Visits & medical services prices at California Pacific Medical Ctr-davies Campus Hosp

San Francisco, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $31,879 $31,879 2.8×
Admn Sarscov2 Vacc 1 Dose (90480) $101 $101 1.7×
Aep neurodiagnostic i&r (92653) $1,689 $1,689 5.4×
Aep threshold estimation mlt frequencies i&r (92652) $1,280 $1,280 4.1×
Airway Inhalation Treatment (94640) $685 $685 2.2×
Analyze Pacemaker System (93724) $2,314 $2,314 5.2×
Anrct mano rct sensation&rct balo expulsion test (91125) $3,133 $3,133 5.8×
Ant sgm imaging w/microscopy endothelial analy (92286) $537 $537 2.8×
Appl modality 1+ areas lllt po pain reduction (97037) $186 $186 3.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $162 $162 11.3×
Application on-body injector (96377) $338 $338 5.0×
Arrhythmia Induction (93618) $7,585 $7,585 4.3×
Assessment of aphasia per hr (96105) $668 $668 6.9×
Assmt & care planning pt w/cognitive impairment (99483) $291 $291 2.0×
Behavral qualit analys voice (92524) $614 $614 5.6×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $1,040 $1,040 12.7×
Bfb training ea addl 15 min (90913) $570 $570 17.4×
Biofeedback training any modality (90901) $163 $163 4.0×
Breath hydrogen/methane test (91065) $717 $717 2.3×
Breathing response to hypoxia (94450) $3,903 $3,903 21.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,449 $1,449 2.7×
Bundle of his recording (93600) $10,506 $10,506 0.9×
C motor evoked uppr limbs (95928) $1,171 $1,171 0.9×
C motor evoked upr&lwr limbs (95939) $2,074 $2,074 1.7×
Caloric vestibular test w/rec bi monothermal (92538) $186 $186 0.6×
Caloric Vstblr Test W/Rec (92537) $356 $356 1.9×
Canalith repositioning proc (95992) $236 $236 5.8×
Car seat/bed test 60 min (94780) $746 $746 13.8×
Cardiac Stress Tst,Tracing Only (93017) $2,345 $2,345 7.5×
Cardiopulmonary exercise testing (94621) $2,115 $2,115 3.9×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines		 $1,397–$2,909 $1,397–$2,909 varies
Cardioversion (92960)
range across 4 matching MRF lines		 $2,268–$4,349 $2,268–$4,349 varies
Cardioversion elective internal (92961) $4,959 $4,959 5.2×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $236 $236 9.1×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $47,393 $47,393 10.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $39,399 $39,399 8.4×
Cbt 1st hour (94644) $690 $690 3.6×
Chemo Admin Peritoneal Cavity (96446) $691 $691 1.4×
Chemo Anti-Neopl Sq/Im (96401) $715 $715 6.9×
Chemo Hormon Antineopl Sq/Im (96402) $533 $533 5.1×
Chemo Ia Push (96420) $1,789 $1,789 3.7×
Chemo intralesional up to 7 (96405) $335 $335 3.2×
Chemo IV infusion addl hr (96415) $684 $684 6.6×
Chemo IV push addl drug (96411) $812 $812 7.8×
Chemother Prolong Infuse W/Pump (96416) $1,821 $1,821 3.8×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $1,569 $1,569 3.3×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $882 $882 13.0×
Chemotherapy Into Cns (96450) $2,007 $2,007 4.2×
Chemotherapy Intracavitary (96440) $3,403 $3,403 7.1×
Chemotherapy Unspecified (96549) $418 $418 6.2×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $1,594 $1,594 3.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $842 $842 8.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,768 $1,768 3.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,155 $1,155 2.4×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $1,602 $1,602 3.4×
Chest Wall Manipulation (94668) $350 $350 1.8×
Cmptr ophth dx img ant segmt (92132) $211 $211 2.5×
Colon Motility 6 Hr Study (91117) $4,877 $4,877 15.6×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $407 $407 4.8×
Color/duplex Doppler, complete (93975) $3,124 $3,124 9.1×
Color/duplex Doppler, limited (93976) $2,111 $2,111 14.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $148 $148 4.6×
Comprehensive Hearing Test (92557) $731 $731 3.9×
Computerized Ophthalmic Imaging Optic Nerve (92133) $326 $326 3.8×
Computerized Ophthalmic Imaging Retina (92134)
range across 3 matching MRF lines		 $274–$276 $274–$276 varies
Cont gluc mntr physician/qhp provided equiptment (95250) $940 $940 4.9×
Corneal Topography (92025) $394 $394 4.6×
Coronary Art/Grft Angio S&I (93455) $29,893 $29,893 6.4×
Coronary Artery Angio S&I (93454) $27,999 $27,999 6.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $2,733 $2,733 8.6×
