Visits & medical services prices at Carle Bromenn Medical Center

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

485 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) $333 $333 3.1×
Ablate Heart Dysrhythm Focus (93650) $15,132 $15,132 1.8×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $394 $394 2.9×
Acoustic Reflex Testing (92568) $108 $108 2.7×
Actigraphy Testing Recording Analysis I&R (95803) $299 $299 4.7×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $102 $102 3.3×
Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) $482 $482 2.5×
Adaptive behavior tx by protocol tech ea 15 min (97153) $278 $278 2.6×
Admn Sarscov2 Vacc 1 Dose (90480) $139 $139 3.2×
Advncd Care Plan 30 Min (99497) $250 $250 2.3×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $934 $934 4.0×
Aep neurodiagnostic i&r (92653) $934 $934 4.0×
Aep threshold estimation mlt frequencies i&r (92652) $1,062 $1,062 4.6×
Airway Inhalation Treatment (94640) $610 $610 2.6×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $125 $125 3.1×
Allg tstg perq & ic venoms immed react w/i&r (95017) $299 $299 9.6×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $1,240 $1,240 8.7×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $399 $399 2.8×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $454 $454 3.3×
Analyze neurostim complex (95972) $835 $835 8.2×
Analyze neurostim no prog (95970) $347 $347 2.4×
Analyze Neurostim Simple (95971) $704 $704 6.9×
Ant sgm imaging w/microscopy endothelial analy (92286) $347 $347 2.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $90 $90 6.3×
Application Modality 1/> Areas Infrared (97026) $71 $71 10.6×
Application on-body injector (96377) $238 $238 4.7×
Arrhythmia Induction (93618) $4,268 $4,268 3.3×
Art pressure waveform analys (93050) $110 $110 3.5×
Assessment of aphasia per hr (96105)
range across 5 matching MRF lines		 $394–$483 $394–$483 varies
Assessment of tinnitus (92625) $263 $263 1.9×
Assmt & care planning pt w/cognitive impairment (99483) $144 $144 1.3×
Audiometry Air & Bone (92553) $238 $238 1.7×
Auditory Function, 60 Min (92620) $299 $299 2.2×
Basic vestibular evaluation (92540) $431 $431 1.9×
Behavior id assessment by phys/qhp ea 15 min (97151) $96 $96 0.9×
Behavior id support assmt by 1 tech ea 15 min (97152) $278 $278 2.6×
Behavral qualit analys voice (92524) $250 $250 2.3×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $214 $214 2.6×
Bfb training ea addl 15 min (90913) $191 $191 5.8×
Biofeedback training any modality (90901) $197 $197 4.8×
Bis Xtracell Fluid Analysis (93702) $668 $668 4.8×
Breath hydrogen/methane test (91065) $656 $656 2.8×
Brief Emotional/Behav Assmt (96127) $96 $96 2.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $596 $596 1.5×
Bundle of his recording (93600) $22,764 $22,764 2.7×
C motor evoked uppr limbs (95928) $3,052 $3,052 3.3×
C motor evoked upr&lwr limbs (95939) $3,960 $3,960 4.3×
Caloric vestibular test w/rec bi monothermal (92538) $382 $382 1.7×
Caloric Vstblr Test W/Rec (92537) $431 $431 3.1×
Canalith repositioning proc (95992) $149 $149 3.7×
Car seat/bed test 60 min (94780)
range across 2 matching MRF lines		 $191–$194 $191–$194 varies
Cardiac Stress Tst,Tracing Only (93017) $953 $953 4.1×
Cardiopulmonary exercise testing (94621) $1,276 $1,276 3.2×
Cardiopulmonary resuscitation (92950) $1,812 $1,812 7.8×
Cardioversion (92960) $1,991 $1,991 2.8×
Cardioversion elective internal (92961) $2,170 $2,170 3.1×
Care mgmt services behavioral hlth cond 20 mins (99484) $125 $125 3.1×
Caregiver hlth risk assmt score doc stnd instrm (96161) $74 $74 1.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551)
range across 2 matching MRF lines		 $138–$168 $138–$168 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $16,144 $16,144 4.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $14,618 $14,618 4.2×
