Visits & medical services prices at Broadlawns Medical Center

Des Moines, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $169 $169 1.4×
Actigraphy Testing Recording Analysis I&R (95803)
range across 2 matching MRF lines		 $96–$236 $96–$236 varies
Acupunct W/Stimul 15 Min (97813) $95 $95 3.4×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $95 $95 3.4×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 3 matching MRF lines		 $22–$44 $22–$44 varies
Advncd Care Plan 30 Min (99497)
range across 2 matching MRF lines		 $128–$134 $128–$134 varies
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines		 $77–$594 $77–$594 varies
Allg test perq & ic drug/biol immed react w/ i&r (95018)
range across 2 matching MRF lines		 $13–$60 $13–$60 varies
Analyze neurostim complex (95972)
range across 5 matching MRF lines		 $70–$360 $70–$360 varies
Analyze neurostim no prog (95970)
range across 4 matching MRF lines		 $33–$411 $33–$411 varies
Analyze Neurostim Simple (95971)
range across 4 matching MRF lines		 $69–$401 $69–$401 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $117 $117 8.1×
Application on-body injector (96377) $69 $69 1.5×
Assessment of aphasia per hr (96105)
range across 2 matching MRF lines		 $322–$837 $322–$837 varies
Assmt & care planning pt w/cognitive impairment (99483)
range across 3 matching MRF lines		 $128–$465 $128–$465 varies
Audiometry Air & Bone (92553) $169 $169 1.4×
Behavral qualit analys voice (92524) $305 $305 2.8×
Brief Emotional/Behav Assmt (96127) $76 $76 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 5 matching MRF lines		 $98–$837 $98–$837 varies
C motor evoked upr&lwr limbs (95939) $2,842 $2,842 3.4×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines		 $454–$837 $454–$837 varies
Cardiopulmonary resuscitation (92950)
range across 8 matching MRF lines		 $317–$837 $317–$837 varies
Cardioversion (92960)
range across 7 matching MRF lines		 $187–$1,775 $187–$1,775 varies
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,158 $9,158 2.9×
Cbt 1st hour (94644) $357 $357 2.8×
Chemo Anti-Neopl Sq/Im (96401) $107 $107 1.5×
Chemo Hormon Antineopl Sq/Im (96402)
range across 2 matching MRF lines		 $107–$128 $107–$128 varies
Chemo IV infusion addl hr (96415)
range across 2 matching MRF lines		 $107–$197 $107–$197 varies
Chemo IV push addl drug (96411)
range across 2 matching MRF lines		 $107–$197 $107–$197 varies
Chemother Prolong Infuse W/Pump (96416)
range across 2 matching MRF lines		 $548–$1,008 $548–$1,008 varies
Chemotherapy Into Cns (96450)
range across 2 matching MRF lines		 $230–$815 $230–$815 varies
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417)
range across 2 matching MRF lines		 $107–$243 $107–$243 varies
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines		 $548–$1,008 $548–$1,008 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 2 matching MRF lines		 $351–$474 $351–$474 varies
Chest Wall Manipulation (94668) $357 $357 2.8×
Chron Care Mgmt Srvc 20 Min (99490)
range across 3 matching MRF lines		 $87–$217 $87–$217 varies
Cmptr ophth dx img ant segmt (92132)
range across 3 matching MRF lines		 $30–$124 $30–$124 varies
Color Vision Xm Extended Anomaloscope/Equiv (92283)
range across 2 matching MRF lines		 $89–$177 $89–$177 varies
Color/duplex Doppler, complete (93975) $727 $727 3.2×
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines		 $181–$1,010 $181–$1,010 varies
Complex chronic care mgmt svc 1st 60 min cal mo (99487)
range across 3 matching MRF lines		 $241–$511 $241–$511 varies
Comprehensive Hearing Test (92557) $169 $169 1.4×
Computerized Ophthalmic Imaging Optic Nerve (92133)
range across 7 matching MRF lines		 $63–$177 $63–$177 varies
Computerized Ophthalmic Imaging Retina (92134)
range across 5 matching MRF lines		 $69–$177 $69–$177 varies
