Visits & medical services prices at Adventist Health Sonora
Sonora, CA · every code in this section with a posted price and a Medicare benchmark.
387 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $64.77 | $381 | 0.4× |
| Acoustic Reflex Testing (92568) range across 2 matching MRF lines |
$9.35–$13.26 | $55–$78 | varies |
| Acupunct W/Stimul 15 Min (97813) range across 2 matching MRF lines |
$9.69–$22.78 | $57–$134 | varies |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 3 matching MRF lines |
$8.84–$19.72 | $52–$116 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 6 matching MRF lines |
$6.29–$22.44 | $37–$132 | varies |
| Advncd Care Plan 30 Min (99497) range across 3 matching MRF lines |
$21.59–$34.68 | $127–$204 | varies |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$10.58–$136.17 | $32–$801 | varies |
| Airway resistance by oscillometry (94728) | $5.10 | $30 | 0.0× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 2 matching MRF lines |
$2.89–$9.18 | $17–$54 | varies |
| Allg tstg perq & ic venoms immed react w/i&r (95017) range across 3 matching MRF lines |
$1.53–$12.24 | $9–$72 | varies |
| Analyze neurostim complex (95972) range across 3 matching MRF lines |
$16.32–$59.50 | $96–$350 | varies |
| Analyze neurostim no prog (95970) | $15.81 | $93 | 0.1× |
| Analyze Neurostim Simple (95971) range across 3 matching MRF lines |
$15.98–$59.50 | $94–$350 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$13.26–$32.13 | $78–$189 | varies |
| Application Modality 1/> Areas Infrared (97026) | $21.59 | $127 | 3.2× |
| Application on-body injector (96377) | $53.55 | $315 | 0.9× |
| Arrhythmia Induction (93618) | $790.84 | $4,652 | 0.5× |
| Assessment of aphasia per hr (96105) | $130.73 | $769 | 1.3× |
| Assessment of tinnitus (92625) range across 2 matching MRF lines |
$25.67–$28.73 | $151–$169 | varies |
| Assmt & care planning pt w/cognitive impairment (99483) range across 2 matching MRF lines |
$80.24–$117.47 | $472–$691 | varies |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$21.76–$35.70 | $128–$210 | varies |
| Basic vestibular evaluation (92540) | $45.39 | $267 | 0.2× |
| Behavral qualit analys voice (92524) | $106.93 | $629 | 1.0× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) range across 2 matching MRF lines |
$17.68–$46.75 | $104–$275 | varies |
| Biofeedback training any modality (90901) | $24.82 | $146 | 0.6× |
| Blink reflex test (95933) | $12.92 | $76 | 0.2× |
| Breath hydrogen/methane test (91065) range across 3 matching MRF lines |
$3.91–$44.20 | $23–$260 | varies |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$3.40–$10.71 | $20–$63 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines |
$17.17–$263.16 | $25–$1,548 | varies |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$45.56 | $268 | 0.0× |
| Canalith repositioning proc (95992) range across 5 matching MRF lines |
$9.69–$19.89 | $57–$117 | varies |
| Car seat/bed test 60 min (94780) | $23.12 | $136 | 0.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $535.84 | $3,152 | 1.9× |
| Cardiopulmonary exercise testing (94621) | $27.88 | $164 | 0.1× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$74.29–$487.22 | $437–$2,866 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$44.88–$1,015.92 | $264–$5,976 | varies |
| Cardioversion elective internal (92961) | $95.88 | $564 | 0.1× |
| Care mgmt services behavioral hlth cond 20 mins (99484) range across 2 matching MRF lines |
$17.85–$23.29 | $105–$137 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $4.08 | $24 | 0.1× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$5,654.54 | $861–$33,262 | 1.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$4,930 | $678–$29,000 | 1.2× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$25.84–$139.91 | $152–$823 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$18.02–$153.85 | $106–$905 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 3 matching MRF lines |
$15.81–$123.08 | $93–$724 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$11.90–$124.95 | $70–$735 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$23.12–$123.42 | $136–$726 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$57.63–$374.34 | $339–$2,202 | varies |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $286.28 | $1,684 | 0.7× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $143.31 | $843 | 2.4× |
| Chemotherapy Into Cns (96450) range across 4 matching MRF lines |
$31.62–$284.58 | $186–$1,674 | varies |
| Chemotherapy Unspecified (96549) | $48.62 | $286 | 0.8× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $71.23 | $419 | 0.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$26.86–$153 | $158–$900 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$54.74–$334.22 | $322–$1,966 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$42.33–$221.34 | $249–$1,302 | varies |
