Visits & medical services prices at Adventist Health White Memorial Montebello
Montebello, CA · every code in this section with a posted price and a Medicare benchmark.
299 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $5,126.58 | $28,481 | 0.5× |
| Acoustic Reflex Testing (92568) | $32.40 | $180 | 0.7× |
| Acupunct W/Stimul 15 Min (97813) | $24.12 | $134 | 0.6× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $22.14 | $123 | 0.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 3 matching MRF lines |
$17.10–$19.62 | $95–$109 | varies |
| Advncd Care Plan 30 Min (99497) | $41.94 | $233 | 0.3× |
| Airway Inhalation Treatment (94640) | $187.20 | $1,040 | 0.7× |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$18.18–$131.04 | $101–$728 | varies |
| Analyze Neurostim Simple (95971) | $17.82 | $99 | 0.1× |
| Analyze Pacemaker System (93724) | $72 | $400 | 0.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $45.72 | $254 | 3.2× |
| Arrhythmia Induction (93618) | $595.44 | $3,308 | 0.4× |
| Assessment of aphasia per hr (96105) | $190.26 | $1,057 | 2.0× |
| Audiometry Air & Bone (92553) | $205.38 | $1,141 | 1.2× |
| Behavral qualit analys voice (92524) | $243.90 | $1,355 | 2.2× |
| Blink reflex test (95933) | $14.40 | $80 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$403.92 | $31–$2,244 | 0.8× |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$2,961.72 | $16,454 | 0.3× |
| C motor evoked uppr limbs (95928) | $36.36 | $202 | 0.0× |
| C motor evoked upr&lwr limbs (95939) | $54.72 | $304 | 0.0× |
| Car seat/bed test 60 min (94780) | $46.80 | $260 | 1.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $707.04 | $3,928 | 2.5× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$82.62–$551.52 | $459–$3,064 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$50.22–$824.76 | $279–$4,582 | varies |
| Cardioversion elective internal (92961) | $367.38 | $2,041 | 0.4× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $77.40 | $430 | 3.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$8,557.38 | $912–$47,541 | 2.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$6,845.94 | $717–$38,033 | 1.6× |
| Cbt 1st hour (94644) | $130.14 | $723 | 0.8× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$108.90–$810.72 | $605–$4,504 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $750.78 | $4,171 | 8.1× |
| Chemo Ia Push (96420) | $251.46 | $1,397 | 0.6× |
| Chemo IV infusion addl hr (96415) | $159.12 | $884 | 1.7× |
| Chemo IV push addl drug (96411) | $238.86 | $1,327 | 2.6× |
| Chemother Prolong Infuse W/Pump (96416) | $517.86 | $2,877 | 1.2× |
| Chemotherapy Into Cns (96450) | $323.46 | $1,797 | 0.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $159.12 | $884 | 1.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $396.54 | $2,203 | 0.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$716.40–$810.72 | $3,980–$4,504 | varies |
| Chest Wall Manipulation (94668) | $169.38 | $941 | 1.0× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $186.12 | $1,034 | 0.4× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) range across 2 matching MRF lines |
$4.14–$31.50 | $23–$175 | varies |
| Color/duplex Doppler, complete (93975) | $673.74 | $3,743 | 2.2× |
| Color/duplex Doppler, limited (93976) | $266.76 | $1,482 | 2.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $66.06 | $367 | 2.1× |
| Comprehensive Hearing Test (92557) | $201.06 | $1,117 | 1.2× |
| Conditioning Play Audiometry (92582) | $130.86 | $727 | 0.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $130.68 | $726 | 0.8× |
| Continuous Pulse Ox (94762) | $418.86 | $2,327 | 2.5× |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$6,845.94 | $679–$38,033 | 1.6× |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$5,382.72 | $582–$29,904 | 1.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $1,255.32 | $6,974 | 4.5× |
| Cpt initial (94667) | $254.34 | $1,413 | 1.5× |
| Critical care first hour (99291) | $138.96 | $772 | 0.1× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $36.18 | $201 | 0.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$16.20–$162.54 | $90–$903 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $93.78 | $521 | 0.6× |
