| Advance care planning first 30 mins (99497) |
$52.50 |
$87.50 |
0.5× |
| Airway inhalation treatment (94640) |
$261 |
$435 |
1.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$227.40 |
$379 |
15.8× |
| Basic vestibular evaluation (92540) |
$212.10 |
$353.50 |
1.0× |
| Bedside Swallowing Eval (92610) |
$592.20 |
$987 |
7.0× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$438 |
$730 |
4.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$468 |
$780 |
1.3× |
| Caloric vestibular test w/rec bi bithermal (92537) |
$201 |
$335 |
1.6× |
| Caloric vestibular test w/rec bi monothermal (92538) |
$201 |
$335 |
1.0× |
| Canalith Repositioning Procedure (95992) |
$29.40 |
$49 |
0.7× |
| Cardiac Stress Tst,Tracing Only (93017) |
$540 |
$900 |
2.6× |
| Cardiopulmonary exercise testing (94621) |
$424.80 |
$708 |
1.2× |
| Cardiopulmonary resuscitation (92950) |
$764.40 |
$1,274 |
3.7× |
| Cardioversion (92960) |
$821.40 |
$1,369 |
1.3× |
| Cardioversion elective internal (92961) |
$876.60 |
$1,461 |
1.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$16,723.80 |
$27,873 |
5.4× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$162.60 |
$271 |
2.4× |
| Chemo IV push addl drug (96411) |
$343.20 |
$572 |
5.0× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$481.20 |
$802 |
1.5× |
| Chemother, IV infusion, 1 hr (96413) |
$477 |
$795 |
1.5× |
| Chemother, IV infusion, ea add hr (96415) |
$156.60 |
$261 |
2.3× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$150 |
$250 |
2.2× |
| Chemotherapy into cns (96450) |
$523.80 |
$873 |
1.7× |
| Chemotherapy, unspecified procedure (96549) |
$60 |
$100 |
1.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$136.80 |
$228 |
2.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$223.20 |
$372 |
0.7× |
| Color/duplex Doppler, complete (93975) |
$1,066.20 |
$1,777 |
4.7× |
| Color/duplex Doppler, limited (93976) |
$666.60 |
$1,111 |
6.6× |
| Comprehensive Hearing Test (92557) |
$84 |
$140 |
0.7× |
| Computerized dynamic posturography (92548) |
$84.90 |
$141.50 |
0.7× |
| Coronary art/grft angio s&i (93455) |
$11,555.40 |
$19,259 |
3.7× |
| Coronary artery angio s&i (93454) |
$9,098.40 |
$15,164 |
2.9× |
| Cpap/bipap (94660) |
$433.20 |
$722 |
2.1× |
| Cpt initial (94667) |
$133.80 |
$223 |
1.0× |
| Critical care (99291) |
$280.20 |
$467 |
0.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$136.80 |
$228 |
0.7× |
| Dermatological procedure (96999) |
$227.40 |
$379 |
1.2× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$136.50 |
$227.50 |
0.4× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$628.80 |
$1,048 |
2.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$822.60 |
$1,371 |
3.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$651.60 |
$1,086 |
6.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$754.20 |
$1,257 |
3.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$651.60 |
$1,086 |
6.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$880.80 |
$1,468 |
3.8× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$721.20 |
$1,202 |
7.2× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$356.40 |
$594 |
1.6× |
| Duplex scan extracranial art compl bi study (93880) |
$754.20 |
$1,257 |
3.3× |
| Ear and throat examination (92502) |
$175.20 |
$292 |
0.3× |
| Echo Heart Xthoracic,Limited (93308) |
$702 |
$1,170 |
3.1× |
| Echo transesophageal (93312) |
$1,717.80 |
$2,863 |
3.3× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$816.60 |
$1,361 |
1.6× |
| EEG awake and asleep (95819) |
$540 |
$900 |
2.6× |
| EEG coma or sleep only (95822) |
$776.40 |
$1,294 |
3.7× |
