Visits & medical services prices at Barnes-Jewish Hospital

St. Louis, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $6,210.60 $10,351 0.8×
Admn Sarscov2 Vacc 1 Dose (90480) $32.40 $54 0.8×
Aep neurodiagnostic i&r (92653) $598.20 $997 2.8×
Airway Inhalation Treatment (94640) $237.60 $396 1.1×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $345 $575 2.6×
Analyze neurostim complex (95972) $40,869.90 $68,116.50 429.2×
Analyze Pacemaker System (93724) $345 $575 1.1×
Application on-body injector (96377) $157.80 $263 3.4×
Arrhythmia Induction (93618) $1,633.20 $2,722 1.3×
Assessment of aphasia per hr (96105) $183.60 $306 1.9×
Behavral qualit analys voice (92524)
range across 3 matching MRF lines
$169.80–$265.80 $283–$443 varies
Blink reflex test (95933) $108 $180 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $372.60 $621 1.0×
Bundle of his recording (93600) $6,210.60 $10,351 0.8×
C motor evoked uppr limbs (95928) $1,169.40 $1,949 1.4×
C motor evoked upr&lwr limbs (95939) $1,169.40 $1,949 1.4×
Cardiac Stress Tst,Tracing Only (93017) $894.60 $1,491 4.1×
Cardiopulmonary exercise testing (94621) $1,567.80 $2,613 4.2×
Cardioversion (92960)
range across 2 matching MRF lines
$3,203.21–$84,077.62 $5,338.69–$140,129.37 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $41.40 $69 1.6×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460)
range across 2 matching MRF lines
$10,150.64–$33,345.42 $16,917.73–$55,575.70 varies
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458)
range across 3 matching MRF lines
$9,227–$32,515.06 $15,378.34–$54,191.77 varies
Cbt 1st hour (94644) $148.80 $248 1.1×
Chemo Admin Peritoneal Cavity (96446) $514.20 $857 1.6×
Chemo Anti-Neopl Sq/Im (96401) $243.60 $406 3.4×
Chemo Hormon Antineopl Sq/Im (96402) $206.40 $344 2.9×
Chemo Ia Push (96420) $435 $725 1.3×
Chemo Intralesional Over 7 (96406) $485.40 $809 2.3×
Chemo IV infusion addl hr (96415) $428.40 $714 5.9×
Chemo IV push addl drug (96411) $306.60 $511 4.3×
Chemother Prolong Infuse W/Pump (96416) $705.60 $1,176 2.1×
Chemotherapy Into Cns (96450) $868.80 $1,448 2.6×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $1,075.20 $1,792 3.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $380.40 $634 5.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $716.40 $1,194 2.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $566.40 $944 1.7×
Chest Wall Manipulation (94668) $146.40 $244 1.1×
Color/duplex Doppler, complete (93975) $1,465.20 $2,442 6.1×
Color/duplex Doppler, limited (93976) $1,027.20 $1,712 9.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $57 $95 1.8×
Continuous Pulse Ox (94762) $208.20 $347 1.6×
Coronary Art/Grft Angio S&I (93455)
range across 3 matching MRF lines
$9,274.71–$35,849.14 $15,457.85–$59,748.56 varies
Coronary Artery Angio S&I (93454)
range across 3 matching MRF lines
$11,687.99–$34,225.60 $19,479.99–$57,042.67 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $719.40 $1,199 3.3×
Cpt initial (94667) $123 $205 0.9×
Critical care first hour (99291) $4,002 $6,670 4.8×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $609 $1,015 1.6×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$919.80–$1,677.60 $1,533–$2,796 varies
Dialysis One Evaluation (90945) $1,149 $1,915 2.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $708 $1,180 3.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $313.80 $523 3.0×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $384 $640 3.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $765 $1,275 3.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $446.40 $744 4.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,253 $3,755 9.4×
Dup-scan xtr veins unilateral/limited study (93971) $505.20 $842 4.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $516.60 $861 2.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $346.80 $578 3.3×
Duplex Scan Hemodialysis Access (93990) $361.20 $602 3.4×
Duplex up extrem art bilat (93930) $841.80 $1,403 3.5×
Duplex up extrem art unilat/ltd (93931) $398.40 $664 3.8×
Echo Congenital Complete (93303) $1,765.20 $2,942 3.2×
Echo Heart Xthoracic,Limited (93308) $656.40 $1,094 2.7×
Echo transesophageal (93312) $3,245.40 $5,409 5.9×
Eeg 41-60 Minutes (95812) $611.40 $1,019 2.8×
EEG awake and asleep (95819) $1,468.20 $2,447 6.8×
EEG awake drowsy (95816) $846.60 $1,411 3.9×
