Visits & medical services prices at Ascension St. Vincent Evansville

Evansville, IN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $10,047.60 $16,746 1.2×
Actigraphy Testing Recording Analysis I&R (95803) $295.80 $493 4.7×
Admn Sarscov2 Vacc 1 Dose (90480) $72 $120 1.7×
Airway Inhalation Treatment (94640) $106.20 $177 0.5×
Airway resistance by oscillometry (94728) $307.80 $513 2.3×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $66 $110 1.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 4 matching MRF lines
$95.40–$97.20 $159–$162 varies
Application on-body injector (96377) $462 $770 9.3×
Arrhythmia Induction (93618) $4,866.60 $8,111 3.8×
Assessment of aphasia per hr (96105)
range across 2 matching MRF lines
$260.40–$336.60 $434–$561 varies
Behavral qualit analys voice (92524)
range across 2 matching MRF lines
$219–$225.60 $365–$376 varies
Breath hydrogen/methane test (91065) $590.40 $984 2.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $583.80 $973 1.5×
C motor evoked uppr limbs (95928) $640.80 $1,068 0.7×
C motor evoked upr&lwr limbs (95939) $677.40 $1,129 0.7×
Canalith repositioning proc (95992)
range across 5 matching MRF lines
$127.80–$143.40 $213–$239 varies
Car seat/bed test 60 min (94780) $260.40 $434 6.6×
Cardiac Stress Tst,Tracing Only (93017) $1,312.80 $2,188 5.7×
Cardiopulmonary exercise testing (94621) $477.60 $796 1.2×
Cardiopulmonary resuscitation (92950) $851.40 $1,419 3.7×
Cardioversion (92960) $1,825.20 $3,042 2.6×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $15,681.60 $26,136 4.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $16,309.80 $27,183 4.8×
Cbt 1st hour (94644) $215.40 $359 1.5×
Chemo Admin Peritoneal Cavity (96446) $614.40 $1,024 1.8×
Chemo Anti-Neopl Sq/Im (96401) $293.40 $489 3.9×
Chemo Hormon Antineopl Sq/Im (96402) $244.20 $407 3.2×
Chemo Ia Push (96420) $340.20 $567 1.0×
Chemo Intralesional Over 7 (96406) $411 $685 1.8×
Chemo intralesional up to 7 (96405) $124.20 $207 1.6×
Chemo IV infusion addl hr (96415) $293.40 $489 3.9×
Chemo IV push addl drug (96411) $402 $670 5.3×
Chemother Prolong Infuse W/Pump (96416) $819 $1,365 2.3×
Chemotherapy Into Cns (96450) $600 $1,000 1.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $432.60 $721 5.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $927 $1,545 2.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $525.60 $876 1.5×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $600 $1,000 1.7×
Chest Wall Manipulation (94668) $123.60 $206 0.9×
Chron Care Mgmt Srvc 20 Min (99490) $60 $100 0.6×
Color/duplex Doppler, complete (93975) $1,126.80 $1,878 4.5×
Color/duplex Doppler, limited (93976) $662.40 $1,104 6.0×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 3 matching MRF lines
$69.60–$72.60 $116–$121 varies
Conditioning Play Audiometry (92582) $225.60 $376 1.7×
Continuous Pulse Ox (94762) $198.60 $331 1.5×
Coronary Art/Grft Angio S&I (93455) $9,503.40 $15,839 2.8×
Coronary Artery Angio S&I (93454) $10,251 $17,085 3.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $421.80 $703 1.8×
Cpt initial (94667) $136.80 $228 1.0×
Critical care first hour (99291) $2,794.80 $4,658 3.2×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $328.20 $547 0.8×
Debridement Open Wound 20 Sq Cm< (97597)
range across 6 matching MRF lines
$184.20–$353.40 $307–$589 varies
Dialysis One Evaluation (90945) $1,051.20 $1,752 2.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $688.80 $1,148 2.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,173.60 $1,956 4.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $662.40 $1,104 6.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,381.20 $2,302 5.5×
