Visits & medical services prices at CHI St. Alexius Health
Bismarck, ND · every code in this section with a posted price and a Medicare benchmark.
318 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) | $115.77 | $227 | 1.1× |
| Ablate Heart Dysrhythm Focus (93650) | $7,682.13 | $15,063 | 1.0× |
| Actigraphy Testing Recording Analysis I&R (95803) | $228.99 | $449 | 3.8× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $24.99 | $49 | 0.6× |
| Advncd Care Plan 30 Min (99497) | $58.14 | $114 | 0.6× |
| Aep threshold estimation mlt frequencies i&r (92652) | $225.93 | $443 | 1.0× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$124.95–$156.06 | $245–$306 | varies |
| Airway resistance by oscillometry (94728) range across 2 matching MRF lines |
$125.54–$292.23 | $246.14–$573 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $16.32 | $32 | 0.4× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $7.65 | $15 | 0.3× |
| Analyze neurostim complex (95972) | $59.02 | $115.72 | 0.6× |
| Analyze neurostim no prog (95970) | $68.85 | $135 | 0.5× |
| Analyze Neurostim Simple (95971) | $64.26 | $126 | 0.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$42.33–$45.90 | $83–$90 | varies |
| Application on-body injector (96377) | $37.74 | $74 | 0.8× |
| Assessment of aphasia per hr (96105) | $199.41 | $391 | 2.1× |
| Behavral qualit analys voice (92524) | $229.50 | $450 | 2.1× |
| Biofeedback training any modality (90901) | $30.60 | $60 | 0.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $193.29 | $379 | 0.5× |
| Bundle of his recording (93600) | $6,156.21 | $12,071 | 0.8× |
| C motor evoked uppr limbs (95928) | $762.08 | $1,494.27 | 0.9× |
| Canalith repositioning proc (95992) | $91.29 | $179 | 2.2× |
| Car seat/bed test 60 min (94780) | $44.88 | $88 | 1.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $165.75 | $325 | 0.8× |
| Cardiopulmonary exercise testing (94621) | $162.84 | $319.28 | 0.4× |
| Cardiopulmonary resuscitation (92950) | $687.48 | $1,348 | 3.1× |
| Cardioversion (92960) | $539.07 | $1,057 | 0.8× |
| Cardioversion elective internal (92961) | $479.91 | $941 | 0.7× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $115.77 | $227 | 3.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $10,497.33 | $20,583 | 3.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $9,127.98 | $17,898 | 2.8× |
| Cbt 1st hour (94644) | $117.30 | $230 | 0.9× |
| Chemo Admin Peritoneal Cavity (96446) | $286.62 | $562 | 0.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $28.74 | $56.34 | 0.4× |
| Chemo Hormon Antineopl Sq/Im (96402) | $47.94 | $94 | 0.7× |
| Chemo Ia Push (96420) | $496.74 | $974 | 1.5× |
| Chemo intralesional up to 7 (96405) | $45.90 | $90 | 0.6× |
| Chemo IV infusion addl hr (96415) | $39.78 | $78 | 0.5× |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$28.74–$66.30 | $56.34–$130 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $150.45 | $295 | 0.4× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $271.32 | $532 | 0.8× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $45.90 | $90 | 1.0× |
| Chemotherapy Into Cns (96450) | $333.03 | $653 | 1.0× |
| Chemotherapy Unspecified (96549) | $123.93 | $243 | 2.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$76.50–$117.57 | $150–$230.52 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $178.50 | $350 | 0.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $97.14 | $190.47 | 0.3× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $186.15 | $365 | 0.6× |
| Chest Wall Manipulation (94668) | $73.44 | $144 | 0.5× |
| Color/duplex Doppler, complete (93975) | $718.59 | $1,409 | 2.9× |
| Color/duplex Doppler, limited (93976) | $363.12 | $712 | 3.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $64.26 | $126 | 2.0× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $74.46 | $146 | 0.5× |