Cbt 1st hour (94644) $316 $316 2.2×
Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) $233 $233 1.6×
Cervical & Ocular Vemp Testing W/I&R (92519) $859 $859 3.7×
Cervical Vemp Testing W/I&R (92517) $460 $460 3.3×
Chemo Admin Peritoneal Cavity (96446) $507 $507 1.4×
Chemo Anti-Neopl Sq/Im (96401) $512 $512 6.6×
Chemo Hormon Antineopl Sq/Im (96402) $370 $370 4.8×
Chemo Intralesional Over 7 (96406) $389 $389 1.7×
Chemo intralesional up to 7 (96405) $389 $389 5.0×
Chemo IV infusion addl hr (96415) $512 $512 6.6×
Chemo IV push addl drug (96411) $763 $763 9.9×
Chemother Prolong Infuse W/Pump (96416) $585 $585 1.7×
Chemotherapy Into Cns (96450) $596 $596 1.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $656 $656 8.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,181 $1,181 3.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,073 $1,073 3.0×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $995 $995 2.8×
Chest Wall Manipulation (94668) $387 $387 2.7×
Chron Care Mgmt Srvc 20 Min (99490) $250 $250 2.3×
Cmptr ophth dx img ant segmt (92132) $208 $208 3.3×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $180 $180 2.8×
Color/duplex Doppler, complete (93975) $2,182 $2,182 8.5×
Color/duplex Doppler, limited (93976) $1,085 $1,085 9.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $137 $137 4.3×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $328 $328 1.7×
Comprehensive Hearing Test (92557) $525 $525 3.8×
Computerized Ophthalmic Imaging Optic Nerve (92133) $144 $144 2.3×
Computerized Ophthalmic Imaging Retina (92134) $144 $144 2.3×
Conditioning Play Audiometry (92582) $333 $333 2.4×
Cont gluc mntr physician/qhp provided equiptment (95250) $835 $835 5.9×
Cont Gluc Mntr Pt Prov Eqp (95249) $488 $488 7.7×
Continuous Pulse Ox (94762) $572 $572 4.1×
Cornea hysteresis determin impulse stimj uni/bi (92145) $155 $155 2.5×
Corneal Topography (92025) $110 $110 1.7×
Coronary Art/Grft Angio S&I (93455) $10,981 $10,981 3.2×
Coronary Artery Angio S&I (93454) $10,707 $10,707 3.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $460 $460 2.0×
Cpt initial (94667)
range across 6 matching MRF lines		 $137–$387 $137–$387 varies
Critical care first hour (99291) $2,028 $2,028 2.3×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $906 $906 2.3×
Debridement Open Wound 20 Sq Cm< (97597) $519 $519 2.4×
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) $1,204 $1,204 5.6×
Developmental tst admin phys/qhp 1st hour (96112)
range across 11 matching MRF lines		 $469–$527 $469–$527 varies
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $454 $454 3.3×
Dialysis One Evaluation (90945) $823 $823 1.8×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $316 $316 0.8×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,419 $1,419 5.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $896 $896 8.0×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $1,658 $1,658 14.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,360 $1,360 5.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $929 $929 8.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,063 $2,063 8.1×
Dup-scan xtr veins unilateral/limited study (93971) $1,085 $1,085 9.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,944 $1,944 7.6×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $943 $943 8.4×
Duplex Scan Hemodialysis Access (93990)
range across 2 matching MRF lines		 $644–$751 $644–$751 varies
Duplex up extrem art bilat (93930) $1,561 $1,561 6.1×
Duplex up extrem art unilat/ltd (93931) $1,026 $1,026 9.2×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $375 $375 2.7×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $431 $431 3.1×
Ear Protector Evaluation (92596) $114 $114 2.8×
ECG/monitoring and analysis (93271) $2,038 $2,038 20.0×
