Visits & medical services prices at Beloit Memorial Hospital

Beloit, WI · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650)
unusually low: confirm this is the full procedure
$3,624 $12,080 0.5×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $108.90 $363 0.8×
Acoustic Reflex Testing (92568) $30.60 $102 0.8×
Actigraphy Testing Recording Analysis I&R (95803) $189.30 $631 3.2×
Admn Sarscov2 Vacc 1 Dose (90480) $14.40 $48 0.4×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $127.20 $424 0.6×
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines
$16.80–$113.70 $56–$379 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 5 matching MRF lines
$47.70–$50.10 $159–$167 varies
Arrhythmia Induction (93618) $5,404.80 $18,016 4.4×
Assessment of aphasia per hr (96105) $336 $1,120 3.5×
Assessment of tinnitus (92625) $49.20 $164 0.4×
Assmt & care planning pt w/cognitive impairment (99483) $254.70 $849 2.5×
Audiometry Air & Bone (92553) $59.40 $198 0.5×
Basic vestibular evaluation (92540)
range across 3 matching MRF lines
$48.60–$238.20 $162–$794 varies
Behavral qualit analys voice (92524) $203.40 $678 1.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$161.10–$523.80 $537–$1,746 varies
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$567.60 $1,892 0.1×
Car seat/bed test 60 min (94780) $81 $270 2.1×
Cardiac Stress Tst,Tracing Only (93017)
range across 3 matching MRF lines
$454.80–$472.50 $1,516–$1,575 varies
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$90–$756.60 $300–$2,522 varies
Cardioversion (92960)
range across 3 matching MRF lines
$155.70–$1,808.40 $519–$6,028 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $6,689.70 $22,299 2.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $5,805.90 $19,353 1.8×
Cbt 1st hour (94644) $442.50 $1,475 3.3×
Chemo Anti-Neopl Sq/Im (96401) $132.30 $441 1.8×
Chemo Hormon Antineopl Sq/Im (96402) $106.80 $356 1.5×
Chemo IV infusion addl hr (96415) $119.40 $398 1.6×
Chemo IV push addl drug (96411) $150.90 $503 2.1×
Chemother Prolong Infuse W/Pump (96416) $449.40 $1,498 1.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $189.90 $633 2.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $364.80 $1,216 1.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $209.10 $697 0.6×
Chest Wall Manipulation (94668) $38.70 $129 0.3×
Color/duplex Doppler, complete (93975)
range across 4 matching MRF lines
$264.30–$547.80 $881–$1,826 varies
Color/duplex Doppler, limited (93976) $187.80 $626 1.8×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 3 matching MRF lines
$55.80–$66.90 $186–$223 varies
Comprehensive Hearing Test (92557) $86.40 $288 0.7×
Conditioning Play Audiometry (92582) $27.90 $93 0.2×
Cont Gluc Mntr Pt Prov Eqp (95249) $82.80 $276 1.4×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$106.80–$133.20 $356–$444 varies
Coronary Art/Grft Angio S&I (93455) $5,078.40 $16,928 1.5×
Coronary Artery Angio S&I (93454) $4,228.50 $14,095 1.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 7 matching MRF lines
$91.50–$182.10 $305–$607 varies
Cpt initial (94667)
range across 9 matching MRF lines
$40.20–$55.20 $134–$184 varies
Critical care first hour (99291)
range across 3 matching MRF lines
$470.40–$1,338 $1,568–$4,460 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$76.20–$95.10 $254–$317 varies
Dialysis One Evaluation (90945)
range across 5 matching MRF lines
$254.70–$1,508.70 $849–$5,029 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $159.60 $532 0.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 5 matching MRF lines
$81.60–$592.50 $272–$1,975 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 6 matching MRF lines
$229.80–$370.20 $766–$1,234 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 7 matching MRF lines
$78.90–$732.60 $263–$2,442 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 12 matching MRF lines
$31.20–$382.20 $104–$1,274 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 6 matching MRF lines
$592.50–$625.50 $1,975–$2,085 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 15 matching MRF lines
$135.90–$741.90 $453–$2,473 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $450.90 $1,503 4.3×
Duplex Scan Hemodialysis Access (93990)
range across 3 matching MRF lines
$243.60–$362.10 $812–$1,207 varies
Duplex up extrem art bilat (93930)
range across 5 matching MRF lines
$41.40–$507.60 $138–$1,692 varies
Duplex up extrem art unilat/ltd (93931)
range across 6 matching MRF lines
$40.80–$402.60 $136–$1,342 varies
ECG/monitoring and analysis (93271) $1,752.30 $5,841 18.2×
