Visits & medical services prices at Adventist Health St. Helena
Saint Helena, CA · every code in this section with a posted price and a Medicare benchmark.
257 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $6,150 | $41,000 | 0.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 4 matching MRF lines |
$5.55–$26.10 | $37–$174 | varies |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$18.75–$24.75 | $125–$165 | varies |
| Airway Inhalation Treatment (94640) | $187.35 | $1,249 | 0.6× |
| Airway resistance by oscillometry (94728) | $168 | $1,120 | 1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $37.95 | $253 | 2.6× |
| Application on-body injector (96377) | $54.75 | $365 | 0.9× |
| Arrhythmia Induction (93618) | $1,239.15 | $8,261 | 0.8× |
| Assessment of aphasia per hr (96105) | $167.25 | $1,115 | 1.7× |
| Behavral qualit analys voice (92524) | $194.25 | $1,295 | 1.8× |
| Blink reflex test (95933) | $67.65 | $451 | 0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $325.05 | $2,167 | 0.7× |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$3,909.60 | $26,064 | 0.4× |
| Car seat/bed test 60 min (94780) | $45.30 | $302 | 0.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $562.50 | $3,750 | 2.0× |
| Cardiopulmonary exercise testing (94621) | $409.05 | $2,727 | 0.8× |
| Cardiopulmonary resuscitation (92950) | $474.30 | $3,162 | 1.7× |
| Cardioversion (92960) range across 2 matching MRF lines |
$44.25–$1,168.95 | $295–$7,793 | varies |
| Cardioversion elective internal (92961) range across 2 matching MRF lines |
$94.05–$932.55 | $627–$6,217 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$227.85–$10,509.90 | $1,519–$70,066 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$179.70–$8,260.20 | $1,198–$55,068 | varies |
| Cbt 1st hour (94644) | $121.50 | $810 | 0.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $151.65 | $1,011 | 1.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $100.35 | $669 | 1.0× |
| Chemo IV infusion addl hr (96415) | $174.30 | $1,162 | 1.8× |
| Chemo IV push addl drug (96411) | $123.75 | $825 | 1.3× |
| Chemother Prolong Infuse W/Pump (96416) | $333.45 | $2,223 | 0.8× |
| Chemotherapy Into Cns (96450) | $335.25 | $2,235 | 0.8× |
| Chemotherapy Unspecified (96549) | $109.35 | $729 | 1.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $142.80 | $952 | 1.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $297 | $1,980 | 0.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $227.85 | $1,519 | 0.5× |
| Chest Wall Manipulation (94668) | $94.80 | $632 | 0.5× |
| Chron Care Mgmt Srvc 20 Min (99490) | $9.15 | $61 | 0.1× |
| Color/duplex Doppler, complete (93975) range across 4 matching MRF lines |
$34.35–$701.10 | $229–$4,674 | varies |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$24.45–$444.45 | $163–$2,963 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $62.10 | $414 | 1.9× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$20.85–$29.55 | $139–$197 | varies |
| Continuous Pulse Ox (94762) | $187.80 | $1,252 | 1.1× |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$169.65–$5,548.80 | $1,131–$36,992 | varies |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$5,739.30 | $971–$38,262 | 1.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $250.20 | $1,668 | 0.9× |
| Cpt initial (94667) | $123.60 | $824 | 0.7× |
| Critical care first hour (99291) | $118.80 | $792 | 0.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$14.10–$251.10 | $13–$1,674 | varies |
| Dialysis One Evaluation (90945) | $477.90 | $3,186 | 0.9× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 3 matching MRF lines |
$23.70–$548.10 | $158–$3,654 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$14.85–$471.30 | $99–$3,142 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$23.85–$485.70 | $159–$3,238 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$14.55–$480.60 | $97–$3,204 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$20.85–$555.45 | $139–$3,703 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$13.50–$509.85 | $90–$3,399 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$467.55–$494.25 | $3,117–$3,295 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 3 matching MRF lines |
$14.25–$528.30 | $95–$3,522 | varies |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$24–$608.10 | $160–$4,054 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$14.70–$497.10 | $98–$3,314 | varies |
| ECG/monitoring and analysis (93271) | $503.10 | $3,354 | 4.0× |
| Echo Congenital Complete (93303) | $422.10 | $2,814 | 0.6× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$16.05–$482.70 | $107–$3,218 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$68.55–$1,346.85 | $457–$8,979 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 3 matching MRF lines |
$53.55–$1,140.45 | $357–$7,603 | varies |
| EEG awake and asleep (95819) | $705.60 | $4,704 | 2.5× |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$462.90–$617.25 | $3,086–$4,115 | varies |
