Visits & medical services prices at Bellin Memorial Hospital
Green Bay, WI · every code in this section with a posted price and a Medicare benchmark.
459 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) range across 2 matching MRF lines |
$5,206.90–$13,022.34 | $11,246–$28,126 | varies |
| Acoustic Reflex Testing (92568) | $28.71 | $62 | 0.8× |
| Actinotherapy Ultraviolet Light (96900) | $63.89 | $138 | 1.8× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$9.72–$26.85 | $21–$58 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 2 matching MRF lines |
$126.40–$255.58 | $273–$552 | varies |
| Aep neurodiagnostic i&r (92653) | $239.37 | $517 | 1.1× |
| Aep threshold estimation mlt frequencies i&r (92652) | $239.37 | $517 | 1.1× |
| Airway Inhalation Treatment (94640) range across 17 matching MRF lines |
$169.92–$439.85 | $367–$950 | varies |
| Airway resistance by oscillometry (94728) | $215.30 | $465 | 1.7× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 2 matching MRF lines |
$65.75–$72.69 | $142–$157 | varies |
| Allg tstg perq & ic venoms immed react w/i&r (95017) range across 2 matching MRF lines |
$35.65–$45.37 | $77–$98 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $180.57 | $390 | 1.4× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $138.44 | $299 | 1.1× |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$140.75–$185.66 | $304–$401 | varies |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$141.68–$220.39 | $306–$476 | varies |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$144.46–$179.64 | $312–$388 | varies |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $408.83 | $883 | 1.1× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $134.27 | $290 | 1.0× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $88.90 | $192 | 2.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$18.98–$31.02 | $41–$67 | varies |
| Application on-body injector (96377) range across 3 matching MRF lines |
$70.84–$78.71 | $153–$170 | varies |
| Arrhythmia Induction (93618) range across 2 matching MRF lines |
$1,253.34–$1,969.14 | $2,707–$4,253 | varies |
| Assessment of aphasia per hr (96105) range across 3 matching MRF lines |
$152.33–$198.63 | $329–$429 | varies |
| Assessment of tinnitus (92625) | $126.40 | $273 | 1.0× |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$149.55–$304.65 | $323–$658 | varies |
| Auditory Function, 60 Min (92620) | $121.77 | $263 | 1.0× |
| Basic vestibular evaluation (92540) | $152.79 | $330 | 0.7× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$158.81–$239.37 | $343–$517 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $194.46 | $420 | 2.4× |
| Bfb training ea addl 15 min (90913) | $76.40 | $165 | 2.3× |
| Biofeedback training any modality (90901) | $142.14 | $307 | 3.5× |
| Blink reflex test (95933) | $94.92 | $205 | 1.7× |
| Breath hydrogen/methane test (91065) | $144.46 | $312 | 0.7× |
| Brief Emotional/Behav Assmt (96127) | $37.04 | $80 | 1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$250.95–$541.71 | $542–$1,170 | varies |
| Bundle of his recording (93600) | $4,668.89 | $10,084 | 0.6× |
| C motor evoked uppr limbs (95928) range across 2 matching MRF lines |
$207.89–$1,937.66 | $449–$4,185 | varies |
| C motor evoked upr&lwr limbs (95939) range across 2 matching MRF lines |
$208.81–$1,665.41 | $451–$3,597 | varies |
| Caloric vestibular test w/rec bi monothermal (92538) | $121.31 | $262 | 0.6× |
| Caloric Vstblr Test W/Rec (92537) | $132.42 | $286 | 1.1× |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$72.69–$145.85 | $157–$315 | varies |
| Car seat/bed test 60 min (94780) range across 2 matching MRF lines |
$66.21–$88.90 | $143–$192 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$428.74–$541.71 | $926–$1,170 | varies |
| Cardiopulmonary exercise testing (94621) | $306.04 | $661 | 0.8× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$378.73–$467.63 | $818–$1,010 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,065.36–$1,130.65 | $2,301–$2,442 | varies |
| Cardioversion elective internal (92961) range across 2 matching MRF lines |
$981.56–$1,130.65 | $2,120–$2,442 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) range across 2 matching MRF lines |
$58.34–$65.28 | $126–$141 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$4,726.77–$5,722.68 | $10,209–$12,360 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$5,018.92–$5,827.32 | $10,840–$12,586 | varies |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$106.03–$214.37 | $229–$463 | varies |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $239.37 | $517 | 1.1× |
| Cervical Vemp Testing W/I&R (92517) | $126.40 | $273 | 1.0× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$109.27–$176.40 | $236–$381 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$118.99–$121.31 | $257–$262 | varies |
