Visits & medical services prices at CHI Health St. Elizabeth
Lincoln, NE · every code in this section with a posted price and a Medicare benchmark.
269 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) | $5,101 | $10,202 | 0.6× |
| Actigraphy Testing Recording Analysis I&R (95803) | $27.50 | $55 | 0.4× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $36.50 | $73 | 0.9× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$110–$114.50 | $220–$229 | varies |
| Airway resistance by oscillometry (94728) | $63 | $126 | 0.5× |
| Analyze neurostim no prog (95970) | $94 | $188 | 0.7× |
| Analyze Pacemaker System (93724) | $490.50 | $981 | 1.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$43.50–$69.50 | $87–$139 | varies |
| Application on-body injector (96377) | $95 | $190 | 2.0× |
| Arrhythmia Induction (93618) | $4,633.50 | $9,267 | 3.7× |
| Assessment of aphasia per hr (96105) | $135.50 | $271 | 1.4× |
| Behavral qualit analys voice (92524) | $244 | $488 | 2.2× |
| Biofeedback training any modality (90901) | $100 | $200 | 2.4× |
| Breath hydrogen/methane test (91065) | $525 | $1,050 | 2.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $247.50 | $495 | 0.6× |
| Bundle of his recording (93600) | $4,633.50 | $9,267 | 0.6× |
| Canalith repositioning proc (95992) | $99 | $198 | 2.4× |
| Car seat/bed test 60 min (94780) | $95.50 | $191 | 2.5× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$712–$901 | $1,424–$1,802 | varies |
| Cardiopulmonary resuscitation (92950) | $674 | $1,348 | 3.0× |
| Cardioversion (92960) | $456 | $912 | 0.7× |
| Cardioversion elective internal (92961) | $421 | $842 | 0.6× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $12,328.50 | $24,657 | 3.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $9,872.50 | $19,745 | 2.9× |
| Cbt 1st hour (94644) | $189.50 | $379 | 1.4× |
| Chemo Admin Peritoneal Cavity (96446) | $372 | $744 | 1.1× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$119–$240.50 | $238–$481 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$56–$123 | $112–$246 | varies |
| Chemo Ia Push (96420) | $235 | $470 | 0.7× |
| Chemo intralesional up to 7 (96405) | $138.50 | $277 | 1.9× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$128.50–$796 | $257–$1,592 | varies |
| Chemo IV push addl drug (96411) | $213 | $426 | 2.8× |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$536.50–$796 | $1,073–$1,592 | varies |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $306.50 | $613 | 0.9× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $144.50 | $289 | 3.0× |
| Chemotherapy Into Cns (96450) | $694.50 | $1,389 | 2.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $328.50 | $657 | 4.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$300.50–$565 | $601–$1,130 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$144–$336.50 | $288–$673 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $934 | $1,868 | 2.7× |
| Chest Wall Manipulation (94668) | $73 | $146 | 0.5× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $365.50 | $731 | 0.9× |
| Color/duplex Doppler, complete (93975) | $735 | $1,470 | 3.0× |
| Color/duplex Doppler, limited (93976) | $316 | $632 | 2.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $47.50 | $95 | 1.5× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $261 | $522 | 1.9× |
| Continuous Pulse Ox (94762) | $446 | $892 | 3.3× |
| Coronary Art/Grft Angio S&I (93455) | $7,012 | $14,024 | 2.1× |
| Coronary Artery Angio S&I (93454) | $8,083.50 | $16,167 | 2.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $570.50 | $1,141 | 2.5× |
| Cpt initial (94667) | $140.50 | $281 | 1.0× |
| Critical care first hour (99291) | $1,297 | $2,594 | 1.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$164–$210.50 | $328–$421 | varies |
| Dialysis One Evaluation (90945) | $1,846 | $3,692 | 4.3× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $225 | $450 | 0.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $507 | $1,014 | 2.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $389.50 | $779 | 3.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $852.50 | $1,705 | 3.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $750 | $1,500 | 6.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,077.50 | $2,155 | 4.3× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,036 | $2,072 | 9.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $217.50 | $435 | 0.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $105 | $210 | 1.0× |
| Duplex Scan Hemodialysis Access (93990) | $402.50 | $805 | 3.7× |
| Duplex up extrem art bilat (93930) | $517 | $1,034 | 2.1× |
| Duplex up extrem art unilat/ltd (93931) | $258.50 | $517 | 2.4× |
