Visits & medical services prices at CHI Health Creighton University Medical Center - Bergan Mercy
Omaha, NE · every code in this section with a posted price and a Medicare benchmark.
332 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) range across 2 matching MRF lines |
$4,769.94–$5,320.56 | $11,357–$12,668 | varies |
| Actigraphy Testing Recording Analysis I&R (95803) | $141.54 | $337 | 2.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $28.56 | $68 | 0.7× |
| Airway Inhalation Treatment (94640) | $101.64 | $242 | 0.4× |
| Airway resistance by oscillometry (94728) | $53.34 | $127 | 0.4× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $47.88 | $114 | 1.2× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $26.88 | $64 | 0.9× |
| Analyze neurostim no prog (95970) | $81.90 | $195 | 0.6× |
| Analyze Pacemaker System (93724) | $35.70 | $85 | 0.1× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $213.78 | $509 | 1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $48.30 | $115 | 3.4× |
| Application Modality 1/> Areas Infrared (97026) | $42 | $100 | 6.3× |
| Application on-body injector (96377) | $31.08 | $74 | 0.6× |
| Arrhythmia Induction (93618) range across 2 matching MRF lines |
$1,812.30–$1,921.08 | $4,315–$4,574 | varies |
| Assessment of aphasia per hr (96105) | $139.86 | $333 | 1.4× |
| Behavior id support assmt by 1 tech ea 15 min (97152) | $132.72 | $316 | 1.3× |
| Behavral qualit analys voice (92524) | $191.94 | $457 | 1.8× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $83.16 | $198 | 1.0× |
| Bfb training ea addl 15 min (90913) | $83.16 | $198 | 2.5× |
| Biofeedback training any modality (90901) | $83.16 | $198 | 2.0× |
| Blink reflex test (95933) | $65.94 | $157 | 1.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $435.54 | $1,037 | 1.1× |
| Bundle of his recording (93600) range across 2 matching MRF lines |
$1,593.90–$4,781.70 | $3,795–$11,385 | varies |
| C motor evoked uppr limbs (95928) | $117.60 | $280 | 0.1× |
| Canalith repositioning proc (95992) | $49.98 | $119 | 1.2× |
| Car seat/bed test 60 min (94780) | $137.76 | $328 | 3.6× |
| Cardiac Stress Tst,Tracing Only (93017) range across 4 matching MRF lines |
$192.78–$875.70 | $25–$2,085 | varies |
| Cardiopulmonary exercise testing (94621) | $893.76 | $2,128 | 2.3× |
| Cardiopulmonary resuscitation (92950) | $727.44 | $1,732 | 3.2× |
| Cardioversion (92960) | $1,431.36 | $3,408 | 2.1× |
| Cardioversion elective internal (92961) | $924 | $2,200 | 1.3× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$13,369.44–$14,483.28 | $31,832–$34,484 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$12,812.52–$13,926.36 | $30,506–$33,158 | varies |
| Cbt 1st hour (94644) | $190.68 | $454 | 1.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $96.60 | $230 | 1.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $108.36 | $258 | 1.4× |
| Chemo Ia Push (96420) | $139.02 | $331 | 0.4× |
| Chemo intralesional up to 7 (96405) | $89.46 | $213 | 1.2× |
| Chemo IV infusion addl hr (96415) | $200.34 | $477 | 2.7× |
| Chemo IV push addl drug (96411) | $175.56 | $418 | 2.3× |
| Chemother Prolong Infuse W/Pump (96416) | $275.94 | $657 | 0.8× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $406.56 | $968 | 1.2× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $80.64 | $192 | 1.7× |
| Chemotherapy Into Cns (96450) | $492.24 | $1,172 | 1.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $269.64 | $642 | 3.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $419.58 | $999 | 1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $281.82 | $671 | 0.8× |
| Chest Wall Manipulation (94668) | $64.68 | $154 | 0.5× |
| Color/duplex Doppler, complete (93975) | $655.20 | $1,560 | 2.6× |
| Color/duplex Doppler, limited (93976) | $399.84 | $952 | 3.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $44.52 | $106 | 1.4× |
| Comprehensive Hearing Test (92557) | $96.60 | $230 | 0.7× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $144.06 | $343 | 1.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $43.26 | $103 | 0.7× |
