Visits & medical services prices at Aspirus Medford Hospital & Clinics, Inc

Medford, WI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $4,254.25 $6,545 0.6×
Actinotherapy Ultraviolet Light (96900) $58.50 $90 1.6×
Admn Sarscov2 Vacc 1 Dose (90480) $45.50 $70 1.2×
Advncd Care Plan 30 Min (99497) $126.10 $194 1.3×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $202.80 $312 1.0×
Aep neurodiagnostic i&r (92653) $257.40 $396 1.2×
Aep threshold estimation mlt frequencies i&r (92652)
range across 2 matching MRF lines
$257.40–$386.10 $396–$594 varies
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$65.65–$81.25 $101–$125 varies
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $59.80 $92 0.5×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $250.90 $386 1.9×
Analyze neurostim no prog (95970) $277.55 $427 2.1×
Analyze Neurostim Simple (95971) $566.80 $872 6.1×
Appl modality 1+ areas lllt po pain reduction (97037) $66.30 $102 1.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $66.30 $102 4.6×
Application Modality 1/> Areas Diathermy (97024) $84.50 $130 11.5×
Application Modality 1/> Areas Infrared (97026) $87.10 $134 13.0×
Application on-body injector (96377) $105.30 $162 2.3×
Behavral qualit analys voice (92524) $297.05 $457 2.7×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912)
range across 2 matching MRF lines
$102.05–$104 $157–$160 varies
Bfb training ea addl 15 min (90913)
range across 2 matching MRF lines
$102.70–$104 $158–$160 varies
Biofeedback training any modality (90901) $41.60 $64 1.0×
Bis Xtracell Fluid Analysis (93702) $146.25 $225 1.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines
$263.25–$458.90 $405–$706 varies
C motor evoked upr&lwr limbs (95939) $2,117.70 $3,258 2.5×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$232.05–$243.75 $357–$375 varies
Car seat/bed test 60 min (94780) $133.90 $206 3.7×
Cardiac Stress Tst,Tracing Only (93017) $747.50 $1,150 3.6×
Cardiopulmonary exercise testing (94621) $903.50 $1,390 2.5×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$568.75–$1,358.50 $875–$2,090 varies
Cardioversion (92960)
range across 2 matching MRF lines
$850.20–$856.05 $1,308–$1,317 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $71.50 $110 2.7×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $11,934.65 $18,361 3.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,465.30 $14,562 3.0×
Cbt 1st hour (94644) $462.15 $711 3.6×
Chemo Anti-Neopl Sq/Im (96401) $308.10 $474 4.4×
Chemo Hormon Antineopl Sq/Im (96402) $111.15 $171 1.6×
Chemo Ia Push (96420) $419.90 $646 1.3×
Chemo Intralesional Over 7 (96406)
range across 2 matching MRF lines
$141.70–$231.40 $218–$356 varies
Chemo intralesional up to 7 (96405) $142.35 $219 2.0×
Chemo IV infusion addl hr (96415) $107.90 $166 1.5×
Chemo IV push addl drug (96411) $221.65 $341 3.2×
Chemother Prolong Infuse W/Pump (96416) $576.55 $887 1.8×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $713.05 $1,097 2.2×
Chemotherapy Into Cns (96450) $583.70 $898 1.8×
Chemotherapy Intracavitary (96440) $696.15 $1,071 2.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $252.20 $388 3.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $562.25 $865 1.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $426.40 $656 1.3×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $401.70 $618 1.3×
Chest Wall Manipulation (94668) $108.55 $167 0.8×
Cmptr ophth dx img ant segmt (92132) $70.20 $108 1.2×
Color/duplex Doppler, complete (93975)
range across 3 matching MRF lines
$286.65–$926.25 $441–$1,425 varies
Color/duplex Doppler, limited (93976)
range across 3 matching MRF lines
$268.45–$843.05 $413–$1,297 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $60.45 $93 1.9×
Computerized Ophthalmic Imaging Optic Nerve (92133)
range across 2 matching MRF lines
$53.30–$87.75 $82–$135 varies
Computerized Ophthalmic Imaging Retina (92134)
range across 2 matching MRF lines