| Chemo Ia Push (96420) | $397.25 | $858 | 1.2× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$118.99–$176.40 | $257–$381 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$123.16–$176.40 | $266–$381 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$614.40–$884.79 | $1,327–$1,911 | varies |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) range across 2 matching MRF lines |
$375.49–$645.42 | $811–$1,394 | varies |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) range across 2 matching MRF lines |
$49.08–$90.29 | $106–$195 | varies |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$342.16–$606.53 | $739–$1,310 | varies |
| Chemotherapy Intracavitary (96440) | $751.45 | $1,623 | 2.3× |
| Chemotherapy Unspecified (96549) range across 2 matching MRF lines |
$49.08–$80.56 | $106–$174 | varies |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $397.25 | $858 | 1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$123.16–$176.40 | $266–$381 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$592.64–$878.31 | $1,280–$1,897 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$395.87–$511.15 | $855–$1,104 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $252.34 | $545 | 0.8× |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$106.03–$197.24 | $229–$426 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $74.08 | $160 | 0.8× |
| Cmptr ophth dx img ant segmt (92132) | $69.91 | $151 | 1.2× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$378.73–$469.48 | $818–$1,014 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$211.59–$218.54 | $457–$472 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$50.93–$69.91 | $110–$151 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $133.81 | $289 | 0.8× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $426.42 | $921 | 1.2× |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$121.31–$289.84 | $262–$626 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $74.54 | $161 | 1.3× |
| Computerized Ophthalmic Imaging Retina (92134) | $76.86 | $166 | 1.3× |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$137.51–$304.65 | $297–$658 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $244 | $527 | 1.9× |
| Continuous Pulse Ox (94762) range across 5 matching MRF lines |
$137.51–$289.84 | $297–$626 | varies |
| Corneal Topography (92025) | $82.41 | $178 | 1.4× |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$4,726.77–$5,722.68 | $10,209–$12,360 | varies |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$4,726.77–$5,462.47 | $10,209–$11,798 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 6 matching MRF lines |
$167.14–$319.93 | $361–$691 | varies |
| Cpt initial (94667) range across 3 matching MRF lines |
$106.03–$197.24 | $229–$426 | varies |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) | $375.49 | $811 | 1.8× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$1,275.57–$1,371.87 | $2,755–$2,963 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) range across 2 matching MRF lines |
$207.89–$993.60 | $449–$2,146 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$251.41–$350.03 | $543–$756 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $347.71 | $751 | 2.8× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $121.31 | $262 | 1.0× |
| Dialysis One Evaluation (90945) range across 9 matching MRF lines |
$357.90–$1,011.19 | $773–$2,184 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $58.80 | $127 | 0.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$283.36–$470.41 | $612–$1,016 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $259.28 | $560 | 2.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$374.10–$469.48 | $808–$1,014 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$210.67–$217.15 | $455–$469 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$278.26–$469.48 | $601–$1,014 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$166.22–$210.67 | $359–$455 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$419.02–$454.20 | $905–$981 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 2 matching MRF lines |
$201.41–$207.42 | $435–$448 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$197.24–$232.89 | $426–$503 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$320.86–$432.44 | $693–$934 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$177.79–$194 | $384–$419 | varies |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $202.79 | $438 | 1.6× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $121.31 | $262 | 1.0× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $122.70 | $265 | 1.0× |
| Ear and throat examination (92502) | $571.81 | $1,235 | 1.1× |
| ECG/monitoring and analysis (93271) | $207.42 | $448 | 2.2× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$1,056.57–$1,196.86 | $2,282–$2,585 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$469.48–$480.59 | $1,014–$1,038 | varies |
| Echo r-t 2d w/probe placement only (93313) | $444.02 | $959 | 0.8× |
