Visits & medical services prices at Boca Raton Regional Hospital
Boca Raton, FL · every code in this section with a posted price and a Medicare benchmark.
244 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) | $15,605.85 | $24,009 | 1.9× |
| Acupunct W/Stimul 15 Min (97813) | $93.60 | $144 | 3.1× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $79.30 | $122 | 2.6× |
| Airway Inhalation Treatment (94640) | $173.55 | $267 | 0.8× |
| Analyze neurostim complex (95972) | $343.85 | $529 | 3.5× |
| Analyze neurostim no prog (95970) | $1,718.60 | $2,644 | 12.4× |
| Analyze Neurostim Simple (95971) | $343.85 | $529 | 3.5× |
| Analyze Pacemaker System (93724) | $1,188.85 | $1,829 | 3.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $153.40 | $236 | 10.7× |
| Application on-body injector (96377) | $135.20 | $208 | 2.8× |
| Assessment of aphasia per hr (96105) | $579.15 | $891 | 6.0× |
| Audiometry Air & Bone (92553) | $397.80 | $612 | 3.0× |
| Behavral qualit analys voice (92524) | $254.80 | $392 | 2.3× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $200.20 | $308 | 2.4× |
| Bfb training ea addl 15 min (90913) | $200.20 | $308 | 6.1× |
| Biofeedback training any modality (90901) | $235.30 | $362 | 5.7× |
| Breath hydrogen/methane test (91065) | $297.05 | $457 | 1.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $806 | $1,240 | 2.1× |
| Bundle of his recording (93600) | $5,877.95 | $9,043 | 0.7× |
| Canalith repositioning proc (95992) | $94.90 | $146 | 2.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,658.80 | $2,552 | 7.4× |
| Cardiopulmonary resuscitation (92950) | $1,176.50 | $1,810 | 5.2× |
| Cardioversion (92960) | $1,860.95 | $2,863 | 2.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $16,211 | $24,940 | 4.8× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $16,336.45 | $25,133 | 4.8× |
| Chemo Admin Peritoneal Cavity (96446) | $846.95 | $1,303 | 2.5× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$237.90–$312.65 | $366–$481 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $237.90 | $366 | 3.2× |
| Chemo Ia Push (96420) | $666.90 | $1,026 | 1.9× |
| Chemo intralesional up to 7 (96405) | $2,159.95 | $3,323 | 28.7× |
| Chemo IV infusion addl hr (96415) | $267.80 | $412 | 3.6× |
| Chemo IV push addl drug (96411) | $267.80 | $412 | 3.6× |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$735.80–$846.95 | $1,132–$1,303 | varies |
| Chemotherapy Into Cns (96450) | $904.80 | $1,392 | 2.6× |
| Chemotherapy Intracavitary (96440) | $757.90 | $1,166 | 2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $267.80 | $412 | 3.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$735.80–$846.95 | $1,132–$1,303 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$381.55–$543.40 | $587–$836 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $275.60 | $424 | 0.8× |
| Chest Wall Manipulation (94668) | $135.85 | $209 | 1.0× |
| Color/duplex Doppler, complete (93975) | $1,149.85 | $1,769 | 4.6× |
| Color/duplex Doppler, limited (93976) | $463.45 | $713 | 4.2× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $136.50 | $210 | 4.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $345.15 | $531 | 2.5× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $163.80 | $252 | 2.7× |
| Continuous Pulse Ox (94762) | $1,041.95 | $1,603 | 7.8× |
| Coronary Art/Grft Angio S&I (93455) | $11,007.75 | $16,935 | 3.3× |
| Coronary Artery Angio S&I (93454) | $9,974.90 | $15,346 | 2.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $1,198.60 | $1,844 | 5.2× |
| Cpt initial (94667) | $174.85 | $269 | 1.3× |
| Critical care first hour (99291) | $3,469.05 | $5,337 | 4.0× |
| Debridement Open Wound 20 Sq Cm< (97597) | $488.80 | $752 | 2.3× |
| Dialysis One Evaluation (90945) | $2,562.30 | $3,942 | 5.9× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $969.15 | $1,491 | 3.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $620.75 | $955 | 5.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,050.40 | $1,616 | 4.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $766.35 | $1,179 | 7.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$988.65–$1,018.55 | $1,521–$1,567 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$744.25–$766.35 | $1,145–$1,179 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $750.75 | $1,155 | 3.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $360.75 | $555 | 3.3× |
