Visits & medical services prices at Adventist Health Ukiah Valley
Ukiah, CA · every code in this section with a posted price and a Medicare benchmark.
377 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) | $15.60 | $78 | 0.3× |
| Acupunct W/Stimul 15 Min (97813) | $26.80 | $134 | 0.7× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 3 matching MRF lines |
$15.40–$23.80 | $77–$119 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 6 matching MRF lines |
$5.21–$29.60 | $26.03–$148 | varies |
| Advncd Care Plan 30 Min (99497) range across 3 matching MRF lines |
$22.60–$40.80 | $113–$204 | varies |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$207 | $32–$1,035 | 0.7× |
| Airway resistance by oscillometry (94728) range across 2 matching MRF lines |
$210 | $30–$1,050 | 1.3× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 3 matching MRF lines |
$3.40–$11 | $17–$55 | varies |
| Allg tstg perq & ic venoms immed react w/i&r (95017) range across 3 matching MRF lines |
$1.80–$26.80 | $9–$134 | varies |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$19.20–$39.40 | $96–$197 | varies |
| Analyze neurostim no prog (95970) | $18.60 | $93 | 0.1× |
| Analyze Neurostim Simple (95971) range across 3 matching MRF lines |
$18.80–$26.60 | $94–$133 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$15.60–$30.80 | $78–$154 | varies |
| Application Modality 1/> Areas Diathermy (97024) | $19.80 | $99 | 2.7× |
| Application on-body injector (96377) | $18.40 | $92 | 0.3× |
| Assessment of aphasia per hr (96105) | $115.60 | $578 | 1.2× |
| Assessment of tinnitus (92625) range across 2 matching MRF lines |
$30.20–$33.80 | $151–$169 | varies |
| Assmt & care planning pt w/cognitive impairment (99483) range across 2 matching MRF lines |
$94.40–$138.20 | $472–$691 | varies |
| Audiometry Air & Bone (92553) | $25.60 | $128 | 0.2× |
| Basic vestibular evaluation (92540) | $53.40 | $267 | 0.2× |
| Behavral qualit analys voice (92524) | $214.60 | $1,073 | 2.0× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $20.80 | $104 | 0.3× |
| Blink reflex test (95933) | $15.20 | $76 | 0.2× |
| Breath hydrogen/methane test (91065) range across 3 matching MRF lines |
$4.60–$86.40 | $23–$432 | varies |
| Brief Emotional/Behav Assmt (96127) | $4 | $20 | 0.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines |
$20.20–$323 | $25–$1,615 | varies |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$53.60 | $268 | 0.0× |
| Canalith repositioning proc (95992) range across 4 matching MRF lines |
$17.60–$48.60 | $88–$243 | varies |
| Car seat/bed test 60 min (94780) | $105.60 | $528 | 2.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $181 | $905 | 0.7× |
| Cardiopulmonary exercise testing (94621) | $32.80 | $164 | 0.1× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$87.40–$350 | $437–$1,750 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$52.80–$1,009.80 | $264–$5,049 | varies |
| Cardioversion elective internal (92961) | $112.80 | $564 | 0.1× |
| Care mgmt services behavioral hlth cond 20 mins (99484) range across 2 matching MRF lines |
$21–$27.40 | $105–$137 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $4.80 | $24 | 0.1× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $172.20 | $861 | 0.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $135.60 | $678 | 0.0× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$30.40–$109.40 | $152–$547 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$35.60–$123.20 | $178–$616 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$18.60–$117.20 | $93–$586 | varies |
| Chemo intralesional up to 7 (96405) | $62 | $310 | 0.7× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$14–$128.60 | $70–$643 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$27.20–$126.40 | $136–$632 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$67.80–$117.40 | $339–$587 | varies |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$37.20–$108.40 | $186–$542 | varies |
| Chemotherapy Unspecified (96549) | $87.80 | $439 | 1.5× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) range across 2 matching MRF lines |
$83.80–$93.40 | $419–$467 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$31.60–$115.40 | $158–$577 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$64.40–$315.40 | $322–$1,577 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$49.80–$196 | $249–$980 | varies |
| Chest Wall Manipulation (94668) | $90.60 | $453 | 0.5× |
