Visits & medical services prices at Arnot Ogden Medical Center

Elmira, NY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650)
likely a partial charge, not the full procedure
$2,523.89 $12,619.44 0.3×
Admn Sarscov2 Vacc 1 Dose (90480) $13.10 $65.52 0.3×
Advncd Care Plan 30 Min (99497) $25.55 $127.76 0.2×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$9.61–$96.01 $48.05–$480.04 varies
Analyze neurostim complex (95972) $86.72 $433.59 0.7×
Analyze neurostim no prog (95970) $67.70 $338.52 0.4×
Analyze Pacemaker System (93724) $168.79 $843.94 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $14.44 $72.18 1.0×
Application Modality 1/> Areas Infrared (97026)
range across 2 matching MRF lines
$11.09–$33.29 $55.47–$166.44 varies
Application on-body injector (96377) $22.85 $114.26 0.4×
Arrhythmia Induction (93618) $954.86 $4,774.29 0.6×
Assessment of aphasia per hr (96105) $64.28 $321.38 0.7×
Behavral qualit analys voice (92524) $46.85 $234.23 0.4×
Brief Emotional/Behav Assmt (96127) $14.41 $72.07 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $141.09 $705.46 0.3×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$466.18 $2,330.92 0.0×
Canalith repositioning proc (95992) $29 $144.99 0.7×
Car seat/bed test 60 min (94780) $20.17 $100.86 0.4×
Cardiac Stress Tst,Tracing Only (93017) $272.29 $1,361.45 1.0×
Cardiopulmonary exercise testing (94621) $102.90 $514.50 0.2×
Cardiopulmonary resuscitation (92950) $115.54 $577.70 0.4×
Cardioversion (92960) $613.75 $3,068.77 0.7×
Cardioversion elective internal (92961) $167.57 $837.84 0.2×
Caregiver hlth risk assmt score doc stnd instrm (96161) $15.72 $78.62 0.3×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $1,971.59 $9,857.93 0.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $1,971.59 $9,857.93 0.5×
Cbt 1st hour (94644) $51.57 $257.84 0.3×
Chemo Anti-Neopl Sq/Im (96401) $71.37 $356.87 0.8×
Chemo Hormon Antineopl Sq/Im (96402) $53.63 $268.15 0.6×
Chemo Ia Push (96420) $278.62 $1,393.10 0.7×
Chemo IV infusion addl hr (96415) $83.75 $418.75 0.9×
Chemo IV push addl drug (96411) $108.09 $540.44 1.2×
Chemother Prolong Infuse W/Pump (96416) $139.45 $697.23 0.3×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $278.62 $1,393.10 0.7×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $38.76 $193.79 0.7×
Chemotherapy Into Cns (96450) $264.84 $1,324.20 0.6×
Chemotherapy Unspecified (96549) $38.76 $193.79 0.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $83.34 $416.69 0.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $152.65 $763.25 0.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $162.14 $810.71 0.4×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $278.62 $1,393.10 0.7×
Chest Wall Manipulation (94668) $30.42 $152.08 0.2×
Color/duplex Doppler, complete (93975) $364.71 $1,823.55 1.2×
Color/duplex Doppler, limited (93976) $169.15 $845.74 1.3×
Cont gluc mntr physician/qhp provided equiptment (95250) $82.56 $412.78 0.5×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$113.45 $26.70–$567.27 0.7×
Coronary Art/Grft Angio S&I (93455) $1,971.59 $9,857.93 0.5×
Coronary Artery Angio S&I (93454) $2,319.79 $11,598.95 0.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$16.06 $80.30–$80.31 0.1×
Cpt initial (94667) $96.01 $480.04 0.6×
Critical care first hour (99291) $400.26 $2,001.32 0.4×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$38.25–$119.64 $191.23–$598.21 varies
