Visits & medical services prices at CHI Health Plainview
Plainview, NE · every code in this section with a posted price and a Medicare benchmark.
221 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) | $93.24 | $111 | 0.9× |
| Actigraphy Testing Recording Analysis I&R (95803) | $293.16 | $349 | 4.8× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$57.12–$115.08 | $68–$137 | varies |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$20.16–$159.60 | $24–$190 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $37.80 | $45 | 1.0× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $37.80 | $45 | 1.3× |
| Analyze neurostim no prog (95970) | $157.92 | $188 | 1.1× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) range across 2 matching MRF lines |
$257.04–$387.24 | $306–$461 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 6 matching MRF lines |
$52.92–$2,204.16 | $63–$2,624 | varies |
| Application on-body injector (96377) | $108.36 | $129 | 2.2× |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$271.32–$817.32 | $323–$973 | varies |
| Audiometry Air & Bone (92553) | $157.08 | $187 | 1.2× |
| Basic vestibular evaluation (92540) | $192.36 | $229 | 0.9× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$270.48–$1,011.36 | $322–$1,204 | varies |
| Biofeedback training any modality (90901) range across 2 matching MRF lines |
$70.56–$90.72 | $84–$108 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $627.48 | $747 | 1.6× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$47.88–$51.24 | $57–$61 | varies |
| Car seat/bed test 60 min (94780) | $293.16 | $349 | 7.6× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$1,052.52–$1,382.64 | $1,253–$1,646 | varies |
| Cardiopulmonary exercise testing (94621) | $466.20 | $555 | 1.2× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$787.92–$1,002.12 | $938–$1,193 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$372.12–$1,411.20 | $443–$1,680 | varies |
| Cbt 1st hour (94644) | $149.52 | $178 | 1.1× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$183.12–$190.68 | $218–$227 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$183.12–$190.68 | $218–$227 | varies |
| Chemo IV infusion addl hr (96415) | $441.84 | $526 | 5.9× |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$288.96–$320.04 | $344–$381 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$189–$209.16 | $225–$249 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$288.96–$320.04 | $344–$381 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$375.48–$417.48 | $447–$497 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$288.96–$320.04 | $344–$381 | varies |
| Chest Wall Manipulation (94668) | $73.92 | $88 | 0.5× |
| Chron Care Mgmt Srvc 20 Min (99490) | $147 | $175 | 1.4× |
| Color/duplex Doppler, complete (93975) | $1,201.20 | $1,430 | 4.8× |
| Color/duplex Doppler, limited (93976) | $756.84 | $901 | 7.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 7 matching MRF lines |
$81.48–$1,585.92 | $97–$1,888 | varies |
| Comprehensive Hearing Test (92557) | $157.08 | $187 | 1.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $311.64 | $371 | 2.3× |
| Continuous Pulse Ox (94762) | $477.12 | $568 | 3.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $184.80 | $220 | 0.8× |
| Cpt initial (94667) | $126 | $150 | 0.9× |
| Critical care first hour (99291) range across 4 matching MRF lines |
$456.12–$3,868.20 | $543–$4,605 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$116.76–$241.92 | $139–$288 | varies |
| Dialysis One Evaluation (90945) | $3,291.12 | $3,918 | 7.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,741.32 | $2,073 | 7.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $984.48 | $1,172 | 9.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,190.28 | $1,417 | 4.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $892.92 | $1,063 | 8.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $2,092.44 | $2,491 | 8.4× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,046.64 | $1,246 | 9.6× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $3,167.64 | $3,771 | 12.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $152.88 | $182 | 1.4× |
| Duplex Scan Hemodialysis Access (93990) | $740.04 | $881 | 6.8× |
| Duplex up extrem art bilat (93930) | $1,085.28 | $1,292 | 4.4× |
| Duplex up extrem art unilat/ltd (93931) | $682.92 | $813 | 6.3× |
| ECG/monitoring and analysis (93271) | $363.72 | $433 | 3.7× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$59.64–$960.12 | $71–$1,143 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,650.20 | $3,155 | 4.7× |
| EEG awake and asleep (95819) | $658.56 | $784 | 2.9× |
| EEG awake drowsy (95816) | $499.80 | $595 | 2.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $48.72 | $58 | 1.3× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$61.32–$101.64 | $73–$121 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$15.12–$259.56 | $18–$309 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$99.96–$378 | $119–$450 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$169.68–$630 | $202–$750 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$287.28–$987.84 | $342–$1,176 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$51.24–$215.04 | $61–$256 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$416.64–$1,397.76 | $496–$1,664 | varies |
| Evaluate pt use of inhaler (94664) | $142.80 | $170 | 0.6× |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$270.48–$1,011.36 | $322–$1,204 | varies |
| Evaluate Swallowing Function (92610) range across 3 matching MRF lines |
$236.88–$502.32 | $282–$598 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$270.48–$1,870.68 | $322–$2,227 | varies |
