Visits & medical services prices at Aspirus St. Luke's Hospital
Duluth, MN · every code in this section with a posted price and a Medicare benchmark.
414 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) range across 2 matching MRF lines |
$180.06–$290.50 | $331–$534 | varies |
| Ablate Heart Dysrhythm Focus (93650) unusually low: confirm this is the full procedure |
$3,738.37 | $6,872 | 0.5× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $103.36 | $190 | 0.8× |
| Acoustic Reflex Testing (92568) | $52.22 | $96 | 1.4× |
| Actinotherapy Ultraviolet Light (96900) | $50.05 | $92 | 1.3× |
| Acupunct W/Stimul 15 Min (97813) | $88.13 | $162 | 2.9× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $76.70 | $141 | 2.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $40.26 | $74 | 1.0× |
| Advncd Care Plan 30 Min (99497) | $117.50 | $216 | 1.1× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 2 matching MRF lines |
$164.83–$180.06 | $303–$331 | varies |
| Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines |
$215.42–$228.48 | $396–$420 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) range across 4 matching MRF lines |
$209.44–$342.72 | $385–$630 | varies |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$56.03–$72.35 | $103–$133 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $26.11 | $48 | 0.7× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $10.34 | $19 | 0.3× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $53.31 | $98 | 0.4× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $222.50 | $409 | 1.6× |
| Analyze neurostim no prog (95970) | $246.43 | $453 | 1.8× |
| Analyze Neurostim Simple (95971) | $502.66 | $924 | 5.1× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $56.58 | $104 | 1.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $55.49 | $102 | 3.9× |
| Application Modality 1/> Areas Diathermy (97024) | $72.35 | $133 | 9.8× |
| Application Modality 1/> Areas Infrared (97026) | $74.53 | $137 | 11.2× |
| Application on-body injector (96377) | $92.48 | $170 | 1.9× |
| Assessment of tinnitus (92625) | $112.06 | $206 | 0.8× |
| Audiometry Air & Bone (92553) | $82.14 | $151 | 0.6× |
| Auditory Function, 60 Min (92620) | $240.45 | $442 | 1.8× |
| Basic vestibular evaluation (92540) | $269.28 | $495 | 1.2× |
| Behavral qualit analys voice (92524) | $253.50 | $466 | 2.3× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) range across 2 matching MRF lines |
$90.30–$92.48 | $166–$170 | varies |
| Bfb training ea addl 15 min (90913) range across 2 matching MRF lines |
$90.85–$92.48 | $167–$170 | varies |
| Biofeedback training any modality (90901) | $100.64 | $185 | 2.4× |
| Bis Xtracell Fluid Analysis (93702) | $122.40 | $225 | 0.9× |
| Brief Emotional/Behav Assmt (96127) | $9.25 | $17 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$224.67–$406.91 | $413–$748 | varies |
| C motor evoked upr&lwr limbs (95939) | $1,878.43 | $3,453 | 2.1× |
| Caloric vestibular test w/rec bi monothermal (92538) | $62.56 | $115 | 0.3× |
| Caloric Vstblr Test W/Rec (92537) | $125.12 | $230 | 0.9× |
| Canalith repositioning proc (95992) | $198.02 | $364 | 4.9× |
| Car seat/bed test 60 min (94780) | $118.59 | $218 | 3.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $663.14 | $1,219 | 3.0× |
| Cardiopulmonary exercise testing (94621) | $801.31 | $1,473 | 2.1× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$547.26–$1,194.08 | $1,006–$2,195 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$725.70–$824.16 | $1,334–$1,515 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $66.37 | $122 | 2.5× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $10,487.78 | $19,279 | 3.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $8,317.76 | $15,290 | 2.5× |
| Cbt 1st hour (94644) | $410.18 | $754 | 3.0× |
| Cervical & Ocular Vemp Testing W/I&R (92519) range across 2 matching MRF lines |
$212.16–$342.18 | $390–$629 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $273.09 | $502 | 3.7× |
| Chemo Hormon Antineopl Sq/Im (96402) | $98.46 | $181 | 1.3× |
| Chemo Ia Push (96420) | $372.64 | $685 | 1.1× |
| Chemo Intralesional Over 7 (96406) range across 2 matching MRF lines |
$205.09–$330.75 | $377–$608 | varies |
| Chemo intralesional up to 7 (96405) range across 2 matching MRF lines |
$126.21–$204 | $232–$375 | varies |
| Chemo IV infusion addl hr (96415) | $95.74 | $176 | 1.3× |
| Chemo IV push addl drug (96411) | $196.38 | $361 | 2.6× |
