Visits & medical services prices at Chi St. Luke's Health Baylor College of Medicine Me

Houston, TX · every code in this section with a posted price and a Medicare benchmark.

289 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $9,332.05 $26,663 1.2×
Actigraphy Testing Recording Analysis I&R (95803) $218.05 $623 3.7×
Admn Sarscov2 Vacc 1 Dose (90480) $71.05 $203 1.7×
Advncd Care Plan 30 Min (99497) $66.15 $189 0.6×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $123.20 $352 0.6×
Aep neurodiagnostic i&r (92653) $232.05 $663 1.1×
Aep threshold estimation mlt frequencies i&r (92652) $232.05 $663 1.1×
Airway Inhalation Treatment (94640) $203.35 $581 0.9×
Analyze Pacemaker System (93724) $416.85 $1,191 1.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $102.20 $292 7.1×
Application on-body injector (96377) $100.80 $288 2.1×
Arrhythmia Induction (93618) $1,074.85 $3,071 0.9×
Assessment of aphasia per hr (96105) $182.35 $521 1.9×
Behavral qualit analys voice (92524) $372.05 $1,063 3.4×
Bioimpedance Cv Analysis (93701) $102.20 $292 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $833.35 $2,381 2.2×
Bundle of his recording (93600) $6,157.90 $17,594 0.8×
C motor evoked uppr limbs (95928) $525 $1,500 0.6×
C motor evoked upr&lwr limbs (95939) $446.25 $1,275 0.5×
Canalith repositioning proc (95992) $66.50 $190 1.6×
Car seat/bed test 60 min (94780) $141.75 $405 3.8×
Cardiac Stress Tst,Tracing Only (93017) $1,909.95 $5,457 8.8×
Cardiopulmonary resuscitation (92950) $734.30 $2,098 3.4×
Cardioversion (92960) $1,519 $4,340 2.3×
Cardioversion elective internal (92961) $679.70 $1,942 1.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $34.30 $98 1.3×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $10,288.60 $29,396 3.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,642.55 $24,693 2.7×
Cbt 1st hour (94644) $247.10 $706 1.8×
Chemo Admin Peritoneal Cavity (96446) $268.80 $768 0.8×
Chemo Anti-Neopl Sq/Im (96401) $609.35 $1,741 8.4×
Chemo Hormon Antineopl Sq/Im (96402) $298.90 $854 4.1×
Chemo Ia Push (96420) $614.95 $1,757 1.9×
Chemo IV infusion addl hr (96415) $196.35 $561 2.7×
Chemo IV push addl drug (96411) $299.60 $856 4.1×
Chemother Prolong Infuse W/Pump (96416) $534.45 $1,527 1.6×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $941.15 $2,689 2.8×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $436.80 $1,248 9.3×
Chemotherapy Into Cns (96450) $614.95 $1,757 1.9×
Chemotherapy Unspecified (96549) $39.90 $114 0.8×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $1,015 $2,900 3.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $251.30 $718 3.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $534.45 $1,527 1.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $534.45 $1,527 1.6×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $183.40 $524 0.6×
Chest Wall Manipulation (94668) $135.80 $388 1.0×
Chron Care Mgmt Srvc 20 Min (99490) $73.50 $210 0.7×
Color/duplex Doppler, complete (93975) $1,012.55 $2,893 4.2×
Color/duplex Doppler, limited (93976) $597.45 $1,707 5.7×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $131.60 $376 0.7×
Comprehensive Hearing Test (92557) $126.70 $362 1.0×
Cont gluc mntr physician/qhp provided equiptment (95250) $176.75 $505 1.3×
Continuous Pulse Ox (94762) $239.40 $684 1.9×
Coronary Art/Grft Angio S&I (93455) $5,654.25 $16,155 1.7×
Coronary Artery Angio S&I (93454) $4,916.45 $14,047 1.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $754.60 $2,156 3.4×
Cpt initial (94667) $128.80 $368 1.0×
Critical care first hour (99291)
range across 2 matching MRF lines		 $1,868.30–$2,335.20 $5,338–$6,672 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $571.20 $1,632 1.5×
