Visits & medical services prices at Ann & Robert H Lurie Childrens Hospital of Chicago

Chicago, IL · every code in this section with a posted price and a Medicare benchmark.

411 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $6,038.90 $8,627 0.7×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $234.50 $335 1.7×
Acoustic Reflex Testing (92568) $55.30 $79 1.4×
Actigraphy Testing Recording Analysis I&R (95803) $194.60 $278 3.1×
Admn Sarscov2 Vacc 1 Dose (90480) $63 $90 1.4×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $745.50 $1,065 3.2×
Aep neurodiagnostic i&r (92653) $1,022 $1,460 4.4×
Aep threshold estimation mlt frequencies i&r (92652) $1,039.50 $1,485 4.5×
Airway Inhalation Treatment (94640) $122.50 $175 0.5×
Airway resistance by oscillometry (94728) $181.30 $259 1.3×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $67.90 $97 1.7×
Allg tstg perq & ic venoms immed react w/i&r (95017) $21.70 $31 0.7×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $389.90 $557 2.7×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $325.50 $465 2.3×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $1,507.10 $2,153 10.9×
Analyze neurostim complex (95972) $862.40 $1,232 8.5×
Analyze neurostim no prog (95970) $424.90 $607 3.0×
Analyze Neurostim Simple (95971) $875 $1,250 8.6×
Analyze Pacemaker System (93724) $1,339.80 $1,914 4.1×
Ans parasymp & symp w/tilt (95924) $252 $360 1.1×
Ant sgm imaging w/microscopy endothelial analy (92286) $214.90 $307 1.5×
Arrhythmia Induction (93618) $2,018.10 $2,883 1.5×
Audiometry Air & Bone (92553) $269.50 $385 2.0×
Behavral qualit analys voice (92524) $628.60 $898 5.7×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $258.30 $369 3.1×
Bfb training ea addl 15 min (90913) $141.40 $202 4.3×
Biofeedback training any modality (90901) $87.50 $125 2.1×
Bioimpedance Cv Analysis (93701) $17.50 $25 0.1×
Blink reflex test (95933) $291.20 $416 4.6×
Breath hydrogen/methane test (91065) $1,298.50 $1,855 5.6×
Breathing response to hypoxia (94450) $280 $400 2.0×
Brief Emotional/Behav Assmt (96127) $16.80 $24 0.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,054.20 $1,506 2.6×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$3,186.40 $4,552 0.4×
C motor evoked uppr limbs (95928) $743.40 $1,062 0.8×
C motor evoked upr&lwr limbs (95939) $1,017.80 $1,454 1.1×
Canalith repositioning proc (95992) $146.30 $209 3.6×
Cardiac Stress Tst,Tracing Only (93017) $1,560.30 $2,229 6.7×
Cardiopulmonary exercise testing (94621) $2,842.70 $4,061 7.1×
Cardiopulmonary resuscitation (92950) $1,336.30 $1,909 5.8×
Cardioversion (92960) $1,948.80 $2,784 2.8×
Cardioversion elective internal (92961) $2,230.20 $3,186 3.1×
Caregiver hlth risk assmt score doc stnd instrm (96161) $39.90 $57 1.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $70 $100 2.7×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $10,042.90 $14,347 2.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,633.80 $12,334 2.5×
Chemo Anti-Neopl Sq/Im (96401) $574.70 $821 7.4×
Chemo IV infusion addl hr (96415) $627.90 $897 8.1×
Chemo IV push addl drug (96411) $542.50 $775 7.0×
Chemother Prolong Infuse W/Pump (96416) $1,557.50 $2,225 4.4×
Chemotherapy Into Cns (96450) $2,048.20 $2,926 5.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $652.40 $932 8.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,557.50 $2,225 4.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $931 $1,330 2.6×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $512.40 $732 1.4×
Chest Wall Manipulation (94668) $243.60 $348 1.7×
Chron Care Mgmt Srvc 20 Min (99490) $110.60 $158 1.0×
Cmptr ophth dx img ant segmt (92132) $119 $170 1.9×