| Chemother Prolong Infuse W/Pump (96416) | $511.36 | $940 | 1.5× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $632.67 | $1,163 | 1.9× |
| Chemotherapy Into Cns (96450) | $517.89 | $952 | 1.5× |
| Chemotherapy Intracavitary (96440) | $617.44 | $1,135 | 1.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $223.58 | $411 | 3.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $498.85 | $917 | 1.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $378.08 | $695 | 1.1× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $356.32 | $655 | 1.0× |
| Chest Wall Manipulation (94668) | $96.29 | $177 | 0.7× |
| Cmptr ophth dx img ant segmt (92132) range across 2 matching MRF lines |
$40.26–$65.28 | $74–$120 | varies |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$251.87–$813.82 | $463–$1,496 | varies |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$236.10–$740.93 | $434–$1,362 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $57.12 | $105 | 1.8× |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$130.56–$178.43 | $240–$328 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 2 matching MRF lines |
$48.96–$71.26 | $90–$131 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$31.55–$51.68 | $58–$95 | varies |
| Conditioning Play Audiometry (92582) | $146.88 | $270 | 1.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$312.26–$534.21 | $574–$982 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $141.98 | $261 | 2.3× |
| Continuous Pulse Ox (94762) | $219.78 | $404 | 1.6× |
| Corneal Topography (92025) range across 2 matching MRF lines |
$41.89–$68 | $77–$125 | varies |
| Coronary Art/Grft Angio S&I (93455) | $3,945.09 | $7,252 | 1.2× |
| Coronary Artery Angio S&I (93454) | $3,951.07 | $7,263 | 1.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $473.82 | $871 | 2.1× |
| Cpt initial (94667) | $94.11 | $173 | 0.7× |
| Critical care first hour (99291) range across 9 matching MRF lines |
$683.81–$7,394.05 | $1,257–$13,592 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $138.18 | $254 | 0.7× |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $570.11 | $1,048 | 2.7× |
| Dialysis One Evaluation (90945) | $638.66 | $1,174 | 1.5× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 2 matching MRF lines |
$162.66–$223.04 | $299–$410 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$170.27–$802.40 | $313–$1,475 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $272.54 | $501 | 2.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$180.61–$922.62 | $332–$1,696 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$318.78–$628.32 | $586–$1,155 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$194.21–$767.04 | $357–$1,410 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$126.21–$470.56 | $232–$865 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $524.96 | $965 | 2.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $1,085.28 | $1,995 | 10.0× |
| Duplex Scan Hemodialysis Access (93990) | $591.33 | $1,087 | 5.5× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$750.18–$1,294.72 | $1,379–$2,380 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$106.62–$575.55 | $196–$1,058 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 2 matching MRF lines |
$144.16–$232.29 | $265–$427 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $383.52 | $705 | 2.9× |
| Ear and throat examination (92502) range across 2 matching MRF lines |
$413.44–$423.23 | $760–$778 | varies |
| ECG/monitoring and analysis (93271) | $209.98 | $386 | 2.1× |
| Echo Congenital Complete (93303) | $1,586.85 | $2,917 | 2.8× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$300.29–$753.44 | $552–$1,385 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $1,777.25 | $3,267 | 3.1× |
| Echo transesophageal (93312) | $1,496.54 | $2,751 | 2.6× |
| Eeg 41-60 Minutes (95812) | $905.76 | $1,665 | 4.1× |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$155.04–$610.91 | $285–$1,123 | varies |
| EEG awake drowsy (95816) | $518.98 | $954 | 2.3× |
| EEG cerebral death evaluation (95824) | $914.46 | $1,681 | 2.4× |
| EEG cont rec w/video by tech min 8 channels (95700) | $571.20 | $1,050 | 2.6× |
| EEG extended monitoring 61-119 minutes (95813) | $1,244.13 | $2,287 | 5.6× |
| Eeg Sleep Only (95822) | $914.46 | $1,681 | 4.1× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,097.79 | $2,018 | 4.9× |
| EEG w/o vid 2-12hr cont mntr (95707) | $1,097.79 | $2,018 | 4.9× |