Debridement Open Wound 20 Sq Cm< (97597) $413 $1,180 2.0×
Dialysis One Evaluation (90945) $776.30 $2,218 1.9×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $921.55 $2,633 3.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $324.10 $926 3.1×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $242.20 $692 2.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,085.35 $3,101 4.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $759.85 $2,171 7.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,336.65 $3,819 5.6×
Dup-scan xtr veins unilateral/limited study (93971) $908.95 $2,597 8.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $421.40 $1,204 1.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $246.75 $705 2.3×
Duplex Scan Hemodialysis Access (93990) $249.20 $712 2.4×
Duplex up extrem art bilat (93930) $1,082.20 $3,092 4.5×
Duplex up extrem art unilat/ltd (93931) $595.35 $1,701 5.7×
Echo Heart Xthoracic,Limited (93308) $462 $1,320 1.9×
Echo transesophageal (93312) $1,565.20 $4,472 2.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,513 $7,180 4.6×
Eeg 41-60 Minutes (95812) $693.70 $1,982 3.2×
EEG awake and asleep (95819) $1,218.35 $3,481 5.6×
EEG awake drowsy (95816) $1,041.25 $2,975 4.8×
EEG cerebral death evaluation (95824) $768.25 $2,195 2.0×
EEG cont rec w/video by tech min 8 channels (95700) $354.20 $1,012 1.6×
EEG extended monitoring 61-119 minutes (95813) $720.65 $2,059 3.3×
Eeg Sleep Only (95822) $515.90 $1,474 2.4×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $315.35 $901 1.5×
EEG w/o vid 2-12hr cont mntr (95707) $311.85 $891 1.4×
EEG w/o vid ea 12-26hr intmt (95709) $531.30 $1,518 1.4×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $531.30 $1,518 1.4×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $311.85 $891 1.4×
EEG wo vid ea 12-26hr unmntr (95708) $531.30 $1,518 1.4×
EKG signal averaged (93278) $279.30 $798 4.7×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $2,439.50 $6,970 25.5×
Electrical Stimulation Ea 15 Min (97032) $103.25 $295 7.0×
Electrocardiogram Tracing (93005) $295.40 $844 5.0×
Electrophysiology Evaluation (93642) $4,373.60 $12,496 3.6×
Emergency Dept Visit Level 2 (99282) $505.40 $1,444 3.3×
Emergency Dept Visit Level 3 (99283) $962.15 $2,749 3.5×
Emergency Dept Visit Level 4 (99284) $1,372 $3,920 3.3×
Emg 3 Extremities (95863) $376.60 $1,076 2.9×
Emg 4 Extremities (95864) $420 $1,200 3.2×
Endomyocardial Biopsy (93505) $3,336.90 $9,534 1.1×
Ep & ablate supravent arrhyt (93653) $23,329.95 $66,657 0.9×
Ep & ablate ventric tachy (93654) $30,095.80 $85,988 1.1×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $8,800.40 $25,144 1.1×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $5,632.55 $16,093 0.7×
Er level 1 (99281) $252.35 $721 3.0×
Er level v (99285) $1,760.15 $5,029 2.9×
Evaluate pt use of inhaler (94664) $172.55 $493 0.8×
Evaluate Speech Production (92522) $194.60 $556 1.7×
Evaluate Swallowing Function (92610) $298.20 $852 3.5×
Evaluation of speech fluency (92521) $83.65 $239 0.6×
Evoked Auditory Test,Limited (92587) $416.85 $1,191 1.9×
Exhaled Air Analysis O2 (94680) $990.85 $2,831 7.7×
External ECG rec>48hr<7d recording (93242) $68.25 $195 1.8×
External ECG rec>7d<15d recording (93246) $112.35 $321 3.0×
External Ecg Scanning Analysis Report (93226) $908.95 $2,597 15.3×
Extracranial Bilat Study (93880) $1,324.40 $3,784 5.5×
Extracranial Uni/Ltd Study (93882) $331.10 $946 3.2×
Flexible endoscopic eval swallow c/v rec (92612) $384.30 $1,098 1.9×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $819 $2,340 0.9×
