Visits & medical services prices at Benefis Hospitals Inc
Great Falls, MT · every code in this section with a posted price and a Medicare benchmark.
357 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) | $10,514.40 | $17,524 | 1.3× |
| Actinotherapy Ultraviolet Light (96900) range across 2 matching MRF lines |
$36–$36.60 | $60–$61 | varies |
| Acupunct W/Stimul 15 Min (97813) range across 2 matching MRF lines |
$36–$36.60 | $60–$61 | varies |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$28.20–$36 | $47–$60 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) | $28.80 | $48 | 0.7× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $108.60 | $181 | 0.5× |
| Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines |
$129–$484.80 | $215–$808 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) range across 2 matching MRF lines |
$175.80–$226.20 | $293–$377 | varies |
| Airway Inhalation Treatment (94640) | $185.40 | $309 | 0.8× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $28.20 | $47 | 0.7× |
| Analyze neurostim complex (95972) | $84 | $140 | 0.9× |
| Analyze neurostim no prog (95970) | $36.60 | $61 | 0.3× |
| Analyze Neurostim Simple (95971) | $60 | $100 | 0.6× |
| Anrct mano rct sensation&rct balo expulsion test (91125) range across 2 matching MRF lines |
$94.20–$252 | $157–$420 | varies |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $194.40 | $324 | 1.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $31.20 | $52 | 2.2× |
| Application on-body injector (96377) | $115.20 | $192 | 2.4× |
| Assessment of aphasia per hr (96105) | $181.80 | $303 | 1.9× |
| Assmt & care planning pt w/cognitive impairment (99483) | $292.20 | $487 | 2.8× |
| Audiometry Air & Bone (92553) | $123.60 | $206 | 0.9× |
| Basic vestibular evaluation (92540) range across 4 matching MRF lines |
$124.80–$235.20 | $208–$392 | varies |
| Behavral qualit analys voice (92524) | $175.20 | $292 | 1.6× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $69.60 | $116 | 0.8× |
| Bfb training ea addl 15 min (90913) | $40.80 | $68 | 1.2× |
| Biofeedback training any modality (90901) | $70.20 | $117 | 1.7× |
| Blink reflex test (95933) | $237.60 | $396 | 3.9× |
| Brief Emotional/Behav Assmt (96127) | $30.60 | $51 | 0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 6 matching MRF lines |
$21.60–$340.20 | $36–$567 | varies |
| C motor evoked uppr limbs (95928) | $840.60 | $1,401 | 1.0× |
| C motor evoked upr&lwr limbs (95939) | $1,510.20 | $2,517 | 1.7× |
| Caloric Vstblr Test W/Rec (92537) range across 4 matching MRF lines |
$46.80–$123.60 | $78–$206 | varies |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$44.40–$120 | $74–$200 | varies |
| Car seat/bed test 60 min (94780) | $104.40 | $174 | 2.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $553.80 | $923 | 2.5× |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$327.60–$607.80 | $546–$1,013 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$220.20–$419.40 | $367–$699 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$180.60–$1,097.40 | $301–$1,829 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) range across 2 matching MRF lines |
$7.20–$22.80 | $12–$38 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $48.60 | $81 | 1.9× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$584.40–$8,466.60 | $974–$14,111 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $8,222.40 | $13,704 | 2.5× |
| Cbt 1st hour (94644) | $246.60 | $411 | 1.8× |
| Cervical & Ocular Vemp Testing W/I&R (92519) range across 2 matching MRF lines |
$69–$216.60 | $115–$361 | varies |
| Cervical Vemp Testing W/I&R (92517) range across 2 matching MRF lines |
$55.80–$110.40 | $93–$184 | varies |
| Chemo Admin Peritoneal Cavity (96446) | $285.60 | $476 | 0.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $161.40 | $269 | 2.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $72.60 | $121 | 1.0× |
| Chemo Ia Push (96420) | $463.80 | $773 | 1.4× |
| Chemo intralesional up to 7 (96405) range across 2 matching MRF lines |
$20.40–$85.20 | $34–$142 | varies |
| Chemo IV infusion addl hr (96415) | $67.20 | $112 | 0.9× |
| Chemo IV push addl drug (96411) | $133.80 | $223 | 1.8× |
| Chemother Prolong Infuse W/Pump (96416) | $299.40 | $499 | 0.9× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$104.40–$322.80 | $174–$538 | varies |
| Chemotherapy Unspecified (96549) | $63 | $105 | 1.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$70.20–$150.60 | $117–$251 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $299.40 | $499 | 0.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $235.80 | $393 | 0.7× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $280.20 | $467 | 0.8× |
