Visits & medical services prices at Blessing Hospital

Quincy, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $211.05 $351.74 1.9×
Ablate Heart Dysrhythm Focus (93650)
likely a partial charge, not the full procedure
$1,015.76 $1,692.93 0.1×
Acoustic Reflex Testing (92568) $26.56 $44.26 0.7×
Actinotherapy Ultraviolet Light (96900) $38.40 $63.99 1.0×
Acupunct W/Stimul 15 Min (97813) $73.37 $122.28 2.4×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $62.46 $104.09 2.0×
Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) $52.35 $87.24 0.3×
Adaptive behavior tx by protocol tech ea 15 min (97153) $34.25 $57.08 0.3×
Advncd Care Plan 30 Min (99497) $109.62 $182.69 1.0×
Airway Inhalation Treatment (94640) $27.14 $45.23 0.1×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $34.08 $56.80 0.9×
Allg tstg perq & ic venoms immed react w/i&r (95017) $14.06 $23.42 0.5×
Analyze neurostim complex (95972) $175.67 $292.78 1.7×
Analyze neurostim no prog (95970) $100.04 $166.72 0.7×
Analyze Neurostim Simple (95971) $93.16 $155.26 0.9×
Anrct mano rct sensation&rct balo expulsion test (91125) $592.19 $986.97 1.5×
Ant sgm imaging w/microscopy endothelial analy (92286) $190.13 $316.88 1.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $22.65 $37.74 1.6×
Application Modality 1/> Areas Infrared (97026) $10.73 $17.87 1.6×
Assmt & care planning pt w/cognitive impairment (99483) $378.85 $631.41 3.5×
Audiometry Air & Bone (92553) $70.42 $117.36 0.5×
Behavior id assessment by phys/qhp ea 15 min (97151) $69.14 $115.23 0.6×
Behavior id support assmt by 1 tech ea 15 min (97152) $39.42 $65.69 0.4×
Behavral qualit analys voice (92524) $311.27 $518.77 2.8×
Bioimpedance Cv Analysis (93701) $41.44 $69.06 0.3×
Brief Emotional/Behav Assmt (96127) $10.22 $17.03 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $20.74 $34.56 0.1×
Canalith repositioning proc (95992) $69.26 $115.43 1.7×
Cardiopulmonary exercise testing (94621) $127.74 $212.90 0.3×
Care mgmt services behavioral hlth cond 20 mins (99484) $77.16 $128.59 1.9×
Caregiver hlth risk assmt score doc stnd instrm (96161) $7.13 $11.88 0.2×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $678.30 $1,130.49 0.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $541.68 $902.79 0.2×
Chemo Anti-Neopl Sq/Im (96401) $113.27 $188.78 1.5×
Chemo Hormon Antineopl Sq/Im (96402) $55.35 $92.24 0.7×
Chiropract manj 3-4 regions (98941) $54.93 $91.54 2.4×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) $41.88 $69.79 1.8×
Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) $71.73 $119.54 3.1×
Chron Care Mgmt Srvc 20 Min (99490) $101.01 $168.35 0.9×
Color/duplex Doppler, limited (93976) $522.48 $870.80 4.7×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $102.13 $170.21 0.5×
Comprehensive Hearing Test (92557) $63.33 $105.54 0.5×
Computerized Ophthalmic Imaging Optic Nerve (92133) $71.84 $119.73 1.1×
Computerized Ophthalmic Imaging Retina (92134) $71.84 $119.73 1.1×
Conditioning Play Audiometry (92582) $132.44 $220.73 1.0×
Cont gluc mntr physician/qhp provided equiptment (95250) $240.27 $400.45 1.7×
Continuous Pulse Ox (94762) $45.20 $75.33 0.3×
Corneal Topography (92025) $57.66 $96.09 0.9×
Coronary Art/Grft Angio S&I (93455) $512.27 $853.77 0.1×
Coronary Artery Angio S&I (93454) $443.71 $739.51 0.1×
Developmental tst admin phys/qhp 1st hour (96112) $227.01 $378.35 1.6×
Dialysis One Evaluation (90945) $139.40 $232.33 0.3×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $68.75 $114.58 0.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $578.09 $963.47 2.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $748.83 $1,248.05 2.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $489.43 $815.71 4.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $618.05 $1,030.08 2.4×