| Chiropract manj 3-4 regions (98941) | $20 | $100 | 0.7× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $13.80 | $69 | 0.5× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $26 | $130 | 0.9× |
| Chron Care Mgmt Srvc 20 Min (99490) | $31.20 | $156 | 0.2× |
| Cmptr ophth dx img ant segmt (92132) range across 3 matching MRF lines |
$7.60–$15.20 | $38–$76 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) range across 2 matching MRF lines |
$4.20–$53.40 | $21–$267 | varies |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$42.40–$663.40 | $212–$3,317 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$29.40–$312 | $147–$1,560 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$44.20–$68.60 | $221–$343 | varies |
| Comprehensive Hearing Test (92557) | $18.40 | $92 | 0.1× |
| Computerized dynamic posturography (92548) | $16.40 | $82 | 0.1× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 3 matching MRF lines |
$8.20–$15.60 | $41–$78 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 3 matching MRF lines |
$8.80–$16.80 | $44–$84 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $309.40 | $1,547 | 1.8× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $34.60 | $173 | 0.5× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$13–$168.80 | $65–$844 | varies |
| Corneal Topography (92025) range across 2 matching MRF lines |
$16.80–$18.60 | $84–$93 | varies |
| Coronary Art/Grft Angio S&I (93455) | $128.40 | $642 | 0.0× |
| Coronary Artery Angio S&I (93454) | $110 | $550 | 0.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$17.80–$238.20 | $89–$1,191 | varies |
| Cpt initial (94667) | $90.60 | $453 | 0.5× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$111–$189.80 | $555–$949 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$17.20–$343.20 | $86–$1,716 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $59.40 | $297 | 0.4× |
| Dialysis One Evaluation (90945) | $292.20 | $1,461 | 0.5× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $19.40 | $97 | 0.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 4 matching MRF lines |
$29–$418.80 | $145–$2,094 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$17.80–$96.80 | $89–$484 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) range across 2 matching MRF lines |
$46.60–$217.40 | $233–$1,087 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 4 matching MRF lines |
$28.60–$622 | $143–$3,110 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$17.40–$765.40 | $87–$3,827 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$25–$427.80 | $125–$2,139 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$16.20–$459.40 | $81–$2,297 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$28.60–$428 | $143–$2,140 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 2 matching MRF lines |
$25.80–$88.40 | $129–$442 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$17.20–$190.60 | $86–$953 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$29–$622 | $145–$3,110 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$17.60–$577.20 | $88–$2,886 | varies |
| Ear and throat examination (92502) | $47.80 | $239 | 0.1× |
| ECG/monitoring and analysis (93271) | $104.60 | $523 | 0.9× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$47.80–$464.40 | $239–$2,322 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$19.20–$375.20 | $55–$1,876 | varies |
| Echo r-t 2d w/probe placement only (93313) range across 2 matching MRF lines |
$524.80 | $105–$2,624 | 0.7× |
| Echo transesophag congen probe plcmt only (93316) | $399.80 | $1,999 | 0.6× |
| Echo transesophag montr cardiac pump functj (93318) | $629.60 | $3,148 | 0.9× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$82.60–$919 | $413–$4,595 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 2 matching MRF lines |
$97.40–$399.80 | $487–$1,999 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$64.20–$722 | $321–$3,610 | varies |
| Eeg 41-60 Minutes (95812) | $549.20 | $2,746 | 2.0× |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$27.60–$484.80 | $138–$2,424 | varies |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$27.60–$436.60 | $138–$2,183 | varies |
| EEG cerebral death evaluation (95824) | $23.20 | $116 | 0.0× |
| EEG cont rec w/video by tech min 8 channels (95700) | $146.60 | $733 | 0.5× |
| EEG extended monitoring 61-119 minutes (95813) | $529.40 | $2,647 | 1.9× |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$27.60–$251.60 | $138–$1,258 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $251.80 | $1,259 | 0.9× |