Cont gluc mntr physician/qhp provided equiptment (95250)
range across 2 matching MRF lines		 $204–$454 $204–$454 varies
Cont Gluc Mntr Pt Prov Eqp (95249) $176 $176 3.1×
Continuous Pulse Ox (94762) $442 $442 3.6×
Corneal Topography (92025)
range across 2 matching MRF lines		 $64–$96 $64–$96 varies
Coronary Artery Angio S&I (93454) $8,991 $8,991 2.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines		 $66–$594 $66–$594 varies
Cpt initial (94667) $357 $357 2.8×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137)
range across 3 matching MRF lines		 $97–$619 $97–$619 varies
Critical care first hour (99291)
range across 5 matching MRF lines		 $644–$2,353 $644–$2,353 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 9 matching MRF lines		 $48–$567 $48–$567 varies
Developmental tst admin phys/qhp 1st hour (96112)
range across 6 matching MRF lines		 $203–$457 $203–$457 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $309 $309 0.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $728 $728 3.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines		 $113–$787 $113–$787 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 6 matching MRF lines		 $72–$382 $72–$382 varies
ECG/monitoring and analysis (93271) $318 $318 3.5×
Echo Heart Xthoracic,Limited (93308)
range across 9 matching MRF lines		 $44–$780 $44–$780 varies
Echo transesophageal (93312)
range across 3 matching MRF lines		 $358–$2,186 $358–$2,186 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines		 $279–$1,630 $279–$1,630 varies
Eeg 41-60 Minutes (95812)
range across 3 matching MRF lines		 $99–$553 $99–$553 varies
EEG awake and asleep (95819)
range across 5 matching MRF lines		 $173–$1,139 $173–$1,139 varies
EEG awake drowsy (95816)
range across 5 matching MRF lines		 $454–$1,038 $454–$1,038 varies
EEG cont rec w/video by tech min 8 channels (95700)
range across 2 matching MRF lines		 $454–$837 $454–$837 varies
EEG extended monitoring 61-119 minutes (95813)
range across 3 matching MRF lines		 $454–$1,103 $454–$1,103 varies
Eeg Sleep Only (95822)
range across 2 matching MRF lines		 $929–$1,117 $929–$1,117 varies
Eeg W/O Vid 2-12 Hr Unmntr (95705) $454 $454 2.2×
EEG w/o vid 2-12hr cont mntr (95707) $454 $454 2.2×
EEG w/o vid ea 12-26hr intmt (95709) $837 $837 2.3×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $837 $837 2.3×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $454 $454 2.2×
EEG wo vid ea 12-26hr unmntr (95708) $837 $837 2.3×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977)
range across 3 matching MRF lines		 $91–$263 $91–$263 varies
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976)
range across 3 matching MRF lines		 $59–$126 $59–$126 varies
Electrical Stimulation Ea 15 Min (97032) $71 $71 4.8×
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines		 $89–$177 $89–$177 varies
Electroconvulsive Therapy (90870)
range across 3 matching MRF lines		 $177–$881 $177–$881 varies
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines		 $182–$298 $182–$298 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines		 $275–$463 $275–$463 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines		 $516–$736 $516–$736 varies
Er level 1 (99281)
range across 2 matching MRF lines		 $96–$170 $96–$170 varies
Er level v (99285)
range across 2 matching MRF lines		 $758–$1,106 $758–$1,106 varies
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines		 $52–$594 $52–$594 varies
Evaluate Speech Production (92522) $294 $294 2.6×
Evaluate Swallowing Function (92610) $340 $340 4.0×
Evaluation of speech fluency (92521) $361 $361 2.7×
Evoked Auditory Test,Limited (92587)
range across 3 matching MRF lines		 $38–$454 $38–$454 varies
Exercise test for bronchospasm (94617)
range across 3 matching MRF lines		 $154–$348 $154–$348 varies