| EEG cerebral death evaluation (95824) | $322.65 | $2,151 | 0.7× |
| Eeg Sleep Only (95822) | $470.70 | $3,138 | 1.6× |
| Electrical Stimulation Ea 15 Min (97032) | $93 | $620 | 6.3× |
| Electro-Oculography (92270) | $96.30 | $642 | 0.5× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$34.35–$170.25 | $229–$1,135 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) unusually low: confirm this is the full procedure |
$3,909.60 | $26,064 | 0.4× |
| Electrophysiology Evaluation (93642) | $867.60 | $5,784 | 0.5× |
| Emergency Dept Visit Level 2 (99282) | $22.95 | $153 | 0.1× |
| Emergency Dept Visit Level 3 (99283) | $38.85 | $259 | 0.1× |
| Emergency Dept Visit Level 4 (99284) | $66.15 | $441 | 0.1× |
| Emg 3 Extremities (95863) | $91.95 | $613 | 0.5× |
| Emg 4 Extremities (95864) | $155.25 | $1,035 | 0.9× |
| Endomyocardial Biopsy (93505) range across 2 matching MRF lines |
$1,840.95 | $586–$12,273 | 0.4× |
| Ep & ablate supravent arrhyt (93653) unusually low: confirm this is the full procedure |
$15,129.75 | $100,865 | 0.4× |
| Ep & ablate ventric tachy (93654) range across 2 matching MRF lines |
$17,646.45 | $2,557–$117,643 | 0.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $5,437.50 | $36,250 | 0.5× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) unusually low: confirm this is the full procedure |
$5,004.30 | $33,362 | 0.5× |
| Er level 1 (99281) | $174 | $1,160 | 1.6× |
| Er level v (99285) | $95.70 | $638 | 0.1× |
| Ergonovine provocation test (93024) | $35.55 | $237 | 0.1× |
| Esoph Atrial Electrogram (93615) | $1,239.15 | $8,261 | 0.8× |
| Evaluate pt use of inhaler (94664) | $169.05 | $1,127 | 0.6× |
| Evaluate Speech Production (92522) | $165.90 | $1,106 | 1.5× |
| Evaluate Swallowing Function (92610) | $291.30 | $1,942 | 3.4× |
| Evaluation of speech fluency (92521) | $111.45 | $743 | 0.8× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$9.75–$19.20 | $65–$128 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$5.85–$31.80 | $39–$212 | varies |
| External Ecg Scanning Analysis Report (93226) | $226.95 | $1,513 | 2.9× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$23.70–$619.05 | $158–$4,127 | varies |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$14.40–$527.40 | $96–$3,516 | varies |
| Eye Exam With Photos (92230) | $322.65 | $2,151 | 0.7× |
| Fluorescein angiography (92235) | $202.80 | $1,352 | 0.7× |
| Fundus photography (92250) | $120.15 | $801 | 0.7× |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$1,581.90 | $308–$10,546 | 1.3× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$32.40–$34.95 | $216–$233 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$251.70–$10,096.35 | $1,678–$67,309 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$790.95–$897.15 | $5,273–$5,981 | varies |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$40.95–$290.25 | $273–$1,935 | varies |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$14.70–$49.20 | $98–$328 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$22.65–$37.35 | $151–$249 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$24.60–$40.65 | $164–$271 | varies |
| Icm Device Eval (93290) range across 2 matching MRF lines |
$8.40–$31.05 | $56–$207 | varies |
| Ilr Device Eval Progr (93285) | $10.20 | $68 | 0.2× |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$7.20–$16.05 | $48–$107 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $27.75 | $185 | 0.3× |
| Immunization administration (90471) range across 3 matching MRF lines |
$6.30–$27.75 | $42–$185 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $518.70 | $3,458 | 1.8× |
| Insert/Place Heart Catheter (93503) | $33.90 | $226 | 0.0× |
| Intra-atrial pacing (93610) unusually low: confirm this is the full procedure |
$3,909.60 | $26,064 | 0.4× |
| Intra-atrial recording (93602) unusually low: confirm this is the full procedure |
$3,909.60 | $26,064 | 0.4× |
| Intraventricular pacing (93612) unusually low: confirm this is the full procedure |
$3,909.60 | $26,064 | 0.4× |
| Iontophoresis 15 min (97033) | $54.60 | $364 | 2.9× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$12–$187.95 | $80–$1,253 | varies |
| IV infusion hydration each additional hour (96361) | $138 | $920 | 2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $234.30 | $1,562 | 0.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$117.30–$131.25 | $782–$875 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $198.30 | $1,322 | 3.2× |
| IV push initial (96374) range across 2 matching MRF lines |
$155.10–$171 | $1,034–$1,140 | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$203.55–$9,140.25 | $1,357–$60,935 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $47.85 | $319 | 0.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $331.65 | $2,211 | 1.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $10.80 | $72 | 0.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $41.70 | $278 | 1.1× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $13.95 | $93 | 0.8× |
