Visits & medical services prices at Altru Hospital
Grand Forks, ND · every code in this section with a posted price and a Medicare benchmark.
492 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) range across 2 matching MRF lines |
$1,510.36–$6,625.82 | $2,476–$10,862 | varies |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) range across 3 matching MRF lines |
$21.96–$120.17 | $36–$197 | varies |
| Acoustic Reflex Testing (92568) range across 3 matching MRF lines |
$12.20–$76.86 | $20–$126 | varies |
| Actigraphy Testing Recording Analysis I&R (95803) range across 3 matching MRF lines |
$74.42–$128.71 | $122–$211 | varies |
| Actinotherapy Ultraviolet Light (96900) | $114.07 | $187 | 3.0× |
| Acupunct W/Stimul 15 Min (97813) | $97.60 | $160 | 3.3× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $89.67 | $147 | 3.0× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 3 matching MRF lines |
$13.42–$35.38 | $22–$58 | varies |
| Advncd Care Plan 30 Min (99497) | $104.31 | $171 | 1.0× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $173.85 | $285 | 0.8× |
| Aep neurodiagnostic i&r (92653) | $344.65 | $565 | 1.6× |
| Aep threshold estimation mlt frequencies i&r (92652) | $344.65 | $565 | 1.6× |
| Airway Inhalation Treatment (94640) | $267.18 | $438 | 1.2× |
| Airway resistance by oscillometry (94728) range across 2 matching MRF lines |
$32.94–$195.20 | $54–$320 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 3 matching MRF lines |
$18.91–$39.65 | $31–$65 | varies |
| Allg tstg perq & ic venoms immed react w/i&r (95017) range across 3 matching MRF lines |
$19.52–$53.68 | $32–$88 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $93.33 | $153 | 0.7× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $93.33 | $153 | 0.7× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $276.33 | $453 | 2.1× |
| Analyze neurostim complex (95972) range across 3 matching MRF lines |
$109.80–$345.87 | $180–$567 | varies |
| Analyze neurostim no prog (95970) range across 3 matching MRF lines |
$50.63–$175.68 | $83–$288 | varies |
| Analyze Neurostim Simple (95971) range across 3 matching MRF lines |
$64.05–$200.69 | $105–$329 | varies |
| Analyze Pacemaker System (93724) range across 4 matching MRF lines |
$93.33–$601.46 | $153–$986 | varies |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) | $273.89 | $449 | 2.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$118.95–$228.14 | $195–$374 | varies |
| Application Modality 1/> Areas Diathermy (97024) | $35.99 | $59 | 4.9× |
| Application Modality 1/> Areas Infrared (97026) | $35.38 | $58 | 5.3× |
| Application on-body injector (96377) | $110.41 | $181 | 2.3× |
| Arrhythmia Induction (93618) range across 2 matching MRF lines |
$599.63–$1,251.11 | $983–$2,051 | varies |
| Assessment of aphasia per hr (96105) | $262.91 | $431 | 2.7× |
| Assessment of tinnitus (92625) range across 3 matching MRF lines |
$42.09–$157.99 | $69–$259 | varies |
| Audiometry Air & Bone (92553) | $125.05 | $205 | 1.0× |
| Auditory Function, 60 Min (92620) range across 3 matching MRF lines |
$59.17–$212.89 | $97–$349 | varies |
| Basic vestibular evaluation (92540) range across 4 matching MRF lines |
$154.33–$367.22 | $253–$602 | varies |
| Behavral qualit analys voice (92524) | $337.33 | $553 | 3.1× |
| Biofeedback training any modality (90901) range across 3 matching MRF lines |
$18.91–$89.67 | $31–$147 | varies |
| Blink reflex test (95933) range across 3 matching MRF lines |
$104.31–$223.26 | $171–$366 | varies |
| Brief Emotional/Behav Assmt (96127) range across 3 matching MRF lines |
$7.32–$14.03 | $12–$23 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 5 matching MRF lines |
$31.72–$259.25 | $52–$425 | varies |
| Bundle of his recording (93600) range across 2 matching MRF lines |
$6,625.82 | $496–$10,862 | 0.8× |
| Caloric vestibular test w/rec bi monothermal (92538) range across 4 matching MRF lines |
$14.03–$242.17 | $23–$397 | varies |
| Caloric Vstblr Test W/Rec (92537) range across 4 matching MRF lines |
$26.84–$275.11 | $44–$451 | varies |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$92.11–$111.63 | $151–$183 | varies |
| Car seat/bed test 60 min (94780) | $48.19 | $79 | 1.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $269.62 | $442 | 1.2× |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$157.38–$748.47 | $258–$1,227 | varies |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$185.44–$883.28 | $304–$1,448 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$866.20–$1,197.43 | $1,420–$1,963 | varies |
| Cardioversion elective internal (92961) range across 2 matching MRF lines |
$653.31–$892.43 | $1,071–$1,463 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $21.35 | $35 | 0.6× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $53.68 | $88 | 2.1× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$939.40–$11,491.79 | $1,540–$18,839 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$747.25–$10,171.14 | $1,225–$16,674 | varies |
| Cbt 1st hour (94644) range across 3 matching MRF lines |
$82.96–$153.11 | $136–$251 | varies |
| Chemo Admin Peritoneal Cavity (96446) | $330.62 | $542 | 1.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $142.13 | $233 | 1.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $111.63 | $183 | 1.5× |
| Chemo Ia Push (96420) | $287.31 | $471 | 0.9× |
| Chemo Intralesional Over 7 (96406) range across 3 matching MRF lines |
$175.68–$467.26 | $288–$766 | varies |
| Chemo intralesional up to 7 (96405) range across 3 matching MRF lines |
$116.51–$349.53 | $191–$573 | varies |
| Chemo IV infusion addl hr (96415) | $81.13 | $133 | 1.1× |
| Chemo IV push addl drug (96411) | $144.57 | $237 | 2.0× |
