Visits & medical services prices at Ascension St. Vincent Anderson
Anderson, IN · every code in this section with a posted price and a Medicare benchmark.
253 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) range across 2 matching MRF lines |
$58.80–$85.80 | $98–$143 | varies |
| Acoustic Reflex Testing (92568) range across 2 matching MRF lines |
$28.20–$56.40 | $47–$94 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 31 matching MRF lines |
$65.40–$69.60 | $109–$116 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $375 | $625 | 1.6× |
| Aep neurodiagnostic i&r (92653) | $699.60 | $1,166 | 3.1× |
| Aep threshold estimation mlt frequencies i&r (92652) | $699.60 | $1,166 | 3.1× |
| Airway Inhalation Treatment (94640) | $144.60 | $241 | 0.6× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $115.80 | $193 | 2.9× |
| Analyze neurostim complex (95972) | $799.20 | $1,332 | 7.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $60 | $100 | 4.2× |
| Application on-body injector (96377) | $393.60 | $656 | 7.9× |
| Assessment of aphasia per hr (96105) | $156.60 | $261 | 1.6× |
| Assessment of tinnitus (92625) | $94.80 | $158 | 0.7× |
| Audiometry Air & Bone (92553) range across 3 matching MRF lines |
$76.20–$132.60 | $127–$221 | varies |
| Auditory Function, 60 Min (92620) | $149.40 | $249 | 1.1× |
| Basic vestibular evaluation (92540) | $996.60 | $1,661 | 4.4× |
| Behavral qualit analys voice (92524) | $106.80 | $178 | 1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $863.40 | $1,439 | 2.2× |
| C motor evoked uppr limbs (95928) | $643.20 | $1,072 | 0.7× |
| C motor evoked upr&lwr limbs (95939) | $1,294.20 | $2,157 | 1.4× |
| Caloric vestibular test w/rec bi monothermal (92538) | $84 | $140 | 0.4× |
| Caloric Vstblr Test W/Rec (92537) | $167.40 | $279 | 1.2× |
| Canalith repositioning proc (95992) | $61.20 | $102 | 1.5× |
| Car seat/bed test 60 min (94780) | $355.20 | $592 | 9.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,319.40 | $2,199 | 5.8× |
| Cardiopulmonary resuscitation (92950) | $1,394.40 | $2,324 | 6.1× |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,543.20–$1,561.80 | $2,572–$2,603 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $17,536.80 | $29,228 | 5.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $15,516.60 | $25,861 | 4.5× |
| Cbt 1st hour (94644) | $333 | $555 | 2.4× |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) | $204 | $340 | 1.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $421.80 | $703 | 5.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $457.80 | $763 | 6.0× |
| Chemo IV infusion addl hr (96415) | $254.40 | $424 | 3.3× |
| Chemo IV push addl drug (96411) | $194.40 | $324 | 2.6× |
| Chemother Prolong Infuse W/Pump (96416) | $1,585.80 | $2,643 | 4.5× |
| Chemotherapy Into Cns (96450) | $877.80 | $1,463 | 2.5× |
| Chemotherapy Unspecified (96549) | $101.40 | $169 | 2.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $151.80 | $253 | 2.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,020.60 | $1,701 | 2.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $777 | $1,295 | 2.2× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $658.20 | $1,097 | 1.9× |
| Chest Wall Manipulation (94668) | $151.80 | $253 | 1.1× |
| Color/duplex Doppler, complete (93975) | $2,182.80 | $3,638 | 8.6× |
| Color/duplex Doppler, limited (93976) | $1,092.60 | $1,821 | 9.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $58.20 | $97 | 1.8× |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$88.80–$232.80 | $148–$388 | varies |
| Computerized dynamic posturography (92548) | $204 | $340 | 1.4× |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$59.40–$118.80 | $99–$198 | varies |
| Continuous Pulse Ox (94762) | $484.20 | $807 | 3.6× |
| Coronary Art/Grft Angio S&I (93455) | $12,409.20 | $20,682 | 3.6× |
| Coronary Artery Angio S&I (93454) | $11,505.60 | $19,176 | 3.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $893.40 | $1,489 | 3.9× |
| Cpt initial (94667) | $131.40 | $219 | 0.9× |
| Critical care first hour (99291) | $3,138 | $5,230 | 3.6× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $653.40 | $1,089 | 1.7× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$267–$288 | $445–$480 | varies |
| Dialysis One Evaluation (90945) | $1,136.40 | $1,894 | 2.6× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 2 matching MRF lines |