| EEG w/o vid ea 12-26hr intmt (95709) | $1,711.42 | $3,146 | 4.4× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $1,711.42 | $3,146 | 4.4× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $1,097.79 | $2,018 | 4.9× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,711.42 | $3,146 | 4.4× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $100.10 | $184 | 1.0× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $120.77 | $222 | 3.1× |
| Electrical Stimulation Ea 15 Min (97032) | $61.47 | $113 | 4.2× |
| Electrocardiogram Tracing (93005) | $109.34 | $201 | 1.8× |
| Electrocochleography (92584) | $214.34 | $394 | 1.6× |
| Electroconvulsive Therapy (90870) | $612 | $1,125 | 0.7× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $6,588.93 | $12,112 | 0.8× |
| Electrophysiology Evaluation (93642) | $2,024.22 | $3,721 | 1.6× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$143.07–$343.26 | $263–$631 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$217.06–$539.65 | $399–$992 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$365.57–$883.46 | $672–$1,624 | varies |
| Emg 3 Extremities (95863) | $341.63 | $628 | 2.6× |
| Emg 4 Extremities (95864) | $510.82 | $939 | 3.8× |
| Endomyocardial Biopsy (93505) | $3,712.80 | $6,825 | 1.1× |
| Ep & ablate supravent arrhyt (93653) | $14,146.72 | $26,005 | 0.5× |
| Ep & ablate ventric tachy (93654) unusually low: confirm this is the full procedure |
$12,553.89 | $23,077 | 0.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $5,152.22 | $9,471 | 0.6× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) unusually low: confirm this is the full procedure |
$3,213.95 | $5,908 | 0.4× |
| Er level 1 (99281) range across 2 matching MRF lines |
$92.48–$180.06 | $170–$331 | varies |
| Er level v (99285) range across 8 matching MRF lines |
$516.26–$7,007.26 | $949–$12,881 | varies |
| Esophageal Capsule Endoscopy (91111) range across 2 matching MRF lines |
$2,548.10–$2,697.70 | $4,684–$4,959 | varies |
| Esophgl Balo Distension Dx Std W/Provocation (91040) range across 2 matching MRF lines |
$1,367.07–$1,527.55 | $2,513–$2,808 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,163.62 | $2,139 | 3.0× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $221.95 | $408 | 1.7× |
| Evaluate pt use of inhaler (94664) | $146.88 | $270 | 0.6× |
| Evaluate Speech Production (92522) | $215.42 | $396 | 1.9× |
| Evaluate Swallowing Function (92610) | $353.60 | $650 | 4.2× |
| Evaluation of speech fluency (92521) | $291.58 | $536 | 2.2× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$112.61–$220.86 | $207–$406 | varies |
| Exercise test for bronchospasm (94617) | $498.85 | $917 | 3.6× |
| External ECG rec>48hr<7d recording (93242) | $697.95 | $1,283 | 18.0× |
| External ECG rec>7d<15d recording (93246) | $697.95 | $1,283 | 18.0× |
| External Ecg Scanning Analysis Report (93226) | $486.34 | $894 | 8.0× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$242.62–$825.79 | $446–$1,518 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$505.92–$1,247.39 | $930–$2,293 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,152.74 | $2,119 | 2.0× |
| Flexible endoscopic eval swallow c/v rec (92612) | $241.54 | $444 | 1.2× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $143.07 | $263 | 0.6× |
| Fluorescein angiography (92235) | $291.58 | $536 | 1.3× |
| Fundus photography (92250) range across 2 matching MRF lines |
$104.45–$177.34 | $192–$326 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $540.74 | $994 | 1.4× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 2 matching MRF lines |
$408.54–$458.59 | $751–$843 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$1,207.68–$1,429.09 | $2,220–$2,627 | varies |
| Gi tract capsule endoscopy (91110) | $2,668.86 | $4,906 | 2.8× |
| Gi tract imaging intraluminal colon i&r (91113) | $2,468.67 | $4,538 | 2.6× |
| Gi wireless capsule measure (91112) | $4,484.74 | $8,244 | 4.8× |
| Gonioscopy (92020) range across 2 matching MRF lines |
$32.10–$51.68 | $59–$95 | varies |
| Group Therapeutic Procedures (97150) | $79.97 | $147 | 4.4× |
| Health Behavior Assessment/Re-Assessment (96156) | $141.44 | $260 | 1.3× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $97.38 | $179 | 0.5× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $10,346.34 | $19,019 | 3.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $932.96 | $1,715 | 1.3× |
| High altitude simulation test (94452) | $340 | $625 | 2.5× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $400.93 | $737 | 2.9× |
