Visits & medical services prices at Children's Hospital Colorado
Aurora, CO · every code in this section with a posted price and a Medicare benchmark.
425 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St set-up & prgrmg phys/qhp of wearable cvdfb (93745) | $91.65 | $141 | 0.3× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $291.85 | $449 | 2.2× |
| Acoustic Reflex Testing (92568) | $165.10 | $254 | 4.2× |
| Actigraphy Testing Recording Analysis I&R (95803) | $578.50 | $890 | 9.3× |
| Actinotherapy Ultraviolet Light (96900) | $1,247.35 | $1,919 | 31.7× |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) range across 2 matching MRF lines |
$76.05–$101.40 | $117–$156 | varies |
| Adaptive behavior tx by protocol tech ea 15 min (97153) range across 2 matching MRF lines |
$57.85–$77.35 | $89–$119 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) | $50.05 | $77 | 1.2× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $230.10 | $354 | 1.0× |
| Aep neurodiagnostic i&r (92653) | $459.55 | $707 | 2.0× |
| Aep threshold estimation mlt frequencies i&r (92652) | $526.50 | $810 | 2.3× |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$215.15–$481 | $331–$740 | varies |
| Airway resistance by oscillometry (94728) | $415.35 | $639 | 3.1× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $25.35 | $39 | 0.6× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $25.35 | $39 | 0.8× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $163.15 | $251 | 1.2× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $210.60 | $324 | 1.5× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $871.65 | $1,341 | 6.4× |
| Analyze neurostim no prog (95970) | $535.60 | $824 | 3.8× |
| Analyze Pacemaker System (93724) | $148.85 | $229 | 0.5× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $414.70 | $638 | 1.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $106.60 | $164 | 7.4× |
| Arrhythmia Induction (93618) | $9,020.05 | $13,877 | 7.0× |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$323.70–$516.75 | $498–$795 | varies |
| Audiometry Air & Bone (92553) | $133.25 | $205 | 1.0× |
| Auditory Function, 60 Min (92620) | $296.40 | $456 | 2.2× |
| Basic vestibular evaluation (92540) | $892.45 | $1,373 | 3.9× |
| Behavior id assessment by phys/qhp ea 15 min (97151) range across 2 matching MRF lines |
$76.05–$101.40 | $117–$156 | varies |
| Behavior id support assmt by 1 tech ea 15 min (97152) range across 2 matching MRF lines |
$57.85–$77.35 | $89–$119 | varies |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$184.60–$348.40 | $284–$536 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $34.45 | $53 | 0.4× |
| Bfb training ea addl 15 min (90913) | $31.85 | $49 | 1.0× |
| Biofeedback training any modality (90901) | $328.25 | $505 | 8.0× |
| Breath hydrogen/methane test (91065) range across 2 matching MRF lines |
$196.95–$1,139.45 | $303–$1,753 | varies |
| Breathing response to hypoxia (94450) | $533.65 | $821 | 3.9× |
| Brief Emotional/Behav Assmt (96127) range across 7 matching MRF lines |
$31.85–$1,763.45 | $49–$2,713 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $666.90 | $1,026 | 1.7× |
| Bundle of his recording (93600) | $6,390.15 | $9,831 | 0.8× |
| C motor evoked uppr limbs (95928) | $1,760.85 | $2,709 | 1.9× |
| C motor evoked upr&lwr limbs (95939) | $880.10 | $1,354 | 1.0× |
| Caloric vestibular test w/rec bi monothermal (92538) | $74.75 | $115 | 0.3× |
| Caloric Vstblr Test W/Rec (92537) | $87.10 | $134 | 0.6× |
| Canalith repositioning proc (95992) | $213.85 | $329 | 5.2× |
| Car seat/bed test 60 min (94780) | $172.25 | $265 | 4.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $847.60 | $1,304 | 3.7× |
| Cardiopulmonary exercise testing (94621) | $808.60 | $1,244 | 2.1× |
| Cardiopulmonary resuscitation (92950) range across 5 matching MRF lines |
$732.55–$951.60 | $1,127–$1,464 | varies |
| Cardioversion (92960) | $1,634.10 | $2,514 | 2.3× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $44.85 | $69 | 1.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $17,226.95 | $26,503 | 5.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $15,889.25 | $24,445 | 4.6× |
