Visits & medical services prices at Banner - University Medical Center Phoenix
Phoenix, AZ · every code in this section with a posted price and a Medicare benchmark.
293 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $5,449.21 | $18,598 | 0.7× |
| Aep neurodiagnostic i&r (92653) | $377.07 | $1,146 | 1.6× |
| Aep threshold estimation mlt frequencies i&r (92652) | $508.68 | $1,546 | 2.2× |
| Airway resistance by oscillometry (94728) | $101.66 | $288 | 0.7× |
| Analyze neurostim complex (95972) | $442.04 | $495 | 4.4× |
| Analyze neurostim no prog (95970) | $394.71 | $442 | 2.8× |
| Analyze Pacemaker System (93724) | $111.05 | $379 | 0.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 4 matching MRF lines |
$12.69–$16.84 | $122 | varies |
| Application on-body injector (96377) | $103.36 | $348 | 2.1× |
| Arrhythmia Induction (93618) | $1,324.36 | $4,520 | 1.0× |
| Assessment of aphasia per hr (96105) | $77.39 | $469 | 0.8× |
| Behavral qualit analys voice (92524) | $93.39 | $566 | 0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $226.63 | $642 | 0.6× |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$1,630.25 | $5,564 | 0.2× |
| C motor evoked uppr limbs (95928) | $1,387.72 | $1,554 | 1.5× |
| C motor evoked upr&lwr limbs (95939) | $853.83 | $2,595 | 0.9× |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$28.81–$38.23 | $277 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $344.26 | $1,304 | 1.5× |
| Cardiopulmonary exercise testing (94621) | $447.96 | $1,269 | 1.1× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$241.14–$364.20 | $1,243 | varies |
| Cardioversion (92960) | $1,206.66 | $1,733 | 1.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $5,740.96 | $21,664 | 1.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $7,091.32 | $18,053 | 2.0× |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) | $1,436.84 | $1,609 | 10.1× |
| Chemo Admin Peritoneal Cavity (96446) | $168 | $503 | 0.5× |
| Chemo Anti-Neopl Sq/Im (96401) | $269.54 | $807 | 3.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $124.92 | $374 | 1.6× |
| Chemo Ia Push (96420) | $151.64 | $454 | 0.4× |
| Chemo Intralesional Over 7 (96406) | $167.67 | $502 | 0.7× |
| Chemo intralesional up to 7 (96405) | $107.55 | $322 | 1.4× |
| Chemo IV infusion addl hr (96415) | $56.77 | $166 | 0.7× |
| Chemo IV push addl drug (96411) | $126.59 | $379 | 1.6× |
| Chemother Prolong Infuse W/Pump (96416) | $260.26 | $761 | 0.7× |
| Chemotherapy Into Cns (96450) | $239.14 | $716 | 0.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $116.62 | $341 | 1.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $247.95 | $725 | 0.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $222.44 | $666 | 0.6× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $134.94 | $404 | 0.4× |
| Chest Wall Manipulation (94668) | $58.20 | $300 | 0.4× |
| Color/duplex Doppler, complete (93975) | $475.08 | $1,786 | 1.9× |
| Color/duplex Doppler, limited (93976) | $303.51 | $1,141 | 2.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 4 matching MRF lines |
$11.96–$15.87 | $115 | varies |
| Coronary Art/Grft Angio S&I (93455) | $3,583.86 | $13,524 | 1.0× |
| Coronary Artery Angio S&I (93454) | $3,497.47 | $13,198 | 1.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $281.49 | $1,451 | 1.2× |
| Cpt initial (94667) | $55.29 | $285 | 0.4× |
| Critical care first hour (99291) | $1,880.41 | $7,613 | 2.1× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,413.62 | $1,583 | 3.6× |
| Debridement Open Wound 20 Sq Cm< (97597) | $199.95 | $386 | 0.9× |
| Developmental tst admin phys/qhp 1st hour (96112) | $167.48 | $509 | 1.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $341.81 | $1,285 | 1.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $168.38 | $633 | 1.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $551.42 | $2,073 | 2.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $391.55 | $1,472 | 3.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $553.28 | $2,080 | 2.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $343.14 | $1,290 | 3.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $311.49 | $1,171 | 1.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $213.86 | $804 | 1.9× |
| Duplex Scan Hemodialysis Access (93990) | $215.46 | $810 | 1.9× |