Echo Congenital Complete (93303)
range across 3 matching MRF lines
$591.30–$835.80 $1,971–$2,786 varies
Echo Heart Xthoracic,Limited (93308)
range across 8 matching MRF lines
$141.60–$526.80 $472–$1,756 varies
Echo r-t 2d w/probe placement only (93313)
range across 2 matching MRF lines
$773.70–$1,175.10 $2,579–$3,917 varies
Echo transesophag congen probe plcmt only (93316) $773.70 $2,579 1.4×
Echo transesophag montr cardiac pump functj (93318)
range across 3 matching MRF lines
$1,803.60–$1,872.90 $6,012–$6,243 varies
Echo transesophageal (93312)
range across 5 matching MRF lines
$404.40–$998.10 $1,348–$3,327 varies
Echo Transesophageal - Congenital Tee Complete (93315) $1,399.80 $4,666 2.5×
EEG awake and asleep (95819)
range across 3 matching MRF lines
$436.80–$1,737.30 $1,456–$5,791 varies
EEG awake drowsy (95816)
range across 2 matching MRF lines
$498.60–$517.80 $1,662–$1,726 varies
Electrical Stimulation Ea 15 Min (97032)
range across 5 matching MRF lines
$45.60–$75.30 $152–$251 varies
Electrocardiogram Tracing (93005) $110.40 $368 1.8×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
likely a partial charge, not the full procedure
$664.50 $2,215 0.1×
Electrophysiology Evaluation (93642) $2,502 $8,340 2.0×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$189.30–$205.20 $631–$684 varies
Emergency Dept Visit Level 3 (99283) $341.10 $1,137 1.2×
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$530.40–$537.90 $1,768–$1,793 varies
Ep & ablate supravent arrhyt (93653)
likely a partial charge, not the full procedure
$2,389.20 $7,964 0.1×
Ep & ablate ventric tachy (93654)
likely a partial charge, not the full procedure
$3,188.10 $10,627 0.1×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $5,404.80 $18,016 0.7×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $5,404.80 $18,016 0.7×
Er level 1 (99281)
range across 3 matching MRF lines
$68.40–$114.30 $228–$381 varies
Er level v (99285) $947.40 $3,158 1.6×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $145.50 $485 1.1×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$60–$65.40 $200–$218 varies
Evaluate Speech Production (92522)
range across 2 matching MRF lines
$203.40–$302.10 $678–$1,007 varies
Evaluate Swallowing Function (92610) $159.30 $531 1.9×
Evaluation of speech fluency (92521) $302.10 $1,007 2.3×
Evoked Auditory Test,Limited (92587) $123.30 $411 0.6×
Exercise test for bronchospasm (94617) $340.80 $1,136 2.5×
External ECG rec>48hr<7d recording (93242) $30 $100 0.8×
External ECG rec>7d<15d recording (93246) $30 $100 0.8×
External Ecg Scanning Analysis Report (93226)
range across 3 matching MRF lines
$420.30–$445.50 $1,401–$1,485 varies
Extracranial Bilat Study (93880) $537.30 $1,791 2.2×
Extracranial Uni/Ltd Study (93882)
range across 5 matching MRF lines
$221.70–$277.80 $739–$926 varies
F-up/limited tthrc echo congenital car anomaly (93304)
range across 3 matching MRF lines
$545.70–$566.70 $1,819–$1,889 varies
Gi tract capsule endoscopy (91110) $1,685.40 $5,618 1.8×
Group Therapeutic Procedures (97150)
range across 4 matching MRF lines
$68.40–$74.70 $228–$249 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $7,172.40 $23,908 2.2×
Holter monitor recording (93225)
range across 3 matching MRF lines
$211.20–$499.80 $704–$1,666 varies
Icd Device Interrogate (93289) $70.50 $235 1.9×
Icd device progr eval dual (93283) $130.50 $435 3.5×
Icd Device Progr Eval Mult (93284) $146.70 $489 3.9×
Icm Device Eval (93290) $169.50 $565 4.5×
Ilr Device Eval Progr (93285)
range across 2 matching MRF lines
$84.90–$220.20 $283–$734 varies
Ilr Device Interrogate (93291)
range across 2 matching MRF lines
$99.90–$148.20 $333–$494 varies
Immunization administration (90471)
range across 15 matching MRF lines
$3.60–$35.40 $5–$118 varies
Insert/Place Heart Catheter (93503)
range across 2 matching MRF lines
$533.40–$1,149.60 $1,778–$3,832 varies
Interrogate Subq Defib (93261) $396 $1,320 10.5×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$377.40 $1,258 0.0×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure
$264.30 $881 0.0×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$335.10 $1,117 0.0×
Iontophoresis 15 min (97033)
range across 4 matching MRF lines
$67.20–$92.10 $224–$307 varies
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$60–$64.20 $200–$214 varies
IV infusion hydration each additional hour (96361)
range across 4 matching MRF lines
$56.70–$82.80 $189–$276 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$152.40–$186 $508–$620 varies