Group Therapeutic Procedures (97150) $87.15 $249 4.8×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $11,317.60 $32,336 3.5×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,450.40 $4,144 2.1×
High altitude simulation test (94452) $251.30 $718 1.9×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $251.30 $718 1.9×
Holter monitor recording (93225) $286.30 $818 2.1×
Hubbard tank 15 min (97036) $257.60 $736 7.4×
Icd Device Interrogate (93289) $440.65 $1,259 11.8×
Icd device progr eval dual (93283) $375.20 $1,072 10.0×
Icd Device Progr Eval Mult (93284) $586.25 $1,675 15.6×
Icm Device Eval (93290) $440.65 $1,259 11.8×
Ilr Device Eval Progr (93285) $440.65 $1,259 11.8×
Ilr Device Interrogate (93291) $440.65 $1,259 15.2×
Im Adm Intransl/Oral 1 Vaccine (90473) $28 $80 0.4×
Immunization administration (90471) $72.80 $208 1.0×
Insert/Place Heart Catheter (93503) $1,633.80 $4,668 1.0×
Interrogate Subq Defib (93261) $134.05 $383 3.6×
Interrogation vad in person (93750) $198.10 $566 2.1×
Intra-atrial pacing (93610) $6,157.90 $17,594 0.8×
Intra-atrial recording (93602) $6,157.90 $17,594 0.8×
Intracranial Complete Study (93886) $549.85 $1,571 2.3×
Intraventricular pacing (93612) $6,157.90 $17,594 0.8×
Iontophoresis 15 min (97033) $45.85 $131 2.4×
Irrig Drug Delivery Device (96523) $75.60 $216 1.3×
IV infusion hydration each additional hour (96361) $196.35 $561 4.2×
IV infusion hydration initial 31 min-1 hour (96360) $534.45 $1,527 2.5×
IV infusion ther proph addl sequential to 1 hr (96367) $326.55 $933 4.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $171.15 $489 3.6×
IV push initial (96374) $306.60 $876 1.4×
L Hrt Art/Grft Angio (93459) $9,259.95 $26,457 2.8×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $10,973.90 $31,354 3.4×
Lwr Xtr Vasc Stdy Bilat (93924) $1,293.25 $3,695 6.0×
Mechanical chest wall oscillation per session (94669) $155.40 $444 0.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $25.20 $72 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines		 $22.75–$37.45 $65–$107 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $17.50 $50 1.0×
Microvolt T-Wave Assess (93025) $392.35 $1,121 3.0×
Motion Fluoroscopy/Swallow (92611) $400.40 $1,144 4.4×
Multiple Sleep Latency Test (95805) $1,544.90 $4,414 1.8×
Muscle Test 2 Limbs (95861) $289.45 $827 2.2×
Muscle Test One Limb (95860) $205.80 $588 1.5×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $711.20 $2,032 3.3×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $547.75 $1,565 2.5×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $258.65 $739 1.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $371 $1,060 0.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $371 $1,060 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $186.20 $532 0.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $187.95 $537 0.5×
Nerve Conduction Studies 1-2 Studies (95907) $288.75 $825 1.3×
Nerve Conduction Studies 11-12 Studies (95912) $2,116.45 $6,047 5.6×
Nerve conduction studies 13 or more studies (95913) $2,404.85 $6,871 6.4×
Nerve Conduction Studies 3-4 Studies (95908) $625.45 $1,787 2.9×
Nerve conduction studies 5-6 studies (95909) $1,491.35 $4,261 6.9×
Nerve conduction studies 7-8 studies (95910) $1,515.15 $4,329 4.0×
Nerve Conduction Studies 9-10 Studies (95911) $1,851.85 $5,291 4.9×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $200.90 $574 1.6×
Neuromuscular Reeducation (97112) $112.70 $322 3.4×
Newborn resuscitation (99465) $444.15 $1,269 0.7×
Oral Function Therapy (92526) $141.40 $404 1.7×
Oral Speech Device Eval (92597) $197.75 $565 2.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $129.15 $369 2.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $126 $360 2.7×