Dup-scan xtr veins unilateral/limited study (93971) $367.91 $613.17 3.3×
Duplex up extrem art bilat (93930) $597.71 $996.17 2.3×
Duplex up extrem art unilat/ltd (93931) $397.43 $662.38 3.5×
Ear and throat examination (92502) $157.47 $262.44 0.3×
Echo Heart Xthoracic,Limited (93308) $255.33 $425.55 1.0×
Echo r-t 2d w/probe placement only (93313) $70.26 $117.10 0.1×
Echo transesophageal (93312) $493.34 $822.23 0.8×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $143.22 $238.69 0.2×
Eeg 41-60 Minutes (95812) $91.50 $152.50 0.4×
EEG awake and asleep (95819) $91.50 $152.50 0.4×
EEG awake drowsy (95816) $91.50 $152.50 0.4×
EEG cerebral death evaluation (95824) $62.47 $104.11 0.2×
EEG extended monitoring 61-119 minutes (95813) $142.04 $236.73 0.6×
Eeg Sleep Only (95822) $91.50 $152.50 0.4×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $87.03 $145.04 0.9×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $91.56 $152.60 0.9×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $69.02 $115.03 1.7×
Electrical Stimulation Ea 15 Min (97032) $28.76 $47.93 2.0×
Electrocardiogram Tracing (93005) $16.29 $27.15 0.3×
Electroconvulsive Therapy (90870) $278.22 $463.69 0.3×
Electrophysiology Evaluation (93642) $418.12 $696.86 0.3×
Emg 3 Extremities (95863) $158.70 $264.49 1.2×
Emg 4 Extremities (95864) $365.46 $609.09 2.7×
Ep & ablate supravent arrhyt (93653)
likely a partial charge, not the full procedure
$1,407.92 $2,346.53 0.1×
Ep & ablate ventric tachy (93654)
likely a partial charge, not the full procedure
$1,878.78 $3,131.29 0.1×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
likely a partial charge, not the full procedure
$1,442.31 $2,403.85 0.2×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
likely a partial charge, not the full procedure
$1,182.75 $1,971.25 0.1×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $784.58 $1,307.63 2.0×
Evaluate Speech Production (92522) $311.27 $518.77 2.8×
Evaluation of speech fluency (92521) $311.27 $518.77 2.3×
Evoked Auditory Test,Limited (92587) $45.73 $76.21 0.2×
Excimer laser tx psoriasis 250-500 sq cm (96921) $277.57 $462.61 1.3×
Excimer laser tx psoriasis >500 sq cm (96922) $394.07 $656.78 0.9×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $273.34 $455.56 1.3×
External ECG rec>48hr<7d recording (93242) $42.61 $71.01 1.1×
External ECG rec>7d<15d recording (93246) $42.61 $71.01 1.1×
Extracranial Bilat Study (93880) $595.62 $992.69 2.3×
Extracranial Uni/Ltd Study (93882) $422.73 $704.55 3.8×
Eye exam w anesth; complete (92018) $228.92 $381.53 0.1×
Family adapt bhv tx gdn phys/qhp ea 15 min (97156) $51.05 $85.08 1.3×
Fluorescein angiography (92235) $251.79 $419.64 1.1×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $434.27 $723.78 1.9×
Fundus photography (92250) $119.16 $198.59 0.8×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $99.92 $166.53 0.2×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $327.24 $545.40 1.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $164.13 $273.55 0.2×
Gi tract capsule endoscopy (91110) $1,451.71 $2,419.51 1.5×
Gonioscopy (92020) $43.77 $72.94 0.3×
Group adaptive bhv tx by protocol tech ea 15 min (97154) $32.96 $54.93 0.8×
Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) $40.71 $67.84 1.0×
Health Behavior Assessment/Re-Assessment (96156) $165.25 $275.41 1.5×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $121.06 $201.76 3.0×
Health behavior ivntj group f2f 1st 30 min (96164) $17.11 $28.51 0.4×