EEG cont rec w/video by tech min 8 channels (95700) $336.60 $561 1.6×
EEG extended monitoring 61-119 minutes (95813) $2,868.60 $4,781 13.3×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $611.40 $1,019 2.8×
EEG wo vid ea 12-26hr unmntr (95708) $1,443.60 $2,406 3.9×
Electrocardiogram Tracing (93005) $343.80 $573 5.8×
Electroconvulsive Therapy (90870) $1,261.80 $2,103 1.5×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $6,210.60 $10,351 0.8×
Electrophysiology Evaluation (93642) $1,338.60 $2,231 1.1×
Emergency Dept Visit Level 2 (99282) $549.60 $916 3.6×
Emergency Dept Visit Level 3 (99283) $1,089 $1,815 4.0×
Emergency Dept Visit Level 4 (99284) $1,752 $2,920 4.2×
Emg 3 Extremities (95863) $367.80 $613 2.9×
Emg 4 Extremities (95864) $580.20 $967 4.5×
Endomyocardial Biopsy (93505) $9,579.03 $15,965.05 3.0×
Ep & ablate supravent arrhyt (93653) $61,794.52 $102,990.87 2.4×
Ep & ablate ventric tachy (93654)
range across 4 matching MRF lines
$26,446.91–$82,435.64 $44,078.19–$137,392.73 varies
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $13,344 $22,240 1.7×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $6,210.60 $10,351 0.8×
Ep Esophageal Recording Atria+Pacing (93616) $1,707.60 $2,846 1.4×
Er level 1 (99281) $340.20 $567 4.0×
Er level v (99285) $2,817 $4,695 4.7×
Esoph Atrial Electrogram (93615) $1,338.60 $2,231 1.1×
Esophgl Balo Distension Dx Std W/Provocation (91040) $789.60 $1,316 2.1×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $891.60 $1,486 2.4×
Evaluate pt use of inhaler (94664) $187.80 $313 0.9×
Evaluate Speech Production (92522)
range across 4 matching MRF lines
$153.60–$300 $256–$500 varies
Evaluate Swallowing Function (92610)
range across 24 matching MRF lines
$141.60–$276.60 $236–$461 varies
Evoked Auditory Test,Limited (92587) $288 $480 1.3×
Exercise test for bronchospasm (94617) $202.80 $338 1.5×
External ECG rec>48hr<7d recording (93242) $222.60 $371 6.0×
External ECG rec>7d<15d recording (93246) $366 $610 9.8×
External Ecg Scanning Analysis Report (93226) $1,113 $1,855 18.8×
Extracranial Bilat Study (93880) $751.20 $1,252 3.1×
Extracranial Uni/Ltd Study (93882) $571.80 $953 5.5×
F-up/limited tthrc echo congenital car anomaly (93304) $670.20 $1,117 1.2×
Flexible endoscopic eval swallow c/v rec (92612)
range across 6 matching MRF lines
$138–$422.40 $230–$704 varies
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,169.40 $1,949 1.4×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $639.60 $1,066 1.7×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $691.80 $1,153 3.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $962.40 $1,604 1.1×
Gi tract capsule endoscopy (91110) $1,087.20 $1,812 1.2×
Gi tract imaging intraluminal colon i&r (91113) $1,851 $3,085 2.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461)
range across 2 matching MRF lines
$11,343.75–$47,406.40 $18,906.25–$79,010.67 varies
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines
$1,218.60–$1,720.80 $2,031–$2,868 varies
Holter monitor recording (93225) $793.80 $1,323 6.0×
Icd device progr eval dual (93283) $58.80 $98 1.6×
Icd Device Progr Eval Mult (93284) $63 $105 1.7×
Immunization administration (90471) $82.20 $137 1.1×
Insert/Place Heart Catheter (93503) $1,756.20 $2,927 1.1×
Intra-atrial pacing (93610) $6,210.60 $10,351 0.8×
Intra-atrial recording (93602) $6,210.60 $10,351 0.8×
Intracranial Complete Study (93886) $796.80 $1,328 3.3×
Intraventricular pacing (93612) $6,210.60 $10,351 0.8×
Irrig Drug Delivery Device (96523) $169.80 $283 2.9×
Ischemic limb exercise test (95875) $180 $300 1.4×
IV infusion hydration each additional hour (96361) $265.20 $442 5.7×
IV infusion hydration initial 31 min-1 hour (96360) $483 $805 2.3×
IV infusion ther proph addl sequential to 1 hr (96367) $374.40 $624 5.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $288 $480 6.1×
IV push initial (96374) $233.40 $389 1.1×
L Hrt Art/Grft Angio (93459)
range across 2 matching MRF lines
$9,686.35–$44,837.33 $16,143.91–$74,728.89 varies
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $8,657.99 $14,429.99 2.7×
Low frequency non-thermal us (97610) $228.60 $381 1.1×
Lung Function Test (Mbc/Mvv) (94200) $89.40 $149 1.5×
Mechanical chest wall oscillation per session (94669) $304.80 $508 1.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $40.20 $67 1.3×
Motility study esophagus (91010) $1,398 $2,330 3.7×