| Chest Wall Manipulation (94668) | $65.79 | $387 | 0.4× |
| Chiropract manj 3-4 regions (98941) range across 2 matching MRF lines |
$6.80–$17 | $40–$100 | varies |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) range across 2 matching MRF lines |
$6.80–$11.73 | $40–$69 | varies |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $22.10 | $130 | 0.8× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$23.12–$26.52 | $136–$156 | varies |
| Cmptr ophth dx img ant segmt (92132) range across 2 matching MRF lines |
$6.46–$12.92 | $38–$76 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $3.57 | $21 | 0.0× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$36.04–$366.86 | $212–$2,158 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$24.99–$219.81 | $147–$1,293 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $24.82 | $146 | 0.8× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$37.57–$58.31 | $221–$343 | varies |
| Comprehensive Hearing Test (92557) | $15.64 | $92 | 0.1× |
| Computerized dynamic posturography (92548) range across 2 matching MRF lines |
$13.94–$32.81 | $82–$193 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 2 matching MRF lines |
$6.97–$13.26 | $41–$78 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$7.48–$14.11 | $44–$83 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $111.35 | $655 | 0.7× |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 2 matching MRF lines |
$29.41–$48.62 | $173–$286 | varies |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$11.05–$177.31 | $65–$1,043 | varies |
| Corneal Topography (92025) | $15.81 | $93 | 0.2× |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$2,853.28 | $642–$16,784 | 0.7× |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$3,190.90 | $550–$18,770 | 0.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$15.13–$517.48 | $89–$3,044 | varies |
| Cpt initial (94667) | $131.07 | $771 | 0.8× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$122.40–$161.33 | $720–$949 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 7 matching MRF lines |
$14.62–$120.19 | $86–$707 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $50.49 | $297 | 0.3× |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$217.26–$446.25 | $1,278–$2,625 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $16.49 | $97 | 0.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$24.65–$126.14 | $145–$742 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$15.13–$82.28 | $89–$484 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) range across 2 matching MRF lines |
$24.48–$39.61 | $144–$233 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 4 matching MRF lines |
$24.31–$478.21 | $143–$2,813 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$14.79–$298.01 | $87–$1,753 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$21.25–$372.81 | $125–$2,193 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$13.77–$223.38 | $81–$1,314 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $24.31 | $143 | 0.1× |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$14.62–$98.09 | $86–$577 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$24.65–$372.81 | $145–$2,193 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$14.96–$186.32 | $88–$1,096 | varies |
| Ear and throat examination (92502) | $40.63 | $239 | 0.1× |
| ECG/monitoring and analysis (93271) range across 3 matching MRF lines |
$48.79–$158.61 | $287–$933 | varies |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$40.63–$299.37 | $239–$1,761 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$16.32–$286.96 | $96–$1,688 | varies |
| Echo r-t 2d w/probe placement only (93313) | $17.85 | $105 | 0.0× |
| Echo transesophag montr cardiac pump functj (93318) | $473.79 | $2,787 | 0.7× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$70.21–$866.66 | $413–$5,098 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 2 matching MRF lines |
$82.79–$541.62 | $487–$3,186 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 4 matching MRF lines |
$54.57–$335.92 | $321–$1,976 | varies |
| EEG awake and asleep (95819) range across 4 matching MRF lines |
$23.46–$396.10 | $138–$2,330 | varies |
| EEG awake drowsy (95816) range across 4 matching MRF lines |
$23.46–$378.76 | $138–$2,228 | varies |
| EEG cerebral death evaluation (95824) range across 3 matching MRF lines |
$19.72–$292.06 | $116–$1,718 | varies |
| Eeg Sleep Only (95822) range across 3 matching MRF lines |
$23.46–$365.16 | $138–$2,148 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $24.14 | $142 | 0.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $18.19 | $107 | 0.4× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$13.26–$36.89 | $78–$217 | varies |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$5.61–$118.15 | $33–$695 | varies |
