Visits & medical services prices at Avera McKennan Hospital & University Health Center
Sioux Falls, SD · every code in this section with a posted price and a Medicare benchmark.
264 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $44.10 | $49 | 1.2× |
| Acupunct W/Stimul 15 Min (97813) | $27 | $30 | 0.9× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $22.50 | $25 | 0.8× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $73.80 | $82 | 1.8× |
| Advncd Care Plan 30 Min (99497) | $83.70 | $93 | 0.8× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $486.90 | $541 | 2.2× |
| Aep neurodiagnostic i&r (92653) | $280.80 | $312 | 1.3× |
| Aep threshold estimation mlt frequencies i&r (92652) | $1,206.90 | $1,341 | 5.5× |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$183.60–$306.90 | $204–$341 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $144.90 | $161 | 1.1× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $126 | $140 | 0.9× |
| Analyze neurostim complex (95972) | $137.70 | $153 | 1.4× |
| Analyze neurostim no prog (95970) | $116.10 | $129 | 0.9× |
| Ans parasymp & symp w/tilt (95924) | $450.90 | $501 | 2.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $225.90 | $251 | 15.7× |
| Application on-body injector (96377) | $87.30 | $97 | 1.8× |
| Assessment of tinnitus (92625) | $256.50 | $285 | 2.0× |
| Assmt & care planning pt w/cognitive impairment (99483) | $89.10 | $99 | 0.9× |
| Audiometry Air & Bone (92553) | $184.50 | $205 | 1.4× |
| Basic vestibular evaluation (92540) | $729 | $810 | 3.3× |
| Behavral qualit analys voice (92524) | $444.60 | $494 | 4.1× |
| Bis Xtracell Fluid Analysis (93702) | $157.50 | $175 | 1.2× |
| Blink reflex test (95933) | $409.50 | $455 | 6.8× |
| Breath hydrogen/methane test (91065) range across 2 matching MRF lines |
$205.20–$216 | $228–$240 | varies |
| Brief Emotional/Behav Assmt (96127) | $45.90 | $51 | 1.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$280.80–$439.20 | $312–$488 | varies |
| Caloric vestibular test w/rec bi monothermal (92538) | $366.30 | $407 | 1.7× |
| Caloric Vstblr Test W/Rec (92537) | $494.10 | $549 | 3.8× |
| Canalith repositioning proc (95992) | $235.80 | $262 | 5.8× |
| Car seat/bed test 60 min (94780) | $225.90 | $251 | 5.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,879.20 | $2,088 | 8.5× |
| Cardiopulmonary exercise testing (94621) | $2,135.70 | $2,373 | 5.6× |
| Cardiopulmonary resuscitation (92950) | $504.90 | $561 | 2.3× |
| Cardioversion (92960) range across 2 matching MRF lines |
$811.80–$1,750.50 | $902–$1,945 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $28.80 | $32 | 0.8× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $77.40 | $86 | 3.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $13,983.30 | $15,537 | 4.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $9,879.30 | $10,977 | 3.0× |
| Cbt 1st hour (94644) | $116.10 | $129 | 0.9× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$329.40–$341.10 | $366–$379 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $322.20 | $358 | 4.4× |
| Chemo Ia Push (96420) | $521.10 | $579 | 1.5× |
| Chemo intralesional up to 7 (96405) | $96.30 | $107 | 1.3× |
| Chemo IV infusion addl hr (96415) | $556.20 | $618 | 7.6× |
| Chemo IV push addl drug (96411) | $349.20 | $388 | 4.7× |
| Chemother Prolong Infuse W/Pump (96416) | $1,130.40 | $1,256 | 3.3× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$990.90–$1,040.40 | $1,101–$1,156 | varies |
| Chemotherapy Unspecified (96549) | $738.90 | $821 | 15.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $551.70 | $613 | 7.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $827.10 | $919 | 2.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $491.40 | $546 | 1.5× |
| Chest Wall Manipulation (94668) | $141.30 | $157 | 1.0× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $1,143 | $1,270 | 3.0× |
| Color/duplex Doppler, complete (93975) | $1,776.60 | $1,974 | 7.3× |
| Color/duplex Doppler, limited (93976) | $1,206 | $1,340 | 11.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$99–$215.10 | $110–$239 | varies |
| Comprehensive Hearing Test (92557) | $193.50 | $215 | 1.5× |
| Conditioning Play Audiometry (92582) | $187.20 | $208 | 1.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $271.80 | $302 | 2.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $67.50 | $75 | 1.1× |
| Continuous Pulse Ox (94762) | $635.40 | $706 | 4.8× |
| Coronary Artery Angio S&I (93454) | $9,369 | $10,410 | 2.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$1,057.50–$1,143 | $1,175–$1,270 | varies |
| Cpt initial (94667) | $331.20 | $368 | 2.4× |