Dup-scan xtr veins unilateral/limited study (93971) $662.40 $1,104 6.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $544.20 $907 2.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $523.80 $873 4.7×
Duplex Scan Hemodialysis Access (93990) $619.80 $1,033 5.6×
Duplex up extrem art bilat (93930) $1,204.20 $2,007 4.8×
Duplex up extrem art unilat/ltd (93931) $662.40 $1,104 6.0×
Echo Congenital Complete (93303)
range across 2 matching MRF lines
$1,284.60–$2,461.80 $2,141–$4,103 varies
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$734.40–$3,320.40 $1,224–$5,534 varies
Echo transesophag montr cardiac pump functj (93318) $2,485.80 $4,143 4.3×
Echo transesophageal (93312) $2,599.20 $4,332 4.5×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines
$3,549.60–$5,070 $5,916–$8,450 varies
Eeg 41-60 Minutes (95812) $681.60 $1,136 3.0×
EEG awake and asleep (95819) $705 $1,175 3.1×
EEG awake drowsy (95816) $684.60 $1,141 3.0×
EEG cerebral death evaluation (95824) $790.80 $1,318 2.0×
EEG cont rec w/video by tech min 8 channels (95700) $480.60 $801 2.1×
EEG extended monitoring 61-119 minutes (95813) $703.20 $1,172 3.1×
Eeg Sleep Only (95822) $766.20 $1,277 3.4×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $484.20 $807 2.1×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $2,734.80 $4,558 6.9×
EEG wo vid ea 12-26hr unmntr (95708) $928.20 $1,547 2.4×
Electrical Stimulation Ea 15 Min (97032)
range across 4 matching MRF lines
$97.80–$99.60 $163–$166 varies
Electrocardiogram Tracing (93005) $274.80 $458 4.4×
Electroconvulsive Therapy (90870) $1,015.20 $1,692 1.1×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $5,288.40 $8,814 0.6×
Electrophysiology Evaluation (93642) $2,356.80 $3,928 1.8×
Emergency Dept Visit Level 2 (99282) $481.20 $802 3.0×
Emergency Dept Visit Level 3 (99283) $776.40 $1,294 2.7×
Emergency Dept Visit Level 4 (99284) $1,304.40 $2,174 3.0×
Emg 3 Extremities (95863) $804 $1,340 5.9×
Emg 4 Extremities (95864) $879.60 $1,466 6.5×
Ep & ablate supravent arrhyt (93653) $37,896 $63,160 1.4×
Ep & ablate ventric tachy (93654) $41,547.60 $69,246 1.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $9,781.20 $16,302 1.2×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $8,780.40 $14,634 1.1×
Er level 1 (99281) $155.40 $259 1.7×
Er level v (99285) $2,173.80 $3,623 3.5×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,422 $2,370 3.6×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $312 $520 2.3×
Evaluate pt use of inhaler (94664) $159 $265 0.7×
Evaluate Speech Production (92522)
range across 2 matching MRF lines
$241.80–$249 $403–$415 varies
Evaluate Swallowing Function (92610)
range across 3 matching MRF lines
$260.40–$275.40 $434–$459 varies
Evaluation of speech fluency (92521)
range across 2 matching MRF lines
$243.60–$250.80 $406–$418 varies
Exercise test for bronchospasm (94617) $245.40 $409 1.7×
External ECG rec>48hr<7d recording (93242) $336 $560 8.5×
External ECG rec>7d<15d recording (93246) $672.60 $1,121 17.0×
Extracranial Bilat Study (93880) $1,444.80 $2,408 5.7×
Extracranial Uni/Ltd Study (93882) $804.60 $1,341 7.3×
F-up/limited tthrc echo congenital car anomaly (93304) $1,257.60 $2,096 2.2×
Flexible endoscopic eval swallow c/v rec (92612) $392.40 $654 2.0×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,623 $2,705 4.1×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $561.60 $936 2.5×
Gi tract capsule endoscopy (91110) $2,991 $4,985 3.1×
Group Therapeutic Procedures (97150)
range across 4 matching MRF lines
$72.60–$108.60 $121–$181 varies
Health Behavior Assessment/Re-Assessment (96156) $189.60 $316 1.8×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $189.60 $316 4.8×
