Visits & medical services prices at Baystate Medical Center

Springfield, MA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $13,290 $13,290 1.4×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $227.13 $227.13 1.5×
Actigraphy Testing Recording Analysis I&R (95803) $192 $192 2.7×
Admn Sarscov2 Vacc 1 Dose (90480) $109.35 $109.35 2.2×
Aep neurodiagnostic i&r (92653) $698.22 $698.22 2.7×
Aep threshold estimation mlt frequencies i&r (92652) $597 $597 2.3×
Airway Inhalation Treatment (94640)
range across 19 matching MRF lines		 $333.66–$1,876 $333.66–$1,876 varies
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $515 $515 3.2×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $360 $360 2.3×
Analyze neurostim complex (95972) $1,798.20 $1,798.20 15.8×
Analyze neurostim no prog (95970) $719 $719 4.5×
Analyze Neurostim Simple (95971) $484.56 $484.56 4.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $130.62 $130.62 9.1×
Assessment of aphasia per hr (96105) $388.66 $388.66 4.0×
Audiometry Air & Bone (92553) $293 $293 1.9×
Basic vestibular evaluation (92540) $310 $310 1.2×
Blink reflex test (95933) $872 $872 12.3×
Breath hydrogen/methane test (91065) $615.60 $615.60 2.4×
Brief Emotional/Behav Assmt (96127) $64 $64 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $756 $756 1.7×
Bundle of his recording (93600) $9,011.32 $9,011.32 1.0×
C motor evoked upr&lwr limbs (95939) $1,697 $1,697 1.6×
Canalith repositioning proc (95992) $176.97 $176.97 4.3×
Car seat/bed test 60 min (94780) $415.04 $415.04 9.3×
Cardiac Stress Tst,Tracing Only (93017) $1,146.15 $1,146.15 4.4×
Cardiopulmonary exercise testing (94621) $1,524.15 $1,524.15 3.4×
Cardiopulmonary resuscitation (92950) $858 $858 3.3×
Cardioversion (92960) $2,103.30 $2,103.30 2.7×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $8,004 $8,004 2.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,263 $9,263 2.4×
Cbt 1st hour (94644) $339 $339 2.1×
Chemo Anti-Neopl Sq/Im (96401) $450.59 $450.59 5.2×
Chemo Hormon Antineopl Sq/Im (96402) $280.20 $280.20 3.2×
Chemo Ia Push (96420) $780 $780 2.0×
Chemo IV infusion addl hr (96415)
range across 8 matching MRF lines		 $294–$382.80 $294–$382.80 varies
Chemo IV push addl drug (96411) $459 $459 5.3×
Chemother Prolong Infuse W/Pump (96416) $1,323 $1,323 3.3×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $294.69 $294.69 5.3×
Chemotherapy Into Cns (96450) $2,199 $2,199 5.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $382.80 $382.80 4.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,395.90 $1,395.90 3.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $801.90 $801.90 2.0×
Chest Wall Manipulation (94668) $210 $210 1.3×
Color/duplex Doppler, complete (93975) $1,345.72 $1,345.72 4.7×
Color/duplex Doppler, limited (93976) $1,011.79 $1,011.79 8.1×
Comprehensive Hearing Test (92557) $623 $623 4.0×
Conditioning Play Audiometry (92582) $227.97 $227.97 1.5×
Cont Gluc Mntr Pt Prov Eqp (95249) $175.50 $175.50 2.5×
Coronary Art/Grft Angio S&I (93455) $11,074 $11,074 2.9×
Coronary Artery Angio S&I (93454) $8,492 $8,492 2.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $698 $698 2.7×
Cpt initial (94667) $158.60 $158.60 1.0×
Critical care first hour (99291) $4,235 $4,235 4.3×
Debridement Open Wound 20 Sq Cm< (97597) $830 $830 3.5×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $296 $296 1.9×
Dialysis One Evaluation (90945) $1,639 $1,639 3.3×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $409.77 $409.77 0.9×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,105.02 $1,105.02 3.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $942.79 $942.79 7.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,026 $1,026 3.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $932 $932 7.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,231.20 $1,231.20 4.3×
