Visits & medical services prices at Ascension Seton Smithville
Smithville, TX · every code in this section with a posted price and a Medicare benchmark.
329 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) | $5,644.35 | $15,678.75 | 0.7× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $75.60 | $210 | 0.6× |
| Acoustic Reflex Testing (92568) | $46.35 | $128.75 | 1.2× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $179.64 | $499 | 0.8× |
| Aep neurodiagnostic i&r (92653) | $131.22 | $364.50 | 0.6× |
| Aep threshold estimation mlt frequencies i&r (92652) | $131.22 | $364.50 | 0.6× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$35.01–$47.34 | $97.25–$131.50 | varies |
| Airway resistance by oscillometry (94728) | $95.31 | $264.75 | 0.7× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $299.79 | $832.75 | 2.2× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $332.82 | $924.50 | 2.5× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) range across 2 matching MRF lines |
$59.58–$88.11 | $165.50–$244.75 | varies |
| Ans parasymp & symp w/tilt (95924) | $374.76 | $1,041 | 1.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 8 matching MRF lines |
$42.48–$52.38 | $118–$145.50 | varies |
| Application Modality 1/> Areas Diathermy (97024) | $17.37 | $48.25 | 2.4× |
| Application Modality 1/> Areas Infrared (97026) | $18.18 | $50.50 | 2.7× |
| Arrhythmia Induction (93618) | $1,063.26 | $2,953.50 | 0.9× |
| Assessment of aphasia per hr (96105) | $175.59 | $487.75 | 1.8× |
| Assessment of tinnitus (92625) | $75.60 | $210 | 0.6× |
| Audiometry Air & Bone (92553) | $93.42 | $259.50 | 0.7× |
| Auditory Function, 60 Min (92620) | $75.60 | $210 | 0.6× |
| Behavral qualit analys voice (92524) | $270.18 | $750.50 | 2.5× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) range across 2 matching MRF lines |
$85.59–$101.25 | $237.75–$281.25 | varies |
| Bfb training ea addl 15 min (90913) range across 2 matching MRF lines |
$35.28–$41.67 | $98–$115.75 | varies |
| Blink reflex test (95933) | $136.98 | $380.50 | 2.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$356.04–$793.44 | $989–$2,204 | varies |
| Bundle of his recording (93600) | $5,644.35 | $15,678.75 | 0.7× |
| C motor evoked uppr limbs (95928) | $394.29 | $1,095.25 | 0.5× |
| C motor evoked upr&lwr limbs (95939) | $846.09 | $2,350.25 | 1.0× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$67.95–$82.98 | $188.75–$230.50 | varies |
| Car seat/bed test 60 min (94780) range across 2 matching MRF lines |
$94.86–$221.58 | $263.50–$615.50 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 4 matching MRF lines |
$882.81–$907.74 | $2,452.25–$2,521.50 | varies |
| Cardiopulmonary exercise testing (94621) | $2,020.68 | $5,613 | 5.4× |
| Cardiopulmonary resuscitation (92950) range across 6 matching MRF lines |
$319.86–$508.77 | $888.50–$1,413.25 | varies |
| Cardioversion (92960) range across 5 matching MRF lines |
$317.16–$1,817.55 | $881–$5,048.75 | varies |
| Cardioversion elective internal (92961) range across 4 matching MRF lines |
$230.76–$454.32 | $641–$1,262 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $4,170.51 | $11,584.75 | 1.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $4,307.04 | $11,964 | 1.3× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$34.83–$35.46 | $96.75–$98.50 | varies |
| Chemo Admin Peritoneal Cavity (96446) | $118.26 | $328.50 | 0.4× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$53.64–$127.35 | $149–$353.75 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$53.64–$172.17 | $149–$478.25 | varies |
| Chemo Intralesional Over 7 (96406) range across 3 matching MRF lines |
$114.84–$156.33 | $319–$434.25 | varies |
| Chemo intralesional up to 7 (96405) range across 3 matching MRF lines |
$44.46–$84.51 | $123.50–$234.75 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$52.92–$144 | $147–$400 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$43.20–$180 | $120–$500 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 3 matching MRF lines |
$134.46–$511.92 | $373.50–$1,422 | varies |
| Chemotherapy Into Cns (96450) range across 4 matching MRF lines |