Echo Congenital Complete (93303) $1,694 $1,694 2.9×
Echo Heart Xthoracic,Limited (93308) $763 $763 3.0×
Echo r-t 2d w/probe placement only (93313) $1,240 $1,240 2.1×
Echo transesophag congen probe plcmt only (93316) $596 $596 1.0×
Echo transesophag montr cardiac pump functj (93318) $1,538 $1,538 2.6×
Echo transesophageal (93312) $1,991 $1,991 3.4×
Echo Transesophageal - Congenital Tee Complete (93315) $1,788 $1,788 3.1×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,815 $2,815 4.8×
Eeg 41-60 Minutes (95812) $1,455 $1,455 6.3×
EEG awake and asleep (95819) $1,371 $1,371 5.9×
EEG awake drowsy (95816) $1,587 $1,587 6.9×
EEG cerebral death evaluation (95824) $2,229 $2,229 5.6×
EEG cont rec w/video by tech min 8 channels (95700) $1,001 $1,001 4.3×
EEG extended monitoring 61-119 minutes (95813) $1,754 $1,754 7.6×
Eeg Sleep Only (95822) $1,287 $1,287 5.6×
EKG signal averaged (93278) $632 $632 10.0×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $125 $125 3.1×
Electrical Stimulation Ea 15 Min (97032) $111 $111 7.6×
Electrocardiogram Tracing (93005) $245 $245 3.9×
Electrocochleography (92584) $454 $454 3.3×
Electroconvulsive Therapy (90870) $1,229 $1,229 1.3×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $22,764 $22,764 2.7×
Electrophysiology Evaluation (93642) $2,253 $2,253 1.7×
Emergency Dept Visit Level 2 (99282) $494 $494 3.0×
Emergency Dept Visit Level 3 (99283) $835 $835 2.9×
Emergency Dept Visit Level 4 (99284) $1,337 $1,337 3.0×
Emg 3 Extremities (95863) $1,026 $1,026 7.4×
Emg 4 Extremities (95864) $1,073 $1,073 7.8×
Endomyocardial Biopsy (93505) $9,443 $9,443 2.8×
Ep & ablate supravent arrhyt (93653) $26,304 $26,304 0.9×
Ep & ablate ventric tachy (93654) $44,953 $44,953 1.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $16,466 $16,466 2.0×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $14,845 $14,845 1.8×
Ep Esophageal Recording Atria+Pacing (93616) $4,149 $4,149 3.2×
Er level 1 (99281) $299 $299 3.3×
Er level v (99285) $1,991 $1,991 3.1×
Ergonovine provocation test (93024) $1,085 $1,085 2.3×
Esoph Atrial Electrogram (93615) $3,111 $3,111 2.4×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $2,528 $2,528 6.3×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $375 $375 2.7×
Evaluate pt use of inhaler (94664) $610 $610 2.6×
Evaluate Speech Production (92522) $161 $161 1.4×
Evaluate Swallowing Function (92610)
range across 10 matching MRF lines		 $333–$412 $333–$412 varies
Evaluation of speech fluency (92521) $167 $167 1.3×
Evoked Auditory Test,Limited (92587) $934 $934 4.0×
Excimer laser tx psoriasis 250-500 sq cm (96921) $608 $608 2.8×
Excimer laser tx psoriasis >500 sq cm (96922) $882 $882 2.0×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $727 $727 3.4×
Exercise test for bronchospasm (94617) $465 $465 3.3×
Exhaled Air Analysis O2 (94680) $197 $197 1.4×
External ECG rec>48hr<7d recording (93242)
range across 2 matching MRF lines		 $167–$203 $167–$203 varies
External ECG rec>48hr<7d scanning alys w/report (93243) $322 $322 2.3×
External ECG rec>7d<15d recording (93246)
range across 2 matching MRF lines		 $250–$322 $250–$322 varies
External ECG rec>7d<15d scanning alys w/report (93247) $644 $644 4.5×
External Ecg Scanning Analysis Report (93226) $549 $549 8.7×
Extracranial Bilat Study (93880) $1,384 $1,384 5.4×
Extracranial Uni/Ltd Study (93882) $978 $978 8.7×
F-up/limited tthrc echo congenital car anomaly (93304) $1,217 $1,217 2.1×
Facial nerve function studies (92516) $934 $934 4.0×
Family adapt bhv tx gdn phys/qhp ea 15 min (97156) $47 $47 1.2×
Flexible endoscopic eval swallow c/v rec (92612)
range across 4 matching MRF lines		 $340–$740 $340–$740 varies
Fluorescein angiography (92235) $715 $715 3.1×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $929 $929 4.0×
