Visits & medical services prices at Boston Children's Hospital

Boston, MA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $18,989 $18,989 2.0×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $364 $364 2.4×
Acoustic Reflex Testing (92568) $168 $168 3.8×
Actinotherapy Ultraviolet Light (96900) $270 $270 6.0×
Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) $193 $193 0.9×
Admn Sarscov2 Vacc 1 Dose (90480) $96 $96 2.0×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $840 $840 3.2×
Aep neurodiagnostic i&r (92653) $818 $818 3.2×
Aep threshold estimation mlt frequencies i&r (92652) $1,111 $1,111 4.3×
Airway Inhalation Treatment (94640) $354 $354 1.3×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $602 $602 3.8×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $1,147 $1,147 7.4×
Analyze neurostim no prog (95970) $198 $198 1.2×
Analyze Pacemaker System (93724) $1,447 $1,447 3.9×
Ant sgm imaging w/microscopy endothelial analy (92286) $182 $182 1.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $74 $74 5.2×
Arrhythmia Induction (93618) $7,613 $7,613 5.2×
Assessment of tinnitus (92625) $570 $570 3.7×
Audiometry Air & Bone (92553) $379 $379 2.5×
Auditory Function, 60 Min (92620) $751 $751 4.9×
Behavior id assessment by phys/qhp ea 15 min (97151) $97 $97 0.8×
Behavral qualit analys voice (92524) $757 $757 6.9×
Blink reflex test (95933) $388 $388 5.5×
Breath hydrogen/methane test (91065) $723 $723 2.8×
Brief Emotional/Behav Assmt (96127) $116 $116 2.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $927 $927 2.1×
Bundle of his recording (93600) $10,876 $10,876 1.2×
C motor evoked uppr limbs (95928) $1,862 $1,862 1.8×
C motor evoked upr&lwr limbs (95939) $3,103 $3,103 3.0×
Car seat/bed test 60 min (94780) $497 $497 11.1×
Cardiac Stress Tst,Tracing Only (93017) $1,284 $1,284 5.0×
Cardiopulmonary exercise testing (94621) $1,944 $1,944 4.3×
Cardiopulmonary resuscitation (92950) $1,955 $1,955 7.6×
Cardioversion (92960) $3,447 $3,447 4.4×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $112 $112 4.3×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $30,646 $30,646 7.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $26,113 $26,113 6.7×
Cbt 1st hour (94644) $952 $952 6.0×
Cervical Vemp Testing W/I&R (92517) $464 $464 3.0×
Chemo Anti-Neopl Sq/Im (96401) $990 $990 11.5×
Chemo Hormon Antineopl Sq/Im (96402)
range across 2 matching MRF lines		 $321–$522 $321–$522 varies
Chemo Ia Push (96420) $3,600 $3,600 9.1×
Chemo IV infusion addl hr (96415) $382 $382 4.4×
Chemo IV push addl drug (96411) $758 $758 8.8×
Chemother Prolong Infuse W/Pump (96416) $1,753 $1,753 4.4×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $5,499 $5,499 13.9×
Chemotherapy Into Cns (96450) $1,629 $1,629 4.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $879 $879 10.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,782 $1,782 4.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,381 $1,381 3.5×
Chest Wall Manipulation (94668) $259 $259 1.6×
Cmptr ophth dx img ant segmt (92132) $148 $148 2.1×
Colon Motility 6 Hr Study (91117) $2,860 $2,860 11.1×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $471 $471 6.7×
Color/duplex Doppler, complete (93975) $2,680 $2,680 9.4×
Color/duplex Doppler, limited (93976) $1,563 $1,563 12.5×
Community/Work Reintegration Trainj Ea 15 Min (97537) $181 $181 5.6×
Comprehensive Hearing Test (92557) $595 $595 3.9×
Computerized Ophthalmic Imaging Optic Nerve (92133) $148 $148 2.1×
Computerized Ophthalmic Imaging Retina (92134) $151 $151 2.1×
Conditioning Play Audiometry (92582) $330 $330 2.1×