| Dialysis One Evaluation (90945) | $1,151.82 | $6,399 | 2.1× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $232.74 | $1,293 | 0.5× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$27.54–$562.86 | $153–$3,127 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $340.38 | $1,891 | 2.5× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $357.12 | $1,984 | 2.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$318.24–$761.04 | $1,768–$4,228 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$277.38–$445.68 | $1,541–$2,476 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$575.64–$804.96 | $3,198–$4,472 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$11.52–$593.82 | $64–$3,299 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $264.78 | $1,471 | 0.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 2 matching MRF lines |
$16.38–$66.06 | $91–$367 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$16.38–$370.26 | $91–$2,057 | varies |
| Duplex up extrem art bilat (93930) | $649.26 | $3,607 | 2.1× |
| Duplex up extrem art unilat/ltd (93931) | $437.58 | $2,431 | 3.3× |
| ECG/monitoring and analysis (93271) | $532.44 | $2,958 | 4.4× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$57.78–$1,028.34 | $321–$5,713 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$21.06–$550.44 | $117–$3,058 | varies |
| Echo r-t 2d w/probe placement only (93313) | $436.68 | $2,426 | 0.6× |
| Echo transesophag congen probe plcmt only (93316) range across 2 matching MRF lines |
$23.76–$436.68 | $132–$2,426 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $888.30 | $4,935 | 1.3× |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$98.10–$1,513.44 | $545–$8,408 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 2 matching MRF lines |
$118.44–$436.68 | $658–$2,426 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$77.76–$1,279.80 | $432–$7,110 | varies |
| Eeg 41-60 Minutes (95812) | $576 | $3,200 | 2.1× |
| EEG awake and asleep (95819) | $539.46 | $2,997 | 1.9× |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$505.44–$673.92 | $2,808–$3,744 | varies |
| EEG cerebral death evaluation (95824) | $288 | $1,600 | 0.6× |
| EEG extended monitoring 61-119 minutes (95813) | $860.94 | $4,783 | 3.1× |
| Eeg Sleep Only (95822) | $926.28 | $5,146 | 3.3× |
| EKG signal averaged (93278) | $180 | $1,000 | 2.4× |
| Electrical Stimulation Ea 15 Min (97032) | $55.80 | $310 | 3.8× |
| Electrocardiogram Tracing (93005) | $183.24 | $1,018 | 2.4× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) unusually low: confirm this is the full procedure |
$3,454.92 | $19,194 | 0.3× |
| Electrophysiology Evaluation (93642) | $1,112.58 | $6,181 | 0.7× |
| Emergency Dept Visit Level 2 (99282) | $358.92 | $1,994 | 1.8× |
| Emergency Dept Visit Level 3 (99283) | $45.90 | $255 | 0.1× |
| Emergency Dept Visit Level 4 (99284) | $76.14 | $423 | 0.1× |
| Emg 3 Extremities (95863) | $45.72 | $254 | 0.3× |
| Emg 4 Extremities (95864) | $48.60 | $270 | 0.3× |
| Endomyocardial Biopsy (93505) | $2,030.04 | $11,278 | 0.5× |
| Ep & ablate supravent arrhyt (93653) unusually low: confirm this is the full procedure |
$11,779.20 | $65,440 | 0.4× |
| Ep & ablate ventric tachy (93654) unusually low: confirm this is the full procedure |
$11,779.20 | $65,440 | 0.4× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $5,130.36 | $28,502 | 0.5× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $5,124.06 | $28,467 | 0.5× |
| Ep Esophageal Recording Atria+Pacing (93616) | $595.44 | $3,308 | 0.4× |
| Er level 1 (99281) | $7.38 | $41 | 0.1× |
| Er level v (99285) | $113.04 | $628 | 0.1× |
| Evaluate pt use of inhaler (94664) | $115.74 | $643 | 0.4× |
| Evaluate Speech Production (92522) | $193.32 | $1,074 | 1.7× |
| Evaluate Swallowing Function (92610) | $289.80 | $1,610 | 3.4× |
| Evaluation of speech fluency (92521) | $193.14 | $1,073 | 1.4× |
| Evoked Auditory Test,Limited (92587) range across 3 matching MRF lines |
$129.60–$205.56 | $56–$1,142 | varies |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$21.24–$31.86 | $118–$177 | varies |
| External ECG rec>7d<15d recording (93246) | $31.86 | $177 | 0.7× |
| External Ecg Scanning Analysis Report (93226) | $214.56 | $1,192 | 2.8× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$27.54–$742.14 | $153–$4,123 | varies |
| Extracranial Uni/Ltd Study (93882) | $462.06 | $2,567 | 3.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$33.66–$213.12 | $187–$1,184 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $419.22 | $2,329 | 2.1× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $73.62 | $409 | 0.1× |
| Group Therapeutic Procedures (97150) | $131.40 | $730 | 7.3× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$181.26–$10,269.18 | $1,007–$57,051 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$732.96–$1,335.06 | $4,072–$7,417 | varies |