| Chest Wall Manipulation (94668) | $100.80 | $168 | 0.7× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$64.80–$66 | $108–$110 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $14.40 | $24 | 0.2× |
| Color/duplex Doppler, complete (93975) range across 8 matching MRF lines |
$75–$1,087.20 | $125–$1,812 | varies |
| Color/duplex Doppler, limited (93976) range across 4 matching MRF lines |
$53.40–$601.20 | $89–$1,002 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $56.40 | $94 | 1.8× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $118.80 | $198 | 0.7× |
| Comprehensive Hearing Test (92557) | $123.60 | $206 | 0.9× |
| Conditioning Play Audiometry (92582) | $123.60 | $206 | 0.9× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $243.60 | $406 | 1.8× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $77.40 | $129 | 1.3× |
| Continuous Pulse Ox (94762) range across 3 matching MRF lines |
$119.40–$147.60 | $199–$246 | varies |
| Coronary Art/Grft Angio S&I (93455) | $7,319.40 | $12,199 | 2.2× |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$1,441.20–$7,319.40 | $2,402–$12,199 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $432.60 | $721 | 1.9× |
| Cpt initial (94667) | $197.40 | $329 | 1.5× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$1,973.40–$6,917.40 | $3,289–$11,529 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,486.80 | $2,478 | 3.9× |
| Dark Adaptation Eye Exam (92284) | $49.20 | $82 | 0.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 8 matching MRF lines |
$54.60–$553.50 | $91–$922.50 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) range across 2 matching MRF lines |
$348.60–$521.40 | $581–$869 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $217.20 | $362 | 1.7× |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$621.60–$6,511.80 | $1,036–$10,853 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 4 matching MRF lines |
$52.20–$790.20 | $87–$1,317 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$32.40–$570.60 | $54–$951 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 8 matching MRF lines |
$51.60–$840.60 | $86–$1,401 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 8 matching MRF lines |
$31.80–$490.80 | $53–$818 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 9 matching MRF lines |
$345.60–$636 | $576–$1,060 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 6 matching MRF lines |
$29.40–$423 | $49–$705 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $307.80 | $513 | 1.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $141 | $235 | 1.3× |
| Duplex Scan Hemodialysis Access (93990) range across 4 matching MRF lines |
$27–$763.20 | $45–$1,272 | varies |
| Duplex up extrem art bilat (93930) range across 6 matching MRF lines |
$53.40–$858.60 | $89–$1,431 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 6 matching MRF lines |
$32.40–$577.20 | $54–$962 | varies |
| Ear and throat examination (92502) range across 2 matching MRF lines |
$141–$385.80 | $235–$643 | varies |
| ECG/monitoring and analysis (93271) | $663.60 | $1,106 | 6.8× |
| Echo Congenital Complete (93303) | $93.60 | $156 | 0.2× |
| Echo Heart Xthoracic,Limited (93308) | $562.20 | $937 | 2.3× |
| Echo r-t 2d w/probe placement only (93313) | $469.80 | $783 | 0.8× |
| Echo transesophageal (93312) range across 5 matching MRF lines |
$160.80–$1,331.40 | $268–$2,219 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $472.80 | $788 | 0.8× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$82.20–$1,377 | $137–$2,295 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$82.20–$840 | $137–$1,400 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$82.20–$879.60 | $137–$1,466 | varies |
| EEG cerebral death evaluation (95824) | $541.80 | $903 | 1.4× |
| EEG cont rec w/video by tech min 8 channels (95700) | $387 | $645 | 1.8× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$124.80–$387.60 | $208–$646 | varies |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$82.20–$1,427.40 | $137–$2,379 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $387.60 | $646 | 1.8× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,528.80 | $2,548 | 4.0× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $75.60 | $126 | 0.8× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 2 matching MRF lines |
$79.80–$89.40 | $133–$149 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$47.40–$71.40 | $79–$119 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $45 | $75 | 3.1× |
| Electro-Oculography (92270) | $62.40 | $104 | 0.5× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$49.80–$162.60 | $83–$271 | varies |
| Electrophysiology Evaluation (93642) | $1,429.20 | $2,382 | 1.1× |
| Emergency Dept Visit Level 2 (99282) | $298.80 | $498 | 1.9× |
| Emergency Dept Visit Level 3 (99283) | $487.20 | $812 | 1.7× |
