Visits & medical services prices at Atrium Health Wake Forest Baptist Medical Center

Winston-Salem, NC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $4,823.50 $9,647 0.6×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $206 $412 1.7×
Acoustic Reflex Testing (92568) $57 $114 1.6×
Actinotherapy Ultraviolet Light (96900) $43.50 $87 1.2×
Admn Sarscov2 Vacc 1 Dose (90480) $72 $144 1.8×
Advncd Care Plan 30 Min (99497) $44.50 $89 0.5×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $237 $474 1.1×
Aep neurodiagnostic i&r (92653) $237 $474 1.1×
Aep threshold estimation mlt frequencies i&r (92652) $237 $474 1.1×
Airway Inhalation Treatment (94640) $26.50 $53 0.1×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $620 $1,240 5.0×
Analyze neurostim complex (95972) $300.50 $601 3.3×
Analyze neurostim no prog (95970) $222 $444 1.7×
Analyze Neurostim Simple (95971) $348.50 $697 3.8×
Analyze Pacemaker System (93724) $237.50 $475 0.8×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $81 $162 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$60–$110 $120–$220 varies
Application on-body injector (96377) $79.50 $159 1.8×
Assessment of aphasia per hr (96105) $176 $352 1.8×
Assessment of tinnitus (92625) $155.50 $311 1.2×
Assmt & care planning pt w/cognitive impairment (99483) $65.50 $131 0.7×
Audiometry Air & Bone (92553) $181.50 $363 1.5×
Auditory Function, 60 Min (92620) $954 $1,908 7.6×
Basic vestibular evaluation (92540) $505 $1,010 2.4×
Behavral qualit analys voice (92524) $289.50 $579 2.6×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $72.50 $145 0.9×
Bfb training ea addl 15 min (90913) $72.50 $145 2.2×
Blink reflex test (95933) $303 $606 5.3×
Brief Emotional/Behav Assmt (96127) $38 $76 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $408.50 $817 1.1×
Bundle of his recording (93600) $4,803 $9,606 0.6×
Caloric vestibular test w/rec bi monothermal (92538) $216 $432 1.0×
Caloric Vstblr Test W/Rec (92537) $424 $848 3.4×
Canalith repositioning proc (95992)
range across 3 matching MRF lines
$85.50–$86 $171–$172 varies
Car seat/bed test 60 min (94780) $81 $162 2.2×
Cardiac Stress Tst,Tracing Only (93017) $524.50 $1,049 2.5×
Cardiopulmonary exercise testing (94621) $941.50 $1,883 2.6×
Cardiopulmonary resuscitation (92950) $439 $878 2.1×
Cardioversion (92960) $1,097 $2,194 1.7×
Caregiver hlth risk assmt score doc stnd instrm (96161) $17.50 $35 0.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $48.50 $97 1.9×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $11,613 $23,226 3.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,758 $19,516 3.1×
Cbt 1st hour (94644) $209.50 $419 1.6×
Cervical & Ocular Vemp Testing W/I&R (92519) $494 $988 2.4×
Cervical Vemp Testing W/I&R (92517) $262.50 $525 2.1×
Chemo Admin Peritoneal Cavity (96446) $294.50 $589 0.9×
Chemo Anti-Neopl Sq/Im (96401) $193 $386 2.8×
Chemo Hormon Antineopl Sq/Im (96402) $74 $148 1.1×
Chemo Ia Push (96420) $542.50 $1,085 1.7×
Chemo Intralesional Over 7 (96406) $166.50 $333 0.8×
Chemo intralesional up to 7 (96405) $62 $124 0.9×
Chemo IV infusion addl hr (96415) $90 $180 1.3×
Chemo IV push addl drug (96411) $99 $198 1.4×
Chemother Prolong Infuse W/Pump (96416) $231 $462 0.7×
Chemotherapy Into Cns (96450) $486.50 $973 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $103 $206 1.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $425.50 $851 1.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $171 $342 0.5×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $145.50 $291 0.5×
Chest Wall Manipulation (94668) $62 $124 0.5×
Cmptr ophth dx img ant segmt (92132) $59 $118 1.0×
Color/duplex Doppler, complete (93975) $645 $1,290 2.8×