| Electrophysiology Evaluation (93642) | $371.28 | $2,184 | 0.2× |
| Emergency Dept Visit Level 2 (99282) | $23.80 | $140 | 0.1× |
| Emergency Dept Visit Level 3 (99283) | $40.29 | $237 | 0.1× |
| Emergency Dept Visit Level 4 (99284) | $68.51 | $403 | 0.1× |
| Emg 3 Extremities (95863) range across 3 matching MRF lines |
$39.10–$91.80 | $230–$540 | varies |
| Emg 4 Extremities (95864) range across 3 matching MRF lines |
$39.10–$96.90 | $230–$570 | varies |
| Endomyocardial Biopsy (93505) | $89.76 | $528 | 0.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) likely a partial charge, not the full procedure |
$150.79 | $887 | 0.0× |
| Er level 1 (99281) | $6.46 | $38 | 0.1× |
| Er level v (99285) | $99.28 | $584 | 0.1× |
| Ergonovine provocation test (93024) | $36.38 | $214 | 0.1× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$7.99–$108.97 | $47–$641 | varies |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$120.70–$140.08 | $710–$824 | varies |
| Evaluate Swallowing Function (92610) | $143.65 | $845 | 1.7× |
| Evaluation of speech fluency (92521) | $141.27 | $831 | 1.1× |
| Evoked Auditory Test,Limited (92587) range across 3 matching MRF lines |
$13.26–$161.67 | $45–$951 | varies |
| Exhaled Air Analysis O2 (94680) range across 2 matching MRF lines |
$186.15 | $30–$1,095 | 1.1× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$5.27–$28.73 | $31–$169 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) range across 2 matching MRF lines |
$98.26–$105.06 | $578–$618 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$5.27–$48.62 | $31–$286 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) range across 2 matching MRF lines |
$98.26–$108.97 | $578–$641 | varies |
| External Ecg Scanning Analysis Report (93226) range across 4 matching MRF lines |
$30.09–$148.41 | $177–$873 | varies |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$24.82–$503.88 | $146–$2,964 | varies |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$15.13–$298.01 | $89–$1,753 | varies |
| Eye exam w anesth; complete (92018) | $59.16 | $348 | 0.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$23.46–$107.44 | $138–$632 | varies |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) range across 2 matching MRF lines |
$27.54–$65.96 | $162–$388 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) range across 2 matching MRF lines |
$28.05–$158.61 | $165–$933 | varies |
| Fluorescein angiography (92235) range across 2 matching MRF lines |
$17.85–$71.40 | $105–$420 | varies |
| Fundus photography (92250) range across 3 matching MRF lines |
$8.67–$82.11 | $51–$483 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $20.40 | $120 | 0.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$33.32–$603.33 | $196–$3,549 | varies |
| Gi tract capsule endoscopy (91110) range across 3 matching MRF lines |
$46.75–$705.67 | $275–$4,151 | varies |
| Gonioscopy (92020) range across 2 matching MRF lines |
$8.50–$11.73 | $50–$69 | varies |
| Group Therapeutic Procedures (97150) | $45.22 | $266 | 2.5× |
| Health Behavior Assessment/Re-Assessment (96156) | $43.01 | $253 | 0.3× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$5,650.12 | $952–$33,236 | 1.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$615.57 | $173–$3,621 | 0.7× |
| Holter monitor recording (93225) range across 4 matching MRF lines |
$19.04–$104.38 | $112–$614 | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $5.44 | $32 | 0.1× |
| Icd Device Interrogate (93289) range across 3 matching MRF lines |
$14.96–$30.77 | $88–$181 | varies |
| Icd device progr eval dual (93283) range across 3 matching MRF lines |
$23.12–$41.82 | $136–$246 | varies |
| Icd Device Progr Eval Mult (93284) range across 3 matching MRF lines |
$21.08–$45.22 | $124–$266 | varies |
| Icm Device Eval (93290) range across 3 matching MRF lines |
$8.50–$22.78 | $50–$134 | varies |
| Ilr Device Eval Progr (93285) range across 3 matching MRF lines |
$10.37–$34.34 | $61–$202 | varies |
| Ilr Device Interrogate (93291) range across 3 matching MRF lines |
$6.80–$21.08 | $40–$124 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$6.63–$7.31 | $39–$43 | varies |
| Immunization administration (90471) range across 8 matching MRF lines |
$4.08–$9.01 | $24–$53 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $54.23 | $319 | 0.1× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) range across 2 matching MRF lines |
$23.29–$170.68 | $137–$1,004 | varies |
| Inital newborn e/m (99460) | $38.08 | $224 | 0.2× |
| Insert/Place Heart Catheter (93503) | $37.06 | $218 | 0.0× |
| Interrogate Subq Defib (93261) range across 2 matching MRF lines |
$11.05–$14.79 | $65–$87 | varies |
| Interrogation eval in person wr defibrillator (93292) range across 2 matching MRF lines |
$8.50–$14.28 | $50–$84 | varies |