Health behavior ivntj indiv f2f 1st 30 min (96158) $112.66 $187.76 0.6×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $749.15 $1,248.58 0.2×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $120.32 $200.52 0.2×
Holter monitor recording (93225) $44.73 $74.54 0.3×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $20.94 $34.89 0.5×
Icd Device Interrogate (93289) $115.82 $193.02 2.9×
Icd device progr eval dual (93283) $157.03 $261.71 3.9×
Icd Device Progr Eval Mult (93284) $169.24 $282.06 4.2×
Icm Device Eval (93290) $34.13 $56.87 0.9×
Ilr Device Eval Progr (93285) $42.26 $70.42 1.1×
Ilr Device Interrogate (93291) $78.17 $130.27 2.5×
Im Adm Intransl/Oral 1 Vaccine (90473) $32.27 $53.77 0.4×
Img retina detcj/mntr ds poc auton a/r uni/bi (92229) $71.93 $119.87 1.1×
Immunization administration (90471) $57.57 $95.95 0.7×
Ingestion challenge test initial 120 minutes (95076) $197.03 $328.38 0.5×
Inital newborn e/m (99460) $130.82 $218.03 0.9×
Insert/Place Heart Catheter (93503) $225.44 $375.72 0.1×
Interrogate Subq Defib (93261) $62.85 $104.74 1.6×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$279.48 $465.79 0.0×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure
$195.99 $326.65 0.0×
Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) $8.07 $13.44 0.3×
Intracutaneous tests w/allergenic extracts (95024) $12.52 $20.86 0.2×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$278.46 $464.10 0.0×
Iontophoresis 15 min (97033) $48.15 $80.25 2.5×
Irrig Drug Delivery Device (96523) $38.73 $64.54 0.6×
IV infusion hydration each additional hour (96361) $24 $39.99 0.5×
IV infusion hydration initial 31 min-1 hour (96360) $88.52 $147.52 0.4×
IV infusion ther proph addl sequential to 1 hr (96367) $50.38 $83.96 0.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $33.78 $56.29 0.7×
IV push initial (96374) $86.51 $144.18 0.4×
L Hrt Art/Grft Angio (93459) $609.49 $1,015.81 0.2×
Liver Elastography W/O Imag W/I&R (91200) $59.43 $99.05 0.4×
Loudness balance test (92562) $73.98 $123.30 0.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $50.77 $84.61 1.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $58.28 $97.13 1.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $26.91 $44.85 1.6×
Methacholine challenge (94070) $51.83 $86.38 0.1×
Motility study esophagus (91010) $429.70 $716.16 1.1×
Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) $72.37 $120.61 1.8×
Multiple Sleep Latency Test (95805) $1,855.89 $3,093.15 2.0×
Muscle Test 2 Limbs (95861) $130.38 $217.30 0.9×
Muscle Test Nonparaspinal (95870) $129.18 $215.30 0.9×
Muscle Test One Limb (95860) $177.35 $295.57 1.2×
Nasopharyngoscopy (92511) $223.74 $372.90 1.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $534.84 $891.39 1.2×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $554.17 $923.61 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $68.55 $114.24 0.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $80.99 $134.98 0.2×
Nerve Conduction Studies 1-2 Studies (95907) $150.45 $250.74 0.7×
Nerve Conduction Studies 11-12 Studies (95912) $416.66 $694.43 1.0×
Nerve conduction studies 13 or more studies (95913) $483.40 $805.66 1.2×
Nerve Conduction Studies 3-4 Studies (95908) $185.60 $309.33 0.8×
Nerve conduction studies 5-6 studies (95909) $222.57 $370.94 1.0×
Nerve conduction studies 7-8 studies (95910) $293.12 $488.53 0.7×
Nerve Conduction Studies 9-10 Studies (95911) $355.42 $592.36 0.9×
Neurobehavioral Status Exam (96116) $160.38 $267.30 0.7×
Newborn resuscitation (99465) $200.26 $333.76 0.3×
Nonphysician Telephone Assessment 11-20 Min (98967) $43.15 $71.91 1.7×