| Echo transesophageal (93312) range across 4 matching MRF lines |
$1,056.57–$1,130.18 | $2,282–$2,441 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,027.40 | $2,219 | 1.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 4 matching MRF lines |
$1,056.57–$1,065.83 | $2,282–$2,302 | varies |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$499.11–$738.95 | $1,078–$1,596 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$601.44–$739.41 | $1,299–$1,597 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$499.11–$650.98 | $1,078–$1,406 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$507.45–$982.95 | $1,096–$2,123 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$581.99–$812.57 | $1,257–$1,755 | varies |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$554.21–$651.44 | $1,197–$1,407 | varies |
| EEG w/o vid 2-12hr cont mntr (95707) range across 2 matching MRF lines |
$256.04–$606.07 | $553–$1,309 | varies |
| EKG signal averaged (93278) | $78.25 | $169 | 1.4× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) range across 2 matching MRF lines |
$98.62–$181.96 | $213–$393 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 2 matching MRF lines |
$179.64–$209.74 | $388–$453 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $65.75 | $142 | 1.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$23.61–$43.99 | $51–$95 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$60.65–$104.64 | $131–$226 | varies |
| Electrocochleography (92584) | $118.53 | $256 | 0.9× |
| Electroconvulsive Therapy (90870) | $552.82 | $1,194 | 0.7× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) range across 2 matching MRF lines |
$6,433.39–$14,756.27 | $13,895–$31,871 | varies |
| Electrophysiology Evaluation (93642) range across 2 matching MRF lines |
$1,243.16–$2,248.33 | $2,685–$4,856 | varies |
| Emergency Dept Visit Level 2 (99282) range across 4 matching MRF lines |
$231.50–$232.43 | $500–$502 | varies |
| Emergency Dept Visit Level 3 (99283) range across 5 matching MRF lines |
$408.37–$418.09 | $882–$903 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$613.94–$637.55 | $1,326–$1,377 | varies |
| Emg 3 Extremities (95863) | $216.22 | $467 | 1.7× |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$257.89–$275.49 | $557–$595 | varies |
| Endomyocardial Biopsy (93505) | $2,004.33 | $4,329 | 0.7× |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$13,689.06–$41,227.37 | $29,566–$89,044 | varies |
| Ep & ablate ventric tachy (93654) range across 2 matching MRF lines |
$12,885.29–$45,471.69 | $27,830–$98,211 | varies |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 2 matching MRF lines |
$7,698.30–$12,001.89 | $16,627–$25,922 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) range across 2 matching MRF lines |
$6,610.25–$13,177.91 | $14,277–$28,462 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$129.18–$145.85 | $279–$315 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$850.99–$1,000.54 | $1,838–$2,161 | varies |
| Ergonovine provocation test (93024) | $380.59 | $822 | 0.9× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $759.32 | $1,640 | 2.1× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $692.65 | $1,496 | 1.9× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $133.81 | $289 | 1.1× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$169.46–$395.87 | $366–$855 | varies |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$175.01–$209.28 | $378–$452 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$124.55–$155.11 | $269–$335 | varies |
| Evaluation of speech fluency (92521) | $246.78 | $533 | 1.9× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$47.69–$606.07 | $103–$1,309 | varies |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $230.57 | $498 | 1.2× |
| Exercise test for bronchospasm (94617) range across 2 matching MRF lines |
$232.43–$238.91 | $502–$516 | varies |
| Exhaled Air Analysis O2 (94680) | $123.16 | $266 | 1.0× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$89.36–$99.08 | $193–$214 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$88.90–$101.40 | $192–$219 | varies |
| External Ecg Scanning Analysis Report (93226) | $140.29 | $303 | 2.4× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$283.82–$469.48 | $613–$1,014 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$180.57–$224.56 | $390–$485 | varies |
| Eye exam w anesth; complete (92018) | $1,823.29 | $3,938 | 0.8× |
| Eye exam w anesth; limited (92019) | $1,823.29 | $3,938 | 0.8× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$797.75–$1,066.75 | $1,723–$2,304 | varies |
| Filtered Speech Test (92571) | $49.54 | $107 | 1.4× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $115.75 | $250 | 0.8× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 2 matching MRF lines |
$275.95–$304.65 | $596–$658 | varies |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $247.24 | $534 | 1.1× |