| Holter monitor recording (93225) | $201.42 | $1,119 | 1.2× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$16.56–$138.06 | $92–$767 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$25.74–$127.80 | $143–$710 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$27.90–$133.20 | $155–$740 | varies |
| Icm Device Eval (93290) range across 2 matching MRF lines |
$9.54–$25.02 | $53–$139 | varies |
| Ilr Device Eval Progr (93285) | $11.52 | $64 | 0.2× |
| Ilr Device Interrogate (93291) | $8.10 | $45 | 0.2× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $17.10 | $95 | 0.2× |
| Immunization administration (90471) range across 4 matching MRF lines |
$20.70–$59.94 | $115–$333 | varies |
| Inital newborn e/m (99460) | $42.48 | $236 | 0.2× |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$1,377 | $218–$7,650 | 0.7× |
| Interrogation eval in person wr defibrillator (93292) | $45.72 | $254 | 1.0× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$2,961.72 | $16,454 | 0.3× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$2,961.72 | $16,454 | 0.3× |
| Intracranial Complete Study (93886) | $782.64 | $4,348 | 2.6× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$2,961.72 | $16,454 | 0.3× |
| Iontophoresis 15 min (97033) | $59.22 | $329 | 3.1× |
| Irrig Drug Delivery Device (96523) | $162.18 | $901 | 2.1× |
| IV infusion hydration each additional hour (96361) | $264.78 | $1,471 | 4.4× |
| IV infusion hydration initial 31 min-1 hour (96360) | $330.66 | $1,837 | 1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $264.78 | $1,471 | 2.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $264.60 | $1,470 | 4.4× |
| IV push initial (96374) range across 2 matching MRF lines |
$158.76–$180 | $882–$1,000 | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$8,557.38 | $813–$47,541 | 2.1× |
| Lung Function Test (Mbc/Mvv) (94200) | $48.06 | $267 | 0.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $925.92 | $5,144 | 3.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $53.82 | $299 | 1.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $72.18 | $401 | 2.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $51.30 | $285 | 3.0× |
| Methacholine challenge (94070) | $375.30 | $2,085 | 0.8× |
| Microvolt T-Wave Assess (93025) | $35.28 | $196 | 0.2× |
| Motion Fluoroscopy/Swallow (92611) | $362.52 | $2,014 | 4.0× |
| Multiple Family Group Psychotherapy (90849) | $235.98 | $1,311 | 1.0× |
| Multiple Sleep Latency Test (95805) | $26.28 | $146 | 0.0× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$37.26–$142.38 | $207–$791 | varies |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$9.18–$30.96 | $51–$172 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$23.40–$83.16 | $130–$462 | varies |
| Nasopharyngoscopy (92511) | $212.22 | $1,179 | 0.8× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$28.62–$114.84 | $159–$638 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $9.18 | $51 | 0.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$9.72–$138.60 | $54–$770 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$11.16–$153.90 | $62–$855 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$11.34–$120.78 | $63–$671 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$307.80 | $69–$1,710 | 0.6× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$24.48–$163.08 | $136–$906 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$72.72–$450.54 | $404–$2,503 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$86.22–$507.60 | $479–$2,820 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$30.42–$225.90 | $169–$1,255 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$36.72–$270 | $204–$1,500 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$48.78–$370.44 | $271–$2,058 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$60.84–$464.94 | $338–$2,583 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $15.84 | $88 | 0.1× |
| Neuromuscular Reeducation (97112) | $67.86 | $377 | 2.1× |
| Newborn resuscitation (99465) | $459.72 | $2,554 | 0.5× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $10.62 | $59 | 0.4× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $14.76 | $82 | 0.4× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $5.40 | $30 | 0.4× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $151.38 | $841 | 0.3× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $6.84 | $38 | 0.1× |
| Oral Function Therapy (92526) | $155.52 | $864 | 1.8× |
| Oral Speech Device Eval (92597) | $265.68 | $1,476 | 3.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $61.20 | $340 | 1.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$23.58–$67.50 | $131–$375 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $27.72 | $154 | 2.0× |