Cpt initial (94667) $418 $418 2.2×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137)
range across 3 matching MRF lines		 $357–$420 $357–$420 varies
Critical care first hour (99291)
range across 3 matching MRF lines		 $876–$9,840 $876–$9,840 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,636 $1,636 3.0×
Developmental tst admin phys/qhp 1st hour (96112)
range across 6 matching MRF lines		 $842–$874 $842–$874 varies
Dialysis One Evaluation (90945) $2,409 $2,409 4.0×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $484 $484 0.9×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $2,413 $2,413 7.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,654 $1,654 10.9×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $2,069 $2,069 13.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,759 $2,759 8.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,845 $1,845 12.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,871 $2,871 8.3×
Dup-scan xtr veins unilateral/limited study (93971) $2,046 $2,046 13.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,407 $1,407 4.1×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $626 $626 4.1×
Duplex Scan Hemodialysis Access (93990) $1,610 $1,610 10.7×
Duplex up extrem art bilat (93930) $2,842 $2,842 8.2×
Duplex up extrem art unilat/ltd (93931) $1,942 $1,942 12.8×
ECG/monitoring and analysis (93271) $140 $140 1.0×
Echo Congenital Complete (93303) $1,469 $1,469 1.9×
Echo Heart Xthoracic,Limited (93308) $1,923 $1,923 5.6×
Echo transesophag montr cardiac pump functj (93318) $5,606 $5,606 7.1×
Echo transesophageal (93312) $5,451 $5,451 6.9×
Echo Transesophageal - Congenital Tee Complete (93315) $5,480 $5,480 6.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $4,006 $4,006 5.1×
Eeg 41-60 Minutes (95812) $2,466 $2,466 7.9×
EEG awake and asleep (95819) $2,327 $2,327 7.5×
EEG awake drowsy (95816) $2,159 $2,159 6.9×
EEG cerebral death evaluation (95824) $2,567 $2,567 4.8×
EEG cont rec w/video by tech min 8 channels (95700) $1,182 $1,182 3.8×
EEG extended monitoring 61-119 minutes (95813) $2,482 $2,482 8.0×
Eeg Sleep Only (95822) $2,785 $2,785 8.9×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $3,674 $3,674 11.8×
EEG w/o vid 2-12hr cont mntr (95707) $1,323 $1,323 4.2×
EEG w/o vid ea 12-26hr intmt (95709) $7,774 $7,774 14.4×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $6,836 $6,836 12.7×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $4,064 $4,064 13.0×
EEG wo vid ea 12-26hr unmntr (95708) $3,408 $3,408 6.3×
EKG signal averaged (93278) $2,419 $2,419 28.4×
Electrical Stimulation Ea 15 Min (97032) $186 $186 12.7×
Electro-Oculography (92270) $1,179 $1,179 6.1×
Electrocardiogram Tracing (93005) $614 $614 7.2×
Electroconvulsive Therapy (90870) $2,550 $2,550 2.1×
Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) $2,577 $2,577 8.3×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $7,600 $7,600 0.7×
Electrophysiology Evaluation (93642) $5,803 $5,803 3.3×
Emergency Dept Visit Level 2 (99282) $1,527 $1,527 6.9×
Emergency Dept Visit Level 3 (99283) $3,093 $3,093 7.8×
Emergency Dept Visit Level 4 (99284) $5,214 $5,214 8.6×
Emg 3 Extremities (95863) $1,832 $1,832 9.8×
Emg 4 Extremities (95864) $470 $470 2.5×
Endomyocardial Biopsy (93505) $9,444 $9,444 2.1×
Ep & ablate supravent arrhyt (93653) $78,332 $78,332 2.1×
Ep & ablate ventric tachy (93654) $84,918 $84,918 2.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $29,957 $29,957 2.7×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $26,865 $26,865 2.4×
Er level 1 (99281) $603 $603 4.9×
Er level v (99285) $8,003 $8,003 9.3×
Ergonovine provocation test (93024) $1,405 $1,405 2.2×
Esoph Atrial Electrogram (93615) $744 $744 0.4×
Esophagus acid perfusion test esophagitis (91030) $727 $727 1.3×
Esophgl Balo Distension Dx Std W/Provocation (91040) $1,236 $1,236 2.3×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $3,649 $3,649 6.8×
Evaluate pt use of inhaler (94664) $555 $555 1.8×
Evaluate Speech Production (92522) $607 $607 5.4×
Evaluate Swallowing Function (92610) $826 $826 9.7×
Evaluation of speech fluency (92521) $573 $573 4.3×
Exercise test for bronchospasm (94617) $632 $632 3.3×
External ECG rec>48hr<7d recording (93242) $269 $269 5.0×