| Duplex up extrem art bilat (93930) | $543.97 | $2,045 | 2.1× |
| Duplex up extrem art unilat/ltd (93931) | $339.95 | $1,278 | 3.0× |
| Echo Congenital Complete (93303) | $498.40 | $2,026 | 0.9× |
| Echo Heart Xthoracic,Limited (93308) | $254.12 | $1,033 | 1.0× |
| Echo transesophageal (93312) | $1,045.70 | $2,506 | 1.8× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $608.60 | $2,474 | 1.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $597.53 | $2,429 | 1.0× |
| Eeg 41-60 Minutes (95812) | $749.13 | $1,771 | 3.3× |
| EEG awake and asleep (95819) | $619.27 | $1,464 | 2.7× |
| EEG awake drowsy (95816) | $520.29 | $1,230 | 2.3× |
| EEG cerebral death evaluation (95824) | $549.48 | $1,299 | 1.4× |
| EEG cont rec w/video by tech min 8 channels (95700) | $252.95 | $598 | 1.1× |
| EEG extended monitoring 61-119 minutes (95813) | $881.11 | $2,083 | 3.8× |
| Eeg Sleep Only (95822) | $610.39 | $1,443 | 2.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $316.40 | $748 | 1.4× |
| EEG w/o vid 2-12hr cont mntr (95707) | $395.50 | $935 | 1.7× |
| EEG w/o vid ea 12-26hr intmt (95709) | $522.40 | $1,235 | 1.3× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $553.71 | $1,309 | 1.4× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $364.20 | $861 | 1.6× |
| EEG wo vid ea 12-26hr unmntr (95708) | $474.61 | $1,122 | 1.2× |
| EKG signal averaged (93278) | $197.32 | $901 | 3.1× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $416.14 | $466 | 10.4× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$14.46–$19.18 | $139 | varies |
| Electrocardiogram Tracing (93005) | $100.52 | $459 | 1.6× |
| Electroconvulsive Therapy (90870) | $461.96 | $1,404 | 0.5× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) unusually low: confirm this is the full procedure |
$3,224.17 | $11,004 | 0.4× |
| Electrophysiology Evaluation (93642) | $945.22 | $3,226 | 0.7× |
| Emergency Dept Visit Level 2 (99282) | $493.41 | $1,163 | 3.0× |
| Emergency Dept Visit Level 3 (99283) | $916.94 | $1,669 | 3.1× |
| Emergency Dept Visit Level 4 (99284) | $1,461.69 | $2,175 | 3.3× |
| Emg 3 Extremities (95863) | $296.79 | $902 | 2.2× |
| Emg 4 Extremities (95864) | $347.13 | $1,055 | 2.5× |
| Endomyocardial Biopsy (93505) | $6,831.17 | $5,600 | 2.0× |
| Ep & ablate supravent arrhyt (93653) | $38,882.06 | $48,022 | 1.4× |
| Ep & ablate ventric tachy (93654) | $39,104.58 | $51,479 | 1.4× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $5,586.34 | $19,066 | 0.7× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) unusually low: confirm this is the full procedure |
$3,079.72 | $10,511 | 0.4× |
| Er level 1 (99281) | $219.99 | $657 | 2.4× |
| Er level v (99285) | $1,508.88 | $2,675 | 2.4× |
| Esoph Atrial Electrogram (93615) | $545.86 | $1,863 | 0.4× |
| Evaluate pt use of inhaler (94664) | $67.90 | $350 | 0.3× |
| Evaluate Speech Production (92522) | $77.88 | $472 | 0.7× |
| Evaluate Swallowing Function (92610) | $104.06 | $423 | 1.2× |
| Evaluation of speech fluency (92521) | $71.12 | $431 | 0.5× |
| Exhaled Air Analysis O2 (94680) | $271.81 | $770 | 2.0× |
| External Ecg Scanning Analysis Report (93226) | $369.62 | $583 | 5.9× |
| Extracranial Bilat Study (93880) | $511.78 | $1,924 | 2.0× |
| Extracranial Uni/Ltd Study (93882) | $278.24 | $1,046 | 2.5× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $264.70 | $1,076 | 0.5× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $195.32 | $794 | 1.3× |
| Flexible endoscopic eval swallow c/v rec (92612) | $176.38 | $717 | 0.9× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $376.47 | $890 | 0.4× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,245.83 | $795 | 3.1× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $749.70 | $1,764 | 3.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $833.42 | $1,961 | 0.9× |
| Gi tract capsule endoscopy (91110) | $1,176.83 | $2,769 | 1.2× |
| Group Therapeutic Procedures (97150) | $39.48 | $120 | 2.2× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $6,458.32 | $24,371 | 1.9× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 3 matching MRF lines |
$400.91–$423.06 | $2,215 | varies |
| High altitude simulation test (94452) | $65.66 | $186 | 0.5× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $90.02 | $255 | 0.6× |