| Cbt 1st hour (94644) | $462.15 | $711 | 3.3× |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $206.70 | $318 | 0.9× |
| Cervical Vemp Testing W/I&R (92517) | $182 | $280 | 1.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $425.10 | $654 | 5.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $190.45 | $293 | 2.5× |
| Chemo IV infusion addl hr (96415) | $1,218.75 | $1,875 | 16.0× |
| Chemo IV push addl drug (96411) | $1,568.45 | $2,413 | 20.7× |
| Chemother Prolong Infuse W/Pump (96416) | $166.40 | $256 | 0.5× |
| Chemotherapy Into Cns (96450) | $7,480.85 | $11,509 | 21.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $1,675.70 | $2,578 | 22.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $2,691.65 | $4,141 | 7.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $3,229.85 | $4,969 | 9.3× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $878.15 | $1,351 | 2.5× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$163.80–$183.30 | $252–$282 | varies |
| Cmptr ophth dx img ant segmt (92132) | $393.90 | $606 | 6.3× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $44.20 | $68 | 0.7× |
| Color/duplex Doppler, complete (93975) | $863.85 | $1,329 | 3.4× |
| Color/duplex Doppler, limited (93976) | $727.35 | $1,119 | 6.6× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $88.40 | $136 | 2.8× |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) | $13,361.40 | $20,556 | 14.7× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $13,351 | $20,540 | 33.9× |
| Comprehensive Hearing Test (92557) | $258.70 | $398 | 1.9× |
| Computerized dynamic posturography (92548) | $166.40 | $256 | 1.2× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $410.15 | $631 | 6.6× |
| Computerized Ophthalmic Imaging Retina (92134) | $410.15 | $631 | 6.6× |
| Conditioning Play Audiometry (92582) | $89.70 | $138 | 0.7× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $1,675.70 | $2,578 | 11.9× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $126.10 | $194 | 2.0× |
| Contact Lens Fit,Corneoscleral Lens (92313) | $267.80 | $412 | 1.9× |
| Continuous Pulse Ox (94762) | $169.65 | $261 | 1.2× |
| Corneal Topography (92025) | $245.05 | $377 | 3.9× |
| Coronary Artery Angio S&I (93454) | $15,065.70 | $23,178 | 4.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$113.75–$1,029.60 | $175–$1,584 | varies |
| Cpt initial (94667) range across 4 matching MRF lines |
$172.25–$189.80 | $265–$292 | varies |
| Critical care first hour (99291) range across 3 matching MRF lines |
$602.55–$6,449.30 | $927–$9,922 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $307.45 | $473 | 0.8× |
| Dark Adaptation Eye Exam (92284) | $2,494.70 | $3,838 | 5.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$156–$195.65 | $240–$301 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) range across 5 matching MRF lines |
$115.05–$196.95 | $177–$303 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $871.65 | $1,341 | 6.4× |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$1,044.55–$2,895.10 | $1,607–$4,454 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,257.75 | $1,935 | 5.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $656.50 | $1,010 | 6.0× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $535.60 | $824 | 4.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $858.65 | $1,321 | 3.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $625.30 | $962 | 5.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $876.20 | $1,348 | 3.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $543.40 | $836 | 4.9× |
| Duplex Scan Hemodialysis Access (93990) | $297.70 | $458 | 2.7× |
| Duplex up extrem art bilat (93930) | $823.55 | $1,267 | 3.3× |
| Duplex up extrem art unilat/ltd (93931) | $683.80 | $1,052 | 6.2× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $256.75 | $395 | 1.9× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $871.65 | $1,341 | 6.4× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $871.65 | $1,341 | 6.4× |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) | $5,021.25 | $7,725 | 22.0× |