Exhaled Air Analysis O2 (94680) $442 $442 3.6×
External ECG rec>48hr<7d recording (93242) $177 $177 4.9×
External ECG rec>48hr<7d scanning alys w/report (93243) $357 $357 2.8×
External ECG rec>7d<15d recording (93246) $177 $177 4.9×
External ECG rec>7d<15d scanning alys w/report (93247) $357 $357 2.8×
External Ecg Scanning Analysis Report (93226) $357 $357 6.3×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines		 $187–$787 $187–$787 varies
Eye exam w anesth; complete (92018)
range across 3 matching MRF lines		 $240–$6,320 $240–$6,320 varies
Eye exam w anesth; limited (92019)
range across 3 matching MRF lines		 $124–$6,320 $124–$6,320 varies
F-up/limited tthrc echo congenital car anomaly (93304)
range across 7 matching MRF lines		 $111–$1,616 $111–$1,616 varies
Flexible endoscopic eval swallow c/v rec (92612) $578 $578 2.9×
Fluorescein angiography (92235)
range across 3 matching MRF lines		 $152–$606 $152–$606 varies
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242)
range across 2 matching MRF lines		 $165–$838 $165–$838 varies
Fundus photography (92250)
range across 2 matching MRF lines		 $86–$195 $86–$195 varies
Gonioscopy (92020)
range across 4 matching MRF lines		 $37–$357 $37–$357 varies
Group Therapeutic Procedures (97150) $107 $107 5.9×
Health Behavior Assessment/Re-Assessment (96156)
range across 3 matching MRF lines		 $123–$264 $123–$264 varies
Health behavior ivntj fam w/pt f2f 1st 30 min (96167)
range across 3 matching MRF lines		 $43–$146 $43–$146 varies
Health behavior ivntj group f2f 1st 30 min (96164)
range across 3 matching MRF lines		 $15–$58 $15–$58 varies
Health behavior ivntj indiv f2f 1st 30 min (96158)
range across 3 matching MRF lines		 $97–$220 $97–$220 varies
Holter monitor recording (93225) $357 $357 2.8×
Icd Device Interrogate (93289)
range across 2 matching MRF lines		 $65–$128 $65–$128 varies
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines		 $30–$107 $30–$107 varies
Immunization administration (90471)
range across 11 matching MRF lines		 $19.68–$197 $19.68–$197 varies
Ingestion challenge test initial 120 minutes (95076)
range across 5 matching MRF lines		 $129–$1,542 $129–$1,542 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070)
range across 2 matching MRF lines		 $94–$837 $94–$837 varies
Inital newborn e/m (99460) $165 $165 1.3×
Intracutaneous tests w/allergenic extracts (95024)
range across 3 matching MRF lines		 $4–$98 $4–$98 varies
Iontophoresis 15 min (97033) $159 $159 8.4×
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines		 $96–$181 $96–$181 varies
IV infusion hydration each additional hour (96361)
range across 5 matching MRF lines		 $69–$127 $69–$127 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 5 matching MRF lines		 $351–$646 $351–$646 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 5 matching MRF lines		 $107–$197 $107–$197 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 5 matching MRF lines		 $69–$127 $69–$127 varies
IV push initial (96374)
range across 5 matching MRF lines		 $351–$646 $351–$646 varies
Lung Function Test (Mbc/Mvv) (94200) $325 $325 5.7×
Mechanical chest wall oscillation per session (94669) $594 $594 2.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $34 $34 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $36 $36 1.0×
Methacholine challenge (94070)
range across 2 matching MRF lines		 $99–$454 $99–$454 varies
Motion Fluoroscopy/Swallow (92611) $536 $536 5.9×
Multiple Sleep Latency Test (95805)
range across 3 matching MRF lines		 $673–$1,510 $673–$1,510 varies
Muscle Test 2 Limbs (95861)
range across 4 matching MRF lines		 $143–$355 $143–$355 varies
Muscle Test Nonparaspinal (95870) $372 $372 2.9×
Nasopharyngoscopy (92511)