$142.80–$177 | $238–$295 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,687.20 | $2,812 | 6.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $1,012.20 | $1,687 | 9.2× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $820.20 | $1,367 | 7.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,633.20 | $2,722 | 6.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,088.40 | $1,814 | 9.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,894.80 | $3,158 | 7.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,157.40 | $1,929 | 10.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,201.20 | $2,002 | 4.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $600.60 | $1,001 | 5.4× |
| Duplex Scan Hemodialysis Access (93990) | $812.40 | $1,354 | 7.3× |
| Duplex up extrem art bilat (93930) | $1,578 | $2,630 | 6.3× |
| Duplex up extrem art unilat/ltd (93931) | $903 | $1,505 | 8.2× |
| ECG/monitoring and analysis (93271) | $1,131 | $1,885 | 11.2× |
| Echo Congenital Complete (93303) | $2,002.20 | $3,337 | 3.5× |
| Echo Heart Xthoracic,Limited (93308) | $1,072.20 | $1,787 | 4.2× |
| Echo transesophageal (93312) | $2,238 | $3,730 | 3.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $3,105.60 | $5,176 | 5.4× |
| Eeg 41-60 Minutes (95812) | $1,355.40 | $2,259 | 5.9× |
| EEG awake and asleep (95819) | $1,311 | $2,185 | 5.7× |
| EEG awake drowsy (95816) | $923.40 | $1,539 | 4.0× |
| EEG cerebral death evaluation (95824) | $1,210.80 | $2,018 | 3.1× |
| EEG cont rec w/video by tech min 8 channels (95700) | $627 | $1,045 | 2.7× |
| EEG extended monitoring 61-119 minutes (95813) | $1,782 | $2,970 | 7.8× |
| Electrical Stimulation Ea 15 Min (97032) | $64.20 | $107 | 4.4× |
| Electrocardiogram Tracing (93005) | $337.20 | $562 | 5.4× |
| Electroconvulsive Therapy (90870) | $1,569 | $2,615 | 1.7× |
| Emergency Dept Visit Level 2 (99282) | $550.80 | $918 | 3.4× |
| Emergency Dept Visit Level 3 (99283) | $877.80 | $1,463 | 3.0× |
| Emergency Dept Visit Level 4 (99284) | $1,667.40 | $2,779 | 3.8× |
| Emg 3 Extremities (95863) | $1,266 | $2,110 | 9.3× |
| Emg 4 Extremities (95864) | $1,690.20 | $2,817 | 12.4× |
| Er level 1 (99281) | $78 | $130 | 0.9× |
| Er level v (99285) | $2,458.20 | $4,097 | 3.9× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $907.80 | $1,513 | 2.3× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $47.40 | $79 | 0.3× |
| Evaluate pt use of inhaler (94664) | $107.40 | $179 | 0.5× |
| Evaluate Speech Production (92522) | $103.20 | $172 | 0.9× |
| Evaluate Swallowing Function (92610) range across 3 matching MRF lines |
$81.60–$124.80 | $136–$208 | varies |
| Evaluation of speech fluency (92521) | $126.60 | $211 | 0.9× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$121.80–$155.40 | $203–$259 | varies |
| Exercise test for bronchospasm (94617) | $296.40 | $494 | 2.1× |
| External ECG rec>48hr<7d recording (93242) | $442.20 | $737 | 11.2× |
| External ECG rec>7d<15d recording (93246) | $883.80 | $1,473 | 22.4× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$562.80–$1,125.60 | $938–$1,876 | varies |
| Extracranial Bilat Study (93880) | $1,698.60 | $2,831 | 6.7× |
| Extracranial Uni/Ltd Study (93882) | $891 | $1,485 | 8.1× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,297.80 | $2,163 | 2.2× |
| Flexible endoscopic eval swallow c/v rec (92612) | $236.40 | $394 | 1.2× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $958.80 | $1,598 | 1.1× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $907.80 | $1,513 | 2.3× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $408 | $680 | 1.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,283.40 | $2,139 | 1.4× |
| Gi tract capsule endoscopy (91110) | $3,567 | $5,945 | 3.7× |
| Group Therapeutic Procedures (97150) | $36 | $60 | 2.0× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $19,726.80 | $32,878 | 5.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $2,005.80 | $3,343 | 2.8× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$471.60–$943.20 | $786–$1,572 | varies |
| Immunization administration (90471) range across 4 matching MRF lines |
$69.60–$125.40 | $116–$209 | varies |
| Iontophoresis 15 min (97033) | $60.60 | $101 | 3.2× |
| Irrig Drug Delivery Device (96523) | $107.40 | $179 | 1.7× |
| IV infusion hydration each additional hour (96361) | $145.20 | $242 | 2.9× |
| IV infusion hydration initial 31 min-1 hour (96360) | $577.80 | $963 | 2.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $181.20 | $302 | 2.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $181.20 | $302 | 3.7× |
| IV push initial (96374) | $270.60 | $451 | 1.2× |
| L Hrt Art/Grft Angio (93459) | $17,706.60 | $29,511 | 5.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,099.80 | $1,833 | 4.8× |