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) $38.22 $191.10 0.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $244.20 $1,221.01 0.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $88.86 $444.29 0.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $186.89 $934.45 0.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $184.63 $923.14 1.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $287.56 $1,437.80 1.0×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$196.58–$258.68 $982.89–$1,293.38 varies
Duplex Scan Hemodialysis Access (93990) $92 $460.01 0.7×
Duplex up extrem art bilat (93930) $292.65 $1,463.24 1.0×
Duplex up extrem art unilat/ltd (93931) $149.77 $748.85 1.1×
Echo Congenital Complete (93303)
range across 2 matching MRF lines
$102.65–$390.72 $513.24–$1,953.62 varies
Echo Heart Xthoracic,Limited (93308) $134.09 $670.45 0.5×
Echo transesophag montr cardiac pump functj (93318) $384.47 $1,922.37 0.6×
Echo transesophageal (93312)
range across 2 matching MRF lines
$80.59–$497.55 $402.95–$2,487.75 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $712.09 $3,560.45 1.0×
EEG awake and asleep (95819) $182.97 $914.85 0.7×
EEG awake drowsy (95816) $182.97 $914.85 0.7×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $21.84 $109.20 0.2×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976)
range across 2 matching MRF lines
$12.01–$19.31 $60.06–$96.54 varies
Electrical Stimulation Ea 15 Min (97032) $18.98 $94.91 1.3×
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$4.59–$136.20 $22.93–$680.98 varies
Electroconvulsive Therapy (90870) $249.41 $1,247.06 0.2×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
likely a partial charge, not the full procedure
$2,523.89 $12,619.44 0.3×
Electrophysiology Evaluation (93642) $1,159.45 $5,797.24 0.8×
Emergency Dept Visit Level 2 (99282) $85.29 $426.47 0.4×
Emergency Dept Visit Level 3 (99283) $145.94 $729.69 0.4×
Emergency Dept Visit Level 4 (99284) $228.51 $1,142.53 0.4×
Endomyocardial Biopsy (93505) $770.75 $3,853.75 0.2×
Ep & ablate supravent arrhyt (93653)
likely a partial charge, not the full procedure
$6,023.23 $30,116.17 0.2×
Ep & ablate ventric tachy (93654)
likely a partial charge, not the full procedure
$6,023.24 $30,116.18 0.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
likely a partial charge, not the full procedure
$2,523.89 $12,619.44 0.3×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
likely a partial charge, not the full procedure
$2,523.89 $12,619.44 0.3×
Ep Esophageal Recording Atria+Pacing (93616) $466.18 $2,330.92 0.3×
Er level 1 (99281) $53.16 $265.78 0.5×
Er level v (99285) $310.76 $1,553.82 0.4×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$5.02–$96.01 $25.12–$480.04 varies
Evaluate Speech Production (92522) $45.23 $226.13 0.4×
Evaluate Swallowing Function (92610) $75.80 $379.02 0.9×
Evaluation of speech fluency (92521) $55.61 $278.04 0.4×
Evoked Auditory Test,Limited (92587) $17.04 $85.22 0.1×
Exercise test for bronchospasm (94617) $102.90 $514.50 0.6×
External ECG rec>48hr<7d recording (93242) $18.85 $94.26 0.4×
External Ecg Scanning Analysis Report (93226) $126.66 $633.30 1.7×
Extracranial Bilat Study (93880) $276.83 $1,384.15 0.9×
Extracranial Uni/Ltd Study (93882) $146.99 $734.97 1.1×
F-up/limited tthrc echo congenital car anomaly (93304) $68.45 $342.23 0.1×
Fundus photography (92250) $24.02 $120.12 0.1×
Gi tract capsule endoscopy (91110)
range across 2 matching MRF lines
$540.80–$787.55 $2,704–$3,937.75 varies
Group Therapeutic Procedures (97150) $20.63 $103.14 1.1×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $1,971.59 $9,857.93 0.5×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $125.48 $627.41 0.1×
Holter monitor recording (93225) $7.43 $37.13 0.0×
Icd Device Interrogate (93289) $21.18 $105.92 0.5×