| Exhaled Air Analysis O2 (94680) | $178.92 | $213 | 1.3× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$41.16–$90.72 | $49–$108 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$68.04–$551.04 | $81–$656 | varies |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$64.68–$918.96 | $77–$1,094 | varies |
| Extracranial Bilat Study (93880) | $1,255.80 | $1,495 | 5.1× |
| Extracranial Uni/Ltd Study (93882) | $1,180.20 | $1,405 | 10.9× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 2 matching MRF lines |
$463.68–$2,403.24 | $552–$2,861 | varies |
| Gi tract capsule endoscopy (91110) | $2,303.28 | $2,742 | 2.4× |
| Gi tract imaging intraluminal colon i&r (91113) | $994.56 | $1,184 | 1.0× |
| Group Therapeutic Procedures (97150) | $98.28 | $117 | 5.4× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$45.36–$596.40 | $54–$710 | varies |
| Hubbard tank 15 min (97036) | $84 | $100 | 2.4× |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $236.04 | $281 | 6.1× |
| Immunization administration (90471) range across 5 matching MRF lines |
$15.96–$99.96 | $19–$119 | varies |
| Intracutaneous tests w/allergenic extracts (95024) | $1,101.24 | $1,311 | 18.0× |
| Iontophoresis 15 min (97033) range across 4 matching MRF lines |
$83.16–$139.44 | $99–$166 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$139.44–$154.56 | $166–$184 | varies |
| IV infusion hydration each additional hour (96361) | $46.20 | $55 | 1.0× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$191.52–$335.16 | $228–$399 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$136.92–$147 | $163–$175 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $46.20 | $55 | 1.0× |
| IV push initial (96374) range across 3 matching MRF lines |
$105–$118.44 | $125–$141 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,283.52 | $1,528 | 5.7× |
| Mechanical chest wall oscillation per session (94669) | $242.76 | $289 | 1.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $30.24 | $36 | 1.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $32.76 | $39 | 0.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $30.24 | $36 | 1.8× |
| Methacholine challenge (94070) | $971.88 | $1,157 | 2.5× |
| Motility study esophagus (91010) | $1,977.36 | $2,354 | 5.1× |
| Motion Fluoroscopy/Swallow (92611) range across 3 matching MRF lines |
$391.44–$1,011.36 | $466–$1,204 | varies |
| Multiple Sleep Latency Test (95805) | $2,971.92 | $3,538 | 3.3× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$136.92–$394.80 | $163–$470 | varies |
| Muscle Test Nonparaspinal (95870) | $173.04 | $206 | 1.3× |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$273–$495.60 | $325–$590 | varies |
| Nasopharyngoscopy (92511) | $274.68 | $327 | 1.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $376.32 | $448 | 0.9× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $376.32 | $448 | 0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$111.72–$252.84 | $133–$301 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 6 matching MRF lines |
$88.20–$502.32 | $105–$598 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$179.76–$220.08 | $214–$262 | varies |
| Nerve conduction studies 13 or more studies (95913) | $346.08 | $412 | 0.9× |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$274.68–$334.32 | $327–$398 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$329.28–$334.32 | $392–$398 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$334.32–$431.76 | $398–$514 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$520.80–$604.80 | $620–$720 | varies |
| Neuromuscular Reeducation (97112) range across 7 matching MRF lines |
$18.48–$2,474.64 | $22–$2,946 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $794.64 | $946 | 2.1× |
| Optokinetic Nystagmus Test (92544) | $192.36 | $229 | 1.4× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$268.80–$1,285.20 | $320–$1,530 | varies |
| Oral Speech Device Eval (92597) range across 2 matching MRF lines |
$271.32–$1,069.32 | $323–$1,273 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$51.24–$153.72 | $61–$183 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$73.92–$241.08 | $88–$287 | varies |
| Oscillating Tracking Test (92545) | $192.36 | $229 | 0.9× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $49.56 | $59 | 2.2× |
| Ot Contrast Bath Ea 15 Min (97034) range across 3 matching MRF lines |
$56.28–$68.88 | $67–$82 | varies |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$124.32–$168.84 | $148–$201 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$160.44–$168.84 | $191–$201 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$160.44–$168.84 | $191–$201 | varies |
| Ot manual therapy 15 min (97140) range across 5 matching MRF lines |
$48.72–$157.92 | $58–$188 | varies |
| Ot paraffin bath (97018) range across 4 matching MRF lines |
$48.72–$208.32 | $58–$248 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$84.84–$148.68 | $101–$177 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$78.96–$155.40 | $94–$185 | varies |
| Ot rom hand (95852) range across 4 matching MRF lines |
$42.84–$87.36 | $51–$104 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $297.36 | $354 | 2.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $225.96 | $269 | 1.7× |
| Oxygen Uptake Rest Indirect (94690) | $629.16 | $749 | 10.3× |
| Patch/Application Test Specify Number Tests (95044) | $664.44 | $791 | 0.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $183.12 | $218 | 0.8× |
| Percutaneous tests w/allergenic extracts (95004) | $472.08 | $562 | 0.5× |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$68.04–$70.56 | $81–$84 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$213.36–$263.76 | $254–$314 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$173.88–$498.12 | $207–$593 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$151.20–$498.12 | $180–$593 | varies |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$68.04–$115.92 | $81–$138 | varies |