$180.54–$401.49 | $501.50–$1,115.25 | varies |
| Chemotherapy Intracavitary (96440) | $144.18 | $400.50 | 0.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$51.12–$254.70 | $142–$707.50 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$147.96–$288 | $411–$800 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 3 matching MRF lines |
$114.12–$252 | $317–$700 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) range across 3 matching MRF lines |
$89.82–$422.37 | $249.50–$1,173.25 | varies |
| Chest Wall Manipulation (94668) | $41.85 | $116.25 | 0.3× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $872.19 | $2,422.75 | 2.3× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$560.34–$1,088.19 | $1,556.50–$3,022.75 | varies |
| Color/duplex Doppler, limited (93976) range across 6 matching MRF lines |
$407.25–$560.34 | $1,131.25–$1,556.50 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $32.76 | $91 | 1.0× |
| Comprehensive Hearing Test (92557) | $154.35 | $428.75 | 1.2× |
| Conditioning Play Audiometry (92582) | $151.65 | $421.25 | 1.2× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$106.47–$189.63 | $295.75–$526.75 | varies |
| Coronary Art/Grft Angio S&I (93455) | $5,932.17 | $16,478.25 | 1.8× |
| Coronary Artery Angio S&I (93454) | $5,932.17 | $16,478.25 | 1.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$308.34–$696.33 | $856.50–$1,934.25 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$14.40–$46.44 | $40–$129 | varies |
| Critical care first hour (99291) range across 4 matching MRF lines |
$2,091.78–$2,895.84 | $5,810.50–$8,044 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) range across 2 matching MRF lines |
$136.98–$394.29 | $380.50–$1,095.25 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 16 matching MRF lines |
$85.68–$325.53 | $238–$904.25 | varies |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$210.15–$936.27 | $583.75–$2,600.75 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $67.50 | $187.50 | 0.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $469.17 | $1,303.25 | 2.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 3 matching MRF lines |
$223.65–$387.18 | $621.25–$1,075.50 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$494.73–$1,058.94 | $1,374.25–$2,941.50 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 11 matching MRF lines |
$417.69–$645.21 | $1,160.25–$1,792.25 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 5 matching MRF lines |
$560.34–$1,038.60 | $1,556.50–$2,885 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 12 matching MRF lines |
$418.14–$577.71 | $1,161.50–$1,604.75 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$326.43–$357.03 | $906.75–$991.75 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 2 matching MRF lines |
$154.62–$169.02 | $429.50–$469.50 | varies |
| Duplex Scan Hemodialysis Access (93990) | $270.45 | $751.25 | 2.6× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$449.28–$890.55 | $1,248–$2,473.75 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 7 matching MRF lines |
$234.72–$461.07 | $652–$1,280.75 | varies |
| Ear and throat examination (92502) | $600.66 | $1,668.50 | 1.1× |
| Echo Congenital Complete (93303) | $2,199.69 | $6,110.25 | 4.0× |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$184.50–$970.20 | $512.50–$2,695 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $697.77 | $1,938.25 | 1.3× |
| Echo transesophageal (93312) | $629.19 | $1,747.75 | 1.1× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $629.19 | $1,747.75 | 1.1× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $697.77 | $1,938.25 | 1.3× |
| Eeg 41-60 Minutes (95812) | $275.49 | $765.25 | 1.3× |
| EEG awake and asleep (95819) | $292.41 | $812.25 | 1.3× |
| EEG awake drowsy (95816) | $265.32 | $737 | 1.2× |
| EEG cerebral death evaluation (95824) | $415.89 | $1,155.25 | 1.1× |
| EEG cont rec w/video by tech min 8 channels (95700) | $360.09 | $1,000.25 | 1.7× |
| EEG extended monitoring 61-119 minutes (95813) range across 3 matching MRF lines |
$349.74–$378.45 | $971.50–$1,051.25 | varies |
| Eeg Sleep Only (95822) | $275.49 | $765.25 | 1.3× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $360.09 | $1,000.25 | 1.7× |