range across 5 matching MRF lines		 $66–$522 $66–$522 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868)
range across 3 matching MRF lines		 $166–$505 $166–$505 varies
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869)
range across 3 matching MRF lines		 $54–$394 $54–$394 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 7 matching MRF lines		 $66–$1,092 $66–$1,092 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 5 matching MRF lines		 $41–$1,156 $41–$1,156 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 5 matching MRF lines		 $45–$582 $45–$582 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 5 matching MRF lines		 $48–$1,092 $48–$1,092 varies
Nerve Conduction Studies 1-2 Studies (95907)
range across 3 matching MRF lines		 $160–$399 $160–$399 varies
Nerve Conduction Studies 11-12 Studies (95912)
range across 3 matching MRF lines		 $433–$1,269 $433–$1,269 varies
Nerve conduction studies 13 or more studies (95913)
range across 2 matching MRF lines		 $502–$837 $502–$837 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 3 matching MRF lines		 $206–$852 $206–$852 varies
Nerve conduction studies 5-6 studies (95909)
range across 4 matching MRF lines		 $246–$852 $246–$852 varies
Nerve conduction studies 7-8 studies (95910)
range across 3 matching MRF lines		 $321–$774 $321–$774 varies
Nerve Conduction Studies 9-10 Studies (95911)
range across 3 matching MRF lines		 $386–$1,542 $386–$1,542 varies
Neurobehavioral Status Exam (96116)
range across 3 matching MRF lines		 $144–$597 $144–$597 varies
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937)
range across 4 matching MRF lines		 $144–$444 $144–$444 varies
Neuromuscular Reeducation (97112) $122 $122 3.7×
Newborn resuscitation (99465) $250 $250 0.4×
Nitric oxide expired gas determination (95012)
range across 3 matching MRF lines		 $30–$93 $30–$93 varies
Nonphysician Telephone Assessment 11-20 Min (98967) $72 $72 2.9×
Nonphysician Telephone Assessment 21-30 Min (98968) $107 $107 3.1×
Nonphysician Telephone Assessment 5-10 Min (98966) $38 $38 2.8×
Nrpsyc tst eval phys/qhp 1st (96132)
range across 2 matching MRF lines		 $174–$347 $174–$347 varies
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136)
range across 7 matching MRF lines		 $117–$466 $117–$466 varies
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004)
range across 2 matching MRF lines		 $109–$358 $109–$358 varies
Ophth medical xm&eval comprhnsv estab pt 1/> (92014)
range across 2 matching MRF lines		 $109–$196 $109–$196 varies
Ophth medical xm&eval intermediate estab pt (92012)
range across 2 matching MRF lines		 $85–$180 $85–$180 varies
Ophth Medical Xm&Eval Intermediate New Pt (92002)
range across 2 matching MRF lines		 $77–$180 $77–$180 varies
Oral Function Therapy (92526) $260 $260 3.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $117 $117 2.5×
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 5 matching MRF lines		 $41–$90 $41–$90 varies
Osteopathic manipulative tx 3-4 body regions (98926)
range across 6 matching MRF lines		 $46–$107 $46–$107 varies
Osteopathic manipulative tx 5-6 body regions (98927)
range across 3 matching MRF lines		 $46–$127 $46–$127 varies
Osteopathic manipulative tx 7-8 body regions (98928)
range across 3 matching MRF lines		 $46–$148 $46–$148 varies
Osteopathic manipulative tx 9-10 body regions (98929)
range across 2 matching MRF lines		 $46–$123 $46–$123 varies
Ot Contrast Bath Ea 15 Min (97034) $72 $72 5.1×
Ot eval high complexity (97167) $248 $248 2.5×
Ot Eval Low Complex (97165) $248 $248 2.5×
Ot Eval Moderate Complexity (97166) $248 $248 2.5×
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines		 $30–$133 $30–$133 varies
Ot paraffin bath (97018) $34 $34 5.7×
Ot Prosthetic Training, Each 15 Min (97761) $76 $76 1.9×