| EEG w/o vid 2-12hr cont mntr (95707) | $251.80 | $1,259 | 0.9× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $252 | $1,260 | 0.9× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $28.40 | $142 | 0.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $21.40 | $107 | 0.4× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$8.20–$15.60 | $41–$78 | varies |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$6.60–$122.40 | $33–$612 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$18.40–$28 | $92–$140 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$27.40–$47.40 | $137–$237 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$51.40–$80.60 | $257–$403 | varies |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$48.20–$108 | $241–$540 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$51.20–$114 | $256–$570 | varies |
| Endomyocardial Biopsy (93505) | $105.60 | $528 | 0.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) likely a partial charge, not the full procedure |
$177.40 | $887 | 0.0× |
| Er level 1 (99281) range across 2 matching MRF lines |
$7.60–$9.40 | $38–$47 | varies |
| Er level v (99285) | $116.80 | $584 | 0.2× |
| Ergonovine provocation test (93024) | $42.80 | $214 | 0.1× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $403.20 | $2,016 | 0.8× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$9.40–$152.60 | $47–$763 | varies |
| Evaluate Speech Production (92522) | $142.40 | $712 | 1.3× |
| Evaluate Swallowing Function (92610) | $124.60 | $623 | 1.5× |
| Evaluation of speech fluency (92521) | $115 | $575 | 0.9× |
| Evoked Auditory Test,Limited (92587) range across 4 matching MRF lines |
$15.60–$210 | $45–$1,050 | varies |
| Exhaled Air Analysis O2 (94680) | $6 | $30 | 0.0× |
| External ECG rec>48hr<7d recording (93242) range across 3 matching MRF lines |
$6.20–$40.20 | $31–$201 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $123.60 | $618 | 0.7× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$6.20–$33.60 | $31–$168 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) | $128.20 | $641 | 0.7× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$35.40–$174.40 | $177–$872 | varies |
| Extracranial Bilat Study (93880) range across 4 matching MRF lines |
$29.20–$622 | $146–$3,110 | varies |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$17.80–$308.20 | $89–$1,541 | varies |
| Eye exam w anesth; complete (92018) | $69.60 | $348 | 0.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$27.60–$438.40 | $138–$2,192 | varies |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) range across 2 matching MRF lines |
$32.40–$77.60 | $162–$388 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $33 | $165 | 0.2× |
| Fluorescein angiography (92235) | $21 | $105 | 0.1× |
| Fundus photography (92250) range across 4 matching MRF lines |
$10.20–$77.20 | $51–$386 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $24 | $120 | 0.1× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $261.60 | $1,308 | 0.9× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$1,018.80 | $196–$5,094 | 0.9× |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$55–$365.80 | $275–$1,829 | varies |
| Gonioscopy (92020) range across 3 matching MRF lines |
$10–$38.60 | $50–$193 | varies |
| Group Therapeutic Procedures (97150) range across 6 matching MRF lines |
$29–$122.40 | $145–$612 | varies |
| Health Behavior Assessment/Re-Assessment (96156) | $50.60 | $253 | 0.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $190.40 | $952 | 0.0× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$34.60–$531.40 | $173–$2,657 | varies |
| Holter monitor recording (93225) range across 3 matching MRF lines |
$22.40–$40.80 | $112–$204 | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $6.40 | $32 | 0.1× |
| Icd Device Interrogate (93289) range across 3 matching MRF lines |
$17.60–$36.20 | $88–$181 | varies |
| Icd device progr eval dual (93283) range across 4 matching MRF lines |
$27.20–$51.40 | $136–$257 | varies |
| Icd Device Progr Eval Mult (93284) range across 3 matching MRF lines |
$27.60–$53.20 | $138–$266 | varies |
| Icm Device Eval (93290) range across 4 matching MRF lines |
$10–$31.80 | $50–$159 | varies |
| Ilr Device Eval Progr (93285) range across 4 matching MRF lines |
$12.20–$34.60 | $61–$173 | varies |