| Duplex Scan Hemodialysis Access (93990) | $760.50 | $1,170 | 7.0× |
| Duplex up extrem art bilat (93930) | $1,095.25 | $1,685 | 4.4× |
| Duplex up extrem art unilat/ltd (93931) | $766.35 | $1,179 | 7.0× |
| ECG/monitoring and analysis (93271) | $296.40 | $456 | 3.0× |
| Echo Heart Xthoracic,Limited (93308) | $762.45 | $1,173 | 3.1× |
| Echo transesophag montr cardiac pump functj (93318) | $2,107.95 | $3,243 | 3.7× |
| Echo transesophageal (93312) | $2,717.65 | $4,181 | 4.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,543.45 | $3,913 | 4.5× |
| EEG awake and asleep (95819) | $737.75 | $1,135 | 3.3× |
| EEG awake drowsy (95816) | $1,122.55 | $1,727 | 5.0× |
| EEG cerebral death evaluation (95824) | $1,324.05 | $2,037 | 3.4× |
| EEG cont rec w/video by tech min 8 channels (95700) | $739.70 | $1,138 | 3.3× |
| EEG extended monitoring 61-119 minutes (95813) | $737.75 | $1,135 | 3.3× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $739.70 | $1,138 | 3.3× |
| EEG w/o vid ea 12-26hr intmt (95709) | $1,379.30 | $2,122 | 3.5× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $718.25 | $1,105 | 3.2× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,420.90 | $2,186 | 3.6× |
| EKG signal averaged (93278) | $271.70 | $418 | 4.4× |
| Electrical Stimulation Ea 15 Min (97032) | $151.45 | $233 | 10.3× |
| Electrocardiogram Tracing (93005) | $365.95 | $563 | 5.9× |
| Electrophysiology Evaluation (93642) | $2,196.35 | $3,379 | 1.7× |
| Emergency Dept Visit Level 2 (99282) | $598.65 | $921 | 3.7× |
| Emergency Dept Visit Level 3 (99283) | $1,008.80 | $1,552 | 3.5× |
| Emergency Dept Visit Level 4 (99284) | $1,359.15 | $2,091 | 3.1× |
| Ep & ablate supravent arrhyt (93653) | $33,671.95 | $51,803 | 1.2× |
| Ep & ablate ventric tachy (93654) | $39,908.05 | $61,397 | 1.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $13,087.75 | $20,135 | 1.6× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $10,567.70 | $16,258 | 1.3× |
| Er level 1 (99281) | $437.45 | $673 | 5.0× |
| Er level v (99285) | $1,619.15 | $2,491 | 2.6× |
| Evaluate pt use of inhaler (94664) | $173.55 | $267 | 0.8× |
| Evaluate Speech Production (92522) | $324.35 | $499 | 2.9× |
| Evaluate Swallowing Function (92610) | $505.70 | $778 | 6.0× |
| Evaluation of speech fluency (92521) | $300.30 | $462 | 2.3× |
| External ECG rec>48hr<7d recording (93242) | $1,332.50 | $2,050 | 34.2× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $1,322.75 | $2,035 | 9.5× |
| External Ecg Scanning Analysis Report (93226) | $1,202.50 | $1,850 | 19.5× |
| Extracranial Bilat Study (93880) | $1,940.25 | $2,985 | 7.8× |
| Extracranial Uni/Ltd Study (93882) | $931.45 | $1,433 | 8.5× |
| Flexible endoscopic eval swallow c/v rec (92612) | $315.90 | $486 | 1.6× |
| Gi tract capsule endoscopy (91110) | $2,228.20 | $3,428 | 2.4× |
| Group Therapeutic Procedures (97150) | $96.85 | $149 | 5.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $18,414.50 | $28,330 | 5.4× |
| Holter monitor recording (93225) | $1,332.50 | $2,050 | 9.6× |
| Hypnotherapy (90880) | $270.40 | $416 | 2.5× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$119.60–$251.55 | $184–$387 | varies |
| Icd device progr eval dual (93283) | $410.15 | $631 | 10.5× |
| Icd Device Progr Eval Mult (93284) | $435.50 | $670 | 11.2× |
| Immunization administration (90471) | $104.65 | $161 | 1.4× |
| Insert/Place Heart Catheter (93503) | $3,773.90 | $5,806 | 2.3× |
| Intra-atrial pacing (93610) | $4,614.35 | $7,099 | 0.6× |
| Intra-atrial recording (93602) | $5,707 | $8,780 | 0.7× |
| Intracranial Complete Study (93886) | $916.50 | $1,410 | 3.7× |
| Intraventricular pacing (93612) | $6,448.65 | $9,921 | 0.8× |
| Iontophoresis 15 min (97033) | $169.65 | $261 | 8.9× |
| Irrig Drug Delivery Device (96523) | $302.25 | $465 | 4.9× |
| IV infusion hydration each additional hour (96361) | $152.10 | $234 | 3.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $275.60 | $424 | 1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $165.75 | $255 | 2.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $173.55 | $267 | 3.5× |