Dup-scan xtr veins unilateral/limited study (93971) $932 $932 7.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $503 $503 1.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $364 $364 2.9×
Duplex Scan Hemodialysis Access (93990) $489 $489 3.9×
Duplex up extrem art bilat (93930) $1,026 $1,026 3.6×
Duplex up extrem art unilat/ltd (93931) $932 $932 7.4×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $399.60 $399.60 2.6×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $399.60 $399.60 2.6×
Echo Congenital Complete (93303) $1,907 $1,907 2.9×
Echo Heart Xthoracic,Limited (93308)
range across 6 matching MRF lines		 $834–$1,101.33 $834–$1,101.33 varies
Echo r-t 2d w/probe placement only (93313) $1,806 $1,806 2.8×
Echo transesophageal (93312) $1,977 $1,977 3.0×
Eeg 41-60 Minutes (95812) $1,115.29 $1,115.29 4.3×
EEG awake and asleep (95819) $1,189.29 $1,189.29 4.6×
EEG awake drowsy (95816) $1,181 $1,181 4.6×
EEG cerebral death evaluation (95824) $1,453 $1,453 3.2×
EEG cont rec w/video by tech min 8 channels (95700) $743.85 $743.85 2.9×
EEG extended monitoring 61-119 minutes (95813) $1,294.37 $1,294.37 5.0×
Eeg Sleep Only (95822) $1,181 $1,181 4.6×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $2,276 $2,276 8.8×
EEG w/o vid ea 12-26hr intmt (95709) $4,128 $4,128 9.2×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $4,128 $4,128 16.0×
EEG wo vid ea 12-26hr unmntr (95708) $2,276 $2,276 5.1×
EKG signal averaged (93278) $487 $487 6.9×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $399 $399 3.5×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $163.80 $163.80 3.7×
Electrical Stimulation Ea 15 Min (97032) $115 $115 7.8×
Electrocardiogram Tracing (93005) $240.30 $240.30 3.4×
Electrocochleography (92584) $572.04 $572.04 3.7×
Electroconvulsive Therapy (90870) $1,321 $1,321 1.3×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $10,870 $10,870 1.2×
Electrophysiology Evaluation (93642) $2,607 $2,607 1.8×
Emergency Dept Visit Level 2 (99282) $504 $504 2.7×
Emergency Dept Visit Level 3 (99283) $733 $733 2.2×
Emergency Dept Visit Level 4 (99284) $1,464 $1,464 2.9×
Emg 3 Extremities (95863) $793 $793 5.1×
Emg 4 Extremities (95864) $890 $890 5.8×
Endomyocardial Biopsy (93505) $6,299.86 $6,299.86 1.7×
Ep & ablate supravent arrhyt (93653) $41,180 $41,180 1.3×
Ep & ablate ventric tachy (93654) $41,180 $41,180 1.3×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $14,087 $14,087 1.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $14,087 $14,087 1.5×
Er level 1 (99281) $375 $375 3.7×
Er level v (99285) $2,062 $2,062 2.9×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,565 $1,565 3.5×
Evaluate pt use of inhaler (94664) $359 $359 1.4×
Evaluate Speech Production (92522) $466 $466 4.2×
Evaluate Swallowing Function (92610) $588.60 $588.60 6.9×
Evaluation of speech fluency (92521) $548 $548 4.1×
Evoked Auditory Test,Limited (92587) $418.20 $418.20 1.6×
Exercise test for bronchospasm (94617) $626.40 $626.40 3.9×
External ECG rec>48hr<7d recording (93242) $244 $244 5.5×
External ECG rec>7d<15d recording (93246) $244 $244 5.5×
External Ecg Scanning Analysis Report (93226) $793 $793 11.2×
Extracranial Bilat Study (93880) $1,056 $1,056 3.7×
Extracranial Uni/Ltd Study (93882) $959 $959 7.7×
F-up/limited tthrc echo congenital car anomaly (93304) $1,507 $1,507 2.3×
Flexible endoscopic eval swallow c/v rec (92612) $492 $492 2.5×
Fundus photography (92250) $219 $219 1.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,540 $1,540 1.5×
Gi tract capsule endoscopy (91110) $3,023 $3,023 2.8×