| Holter monitor recording (93225) | $347.07 | $638 | 2.5× |
| Icd Device Interrogate (93289) | $244.26 | $449 | 6.3× |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$279.07–$582.62 | $513–$1,071 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$286.14–$715.90 | $526–$1,316 | varies |
| Icm Device Eval (93290) | $164.83 | $303 | 4.3× |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$187.14–$328.58 | $344–$604 | varies |
| Ilr Device Interrogate (93291) | $159.39 | $293 | 5.3× |
| Immunization administration (90471) range across 3 matching MRF lines |
$22.85–$40.26 | $42–$74 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $187.68 | $345 | 0.5× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $352.51 | $648 | 0.9× |
| Insert/Place Heart Catheter (93503) | $2,937.06 | $5,399 | 1.8× |
| Interrogate Subq Defib (93261) | $172.45 | $317 | 4.5× |
| Intra-atrial pacing (93610) unusually low: confirm this is the full procedure |
$3,551.78 | $6,529 | 0.4× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$429.22 | $789 | 0.1× |
| Intracranial Complete Study (93886) | $943.84 | $1,735 | 3.8× |
| Intraventricular pacing (93612) unusually low: confirm this is the full procedure |
$3,921.70 | $7,209 | 0.5× |
| Io ga n-stim subsq w/reprog (95982) | $99.01 | $182 | 2.6× |
| Iontophoresis 15 min (97033) | $85.41 | $157 | 4.5× |
| Irrig Drug Delivery Device (96523) | $127.30 | $234 | 2.1× |
| IV infusion hydration each additional hour (96361) | $77.25 | $142 | 1.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $238.82 | $439 | 1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $119.14 | $219 | 1.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $79.42 | $146 | 1.6× |
| IV push initial (96374) | $138.18 | $254 | 0.6× |
| L Hrt Art/Grft Angio (93459) | $9,545.02 | $17,546 | 2.8× |
| Low frequency non-thermal us (97610) | $144.16 | $265 | 0.7× |
| Lung Function Test (Mbc/Mvv) (94200) | $180.61 | $332 | 3.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$97.38–$701.76 | $179–$1,290 | varies |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $1,387.20 | $2,550 | 0.9× |
| Mechanical chest wall oscillation per session (94669) | $175.71 | $323 | 0.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $70.72 | $130 | 2.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $81.60 | $150 | 2.2× |
| Methacholine challenge (94070) | $305.18 | $561 | 0.8× |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$544.54–$1,129.34 | $1,001–$2,076 | varies |
| Motion Fluoroscopy/Swallow (92611) | $238.82 | $439 | 2.6× |
| Multiple Sleep Latency Test (95805) | $1,523.74 | $2,801 | 1.7× |
| Muscle Test 2 Limbs (95861) | $548.35 | $1,008 | 4.0× |
| Muscle Test Nonparaspinal (95870) | $131.10 | $241 | 1.0× |
| Muscle Test One Limb (95860) | $548.35 | $1,008 | 4.0× |
| Nasopharyngoscopy (92511) | $279.62 | $514 | 1.4× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $223.58 | $411 | 1.0× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $189.86 | $349 | 0.8× |
| Needle electromyography larynx (95865) | $342.72 | $630 | 2.5× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $167.55 | $308 | 0.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $250.78 | $461 | 0.6× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $280.16 | $515 | 0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$121.86–$130.02 | $224–$239 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $172.99 | $318 | 0.4× |
| Nerve Conduction Studies 1-2 Studies (95907) | $245.89 | $452 | 1.1× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,740.80 | $3,200 | 4.5× |
| Nerve conduction studies 13 or more studies (95913) | $1,861.57 | $3,422 | 4.8× |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$233.92–$579.90 | $430–$1,066 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$280.70–$832.86 | $516–$1,531 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$373.18–$851.36 | $686–$1,565 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$465.66–$881.82 | $856–$1,621 | varies |
| Neurobehavioral Status Exam (96116) | $228.48 | $420 | 1.0× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $222.50 | $409 | 1.7× |
| Neuromuscular Reeducation (97112) | $81.60 | $150 | 2.5× |
| Newborn resuscitation (99465) | $446.08 | $820 | 0.7× |
| Nitric oxide expired gas determination (95012) | $156.13 | $287 | 4.0× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $93.02 | $171 | 2.7× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $320.42 | $589 | 0.8× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 2 matching MRF lines |