| Continuous Pulse Ox (94762) | $68.69 | $134.67 | 0.5× |
| Coronary Art/Grft Angio S&I (93455) | $6,701.91 | $13,141 | 2.0× |
| Coronary Artery Angio S&I (93454) | $6,570.33 | $12,883 | 2.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $329.97 | $647 | 1.5× |
| Cpt initial (94667) | $85.68 | $168 | 0.6× |
| Critical care first hour (99291) | $1,646.28 | $3,228 | 2.0× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $390.68 | $766.02 | 1.0× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$157.08–$181.05 | $308–$355 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $119.85 | $235 | 0.9× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $352.41 | $691 | 1.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $203.49 | $399 | 1.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $122.08 | $239.36 | 0.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $78.54 | $154 | 0.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $350.88 | $688 | 1.4× |
| Dup-scan xtr veins unilateral/limited study (93971) | $346.29 | $679 | 3.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $488.58 | $958 | 2.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $277.44 | $544 | 2.6× |
| Duplex Scan Hemodialysis Access (93990) | $408 | $800 | 3.8× |
| Duplex up extrem art bilat (93930) | $408 | $800 | 1.7× |
| Duplex up extrem art unilat/ltd (93931) | $78.54 | $154 | 0.7× |
| Echo Congenital Complete (93303) | $388.62 | $762 | 0.7× |
| Echo Heart Xthoracic,Limited (93308) | $157.08 | $308 | 0.6× |
| Echo r-t 2d w/probe placement only (93313) | $403.92 | $792 | 0.7× |
| Echo transesophageal (93312) | $695.64 | $1,364 | 1.2× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $455.43 | $893 | 0.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $582.42 | $1,142 | 1.0× |
| Eeg 41-60 Minutes (95812) | $403.92 | $792 | 1.8× |
| EEG awake and asleep (95819) | $577.83 | $1,133 | 2.6× |
| EEG awake drowsy (95816) | $358.02 | $702 | 1.6× |
| EEG cerebral death evaluation (95824) | $291.72 | $572 | 0.8× |
| EEG cont rec w/video by tech min 8 channels (95700) | $252.45 | $495 | 1.1× |
| EEG extended monitoring 61-119 minutes (95813) | $351.90 | $690 | 1.6× |
| Eeg Sleep Only (95822) | $329.97 | $647 | 1.5× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $252.45 | $495 | 1.1× |
| EEG w/o vid 2-12hr cont mntr (95707) | $252.45 | $495 | 1.1× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $252.45 | $495 | 1.1× |
| EEG wo vid ea 12-26hr unmntr (95708) | $466.65 | $915 | 1.2× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $57.12 | $112 | 0.6× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $42.33 | $83 | 1.1× |
| Electrical Stimulation Ea 15 Min (97032) | $53.55 | $105 | 3.6× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$72.93–$91.80 | $143–$180 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) unusually low: confirm this is the full procedure |
$3,648.54 | $7,154 | 0.5× |
| Electrophysiology Evaluation (93642) | $835.38 | $1,638 | 0.7× |
| Emergency Dept Visit Level 2 (99282) | $230.01 | $451 | 1.5× |
| Emergency Dept Visit Level 3 (99283) | $370.26 | $726 | 1.3× |
| Emergency Dept Visit Level 4 (99284) | $659.94 | $1,294 | 1.5× |
| Emg 3 Extremities (95863) | $340.68 | $668 | 2.6× |
| Endomyocardial Biopsy (93505) | $1,676.88 | $3,288 | 0.5× |
| Ep & ablate supravent arrhyt (93653) | $17,459.34 | $34,234 | 0.7× |
| Ep & ablate ventric tachy (93654) | $13,618.53 | $26,703 | 0.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $4,443.63 | $8,713 | 0.6× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) unusually low: confirm this is the full procedure |
$3,894.87 | $7,637 | 0.5× |
