Visits & medical services prices at Advocate Lutheran General Hospital
Park Ridge, IL · every code in this section with a posted price and a Medicare benchmark.
320 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) | $8,020 | $16,040 | 1.0× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $197.50 | $395 | 1.4× |
| Acoustic Reflex Testing (92568) | $92.50 | $185 | 2.3× |
| Actigraphy Testing Recording Analysis I&R (95803) | $110 | $220 | 1.7× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $45 | $90 | 1.0× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $402.50 | $805 | 1.7× |
| Aep neurodiagnostic i&r (92653) | $402.50 | $805 | 1.7× |
| Aep threshold estimation mlt frequencies i&r (92652) | $460 | $920 | 2.0× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$167.50–$187.50 | $335–$375 | varies |
| Analyze neurostim complex (95972) | $595 | $1,190 | 5.8× |
| Analyze neurostim no prog (95970) | $315 | $630 | 2.2× |
| Analyze Neurostim Simple (95971) | $475 | $950 | 4.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $60 | $120 | 4.2× |
| Application on-body injector (96377) | $90 | $180 | 1.8× |
| Arrhythmia Induction (93618) | $2,605 | $5,210 | 2.0× |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$55–$252.50 | $110–$505 | varies |
| Audiometry Air & Bone (92553) | $197.50 | $395 | 1.4× |
| Basic vestibular evaluation (92540) | $550 | $1,100 | 2.4× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$20–$272.50 | $40–$545 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $210 | $420 | 2.6× |
| Bfb training ea addl 15 min (90913) | $107.50 | $215 | 3.3× |
| Biofeedback training any modality (90901) | $75 | $150 | 1.8× |
| Bis Xtracell Fluid Analysis (93702) | $202.50 | $405 | 1.5× |
| Breath hydrogen/methane test (91065) | $420 | $840 | 1.8× |
| Brief Emotional/Behav Assmt (96127) | $70 | $140 | 1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $525 | $1,050 | 1.3× |
| Bundle of his recording (93600) | $5,670 | $11,340 | 0.7× |
| C motor evoked uppr limbs (95928) | $3,755 | $7,510 | 4.1× |
| C motor evoked upr&lwr limbs (95939) | $1,435 | $2,870 | 1.6× |
| Caloric vestibular test w/rec bi monothermal (92538) | $310 | $620 | 1.3× |
| Caloric Vstblr Test W/Rec (92537) range across 2 matching MRF lines |
$455–$545 | $910–$1,090 | varies |
| Canalith repositioning proc (95992) | $115 | $230 | 2.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $515 | $1,030 | 2.2× |
| Cardiopulmonary resuscitation (92950) | $975 | $1,950 | 4.2× |
| Cardioversion (92960) | $1,145 | $2,290 | 1.6× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $6,180 | $12,360 | 1.8× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $4,730 | $9,460 | 1.4× |
| Cbt 1st hour (94644) | $185 | $370 | 1.3× |
| Chemo Admin Peritoneal Cavity (96446) | $595 | $1,190 | 1.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $260 | $520 | 3.4× |
| Chemo Hormon Antineopl Sq/Im (96402) | $220 | $440 | 2.9× |
| Chemo Ia Push (96420) | $495 | $990 | 1.4× |
| Chemo IV infusion addl hr (96415) | $370 | $740 | 4.8× |
| Chemo IV push addl drug (96411) | $340 | $680 | 4.4× |
| Chemother Prolong Infuse W/Pump (96416) | $740 | $1,480 | 2.1× |
| Chemotherapy Into Cns (96450) | $945 | $1,890 | 2.7× |
| Chemotherapy Unspecified (96549) | $150 | $300 | 3.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $370 | $740 | 4.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $740 | $1,480 | 2.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $455 | $910 | 1.3× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $470 | $940 | 1.3× |
| Chest Wall Manipulation (94668) | $115 | $230 | 0.8× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $1,135 | $2,270 | 2.8× |
| Color/duplex Doppler, complete (93975) | $1,000 | $2,000 | 3.9× |
| Color/duplex Doppler, limited (93976) | $670 | $1,340 | 6.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $85 | $170 | 2.7× |
| Comprehensive Hearing Test (92557) | $255 | $510 | 1.8× |
| Conditioning Play Audiometry (92582) | $222.50 | $445 | 1.6× |
| Continuous Pulse Ox (94762) | $282.50 | $565 | 2.0× |
| Coronary Art/Grft Angio S&I (93455) | $4,540 | $9,080 | 1.3× |
| Coronary Artery Angio S&I (93454) | $5,550 | $11,100 | 1.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $300 | $600 | 1.3× |
| Cpt initial (94667) | $115 | $230 | 0.8× |
| Critical care first hour (99291) | $1,690 | $3,380 | 1.9× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $3,755 | $7,510 | 9.4× |
