Production (92522) range across 4 matching MRF lines |
$35.70–$89.53 | $510–$1,279 | varies |
| Evaluate Swallowing Function (92610) range across 8 matching MRF lines |
$19.74–$135.31 | $282–$1,933 | varies |
| Evaluation of speech fluency (92521) | $89.53 | $1,279 | 0.7× |
| Evoked Auditory Test,Limited (92587) range across 3 matching MRF lines |
$3.15–$41.93 | $45–$599 | varies |
| Exhaled Air Analysis O2 (94680) | $2.10 | $30 | 0.0× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$2.17–$2.80 | $31–$40 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $43.26 | $618 | 0.2× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$2.17–$4.27 | $31–$61 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) | $44.87 | $641 | 0.3× |
| External Ecg Scanning Analysis Report (93226) range across 3 matching MRF lines |
$12.39–$125.65 | $177–$1,795 | varies |
| Extracranial Bilat Study (93880) range across 7 matching MRF lines |
$35.63–$309.47 | $94–$4,421 | varies |
| Extracranial Uni/Ltd Study (93882) range across 5 matching MRF lines |
$6.23–$139.37 | $89–$1,991 | varies |
| Eye exam w anesth; complete (92018) | $24.36 | $348 | 0.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 4 matching MRF lines |
$27.65–$222.46 | $138–$3,178 | varies |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) range across 2 matching MRF lines |
$11.34–$27.16 | $162–$388 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $11.55 | $165 | 0.1× |
| Fluorescein angiography (92235) | $7.35 | $105 | 0.0× |
| Fundus photography (92250) range across 4 matching MRF lines |
$3.57–$14.63 | $51–$209 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$345.38 | $120–$4,934 | 0.7× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $191.10 | $2,730 | 0.7× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$307.65 | $196–$4,395 | 0.3× |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$19.25–$128.03 | $275–$1,829 | varies |
| Gonioscopy (92020) range across 2 matching MRF lines |
$3.50–$4.83 | $50–$69 | varies |
| Group Therapeutic Procedures (97150) | $25.27 | $361 | 1.4× |
| Health Behavior Assessment/Re-Assessment (96156) | $17.71 | $253 | 0.1× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 4 matching MRF lines |
$66.64–$946.33 | $952–$13,519 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 3 matching MRF lines |
$255.78 | $173–$3,654 | 0.3× |
| Holter monitor recording (93225) range across 5 matching MRF lines |
$7.84–$87.36 | $112–$1,248 | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $2.24 | $32 | 0.0× |
| Icd Device Interrogate (93289) range across 4 matching MRF lines |
$6.16–$29.12 | $88–$416 | varies |
| Icd device progr eval dual (93283) range across 5 matching MRF lines |
$9.52–$18.83 | $136–$269 | varies |
| Icd Device Progr Eval Mult (93284) range across 5 matching MRF lines |
$10.36–$21.07 | $148–$301 | varies |
| Icm Device Eval (93290) range across 2 matching MRF lines |
$3.50–$9.38 | $50–$134 | varies |
| Ilr Device Eval Progr (93285) range across 5 matching MRF lines |
$4.27–$21 | $61–$300 | varies |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$3.01–$8.68 | $43–$124 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
$3.01–$6.65 | $43–$95 | varies |
| Immunization administration (90471) range across 8 matching MRF lines |
$3.08–$17.01 | $44–$243 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $22.33 | $319 | 0.0× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $9.59 | $137 | 0.0× |
| Inital newborn e/m (99460) range across 2 matching MRF lines |
$15.68–$16.24 | $224–$232 | varies |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$14.91–$15.26 | $213–$218 | varies |
| Interrogate Subq Defib (93261) | $6.09 | $87 | 0.1× |
| Interrogation eval in person wr defibrillator (93292) | $3.50 | $50 | 0.1× |
| Interrogation vad in person (93750) range across 2 matching MRF lines |
$6.72–$7.42 | $96–$106 | varies |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$26.04 | $372 | 0.0× |
| Intracutaneous tests w/allergenic extracts (95024) range across 2 matching MRF lines |
$1.40 | $2–$20 | 0.0× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$4.41–$42.98 | $63–$614 | varies |
| Ischemic limb exercise test (95875) | $21.63 | $309 | 0.1× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$3.64–$60.97 | $52–$871 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$9.17–$103.81 | $131–$1,483 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$4.97–$53.69 | $71–$767 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$3.57–$60.97 | $51–$871 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$7.63–$56.91 | $109–$813 | varies |