| Er level 1 (99281) | $130.05 | $255 | 1.5× |
| Er level v (99285) | $1,000.11 | $1,961 | 1.6× |
| Ergonovine provocation test (93024) | $211.65 | $415 | 0.5× |
| Evaluate pt use of inhaler (94664) | $121.38 | $238 | 0.5× |
| Evaluate Speech Production (92522) | $183.60 | $360 | 1.6× |
| Evaluate Swallowing Function (92610) | $191.25 | $375 | 2.3× |
| Evaluation of speech fluency (92521) | $183.60 | $360 | 1.4× |
| Evoked Auditory Test,Limited (92587) | $233.07 | $457 | 1.1× |
| External ECG rec>48hr<7d recording (93242) | $70.89 | $139 | 1.9× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $70.89 | $139 | 0.5× |
| External ECG rec>7d<15d recording (93246) | $70.89 | $139 | 1.9× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $70.89 | $139 | 0.5× |
| External Ecg Scanning Analysis Report (93226) | $69.87 | $137 | 1.2× |
| Extracranial Bilat Study (93880) | $157.08 | $308 | 0.6× |
| Extracranial Uni/Ltd Study (93882) | $73.44 | $144 | 0.7× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $388.62 | $762 | 0.7× |
| Flexible endoscopic eval swallow c/v rec (92612) | $309.57 | $607 | 1.5× |
| Group Therapeutic Procedures (97150) range across 3 matching MRF lines |
$65.79–$71.91 | $129–$141 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $8,580.75 | $16,825 | 2.6× |
| Holter monitor recording (93225) | $120.36 | $236 | 0.9× |
| Hubbard tank 15 min (97036) | $89.25 | $175 | 2.6× |
| Icd Device Interrogate (93289) | $19 | $37.24 | 0.5× |
| Icd device progr eval dual (93283) | $39.27 | $77 | 1.0× |
| Icd Device Progr Eval Mult (93284) | $49.98 | $98 | 1.3× |
| Icm Device Eval (93290) | $53.04 | $104 | 1.4× |
| Ilr Device Eval Progr (93285) | $19 | $37.24 | 0.5× |
| Ilr Device Interrogate (93291) | $16.32 | $32 | 0.6× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $28.74 | $56.34 | 0.4× |
| Immunization administration (90471) range across 2 matching MRF lines |
$10.71–$39.27 | $20.99–$77 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $224.73 | $440.63 | 0.6× |
| Insert/Place Heart Catheter (93503) | $1,264.80 | $2,480 | 0.8× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) | $275.40 | $540 | 2.8× |
| Interrog&prgrmg ipnss during polysomnography (93152) | $275.40 | $540 | 0.9× |
| Interrogation without programming ipnss (93153) | $192.78 | $378 | 2.0× |
| Intra-atrial pacing (93610) | $6,156.21 | $12,071 | 0.8× |
| Intra-atrial recording (93602) | $5,443.45 | $10,673.43 | 0.7× |
| Intracranial Complete Study (93886) | $102.51 | $201 | 0.4× |
| Intracutaneous tests w/allergenic extracts (95024) | $29.48 | $57.80 | 0.5× |
| Intraventricular pacing (93612) | $6,156.21 | $12,071 | 0.8× |
| Iontophoresis 15 min (97033) | $58.65 | $115 | 3.1× |
| Irrig Drug Delivery Device (96523) | $49.98 | $98 | 0.8× |
| IV infusion hydration each additional hour (96361) | $51.51 | $101 | 1.1× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$204.51–$249.90 | $401–$490 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $124.95 | $245 | 1.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$65.79–$81.60 | $129–$160 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$193.80–$262.14 | $380–$514 | varies |
| L Hrt Art/Grft Angio (93459) | $9,493.14 | $18,614 | 2.9× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $5,548.29 | $10,879 | 1.7× |
| Lung Function Test (Mbc/Mvv) (94200) | $54.05 | $105.98 | 0.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $68.69 | $134.67 | 0.3× |
| Mechanical chest wall oscillation per session (94669) | $160.14 | $314 | 0.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $51 | $100 | 1.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $158.10 | $310 | 4.3× |
| Methacholine challenge (94070) | $212.67 | $417 | 0.6× |