| Ear and throat examination (92502) | $905.45 | $1,393 | 1.6× |
| ECG/monitoring and analysis (93271) | $1,645.80 | $2,532 | 16.4× |
| Echo Congenital Complete (93303) | $1,212.90 | $1,866 | 2.1× |
| Echo Heart Xthoracic,Limited (93308) | $486.20 | $748 | 1.9× |
| Echo transesophag montr cardiac pump functj (93318) range across 2 matching MRF lines |
$505.05–$547.30 | $777–$842 | varies |
| Echo transesophageal (93312) | $1,227.85 | $1,889 | 2.1× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,094.60 | $1,684 | 1.9× |
| Eeg 41-60 Minutes (95812) | $1,062.75 | $1,635 | 4.7× |
| EEG awake and asleep (95819) | $1,335.10 | $2,054 | 5.9× |
| EEG awake drowsy (95816) | $1,077.05 | $1,657 | 4.7× |
| EEG cont rec w/video by tech min 8 channels (95700) range across 2 matching MRF lines |
$1,027–$1,415.70 | $1,580–$2,178 | varies |
| EEG extended monitoring 61-119 minutes (95813) | $1,222 | $1,880 | 5.4× |
| Eeg Sleep Only (95822) | $1,247.35 | $1,919 | 5.5× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,291.55 | $1,987 | 5.7× |
| EEG wo vid ea 12-26hr unmntr (95708) | $3,404.05 | $5,237 | 8.6× |
| EKG signal averaged (93278) | $355.55 | $547 | 5.7× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $774.15 | $1,191 | 7.7× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $774.15 | $1,191 | 7.7× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $588.90 | $906 | 15.0× |
| Electrical Stimulation Ea 15 Min (97032) | $144.95 | $223 | 9.9× |
| Electrocardiogram Tracing (93005) | $223.60 | $344 | 3.6× |
| Electrocochleography (92584) | $348.40 | $536 | 2.6× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) | $415.35 | $639 | 1.8× |
| Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) | $442 | $680 | 3.1× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $16,851.90 | $25,926 | 2.0× |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$195–$1,127.75 | $300–$1,735 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$317.20–$2,541.50 | $488–$3,910 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$535.60–$4,017 | $824–$6,180 | varies |
| Emg 3 Extremities (95863) | $1,151.15 | $1,771 | 8.5× |
| Emg 4 Extremities (95864) | $1,392.95 | $2,143 | 10.3× |
| Endomyocardial Biopsy (93505) | $10,055.50 | $15,470 | 3.0× |
| Ep & ablate supravent arrhyt (93653) | $35,631.70 | $54,818 | 1.3× |
| Ep & ablate ventric tachy (93654) | $60,167.90 | $92,566 | 2.2× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $17,120.35 | $26,339 | 2.1× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $16,851.90 | $25,926 | 2.0× |
| Ep Esophageal Recording Atria+Pacing (93616) | $8,463.65 | $13,021 | 6.6× |
| Er level 1 (99281) range across 3 matching MRF lines |
$101.40–$447.20 | $156–$688 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$548.60–$9,621.30 | $844–$14,802 | varies |
| Esoph Atrial Electrogram (93615) | $7,547.80 | $11,612 | 5.9× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $5,307.25 | $8,165 | 13.5× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $437.45 | $673 | 3.2× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$92.30–$122.85 | $142–$189 | varies |
| Evaluate Speech Production (92522) | $325.65 | $501 | 2.9× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$338–$369.20 | $520–$568 | varies |
| Evaluation of speech fluency (92521) | $128.05 | $197 | 1.0× |
| Evoked Auditory Test,Limited (92587) | $143 | $220 | 0.6× |
| Excimer laser tx psoriasis 250-500 sq cm (96921) | $838.50 | $1,290 | 4.0× |
| Excimer laser tx psoriasis >500 sq cm (96922) | $580.45 | $893 | 1.4× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $787.80 | $1,212 | 3.7× |
| External ECG rec>48hr<7d recording (93242) | $1,154.40 | $1,776 | 29.3× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $1,433.90 | $2,206 | 10.2× |