| Methacholine challenge (94070) | $543.30 | $3,622 | 1.1× |
| Motility study esophagus (91010) | $26.40 | $176 | 0.1× |
| Motion Fluoroscopy/Swallow (92611) | $291.30 | $1,942 | 3.2× |
| Multiple Sleep Latency Test (95805) | $970.65 | $6,471 | 0.9× |
| Muscle Test 2 Limbs (95861) | $82.05 | $547 | 0.5× |
| Muscle Test One Limb (95860) | $87.30 | $582 | 0.5× |
| Nasopharyngoscopy (92511) | $135.15 | $901 | 0.5× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $137.85 | $919 | 0.5× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $91.95 | $613 | 0.3× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $91.95 | $613 | 0.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $8.40 | $56 | 0.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $9.75 | $65 | 0.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $9.90 | $66 | 0.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $10.95 | $73 | 0.0× |
| Neuromuscular Reeducation (97112) | $42.60 | $284 | 1.3× |
| Newborn resuscitation (99465) | $278.55 | $1,857 | 0.3× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $9.15 | $61 | 0.4× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $12.60 | $84 | 0.4× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $4.65 | $31 | 0.3× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $337.50 | $2,250 | 0.7× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $6.15 | $41 | 0.1× |
| Oral Function Therapy (92526) | $138.15 | $921 | 1.6× |
| Oral Speech Device Eval (92597) | $135.75 | $905 | 1.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $41.25 | $275 | 0.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$21–$43.65 | $140–$291 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $26.40 | $176 | 1.9× |
| Ot eval high complexity (97167) | $111.45 | $743 | 1.1× |
| Ot Eval Low Complex (97165) | $106.05 | $707 | 1.1× |
| Ot Eval Moderate Complexity (97166) | $108.75 | $725 | 1.1× |
| Ot manual therapy 15 min (97140) | $39.15 | $261 | 1.4× |
| Ot paraffin bath (97018) | $45 | $300 | 7.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $38.85 | $259 | 1.0× |
| Ot Re-Eval Est Plan Care (97168) | $57.15 | $381 | 0.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $80.25 | $535 | 0.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $77.10 | $514 | 0.5× |
| Oxygen Uptake Rest Indirect (94690) | $135.60 | $904 | 1.7× |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$14.85–$55.05 | $99–$367 | varies |
| 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 |
$11,616.45 | $1,406–$77,443 | 0.5× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 2 matching MRF lines |
$6,729 | $1,331–$44,860 | 0.9× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$7,963.80 | $2,084–$53,092 | 0.5× |
| Phlebotomy therapeutic (99195) | $274.20 | $1,828 | 1.6× |
| Plethysmography (94726) | $222 | $1,480 | 0.4× |
| Pm device eval in person (93288) range across 3 matching MRF lines |
$8.40–$63.45 | $56–$423 | varies |
| Pm device progr eval dual (93280) range across 3 matching MRF lines |
$15–$63.30 | $100–$422 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$15–$16.80 | $100–$112 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$12.60–$31.20 | $84–$208 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $1,455.45 | $9,703 | 1.3× |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,279.05 | $8,527 | 1.1× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $1,386.30 | $9,242 | 1.2× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$15.45–$16.65 | $103–$111 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $30.90 | $206 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $40.05 | $267 | 0.6× |
| Prq Card Angio/Athrect 1 Art (92924) range across 2 matching MRF lines |
$7,963.80 | $1,588–$53,092 | 0.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$7,727.85 | $1,730–$51,519 | 0.5× |
| Prq Card Stent/Ath/Angio (92933) range across 2 matching MRF lines unusually low: confirm this is the full procedure |
$10,588.20 | $1,661–$70,588 | 0.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$10,353 | $1,481–$69,020 | 0.7× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) unusually low: confirm this is the full procedure |
$10,588.20 | $70,588 | 0.4× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$242.40 | $1,616 | 0.0× |
| Pt Eval High Complex (97163) | $111.45 | $743 | 1.1× |
| Pt eval low complex 20 min (97161) | $106.05 | $707 | 1.1× |
| Pt Eval Mod Complex (97162) | $108.75 | $725 | 1.1× |
| Pt gait training 15 min (97116) | $58.20 | $388 | 2.0× |
| Pt mechanical traction (97012) | $63.45 | $423 | 4.4× |
| Pt Re-Eval Est Plan Care (97164) | $107.70 | $718 | 1.6× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$168–$337.50 | $1,120–$2,250 | varies |