| Debridement Open Wound 20 Sq Cm< (97597) | $307.50 | $615 | 1.4× |
| Dialysis One Evaluation (90945) | $1,515 | $3,030 | 3.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $905 | $1,810 | 3.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $605 | $1,210 | 5.4× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $590 | $1,180 | 5.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $990 | $1,980 | 3.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $660 | $1,320 | 5.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $845 | $1,690 | 3.3× |
| Dup-scan xtr veins unilateral/limited study (93971) | $565 | $1,130 | 5.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $750 | $1,500 | 2.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $500 | $1,000 | 4.5× |
| Duplex Scan Hemodialysis Access (93990) | $605 | $1,210 | 5.4× |
| Duplex up extrem art bilat (93930) | $780 | $1,560 | 3.1× |
| Duplex up extrem art unilat/ltd (93931) | $520 | $1,040 | 4.6× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $210 | $420 | 1.5× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$935–$1,175 | $1,870–$2,350 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$420–$500 | $840–$1,000 | varies |
| Echo r-t 2d w/probe placement only (93313) | $810 | $1,620 | 1.4× |
| Echo transesophag montr cardiac pump functj (93318) | $1,860 | $3,720 | 3.2× |
| Echo transesophageal (93312) range across 4 matching MRF lines |
$1,205–$1,670 | $2,410–$3,340 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,090 | $2,180 | 1.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 4 matching MRF lines |
$1,025–$1,700 | $2,050–$3,400 | varies |
| Eeg 41-60 Minutes (95812) | $795 | $1,590 | 3.4× |
| EEG awake and asleep (95819) | $905 | $1,810 | 3.9× |
| EEG awake drowsy (95816) | $835 | $1,670 | 3.6× |
| EEG cerebral death evaluation (95824) | $1,060 | $2,120 | 2.7× |
| EEG cont rec w/video by tech min 8 channels (95700) | $445 | $890 | 1.9× |
| EEG extended monitoring 61-119 minutes (95813) | $1,040 | $2,080 | 4.5× |
| Eeg Sleep Only (95822) | $795 | $1,590 | 3.4× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $442.50 | $885 | 1.9× |
| EEG w/o vid 2-12hr cont mntr (95707) | $442.50 | $885 | 1.9× |
| EEG w/o vid ea 12-26hr intmt (95709) | $885 | $1,770 | 2.2× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $885 | $1,770 | 2.2× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $442.50 | $885 | 1.9× |
| EEG wo vid ea 12-26hr unmntr (95708) | $885 | $1,770 | 2.2× |
| EKG signal averaged (93278) | $280 | $560 | 4.4× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $970 | $1,940 | 9.5× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $485 | $970 | 12.1× |
| Electrical Stimulation Ea 15 Min (97032) | $75 | $150 | 5.1× |
| Electrocardiogram Tracing (93005) | $232.50 | $465 | 3.7× |
| Electroconvulsive Therapy (90870) | $795 | $1,590 | 0.9× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $7,925 | $15,850 | 0.9× |
| Electrophysiology Evaluation (93642) | $2,620 | $5,240 | 2.0× |
| Emergency Dept Visit Level 2 (99282) | $232.50 | $465 | 1.4× |
| Emergency Dept Visit Level 3 (99283) | $465 | $930 | 1.6× |
| Emergency Dept Visit Level 4 (99284) | $810 | $1,620 | 1.8× |
| Emg 3 Extremities (95863) | $515 | $1,030 | 3.7× |
| Emg 4 Extremities (95864) | $590 | $1,180 | 4.3× |
| Endomyocardial Biopsy (93505) | $4,180 | $8,360 | 1.2× |
| Ep & ablate supravent arrhyt (93653) | $19,815 | $39,630 | 0.7× |
| Ep & ablate ventric tachy (93654) | $27,250 | $54,500 | 1.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $8,265 | $16,530 | 1.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $5,590 | $11,180 | 0.7× |
| Ep Esophageal Recording Atria+Pacing (93616) | $4,185 | $8,370 | 3.2× |
| Er level 1 (99281) range across 4 matching MRF lines |
$62.50–$195 | $125–$390 | varies |
| Er level v (99285) | $1,430 | $2,860 | 2.2× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $780 | $1,560 | 2.0× |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$30–$272.50 | $60–$545 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$40–$200 | $80–$400 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$40–$272.50 | $80–$545 | varies |
| Evoked Auditory Test,Limited (92587) | $197.50 | $395 | 0.9× |
| Extracranial Bilat Study (93880) | $905 | $1,810 | 3.5× |
| Extracranial Uni/Ltd Study (93882) | $605 | $1,210 | 5.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$665–$765 | $1,330–$1,530 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $457.50 | $915 | 2.3× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $1,830 | $3,660 | 2.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $780 | $1,560 | 0.8× |