| External ECG rec>7d<15d recording (93246) | $1,190.15 | $1,831 | 30.2× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $1,439.10 | $2,214 | 10.3× |
| External Ecg Scanning Analysis Report (93226) | $351.65 | $541 | 5.7× |
| Extracranial Bilat Study (93880) | $931.45 | $1,433 | 3.7× |
| Extracranial Uni/Ltd Study (93882) | $683.15 | $1,051 | 6.2× |
| Eye exam w anesth; complete (92018) | $2,912 | $4,480 | 1.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $631.15 | $971 | 1.1× |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) range across 2 matching MRF lines |
$76.05–$101.40 | $117–$156 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $578.50 | $890 | 2.9× |
| Fluorescein angiography (92235) | $338 | $520 | 1.5× |
| Full Field Electroretinography W/I&R (92273) | $111.80 | $172 | 0.5× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $780 | $1,200 | 0.9× |
| Fundus photography (92250) | $139.10 | $214 | 1.0× |
| Gastric motility studies (91020) | $5,637.45 | $8,673 | 14.3× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $5,088.85 | $7,829 | 12.9× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $3,251.30 | $5,002 | 14.3× |
| Gi tract capsule endoscopy (91110) | $4,150.25 | $6,385 | 4.3× |
| Gonioscopy (92020) | $139.10 | $214 | 1.0× |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) range across 2 matching MRF lines |
$57.85–$77.35 | $89–$119 | varies |
| Group Therapeutic Procedures (97150) range across 9 matching MRF lines |
$158.60–$376.35 | $244–$579 | varies |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) range across 2 matching MRF lines |
$25.35–$33.80 | $39–$52 | varies |
| Health Behavior Assessment/Re-Assessment (96156) range across 4 matching MRF lines |
$170.30–$659.75 | $262–$1,015 | varies |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) range across 2 matching MRF lines |
$200.20–$242.45 | $308–$373 | varies |
| Health behavior ivntj group f2f 1st 30 min (96164) range across 2 matching MRF lines |
$70.85–$116.35 | $109–$179 | varies |
| Health behavior ivntj indiv f2f 1st 30 min (96158) range across 2 matching MRF lines |
$241.15–$357.50 | $371–$550 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$1,503.45–$1,717.95 | $2,313–$2,643 | varies |
| High altitude simulation test (94452) | $531.70 | $818 | 3.8× |
| Holter monitor recording (93225) | $336.70 | $518 | 2.4× |
| Hubbard tank 15 min (97036) | $115.70 | $178 | 3.3× |
| Hypnotherapy (90880) | $365.95 | $563 | 3.4× |
| Icd Device Interrogate (93289) | $1,375.40 | $2,116 | 34.9× |
| Icd device progr eval dual (93283) | $1,729.65 | $2,661 | 43.9× |
| Icd Device Progr Eval Mult (93284) | $1,861.60 | $2,864 | 47.3× |
| Ilr Device Eval Progr (93285) | $852.80 | $1,312 | 21.7× |
| Ilr Device Interrogate (93291) | $180.70 | $278 | 5.9× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $41.60 | $64 | 0.5× |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $414.70 | $638 | 6.7× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $251.55 | $387 | 4.0× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $251.55 | $387 | 6.4× |
| Immunization administration (90471) range across 4 matching MRF lines |
$41.60–$52 | $64–$80 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $458.25 | $705 | 1.2× |
| Inital newborn e/m (99460) | $284.05 | $437 | 2.0× |
| Insert/Place Heart Catheter (93503) | $280.15 | $431 | 0.2× |
| Interrogate Subq Defib (93261) | $256.75 | $395 | 6.5× |
| Interrogation eval in person wr defibrillator (93292) | $865.80 | $1,332 | 22.0× |
| Interrogation vad in person (93750) | $541.45 | $833 | 5.4× |
| Intra-atrial pacing (93610) | $6,492.20 | $9,988 | 0.8× |
| Intra-atrial recording (93602) | $6,390.15 | $9,831 | 0.8× |
| Intracranial Complete Study (93886) | $910 | $1,400 | 3.6× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) | $26.65 | $41 | 0.9× |
| Intracutaneous tests w/allergenic extracts (95024) | $8.45 | $13 | 0.1× |
| Intraventricular pacing (93612) | $6,492.20 | $9,988 | 0.8× |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$114.40–$151.45 | $176–$233 | varies |