| EEG w/o vid 2-12hr cont mntr (95707) | $360.09 | $1,000.25 | 1.7× |
| EEG w/o vid ea 12-26hr intmt (95709) | $690.93 | $1,919.25 | 1.8× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $690.93 | $1,919.25 | 1.8× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $360.09 | $1,000.25 | 1.7× |
| EEG wo vid ea 12-26hr unmntr (95708) | $690.93 | $1,919.25 | 1.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$23.76–$64.80 | $66–$180 | varies |
| Electrocardiogram Tracing (93005) range across 7 matching MRF lines |
$89.10–$154.35 | $247.50–$428.75 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $5,644.35 | $15,678.75 | 0.7× |
| Electrophysiology Evaluation (93642) | $1,063.26 | $2,953.50 | 0.9× |
| Emergency Dept Visit Level 2 (99282) range across 4 matching MRF lines |
$124.56–$548.37 | $346–$1,523.25 | varies |
| Emergency Dept Visit Level 3 (99283) range across 6 matching MRF lines |
$92.52–$731.43 | $257–$2,031.75 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$883.26–$1,170 | $2,453.50–$3,250 | varies |
| Emg 3 Extremities (95863) | $229.77 | $638.25 | 1.8× |
| Emg 4 Extremities (95864) | $229.77 | $638.25 | 1.8× |
| Endomyocardial Biopsy (93505) | $2,875.77 | $7,988.25 | 0.9× |
| Ep & ablate supravent arrhyt (93653) unusually low: confirm this is the full procedure |
$11,512.71 | $31,979.75 | 0.4× |
| Ep & ablate ventric tachy (93654) unusually low: confirm this is the full procedure |
$9,910.98 | $27,530.50 | 0.4× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $5,644.35 | $15,678.75 | 0.7× |
| Ep Esophageal Recording Atria+Pacing (93616) | $8,397.90 | $23,327.50 | 6.9× |
| Er level 1 (99281) range across 4 matching MRF lines |
$98.55–$282.33 | $273.75–$784.25 | varies |
| Er level v (99285) range across 4 matching MRF lines |
$1,521.54–$2,007 | $4,226.50–$5,575 | varies |
| Esoph Atrial Electrogram (93615) | $7,178.13 | $19,939.25 | 5.9× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$24.39–$44.37 | $67.75–$123.25 | varies |
| Evaluate Speech Production (92522) range across 19 matching MRF lines |
$249.93–$265.50 | $694.25–$737.50 | varies |
| Evaluate Swallowing Function (92610) range across 24 matching MRF lines |
$86.85–$189.09 | $241.25–$525.25 | varies |
| Evaluation of speech fluency (92521) range across 19 matching MRF lines |
$135–$265.50 | $375–$737.50 | varies |
| Evoked Auditory Test,Limited (92587) | $91.89 | $255.25 | 0.4× |
| Exercise test for bronchospasm (94617) range across 2 matching MRF lines |
$141.93–$157.41 | $394.25–$437.25 | varies |
| Exhaled Air Analysis O2 (94680) | $152.46 | $423.50 | 1.2× |
| External ECG rec>48hr<7d scanning alys w/report (93243) range across 2 matching MRF lines |
$153.36–$168.66 | $426–$468.50 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) range across 2 matching MRF lines |
$153.36–$168.66 | $426–$468.50 | varies |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$384.66–$458.01 | $1,068.50–$1,272.25 | varies |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$380.52–$1,067.40 | $1,057–$2,965 | varies |
| Extracranial Uni/Ltd Study (93882) range across 5 matching MRF lines |
$254.16–$380.52 | $706–$1,057 | varies |
| Eye exam w anesth; complete (92018) | $537.48 | $1,493 | 0.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,715.04 | $4,764 | 3.1× |
| Flexible endoscopic eval swallow c/v rec (92612) | $54.81 | $152.25 | 0.3× |
| Fluorescein angiography (92235) | $560.88 | $1,558 | 2.6× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $339.57 | $943.25 | 0.4× |
| Fundus photography (92250) | $152.73 | $424.25 | 1.1× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $209.16 | $581 | 0.6× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 2 matching MRF lines |
$298.26–$331.38 | $828.50–$920.50 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $834.30 | $2,317.50 | 1.0× |
| Gi tract capsule endoscopy (91110) | $1,761.03 | $4,891.75 | 1.9× |
| Gi wireless capsule measure (91112) | $1,761.03 | $4,891.75 | 1.9× |
| Group Therapeutic Procedures (97150) range across 16 matching MRF lines |