Motion Fluoroscopy/Swallow (92611)
range across 18 matching MRF lines
$159.60–$487.80 $266–$813 varies
Muscle Test 2 Limbs (95861) $249 $415 1.9×
Muscle Test Hemidiaphragm (95866) $180 $300 1.4×
Muscle Test Nonparaspinal (95870) $148.80 $248 1.1×
Muscle Test One Limb (95860) $148.80 $248 1.1×
Nasopharyngoscopy (92511) $223.80 $373 1.1×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $358.20 $597 1.7×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $358.20 $597 1.7×
Needle electromyography larynx (95865) $209.40 $349 1.6×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $358.20 $597 1.7×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $347.40 $579 1.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $459.60 $766 1.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $488.40 $814 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $381 $635 1.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $459.60 $766 1.1×
Nerve Conduction Studies 1-2 Studies (95907) $306 $510 1.4×
Nerve Conduction Studies 11-12 Studies (95912) $966.60 $1,611 2.6×
Nerve conduction studies 13 or more studies (95913) $1,023 $1,705 2.7×
Nerve Conduction Studies 3-4 Studies (95908) $336.60 $561 1.6×
Nerve conduction studies 5-6 studies (95909) $358.20 $597 1.7×
Nerve conduction studies 7-8 studies (95910) $426 $710 1.1×
Nerve Conduction Studies 9-10 Studies (95911) $683.40 $1,139 1.8×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $180 $300 1.4×
Neuromuscular Reeducation (97112) $63.60 $106 1.9×
Newborn resuscitation (99465) $125.40 $209 0.2×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $148.80 $248 1.1×
Oral Function Therapy (92526)
range across 12 matching MRF lines
$138–$270 $230–$450 varies
Oral Speech Device Eval (92597)
range across 6 matching MRF lines
$98.40–$153.60 $164–$256 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $73.20 $122 1.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $67.20 $112 1.5×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $34.20 $57 1.6×
Osteopathic manipulative tx 3-4 body regions (98926) $49.20 $82 2.3×
Osteopathic manipulative tx 5-6 body regions (98927) $68.40 $114 3.2×
Osteopathic manipulative tx 7-8 body regions (98928) $85.80 $143 4.0×
Osteopathic manipulative tx 9-10 body regions (98929) $102.60 $171 4.7×
Ot eval high complexity (97167) $263.40 $439 2.6×
Ot Eval Low Complex (97165) $214.20 $357 2.1×
Ot Eval Moderate Complexity (97166) $235.80 $393 2.3×
Ot manual therapy 15 min (97140) $63.60 $106 2.3×
Ot Re-Eval Est Plan Care (97168) $115.20 $192 1.7×
Penile Vascular Study,Ltd or F/U (93981) $300.60 $501 2.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $393 $655 1.8×
Perq transcath closure pda (93582) $25,181.68 $41,969.46 1.4×
Perq Transcath Cls Aortic (93591) $12,182.40 $20,304 0.7×
Perq Transcath Cls Mitral (93590) $41,613.17 $69,355.29 2.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 8 matching MRF lines
$19,305.34–$68,127.96 $32,175.56–$113,546.60 varies
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
range across 7 matching MRF lines
$13,191.11–$84,575.57 $21,985.18–$140,959.29 varies
Phlebotomy therapeutic (99195) $313.80 $523 2.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $231.60 $386 3.9×
Plethysmography (94726) $358.20 $597 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,566.80 $4,278 3.0×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $48.60 $81 1.3×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $53.40 $89 1.4×
Prq Card Angio/Athrect 1 Art (92924)
range across 3 matching MRF lines
$31,493.20–$53,052.29 $52,488.67–$88,420.48 varies
Prq Card Stent W/Angio 1 Vsl (92928)
range across 6 matching MRF lines
$24,441.98–$93,668.08 $40,736.64–$156,113.47 varies
Prq Card Stent/Ath/Angio (92933)
range across 2 matching MRF lines
$76,226.09–$88,313.62 $127,043.49–$147,189.36 varies
Prq Revasc Byp Graft 1 Vsl (92937)
range across 4 matching MRF lines
$38,905.16–$59,568.47 $64,841.94–$99,280.78 varies
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $62,874.36 $104,790.60 3.4×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
range across 2 matching MRF lines
$30,401.90–$35,958.08 $50,669.84–$59,930.14 varies
Pt Eval High Complex (97163) $268.80 $448 2.7×
Pt eval low complex 20 min (97161) $222 $370 2.3×
Pt Eval Mod Complex (97162) $244.20 $407 2.5×
Pt gait training 15 min (97116) $97.20 $162 3.3×