| Chemother Prolong Infuse W/Pump (96416) | $615.49 | $1,009 | 1.8× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $615.49 | $1,009 | 1.8× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $161.65 | $265 | 3.4× |
| Chemotherapy Into Cns (96450) | $321.47 | $527 | 1.0× |
| Chemotherapy Intracavitary (96440) range across 2 matching MRF lines |
$307.44–$1,259.04 | $504–$2,064 | varies |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $615.49 | $1,009 | 1.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $184.83 | $303 | 2.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $615.49 | $1,009 | 1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $303.17 | $497 | 0.9× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) range across 3 matching MRF lines |
$171.41–$398.33 | $281–$653 | varies |
| Chest Wall Manipulation (94668) | $89.67 | $147 | 0.7× |
| Chiropract manj 3-4 regions (98941) | $50.63 | $83 | 2.3× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $46.36 | $76 | 2.1× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $67.10 | $110 | 3.0× |
| Chron Care Mgmt Srvc 20 Min (99490) | $89.67 | $147 | 0.9× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) range across 2 matching MRF lines |
$417.85–$741.15 | $685–$1,215 | varies |
| Cmptr ophth dx img ant segmt (92132) range across 3 matching MRF lines |
$26.23–$71.98 | $43–$118 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) range across 3 matching MRF lines |
$32.33–$114.68 | $53–$188 | varies |
| Color/duplex Doppler, complete (93975) range across 4 matching MRF lines |
$497.15–$1,193.77 | $815–$1,957 | varies |
| Color/duplex Doppler, limited (93976) range across 4 matching MRF lines |
$250.71–$726.51 | $411–$1,191 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $109.80 | $180 | 3.4× |
| Comprehensive Hearing Test (92557) range across 3 matching MRF lines |
$24.40–$165.31 | $40–$271 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 3 matching MRF lines |
$35.38–$89.06 | $58–$146 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 3 matching MRF lines |
$35.38–$89.06 | $58–$146 | varies |
| Conditioning Play Audiometry (92582) | $142.13 | $233 | 1.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $496.54 | $814 | 3.7× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $164.09 | $269 | 2.7× |
| Contact Lens Fit,Corneoscleral Lens (92313) range across 3 matching MRF lines |
$42.09–$233.63 | $69–$383 | varies |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$72.59–$186.05 | $119–$305 | varies |
| Corneal Topography (92025) | $81.13 | $133 | 1.3× |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$706.99–$9,470.86 | $1,159–$15,526 | varies |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$612.44–$9,470.86 | $1,004–$15,526 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$62.22–$416.63 | $102–$683 | varies |
| Cpt initial (94667) | $171.41 | $281 | 1.3× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$588.65–$3,218.36 | $965–$5,276 | varies |
| Dark Adaptation Eye Exam (92284) range across 3 matching MRF lines |
$23.79–$277.55 | $39–$455 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$37.21–$267.79 | $61–$439 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $625.86 | $1,026 | 3.1× |
| Developmental tst admin phys/qhp 1st hour (96112) range across 2 matching MRF lines |
$261.08–$281.82 | $428–$462 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $187.27 | $307 | 1.4× |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$531.92–$832.65 | $872–$1,365 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 4 matching MRF lines |
$25.01–$228.14 | $41–$374 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 4 matching MRF lines |
$175.07–$733.22 | $287–$1,202 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 4 matching MRF lines |
$46.36–$389.18 | $76–$638 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 4 matching MRF lines |
$226.31–$907.68 | $371–$1,488 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$101.87–$527.65 | $167–$865 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 4 matching MRF lines |
$144.57–$862.54 | $237–$1,414 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$102.48–$686.25 | $168–$1,125 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 4 matching MRF lines |
$86.01–$717.97 | $141–$1,177 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 4 matching MRF lines |
$56.12–$416.02 | $92–$682 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 4 matching MRF lines |
$99.43–$640.50 | $163–$1,050 | varies |
| Duplex up extrem art bilat (93930) range across 4 matching MRF lines |
$101.26–$602.68 | $166–$988 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 4 matching MRF lines |
$71.37–$450.79 | $117–$739 | varies |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) range across 3 matching MRF lines |
$118.34–$342.82 | $194–$562 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $173.24 | $284 | 1.3× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $255.59 | $419 | 1.9× |
| Ear and throat examination (92502) range across 3 matching MRF lines |
$100.04–$550.22 | $164–$902 | varies |
| ECG/monitoring and analysis (93271) | $481.29 | $789 | 5.0× |
| Echo Congenital Complete (93303) range across 4 matching MRF lines |
$107.36–$966.85 | $176–$1,585 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$103.09–$1,232.81 | $169–$2,021 | varies |
| Echo r-t 2d w/probe placement only (93313) | $96.99 | $159 | 0.2× |
| Echo transesophag congen probe plcmt only (93316) | $92.11 | $151 | 0.2× |
| Echo transesophag montr cardiac pump functj (93318) range across 2 matching MRF lines |