| Interrogation vad in person (93750) | $16.32 | $96 | 0.1× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$63.24 | $372 | 0.0× |
| Intracutaneous tests w/allergenic extracts (95024) range across 3 matching MRF lines |
$3.40–$14.28 | $20–$84 | varies |
| Iontophoresis 15 min (97033) | $24.14 | $142 | 1.3× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$10.71–$97.41 | $63–$573 | varies |
| Ischemic limb exercise test (95875) | $52.53 | $309 | 0.3× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$8.50–$132.26 | $50–$778 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$22.27–$251.09 | $131–$1,477 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$12.07–$165.92 | $71–$976 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$8.67–$139.06 | $51–$818 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$15.98–$65.79 | $94–$387 | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$5,264.05 | $769–$30,965 | 1.3× |
| Lung Function Test (Mbc/Mvv) (94200) range across 3 matching MRF lines |
$1.02–$19.04 | $6–$112 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$15.30–$224.91 | $90–$1,323 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$13.94–$15.64 | $82–$92 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$15.81–$28.73 | $93–$169 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 3 matching MRF lines |
$5.10–$21.59 | $30–$127 | varies |
| Methacholine challenge (94070) range across 3 matching MRF lines |
$11.39–$222.53 | $67–$1,309 | varies |
| Microvolt T-Wave Assess (93025) range across 2 matching MRF lines |
$24.65–$562.02 | $145–$3,306 | varies |
| Motility study esophagus (91010) | $26.69 | $157 | 0.1× |
| Motion Fluoroscopy/Swallow (92611) | $189.21 | $1,113 | 2.1× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) range across 2 matching MRF lines |
$28.05–$112.71 | $165–$663 | varies |
| Multiple Family Group Psychotherapy (90849) | $16.66 | $98 | 0.1× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$23.63–$358.02 | $139–$2,106 | varies |
| Muscle Test 2 Limbs (95861) range across 3 matching MRF lines |
$33.49–$67.32 | $197–$396 | varies |
| Muscle Test Hemidiaphragm (95866) | $56.78 | $334 | 0.3× |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$8.16–$35.36 | $48–$208 | varies |
| Muscle Test One Limb (95860) range across 3 matching MRF lines |
$21.08–$48.28 | $124–$284 | varies |
| Nasopharyngoscopy (92511) range across 3 matching MRF lines |
$16.15–$60.86 | $95–$358 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 3 matching MRF lines |
$25.67–$120.87 | $151–$711 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 3 matching MRF lines |
$17.34–$73.61 | $102–$433 | varies |
| Needle electromyography larynx (95865) | $63.41 | $373 | 0.4× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$8.16–$40.29 | $48–$237 | varies |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $78.03 | $459 | 0.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$8.67–$98.77 | $51–$581 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$9.86–$98.77 | $58–$581 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$10.37–$61.54 | $61–$362 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$11.22–$96.73 | $66–$569 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 3 matching MRF lines |
$21.93–$38.42 | $129–$226 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 3 matching MRF lines |
$65.28–$125.63 | $384–$739 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 3 matching MRF lines |
$77.35–$125.63 | $455–$739 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 3 matching MRF lines |
$27.37–$73.61 | $161–$433 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 3 matching MRF lines |
$32.81–$73.61 | $193–$433 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 3 matching MRF lines |
$43.69–$75.31 | $257–$443 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 3 matching MRF lines |
$54.57–$125.63 | $321–$739 | varies |
| Neurobehavioral Status Exam (96116) range across 3 matching MRF lines |
$32.98–$87.38 | $194–$514 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $14.28 | $84 | 0.1× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$14.28–$34.85 | $84–$205 | varies |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$58.31–$179.01 | $343–$1,053 | varies |
| Nitric oxide expired gas determination (95012) | $8.33 | $49 | 0.2× |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 2 matching MRF lines |
$9.52–$10.37 | $56–$61 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 2 matching MRF lines |
$13.26–$14.45 | $78–$85 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 2 matching MRF lines |
$4.93–$5.61 | $29–$33 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) | $54.57 | $321 | 0.1× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
$152.83 | $23–$899 | 0.3× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 2 matching MRF lines |