| Fluorescein angiography (92235) | $302.34 | $653 | 1.4× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $319.93 | $691 | 1.5× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $950.08 | $2,052 | 1.1× |
| Fundus photography (92250) | $133.81 | $289 | 1.0× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $486.15 | $1,050 | 1.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$705.61–$919.98 | $1,524–$1,987 | varies |
| Gi tract capsule endoscopy (91110) | $1,372.80 | $2,965 | 1.6× |
| Gi tract imaging intraluminal colon i&r (91113) | $1,389.46 | $3,001 | 1.5× |
| Gi wireless capsule measure (91112) | $2,346.95 | $5,069 | 2.7× |
| Gonioscopy (92020) | $94.45 | $204 | 0.7× |
| Group Therapeutic Procedures (97150) range across 5 matching MRF lines |
$13.89–$40.28 | $30–$87 | varies |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) | $129.64 | $280 | 3.6× |
| Health Behavior Assessment/Re-Assessment (96156) | $208.35 | $450 | 2.1× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $151.40 | $327 | 4.2× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $23.61 | $51 | 0.6× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $142.14 | $307 | 0.8× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$4,254.04–$5,274.03 | $9,188–$11,391 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 6 matching MRF lines |
$586.62–$1,360.76 | $1,267–$2,939 | varies |
| High altitude simulation test (94452) range across 2 matching MRF lines |
$101.40–$251.87 | $219–$544 | varies |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) range across 2 matching MRF lines |
$127.79–$251.87 | $276–$544 | varies |
| Holter monitor recording (93225) | $140.29 | $303 | 1.1× |
| Hubbard tank 15 min (97036) | $74.54 | $161 | 2.1× |
| Hypnotherapy (90880) | $283.36 | $612 | 2.9× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$66.67–$107.42 | $144–$232 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$66.67–$101.86 | $144–$220 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$66.67–$101.86 | $144–$220 | varies |
| Icm Device Eval (93290) | $100.47 | $217 | 2.8× |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$66.67–$101.86 | $144–$220 | varies |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$47.23–$52.78 | $102–$114 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$9.72–$44.45 | $21–$96 | varies |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $216.68 | $468 | 3.8× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $174.55 | $377 | 4.8× |
| Immunization administration (90471) range across 13 matching MRF lines |
$9.72–$125.94 | $21–$272 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $423.65 | $915 | 1.2× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) range across 2 matching MRF lines |
$359.75–$945.91 | $777–$2,043 | varies |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$2,305.28–$2,652.53 | $4,979–$5,729 | varies |
| Interrogate Subq Defib (93261) | $100.01 | $216 | 2.8× |
| Interrogation eval in person wr defibrillator (93292) | $101.86 | $220 | 2.8× |
| Interrogation vad in person (93750) | $145.85 | $315 | 1.6× |
| Intra-atrial recording (93602) | $4,668.89 | $10,084 | 0.6× |
| Intracranial Complete Study (93886) | $389.85 | $842 | 1.7× |
| Intracutaneous tests w/allergenic extracts (95024) | $49.08 | $106 | 0.9× |
| Intraventricular pacing (93612) range across 2 matching MRF lines |
$4,668.89–$13,177.91 | $10,084–$28,462 | varies |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$25.47–$49.08 | $55–$106 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$108.34–$145.85 | $234–$315 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$56.49–$78.71 | $122–$170 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$182.42–$381.98 | $394–$825 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$62.51–$125.01 | $135–$270 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$43.99–$78.71 | $95–$170 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$162.05–$381.98 | $350–$825 | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$4,254.04–$5,274.03 | $9,188–$11,391 | varies |
| Laryngeal Function Studies (92520) | $216.68 | $468 | 1.7× |
| Liver Elastography W/O Imag W/I&R (91200) range across 2 matching MRF lines |
$217.61–$269 | $470–$581 | varies |
| Low frequency non-thermal us (97610) | $163.90 | $354 | 0.8× |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$92.60–$115.75 | $200–$250 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $492.63 | $1,064 | 2.3× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $2,686.33 | $5,802 | 1.9× |
| Mechanical chest wall oscillation per session (94669) range across 4 matching MRF lines |