Health Behavior Assessment/Re-Assessment (96156) $117 $117 1.0×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $93 $93 2.1×
Health behavior ivntj group f2f 1st 30 min (96164) $93 $93 2.1×
Health behavior ivntj indiv f2f 1st 30 min (96158) $295 $295 1.4×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461)
range across 2 matching MRF lines		 $8,004–$11,127 $8,004–$11,127 varies
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,341 $1,341 1.6×
Holter monitor recording (93225) $588.85 $588.85 3.7×
Icd Device Interrogate (93289) $492.46 $492.46 11.0×
Icd device progr eval dual (93283) $431.89 $431.89 9.7×
Icd Device Progr Eval Mult (93284) $469.03 $469.03 10.5×
Ilr Device Interrogate (93291) $339.30 $339.30 9.8×
Im Adm Intransl/Oral 1 Vaccine (90473) $113.05 $113.05 1.3×
Immunization administration (90471) $119 $119 1.4×
Insert/Place Heart Catheter (93503) $3,079 $3,079 1.6×
Interrogation vad in person (93750) $423 $423 3.7×
Intra-atrial pacing (93610) $9,011.32 $9,011.32 1.0×
Intracranial Complete Study (93886) $1,204.07 $1,204.07 4.2×
Iontophoresis 15 min (97033) $150 $150 7.9×
Irrig Drug Delivery Device (96523) $294.69 $294.69 4.2×
IV infusion hydration each additional hour (96361) $166.44 $166.44 3.0×
IV infusion hydration initial 31 min-1 hour (96360) $530.55 $530.55 2.1×
IV infusion ther proph addl sequential to 1 hr (96367)
range across 11 matching MRF lines		 $192–$363.15 $192–$363.15 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 25 matching MRF lines		 $192–$591.60 $192–$591.60 varies
IV push initial (96374) $341 $341 1.3×
L Hrt Art/Grft Angio (93459) $13,253 $13,253 3.4×
Low frequency non-thermal us (97610) $597 $597 2.5×
Lung Function Test (Mbc/Mvv) (94200) $515.70 $515.70 7.3×
Lwr Xtr Vasc Stdy Bilat (93924) $1,136.70 $1,136.70 4.4×
Mechanical chest wall oscillation per session (94669) $244.39 $244.39 0.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 9 matching MRF lines		 $116.93–$129.57 $116.93–$129.57 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 9 matching MRF lines		 $129.57–$608 $129.57–$608 varies
Methacholine challenge (94070) $1,062.09 $1,062.09 2.4×
Motility study esophagus (91010) $1,920 $1,920 4.3×
Motion Fluoroscopy/Swallow (92611) $591.30 $591.30 6.5×
Multiple Sleep Latency Test (95805) $2,992.95 $2,992.95 2.9×
Muscle Test 2 Limbs (95861) $572 $572 3.6×
Muscle Test Hemidiaphragm (95866) $310 $310 2.0×
Muscle Test Nonparaspinal (95870) $231 $231 1.4×
Muscle Test One Limb (95860) $399 $399 2.5×
Nasopharyngoscopy (92511) $610.97 $610.97 2.6×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $769.65 $769.65 3.0×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $605.45 $605.45 2.3×
Needle electromyography larynx (95865) $410.48 $410.48 2.6×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $369.81 $369.81 1.4×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $347.62 $347.62 1.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $724 $724 1.5×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 4 matching MRF lines		 $610–$724 $610–$724 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $409 $409 1.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $610 $610 1.3×
Nerve Conduction Studies 1-2 Studies (95907) $488 $488 1.9×
Nerve Conduction Studies 11-12 Studies (95912) $2,334.15 $2,334.15 5.2×
Nerve conduction studies 13 or more studies (95913) $1,873 $1,873 4.2×
Nerve Conduction Studies 3-4 Studies (95908) $881 $881 3.4×
Nerve conduction studies 5-6 studies (95909) $1,320.96 $1,320.96 5.1×
Nerve conduction studies 7-8 studies (95910) $1,556.55 $1,556.55 3.5×
Nerve Conduction Studies 9-10 Studies (95911) $2,106 $2,106 4.7×
Neurobehavioral Status Exam (96116) $686 $686 2.7×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $488 $488 3.2×