Colon Motility 6 Hr Study (91117) $1,348.90 $1,927 5.8×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $82.60 $118 1.3×
Color/duplex Doppler, complete (93975) $2,073.40 $2,962 8.1×
Color/duplex Doppler, limited (93976) $1,316.70 $1,881 11.8×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $198.10 $283 1.0×
Comprehensive Hearing Test (92557) $396.90 $567 2.9×
Computerized Ophthalmic Imaging Optic Nerve (92133) $105 $150 1.7×
Computerized Ophthalmic Imaging Retina (92134) $350 $500 5.5×
Conditioning Play Audiometry (92582) $343 $490 2.5×
Cont gluc mntr physician/qhp provided equiptment (95250) $473.90 $677 3.3×
Cont Gluc Mntr Pt Prov Eqp (95249) $401.80 $574 6.4×
Contact Lens Fit,Corneoscleral Lens (92313) $160.30 $229 1.1×
Corneal Topography (92025) $127.40 $182 2.0×
Coronary Art/Grft Angio S&I (93455) $8,442 $12,060 2.4×
Coronary Artery Angio S&I (93454) $7,692.30 $10,989 2.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $930.30 $1,329 4.0×
Cpt initial (94667) $324.10 $463 2.3×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $434.70 $621 1.9×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $748.30 $1,069 1.9×
Dark Adaptation Eye Exam (92284) $329.70 $471 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $771.40 $1,102 3.6×
Developmental tst admin phys/qhp 1st hour (96112) $612.50 $875 4.4×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $924.70 $1,321 6.7×
Dialysis One Evaluation (90945) $2,156 $3,080 4.8×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $361.20 $516 0.9×
Duodenal motility study (91022) $1,202.60 $1,718 3.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,418.20 $2,026 5.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,278.20 $1,826 11.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,050.30 $2,929 8.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,070.30 $1,529 9.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,760.10 $3,943 10.8×
Dup-scan xtr veins unilateral/limited study (93971) $1,664.60 $2,378 14.9×
Duplex Scan Hemodialysis Access (93990) $676.20 $966 6.0×
Duplex up extrem art bilat (93930) $1,958.60 $2,798 7.7×
Duplex up extrem art unilat/ltd (93931) $1,239.70 $1,771 11.1×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $238.70 $341 1.7×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $858.90 $1,227 6.2×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $1,399.30 $1,999 10.1×
ECG/monitoring and analysis (93271) $826.70 $1,181 8.1×
Echo Congenital Complete (93303) $2,210.60 $3,158 3.8×
Echo Heart Xthoracic,Limited (93308) $1,201.90 $1,717 4.7×
Echo transesophag montr cardiac pump functj (93318) $1,523.90 $2,177 2.6×
Echo transesophageal (93312) $2,337.30 $3,339 4.0×
Echo Transesophageal - Congenital Tee Complete (93315) $2,587.20 $3,696 4.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,593.80 $5,134 6.1×
Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) $443.10 $633 11.1×
Eeg 41-60 Minutes (95812) $2,124.50 $3,035 9.2×
EEG awake and asleep (95819) $1,137.50 $1,625 4.9×
EEG awake drowsy (95816) $1,012.20 $1,446 4.4×
EEG cerebral death evaluation (95824) $772.80 $1,104 1.9×
EEG cont rec w/video by tech min 8 channels (95700) $748.30 $1,069 3.2×
EEG extended monitoring 61-119 minutes (95813) $2,970.80 $4,244 12.8×
Eeg Sleep Only (95822) $710.50 $1,015 3.1×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $2,182.60 $3,118 9.4×
EEG w/o vid 2-12hr cont mntr (95707) $3,898.30 $5,569 16.8×
EEG w/o vid ea 12-26hr intmt (95709) $3,544.10 $5,063 8.9×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $3,898.30 $5,569 9.7×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $3,544.10 $5,063 15.3×
EEG wo vid ea 12-26hr unmntr (95708) $2,182.60 $3,118 5.5×