| Continuous Pulse Ox (94762) | $218.40 | $520 | 1.6× |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$8,387.82–$9,106.86 | $19,971–$21,683 | varies |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$7,349.58–$7,988.40 | $17,499–$19,020 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $451.92 | $1,076 | 2.0× |
| Cpt initial (94667) | $126.84 | $302 | 0.9× |
| Critical care first hour (99291) | $2,250.36 | $5,358 | 2.6× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $78.12 | $186 | 0.2× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$189.42–$220.50 | $451–$525 | varies |
| Dialysis One Evaluation (90945) | $1,695.12 | $4,036 | 3.9× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $37.80 | $90 | 0.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $432.60 | $1,030 | 1.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $203.28 | $484 | 1.9× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $279.30 | $665 | 2.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $744.66 | $1,773 | 3.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $640.50 | $1,525 | 5.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,451.94 | $3,457 | 5.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $726.18 | $1,729 | 6.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$191.10–$1,744.26 | $455–$4,153 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 2 matching MRF lines |
$83.16–$91.56 | $198–$218 | varies |
| Duplex Scan Hemodialysis Access (93990) | $415.38 | $989 | 3.8× |
| Duplex up extrem art bilat (93930) | $706.86 | $1,683 | 2.9× |
| Duplex up extrem art unilat/ltd (93931) | $318.78 | $759 | 2.9× |
| Echo Congenital Complete (93303) | $971.04 | $2,312 | 1.7× |
| Echo Heart Xthoracic,Limited (93308) | $750.96 | $1,788 | 3.0× |
| Echo r-t 2d w/probe placement only (93313) | $555.66 | $1,323 | 1.0× |
| Echo transesophag congen probe plcmt only (93316) | $576.24 | $1,372 | 1.0× |
| Echo transesophag montr cardiac pump functj (93318) | $691.74 | $1,647 | 1.2× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$1,596.42–$1,735.44 | $3,801–$4,132 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,762.32 | $4,196 | 3.1× |
| Eeg 41-60 Minutes (95812) | $676.62 | $1,611 | 3.0× |
| EEG awake and asleep (95819) | $657.72 | $1,566 | 2.9× |
| EEG awake drowsy (95816) | $651 | $1,550 | 2.9× |
| EEG cerebral death evaluation (95824) | $450.66 | $1,073 | 1.2× |
| EEG cont rec w/video by tech min 8 channels (95700) | $217.14 | $517 | 1.0× |
| EEG extended monitoring 61-119 minutes (95813) | $926.94 | $2,207 | 4.1× |
| Eeg Sleep Only (95822) | $742.14 | $1,767 | 3.3× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,082.34 | $2,577 | 4.8× |
| EEG w/o vid 2-12hr cont mntr (95707) | $209.58 | $499 | 0.9× |
| EEG w/o vid ea 12-26hr intmt (95709) | $379.68 | $904 | 1.0× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $407.82 | $971 | 1.1× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $217.14 | $517 | 1.0× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,882.44 | $4,482 | 4.9× |
| EKG signal averaged (93278) | $195.30 | $465 | 3.2× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $62.16 | $148 | 0.6× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $24.36 | $58 | 0.6× |
| Electrical Stimulation Ea 15 Min (97032) | $53.34 | $127 | 3.6× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$18.90–$195.72 | $45–$466 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) likely a partial charge, not the full procedure |
$1,880.34 | $4,477 | 0.2× |
| Electrophysiology Evaluation (93642) range across 2 matching MRF lines |
$1,782.90–$1,890 | $4,245–$4,500 | varies |
| Emergency Dept Visit Level 2 (99282) | $304.92 | $726 | 1.9× |
| Emergency Dept Visit Level 3 (99283) | $651 | $1,550 | 2.3× |
| Emergency Dept Visit Level 4 (99284) | $1,038.24 | $2,472 | 2.4× |
| Emg 3 Extremities (95863) | $462.84 | $1,102 | 3.5× |
| Emg 4 Extremities (95864) | $509.88 | $1,214 | 3.8× |
| Endomyocardial Biopsy (93505) range across 2 matching MRF lines |
$1,792.14–$1,899.66 | $4,267–$4,523 | varies |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$16,144.38–$18,346.02 | $38,439–$43,681 | varies |
| Ep & ablate ventric tachy (93654) range across 2 matching MRF lines |