$179.64–$320.86 | $388–$693 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $20.37 | $44 | 0.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $24.54 | $53 | 0.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $11.58 | $25 | 0.7× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$267.15–$601.44 | $577–$1,299 | varies |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$504.21–$945.91 | $1,089–$2,043 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$151.40–$196.31 | $327–$424 | varies |
| Multiple Family Group Psychotherapy (90849) | $166.68 | $360 | 1.0× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$945.91–$2,356.67 | $2,043–$5,090 | varies |
| Muscle Test 2 Limbs (95861) range across 3 matching MRF lines |
$203.72–$224.56 | $440–$485 | varies |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$131.03–$208.81 | $283–$451 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$167.14–$207.89 | $361–$449 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$207.42–$319.01 | $448–$689 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$209.74–$221.78 | $453–$479 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$207.89–$214.37 | $449–$463 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $132.42 | $286 | 0.6× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $152.79 | $330 | 0.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$277.80–$738.95 | $600–$1,596 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $277.80 | $600 | 0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$153.72–$383.36 | $332–$828 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$279.19–$604.68 | $603–$1,306 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $230.11 | $497 | 1.1× |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$731.54–$1,032.49 | $1,580–$2,230 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$494.02–$1,032.49 | $1,067–$2,230 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$381.05–$606.07 | $823–$1,309 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$399.11–$606.07 | $862–$1,309 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$433.37–$581.53 | $936–$1,256 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$700.06–$1,032.49 | $1,512–$2,230 | varies |
| Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$347.25–$606.07 | $750–$1,309 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$204.65–$221.78 | $442–$479 | varies |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$43.99–$72.23 | $95–$156 | varies |
| Newborn resuscitation (99465) | $901.46 | $1,947 | 1.4× |
| Nitric oxide expired gas determination (95012) range across 2 matching MRF lines |
$62.04–$93.06 | $134–$201 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $47.23 | $102 | 1.9× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $72.69 | $157 | 2.1× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $25 | $54 | 1.8× |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 2 matching MRF lines |
$314.38–$706.08 | $679–$1,525 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 3 matching MRF lines |
$219.46–$606.07 | $474–$1,309 | varies |
| Ocular Vemp Testing W/I&R (92518) | $126.40 | $273 | 1.0× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $126.40 | $273 | 1.0× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines |
$29.63–$62.04 | $64–$134 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) | $62.04 | $134 | 0.5× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $68.06 | $147 | 1.2× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $66.67 | $144 | 1.2× |
| Optokinetic Nystagmus Test (92544) | $18.98 | $41 | 0.2× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$135.20–$231.04 | $292–$499 | varies |
| Oral Speech Device Eval (92597) range across 2 matching MRF lines |
$124.55–$161.59 | $269–$349 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$67.14–$106.49 | $145–$230 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$61.58–$103.25 | $133–$223 | varies |
| Oscillating Tracking Test (92545) | $18.98 | $41 | 0.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $72.23 | $156 | 3.4× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $72.23 | $156 | 3.4× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $72.23 | $156 | 3.4× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $72.23 | $156 | 3.4× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $72.23 | $156 | 3.4× |
| Ot Contrast Bath Ea 15 Min (97034) | $40.74 | $88 | 2.9× |
| Ot eval high complexity (97167) range across 4 matching MRF lines |
$127.79–$208.35 | $276–$450 | varies |
| Ot Eval Low Complex (97165) range across 7 matching MRF lines |
$92.60–$208.35 | $200–$450 | varies |
| Ot Eval Moderate Complexity (97166) range across 4 matching MRF lines |
$127.79–$208.35 | $276–$450 | varies |
| Ot manual therapy 15 min (97140) range across 7 matching MRF lines |
$37.97–$80.10 | $82–$173 | varies |
| Ot paraffin bath (97018) | $28.24 | $61 | 4.7× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$56.02–$81.03 | $121–$175 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 3 matching MRF lines |