EKG signal averaged (93278) $351.40 $502 5.6×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $462 $660 4.5×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $1,166.90 $1,667 11.5×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $681.80 $974 17.0×
Electrical Stimulation Ea 15 Min (97032) $142.80 $204 9.7×
Electro-Oculography (92270) $709.80 $1,014 5.0×
Electrocardiogram Tracing (93005) $336.70 $481 5.3×
Electrocochleography (92584) $482.30 $689 3.5×
Electroconvulsive Therapy (90870) $676.20 $966 0.7×
Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) $336.70 $481 1.5×
Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) $347.20 $496 2.4×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $5,926.90 $8,467 0.7×
Electrophysiology Evaluation (93642) $2,394.70 $3,421 1.8×
Emergency Dept Visit Level 2 (99282) $707 $1,010 4.3×
Emergency Dept Visit Level 3 (99283) $1,295 $1,850 4.4×
Emergency Dept Visit Level 4 (99284) $2,551.50 $3,645 5.7×
Emg 3 Extremities (95863) $473.90 $677 3.4×
Emg 4 Extremities (95864) $521.50 $745 3.8×
Endomyocardial Biopsy (93505) $3,645.60 $5,208 1.1×
Ep & ablate supravent arrhyt (93653) $18,248.30 $26,069 0.7×
Ep & ablate ventric tachy (93654) $21,993.30 $31,419 0.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $9,758 $13,940 1.2×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $5,093.90 $7,277 0.6×
Ep Esophageal Recording Atria+Pacing (93616) $2,407.30 $3,439 1.8×
Er level 1 (99281) $458.50 $655 5.1×
Er level v (99285) $2,961 $4,230 4.6×
Esoph Atrial Electrogram (93615) $2,292.50 $3,275 1.8×
Esophageal Capsule Endoscopy (91111) $3,000.20 $4,286 3.1×
Esophgl Balo Distension Dx Std W/Provocation (91040) $1,205.40 $1,722 3.0×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,733.20 $2,476 4.3×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $374.50 $535 2.7×
Evaluate pt use of inhaler (94664) $266 $380 1.1×
Evaluate Speech Production (92522)
range across 2 matching MRF lines
$237.30–$628.60 $339–$898 varies
Evaluate Swallowing Function (92610) $626.50 $895 7.4×
Evaluation of speech fluency (92521)
range across 2 matching MRF lines
$249.20–$628.60 $356–$898 varies
Evoked Auditory Test,Limited (92587) $322 $460 1.4×
Exercise test for bronchospasm (94617) $401.80 $574 2.8×
External ECG rec>48hr<7d recording (93242) $737.80 $1,054 18.4×
External ECG rec>48hr<7d scanning alys w/report (93243) $690.20 $986 4.8×
External ECG rec>7d<15d recording (93246) $737.80 $1,054 18.4×
External ECG rec>7d<15d scanning alys w/report (93247) $692.30 $989 4.9×
External Ecg Scanning Analysis Report (93226) $1,251.60 $1,788 19.8×
Extracranial Bilat Study (93880) $2,105.60 $3,008 8.2×
Extracranial Uni/Ltd Study (93882) $954.10 $1,363 8.5×
F-up/limited tthrc echo congenital car anomaly (93304) $1,215.20 $1,736 2.1×
Flexible endoscopic eval swallow c/v rec (92612) $476.70 $681 2.4×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $653.80 $934 2.9×
Fluorescein angiography (92235) $1,072.40 $1,532 4.6×
Full Field Electroretinography W/I&R (92273) $848.40 $1,212 3.7×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,114.40 $1,592 1.2×
Fundus photography (92250) $272.30 $389 1.9×
Gastric motility studies (91020) $1,348.90 $1,927 3.4×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,030.40 $1,472 2.6×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $851.90 $1,217 3.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,617 $2,310 1.8×
Gi tract capsule endoscopy (91110) $3,272.50 $4,675 3.4×
Gi tract imaging intraluminal colon i&r (91113) $3,000.20 $4,286 3.0×
Gonioscopy (92020) $168.70 $241 1.2×
Group Therapeutic Procedures (97150) $134.40 $192 7.5×
Health Behavior Assessment/Re-Assessment (96156) $331.80 $474 3.0×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $235.90 $337 5.9×