$245.22–$864.98 | $402–$1,418 | varies |
| Echo transesophageal (93312) range across 4 matching MRF lines |
$301.95–$1,425.57 | $495–$2,337 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 4 matching MRF lines |
$308.05–$1,388.97 | $505–$2,277 | varies |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$137.25–$661.24 | $225–$1,084 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$137.86–$644.77 | $226–$1,057 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$137.86–$583.16 | $226–$956 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$75.03–$776.53 | $123–$1,273 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$214.11–$741.76 | $351–$1,216 | varies |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$137.86–$569.74 | $226–$934 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) range across 2 matching MRF lines |
$75.64–$225.70 | $124–$370 | varies |
| EEG wo vid ea 12-26hr unmntr (95708) | $610 | $1,000 | 1.6× |
| EKG signal averaged (93278) range across 2 matching MRF lines |
$35.38–$409.92 | $58–$672 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 3 matching MRF lines |
$71.37–$106.14 | $117–$174 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 3 matching MRF lines |
$56.12–$79.91 | $92–$131 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$32.33–$86.01 | $53–$141 | varies |
| Electro-Oculography (92270) range across 3 matching MRF lines |
$48.19–$170.19 | $79–$279 | varies |
| Electrocardiogram Tracing (93005) | $147.62 | $242 | 2.4× |
| Electrocochleography (92584) | $235.46 | $386 | 1.8× |
| Electroconvulsive Therapy (90870) range across 2 matching MRF lines |
$333.06–$844.24 | $546–$1,384 | varies |
| Electrophysiology Evaluation (93642) range across 2 matching MRF lines |
$610.61–$1,047.37 | $1,001–$1,717 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$134.81–$297.68 | $221–$488 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$202.52–$442.25 | $332–$725 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$298.90–$788.73 | $490–$1,293 | varies |
| Emg 3 Extremities (95863) range across 3 matching MRF lines |
$333.06–$845.46 | $546–$1,386 | varies |
| Emg 4 Extremities (95864) range across 3 matching MRF lines |
$400.16–$984.54 | $656–$1,614 | varies |
| Endomyocardial Biopsy (93505) | $2,784.65 | $4,565 | 0.9× |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$2,124.02–$27,272.49 | $3,482–$44,709 | varies |
| Ep & ablate ventric tachy (93654) range across 2 matching MRF lines |
$2,824.30–$27,272.49 | $4,630–$44,709 | varies |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 2 matching MRF lines |
$1,368.23–$5,552.22 | $2,243–$9,102 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) range across 2 matching MRF lines |
$861.32–$5,552.22 | $1,412–$9,102 | varies |
| Ep Esophageal Recording Atria+Pacing (93616) | $120.78 | $198 | 0.1× |
| Er level 1 (99281) range across 2 matching MRF lines |
$103.70–$169.58 | $170–$278 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$442.25–$1,235.25 | $725–$2,025 | varies |
| Ergonovine provocation test (93024) range across 3 matching MRF lines |
$71.37–$330.01 | $117–$541 | varies |
| Esophageal Capsule Endoscopy (91111) range across 3 matching MRF lines |
$199.47–$1,791.57 | $327–$2,937 | varies |
| Esophagus acid perfusion test esophagitis (91030) range across 3 matching MRF lines |
$89.06–$459.94 | $146–$754 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) range across 2 matching MRF lines |
$122.61–$871.08 | $201–$1,428 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $325.74 | $534 | 2.5× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$84.18–$297.07 | $138–$487 | varies |
| Evaluate Speech Production (92522) | $337.33 | $553 | 3.0× |
| Evaluate Swallowing Function (92610) | $226.92 | $372 | 2.7× |
| Evaluation of speech fluency (92521) | $337.33 | $553 | 2.5× |
| Evoked Auditory Test,Limited (92587) range across 4 matching MRF lines |
$16.47–$218.99 | $27–$359 | varies |
| Excimer laser tx psoriasis 250-500 sq cm (96921) range across 3 matching MRF lines |
$228.14–$487.39 | $374–$799 | varies |
| Excimer laser tx psoriasis >500 sq cm (96922) range across 3 matching MRF lines |
$228.14–$672.83 | $374–$1,103 | varies |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) range across 3 matching MRF lines |
$228.14–$478.85 | $374–$785 | varies |
| Exercise test for bronchospasm (94617) range across 2 matching MRF lines |
$74.42–$214.11 | $122–$351 | varies |
| Exhaled Air Analysis O2 (94680) | $32.94 | $54 | 0.3× |
| External ECG rec>48hr<7d recording (93242) | $167.75 | $275 | 4.4× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $262.91 | $431 | 1.9× |
| External ECG rec>7d<15d recording (93246) | $167.75 | $275 | 4.4× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $262.91 | $431 | 1.9× |
| External Ecg Scanning Analysis Report (93226) | $262.91 | $431 | 4.4× |
| Extracranial Bilat Study (93880) range across 4 matching MRF lines |
$144.57–$744.81 | $237–$1,221 | varies |
| Extracranial Uni/Ltd Study (93882) range across 4 matching MRF lines |
$82.35–$441.64 | $135–$724 | varies |
| Eye Allergy Tests (95060) | $51.85 | $85 | 0.4× |
| Eye exam w anesth; complete (92018) range across 3 matching MRF lines |
$298.90–$2,568.71 | $490–$4,211 | varies |
| Eye exam w anesth; limited (92019) | $152.50 | $250 | 0.1× |
| Eye Exam With Photos (92230) | $147.62 | $242 | 0.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$70.76–$506.91 | $116–$831 | varies |
| Facial nerve function studies (92516) range across 3 matching MRF lines |
$82.35–$215.33 | $135–$353 | varies |
| Filtered Speech Test (92571) | $53.68 | $88 | 1.4× |