Color/duplex Doppler, limited (93976) $374 $748 3.7×
Comprehensive Hearing Test (92557) $150 $300 1.2×
Computerized Ophthalmic Imaging Optic Nerve (92133) $54 $108 0.9×
Computerized Ophthalmic Imaging Retina (92134) $59.50 $119 1.0×
Conditioning Play Audiometry (92582) $230 $460 1.8×
Cont gluc mntr physician/qhp provided equiptment (95250) $324.50 $649 2.5×
Cont Gluc Mntr Pt Prov Eqp (95249) $256.50 $513 4.5×
Continuous Pulse Ox (94762) $289.50 $579 2.3×
Corneal Topography (92025) $85 $170 1.5×
Coronary Art/Grft Angio S&I (93455) $4,069 $8,138 1.3×
Coronary Artery Angio S&I (93454) $3,477 $6,954 1.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $371 $742 1.7×
Cpt initial (94667) $62 $124 0.5×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $444.50 $889 2.1×
Critical care first hour (99291) $1,607 $3,214 2.0×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$216–$260.50 $432–$521 varies
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $352 $704 2.8×
Dialysis One Evaluation (90945) $179 $358 0.4×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $366.50 $733 1.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $439 $878 1.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $277.50 $555 2.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $168 $336 0.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $168 $336 1.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $793.50 $1,587 3.4×
Dup-scan xtr veins unilateral/limited study (93971) $486.50 $973 4.8×
Duplex Scan Hemodialysis Access (93990) $84.50 $169 0.8×
Duplex up extrem art bilat (93930) $178.50 $357 0.8×
Duplex up extrem art unilat/ltd (93931) $168 $336 1.7×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622)
range across 2 matching MRF lines
$47–$146 $94–$292 varies
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $335 $670 2.7×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $600 $1,200 4.8×
Echo Congenital Complete (93303) $2,449 $4,898 4.6×
Echo Heart Xthoracic,Limited (93308) $676 $1,352 2.9×
Echo r-t 2d w/probe placement only (93313) $386 $772 0.7×
Echo transesophag montr cardiac pump functj (93318) $2,209.50 $4,419 4.2×
Echo transesophageal (93312) $1,282.50 $2,565 2.4×
Echo Transesophageal - Congenital Tee Complete (93315) $655.50 $1,311 1.2×
Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) $63.50 $127 1.8×
Eeg 41-60 Minutes (95812) $2,421.50 $4,843 11.6×
EEG awake and asleep (95819) $2,419.50 $4,839 11.6×
EEG awake drowsy (95816) $857 $1,714 4.1×
EEG cont rec w/video by tech min 8 channels (95700) $563 $1,126 2.7×
EEG extended monitoring 61-119 minutes (95813) $3,033.50 $6,067 14.5×
Eeg Sleep Only (95822) $440.50 $881 2.1×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $563 $1,126 2.7×
EEG wo vid ea 12-26hr unmntr (95708) $1,081 $2,162 3.0×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $300.50 $601 3.3×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $116 $232 1.3×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $84 $168 2.3×
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines
$63.50–$84 $127–$168 varies
Electrocardiogram Tracing (93005) $205.50 $411 3.6×
Electrocochleography (92584) $377.50 $755 3.0×
Electroconvulsive Therapy (90870) $2,207 $4,414 2.6×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $7,218.50 $14,437 1.0×
Electrophysiology Evaluation (93642) $5,376.50 $10,753 4.6×
Emergency Dept Visit Level 2 (99282) $565 $1,130 3.8×
Emergency Dept Visit Level 3 (99283) $1,044.50 $2,089 3.9×
Emergency Dept Visit Level 4 (99284) $1,747 $3,494 4.3×
Endomyocardial Biopsy (93505) $8,863 $17,726 2.9×
Ep & ablate supravent arrhyt (93653) $24,117 $48,234 1.0×