Continuous Pulse Ox (94762) $1,316 $1,316 8.5×
Corneal Topography (92025) $179 $179 2.5×
Coronary Art/Grft Angio S&I (93455) $25,604 $25,604 6.6×
Coronary Artery Angio S&I (93454) $23,076 $23,076 5.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $572 $572 2.2×
Cpt initial (94667) $387 $387 2.4×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $248 $248 1.0×
Critical care first hour (99291) $3,778 $3,778 3.8×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,862 $1,862 4.2×
Dark Adaptation Eye Exam (92284) $313 $313 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $378 $378 1.6×
Developmental tst admin phys/qhp 1st hour (96112) $1,094 $1,094 7.1×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $641 $641 4.2×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $342 $342 0.8×
Duodenal motility study (91022) $2,237 $2,237 5.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,836 $1,836 6.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,212 $1,212 9.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,589 $2,589 9.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,550 $1,550 12.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,979 $1,979 6.9×
Dup-scan xtr veins unilateral/limited study (93971) $1,264 $1,264 10.1×
Duplex Scan Hemodialysis Access (93990) $1,585 $1,585 12.7×
Duplex up extrem art bilat (93930) $2,070 $2,070 7.2×
Duplex up extrem art unilat/ltd (93931) $1,290 $1,290 10.3×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $624 $624 4.0×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $622 $622 4.0×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $1,117 $1,117 7.2×
Ear and throat examination (92502) $2,004 $2,004 3.1×
ECG/monitoring and analysis (93271) $842 $842 7.4×
Echo Congenital Complete (93303) $2,993 $2,993 4.6×
Echo Heart Xthoracic,Limited (93308) $1,424 $1,424 5.0×
Echo r-t 2d w/probe placement only (93313) $200 $200 0.3×
Echo transesophag congen probe plcmt only (93316) $461 $461 0.7×
Echo transesophageal (93312) $2,627 $2,627 4.0×
Echo Transesophageal - Congenital Tee Complete (93315) $2,784 $2,784 4.3×
Eeg 41-60 Minutes (95812) $3,102 $3,102 12.0×
EEG awake and asleep (95819) $2,068 $2,068 8.0×
EEG awake drowsy (95816) $1,965 $1,965 7.6×
EEG cont rec w/video by tech min 8 channels (95700) $2,068 $2,068 8.0×
EEG extended monitoring 61-119 minutes (95813) $3,516 $3,516 13.6×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $2,364 $2,364 9.1×
EEG wo vid ea 12-26hr unmntr (95708) $2,955 $2,955 6.6×
EKG signal averaged (93278) $417 $417 5.9×
Electrical Stimulation Ea 15 Min (97032) $116 $116 7.9×
Electrocardiogram Tracing (93005) $301 $301 4.3×
Electrocochleography (92584) $621 $621 4.0×
Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) $8,526 $8,526 32.9×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $7,613 $7,613 0.8×
Electrophysiology Evaluation (93642) $2,763 $2,763 1.9×
Emergency Dept Visit Level 2 (99282) $721 $721 3.9×
Emergency Dept Visit Level 3 (99283) $1,217 $1,217 3.7×
Emergency Dept Visit Level 4 (99284) $2,077 $2,077 4.2×
Emg 3 Extremities (95863) $906 $906 5.9×
Emg 4 Extremities (95864) $991 $991 6.4×
Endomyocardial Biopsy (93505) $15,423 $15,423 4.1×
Ep & ablate supravent arrhyt (93653) $40,424 $40,424 1.3×
Ep & ablate ventric tachy (93654) $35,629 $35,629 1.1×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $18,490 $18,490 2.0×
Ep Esophageal Recording Atria+Pacing (93616) $10,876 $10,876 7.5×
Er level 1 (99281) $196 $196 1.9×
Er level v (99285) $3,012 $3,012 4.2×
Esoph Atrial Electrogram (93615) $1,088 $1,088 0.7×