Full Field Electroretinography W/I&R (92273) $530 $530 2.3×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961)
range across 2 matching MRF lines		 $1,442–$4,138 $1,442–$4,138 varies
Fundus photography (92250) $389 $389 2.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,097 $1,097 1.2×
Gi tract capsule endoscopy (91110) $3,291 $3,291 3.4×
Gi tract imaging intraluminal colon i&r (91113) $2,504 $2,504 2.5×
Gonioscopy (92020) $256 $256 1.8×
Group adaptive bhv tx by protocol tech ea 15 min (97154) $89 $89 2.2×
Group Therapeutic Procedures (97150)
range across 28 matching MRF lines		 $105–$441 $105–$441 varies
Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) $47 $47 1.2×
Health Behavior Assessment/Re-Assessment (96156) $679 $679 6.2×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $149 $149 3.7×
Health behavior ivntj group f2f 1st 30 min (96164) $70 $70 1.7×
Health behavior ivntj indiv f2f 1st 30 min (96158) $167 $167 0.9×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $18,434 $18,434 5.3×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,825 $1,825 2.5×
Holter monitor recording (93225) $549 $549 3.9×
Hypnotherapy (90880) $250 $250 2.3×
Icd Device Interrogate (93289) $131 $131 3.3×
Icd device progr eval dual (93283) $131 $131 3.3×
Icd Device Progr Eval Mult (93284) $155 $155 3.9×
Icm Device Eval (93290) $57 $57 1.4×
Ilr Device Eval Progr (93285) $131 $131 3.3×
Ilr Device Interrogate (93291) $125 $125 4.0×
Im Adm Intransl/Oral 1 Vaccine (90473) $110 $110 1.4×
Img retina detcj/mntr ds poc auton a/r uni/bi (92229) $180 $180 2.8×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $286 $286 7.1×
Immunization administration (90471) $180 $180 2.3×
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $799 $799 3.5×
Ingestion challenge test initial 120 minutes (95076) $763 $763 1.9×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $668 $668 1.7×
Insert/Place Heart Catheter (93503) $2,945 $2,945 1.7×
Interrog&prgrmg impl phrenic nrv stimulator sys (93151) $306 $306 3.0×
Interrog&prgrmg ipnss during polysomnography (93152) $943 $943 2.9×
Interrogate Subq Defib (93261) $131 $131 3.3×
Interrogation vad in person (93750) $412 $412 4.0×
Interrogation without programming ipnss (93153) $306 $306 3.0×
Intra-atrial pacing (93610) $22,764 $22,764 2.7×
Intra-atrial recording (93602) $22,764 $22,764 2.7×
Intracranial Complete Study (93886) $1,026 $1,026 4.0×
Intracutaneous tests w/allergenic extracts (95024) $114 $114 1.8×
Intraventricular pacing (93612) $22,764 $22,764 2.7×
Iontophoresis 15 min (97033) $125 $125 6.6×
Irrig Drug Delivery Device (96523) $238 $238 3.8×
IV infusion hydration each additional hour (96361) $172 $172 3.4×
IV infusion hydration initial 31 min-1 hour (96360) $537 $537 2.4×
IV infusion ther proph addl sequential to 1 hr (96367) $238 $238 3.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $214 $214 4.3×
IV push initial (96374) $478 $478 2.1×
L Hrt Art/Grft Angio (93459) $16,907 $16,907 4.9×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $9,170 $9,170 2.6×
Laryngeal Function Studies (92520)
range across 4 matching MRF lines		 $394–$585 $394–$585 varies
Liver Elastography W/O Imag W/I&R (91200) $478 $478 3.5×
Mechanical chest wall oscillation per session (94669) $610 $610 2.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $117 $117 3.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $117 $117 3.2×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $98 $98 5.8×
Methacholine challenge (94070) $1,133 $1,133 2.8×
Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) $137 $137 1.0×
Motility study esophagus (91010) $2,528 $2,528 6.3×
Motion Fluoroscopy/Swallow (92611)
range across 5 matching MRF lines		 $370–$537 $370–$537 varies
Multifocal Electroretinography W/I&R (92274) $286 $286 2.1×
Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) $37 $37 0.9×
Multiple Family Group Psychotherapy (90849) $482 $482 2.5×
Multiple Sleep Latency Test (95805) $2,636 $2,636 2.9×
Muscle Test 2 Limbs (95861) $751 $751 5.3×
Muscle Test Hemidiaphragm (95866) $274 $274 2.0×
Muscle Test Nonparaspinal (95870) $245 $245 1.7×
Muscle Test One Limb (95860) $691 $691 4.8×
Narcosynthesis (90865) $322 $322 1.7×
Nasopharyngoscopy (92511) $394 $394 1.8×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $572 $572 2.5×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $454 $454 2.0×
Needle electromyography larynx (95865) $412 $412 2.9×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $328 $328 1.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $519 $519 1.2×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $953 $953 2.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $423 $423 2.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $990 $990 2.3×
Nerve Conduction Studies 1-2 Studies (95907)
range across 2 matching MRF lines		 $389–$507 $389–$507 varies
Nerve Conduction Studies 11-12 Studies (95912)
range across 2 matching MRF lines		 $811–$1,287 $811–$1,287 varies
Nerve conduction studies 13 or more studies (95913)
range across 2 matching MRF lines		 $846–$1,360 $846–$1,360 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 2 matching MRF lines		 $483–$763 $483–$763 varies
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines		 $572–$919 $572–$919 varies
Nerve conduction studies 7-8 studies (95910)
range across 2 matching MRF lines		 $727–$799 $727–$799 varies
Nerve Conduction Studies 9-10 Studies (95911)
range across 2 matching MRF lines		 $704–$1,133 $704–$1,133 varies
Neurobehavioral Status Exam (96116) $691 $691 3.0×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $454 $454 3.3×
Neuromuscular Reeducation (97112) $161 $161 4.9×
Nitric oxide expired gas determination (95012) $155 $155 3.9×
Nrpsyc tst eval phys/qhp 1st (96132) $906 $906 2.3×
Ocular Vemp Testing W/I&R (92518) $460 $460 3.3×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $347 $347 2.4×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $423 $423 3.0×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $347 $347 2.4×
Ophth medical xm&eval intermediate estab pt (92012) $256 $256 1.8×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $214 $214 1.5×
Ophthalmodynamometry (92260) $149 $149 3.7×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $214 $214 3.4×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $214 $214 3.4×
Optokinetic Nystagmus Test (92544) $357 $357 2.6×
Oral Function Therapy (92526)
range across 7 matching MRF lines		 $333–$953 $333–$953 varies
Oral Speech Device Eval (92597) $340 $340 4.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $155 $155 3.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $222 $222 4.8×
Oscillating Tracking Test (92545) $934 $934 4.0×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $203 $203 8.8×
Osteopathic manipulative tx 3-4 body regions (98926) $203 $203 8.8×
Osteopathic manipulative tx 5-6 body regions (98927) $197 $197 8.5×
Osteopathic manipulative tx 7-8 body regions (98928) $203 $203 8.8×
Osteopathic manipulative tx 9-10 body regions (98929) $238 $238 10.3×
Ot Contrast Bath Ea 15 Min (97034) $91 $91 6.5×
Ot eval high complexity (97167)
range across 8 matching MRF lines		 $347–$389 $347–$389 varies
Ot Eval Low Complex (97165) $454 $454 4.5×
Ot Eval Moderate Complexity (97166)
range across 6 matching MRF lines		 $286–$347 $286–$347 varies
Ot manual therapy 15 min (97140) $155 $155 5.6×
Ot paraffin bath (97018) $92 $92 15.3×
Ot Prosthetic Training, Each 15 Min (97761) $155 $155 3.8×
Ot Re-Eval Est Plan Care (97168)