| Irrig Drug Delivery Device (96523) | $210.60 | $324 | 3.4× |
| Ischemic limb exercise test (95875) | $326.30 | $502 | 2.4× |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$152.10–$681.20 | $234–$1,048 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$264.55–$878.15 | $407–$1,351 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 5 matching MRF lines |
$119.60–$741 | $184–$1,140 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 6 matching MRF lines |
$306.15–$838.50 | $471–$1,290 | varies |
| IV push initial (96374) range across 5 matching MRF lines |
$362.70–$985.40 | $558–$1,516 | varies |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $25,794.60 | $39,684 | 7.5× |
| Laryngeal Function Studies (92520) | $391.30 | $602 | 2.8× |
| Liver Elastography W/O Imag W/I&R (91200) | $742.30 | $1,142 | 5.5× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) | $736.45 | $1,133 | 3.2× |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) | $412.75 | $635 | 1.0× |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) | $767 | $1,180 | 5.7× |
| Mechanical chest wall oscillation per session (94669) | $222.30 | $342 | 1.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $206.05 | $317 | 6.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $206.05 | $317 | 5.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $206.05 | $317 | 12.1× |
| Methacholine challenge (94070) | $1,566.50 | $2,410 | 4.0× |
| Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) range across 3 matching MRF lines |
$169–$278.20 | $260–$428 | varies |
| Mlt fam group bhv mgmt/modificaj traing ea addl (96203) range across 3 matching MRF lines |
$42.25–$69.55 | $65–$107 | varies |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) | $52 | $80 | 0.4× |
| Motility study esophagus (91010) | $5,536.70 | $8,518 | 14.1× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$494–$773.50 | $760–$1,190 | varies |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) range across 2 matching MRF lines |
$25.35–$33.80 | $39–$52 | varies |
| Multiple Family Group Psychotherapy (90849) range across 3 matching MRF lines |
$63.70–$348.40 | $98–$536 | varies |
| Multiple Sleep Latency Test (95805) | $5,708.30 | $8,782 | 6.3× |
| Muscle Test 2 Limbs (95861) | $282.75 | $435 | 2.0× |
| Muscle Test Nonparaspinal (95870) | $260.65 | $401 | 1.9× |
| Muscle Test One Limb (95860) | $415.35 | $639 | 3.0× |
| Nasal function studies (92512) | $406.25 | $625 | 1.8× |
| Nasopharyngoscopy (92511) | $941.20 | $1,448 | 4.5× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $504.40 | $776 | 2.2× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $406.90 | $626 | 1.8× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $252.85 | $389 | 1.1× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $457.60 | $704 | 2.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $373.75 | $575 | 1.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $393.90 | $606 | 0.9× |
| Nerve Conduction Studies 1-2 Studies (95907) | $374.40 | $576 | 1.6× |
| Nerve Conduction Studies 11-12 Studies (95912) | $483.60 | $744 | 1.2× |
| Nerve conduction studies 13 or more studies (95913) | $508.95 | $783 | 1.3× |
| Nerve Conduction Studies 3-4 Studies (95908) | $393.90 | $606 | 1.7× |
| Nerve conduction studies 5-6 studies (95909) | $414.70 | $638 | 1.8× |
| Nerve conduction studies 7-8 studies (95910) | $436.80 | $672 | 1.1× |
| Nerve Conduction Studies 9-10 Studies (95911) | $459.55 | $707 | 1.2× |
| Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$317.20–$475.80 | $488–$732 | varies |
| Neuromuscular Reeducation (97112) | $88.40 | $136 | 2.7× |
| Newborn resuscitation (99465) | $297.70 | $458 | 0.4× |
| Nitric oxide expired gas determination (95012) | $317.20 | $488 | 8.1× |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 2 matching MRF lines |
$562.25–$842.40 | $865–$1,296 | varies |