Esophgl Balo Distension Dx Std W/Provocation (91040) $10,899 $10,899 24.4×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $8,635 $8,635 19.3×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $700 $700 4.5×
Evaluate pt use of inhaler (94664) $262 $262 1.0×
Evaluate Speech Production (92522) $655 $655 5.9×
Evaluate Swallowing Function (92610) $601 $601 7.1×
Evaluation of speech fluency (92521) $872 $872 6.5×
Evoked Auditory Test,Limited (92587) $305 $305 1.2×
Exercise test for bronchospasm (94617) $1,462 $1,462 9.2×
Exhaled Air Analysis O2 (94680) $984 $984 6.4×
External ECG rec>48hr<7d recording (93242) $976 $976 21.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $976 $976 6.1×
External ECG rec>7d<15d recording (93246) $976 $976 21.8×
External ECG rec>7d<15d scanning alys w/report (93247) $976 $976 6.1×
External Ecg Scanning Analysis Report (93226) $480 $480 6.8×
Extracranial Bilat Study (93880) $1,949 $1,949 6.8×
Extracranial Uni/Ltd Study (93882) $1,295 $1,295 10.3×
F-up/limited tthrc echo congenital car anomaly (93304) $2,391 $2,391 3.7×
Family adapt bhv tx gdn phys/qhp ea 15 min (97156) $156 $156 3.5×
Fluorescein angiography (92235) $1,194 $1,194 4.6×
Full Field Electroretinography W/I&R (92273) $912 $912 3.5×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $2,068 $2,068 2.0×
Fundus photography (92250) $344 $344 2.2×
Gastric motility studies (91020) $3,610 $3,610 8.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $3,323 $3,323 7.4×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $2,735 $2,735 10.6×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $9,228 $9,228 9.0×
Gi tract capsule endoscopy (91110) $6,018 $6,018 5.5×
Gi wireless capsule measure (91112) $7,828 $7,828 7.2×
Gonioscopy (92020) $206 $206 1.3×
Group adaptive bhv tx by protocol tech ea 15 min (97154) $48 $48 1.1×
Group Therapeutic Procedures (97150) $104 $104 5.8×
Health Behavior Assessment/Re-Assessment (96156) $784 $784 6.4×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $571 $571 12.7×
Health behavior ivntj indiv f2f 1st 30 min (96158) $534 $534 2.5×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines		 $1,397–$1,573 $1,397–$1,573 varies
High altitude simulation test (94452) $804 $804 5.0×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $1,075 $1,075 6.7×
Holter monitor recording (93225) $480 $480 3.0×
Icd Device Interrogate (93289) $1,142 $1,142 25.5×
Icd device progr eval dual (93283) $1,348 $1,348 30.1×
Icd Device Progr Eval Mult (93284) $1,447 $1,447 32.3×
Ilr Device Eval Progr (93285) $1,119 $1,119 25.0×
Ilr Device Interrogate (93291) $1,002 $1,002 28.9×
Im Adm Intransl/Oral 1 Vaccine (90473) $58 $58 0.7×
Immunization administration (90471) $96 $96 1.1×
Ingestion challenge test initial 120 minutes (95076) $1,605 $1,605 3.6×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $1,213 $1,213 2.7×
Insert/Place Heart Catheter (93503) $3,181 $3,181 1.7×
Interrogate Subq Defib (93261) $1,088 $1,088 24.3×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure		 $3,263 $3,263 0.3×
Intra-atrial recording (93602)
unusually low: confirm this is the full procedure		 $3,263 $3,263 0.3×
Intracranial Complete Study (93886) $2,745 $2,745 9.6×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure		 $3,263 $3,263 0.3×
Iontophoresis 15 min (97033) $199 $199 10.5×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines		 $348–$350 $348–$350 varies
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines		 $159–$217 $159–$217 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines		 $587–$700 $587–$700 varies
IV infusion ther proph addl sequential to 1 hr (96367) $396 $396 4.6×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines		 $212–$290 $212–$290 varies