$9,173.22–$10,457.16 | $21,841–$24,898 | varies |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 2 matching MRF lines |
$3,760.68–$4,132.38 | $8,954–$9,839 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) range across 2 matching MRF lines |
$4,628.40–$5,082.84 | $11,020–$12,102 | varies |
| Er level 1 (99281) | $152.46 | $363 | 1.7× |
| Er level v (99285) | $1,384.32 | $3,296 | 2.2× |
| Ergonovine provocation test (93024) | $184.38 | $439 | 0.4× |
| Esophageal Capsule Endoscopy (91111) | $866.88 | $2,064 | 0.9× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $508.62 | $1,211 | 1.3× |
| Evaluate pt use of inhaler (94664) | $150.36 | $358 | 0.7× |
| Evaluate Speech Production (92522) | $152.04 | $362 | 1.4× |
| Evaluate Swallowing Function (92610) | $133.98 | $319 | 1.6× |
| Evaluation of speech fluency (92521) | $184.38 | $439 | 1.4× |
| Evoked Auditory Test,Limited (92587) | $77.28 | $184 | 0.3× |
| Exercise test for bronchospasm (94617) | $252.42 | $601 | 1.8× |
| Exhaled Air Analysis O2 (94680) | $102.06 | $243 | 0.8× |
| External ECG rec>48hr<7d recording (93242) | $35.28 | $84 | 0.9× |
| External ECG rec>7d<15d recording (93246) | $58.80 | $140 | 1.5× |
| External Ecg Scanning Analysis Report (93226) | $545.58 | $1,299 | 8.9× |
| Extracranial Bilat Study (93880) | $660.24 | $1,572 | 2.7× |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$231.42–$528.36 | $551–$1,258 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) | $533.40 | $1,270 | 0.9× |
| Flexible endoscopic eval swallow c/v rec (92612) | $150.78 | $359 | 0.8× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $201.18 | $479 | 0.2× |
| Gastric motility studies (91020) | $1,073.94 | $2,557 | 2.8× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,255.80 | $2,990 | 3.2× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $188.16 | $448 | 0.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,267.98 | $3,019 | 1.4× |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$576.24–$1,646.40 | $1,372–$3,920 | varies |
| Gi tract imaging intraluminal colon i&r (91113) | $585.06 | $1,393 | 0.6× |
| Group Therapeutic Procedures (97150) | $60.90 | $145 | 3.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$12,673.08–$13,647.90 | $30,174–$32,495 | varies |
| High altitude simulation test (94452) | $161.28 | $384 | 1.2× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $161.28 | $384 | 1.2× |
| Holter monitor recording (93225) | $311.22 | $741 | 2.3× |
| Hubbard tank 15 min (97036) | $54.60 | $130 | 1.6× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$267.12–$294.42 | $636–$701 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$217.56–$239.82 | $518–$571 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$44.10–$48.72 | $105–$116 | varies |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$170.94–$188.16 | $407–$448 | varies |
| Ilr Device Interrogate (93291) | $31.08 | $74 | 1.0× |
| Immunization administration (90471) range across 3 matching MRF lines |
$7.98–$53.76 | $19–$128 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) range across 2 matching MRF lines |
$218.82–$295.26 | $521–$703 | varies |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$991.62–$1,089.48 | $2,361–$2,594 | varies |
| Interrog&prgrmg ipnss during polysomnography (93152) | $627.90 | $1,495 | 2.0× |
| Interrogation eval in person wr defibrillator (93292) | $46.62 | $111 | 1.2× |
| Intra-atrial pacing (93610) range across 2 matching MRF lines |
$1,809.78–$1,918.56 | $4,309–$4,568 | varies |
| Intra-atrial recording (93602) range across 2 matching MRF lines |
$1,809.78–$4,781.70 | $4,309–$11,385 | varies |
| Intracranial Complete Study (93886) | $336 | $800 | 1.4× |
| Intraventricular pacing (93612) range across 2 matching MRF lines |
$2,295.72–$2,433.48 | $5,466–$5,794 | varies |
| Iontophoresis 15 min (97033) | $66.78 | $159 | 3.5× |
| Irrig Drug Delivery Device (96523) | $71.40 | $170 | 1.2× |
| IV infusion hydration each additional hour (96361) | $31.50 | $75 | 0.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $247.38 | $589 | 1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$54.18–$128.10 | $129–$305 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $26.88 | $64 | 0.6× |
