Visits & medical services prices at Childrens Hospital of Wisconsin
Milwaukee, WI · every code in this section with a posted price and a Medicare benchmark.
357 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) likely a partial charge, not the full procedure |
$1,667.88 | $3,032.50 | 0.2× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $95.15 | $173 | 0.7× |
| Acoustic Reflex Testing (92568) | $48.68 | $88.50 | 1.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $53.21 | $96.75 | 1.3× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $500.09 | $909.25 | 2.3× |
| Aep neurodiagnostic i&r (92653) | $278.44 | $506.25 | 1.3× |
| Aep threshold estimation mlt frequencies i&r (92652) range across 2 matching MRF lines |
$556.74–$1,702.25 | $1,012.25–$3,095 | varies |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$31.35–$109.59 | $57–$199.25 | varies |
| Airway resistance by oscillometry (94728) | $113.44 | $206.25 | 0.9× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $14.30 | $26 | 0.4× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $10.45 | $19 | 0.4× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $89.24 | $162.25 | 0.7× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $1,008.70 | $1,834 | 7.9× |
| Analyze neurostim complex (95972) | $67.65 | $123 | 0.7× |
| Analyze neurostim no prog (95970) | $30.25 | $55 | 0.2× |
| Analyze Neurostim Simple (95971) | $65.45 | $119 | 0.7× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) range across 2 matching MRF lines |
$76.04–$314.60 | $138.25–$572 | varies |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $1,786.13 | $3,247.50 | 4.8× |
| Ans parasymp & symp w/tilt (95924) | $235.40 | $428 | 1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $93.09 | $169.25 | 6.5× |
| Audiometry Air & Bone (92553) | $131.86 | $239.75 | 1.0× |
| Auditory Function, 60 Min (92620) | $259.19 | $471.25 | 2.0× |
| Basic vestibular evaluation (92540) | $493.90 | $898 | 2.3× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$308.96–$657.66 | $561.75–$1,195.75 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $136.13 | $247.50 | 1.7× |
| Bfb training ea addl 15 min (90913) | $75.49 | $137.25 | 2.3× |
| Blink reflex test (95933) | $129.94 | $236.25 | 2.2× |
| Breath hydrogen/methane test (91065) | $343.75 | $625 | 1.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $314.33 | $571.50 | 0.8× |
| C motor evoked uppr limbs (95928) | $337.43 | $613.50 | 0.4× |
| C motor evoked upr&lwr limbs (95939) | $675.13 | $1,227.50 | 0.8× |
| Canalith repositioning proc (95992) | $140.39 | $255.25 | 3.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $830.64 | $1,510.25 | 3.9× |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$658.35–$906.54 | $1,197–$1,648.25 | varies |
| Cardiopulmonary resuscitation (92950) | $122.24 | $222.25 | 0.6× |
| Cardioversion (92960) | $360.66 | $655.75 | 0.5× |
| Cardioversion elective internal (92961) | $640.61 | $1,164.75 | 1.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $6,095.51 | $11,082.75 | 1.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $5,680.95 | $10,329 | 1.8× |
| Cbt 1st hour (94644) | $392.29 | $713.25 | 3.0× |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $296.31 | $538.75 | 1.4× |
| Cervical Vemp Testing W/I&R (92517) | $197.04 | $358.25 | 1.5× |
| Chemo Anti-Neopl Sq/Im (96401) | $247.09 | $449.25 | 3.4× |
| Chemo Hormon Antineopl Sq/Im (96402) | $148.09 | $269.25 | 2.1× |
| Chemo Intralesional Over 7 (96406) | $278.03 | $505.50 | 1.3× |
| Chemo intralesional up to 7 (96405) | $278.03 | $505.50 | 3.9× |
| Chemo IV infusion addl hr (96415) | $169.40 | $308 | 2.4× |
| Chemo IV push addl drug (96411) | $290.13 | $527.50 | 4.0× |
| Chemother Prolong Infuse W/Pump (96416) | $595.79 | $1,083.25 | 1.8× |