| Fitting of spectacle mounted low vision aid; single element system Facility (92354) range across 3 matching MRF lines |
$168.36–$503.86 | $276–$826 | varies |
| Fitting of spectacle mounted low vision aid; telescopic or other compound lens system Non-Facility OP Neurology,… (92355) range across 3 matching MRF lines |
$86.01–$254.37 | $141–$417 | varies |
| Fitting of spectacle prosthesis for aphakia; monofocal Facility (92352) | $84.79 | $139 | 1.4× |
| Fitting of spectacle prosthesis for aphakia; multifocal Facility (92353) | $99.43 | $163 | 1.6× |
| Flexible endoscopic eval swallow c/v rec (92612) | $322.08 | $528 | 1.6× |
| Fluorescein angiography (92235) range across 3 matching MRF lines |
$93.33–$317.20 | $153–$520 | varies |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) range across 4 matching MRF lines |
$76.25–$461.77 | $125–$757 | varies |
| Full Field Electroretinography W/I&R (92273) range across 3 matching MRF lines |
$69.54–$347.70 | $114–$570 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) range across 3 matching MRF lines |
$286.09–$578.28 | $469–$948 | varies |
| Fundus photography (92250) range across 3 matching MRF lines |
$82.35–$245.22 | $135–$402 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$545.34–$793 | $894–$1,300 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 3 matching MRF lines |
$141.52–$697.23 | $232–$1,143 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 3 matching MRF lines |
$230.58–$1,557.33 | $378–$2,553 | varies |
| Gi tract capsule endoscopy (91110) range across 4 matching MRF lines |
$447.74–$2,322.27 | $734–$3,807 | varies |
| Gonioscopy (92020) range across 3 matching MRF lines |
$63.44–$161.04 | $104–$264 | varies |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$86.62–$103.70 | $142–$170 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$1,033.34–$11,491.79 | $1,694–$18,839 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$516.67–$897.92 | $847–$1,472 | varies |
| Holter monitor recording (93225) | $174.46 | $286 | 1.3× |
| Hubbard tank 15 min (97036) | $90.89 | $149 | 2.6× |
| Hypnotherapy (90880) range across 3 matching MRF lines |
$106.14–$231.19 | $174–$379 | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $37.82 | $62 | 1.0× |
| Icd Device Interrogate (93289) range across 4 matching MRF lines |
$54.90–$140.30 | $90–$230 | varies |
| Icd device progr eval dual (93283) range across 4 matching MRF lines |
$71.98–$230.58 | $118–$378 | varies |
| Icd Device Progr Eval Mult (93284) range across 4 matching MRF lines |
$88.45–$247.05 | $145–$405 | varies |
| Icm Device Eval (93290) range across 4 matching MRF lines |
$32.33–$79.91 | $53–$131 | varies |
| Ilr Device Eval Progr (93285) range across 4 matching MRF lines |
$48.19–$109.80 | $79–$180 | varies |
| Ilr Device Interrogate (93291) range across 4 matching MRF lines |
$29.89–$78.08 | $49–$128 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 4 matching MRF lines |
$13.42–$47.58 | $22–$78 | varies |
| Immunization administration (90471) range across 5 matching MRF lines |
$13.42–$47.58 | $22–$78 | varies |
| Ingestion challenge test initial 120 minutes (95076) range across 3 matching MRF lines |
$121.39–$456.89 | $199–$749 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $386.74 | $634 | 1.0× |
| Inital newborn e/m (99460) | $198.25 | $325 | 1.5× |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$913.78–$2,254.56 | $1,498–$3,696 | varies |
| Interrogate Subq Defib (93261) range across 4 matching MRF lines |
$63.44–$129.93 | $104–$213 | varies |
| Intra-atrial pacing (93610) range across 2 matching MRF lines |
$419.07–$6,625.82 | $687–$10,862 | varies |
| Intra-atrial recording (93602) range across 3 matching MRF lines |
$672.83–$6,625.82 | $491–$10,862 | varies |
| Intracranial Complete Study (93886) range across 4 matching MRF lines |
$406.26–$1,143.14 | $666–$1,874 | varies |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) | $26.23 | $43 | 0.9× |
| Intracutaneous tests w/allergenic extracts (95024) range across 3 matching MRF lines |
$9.15–$25.01 | $15–$41 | varies |
| Intraventricular pacing (93612) range across 2 matching MRF lines |
$416.02–$6,625.82 | $682–$10,862 | varies |
| Iontophoresis 15 min (97033) | $118.95 | $195 | 6.2× |
| Irrig Drug Delivery Device (96523) | $123.22 | $202 | 2.0× |
| IV infusion hydration each additional hour (96361) | $100.04 | $164 | 2.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $290.36 | $476 | 1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $100.04 | $164 | 1.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $100.04 | $164 | 2.1× |
| IV push initial (96374) | $294.63 | $483 | 1.4× |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$843.02–$10,420.02 | $1,382–$17,082 | varies |
| Laryngeal Function Studies (92520) range across 3 matching MRF lines |
$42.70–$179.34 | $70–$294 | varies |
| Liver Elastography W/O Imag W/I&R (91200) range across 3 matching MRF lines |
$20.13–$200.08 | $33–$328 | varies |
| Loudness balance test (92562) | $118.34 | $194 | 0.5× |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$15.86–$89.67 | $26–$147 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 5 matching MRF lines |
$164.70–$571.57 | $270–$937 | varies |
| Mechanical chest wall oscillation per session (94669) | $297.07 | $487 | 1.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $68.93 | $113 | 2.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $80.52 | $132 | 2.2× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $69.54 | $114 | 4.1× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$78.69–$483.73 | $129–$793 | varies |
| Microvolt T-Wave Assess (93025) range across 2 matching MRF lines |