$12.75–$20.40 | $75–$120 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 2 matching MRF lines |
$39.27–$64.09 | $231–$377 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines |
$31.62–$54.40 | $186–$320 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 2 matching MRF lines |
$21.08–$38.42 | $124–$226 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 2 matching MRF lines |
$19.04–$36.55 | $112–$215 | varies |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $6.12 | $36 | 0.1× |
| Optokinetic Nystagmus Test (92544) | $13.26 | $78 | 0.1× |
| Oral Function Therapy (92526) | $53.38 | $314 | 0.6× |
| Oral Speech Device Eval (92597) | $91.97 | $541 | 1.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $24.82 | $146 | 0.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$20.74–$32.98 | $122–$194 | varies |
| Oscillating Tracking Test (92545) | $13.26 | $78 | 0.0× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 5 matching MRF lines |
$9.52–$13.43 | $56–$79 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 5 matching MRF lines |
$9.69–$19.38 | $57–$114 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 5 matching MRF lines |
$9.69–$25.16 | $57–$148 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 5 matching MRF lines |
$9.69–$30.94 | $57–$182 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 5 matching MRF lines |
$11.05–$37.40 | $65–$220 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $27.88 | $164 | 2.0× |
| Ot eval high complexity (97167) | $92.31 | $543 | 0.9× |
| Ot Eval Low Complex (97165) | $82.28 | $484 | 0.8× |
| Ot Eval Moderate Complexity (97166) | $87.55 | $515 | 0.9× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$13.26–$34.85 | $78–$205 | varies |
| Ot paraffin bath (97018) | $28.22 | $166 | 4.7× |
| Ot Prosthetic Training, Each 15 Min (97761) | $24.14 | $142 | 0.6× |
| Ot Re-Eval Est Plan Care (97168) | $30.77 | $181 | 0.4× |
| Ot rom hand (95852) | $13.94 | $82 | 0.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 3 matching MRF lines |
$5.61–$81.60 | $33–$480 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $64.09 | $377 | 0.4× |
| Patch/Application Test Specify Number Tests (95044) | $2.55 | $15 | 0.0× |
| Patient-initiated spirometric recording (94015) | $14.28 | $84 | 0.1× |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) range across 2 matching MRF lines |
$24.48–$92.48 | $144–$544 | varies |
| Penile Vascular Study,Ltd or F/U (93981) range across 2 matching MRF lines |
$14.11–$90.95 | $83–$535 | varies |
| Percutaneous tests w/allergenic extracts (95004) range across 2 matching MRF lines |
$2.04–$5.78 | $12–$34 | varies |
| Peripheral arterial disease rehab per session (93668) | $20.06 | $118 | 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 |
$9,551.62 | $1,556–$56,186 | 0.4× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 3 matching MRF lines |
$4,661.91–$4,977.77 | $1,211–$29,281 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines unusually low: confirm this is the full procedure |
$6,010.01 | $1,511–$35,353 | 0.4× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$40.12–$139.06 | $236–$818 | varies |
| Photo patch test(s) (95052) | $2.89 | $17 | 0.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $91.97 | $541 | 1.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$7.31–$45.22 | $43–$266 | varies |
| Physical Performance Test (97750) | $24.14 | $142 | 0.7× |
| Plethysmography (94726) range across 2 matching MRF lines |
$245.14 | $29–$1,442 | 0.5× |
| Pm device eval in person (93288) range across 3 matching MRF lines |
$8.50–$24.31 | $50–$143 | varies |
| Pm device progr eval dual (93280) range across 3 matching MRF lines |
$15.30–$33.83 | $90–$199 | varies |
| Pm device progr eval multi (93281) range across 3 matching MRF lines |
$17–$35.87 | $100–$211 | varies |
| Pm Device Progr Eval Sngl (93279) range across 3 matching MRF lines |
$12.92–$29.07 | $76–$171 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$15.98–$47.60 | $94–$280 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$50.83–$971.55 | $299–$5,715 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 3 matching MRF lines |
$50.83–$432.65 | $299–$2,545 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$55.42–$322.15 | $326–$1,895 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) range across 2 matching MRF lines |
$33.83–$244.97 | $199–$1,441 | varies |
| Positional nystagmus test (92542) | $13.26 | $78 | 0.1× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 3 matching MRF lines |
$1.36–$10.88 | $8–$64 | varies |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) range across 3 matching MRF lines |