| IV push initial (96374) range across 4 matching MRF lines |
$275.60–$543.40 | $424–$836 | varies |
| L Hrt Art/Grft Angio (93459) | $18,660.20 | $28,708 | 5.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 4 matching MRF lines |
$437.45–$748.15 | $673–$1,151 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $40.95 | $63 | 1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $72.15 | $111 | 2.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $16.90 | $26 | 1.0× |
| Methacholine challenge (94070) | $1,712.10 | $2,634 | 4.4× |
| Motion Fluoroscopy/Swallow (92611) | $648.05 | $997 | 7.1× |
| Nasopharyngoscopy (92511) | $480.35 | $739 | 2.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $254.80 | $392 | 1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $371.80 | $572 | 0.9× |
| Neurobehavioral Status Exam (96116) | $737.75 | $1,135 | 3.3× |
| Neuromuscular Reeducation (97112) | $163.15 | $251 | 5.0× |
| Newborn resuscitation (99465) | $1,063.40 | $1,636 | 1.5× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $120.90 | $186 | 3.5× |
| Oral Function Therapy (92526) | $319.80 | $492 | 3.8× |
| Oral Speech Device Eval (92597) | $1,162.20 | $1,788 | 16.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $105.30 | $162 | 2.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $129.35 | $199 | 2.8× |
| Ot eval high complexity (97167) | $507 | $780 | 5.0× |
| Ot Eval Low Complex (97165) | $225.55 | $347 | 2.2× |
| Ot Eval Moderate Complexity (97166) | $338 | $520 | 3.4× |
| Ot manual therapy 15 min (97140) | $163.15 | $251 | 5.9× |
| Ot paraffin bath (97018) | $127.40 | $196 | 21.2× |
| Ot Prosthetic Training, Each 15 Min (97761) | $163.15 | $251 | 4.0× |
| Ot Re-Eval Est Plan Care (97168) | $258.05 | $397 | 3.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $297.05 | $457 | 2.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $297.05 | $457 | 2.2× |
| Oxygen Uptake Rest Indirect (94690) | $440.70 | $678 | 7.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $554.45 | $853 | 2.4× |
| Peripheral arterial disease rehab per session (93668) | $163.80 | $252 | 2.7× |
| Perq Transcath Cls Aortic (93591) | $28,088.45 | $43,213 | 1.5× |
| Perq Transcath Cls Mitral (93590) | $26,810.55 | $41,247 | 1.4× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $16,077.10 | $24,734 | 2.7× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $23,706.80 | $36,472 | 2.0× |
| Phlebotomy therapeutic (99195) | $299 | $460 | 2.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $165.75 | $255 | 2.7× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $165.75 | $255 | 2.7× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$456.95–$470.60 | $703–$724 | varies |
| Plethysmography (94726) | $682.50 | $1,050 | 1.8× |
| Pm device eval in person (93288) | $251.55 | $387 | 6.5× |
| Pm device progr eval dual (93280) | $373.10 | $574 | 9.6× |
| Pm Device Progr Eval Sngl (93279) | $119.60 | $184 | 3.1× |
| Pm/Icd Remote Tech Serv (93296) | $598 | $920 | 15.3× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $379.60 | $584 | 9.7× |
| Prq Card Angio/Athrect 1 Art (92924) | $30,657.25 | $47,165 | 2.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $26,078.65 | $40,121 | 2.2× |
| Prq Card Stent/Ath/Angio (92933) | $35,842.95 | $55,143 | 1.9× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $28,686.45 | $44,133 | 2.4× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $29,062.15 | $44,711 | 1.5× |
| Pt Eval High Complex (97163) | $507 | $780 | 5.2× |
| Pt eval low complex 20 min (97161) | $225.55 | $347 | 2.3× |
| Pt Eval Mod Complex (97162) | $338 | $520 | 3.5× |
| Pt gait training 15 min (97116) | $139.75 | $215 | 4.8× |
| Pt mechanical traction (97012) | $143 | $220 | 10.0× |
| Pt Re-Eval Est Plan Care (97164) | $258.05 | $397 | 3.8× |
| Pulmonary Stress Testing (94618) | $355.55 | $547 | 2.6× |
| R Hrt Art/Grft Angio (93457) | $19,271.85 | $29,649 | 5.7× |
| R hrt coronary artery angio (93456) | $15,641.60 | $24,064 | 4.6× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $9,423.70 | $14,498 | 2.8× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $606.45 | $933 | 1.8× |
| Refill/Maint Portable Pump (96521) | $275.60 | $424 | 1.2× |