| Holter monitor recording (93225) | $269.45 | $425 | 1.9× |
| Icd Device Interrogate (93289) | $42.48 | $145 | 1.1× |
| Icd device progr eval dual (93283) | $47.47 | $162 | 1.2× |
| Icd Device Progr Eval Mult (93284) | $53.62 | $183 | 1.3× |
| Ilr Device Eval Progr (93285) | $42.48 | $145 | 1.1× |
| Immunization administration (90471) | $23.44 | $126 | 0.3× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $185.24 | $563 | 0.5× |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$1,110.09–$1,227.38 | $4,189 | varies |
| Interrogate Subq Defib (93261) | $624.68 | $2,132 | 15.7× |
| Interrogation vad in person (93750) | $84.38 | $288 | 0.8× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$1,926.77 | $6,576 | 0.2× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$1,720.50 | $5,872 | 0.2× |
| Intracranial Complete Study (93886) | $306.17 | $1,151 | 1.2× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$2,045.14 | $6,980 | 0.2× |
| Iontophoresis 15 min (97033) range across 4 matching MRF lines |
$20.28–$26.91 | $195 | varies |
| Irrig Drug Delivery Device (96523) | $102.17 | $344 | 1.6× |
| Ischemic limb exercise test (95875) | $193.14 | $587 | 1.4× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$46.68–$72.01 | $189 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$149.19–$230.12 | $604 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$85.96–$132.59 | $348 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$57.30–$88.39 | $232 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$124.74–$149.98 | $505 | varies |
| L Hrt Art/Grft Angio (93459) | $5,214.67 | $19,678 | 1.5× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $2,026.99 | $7,649 | 0.6× |
| Low frequency non-thermal us (97610) range across 4 matching MRF lines |
$30.99–$154.36 | $298 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $79.78 | $226 | 1.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $325.85 | $1,225 | 1.4× |
| Mechanical chest wall oscillation per session (94669) | $101.27 | $522 | 0.4× |
| Methacholine challenge (94070) | $283.46 | $803 | 0.7× |
| Motility study esophagus (91010) | $983.11 | $1,206 | 2.5× |
| Motion Fluoroscopy/Swallow (92611) | $177.12 | $720 | 1.9× |
| Multiple Sleep Latency Test (95805) range across 4 matching MRF lines |
$3,114.78–$3,893.48 | $3,488–$4,360 | varies |
| Muscle Test 2 Limbs (95861) | $239.53 | $728 | 1.7× |
| Muscle Test Nonparaspinal (95870) | $81.27 | $247 | 0.6× |
| Muscle Test One Limb (95860) | $167.48 | $509 | 1.2× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $127.99 | $389 | 0.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $98.05 | $298 | 0.4× |
| Needle electromyography larynx (95865) | $134.90 | $410 | 1.0× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $153.66 | $467 | 0.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $410.26 | $792 | 0.9× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $473.45 | $914 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $121.73 | $235 | 0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $222.74 | $430 | 0.5× |
| Nerve Conduction Studies 1-2 Studies (95907) | $98.38 | $299 | 0.4× |
| Nerve Conduction Studies 11-12 Studies (95912) | $267.17 | $812 | 0.7× |
| Nerve conduction studies 13 or more studies (95913) | $309.29 | $940 | 0.8× |
| Nerve Conduction Studies 3-4 Studies (95908) | $153.66 | $467 | 0.7× |
| Nerve conduction studies 5-6 studies (95909) | $185.24 | $563 | 0.8× |
| Nerve conduction studies 7-8 studies (95910) | $235.26 | $715 | 0.6× |
| Nerve Conduction Studies 9-10 Studies (95911) | $261.58 | $795 | 0.7× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $125.69 | $382 | 0.9× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$17.06–$22.63 | $164 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $269.34 | $763 | 0.7× |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$45.54–$54.45 | $330 | varies |
| Oral Speech Device Eval (92597) | $92.90 | $563 | 1.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 4 matching MRF lines |
$14.66–$19.46 | $141 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$13.62–$18.08 | $131 | varies |
| Ot eval high complexity (97167) | $83 | $522 | 0.8× |
| Ot Eval Low Complex (97165) | $49.93 | $314 | 0.5× |