| Plethysmography (94726) | $747.60 | $890 | 1.9× |
| Pm/Icd Remote Tech Serv (93296) | $76.44 | $91 | 2.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $5,108.04 | $6,081 | 5.7× |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,212.12 | $1,443 | 1.4× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $1,212.12 | $1,443 | 1.4× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $1,328.04 | $1,581 | 1.5× |
| Positional nystagmus test (92542) | $176.40 | $210 | 1.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$27.72–$296.52 | $33–$353 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $47.04 | $56 | 1.0× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) range across 2 matching MRF lines |
$75.60–$87.36 | $90–$104 | varies |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$84.84–$178.08 | $101–$212 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$73.92–$178.08 | $88–$212 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$73.92–$178.08 | $88–$212 | varies |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$75.60–$99.96 | $90–$119 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$74.76–$78.96 | $89–$94 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$75.60–$99.96 | $90–$119 | varies |
| Pulm function test by gas (94727) | $635.88 | $757 | 2.8× |
| Pulmonary service/procedure (94799) range across 4 matching MRF lines |
$21–$353.64 | $25–$421 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$137.76–$155.40 | $164–$185 | varies |
| Pure Tone Audiometry Air (92552) | $157.08 | $187 | 1.1× |
| Refill/Maint Portable Pump (96521) | $394.80 | $470 | 1.8× |
| Refill/Maint Pump/Resvr Syst (96522) | $394.80 | $470 | 1.8× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$380.52–$407.40 | $453–$485 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $147 | $175 | 2.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$70.56–$135.24 | $84–$161 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $61.32 | $73 | 2.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $302.40 | $360 | 2.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 2 matching MRF lines |
$131.88–$408.24 | $157–$486 | varies |
| Sbsq Psyc Collab Care Mgmt (99493) | $93.24 | $111 | 0.9× |
| Self Care Mngment Training (97535) range across 6 matching MRF lines |
$61.32–$241.08 | $73–$287 | varies |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $192.36 | $229 | 1.4× |
| Sleep study attended (95807) | $1,636.32 | $1,948 | 4.2× |
| Sleep study unattended (95806) | $484.68 | $577 | 2.2× |
| Slp Stdy Unatnd W/Anal (95801) | $68.88 | $82 | 1.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $162.96 | $194 | 0.7× |
| Speech Audiometry Complete (92556) | $57.12 | $68 | 0.9× |
| Speech audiometry threshold (92555) | $57.12 | $68 | 0.9× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$276.36–$499.80 | $329–$595 | varies |
| Spirometry (94010) | $361.20 | $430 | 1.6× |
| Spontaneous Nystagmus Test (92541) | $69.72 | $83 | 0.5× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$141.96–$1,011.36 | $169–$1,204 | varies |
| Stress Tte Only (93350) | $1,404.48 | $1,672 | 2.5× |
| Temp transcutaneous pacing (92953) | $918.12 | $1,093 | 1.3× |
| Tensilon Test (95857) range across 2 matching MRF lines |
$138.60–$150.36 | $165–$179 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$100.80–$113.40 | $120–$135 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$113.40–$126 | $135–$150 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$76.44–$84 | $91–$100 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 4 matching MRF lines |
$59.64–$149.52 | $71–$178 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $2,403.24 | $2,861 | 23.4× |
| Ther/Prop/Diag Inj/Inf Proc (96379) range across 2 matching MRF lines |
$112.56–$118.44 | $134–$141 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $424.20 | $505 | 1.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$178.08–$187.32 | $212–$223 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$202.44–$210.84 | $241–$251 | varies |
| Therapeutic Activities (97530) range across 6 matching MRF lines |
$42.84–$95.76 | $51–$114 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,154.60 | $2,565 | 5.6× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$23.52–$25.20 | $28–$30 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$23.52–$25.20 | $28–$30 | varies |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$169.68–$2,247.84 | $202–$2,676 | varies |
| Tte W/O Doppler Complete (93307) | $1,411.20 | $1,680 | 5.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$262.08–$1,304.52 | $312–$1,553 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 2 matching MRF lines |
$99.96–$102.48 | $119–$122 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$105–$118.44 | $125–$141 | varies |
| Tympanometry (92567) | $1,870.68 | $2,227 | 48.2× |
| Unlisted cardiovascular service/procedure (93799) range across 6 matching MRF lines |
$41.16–$285.60 | $49–$340 | varies |
| Unlisted otorhinolaryngological service (92700) | $107.52 | $128 | 3.6× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$193.20–$750.96 | $230–$894 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $713.16 | $849 | 3.2× |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$52.92–$63 | $63–$75 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $617.40 | $735 | 1.6× |
| Veeg 2-12 hr intmt mntr (95712) | $321.72 | $383 | 0.8× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $617.40 | $735 | 1.6× |
| Vent Mgmt Inpat Init Day (94002) | $568.68 | $677 | 0.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $568.68 | $677 | 0.9× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 4 matching MRF lines |
$53.76–$241.08 | $64–$287 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$52.08–$71.40 | $62–$85 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.