Visits & medical services prices at Adventist Health Mendocino Coast
Fort Bragg, CA · every code in this section with a posted price and a Medicare benchmark.
369 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) | $51.48 | $78 | 1.1× |
| Acupunct W/Stimul 15 Min (97813) | $88.44 | $134 | 2.4× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$50.82–$76.56 | $77–$116 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 7 matching MRF lines |
$17.18–$87.78 | $26.03–$133 | varies |
| Advncd Care Plan 30 Min (99497) range across 3 matching MRF lines |
$121.44–$193.38 | $184–$293 | varies |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$21.12–$224.40 | $32–$340 | varies |
| Airway resistance by oscillometry (94728) | $19.80 | $30 | 0.1× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 2 matching MRF lines |
$11.22–$35.64 | $17–$54 | varies |
| Allg tstg perq & ic venoms immed react w/i&r (95017) range across 2 matching MRF lines |
$5.94–$14.52 | $9–$22 | varies |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$63.36–$130.02 | $96–$197 | varies |
| Analyze neurostim no prog (95970) | $61.38 | $93 | 0.4× |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$62.04–$78.54 | $94–$119 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$51.48–$62.04 | $78–$94 | varies |
| Application on-body injector (96377) | $50.16 | $76 | 0.8× |
| Assessment of aphasia per hr (96105) | $194.70 | $295 | 2.0× |
| Assessment of tinnitus (92625) range across 2 matching MRF lines |
$99.66–$111.54 | $151–$169 | varies |
| Assmt & care planning pt w/cognitive impairment (99483) range across 2 matching MRF lines |
$311.52–$456.06 | $472–$691 | varies |
| Audiometry Air & Bone (92553) | $84.48 | $128 | 0.5× |
| Basic vestibular evaluation (92540) | $176.22 | $267 | 0.6× |
| Behavral qualit analys voice (92524) | $425.70 | $645 | 3.9× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $68.64 | $104 | 0.8× |
| Blink reflex test (95933) | $50.16 | $76 | 0.7× |
| Breath hydrogen/methane test (91065) range across 3 matching MRF lines |
$15.18–$171.60 | $23–$260 | varies |
| Brief Emotional/Behav Assmt (96127) | $13.20 | $20 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines |
$56.76–$382.14 | $25–$579 | varies |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$176.88 | $268 | 0.0× |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$58.08–$69.96 | $88–$106 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $794.64 | $1,204 | 2.9× |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$108.24–$653.40 | $164–$990 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$288.42–$1,013.10 | $437–$1,535 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$174.24–$1,729.86 | $264–$2,621 | varies |
| Cardioversion elective internal (92961) | $372.24 | $564 | 0.4× |
| Care mgmt services behavioral hlth cond 20 mins (99484) range across 2 matching MRF lines |
$69.30–$90.42 | $105–$137 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $15.84 | $24 | 0.3× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $568.26 | $861 | 0.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $447.48 | $678 | 0.1× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$100.32–$205.92 | $152–$312 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$117.48–$185.46 | $178–$281 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$61.38–$100.32 | $93–$152 | varies |
| Chemo Ia Push (96420) | $245.52 | $372 | 0.6× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$46.20–$272.58 | $70–$413 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$89.76–$196.02 | $136–$297 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$223.74–$456.72 | $339–$692 | varies |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$122.76–$246.18 | $186–$373 | varies |
| Chemotherapy Unspecified (96549) | $256.74 | $389 | 4.3× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) range across 2 matching MRF lines |
$276.54–$326.04 | $419–$494 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$104.28–$232.98 | $158–$353 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$212.52–$636.90 | $322–$965 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$164.34–$316.80 | $249–$480 | varies |
| Chest Wall Manipulation (94668) | $165.66 | $251 | 1.0× |
| Chiropract manj 3-4 regions (98941) | $66 | $100 | 2.4× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $45.54 | $69 | 1.6× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $85.80 | $130 | 3.1× |
| Chron Care Mgmt Srvc 20 Min (99490) | $102.96 | $156 | 0.8× |
| Cmptr ophth dx img ant segmt (92132) range across 2 matching MRF lines |
$25.08–$50.16 | $38–$76 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $13.86 | $21 | 0.2× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$139.92–$709.50 | $212–$1,075 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$97.02–$521.40 | $147–$790 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $246.18 | $373 | 7.7× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$145.86–$226.38 | $221–$343 | varies |