| IV push initial (96374) | $148.26 | $353 | 0.7× |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$12,812.52–$13,926.36 | $30,506–$33,158 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $151.20 | $360 | 1.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $556.92 | $1,326 | 2.5× |
| Mechanical chest wall oscillation per session (94669) | $136.50 | $325 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $42 | $100 | 1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $34.86 | $83 | 0.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $15.12 | $36 | 0.9× |
| Methacholine challenge (94070) | $831.60 | $1,980 | 2.1× |
| Microvolt T-Wave Assess (93025) | $184.38 | $439 | 1.4× |
| Motility study esophagus (91010) | $1,128.96 | $2,688 | 2.9× |
| Motion Fluoroscopy/Swallow (92611) | $297.78 | $709 | 3.3× |
| Multiple Sleep Latency Test (95805) | $1,276.38 | $3,039 | 1.4× |
| Muscle Test 2 Limbs (95861) | $420.84 | $1,002 | 3.0× |
| Muscle Test Nonparaspinal (95870) | $125.58 | $299 | 0.9× |
| Muscle Test One Limb (95860) | $382.62 | $911 | 2.8× |
| Nasopharyngoscopy (92511) | $217.56 | $518 | 1.0× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $130.62 | $311 | 0.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $130.62 | $311 | 0.6× |
| Needle electromyography larynx (95865) | $82.74 | $197 | 0.6× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $125.58 | $299 | 0.6× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $130.62 | $311 | 0.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$189.42–$273 | $451–$650 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $189.42 | $451 | 0.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $178.92 | $426 | 0.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$194.88–$284.34 | $464–$677 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $388.08 | $924 | 1.7× |
| Nerve Conduction Studies 11-12 Studies (95912) | $939.96 | $2,238 | 2.4× |
| Nerve conduction studies 13 or more studies (95913) | $1,175.16 | $2,798 | 3.0× |
| Nerve Conduction Studies 3-4 Studies (95908) | $469.98 | $1,119 | 2.1× |
| Nerve conduction studies 5-6 studies (95909) | $552.30 | $1,315 | 2.5× |
| Nerve conduction studies 7-8 studies (95910) | $705.18 | $1,679 | 1.8× |
| Nerve Conduction Studies 9-10 Studies (95911) | $787.50 | $1,875 | 2.0× |
| Neurobehavioral Status Exam (96116) | $185.64 | $442 | 0.8× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $150.78 | $359 | 1.1× |
| Neuromuscular Reeducation (97112) | $48.30 | $115 | 1.5× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$251.58–$456.12 | $599–$1,086 | varies |
| Nitric oxide expired gas determination (95012) | $36.54 | $87 | 0.9× |
| Oral Function Therapy (92526) | $154.98 | $369 | 1.8× |
| Oral Speech Device Eval (92597) | $139.44 | $332 | 2.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $55.02 | $131 | 1.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $57.54 | $137 | 1.2× |
| Ot Contrast Bath Ea 15 Min (97034) | $29.40 | $70 | 2.1× |
| Ot eval high complexity (97167) | $101.22 | $241 | 1.0× |
| Ot Eval Low Complex (97165) | $91.98 | $219 | 0.9× |
| Ot Eval Moderate Complexity (97166) | $101.22 | $241 | 1.0× |
| Ot manual therapy 15 min (97140) | $59.22 | $141 | 2.1× |
| Ot paraffin bath (97018) | $34.02 | $81 | 5.7× |
| Ot Prosthetic Training, Each 15 Min (97761) | $16.38 | $39 | 0.4× |
| Ot Re-Eval Est Plan Care (97168) | $63.42 | $151 | 0.9× |
| Ot rom hand (95852) | $60.48 | $144 | 2.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $220.08 | $524 | 1.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $204.54 | $487 | 1.5× |
| Oxygen Uptake Rest Indirect (94690) | $89.46 | $213 | 1.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $112.56 | $268 | 0.5× |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$2.52–$45.78 | $6–$109 | varies |
| Perq transcath closure pda (93582) unusually low: confirm this is the full procedure |
$5,830.44 | $13,882 | 0.3× |
| Perq Transcath Cls Aortic (93591) | $12,304.32 | $29,296 | 0.6× |
| Perq Transcath Cls Mitral (93590) | $17,236.38 | $41,039 | 0.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 2 matching MRF lines |