$258.03–$535.58 | $423–$878 | varies |
| Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) | $109.80 | $180 | 5.5× |
| Mlt fam group bhv mgmt/modificaj traing ea addl (96203) | $62.83 | $103 | 11.8× |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) | $87.23 | $143 | 0.6× |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$370.88–$465.43 | $608–$763 | varies |
| Motion Fluoroscopy/Swallow (92611) | $226.92 | $372 | 2.5× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $157.38 | $258 | 0.3× |
| Multifocal Electroretinography W/I&R (92274) range across 3 matching MRF lines |
$62.22–$251.93 | $102–$413 | varies |
| Multiple Family Group Psychotherapy (90849) range across 3 matching MRF lines |
$34.77–$141.52 | $57–$232 | varies |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$103.09–$761.89 | $169–$1,249 | varies |
| Muscle Test 2 Limbs (95861) range across 3 matching MRF lines |
$268.40–$635.01 | $440–$1,041 | varies |
| Muscle Test Nonparaspinal (95870) range across 3 matching MRF lines |
$68.93–$295.85 | $113–$485 | varies |
| Muscle Test One Limb (95860) range across 3 matching MRF lines |
$211.67–$492.88 | $347–$808 | varies |
| Narcosynthesis (90865) range across 3 matching MRF lines |
$230.58–$600.24 | $378–$984 | varies |
| Nasal function studies (92512) range across 3 matching MRF lines |
$65.88–$273.28 | $108–$448 | varies |
| Nasopharyngoscopy (92511) range across 3 matching MRF lines |
$78.69–$488 | $129–$800 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 3 matching MRF lines |
$254.37–$530.70 | $417–$870 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 3 matching MRF lines |
$106.14–$411.14 | $174–$674 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 3 matching MRF lines |
$71.37–$297.68 | $117–$488 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 7 matching MRF lines |
$48.80–$1,649.44 | $80–$2,704 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 3 matching MRF lines |
$51.85–$261.08 | $85–$428 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$24.40–$368.44 | $40–$604 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$26.23–$370.27 | $43–$607 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 3 matching MRF lines |
$78.69–$188.49 | $129–$309 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 3 matching MRF lines |
$188.49–$517.89 | $309–$849 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 3 matching MRF lines |
$211.67–$594.75 | $347–$975 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 3 matching MRF lines |
$92.72–$231.19 | $152–$379 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 3 matching MRF lines |
$111.63–$275.72 | $183–$452 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 3 matching MRF lines |
$145.18–$362.95 | $238–$595 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 3 matching MRF lines |
$166.53–$437.98 | $273–$718 | varies |
| Neurobehavioral Status Exam (96116) range across 3 matching MRF lines |
$82.35–$302.56 | $135–$496 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 3 matching MRF lines |
$63.44–$177.51 | $104–$291 | varies |
| Neuromuscular Reeducation (97112) | $123.83 | $203 | 3.8× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$113.46–$347.70 | $186–$570 | varies |
| Nitric oxide expired gas determination (95012) | $39.65 | $65 | 1.0× |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 2 matching MRF lines |
$28.67–$29.89 | $47–$49 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 2 matching MRF lines |
$28.67–$29.89 | $47–$49 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 2 matching MRF lines |
$28.67–$29.89 | $47–$49 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
$23.79–$371.49 | $39–$609 | varies |
| Oculoelectromyography (92265) range across 3 matching MRF lines |
$43.31–$164.09 | $71–$269 | varies |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 2 matching MRF lines |
$57.95–$155.55 | $95–$255 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 3 matching MRF lines |
$109.80–$245.83 | $180–$403 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 3 matching MRF lines |
$98.21–$208.01 | $161–$341 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 3 matching MRF lines |
$25.01–$61 | $41–$100 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 3 matching MRF lines |
$25.01–$61 | $41–$100 | varies |
| Ophthalmodynamometry (92260) range across 3 matching MRF lines |
$21.35–$65.27 | $35–$107 | varies |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) range across 3 matching MRF lines |
$19.52–$74.42 | $32–$122 | varies |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) range across 3 matching MRF lines |
$19.52–$74.42 | $32–$122 | varies |
| Optokinetic Nystagmus Test (92544) range across 4 matching MRF lines |
$37.82–$160.43 | $62–$263 | varies |
| Oral Function Therapy (92526) | $162.87 | $267 | 1.9× |
| Oral Speech Device Eval (92597) | $213.50 | $350 | 3.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $88.45 | $145 | 1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $111.63 | $183 | 2.4× |
| Oscillating Tracking Test (92545) range across 4 matching MRF lines |
$30.50–$142.74 | $50–$234 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $150.67 | $247 | 6.8× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $204.96 | $336 | 9.3× |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$34.77–$170.80 | $57–$280 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $86.01 | $141 | 6.1× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$166.53–$215.94 | $273–$354 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$166.53–$188.49 | $273–$309 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$166.53–$200.08 | $273–$328 | varies |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$46.97–$87.23 | $77–$143 | varies |