IV infusion ther proph addl sequential to 1 hr (96367) $116.40 $388 1.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $79.20 $264 1.7×
IV push initial (96374) $104.70 $349 0.5×
L Hrt Art/Grft Angio (93459) $6,330.30 $21,101 1.9×
Loudness balance test (92562) $48 $160 0.2×
Lung Function Test (Mbc/Mvv) (94200) $115.50 $385 1.9×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 4 matching MRF lines
$388.80–$577.20 $1,296–$1,924 varies
Measurement Lung Volumes Infant/Child/2 Yrs (94013) $211.80 $706 0.6×
Mechanical chest wall oscillation per session (94669) $46.80 $156 0.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $29.10 $97 0.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $29.10 $97 0.8×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $19.80 $66 1.2×
Methacholine challenge (94070) $270 $900 0.7×
Motility study esophagus (91010) $396 $1,320 1.0×
Motion Fluoroscopy/Swallow (92611)
range across 3 matching MRF lines
$193.80–$223.50 $646–$745 varies
Multiple Sleep Latency Test (95805)
range across 5 matching MRF lines
$1,134.30–$1,247.70 $3,781–$4,159 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$109.20–$137.10 $364–$457 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $137.10 $457 0.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$76.20–$95.10 $254–$317 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$95.10–$99 $317–$330 varies
Neuromuscular Reeducation (97112)
range across 6 matching MRF lines
$68.40–$75.30 $228–$251 varies
Nonphysician Telephone Assessment 11-20 Min (98967) $49.20 $164 2.0×
Nonphysician Telephone Assessment 21-30 Min (98968) $73.50 $245 2.1×
Nonphysician Telephone Assessment 5-10 Min (98966) $24.60 $82 1.8×
Oral Function Therapy (92526)
range across 2 matching MRF lines
$149.70–$184.80 $499–$616 varies
Oral Speech Device Eval (92597) $124.50 $415 1.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 5 matching MRF lines
$63.90–$79.20 $213–$264 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $20.10 $67 0.9×
Ot eval high complexity (97167)
range across 3 matching MRF lines
$245.10–$313.20 $817–$1,044 varies
Ot Eval Low Complex (97165)
range across 3 matching MRF lines
$99.60–$124.50 $332–$415 varies
Ot Eval Moderate Complexity (97166)
range across 3 matching MRF lines
$196.50–$200.10 $655–$667 varies
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$70.20–$75.30 $234–$251 varies
Ot paraffin bath (97018)
range across 6 matching MRF lines
$34.20–$62.10 $114–$207 varies
Ot Prosthetic Training, Each 15 Min (97761)
range across 4 matching MRF lines
$66.90–$75.30 $223–$251 varies
Ot Re-Eval Est Plan Care (97168)
range across 3 matching MRF lines
$139.80–$207.90 $466–$693 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $111.30 $371 0.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $149.70 $499 1.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $74.70 $249 0.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $8,064.90 $26,883 1.4×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $8,023.80 $26,746 0.7×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$69.90–$82.50 $233–$275 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $111.30 $371 1.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $71.40 $238 1.2×
Physical Performance Test (97750)
range across 11 matching MRF lines
$36.90–$176.10 $123–$587 varies
Plethysmography (94726)
range across 2 matching MRF lines
$283.20–$293.10 $944–$977 varies
Pm device eval in person (93288)
range across 2 matching MRF lines
$62.70–$137.70 $209–$459 varies
Pm device progr eval dual (93280)
range across 2 matching MRF lines
$117.90–$281.10 $393–$937 varies
Pm device progr eval multi (93281) $373.20 $1,244 9.9×
Pm Device Progr Eval Sngl (93279)
range across 2 matching MRF lines
$104.40–$213.60 $348–$712 varies
Pm/Icd Remote Tech Serv (93296) $127.80 $426 3.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 7 matching MRF lines
$2,300.40–$2,514 $7,668–$8,380 varies
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $436.80 $1,456 11.6×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $130.20 $434 3.4×
Prq Card Angio/Athrect 1 Art (92924)
likely a partial charge, not the full procedure
$1,404.30 $4,681 0.1×
Prq Card Stent W/Angio 1 Vsl (92928) $7,517.70 $25,059 0.6×
Prq Card Stent/Ath/Angio (92933) $9,479.70 $31,599 0.5×
Prq Revasc Byp Graft 1 Vsl (92937) $8,382.60 $27,942 0.7×
Pt Eval High Complex (97163)
range across 3 matching MRF lines
$210.60–$313.20 $702–$1,044 varies
Pt eval low complex 20 min (97161)
range across 3 matching MRF lines