| Ilr Device Interrogate (93291) range across 3 matching MRF lines |
$8.60–$24.80 | $43–$124 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$5.21–$8.60 | $26.03–$43 | varies |
| Immunization administration (90471) range across 8 matching MRF lines |
$5.21–$27.80 | $26.03–$139 | varies |
| Ingestion challenge test initial 120 minutes (95076) range across 2 matching MRF lines |
$63.80–$147.80 | $319–$739 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $27.40 | $137 | 0.1× |
| Inital newborn e/m (99460) range across 2 matching MRF lines |
$43.20–$44.80 | $216–$224 | varies |
| Insert/Place Heart Catheter (93503) | $43.60 | $218 | 0.0× |
| Interrogate Subq Defib (93261) | $17.40 | $87 | 0.4× |
| Interrogation eval in person wr defibrillator (93292) range across 2 matching MRF lines |
$10–$35.40 | $50–$177 | varies |
| Interrogation vad in person (93750) | $19.20 | $96 | 0.2× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$74.40 | $372 | 0.0× |
| Intracutaneous tests w/allergenic extracts (95024) range across 2 matching MRF lines |
$4 | $2–$20 | 0.1× |
| Iontophoresis 15 min (97033) | $38.20 | $191 | 2.0× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$12.60–$76.40 | $63–$382 | varies |
| Ischemic limb exercise test (95875) | $61.80 | $309 | 0.4× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$10.40–$144 | $52–$720 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$26.20–$246.20 | $131–$1,231 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$14.20–$144 | $71–$720 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$10.20–$167 | $51–$835 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$21.80–$173.60 | $109–$868 | varies |
| L Hrt Art/Grft Angio (93459) | $153.80 | $769 | 0.0× |
| Lung Function Test (Mbc/Mvv) (94200) range across 3 matching MRF lines |
$7.80–$54.40 | $6–$272 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $18 | $90 | 0.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$16.40–$34.40 | $82–$172 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$18.60–$40 | $93–$200 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$8.60–$14.80 | $43–$74 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$13.40–$32.40 | $67–$162 | varies |
| Microvolt T-Wave Assess (93025) | $29 | $145 | 0.2× |
| Motility study esophagus (91010) | $31.40 | $157 | 0.1× |
| Motion Fluoroscopy/Swallow (92611) | $248.20 | $1,241 | 2.7× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $33 | $165 | 0.1× |
| Multiple Family Group Psychotherapy (90849) | $19.60 | $98 | 0.1× |
| Multiple Sleep Latency Test (95805) | $27.80 | $139 | 0.0× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$39.40–$79.20 | $197–$396 | varies |
| Muscle Test Hemidiaphragm (95866) | $66.80 | $334 | 0.4× |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$9.60–$41.60 | $48–$208 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$24.80–$56.80 | $124–$284 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$19–$60 | $95–$300 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$30.20–$64.40 | $151–$322 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$20.40–$53.60 | $102–$268 | varies |
| Needle electromyography larynx (95865) | $74.60 | $373 | 0.4× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$9.60–$47.40 | $48–$237 | varies |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $91.80 | $459 | 0.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$10.20–$133.60 | $51–$668 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $11.60 | $58 | 0.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$12.20–$235 | $61–$1,175 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$13.20–$132.60 | $66–$663 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 3 matching MRF lines |
$25.80–$118.60 | $129–$593 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$76.80–$123.20 | $384–$616 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$91–$144.20 | $455–$721 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$32.20–$56.40 | $161–$282 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$38.60–$67.80 | $193–$339 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$51.40–$88.60 | $257–$443 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$64.20–$106 | $321–$530 | varies |
| Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$38.80–$45.40 | $194–$227 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $16.80 | $84 | 0.1× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$16.80–$44.60 | $84–$223 | varies |