| Critical care first hour (99291) | $3,456.90 | $3,841 | 4.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$16.20–$489.60 | $18–$544 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $200.70 | $223 | 1.0× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $504.90 | $561 | 3.8× |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$1,062.90–$1,724.40 | $1,181–$1,916 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $280.80 | $312 | 0.7× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,776.60 | $1,974 | 7.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,776.60 | $1,974 | 7.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,206 | $1,340 | 11.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,776.60 | $1,974 | 7.3× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,206 | $1,340 | 11.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $763.20 | $848 | 3.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 2 matching MRF lines |
$726.30–$763.20 | $807–$848 | varies |
| Duplex Scan Hemodialysis Access (93990) | $888.30 | $987 | 8.3× |
| Duplex up extrem art bilat (93930) | $1,776.60 | $1,974 | 7.3× |
| Duplex up extrem art unilat/ltd (93931) | $1,206 | $1,340 | 11.3× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $364.50 | $405 | 2.8× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $504.90 | $561 | 3.8× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $630.90 | $701 | 4.8× |
| Echo Congenital Complete (93303) | $2,535.30 | $2,817 | 4.5× |
| Echo Heart Xthoracic,Limited (93308) | $1,332.90 | $1,481 | 5.5× |
| Echo transesophageal (93312) | $3,213.90 | $3,571 | 5.8× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $4,182.30 | $4,647 | 7.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $3,548.70 | $3,943 | 6.4× |
| Eeg 41-60 Minutes (95812) | $1,610.10 | $1,789 | 7.3× |
| EEG awake and asleep (95819) | $1,100.70 | $1,223 | 5.0× |
| EEG awake drowsy (95816) | $1,261.80 | $1,402 | 5.7× |
| EEG cont rec w/video by tech min 8 channels (95700) | $620.10 | $689 | 2.8× |
| EEG extended monitoring 61-119 minutes (95813) | $4,243.50 | $4,715 | 19.2× |
| EEG wo vid ea 12-26hr unmntr (95708) | $618.30 | $687 | 1.6× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $117.90 | $131 | 1.2× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 2 matching MRF lines |
$90.90–$119.70 | $101–$133 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$36.90–$45.90 | $41–$51 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$215.10–$229.50 | $239–$255 | varies |
| Electrocardiogram Tracing (93005) | $225 | $250 | 3.7× |
| Electroconvulsive Therapy (90870) range across 2 matching MRF lines |
$483.30–$1,786.50 | $537–$1,985 | varies |
| Emergency Dept Visit Level 2 (99282) | $404.10 | $449 | 2.6× |
| Emergency Dept Visit Level 3 (99283) | $578.70 | $643 | 2.1× |
| Emergency Dept Visit Level 4 (99284) | $992.70 | $1,103 | 2.3× |
| Er level 1 (99281) range across 2 matching MRF lines |
$144.90–$1,278.90 | $161–$1,421 | varies |
| Er level v (99285) | $1,542.60 | $1,714 | 2.5× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $3,288.60 | $3,654 | 8.6× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $504.90 | $561 | 3.8× |
| Evaluate pt use of inhaler (94664) | $216.90 | $241 | 1.0× |
| Evaluate Speech Production (92522) | $444.60 | $494 | 4.0× |
| Evaluate Swallowing Function (92610) | $380.70 | $423 | 4.5× |
| Evaluation of speech fluency (92521) | $444.60 | $494 | 3.3× |
| Evoked Auditory Test,Limited (92587) | $339.30 | $377 | 1.5× |
| Excimer laser tx psoriasis 250-500 sq cm (96921) | $235.80 | $262 | 1.2× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $190.80 | $212 | 0.9× |
| External ECG rec>48hr<7d recording (93242) | $997.20 | $1,108 | 26.1× |
| External ECG rec>7d<15d recording (93246) | $987.30 | $1,097 | 25.9× |
| External Ecg Scanning Analysis Report (93226) | $1,901.70 | $2,113 | 31.6× |
| Extracranial Bilat Study (93880) | $1,776.60 | $1,974 | 7.3× |
| Extracranial Uni/Ltd Study (93882) | $1,206 | $1,340 | 11.3× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,713.60 | $1,904 | 3.1× |
| Flexible endoscopic eval swallow c/v rec (92612) | $610.20 | $678 | 3.1× |
| Fundus photography (92250) | $476.10 | $529 | 3.5× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $617.40 | $686 | 0.7× |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$1,580.40–$2,798.10 | $1,756–$3,109 | varies |
| Group Therapeutic Procedures (97150) | $191.70 | $213 | 10.6× |
| Holter monitor recording (93225) | $743.40 | $826 | 5.5× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$18.66–$64.80 | $20–$72 | varies |
| Immunization administration (90471) range across 7 matching MRF lines |
$18.66–$133.20 | $20–$148 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $869.40 | $966 | 2.3× |
| Intracranial Complete Study (93886) | $1,016.10 | $1,129 | 4.2× |
| Iontophoresis 15 min (97033) | $297.90 | $331 | 15.6× |