| Motion Fluoroscopy/Swallow (92611) | $191.25 | $375 | 2.1× |
| Multiple Sleep Latency Test (95805) | $1,548.36 | $3,036 | 1.8× |
| Muscle Test 2 Limbs (95861) | $54.05 | $105.98 | 0.4× |
| Muscle Test Nonparaspinal (95870) | $48.12 | $94.34 | 0.4× |
| Muscle Test One Limb (95860) | $54.05 | $105.98 | 0.4× |
| Nasopharyngoscopy (92511) | $192.78 | $378 | 0.9× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $135.63 | $265.93 | 0.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $104.55 | $205 | 0.5× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $68.69 | $134.67 | 0.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $82.74 | $162.23 | 0.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $158.10 | $310 | 0.4× |
| Nerve Conduction Studies 1-2 Studies (95907) | $68.69 | $134.67 | 0.3× |
| Nerve Conduction Studies 11-12 Studies (95912) | $292.23 | $573 | 0.8× |
| Nerve conduction studies 13 or more studies (95913) | $226.64 | $444.39 | 0.6× |
| Nerve Conduction Studies 3-4 Studies (95908) | $126.91 | $248.83 | 0.6× |
| Nerve conduction studies 5-6 studies (95909) | $126.91 | $248.83 | 0.6× |
| Nerve conduction studies 7-8 studies (95910) | $163.71 | $321 | 0.4× |
| Nerve Conduction Studies 9-10 Studies (95911) | $289.68 | $568 | 0.8× |
| Neurobehavioral Status Exam (96116) | $135.66 | $266 | 0.6× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $68.69 | $134.67 | 0.5× |
| Neuromuscular Reeducation (97112) | $79.56 | $156 | 2.4× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $28.56 | $56 | 1.1× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $83.64 | $164 | 0.2× |
| Oral Function Therapy (92526) | $180.03 | $353 | 2.1× |
| Oral Speech Device Eval (92597) | $119.85 | $235 | 1.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $100.98 | $198 | 2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $70.89 | $139 | 1.5× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $16.32 | $32 | 0.7× |
| Ot eval high complexity (97167) | $167.79 | $329 | 1.7× |
| Ot Eval Low Complex (97165) | $167.79 | $329 | 1.7× |
| Ot Eval Moderate Complexity (97166) | $167.79 | $329 | 1.7× |
| Ot manual therapy 15 min (97140) | $77.01 | $151 | 2.8× |
| Ot paraffin bath (97018) | $14.28 | $28 | 2.4× |
| Ot Prosthetic Training, Each 15 Min (97761) | $67.83 | $133 | 1.7× |
| Ot Re-Eval Est Plan Care (97168) | $100.98 | $198 | 1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $125.97 | $247 | 1.0× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $125.97 | $247 | 1.0× |
| Oxygen Uptake Rest Indirect (94690) | $98.94 | $194 | 1.6× |
| Penile Vascular Study,Ltd or F/U (93981) | $75.99 | $149 | 0.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $234.60 | $460 | 1.0× |
| Percutaneous tests w/allergenic extracts (95004) | $10.03 | $19.65 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $44.88 | $88 | 0.7× |
| Perq transcath closure pda (93582) | $18,557.88 | $36,388 | 1.0× |
| Perq Transcath Cls Aortic (93591) | $18,557.88 | $36,388 | 1.0× |
| Perq Transcath Cls Mitral (93590) | $18,557.88 | $36,388 | 1.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $6,699.87 | $13,137 | 1.2× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $12,884.13 | $25,263 | 1.1× |
| Phlebotomy therapeutic (99195) | $128.01 | $251 | 0.9× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $119.85 | $235 | 2.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $119.85 | $235 | 2.0× |
| Physical Performance Test (97750) | $53.04 | $104 | 1.6× |
| Plethysmography (94726) range across 2 matching MRF lines |
$245.31–$374.85 | $481–$735 | varies |
| Pm device eval in person (93288) | $42.33 | $83 | 1.1× |
| Pm device progr eval dual (93280) | $34.68 | $68 | 0.9× |
| Pm device progr eval multi (93281) | $24.48 | $48 | 0.6× |