| Echo Congenital Complete (93303) | $1,320 | $2,640 | 2.3× |
| Echo Heart Xthoracic,Limited (93308) | $576.50 | $1,153 | 2.3× |
| Echo transesophageal (93312) | $1,442.50 | $2,885 | 2.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,304.50 | $2,609 | 2.3× |
| Eeg 41-60 Minutes (95812) | $916.50 | $1,833 | 4.1× |
| EEG awake and asleep (95819) | $929 | $1,858 | 4.1× |
| EEG awake drowsy (95816) | $794 | $1,588 | 3.5× |
| EEG cerebral death evaluation (95824) | $842.50 | $1,685 | 2.2× |
| EEG extended monitoring 61-119 minutes (95813) | $1,026.50 | $2,053 | 4.6× |
| Eeg Sleep Only (95822) | $667.50 | $1,335 | 3.0× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $790.50 | $1,581 | 3.5× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,716.50 | $3,433 | 4.4× |
| EKG signal averaged (93278) | $272 | $544 | 4.4× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $32 | $64 | 0.8× |
| Electrical Stimulation Ea 15 Min (97032) | $45 | $90 | 3.1× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$51.50–$221.50 | $103–$443 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $6,005 | $12,010 | 0.7× |
| Electrophysiology Evaluation (93642) | $1,690.50 | $3,381 | 1.3× |
| Emergency Dept Visit Level 2 (99282) | $268 | $536 | 1.7× |
| Emergency Dept Visit Level 3 (99283) | $471.50 | $943 | 1.7× |
| Emergency Dept Visit Level 4 (99284) | $632 | $1,264 | 1.5× |
| Emg 3 Extremities (95863) | $986.50 | $1,973 | 7.4× |
| Emg 4 Extremities (95864) | $622 | $1,244 | 4.7× |
| Endomyocardial Biopsy (93505) | $1,099.50 | $2,199 | 0.3× |
| Ep & ablate supravent arrhyt (93653) | $14,491.50 | $28,983 | 0.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) unusually low: confirm this is the full procedure |
$3,068 | $6,136 | 0.4× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $4,633.50 | $9,267 | 0.6× |
| Er level 1 (99281) | $171.50 | $343 | 2.0× |
| Er level v (99285) | $1,071.50 | $2,143 | 1.7× |
| Evaluate pt use of inhaler (94664) | $177.50 | $355 | 0.8× |
| Evaluate Speech Production (92522) | $138.50 | $277 | 1.2× |
| Evaluate Swallowing Function (92610) | $184 | $368 | 2.2× |
| Evaluation of speech fluency (92521) | $101 | $202 | 0.8× |
| Evoked Auditory Test,Limited (92587) | $225 | $450 | 1.0× |
| External ECG rec>48hr<7d recording (93242) | $100 | $200 | 2.6× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $100 | $200 | 0.7× |
| External ECG rec>7d<15d recording (93246) | $122.50 | $245 | 3.2× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $122.50 | $245 | 0.9× |
| External Ecg Scanning Analysis Report (93226) | $500 | $1,000 | 8.2× |
| Extracranial Bilat Study (93880) | $881.50 | $1,763 | 3.6× |
| Extracranial Uni/Ltd Study (93882) | $255.50 | $511 | 2.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,320 | $2,640 | 2.3× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,052 | $2,104 | 2.7× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $752.50 | $1,505 | 3.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,517.50 | $3,035 | 1.7× |
| Gi tract capsule endoscopy (91110) | $1,636 | $3,272 | 1.7× |
| Gi tract imaging intraluminal colon i&r (91113) | $1,415.50 | $2,831 | 1.5× |
| Group Therapeutic Procedures (97150) | $56.50 | $113 | 3.1× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $13,079.50 | $26,159 | 3.9× |
| Holter monitor recording (93225) | $347.50 | $695 | 2.5× |
| Icd Device Interrogate (93289) | $120 | $240 | 3.1× |
| Icd device progr eval dual (93283) | $153 | $306 | 3.9× |
| Icd Device Progr Eval Mult (93284) | $171.50 | $343 | 4.4× |
| Icm Device Eval (93290) | $66.50 | $133 | 1.7× |
| Ilr Device Eval Progr (93285) | $124 | $248 | 3.2× |
| Ilr Device Interrogate (93291) | $84 | $168 | 2.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $52.50 | $105 | 0.7× |
| Immunization administration (90471) range across 3 matching MRF lines |
$9.50–$80 | $19–$160 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $257 | $514 | 0.7× |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$770–$1,042.50 | $1,540–$2,085 | varies |
| Interrog&prgrmg ipnss during polysomnography (93152) | $804.50 | $1,609 | 2.5× |
| Interrogate Subq Defib (93261) | $102 | $204 | 2.6× |
| Interrogation vad in person (93750) | $96.50 | $193 | 1.0× |
| Intra-atrial pacing (93610) | $4,633.50 | $9,267 | 0.6× |
| Intra-atrial recording (93602) | $4,633.50 | $9,267 | 0.6× |
| Intracranial Complete Study (93886) | $505 | $1,010 | 2.0× |
| Intraventricular pacing (93612) unusually low: confirm this is the full procedure |