| Irrig Drug Delivery Device (96523) | $251.10 | $279 | 4.2× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$197.10–$216.90 | $219–$241 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$215.10–$745.20 | $239–$828 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$197.10–$265.50 | $219–$295 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$112.50–$263.70 | $125–$293 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$334.80–$495 | $372–$550 | varies |
| L Hrt Art/Grft Angio (93459) | $16,514.10 | $18,349 | 5.0× |
| Liver Elastography W/O Imag W/I&R (91200) | $191.70 | $213 | 1.5× |
| Lung Function Test (Mbc/Mvv) (94200) | $193.50 | $215 | 3.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $826.20 | $918 | 3.7× |
| Mechanical chest wall oscillation per session (94669) | $234 | $260 | 1.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $62.10 | $69 | 2.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $71.10 | $79 | 1.9× |
| Methacholine challenge (94070) | $509.40 | $566 | 1.3× |
| Motility study esophagus (91010) | $1,425.60 | $1,584 | 3.7× |
| Motion Fluoroscopy/Swallow (92611) | $584.10 | $649 | 6.4× |
| Multiple Sleep Latency Test (95805) | $4,353.30 | $4,837 | 5.0× |
| Muscle Test 2 Limbs (95861) | $351 | $390 | 2.6× |
| Muscle Test Hemidiaphragm (95866) | $162.90 | $181 | 1.2× |
| Muscle Test Nonparaspinal (95870) | $225.90 | $251 | 1.7× |
| Muscle Test One Limb (95860) | $773.10 | $859 | 5.7× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$215.10–$378 | $239–$420 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $427.50 | $475 | 1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$190.80–$267.30 | $212–$297 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $391.50 | $435 | 0.9× |
| Nerve Conduction Studies 1-2 Studies (95907) | $300.60 | $334 | 1.4× |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$477.90–$729 | $531–$810 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$784.80–$811.80 | $872–$902 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$312.30–$398.70 | $347–$443 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$312.30–$522.90 | $347–$581 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$312.30–$640.80 | $347–$712 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$575.10–$715.50 | $639–$795 | varies |
| Neurobehavioral Status Exam (96116) | $283.50 | $315 | 1.3× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $435.60 | $484 | 3.3× |
| Neuromuscular Reeducation (97112) | $229.50 | $255 | 7.0× |
| Nitric oxide expired gas determination (95012) | $43.20 | $48 | 1.1× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $477.90 | $531 | 1.3× |
| Oral Function Therapy (92526) | $376.20 | $418 | 4.5× |
| Oral Speech Device Eval (92597) | $99 | $110 | 1.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $146.70 | $163 | 2.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $270 | $300 | 5.9× |
| Oscillating Tracking Test (92545) | $280.80 | $312 | 1.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $63.90 | $71 | 2.9× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $82.80 | $92 | 3.8× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $99 | $110 | 4.5× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $55.80 | $62 | 2.5× |
| Ot eval high complexity (97167) | $589.50 | $655 | 5.9× |
| Ot Eval Low Complex (97165) | $589.50 | $655 | 5.9× |
| Ot Eval Moderate Complexity (97166) | $589.50 | $655 | 5.9× |
| Ot manual therapy 15 min (97140) | $229.50 | $255 | 8.3× |
| Ot paraffin bath (97018) | $207 | $230 | 34.4× |
| Ot Prosthetic Training, Each 15 Min (97761) | $166.50 | $185 | 4.1× |
| Ot Re-Eval Est Plan Care (97168) | $229.50 | $255 | 3.4× |
| Patch/Application Test Specify Number Tests (95044) | $17.10 | $19 | 0.0× |
| Pdt dstr prmlg les phys/qhp (96573) | $490.50 | $545 | 2.4× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $222.30 | $247 | 1.1× |
| Pediatric apnea monitor analyses computer (94776) | $990 | $1,100 | 7.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $336.60 | $374 | 1.5× |
| Perq transcath closure pda (93582) | $43,875 | $48,750 | 2.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $11,736.90 | $13,041 | 2.0× |
| Phlebotomy therapeutic (99195) | $854.10 | $949 | 6.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $506.70 | $563 | 8.4× |
| Physical Performance Test (97750) | $275.40 | $306 | 8.2× |
| Plethysmography (94726) | $366.30 | $407 | 1.0× |
| Pm device eval in person (93288) | $94.50 | $105 | 2.5× |
| Pm/Icd Remote Tech Serv (93296) | $146.70 | $163 | 3.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $6,482.70 | $7,203 | 7.4× |
| Polysom <6 yrs 4/> paramtrs (95782) | $6,214.50 | $6,905 | 7.1× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $6,482.70 | $7,203 | 7.4× |