| L Hrt Art/Grft Angio (93459) range across 4 matching MRF lines |
$53.83–$946.33 | $769–$13,519 | varies |
| Lung Function Test (Mbc/Mvv) (94200) range across 3 matching MRF lines |
$2.73–$49.77 | $6–$711 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$6.30–$32.20 | $90–$460 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 3 matching MRF lines |
$5.74–$5.88 | $82–$84 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$6.51–$6.72 | $93–$96 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 3 matching MRF lines |
$2.94–$4.06 | $42–$58 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$4.69–$11.34 | $67–$162 | varies |
| Microvolt T-Wave Assess (93025) range across 2 matching MRF lines |
$10.15–$10.43 | $145–$149 | varies |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$414.33 | $157–$5,919 | 0.8× |
| Motion Fluoroscopy/Swallow (92611) range across 9 matching MRF lines |
$37.38–$171.57 | $534–$2,451 | varies |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $11.55 | $165 | 0.0× |
| Multiple Family Group Psychotherapy (90849) | $6.86 | $98 | 0.0× |
| Multiple Sleep Latency Test (95805) range across 3 matching MRF lines |
$265.16 | $139–$3,788 | 0.2× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$13.79–$27.72 | $197–$396 | varies |
| Muscle Test Hemidiaphragm (95866) | $23.38 | $334 | 0.1× |
| Muscle Test Nonparaspinal (95870) range across 3 matching MRF lines |
$3.36–$14.56 | $48–$208 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$8.68–$19.88 | $124–$284 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$6.65–$21 | $95–$300 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$10.57–$22.54 | $151–$322 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$7.14–$18.76 | $102–$268 | varies |
| Needle electromyography larynx (95865) | $26.11 | $373 | 0.1× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 3 matching MRF lines |
$3.36–$16.59 | $48–$237 | varies |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $32.13 | $459 | 0.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 4 matching MRF lines |
$3.57–$65.24 | $41–$932 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $4.06 | $58 | 0.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$4.27–$63.28 | $61–$904 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 5 matching MRF lines |
$4.62–$64.96 | $66–$928 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 5 matching MRF lines |
$9.03–$16.87 | $129–$241 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 5 matching MRF lines |
$26.88–$49.35 | $384–$705 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 5 matching MRF lines |
$31.85–$53.13 | $455–$759 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 5 matching MRF lines |
$11.27–$28.91 | $161–$413 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 5 matching MRF lines |
$13.51–$28.91 | $193–$413 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 5 matching MRF lines |
$17.99–$32.55 | $257–$465 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 5 matching MRF lines |
$22.47–$49.35 | $321–$705 | varies |
| Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$13.58–$15.89 | $194–$227 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $5.88 | $84 | 0.0× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$5.88–$23.87 | $84–$341 | varies |
| Newborn resuscitation (99465) range across 3 matching MRF lines |
$24.01–$290.71 | $343–$4,153 | varies |
| Nitric oxide expired gas determination (95012) | $3.43 | $49 | 0.1× |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 2 matching MRF lines |
$3.92–$4.27 | $56–$61 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 2 matching MRF lines |
$5.46–$5.95 | $78–$85 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 2 matching MRF lines |
$2.03–$2.31 | $29–$33 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) | $22.47 | $321 | 0.0× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
$46.62 | $23–$666 | 0.1× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 2 matching MRF lines |
$5.25–$8.40 | $75–$120 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 2 matching MRF lines |
$16.17–$26.39 | $231–$377 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines |
$13.02–$22.40 | $186–$320 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 2 matching MRF lines |