$34.45–$56.55 $53–$87 varies
Cont gluc mntr physician/qhp provided equiptment (95250)
range across 2 matching MRF lines
$373.10–$625.95 $574–$963 varies
Continuous Pulse Ox (94762) $247.65 $381 2.0×
Corneal Topography (92025)
range across 2 matching MRF lines
$49.40–$79.95 $76–$123 varies
Coronary Art/Grft Angio S&I (93455) $4,489.55 $6,907 1.4×
Coronary Artery Angio S&I (93454) $4,105.40 $6,316 1.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $534.30 $822 2.5×
Cpt initial (94667) $105.95 $163 0.8×
Critical care first hour (99291)
range across 9 matching MRF lines
$817.05–$8,414.25 $1,257–$12,945 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$154.05–$157.30 $237–$242 varies
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) $649.35 $999 3.3×
Dialysis One Evaluation (90945) $726.70 $1,118 1.8×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $251.55 $387 0.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$193.70–$958.10 $298–$1,474 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $325 $500 3.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 3 matching MRF lines
$197.60–$1,049.75 $304–$1,615 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines
$108.55–$715 $167–$1,100 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$221–$872.95 $340–$1,343 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines
$143.65–$535.60 $221–$824 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $626.60 $964 2.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $1,296.10 $1,994 12.8×
Duplex Scan Hemodialysis Access (93990) $705.90 $1,086 7.0×
Duplex up extrem art bilat (93930)
range across 2 matching MRF lines
$896.35–$1,547 $1,379–$2,380 varies
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$104–$655.20 $160–$1,008 varies
Ear and throat examination (92502)
range across 4 matching MRF lines
$477.10–$739.05 $734–$1,137 varies
ECG/monitoring and analysis (93271) $236.60 $364 2.6×
Echo Congenital Complete (93303) $1,805.70 $2,778 3.4×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$341.90–$782.60 $526–$1,204 varies
Echo transesophag montr cardiac pump functj (93318) $2,123.55 $3,267 4.0×
Echo transesophageal (93312) $1,703 $2,620 3.2×
Eeg 41-60 Minutes (95812) $1,021.15 $1,571 4.9×
EEG awake and asleep (95819) $688.35 $1,059 3.3×
EEG awake drowsy (95816) $585 $900 2.8×
EEG cerebral death evaluation (95824) $1,030.90 $1,586 2.8×
EEG cont rec w/video by tech min 8 channels (95700) $644.15 $991 3.1×
EEG extended monitoring 61-119 minutes (95813) $1,402.70 $2,158 6.7×
Eeg Sleep Only (95822) $1,030.90 $1,586 4.9×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,237.60 $1,904 5.9×
EEG w/o vid 2-12hr cont mntr (95707) $1,237.60 $1,904 5.9×
EEG w/o vid ea 12-26hr intmt (95709) $1,929.20 $2,968 5.3×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,929.20 $2,968 5.3×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $1,237.60 $1,904 5.9×
EEG wo vid ea 12-26hr unmntr (95708) $1,929.20 $2,968 5.3×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $117 $180 1.3×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $87.75 $135 2.4×
Electrical Stimulation Ea 15 Min (97032) $73.45 $113 5.0×
Electrocardiogram Tracing (93005) $123.50 $190 2.2×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $7,426.90 $11,426 1.0×
Electrophysiology Evaluation (93642) $2,303.60 $3,544 1.9×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$165.75–$390.65 $255–$601 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$251.55–$614.25 $387–$945 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$423.80–$1,005.55 $652–$1,547 varies
Emg 4 Extremities (95864) $575.90 $886 4.6×
Endomyocardial Biopsy (93505) $4,225 $6,500 1.4×
Ep & ablate supravent arrhyt (93653) $14,698.45 $22,613 0.6×
Ep & ablate ventric tachy (93654) $14,285.70 $21,978 0.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $5,863 $9,020 0.8×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure
$3,657.55 $5,627 0.5×
Er level 1 (99281)
range across 2 matching MRF lines
$107.25–$204.75 $165–$315 varies
Er level v (99285)
range across 8 matching MRF lines
$598.65–$7,974.20 $921–$12,268 varies
Esophageal Capsule Endoscopy (91111)
range across 2 matching MRF lines
$2,787.85–$3,069.95 $4,289–$4,723 varies
Esophgl Balo Distension Dx Std W/Provocation (91040)
range across 2 matching MRF lines
$1,601.60–$1,738.10 $2,464–$2,674 varies
Eval aud funcj cand/po surg implt dev 1st hr (92626) $260 $400 2.1×
Evaluate pt use of inhaler (94664) $165.75 $255 0.8×
Evaluate Speech Production (92522) $246.35 $379 2.2×
Evaluate Swallowing Function (92610) $414.05 $637 4.9×
Evaluation of speech fluency (92521) $341.25 $525 2.6×
Evoked Auditory Test,Limited (92587) $248.95 $383 1.2×
Exercise test for bronchospasm (94617) $562.25 $865 4.4×
External ECG rec>48hr<7d recording (93242) $786.50 $1,210 21.7×
External ECG rec>7d<15d recording (93246) $786.50 $1,210 21.7×
External Ecg Scanning Analysis Report (93226) $547.95 $843 9.6×
Extracranial Bilat Study (93880)
range across 3 matching MRF lines
$265.20–$939.90 $408–$1,446 varies
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines
$189.80–$575.90 $292–$886 varies
F-up/limited tthrc echo congenital car anomaly (93304) $1,299.35 $1,999 2.4×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $167.70 $258 0.7×
Fluorescein angiography (92235) $341.25 $525 1.6×
Fundus photography (92250)
range across 2 matching MRF lines
$128.70–$208 $198–$320 varies
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $587.60 $904 1.6×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037)
range across 2 matching MRF lines
$443.95–$536.90 $683–$826 varies
Gastroesophag reflx test w/telemtry ph eltrd (91035)
range across 2 matching MRF lines
$1,414.40–$1,626.30 $2,176–$2,502 varies
Gi tract capsule endoscopy (91110) $3,036.80 $4,672 3.4×
Gi tract imaging intraluminal colon i&r (91113) $2,949.70 $4,538 3.3×
Gi wireless capsule measure (91112) $5,358.60 $8,244 6.1×
Gonioscopy (92020)
range across 2 matching MRF lines
$37.70–$60.45 $58–$93 varies
Group Therapeutic Procedures (97150) $95.55 $147 5.3×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $11,773.45 $18,113 3.7×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,061.45 $1,633 1.6×
High altitude simulation test (94452) $383.50 $590 3.0×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $451.75 $695 3.5×
Holter monitor recording (93225) $391.30 $602 3.0×
Icd Device Interrogate (93289) $278.20 $428 7.7×
Icd device progr eval dual (93283)
range across 2 matching MRF lines
$317.85–$682.50 $489–$1,050 varies
Icd Device Progr Eval Mult (93284)
range across 2 matching MRF lines
$341.90–$838.50 $526–$1,290 varies
Ilr Device Eval Progr (93285)
range across 2 matching MRF lines
$213.20–$384.80 $328–$592 varies
Ilr Device Interrogate (93291) $181.35 $279 6.5×
Immunization administration (90471)
range across 3 matching MRF lines
$26–$45.50 $40–$70 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $397.15 $611 1.1×
Insert/Place Heart Catheter (93503) $3,342.30 $5,142 2.2×
Interrogate Subq Defib (93261) $196.30 $302 5.4×
Intra-atrial pacing (93610) $4,243.85 $6,529 0.6×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure
$483.60 $744 0.1×
Intracranial Complete Study (93886) $1,064.05 $1,637 4.6×
Intraventricular pacing (93612) $4,420.65 $6,801 0.6×
Iontophoresis 15 min (97033) $102.05 $157 5.4×
Irrig Drug Delivery Device (96523) $143.65 $221 2.5×
IV infusion hydration each additional hour (96361) $87.75 $135 1.9×
IV infusion hydration initial 31 min-1 hour (96360) $271.70 $418 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $135.85 $209 1.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $90.35 $139 2.0×
IV push initial (96374) $157.30 $242 0.8×
L Hrt Art/Grft Angio (93459) $9,917.05 $15,257 3.1×
Low frequency non-thermal us (97610) $162.50 $250 0.8×