| Comprehensive Hearing Test (92557) | $60.72 | $92 | 0.4× |
| Computerized dynamic posturography (92548) | $54.12 | $82 | 0.3× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 2 matching MRF lines |
$27.06–$51.48 | $41–$78 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$29.04–$54.78 | $44–$83 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $114.18 | $173 | 1.5× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$42.90–$161.04 | $65–$244 | varies |
| Corneal Topography (92025) | $61.38 | $93 | 0.8× |
| Coronary Art/Grft Angio S&I (93455) | $423.72 | $642 | 0.1× |
| Coronary Artery Angio S&I (93454) | $363 | $550 | 0.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$58.74–$681.12 | $89–$1,032 | varies |
| Cpt initial (94667) | $96.36 | $146 | 0.6× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$475.20–$626.34 | $720–$949 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$56.76–$430.32 | $86–$652 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $196.02 | $297 | 1.2× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $64.02 | $97 | 0.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 3 matching MRF lines |
$95.70–$1,046.76 | $145–$1,586 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$58.74–$319.44 | $89–$484 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $153.78 | $233 | 1.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$94.38–$1,032.90 | $143–$1,565 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$57.42–$871.20 | $87–$1,320 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$82.50–$861.30 | $125–$1,305 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$53.46–$811.80 | $81–$1,230 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $94.38 | $143 | 0.3× |
| Duplex Scan Hemodialysis Access (93990) | $56.76 | $86 | 0.4× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$95.70–$861.30 | $145–$1,305 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$58.08–$811.80 | $88–$1,230 | varies |
| Ear and throat examination (92502) | $157.74 | $239 | 0.2× |
| ECG/monitoring and analysis (93271) | $345.18 | $523 | 2.8× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$157.74–$857.34 | $239–$1,299 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$63.36–$671.22 | $96–$1,017 | varies |
| Echo r-t 2d w/probe placement only (93313) | $69.30 | $105 | 0.1× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$272.58–$3,732.30 | $413–$5,655 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $321.42 | $487 | 0.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $211.86 | $321 | 0.3× |
| Eeg 41-60 Minutes (95812) | $330 | $500 | 1.2× |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$91.08–$893.64 | $138–$1,354 | varies |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$91.08–$671.22 | $138–$1,017 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$76.56–$385.44 | $116–$584 | varies |
| EEG extended monitoring 61-119 minutes (95813) | $382.80 | $580 | 1.4× |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$91.08–$284.46 | $138–$431 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $93.72 | $142 | 0.8× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $70.62 | $107 | 1.5× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$51.48–$85.80 | $78–$130 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$21.78–$126.72 | $33–$192 | varies |
| Emergency Dept Visit Level 2 (99282) | $92.40 | $140 | 0.5× |
| Emergency Dept Visit Level 3 (99283) | $156.42 | $237 | 0.4× |
| Emergency Dept Visit Level 4 (99284) | $265.98 | $403 | 0.5× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$159.06–$356.40 | $241–$540 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$168.96–$376.20 | $256–$570 | varies |
| Endomyocardial Biopsy (93505) | $348.48 | $528 | 0.1× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) likely a partial charge, not the full procedure |
$585.42 | $887 | 0.1× |
| Er level 1 (99281) | $25.08 | $38 | 0.2× |
| Er level v (99285) | $385.44 | $584 | 0.5× |
| Ergonovine provocation test (93024) | $141.24 | $214 | 0.2× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$31.02–$218.46 | $47–$331 | varies |
| Evaluate Speech Production (92522) | $405.90 | $615 | 3.6× |
| Evaluate Swallowing Function (92610) | $460.02 | $697 | 5.4× |
| Evaluation of speech fluency (92521) | $322.08 | $488 | 2.4× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$29.70–$51.48 | $45–$78 | varies |
| Exhaled Air Analysis O2 (94680) range across 2 matching MRF lines |
$19.80–$408.54 | $30–$619 | varies |
| External ECG rec>48hr<7d recording (93242) range across 3 matching MRF lines |