$7,042.56–$7,619.64 | $16,768–$18,142 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$6,927.06–$7,504.14 | $16,493–$17,867 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$82.74–$157.08 | $197–$374 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $148.26 | $353 | 2.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $166.32 | $396 | 2.7× |
| Physical Performance Test (97750) | $73.92 | $176 | 2.2× |
| Plethysmography (94726) | $530.46 | $1,263 | 1.4× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$155.82–$165.06 | $371–$393 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$126–$133.56 | $300–$318 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$56.28–$59.64 | $134–$142 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$97.02–$102.90 | $231–$245 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$49.56–$52.50 | $118–$125 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,164.68 | $5,154 | 2.4× |
| Polysom <6 yrs 4/> paramtrs (95782) | $817.32 | $1,946 | 0.9× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $817.32 | $1,946 | 0.9× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $757.68 | $1,804 | 0.8× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$193.62–$213.36 | $461–$508 | varies |
| Prq Card Angio/Athrect 1 Art (92924) range across 2 matching MRF lines |
$7,735.14–$8,312.22 | $18,417–$19,791 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$9,813.30–$10,736.46 | $23,365–$25,563 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 2 matching MRF lines |
$10,621.38–$11,429.46 | $25,289–$27,213 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$6,811.56–$7,388.64 | $16,218–$17,592 | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) range across 2 matching MRF lines |
$13,206.48–$13,999.02 | $31,444–$33,331 | varies |
| Psych diag eval w/med srvcs (90792) | $191.52 | $456 | 1.0× |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$126.84–$191.52 | $302–$456 | varies |
| Psytx Crisis Initial 60 Min (90839) | $102.48 | $244 | 0.6× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $97.86 | $233 | 2.6× |
| Pt Eval High Complex (97163) | $107.10 | $255 | 1.1× |
| Pt eval low complex 20 min (97161) | $98.28 | $234 | 1.0× |
| Pt Eval Mod Complex (97162) | $107.10 | $255 | 1.1× |
| Pt gait training 15 min (97116) | $44.94 | $107 | 1.5× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$26.88–$82.32 | $64–$196 | varies |
| Pt Re-Eval Est Plan Care (97164) | $61.74 | $147 | 0.9× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$180.60–$254.94 | $430–$607 | varies |
| Pulmonary service/procedure (94799) range across 4 matching MRF lines |
$14.70–$181.86 | $35–$433 | varies |
| Pulmonary Stress Testing (94618) | $276.78 | $659 | 2.0× |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$10,584.42–$11,280.36 | $25,201–$26,858 | varies |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$10,027.08–$10,723.02 | $23,874–$25,531 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $6,087.06 | $14,493 | 1.8× |
| Refill/Maint Portable Pump (96521) | $225.96 | $538 | 1.0× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$256.62–$278.88 | $611–$664 | varies |
| Remote 30 Day Ecg Tech Supp (93229) | $1,086.54 | $2,587 | 2.8× |
| Respiratory flow volume loop (94375) | $199.92 | $476 | 0.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $111.30 | $265 | 1.8× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$3,928.68–$4,317.18 | $9,354–$10,279 | varies |
| Right ventricular recording (93603) range across 2 matching MRF lines |
$1,382.64–$1,465.80 | $3,292–$3,490 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$98.28–$103.32 | $234–$246 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $118.44 | $282 | 4.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $148.26 | $353 | 1.2× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $71.40 | $170 | 1.5× |
| Self Care Mngment Training (97535) | $52.50 | $125 | 1.6× |
| Sensory Integration Ea 15 Min (97533) | $17.64 | $42 | 0.3× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $526.26 | $1,253 | 2.3× |
| Sleep study attended (95807) | $824.04 | $1,962 | 2.1× |