Health behavior ivntj indiv f2f 1st 30 min (96158) $189.60 $316 1.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $17,038.20 $28,397 5.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,437.60 $2,396 2.0×
Holter monitor recording (93225) $643.80 $1,073 4.6×
Im Adm Intransl/Oral 1 Vaccine (90473) $45 $75 0.6×
Immunization administration (90471)
range across 6 matching MRF lines
$35.40–$87 $59–$145 varies
Ingestion challenge test initial 120 minutes (95076) $368.40 $614 0.9×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $465.60 $776 1.2×
Insert/Place Heart Catheter (93503) $2,550.60 $4,251 1.5×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure
$3,704.40 $6,174 0.4×
Intracranial Complete Study (93886) $837.60 $1,396 3.3×
Intraventricular pacing (93612) $5,236.20 $8,727 0.6×
Iontophoresis 15 min (97033)
range across 4 matching MRF lines
$135–$153.60 $225–$256 varies
Irrig Drug Delivery Device (96523) $165 $275 2.6×
IV infusion hydration each additional hour (96361) $181.20 $302 3.7×
IV infusion hydration initial 31 min-1 hour (96360) $415.80 $693 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $214.80 $358 2.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $147 $245 3.0×
IV push initial (96374) $303.60 $506 1.3×
L Hrt Art/Grft Angio (93459) $17,136 $28,560 5.0×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $10,704 $17,840 3.1×
Low frequency non-thermal us (97610)
range across 2 matching MRF lines
$164.40–$184.20 $274–$307 varies
Lung Function Test (Mbc/Mvv) (94200) $40.20 $67 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $33.60 $56 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $33.60 $56 0.9×
Methacholine challenge (94070) $628.20 $1,047 1.6×
Motility study esophagus (91010) $1,623 $2,705 4.1×
Motion Fluoroscopy/Swallow (92611) $356.40 $594 3.9×
Multiple Sleep Latency Test (95805) $2,481 $4,135 2.7×
Muscle Test 2 Limbs (95861) $773.40 $1,289 5.5×
Muscle Test One Limb (95860) $539.40 $899 3.8×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$138.60–$184.80 $231–$308 varies
Needle electromyography larynx (95865) $216.60 $361 1.5×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $141.60 $236 0.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $225.60 $376 0.5×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $225.60 $376 0.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$145.80–$234.60 $243–$391 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$229.80–$237.60 $383–$396 varies
Nerve Conduction Studies 1-2 Studies (95907) $292.20 $487 1.3×
Nerve Conduction Studies 11-12 Studies (95912) $540 $900 1.4×
Nerve conduction studies 13 or more studies (95913) $540 $900 1.4×
Nerve Conduction Studies 3-4 Studies (95908) $292.20 $487 1.3×
Nerve conduction studies 5-6 studies (95909) $292.20 $487 1.3×
Nerve conduction studies 7-8 studies (95910) $292.20 $487 0.7×
Nerve Conduction Studies 9-10 Studies (95911) $540 $900 1.4×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $336.60 $561 2.5×
Neuromuscular Reeducation (97112) $93 $155 2.8×
Newborn resuscitation (99465) $363 $605 0.5×
Nitric oxide expired gas determination (95012) $123 $205 3.1×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $307.80 $513 0.8×
Oral Function Therapy (92526)
range across 19 matching MRF lines
$57.60–$230.40 $96–$384 varies
Oral Speech Device Eval (92597)
range across 2 matching MRF lines
$269.40–$359.40 $449–$599 varies
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 3 matching MRF lines
$75.60–$79.20 $126–$132 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 5 matching MRF lines
$58.20–$102.60 $97–$171 varies
Ot eval high complexity (97167)
range across 2 matching MRF lines
$276.60–$285 $461–$475 varies
Ot Eval Low Complex (97165)
range across 2 matching MRF lines
$183.60–$187.20 $306–$312 varies