| Chemotherapy Into Cns (96450) | $854.29 | $1,553.25 | 2.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $234.30 | $426 | 3.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $825.28 | $1,500.50 | 2.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $356.40 | $648 | 1.1× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $429.96 | $781.75 | 1.3× |
| Chest Wall Manipulation (94668) | $91.85 | $167 | 0.7× |
| Chiropract manj 3-4 regions (98941) | $46.20 | $84 | 2.1× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $46.20 | $84 | 2.1× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $46.20 | $84 | 2.1× |
| Cmptr ophth dx img ant segmt (92132) | $79.48 | $144.50 | 1.4× |
| Colon Motility 6 Hr Study (91117) | $2,552.41 | $4,640.75 | 11.9× |
| Color/duplex Doppler, complete (93975) | $582.45 | $1,059 | 2.5× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$452.79–$609.81 | $823.25–$1,108.75 | varies |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) | $403.56 | $733.75 | 0.5× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $2,089.73 | $3,799.50 | 5.6× |
| Comprehensive Hearing Test (92557) | $186.31 | $338.75 | 1.5× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $79.48 | $144.50 | 1.4× |
| Computerized Ophthalmic Imaging Retina (92134) | $79.48 | $144.50 | 1.4× |
| Conditioning Play Audiometry (92582) | $169.26 | $307.75 | 1.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $391.19 | $711.25 | 2.9× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $140.11 | $254.75 | 2.4× |
| Coronary Artery Angio S&I (93454) | $5,433.31 | $9,878.75 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$15.54–$363.14 | $28.25–$660.25 | varies |
| Cpt initial (94667) | $104.23 | $189.50 | 0.8× |
| Critical care first hour (99291) | $1,542.75 | $2,805 | 1.9× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $337.43 | $613.50 | 0.9× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$124.85–$167.34 | $227–$304.25 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) range across 4 matching MRF lines |
$76.31–$405.21 | $138.75–$736.75 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) range across 2 matching MRF lines |
$336.33–$502.84 | $611.50–$914.25 | varies |
| Dialysis One Evaluation (90945) range across 4 matching MRF lines |
$194.70–$1,286.31 | $354–$2,338.75 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $350.35 | $637 | 0.9× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,074.70 | $1,954 | 4.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $476.16 | $865.75 | 4.6× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $582.45 | $1,059 | 5.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $582.45 | $1,059 | 2.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $476.16 | $865.75 | 4.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,345.44 | $2,446.25 | 5.7× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$463.93–$492.66 | $843.50–$895.75 | varies |
| Duplex Scan Hemodialysis Access (93990) | $346.50 | $630 | 3.3× |
| Duplex up extrem art bilat (93930) | $582.45 | $1,059 | 2.5× |
| Duplex up extrem art unilat/ltd (93931) | $476.16 | $865.75 | 4.6× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $216.98 | $394.50 | 1.7× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 2 matching MRF lines |
$309.38–$463.93 | $562.50–$843.50 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $1,008.70 | $1,834 | 7.9× |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) | $421.30 | $766 | 2.0× |
| ECG/monitoring and analysis (93271) | $863.78 | $1,570.50 | 9.1× |
| Echo Congenital Complete (93303) | $1,683 | $3,060 | 3.1× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$42.21–$798.60 | $76.75–$1,452 | varies |
| Echo transesophageal (93312) | $1,175.76 | $2,137.75 | 2.2× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,669.25 | $3,035 | 3.1× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,464.24 | $2,662.25 | 2.7× |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) | $180.40 | $328 | 4.9× |