Ep & ablate ventric tachy (93654) $16,641 $33,282 0.7×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $14,336 $28,672 1.9×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $10,744 $21,488 1.4×
Er level 1 (99281) $338 $676 4.1×
Er level v (99285) $2,479.50 $4,959 4.3×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $217 $434 1.7×
Evaluate pt use of inhaler (94664) $94.50 $189 0.4×
Evaluate Speech Production (92522) $214.50 $429 1.9×
Evaluate Swallowing Function (92610) $217.50 $435 2.6×
Evaluation of speech fluency (92521) $83 $166 0.6×
Evoked Auditory Test,Limited (92587) $239.50 $479 1.1×
Exercise test for bronchospasm (94617) $215.50 $431 1.7×
External ECG rec>48hr<7d recording (93242) $361 $722 10.0×
External ECG rec>7d<15d recording (93246) $380.50 $761 10.5×
Extracranial Bilat Study (93880) $726.50 $1,453 3.1×
Extracranial Uni/Ltd Study (93882) $465.50 $931 4.6×
F-up/limited tthrc echo congenital car anomaly (93304) $2,449 $4,898 4.6×
Flexible endoscopic eval swallow c/v rec (92612) $335 $670 1.7×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $396 $792 1.7×
Fluorescein angiography (92235) $226 $452 1.1×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $428 $856 2.0×
Fundus photography (92250) $85.50 $171 0.7×
Gonioscopy (92020) $97 $194 0.8×
Group Therapeutic Procedures (97150) $71.50 $143 4.0×
Health Behavior Assessment/Re-Assessment (96156) $60 $120 0.6×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $112.50 $225 3.1×
Health behavior ivntj group f2f 1st 30 min (96164) $69 $138 1.9×
Health behavior ivntj indiv f2f 1st 30 min (96158) $106.50 $213 0.6×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $13,369 $26,738 4.3×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $523.50 $1,047 0.8×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $326 $652 2.5×
Holter monitor recording (93225) $366.50 $733 2.8×
Icd Device Interrogate (93289) $120 $240 3.3×
Icd device progr eval dual (93283) $164.50 $329 4.5×
Icd Device Progr Eval Mult (93284) $46 $92 1.3×
Icm Device Eval (93290) $120 $240 3.3×
Ilr Device Eval Progr (93285) $120 $240 3.3×
Ilr Device Interrogate (93291) $120 $240 4.3×
Im Adm Intransl/Oral 1 Vaccine (90473) $70.50 $141 1.0×
Immunization administration (90471) $55 $110 0.8×
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $226 $452 1.1×
Insert/Place Heart Catheter (93503) $1,136.50 $2,273 0.7×
Interrogate Subq Defib (93261) $36.50 $73 1.0×
Interrogation vad in person (93750) $233 $466 2.5×
Intra-atrial recording (93602) $4,804.50 $9,609 0.6×
Intracranial Complete Study (93886) $506.50 $1,013 2.2×
Io anal gast n-stim subsq (95981) $72 $144 1.3×
Io ga n-stim subsq w/reprog (95982) $98.50 $197 2.7×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$86–$112.50 $172–$225 varies
Irrig Drug Delivery Device (96523) $115 $230 2.0×
IV infusion hydration each additional hour (96361) $56.50 $113 1.2×
IV infusion hydration initial 31 min-1 hour (96360) $469.50 $939 2.3×
IV infusion ther proph addl sequential to 1 hr (96367) $90.50 $181 1.3×
IV infusion therapy prophylaxis/dx ea hour (96366) $76 $152 1.7×
IV push initial (96374) $207 $414 1.0×
L Hrt Art/Grft Angio (93459) $10,831.50 $21,663 3.4×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $2,657.50 $5,315 0.8×
Laryngeal Function Studies (92520) $188.50 $377 1.5×
Liver Elastography W/O Imag W/I&R (91200) $198.50 $397 1.6×
Low frequency non-thermal us (97610) $123 $246 0.6×
Lung Function Test (Mbc/Mvv) (94200) $67 $134 1.2×
Lwr Xtr Vasc Stdy Bilat (93924) $154 $308 0.7×
Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) $17,281.50 $34,563 20.7×
Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) $34,563.50 $69,127 41.5×