Pt group caregiver training (97552) $23.40 $39 1.1×
Pt Re-Eval Est Plan Care (97164) $112.20 $187 1.7×
Pulm function test by gas (94727) $221.40 $369 1.0×
Pulmonary service/procedure (94799)
range across 4 matching MRF lines
$58.80–$198.60 $98–$331 varies
Pulmonary Stress Testing (94618) $335.40 $559 2.5×
R Hrt Art/Grft Angio (93457) $10,377.23 $17,295.39 3.2×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $8,257.04 $13,761.74 2.5×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $16,254.97 $27,091.62 5.0×
R hrt coronary artery angio (93456)
range across 2 matching MRF lines
$10,161.73–$32,368.38 $16,936.22–$53,947.30 varies
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $17,222.92 $28,704.86 5.3×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $8,016.22 $13,360.37 2.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $9,310.18 $15,516.96 2.9×
Refill/Maint Pump/Resvr Syst (96522) $208.80 $348 1.0×
Remote 30 Day Ecg Rev/Report (93270) $324 $540 8.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $90 $150 1.5×
Right Heart Cath (93451)
range across 2 matching MRF lines
$8,131.77–$14,101.91 $13,552.95–$23,503.19 varies
Right ventricular recording (93603) $1,338.60 $2,231 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $331.80 $553 1.7×
Self Care Mngment Training (97535) $102 $170 3.1×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $420.60 $701 1.9×
Short-latency somatosens ep std upr limbs (95925) $784.80 $1,308 3.6×
Sleep study unattended (95806) $870 $1,450 4.0×
Slp caregiver training 1st 30 min (97550) $82.80 $138 1.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $870 $1,450 4.0×
Somatosensory Testing (95938) $895.80 $1,493 1.0×
Speech sound lang comprehen (92523)
range across 11 matching MRF lines
$212.40–$865.80 $354–$1,443 varies
Spirometry (94010) $228 $380 1.1×
Ssep lower limbs (95926) $691.80 $1,153 3.2×
Standardized Cognitive Performance Testing (96125) $160.80 $268 1.6×
Stress Tte Only (93350) $1,749 $2,915 3.2×
Surfactant Admin Thru Tube (94610) $234 $390 1.1×
Temp transcutaneous pacing (92953) $752.40 $1,254 1.1×
Testing Autonomic Nervous System Function (95923) $148.80 $248 1.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $57.60 $96 2.6×
Ther Ivntj Ea Addl 15 Min (97130) $39 $65 1.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $83.40 $139 2.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $148.80 $248 1.5×
Ther/Proph/Diag Inj Ia (96373) $219 $365 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $199.20 $332 2.8×
Ther/Proph/Diag Iv Inf Init (96365) $507.60 $846 2.4×
Therapeutic Activities (97530) $125.40 $209 3.6×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,308.80 $3,848 6.2×
Transcath Closure of Asd (93580) $57,752.25 $96,253.75 3.1×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $377.40 $629 3.6×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $180 $300 1.4×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $148.80 $248 1.1×
Tte w/doppler, complete (93306) $3,966 $6,610 7.2×
Tte W/O Doppler Complete (93307) $1,479 $2,465 6.2×
Tx atrial fib pulm vein isol (93656)
range across 2 matching MRF lines
$22,658.02–$80,914.12 $37,763.37–$134,856.87 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 7 matching MRF lines
$136.80–$267 $228–$445 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $200.40 $334 4.3×
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines
$11,806.69–$17,082.66 $19,677.81–$28,471.10 varies
Unlisted Diagnostic Gastroenterology Procedure (91299) $206.40 $344 1.6×
Unlisted Psychiatric Service/Procedure (90899) $133.80 $223 3.6×
Upr/L Xtremity Art 2 Levels (93922) $248.40 $414 1.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $359.40 $599 1.7×
Valvuloplasty aortic valve (92986) $4,666.80 $7,778 0.8×
Valvuloplasty mitral valve (92987) $31,243.06 $52,071.76 2.7×
Valvuloplasty pulmonary valve (92990) $24,761.71 $41,269.52 2.1×
Veeg 2-12 hr intmt mntr (95712) $776.40 $1,294 2.1×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $2,879.40 $4,799 7.7×
Vent Mgmt Inpat Init Day (94002) $1,848.60 $3,081 3.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,666.20 $2,777 2.7×
Visual Evoked Potential Test (95930) $1,182 $1,970 5.5×
Vital capacity, total (94150) $163.80 $273 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $47.40 $79 1.5×

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.