Health behavior ivntj group f2f 1st 30 min (96164) $35 $50 0.9×
Health behavior ivntj indiv f2f 1st 30 min (96158) $224 $320 1.2×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,816.50 $2,595 2.5×
Holter monitor recording (93225) $1,487.50 $2,125 10.4×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $50.40 $72 1.3×
Icd Device Interrogate (93289) $1,075.20 $1,536 26.9×
Icd device progr eval dual (93283) $591.50 $845 14.8×
Icd Device Progr Eval Mult (93284) $634.20 $906 15.9×
Icm Device Eval (93290) $102.90 $147 2.6×
Ilr Device Eval Progr (93285) $283.50 $405 7.1×
Ilr Device Interrogate (93291) $324.80 $464 10.5×
Im Adm Intransl/Oral 1 Vaccine (90473) $52.50 $75 0.7×
Immunization administration (90471) $68.60 $98 0.9×
Ingestion challenge test initial 120 minutes (95076) $1,119.30 $1,599 2.8×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $493.50 $705 1.2×
Insert/Place Heart Catheter (93503) $1,379.70 $1,971 0.8×
Interrog&prgrmg impl phrenic nrv stimulator sys (93151) $249.90 $357 2.5×
Interrogate Subq Defib (93261) $71.40 $102 1.8×
Interrogation eval in person wr defibrillator (93292) $214.90 $307 5.4×
Interrogation vad in person (93750) $329 $470 3.2×
Interrogation without programming ipnss (93153) $134.40 $192 1.3×
Intra-atrial pacing (93610) $5,218.50 $7,455 0.6×
Intra-atrial recording (93602) $5,247.90 $7,497 0.6×
Intracranial Complete Study (93886) $1,970.50 $2,815 7.7×
Intracutaneous tests w/allergenic extracts (95024) $69.30 $99 1.1×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$4,067 $5,810 0.5×
Irrig Drug Delivery Device (96523) $387.80 $554 6.1×
Ischemic limb exercise test (95875) $182 $260 1.3×
IV infusion hydration each additional hour (96361) $371.70 $531 7.4×
IV infusion hydration initial 31 min-1 hour (96360) $673.40 $962 3.0×
IV infusion ther proph addl sequential to 1 hr (96367) $473.20 $676 6.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $429.10 $613 8.6×
IV push initial (96374) $392.70 $561 1.7×
L Hrt Art/Grft Angio (93459) $9,093.70 $12,991 2.6×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $4,620.70 $6,601 1.3×
Laryngeal Function Studies (92520)
range across 2 matching MRF lines
$249.20–$626.50 $356–$895 varies
Liver Elastography W/O Imag W/I&R (91200) $553 $790 4.0×
Mechanical chest wall oscillation per session (94669) $305.90 $437 1.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $98.70 $141 3.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $109.90 $157 3.0×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $45.50 $65 2.7×
Methacholine challenge (94070) $1,663.20 $2,376 4.2×
Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) $83.30 $119 4.2×
Mlt fam group bhv mgmt/modificaj traing ea addl (96203) $36.40 $52 6.8×
Motility study esophagus (91010) $1,272.60 $1,818 3.2×
Motion Fluoroscopy/Swallow (92611) $1,005.90 $1,437 11.0×
Multifocal Electroretinography W/I&R (92274) $505.40 $722 3.7×
Multiple Family Group Psychotherapy (90849) $126.70 $181 0.7×
Multiple Sleep Latency Test (95805) $4,527.60 $6,468 4.9×
Muscle Test 2 Limbs (95861) $429.80 $614 3.0×
Muscle Test Hemidiaphragm (95866) $314.30 $449 2.3×
Muscle Test Nonparaspinal (95870) $145.60 $208 1.0×
Muscle Test One Limb (95860) $358.40 $512 2.5×
Nasopharyngoscopy (92511) $236.60 $338 1.1×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $596.40 $852 2.6×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $340.20 $486 1.5×
Needle electromyography larynx (95865) $312.90 $447 2.2×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $228.20 $326 1.0×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $1,540.70 $2,201 6.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $355.60 $508 1.7×