$3,295.50 | $6,591 | 0.4× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$50.50–$126.50 | $101–$253 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$61.50–$95 | $123–$190 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$131–$164.50 | $262–$329 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $77 | $154 | 1.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$46–$74.50 | $92–$149 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$163.50–$227.50 | $327–$455 | varies |
| L Hrt Art/Grft Angio (93459) | $10,678 | $21,356 | 3.2× |
| Lung Function Test (Mbc/Mvv) (94200) | $180.50 | $361 | 2.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $592 | $1,184 | 2.6× |
| Mechanical chest wall oscillation per session (94669) | $135 | $270 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $45.50 | $91 | 1.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $41.50 | $83 | 1.1× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $25.50 | $51 | 1.5× |
| Methacholine challenge (94070) | $1,180.50 | $2,361 | 3.0× |
| Motility study esophagus (91010) | $1,032.50 | $2,065 | 2.7× |
| Motion Fluoroscopy/Swallow (92611) | $270.50 | $541 | 3.0× |
| Multiple Sleep Latency Test (95805) | $1,763 | $3,526 | 2.0× |
| Muscle Test 2 Limbs (95861) | $858.50 | $1,717 | 6.2× |
| Muscle Test Nonparaspinal (95870) | $788 | $1,576 | 5.7× |
| Muscle Test One Limb (95860) | $533.50 | $1,067 | 3.9× |
| Nasopharyngoscopy (92511) | $136 | $272 | 0.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$227.50–$245 | $455–$490 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $227.50 | $455 | 0.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $150 | $300 | 0.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$256.50–$279 | $513–$558 | varies |
| Neuromuscular Reeducation (97112) | $53 | $106 | 1.6× |
| Newborn resuscitation (99465) | $603 | $1,206 | 0.9× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $32.50 | $65 | 1.3× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $55 | $110 | 1.6× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $17.50 | $35 | 1.3× |
| Oral Function Therapy (92526) | $193 | $386 | 2.3× |
| Oral Speech Device Eval (92597) | $191.50 | $383 | 2.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $44.50 | $89 | 0.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $49 | $98 | 1.1× |
| Ot eval high complexity (97167) | $121 | $242 | 1.2× |
| Ot Eval Low Complex (97165) | $91 | $182 | 0.9× |
| Ot Eval Moderate Complexity (97166) | $101 | $202 | 1.0× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$58–$61 | $116–$122 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $43.50 | $87 | 1.1× |
| Ot Re-Eval Est Plan Care (97168) | $81 | $162 | 1.2× |
| Ot rom hand (95852) | $77 | $154 | 3.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $214.50 | $429 | 1.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $230.50 | $461 | 1.7× |
| Oxygen Uptake Rest Indirect (94690) | $406 | $812 | 6.6× |
| Pediatric apnea monitor analyses computer (94776) | $1,668.50 | $3,337 | 12.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $126.50 | $253 | 0.6× |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$106–$220 | $212–$440 | varies |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $7,200.50 | $14,401 | 1.2× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $6,751 | $13,502 | 0.6× |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$102.50–$249.50 | $205–$499 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $157.50 | $315 | 2.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $157.50 | $315 | 2.6× |
| Physical Performance Test (97750) | $59 | $118 | 1.7× |
| Plethysmography (94726) | $485 | $970 | 1.3× |
| Pm device eval in person (93288) | $35.50 | $71 | 0.9× |
| Pm device progr eval dual (93280) | $85 | $170 | 2.2× |
| Pm device progr eval multi (93281) | $94.50 | $189 | 2.4× |
| Pm Device Progr Eval Sngl (93279) | $87.50 | $175 | 2.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,587 | $5,174 | 2.9× |
| Polysom <6 yrs 4/> paramtrs (95782) | $662.50 | $1,325 | 0.7× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $819.50 | $1,639 | 21.1× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $132.50 | $265 | 3.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $61.50 | $123 | 1.3× |
| Prq Card Angio/Athrect 1 Art (92924) | $13,804.50 | $27,609 | 1.2× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $11,558 | $23,116 | 1.0× |
| Prq Card Stent/Ath/Angio (92933) | $14,975 | $29,950 | 0.8× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $8,226.50 | $16,453 | 0.7× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $119 | $238 | 3.2× |
| Pt Eval High Complex (97163) | $105 | $210 | 1.1× |
| Pt eval low complex 20 min (97161) | $81 | $162 | 0.8× |