| Group Therapeutic Procedures (97150) | $65 | $130 | 3.6× |
| Health Behavior Assessment/Re-Assessment (96156) | $142.50 | $285 | 1.3× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $142.50 | $285 | 3.5× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $142.50 | $285 | 0.7× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $5,710 | $11,420 | 1.6× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$1,005–$1,025 | $2,010–$2,050 | varies |
| Icd Device Interrogate (93289) | $242.50 | $485 | 6.1× |
| Icd device progr eval dual (93283) | $315 | $630 | 7.9× |
| Icd Device Progr Eval Mult (93284) | $370 | $740 | 9.3× |
| Icm Device Eval (93290) | $120 | $240 | 3.0× |
| Immunization administration (90471) | $50 | $100 | 0.6× |
| Insert/Place Heart Catheter (93503) | $1,390 | $2,780 | 0.8× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) | $270 | $540 | 2.7× |
| Interrog&prgrmg ipnss during polysomnography (93152) | $2,355 | $4,710 | 7.2× |
| Interrogation vad in person (93750) | $185 | $370 | 1.8× |
| Interrogation without programming ipnss (93153) | $270 | $540 | 2.7× |
| Intra-atrial pacing (93610) unusually low: confirm this is the full procedure |
$2,785 | $5,570 | 0.3× |
| Intra-atrial recording (93602) unusually low: confirm this is the full procedure |
$2,785 | $5,570 | 0.3× |
| Intracranial Complete Study (93886) | $950 | $1,900 | 3.7× |
| Intraventricular pacing (93612) | $5,560 | $11,120 | 0.7× |
| Iontophoresis 15 min (97033) | $72.50 | $145 | 3.8× |
| Irrig Drug Delivery Device (96523) | $125 | $250 | 2.0× |
| IV infusion hydration each additional hour (96361) | $85 | $170 | 1.7× |
| IV infusion hydration initial 31 min-1 hour (96360) | $255 | $510 | 1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $112.50 | $225 | 1.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $97.50 | $195 | 1.9× |
| IV push initial (96374) | $200 | $400 | 0.9× |
| L Hrt Art/Grft Angio (93459) | $5,480 | $10,960 | 1.6× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $4,350 | $8,700 | 1.3× |
| Liver Elastography W/O Imag W/I&R (91200) | $427.50 | $855 | 3.1× |
| Low frequency non-thermal us (97610) | $137.50 | $275 | 0.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $740 | $1,480 | 3.2× |
| Mechanical chest wall oscillation per session (94669) | $187.50 | $375 | 0.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $47.50 | $95 | 1.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $55 | $110 | 1.5× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $20 | $40 | 1.2× |
| Methacholine challenge (94070) | $645 | $1,290 | 1.6× |
| Motility study esophagus (91010) | $795 | $1,590 | 2.0× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$100–$307.50 | $200–$615 | varies |
| Multiple Sleep Latency Test (95805) | $2,430 | $4,860 | 2.6× |
| Muscle Test 2 Limbs (95861) | $447.50 | $895 | 3.1× |
| Muscle Test Nonparaspinal (95870) | $187.50 | $375 | 1.3× |
| Muscle Test One Limb (95860) | $297.50 | $595 | 2.1× |
| Nasopharyngoscopy (92511) | $525 | $1,050 | 2.5× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $1,060 | $2,120 | 4.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $352.50 | $705 | 1.5× |
| Needle electromyography larynx (95865) | $360 | $720 | 2.5× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $280 | $560 | 1.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $710 | $1,420 | 1.6× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $855 | $1,710 | 2.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $307.50 | $615 | 1.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $370 | $740 | 0.8× |
| Nerve Conduction Studies 1-2 Studies (95907) | $555 | $1,110 | 2.4× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,740 | $3,480 | 4.4× |
| Nerve conduction studies 13 or more studies (95913) | $2,000 | $4,000 | 5.0× |
| Nerve Conduction Studies 3-4 Studies (95908) | $835 | $1,670 | 3.6× |
| Nerve conduction studies 5-6 studies (95909) | $1,050 | $2,100 | 4.5× |
| Nerve conduction studies 7-8 studies (95910) | $1,260 | $2,520 | 3.2× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,515 | $3,030 | 3.8× |
| Neurobehavioral Status Exam (96116) | $297.50 | $595 | 1.3× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $287.50 | $575 | 2.1× |