| Eeg 41-60 Minutes (95812) | $741.54 | $1,348.25 | 3.4× |
| EEG awake and asleep (95819) | $645.43 | $1,173.50 | 3.0× |
| EEG awake drowsy (95816) | $600.46 | $1,091.75 | 2.8× |
| EEG cont rec w/video by tech min 8 channels (95700) | $120.31 | $218.75 | 0.6× |
| EEG extended monitoring 61-119 minutes (95813) | $1,037.85 | $1,887 | 4.8× |
| Eeg Sleep Only (95822) | $481.80 | $876 | 2.2× |
| EKG signal averaged (93278) | $95.43 | $173.50 | 1.6× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $83.05 | $151 | 0.9× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $84.84 | $154.25 | 0.9× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $63.66 | $115.75 | 1.7× |
| Electrical Stimulation Ea 15 Min (97032) | $93.09 | $169.25 | 6.3× |
| Electrocardiogram Tracing (93005) | $161.98 | $294.50 | 2.8× |
| Electrophysiology Evaluation (93642) | $216.56 | $393.75 | 0.2× |
| Emergency Dept Visit Level 2 (99282) | $265.93 | $483.50 | 1.7× |
| Emergency Dept Visit Level 3 (99283) | $458.70 | $834 | 1.7× |
| Emergency Dept Visit Level 4 (99284) | $766.98 | $1,394.50 | 1.8× |
| Emg 3 Extremities (95863) | $647.76 | $1,177.75 | 5.1× |
| Emg 4 Extremities (95864) | $862.95 | $1,569 | 6.7× |
| Endomyocardial Biopsy (93505) | $4,790.78 | $8,710.50 | 1.5× |
| Ep & ablate supravent arrhyt (93653) unusually low: confirm this is the full procedure |
$11,905.71 | $21,646.75 | 0.5× |
| Ep & ablate ventric tachy (93654) unusually low: confirm this is the full procedure |
$11,905.71 | $21,646.75 | 0.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $6,537.30 | $11,886 | 0.8× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $6,226.14 | $11,320.25 | 0.8× |
| Ep Esophageal Recording Atria+Pacing (93616) | $1,333.89 | $2,425.25 | 1.1× |
| Er level 1 (99281) | $150.01 | $272.75 | 1.8× |
| Er level v (99285) | $1,007.74 | $1,832.25 | 1.7× |
| Esoph Atrial Electrogram (93615) | $117.15 | $213 | 0.1× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $962.91 | $1,750.75 | 2.6× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $199.93 | $363.50 | 1.6× |
| Evaluate pt use of inhaler (94664) | $42.90 | $78 | 0.2× |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$316.11–$652.58 | $574.75–$1,186.50 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$226.74–$465.30 | $412.25–$846 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$282.98–$742.78 | $514.50–$1,350.50 | varies |
| Evoked Auditory Test,Limited (92587) | $262.08 | $476.50 | 1.2× |
| Excimer laser tx psoriasis 250-500 sq cm (96921) | $146.44 | $266.25 | 0.7× |
| Excimer laser tx psoriasis >500 sq cm (96922) | $183.15 | $333 | 0.5× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $109.73 | $199.50 | 0.5× |
| Exercise test for bronchospasm (94617) | $812.63 | $1,477.50 | 6.1× |
| Exhaled Air Analysis O2 (94680) | $45.24 | $82.25 | 0.4× |
| External ECG rec>48hr<7d recording (93242) | $447.56 | $813.75 | 12.0× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $480.43 | $873.50 | 3.6× |
| External ECG rec>7d<15d recording (93246) | $331.51 | $602.75 | 8.9× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $480.43 | $873.50 | 3.6× |
| External Ecg Scanning Analysis Report (93226) | $475.75 | $865 | 8.1× |
| Extracranial Bilat Study (93880) | $582.45 | $1,059 | 2.5× |
| Extracranial Uni/Ltd Study (93882) | $476.16 | $865.75 | 4.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $933.63 | $1,697.50 | 1.7× |
| Full Field Electroretinography W/I&R (92273) | $194.70 | $354 | 0.9× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $447.01 | $812.75 | 0.5× |
| Fundus photography (92250) | $101.34 | $184.25 | 0.8× |
| Gastric motility studies (91020) | $2,660.63 | $4,837.50 | 7.2× |
| Gi tract capsule endoscopy (91110) | $1,769.63 | $3,217.50 | 2.0× |