Mechanical chest wall oscillation per session (94669) $177.50 $355 0.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $49.50 $99 1.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $56.50 $113 1.5×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $17 $34 1.0×
Methacholine challenge (94070) $363.50 $727 1.0×
Motion Fluoroscopy/Swallow (92611) $243 $486 2.7×
Multiple Sleep Latency Test (95805) $962.50 $1,925 1.2×
Muscle Test Nonparaspinal (95870) $447.50 $895 3.5×
Muscle Test One Limb (95860) $305.50 $611 2.4×
Nasopharyngoscopy (92511) $361 $722 1.9×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $752 $1,504 3.6×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $416 $832 2.0×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $263 $526 1.3×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $1,470.50 $2,941 7.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $381 $762 1.0×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $229 $458 0.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$107–$141 $214–$282 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $227 $454 0.6×
Nerve Conduction Studies 1-2 Studies (95907) $441 $882 2.1×
Nerve Conduction Studies 11-12 Studies (95912) $1,179 $2,358 3.3×
Nerve conduction studies 13 or more studies (95913) $1,363 $2,726 3.8×
Nerve Conduction Studies 3-4 Studies (95908) $570 $1,140 2.7×
Nerve conduction studies 5-6 studies (95909) $865 $1,730 4.1×
Nerve conduction studies 7-8 studies (95910) $894.50 $1,789 2.5×
Nerve Conduction Studies 9-10 Studies (95911) $1,064 $2,128 2.9×
Neurobehavioral Status Exam (96116) $283 $566 1.4×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $226 $452 1.8×
Neuromuscular Reeducation (97112) $85 $170 2.6×
Newborn resuscitation (99465) $352.50 $705 0.5×
Nitric oxide expired gas determination (95012) $27 $54 0.7×
Nrpsyc tst eval phys/qhp 1st (96132) $230 $460 0.6×
Ocular Vemp Testing W/I&R (92518) $262.50 $525 2.1×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $89.50 $179 0.7×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $29.50 $59 0.5×
Optokinetic Nystagmus Test (92544) $94.50 $189 0.8×
Oral Function Therapy (92526) $158.50 $317 1.9×
Oral Speech Device Eval (92597) $264.50 $529 3.7×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines
$70.50–$73 $141–$146 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $81 $162 1.8×
Ot eval high complexity (97167) $227.50 $455 2.3×
Ot Eval Low Complex (97165) $137 $274 1.4×
Ot Eval Moderate Complexity (97166) $193 $386 1.9×
Ot manual therapy 15 min (97140) $88 $176 3.2×
Ot paraffin bath (97018) $93.50 $187 15.6×
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$193–$199.50 $386–$399 varies
Ot Re-Eval Est Plan Care (97168) $137 $274 2.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $153 $306 1.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $97 $194 0.8×
Oxygen Uptake Rest Indirect (94690) $300.50 $601 5.3×
Patch/Application Test Specify Number Tests (95044) $60.50 $121 0.1×
Pdt dstr prmlg les skn illum/activj per day (96567) $176 $352 0.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $157 $314 0.7×
Perq transcath closure pda (93582) $13,820 $27,640 0.8×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $8,408 $16,816 1.5×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $12,095.50 $24,191 1.1×
Phlebotomy therapeutic (99195) $176 $352 1.4×
Photochemotx Psoralens&Ultraviolet Puva (96912) $35 $70 0.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $90 $180 1.6×
Physical Performance Test (97750) $100.50 $201 3.0×
Plethysmography (94726) $244 $488 0.7×
Pm device eval in person (93288) $120 $240 3.3×
