Visits & medical services prices at Carle Eureka Hospital
Eureka, IL · every code in this section with a posted price and a Medicare benchmark.
482 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $333 | $333 | 3.1× |
| Ablate Heart Dysrhythm Focus (93650) range across 2 matching MRF lines |
$3,153–$15,132 | $3,153–$15,132 | varies |
| 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) range across 2 matching MRF lines |
$132–$139 | $132–$139 | varies |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$243–$250 | $243–$250 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 2 matching MRF lines |
$402–$934 | $402–$934 | varies |
| Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines |
$392–$934 | $392–$934 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) range across 3 matching MRF lines |
$534–$1,062 | $534–$1,062 | varies |
| Airway Inhalation Treatment (94640) | $610 | $610 | 2.6× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 2 matching MRF lines |
$104–$125 | $104–$125 | varies |
| Allg tstg perq & ic venoms immed react w/i&r (95017) range across 2 matching MRF lines |
$43–$299 | $43–$299 | varies |
| 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) range across 2 matching MRF lines |
$292–$835 | $292–$835 | varies |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$100–$347 | $100–$347 | varies |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$259–$704 | $259–$704 | varies |
| Ant sgm imaging w/microscopy endothelial analy (92286) range across 2 matching MRF lines |
$198–$347 | $198–$347 | varies |
| 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) range across 2 matching MRF lines |
$431–$541 | $431–$541 | varies |
| 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) range across 2 matching MRF lines |
$386–$656 | $386–$656 | varies |
| 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) range across 2 matching MRF lines |
$210–$431 | $210–$431 | varies |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$149–$232 | $149–$232 | varies |
| 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) range across 4 matching MRF lines |
$1,621–$1,812 | $1,621–$1,812 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$805–$1,991 | $805–$1,991 | varies |
| 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× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$6,306–$16,144 | $6,306–$16,144 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$5,226–$14,618 | $5,226–$14,618 | varies |
| 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) range across 2 matching MRF lines |
$595–$859 | $595–$859 | varies |
| Cervical Vemp Testing W/I&R (92517) range across 2 matching MRF lines |
$380–$460 | $380–$460 | varies |
| 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) range across 2 matching MRF lines |
$160–$208 | $160–$208 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $180 | $180 | 2.8× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$1,345–$2,182 | $1,345–$2,182 | varies |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$805–$1,085 | $805–$1,085 | varies |
| 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) range across 2 matching MRF lines |
$144–$188 | $144–$188 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$144–$204 | $144–$204 | varies |
| 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) range across 2 matching MRF lines |
$110–$188 | $110–$188 | varies |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$5,072–$10,981 | $5,072–$10,981 | varies |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$4,466–$10,707 | $4,466–$10,707 | varies |
| 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) range across 3 matching MRF lines |
$794–$2,028 | $794–$2,028 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $906 | $906 | 2.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$480–$519 | $480–$519 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $1,204 | $1,204 | 5.6× |
| Developmental tst admin phys/qhp 1st hour (96112) range across 12 matching MRF lines |
$469–$706 | $469–$706 | 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) range across 2 matching MRF lines |
$441–$823 | $441–$823 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 4 matching MRF lines |
$176–$316 | $176–$316 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 3 matching MRF lines |
$916–$1,419 | $916–$1,419 | varies |
| 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) range across 3 matching MRF lines |
$1,235–$1,360 | $1,235–$1,360 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$739–$929 | $739–$929 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$948–$2,063 | $948–$2,063 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$585–$1,085 | $585–$1,085 | varies |
| 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 3 matching MRF lines |
$644–$761 | $644–$761 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$1,004–$1,561 | $1,004–$1,561 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$639–$1,026 | $639–$1,026 | varies |
| 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) range across 3 matching MRF lines |
$1,125–$1,694 | $1,125–$1,694 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$480–$763 | $480–$763 | varies |
| 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) range across 3 matching MRF lines |
$1,224–$1,991 | $1,224–$1,991 | varies |
| 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) range across 3 matching MRF lines |
$1,147–$2,815 | $1,147–$2,815 | varies |
| Eeg 41-60 Minutes (95812) | $1,455 | $1,455 | 6.3× |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$1,371–$2,073 | $1,371–$2,073 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$1,587–$1,754 | $1,587–$1,754 | varies |
| 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) range across 3 matching MRF lines |
$1,287–$1,886 | $1,287–$1,886 | varies |
| EKG signal averaged (93278) | $632 | $632 | 10.0× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $160 | $160 | 1.6× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$125–$215 | $125–$215 | varies |
| 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) range across 3 matching MRF lines |
$894–$1,229 | $894–$1,229 | varies |
| 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) range across 3 matching MRF lines |
$585–$1,026 | $585–$1,026 | varies |
| Emg 4 Extremities (95864) | $1,073 | $1,073 | 7.8× |