$20.46–$89.76 | $31–$136 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $407.88 | $618 | 2.4× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$20.46–$124.08 | $31–$188 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) | $423.06 | $641 | 2.5× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$116.82–$420.42 | $177–$637 | varies |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$96.36–$1,296.24 | $146–$1,964 | varies |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$58.74–$616.44 | $89–$934 | varies |
| Eye exam w anesth; complete (92018) | $229.68 | $348 | 0.1× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$91.08–$648.78 | $138–$983 | varies |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) range across 2 matching MRF lines |
$106.92–$256.08 | $162–$388 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $108.90 | $165 | 0.5× |
| Fluorescein angiography (92235) | $69.30 | $105 | 0.2× |
| Fundus photography (92250) range across 2 matching MRF lines |
$33.66–$67.32 | $51–$102 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $79.20 | $120 | 0.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $129.36 | $196 | 0.1× |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$181.50–$1,207.14 | $275–$1,829 | varies |
| Gonioscopy (92020) range across 2 matching MRF lines |
$33–$45.54 | $50–$69 | varies |
| Group Therapeutic Procedures (97150) | $52.80 | $80 | 2.9× |
| Health Behavior Assessment/Re-Assessment (96156) | $166.98 | $253 | 1.3× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $628.32 | $952 | 0.2× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $114.18 | $173 | 0.1× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$73.92–$402.60 | $112–$610 | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $21.12 | $32 | 0.4× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$58.08–$119.46 | $88–$181 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$89.76–$162.36 | $136–$246 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$97.68–$175.56 | $148–$266 | varies |
| Icm Device Eval (93290) range across 2 matching MRF lines |
$33–$88.44 | $50–$134 | varies |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$40.26–$99.66 | $61–$151 | varies |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$28.38–$81.84 | $43–$124 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $28.38 | $43 | 0.3× |
| Immunization administration (90471) range across 5 matching MRF lines |
$25.08–$129.36 | $38–$196 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $210.54 | $319 | 0.4× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $90.42 | $137 | 0.2× |
| Inital newborn e/m (99460) | $147.84 | $224 | 0.9× |
| Insert/Place Heart Catheter (93503) | $143.88 | $218 | 0.1× |
| Interrogate Subq Defib (93261) | $57.42 | $87 | 1.2× |
| Interrogation eval in person wr defibrillator (93292) | $33 | $50 | 0.7× |
| Interrogation vad in person (93750) | $63.36 | $96 | 0.5× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$245.52 | $372 | 0.0× |
| Intracutaneous tests w/allergenic extracts (95024) range across 2 matching MRF lines |
$1.32–$13.20 | $2–$20 | varies |
| Iontophoresis 15 min (97033) | $67.32 | $102 | 3.5× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$41.58–$96.36 | $63–$146 | varies |
| Ischemic limb exercise test (95875) | $203.94 | $309 | 1.2× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$34.32–$73.92 | $52–$112 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$86.46–$715.44 | $131–$1,084 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$46.86–$159.72 | $71–$242 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$33.66–$279.84 | $51–$424 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$71.94–$160.38 | $109–$243 | varies |
| L Hrt Art/Grft Angio (93459) | $507.54 | $769 | 0.1× |
| Lung Function Test (Mbc/Mvv) (94200) range across 3 matching MRF lines |
$3.96–$122.10 | $6–$185 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $59.40 | $90 | 0.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$51.48–$54.12 | $78–$82 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$55.44–$61.38 | $84–$93 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$28.38–$33.66 | $43–$51 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$44.22–$106.92 | $67–$162 | varies |
| Microvolt T-Wave Assess (93025) | $95.70 | $145 | 0.6× |
| Motility study esophagus (91010) | $103.62 | $157 | 0.2× |
| Motion Fluoroscopy/Swallow (92611) | $702.24 | $1,064 | 7.7× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $108.90 | $165 | 0.2× |
| Multiple Family Group Psychotherapy (90849) | $64.68 | $98 | 0.3× |
| Multiple Sleep Latency Test (95805) | $91.74 | $139 | 0.1× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$130.02–$261.36 | $197–$396 | varies |
| Muscle Test Hemidiaphragm (95866) | $220.44 | $334 | 1.3× |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$31.68–$137.28 | $48–$208 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$81.84–$187.44 | $124–$284 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$62.70–$198 | $95–$300 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$99.66–$212.52 | $151–$322 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$67.32–$176.88 | $102–$268 | varies |