$1.36–$15.64 | $8–$92 | varies |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $28.90 | $170 | 0.5× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $15.64 | $92 | 0.2× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $32.81 | $193 | 0.4× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $17.17 | $101 | 0.4× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 3 matching MRF lines |
$17–$34.17 | $100–$201 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 3 matching MRF lines |
$4.76–$21.93 | $28–$129 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 3 matching MRF lines |
$5.44–$28.56 | $32–$168 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) range across 2 matching MRF lines |
$41.31 | $8–$243 | 0.4× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $7.31 | $43 | 0.1× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) | $4.59 | $27 | 0.1× |
| Prq Card Angio/Athrect 1 Art (92924) likely a partial charge, not the full procedure |
$245.14 | $1,442 | 0.0× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$10,096.13 | $1,346–$59,389 | 0.7× |
| Prq Card Stent/Ath/Angio (92933) likely a partial charge, not the full procedure |
$256.70 | $1,510 | 0.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) likely a partial charge, not the full procedure |
$228.65 | $1,345 | 0.0× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$249.05 | $1,465 | 0.0× |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$41.31–$81.60 | $243–$480 | varies |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$61.54–$72.59 | $362–$427 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $50.83 | $299 | 0.2× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 2 matching MRF lines |
$9.69–$18.19 | $57–$107 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$56.10–$64.43 | $330–$379 | varies |
| Pt Eval High Complex (97163) | $82.79 | $487 | 0.8× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$43.52–$70.89 | $256–$417 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$43.52–$75.14 | $256–$442 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$13.26–$36.04 | $78–$212 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$13.26–$34.85 | $78–$205 | varies |
| Pt Re-Eval Est Plan Care (97164) | $28.73 | $169 | 0.4× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $4.08 | $24 | 0.1× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$122.57 | $29–$721 | 0.4× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$134.47–$206.38 | $791–$1,214 | varies |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$9.18–$132.09 | $54–$777 | varies |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$18.02–$40.46 | $106–$238 | varies |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $9.18 | $54 | 0.4× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $14.11 | $83 | 0.4× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $4.93 | $29 | 0.4× |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$3,135.48 | $806–$18,444 | 0.8× |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$2,637.38 | $717–$15,514 | 0.6× |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$3,271.99 | $728–$19,247 | 0.8× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) range across 2 matching MRF lines |
$38.93–$708.90 | $229–$4,170 | varies |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$52.36–$155.04 | $308–$912 | varies |
| Rem interrog icpms <30 d phys/qhp (93297) range across 2 matching MRF lines |
$10.20–$26.18 | $60–$154 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 3 matching MRF lines |
$10.20–$44.54 | $60–$262 | varies |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $14.45 | $85 | 0.3× |
| Remote 30 Day Ecg Rev/Report (93270) range across 3 matching MRF lines |
$16.15–$89.76 | $95–$528 | varies |
| Remote 30 Day Ecg Tech Supp (93229) range across 2 matching MRF lines |
$219.13–$1,628.43 | $1,289–$9,579 | varies |
| Repet tms tx initial w/map/motr threshld/del&m (90867) range across 2 matching MRF lines |
$75.99–$138.04 | $447–$812 | varies |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) range across 2 matching MRF lines |
$73.61–$112.71 | $433–$663 | varies |
| Respiratory flow volume loop (94375) range across 3 matching MRF lines |
$5.95–$88.91 | $35–$523 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 4 matching MRF lines |
$4.76–$134.30 | $28–$790 | varies |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$3,012.74 | $304–$17,722 | 0.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$17.85–$66.30 | $105–$390 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $13.94 | $82 | 0.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $91.97 | $541 | 0.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $91.97 | $541 | 1.9× |
| Same day nb discharge (99463) | $44.71 | $263 | 0.3× |
| Sbsq Psyc Collab Care Mgmt (99493) range across 2 matching MRF lines |
$42.67–$58.65 | $251–$345 | varies |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$14.28–$36.89 | $84–$217 | varies |