| EKG rhythm strip (93041) |
$106.20 |
$177 |
1.9× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$180 |
$300 |
2.0× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$75 |
$125 |
2.1× |
| Electrocardiogram Tracing (93005) |
$149.40 |
$249 |
2.6× |
| Electroconvulsive Therapy (90870) |
$993.60 |
$1,656 |
1.2× |
| Er level 1 (99281) |
$67.20 |
$112 |
0.8× |
| Er level ii (99282) |
$158.40 |
$264 |
1.1× |
| Er level iii (99283) |
$304.80 |
$508 |
1.2× |
| Er level IV (99284) |
$1,917 |
$3,195 |
4.8× |
| Er level v (99285) |
$2,482.20 |
$4,137 |
4.3× |
| Eval speech sound production (92522) |
$450 |
$750 |
4.0× |
| Evaluation of speech fluency (92521) |
$450 |
$750 |
3.4× |
| External ECG rec>48hr<7d recording (93242) |
$51.60 |
$86 |
1.4× |
| External ECG rec>7d<15d recording (93246) |
$82.20 |
$137 |
2.3× |
| External Ecg Scanning Analysis Report (93226) |
$452.40 |
$754 |
8.0× |
| Hemodialysis (90935) |
$1,500 |
$2,500 |
2.3× |
| Holter Monitor (93225) |
$127.20 |
$212 |
1.0× |
| Imm admn sarscov2 vaccine single dose (90480) |
$50.40 |
$84 |
1.3× |
| Immunization Admin (90471) |
$77.40 |
$129 |
1.1× |
| Interrog device eval heart (93289) |
$94.80 |
$158 |
2.6× |
| Iontophoresis 15 min (97033) |
$233.40 |
$389 |
12.3× |
| Irrig drug delivery device (96523) |
$90.60 |
$151 |
1.6× |
| IV infusion hydration each additional hour (96361) |
$80.40 |
$134 |
1.8× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$289.20 |
$482 |
1.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$289.20 |
$482 |
4.2× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$362.40 |
$604 |
1.8× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$93.60 |
$156 |
2.1× |
| IV push ea addl new drug (96375) |
$91.80 |
$153 |
2.0× |
| IV push initial (96374) |
$258.60 |
$431 |
1.3× |
| L hrt art/grft angio (93459) |
$17,650.20 |
$29,417 |
5.7× |
| Liver Elastography W/O Imag W/I&R (91200) |
$280.20 |
$467 |
2.3× |
| Manual therapy 15 min (97140) |
$147 |
$245 |
5.3× |
| Mechanical chest wall oscillation (94669) |
$133.80 |
$223 |
0.6× |
| Mechanical traction (97012) |
$235.80 |
$393 |
16.4× |
| Methacholine challenge (94070) |
$277.20 |
$462 |
0.8× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$775.80 |
$1,293 |
8.5× |
| Neg press wound tx >50 cm (97608) |
$406.20 |
$677 |
1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$108 |
$180 |
0.6× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$223.80 |
$373 |
1.8× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$277.20 |
$462 |
2.2× |
| Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording Non-Facility (92544) |
$135 |
$225 |
1.1× |
| Oscillating Tracking Test (92545) |
$150 |
$250 |
0.7× |
| Ot eval high complex 60 min (97167) |
$337.80 |
$563 |
3.4× |
| Ot eval low complex 30 min (97165) |
$337.80 |
$563 |
3.4× |
| Ot eval mod complex 45 min (97166) |
$337.80 |
$563 |
3.4× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$179.40 |
$299 |
3.6× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$100.80 |
$168 |
2.5× |
| Ot re-evaluation (97168) |
$249 |
$415 |
3.6× |
| Ot therapeutic activity 15 min (97530) |
$207 |
$345 |
5.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$186 |
$310 |
1.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$18 |
$30 |
0.1× |
| Paraffin bath pt (97018) |
$140.40 |
$234 |
23.4× |
| Peritoneal Dialysis (90945) |
$1,500 |
$2,500 |
3.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$9,631.20 |
$16,052 |
1.8× |
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
likely a partial charge, not the full procedure |
$1,197 |
$1,995 |
0.1× |