| Ocular Vemp Testing W/I&R (92518) | $182 | $280 | 1.3× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $178.10 | $274 | 1.3× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $178.10 | $274 | 1.3× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $170.95 | $263 | 1.2× |
| Ophth medical xm&eval intermediate estab pt (92012) | $142.35 | $219 | 1.0× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $170.95 | $263 | 1.2× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $39 | $60 | 0.6× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $39 | $60 | 0.6× |
| Optokinetic Nystagmus Test (92544) | $223.60 | $344 | 1.6× |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$313.30–$413.40 | $482–$636 | varies |
| Oral Speech Device Eval (92597) | $325.65 | $501 | 4.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $88.40 | $136 | 1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $88.40 | $136 | 1.9× |
| Oscillating Tracking Test (92545) | $223.60 | $344 | 1.0× |
| Ot Contrast Bath Ea 15 Min (97034) | $94.90 | $146 | 6.8× |
| Ot eval high complexity (97167) | $410.15 | $631 | 4.1× |
| Ot Eval Low Complex (97165) | $334.75 | $515 | 3.3× |
| Ot Eval Moderate Complexity (97166) | $366.60 | $564 | 3.6× |
| Ot manual therapy 15 min (97140) | $88.40 | $136 | 3.2× |
| Ot paraffin bath (97018) | $53.95 | $83 | 9.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $88.40 | $136 | 2.2× |
| Ot Re-Eval Est Plan Care (97168) | $193.05 | $297 | 2.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $225.55 | $347 | 1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $127.40 | $196 | 0.9× |
| Oxygen Uptake Rest Indirect (94690) | $902.20 | $1,388 | 14.5× |
| Patch/Application Test Specify Number Tests (95044) | $102.05 | $157 | 0.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $538.85 | $829 | 2.3× |
| Percutaneous tests w/allergenic extracts (95004) | $25.35 | $39 | 0.0× |
| Perq transcath closure pda (93582) | $27,049.10 | $41,614 | 1.4× |
| Perq Transcath Cls Aortic (93591) | $16,680.95 | $25,663 | 0.9× |
| Perq Transcath Cls Mitral (93590) | $39,797.55 | $61,227 | 2.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $13,733.20 | $21,128 | 2.3× |
| Phlebotomy therapeutic (99195) | $1,261 | $1,940 | 9.0× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $1,002.95 | $1,543 | 16.1× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$102.70–$113.10 | $158–$174 | varies |
| Plethysmography (94726) | $690.95 | $1,063 | 1.8× |
| Pm device eval in person (93288) | $1,244.75 | $1,915 | 31.6× |
| Pm device progr eval dual (93280) | $1,568.45 | $2,413 | 39.8× |
| Pm device progr eval multi (93281) | $1,628.90 | $2,506 | 41.4× |
| Pm Device Progr Eval Sngl (93279) | $1,249.95 | $1,923 | 31.7× |
| Pm/Icd Remote Tech Serv (93296) | $637 | $980 | 16.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $6,908.20 | $10,628 | 7.6× |
| Polysom <6 yrs 4/> paramtrs (95782) | $5,648.50 | $8,690 | 6.2× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $7,521.80 | $11,572 | 8.3× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $4,324.45 | $6,653 | 4.8× |
| Positional nystagmus test (92542) | $237.90 | $366 | 1.7× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) | $209.30 | $322 | 0.4× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) | $172.90 | $266 | 1.2× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) | $174.20 | $268 | 1.2× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) | $119.60 | $184 | 3.0× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $222.95 | $343 | 5.7× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $1,497.60 | $2,304 | 38.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $51.35 | $79 | 1.0× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $59.80 | $92 | 1.2× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $17,990.70 | $27,678 | 1.5× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $38,327.25 | $58,965 | 2.0× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $11,683.10 | $17,974 | 1.0× |
| Psych diag eval w/med srvcs (90792) range across 6 matching MRF lines |
$644.15–$1,718.60 | $991–$2,644 | varies |