$79.97–$82.69 | $147–$152 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 2 matching MRF lines |
$168.64–$272 | $310–$500 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines |
$140.90–$226.85 | $259–$417 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 2 matching MRF lines |
$100.10–$161.02 | $184–$296 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 2 matching MRF lines |
$95.20–$153.95 | $175–$283 | varies |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) range across 2 matching MRF lines |
$19.04–$30.46 | $35–$56 | varies |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) range across 2 matching MRF lines |
$29.92–$48.42 | $55–$89 | varies |
| Optokinetic Nystagmus Test (92544) | $136 | $250 | 1.0× |
| Oral Function Therapy (92526) | $213.25 | $392 | 2.5× |
| Oral Speech Device Eval (92597) | $182.78 | $336 | 2.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $96.29 | $177 | 1.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $90.85 | $167 | 2.0× |
| Oscillating Tracking Test (92545) | $136 | $250 | 0.6× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $45.70 | $84 | 2.0× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $66.37 | $122 | 3.0× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $86.50 | $159 | 3.9× |
| Ot Contrast Bath Ea 15 Min (97034) | $39.71 | $73 | 2.8× |
| Ot eval high complexity (97167) | $238.82 | $439 | 2.4× |
| Ot Eval Low Complex (97165) | $180.61 | $332 | 1.8× |
| Ot Eval Moderate Complexity (97166) | $209.44 | $385 | 2.1× |
| Ot manual therapy 15 min (97140) | $81.06 | $149 | 2.9× |
| Ot paraffin bath (97018) | $67.46 | $124 | 11.2× |
| Ot Prosthetic Training, Each 15 Min (97761) | $77.25 | $142 | 1.9× |
| Ot Re-Eval Est Plan Care (97168) | $124.03 | $228 | 1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $177.89 | $327 | 1.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $147.97 | $272 | 1.1× |
| Patch/Application Test Specify Number Tests (95044) | $20.67 | $38 | 0.0× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $127.30 | $234 | 0.6× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $128.38 | $236 | 0.6× |
| Percutaneous tests w/allergenic extracts (95004) | $11.97 | $22 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $95.20 | $175 | 1.6× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) likely a partial charge, not the full procedure |
$3,915.71 | $7,198 | 0.2× |
| Perq Transcath Cls Aortic (93591) | $19,490.43 | $35,828 | 1.0× |
| Perq Transcath Cls Mitral (93590) | $24,518.08 | $45,070 | 1.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $6,453.47 | $11,863 | 1.1× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $13,712.61 | $25,207 | 1.1× |
| Phlebotomy therapeutic (99195) | $216.51 | $398 | 1.6× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $254.59 | $468 | 4.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $171.36 | $315 | 2.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $162.66 | $299 | 2.7× |
| Physical Performance Test (97750) | $116.42 | $214 | 3.5× |
| Plethysmography (94726) range across 2 matching MRF lines |
$268.19–$363.39 | $493–$668 | varies |
| Pm device eval in person (93288) | $187.68 | $345 | 4.9× |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$226.30–$442.27 | $416–$813 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$246.43–$520.61 | $453–$957 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$194.75–$373.73 | $358–$687 | varies |
| Pm/Icd Remote Tech Serv (93296) | $167.01 | $307 | 4.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$3,067.62–$3,855.87 | $5,639–$7,088 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $4,163.78 | $7,654 | 4.7× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $3,995.14 | $7,344 | 4.5× |
| Positional nystagmus test (92542) | $136 | $250 | 1.0× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $17.41 | $32 | 0.4× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $40.26 | $74 | 0.8× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $71.26 | $131 | 1.0× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $140.35 | $258 | 3.6× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$237.73–$480.90 | $437–$884 | varies |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $62.56 | $115 | 0.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $78.34 | $144 | 1.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $102.82 | $189 | 2.1× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $106.08 | $195 | 1.4× |