| Sensory Integration Ea 15 Min (97533) | $24.82 | $146 | 0.4× |
| Sleep study attended (95807) range across 2 matching MRF lines |
$24.31–$140.42 | $143–$826 | varies |
| Sleep study unattended (95806) range across 3 matching MRF lines |
$18.19–$238.68 | $53–$1,404 | varies |
| Slp Stdy Unatnd W/Anal (95801) range across 3 matching MRF lines |
$15.64–$42.67 | $92–$251 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$16.15–$43.01 | $95–$253 | varies |
| Speech audiometry threshold (92555) | $13.60 | $80 | 0.2× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$158.27–$301.07 | $931–$1,771 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$16.15–$47.77 | $95–$281 | varies |
| Spirometry (94010) range across 4 matching MRF lines |
$12.07–$129.37 | $20–$761 | varies |
| Spontaneous Nystagmus Test (92541) | $13.26 | $78 | 0.1× |
| Ssep lower limbs (95926) | $73.61 | $433 | 0.3× |
| Standardized Cognitive Performance Testing (96125) | $110.33 | $649 | 1.1× |
| Stenger Test Speech (92577) | $13.26 | $78 | 0.0× |
| Stress Tte Only (93350) range across 4 matching MRF lines |
$45.56–$443.87 | $268–$2,611 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $114.41 | $673 | 1.9× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $186.83 | $1,099 | 0.7× |
| Subq Infusion Additional Pump Infusion Site (96371) | $198.05 | $1,165 | 2.1× |
| Temp transcutaneous pacing (92953) | $303.79 | $1,787 | 0.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$36.89–$83.81 | $217–$493 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$41.48–$83.81 | $244–$493 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $24.82 | $146 | 0.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$13.43–$27.88 | $79–$164 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $68.68 | $404 | 0.7× |
| Ther/Proph/Diag Inj Ia (96373) | $8.33 | $49 | 0.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$7.14–$73.78 | $42–$434 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$26.35–$251.94 | $155–$1,482 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) range across 2 matching MRF lines |
$75.99–$97.92 | $447–$576 | varies |
| Therapeutic Activities (97530) | $34.85 | $205 | 1.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 5 matching MRF lines |
$7.14–$26.69 | $42–$157 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 6 matching MRF lines |
$2.55–$16.49 | $15–$97 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$58.14–$89.25 | $342–$525 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 3 matching MRF lines |
$65.79–$120.87 | $387–$711 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 2 matching MRF lines |
$5.78–$24.99 | $34–$147 | varies |
| Tte w/doppler, complete (93306) range across 5 matching MRF lines |
$38.93–$836.74 | $229–$4,922 | varies |
| Tte W/O Doppler Complete (93307) range across 5 matching MRF lines |
$28.90–$485.52 | $170–$2,856 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $85.51 | $503 | 1.1× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $60.18 | $354 | 2.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$7.65–$55.93 | $45–$329 | varies |
| Tympanometry (92567) range across 3 matching MRF lines |
$4.59–$31.28 | $27–$184 | varies |
| Tympanometry and reflex threshold measurements (92550) | $13.26 | $78 | 0.0× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$33.32–$99.62 | $196–$586 | varies |
| Unlisted noninvasive vascular diagnostic study (93998) | $7.99 | $47 | 0.2× |
| Unlisted ophthalmological service/procedure (92499) | $10.37 | $61 | 0.3× |
| Unlisted otorhinolaryngological service (92700) | $30.94 | $182 | 0.8× |
| Upr/L Xtremity Art 2 Levels (93922) range across 6 matching MRF lines |
$7.65–$160.14 | $22–$942 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$13.77–$243.10 | $81–$1,430 | varies |
| Vasopneumatic device (97016) | $23.46 | $138 | 2.0× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$37.57–$1,061.99 | $221–$6,247 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$756.67 | $155–$4,451 | 1.0× |
| Visual Field Exam Extended (92083) range across 2 matching MRF lines |
$11.22–$27.71 | $66–$163 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) range across 2 matching MRF lines |
$8.67–$20.40 | $51–$120 | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) range across 2 matching MRF lines |
$14.28–$14.62 | $84–$86 | varies |
| Vital capacity, total (94150) range across 6 matching MRF lines |
$8.33–$77.18 | $20–$454 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$13.60–$32.47 | $80–$191 | varies |
| Whirlpool Therapy (97022) range across 3 matching MRF lines |
$13.26–$75.99 | $78–$447 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) range across 2 matching MRF lines |
$1.19–$10.20 | $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.