Pm device progr eval dual (93280) $104 $208 2.9×
Pm device progr eval multi (93281) $104 $208 2.9×
Pm Device Progr Eval Sngl (93279) $104 $208 2.9×
Pm/Icd Remote Tech Serv (93296) $120 $240 3.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,188.50 $4,377 2.6×
Polysom <6 yrs 4/> paramtrs (95782) $2,772.50 $5,545 3.3×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,006 $6,012 3.6×
Positional nystagmus test (92542) $338 $676 2.6×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $148 $296 4.1×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $72 $144 2.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $27.50 $55 0.6×
Prq Card Angio/Athrect 1 Art (92924) $16,967 $33,934 1.5×
Prq Card Stent W/Angio 1 Vsl (92928) $12,095.50 $24,191 1.1×
Prq Revasc Byp Graft 1 Vsl (92937) $12,095.50 $24,191 1.1×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $13,820 $27,640 0.8×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $9,069 $18,138 0.8×
Psych diag eval w/med srvcs (90792) $314.50 $629 1.8×
Psychiatric diagnostic evaluation (90791) $156 $312 0.9×
Psychological tst eval svc phys/qhp first hour (96130) $233 $466 1.1×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $30.50 $61 0.1×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $30.50 $61 0.2×
Psytx Crisis Initial 60 Min (90839) $113.50 $227 0.7×
Pt Eval High Complex (97163) $228.50 $457 2.3×
Pt eval low complex 20 min (97161) $137 $274 1.4×
Pt Eval Mod Complex (97162) $181.50 $363 1.9×
Pt gait training 15 min (97116) $79 $158 2.7×
Pt group caregiver training (97552) $32 $64 1.5×
Pt mechanical traction (97012) $59 $118 4.1×
Pt Re-Eval Est Plan Care (97164) $137 $274 2.0×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $19 $38 0.5×
Pulm function test by gas (94727) $196 $392 0.9×
Pulmonary service/procedure (94799) $128 $256 1.0×
Pulmonary Stress Testing (94618) $279 $558 2.2×
Pure Tone Audiometry Air (92552) $93.50 $187 0.7×
R Hrt Art/Grft Angio (93457) $11,613 $23,226 3.7×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $2,732.50 $5,465 0.9×
R hrt coronary artery angio (93456) $10,246 $20,492 3.3×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $2,789 $5,578 0.9×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $2,789 $5,578 0.9×
R&L Hrt Cath W/Ventriclgrphy (93453) $9,810 $19,620 3.1×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $239 $478 0.7×
Refill/Maint Portable Pump (96521) $368 $736 1.8×
Refill/Maint Pump/Resvr Syst (96522) $299 $598 1.4×
Rem interrog icpms <30 d phys/qhp (93297) $68 $136 1.9×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $68 $136 1.9×
Rem Mntr Wrls P-Art Prs Snr (93264) $60 $120 1.7×
Remote 30 Day Ecg Rev/Report (93270) $406.50 $813 11.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $103.50 $207 1.8×
Right Heart Cath (93451) $6,673 $13,346 2.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $107.50 $215 0.6×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $995 $1,990 8.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $398.50 $797 8.3×
Select picture audiometry (92583) $103.50 $207 1.8×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$53.50–$84 $107–$168 varies
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $85.50 $171 1.5×
Sensory Integration Ea 15 Min (97533) $51 $102 0.8×
Sinusoidal Vertical Axis Rotational Testing (92546) $383 $766 3.1×
Sleep study unattended (95806) $381 $762 1.8×
Slp caregiver training 1st 30 min (97550)
range across 2 matching MRF lines
$95.50–$166.50 $191–$333 varies
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $373 $746 1.8×
Speech Audiometry Complete (92556) $110 $220 1.9×
Speech audiometry threshold (92555) $71 $142 1.2×