| Neuromuscular Reeducation (97112) | $85 | $170 | 2.6× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $82.50 | $165 | 3.3× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $110 | $220 | 3.2× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $50 | $100 | 3.7× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $327.50 | $655 | 0.8× |
| Optokinetic Nystagmus Test (92544) | $232.50 | $465 | 1.7× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$55–$197.50 | $110–$395 | varies |
| Oral Speech Device Eval (92597) range across 2 matching MRF lines |
$75–$320 | $150–$640 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $90 | $180 | 1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $100 | $200 | 2.2× |
| Oscillating Tracking Test (92545) | $232.50 | $465 | 1.0× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $37.50 | $75 | 1.6× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$112.50–$230 | $225–$460 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$82.50–$222.50 | $165–$445 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$95–$225 | $190–$450 | varies |
| Ot manual therapy 15 min (97140) | $85 | $170 | 3.1× |
| Ot paraffin bath (97018) | $65 | $130 | 10.8× |
| Ot Prosthetic Training, Each 15 Min (97761) | $85 | $170 | 2.1× |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$70–$130 | $140–$260 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $202.50 | $405 | 1.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $220 | $440 | 1.6× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $275 | $550 | 1.2× |
| Peripheral arterial disease rehab per session (93668) | $105 | $210 | 1.7× |
| Perq Transcath Cls Aortic (93591) | $18,420 | $36,840 | 0.9× |
| Perq Transcath Cls Mitral (93590) | $18,420 | $36,840 | 0.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 5 matching MRF lines |
$7,725–$10,375 | $15,450–$20,750 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 10 matching MRF lines |
$9,435–$21,455 | $18,870–$42,910 | varies |
| Phlebotomy therapeutic (99195) | $207.50 | $415 | 1.5× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $150 | $300 | 2.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $137.50 | $275 | 2.2× |
| Physical Performance Test (97750) | $85 | $170 | 2.5× |
| Plethysmography (94726) | $505 | $1,010 | 1.3× |
| Pm device eval in person (93288) | $160 | $320 | 4.0× |
| Pm/Icd Remote Tech Serv (93296) | $135 | $270 | 3.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$2,105–$3,235 | $4,210–$6,470 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$2,105–$3,235 | $4,210–$6,470 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$2,105–$3,235 | $4,210–$6,470 | varies |
| Positional nystagmus test (92542) | $192.50 | $385 | 1.4× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $260 | $520 | 6.5× |
| Prq Card Angio/Athrect 1 Art (92924) | $15,620 | $31,240 | 1.3× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 10 matching MRF lines |
$15,620–$18,745 | $31,240–$37,490 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 10 matching MRF lines |
$11,340–$21,455 | $22,680–$42,910 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) | $15,620 | $31,240 | 1.3× |
| Psych diag eval w/med srvcs (90792) | $417.50 | $835 | 2.2× |
| Psychiatric diagnostic evaluation (90791) | $310 | $620 | 1.6× |
| Psychological tst eval svc phys/qhp first hour (96130) | $315 | $630 | 1.4× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $167.50 | $335 | 0.3× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $167.50 | $335 | 1.2× |
| Psytx Crisis Initial 60 Min (90839) | $315 | $630 | 1.7× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$112.50–$212.50 | $225–$425 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$82.50–$207.50 | $165–$415 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$95–$210 | $190–$420 | varies |
| Pt gait training 15 min (97116) | $85 | $170 | 2.9× |
| Pt mechanical traction (97012) | $60 | $120 | 4.2× |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$70–$120 | $140–$240 | varies |
| Pulmonary Stress Testing (94618) | $247.50 | $495 | 1.7× |
| Pure Tone Audiometry Air (92552) | $112.50 | $225 | 0.8× |
| R Hrt Art/Grft Angio (93457) | $4,600 | $9,200 | 1.3× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $3,860 | $7,720 | 1.1× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $3,860 | $7,720 | 1.1× |
| R hrt coronary artery angio (93456) | $4,540 | $9,080 | 1.3× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $8,840 | $17,680 | 2.5× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $8,840 | $17,680 | 2.5× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $5,365 | $10,730 | 1.5× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $427.50 | $855 | 1.2× |