IV push initial (96374)
range across 2 matching MRF lines		 $507–$594 $507–$594 varies
L Hrt Art/Grft Angio (93459) $27,714 $27,714 7.1×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $28,885 $28,885 7.4×
Laryngeal Function Studies (92520) $342 $342 2.1×
Liver Elastography W/O Imag W/I&R (91200) $456 $456 3.0×
Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) $17,415 $17,415 16.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $135 $135 4.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $136 $136 3.7×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $135 $135 7.9×
Methacholine challenge (94070) $1,433 $1,433 3.2×
Microvolt T-Wave Assess (93025) $2,355 $2,355 15.3×
Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) $205 $205 10.2×
Mlt fam group bhv mgmt/modificaj traing ea addl (96203) $57 $57 10.7×
Motility study esophagus (91010) $2,566 $2,566 5.7×
Motion Fluoroscopy/Swallow (92611) $798 $798 8.7×
Multifocal Electroretinography W/I&R (92274) $585 $585 3.8×
Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) $38 $38 0.8×
Multiple Family Group Psychotherapy (90849) $199 $199 0.9×
Multiple Sleep Latency Test (95805) $4,574 $4,574 4.4×
Muscle Test 2 Limbs (95861) $736 $736 4.6×
Muscle Test Nonparaspinal (95870) $396 $396 2.5×
Muscle Test One Limb (95860) $566 $566 3.5×
Nasopharyngoscopy (92511) $803 $803 3.4×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $651 $651 2.5×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $594 $594 2.3×
Needle electromyography larynx (95865) $651 $651 4.1×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $849 $849 3.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $227 $227 0.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $263 $263 1.1×
Nerve Conduction Studies 1-2 Studies (95907) $601 $601 2.3×
Nerve Conduction Studies 11-12 Studies (95912) $1,836 $1,836 4.1×
Nerve conduction studies 13 or more studies (95913) $2,295 $2,295 5.1×
Nerve Conduction Studies 3-4 Studies (95908) $752 $752 2.9×
Nerve conduction studies 5-6 studies (95909) $940 $940 3.6×
Nerve conduction studies 7-8 studies (95910) $1,175 $1,175 2.6×
Nerve Conduction Studies 9-10 Studies (95911) $1,469 $1,469 3.3×
Neurobehavioral Status Exam (96116) $517 $517 2.0×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $465 $465 3.0×
Neuromuscular Reeducation (97112) $200 $200 6.1×
Nitric oxide expired gas determination (95012) $409 $409 9.1×
Nrpsyc tst eval phys/qhp 1st (96132) $696 $696 1.6×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $1,141 $1,141 2.6×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $179 $179 1.1×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $603 $603 3.8×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $287 $287 1.8×
Ophth medical xm&eval intermediate estab pt (92012) $229 $229 1.4×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $330 $330 2.1×
Oral Function Therapy (92526) $731 $731 8.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $303 $303 6.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $229 $229 5.0×
Ot Contrast Bath Ea 15 Min (97034) $111 $111 7.9×
Ot eval high complexity (97167) $1,103 $1,103 11.0×
Ot Eval Low Complex (97165) $551 $551 5.5×
Ot Eval Moderate Complexity (97166) $828 $828 8.2×
Ot manual therapy 15 min (97140) $179 $179 6.5×
Ot paraffin bath (97018) $69 $69 11.5×
Ot Prosthetic Training, Each 15 Min (97761) $198 $198 4.9×
Ot Re-Eval Est Plan Care (97168) $583 $583 8.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $431 $431 2.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $213 $213 1.4×