External ECG rec>7d<15d recording (93246) $402 $402 7.4×
External Ecg Scanning Analysis Report (93226) $947 $947 11.1×
Extracranial Bilat Study (93880) $2,747 $2,747 8.0×
Extracranial Uni/Ltd Study (93882) $1,468 $1,468 9.7×
F-up/limited tthrc echo congenital car anomaly (93304) $979 $979 1.2×
Flexible endoscopic eval swallow c/v rec (92612) $1,134 $1,134 5.7×
Fluorescein angiography (92235) $1,463 $1,463 4.7×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $2,798 $2,798 9.0×
Full Field Electroretinography W/I&R (92273) $1,372 $1,372 4.4×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $3,362 $3,362 2.7×
Fundus photography (92250) $592 $592 3.1×
Gastric motility studies (91020) $3,981 $3,981 7.4×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $3,840 $3,840 7.1×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $2,467 $2,467 7.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $4,849 $4,849 3.9×
Gi tract capsule endoscopy (91110) $6,187 $6,187 4.7×
Gi wireless capsule measure (91112) $3,298 $3,298 2.5×
Gonioscopy (92020) $228 $228 1.2×
Group Therapeutic Procedures (97150) $211 $211 11.7×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $45,969 $45,969 9.8×
High altitude simulation test (94452) $788 $788 4.1×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $804 $804 4.2×
Holter monitor recording (93225) $749 $749 3.9×
Icd device progr eval dual (93283) $292 $292 5.4×
Immunization administration (90471) $204 $204 2.0×
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $985 $985 3.2×
Insert/Place Heart Catheter (93503) $6,433 $6,433 2.8×
Interrogation vad in person (93750) $312 $312 2.3×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure		 $2,874 $2,874 0.3×
Intracranial Complete Study (93886) $2,556 $2,556 7.4×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure		 $4,301 $4,301 0.4×
Iontophoresis 15 min (97033) $158 $158 8.3×
Irrig Drug Delivery Device (96523) $380 $380 4.5×
IV infusion hydration each additional hour (96361) $490 $490 7.2×
IV infusion hydration initial 31 min-1 hour (96360) $1,160 $1,160 3.8×
IV infusion ther proph addl sequential to 1 hr (96367) $549 $549 5.3×
IV infusion therapy prophylaxis/dx ea hour (96366) $589 $589 8.7×
IV push initial (96374) $647 $647 2.1×
L Hrt Art/Grft Angio (93459) $46,421 $46,421 9.9×
Liver Elastography W/O Imag W/I&R (91200) $772 $772 4.2×
Lung Function Test (Mbc/Mvv) (94200) $312 $312 3.7×
Lwr Xtr Vasc Stdy Bilat (93924) $2,400 $2,400 7.7×
Mechanical chest wall oscillation per session (94669) $502 $502 1.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $145 $145 4.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $149 $149 4.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $38 $38 2.2×
Methacholine challenge (94070) $1,709 $1,709 3.2×
Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) $784 $784 39.1×
Mlt fam group bhv mgmt/modificaj traing ea addl (96203) $197 $197 36.9×
Motility study esophagus (91010) $5,960 $5,960 11.0×
Motion Fluoroscopy/Swallow (92611) $1,137 $1,137 12.4×
Multifocal Electroretinography W/I&R (92274) $1,008 $1,008 5.4×
Muscle Test 2 Limbs (95861) $534 $534 2.8×
Muscle Test Nonparaspinal (95870) $423 $423 2.2×
Muscle Test One Limb (95860) $337 $337 1.8×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $4,005 $4,005 12.8×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $92 $92 0.3×
Nerve Conduction Studies 1-2 Studies (95907) $208 $208 0.7×
Nerve Conduction Studies 11-12 Studies (95912) $474 $474 0.9×
Nerve conduction studies 13 or more studies (95913) $527 $527 1.0×
Nerve Conduction Studies 3-4 Studies (95908) $261 $261 0.8×
Nerve conduction studies 5-6 studies (95909) $314 $314 1.0×
Nerve conduction studies 7-8 studies (95910) $368 $368 0.7×
Nerve Conduction Studies 9-10 Studies (95911) $421 $421 0.8×
Neurobehavioral Status Exam (96116) $1,083 $1,083 3.5×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $528 $528 2.8×
Neuromuscular Reeducation (97112) $236 $236 7.2×
Nitric oxide expired gas determination (95012) $340 $340 6.3×
Nrpsyc tst eval phys/qhp 1st (96132) $1,015 $1,015 1.9×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $989 $989 1.8×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $681 $681 3.5×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $339 $339 1.8×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $286 $286 1.5×