$99.60–$124.50 $332–$415 varies
Pt Eval Mod Complex (97162)
range across 3 matching MRF lines
$192–$199.80 $640–$666 varies
Pt gait training 15 min (97116)
range across 3 matching MRF lines
$65.40–$79.20 $218–$264 varies
Pt mechanical traction (97012)
range across 2 matching MRF lines
$67.20–$69.60 $224–$232 varies
Pt Re-Eval Est Plan Care (97164)
range across 3 matching MRF lines
$75.30–$86.10 $251–$287 varies
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$29.40–$42.60 $98–$142 varies
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$59.40–$341.10 $198–$1,137 varies
Pure Tone Audiometry Air (92552) $26.70 $89 0.2×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971)
range across 3 matching MRF lines
$31.20–$44.10 $104–$147 varies
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $44.10 $147 1.3×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $18.30 $61 1.5×
R Hrt Art/Grft Angio (93457) $6,443.70 $21,479 2.0×
R hrt coronary artery angio (93456) $5,346 $17,820 1.6×
R&L Hrt Cath W/Ventriclgrphy (93453) $6,205.80 $20,686 1.9×
Rem interrog icpms <30 d phys/qhp (93297) $118.80 $396 3.1×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $161.70 $539 4.3×
Remote 30 Day Ecg Rev/Report (93270) $288.60 $962 7.6×
Respiratory flow volume loop (94375) $159.30 $531 0.7×
Right Heart Cath (93451) $3,678 $12,260 1.1×
Right ventricular recording (93603) $339.60 $1,132 0.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$25.50–$83.10 $85–$277 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $274.50 $915 2.2×
Self Care Mngment Training (97535)
range across 5 matching MRF lines
$68.40–$75.30 $228–$251 varies
Sensory Integration Ea 15 Min (97533)
range across 5 matching MRF lines
$81–$84.30 $270–$281 varies
Sleep study unattended (95806) $278.10 $927 1.3×
Speech Audiometry Complete (92556)
range across 2 matching MRF lines
$40.20–$41.40 $134–$138 varies
Speech audiometry threshold (92555) $38.40 $128 0.6×
Speech sound lang comprehen (92523)
range across 2 matching MRF lines
$259.50–$302.10 $865–$1,007 varies
Spirometry (94010) $130.20 $434 0.6×
Standardized Cognitive Performance Testing (96125) $265.50 $885 2.6×
Stenger Test, Pure Tone (92565) $44.40 $148 0.7×
Stress Tte Only (93350)
range across 8 matching MRF lines
$55.80–$1,342.20 $186–$4,474 varies
Temp transcutaneous pacing (92953) $75.30 $251 0.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $64.20 $214 2.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 5 matching MRF lines
$70.50–$73.80 $235–$246 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 4 matching MRF lines
$21.90–$27 $73–$90 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $135.30 $451 1.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 7 matching MRF lines
$35.40–$66.90 $118–$223 varies
Ther/Proph/Diag Iv Inf Init (96365) $186.60 $622 0.9×
Therapeutic Activities (97530)
range across 5 matching MRF lines
$66.90–$69.30 $223–$231 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $676.80 $2,256 1.8×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $135 $450 3.6×
Tte w/doppler, complete (93306)
range across 6 matching MRF lines
$1,036.80–$1,110.30 $3,456–$3,701 varies
Tte W/O Doppler Complete (93307) $310.50 $1,035 1.3×
Tx atrial fib pulm vein isol (93656)
likely a partial charge, not the full procedure
$4,641 $15,470 0.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 4 matching MRF lines
$156.60–$172.20 $522–$574 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $115.80 $386 4.8×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$56.10–$70.20 $187–$234 varies
Tympanometry (92567) $31.20 $104 0.8×
Tympanometry and reflex threshold measurements (92550) $78.90 $263 0.4×
Upr/L Xtremity Art 2 Levels (93922)
range across 8 matching MRF lines
$156.30–$331.20 $521–$1,104 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 9 matching MRF lines
$48–$490.20 $160–$1,634 varies
Valvuloplasty aortic valve (92986) $3,448.80 $11,496 0.6×
Vasopneumatic device (97016) $57.90 $193 4.8×
Vent Mgmt Inpat Init Day (94002) $540.30 $1,801 0.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $457.80 $1,526 0.7×
Visual reinforcement audiometry (vra) (92579) $24.90 $83 0.1×
Vital capacity, total (94150)
range across 2 matching MRF lines
$36–$47.40 $120–$158 varies
Wheelchair Mgmt Ea 15 Min (97542)
range across 4 matching MRF lines
$64.80–$66.90 $216–$223 varies
Whirlpool Therapy (97022)
range across 9 matching MRF lines
$55.20–$88.80 $184–$296 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.