| Needle electromyography larynx (95865) | $246.18 | $373 | 1.4× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$31.68–$156.42 | $48–$237 | varies |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $302.94 | $459 | 1.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $33.66 | $51 | 0.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $38.28 | $58 | 0.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$40.26–$392.04 | $61–$594 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$43.56–$87.78 | $66–$133 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$85.14–$149.16 | $129–$226 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$253.44–$406.56 | $384–$616 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$300.30–$475.86 | $455–$721 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$106.26–$186.12 | $161–$282 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$127.38–$223.74 | $193–$339 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$169.62–$292.38 | $257–$443 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$211.86–$349.80 | $321–$530 | varies |
| Neurobehavioral Status Exam (96116) range across 3 matching MRF lines |
$128.04–$213.84 | $194–$324 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $55.44 | $84 | 0.3× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$55.44–$133.98 | $84–$203 | varies |
| Newborn resuscitation (99465) | $226.38 | $343 | 0.3× |
| Nitric oxide expired gas determination (95012) | $32.34 | $49 | 0.7× |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 2 matching MRF lines |
$36.96–$40.26 | $56–$61 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 2 matching MRF lines |
$51.48–$56.10 | $78–$85 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 2 matching MRF lines |
$19.14–$21.78 | $29–$33 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) | $211.86 | $321 | 0.4× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
$625.02 | $23–$947 | 1.3× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 2 matching MRF lines |
$49.50–$79.20 | $75–$120 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 2 matching MRF lines |
$152.46–$248.82 | $231–$377 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines |
$122.76–$211.20 | $186–$320 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 2 matching MRF lines |
$81.84–$149.16 | $124–$226 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 2 matching MRF lines |
$73.92–$141.90 | $112–$215 | varies |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $23.76 | $36 | 0.3× |
| Optokinetic Nystagmus Test (92544) | $51.48 | $78 | 0.3× |
| Oral Function Therapy (92526) | $119.46 | $181 | 1.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $47.52 | $72 | 0.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$64.02–$80.52 | $97–$122 | varies |
| Oscillating Tracking Test (92545) | $51.48 | $78 | 0.2× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$36.96–$52.14 | $56–$79 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$56.10–$75.24 | $85–$114 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$74.58–$97.68 | $113–$148 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$94.38–$118.80 | $143–$180 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$112.20–$139.26 | $170–$211 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $32.34 | $49 | 2.3× |
| Ot eval high complexity (97167) | $453.42 | $687 | 4.5× |
| Ot Eval Low Complex (97165) | $274.56 | $416 | 2.7× |
| Ot Eval Moderate Complexity (97166) | $352.44 | $534 | 3.5× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$51.48–$127.38 | $78–$193 | varies |
| Ot paraffin bath (97018) | $96.36 | $146 | 16.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $79.86 | $121 | 2.0× |
| Ot Re-Eval Est Plan Care (97168) | $119.46 | $181 | 1.7× |
| Ot rom hand (95852) | $57.42 | $87 | 2.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $21.78 | $33 | 0.1× |
| Patch/Application Test Specify Number Tests (95044) | $9.90 | $15 | 0.0× |
| Patient-initiated spirometric recording (94015) | $55.44 | $84 | 0.2× |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $95.04 | $144 | 0.2× |
| Penile Vascular Study,Ltd or F/U (93981) | $54.78 | $83 | 0.4× |
| Percutaneous tests w/allergenic extracts (95004) | $7.92 | $12 | 0.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) likely a partial charge, not the full procedure |
$799.26 | $1,211 | 0.1× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) likely a partial charge, not the full procedure |
$997.26 | $1,511 | 0.1× |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$155.76–$351.78 | $236–$533 | varies |