range across 2 matching MRF lines		 $328–$364 $328–$364 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $180 $180 1.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $378 $378 2.7×
Patch/Application Test Specify Number Tests (95044) $3,052 $3,052 3.3×
Pdt dstr prmlg les phys/qhp (96573) $1,204 $1,204 5.6×
Pdt dstr prmlg les skn illum/activj per day (96567) $1,026 $1,026 4.8×
Penile Vascular Study,Ltd or F/U (93981)
range across 2 matching MRF lines		 $348–$1,145 $348–$1,145 varies
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $610 $610 2.6×
Percutaneous tests w/allergenic extracts (95004) $3,052 $3,052 3.3×
Peripheral arterial disease rehab per session (93668) $105 $105 1.7×
Perq transcath closure pda (93582) $37,893 $37,893 1.9×
Perq Transcath Cls Aortic (93591) $56,208 $56,208 2.9×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $18,195 $18,195 3.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $37,226 $37,226 3.0×
Phlebotomy therapeutic (99195) $316 $316 2.2×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $161 $161 2.5×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $137 $137 2.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $137 $137 2.2×
Physical Performance Test (97750) $172 $172 5.1×
Plethysmography (94726) $668 $668 1.7×
Pm device eval in person (93288) $131 $131 3.3×
Pm device progr eval dual (93280) $131 $131 3.3×
Pm device progr eval multi (93281) $131 $131 3.3×
Pm Device Progr Eval Sngl (93279) $131 $131 3.3×
Pm/Icd Remote Tech Serv (93296) $222 $222 5.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $7,143 $7,143 7.8×
Polysom <6 yrs 4/> paramtrs (95782) $6,785 $6,785 7.4×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $5,759 $5,759 6.3×
Positional nystagmus test (92542) $399 $399 2.8×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $74 $74 1.5×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $102 $102 2.0×
Prepj& antigen allergen immunotherapy 2 insect (95146) $180 $180 3.6×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $180 $180 2.3×
Prepj& antigen allergen immunotherapy 5 insect (95149) $114 $114 1.5×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) $1,197 $1,197 2.5×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $155 $155 3.9×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $131 $131 3.3×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $250 $250 2.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $61 $61 1.2×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $86 $86 1.7×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $114 $114 1.5×
Prq Card Angio/Athrect 1 Art (92924) $12,483 $12,483 1.0×
Prq Card Stent W/Angio 1 Vsl (92928) $13,474 $13,474 1.1×
Prq Card Stent/Ath/Angio (92933) $26,853 $26,853 1.4×
Prq Revasc Byp Graft 1 Vsl (92937) $37,226 $37,226 3.0×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $53,870 $53,870 2.7×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $12,615 $12,615 1.0×
Psych diag eval w/med srvcs (90792) $465 $465 2.4×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines		 $412–$479 $412–$479 varies
Psychological tst eval svc phys/qhp first hour (96130) $431 $431 1.9×
Psycl/Nrpsyc Tst Auto Result (96146) $71 $71 2.3×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $1,197 $1,197 2.5×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $460 $460 3.2×
Psytx Crisis Initial 60 Min (90839) $512 $512 2.7×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $144 $144 3.8×
Pt Eval High Complex (97163)
range across 8 matching MRF lines		 $382–$470 $382–$470 varies
Pt eval low complex 20 min (97161) $394 $394 4.0×
Pt Eval Mod Complex (97162)
range across 6 matching MRF lines		 $299–$333 $299–$333 varies
Pt gait training 15 min (97116) $131 $131 4.5×
Pt group caregiver training (97552) $110 $110 5.0×
Pt mechanical traction (97012)
range across 5 matching MRF lines		 $27–$95 $27–$95 varies