Nonphysician Telephone Assessment 21-30 Min (98968) $64.07 $106.77 1.8×
Nonphysician Telephone Assessment 5-10 Min (98966) $32.70 $54.50 2.4×
Nrpsyc tst eval phys/qhp 1st (96132) $223.50 $372.49 0.6×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $135.71 $226.17 1.0×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $236.97 $394.95 1.7×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $199.67 $332.78 1.4×
Ophth medical xm&eval intermediate estab pt (92012) $141.04 $235.06 1.0×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $133.97 $223.28 0.9×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $26.37 $43.94 0.4×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $41.61 $69.35 0.7×
Osteopathic manipulative tx 5-6 body regions (98927) $95.49 $159.14 4.1×
Osteopathic manipulative tx 7-8 body regions (98928) $117.08 $195.12 5.1×
Osteopathic manipulative tx 9-10 body regions (98929) $137.88 $229.79 6.0×
Ot manual therapy 15 min (97140) $45.93 $76.55 1.7×
Patch/Application Test Specify Number Tests (95044) $9.56 $15.92 0.0×
Pdt dstr prmlg les skn illum/activj per day (96567) $209.20 $348.66 1.0×
Percutaneous tests w/allergenic extracts (95004) $10.11 $16.85 0.0×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930)
likely a partial charge, not the full procedure
$926.88 $1,544.79 0.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
likely a partial charge, not the full procedure
$932.66 $1,554.42 0.2×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
likely a partial charge, not the full procedure
$1,161.26 $1,935.42 0.1×
Plethysmography (94726) $22.43 $37.38 0.1×
Pm device eval in person (93288) $88.66 $147.76 2.2×
Pm device progr eval dual (93280) $125.69 $209.48 3.1×
Pm device progr eval multi (93281) $73.67 $122.77 1.8×
Pm Device Progr Eval Sngl (93279) $107.27 $178.77 2.7×
Pm/Icd Remote Tech Serv (93296) $45.24 $75.40 1.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,489.17 $7,481.95 4.9×
Polysom <6 yrs 4/> paramtrs (95782) $209.88 $349.79 0.2×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $22.92 $38.20 0.5×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $71.91 $119.84 1.8×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $128.55 $214.24 3.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $16.02 $26.70 0.3×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $19.08 $31.79 0.4×
Prq Card Angio/Athrect 1 Art (92924)
likely a partial charge, not the full procedure
$1,108.87 $1,848.11 0.1×
Prq Card Stent W/Angio 1 Vsl (92928)
likely a partial charge, not the full procedure
$901.83 $1,503.05 0.1×
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure
$1,077.12 $1,795.19 0.1×
Prq Revasc Byp Graft 1 Vsl (92937)
likely a partial charge, not the full procedure
$1,019.55 $1,699.25 0.1×
Psych diag eval w/med srvcs (90792) $320.73 $534.54 1.7×
Psychiatric diagnostic evaluation (90791) $284.29 $473.81 1.5×
Psychological tst eval svc phys/qhp first hour (96130) $207.80 $346.32 0.9×
Psycl/Nrpsyc Tst Auto Result (96146) $4.02 $6.69 0.1×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $59.98 $99.96 0.1×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $76.85 $128.08 0.5×
Psytx Crisis Initial 60 Min (90839) $242.39 $403.98 1.3×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $7.31 $12.17 0.2×
Pulmonary Stress Testing (94618) $41.67 $69.44 0.3×
Pure Tone Audiometry Air (92552) $58.23 $97.04 0.4×
R Hrt Art/Grft Angio (93457) $636.49 $1,060.81 0.2×
R hrt coronary artery angio (93456) $567.50 $945.82 0.2×
R&L Hrt Cath W/Ventriclgrphy (93453) $577.20 $961.99 0.2×
Rectal sensation tone&compliance study (91124) $291.96 $486.60 1.3×