| Prq Card Angio/Athrect 1 Art (92924) | $10,215.23 | $18,778 | 0.9× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $6,555.20 | $12,050 | 0.5× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $6,352.29 | $11,677 | 0.5× |
| Prq trl rvs ch occ ant&rtrgr (92945) unusually low: confirm this is the full procedure |
$4,899.26 | $9,006 | 0.4× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$231.20–$349.79 | $425–$643 | varies |
| Psychiatric diagnostic evaluation (90791) | $149.60 | $275 | 0.8× |
| Psychological tst eval svc phys/qhp first hour (96130) | $272.54 | $501 | 1.2× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $55.49 | $102 | 0.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $73.98 | $136 | 0.5× |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$205.63–$319.87 | $378–$588 | varies |
| Pt Eval High Complex (97163) | $229.57 | $422 | 2.3× |
| Pt eval low complex 20 min (97161) | $180.61 | $332 | 1.8× |
| Pt Eval Mod Complex (97162) | $188.22 | $346 | 1.9× |
| Pt gait training 15 min (97116) | $81.60 | $150 | 2.8× |
| Pt group caregiver training (97552) | $64.19 | $118 | 2.9× |
| Pt mechanical traction (97012) | $50.05 | $92 | 3.5× |
| Pt Re-Eval Est Plan Care (97164) | $124.58 | $229 | 1.8× |
| Pt ultraviolet (97028) | $32.10 | $59 | 3.8× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $16.86 | $31 | 0.4× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$103.36–$272.54 | $190–$501 | varies |
| Pulmonary Stress Testing (94618) | $106.08 | $195 | 0.8× |
| Pure Tone Audiometry Air (92552) | $46.24 | $85 | 0.3× |
| R Hrt Art/Grft Angio (93457) | $5,584.70 | $10,266 | 1.7× |
| R hrt coronary artery angio (93456) | $3,447.33 | $6,337 | 1.0× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $10,683.07 | $19,638 | 3.2× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $9,565.70 | $17,584 | 2.8× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $7,854.82 | $14,439 | 2.3× |
| Refill/Maint Portable Pump (96521) | $536.93 | $987 | 2.4× |
| Rem interrog icpms <30 d phys/qhp (93297) | $19.58 | $36 | 0.5× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 2 matching MRF lines |
$48.42–$196.38 | $89–$361 | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $94.11 | $173 | 2.4× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $56.58 | $104 | 0.4× |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $147.97 | $272 | 3.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $252.96 | $465 | 6.5× |
| Remote 30 Day Ecg Tech Supp (93229) | $294.85 | $542 | 0.8× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $35.36 | $65 | 0.3× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $336.19 | $618 | 1.5× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $282.34 | $519 | 1.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $135.46 | $249 | 2.2× |
| Right Heart Cath (93451) | $4,173.57 | $7,672 | 1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $149.60 | $275 | 0.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $252.42 | $464 | 2.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $127.84 | $235 | 2.7× |
| Sbsq Psyc Collab Care Mgmt (99493) range across 2 matching MRF lines |
$169.73–$274.18 | $312–$504 | varies |
| Select picture audiometry (92583) | $107.17 | $197 | 1.8× |
| Self Care Mngment Training (97535) | $81.06 | $149 | 2.5× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $56.58 | $104 | 0.9× |
| Sensory Integration Ea 15 Min (97533) | $115.33 | $212 | 1.9× |
| Short-latency somatosens ep std upr limbs (95925) | $394.40 | $725 | 1.8× |
| Sleep study attended (95807) | $2,297.31 | $4,223 | 5.9× |
| Sleep study unattended (95806) | $513.54 | $944 | 2.3× |
| Slp caregiver training 1st 30 min (97550) | $132.74 | $244 | 2.5× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $922.62 | $1,696 | 4.1× |
| Somatosensory Testing (95938) | $895.97 | $1,647 | 1.0× |
| Speech Audiometry Complete (92556) | $82.14 | $151 | 1.3× |
| Speech audiometry threshold (92555) | $29.38 | $54 | 0.5× |
| Speech sound lang comprehen (92523) | $466.21 | $857 | 2.1× |
| Spin/Brain Pump Refil & Main (95991) | $334.02 | $614 | 1.1× |
| Spirometry (94010) range across 2 matching MRF lines |
$40.80–$233.92 | $75–$430 | varies |
| Spontaneous Nystagmus Test (92541) | $138.18 | $254 | 1.0× |