| Photo patch test(s) (95052) | $11.22 | $17 | 0.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $124.74 | $189 | 1.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $28.38 | $43 | 0.4× |
| Physical Performance Test (97750) | $105.60 | $160 | 3.1× |
| Plethysmography (94726) range across 2 matching MRF lines |
$19.14–$778.80 | $29–$1,180 | varies |
| Pm device eval in person (93288) range across 4 matching MRF lines |
$33–$124.08 | $50–$188 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$59.40–$131.34 | $90–$199 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$66–$139.26 | $100–$211 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$50.16–$112.20 | $76–$170 | varies |
| Pm/Icd Remote Tech Serv (93296) | $62.04 | $94 | 1.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$197.34–$1,130.58 | $299–$1,713 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$197.34–$1,679.70 | $299–$2,545 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $215.16 | $326 | 0.2× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $131.34 | $199 | 0.1× |
| Positional nystagmus test (92542) | $51.48 | $78 | 0.3× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 2 matching MRF lines |
$5.28–$24.42 | $8–$37 | varies |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) range across 2 matching MRF lines |
$5.28–$60.72 | $8–$92 | varies |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $112.20 | $170 | 1.9× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $66.66 | $101 | 1.4× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$66–$132.66 | $100–$201 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $18.48 | $28 | 0.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $21.12 | $32 | 0.4× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) range across 2 matching MRF lines |
$5.28–$160.38 | $8–$243 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $28.38 | $43 | 0.5× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) | $17.82 | $27 | 0.3× |
| Prq Card Angio/Athrect 1 Art (92924) likely a partial charge, not the full procedure |
$951.72 | $1,442 | 0.1× |
| Prq Card Stent W/Angio 1 Vsl (92928) likely a partial charge, not the full procedure |
$888.36 | $1,346 | 0.1× |
| Prq Card Stent/Ath/Angio (92933) likely a partial charge, not the full procedure |
$996.60 | $1,510 | 0.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) likely a partial charge, not the full procedure |
$887.70 | $1,345 | 0.1× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$966.90 | $1,465 | 0.1× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$273.24–$316.80 | $414–$480 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$238.92–$281.82 | $362–$427 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $197.34 | $299 | 0.7× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 2 matching MRF lines |
$37.62–$70.62 | $57–$107 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$217.80–$250.14 | $330–$379 | varies |
| Pt Eval High Complex (97163) | $419.10 | $635 | 4.3× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$168.96–$274.56 | $256–$416 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$168.96–$351.78 | $256–$533 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$51.48–$111.54 | $78–$169 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$51.48–$82.50 | $78–$125 | varies |
| Pt Re-Eval Est Plan Care (97164) | $203.28 | $308 | 3.0× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $15.84 | $24 | 0.3× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$19.14–$392.70 | $29–$595 | varies |
| Pulmonary service/procedure (94799) | $625.02 | $947 | 3.8× |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$35.64–$353.10 | $54–$535 | varies |
| Pure Tone Audiometry Air (92552) | $69.96 | $106 | 0.4× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $35.64 | $54 | 1.5× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $54.78 | $83 | 1.6× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $19.14 | $29 | 1.5× |
| R Hrt Art/Grft Angio (93457) | $531.96 | $806 | 0.1× |
| R hrt coronary artery angio (93456) | $473.22 | $717 | 0.1× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $480.48 | $728 | 0.1× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $151.14 | $229 | 0.4× |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$203.28–$326.70 | $308–$495 | varies |
| Refill/Maint Pump/Resvr Syst (96522) | $252.78 | $383 | 0.9× |
| Rem interrog icpms <30 d phys/qhp (93297) range across 2 matching MRF lines |
$39.60–$101.64 | $60–$154 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 2 matching MRF lines |
$39.60–$172.92 | $60–$262 | varies |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $56.10 | $85 | 1.2× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$62.70–$92.40 | $95–$140 | varies |
| Remote 30 Day Ecg Tech Supp (93229) | $6,322.14 | $9,579 | 13.2× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $535.92 | $812 | 1.9× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $437.58 | $663 | 1.6× |