| Gonioscopy (92020) range across 2 matching MRF lines |
$43.04–$48.68 | $78.25–$88.50 | varies |
| Group Therapeutic Procedures (97150) range across 4 matching MRF lines |
$75.49–$154.14 | $137.25–$280.25 | varies |
| Health Behavior Assessment/Re-Assessment (96156) | $60.50 | $110 | 0.6× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $38.09 | $69.25 | 1.0× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $38.09 | $69.25 | 1.0× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $38.09 | $69.25 | 0.2× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,568.46 | $2,851.75 | 2.3× |
| Holter monitor recording (93225) | $328.35 | $597 | 2.5× |
| Icd Device Interrogate (93289) | $103.26 | $187.75 | 2.8× |
| Icd device progr eval dual (93283) | $121.14 | $220.25 | 3.3× |
| Icd Device Progr Eval Mult (93284) | $129.80 | $236 | 3.5× |
| Icm Device Eval (93290) | $92.95 | $169 | 2.5× |
| Ilr Device Eval Progr (93285) | $99.28 | $180.50 | 2.7× |
| Ilr Device Interrogate (93291) | $88.83 | $161.50 | 3.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $16.09 | $29.25 | 0.2× |
| Immunization administration (90471) | $18.84 | $34.25 | 0.3× |
| Ingestion challenge test initial 120 minutes (95076) | $145.20 | $264 | 0.4× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $409.61 | $744.75 | 1.1× |
| Insert/Place Heart Catheter (93503) | $139.01 | $252.75 | 0.1× |
| Interrogate Subq Defib (93261) | $98.73 | $179.50 | 2.7× |
| Intracranial Complete Study (93886) | $1,310.38 | $2,382.50 | 5.5× |
| Io anal gast n-stim subsq (95981) | $36.30 | $66 | 0.6× |
| Io ga n-stim subsq w/reprog (95982) | $36.30 | $66 | 1.0× |
| Iontophoresis 15 min (97033) | $93.09 | $169.25 | 4.9× |
| Irrig Drug Delivery Device (96523) | $58.58 | $106.50 | 1.0× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$126.09–$173.53 | $229.25–$315.50 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$329.73–$541.20 | $599.50–$984 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$159.64–$184.80 | $290.25–$336 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$132.55–$173.53 | $241–$315.50 | varies |
| IV push initial (96374) | $140.80 | $256 | 0.7× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $8,642.01 | $15,712.75 | 2.7× |
| Liver Elastography W/O Imag W/I&R (91200) | $83.05 | $151 | 0.6× |
| Mechanical chest wall oscillation per session (94669) | $112.34 | $204.25 | 0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$31.21–$43.04 | $56.75–$78.25 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$43.04–$58.44 | $78.25–$106.25 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $24.20 | $44 | 1.4× |
| Methacholine challenge (94070) | $264 | $480 | 0.7× |
| Motility study esophagus (91010) | $2,085.33 | $3,791.50 | 5.6× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$388.85–$766.43 | $707–$1,393.50 | varies |
| Multifocal Electroretinography W/I&R (92274) | $116.05 | $211 | 0.9× |
| Multiple Family Group Psychotherapy (90849) | $66.83 | $121.50 | 0.4× |
| Multiple Sleep Latency Test (95805) | $2,083.95 | $3,789 | 2.4× |
| Muscle Test 2 Limbs (95861) | $436.15 | $793 | 3.3× |
| Muscle Test Hemidiaphragm (95866) | $381.56 | $693.75 | 3.0× |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$221.93–$292.33 | $403.50–$531.50 | varies |
| Nasopharyngoscopy (92511) | $429.69 | $781.25 | 2.2× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $409.61 | $744.75 | 1.9× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $335.23 | $609.50 | 1.6× |
| Needle electromyography larynx (95865) | $359.56 | $653.75 | 2.7× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $417.59 | $759.25 | 1.9× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $240.76 | $437.75 | 1.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $876.98 | $1,594.50 | 2.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $876.98 | $1,594.50 | 2.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $237.60 | $432 | 1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $260.84 | $474.25 | 0.6× |