| Newborn resuscitation (99465) range across 3 matching MRF lines |
$65–$445.40 | $325–$2,227 | varies |
| Nitric oxide expired gas determination (95012) | $9.80 | $49 | 0.2× |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 2 matching MRF lines |
$11.20–$12.20 | $56–$61 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 2 matching MRF lines |
$15.60–$17 | $78–$85 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 2 matching MRF lines |
$5.80–$6.60 | $29–$33 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) | $64.20 | $321 | 0.1× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
$210 | $23–$1,050 | 0.4× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 3 matching MRF lines |
$15–$89 | $75–$445 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 3 matching MRF lines |
$46.20–$75.40 | $231–$377 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 3 matching MRF lines |
$37.20–$64 | $186–$320 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 3 matching MRF lines |
$24.80–$45.20 | $124–$226 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 3 matching MRF lines |
$22.40–$43 | $112–$215 | varies |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $7.20 | $36 | 0.1× |
| Optokinetic Nystagmus Test (92544) | $15.60 | $78 | 0.1× |
| Oral Function Therapy (92526) range across 5 matching MRF lines |
$75.80–$204 | $379–$1,020 | varies |
| Oral Speech Device Eval (92597) | $55.60 | $278 | 0.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$24.40–$56.80 | $122–$284 | varies |
| Oscillating Tracking Test (92545) | $15.60 | $78 | 0.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$11.20–$15.80 | $56–$79 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$17–$22.80 | $85–$114 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$22.60–$29.60 | $113–$148 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$28.60–$36 | $143–$180 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$34–$42.20 | $170–$211 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $23.20 | $116 | 1.7× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$15.60–$38.80 | $78–$194 | varies |
| Ot paraffin bath (97018) | $38.40 | $192 | 6.4× |
| Ot Prosthetic Training, Each 15 Min (97761) | $37.40 | $187 | 0.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $6.60 | $33 | 0.0× |
| Patch/Application Test Specify Number Tests (95044) | $3 | $15 | 0.0× |
| Patient-initiated spirometric recording (94015) | $16.80 | $84 | 0.1× |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $28.80 | $144 | 0.1× |
| Penile Vascular Study,Ltd or F/U (93981) | $16.60 | $83 | 0.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $152.60 | $763 | 0.5× |
| Percutaneous tests w/allergenic extracts (95004) | $2.40 | $12 | 0.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) likely a partial charge, not the full procedure |
$242.20 | $1,211 | 0.0× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) likely a partial charge, not the full procedure |
$302.20 | $1,511 | 0.0× |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$44–$175.80 | $220–$879 | varies |
| Photo patch test(s) (95052) | $3.40 | $17 | 0.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $8.60 | $43 | 0.1× |
| Plethysmography (94726) range across 3 matching MRF lines |
$14.20–$246.40 | $29–$1,232 | varies |
| Pm device eval in person (93288) range across 4 matching MRF lines |
$10–$59.60 | $50–$298 | varies |
| Pm device progr eval dual (93280) range across 4 matching MRF lines |
$18–$42.80 | $90–$214 | varies |
| Pm device progr eval multi (93281) range across 3 matching MRF lines |
$20–$42.20 | $100–$211 | varies |
| Pm Device Progr Eval Sngl (93279) range across 3 matching MRF lines |
$15.20–$34 | $76–$170 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$18.80–$35.40 | $94–$177 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$59.80–$342.60 | $299–$1,713 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$59.80–$509 | $299–$2,545 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $65.20 | $326 | 0.1× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $39.80 | $199 | 0.0× |
| Positional nystagmus test (92542) | $15.60 | $78 | 0.1× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 3 matching MRF lines |
$7.40–$52.80 | $8–$264 | varies |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) range across 2 matching MRF lines |