$29.70–$66.78 | $82.50–$185.50 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $4,541.22 | $12,614.50 | 1.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 6 matching MRF lines |
$322.29–$1,391.13 | $895.25–$3,864.25 | varies |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$380.43–$384.66 | $1,056.75–$1,068.50 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $19.26 | $53.50 | 0.3× |
| Immunization administration (90471) range across 7 matching MRF lines |
$9.27–$34.47 | $25.75–$95.75 | varies |
| Intra-atrial pacing (93610) | $5,644.35 | $15,678.75 | 0.7× |
| Intra-atrial recording (93602) | $5,644.35 | $15,678.75 | 0.7× |
| Intracranial Complete Study (93886) | $1,059.93 | $2,944.25 | 4.4× |
| Intraventricular pacing (93612) | $5,644.35 | $15,678.75 | 0.7× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$48.96–$71.37 | $136–$198.25 | varies |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$81.36–$126.81 | $226–$352.25 | varies |
| Ischemic limb exercise test (95875) | $187.56 | $521 | 1.5× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$27–$109.08 | $75–$303 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$36–$144 | $100–$400 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$72–$145.80 | $200–$405 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$21.60–$94.68 | $60–$263 | varies |
| IV push initial (96374) range across 5 matching MRF lines |
$72–$309.60 | $200–$860 | varies |
| L Hrt Art/Grft Angio (93459) | $4,555.35 | $12,653.75 | 1.4× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $4,925.61 | $13,682.25 | 1.5× |
| Liver Elastography W/O Imag W/I&R (91200) | $33.30 | $92.50 | 0.3× |
| Low frequency non-thermal us (97610) range across 2 matching MRF lines |
$116.64–$284.04 | $324–$789 | varies |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$139.68–$1,123.83 | $388–$3,121.75 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $585.27 | $1,625.75 | 2.7× |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) | $1,146.24 | $3,184 | 1.3× |
| Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) | $1,399.68 | $3,888 | 1.6× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$33.30–$33.57 | $92.50–$93.25 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 3 matching MRF lines |
$17.55–$27.36 | $48.75–$76 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$17.55–$41.22 | $48.75–$114.50 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$39.42–$41.67 | $109.50–$115.75 | varies |
| Methacholine challenge (94070) | $789.57 | $2,193.25 | 2.1× |
| Motility study esophagus (91010) range across 3 matching MRF lines |
$280.26–$1,623.42 | $778.50–$4,509.50 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 7 matching MRF lines |
$195.39–$223.02 | $542.75–$619.50 | varies |
| Multiple Sleep Latency Test (95805) | $1,731.69 | $4,810.25 | 2.0× |
| Muscle Test 2 Limbs (95861) | $229.77 | $638.25 | 1.7× |
| Muscle Test One Limb (95860) | $136.98 | $380.50 | 1.0× |
| Nasopharyngoscopy (92511) range across 3 matching MRF lines |
$188.91–$236.88 | $524.75–$658 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $229.77 | $638.25 | 1.1× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $229.77 | $638.25 | 1.1× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $136.98 | $380.50 | 0.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 9 matching MRF lines |
$141.21–$425.52 | $392.25–$1,182 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 12 matching MRF lines |
$141.21–$500.67 | $392.25–$1,390.75 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 17 matching MRF lines |
$48.24–$262.71 | $134–$729.75 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 16 matching MRF lines |
$54–$294.75 | $150–$818.75 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $180.81 | $502.25 | 0.8× |
| Nerve Conduction Studies 11-12 Studies (95912) | $362.25 | $1,006.25 | 1.0× |
| Nerve conduction studies 13 or more studies (95913) | $362.25 | $1,006.25 | 1.0× |
| Nerve Conduction Studies 3-4 Studies (95908) | $180.81 | $502.25 | 0.8× |
| Nerve conduction studies 5-6 studies (95909) | $180.81 | $502.25 | 0.8× |
| Nerve conduction studies 7-8 studies (95910) | $180.81 | $502.25 | 0.5× |