| Ot eval high complexity (97167) | $205.02 | $1,139 | 2.0× |
| Ot Eval Low Complex (97165) | $185.40 | $1,030 | 1.8× |
| Ot Eval Moderate Complexity (97166) | $190.80 | $1,060 | 1.9× |
| Ot manual therapy 15 min (97140) | $70.20 | $390 | 2.5× |
| Ot paraffin bath (97018) | $45.36 | $252 | 7.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $49.14 | $273 | 1.2× |
| Ot Re-Eval Est Plan Care (97168) | $104.22 | $579 | 1.5× |
| Ot rom hand (95852) | $82.44 | $458 | 3.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $188.28 | $1,046 | 1.1× |
| Penile Vascular Study,Ltd or F/U (93981) | $304.92 | $1,694 | 2.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $156.06 | $867 | 0.6× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) unusually low: confirm this is the full procedure |
$11,003.04 | $61,128 | 0.5× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 2 matching MRF lines |
$369.90–$6,051.96 | $2,055–$33,622 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 3 matching MRF lines |
$5,981.04–$6,363.54 | $1,603–$35,353 | varies |
| Phlebotomy therapeutic (99195) | $107.82 | $599 | 0.6× |
| Physical Performance Test (97750) | $74.70 | $415 | 2.2× |
| Plethysmography (94726) range across 2 matching MRF lines |
$168.12–$209.34 | $934–$1,163 | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$9.36–$73.08 | $52–$406 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$16.92–$82.26 | $94–$457 | varies |
| Pm device progr eval multi (93281) | $18.90 | $105 | 0.4× |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$14.40–$82.26 | $80–$457 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $56.52 | $314 | 0.1× |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$56.52–$538.02 | $314–$2,989 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $61.38 | $341 | 0.1× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $18.90 | $105 | 0.4× |
| Prq Card Angio/Athrect 1 Art (92924) range across 2 matching MRF lines |
$440.46–$7,070.58 | $2,447–$39,281 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$410.94–$8,076.06 | $2,283–$44,867 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 3 matching MRF lines |
$4,273.02–$10,113.66 | $2,562–$56,187 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 3 matching MRF lines |
$10,791.18 | $1,426–$59,951 | 0.7× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) unusually low: confirm this is the full procedure |
$7,665.48 | $42,586 | 0.3× |
| Prq trl rvs ch occ ant&rtrgr (92945) unusually low: confirm this is the full procedure |
$6,368.94 | $35,383 | 0.4× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$2,820.06 | $15,667 | 0.2× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$77.58–$132.48 | $431–$736 | varies |
| Psychiatric diagnostic evaluation (90791) | $145.98 | $811 | 0.6× |
| Pt Eval High Complex (97163) | $246.96 | $1,372 | 2.5× |
| Pt eval low complex 20 min (97161) | $241.20 | $1,340 | 2.5× |
| Pt Eval Mod Complex (97162) | $244.80 | $1,360 | 2.5× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$43.20–$64.98 | $240–$361 | varies |
| Pt mechanical traction (97012) | $59.94 | $333 | 4.2× |
| Pt Re-Eval Est Plan Care (97164) | $115.20 | $640 | 1.7× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$156.06–$207 | $867–$1,150 | varies |
| Pulmonary service/procedure (94799) | $317.88 | $1,766 | 1.9× |
| Pulmonary Stress Testing (94618) | $281.34 | $1,563 | 1.6× |
| Pure Tone Audiometry Air (92552) | $130.86 | $727 | 0.8× |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$8,557.38 | $853–$47,541 | 2.1× |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$5,808.60 | $759–$32,270 | 1.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$6,845.94 | $770–$38,033 | 1.6× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) range across 2 matching MRF lines |
$175.86–$199.08 | $977–$1,106 | varies |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$175.86–$199.08 | $977–$1,106 | varies |
| Refill/Maint Pump/Resvr Syst (96522) range across 2 matching MRF lines |
$175.86–$199.08 | $977–$1,106 | varies |
| Rem interrog icpms <30 d phys/qhp (93297) | $11.34 | $63 | 0.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $126.18 | $701 | 2.6× |
| Respiratory flow volume loop (94375) | $97.38 | $541 | 0.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $151.92 | $844 | 2.0× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$3,999.78 | $322–$22,221 | 1.0× |