| Sleep study unattended (95806) | $320.88 | $764 | 1.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $291.48 | $694 | 1.3× |
| Somatosensory Testing (95938) | $347.76 | $828 | 0.4× |
| Speech sound lang comprehen (92523) | $191.94 | $457 | 0.8× |
| Spin/Brain Pump Refil & Main (95991) | $201.18 | $479 | 0.6× |
| Spirometry (94010) | $173.46 | $413 | 0.8× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$109.62–$121.80 | $261–$290 | varies |
| Stress Tte Only (93350) | $1,205.82 | $2,871 | 2.1× |
| Subcutaneous Infusion Each Additional Hour (96370) | $54.18 | $129 | 1.1× |
| Subq Infusion Additional Pump Infusion Site (96371) | $52.08 | $124 | 0.7× |
| Surfactant Admin Thru Tube (94610) range across 2 matching MRF lines |
$65.52–$129.36 | $156–$308 | varies |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $524.16 | $1,248 | 4.8× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$140.70–$149.10 | $335–$355 | varies |
| Tensilon Test (95857) | $145.74 | $347 | 0.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $69.30 | $165 | 3.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $69.30 | $165 | 3.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $60.90 | $145 | 1.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $44.10 | $105 | 1.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $78.12 | $186 | 0.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$99.96–$109.62 | $238–$261 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $313.32 | $746 | 1.4× |
| Therapeutic Activities (97530) | $57.12 | $136 | 1.6× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$1,790.88–$1,946.28 | $4,264–$4,634 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$14.70–$23.94 | $35–$57 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $14.70 | $35 | 0.4× |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$9,457.14–$11,393.76 | $22,517–$27,128 | varies |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $524.16 | $1,248 | 4.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $309.12 | $736 | 2.8× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 2 matching MRF lines |
$100.80–$106.68 | $240–$254 | varies |
| Tte w/doppler, complete (93306) | $1,481.34 | $3,527 | 2.6× |
| Tte W/O Doppler Complete (93307) | $788.34 | $1,877 | 3.2× |
| Tx atrial fib pulm vein isol (93656) range across 2 matching MRF lines |
$16,863.42–$19,162.92 | $40,151–$45,626 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $162.12 | $386 | 2.1× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $79.38 | $189 | 3.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $120.54 | $287 | 2.5× |
| Unlisted cardiovascular service/procedure (93799) range across 21 matching MRF lines |
$111.30–$12,148.92 | $265–$28,926 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $1,598.52 | $3,806 | 12.0× |
| Unlisted otorhinolaryngological service (92700) | $40.32 | $96 | 1.3× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$200.34–$334.74 | $477–$797 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $456.96 | $1,088 | 2.0× |
| Valvuloplasty aortic valve (92986) | $3,353.28 | $7,984 | 0.6× |
| Valvuloplasty mitral valve (92987) unusually low: confirm this is the full procedure |
$5,898.48 | $14,044 | 0.5× |
| Valvuloplasty pulmonary valve (92990) unusually low: confirm this is the full procedure |
$5,115.60 | $12,180 | 0.4× |
| Vasopneumatic device (97016) | $38.22 | $91 | 3.2× |
| Veeg 2-12 Hr Cont Mntr (95713) | $433.86 | $1,033 | 1.1× |
| Veeg 2-12 hr intmt mntr (95712) | $1,546.44 | $3,682 | 4.0× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,713.20 | $6,460 | 7.0× |
| Veeg ea 12-26hr cont mntr (95716) | $660.24 | $1,572 | 0.7× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$309.12–$401.10 | $736–$955 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$309.12–$401.10 | $736–$955 | varies |
| Visual Evoked Potential Test (95930) | $181.02 | $431 | 0.8× |
| Vital capacity, total (94150) | $113.82 | $271 | 0.9× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $638.82 | $1,521 | 0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $39.90 | $95 | 1.3× |
| Whirlpool Therapy (97022) | $41.16 | $98 | 2.6× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.