| Nerve Conduction Studies 9-10 Studies (95911) | $362.25 | $1,006.25 | 1.0× |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$28.98–$63.27 | $80.50–$175.75 | varies |
| Newborn resuscitation (99465) range across 4 matching MRF lines |
$165.33–$1,168.02 | $459.25–$3,244.50 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $152.46 | $423.50 | 0.4× |
| Oral Function Therapy (92526) range across 12 matching MRF lines |
$80.37–$117.72 | $223.25–$327 | varies |
| Oral Speech Device Eval (92597) range across 12 matching MRF lines |
$101.52–$193.95 | $282–$538.75 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 3 matching MRF lines |
$81.45–$110.52 | $226.25–$307 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 6 matching MRF lines |
$79.92–$92.16 | $222–$256 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $31.23 | $86.75 | 1.4× |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$9.09–$76.23 | $25.25–$211.75 | varies |
| Ot Contrast Bath Ea 15 Min (97034) range across 3 matching MRF lines |
$38.34–$71.37 | $106.50–$198.25 | varies |
| Ot eval high complexity (97167) range across 24 matching MRF lines |
$154.35–$161.64 | $428.75–$449 | varies |
| Ot Eval Low Complex (97165) range across 24 matching MRF lines |
$115.74–$121.23 | $321.50–$336.75 | varies |
| Ot Eval Moderate Complexity (97166) range across 24 matching MRF lines |
$135.09–$141.39 | $375.25–$392.75 | varies |
| Ot manual therapy 15 min (97140) range across 8 matching MRF lines |
$57.96–$71.82 | $161–$199.50 | varies |
| Ot paraffin bath (97018) range across 5 matching MRF lines |
$39.15–$64.80 | $108.75–$180 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 4 matching MRF lines |
$34.38–$76.41 | $95.50–$212.25 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 24 matching MRF lines |
$67.50–$70.74 | $187.50–$196.50 | varies |
| Ot rom hand (95852) range across 3 matching MRF lines |
$28.17–$57.15 | $78.25–$158.75 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $380.25 | $1,056.25 | 2.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 3 matching MRF lines |
$128.97–$215.64 | $358.25–$599 | varies |
| Oxygen Uptake Rest Indirect (94690) | $49.41 | $137.25 | 0.8× |
| Peripheral arterial disease rehab per session (93668) | $111.87 | $310.75 | 1.9× |
| Perq transcath closure pda (93582) likely a partial charge, not the full procedure |
$5,138.82 | $14,274.50 | 0.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $6,843.60 | $19,010 | 1.2× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $26,911.80 | $74,755 | 2.3× |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$64.71–$186.48 | $179.75–$518 | varies |
| Physical Performance Test (97750) range across 8 matching MRF lines |
$49.23–$76.41 | $136.75–$212.25 | varies |
| Plethysmography (94726) | $115.38 | $320.50 | 0.3× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$60.66–$76.95 | $168.50–$213.75 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,579.31 | $7,164.75 | 3.0× |
| Polysom <6 yrs 4/> paramtrs (95782) | $2,056.95 | $5,713.75 | 2.4× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $2,026.62 | $5,629.50 | 2.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $10.08 | $28 | 0.2× |
| Prq Card Angio/Athrect 1 Art (92924) | $12,453.57 | $34,593.25 | 1.1× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $26,911.80 | $74,755 | 2.3× |
| Prq Card Stent/Ath/Angio (92933) | $26,911.80 | $74,755 | 1.5× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $26,911.80 | $74,755 | 2.3× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) likely a partial charge, not the full procedure |
$4,510.80 | $12,530 | 0.2× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$2,864.07 | $7,955.75 | 0.2× |
| Pt Eval High Complex (97163) range across 18 matching MRF lines |
$137.34–$154.35 | $381.50–$428.75 | varies |
| Pt eval low complex 20 min (97161) range across 18 matching MRF lines |
$103.05–$115.74 | $286.25–$321.50 | varies |
| Pt Eval Mod Complex (97162) range across 18 matching MRF lines |
$120.24–$135.09 | $334–$375.25 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$40.95–$51.48 | $113.75–$143 | varies |