| Emergency Dept Visit Level 4 (99284) | $799.20 | $1,332 | 1.9× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$128.40–$447 | $214–$745 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$136.20–$543.60 | $227–$906 | varies |
| Ep & ablate supravent arrhyt (93653) | $29,313 | $48,855 | 1.1× |
| Ep & ablate ventric tachy (93654) | $29,313 | $48,855 | 1.1× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $10,514.40 | $17,524 | 1.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $10,514.40 | $17,524 | 1.3× |
| Er level 1 (99281) | $183 | $305 | 2.1× |
| Er level v (99285) range across 3 matching MRF lines |
$1,270.20–$6,917.40 | $2,117–$11,529 | varies |
| Esophageal Capsule Endoscopy (91111) range across 3 matching MRF lines |
$650.40–$1,135.20 | $75–$1,892 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) range across 3 matching MRF lines |
$84–$721.20 | $140–$1,202 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$26.40–$267.60 | $44–$446 | varies |
| Evaluate Speech Production (92522) | $148.20 | $247 | 1.3× |
| Evaluate Swallowing Function (92610) range across 4 matching MRF lines |
$84–$346.80 | $140–$578 | varies |
| Evaluation of speech fluency (92521) | $215.40 | $359 | 1.6× |
| Evoked Auditory Test,Limited (92587) range across 4 matching MRF lines |
$23.40–$226.20 | $39–$377 | varies |
| Exercise test for bronchospasm (94617) | $223.20 | $372 | 1.6× |
| External ECG rec>48hr<7d recording (93242) | $186 | $310 | 4.9× |
| External ECG rec>7d<15d recording (93246) | $304.80 | $508 | 8.0× |
| External Ecg Scanning Analysis Report (93226) | $304.80 | $508 | 5.1× |
| Extracranial Bilat Study (93880) range across 6 matching MRF lines |
$53.40–$859.80 | $89–$1,433 | varies |
| Extracranial Uni/Ltd Study (93882) range across 4 matching MRF lines |
$33–$602.40 | $55–$1,004 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) range across 3 matching MRF lines |
$118.80–$322.20 | $198–$537 | varies |
| Fluorescein angiography (92235) | $45.60 | $76 | 0.2× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 3 matching MRF lines |
$73.80–$1,701 | $123–$2,835 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 6 matching MRF lines |
$123–$1,701 | $205–$2,835 | varies |
| Gi tract capsule endoscopy (91110) range across 6 matching MRF lines |
$268.20–$1,182 | $447–$1,970 | varies |
| Gi tract imaging intraluminal colon i&r (91113) range across 2 matching MRF lines |
$144–$1,143.60 | $240–$1,906 | varies |
| Gi wireless capsule measure (91112) range across 2 matching MRF lines |
$113.40–$650.40 | $189–$1,084 | varies |
| Group Therapeutic Procedures (97150) | $63 | $105 | 3.5× |
| Health Behavior Assessment/Re-Assessment (96156) range across 3 matching MRF lines |
$64.80–$143.40 | $108–$239 | varies |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) range across 3 matching MRF lines |
$21–$81 | $35–$135 | varies |
| Health behavior ivntj group f2f 1st 30 min (96164) range across 2 matching MRF lines |
$21–$37.80 | $35–$63 | varies |
| Health behavior ivntj indiv f2f 1st 30 min (96158) range across 3 matching MRF lines |
$97.80–$203.40 | $163–$339 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 3 matching MRF lines |
$2,215.20–$9,109.80 | $3,692–$15,183 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $814.20 | $1,357 | 1.2× |
| High altitude simulation test (94452) | $223.20 | $372 | 1.6× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) range across 2 matching MRF lines |
$81–$261.60 | $135–$436 | varies |
| Holter monitor recording (93225) | $211.80 | $353 | 1.6× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$66–$145.80 | $110–$243 | varies |
| Icd device progr eval dual (93283) range across 4 matching MRF lines |
$85.20–$134.40 | $142–$224 | varies |
| Icd Device Progr Eval Mult (93284) range across 4 matching MRF lines |
$94.20–$148.20 | $157–$247 | varies |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$34.20–$93.60 | $57–$156 | varies |
| Ilr Device Interrogate (93291) range across 8 matching MRF lines |
$34.20–$40.80 | $57–$68 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $48.60 | $81 | 0.7× |
| Immunization administration (90471) | $36 | $60 | 0.5× |
| Ingestion challenge test initial 120 minutes (95076) | $368.40 | $614 | 1.0× |
| Inital newborn e/m (99460) | $185.40 | $309 | 1.4× |
| Insert/Place Heart Catheter (93503) | $3,787.80 | $6,313 | 2.4× |
| Interrogate Subq Defib (93261) range across 4 matching MRF lines |
$65.40–$105 | $109–$175 | varies |
| Intra-atrial pacing (93610) | $9,562.80 | $15,938 | 1.2× |
| Intra-atrial recording (93602) | $9,562.80 | $15,938 | 1.2× |
| Intraventricular pacing (93612) | $9,562.80 | $15,938 | 1.2× |
| Io anal gast n-stim subsq (95981) | $44.40 | $74 | 0.7× |
| Iontophoresis 15 min (97033) | $66 | $110 | 3.5× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$48–$79.20 | $80–$132 | varies |