Neuromuscular Reeducation (97112) $155.38 $155.38 4.7×
Newborn resuscitation (99465) $918.65 $918.65 1.2×
Nrpsyc tst eval phys/qhp 1st (96132) $705 $705 1.6×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $224.90 $224.90 1.4×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $248 $248 1.6×
Ophth medical xm&eval intermediate estab pt (92012) $242.28 $242.28 1.5×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $321 $321 2.0×
Oral Function Therapy (92526) $369.90 $369.90 4.4×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $130 $130 5.0×
Osteopathic manipulative tx 3-4 body regions (98926) $107.25 $107.25 4.1×
Ot eval high complexity (97167) $490.88 $490.88 4.9×
Ot Eval Low Complex (97165) $415.57 $415.57 4.1×
Ot Eval Moderate Complexity (97166) $476.66 $476.66 4.7×
Ot manual therapy 15 min (97140) $149.06 $149.06 5.4×
Ot paraffin bath (97018) $84 $84 14.0×
Ot Re-Eval Est Plan Care (97168) $180.13 $180.13 2.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $277 $277 1.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $277 $277 1.8×
Oxygen Uptake Rest Indirect (94690) $212 $212 3.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $380.49 $380.49 1.4×
Peripheral arterial disease rehab per session (93668) $124 $124 1.8×
Perq Transcath Cls Aortic (93591) $39,349 $39,349 1.8×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $7,457.45 $7,457.45 1.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $15,459.35 $15,459.35 1.1×
Phlebotomy therapeutic (99195) $362 $362 2.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $311 $311 4.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $311 $311 4.4×
Plethysmography (94726) $641.26 $641.26 1.4×
Pm device eval in person (93288) $494 $494 11.0×
Pm device progr eval dual (93280) $340.25 $340.25 7.6×
Pm device progr eval multi (93281) $505 $505 11.3×
Pm Device Progr Eval Sngl (93279) $328.25 $328.25 7.3×
Pm/Icd Remote Tech Serv (93296) $353 $353 7.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,041 $3,041 3.0×
Polysom <6 yrs 4/> paramtrs (95782) $3,696.30 $3,696.30 3.6×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,925 $2,925 2.8×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $307 $307 6.9×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $531 $531 11.9×
Prq Card Angio/Athrect 1 Art (92924) $20,377.50 $20,377.50 1.5×
Prq Card Stent W/Angio 1 Vsl (92928) $15,459.35 $15,459.35 1.1×
Prq Revasc Byp Graft 1 Vsl (92937) $15,459.35 $15,459.35 1.1×
Psychiatric diagnostic evaluation (90791) $428 $428 2.0×
Psychological tst eval svc phys/qhp first hour (96130) $682 $682 2.6×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $473.88 $473.88 0.9×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $353 $353 2.2×
Psytx Crisis Initial 60 Min (90839) $703 $703 3.3×
Pt Eval High Complex (97163) $476.14 $476.14 4.9×
Pt eval low complex 20 min (97161) $425.05 $425.05 4.3×
Pt Eval Mod Complex (97162) $493.78 $493.78 5.0×
Pt gait training 15 min (97116) $150.37 $150.37 5.2×
Pt mechanical traction (97012) $96 $96 6.7×
Pt Re-Eval Est Plan Care (97164) $280.20 $280.20 4.2×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $33.75 $33.75 0.8×
Pulm function test by gas (94727) $393 $393 1.5×
Pulmonary service/procedure (94799) $263.25 $263.25 1.7×
Pulmonary Stress Testing (94618) $419 $419 2.6×
Pure Tone Audiometry Air (92552) $232 $232 1.5×
R Hrt Art/Grft Angio (93457) $10,519 $10,519 2.7×
R hrt coronary artery angio (93456) $7,398 $7,398 1.9×
Refill/Maint Portable Pump (96521) $596 $596 2.3×
Rem interrog icpms <30 d phys/qhp (93297) $353 $353 7.9×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $353 $353 7.9×
Remote 30 Day Ecg Rev/Report (93270) $228 $228 5.1×