| Nerve Conduction Studies 1-2 Studies (95907) | $438.49 | $797.25 | 2.0× |
| Nerve Conduction Studies 11-12 Studies (95912) | $340.45 | $619 | 0.9× |
| Nerve conduction studies 13 or more studies (95913) | $368.78 | $670.50 | 1.0× |
| Nerve Conduction Studies 3-4 Studies (95908) | $237.74 | $432.25 | 1.1× |
| Nerve conduction studies 5-6 studies (95909) | $261.53 | $475.50 | 1.2× |
| Nerve conduction studies 7-8 studies (95910) | $287.65 | $523 | 0.8× |
| Nerve Conduction Studies 9-10 Studies (95911) | $332.48 | $604.50 | 0.9× |
| Neurobehavioral Status Exam (96116) | $76.31 | $138.75 | 0.4× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $132 | $240 | 1.0× |
| Neuromuscular Reeducation (97112) | $93.09 | $169.25 | 2.8× |
| Nitric oxide expired gas determination (95012) | $113.30 | $206 | 3.0× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $76.31 | $138.75 | 0.2× |
| Ocular Vemp Testing W/I&R (92518) | $200.20 | $364 | 1.6× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $89.24 | $162.25 | 0.7× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $89.24 | $162.25 | 0.7× |
| Ophth medical xm&eval intermediate estab pt (92012) | $89.24 | $162.25 | 0.7× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $89.24 | $162.25 | 0.7× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $79.48 | $144.50 | 1.4× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $101.34 | $184.25 | 1.7× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$232.93–$350.08 | $423.50–$636.50 | varies |
| Oral Speech Device Eval (92597) | $126.36 | $229.75 | 1.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $93.09 | $169.25 | 1.9× |
| Orthoptic training under supervision of phys/qhp (92066) | $91.58 | $166.50 | 1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$93.09–$114.13 | $169.25–$207.50 | varies |
| Ot eval high complexity (97167) | $331.51 | $602.75 | 3.3× |
| Ot Eval Low Complex (97165) | $170.50 | $310 | 1.7× |
| Ot Eval Moderate Complexity (97166) | $289.30 | $526 | 2.9× |
| Ot manual therapy 15 min (97140) | $93.09 | $169.25 | 3.4× |
| Ot Prosthetic Training, Each 15 Min (97761) | $93.09 | $169.25 | 2.3× |
| Ot Re-Eval Est Plan Care (97168) | $182.33 | $331.50 | 2.7× |
| Oxygen Uptake Rest Indirect (94690) | $206.66 | $375.75 | 3.5× |
| Patch/Application Test Specify Number Tests (95044) | $136.95 | $249 | 0.2× |
| Penile Vascular Study,Ltd or F/U (93981) | $414.15 | $753 | 4.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$64.63–$210.93 | $117.50–$383.50 | varies |
| Perq transcath closure pda (93582) unusually low: confirm this is the full procedure |
$6,826.19 | $12,411.25 | 0.4× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) likely a partial charge, not the full procedure |
$1,163.66 | $2,115.75 | 0.2× |
| Phlebotomy therapeutic (99195) | $276.10 | $502 | 2.1× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $109.73 | $199.50 | 1.9× |
| Plethysmography (94726) | $244.06 | $443.75 | 0.7× |
| Pm device eval in person (93288) | $102.30 | $186 | 2.8× |
| Pm device progr eval dual (93280) | $120.04 | $218.25 | 3.2× |
| Pm device progr eval multi (93281) | $122.38 | $222.50 | 3.3× |
| Pm Device Progr Eval Sngl (93279) | $104.36 | $189.75 | 2.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,869.94 | $7,036.25 | 4.5× |