Nerve Conduction Studies 1-2 Studies (95907) $1,125.60 $1,608 4.9×
Nerve Conduction Studies 11-12 Studies (95912) $3,238.20 $4,626 8.1×
Nerve conduction studies 13 or more studies (95913) $3,682 $5,260 9.2×
Nerve Conduction Studies 3-4 Studies (95908) $1,498 $2,140 6.5×
Nerve conduction studies 5-6 studies (95909) $1,908.90 $2,727 8.2×
Nerve conduction studies 7-8 studies (95910) $2,373 $3,390 5.9×
Nerve Conduction Studies 9-10 Studies (95911) $2,911.30 $4,159 7.3×
Neurobehavioral Status Exam (96116) $931 $1,330 4.0×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $735 $1,050 5.3×
Neuromuscular Reeducation (97112) $121.80 $174 3.7×
Nitric oxide expired gas determination (95012) $237.30 $339 5.9×
Nonphysician Telephone Assessment 11-20 Min (98967) $106.40 $152 4.2×
Nonphysician Telephone Assessment 21-30 Min (98968) $148.40 $212 4.3×
Nonphysician Telephone Assessment 5-10 Min (98966) $54.60 $78 4.0×
Nrpsyc tst eval phys/qhp 1st (96132) $992.60 $1,418 2.5×
Oculoelectromyography (92265) $117.60 $168 1.9×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $168.70 $241 1.2×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $175 $250 1.2×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $175 $250 1.2×
Ophth medical xm&eval intermediate estab pt (92012) $175 $250 1.2×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $175 $250 1.2×
Ophthalmodynamometry (92260) $56 $80 1.4×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $82.60 $118 1.3×
Oral Function Therapy (92526)
range across 2 matching MRF lines
$117.60–$409.50 $168–$585 varies
Oral Speech Device Eval (92597)
range across 2 matching MRF lines
$251.30–$682.50 $359–$975 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $146.30 $209 2.9×
Orthoptic training under supervision of phys/qhp (92066) $72.80 $104 1.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $162.40 $232 3.5×
Ot eval high complexity (97167) $619.50 $885 6.2×
Ot Eval Low Complex (97165) $479.50 $685 4.8×
Ot Eval Moderate Complexity (97166) $549.50 $785 5.5×
Ot manual therapy 15 min (97140) $99.40 $142 3.6×
Ot Re-Eval Est Plan Care (97168) $332.50 $475 4.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $421.40 $602 3.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $161 $230 1.2×
Patch/Application Test Specify Number Tests (95044) $48.30 $69 0.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $378 $540 1.6×
Percutaneous tests w/allergenic extracts (95004) $85.40 $122 0.1×
Perq transcath closure pda (93582) $15,143.10 $21,633 0.8×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $6,151.60 $8,788 1.0×
Phlebotomy therapeutic (99195) $360.50 $515 2.5×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $246.40 $352 3.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $241.50 $345 3.8×
Physical Performance Test (97750) $179.20 $256 5.3×
Plethysmography (94726) $1,120 $1,600 2.8×
Pm device eval in person (93288) $829.50 $1,185 20.7×
Pm device progr eval dual (93280) $525.70 $751 13.1×
Pm device progr eval multi (93281) $534.10 $763 13.4×
Pm Device Progr Eval Sngl (93279) $453.60 $648 11.3×
Pm/Icd Remote Tech Serv (93296) $490 $700 12.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,441.80 $7,774 5.9×
Polysom <6 yrs 4/> paramtrs (95782) $4,444.30 $6,349 4.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $5,506.20 $7,866 6.0×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $3,262.70 $4,661 3.5×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $35.70 $51 0.7×
Prepj& antigen allergen immunotherapy 2 insect (95146) $37.80 $54 0.8×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $49 $70 0.6×