| Right ventricular recording (93603) | $2,759.40 | $15,330 | 1.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$11.70–$82.98 | $65–$461 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $62.28 | $346 | 2.4× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$53.64–$58.14 | $298–$323 | varies |
| Sensory Integration Ea 15 Min (97533) | $118.80 | $660 | 2.0× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $12.60 | $70 | 0.0× |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$12.60–$586.98 | $70–$3,261 | varies |
| Sleep study attended (95807) | $770.94 | $4,283 | 1.6× |
| Slp caregiver training 1st 30 min (97550) | $102.78 | $571 | 1.9× |
| Somatosensory Testing (95938) | $20.88 | $116 | 0.0× |
| Speech Audiometry Complete (92556) | $88.02 | $489 | 1.2× |
| Speech audiometry threshold (92555) | $90.90 | $505 | 1.2× |
| Speech sound lang comprehen (92523) | $201.96 | $1,122 | 0.9× |
| Spirometry (94010) range across 2 matching MRF lines |
$162.54–$203.94 | $903–$1,133 | varies |
| Standardized Cognitive Performance Testing (96125) | $112.32 | $624 | 1.1× |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$58.32–$1,281.42 | $324–$7,119 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $41.94 | $233 | 0.7× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $145.98 | $811 | 0.5× |
| Subq Infusion Additional Pump Infusion Site (96371) | $41.76 | $232 | 0.5× |
| Surfactant Admin Thru Tube (94610) | $607.68 | $3,376 | 2.2× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $673.74 | $3,743 | 5.0× |
| Temp transcutaneous pacing (92953) | $176.22 | $979 | 0.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $74.88 | $416 | 3.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $74.88 | $416 | 3.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$64.80–$64.98 | $360–$361 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$21.06–$42.66 | $117–$237 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $210.42 | $1,169 | 2.1× |
| Ther/Proph/Diag Inj Ia (96373) | $190.08 | $1,056 | 0.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$75.96–$78.30 | $422–$435 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $330.66 | $1,837 | 1.2× |
| Therapeutic Activities (97530) | $72.18 | $401 | 2.1× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,057.14 | $5,873 | 2.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$11.52–$35.10 | $64–$195 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$5.40–$26.10 | $30–$145 | varies |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines unusually low: confirm this is the full procedure |
$9,030.24 | $2,373–$50,168 | 0.4× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $595.44 | $3,308 | 4.4× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $307.62 | $1,709 | 2.3× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 2 matching MRF lines |
$6.30–$41.22 | $35–$229 | varies |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$64.80–$1,363.68 | $360–$7,576 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$40.86–$804.06 | $227–$4,467 | varies |
| Tx atrial fib pulm vein isol (93656) unusually low: confirm this is the full procedure |
$11,779.20 | $65,440 | 0.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $154.80 | $860 | 2.0× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $82.80 | $460 | 3.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $113.76 | $632 | 1.9× |
| Tympanometry (92567) | $88.02 | $489 | 1.8× |
| Tympanometry and reflex threshold measurements (92550) | $205.38 | $1,141 | 0.7× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$16.20–$966.24 | $90–$5,368 | varies |
| Unlisted noninvasive vascular diagnostic study (93998) | $954.72 | $5,304 | 25.7× |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$251.64–$453.60 | $1,398–$2,520 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$318.24–$598.68 | $1,768–$3,326 | varies |
| Valvuloplasty aortic valve (92986) range across 3 matching MRF lines |
$592.02–$5,360.04 | $526–$29,778 | varies |
| Valvuloplasty mitral valve (92987) | $9,385.74 | $52,143 | 0.6× |
| Vasopneumatic device (97016) | $56.70 | $315 | 4.7× |
| Vent Mgmt Inpat Init Day (94002) | $2,173.50 | $12,075 | 2.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $2,009.88 | $11,166 | 2.5× |
| Visual Evoked Potential Test (95930) | $452.52 | $2,514 | 1.6× |
| Visual reinforcement audiometry (vra) (92579) | $130.86 | $727 | 0.5× |
| Vital capacity, total (94150) | $207.18 | $1,151 | 1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$55.62–$66.24 | $309–$368 | varies |
| Whirlpool Therapy (97022) | $54.72 | $304 | 3.5× |
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.