| Endomyocardial Biopsy (93505) | $9,443 | $9,443 | 2.8× |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$4,466–$26,304 | $4,466–$26,304 | varies |
| Ep & ablate ventric tachy (93654) range across 2 matching MRF lines |
$5,976–$44,953 | $5,976–$44,953 | varies |
| 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) range across 2 matching MRF lines |
$2,106–$2,528 | $2,106–$2,528 | varies |
| 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) range across 4 matching MRF lines |
$116–$934 | $116–$934 | varies |
| 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) range across 2 matching MRF lines |
$453–$465 | $453–$465 | varies |
| 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) range across 3 matching MRF lines |
$970–$1,384 | $970–$1,384 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$639–$978 | $639–$978 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$783–$1,217 | $783–$1,217 | varies |
| 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) range across 2 matching MRF lines |
$507–$715 | $507–$715 | varies |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) range across 2 matching MRF lines |
$929–$1,147 | $929–$1,147 | varies |
| 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) range across 2 matching MRF lines |
$226–$389 | $226–$389 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,097 | $1,097 | 1.2× |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$3,291–$4,123 | $3,291–$4,123 | varies |
| Gi tract imaging intraluminal colon i&r (91113) | $2,504 | $2,504 | 2.5× |
| Gonioscopy (92020) range across 2 matching MRF lines |
$144–$256 | $144–$256 | varies |
| 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) range across 2 matching MRF lines |
$7,056–$18,434 | $7,056–$18,434 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 3 matching MRF lines |
$380–$1,825 | $380–$1,825 | varies |
| Holter monitor recording (93225) | $549 | $549 | 3.9× |
| Hypnotherapy (90880) | $250 | $250 | 2.3× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$131–$336 | $131–$336 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$131–$463 | $131–$463 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$155–$497 | $155–$497 | varies |
| Icm Device Eval (93290) | $57 | $57 | 1.4× |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$131–$265 | $131–$265 | varies |
| 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) range across 2 matching MRF lines |
$607–$763 | $607–$763 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $668 | $668 | 1.7× |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$402–$2,945 | $402–$2,945 | varies |
| 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) range across 3 matching MRF lines |
$303–$412 | $303–$412 | varies |
| 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) range across 2 matching MRF lines |
$1,026–$1,323 | $1,026–$1,323 | varies |
| Intracutaneous tests w/allergenic extracts (95024) range across 2 matching MRF lines |
$40–$114 | $40–$114 | varies |
| 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) range across 2 matching MRF lines |
$5,700–$16,907 | $5,700–$16,907 | varies |
| 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) range across 2 matching MRF lines |
$188–$478 | $188–$478 | varies |
| Mechanical chest wall oscillation per session (94669) | $610 | $610 | 2.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 4 matching MRF lines |
$117–$158 | $117–$158 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 4 matching MRF lines |
$117–$193 | $117–$193 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 3 matching MRF lines |
$86–$98 | $86–$98 | varies |
| Methacholine challenge (94070) range across 3 matching MRF lines |
$292–$1,133 | $292–$1,133 | varies |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) | $137 | $137 | 1.0× |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$982–$2,528 | $982–$2,528 | varies |
| 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) range across 4 matching MRF lines |
$468–$751 | $468–$751 | varies |
| Muscle Test Hemidiaphragm (95866) | $274 | $274 | 2.0× |
| Muscle Test Nonparaspinal (95870) range across 4 matching MRF lines |
$245–$419 | $245–$419 | varies |
| Muscle Test One Limb (95860) range across 4 matching MRF lines |
$331–$691 | $331–$691 | varies |
| Narcosynthesis (90865) | $322 | $322 | 1.7× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$394–$546 | $394–$546 | varies |
| 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) range across 2 matching MRF lines |
$519–$1,610 | $519–$1,610 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $953 | $953 | 2.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 5 matching MRF lines |
$221–$423 | $221–$423 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$259–$990 | $259–$990 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 3 matching MRF lines |
$389–$507 | $389–$507 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 3 matching MRF lines |
$811–$1,313 | $811–$1,313 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 3 matching MRF lines |
$846–$1,511 | $846–$1,511 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 3 matching MRF lines |
$483–$763 | $483–$763 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 3 matching MRF lines |
$572–$919 | $572–$919 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 3 matching MRF lines |
$727–$948 | $727–$948 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 3 matching MRF lines |
$704–$1,136 | $704–$1,136 | varies |
| Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$276–$691 | $276–$691 | varies |
| 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× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $210 | $210 | 6.0× |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 2 matching MRF lines |
$380–$906 | $380–$906 | varies |
| Ocular Vemp Testing W/I&R (92518) range across 2 matching MRF lines |
$353–$460 | $353–$460 | varies |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 2 matching MRF lines |
$314–$347 | $314–$347 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 2 matching MRF lines |
$423–$750 | $423–$750 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines |
$347–$629 | $347–$629 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 2 matching MRF lines |
$256–$436 | $256–$436 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 2 matching MRF lines |
$214–$419 | $214–$419 | varies |
| 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) range across 2 matching MRF lines |