| Ssep lower limbs (95926) | $545.09 | $1,002 | 2.4× |
| Standardized Cognitive Performance Testing (96125) | $254.59 | $468 | 2.5× |
| Stenger Test, Pure Tone (92565) | $33.18 | $61 | 0.5× |
| Stress Tte Only (93350) | $1,309.41 | $2,407 | 2.3× |
| Subcutaneous Infusion Each Additional Hour (96370) | $127.30 | $234 | 2.6× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $274.72 | $505 | 1.2× |
| Subq Infusion Additional Pump Infusion Site (96371) | $183.87 | $338 | 2.5× |
| Surfactant Admin Thru Tube (94610) | $120.77 | $222 | 0.5× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $603.30 | $1,109 | 5.6× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$2.18–$3.26 | $4–$6 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $149.06 | $274 | 6.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $149.06 | $274 | 7.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $81.60 | $150 | 2.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $54.40 | $100 | 1.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $279.07 | $513 | 2.7× |
| Ther/Proph/Diag Inj Ia (96373) | $182.24 | $335 | 0.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $77.79 | $143 | 1.0× |
| Ther/Proph/Diag Iv Inf Init (96365) | $262.75 | $483 | 1.2× |
| Therap repetitive tms tx subseq delivery & mng (90868) | $194.75 | $358 | 0.9× |
| Therapeutic Activities (97530) | $70.72 | $130 | 2.0× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $753.98 | $1,386 | 2.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$39.71–$63.65 | $73–$117 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$17.95–$30.46 | $33–$56 | varies |
| Tone Decay Test (92563) | $66.91 | $123 | 1.7× |
| Trans Care Mgmt 14 Day Disch (99495) | $221.95 | $408 | 1.6× |
| Trans Care Mgmt 7 Day Disch (99496) | $300.29 | $552 | 2.2× |
| Transcath Closure of Asd (93580) unusually low: confirm this is the full procedure |
$8,215.49 | $15,102 | 0.4× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $513.54 | $944 | 4.7× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $381.89 | $702 | 3.5× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $109.89 | $202 | 2.8× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$715.90–$1,468.26 | $1,316–$2,699 | varies |
| Tte W/O Doppler Complete (93307) | $637.57 | $1,172 | 2.6× |
| Tx atrial fib pulm vein isol (93656) | $14,820.74 | $27,244 | 0.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $212.16 | $390 | 2.8× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $57.12 | $105 | 2.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $116.42 | $214 | 2.4× |
| Tympanometry (92567) | $58.75 | $108 | 1.5× |
| Tympanometry and reflex threshold measurements (92550) | $100.10 | $184 | 0.4× |
| Unlisted Psychiatric Service/Procedure (90899) | $213.79 | $393 | 5.5× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$144.70–$263.84 | $266–$485 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$219.23–$387.33 | $403–$712 | varies |
| Valvuloplasty aortic valve (92986) | $4,501.60 | $8,275 | 0.8× |
| Vasopneumatic device (97016) | $44.06 | $81 | 3.7× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,097.79 | $2,018 | 2.8× |
| Veeg 2-12 hr intmt mntr (95712) | $1,097.79 | $2,018 | 2.8× |
| Veeg 2-12 hr unmonitored (95711) | $1,097.79 | $2,018 | 4.9× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,711.42 | $3,146 | 4.4× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,711.42 | $3,146 | 4.4× |
| Veeg ea 12-26hr cont mntr (95716) | $1,711.42 | $3,146 | 1.9× |
| Vent Mgmt Inpat Init Day (94002) | $922.62 | $1,696 | 1.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $807.84 | $1,485 | 1.3× |
| Visual Evoked Potential Test (95930) | $226.30 | $416 | 1.0× |
| Visual Field Exam Extended (92083) range across 2 matching MRF lines |
$76.16–$133.82 | $140–$246 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) range across 2 matching MRF lines |
$57.12–$103.90 | $105–$191 | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) range across 2 matching MRF lines |
$43.52–$83.78 | $80–$154 | varies |
| Visual reinforcement audiometry (vra) (92579) | $100.64 | $185 | 0.5× |
| Vital capacity, total (94150) | $170.82 | $314 | 1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $91.39 | $168 | 2.9× |
| Whirlpool Therapy (97022) | $71.26 | $131 | 4.5× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) range across 2 matching MRF lines |
$52.22–$60.38 | $96–$111 | 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.