| IV infusion hydration each additional hour (96361) | $86.40 | $144 | 1.8× |
| IV infusion hydration initial 31 min-1 hour (96360) | $241.80 | $403 | 1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $117 | $195 | 1.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $70.20 | $117 | 1.5× |
| IV push initial (96374) | $210.60 | $351 | 1.0× |
| L Hrt Art/Grft Angio (93459) | $8,615.40 | $14,359 | 2.6× |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$29.40–$35.40 | $49–$59 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 6 matching MRF lines |
$32.40–$613.20 | $54–$1,022 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $61.20 | $102 | 1.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $67.20 | $112 | 1.8× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $34.20 | $57 | 2.0× |
| Methacholine challenge (94070) range across 3 matching MRF lines |
$43.20–$295.20 | $72–$492 | varies |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$417–$853.80 | $695–$1,423 | varies |
| Motion Fluoroscopy/Swallow (92611) | $497.40 | $829 | 5.4× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$124.80–$354.60 | $208–$591 | varies |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$105.60–$307.20 | $176–$512 | varies |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$24–$96 | $40–$160 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$66–$195 | $110–$325 | varies |
| Nasopharyngoscopy (92511) range across 3 matching MRF lines |
$79.80–$275.40 | $133–$459 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$63.60–$145.80 | $106–$243 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$54–$330 | $90–$550 | varies |
| Needle electromyography larynx (95865) | $223.80 | $373 | 1.6× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 3 matching MRF lines |
$22.20–$263.40 | $37–$439 | varies |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $319.20 | $532 | 1.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$23.40–$748.80 | $39–$1,248 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 4 matching MRF lines |
$27.60–$800.40 | $46–$1,334 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$39–$279.60 | $65–$466 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$42–$512.40 | $70–$854 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$69–$319.20 | $115–$532 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$204–$541.80 | $340–$903 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 4 matching MRF lines |
$241.20–$812.70 | $402–$1,354.50 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 3 matching MRF lines |
$54.60–$541.80 | $91–$903 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 4 matching MRF lines |
$102.60–$812.70 | $171–$1,354.50 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$136.20–$541.80 | $227–$903 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$144–$541.80 | $240–$903 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$45–$176.40 | $75–$294 | varies |
| Neuromuscular Reeducation (97112) | $73.80 | $123 | 2.3× |
| Newborn resuscitation (99465) | $423.60 | $706 | 0.6× |
| Nitric oxide expired gas determination (95012) range across 3 matching MRF lines |
$25.20–$48.60 | $42–$81 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 2 matching MRF lines |
$156.60–$235.80 | $261–$393 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 2 matching MRF lines |
$90–$96.60 | $150–$161 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines |
$90–$166.80 | $150–$278 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 2 matching MRF lines |
$51.60–$90 | $86–$150 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 2 matching MRF lines |
$46.80–$90 | $78–$150 | varies |
| Optokinetic Nystagmus Test (92544) | $50.40 | $84 | 0.4× |
| Oral Function Therapy (92526) | $157.20 | $262 | 1.9× |
| Oral Speech Device Eval (92597) | $127.80 | $213 | 1.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $103.20 | $172 | 2.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $97.80 | $163 | 2.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$29.40–$44.40 | $49–$74 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$43.20–$63 | $72–$105 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$57–$83.40 | $95–$139 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$70.80–$105.60 | $118–$176 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$85.80–$127.80 | $143–$213 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $41.40 | $69 | 3.0× |
| Ot eval high complexity (97167) | $238.20 | $397 | 2.4× |
| Ot Eval Low Complex (97165) | $158.40 | $264 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $192 | $320 | 1.9× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$30–$55.80 | $50–$93 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $80.40 | $134 | 2.0× |