Oxygen Uptake Rest Indirect (94690) $876 $876 12.4×
Penile Vascular Study,Ltd or F/U (93981) $641 $641 5.1×
Perq transcath closure pda (93582) $35,679 $35,679 1.6×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $16,286 $16,286 2.4×
Phlebotomy therapeutic (99195) $884 $884 5.5×
Physical Performance Test (97750) $198 $198 5.9×
Plethysmography (94726) $987 $987 2.2×
Pm device eval in person (93288) $1,132 $1,132 25.3×
Pm device progr eval dual (93280) $1,339 $1,339 29.9×
Pm device progr eval multi (93281) $1,361 $1,361 30.4×
Pm Device Progr Eval Sngl (93279) $1,154 $1,154 25.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $7,657 $7,657 7.4×
Polysom <6 yrs 4/> paramtrs (95782) $6,962 $6,962 6.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $8,354 $8,354 8.1×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $5,244 $5,244 5.1×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $1,098 $1,098 24.5×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $1,239 $1,239 27.7×
Prq Card Stent W/Angio 1 Vsl (92928) $18,115 $18,115 1.3×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $40,733 $40,733 1.9×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $19,457 $19,457 1.4×
Psych diag eval w/med srvcs (90792) $1,108 $1,108 5.2×
Psychiatric diagnostic evaluation (90791)
range across 4 matching MRF lines		 $645–$1,314 $645–$1,314 varies
Psychological tst eval svc phys/qhp first hour (96130)
range across 2 matching MRF lines		 $460–$718 $460–$718 varies
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138)
range across 2 matching MRF lines		 $245–$376 $245–$376 varies
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136)
range across 2 matching MRF lines		 $68–$244 $68–$244 varies
Psytx Crisis Initial 60 Min (90839)
range across 2 matching MRF lines		 $565–$883 $565–$883 varies
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $171 $171 4.5×
Pt Eval High Complex (97163) $901 $901 9.2×
Pt eval low complex 20 min (97161) $485 $485 5.0×
Pt Eval Mod Complex (97162) $642 $642 6.6×
Pt gait training 15 min (97116) $170 $170 5.8×
Pt group caregiver training (97552) $103 $103 4.7×
Pt mechanical traction (97012) $94 $94 6.5×
Pt Re-Eval Est Plan Care (97164) $414 $414 6.1×
Pulm function test by gas (94727) $731 $731 2.8×
Pulmonary Stress Testing (94618) $468 $468 2.9×
Pure Tone Audiometry Air (92552) $313 $313 2.0×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $265 $265 11.5×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $422 $422 12.3×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $129 $129 10.4×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $13,012 $13,012 3.3×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $10,410 $10,410 2.7×
R hrt coronary artery angio (93456) $28,555 $28,555 7.3×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $26,024 $26,024 6.7×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $20,821 $20,821 5.4×
R&L Hrt Cath W/Ventriclgrphy (93453) $29,045 $29,045 7.5×
Rapid Desensitization Procedure Each Hour (95180) $1,473 $1,473 2.8×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $1,261 $1,261 3.2×
Remote 30 Day Ecg Rev/Report (93270) $288 $288 6.4×
Replacement of contact lens (92326) $83 $83 1.2×
Right Heart Cath (93451) $24,959 $24,959 6.4×
Right ventricular recording (93603) $4,349 $4,349 3.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $229 $229 1.0×
Select picture audiometry (92583) $135 $135 1.9×
Self Care Mngment Training (97535) $209 $209 6.5×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $282 $282 4.0×
Sensory Integration Ea 15 Min (97533) $268 $268 4.4×