| Psychiatric diagnostic evaluation (90791) range across 8 matching MRF lines |
$231.40–$1,729.65 | $356–$2,661 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) range across 3 matching MRF lines |
$200.85–$951.60 | $309–$1,464 | varies |
| Psycl/Nrpsyc Tst Auto Result (96146) range across 2 matching MRF lines |
$232.05–$284.05 | $357–$437 | varies |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) range across 4 matching MRF lines |
$133.25–$305.50 | $205–$470 | varies |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 5 matching MRF lines |
$109.85–$459.55 | $169–$707 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 5 matching MRF lines |
$246.35–$4,059.90 | $379–$6,246 | varies |
| Pt Eval High Complex (97163) | $337.35 | $519 | 3.4× |
| Pt eval low complex 20 min (97161) | $280.15 | $431 | 2.9× |
| Pt Eval Mod Complex (97162) | $306.80 | $472 | 3.1× |
| Pt gait training 15 min (97116) | $88.40 | $136 | 3.0× |
| Pt group caregiver training (97552) | $43.55 | $67 | 2.0× |
| Pt Re-Eval Est Plan Care (97164) | $168.35 | $259 | 2.5× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $60.45 | $93 | 1.5× |
| Pulm function test by gas (94727) | $752.70 | $1,158 | 3.3× |
| Pulmonary Stress Testing (94618) | $1,335.75 | $2,055 | 9.5× |
| Pure Tone Audiometry Air (92552) | $75.40 | $116 | 0.5× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $24,174.15 | $37,191 | 7.1× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $22,778.60 | $35,044 | 6.7× |
| R hrt coronary artery angio (93456) | $18,533.45 | $28,513 | 5.4× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $27,841.45 | $42,833 | 8.1× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $27,134.90 | $41,746 | 7.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $14,922.70 | $22,958 | 4.4× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $467.35 | $719 | 1.3× |
| Refill/Maint Portable Pump (96521) | $241.15 | $371 | 1.1× |
| Refill/Maint Pump/Resvr Syst (96522) | $233.35 | $359 | 1.0× |
| Rem interrog icpms <30 d phys/qhp (93297) | $159.90 | $246 | 4.1× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $200.20 | $308 | 5.1× |
| Rem ther mntr dev sply resp (98976) | $125.45 | $193 | 3.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $2,075.45 | $3,193 | 52.7× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $324.35 | $499 | 2.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $88.40 | $136 | 1.4× |
| Right Heart Cath (93451) | $10,324.60 | $15,884 | 3.0× |
| Right ventricular recording (93603) | $6,390.15 | $9,831 | 5.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $191.10 | $294 | 0.9× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $276.25 | $425 | 10.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $302.90 | $466 | 2.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $220.35 | $339 | 4.6× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) | $242.45 | $373 | 1.7× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $1,381.25 | $2,125 | 3.5× |
| Same day nb discharge (99463) | $284.05 | $437 | 2.0× |
| Select picture audiometry (92583) | $70.85 | $109 | 1.1× |
| Self Care Mngment Training (97535) | $122.20 | $188 | 3.8× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $152.10 | $234 | 2.4× |
| Sensory Integration Ea 15 Min (97533) | $70.20 | $108 | 1.2× |
| Short-latency somatosens ep std upr limbs (95925) | $222.95 | $343 | 1.0× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $1,899.30 | $2,922 | 14.0× |
| Sleep study attended (95807) | $3,254.55 | $5,007 | 8.3× |
| Slp caregiver training 1st 30 min (97550) | $89.70 | $138 | 1.7× |
| Somatosensory Testing (95938) | $824.85 | $1,269 | 0.9× |
| Speech Audiometry Complete (92556) | $96.20 | $148 | 1.5× |
| Speech audiometry threshold (92555) | $69.55 | $107 | 1.1× |
| Speech sound lang comprehen (92523) range across 5 matching MRF lines |
$325.65–$718.25 | $501–$1,105 | varies |
| Spin/Brain Pump Refil & Main (95991) | $503.75 | $775 | 1.6× |
| Spirometry (94010) | $325 | $500 | 1.4× |
| Spontaneous Nystagmus Test (92541) | $89.70 | $138 | 0.6× |