Lung Function Test (Mbc/Mvv) (94200) $203.45 $313 3.6×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines
$110.50–$798.85 $170–$1,229 varies
Mechanical chest wall oscillation per session (94669) $198.25 $305 0.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $81.90 $126 2.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $94.90 $146 2.6×
Methacholine challenge (94070) $343.85 $529 0.9×
Motility study esophagus (91010)
range across 2 matching MRF lines
$566.80–$1,285.05 $872–$1,977 varies
Motion Fluoroscopy/Swallow (92611) $279.50 $430 3.1×
Multiple Sleep Latency Test (95805) $1,717.30 $2,642 2.1×
Muscle Test 2 Limbs (95861) $618.15 $951 4.8×
Muscle Test Nonparaspinal (95870) $147.55 $227 1.1×
Muscle Test One Limb (95860) $618.15 $951 4.8×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $252.20 $388 1.2×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $213.85 $329 1.0×
Needle electromyography larynx (95865) $386.10 $594 3.0×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $189.15 $291 0.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$274.30–$282.75 $422–$435 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $315.90 $486 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$139.75–$146.25 $215–$225 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$189.15–$195 $291–$300 varies
Nerve Conduction Studies 1-2 Studies (95907) $276.90 $426 1.3×
Nerve Conduction Studies 11-12 Studies (95912) $1,962.35 $3,019 5.4×
Nerve conduction studies 13 or more studies (95913) $2,098.20 $3,228 5.8×
Nerve Conduction Studies 3-4 Studies (95908) $653.90 $1,006 3.1×
Nerve conduction studies 5-6 studies (95909) $938.60 $1,444 4.5×
Nerve conduction studies 7-8 studies (95910) $959.40 $1,476 2.6×
Nerve Conduction Studies 9-10 Studies (95911) $993.85 $1,529 2.7×
Neurobehavioral Status Exam (96116) $257.40 $396 1.2×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $250.90 $386 2.0×
Neuromuscular Reeducation (97112) $97.50 $150 3.0×
Newborn resuscitation (99465) $507.65 $781 0.8×
Nitric oxide expired gas determination (95012) $176.15 $271 4.9×
Nonphysician Telephone Assessment 21-30 Min (98968) $100.75 $155 2.9×
Nrpsyc tst eval phys/qhp 1st (96132) $375.05 $577 1.0×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136)
range across 2 matching MRF lines
$72.15–$118.30 $111–$182 varies
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004)
range across 2 matching MRF lines
$186.55–$300.95 $287–$463 varies
Ophth medical xm&eval comprhnsv estab pt 1/> (92014)
range across 2 matching MRF lines
$156.65–$252.85 $241–$389 varies
Ophth medical xm&eval intermediate estab pt (92012)
range across 2 matching MRF lines
$110.50–$178.75 $170–$275 varies
Ophth Medical Xm&Eval Intermediate New Pt (92002)
range across 2 matching MRF lines
$106.60–$171.60 $164–$264 varies
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $35.75 $55 0.6×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $53.30 $82 0.9×
Oral Function Therapy (92526) $249.60 $384 3.0×
Oral Speech Device Eval (92597) $213.85 $329 3.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $104 $160 2.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $106.60 $164 2.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $54.60 $84 2.6×
Osteopathic manipulative tx 3-4 body regions (98926) $77.35 $119 3.7×
Ot Contrast Bath Ea 15 Min (97034) $47.45 $73 3.4×
Ot eval high complexity (97167) $279.50 $430 2.8×
Ot Eval Low Complex (97165) $184.60 $284 1.8×
Ot Eval Moderate Complexity (97166) $245.05 $377 2.4×
Ot manual therapy 15 min (97140) $96.85 $149 3.5×
Ot paraffin bath (97018) $80.60 $124 13.4×
Ot Prosthetic Training, Each 15 Min (97761) $90.35 $139 2.2×
Ot Re-Eval Est Plan Care (97168) $120.90 $186 1.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $202.15 $311 1.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $133.25 $205 1.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $144.95 $223 0.7×