| Pt Eval Mod Complex (97162) | $88 | $176 | 0.9× |
| Pt gait training 15 min (97116) | $40 | $80 | 1.4× |
| Pt mechanical traction (97012) | $99.50 | $199 | 6.9× |
| Pt Re-Eval Est Plan Care (97164) | $71 | $142 | 1.1× |
| Pulm function test by gas (94727) | $213.50 | $427 | 1.0× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$14.50–$181.50 | $29–$363 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$264.50–$371.50 | $529–$743 | varies |
| R Hrt Art/Grft Angio (93457) | $8,035.50 | $16,071 | 2.4× |
| R hrt coronary artery angio (93456) | $9,872.50 | $19,745 | 2.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $7,895 | $15,790 | 2.3× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $431 | $862 | 1.3× |
| Refill/Maint Portable Pump (96521) | $246.50 | $493 | 1.1× |
| Refill/Maint Pump/Resvr Syst (96522) | $241 | $482 | 1.1× |
| Remote 30 Day Ecg Rev/Report (93270) | $288.50 | $577 | 7.4× |
| Respiratory flow volume loop (94375) | $203 | $406 | 0.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $81 | $162 | 1.3× |
| Right Heart Cath (93451) | $5,160 | $10,320 | 1.5× |
| Right ventricular recording (93603) | $4,633.50 | $9,267 | 3.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$114.50–$136.50 | $229–$273 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $200.50 | $401 | 1.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $35.50 | $71 | 0.7× |
| Self Care Mngment Training (97535) | $46 | $92 | 1.4× |
| Sensory Integration Ea 15 Min (97533) | $43 | $86 | 0.7× |
| Sleep study unattended (95806) | $214 | $428 | 1.0× |
| Somatosensory Testing (95938) | $898.50 | $1,797 | 1.0× |
| Speech sound lang comprehen (92523) | $213 | $426 | 0.9× |
| Spin/Brain Pump Refil & Main (95991) | $241.50 | $483 | 0.8× |
| Spirometry (94010) | $208 | $416 | 0.9× |
| Standardized Cognitive Performance Testing (96125) | $136 | $272 | 1.3× |
| Stress Tte Only (93350) | $1,448 | $2,896 | 2.6× |
| Subq Infusion Additional Pump Infusion Site (96371) | $63.50 | $127 | 0.8× |
| Surfactant Admin Thru Tube (94610) | $163 | $326 | 0.7× |
| Temp transcutaneous pacing (92953) | $437.50 | $875 | 0.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $71.50 | $143 | 3.2× |
| Ther Ivntj Ea Addl 15 Min (97130) | $71.50 | $143 | 3.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $31 | $62 | 1.0× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $29.50 | $59 | 0.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$100–$104.50 | $200–$209 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$164.50–$256.50 | $329–$513 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$46.50–$54 | $93–$108 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,457 | $2,914 | 3.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $29.50 | $59 | 0.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $23.50 | $47 | 0.6× |
| Transcath Closure of Asd (93580) unusually low: confirm this is the full procedure |
$6,967.50 | $13,935 | 0.4× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $264.50 | $529 | 2.4× |
| Tte w/doppler, complete (93306) | $1,486 | $2,972 | 2.6× |
| Tte W/O Doppler Complete (93307) | $939.50 | $1,879 | 3.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $197 | $394 | 2.6× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $49 | $98 | 2.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$136.50–$145.50 | $273–$291 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$125–$463 | $250–$926 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $283.50 | $567 | 2.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$558–$563.50 | $1,116–$1,127 | varies |
| Valvuloplasty aortic valve (92986) unusually low: confirm this is the full procedure |
$2,598 | $5,196 | 0.4× |
| Valvuloplasty mitral valve (92987) unusually low: confirm this is the full procedure |
$4,752 | $9,504 | 0.4× |
| Valvuloplasty pulmonary valve (92990) unusually low: confirm this is the full procedure |
$4,871 | $9,742 | 0.4× |
| Veeg 2-12 Hr Cont Mntr (95713) | $421 | $842 | 1.1× |
| Veeg 2-12 hr intmt mntr (95712) | $220 | $440 | 0.6× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $421 | $842 | 1.1× |
| Vent Mgmt Inpat Init Day (94002) | $765.50 | $1,531 | 1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $383 | $766 | 0.6× |
| Visual Evoked Potential Test (95930) | $835.50 | $1,671 | 3.7× |
| Vital capacity, total (94150) | $49.50 | $99 | 0.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $40 | $80 | 1.3× |
| Whirlpool Therapy (97022) | $45 | $90 | 2.9× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $67 | $134 | 1.1× |
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.