$8.68–$15.82 | $124–$226 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 2 matching MRF lines |
$7.84–$15.05 | $112–$215 | varies |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) range across 2 matching MRF lines |
$2.52–$2.59 | $36–$37 | varies |
| Optokinetic Nystagmus Test (92544) | $5.46 | $78 | 0.0× |
| Oral Function Therapy (92526) range across 6 matching MRF lines |
$17.15–$89.53 | $245–$1,279 | varies |
| Oral Speech Device Eval (92597) | $47.67 | $681 | 0.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $22.61 | $323 | 0.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$8.54–$26.60 | $122–$380 | varies |
| Oscillating Tracking Test (92545) | $5.46 | $78 | 0.0× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$3.92–$5.53 | $56–$79 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$5.95–$7.98 | $85–$114 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$7.91–$10.36 | $113–$148 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$10.01–$12.60 | $143–$180 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$11.90–$14.77 | $170–$211 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $8.75 | $125 | 0.6× |
| Ot eval high complexity (97167) | $83.30 | $1,190 | 0.8× |
| Ot Eval Low Complex (97165) | $48.16 | $688 | 0.5× |
| Ot Eval Moderate Complexity (97166) | $62.51 | $893 | 0.6× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$5.46–$18.20 | $78–$260 | varies |
| Ot paraffin bath (97018) | $9.87 | $141 | 1.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $22.61 | $323 | 0.6× |
| Ot Re-Eval Est Plan Care (97168) | $30.45 | $435 | 0.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$2.31–$39.97 | $33–$571 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $39.97 | $571 | 0.2× |
| Patch/Application Test Specify Number Tests (95044) | $1.05 | $15 | 0.0× |
| Patient-initiated spirometric recording (94015) | $5.88 | $84 | 0.0× |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $10.08 | $144 | 0.0× |
| Penile Vascular Study,Ltd or F/U (93981) range across 2 matching MRF lines |
$5.81–$139.44 | $83–$1,992 | varies |
| Percutaneous tests w/allergenic extracts (95004) range across 2 matching MRF lines |
— | $10–$12 | — |
| Peripheral arterial disease rehab per session (93668) | $24.78 | $354 | 0.3× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) range across 2 matching MRF lines unusually low: confirm this is the full procedure |
$9,856.56 | $1,245–$140,808 | 0.4× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 3 matching MRF lines likely a partial charge, not the full procedure |
$2,188.83 | $1,211–$31,269 | 0.3× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) likely a partial charge, not the full procedure |
$105.77 | $1,511 | 0.0× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$16.52–$43.75 | $236–$625 | varies |
| Photo patch test(s) (95052) | $1.19 | $17 | 0.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $39.06 | $558 | 0.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$3.01–$37.03 | $43–$529 | varies |
| Physical Performance Test (97750) | $11.90 | $170 | 0.4× |
| Plethysmography (94726) range across 5 matching MRF lines |
$9.66–$184.73 | $29–$2,639 | varies |
| Pm device eval in person (93288) range across 5 matching MRF lines |
$3.50–$18.90 | $50–$270 | varies |
| Pm device progr eval dual (93280) range across 5 matching MRF lines |
$6.30–$13.93 | $90–$199 | varies |
| Pm device progr eval multi (93281) range across 5 matching MRF lines |
$7–$16.03 | $100–$229 | varies |
| Pm Device Progr Eval Sngl (93279) range across 5 matching MRF lines |
$5.32–$14.56 | $76–$208 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$4.97–$6.58 | $71–$94 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 6 matching MRF lines |
$28.42–$549.50 | $299–$7,850 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$20.93–$178.15 | $299–$2,545 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $22.82 | $326 | 0.0× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) range across 2 matching MRF lines |
$423.64 | $199–$6,052 | 0.4× |
| Positional nystagmus test (92542) | $5.46 | $78 | 0.0× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 2 matching MRF lines |
$2.59 | $8–$37 | 0.0× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) range across 2 matching MRF lines |