| Ot Re-Eval Est Plan Care (97168) | $93.60 | $156 | 1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $258.60 | $431 | 2.0× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $258.60 | $431 | 2.0× |
| Pdt dstr prmlg les phys/qhp (96573) range across 2 matching MRF lines |
$138–$236.40 | $230–$394 | varies |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $226.20 | $377 | 1.1× |
| Percutaneous tests w/allergenic extracts (95004) | $10.80 | $18 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $93.60 | $156 | 1.6× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $22,474.80 | $37,458 | 1.2× |
| Perq transcath closure pda (93582) | $21,051.60 | $35,086 | 1.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $8,740.20 | $14,567 | 1.5× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $14,225.40 | $23,709 | 1.2× |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$127.80–$192 | $213–$320 | varies |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) range across 2 matching MRF lines |
$144–$205.20 | $240–$342 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $105 | $175 | 1.7× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$64.80–$81 | $108–$135 | varies |
| Plethysmography (94726) range across 6 matching MRF lines |
$19.20–$226.20 | $32–$377 | varies |
| Pm device eval in person (93288) range across 6 matching MRF lines |
$32.40–$93.60 | $54–$156 | varies |
| Pm device progr eval dual (93280) range across 4 matching MRF lines |
$58.80–$137.40 | $98–$229 | varies |
| Pm device progr eval multi (93281) range across 4 matching MRF lines |
$68.40–$137.40 | $114–$229 | varies |
| Pm Device Progr Eval Sngl (93279) range across 4 matching MRF lines |
$48.60–$93.60 | $81–$156 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$79.80–$103.20 | $133–$172 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $885 | $1,475 | 1.0× |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$690.60–$1,163.40 | $1,151–$1,939 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $85.20 | $142 | 0.1× |
| Positional nystagmus test (92542) range across 4 matching MRF lines |
$99.60–$134.40 | $166–$224 | varies |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) range across 2 matching MRF lines |
$65.40–$113.40 | $109–$189 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 4 matching MRF lines |
$63–$93.60 | $105–$156 | varies |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $68.40 | $114 | 0.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $12 | $20 | 0.3× |
| Prq Card Angio/Athrect 1 Art (92924) | $16,660.80 | $27,768 | 1.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $14,225.40 | $23,709 | 1.2× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $21,051.60 | $35,086 | 1.1× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $14,153.40 | $23,589 | 1.2× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$208.20–$311.40 | $347–$519 | varies |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$184.20–$216 | $307–$360 | varies |
| Psychoanalysis (90845) | $95.40 | $159 | 0.5× |
| Psychological tst eval svc phys/qhp first hour (96130) range across 2 matching MRF lines |
$159.60–$226.20 | $266–$377 | varies |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) range across 2 matching MRF lines |
$55.80–$231 | $93–$385 | varies |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 2 matching MRF lines |
$37.20–$96 | $62–$160 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 3 matching MRF lines |
$212.40–$221.40 | $354–$369 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $48 | $80 | 1.3× |
| Pt Eval High Complex (97163) | $238.20 | $397 | 2.4× |
| Pt eval low complex 20 min (97161) | $158.40 | $264 | 1.6× |
| Pt Eval Mod Complex (97162) | $192 | $320 | 2.0× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$52.20–$52.80 | $87–$88 | varies |
| Pt group caregiver training (97552) | $45 | $75 | 2.0× |
| Pt mechanical traction (97012) | $45 | $75 | 3.1× |
| Pt Re-Eval Est Plan Care (97164) | $76.80 | $128 | 1.1× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) range across 2 matching MRF lines |
$7.20–$22.80 | $12–$38 | varies |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$29.40–$208.20 | $49–$347 | varies |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$34.20–$154.20 | $57–$257 | varies |
| Pure Tone Audiometry Air (92552) | $99.60 | $166 | 0.7× |
| R Hrt Art/Grft Angio (93457) | $8,845.20 | $14,742 | 2.7× |
| R hrt coronary artery angio (93456) | $8,691.60 | $14,486 | 2.6× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $6,654.60 | $11,091 | 2.0× |
| Refill/Maint Portable Pump (96521) | $408 | $680 | 1.9× |