Short-latency somatosens ep std upr limbs (95925) $1,551 $1,551 6.0×
Slp caregiver training 1st 30 min (97550) $243 $243 4.6×
Somatosensory Testing (95938) $2,715 $2,715 2.6×
Speech Audiometry Complete (92556) $353 $353 5.0×
Speech audiometry threshold (92555) $194 $194 2.7×
Speech sound lang comprehen (92523) $1,342 $1,342 5.9×
Spin/Brain Pump Refil & Main (95991) $831 $831 2.3×
Spirometry (94010) $424 $424 1.6×
Ssep lower limbs (95926) $1,396 $1,396 5.4×
Stenger Test, Pure Tone (92565) $166 $166 2.3×
Stress Tte Only (93350) $2,319 $2,319 3.5×
Subcutaneous Infusion Each Additional Hour (96370) $237 $237 4.2×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $2,004 $2,004 7.9×
Subq Infusion Additional Pump Infusion Site (96371) $831 $831 9.6×
Surfactant Admin Thru Tube (94610) $827 $827 3.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $101 $101 4.5×
Ther Ivntj Ea Addl 15 Min (97130) $98 $98 4.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $158 $158 5.3×
Ther/Proph/Diag Inj Ia (96373) $177 $177 0.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines		 $208–$234 $208–$234 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines		 $723–$865 $723–$865 varies
Therapeutic Activities (97530) $209 $209 6.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,196 $2,196 4.9×
Tobacco Use Cessation Intensive >10 Minutes (99407) $260 $260 5.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $126 $126 2.8×
Trans Care Mgmt 14 Day Disch (99495) $872 $872 5.5×
Transcath Closure of Asd (93580) $35,316 $35,316 1.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $1,632 $1,632 13.0×
Tte w/doppler, complete (93306) $2,872 $2,872 4.4×
Tte W/O Doppler Complete (93307) $1,865 $1,865 6.5×
Tx atrial fib pulm vein isol (93656) $50,124 $50,124 1.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $657 $657 8.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $213 $213 3.8×
Tympanometry (92567) $146 $146 3.3×
Tympanometry and reflex threshold measurements (92550) $314 $314 1.2×
Unlisted cardiovascular service/procedure (93799)
range across 17 matching MRF lines		 $2,719–$82,590 $2,719–$82,590 varies
Unlisted noninvasive vascular diagnostic study (93998) $500 $500 14.4×
Unlisted ophthalmological service/procedure (92499) $179 $179 5.2×
Unlisted otorhinolaryngological service (92700) $161 $161 4.6×
Valvuloplasty aortic valve (92986) $40,632 $40,632 6.0×
Valvuloplasty mitral valve (92987) $41,972 $41,972 3.0×
Valvuloplasty pulmonary valve (92990) $33,527 $33,527 2.4×
Veeg 2-12 Hr Cont Mntr (95713) $5,200 $5,200 11.6×
Veeg 2-12 hr intmt mntr (95712) $4,727 $4,727 10.6×
Veeg 2-12 hr unmonitored (95711) $3,782 $3,782 14.6×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $5,909 $5,909 13.2×
Veeg Ea 12-26 Hr Unmntr (95714) $4,727 $4,727 10.6×
Veeg ea 12-26hr cont mntr (95716) $6,500 $6,500 6.3×
Vent Mgmt Inpat Init Day (94002) $1,368 $1,368 1.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,368 $1,368 1.8×
Visual Evoked Potential Test (95930) $495 $495 1.9×
Visual Field Exam Extended (92083) $378 $378 2.4×
Visual field xm uni/bi w/interp intermed exam (92082) $272 $272 3.8×
Visual field xm uni/bi w/interpretj limited exam (92081) $182 $182 2.6×
Visual reinforcement audiometry (vra) (92579) $348 $348 1.3×
Vital capacity, total (94150) $328 $328 2.1×
Wada Activation Test Hemispheric Function W/Eeg (95958) $3,619 $3,619 3.5×
Wheelchair Mgmt Ea 15 Min (97542) $182 $182 5.9×
Whirlpool Therapy (97022) $144 $144 9.2×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $206 $206 4.6×

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.