| Refill/Maint Pump/Resvr Syst (96522) | $275.60 | $424 | 1.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $165.10 | $254 | 4.2× |
| Respiratory flow volume loop (94375) | $512.85 | $789 | 2.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $135.20 | $208 | 2.2× |
| Right Heart Cath (93451) | $8,224.45 | $12,653 | 2.4× |
| Right ventricular recording (93603) | $5,029.05 | $7,737 | 4.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $321.10 | $494 | 1.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $459.55 | $707 | 3.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $230.10 | $354 | 4.8× |
| Self Care Mngment Training (97535) | $163.15 | $251 | 5.0× |
| Sensory Integration Ea 15 Min (97533) | $78.65 | $121 | 1.3× |
| Short-latency somatosens ep std upr limbs (95925) | $737.75 | $1,135 | 3.3× |
| Speech sound lang comprehen (92523) | $507 | $780 | 2.2× |
| Spin/Brain Pump Refil & Main (95991) | $419.25 | $645 | 1.3× |
| Spirometry (94010) | $169 | $260 | 0.7× |
| Ssep lower limbs (95926) | $737.75 | $1,135 | 3.3× |
| Stress Tte Only (93350) | $2,671.50 | $4,110 | 4.7× |
| Subcutaneous Infusion Each Additional Hour (96370) | $117.65 | $181 | 2.4× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $381.55 | $587 | 1.7× |
| Subq Infusion Additional Pump Infusion Site (96371) | $120.25 | $185 | 1.6× |
| Surfactant Admin Thru Tube (94610) | $191.75 | $295 | 0.8× |
| Temp transcutaneous pacing (92953) | $1,715.35 | $2,639 | 2.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $163.15 | $251 | 7.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $163.15 | $251 | 7.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $169.65 | $261 | 4.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $127.40 | $196 | 4.3× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $352.95 | $543 | 3.4× |
| Ther/Proph/Diag Inj Ia (96373) | $275.60 | $424 | 1.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $195 | $300 | 2.6× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$399.75–$543.40 | $615–$836 | varies |
| Therapeutic Activities (97530) | $139.75 | $215 | 4.0× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,927.90 | $2,966 | 4.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $76.70 | $118 | 2.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $76.70 | $118 | 2.0× |
| Transcath Closure of Asd (93580) | $31,533.45 | $48,513 | 1.6× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $693.55 | $1,067 | 6.4× |
| Tte w/doppler, complete (93306) | $2,720.25 | $4,185 | 4.8× |
| Tx atrial fib pulm vein isol (93656) | $34,719.10 | $53,414 | 1.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $352.95 | $543 | 4.6× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $123.50 | $190 | 5.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $135.20 | $208 | 2.8× |
| Tympanometry (92567) | $191.10 | $294 | 4.9× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$929.50–$1,609.40 | $1,430–$2,476 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $361.40 | $556 | 2.6× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $662.35 | $1,019 | 2.9× |
| Valvuloplasty aortic valve (92986) | $10,247.90 | $15,766 | 1.7× |
| Valvuloplasty mitral valve (92987) | $21,131.50 | $32,510 | 1.8× |
| Valvuloplasty pulmonary valve (92990) | $21,131.50 | $32,510 | 1.8× |
| Vasopneumatic device (97016) | $196.30 | $302 | 16.3× |
| Veeg 2-12 Hr Cont Mntr (95713) | $3,439.15 | $5,291 | 8.8× |
| Veeg 2-12 hr intmt mntr (95712) | $3,439.15 | $5,291 | 8.8× |
| Veeg 2-12 hr unmonitored (95711) | $3,439.15 | $5,291 | 15.3× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $3,439.15 | $5,291 | 8.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $3,439.15 | $5,291 | 8.8× |
| Veeg ea 12-26hr cont mntr (95716) | $3,439.15 | $5,291 | 3.8× |
| Vent Mgmt Inpat Init Day (94002) | $3,090.10 | $4,754 | 4.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $3,090.10 | $4,754 | 4.8× |
| Visual Evoked Potential Test (95930) | $605.80 | $932 | 2.7× |
| Vital capacity, total (94150) | $460.85 | $709 | 3.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $148.20 | $228 | 4.8× |
| Whirlpool Therapy (97022) | $241.80 | $372 | 15.4× |
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.