| Polysom <6 yrs 4/> paramtrs (95782) | $3,241.29 | $5,893.25 | 3.8× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $4,090.63 | $7,437.50 | 4.8× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $30.11 | $54.75 | 0.6× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $30.80 | $56 | 0.7× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $41.80 | $76 | 0.9× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $51.43 | $93.50 | 0.7× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $70.81 | $128.75 | 1.0× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) | $100.79 | $183.25 | 0.2× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $110.83 | $201.50 | 3.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $18.01 | $32.75 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $52.25 | $95 | 1.1× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $62.29 | $113.25 | 0.9× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $85.53 | $155.50 | 1.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) likely a partial charge, not the full procedure |
$2,570.70 | $4,674 | 0.2× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) unusually low: confirm this is the full procedure |
$8,241.34 | $14,984.25 | 0.5× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$930.60 | $1,692 | 0.1× |
| Psych diag eval w/med srvcs (90792) | $76.31 | $138.75 | 0.4× |
| Psychiatric diagnostic evaluation (90791) | $76.31 | $138.75 | 0.4× |
| Psychological tst eval svc phys/qhp first hour (96130) | $76.31 | $138.75 | 0.4× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $9.49 | $17.25 | 0.3× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $38.09 | $69.25 | 0.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $38.09 | $69.25 | 0.3× |
| Psytx Crisis Initial 60 Min (90839) | $76.31 | $138.75 | 0.4× |
| Pt Eval High Complex (97163) | $331.51 | $602.75 | 3.4× |
| Pt eval low complex 20 min (97161) | $170.50 | $310 | 1.7× |
| Pt Eval Mod Complex (97162) | $289.30 | $526 | 3.0× |
| Pt gait training 15 min (97116) | $96.11 | $174.75 | 3.3× |
| Pt Re-Eval Est Plan Care (97164) | $165.69 | $301.25 | 2.5× |
| Pulmonary service/procedure (94799) | $65.45 | $119 | 0.5× |
| Pulmonary Stress Testing (94618) | $136.81 | $248.75 | 1.0× |
| Pure Tone Audiometry Air (92552) | $73.29 | $133.25 | 0.6× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $9,478.70 | $17,234 | 2.9× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $6,095.51 | $11,082.75 | 1.9× |
| R hrt coronary artery angio (93456) | $6,095.51 | $11,082.75 | 1.9× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $8,189.50 | $14,890 | 2.5× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $6,432.53 | $11,695.50 | 2.0× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $6,095.51 | $11,082.75 | 1.9× |
| Refill/Maint Portable Pump (96521) | $358.33 | $651.50 | 1.7× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$17.46–$47.03 | $31.75–$85.50 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $105.88 | $192.50 | 1.8× |
| Right Heart Cath (93451) | $6,095.51 | $11,082.75 | 1.9× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $556.19 | $1,011.25 | 4.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $278.03 | $505.50 | 5.8× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) | $100.79 | $183.25 | 0.8× |
| Select picture audiometry (92583) | $32.31 | $58.75 | 0.5× |
| Self Care Mngment Training (97535) | $93.09 | $169.25 | 2.9× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $89.24 | $162.25 | 1.5× |
| Sensory Integration Ea 15 Min (97533) | $93.09 | $169.25 | 1.5× |
| Short-latency somatosens ep std upr limbs (95925) | $293.43 | $533.50 | 1.4× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $623.15 | $1,133 | 4.9× |
| Somatosensory Testing (95938) | $429 | $780 | 0.5× |
| Speech Audiometry Complete (92556) | $87.45 | $159 | 1.5× |
| Speech audiometry threshold (92555) | $54.59 | $99.25 | 0.9× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$305.80–$715.41 | $556–$1,300.75 | varies |
| Spin/Brain Pump Refil & Main (95991) | $36.03 | $65.50 | 0.1× |
| Spirometry (94010) | $222.61 | $404.75 | 1.0× |
| Ssep lower limbs (95926) | $249.29 | $453.25 | 1.2× |