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines
$244.80–$249.60 $408–$416 varies
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$103.80–$105.60 $173–$176 varies
Ot paraffin bath (97018)
range across 2 matching MRF lines
$81–$84.60 $135–$141 varies
Ot Prosthetic Training, Each 15 Min (97761)
range across 3 matching MRF lines
$82.20–$85.80 $137–$143 varies
Ot Re-Eval Est Plan Care (97168)
range across 2 matching MRF lines
$114.60–$117 $191–$195 varies
Ot rom hand (95852)
range across 4 matching MRF lines
$43.20–$43.80 $72–$73 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 3 matching MRF lines
$286.80–$2,507.40 $478–$4,179 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $252 $420 1.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $493.80 $823 2.1×
Percutaneous tests w/allergenic extracts (95004) $105.60 $176 0.1×
Peripheral arterial disease rehab per session (93668) $240.60 $401 3.9×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $10,047.60 $16,746 1.7×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $45,510 $75,850 3.7×
Phlebotomy therapeutic (99195) $180 $300 1.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $286.80 $478 4.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $286.80 $478 4.6×
Physical Performance Test (97750)
range across 4 matching MRF lines
$52.20–$127.80 $87–$213 varies
Plethysmography (94726) $342 $570 0.9×
Pm device progr eval multi (93281) $133.20 $222 3.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,827.40 $6,379 4.2×
Polysom <6 yrs 4/> paramtrs (95782) $3,401.40 $5,669 3.7×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,838.20 $6,397 4.2×
Prq Card Angio/Athrect 1 Art (92924) $45,602.40 $76,004 3.7×
Prq Card Stent W/Angio 1 Vsl (92928) $45,602.40 $76,004 3.7×
Prq Card Stent/Ath/Angio (92933) $46,125 $76,875 2.4×
Prq Revasc Byp Graft 1 Vsl (92937) $45,510 $75,850 3.7×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $30,825 $51,375 1.6×
Psychiatric diagnostic evaluation (90791) $426 $710 2.3×
Pt Eval High Complex (97163)
range across 2 matching MRF lines
$220.80–$225 $368–$375 varies
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$132–$134.40 $220–$224 varies
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$176.40–$180 $294–$300 varies
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$73.80–$75 $123–$125 varies
Pt mechanical traction (97012)
range across 2 matching MRF lines
$93–$94.80 $155–$158 varies
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$97.80–$100.20 $163–$167 varies
Pulm function test by gas (94727) $182.40 $304 0.8×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$175.80–$361.20 $293–$602 varies
Pulmonary Stress Testing (94618) $348.60 $581 2.5×
R Hrt Art/Grft Angio (93457) $16,422.60 $27,371 4.8×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $7,968.60 $13,281 2.3×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $7,968.60 $13,281 2.3×
R hrt coronary artery angio (93456) $14,440.80 $24,068 4.2×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $10,624.20 $17,707 3.1×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $10,624.20 $17,707 3.1×
Refill/Maint Portable Pump (96521) $717.60 $1,196 3.2×
Refill/Maint Pump/Resvr Syst (96522) $378.60 $631 1.7×
Remote 30 Day Ecg Rev/Report (93270) $634.80 $1,058 16.1×
Respiratory flow volume loop (94375) $314.40 $524 1.4×
Right Heart Cath (93451) $6,294 $10,490 1.8×
Right ventricular recording (93603) $3,827.40 $6,379 3.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 5 matching MRF lines
$160.20–$169.80 $267–$283 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851)
range across 4 matching MRF lines
$50.40–$51.60 $84–$86 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $336.60 $561 2.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $118.20 $197 2.5×