Peripheral arterial disease rehab per session (93668) $108.55 $167 1.9×
Perq Transcath Cls Aortic (93591) $22,179.30 $34,122 1.2×
Perq Transcath Cls Mitral (93590) $27,637.35 $42,519 1.6×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $6,705.40 $10,316 1.2×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $14,247.35 $21,919 1.3×
Phlebotomy therapeutic (99195) $258.70 $398 2.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $193.05 $297 3.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $183.30 $282 3.2×
Physical Performance Test (97750) $139.10 $214 4.1×
Plethysmography (94726)
range across 2 matching MRF lines
$313.95–$409.50 $483–$630 varies
Pm device eval in person (93288) $213.85 $329 5.9×
Pm device progr eval dual (93280)
range across 2 matching MRF lines
$257.40–$518.05 $396–$797 varies
Pm device progr eval multi (93281)
range across 2 matching MRF lines
$280.15–$609.70 $431–$938 varies
Pm Device Progr Eval Sngl (93279)
range across 2 matching MRF lines
$221.65–$438.10 $341–$674 varies
Pm/Icd Remote Tech Serv (93296) $189.80 $292 5.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$3,458–$4,346.55 $5,320–$6,687 varies
Polysom <6 yrs 4/> paramtrs (95782) $4,693.65 $7,221 5.6×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $4,503.20 $6,928 5.4×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $159.90 $246 4.4×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282)
range across 2 matching MRF lines
$270.40–$563.55 $416–$867 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$11.05–$89.05 $17–$137 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $117 $180 2.6×
Prq Card Angio/Athrect 1 Art (92924) $11,514.75 $17,715 1.0×
Prq Card Stent W/Angio 1 Vsl (92928) $7,389.20 $11,368 0.7×
Prq Revasc Byp Graft 1 Vsl (92937) $7,228.65 $11,121 0.6×
Psych diag eval w/med srvcs (90792) $260.65 $401 1.5×
Psychiatric diagnostic evaluation (90791) $168.35 $259 1.0×
Psychological tst eval svc phys/qhp first hour (96130) $319.15 $491 1.5×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $86.45 $133 0.7×
Psytx Crisis Initial 60 Min (90839)
range across 2 matching MRF lines
$232.05–$374.40 $357–$576 varies
Pt Eval High Complex (97163) $269.10 $414 2.7×
Pt eval low complex 20 min (97161) $182.65 $281 1.9×
Pt Eval Mod Complex (97162) $220.35 $339 2.3×
Pt gait training 15 min (97116) $97.50 $150 3.4×
Pt group caregiver training (97552) $75.40 $116 3.4×
Pt mechanical traction (97012) $59.80 $92 4.2×
Pt Re-Eval Est Plan Care (97164) $139.10 $214 2.1×
Pt ultraviolet (97028) $37.70 $58 4.5×
Pulm function test by gas (94727)
range across 2 matching MRF lines
$120.90–$307.45 $186–$473 varies
Pulmonary Stress Testing (94618) $119.60 $184 0.9×
R Hrt Art/Grft Angio (93457) $6,355.05 $9,777 2.0×
R hrt coronary artery angio (93456) $3,922.75 $6,035 1.2×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $12,041.90 $18,526 3.8×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $10,782.85 $16,589 3.4×
R&L Hrt Cath W/Ventriclgrphy (93453) $8,938.15 $13,751 2.8×
Refill/Maint Portable Pump (96521) $605.15 $931 2.9×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $221.65 $341 6.1×
Remote 30 Day Ecg Rev/Report (93270) $285.35 $439 7.9×
Remote 30 Day Ecg Tech Supp (93229) $332.15 $511 0.9×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $31.20 $48 0.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $152.75 $235 2.7×
Right Heart Cath (93451) $4,336.15 $6,671 1.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $113.10 $174 0.6×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $295.75 $455 2.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $149.50 $230 3.1×
Self Care Mngment Training (97535) $96.85 $149 3.0×
Sensory Integration Ea 15 Min (97533) $97.50 $150 1.6×
Short-latency somatosens ep std upr limbs (95925) $444.60 $684 2.1×
Sleep study attended (95807) $2,589.60 $3,984 7.1×
Sleep study unattended (95806) $579.15 $891 2.8×