| Pt mechanical traction (97012) range across 3 matching MRF lines |
$28.53–$41.49 | $79.25–$115.25 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 18 matching MRF lines |
$60.12–$67.50 | $167–$187.50 | varies |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$92.61–$160.74 | $257.25–$446.50 | varies |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$118.53–$157.41 | $329.25–$437.25 | varies |
| R Hrt Art/Grft Angio (93457) | $4,172.85 | $11,591.25 | 1.3× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $4,925.61 | $13,682.25 | 1.5× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $4,925.61 | $13,682.25 | 1.5× |
| R hrt coronary artery angio (93456) | $4,170.51 | $11,584.75 | 1.3× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $4,925.61 | $13,682.25 | 1.5× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $4,925.61 | $13,682.25 | 1.5× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $5,321.07 | $14,780.75 | 1.6× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $250.65 | $696.25 | 0.8× |
| Refill/Maint Portable Pump (96521) | $193.32 | $537 | 0.9× |
| Refill/Maint Pump/Resvr Syst (96522) range across 3 matching MRF lines |
$193.32–$369.63 | $537–$1,026.75 | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $45.27 | $125.75 | 1.2× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $158.76 | $441 | 1.2× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$153.36–$168.66 | $426–$468.50 | varies |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $306.81 | $852.25 | 1.4× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $165.33 | $459.25 | 0.8× |
| Respiratory flow volume loop (94375) | $107.28 | $298 | 0.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $204.30 | $567.50 | 3.4× |
| Right Heart Cath (93451) | $3,964.23 | $11,011.75 | 1.2× |
| Right ventricular recording (93603) | $1,063.26 | $2,953.50 | 0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 16 matching MRF lines |
$61.11–$85.95 | $169.75–$238.75 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 3 matching MRF lines |
$40.41–$57.15 | $112.25–$158.75 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $251.19 | $697.75 | 2.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $139.68 | $388 | 2.9× |
| Select picture audiometry (92583) | $71.64 | $199 | 1.2× |
| Self Care Mngment Training (97535) range across 10 matching MRF lines |
$29.70–$190.17 | $82.50–$528.25 | varies |
| Sensory Integration Ea 15 Min (97533) range across 3 matching MRF lines |
$41.67–$71.82 | $115.75–$199.50 | varies |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$191.43–$229.77 | $531.75–$638.25 | varies |
| Sleep study attended (95807) | $427.05 | $1,186.25 | 1.1× |
| Sleep study unattended (95806) | $311.13 | $864.25 | 1.4× |
| Slp Stdy Unatnd W/Anal (95801) | $206.82 | $574.50 | 3.5× |
| Somatosensory Testing (95938) | $550.17 | $1,528.25 | 0.6× |
| Speech Audiometry Complete (92556) | $27.81 | $77.25 | 0.5× |
| Speech audiometry threshold (92555) | $48.24 | $134 | 0.8× |
| Speech sound lang comprehen (92523) range across 17 matching MRF lines |
$84.69–$285.66 | $235.25–$793.50 | varies |
| Spin/Brain Pump Refil & Main (95991) | $250.65 | $696.25 | 0.8× |
| Spirometry (94010) range across 2 matching MRF lines |
$213.84–$356.04 | $594–$989 | varies |
| Ssep lower limbs (95926) range across 2 matching MRF lines |
$328.59–$394.29 | $912.75–$1,095.25 | varies |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$198–$258.21 | $550–$717.25 | varies |
| Stenger Test Speech (92577) | $75.60 | $210 | 0.2× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$636.75–$2,484.09 | $1,768.75–$6,900.25 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) range across 4 matching MRF lines |
$31.50–$72 | $87.50–$200 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 4 matching MRF lines |
$102.60–$205.20 | $285–$570 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) | $112.05 | $311.25 | 1.5× |
| Surfactant Admin Thru Tube (94610) | $50.31 | $139.75 | 0.2× |
| Temp transcutaneous pacing (92953) range across 4 matching MRF lines |
$298.17–$566.46 | $828.25–$1,573.50 | varies |