| Ot Eval Moderate Complexity (97166) | $66.30 | $417 | 0.7× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$17.58–$23.32 | $169 | varies |
| Ot paraffin bath (97018) range across 4 matching MRF lines |
$6.86–$9.11 | $66 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 4 matching MRF lines |
$13.62–$18.08 | $131 | varies |
| Ot Re-Eval Est Plan Care (97168) | $43.25 | $272 | 0.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $334.26 | $540 | 2.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $168.37 | $272 | 1.2× |
| Oxygen Uptake Rest Indirect (94690) | $259.10 | $734 | 4.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $57.42 | $296 | 0.2× |
| Perq Transcath Cls Aortic (93591) | $14,843.04 | $41,461 | 0.8× |
| Perq Transcath Cls Mitral (93590) | $18,054.30 | $50,431 | 0.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $4,262.79 | $16,086 | 0.7× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $6,746.64 | $25,459 | 0.5× |
| Phlebotomy therapeutic (99195) | $231.66 | $780 | 1.6× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $74.29 | $242 | 1.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $61.09 | $199 | 1.0× |
| Physical Performance Test (97750) | $17.06 | $164 | 0.5× |
| Plethysmography (94726) | $167.32 | $474 | 0.4× |
| Pm device eval in person (93288) | $42.48 | $145 | 1.1× |
| Pm Device Progr Eval Sngl (93279) | $38.97 | $133 | 1.0× |
| Pm/Icd Remote Tech Serv (93296) | $42.48 | $145 | 1.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$2,167.03–$2,708.89 | $5,123–$6,404 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $2,628.94 | $6,215 | 2.9× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $5,860.76 | $6,563 | 6.4× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $624.68 | $2,132 | 15.7× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $41.31 | $141 | 1.0× |
| Prq Card Angio/Athrect 1 Art (92924) | $6,450.10 | $24,340 | 0.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) unusually low: confirm this is the full procedure |
$6,009.14 | $22,676 | 0.5× |
| Prq Card Stent/Ath/Angio (92933) unusually low: confirm this is the full procedure |
$6,739.74 | $25,433 | 0.3× |
| Prq Revasc Byp Graft 1 Vsl (92937) unusually low: confirm this is the full procedure |
$6,009.14 | $22,676 | 0.5× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) likely a partial charge, not the full procedure |
$4,376.74 | $16,516 | 0.2× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$3,050.72 | $10,412 | 0.2× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) range across 2 matching MRF lines |
$13.62–$18.08 | $131 | varies |
| Pt Eval High Complex (97163) | $90.83 | $522 | 0.9× |
| Pt eval low complex 20 min (97161) | $54.64 | $314 | 0.6× |
| Pt Eval Mod Complex (97162) | $72.56 | $417 | 0.7× |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$13.94–$18.49 | $134 | varies |
| Pt mechanical traction (97012) | $12.58 | $121 | 0.9× |
| Pt Re-Eval Est Plan Care (97164) | $47.33 | $272 | 0.7× |
| Pulm function test by gas (94727) | $135.55 | $384 | 0.6× |
| Pulmonary Stress Testing (94618) | $191.33 | $542 | 1.3× |
| R Hrt Art/Grft Angio (93457) | $5,796.61 | $21,874 | 1.7× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $2,111.52 | $7,968 | 0.6× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $1,689.11 | $6,374 | 0.5× |
| R hrt coronary artery angio (93456) | $5,166.70 | $19,497 | 1.5× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $3,261.62 | $12,308 | 0.9× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $2,893.80 | $10,920 | 0.8× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $3,427.78 | $12,935 | 1.0× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $261.36 | $880 | 0.7× |
| Refill/Maint Portable Pump (96521) | $145.53 | $490 | 0.6× |
| Refill/Maint Pump/Resvr Syst (96522) | $143.45 | $483 | 0.6× |
| Respiratory flow volume loop (94375) | $144.73 | $410 | 0.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $43.80 | $200 | 0.7× |
| Right Heart Cath (93451) | $5,893.54 | $9,743 | 1.7× |
| Right ventricular recording (93603) | $1,185.18 | $4,045 | 0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$22.67–$112.92 | $218 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $183.76 | $747 | 1.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $73.80 | $300 | 1.5× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $472.07 | $1,116 | 1.2× |