Icd device progr eval dual (93283) $31.32 $156.62 0.7×
Icd Device Progr Eval Mult (93284) $48.70 $243.52 1.0×
Ilr Device Eval Progr (93285) $31.32 $156.62 0.7×
Ilr Device Interrogate (93291)
range across 2 matching MRF lines
$20.56–$20.57 $102.82–$102.86 varies
Im Adm Intransl/Oral 1 Vaccine (90473) $13.54 $67.70 0.2×
Immunization administration (90471) $17.43 $87.13 0.2×
Inital newborn e/m (99460) $33.85 $169.26 0.2×
Insert/Place Heart Catheter (93503) $313.43 $1,567.17 0.2×
Interrogate Subq Defib (93261) $31.32 $156.62 0.7×
Interrogation vad in person (93750) $77.10 $385.52 0.6×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$466.18 $2,330.92 0.0×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure
$466.18 $2,330.92 0.0×
Intracranial Complete Study (93886) $230.84 $1,154.22 0.8×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$466.18 $2,330.92 0.0×
Iontophoresis 15 min (97033) $8.70 $43.51 0.5×
Irrig Drug Delivery Device (96523) $30.53 $152.65 0.4×
IV infusion hydration each additional hour (96361) $30.53 $152.65 0.5×
IV infusion hydration initial 31 min-1 hour (96360) $169.15 $845.74 0.6×
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines
$24.92–$35.69 $124.58–$178.46 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$26.10–$30.53 $130.49–$152.65 varies
IV push initial (96374) $64.36 $321.80 0.2×
L Hrt Art/Grft Angio (93459) $1,971.59 $9,857.93 0.5×
Liver Elastography W/O Imag W/I&R (91200) $32.54 $162.71 0.2×
Lwr Xtr Vasc Stdy Bilat (93924) $177.82 $889.08 0.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $16.16 $80.81 0.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $18.78 $93.91 0.5×
Methacholine challenge (94070) $259.09 $1,295.46 0.6×
Motion Fluoroscopy/Swallow (92611) $136.24 $681.21 1.5×
Multiple Sleep Latency Test (95805) $801.96 $4,009.78 0.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $55.69 $278.47 0.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $69.72 $348.61 0.1×
Nerve Conduction Studies 1-2 Studies (95907) $92.84 $464.22 0.3×
Nerve Conduction Studies 11-12 Studies (95912) $166.35 $831.77 0.4×
Nerve conduction studies 13 or more studies (95913) $174.27 $871.35 0.4×
Nerve Conduction Studies 3-4 Studies (95908) $95.06 $475.29 0.4×
Nerve conduction studies 5-6 studies (95909) $161.60 $808 0.6×
Nerve conduction studies 7-8 studies (95910) $163.18 $815.91 0.4×
Nerve Conduction Studies 9-10 Studies (95911) $164.77 $823.84 0.4×
Neuromuscular Reeducation (97112) $26.06 $130.31 0.8×
Nitric oxide expired gas determination (95012) $18.17 $90.86 0.4×
Oral Function Therapy (92526) $58.69 $293.44 0.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $33.29 $166.44 0.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $26.82 $134.10 0.6×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $9.39 $46.96 0.3×
Osteopathic manipulative tx 3-4 body regions (98926) $13.76 $68.80 0.5×
Osteopathic manipulative tx 5-6 body regions (98927) $19.22 $96.10 0.7×
Osteopathic manipulative tx 7-8 body regions (98928) $22.93 $114.66 0.9×
Ot Contrast Bath Ea 15 Min (97034)
range across 2 matching MRF lines
$11.08–$11.09 $55.42–$55.47 varies
Ot eval high complexity (97167) $108.16 $540.78 1.1×
Ot Eval Low Complex (97165) $75.11 $375.55 0.7×
Ot Eval Moderate Complexity (97166) $90.13 $450.66 0.9×
Ot manual therapy 15 min (97140) $31.36 $156.78 1.1×
Ot paraffin bath (97018) $22.19 $110.95 3.7×
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$19.94–$32.87 $99.72–$164.35 varies
Ot Re-Eval Est Plan Care (97168) $31.79 $158.96 0.5×