| Mechanical chest wall oscillation per session (94669) | $183.60 | $306 | 0.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $36.60 | $61 | 1.0× |
| Methacholine challenge (94070) | $951.60 | $1,586 | 2.4× |
| Motility study esophagus (91010) | $1,781.40 | $2,969 | 4.5× |
| Motion Fluoroscopy/Swallow (92611) | $194.40 | $324 | 2.1× |
| Multiple Sleep Latency Test (95805) | $4,318.20 | $7,197 | 4.8× |
| Muscle Test 2 Limbs (95861) | $1,207.20 | $2,012 | 8.6× |
| Muscle Test Nonparaspinal (95870) | $186 | $310 | 1.3× |
| Muscle Test One Limb (95860) | $967.20 | $1,612 | 6.9× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $447.60 | $746 | 2.0× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $159.60 | $266 | 0.7× |
| Needle electromyography larynx (95865) | $176.40 | $294 | 1.3× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $399.60 | $666 | 1.7× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $850.20 | $1,417 | 3.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $574.20 | $957 | 1.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $574.20 | $957 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $444.60 | $741 | 2.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$336.60–$790.20 | $561–$1,317 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $675.60 | $1,126 | 3.0× |
| Nerve Conduction Studies 11-12 Studies (95912) | $5,174.40 | $8,624 | 13.1× |
| Nerve conduction studies 13 or more studies (95913) | $5,845.80 | $9,743 | 14.8× |
| Nerve Conduction Studies 3-4 Studies (95908) | $1,574.40 | $2,624 | 6.9× |
| Nerve conduction studies 5-6 studies (95909) | $2,473.80 | $4,123 | 10.8× |
| Nerve conduction studies 7-8 studies (95910) | $3,374.40 | $5,624 | 8.5× |
| Nerve Conduction Studies 9-10 Studies (95911) | $4,273.80 | $7,123 | 10.8× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $644.40 | $1,074 | 4.7× |
| Neuromuscular Reeducation (97112) | $61.20 | $102 | 1.9× |
| Newborn resuscitation (99465) | $844.20 | $1,407 | 1.2× |
| Nitric oxide expired gas determination (95012) | $75.60 | $126 | 1.9× |
| Optokinetic Nystagmus Test (92544) | $153.60 | $256 | 1.1× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$101.40–$110.40 | $169–$184 | varies |
| Oral Speech Device Eval (92597) | $182.40 | $304 | 2.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 4 matching MRF lines |
$69.60–$70.20 | $116–$117 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $62.40 | $104 | 1.4× |
| Oscillating Tracking Test (92545) | $189 | $315 | 0.8× |
| Ot Contrast Bath Ea 15 Min (97034) | $33.60 | $56 | 2.4× |
| Ot eval high complexity (97167) | $218.40 | $364 | 2.2× |
| Ot Eval Low Complex (97165) | $141 | $235 | 1.4× |
| Ot Eval Moderate Complexity (97166) | $180 | $300 | 1.8× |
| Ot manual therapy 15 min (97140) | $67.20 | $112 | 2.4× |
| Ot paraffin bath (97018) | $39 | $65 | 6.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $57.60 | $96 | 1.4× |
| Ot Re-Eval Est Plan Care (97168) | $90 | $150 | 1.3× |
| Ot rom hand (95852) | $34.80 | $58 | 1.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $312.60 | $521 | 2.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $398.40 | $664 | 1.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $16,588.20 | $27,647 | 2.8× |
| Phlebotomy therapeutic (99195) | $312.60 | $521 | 2.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $281.40 | $469 | 4.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $281.40 | $469 | 4.5× |
| Physical Performance Test (97750) range across 10 matching MRF lines |
$60–$61.80 | $100–$103 | varies |
| Plethysmography (94726) | $629.40 | $1,049 | 1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $6,448.80 | $10,748 | 7.1× |
| Polysom <6 yrs 4/> paramtrs (95782) | $6,083.40 | $10,139 | 6.7× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $6,055.80 | $10,093 | 6.7× |
| Positional nystagmus test (92542) | $226.80 | $378 | 1.6× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $19,509.60 | $32,516 | 1.6× |
| Psych diag eval w/med srvcs (90792) | $140.40 | $234 | 0.7× |
| Psychiatric diagnostic evaluation (90791) | $140.40 | $234 | 0.7× |
| Pt Eval High Complex (97163) | $218.40 | $364 | 2.2× |
| Pt eval low complex 20 min (97161) | $141 | $235 | 1.4× |
| Pt Eval Mod Complex (97162) | $180 | $300 | 1.8× |
| Pt gait training 15 min (97116) | $54 | $90 | 1.9× |
| Pt mechanical traction (97012) | $64.20 | $107 | 4.5× |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$90–$180 | $150–$300 | varies |
| Pulm function test by gas (94727) | $383.40 | $639 | 1.7× |