Ophth medical xm&eval intermediate estab pt (92012) $296 $296 1.5×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $294 $294 1.5×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $329 $329 3.9×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $329 $329 3.9×
Oral Function Therapy (92526) $539 $539 6.4×
Oral Speech Device Eval (92597) $670 $670 9.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $243 $243 4.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $221 $221 4.8×
Ot Contrast Bath Ea 15 Min (97034) $123 $123 8.8×
Ot eval high complexity (97167) $646 $646 6.4×
Ot Eval Low Complex (97165) $508 $508 5.1×
Ot Eval Moderate Complexity (97166) $624 $624 6.2×
Ot manual therapy 15 min (97140) $246 $246 8.9×
Ot paraffin bath (97018) $141 $141 23.5×
Ot Prosthetic Training, Each 15 Min (97761) $191 $191 4.7×
Ot Re-Eval Est Plan Care (97168) $372 $372 5.4×
Ot rom hand (95852) $312 $312 14.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $465 $465 2.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $394 $394 2.1×
Oxygen Uptake Rest Indirect (94690) $103 $103 1.2×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $409 $409 1.3×
Perq transcath closure pda (93582) $16,373 $16,373 0.6×
Perq Transcath Cls Aortic (93591) $77,327 $77,327 2.9×
Perq Transcath Cls Mitral (93590) $67,884 $67,884 2.6×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $28,817 $28,817 3.5×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $48,953 $48,953 2.9×
Phlebotomy therapeutic (99195) $646 $646 3.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $473 $473 5.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $473 $473 5.5×
Physical Performance Test (97750) $192 $192 5.7×
Plethysmography (94726) $992 $992 1.8×
Pm device eval in person (93288) $292 $292 5.4×
Pm device progr eval dual (93280) $284 $284 5.3×
Prq Card Angio/Athrect 1 Art (92924) $53,609 $53,609 3.2×
Prq Card Stent W/Angio 1 Vsl (92928) $47,101 $47,101 2.8×
Prq Card Stent/Ath/Angio (92933) $57,972 $57,972 2.2×
Prq Revasc Byp Graft 1 Vsl (92937) $44,625 $44,625 2.7×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $50,901 $50,901 1.9×
Psychiatric diagnostic evaluation (90791) $597 $597 2.3×
Psychological tst eval svc phys/qhp first hour (96130) $650 $650 2.1×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $606 $606 0.9×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $595 $595 3.1×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $204 $204 5.4×
Pt Eval High Complex (97163) $629 $629 6.4×
Pt eval low complex 20 min (97161) $495 $495 5.1×
Pt Eval Mod Complex (97162) $558 $558 5.7×
Pt gait training 15 min (97116) $239 $239 8.2×
Pt group caregiver training (97552) $211 $211 9.6×
Pt mechanical traction (97012) $186 $186 13.0×
Pt Re-Eval Est Plan Care (97164) $330 $330 4.9×
Pulmonary service/procedure (94799) $308 $308 1.7×
Pulmonary Stress Testing (94618) $662 $662 3.4×
R Hrt Art/Grft Angio (93457) $46,213 $46,213 9.9×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $17,486 $17,486 3.7×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $11,094 $11,094 2.4×
R hrt coronary artery angio (93456) $43,888 $43,888 9.4×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $28,030 $28,030 6.0×
R&L Hrt Cath W/Ventriclgrphy (93453) $37,116 $37,116 7.9×
Rectal sensation tone&compliance study (91124) $6,538 $6,538 20.9×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $857 $857 1.8×
Refill/Maint Portable Pump (96521) $749 $749 2.4×
Refill/Maint Pump/Resvr Syst (96522) $913 $913 3.0×
Remote 30 Day Ecg Rev/Report (93270) $461 $461 8.5×
Respiratory flow volume loop (94375) $750 $750 2.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $230 $230 2.7×
Right Heart Cath (93451) $18,918 $18,918 4.0×
Right ventricular recording (93603) $3,154 $3,154 1.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $501 $501 1.7×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $474 $474 18.2×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $538 $538 4.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $129 $129 2.7×
Self Care Mngment Training (97535) $240 $240 7.4×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $232 $232 2.7×