| Stenger Test, Pure Tone (92565) | $40.43 | $73.50 | 0.7× |
| Subcutaneous Infusion Each Additional Hour (96370) | $230.59 | $419.25 | 4.9× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $589.33 | $1,071.50 | 2.8× |
| Surfactant Admin Thru Tube (94610) | $69.30 | $126 | 0.3× |
| Temp transcutaneous pacing (92953) | $247.23 | $449.50 | 0.4× |
| Testing Autonomic Nervous System Function (95923) | $224.68 | $408.50 | 1.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $84.29 | $153.25 | 3.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $84.29 | $153.25 | 4.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $93.09 | $169.25 | 2.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $385.14 | $700.25 | 3.8× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $48.95 | $89 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$48.95–$95.43 | $89–$173.50 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $432.44 | $786.25 | 2.0× |
| Therapeutic Activities (97530) | $93.09 | $169.25 | 2.7× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$1,905.48–$2,146.38 | $3,464.50–$3,902.50 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $130.76 | $237.75 | 1.0× |
| Trans Care Mgmt 7 Day Disch (99496) | $174.21 | $316.75 | 1.3× |
| Transcath Closure of Asd (93580) unusually low: confirm this is the full procedure |
$6,592.58 | $11,986.50 | 0.4× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $476.16 | $865.75 | 4.6× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $203.50 | $370 | 1.6× |
| Tte w/doppler, complete (93306) | $2,581.70 | $4,694 | 4.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$205.15–$385.14 | $373–$700.25 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 2 matching MRF lines |
$126.09–$196.63 | $229.25–$357.50 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $111.10 | $202 | 2.4× |
| Tympanometry (92567) | $87.45 | $159 | 2.4× |
| Tympanometry and reflex threshold measurements (92550) | $122.51 | $222.75 | 0.6× |
| Unlisted allergy/clinical immunologic srvc/px (95199) | $54.59 | $99.25 | 1.9× |
| Unlisted otorhinolaryngological service (92700) | $148.50 | $270 | 5.2× |
| Unlisted Special Dermatological Service/Px (96999) | $109.73 | $199.50 | 0.5× |
| Valvuloplasty aortic valve (92986) likely a partial charge, not the full procedure |
$930.60 | $1,692 | 0.2× |
| Valvuloplasty mitral valve (92987) likely a partial charge, not the full procedure |
$930.60 | $1,692 | 0.1× |
| Valvuloplasty pulmonary valve (92990) likely a partial charge, not the full procedure |
$930.60 | $1,692 | 0.1× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,474.28 | $2,680.50 | 4.0× |
| Veeg 2-12 hr intmt mntr (95712) | $1,380.23 | $2,509.50 | 3.7× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,995.58 | $5,446.50 | 8.1× |
| Veeg ea 12-26hr cont mntr (95716) | $2,509.93 | $4,563.50 | 2.9× |
| Vent Mgmt Inpat Init Day (94002) | $977.49 | $1,777.25 | 1.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $723.39 | $1,315.25 | 1.2× |
| Visual Evoked Potential Test (95930) | $310.89 | $565.25 | 1.4× |
| Visual Field Exam Extended (92083) | $89.24 | $162.25 | 0.7× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $89.24 | $162.25 | 1.5× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $72.88 | $132.50 | 1.2× |
| Visual reinforcement audiometry (vra) (92579) | $205.29 | $373.25 | 1.0× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$179.16–$244.06 | $325.75–$443.75 | varies |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $490.60 | $892 | 0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$84.56–$93.09 | $153.75–$169.25 | varies |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $590.01 | $1,072.75 | 10.0× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $101.34 | $184.25 | 2.7× |
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.