| Ot paraffin bath (97018) | $72.59 | $119 | 12.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $120.78 | $198 | 3.0× |
| Ot Re-Eval Est Plan Care (97168) | $131.15 | $215 | 1.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $173.24 | $284 | 1.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $173.24 | $284 | 1.3× |
| Oxygen Uptake Rest Indirect (94690) range across 2 matching MRF lines |
$11.59–$148.23 | $19–$243 | varies |
| Patch/Application Test Specify Number Tests (95044) | $32.94 | $54 | 0.0× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $54.29 | $89 | 2.2× |
| Patient-initiated spirometric recording (94015) range across 3 matching MRF lines |
$58.56–$207.40 | $96–$340 | varies |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $102.48 | $168 | 0.2× |
| Pdt dstr prmlg les phys/qhp (96573) | $486.78 | $798 | 2.4× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $241.56 | $396 | 1.2× |
| Pediatric apnea monitor analyses computer (94776) | $456.89 | $749 | 3.5× |
| Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of… (94775) | $68.32 | $112 | 0.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$173.85–$607.56 | $285–$996 | varies |
| Percutaneous tests w/allergenic extracts (95004) range across 2 matching MRF lines |
$1,130.94–$1,136.43 | $1,854–$1,863 | varies |
| Peripheral arterial disease rehab per session (93668) | $78.08 | $128 | 1.3× |
| Perq transcath closure pda (93582) | $19,449.85 | $31,885 | 1.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 2 matching MRF lines |
$1,479.86–$10,934.25 | $2,426–$17,925 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$3,530.68–$11,968.20 | $5,788–$19,620 | varies |
| Phlebotomy therapeutic (99195) range across 4 matching MRF lines |
$124.44–$293.41 | $204–$481 | varies |
| Photo patch test(s) (95052) | $37.82 | $62 | 0.6× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) | $228.14 | $374 | 3.8× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $212.89 | $349 | 3.5× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $76.25 | $125 | 1.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $76.25 | $125 | 1.3× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$81.74–$85.40 | $134–$140 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$77.47–$581.33 | $127–$953 | varies |
| Pm device eval in person (93288) range across 4 matching MRF lines |
$54.90–$139.69 | $90–$229 | varies |
| Pm device progr eval dual (93280) range across 4 matching MRF lines |
$71.37–$226.92 | $117–$372 | varies |
| Pm device progr eval multi (93281) range across 4 matching MRF lines |
$71.98–$227.53 | $118–$373 | varies |
| Pm Device Progr Eval Sngl (93279) range across 4 matching MRF lines |
$63.44–$164.70 | $104–$270 | varies |
| Pm/Icd Remote Tech Serv (93296) | $67.71 | $111 | 1.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$222.04–$1,487.18 | $364–$2,438 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 3 matching MRF lines |
$223.87–$1,487.18 | $367–$2,438 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 3 matching MRF lines |
$244–$1,487.18 | $400–$2,438 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) range across 2 matching MRF lines |
$150.06–$1,487.18 | $246–$2,438 | varies |
| Positional nystagmus test (92542) range across 4 matching MRF lines |
$55.51–$200.08 | $91–$328 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 3 matching MRF lines |
$9.76–$42.70 | $16–$70 | varies |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) range across 3 matching MRF lines |
$14.64–$57.34 | $24–$94 | varies |
| Prepj& antigen allergen immunotherapy 2 insect (95146) range across 3 matching MRF lines |
$15.25–$68.32 | $25–$112 | varies |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) range across 3 matching MRF lines |
$18.91–$87.84 | $31–$144 | varies |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) range across 3 matching MRF lines |
$47.58–$301.34 | $78–$494 | varies |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) range across 3 matching MRF lines |
$30.50–$211.67 | $50–$347 | varies |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) range across 3 matching MRF lines |
$19.52–$163.48 | $32–$268 | varies |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) range across 3 matching MRF lines |
$20.74–$170.19 | $34–$279 | varies |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) range across 4 matching MRF lines |
$66.49–$143.35 | $109–$235 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 4 matching MRF lines |
$69.54–$225.70 | $114–$370 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $26.84 | $44 | 0.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $39.65 | $65 | 0.8× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) range across 3 matching MRF lines |
$22.57–$118.34 | $37–$194 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) range across 2 matching MRF lines |
$26.84–$39.65 | $44–$65 | varies |
| Prosthesis service for aphakia, temporary (disposable or loan, including materials) Facility (92358) range across 3 matching MRF lines |
$32.94–$117.12 | $54–$192 | varies |
| Prq Card Angio/Athrect 1 Art (92924) range across 2 matching MRF lines |
$1,631.14–$13,759.77 | $2,674–$22,557 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$3,329.99–$11,968.20 | $5,459–$19,620 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 2 matching MRF lines |
$3,475.78–$18,327.45 | $5,698–$30,045 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$3,329.99–$11,968.20 | $5,459–$19,620 | varies |