| Refill/Maint Portable Pump (96521) | $210 | $420 | 0.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $177.50 | $355 | 2.8× |
| Right Heart Cath (93451) | $4,175 | $8,350 | 1.2× |
| Right ventricular recording (93603) | $2,375 | $4,750 | 1.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $235 | $470 | 1.1× |
| Select picture audiometry (92583) | $125 | $250 | 2.0× |
| Self Care Mngment Training (97535) | $85 | $170 | 2.6× |
| Sensory Integration Ea 15 Min (97533) | $85 | $170 | 1.4× |
| Short-latency somatosens ep std upr limbs (95925) | $795 | $1,590 | 3.4× |
| Sleep study unattended (95806) | $495 | $990 | 2.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $495 | $990 | 2.1× |
| Somatosensory Testing (95938) | $1,255 | $2,510 | 1.4× |
| Speech Audiometry Complete (92556) | $100 | $200 | 1.6× |
| Speech audiometry threshold (92555) | $77.50 | $155 | 1.2× |
| Speech sound lang comprehen (92523) range across 4 matching MRF lines |
$50–$457.50 | $100–$915 | varies |
| Spin/Brain Pump Refil & Main (95991) | $427.50 | $855 | 1.3× |
| Spirometry (94010) | $307.50 | $615 | 1.3× |
| Spontaneous Nystagmus Test (92541) | $187.50 | $375 | 1.3× |
| Ssep lower limbs (95926) | $795 | $1,590 | 3.4× |
| Standardized Cognitive Performance Testing (96125) range across 3 matching MRF lines |
$30–$267.50 | $60–$535 | varies |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$775–$1,030 | $1,550–$2,060 | varies |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $895 | $1,790 | 8.0× |
| Temp transcutaneous pacing (92953) | $960 | $1,920 | 1.4× |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) | $195 | $390 | 1.9× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $90 | $180 | 4.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $90 | $180 | 4.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $100 | $200 | 2.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $107.50 | $215 | 3.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $217.50 | $435 | 2.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $112.50 | $225 | 1.5× |
| Ther/Proph/Diag Iv Inf Init (96365) | $242.50 | $485 | 1.1× |
| Therapeutic Activities (97530) | $85 | $170 | 2.4× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,320 | $2,640 | 3.3× |
| Transcath Closure of Asd (93580) unusually low: confirm this is the full procedure |
$9,310 | $18,620 | 0.5× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $635 | $1,270 | 5.7× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$1,075–$1,250 | $2,150–$2,500 | varies |
| Tte W/O Doppler Complete (93307) range across 3 matching MRF lines |
$665–$950 | $1,330–$1,900 | varies |
| Tx atrial fib pulm vein isol (93656) | $27,250 | $54,500 | 1.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$57.50–$220 | $115–$440 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $110 | $220 | 4.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $150 | $300 | 3.0× |
| Tympanometry (92567) | $87.50 | $175 | 2.2× |
| Tympanometry and reflex threshold measurements (92550) | $180 | $360 | 0.8× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$202.50–$620 | $405–$1,240 | varies |
| Unlisted noninvasive vascular diagnostic study (93998) | $67.50 | $135 | 2.2× |
| Upr/L Xtremity Art 2 Levels (93922) | $400 | $800 | 2.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $600 | $1,200 | 2.6× |
| Valvuloplasty aortic valve (92986) | $7,310 | $14,620 | 1.2× |
| Valvuloplasty mitral valve (92987) | $17,995 | $35,990 | 1.5× |
| Veeg 2-12 Hr Cont Mntr (95713) | $885 | $1,770 | 2.2× |
| Veeg 2-12 hr intmt mntr (95712) | $442.50 | $885 | 1.1× |
| Veeg 2-12 hr unmonitored (95711) | $442.50 | $885 | 1.9× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $885 | $1,770 | 2.2× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $885 | $1,770 | 2.2× |
| Veeg ea 12-26hr cont mntr (95716) | $1,545 | $3,090 | 1.7× |
| Vent Mgmt Inpat Init Day (94002) | $895 | $1,790 | 1.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $670 | $1,340 | 1.0× |
| Visual Evoked Potential Test (95930) | $497.50 | $995 | 2.2× |
| Visual reinforcement audiometry (vra) (92579) | $207.50 | $415 | 0.9× |
| Vital capacity, total (94150) | $165 | $330 | 1.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $85 | $170 | 2.7× |
| Whirlpool Therapy (97022) | $70 | $140 | 4.5× |
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.