Ot manual therapy 15 min (97140) $112.70 $322 4.1×
Ot paraffin bath (97018) $37.10 $106 6.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $254.80 $728 2.0×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $247.10 $706 1.9×
Oxygen Uptake Rest Indirect (94690) $138.95 $397 2.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $396.90 $1,134 1.8×
Peripheral arterial disease rehab per session (93668) $59.85 $171 1.0×
Perq transcath closure pda (93582) $11,745.65 $33,559 0.6×
Perq Transcath Cls Aortic (93591)
unusually low: confirm this is the full procedure		 $5,999.70 $17,142 0.3×
Perq Transcath Cls Mitral (93590)
unusually low: confirm this is the full procedure		 $5,999.70 $17,142 0.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $5,953.85 $17,011 1.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
unusually low: confirm this is the full procedure		 $4,619.65 $13,199 0.4×
Phlebotomy therapeutic (99195) $198.10 $566 1.5×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $92.05 $263 1.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $62.30 $178 1.1×
Plethysmography (94726) $632.80 $1,808 1.7×
Pm device eval in person (93288) $440.65 $1,259 11.8×
Pm device progr eval dual (93280) $269.50 $770 7.2×
Pm device progr eval multi (93281) $304.85 $871 8.1×
Pm Device Progr Eval Sngl (93279) $234.50 $670 6.3×
Pm/Icd Remote Tech Serv (93296) $440.65 $1,259 11.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,214.40 $9,184 3.7×
Polysom <6 yrs 4/> paramtrs (95782) $3,705.80 $10,588 4.3×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,928.40 $11,224 4.6×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $131.95 $377 3.5×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $158.55 $453 4.2×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $73.50 $210 0.7×
Prq Card Angio/Athrect 1 Art (92924)
unusually low: confirm this is the full procedure		 $3,695.65 $10,559 0.3×
Prq Card Stent W/Angio 1 Vsl (92928)
unusually low: confirm this is the full procedure		 $4,311.65 $12,319 0.4×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure		 $5,851.30 $16,718 0.3×
Prq Revasc Byp Graft 1 Vsl (92937)
unusually low: confirm this is the full procedure		 $3,798.20 $10,852 0.3×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
unusually low: confirm this is the full procedure		 $8,408.75 $24,025 0.5×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $9,070.95 $25,917 0.8×
Pt gait training 15 min (97116) $86.80 $248 3.0×
Pt group caregiver training (97552) $31.50 $90 1.4×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines		 $49.35–$289.80 $141–$828 varies
Pulmonary Stress Testing (94618) $211.05 $603 1.6×
R Hrt Art/Grft Angio (93457) $10,186.05 $29,103 3.1×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $4,608.10 $13,166 1.4×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $2,897.65 $8,279 0.9×
R hrt coronary artery angio (93456) $9,362.85 $26,751 2.9×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $4,648.35 $13,281 1.4×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $4,740.75 $13,545 1.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $6,032.95 $17,237 1.9×
Refill/Maint Portable Pump (96521) $274.40 $784 1.3×
Rem interrog icpms <30 d phys/qhp (93297) $440.65 $1,259 11.8×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $440.65 $1,259 11.8×
Remote 30 Day Ecg Rev/Report (93270) $74.55 $213 2.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $72.80 $208 1.2×
Right Heart Cath (93451) $4,570.30 $13,058 1.4×