| Pm Device Progr Eval Sngl (93279) | $24.48 | $48 | 0.6× |
| Pm/Icd Remote Tech Serv (93296) | $30.60 | $60 | 0.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $200.43 | $393 | 0.2× |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,346.40 | $2,640 | 1.5× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $1,636.59 | $3,209 | 1.9× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $1,702.38 | $3,338 | 1.9× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $22.44 | $44 | 0.5× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $18.80 | $36.85 | 0.4× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $28.74 | $56.34 | 0.4× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $24.48 | $48 | 0.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $18.80 | $36.85 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $19.89 | $39 | 0.4× |
| Prq Card Angio/Athrect 1 Art (92924) | $12,240 | $24,000 | 1.0× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $12,884.13 | $25,263 | 1.1× |
| Prq Card Stent/Ath/Angio (92933) | $19,584 | $38,400 | 1.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $12,884.13 | $25,263 | 1.1× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $12,781.10 | $25,060.97 | 0.7× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $10,002.63 | $19,613 | 0.8× |
| Psych diag eval w/med srvcs (90792) | $86.19 | $169 | 0.5× |
| Psychiatric diagnostic evaluation (90791) | $68.10 | $133.52 | 0.4× |
| Psychological tst eval svc phys/qhp first hour (96130) | $83.64 | $164 | 0.4× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $50.49 | $99 | 1.7× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $50.49 | $99 | 0.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $53.04 | $104 | 0.4× |
| Psytx Crisis Initial 60 Min (90839) | $68.10 | $133.52 | 0.4× |
| Pt Eval High Complex (97163) | $159.12 | $312 | 1.6× |
| Pt eval low complex 20 min (97161) | $159.12 | $312 | 1.6× |
| Pt Eval Mod Complex (97162) | $159.12 | $312 | 1.6× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$44.37–$63.75 | $87–$125 | varies |
| Pt mechanical traction (97012) | $54.57 | $107 | 3.8× |
| Pt Re-Eval Est Plan Care (97164) | $111.69 | $219 | 1.7× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$135.66–$156.06 | $266–$306 | varies |
| Pulmonary Stress Testing (94618) | $69.87 | $137 | 0.5× |
| R Hrt Art/Grft Angio (93457) | $9,037.20 | $17,720 | 2.7× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $5,548.29 | $10,879 | 1.7× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $5,548.29 | $10,879 | 1.7× |
| R hrt coronary artery angio (93456) | $7,211.40 | $14,140 | 2.2× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $4,100.91 | $8,041 | 1.2× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $5,548.29 | $10,879 | 1.7× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $6,584.10 | $12,910 | 2.0× |
| Refill/Maint Portable Pump (96521) | $186.15 | $365 | 0.9× |
| Refill/Maint Pump/Resvr Syst (96522) | $186.15 | $365 | 0.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $24.48 | $48 | 0.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $45.39 | $89 | 0.8× |
| Right Heart Cath (93451) | $5,486.58 | $10,758 | 1.7× |
| Right ventricular recording (93603) | $867.48 | $1,700.93 | 0.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$82.74–$197.88 | $162.23–$388 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $47.94 | $94 | 1.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $240.21 | $471 | 2.0× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $87.21 | $171 | 1.8× |
| Sbsq Psyc Collab Care Mgmt (99493) | $144.84 | $284 | 1.4× |
| Self Care Mngment Training (97535) | $77.01 | $151 | 2.4× |
| Sensory Integration Ea 15 Min (97533) | $46.92 | $92 | 0.8× |