Pt Re-Eval Est Plan Care (97164) $328 $328 4.9×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $74 $74 1.8×
Pulmonary service/procedure (94799)
range across 13 matching MRF lines		 $227–$1,001 $227–$1,001 varies
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines		 $180–$596 $180–$596 varies
Pure Tone Audiometry Air (92552) $155 $155 1.1×
R Hrt Art/Grft Angio (93457) $12,663 $12,663 3.6×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $9,170 $9,170 2.6×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $9,170 $9,170 2.6×
R hrt coronary artery angio (93456) $10,707 $10,707 3.1×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $9,170 $9,170 2.6×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $9,170 $9,170 2.6×
R&L Hrt Cath W/Ventriclgrphy (93453) $12,329 $12,329 3.5×
Rapid Desensitization Procedure Each Hour (95180) $566 $566 1.2×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $333 $333 0.9×
Refill/Maint Portable Pump (96521) $943 $943 4.1×
Refill/Maint Pump/Resvr Syst (96522) $799 $799 3.5×
Rem interrog icpms <30 d phys/qhp (93297) $126 $126 3.2×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $119 $119 3.0×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $125 $125 3.1×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $280 $280 2.0×
Rem Mntr Wrls P-Art Prs Snr (93264) $180 $180 4.5×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $89 $89 2.2×
Rem ther mntr dev sply resp (98976) $89 $89 2.2×
Remote 30 Day Ecg Rev/Report (93270) $203 $203 5.1×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $286 $286 2.0×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $84 $84 2.0×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $125 $125 2.3×
Repet tms tx initial w/map/motr threshld/del&m (90867) $316 $316 1.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $292 $292 4.6×
Right Heart Cath (93451) $10,554 $10,554 3.0×
Right ventricular recording (93603) $4,436 $4,436 3.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 10 matching MRF lines		 $256–$929 $256–$929 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $525 $525 4.3×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $222 $222 4.6×
Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) $155 $155 1.1×
Sbsq Psyc Collab Care Mgmt (99493) $316 $316 2.9×
Select picture audiometry (92583) $89 $89 1.4×
Self Care Mngment Training (97535) $167 $167 5.2×
Self-meas bp pt educaj/traing & dev calibration (99473) $59 $59 1.9×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $167 $167 2.6×
Sensory Integration Ea 15 Min (97533) $191 $191 3.1×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $788 $788 3.4×
Short-latency somatosens ep std upr limbs (95925) $919 $919 4.0×
Sleep study attended (95807) $2,993 $2,993 7.5×
Sleep study unattended (95806) $7,143 $7,143 30.9×
Slp caregiver training 1st 30 min (97550)
range across 2 matching MRF lines		 $331–$389 $331–$389 varies
Somatosensory Testing (95938) $2,276 $2,276 2.5×
Speech Audiometry Complete (92556) $161 $161 2.5×
Speech audiometry threshold (92555) $110 $110 1.7×
Speech sound lang comprehen (92523)
range across 19 matching MRF lines		 $340–$740 $340–$740 varies
Spin/Brain Pump Refil & Main (95991) $382 $382 1.2×
Spirometry (94010) $208 $208 0.9×
Spontaneous Nystagmus Test (92541) $280 $280 2.0×
Ssep lower limbs (95926) $919 $919 4.0×
Standardized Cognitive Performance Testing (96125)
range across 3 matching MRF lines		 $431–$465 $431–$465 varies
Stenger Test, Pure Tone (92565) $106 $106 1.7×
Stress Tte Only (93350) $1,860 $1,860 3.2×
Subcutaneous Infusion Each Additional Hour (96370) $125 $125 2.5×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $441 $441 1.9×
Subq Infusion Additional Pump Infusion Site (96371) $144 $144 1.9×
Surfactant Admin Thru Tube (94610) $691 $691 2.9×