Sensory Integration Ea 15 Min (97533) $135 $135 2.2×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $2,961 $2,961 9.5×
Short-latency somatosens ep std upr limbs (95925) $6,853 $6,853 22.0×
Sleep study unattended (95806) $875 $875 2.8×
Slp caregiver training 1st 30 min (97550) $471 $471 8.9×
Somatosensory Testing (95938) $2,432 $2,432 2.0×
Speech sound lang comprehen (92523) $803 $803 3.5×
Spin/Brain Pump Refil & Main (95991) $1,619 $1,619 3.6×
Spirometry (94010) $653 $653 2.1×
Ssep lower limbs (95926) $5,486 $5,486 17.6×
Standardized Cognitive Performance Testing (96125)
range across 4 matching MRF lines		 $577–$603 $577–$603 varies
Stress Tte Only (93350) $4,326 $4,326 5.5×
Subcutaneous Infusion Each Additional Hour (96370) $154 $154 2.3×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $522 $522 1.7×
Subq Infusion Additional Pump Infusion Site (96371) $1,197 $1,197 11.5×
Surfactant Admin Thru Tube (94610) $427 $427 1.3×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $5,488 $5,488 36.3×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines		 $1,825–$2,581 $1,825–$2,581 varies
Tensilon Test (95857) $1,059 $1,059 3.4×
Testing Autonomic Nervous System Function (95923) $438 $438 2.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 4 matching MRF lines		 $224–$239 $224–$239 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 4 matching MRF lines		 $168–$178 $168–$178 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $243 $243 6.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $171 $171 5.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $446 $446 4.3×
Ther/Proph/Diag Inj Sc/Im (96372) $345 $345 3.3×
Ther/Proph/Diag Iv Inf Init (96365) $1,214 $1,214 3.9×
Therapeutic Activities (97530) $253 $253 7.2×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $4,199 $4,199 7.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $159 $159 2.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $133 $133 2.5×
Transcath Closure of Asd (93580) $51,223 $51,223 1.9×
Transcranial Doppler Intracran Art Emboli Detect (93892) $4,034 $4,034 26.7×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $2,798 $2,798 18.5×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $2,635 $2,635 48.8×
Tte w/doppler, complete (93306) $4,223 $4,223 5.3×
Tte W/O Doppler Complete (93307) $2,776 $2,776 8.0×
Tx atrial fib pulm vein isol (93656) $90,645 $90,645 2.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $578 $578 7.6×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $170 $170 7.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $484 $484 7.2×
Unlis neurological/neuromuscular dx px (95999) $798 $798 4.3×
Unlisted cardiovascular service/procedure (93799)
range across 8 matching MRF lines		 $725–$38,128 $725–$38,128 varies
Upr/L Xtremity Art 2 Levels (93922) $1,093 $1,093 5.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,677 $1,677 5.4×
Valvuloplasty aortic valve (92986) $28,864 $28,864 3.5×
Valvuloplasty mitral valve (92987) $19,501 $19,501 1.2×
Valvuloplasty pulmonary valve (92990) $12,582 $12,582 0.8×
Veeg 2-12 Hr Cont Mntr (95713) $3,190 $3,190 5.9×
Veeg 2-12 hr intmt mntr (95712) $2,463 $2,463 4.6×
Veeg 2-12 hr unmonitored (95711) $1,560 $1,560 5.0×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $4,721 $4,721 8.8×
Veeg Ea 12-26 Hr Unmntr (95714) $2,971 $2,971 5.5×
Veeg ea 12-26hr cont mntr (95716) $7,418 $7,418 6.0×
Vent Mgmt Inpat Init Day (94002) $5,784 $5,784 6.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $4,298 $4,298 4.8×
Visual Evoked Potential Test (95930) $1,169 $1,169 3.7×
Visual Field Exam Extended (92083) $576 $576 3.0×
Visual field xm uni/bi w/interp intermed exam (92082) $623 $623 7.3×
Visual field xm uni/bi w/interpretj limited exam (92081) $615 $615 7.2×
Visual reinforcement audiometry (vra) (92579) $540 $540 1.7×
Vital capacity, total (94150) $243 $243 1.3×
Wada Activation Test Hemispheric Function W/Eeg (95958) $4,247 $4,247 3.4×
Wheelchair Mgmt Ea 15 Min (97542) $200 $200 6.4×
Whirlpool Therapy (97022) $141 $141 9.0×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $204 $204 2.4×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285)
range across 2 matching MRF lines		 $586–$622 $586–$622 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.