Prepj& antigen allergen immunotherapy 5 insect (95149) $70.70 $101 0.9×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) $383.60 $548 0.8×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $205.10 $293 5.1×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $539.70 $771 13.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $30.10 $43 0.6×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $77.70 $111 1.5×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $67.20 $96 0.9×
Prq Card Angio/Athrect 1 Art (92924) $7,256.20 $10,366 0.6×
Prq Card Stent W/Angio 1 Vsl (92928) $6,768.30 $9,669 0.5×
Prq Card Stent/Ath/Angio (92933) $10,087.70 $14,411 0.5×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $16,508.10 $23,583 0.8×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $12,175.80 $17,394 1.0×
Psych diag eval w/med srvcs (90792) $654.50 $935 3.4×
Psychiatric diagnostic evaluation (90791) $576.10 $823 3.0×
Psychological tst eval svc phys/qhp first hour (96130) $252.70 $361 1.1×
Psycl/Nrpsyc Tst Auto Result (96146) $25.20 $36 0.8×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $872.90 $1,247 1.8×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $270.20 $386 1.9×
Psytx Crisis Initial 60 Min (90839) $491.40 $702 2.6×
Pt Eval High Complex (97163) $619.50 $885 6.3×
Pt eval low complex 20 min (97161) $479.50 $685 4.9×
Pt Eval Mod Complex (97162) $549.50 $785 5.6×
Pt gait training 15 min (97116) $116.90 $167 4.0×
Pt group caregiver training (97552) $60.20 $86 2.7×
Pt Re-Eval Est Plan Care (97164) $332.50 $475 4.9×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $60.20 $86 1.5×
Pulm function test by gas (94727) $277.20 $396 1.2×
Pulmonary service/procedure (94799)
range across 9 matching MRF lines
$49.70–$1,260 $71–$1,800 varies
Pulmonary Stress Testing (94618) $492.80 $704 3.5×
Pure Tone Audiometry Air (92552) $174.30 $249 1.2×
Quan puplmtry phy/qhp uni/bi (95919) $94.50 $135 0.7×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $7,679.70 $10,971 2.2×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $5,621 $8,030 1.6×
R hrt coronary artery angio (93456) $9,407.30 $13,439 2.7×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $13,577.90 $19,397 3.9×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $9,557.10 $13,653 2.8×
R&L Hrt Cath W/Ventriclgrphy (93453) $9,227.40 $13,182 2.7×
Rapid Desensitization Procedure Each Hour (95180) $291.20 $416 0.6×
Refill/Maint Portable Pump (96521) $615.30 $879 2.7×
Refill/Maint Pump/Resvr Syst (96522) $366.80 $524 1.6×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $520.80 $744 13.0×
Remote 30 Day Ecg Rev/Report (93270) $403.20 $576 10.1×
Remote 30 Day Ecg Tech Supp (93229) $1,504.30 $2,149 3.8×
Respiratory flow volume loop (94375) $228.20 $326 1.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $104.30 $149 1.6×
Right Heart Cath (93451) $5,991.30 $8,559 1.7×
Right ventricular recording (93603) $1,405.60 $2,008 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $243.60 $348 1.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607)
range across 2 matching MRF lines
$249.20–$1,165.50 $356–$1,665 varies
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $348.60 $498 7.3×
Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) $440.30 $629 3.1×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $709.80 $1,014 1.8×
Select picture audiometry (92583) $218.40 $312 3.5×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $96.60 $138 1.5×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $932.40 $1,332 4.0×
Short-latency somatosens ep std upr limbs (95925) $835.10 $1,193 3.6×
Sleep study attended (95807) $3,279.50 $4,685 8.2×
Slp caregiver training 1st 30 min (97550) $128.10 $183 2.4×
Somatosensory Testing (95938) $1,003.10 $1,433 1.1×