Slp caregiver training 1st 30 min (97550) $143 $220 2.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $1,040 $1,600 5.0×
Somatosensory Testing (95938) $1,010.10 $1,554 1.2×
Speech sound lang comprehen (92523) $486.85 $749 2.1×
Spin/Brain Pump Refil & Main (95991) $376.35 $579 1.3×
Spirometry (94010)
range across 2 matching MRF lines
$48.10–$263.90 $74–$406 varies
Ssep lower limbs (95926) $614.25 $945 2.9×
Standardized Cognitive Performance Testing (96125) $298.35 $459 2.9×
Stress Tte Only (93350) $1,489.80 $2,292 2.8×
Subcutaneous Infusion Each Additional Hour (96370) $144.95 $223 3.2×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $312.65 $481 1.5×
Subq Infusion Additional Pump Infusion Site (96371) $209.30 $322 3.0×
Surfactant Admin Thru Tube (94610) $135.85 $209 0.6×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $686.40 $1,056 6.8×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$2.60–$3.90 $4–$6 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $178.10 $274 8.0×
Ther Ivntj Ea Addl 15 Min (97130) $178.10 $274 8.5×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $97.50 $150 2.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $52.65 $81 1.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $326.95 $503 3.2×
Ther/Proph/Diag Inj Ia (96373) $207.35 $319 1.0×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$61.10–$88.40 $94–$136 varies
Ther/Proph/Diag Iv Inf Init (96365) $299 $460 1.4×
Therapeutic Activities (97530) $84.50 $130 2.4×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $783.25 $1,205 2.2×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$44.85–$72.15 $69–$111 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$20.15–$34.45 $31–$53 varies
Trans Care Mgmt 14 Day Disch (99495) $193.05 $297 1.5×
Trans Care Mgmt 7 Day Disch (99496) $260.65 $401 2.0×
Transcath Closure of Asd (93580)
unusually low: confirm this is the full procedure
$8,535.80 $13,132 0.5×
Transcranial Doppler Intracran Art Emboli Detect (93892) $584.35 $899 5.8×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $430.30 $662 4.2×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $124.15 $191 3.4×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$814.45–$1,670.50 $1,253–$2,570 varies
Tte W/O Doppler Complete (93307) $200.85 $309 0.9×
Tx atrial fib pulm vein isol (93656) $15,398.50 $23,690 0.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $248.30 $382 3.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $132.60 $204 2.9×
Unlisted Psychiatric Service/Procedure (90899) $241.15 $371 6.6×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$164.45–$300.30 $253–$462 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$249.60–$440.70 $384–$678 varies
Valvuloplasty aortic valve (92986) $5,074.55 $7,807 0.9×
Vasopneumatic device (97016) $52.65 $81 4.4×
Veeg 2-12 Hr Cont Mntr (95713) $1,237.60 $1,904 3.4×
Veeg 2-12 hr intmt mntr (95712) $1,237.60 $1,904 3.4×
Veeg 2-12 hr unmonitored (95711) $1,237.60 $1,904 5.9×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,929.20 $2,968 5.3×
Veeg Ea 12-26 Hr Unmntr (95714) $1,929.20 $2,968 5.3×
Veeg ea 12-26hr cont mntr (95716) $1,929.20 $2,968 2.3×
Vent Mgmt Inpat Init Day (94002) $1,102.40 $1,696 1.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $964.60 $1,484 1.6×
Visual Evoked Potential Test (95930) $254.80 $392 1.2×
Visual Field Exam Extended (92083)
range across 2 matching MRF lines
$96.85–$156.65 $149–$241 varies
Visual field xm uni/bi w/interp intermed exam (92082) $121.55 $187 2.1×
Visual field xm uni/bi w/interpretj limited exam (92081)
range across 2 matching MRF lines
$61.10–$98.15 $94–$151 varies
Vital capacity, total (94150) $192.40 $296 1.5×
Wheelchair Mgmt Ea 15 Min (97542) $109.20 $168 3.5×
Whirlpool Therapy (97022) $83.20 $128 5.3×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285)
range across 2 matching MRF lines
$44.20–$70.85 $68–$109 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.