| Pulmonary Stress Testing (94618) | $190.20 | $1,268 | 1.1× |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$213.30–$9,137.85 | $1,422–$60,919 | varies |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$189.75–$7,504.35 | $1,265–$50,029 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$192.60–$7,514.70 | $1,284–$50,098 | varies |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $205.65 | $1,371 | 0.5× |
| Refill/Maint Portable Pump (96521) | $257.25 | $1,715 | 0.9× |
| Refill/Maint Pump/Resvr Syst (96522) | $213 | $1,420 | 0.8× |
| Rem interrog icpms <30 d phys/qhp (93297) | $10.05 | $67 | 0.2× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $10.05 | $67 | 0.2× |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $20.55 | $137 | 0.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $105.60 | $704 | 2.1× |
| Respiratory flow volume loop (94375) | $168 | $1,120 | 0.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $53.55 | $357 | 0.7× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$3,638.10 | $537–$24,254 | 0.8× |
| Right ventricular recording (93603) | $929.70 | $6,198 | 0.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$18.15–$251.10 | $121–$1,674 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $88.80 | $592 | 0.7× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $56.40 | $376 | 1.2× |
| Self Care Mngment Training (97535) | $44.40 | $296 | 1.4× |
| Sensory Integration Ea 15 Min (97533) | $35.25 | $235 | 0.6× |
| Sleep study unattended (95806) range across 5 matching MRF lines |
$17.55–$364.50 | $117–$2,430 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $215.25 | $1,435 | 0.8× |
| Speech sound lang comprehen (92523) | $160.20 | $1,068 | 0.7× |
| Spin/Brain Pump Refil & Main (95991) | $226.05 | $1,507 | 0.6× |
| Spirometry (94010) | $187.80 | $1,252 | 0.7× |
| Standardized Cognitive Performance Testing (96125) | $88.80 | $592 | 0.9× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$44.70–$909.75 | $298–$6,065 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $25.35 | $169 | 0.4× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $325.50 | $2,170 | 1.2× |
| Temp transcutaneous pacing (92953) | $356.25 | $2,375 | 0.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$28.50–$36.45 | $190–$243 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$26.85–$34.35 | $179–$229 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $31.65 | $211 | 0.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $47.70 | $318 | 1.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $74.55 | $497 | 0.7× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $85.20 | $568 | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$17.70–$64.65 | $118–$431 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $369.45 | $2,463 | 1.3× |
| Therapeutic Activities (97530) | $46.20 | $308 | 1.3× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $764.40 | $5,096 | 1.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$23.25–$23.85 | $155–$159 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$3.75–$18.15 | $25–$121 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$26.25–$65.70 | $175–$438 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$55.20–$62.55 | $368–$417 | varies |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines unusually low: confirm this is the full procedure |
$10,833.30 | $2,467–$72,222 | 0.4× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$44.70–$1,002.30 | $298–$6,682 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$28.20–$643.95 | $188–$4,293 | varies |
| Tx atrial fib pulm vein isol (93656) unusually low: confirm this is the full procedure |
$14,984.10 | $99,894 | 0.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $149.25 | $995 | 2.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$59.85–$88.50 | $399–$590 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$26.55–$240.45 | $177.02–$1,603 | varies |
| Unlisted noninvasive vascular diagnostic study (93998) | $202.35 | $1,349 | 5.3× |
| Unlisted Psychiatric Service/Procedure (90899) | $55.35 | $369 | 1.1× |
| Upr/L Xtremity Art 2 Levels (93922) range across 6 matching MRF lines |
$7.50–$339.60 | $37–$2,264 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$13.50–$743.55 | $90–$4,957 | varies |
| Valvuloplasty aortic valve (92986) range across 2 matching MRF lines |
$515.55–$5,012.10 | $3,437–$33,414 | varies |
| Valvuloplasty pulmonary valve (92990) unusually low: confirm this is the full procedure |
$6,581.70 | $43,878 | 0.4× |
| Vasopneumatic device (97016) | $32.85 | $219 | 2.7× |
| Vent Mgmt Inpat Init Day (94002) | $1,419.30 | $9,462 | 1.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $947.10 | $6,314 | 1.2× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $50.85 | $339 | 0.6× |
| Vital capacity, total (94150) | $97.20 | $648 | 0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $36.90 | $246 | 1.2× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$47.25–$54.90 | $315–$366 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $76.95 | $513 | 1.6× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.