Speech Audiometry Complete (92556) $323.40 $462 5.1×
Speech audiometry threshold (92555) $163.80 $234 2.6×
Speech sound lang comprehen (92523) $628.60 $898 2.8×
Spirometry (94010) $581.70 $831 2.5×
Ssep lower limbs (95926) $756 $1,080 3.3×
Stenger Test, Pure Tone (92565) $72.10 $103 1.1×
Stress Tte Only (93350) $2,812.60 $4,018 4.8×
Subcutaneous Infusion Each Additional Hour (96370) $182 $260 3.6×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $364 $520 1.6×
Subq Infusion Additional Pump Infusion Site (96371) $200.20 $286 2.6×
Surfactant Admin Thru Tube (94610) $222.60 $318 0.9×
Temp transcutaneous pacing (92953) $676.20 $966 1.0×
Tensilon Test (95857) $270.90 $387 1.2×
Testing Autonomic Nervous System Function (95923) $1,222.90 $1,747 8.6×
Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) $266 $380 2.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 2 matching MRF lines
$146.30–$409.50 $209–$585 varies
Ther/Proph/Diag Inj Sc/Im (96372) $211.40 $302 2.7×
Ther/Proph/Diag Iv Inf Init (96365) $830.90 $1,187 3.6×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,860.90 $4,087 7.2×
Trans Care Mgmt 14 Day Disch (99495) $175 $250 1.2×
Trans Care Mgmt 7 Day Disch (99496) $175 $250 1.2×
Transcath Closure of Asd (93580) $11,153.10 $15,933 0.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $805.70 $1,151 7.2×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $1,058.40 $1,512 7.7×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $385.70 $551 2.7×
Tte w/doppler, complete (93306) $4,318.30 $6,169 7.4×
Tte W/O Doppler Complete (93307) $1,519.70 $2,171 5.9×
Tx atrial fib pulm vein isol (93656)
unusually low: confirm this is the full procedure
$14,000.70 $20,001 0.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $409.50 $585 5.4×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $279.30 $399 11.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $270.90 $387 5.4×
Tympanometry (92567) $184.10 $263 4.6×
Tympanometry and reflex threshold measurements (92550) $209.30 $299 0.9×
Unlis neurological/neuromuscular dx px (95999)
range across 2 matching MRF lines
$527.10–$7,840.70 $753–$11,201 varies
Unlisted allergy/clinical immunologic srvc/px (95199) $32.20 $46 1.0×
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines
$285.60–$455 $408–$650 varies
Unlisted noninvasive vascular diagnostic study (93998) $164.50 $235 5.3×
Valvuloplasty aortic valve (92986) $8,608.60 $12,298 1.4×
Valvuloplasty mitral valve (92987) $8,875.30 $12,679 0.7×
Valvuloplasty pulmonary valve (92990) $6,995.80 $9,994 0.6×
Veeg 2-12 Hr Cont Mntr (95713) $4,080.30 $5,829 10.2×
Veeg 2-12 hr intmt mntr (95712) $3,709.30 $5,299 9.3×
Veeg 2-12 hr unmonitored (95711) $2,424.80 $3,464 10.5×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $3,709.30 $5,299 9.3×
Veeg Ea 12-26 Hr Unmntr (95714) $3,492.30 $4,989 8.7×
Veeg ea 12-26hr cont mntr (95716) $4,080.30 $5,829 4.4×
Vent Mgmt Inpat Init Day (94002) $1,771.70 $2,531 2.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,299.90 $1,857 2.0×
Visual Evoked Potential Test (95930) $773.50 $1,105 3.3×
Visual Field Exam Extended (92083) $203.70 $291 1.4×
Visual field xm uni/bi w/interp intermed exam (92082) $74.90 $107 1.2×
Visual field xm uni/bi w/interpretj limited exam (92081) $61.60 $88 1.0×
Visual reinforcement audiometry (vra) (92579) $370.30 $529 1.6×
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,092 $1,560 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $72.80 $104 2.3×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $1,089.90 $1,557 17.2×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $286.30 $409 7.2×

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.