| Psych diag eval w/med srvcs (90792) range across 4 matching MRF lines |
$145.79–$398.94 | $239–$654 | varies |
| Psychiatric diagnostic evaluation (90791) range across 4 matching MRF lines |
$145.79–$422.73 | $239–$693 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 3 matching MRF lines |
$109.19–$290.97 | $179–$477 | varies |
| Pt Eval High Complex (97163) | $215.94 | $354 | 2.2× |
| Pt eval low complex 20 min (97161) | $188.49 | $309 | 1.9× |
| Pt Eval Mod Complex (97162) | $200.08 | $328 | 2.0× |
| Pt gait training 15 min (97116) | $118.95 | $195 | 4.1× |
| Pt group caregiver training (97552) | $46.97 | $77 | 2.1× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$28.06–$118.95 | $46–$195 | varies |
| Pt Re-Eval Est Plan Care (97164) | $111.63 | $183 | 1.7× |
| Pt ultraviolet (97028) range across 2 matching MRF lines |
$64.66–$67.10 | $106–$110 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $6.10 | $10 | 0.2× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$62.22–$392.23 | $102–$643 | varies |
| Pulmonary service/procedure (94799) range across 4 matching MRF lines |
$26.84–$477.02 | $44–$782 | varies |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$74.42–$269.62 | $122–$442 | varies |
| Pure Tone Audiometry Air (92552) range across 3 matching MRF lines |
$25.01–$114.07 | $41–$187 | varies |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) range across 2 matching MRF lines |
$28.67–$29.89 | $47–$49 | varies |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) range across 2 matching MRF lines |
$28.67–$29.89 | $47–$49 | varies |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) range across 2 matching MRF lines |
$28.67–$29.89 | $47–$49 | varies |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$877.79–$9,625.19 | $1,439–$15,779 | varies |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$786.29–$9,625.19 | $1,289–$15,779 | varies |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) range across 2 matching MRF lines |
$457.50–$3,689.89 | $750–$6,049 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$797.88–$9,625.19 | $1,308–$15,779 | varies |
| Rapid Desensitization Procedure Each Hour (95180) range across 2 matching MRF lines |
$263.52–$356.85 | $432–$585 | varies |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) range across 2 matching MRF lines |
$258.64–$361.73 | $424–$593 | varies |
| Refill/Maint Portable Pump (96521) | $303.17 | $497 | 1.4× |
| Refill/Maint Pump/Resvr Syst (96522) | $303.17 | $497 | 1.4× |
| Rem interrog icpms <30 d phys/qhp (93297) range across 4 matching MRF lines |
$24.40–$50.63 | $40–$83 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 4 matching MRF lines |
$18.30–$75.64 | $30–$124 | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $30.50 | $50 | 0.8× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $95.16 | $156 | 0.7× |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $91.50 | $150 | 2.4× |
| Rem Ther Mntr Dev Sply Cbt (98978) | $111.63 | $183 | 2.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $137.86 | $226 | 3.6× |
| Repair and refitting spectacles; spectacle prosthesis for aphakia Facility (92371) | $76.25 | $125 | 1.3× |
| Replacement of contact lens (92326) | $140.91 | $231 | 2.3× |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$37.82–$201.91 | $62–$331 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $69.54 | $114 | 1.2× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$349.53–$4,008.92 | $573–$6,572 | varies |
| Right ventricular recording (93603) range across 2 matching MRF lines |
$299.51–$1,251.11 | $491–$2,051 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$220.82–$296.46 | $362–$486 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $80.52 | $132 | 3.1× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $267.18 | $438 | 2.2× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $90.89 | $149 | 1.9× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) range across 3 matching MRF lines |
$56.73–$287.31 | $93–$471 | varies |
| Same day nb discharge (99463) | $241.56 | $396 | 1.8× |
| Select picture audiometry (92583) | $111.02 | $182 | 1.8× |
| Self Care Mngment Training (97535) | $123.83 | $203 | 3.8× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) range across 3 matching MRF lines |
$55.51–$119.56 | $91–$196 | varies |
| Sensory Integration Ea 15 Min (97533) | $81.74 | $134 | 1.3× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $68.93 | $113 | 0.3× |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$67.10–$376.98 | $110–$618 | varies |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $197.64 | $324 | 1.5× |
| Sleep study attended (95807) range across 2 matching MRF lines |
$106.75–$761.89 | $175–$1,249 | varies |
| Sleep study unattended (95806) range across 3 matching MRF lines |
$79.30–$222.65 | $130–$365 | varies |
| Slp caregiver training 1st 30 min (97550) | $119.56 | $196 | 2.3× |
| Slp Stdy Unatnd W/Anal (95801) range across 2 matching MRF lines |
$72.59–$148.84 | $119–$244 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$72.59–$222.65 | $119–$365 | varies |
| Somatosensory Testing (95938) range across 3 matching MRF lines |
$99.43–$615.49 | $163–$1,009 | varies |
| Speech Audiometry Complete (92556) | $78.69 | $129 | 1.3× |
| Speech audiometry threshold (92555) | $59.17 | $97 | 1.0× |
| Speech sound lang comprehen (92523) | $337.33 | $553 | 1.5× |
| Spin/Brain Pump Refil & Main (95991) range across 3 matching MRF lines |
$41.48–$340.38 | $68–$558 | varies |
| Spirometry (94010) range across 4 matching MRF lines |
$34.16–$172.02 | $56–$282 | varies |
| Spontaneous Nystagmus Test (92541) range across 4 matching MRF lines |