Temp transcutaneous pacing (92953) $1,229 $1,229 1.7×
Tensilon Test (95857) $934 $934 4.0×
Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) $306 $306 3.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $233 $233 10.4×
Ther Ivntj Ea Addl 15 Min (97130) $233 $233 11.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $250 $250 6.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $250 $250 2.4×
Ther/Prop/Diag Inj/Inf Proc (96379) $460 $460 9.2×
Ther/Proph/Diag Inj Ia (96373) $286 $286 1.3×
Ther/Proph/Diag Inj Sc/Im (96372) $197 $197 2.6×
Ther/Proph/Diag Iv Inf Init (96365) $799 $799 3.5×
Therap repetitive tms tx subseq delivery & mng (90868) $316 $316 1.4×
Therapeutic Activities (97530) $161 $161 4.6×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,717 $1,717 4.3×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines		 $106–$119 $106–$119 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $82 $82 2.0×
Trans Care Mgmt 14 Day Disch (99495) $370 $370 2.6×
Trans Care Mgmt 7 Day Disch (99496) $370 $370 2.6×
Transcath Closure of Asd (93580) $53,870 $53,870 2.7×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $896 $896 8.0×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $222 $222 5.6×
Tte w/doppler, complete (93306) $1,705 $1,705 2.9×
Tte W/O Doppler Complete (93307) $1,503 $1,503 5.9×
Tx atrial fib pulm vein isol (93656) $32,432 $32,432 1.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 45 matching MRF lines		 $82–$1,001 $82–$1,001 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508)
range across 54 matching MRF lines		 $90–$1,407 $90–$1,407 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $208 $208 4.1×
Tympanometry (92567) $118 $118 2.9×
Tympanometry and reflex threshold measurements (92550) $382 $382 1.7×
Unlisted cardiovascular service/procedure (93799)
range across 4 matching MRF lines		 $180–$13,211 $180–$13,211 varies
Unlisted Diagnostic Gastroenterology Procedure (91299) $375 $375 2.7×
Unlisted noninvasive vascular diagnostic study (93998) $155 $155 5.0×
Unlisted ophthalmological service/procedure (92499)
range across 2 matching MRF lines		 $45–$71 $45–$71 varies
Unlisted otorhinolaryngological service (92700)
range across 3 matching MRF lines		 $39–$208 $39–$208 varies
Upr/L Xtremity Art 2 Levels (93922) $554 $554 3.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,229 $1,229 5.3×
Valvuloplasty aortic valve (92986) $18,612 $18,612 3.1×
Valvuloplasty mitral valve (92987) $16,144 $16,144 1.3×
Valvuloplasty pulmonary valve (92990) $12,700 $12,700 1.0×
Vasopneumatic device (97016) $89 $89 7.4×
Veeg 2-12 Hr Cont Mntr (95713) $2,003 $2,003 5.0×
Veeg 2-12 hr intmt mntr (95712) $2,253 $2,253 5.6×
Veeg 2-12 hr unmonitored (95711) $1,778 $1,778 7.7×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $4,507 $4,507 11.3×
Veeg Ea 12-26 Hr Unmntr (95714) $3,410 $3,410 8.5×
Veeg ea 12-26hr cont mntr (95716) $4,769 $4,769 5.2×
Vent Mgmt Inpat Init Day (94002)
range across 4 matching MRF lines		 $2,135–$3,422 $2,135–$3,422 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,658 $1,658 2.5×
Visual Evoked Potential Test (95930) $929 $929 4.0×
Visual Field Exam Extended (92083) $347 $347 2.4×
Visual field xm uni/bi w/interp intermed exam (92082) $172 $172 2.7×
Visual field xm uni/bi w/interpretj limited exam (92081) $144 $144 2.3×
Visual reinforcement audiometry (vra) (92579) $431 $431 1.9×
Vital capacity, total (94150) $491 $491 3.6×
Wada Activation Test Hemispheric Function W/Eeg (95958) $4,268 $4,268 4.6×
Wheelchair Mgmt Ea 15 Min (97542) $180 $180 5.8×
Whirlpool Therapy (97022) $125 $125 8.0×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $178 $178 2.8×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $167 $167 4.2×

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.