Ot rom hand (95852) $11.09 $55.47 0.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $69.72 $348.61 0.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $55.43 $277.16 0.3×
Pdt dstr prmlg les skn illum/activj per day (96567) $38.22 $191.10 0.2×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $14,704.67 $73,523.37 0.6×
Perq transcath closure pda (93582) $15,083.64 $75,418.22 0.7×
Perq Transcath Cls Aortic (93591) $15,083.64 $75,418.22 0.7×
Perq Transcath Cls Mitral (93590) $15,083.64 $75,418.22 0.7×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
unusually low: confirm this is the full procedure
$3,101.90 $15,509.49 0.4×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
likely a partial charge, not the full procedure
$3,891.60 $19,458.01 0.3×
Phlebotomy therapeutic (99195) $56.11 $280.54 0.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $32.60 $162.99 0.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $32.60 $162.99 0.4×
Physical Performance Test (97750) $26.63 $133.15 0.8×
Plethysmography (94726) $56.52 $282.59 0.1×
Pm device eval in person (93288)
range across 2 matching MRF lines
$10.92–$19.15 $54.60–$95.75 varies
Pm device progr eval dual (93280) $31.32 $156.62 0.7×
Pm device progr eval multi (93281) $20.53 $102.65 0.4×
Pm Device Progr Eval Sngl (93279) $31.32 $156.62 0.7×
Pm/Icd Remote Tech Serv (93296) $31.32 $156.62 0.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $964.77 $4,823.83 0.9×
Polysom <6 yrs 4/> paramtrs (95782) $812.33 $4,061.67 0.8×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $31.32 $156.62 0.7×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $10.92 $54.60 0.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $29.07 $145.34 0.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $5.46 $27.30 0.1×
Prq Card Angio/Athrect 1 Art (92924)
unusually low: confirm this is the full procedure
$4,940.61 $24,703.05 0.3×
Prq Card Stent W/Angio 1 Vsl (92928)
likely a partial charge, not the full procedure
$3,820.04 $19,100.22 0.3×
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure
$3,890.55 $19,452.77 0.2×
Prq Revasc Byp Graft 1 Vsl (92937)
likely a partial charge, not the full procedure
$3,890.55 $19,452.77 0.3×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $15,083.64 $75,418.22 0.7×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $9,526.08 $47,630.39 0.7×
Psych diag eval w/med srvcs (90792) $41.06 $205.30 0.2×
Psychiatric diagnostic evaluation (90791) $37.13 $185.64 0.2×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $27.95 $139.76 0.7×
Pt Eval High Complex (97163) $110.50 $552.48 1.1×
Pt eval low complex 20 min (97161) $76.73 $383.65 0.8×
Pt Eval Mod Complex (97162) $92.08 $460.40 0.9×
Pt gait training 15 min (97116) $24.34 $121.68 0.8×
Pt mechanical traction (97012) $13.22 $66.12 0.9×
Pt Re-Eval Est Plan Care (97164) $33.35 $166.74 0.5×
Pt ultraviolet (97028) $4.72 $23.60 0.6×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $23.79 $118.94 0.5×
Pulm function test by gas (94727) $91.18 $455.90 0.3×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$13.85–$69.36 $69.23–$346.82 varies
Pulmonary Stress Testing (94618)
range across 3 matching MRF lines
$25.93–$131.18 $129.65–$655.89 varies
R Hrt Art/Grft Angio (93457) $1,971.59 $9,857.93 0.5×
R hrt coronary artery angio (93456) $1,971.59 $9,857.93 0.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $2,531.03 $12,655.14 0.6×
Refill/Maint Portable Pump (96521) $176.98 $884.90 0.7×
Refill/Maint Pump/Resvr Syst (96522) $92.93 $464.63 0.4×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $29.77 $148.87 0.6×
Remote 30 Day Ecg Rev/Report (93270) $83.75 $418.75 1.8×