| Psych diag eval w/med srvcs (90792) | $188.10 | $209 | 1.0× |
| Psychiatric diagnostic evaluation (90791) | $182.70 | $203 | 1.0× |
| Psychological tst eval svc phys/qhp first hour (96130) | $313.20 | $348 | 1.4× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $116.10 | $129 | 0.9× |
| Pt Eval High Complex (97163) | $559.80 | $622 | 5.7× |
| Pt eval low complex 20 min (97161) | $559.80 | $622 | 5.7× |
| Pt Eval Mod Complex (97162) | $559.80 | $622 | 5.7× |
| Pt gait training 15 min (97116) | $174.60 | $194 | 6.0× |
| Pt mechanical traction (97012) | $218.70 | $243 | 15.2× |
| Pt Re-Eval Est Plan Care (97164) | $241.20 | $268 | 3.6× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$110.70–$54,056.70 | $123–$60,063 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$127.80–$180.90 | $142–$201 | varies |
| Pure Tone Audiometry Air (92552) | $146.70 | $163 | 1.1× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $14,364.90 | $15,961 | 4.3× |
| Refill/Maint Portable Pump (96521) | $1,073.70 | $1,193 | 4.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $103.50 | $115 | 2.7× |
| Right Heart Cath (93451) | $8,828.10 | $9,809 | 2.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $470.70 | $523 | 2.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $366.30 | $407 | 3.0× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$159.30–$167.40 | $177–$186 | varies |
| Sensory Integration Ea 15 Min (97533) | $147.60 | $164 | 2.4× |
| Slp caregiver training 1st 30 min (97550) range across 3 matching MRF lines |
$129.60–$150.30 | $144–$167 | varies |
| Speech Audiometry Complete (92556) | $116.10 | $129 | 1.9× |
| Speech audiometry threshold (92555) | $132.30 | $147 | 2.2× |
| Speech sound lang comprehen (92523) | $563.40 | $626 | 2.5× |
| Spirometry (94010) range across 2 matching MRF lines |
$156.60–$264.60 | $174–$294 | varies |
| Spontaneous Nystagmus Test (92541) | $142.20 | $158 | 1.0× |
| Standardized Cognitive Performance Testing (96125) | $425.70 | $473 | 4.1× |
| Stress Tte Only (93350) | $2,103.30 | $2,337 | 3.8× |
| Subcutaneous Infusion Each Additional Hour (96370) | $118.80 | $132 | 2.5× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $386.10 | $429 | 1.8× |
| Testing Autonomic Nervous System Function (95923) | $707.40 | $786 | 5.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $147.60 | $164 | 6.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $147.60 | $164 | 7.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$161.10–$248.40 | $179–$276 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$70.20–$143.10 | $78–$159 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$288.90–$745.20 | $321–$828 | varies |
| Therapeutic Activities (97530) | $225.90 | $251 | 6.4× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,633.40 | $2,926 | 6.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $27 | $30 | 0.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $27 | $30 | 0.7× |
| Trans Care Mgmt 14 Day Disch (99495) | $206.10 | $229 | 1.5× |
| Trans Care Mgmt 7 Day Disch (99496) | $276.30 | $307 | 2.0× |
| Transcath Closure of Asd (93580) | $27,992.70 | $31,103 | 1.5× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $573.30 | $637 | 5.4× |
| Tte w/doppler, complete (93306) | $3,548.70 | $3,943 | 6.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $516.60 | $574 | 6.8× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $62.10 | $69 | 2.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$180.90–$189 | $201–$210 | varies |
| Tympanometry (92567) | $81.90 | $91 | 2.1× |
| Tympanometry and reflex threshold measurements (92550) | $302.40 | $336 | 1.4× |
| Unlisted Psychiatric Service/Procedure (90899) range across 2 matching MRF lines |
$2,979–$3,135.60 | $3,310–$3,484 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $701.10 | $779 | 5.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,514.70 | $1,683 | 6.9× |
| Valvuloplasty aortic valve (92986) | $8,952.30 | $9,947 | 1.5× |
| Valvuloplasty pulmonary valve (92990) | $11,329.20 | $12,588 | 1.0× |
| Veeg 2-12 hr unmonitored (95711) | $3,150.90 | $3,501 | 14.3× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $6,543.90 | $7,271 | 17.2× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$1,155.60–$1,776.60 | $1,284–$1,974 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$989.10–$1,521.90 | $1,099–$1,691 | varies |
| Visual Evoked Potential Test (95930) | $595.80 | $662 | 2.7× |
| Visual reinforcement audiometry (vra) (92579) | $279.90 | $311 | 1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $119.70 | $133 | 3.9× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$215.10–$339.30 | $239–$377 | 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.