$6.44 | $8–$92 | 0.1× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $11.90 | $170 | 0.2× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $7.07 | $101 | 0.1× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 5 matching MRF lines |
$7–$14.77 | $100–$211 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 3 matching MRF lines |
$1.96–$4.34 | $28–$62 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 3 matching MRF lines |
$2.24–$4.34 | $32–$62 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) range across 2 matching MRF lines |
$17.01 | $8–$243 | 0.2× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $3.01 | $43 | 0.0× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) | $1.89 | $27 | 0.0× |
| Prq Card Angio/Athrect 1 Art (92924) likely a partial charge, not the full procedure |
$100.94 | $1,442 | 0.0× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 3 matching MRF lines likely a partial charge, not the full procedure |
$4,127.98 | $1,346–$58,971.15 | 0.3× |
| Prq Card Stent/Ath/Angio (92933) range across 2 matching MRF lines |
$105.70–$108.43 | $1,510–$1,549 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$94.15–$96.67 | $1,345–$1,381 | varies |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$102.55 | $1,465 | 0.0× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$28.98–$33.60 | $414–$480 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$25.34–$29.89 | $362–$427 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $20.93 | $299 | 0.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 2 matching MRF lines |
$3.99–$7.49 | $57–$107 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$23.10–$26.53 | $330–$379 | varies |
| Pt Eval High Complex (97163) | $72.80 | $1,040 | 0.7× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$17.92–$38.92 | $256–$556 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$17.92–$49.56 | $256–$708 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$5.46–$25.06 | $78–$358 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$5.46–$22.61 | $78–$323 | varies |
| Pt Re-Eval Est Plan Care (97164) | $28.49 | $407 | 0.4× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) range across 2 matching MRF lines |
$1.68 | $8–$24 | 0.0× |
| Pulm function test by gas (94727) range across 3 matching MRF lines |
$60.13 | $29–$859 | 0.2× |
| Pulmonary service/procedure (94799) | $46.62 | $666 | 0.3× |
| Pulmonary Stress Testing (94618) range across 4 matching MRF lines |
$3.78–$46.76 | $54–$668 | varies |
| Pure Tone Audiometry Air (92552) range across 4 matching MRF lines |
$5.88–$14.91 | $84–$213 | varies |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) range across 2 matching MRF lines |
$3.78–$4.55 | $54–$65 | varies |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) range across 2 matching MRF lines |
$5.81–$7.14 | $83–$102 | varies |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) range across 2 matching MRF lines |
$2.03–$2.59 | $29–$37 | varies |
| R Hrt Art/Grft Angio (93457) range across 4 matching MRF lines |
$56.42–$1,076.25 | $806–$15,375 | varies |
| R hrt coronary artery angio (93456) range across 4 matching MRF lines |
$50.19–$946.33 | $717–$13,519 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 4 matching MRF lines |
$1,795.78–$1,882.72 | $728–$26,896 | varies |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $16.03 | $229 | 0.0× |
| Refill/Maint Portable Pump (96521) | $21.56 | $308 | 0.1× |
| Rem interrog icpms <30 d phys/qhp (93297) range across 3 matching MRF lines |
$4.20–$10.78 | $60–$154 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 3 matching MRF lines |
$4.20–$18.34 | $60–$262 | varies |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $5.95 | $85 | 0.1× |
| Remote 30 Day Ecg Rev/Report (93270) range across 3 matching MRF lines |
$4.97–$6.65 | $71–$95 | varies |
| Remote 30 Day Ecg Tech Supp (93229) | $670.53 | $9,579 | 1.4× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $56.84 | $812 | 0.2× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $46.41 | $663 | 0.2× |
| Respiratory flow volume loop (94375) range across 4 matching MRF lines |
$2.45–$39.48 | $35–$564 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$47.53 | $28–$679 | 0.6× |
| Right Heart Cath (93451) range across 4 matching MRF lines |
$902.65–$946.33 | $304–$13,519 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$7.35–$50.68 | $105–$724 | varies |
| Same day nb discharge (99463) range across 2 matching MRF lines |
$18.41–$18.97 | $263–$271 | varies |
| Sbsq Psyc Collab Care Mgmt (99493) range across 4 matching MRF lines |