| Short-latency somatosens ep std upr limbs (95925) | $347.31 | $681 | 1.6× |
| Sleep study attended (95807) | $1,011.33 | $1,983 | 2.7× |
| Sleep study unattended (95806) | $218.28 | $428 | 1.0× |
| Somatosensory Testing (95938) | $314.16 | $616 | 0.4× |
| Speech sound lang comprehen (92523) | $358.02 | $702 | 1.6× |
| Spin/Brain Pump Refil & Main (95991) | $204 | $400 | 0.7× |
| Spirometry (94010) | $88.74 | $174 | 0.4× |
| Ssep lower limbs (95926) | $347.31 | $681 | 1.6× |
| Standardized Cognitive Performance Testing (96125) | $207.06 | $406 | 2.0× |
| Stress Tte Only (93350) | $479.91 | $941 | 0.9× |
| Subcutaneous Infusion Each Additional Hour (96370) | $37.74 | $74 | 0.8× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $186.15 | $365 | 0.9× |
| Subq Infusion Additional Pump Infusion Site (96371) | $59.67 | $117 | 0.8× |
| Surfactant Admin Thru Tube (94610) | $111.69 | $219 | 0.5× |
| Temp transcutaneous pacing (92953) | $474.38 | $930.15 | 0.7× |
| Tensilon Test (95857) | $54.06 | $106 | 0.2× |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) | $963.90 | $1,890 | 9.9× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 4 matching MRF lines |
$56.61–$64.26 | $111–$126 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 4 matching MRF lines |
$56.61–$64.26 | $111–$126 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $56.61 | $111 | 1.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$46.41–$59.67 | $91–$117 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $183.09 | $359 | 1.8× |
| Ther/Proph/Diag Inj Ia (96373) | $97.14 | $190.47 | 0.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$51.51–$84.15 | $101–$165 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$221.34–$271.83 | $434–$533 | varies |
| Therapeutic Activities (97530) | $70.38 | $138 | 2.0× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $686.97 | $1,347 | 1.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$13.52–$46.41 | $26.50–$91 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$18.87–$19.38 | $37–$38 | varies |
| Transcath Closure of Asd (93580) | $18,557.88 | $36,388 | 1.0× |
| Tte w/doppler, complete (93306) | $371.28 | $728 | 0.7× |
| Tte W/O Doppler Complete (93307) | $519.18 | $1,018 | 2.1× |
| Tx atrial fib pulm vein isol (93656) | $16,699.44 | $32,744 | 0.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $177.48 | $348 | 2.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$65.79–$89.25 | $129–$175 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 5 matching MRF lines |
$114.75–$7,958.04 | $225–$15,604 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $2,096.10 | $4,110 | 15.9× |
| Upr/L Xtremity Art 2 Levels (93922) | $154.02 | $302 | 1.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$268.77–$372.81 | $527–$731 | varies |
| Valvuloplasty aortic valve (92986) | $4,675.17 | $9,167 | 0.8× |
| Valvuloplasty pulmonary valve (92990) | $13,604.76 | $26,676 | 1.2× |
| Vasopneumatic device (97016) | $46.41 | $91 | 3.9× |
| Veeg 2-12 Hr Cont Mntr (95713) | $466.65 | $915 | 1.2× |
| Veeg 2-12 hr intmt mntr (95712) | $1,043.06 | $2,045.20 | 2.7× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $466.65 | $915 | 1.2× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$957.27–$1,031.22 | $1,877–$2,022 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$427.38–$929.22 | $838–$1,822 | varies |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$58.65–$225.93 | $115–$443 | varies |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$68.69–$105.06 | $134.67–$206 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $55.08 | $108 | 1.8× |
| Whirlpool Therapy (97022) | $71.40 | $140 | 4.5× |
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.