$87.97–$156.49 | $190–$338 | varies |
| Ot rom hand (95852) | $35.65 | $77 | 1.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$252.34–$253.26 | $545–$547 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$244–$253.26 | $527–$547 | varies |
| Oxygen Uptake Rest Indirect (94690) | $91.21 | $197 | 1.6× |
| Patch/Application Test Specify Number Tests (95044) range across 2 matching MRF lines |
$10.19–$47.23 | $22–$102 | varies |
| Pdt dstr prmlg les phys/qhp (96573) | $153.72 | $332 | 0.8× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $450.50 | $973 | 2.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$179.64–$376.42 | $388–$813 | varies |
| Percutaneous tests w/allergenic extracts (95004) | $43.52 | $94 | 0.1× |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$70.84–$110.66 | $153–$239 | varies |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) range across 2 matching MRF lines |
$10,085.99–$34,685.65 | $21,784–$74,915 | varies |
| Perq transcath closure pda (93582) range across 2 matching MRF lines |
$8,640.04–$32,489.17 | $18,661–$70,171 | varies |
| Perq Transcath Cls Aortic (93591) range across 2 matching MRF lines |
$10,233.69–$32,489.17 | $22,103–$70,171 | varies |
| Perq Transcath Cls Mitral (93590) range across 2 matching MRF lines |
$9,752.63–$32,489.17 | $21,064–$70,171 | varies |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 2 matching MRF lines |
$5,512.48–$13,825.18 | $11,906–$29,860 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 4 matching MRF lines |
$5,998.17–$21,003.07 | $12,955–$45,363 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$224.56–$291.23 | $485–$629 | varies |
| Photo patch test(s) (95052) | $43.06 | $93 | 0.8× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) | $285.67 | $617 | 5.0× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $281.97 | $609 | 4.9× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $68.99 | $149 | 1.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$68.99–$122.23 | $149–$264 | varies |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$75.47–$185.20 | $163–$400 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$250.48–$541.71 | $541–$1,170 | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$66.67–$98.62 | $144–$213 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$66.67–$101.86 | $144–$220 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$66.67–$101.86 | $144–$220 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$66.67–$101.86 | $144–$220 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$66.67–$84.27 | $144–$182 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$1,807.09–$2,527.98 | $3,903–$5,460 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $2,526.13 | $5,456 | 3.0× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $2,571.97 | $5,555 | 3.1× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $2,515.48 | $5,433 | 3.0× |
| Positional nystagmus test (92542) | $26.39 | $57 | 0.2× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 2 matching MRF lines |
$33.34–$90.29 | $72–$195 | varies |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $69.91 | $151 | 1.5× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $75.93 | $164 | 1.7× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $106.95 | $231 | 1.5× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) range across 2 matching MRF lines |
$70.84–$100.01 | $153–$216 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$66.67–$101.86 | $144–$220 | varies |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $180.11 | $389 | 1.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$55.10–$88.90 | $119–$192 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$57.41–$85.66 | $124–$185 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $136.59 | $295 | 2.0× |
| Prq Card Angio/Athrect 1 Art (92924) range across 2 matching MRF lines |
$7,011.67–$18,062.56 | $15,144–$39,012 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 4 matching MRF lines |
$7,351.51–$20,261.81 | $15,878–$43,762 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 3 matching MRF lines |
$11,085.15–$29,228.26 | $23,942–$63,128 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 3 matching MRF lines |
$7,364.48–$23,069.44 | $15,906–$49,826 | varies |
| Psych diag eval w/med srvcs (90792) | $166.68 | $360 | 1.0× |
| Psychiatric diagnostic evaluation (90791) range across 8 matching MRF lines |
$197.24–$273.17 | $426–$590 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) range across 2 matching MRF lines |
$317.62–$408.83 | $686–$883 | varies |
| Psycl/Nrpsyc Tst Auto Result (96146) | $18.98 | $41 | 0.7× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) range across 2 matching MRF lines |
$83.34–$739.41 | $180–$1,597 | varies |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 2 matching MRF lines |
$59.73–$251.87 | $129–$544 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 4 matching MRF lines |