$158–$203 | $158–$203 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$203–$232 | $203–$232 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$197–$309 | $197–$309 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$203–$370 | $203–$370 | varies |
| 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) range across 4 matching MRF lines |
$132–$180 | $132–$180 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 5 matching MRF lines |
$133–$378 | $133–$378 | varies |
| 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) range across 2 matching MRF lines |
$2,844–$18,195 | $2,844–$18,195 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$3,562–$37,226 | $3,562–$37,226 | varies |
| 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) range across 3 matching MRF lines |
$259–$668 | $259–$668 | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$131–$243 | $131–$243 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$131–$358 | $131–$358 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$131–$386 | $131–$386 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$131–$309 | $131–$309 | varies |
| Pm/Icd Remote Tech Serv (93296) | $222 | $222 | 5.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$3,065–$7,143 | $3,065–$7,143 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$4,333–$6,785 | $4,333–$6,785 | varies |
| 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) range across 2 matching MRF lines |
$71–$74 | $71–$74 | varies |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) range across 2 matching MRF lines |
$102–$154 | $102–$154 | varies |
| Prepj& antigen allergen immunotherapy 2 insect (95146) range across 2 matching MRF lines |
$180–$270 | $180–$270 | varies |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) range across 2 matching MRF lines |
$180–$276 | $180–$276 | varies |
| 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) range across 2 matching MRF lines |
$155–$364 | $155–$364 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$131–$370 | $131–$370 | varies |
| 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) range across 2 matching MRF lines |
$3,396–$12,483 | $3,396–$12,483 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$3,165–$13,474 | $3,165–$13,474 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 2 matching MRF lines |
$3,562–$26,853 | $3,562–$26,853 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$3,165–$37,226 | $3,165–$37,226 | varies |
| 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) range across 2 matching MRF lines |
$453–$465 | $453–$465 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$408–$412 | $408–$412 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) range across 2 matching MRF lines |
$348–$431 | $348–$431 | varies |
| Psycl/Nrpsyc Tst Auto Result (96146) range across 2 matching MRF lines |
$13–$71 | $13–$71 | varies |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) range across 2 matching MRF lines |
$182–$1,197 | $182–$1,197 | varies |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 2 matching MRF lines |
$237–$460 | $237–$460 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$414–$512 | $414–$512 | varies |
| 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 mechanical traction (97012) | $95 | $95 | 6.6× |
| 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 14 matching MRF lines |
$203–$1,001 | $203–$1,001 | varies |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$171–$596 | $171–$596 | varies |
| Pure Tone Audiometry Air (92552) | $155 | $155 | 1.1× |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$6,262–$12,663 | $6,262–$12,663 | varies |
| 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) range across 2 matching MRF lines |
$5,656–$10,707 | $5,656–$10,707 | varies |
| 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) range across 2 matching MRF lines |
$566–$695 | $566–$695 | varies |
| 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 Scrms <30 D Phys/Qhp (93298) | $149 | $149 | 3.7× |
| 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) range across 2 matching MRF lines |
$4,069–$10,554 | $4,069–$10,554 | varies |
| 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) range across 2 matching MRF lines |
$167–$320 | $167–$320 | varies |
| 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× |
| 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) range across 2 matching MRF lines |
$382–$563 | $382–$563 | varies |
| 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) range across 3 matching MRF lines |
$794–$1,717 | $794–$1,717 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$83–$119 | $83–$119 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$43–$82 | $43–$82 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$370–$512 | $370–$512 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$370–$684 | $370–$684 | varies |
| 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) range across 3 matching MRF lines |
$1,014–$1,705 | $1,014–$1,705 | varies |
| Tte W/O Doppler Complete (93307) | $1,503 | $1,503 | 5.9× |
| Tx atrial fib pulm vein isol (93656) range across 2 matching MRF lines |
$5,998–$32,432 | $5,998–$32,432 | varies |
| 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 3 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) range across 5 matching MRF lines |
$414–$554 | $414–$554 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$651–$1,229 | $651–$1,229 | varies |
| Valvuloplasty aortic valve (92986) range across 2 matching MRF lines |
$6,990–$18,612 | $6,990–$18,612 | varies |
| 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 5 matching MRF lines |
$485–$3,422 | $485–$3,422 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,658 | $1,658 | 2.5× |
| Visual Evoked Potential Test (95930) range across 3 matching MRF lines |
$331–$929 | $331–$929 | varies |
| Visual Field Exam Extended (92083) range across 2 matching MRF lines |
$314–$347 | $314–$347 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) range across 2 matching MRF lines |
$172–$237 | $172–$237 | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $144 | $144 | 2.3× |
| Visual reinforcement audiometry (vra) (92579) | $431 | $431 | 1.9× |
| 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) range across 2 matching MRF lines |
$178–$326 | $178–$326 | varies |
| 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.