| Phlebotomy therapeutic (99195) |
$159 |
$265 |
1.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$141 |
$235 |
2.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$120.90 |
$201.50 |
2.1× |
| Plethysmography (94726) |
$88.80 |
$148 |
0.2× |
| Pm device eval in person (93288) |
$55.80 |
$93 |
1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,162.20 |
$6,937 |
5.1× |
| Positional Nystagmus Test (92542) |
$73.80 |
$123 |
0.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$18 |
$30 |
0.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) |
$18.60 |
$31 |
0.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$14,624.40 |
$24,374 |
1.3× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$14,624.40 |
$24,374 |
1.3× |
| Pt Electrical Stimulation (97032) |
$207 |
$345 |
14.1× |
| Pt eval high complex 45 min (97163) |
$280.20 |
$467 |
2.9× |
| Pt eval low complex 20 min (97161) |
$280.20 |
$467 |
2.9× |
| Pt eval mod complex 30 min (97162) |
$280.20 |
$467 |
2.9× |
| Pt gait training 15 min (97116) |
$179.40 |
$299 |
6.2× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$186 |
$310 |
5.7× |
| Pt Physical Performance Test (97750) |
$70.80 |
$118 |
2.1× |
| Pt re-evaluation (97164) |
$185.40 |
$309 |
2.7× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$202.80 |
$338 |
6.3× |
| Pt Whirlpool Therapy (97022) |
$185.40 |
$309 |
11.8× |
| Pure Tone Audiometry Air Only (92552) |
$60 |
$100 |
0.5× |
| R hrt coronary artery angio (93456) |
$13,033.20 |
$21,722 |
4.2× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$16,723.80 |
$27,873 |
5.4× |
| R&l hrt art/ventricle angio (93460) |
$16,723.80 |
$27,873 |
5.4× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) |
$441 |
$735 |
1.4× |
| Refill/Maint Portable Pump (96521) |
$320.40 |
$534 |
1.6× |
| Refill/Maint Pump/Resvr Syst (96522) |
$320.40 |
$534 |
1.6× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$175.20 |
$292 |
4.9× |
| Right heart cath (93451) |
$8,403.60 |
$14,006 |
2.7× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$88.80 |
$148 |
0.7× |
| Sensory Integration Ea 15 Min (97533) |
$163.20 |
$272 |
2.7× |
| Sinusoidal Vertical Axis Rotational Testing (92546) |
$119.10 |
$198.50 |
1.0× |
| Sleep study attended (95807) |
$2,011.80 |
$3,353 |
5.6× |
| Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) |
$494.40 |
$824 |
8.7× |
| Smoking cessation > 10 min (99407) |
$42 |
$70 |
1.2× |
| Speech sound lang comprehen (92523) |
$450 |
$750 |
2.0× |
| Spontaneous nystagmus test (92541) |
$78 |
$130 |
0.6× |
| Temp transcutaneous pacing (92953) |
$819.60 |
$1,366 |
1.3× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$95.40 |
$159 |
1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$24 |
$40 |
0.7× |
| Trans Care Mgmt 14 Day Disch (99495) |
$152.70 |
$254.50 |
1.2× |
| Trans Care Mgmt 7 Day Disch (99496) |
$202.50 |
$337.50 |
1.6× |
| Transtelephonic rhythm strip pacemaker eval (93293) |
$55.80 |
$93 |
1.6× |
| Tte w/doppler, complete (93306) |
$2,640 |
$4,400 |
5.0× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$141.90 |
$236.50 |
0.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$277.80 |
$463 |
3.6× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$232.20 |
$387 |
2.8× |
| Tympanometry (92567) |
$21 |
$35 |
0.6× |
| Upr/lxtr art stdy 3+ lvls (93923) |
$205.20 |
$342 |
1.0× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$163.20 |
$272 |
1.6× |
| Vent mgmt inpat init day (94002) |
$739.80 |
$1,233 |
1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$379.20 |
$632 |
0.6× |
| Vital capacity, total (94150) |
$180 |
$300 |
1.5× |