| Rem interrog icpms <30 d phys/qhp (93297) | $47.40 | $79 | 1.2× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $82.80 | $138 | 2.2× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $85.20 | $142 | 2.2× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $97.80 | $163 | 0.7× |
| Remote 30 Day Ecg Rev/Report (93270) | $168 | $280 | 4.4× |
| Respiratory flow volume loop (94375) range across 3 matching MRF lines |
$22.80–$389.40 | $38–$649 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $57.60 | $96 | 1.0× |
| Right Heart Cath (93451) | $6,425.40 | $10,709 | 1.9× |
| Right ventricular recording (93603) | $1,492.80 | $2,488 | 1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $279.60 | $466 | 1.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $318.60 | $531 | 2.6× |
| Select picture audiometry (92583) | $79.20 | $132 | 1.3× |
| Self Care Mngment Training (97535) | $64.20 | $107 | 2.0× |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$49.80–$118.20 | $83–$197 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $652.80 | $1,088 | 3.0× |
| Sleep study attended (95807) | $64.20 | $107 | 0.2× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$103.80–$274.20 | $173–$457 | varies |
| Slp caregiver training 1st 30 min (97550) | $106.20 | $177 | 2.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $85.20 | $142 | 0.4× |
| Somatosensory Testing (95938) range across 2 matching MRF lines |
$48.60–$1,113 | $81–$1,855 | varies |
| Speech Audiometry Complete (92556) | $61.80 | $103 | 1.0× |
| Speech audiometry threshold (92555) | $73.80 | $123 | 1.2× |
| Speech sound lang comprehen (92523) | $309.60 | $516 | 1.4× |
| Spin/Brain Pump Refil & Main (95991) | $61.20 | $102 | 0.2× |
| Spirometry (94010) range across 8 matching MRF lines |
$12.60–$216 | $21–$360 | varies |
| Spontaneous Nystagmus Test (92541) | $31.80 | $53 | 0.2× |
| Ssep lower limbs (95926) | $625.80 | $1,043 | 2.8× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$112.20–$251.40 | $187–$419 | varies |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$951–$1,144.20 | $1,585–$1,907 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $32.40 | $54 | 0.7× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $146.40 | $244 | 0.7× |
| Surfactant Admin Thru Tube (94610) | $261 | $435 | 1.2× |
| Temp transcutaneous pacing (92953) | $822.60 | $1,371 | 1.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $241.80 | $403 | 10.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $62.40 | $104 | 3.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$75–$79.20 | $125–$132 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$46.80–$49.20 | $78–$82 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $288.60 | $481 | 2.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$53.40–$72 | $89–$120 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $309 | $515 | 1.4× |
| Therapeutic Activities (97530) | $64.20 | $107 | 1.8× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 4 matching MRF lines |
$140.40–$962.40 | $234–$1,604 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$31.20–$46.20 | $52–$77 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$19.80–$28.80 | $33–$48 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$170.40–$255.60 | $284–$426 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$232.80–$362.40 | $388–$604 | varies |
| Transcath Closure of Asd (93580) | $21,051.60 | $35,086 | 1.1× |
| Tte w/doppler, complete (93306) | $1,210.80 | $2,018 | 2.2× |
| Tte W/O Doppler Complete (93307) | $67.80 | $113 | 0.3× |
| Tx atrial fib pulm vein isol (93656) | $29,313 | $48,855 | 1.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $185.40 | $309 | 2.4× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $63 | $105 | 2.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $113.40 | $189 | 2.4× |
| Tympanometry (92567) | $30.60 | $51 | 0.8× |
| Tympanometry and reflex threshold measurements (92550) | $57 | $95 | 0.3× |
| Unlisted ophthalmological service/procedure (92499) | $36.60 | $61 | 1.2× |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$16.80–$318.60 | $28–$531 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$144–$482.40 | $240–$804 | varies |
| Vasopneumatic device (97016) | $46.20 | $77 | 3.8× |
| Veeg 2-12 hr unmonitored (95711) | $965.40 | $1,609 | 4.4× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,929 | $3,215 | 5.1× |
| Vent Mgmt Inpat Init Day (94002) | $1,154.40 | $1,924 | 1.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $961.20 | $1,602 | 1.5× |
| Visual Evoked Potential Test (95930) | $564 | $940 | 2.6× |
| Vital capacity, total (94150) | $144.60 | $241 | 1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $56.40 | $94 | 1.8× |
| Whirlpool Therapy (97022) | $52.80 | $88 | 3.4× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $26.40 | $44 | 0.4× |
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.