| Pulmonary service/procedure (94799) range across 4 matching MRF lines |
$132.60–$456.60 | $221–$761 | varies |
| Pulmonary Stress Testing (94618) | $555.60 | $926 | 3.9× |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$32.40–$97.80 | $54–$163 | varies |
| R hrt coronary artery angio (93456) | $18,858.60 | $31,431 | 5.5× |
| Refill/Maint Portable Pump (96521) | $1,533 | $2,555 | 6.8× |
| Refill/Maint Pump/Resvr Syst (96522) | $651.60 | $1,086 | 2.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $888 | $1,480 | 22.5× |
| Respiratory flow volume loop (94375) | $435 | $725 | 1.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $239.40 | $399 | 3.8× |
| Right Heart Cath (93451) | $9,186 | $15,310 | 2.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$70.20–$156.60 | $117–$261 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $43.20 | $72 | 1.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $192 | $320 | 1.6× |
| Select picture audiometry (92583) | $76.20 | $127 | 1.2× |
| Self Care Mngment Training (97535) | $60 | $100 | 1.9× |
| Sensory Integration Ea 15 Min (97533) | $49.80 | $83 | 0.8× |
| Short-latency somatosens ep std upr limbs (95925) | $1,432.80 | $2,388 | 6.3× |
| Slp Stdy Unatnd W/Anal (95801) | $832.80 | $1,388 | 13.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $832.80 | $1,388 | 3.6× |
| Somatosensory Testing (95938) | $2,793.60 | $4,656 | 3.1× |
| Speech Audiometry Complete (92556) range across 3 matching MRF lines |
$97.80–$126 | $163–$210 | varies |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$29.40–$58.80 | $49–$98 | varies |
| Speech sound lang comprehen (92523) | $213 | $355 | 0.9× |
| Spirometry (94010) | $694.20 | $1,157 | 3.0× |
| Spontaneous Nystagmus Test (92541) | $202.20 | $337 | 1.4× |
| Ssep lower limbs (95926) | $1,360.20 | $2,267 | 6.0× |
| Staggered Spondaic Word Test (92572) | $70.20 | $117 | 0.5× |
| Standardized Cognitive Performance Testing (96125) | $128.40 | $214 | 1.2× |
| Stenger Test, Pure Tone (92565) range across 2 matching MRF lines |
$28.20–$56.40 | $47–$94 | varies |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$823.20–$840 | $1,372–$1,400 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $91.80 | $153 | 4.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $79.80 | $133 | 3.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $64.80 | $108 | 1.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $52.20 | $87 | 1.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $112.20 | $187 | 1.1× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $203.40 | $339 | 4.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $126.60 | $211 | 1.7× |
| Ther/Proph/Diag Iv Inf Init (96365) | $723.60 | $1,206 | 3.2× |
| Therapeutic Activities (97530) | $63.60 | $106 | 1.8× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,615.80 | $2,693 | 4.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $175.20 | $292 | 4.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $34.20 | $57 | 0.9× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$1,440–$2,880 | $2,400–$4,800 | varies |
| Tte W/O Doppler Complete (93307) | $1,745.40 | $2,909 | 6.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$136.80–$148.80 | $228–$248 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $223.80 | $373 | 4.5× |
| Tympanometry (92567) range across 2 matching MRF lines |
$43.20–$80.40 | $72–$134 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 2 matching MRF lines |
$61.20–$246 | $102–$410 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $1,780.20 | $2,967 | 13.1× |
| Unlisted otorhinolaryngological service (92700) range across 2 matching MRF lines |
$17.40–$34.80 | $29–$58 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$346.20–$692.40 | $577–$1,154 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$963–$1,099.20 | $1,605–$1,832 | varies |
| Vasopneumatic device (97016) | $64.80 | $108 | 5.4× |
| Veeg ea 12-26hr cont mntr (95716) | $2,119.80 | $3,533 | 2.3× |
| Vent Mgmt Inpat Init Day (94002) | $1,665 | $2,775 | 2.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,497 | $2,495 | 2.3× |
| Visual Evoked Potential Test (95930) | $1,335 | $2,225 | 5.8× |
| Visual reinforcement audiometry (vra) (92579) range across 2 matching MRF lines |
$72.60–$145.20 | $121–$242 | varies |
| Vital capacity, total (94150) | $142.20 | $237 | 1.0× |
| Wheelchair Mgmt Ea 15 Min (97542) | $56.40 | $94 | 1.8× |
| Whirlpool Therapy (97022) | $54 | $90 | 3.4× |
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.