Select picture audiometry (92583) $127.20 $212 2.0×
Self Care Mngment Training (97535) $93 $155 2.9×
Sensory Integration Ea 15 Min (97533)
range across 3 matching MRF lines
$60–$62.40 $100–$104 varies
Short-latency somatosens ep std upr limbs (95925) $903 $1,505 4.0×
Sleep study attended (95807) $790.80 $1,318 2.0×
Somatosensory Testing (95938) $1,963.80 $3,273 2.2×
Speech Audiometry Complete (92556) $112.80 $188 1.8×
Speech sound lang comprehen (92523)
range across 3 matching MRF lines
$144–$280.20 $240–$467 varies
Spirometry (94010) $330.60 $551 1.4×
Ssep lower limbs (95926) $881.40 $1,469 3.9×
Standardized Cognitive Performance Testing (96125)
range across 3 matching MRF lines
$259.20–$267 $432–$445 varies
Stress Tte Only (93350) $1,401 $2,335 2.4×
Surfactant Admin Thru Tube (94610) $108.60 $181 0.5×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$940.20–$1,112.40 $1,567–$1,854 varies
Tensilon Test (95857) $229.20 $382 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 4 matching MRF lines
$94.20–$97.80 $157–$163 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 4 matching MRF lines
$84–$88.80 $140–$148 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 3 matching MRF lines
$88.20–$90 $147–$150 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 4 matching MRF lines
$87–$88.80 $145–$148 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 4 matching MRF lines
$90–$307.80 $150–$513 varies
Ther/Proph/Diag Inj Sc/Im (96372) $148.20 $247 1.9×
Ther/Proph/Diag Iv Inf Init (96365) $525 $875 2.3×
Therapeutic Activities (97530) $98.40 $164 2.8×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $937.80 $1,563 2.4×
Tobacco Use Cessation Intensive >10 Minutes (99407) $120.60 $201 3.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $30 $50 0.8×
Transcath Closure of Asd (93580) $30,825 $51,375 1.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $358.20 $597 3.2×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$2,684.40–$3,320.40 $4,474–$5,534 varies
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines
$1,223.40–$1,260 $2,039–$2,100 varies
Tx atrial fib pulm vein isol (93656) $53,967 $89,945 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 18 matching MRF lines
$57–$240 $95–$400 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508)
range across 2 matching MRF lines
$190.20–$196.20 $317–$327 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $211.80 $353 4.3×
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines
$837–$3,771.60 $1,395–$6,286 varies
Unlisted Diagnostic Gastroenterology Procedure (91299) $1,422 $2,370 10.4×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$256.80–$513.60 $428–$856 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $845.40 $1,409 3.7×
Valvuloplasty aortic valve (92986) $10,047.60 $16,746 1.7×
Veeg 2-12 Hr Cont Mntr (95713) $928.20 $1,547 2.4×
Veeg 2-12 hr intmt mntr (95712) $480.60 $801 1.2×
Veeg 2-12 hr unmonitored (95711) $507 $845 2.2×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $928.20 $1,547 2.4×
Veeg Ea 12-26 Hr Unmntr (95714) $971.40 $1,619 2.5×
Veeg ea 12-26hr cont mntr (95716) $1,737.60 $2,896 1.9×
Vent Mgmt Inpat Init Day (94002) $1,161 $1,935 1.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $973.20 $1,622 1.5×
Visual Evoked Potential Test (95930) $1,128 $1,880 4.9×
Visual reinforcement audiometry (vra) (92579) $205.20 $342 0.9×
Vital capacity, total (94150) $118.20 $197 0.9×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$66.60–$77.40 $111–$129 varies
Whirlpool Therapy (97022)
range across 4 matching MRF lines
$120.60–$171.60 $201–$286 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.