$1.60–$18.40 | $8–$92 | varies |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $34 | $170 | 0.6× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) range across 2 matching MRF lines |
$20–$20.20 | $100–$101 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 4 matching MRF lines |
$20–$45.20 | $100–$226 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $5.60 | $28 | 0.1× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $6.40 | $32 | 0.1× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) range across 2 matching MRF lines |
$48.60 | $8–$243 | 0.5× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $8.60 | $43 | 0.1× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) | $5.40 | $27 | 0.1× |
| Prq Card Angio/Athrect 1 Art (92924) likely a partial charge, not the full procedure |
$288.40 | $1,442 | 0.0× |
| Prq Card Stent W/Angio 1 Vsl (92928) likely a partial charge, not the full procedure |
$269.20 | $1,346 | 0.0× |
| Prq Card Stent/Ath/Angio (92933) likely a partial charge, not the full procedure |
$302 | $1,510 | 0.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) likely a partial charge, not the full procedure |
$269 | $1,345 | 0.0× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$293 | $1,465 | 0.0× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$82.80–$96 | $414–$480 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$72.40–$85.40 | $362–$427 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $59.80 | $299 | 0.2× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 2 matching MRF lines |
$11.40–$21.40 | $57–$107 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$66–$75.80 | $330–$379 | varies |
| Pt Eval High Complex (97163) | $108.60 | $543 | 1.1× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$51.20–$90.60 | $256–$453 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$51.20–$95.40 | $256–$477 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$15.60–$47.40 | $78–$237 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$15.60–$41.20 | $78–$206 | varies |
| Pt Re-Eval Est Plan Care (97164) | $59.60 | $298 | 0.9× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $4.80 | $24 | 0.1× |
| Pulm function test by gas (94727) range across 3 matching MRF lines |
$14.20–$131 | $29–$655 | varies |
| Pulmonary service/procedure (94799) | $210 | $1,050 | 1.3× |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$10.80–$122.40 | $54–$612 | varies |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$21.20–$35.20 | $106–$176 | varies |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $10.80 | $54 | 0.5× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $16.60 | $83 | 0.5× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $5.80 | $29 | 0.5× |
| R Hrt Art/Grft Angio (93457) | $161.20 | $806 | 0.0× |
| R hrt coronary artery angio (93456) | $143.40 | $717 | 0.0× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $145.60 | $728 | 0.0× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $45.80 | $229 | 0.1× |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$61.60–$152.60 | $308–$763 | varies |
| Refill/Maint Pump/Resvr Syst (96522) | $78 | $390 | 0.3× |
| Rem interrog icpms <30 d phys/qhp (93297) range across 3 matching MRF lines |
$12–$33.60 | $60–$168 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 3 matching MRF lines |
$12–$52.40 | $60–$262 | varies |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $17 | $85 | 0.4× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$19–$98.20 | $95–$491 | varies |
| Remote 30 Day Ecg Tech Supp (93229) | $1,915.80 | $9,579 | 4.0× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $162.40 | $812 | 0.6× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $132.60 | $663 | 0.5× |
| Respiratory flow volume loop (94375) range across 3 matching MRF lines |
$20.20–$210 | $35–$1,050 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$5.60–$54.20 | $28–$271 | varies |
| Right Heart Cath (93451) | $60.80 | $304 | 0.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$21–$168.20 | $105–$841 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $115 | $575 | 0.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $39.80 | $199 | 0.8× |
| Same day nb discharge (99463) range across 2 matching MRF lines |
$52.60–$62 | $263–$310 | varies |
| Sbsq Psyc Collab Care Mgmt (99493) range across 2 matching MRF lines |
$50.20–$69 | $251–$345 | varies |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$16.80–$45.40 | $84–$227 | varies |