Rem interrog icpms <30 d phys/qhp (93297) $18.14 $30.22 0.5×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $158.66 $264.42 4.0×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $76.80 $128 1.9×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $26.60 $44.32 0.2×
Rem Mntr Wrls P-Art Prs Snr (93264) $84.03 $140.05 2.1×
Repet tms tx initial w/map/motr threshld/del&m (90867) $592.95 $988.25 2.6×
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) $724.27 $1,207.11 3.1×
Respiratory flow volume loop (94375) $69.69 $116.14 0.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $9.92 $16.53 0.2×
Right Heart Cath (93451) $251.37 $418.95 0.1×
Right ventricular recording (93603) $195.99 $326.65 0.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $125.55 $209.25 0.6×
Same day nb discharge (99463) $152.20 $253.66 1.1×
Sbsq Psyc Collab Care Mgmt (99493) $194.78 $324.63 1.8×
Select picture audiometry (92583) $87.20 $145.32 1.4×
Self-meas bp pt educaj/traing & dev calibration (99473) $18.97 $31.61 0.6×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $101.01 $168.35 1.6×
Sleep study attended (95807) $101.99 $169.98 0.3×
Sleep study unattended (95806) $1,090.18 $1,816.96 4.7×
Speech Audiometry Complete (92556) $68.90 $114.82 1.1×
Speech audiometry threshold (92555) $44.49 $74.15 0.7×
Speech sound lang comprehen (92523) $369.18 $615.30 1.6×
Spirometry (94010) $15.48 $25.79 0.1×
Stenger Test, Pure Tone (92565) $32.29 $53.81 0.5×
Stress Tte Only (93350) $119.48 $199.13 0.2×
Surfactant Admin Thru Tube (94610) $95.85 $159.74 0.4×
Temp transcutaneous pacing (92953) $73.01 $121.68 0.1×
Ther/Proph/Diag Iv Inf Init (96365) $112 $186.66 0.5×
Therap repetitive tms tx subseq delivery & mng (90868) $278.69 $464.47 1.2×
Therapeutic Activities (97530) $58.35 $97.24 1.7×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $154.79 $257.98 0.4×
Tobacco Use Cessation Intensive >10 Minutes (99407) $38.73 $64.55 1.0×
Trans Care Mgmt 14 Day Disch (99495) $286.33 $477.21 2.0×
Trans Care Mgmt 7 Day Disch (99496) $387.35 $645.58 2.7×
Transcath Closure of Asd (93580)
likely a partial charge, not the full procedure
$1,733.96 $2,889.92 0.1×
Tte w/doppler, complete (93306) $625.26 $1,042.09 1.1×
Tte W/O Doppler Complete (93307) $528.29 $880.48 2.1×
Tx atrial fib pulm vein isol (93656)
likely a partial charge, not the full procedure
$1,879.41 $3,132.34 0.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$54.27–$217.02 $90.44–$361.69 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $34.91 $58.18 0.7×
Tympanometry (92567) $26.16 $43.59 0.7×
Tympanometry and reflex threshold measurements (92550) $35.03 $58.37 0.2×
Unlis neurological/neuromuscular dx px (95999) $59.98 $99.96 0.4×
Unlisted allergy/clinical immunologic srvc/px (95199) $12.02 $20.03 0.4×
Unlisted cardiovascular service/procedure (93799) $346.63 $577.71 2.5×
Unlisted ophthalmological service/procedure (92499) $25.80 $42.99 0.8×
Unlisted otorhinolaryngological service (92700) $51.98 $86.62 1.7×
Valvuloplasty aortic valve (92986)
unusually low: confirm this is the full procedure
$2,346.75 $3,911.25 0.4×
Visual Evoked Potential Test (95930) $231.98 $386.63 1.0×
Visual Field Exam Extended (92083) $139.61 $232.68 1.0×
Visual field xm uni/bi w/interp intermed exam (92082) $109.33 $182.21 1.7×
Visual reinforcement audiometry (vra) (92579) $71.07 $118.44 0.3×
Vital capacity, total (94150) $7.16 $11.92 0.1×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $139.27 $232.11 2.2×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $37.99 $63.31 0.9×

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.