| Self Care Mngment Training (97535) range across 5 matching MRF lines |
$18.51–$29.37 | $178 | varies |
| Sensory Integration Ea 15 Min (97533) range across 5 matching MRF lines |
$15.91–$25.25 | $153 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $405.69 | $1,233 | 1.8× |
| Sleep study attended (95807) | $1,147.18 | $2,712 | 2.9× |
| Sleep study unattended (95806) | $518.83 | $581 | 2.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $558.12 | $625 | 2.4× |
| Somatosensory Testing (95938) | $860.74 | $2,616 | 0.9× |
| Speech sound lang comprehen (92523) | $94.88 | $575 | 0.4× |
| Spirometry (94010) | $179.32 | $508 | 0.8× |
| Ssep lower limbs (95926) | $390.89 | $1,188 | 1.7× |
| Standardized Cognitive Performance Testing (96125) | $93.39 | $566 | 0.9× |
| Stress Tte Only (93350) | $482.90 | $1,963 | 0.8× |
| Surfactant Admin Thru Tube (94610) | $60.01 | $170 | 0.3× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $225.57 | $848 | 2.0× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$269.23–$319.37 | $1,090 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$19.60–$23.43 | $142 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$17.39–$20.79 | $126 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 4 matching MRF lines |
$14.14–$18.77 | $136 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $66 | $400 | 0.6× |
| Ther/Proph/Diag Inj Ia (96373) | $117.02 | $394 | 0.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$53.60–$64.45 | $217 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$161.29–$248.79 | $653 | varies |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$16.74–$22.22 | $161 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $807.21 | $2,755 | 2.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $13.49 | $41 | 0.3× |
| Transcath Closure of Asd (93580) unusually low: confirm this is the full procedure |
$6,703.55 | $18,725 | 0.3× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $205.62 | $773 | 1.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $206.95 | $778 | 1.9× |
| Tte w/doppler, complete (93306) | $658.79 | $2,678 | 1.1× |
| Tte W/O Doppler Complete (93307) | $340.46 | $1,384 | 1.3× |
| Tx atrial fib pulm vein isol (93656) | $38,008.64 | $52,243 | 1.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $64.52 | $391 | 0.8× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $42.12 | $128 | 1.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$68.91–$82.86 | $279 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 6 matching MRF lines |
$48.93–$13,712.11 | $167–$46,799 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $137.28 | $323 | 1.0× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$204.29–$306.43 | $768–$1,152 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$238.87–$358.30 | $898–$1,347 | varies |
| Valvuloplasty aortic valve (92986) | $3,853.51 | $10,764 | 0.6× |
| Valvuloplasty mitral valve (92987) unusually low: confirm this is the full procedure |
$3,887.52 | $10,859 | 0.3× |
| Valvuloplasty pulmonary valve (92990) unusually low: confirm this is the full procedure |
$3,917.59 | $10,943 | 0.3× |
| Vasopneumatic device (97016) range across 4 matching MRF lines |
$10.82–$14.35 | $104 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $494.49 | $1,169 | 1.2× |
| Veeg 2-12 hr intmt mntr (95712) | $455.57 | $1,077 | 1.1× |
| Veeg 2-12 hr unmonitored (95711) | $395.50 | $935 | 1.7× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $653.11 | $1,544 | 1.6× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $593.47 | $1,403 | 1.5× |
| Veeg ea 12-26hr cont mntr (95716) | $692.45 | $1,637 | 0.8× |
| Vent Mgmt Inpat Init Day (94002) | $735.07 | $3,789 | 1.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $588.40 | $3,033 | 0.9× |
| Visual Evoked Potential Test (95930) | $340.88 | $1,036 | 1.5× |
| Vital capacity, total (94150) | $81.90 | $232 | 0.6× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $678.07 | $1,603 | 0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 4 matching MRF lines |
$16.74–$22.22 | $161 | varies |
| Whirlpool Therapy (97022) range across 4 matching MRF lines |
$13.83–$18.35 | $133 | 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.