Remote 30 Day Ecg Tech Supp (93229) $198.74 $993.72 0.4×
Repet tms tx initial w/map/motr threshld/del&m (90867) $113.79 $568.93 0.4×
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) $95 $475.02 0.4×
Respiratory flow volume loop (94375) $73.80 $369.02 0.3×
Right Heart Cath (93451) $1,971.59 $9,857.93 0.5×
Right ventricular recording (93603) $466.18 $2,330.92 0.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$24.89–$158.72 $124.44–$793.62 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $12.57 $62.86 0.5×
Self Care Mngment Training (97535) $28.41 $142.07 0.9×
Sensory Integration Ea 15 Min (97533) $20.85 $104.23 0.3×
Sleep study unattended (95806) $136.41 $682.04 0.5×
Speech sound lang comprehen (92523) $93.82 $469.09 0.4×
Spirometry (94010) $69.23 $346.16 0.3×
Standardized Cognitive Performance Testing (96125) $83.15 $415.75 0.8×
Stress Tte Only (93350) $439.80 $2,199 0.6×
Subcutaneous Infusion Each Additional Hour (96370)
range across 2 matching MRF lines
$30.53–$38.76 $152.65–$193.79 varies
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $176.98 $884.90 0.7×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $89.33 $446.63 0.7×
Temp transcutaneous pacing (92953) $183.68 $918.39 0.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $19.56 $97.79 0.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $32.59 $162.96 0.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $33.29 $166.44 1.1×
Ther/Prop/Diag Inj/Inf Proc (96379) $28.43 $142.16 0.5×
Ther/Proph/Diag Inj Ia (96373) $10.26 $51.32 0.0×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$13.54–$48.69 $67.70–$243.43 varies
Ther/Proph/Diag Iv Inf Init (96365) $148.94 $744.71 0.6×
Therap repetitive tms tx subseq delivery & mng (90868) $65.74 $328.69 0.2×
Therapeutic Activities (97530) $30.53 $152.65 0.9×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $450.11 $2,250.55 1.0×
Tobacco Use Cessation Intensive >10 Minutes (99407) $25.02 $125.12 0.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$5.04–$14.64 $25.20–$73.19 varies
Trans Care Mgmt 14 Day Disch (99495) $53.29 $266.45 0.3×
Trans Care Mgmt 7 Day Disch (99496) $81.26 $406.30 0.5×
Transcath Closure of Asd (93580) $15,083.64 $75,418.22 0.7×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $31.32 $156.62 0.7×
Tte w/doppler, complete (93306) $499.90 $2,499.50 0.7×
Tx atrial fib pulm vein isol (93656)
likely a partial charge, not the full procedure
$9,079.49 $45,397.43 0.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $40.52 $202.62 0.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $60.24 $301.18 1.0×
Tympanometry (92567) $3.06 $15.29 0.1×
Unlisted cardiovascular service/procedure (93799) $171.90 $859.50 1.1×
Unlisted Diagnostic Gastroenterology Procedure (91299) $131.43 $657.13 0.8×
Unlisted Special Dermatological Service/Px (96999) $54 $270 0.2×
Upr/L Xtremity Art 2 Levels (93922) $120.88 $604.42 0.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $148.12 $740.58 0.5×
Valvuloplasty aortic valve (92986) $4,789.28 $23,946.38 0.7×
Valvuloplasty mitral valve (92987)
likely a partial charge, not the full procedure
$3,101.90 $15,509.49 0.2×
Valvuloplasty pulmonary valve (92990) $9,526.08 $47,630.39 0.7×
Vasopneumatic device (97016) $16.50 $82.50 1.4×
Vent Mgmt Inpat Init Day (94002) $242.85 $1,214.23 0.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $241.60 $1,208.01 0.3×
Vital capacity, total (94150) $28.88 $144.41 0.2×
Wheelchair Mgmt Ea 15 Min (97542) $22.31 $111.55 0.7×
Whirlpool Therapy (97022) $33.29 $166.44 2.1×

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.