Ot Re-Eval Est Plan Care (97168) $165 $165 2.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $594 $594 2.8×
Percutaneous tests w/allergenic extracts (95004)
range across 2 matching MRF lines		 $12–$21 $12–$21 varies
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines		 $162–$195 $162–$195 varies
Plethysmography (94726)
range across 4 matching MRF lines		 $90–$837 $90–$837 varies
Pm device eval in person (93288)
range across 3 matching MRF lines		 $38–$101 $38–$101 varies
Pm device progr eval dual (93280)
range across 2 matching MRF lines		 $116–$119 $116–$119 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 4 matching MRF lines		 $1,034–$2,906 $1,034–$2,906 varies
Polysom <6 yrs 4/> paramtrs (95782)
range across 2 matching MRF lines		 $1,452–$1,577 $1,452–$1,577 varies
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783)
range across 2 matching MRF lines		 $1,547–$1,577 $1,547–$1,577 varies
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $153 $153 0.2×
Prepj& allergen immunotherapy 1/mlt antigen (95165)
range across 2 matching MRF lines		 $8–$69 $8–$69 varies
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) $38 $38 0.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $69 $69 1.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $69 $69 1.5×
Psych diag eval w/med srvcs (90792)
range across 3 matching MRF lines		 $199–$425 $199–$425 varies
Psychiatric diagnostic evaluation (90791)
range across 5 matching MRF lines		 $199–$400 $199–$400 varies
Psychological tst eval svc phys/qhp first hour (96130)
range across 3 matching MRF lines		 $174–$350 $174–$350 varies
Psycl/Nrpsyc Tst Auto Result (96146)
range across 3 matching MRF lines		 $5–$26 $5–$26 varies
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138)
range across 3 matching MRF lines		 $23–$81 $23–$81 varies
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136)
range across 3 matching MRF lines		 $23–$64 $23–$64 varies
Psytx Crisis Initial 60 Min (90839)
range across 3 matching MRF lines		 $199–$409 $199–$409 varies
Pt Eval High Complex (97163) $255 $255 2.6×
Pt eval low complex 20 min (97161) $255 $255 2.6×
Pt Eval Mod Complex (97162) $255 $255 2.6×
Pt gait training 15 min (97116) $123 $123 4.2×
Pt mechanical traction (97012) $109 $109 7.6×
Pt Re-Eval Est Plan Care (97164) $174 $174 2.6×
Pulm function test by gas (94727)
range across 3 matching MRF lines		 $72–$311 $72–$311 varies
Pulmonary service/procedure (94799) $442 $442 3.6×
Pulmonary Stress Testing (94618)
range across 3 matching MRF lines		 $195–$357 $195–$357 varies
Pure Tone Audiometry Air (92552) $136 $136 1.1×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $37 $37 1.6×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $57 $57 1.7×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $20 $20 1.6×
Rapid Desensitization Procedure Each Hour (95180)
range across 2 matching MRF lines		 $178–$574 $178–$574 varies
Refill/Maint Portable Pump (96521)
range across 4 matching MRF lines		 $351–$646 $351–$646 varies
Remote 30 Day Ecg Rev/Report (93270) $119 $119 3.3×
Remote 30 Day Ecg Tech Supp (93229) $442 $442 1.2×
Repet tms tx initial w/map/motr threshld/del&m (90867)
range across 3 matching MRF lines		 $285–$788 $285–$788 varies
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869)
range across 3 matching MRF lines		 $138–$640 $138–$640 varies
Respiratory flow volume loop (94375) $837 $837 4.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $177 $177 3.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $308 $308 1.6×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $14 $14 0.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $440 $440 3.6×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954)
range across 2 matching MRF lines		 $332–$1,542 $332–$1,542 varies
Same day nb discharge (99463) $189 $189 1.5×