| Respiratory flow volume loop (94375) range across 3 matching MRF lines |
$23.10–$226.38 | $35–$343 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $18.48 | $28 | 0.2× |
| Right Heart Cath (93451) | $200.64 | $304 | 0.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$69.30–$281.16 | $105–$426 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $361.02 | $547 | 3.0× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $263.34 | $399 | 5.5× |
| Same day nb discharge (99463) | $173.58 | $263 | 1.0× |
| Sbsq Psyc Collab Care Mgmt (99493) range across 2 matching MRF lines |
$165.66–$227.70 | $251–$345 | varies |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$55.44–$161.70 | $84–$245 | varies |
| Sensory Integration Ea 15 Min (97533) | $41.58 | $63 | 0.7× |
| Sleep study attended (95807) | $94.38 | $143 | 0.2× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$34.98–$70.62 | $53–$107 | varies |
| Slp Stdy Unatnd W/Anal (95801) range across 2 matching MRF lines |
$65.34–$165.66 | $99–$251 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $62.70 | $95 | 0.2× |
| Speech audiometry threshold (92555) | $52.80 | $80 | 0.7× |
| Speech sound lang comprehen (92523) | $506.88 | $768 | 2.2× |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$62.70–$185.46 | $95–$281 | varies |
| Spirometry (94010) range across 3 matching MRF lines |
$13.20–$234.96 | $20–$356 | varies |
| Spontaneous Nystagmus Test (92541) | $51.48 | $78 | 0.3× |
| Standardized Cognitive Performance Testing (96125) | $239.58 | $363 | 2.3× |
| Stenger Test Speech (92577) | $51.48 | $78 | 0.1× |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$176.88–$1,285.68 | $268–$1,948 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $158.40 | $240 | 2.6× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $405.24 | $614 | 1.5× |
| Subq Infusion Additional Pump Infusion Site (96371) | $90.42 | $137 | 1.0× |
| Temp transcutaneous pacing (92953) | $1,499.52 | $2,272 | 1.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $95.04 | $144 | 4.2× |
| Ther Ivntj Ea Addl 15 Min (97130) | $82.50 | $125 | 3.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$52.14–$76.56 | $79–$116 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $295.02 | $447 | 2.9× |
| Ther/Proph/Diag Inj Ia (96373) | $32.34 | $49 | 0.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$29.04–$90.42 | $44–$137 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$102.30–$715.44 | $155–$1,084 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $380.16 | $576 | 1.4× |
| Therapeutic Activities (97530) | $124.08 | $188 | 3.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$40.26–$57.42 | $61–$87 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$19.14–$69.96 | $29–$106 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$225.72–$346.50 | $342–$525 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$306.24–$469.26 | $464–$711 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $22.44 | $34 | 0.5× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$176.88–$1,851.96 | $268–$2,806 | varies |
| Tte W/O Doppler Complete (93307) range across 3 matching MRF lines |
$112.20–$557.04 | $170–$844 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $361.02 | $547 | 4.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $75.90 | $115 | 3.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$29.70–$102.30 | $45–$155 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$17.82–$51.48 | $27–$78 | varies |
| Tympanometry and reflex threshold measurements (92550) | $51.48 | $78 | 0.2× |
| Unlisted cardiovascular service/procedure (93799) | $432.96 | $656 | 2.6× |
| Unlisted noninvasive vascular diagnostic study (93998) | $31.02 | $47 | 0.8× |
| Unlisted ophthalmological service/procedure (92499) | $40.26 | $61 | 1.1× |
| Upr/L Xtremity Art 2 Levels (93922) range across 5 matching MRF lines |
$14.52–$244.20 | $22–$370 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$53.46–$382.14 | $81–$579 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$145.86–$2,518.56 | $221–$3,816 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$102.30–$2,103.42 | $155–$3,187 | varies |
| Visual Field Exam Extended (92083) range across 2 matching MRF lines |
$43.56–$107.58 | $66–$163 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) range across 2 matching MRF lines |
$33.66–$79.20 | $51–$120 | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $56.76 | $86 | 0.7× |
| Vital capacity, total (94150) range across 3 matching MRF lines |
$13.20–$113.52 | $20–$172 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$52.80–$87.12 | $80–$132 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$51.48–$64.68 | $78–$98 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) range across 2 matching MRF lines |
$4.62–$39.60 | $7–$60 | varies |
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.