Right ventricular recording (93603) $1,143.80 $3,268 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines		 $80.15–$92.75 $229–$265 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $309.75 $885 2.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $73.15 $209 1.5×
Self Care Mngment Training (97535) $81.20 $232 2.5×
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines		 $49–$52.15 $140–$149 varies
Short-Latency Somatosens Ep Std Trnk/Head (95927) $173.95 $497 0.8×
Short-latency somatosens ep std upr limbs (95925) $565.95 $1,617 2.6×
Sleep study unattended (95806) $301.70 $862 1.4×
Slp caregiver training 1st 30 min (97550) $74.55 $213 1.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $285.25 $815 1.3×
Somatosensory Testing (95938) $889 $2,540 1.0×
Speech sound lang comprehen (92523) $284.90 $814 1.3×
Spirometry (94010) $339.50 $970 1.6×
Ssep lower limbs (95926) $484.05 $1,383 2.2×
Standardized Cognitive Performance Testing (96125) $191.80 $548 1.9×
Surfactant Admin Thru Tube (94610) $177.80 $508 0.8×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $315.70 $902 3.0×
Temp transcutaneous pacing (92953) $444.15 $1,269 0.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $148.75 $425 6.6×
Ther Ivntj Ea Addl 15 Min (97130) $141.40 $404 6.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $33.25 $95 1.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $81.20 $232 0.8×
Ther/Proph/Diag Inj Sc/Im (96372) $306.60 $876 4.2×
Ther/Proph/Diag Iv Inf Init (96365) $641.55 $1,833 3.0×
Therapeutic Activities (97530) $98 $280 2.8×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,480.10 $7,086 6.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $24.15 $69 0.6×
Trans Care Mgmt 7 Day Disch (99496) $105.35 $301 0.8×
Transcath Closure of Asd (93580) $10,888.85 $31,111 0.6×
Transcranial Doppler Intracran Art Emboli Detect (93892) $309.75 $885 2.9×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $319.20 $912 3.0×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $440.65 $1,259 11.8×
Tte w/doppler, complete (93306) $2,651.25 $7,575 4.8×
Tte W/O Doppler Complete (93307) $526.75 $1,505 2.2×
Tx atrial fib pulm vein isol (93656) $26,592.65 $75,979 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $216.30 $618 2.8×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $13.30 $38 0.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $306.60 $876 6.5×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines		 $3,270.05–$5,111.75 $9,343–$14,605 varies
Unlisted otorhinolaryngological service (92700) $143.85 $411 5.0×
Upr/L Xtremity Art 2 Levels (93922) $885.85 $2,531 6.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,284.50 $3,670 5.9×
Valvuloplasty aortic valve (92986)
unusually low: confirm this is the full procedure		 $2,723.35 $7,781 0.5×
Valvuloplasty mitral valve (92987) $9,070.95 $25,917 0.8×
Valvuloplasty pulmonary valve (92990) $9,070.95 $25,917 0.8×
Veeg 2-12 Hr Cont Mntr (95713) $2,060.80 $5,888 5.5×
Veeg 2-12 hr intmt mntr (95712) $945.35 $2,701 2.5×
Veeg 2-12 hr unmonitored (95711) $945.35 $2,701 4.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $2,014.60 $5,756 5.4×
Veeg Ea 12-26 Hr Unmntr (95714) $1,813 $5,180 4.8×
Veeg ea 12-26hr cont mntr (95716) $4,089.40 $11,684 4.7×
Vent Mgmt Inpat Init Day (94002) $2,172.45 $6,207 3.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,529.85 $4,371 2.5×
Visual Evoked Potential Test (95930) $654.50 $1,870 3.0×
Vital capacity, total (94150) $156.45 $447 1.2×
Wada Activation Test Hemispheric Function W/Eeg (95958) $786.10 $2,246 0.9×
Wheelchair Mgmt Ea 15 Min (97542) $70.35 $201 2.3×

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.