Speech sound lang comprehen (92523) $301 $602 1.3×
Spin/Brain Pump Refil & Main (95991) $106.50 $213 0.4×
Spirometry (94010) $177 $354 0.8×
Spontaneous Nystagmus Test (92541) $270 $540 2.1×
Standardized Cognitive Performance Testing (96125) $155.50 $311 1.5×
Stenger Test, Pure Tone (92565) $83 $166 1.5×
Stress Tte Only (93350) $1,387 $2,774 2.6×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $307.50 $615 1.5×
Surfactant Admin Thru Tube (94610) $140.50 $281 0.7×
Temp transcutaneous pacing (92953) $1,273.50 $2,547 2.0×
Testing Autonomic Nervous System Function (95923) $796 $1,592 6.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $24.50 $49 1.1×
Ther Ivntj Ea Addl 15 Min (97130) $24.50 $49 1.2×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $129.50 $259 3.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $50.50 $101 1.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $139 $278 1.4×
Ther/Proph/Diag Inj Ia (96373) $120.50 $241 0.6×
Ther/Proph/Diag Inj Sc/Im (96372) $228.50 $457 3.3×
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$559.50–$3,567.08 $1,119–$7,134.15 varies
Therapeutic Activities (97530) $84.50 $169 2.4×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,169 $4,338 6.0×
Tobacco Use Cessation Intensive >10 Minutes (99407) $21.50 $43 0.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $24 $48 0.7×
Trans Care Mgmt 14 Day Disch (99495) $66 $132 0.5×
Trans Care Mgmt 7 Day Disch (99496) $66 $132 0.5×
Transcath Closure of Asd (93580) $11,325.50 $22,651 0.6×
Transcranial Doppler Intracran Art Emboli Detect (93892) $241.50 $483 2.4×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $289 $578 2.9×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $120 $240 3.3×
Tte w/doppler, complete (93306) $2,224 $4,448 4.2×
Tx atrial fib pulm vein isol (93656) $24,117 $48,234 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $168 $336 2.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $45 $90 1.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $148 $296 3.3×
Tympanometry (92567) $71.50 $143 2.0×
Tympanometry and reflex threshold measurements (92550) $165.50 $331 0.8×
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines
$559.50–$653 $1,119–$1,306 varies
Unlisted otorhinolaryngological service (92700) $135.50 $271 4.8×
Upr/L Xtremity Art 2 Levels (93922) $205.50 $411 1.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $208.50 $417 1.0×
Valvuloplasty aortic valve (92986) $4,386.50 $8,773 0.8×
Valvuloplasty mitral valve (92987) $12,014 $24,028 1.1×
Valvuloplasty pulmonary valve (92990) $9,067.50 $18,135 0.8×
Vasopneumatic device (97016) $75.50 $151 6.3×
Veeg 2-12 hr unmonitored (95711) $563 $1,126 2.7×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,081 $2,162 3.0×
Veeg Ea 12-26 Hr Unmntr (95714) $1,081 $2,162 3.0×
Vent Mgmt Inpat Init Day (94002) $306 $612 0.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,037 $2,074 1.7×
Visual Evoked Potential Test (95930) $975.50 $1,951 4.7×
Visual Field Exam Extended (92083) $85 $170 0.7×
Visual field xm uni/bi w/interp intermed exam (92082) $64.50 $129 1.1×
Visual field xm uni/bi w/interpretj limited exam (92081) $48.50 $97 0.8×
Visual reinforcement audiometry (vra) (92579) $376 $752 1.8×
Vital capacity, total (94150) $102.50 $205 0.8×
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,502 $3,004 1.8×
Wheelchair Mgmt Ea 15 Min (97542) $103.50 $207 3.3×
Whirlpool Therapy (97022)
range across 3 matching MRF lines
$45.50–$90.50 $91–$181 varies
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $132.50 $265 2.3×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $80.50 $161 2.2×

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.