$62.83–$196.42 | $103–$322 | varies |
| Ssep lower limbs (95926) range across 2 matching MRF lines |
$67.10–$376.98 | $110–$618 | varies |
| Staggered Spondaic Word Test (92572) | $122.61 | $201 | 0.9× |
| Standardized Cognitive Performance Testing (96125) | $204.35 | $335 | 2.0× |
| Stenger Test Speech (92577) range across 2 matching MRF lines |
$112.24–$117.73 | $184–$193 | varies |
| Stenger Test, Pure Tone (92565) | $44.53 | $73 | 0.7× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$163.48–$1,869.65 | $268–$3,065 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) range across 3 matching MRF lines |
$67.71–$73.81 | $111–$121 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 3 matching MRF lines |
$425.17–$459.33 | $697–$753 | varies |
| Surfactant Admin Thru Tube (94610) | $147.62 | $242 | 0.7× |
| Synthetic Sentence Identification Test (92576) | $67.10 | $110 | 1.8× |
| Temp transcutaneous pacing (92953) range across 3 matching MRF lines |
$35.38–$758.23 | $58–$1,243 | varies |
| Temperature Gradient Studies (93740) | $72.59 | $119 | 0.6× |
| Tensilon Test (95857) range across 3 matching MRF lines |
$134.81–$337.94 | $221–$554 | varies |
| Test to assess hearing loss using different tone pitches (92575) | $144.57 | $237 | 3.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $67.71 | $111 | 3.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $46.36 | $76 | 2.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $82.35 | $135 | 2.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$84.79–$88.45 | $139–$145 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $201.91 | $331 | 2.0× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $110.41 | $181 | 2.3× |
| Ther/Proph/Diag Inj Ia (96373) | $294.63 | $483 | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$23.18–$110.41 | $38–$181 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $378.20 | $620 | 1.7× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$67.71–$118.95 | $111–$195 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$234.85–$964.41 | $385–$1,581 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$24.40–$98.21 | $40–$161 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$13.42–$51.24 | $22–$84 | varies |
| Tone Decay Test (92563) | $60.39 | $99 | 1.6× |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$89.06–$437.98 | $146–$718 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 3 matching MRF lines |
$129.32–$624.03 | $212–$1,023 | varies |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$2,416.21–$19,449.85 | $3,961–$31,885 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 4 matching MRF lines |
$172.63–$639.28 | $283–$1,048 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 4 matching MRF lines |
$57.34–$117.12 | $94–$192 | varies |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$215.94–$666.12 | $354–$1,092 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$273.89–$559.37 | $449–$917 | varies |
| Tx atrial fib pulm vein isol (93656) range across 2 matching MRF lines |
$2,837.11–$22,463.86 | $4,651–$36,826 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $211.67 | $347 | 2.8× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $85.40 | $140 | 3.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $110.41 | $181 | 2.3× |
| Tympanometry (92567) range across 3 matching MRF lines |
$8.54–$76.86 | $14–$126 | varies |
| Tympanometry and reflex threshold measurements (92550) | $153.72 | $252 | 0.7× |
| Unlisted allergy/clinical immunologic srvc/px (95199) | $37.82 | $62 | 1.3× |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$224.48–$2,489.41 | $368–$4,081 | varies |
| Unlisted otorhinolaryngological service (92700) range across 2 matching MRF lines |
$43.31–$226.92 | $71–$372 | varies |
| Unlisted Special Dermatological Service/Px (96999) range across 3 matching MRF lines |
$270.84–$430.05 | $444–$705 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 7 matching MRF lines |
$51.24–$344.65 | $84–$565 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 7 matching MRF lines |
$128.71–$556.93 | $211–$913 | varies |
| Valvuloplasty aortic valve (92986) range across 2 matching MRF lines |
$3,173.22–$6,323.87 | $5,202–$10,367 | varies |
| Vasopneumatic device (97016) | $118.95 | $195 | 9.9× |
| Veeg 2-12 Hr Cont Mntr (95713) | $2,089.25 | $3,425 | 5.5× |
| Veeg 2-12 hr unmonitored (95711) | $2,016.66 | $3,306 | 9.1× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$207.40–$1,088.85 | $340–$1,785 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$149.45–$947.94 | $245–$1,554 | varies |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$44.53–$442.25 | $73–$725 | varies |
| Visual Field Exam Extended (92083) range across 3 matching MRF lines |
$69.54–$181.78 | $114–$298 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) range across 3 matching MRF lines |
$61.61–$157.38 | $101–$258 | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) range across 3 matching MRF lines |
$54.29–$142.13 | $89–$233 | varies |
| Visual reinforcement audiometry (vra) (92579) range across 3 matching MRF lines |
$28.67–$120.17 | $47–$197 | varies |
| Vital capacity, total (94150) range across 3 matching MRF lines |
$13.42–$126.88 | $22–$208 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $118.95 | $195 | 3.8× |
| Whirlpool Therapy (97022) | $97.60 | $160 | 6.2× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) range across 5 matching MRF lines |
$29.89–$159.21 | $49–$261 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) range across 3 matching MRF lines |
$29.28–$151.28 | $48–$248 | 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.