| Ssep lower limbs (95926) | $263.90 | $406 | 1.2× |
| Stenger Test, Pure Tone (92565) | $82.55 | $127 | 1.3× |
| Stress Tte Only (93350) | $1,053 | $1,620 | 1.8× |
| Subcutaneous Infusion Each Additional Hour (96370) | $640.25 | $985 | 13.0× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $833.95 | $1,283 | 3.7× |
| Surfactant Admin Thru Tube (94610) | $83.20 | $128 | 0.4× |
| Tensilon Test (95857) | $679.90 | $1,046 | 3.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 4 matching MRF lines |
$52.65–$79.30 | $81–$122 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 4 matching MRF lines |
$52.65–$79.30 | $81–$122 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $84.50 | $130 | 2.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $104 | $160 | 3.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 2 matching MRF lines |
$368.55–$472.55 | $567–$727 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$148.85–$709.15 | $229–$1,091 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 5 matching MRF lines |
$445.25–$1,034.80 | $685–$1,592 | varies |
| Therapeutic Activities (97530) | $88.40 | $136 | 2.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $124.80 | $192 | 3.2× |
| Transcath Closure of Asd (93580) | $28,874.95 | $44,423 | 1.5× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $560.30 | $862 | 5.1× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $801.45 | $1,233 | 20.4× |
| Tte w/doppler, complete (93306) | $1,225.90 | $1,886 | 2.1× |
| Tte W/O Doppler Complete (93307) | $530.40 | $816 | 2.1× |
| Tx atrial fib pulm vein isol (93656) | $59,952.75 | $92,235 | 2.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $299.65 | $461 | 3.9× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 8 matching MRF lines |
$129.35–$345.15 | $199–$531 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$170.95–$456.95 | $263–$703 | varies |
| Tympanometry (92567) | $55.90 | $86 | 1.4× |
| Tympanometry and reflex threshold measurements (92550) | $231.40 | $356 | 1.0× |
| Unlisted cardiovascular service/procedure (93799) range across 11 matching MRF lines |
$9,418.50–$14,772.55 | $14,490–$22,727 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $704.60 | $1,084 | 5.2× |
| Unlisted otorhinolaryngological service (92700) range across 3 matching MRF lines |
$85.15–$154.70 | $131–$238 | varies |
| Unlisted Psychiatric Service/Procedure (90899) | $1,002.30 | $1,542 | 25.4× |
| Valvuloplasty aortic valve (92986) | $15,581.15 | $23,971 | 2.6× |
| Valvuloplasty mitral valve (92987) | $15,831.40 | $24,356 | 1.3× |
| Valvuloplasty pulmonary valve (92990) | $14,955.20 | $23,008 | 1.2× |
| Veeg 2-12 Hr Cont Mntr (95713) | $2,067.65 | $3,181 | 5.3× |
| Veeg 2-12 hr intmt mntr (95712) | $1,872.65 | $2,881 | 4.8× |
| Veeg 2-12 hr unmonitored (95711) | $1,278.55 | $1,967 | 5.6× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $3,974.10 | $6,114 | 10.1× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $3,241.55 | $4,987 | 8.2× |
| Veeg ea 12-26hr cont mntr (95716) | $4,806.10 | $7,394 | 5.3× |
| Vent Mgmt Inpat Init Day (94002) | $2,184.65 | $3,361 | 3.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,721.85 | $2,649 | 2.6× |
| Visual Evoked Potential Test (95930) | $1,475.50 | $2,270 | 6.5× |
| Visual Field Exam Extended (92083) | $187.85 | $289 | 1.3× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $206.05 | $317 | 3.3× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $211.25 | $325 | 3.4× |
| Visual reinforcement audiometry (vra) (92579) | $106.60 | $164 | 0.5× |
| Vital capacity, total (94150) | $70.20 | $108 | 0.5× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,970.15 | $3,031 | 2.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $75.40 | $116 | 2.4× |
| Whirlpool Therapy (97022) | $207.35 | $319 | 13.2× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $486.85 | $749 | 7.8× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $131.95 | $203 | 3.3× |
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.