| Sensory Integration Ea 15 Min (97533) | $40 | $200 | 0.7× |
| Sleep study attended (95807) | $28.60 | $143 | 0.1× |
| Sleep study unattended (95806) range across 3 matching MRF lines |
$21.40–$476.20 | $53–$2,381 | varies |
| Slp Stdy Unatnd W/Anal (95801) range across 2 matching MRF lines |
$19.80–$50.20 | $99–$251 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $19 | $95 | 0.1× |
| Speech audiometry threshold (92555) | $16 | $80 | 0.2× |
| Speech sound lang comprehen (92523) | $155.40 | $777 | 0.7× |
| Spin/Brain Pump Refil & Main (95991) range across 3 matching MRF lines |
$19–$81.60 | $95–$408 | varies |
| Spirometry (94010) range across 3 matching MRF lines |
$14.20–$158.20 | $20–$791 | varies |
| Spontaneous Nystagmus Test (92541) | $15.60 | $78 | 0.1× |
| Standardized Cognitive Performance Testing (96125) | $83 | $415 | 0.8× |
| Stenger Test Speech (92577) | $15.60 | $78 | 0.0× |
| Stress Tte Only (93350) range across 4 matching MRF lines |
$53.60–$851.80 | $268–$4,259 | varies |
| Temp transcutaneous pacing (92953) | $445.40 | $2,227 | 0.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $14.80 | $74 | 0.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $14 | $70 | 0.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $38.80 | $194 | 1.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$15.80–$39.60 | $79–$198 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 4 matching MRF lines |
$78.60–$164.80 | $393–$824 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $9.80 | $49 | 0.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$8.80–$68.40 | $44–$342 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$31–$312 | $155–$1,560 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $115.20 | $576 | 0.4× |
| Therapeutic Activities (97530) | $49.80 | $249 | 1.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$12.20–$24.20 | $61–$121 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$5.80–$24.20 | $29–$121 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$68.40–$105 | $342–$525 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$92.80–$142.20 | $464–$711 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 2 matching MRF lines |
$6.80–$35.40 | $34–$177 | varies |
| Tte w/doppler, complete (93306) range across 5 matching MRF lines |
$53.60–$786 | $268–$3,930 | varies |
| Tte W/O Doppler Complete (93307) range across 3 matching MRF lines |
$34–$354 | $170–$1,770 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$89.80–$104.40 | $449–$522 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$9–$86.80 | $45–$434 | varies |
| Tympanometry (92567) range across 4 matching MRF lines |
$5.40–$15.60 | $27–$78 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 2 matching MRF lines |
$15.60–$49.80 | $78–$249 | varies |
| Unlisted cardiovascular service/procedure (93799) | $105.40 | $527 | 0.6× |
| Unlisted noninvasive vascular diagnostic study (93998) | $9.40 | $47 | 0.3× |
| Unlisted ophthalmological service/procedure (92499) range across 2 matching MRF lines |
$8.20–$12.20 | $41–$61 | varies |
| Unlisted otorhinolaryngological service (92700) | $29.80 | $149 | 0.8× |
| Upr/L Xtremity Art 2 Levels (93922) range across 8 matching MRF lines |
$9–$208.20 | $22–$1,041 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$16.20–$690.40 | $81–$3,452 | varies |
| Vasopneumatic device (97016) | $26 | $130 | 2.2× |
| Veeg 2-12 Hr Cont Mntr (95713) | $497.40 | $2,487 | 1.0× |
| Veeg 2-12 hr intmt mntr (95712) | $251.80 | $1,259 | 0.5× |
| Veeg 2-12 hr unmonitored (95711) | $271.60 | $1,358 | 1.0× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$44.20–$974.40 | $221–$4,872 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$974.40 | $155–$4,872 | 1.2× |
| Visual Field Exam Extended (92083) range across 3 matching MRF lines |
$13.20–$38.60 | $66–$193 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) range across 3 matching MRF lines |
$10.20–$24 | $51–$120 | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) range across 2 matching MRF lines |
$17.20–$28 | $86–$140 | varies |
| Vital capacity, total (94150) range across 3 matching MRF lines |
$11.80–$115 | $20–$575 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$16–$29.40 | $80–$147 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$15.60–$65 | $78–$325 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) range across 3 matching MRF lines |
$1.40–$12 | $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.