Repet tms tx initial w/map/motr threshld/del&m (90867) $551 $551 2.1×
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) $441 $441 1.7×
Respiratory flow volume loop (94375) $732 $732 2.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $162 $162 2.3×
Right Heart Cath (93451) $7,384 $7,384 1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $577.26 $577.26 2.4×
Select picture audiometry (92583) $130.39 $130.39 1.8×
Self Care Mngment Training (97535) $158.80 $158.80 4.9×
Short-latency somatosens ep std upr limbs (95925) $1,102 $1,102 4.3×
Sleep study attended (95807) $1,732 $1,732 3.9×
Somatosensory Testing (95938) $2,202 $2,202 2.1×
Speech Audiometry Complete (92556) $175 $175 2.5×
Speech audiometry threshold (92555) $152 $152 2.1×
Speech sound lang comprehen (92523) $795.58 $795.58 3.5×
Spirometry (94010) $415.57 $415.57 1.6×
Ssep lower limbs (95926) $1,101 $1,101 4.3×
Standardized Cognitive Performance Testing (96125) $268 $268 2.6×
Stress Tte Only (93350) $1,705.20 $1,705.20 2.6×
Surfactant Admin Thru Tube (94610) $364 $364 1.4×
Temp transcutaneous pacing (92953) $1,181 $1,181 1.5×
Testing Autonomic Nervous System Function (95923) $485 $485 3.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $160.64 $160.64 7.2×
Ther Ivntj Ea Addl 15 Min (97130) $120 $120 5.7×
Ther/Proph/Diag Inj Ia (96373) $341 $341 1.3×
Ther/Proph/Diag Inj Sc/Im (96372) $150 $150 1.7×
Ther/Proph/Diag Iv Inf Init (96365) $591.60 $591.60 2.3×
Therap repetitive tms tx subseq delivery & mng (90868) $521.43 $521.43 2.0×
Therapeutic Activities (97530) $169.07 $169.07 4.8×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,857.15 $1,857.15 4.2×
Tobacco Use Cessation Intensive >10 Minutes (99407) $84.50 $84.50 1.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $73 $73 1.6×
Tone Decay Test (92563) $95.90 $95.90 2.1×
Transcath Closure of Asd (93580) $49,276.35 $49,276.35 2.2×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $959 $959 7.7×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $340 $340 2.2×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $575 $575 3.6×
Tte w/doppler, complete (93306) $2,010 $2,010 3.1×
Tx atrial fib pulm vein isol (93656) $41,180 $41,180 1.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $460.80 $460.80 6.1×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 17 matching MRF lines		 $152–$341 $152–$341 varies
Tympanometry (92567) $223.32 $223.32 5.0×
Tympanometry and reflex threshold measurements (92550) $219 $219 0.8×
Unlisted cardiovascular service/procedure (93799) $390 $390 2.5×
Unlisted Diagnostic Gastroenterology Procedure (91299) $336.15 $336.15 2.2×
Unlisted noninvasive vascular diagnostic study (93998) $466.35 $466.35 13.5×
Upr/L Xtremity Art 2 Levels (93922) $591 $591 3.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,008.10 $1,008.10 3.9×
Valvuloplasty aortic valve (92986) $26,848 $26,848 3.9×
Valvuloplasty mitral valve (92987) $13,467.61 $13,467.61 1.0×
Vasopneumatic device (97016) $122 $122 10.1×
Veeg 2-12 hr intmt mntr (95712) $6,949 $6,949 15.5×
Veeg 2-12 hr unmonitored (95711) $6,949 $6,949 26.9×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $6,949 $6,949 15.5×
Veeg Ea 12-26 Hr Unmntr (95714) $4,516.85 $4,516.85 10.1×
Vent Mgmt Inpat Init Day (94002) $1,160 $1,160 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $931.16 $931.16 1.3×
Visual Evoked Potential Test (95930) $1,282.74 $1,282.74 5.0×
Visual reinforcement audiometry (vra) (92579) $270 $270 1.0×
Vital capacity, total (94150) $353 $353 2.3×
Wada Activation Test Hemispheric Function W/Eeg (95958) $2,873 $2,873 2.8×
Wheelchair Mgmt Ea 15 Min (97542) $65 $65 2.1×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $427 $427 6.0×

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.