$196.78–$336.14 | $425–$726 | varies |
| Pt Eval High Complex (97163) range across 3 matching MRF lines |
$127.79–$182.42 | $276–$394 | varies |
| Pt eval low complex 20 min (97161) range across 6 matching MRF lines |
$50.93–$182.42 | $110–$394 | varies |
| Pt Eval Mod Complex (97162) range across 4 matching MRF lines |
$69.45–$182.42 | $150–$394 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$39.36–$64.82 | $85–$140 | varies |
| Pt group caregiver training (97552) | $54.63 | $118 | 2.5× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$21.30–$43.99 | $46–$95 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$95.84–$146.31 | $207–$316 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) range across 2 matching MRF lines |
$20.37–$55.56 | $44–$120 | varies |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$122.70–$289.84 | $265–$626 | varies |
| Pulmonary service/procedure (94799) range across 10 matching MRF lines |
$34.73–$247.71 | $75–$535 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$69.91–$224.56 | $151–$485 | varies |
| Pure Tone Audiometry Air (92552) range across 3 matching MRF lines |
$18.52–$250.95 | $40–$542 | varies |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$4,726.77–$5,393.49 | $10,209–$11,649 | varies |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $4,916.13 | $10,618 | 1.6× |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$4,726.77–$5,722.68 | $10,209–$12,360 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$4,726.77–$5,274.03 | $10,209–$11,391 | varies |
| Rapid Desensitization Procedure Each Hour (95180) | $302.80 | $654 | 0.7× |
| Rectal sensation tone&compliance study (91124) | $229.19 | $495 | 1.1× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $337.99 | $730 | 1.1× |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$304.65–$378.27 | $658–$817 | varies |
| Refill/Maint Pump/Resvr Syst (96522) | $251.87 | $544 | 1.2× |
| Rem interrog icpms <30 d phys/qhp (93297) range across 2 matching MRF lines |
$64.82–$104.64 | $140–$226 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 2 matching MRF lines |
$66.67–$108.81 | $144–$235 | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $27.32 | $59 | 0.8× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $93.53 | $202 | 0.7× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$49.54–$70.38 | $107–$152 | varies |
| Remote 30 Day Ecg Tech Supp (93229) | $380.12 | $821 | 1.0× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $100.93 | $218 | 0.8× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $50 | $108 | 1.2× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $50 | $108 | 0.9× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $296.32 | $640 | 1.4× |
| Respiratory flow volume loop (94375) | $201.87 | $436 | 1.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$57.88–$115.75 | $125–$250 | varies |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$4,726.77–$5,933.35 | $10,209–$12,815 | varies |
| Right ventricular recording (93603) | $1,092.68 | $2,360 | 0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$160.66–$266.69 | $347–$576 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $30.56 | $66 | 1.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$187.98–$284.75 | $406–$615 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 2 matching MRF lines |
$81.49–$106.49 | $176–$230 | varies |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $1,190.84 | $2,572 | 3.3× |
| Select picture audiometry (92583) | $101.40 | $219 | 1.8× |
| Self Care Mngment Training (97535) range across 5 matching MRF lines |
$44.45–$71.77 | $96–$155 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $102.32 | $221 | 1.8× |
| Sensory Integration Ea 15 Min (97533) | $66.21 | $143 | 1.1× |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$212.52–$553.75 | $459–$1,196 | varies |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$299.56–$485.22 | $647–$1,048 | varies |
| Slp caregiver training 1st 30 min (97550) range across 2 matching MRF lines |
$106.95–$130.10 | $231–$281 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$299.56–$485.22 | $647–$1,048 | varies |
| Somatosensory Testing (95938) range across 2 matching MRF lines |
$227.80–$935.72 | $492–$2,021 | varies |
| Speech Audiometry Complete (92556) range across 2 matching MRF lines |
$72.23–$115.75 | $156–$250 | varies |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$45.37–$115.75 | $98–$250 | varies |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$329.19–$446.80 | $711–$965 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$522.73–$633.38 | $1,129–$1,368 | varies |
| Spirometry (94010) range across 5 matching MRF lines |
$127.33–$269 | $275–$581 | varies |
| Spontaneous Nystagmus Test (92541) | $28.71 | $62 | 0.2× |
| Ssep lower limbs (95926) range across 2 matching MRF lines |