$17.57–$32.76 | $251–$468 | varies |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$5.88–$23.38 | $84–$334 | varies |
| Sensory Integration Ea 15 Min (97533) | $32.90 | $470 | 0.5× |
| Sleep study attended (95807) | $10.01 | $143 | 0.0× |
| Sleep study unattended (95806) range across 5 matching MRF lines |
$7.49–$92.75 | $53–$1,325 | varies |
| Slp caregiver training 1st 30 min (97550) | $25.41 | $363 | 0.5× |
| Slp Stdy Unatnd W/Anal (95801) range across 2 matching MRF lines |
$6.93–$17.57 | $99–$251 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$6.65–$103.74 | $95–$1,482 | varies |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$5.60–$5.95 | $80–$85 | varies |
| Speech sound lang comprehen (92523) range across 6 matching MRF lines |
$35.70–$109.76 | $510–$1,568 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$6.65–$19.67 | $95–$281 | varies |
| Spirometry (94010) range across 5 matching MRF lines |
$4.97–$49.63 | $20–$709 | varies |
| Spontaneous Nystagmus Test (92541) | $5.46 | $78 | 0.0× |
| Standardized Cognitive Performance Testing (96125) | $39.27 | $561 | 0.4× |
| Stenger Test Speech (92577) | $5.46 | $78 | 0.0× |
| Stress Tte Only (93350) range across 6 matching MRF lines |
$16.59–$272.37 | $237–$3,891 | varies |
| Temp transcutaneous pacing (92953) | $116.13 | $1,659 | 0.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $18.20 | $260 | 0.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $18.20 | $260 | 0.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$5.53–$21 | $79–$300 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $3.43 | $49 | 0.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$3.08–$45.43 | $44–$649 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$10.85–$106.40 | $155–$1,520 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $40.32 | $576 | 0.1× |
| Therapeutic Activities (97530) | $26.11 | $373 | 0.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 4 matching MRF lines |
$4.27–$6.86 | $61–$98 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$2.03–$6.86 | $29–$98 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 4 matching MRF lines |
$16.31–$36.75 | $233–$525 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 4 matching MRF lines |
$23.45–$49.77 | $335–$711 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 4 matching MRF lines |
$2.38–$12.67 | $34–$181 | varies |
| Tte w/doppler, complete (93306) range across 7 matching MRF lines |
$29.96–$525.56 | $268–$7,508 | varies |
| Tte W/O Doppler Complete (93307) range across 5 matching MRF lines |
$39.20–$262.01 | $134–$3,743 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 6 matching MRF lines |
$19.74–$89.53 | $282–$1,279 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 3 matching MRF lines |
$16.59–$49.14 | $237–$702 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$3.15–$55.30 | $45–$790 | varies |
| Tympanometry (92567) range across 4 matching MRF lines |
$1.89–$5.46 | $27–$78 | varies |
| Tympanometry and reflex threshold measurements (92550) | $5.46 | $78 | 0.0× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$170.38–$423.08 | $2,434–$6,044 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $124.60 | $1,780 | 0.7× |
| Unlisted noninvasive vascular diagnostic study (93998) | $3.29 | $47 | 0.1× |
| Unlisted ophthalmological service/procedure (92499) | $4.27 | $61 | 0.1× |
| Upr/L Xtremity Art 2 Levels (93922) range across 10 matching MRF lines |
$23.80–$105.42 | $22–$1,506 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 7 matching MRF lines |
$37.80–$261.45 | $53–$3,735 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$561.75 | $221–$8,025 | 0.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$470.05 | $155–$6,715 | 0.6× |
| Visual Field Exam Extended (92083) range across 2 matching MRF lines |
$4.62–$11.41 | $66–$163 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) range across 2 matching MRF lines |
$3.57–$8.40 | $51–$120 | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $6.02 | $86 | 0.1× |
| Vital capacity, total (94150) range across 4 matching MRF lines |
$4.13–$34.09 | $20–$487 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$5.60–$22.61 | $80–$323 | varies |
| Whirlpool Therapy (97022) | $5.46 | $78 | 0.3× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) range across 2 matching MRF lines |
$4.20 | $7–$60 | 0.1× |
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.