| Testing Autonomic Nervous System Function (95923) | $159.66 | $443.50 | 1.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$46.53–$54.99 | $129.25–$152.75 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$44.73–$52.83 | $124.25–$146.75 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$23.76–$81.45 | $66–$226.25 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 7 matching MRF lines |
$38.61–$70.65 | $107.25–$196.25 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 8 matching MRF lines |
$92.52–$108.99 | $257–$302.75 | varies |
| Ther/Proph/Diag Inj Ia (96373) range across 3 matching MRF lines |
$348.48–$361.17 | $968–$1,003.25 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 10 matching MRF lines |
$46.35–$166.05 | $128.75–$461.25 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$108–$315 | $300–$875 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $165.33 | $459.25 | 0.8× |
| Therapeutic Activities (97530) range across 9 matching MRF lines |
$40.14–$76.23 | $111.50–$211.75 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,343.33 | $6,509.25 | 6.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $34.92 | $97 | 0.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$14.76–$33.93 | $41–$94.25 | varies |
| Transcath Closure of Asd (93580) | $9,609.84 | $26,694 | 0.5× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $221.58 | $615.50 | 2.1× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $197.73 | $549.25 | 1.5× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $159.66 | $443.50 | 1.2× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$895.68–$2,389.50 | $2,488–$6,637.50 | varies |
| Tte W/O Doppler Complete (93307) range across 3 matching MRF lines |
$496.17–$1,708.02 | $1,378.25–$4,744.50 | varies |
| Tx atrial fib pulm vein isol (93656) unusually low: confirm this is the full procedure |
$9,910.98 | $27,530.50 | 0.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 12 matching MRF lines |
$130.05–$154.26 | $361.25–$428.50 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$36–$180 | $100–$500 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$27.81–$51.75 | $77.25–$143.75 | varies |
| Unlis neurological/neuromuscular dx px (95999) | $295.02 | $819.50 | 2.3× |
| Unlisted cardiovascular service/procedure (93799) | $51.57 | $143.25 | 0.4× |
| Upr/L Xtremity Art 2 Levels (93922) range across 8 matching MRF lines |
$129.33–$226.26 | $359.25–$628.50 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$558.45–$614.34 | $1,551.25–$1,706.50 | varies |
| Valvuloplasty aortic valve (92986) unusually low: confirm this is the full procedure |
$2,551.95 | $7,088.75 | 0.4× |
| Valvuloplasty mitral valve (92987) unusually low: confirm this is the full procedure |
$5,413.05 | $15,036.25 | 0.5× |
| Valvuloplasty pulmonary valve (92990) unusually low: confirm this is the full procedure |
$3,626.91 | $10,074.75 | 0.3× |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$38.61–$39.78 | $107.25–$110.50 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $690.93 | $1,919.25 | 1.8× |
| Veeg 2-12 hr intmt mntr (95712) | $360.09 | $1,000.25 | 1.0× |
| Veeg 2-12 hr unmonitored (95711) | $360.09 | $1,000.25 | 1.7× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $690.93 | $1,919.25 | 1.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $690.93 | $1,919.25 | 1.8× |
| Veeg ea 12-26hr cont mntr (95716) | $1,293.12 | $3,592 | 1.5× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$588.33–$1,160.73 | $1,634.25–$3,224.25 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$558.72–$1,299.96 | $1,552–$3,611 | varies |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$450–$539.91 | $1,250–$1,499.75 | varies |
| Visual reinforcement audiometry (vra) (92579) | $57.87 | $160.75 | 0.3× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$139.68–$1,375.83 | $388–$3,821.75 | varies |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $450.18 | $1,250.50 | 0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$57.24–$72.54 | $159–$201.50 | varies |
| Whirlpool Therapy (97022) range across 5 matching MRF lines |
$60.93–$70.65 | $169.25–$196.25 | 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.