$207.89–$553.75 | $449–$1,196 | varies |
| Stenger Test Speech (92577) | $156.49 | $338 | 0.4× |
| Stenger Test, Pure Tone (92565) | $31.48 | $68 | 0.5× |
| Stress Tte Only (93350) range across 4 matching MRF lines |
$945.91–$1,056.57 | $2,043–$2,282 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) range across 2 matching MRF lines |
$65.28–$74.08 | $141–$160 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 2 matching MRF lines |
$344.94–$359.29 | $745–$776 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) | $65.28 | $141 | 0.9× |
| Surfactant Admin Thru Tube (94610) range across 2 matching MRF lines |
$179.64–$395.87 | $388–$855 | varies |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $196.78 | $425 | 1.9× |
| Temp transcutaneous pacing (92953) | $443.55 | $958 | 0.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$33.80–$60.65 | $73–$131 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$33.80–$60.65 | $73–$131 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $61.58 | $133 | 1.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $62.04 | $134 | 2.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 3 matching MRF lines |
$156.96–$226.41 | $339–$489 | varies |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $51.86 | $112 | 1.1× |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$193.07–$402.81 | $417–$870 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$100.01–$129.64 | $216–$280 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$222.24–$363.46 | $480–$785 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $270.86 | $585 | 1.3× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$49.08–$79.17 | $106–$171 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$578.29–$1,026.47 | $1,249–$2,217 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$62.04–$71.30 | $134–$154 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$53.71–$55.56 | $116–$120 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $172.70 | $373 | 1.3× |
| Trans Care Mgmt 7 Day Disch (99496) | $200.02 | $432 | 1.5× |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$9,807.27–$29,228.26 | $21,182–$63,128 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $224.56 | $485 | 2.2× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $304.19 | $657 | 8.4× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$866.27–$1,056.57 | $1,871–$2,282 | varies |
| Tx atrial fib pulm vein isol (93656) range across 2 matching MRF lines |
$12,698.24–$40,062 | $27,426–$86,527 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$123.16–$212.98 | $266–$460 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 2 matching MRF lines |
$34.73–$51.86 | $75–$112 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$65.75–$78.71 | $142–$170 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$36.11–$72.69 | $78–$157 | varies |
| Tympanometry and reflex threshold measurements (92550) | $121.31 | $262 | 0.6× |
| Unlisted cardiovascular service/procedure (93799) range across 4 matching MRF lines |
$299.56–$364.84 | $647–$788 | varies |
| Unlisted ophthalmological service/procedure (92499) | $12.96 | $28 | 0.5× |
| Unlisted Psychiatric Service/Procedure (90899) range across 6 matching MRF lines |
$286.13–$449.57 | $618–$971 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$126.40–$224.56 | $273–$485 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$192.61–$299.56 | $416–$647 | varies |
| Valvuloplasty aortic valve (92986) range across 2 matching MRF lines |
$5,119.39–$10,769.38 | $11,057–$23,260 | varies |
| Valvuloplasty mitral valve (92987) | $9,099.34 | $19,653 | 0.8× |
| Valvuloplasty pulmonary valve (92990) | $7,033.90 | $15,192 | 0.6× |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$18.98–$51.39 | $41–$111 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) range across 2 matching MRF lines |
$481.52–$945.91 | $1,040–$2,043 | varies |
| Veeg ea 12-26hr cont mntr (95716) | $901.46 | $1,947 | 1.1× |
| Vent Mgmt Inpat Init Day (94002) range across 8 matching MRF lines |
$478.74–$962.58 | $1,034–$2,079 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 7 matching MRF lines |
$478.74–$929.70 | $1,034–$2,008 | varies |
| Visual Evoked Potential Test (95930) | $190.76 | $412 | 0.9× |
| Visual Field Exam Extended (92083) | $123.16 | $266 | 1.0× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $74.08 | $160 | 1.3× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $66.21 | $143 | 1.2× |
| Visual reinforcement audiometry (vra) (92579) | $121.31 | $262 | 0.6× |
| Vital capacity, total (94150) range across 3 matching MRF lines |
$118.07–$256.50 | $255–$554 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$42.13–$70.84 | $91–$153 | varies |
| Whirlpool Therapy (97022) | $34.26 | $74 | 2.2× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $62.97 | $136 | 1.7× |
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.