Self Care Mngment Training (97535)
range across 2 matching MRF lines		 $124–$133 $124–$133 varies
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060)
range across 2 matching MRF lines		 $96–$108 $96–$108 varies
Sensory Integration Ea 15 Min (97533) $200 $200 3.3×
Sleep study attended (95807)
range across 3 matching MRF lines		 $689–$1,525 $689–$1,525 varies
Sleep study unattended (95806)
range across 3 matching MRF lines		 $226–$465 $226–$465 varies
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800)
range across 2 matching MRF lines		 $276–$514 $276–$514 varies
Somatosensory Testing (95938) $1,471 $1,471 1.8×
Speech Audiometry Complete (92556) $44 $44 0.8×
Speech audiometry threshold (92555) $44 $44 0.8×
Speech sound lang comprehen (92523) $605 $605 2.7×
Spirometry (94010)
range across 5 matching MRF lines		 $60–$442 $60–$442 varies
Standardized Cognitive Performance Testing (96125) $334 $334 3.2×
Stress Tte Only (93350)
range across 2 matching MRF lines		 $588–$1,630 $588–$1,630 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $77 $77 3.4×
Ther Ivntj Ea Addl 15 Min (97130) $73 $73 3.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $317 $317 3.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 6 matching MRF lines		 $104–$197 $104–$197 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 6 matching MRF lines		 $351–$646 $351–$646 varies
Therap repetitive tms tx subseq delivery & mng (90868)
range across 3 matching MRF lines		 $137–$639 $137–$639 varies
Therapeutic Activities (97530)
range across 3 matching MRF lines		 $87–$128 $87–$128 varies
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines		 $58–$76 $58–$76 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines		 $22–$60 $22–$60 varies
Trans Care Mgmt 14 Day Disch (99495)
range across 2 matching MRF lines		 $203–$204 $203–$204 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 2 matching MRF lines		 $204–$295 $204–$295 varies
Tte w/doppler, complete (93306)
range across 3 matching MRF lines		 $160–$2,538 $160–$2,538 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $238 $238 3.1×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $73 $73 3.0×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 5 matching MRF lines		 $69–$127 $69–$127 varies
Tympanometry (92567)
range across 3 matching MRF lines		 $18–$60 $18–$60 varies
Tympanometry and reflex threshold measurements (92550) $169 $169 0.8×
Unlis neurological/neuromuscular dx px (95999)
range across 2 matching MRF lines		 $64–$442 $64–$442 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines		 $37–$358 $37–$358 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines		 $64–$425 $64–$425 varies
Veeg 2-12 Hr Cont Mntr (95713) $837 $837 2.3×
Veeg 2-12 hr intmt mntr (95712) $454 $454 1.3×
Veeg 2-12 hr unmonitored (95711) $454 $454 2.2×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $837 $837 2.3×
Veeg Ea 12-26 Hr Unmntr (95714) $837 $837 2.3×
Veeg ea 12-26hr cont mntr (95716) $1,577 $1,577 1.9×
Vent Mgmt Inpat Init Day (94002) $1,539 $1,539 2.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,539 $1,539 2.6×
Visual Field Exam Extended (92083)
range across 4 matching MRF lines		 $82–$357 $82–$357 varies
Visual field xm uni/bi w/interp intermed exam (92082)
range across 3 matching MRF lines		 $37–$132 $37–$132 varies
Visual field xm uni/bi w/interpretj limited exam (92081)
range across 2 matching MRF lines		 $59–$96 $59–$96 varies
Visual reinforcement audiometry (vra) (92579) $169 $169 0.8×
Vital capacity, total (94150) $486 $486 3.9×
Whirlpool Therapy (97022) $117 $117 7.5×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285)
range across 6 matching MRF lines		 $11–$176 $11–$176 varies

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