Visits & medical services prices at CommonSpirit Saint Joseph Medical Center - East Lexington
Lexington, KY · every code in this section with a posted price and a Medicare benchmark.
277 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) unusually low: confirm this is the full procedure |
$3,376.48 | $8,406 | 0.4× |
| Actinotherapy Ultraviolet Light (96900) | $116.49 | $290 | 3.2× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $15.67 | $39 | 0.4× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $209.68 | $522 | 1.0× |
| Aep threshold estimation mlt frequencies i&r (92652) | $539.05 | $1,342 | 2.6× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$54.23–$57.04 | $135–$142 | varies |
| Airway resistance by oscillometry (94728) | $101.23 | $252 | 0.8× |
| Analyze neurostim complex (95972) | $434.62 | $1,082 | 4.7× |
| Analyze neurostim no prog (95970) | $133.36 | $332 | 1.0× |
| Analyze Neurostim Simple (95971) | $448.27 | $1,116 | 4.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $122.11 | $304 | 8.5× |
| Application Modality 1/> Areas Diathermy (97024) | $31.34 | $78 | 4.3× |
| Application Modality 1/> Areas Infrared (97026) | $65.48 | $163 | 9.8× |
| Application on-body injector (96377) | $55.44 | $138 | 1.2× |
| Assessment of aphasia per hr (96105) | $228.16 | $568 | 2.3× |
| Behavral qualit analys voice (92524) | $229.76 | $572 | 2.1× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $134.97 | $336 | 1.6× |
| Bfb training ea addl 15 min (90913) | $63.07 | $157 | 1.9× |
| Biofeedback training any modality (90901) | $134.97 | $336 | 3.3× |
| Blink reflex test (95933) | $218.92 | $545 | 3.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $145.41 | $362 | 0.4× |
| Canalith repositioning proc (95992) | $61.06 | $152 | 1.5× |
| Car seat/bed test 60 min (94780) | $91.99 | $229 | 2.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,013.43 | $2,523 | 4.8× |
| Cardiopulmonary exercise testing (94621) | $367.54 | $915 | 1.0× |
| Cardiopulmonary resuscitation (92950) | $645.09 | $1,606 | 3.1× |
| Cardioversion (92960) | $878.87 | $2,188 | 1.4× |
| Cardioversion elective internal (92961) | $464.34 | $1,156 | 0.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $5,596.14 | $13,932 | 1.8× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $5,829.11 | $14,512 | 1.8× |
| Cbt 1st hour (94644) | $99.22 | $247 | 0.8× |
| Chemo Admin Peritoneal Cavity (96446) | $325.36 | $810 | 1.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $105.65 | $263 | 1.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $94 | $234 | 1.3× |
| Chemo IV infusion addl hr (96415) | $62.26 | $155 | 0.9× |
| Chemo IV push addl drug (96411) | $62.26 | $155 | 0.9× |
| Chemother Prolong Infuse W/Pump (96416) | $389.23 | $969 | 1.2× |
| Chemotherapy Into Cns (96450) | $194.42 | $484 | 0.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $62.26 | $155 | 0.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $344.24 | $857 | 1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $189.60 | $472 | 0.6× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $151.03 | $376 | 0.5× |
| Chest Wall Manipulation (94668) | $47 | $117 | 0.4× |
| Color/duplex Doppler, complete (93975) | $848.34 | $2,112 | 3.6× |
| Color/duplex Doppler, limited (93976) | $415.74 | $1,035 | 4.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $63.47 | $158 | 2.0× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $114.08 | $284 | 0.9× |
| Continuous Pulse Ox (94762) | $133.76 | $333 | 1.1× |
| Coronary Art/Grft Angio S&I (93455) | $3,479.71 | $8,663 | 1.1× |
| Coronary Artery Angio S&I (93454) | $3,192.52 | $7,948 | 1.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $255.87 | $637 | 1.2× |
| Cpt initial (94667) | $48.61 | $121 | 0.4× |
| Critical care first hour (99291) | $1,503.88 | $3,744 | 1.9× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$184.37–$189.60 | $459–$472 | varies |
| Dialysis One Evaluation (90945) | $390.03 | $971 | 1.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $738.28 | $1,838 | 3.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $466.75 | $1,162 | 4.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $653.53 | $1,627 | 2.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $330.18 | $822 | 3.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $754.35 | $1,878 | 3.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $505.71 | $1,259 | 5.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $262.30 | $653 | 1.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $303.27 | $755 | 3.0× |
| Duplex Scan Hemodialysis Access (93990) | $409.31 | $1,019 | 4.0× |
| Duplex up extrem art bilat (93930) | $706.55 | $1,759 | 3.0× |
| Duplex up extrem art unilat/ltd (93931) | $408.51 | $1,017 | 4.0× |
| Echo Congenital Complete (93303) | $473.58 | $1,179 | 0.9× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$316.52–$382 | $788–$951 | varies |
| Echo r-t 2d w/probe placement only (93313) | $1,615.54 | $4,022 | 3.0× |
| Echo transesophageal (93312) | $1,029.90 | $2,564 | 1.9× |
| Eeg 41-60 Minutes (95812) | $653.53 | $1,627 | 3.1× |
| EEG awake and asleep (95819) | $843.52 | $2,100 | 4.0× |
| EEG awake drowsy (95816) | $814.20 | $2,027 | 3.9× |
| EEG cerebral death evaluation (95824) | $477.60 | $1,189 | 1.3× |
| EEG cont rec w/video by tech min 8 channels (95700) | $1,415.51 | $3,524 | 6.7× |
| EEG extended monitoring 61-119 minutes (95813) | $365.93 | $911 | 1.7× |
| Eeg Sleep Only (95822) | $545.08 | $1,357 | 2.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $283.19 | $705 | 1.3× |
| EEG wo vid ea 12-26hr unmntr (95708) | $542.67 | $1,351 | 1.5× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$43.79–$105.65 | $109–$263 | varies |
| Electrocardiogram Tracing (93005) | $185.58 | $462 | 3.2× |
| Electrophysiology Evaluation (93642) | $1,988.70 | $4,951 | 1.7× |
| Emergency Dept Visit Level 2 (99282) | $360.31 | $897 | 2.4× |
| Emergency Dept Visit Level 3 (99283) | $590.87 | $1,471 | 2.2× |
| Emergency Dept Visit Level 4 (99284) | $923.05 | $2,298 | 2.3× |
| Emg 3 Extremities (95863) | $153.85 | $383 | 1.2× |
| Emg 4 Extremities (95864) | $200.04 | $498 | 1.6× |
| Er level 1 (99281) | $221.73 | $552 | 2.7× |
| Er level v (99285) | $1,154.02 | $2,873 | 2.0× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $520.58 | $1,296 | 1.4× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $520.58 | $1,296 | 1.4× |
| Evaluate pt use of inhaler (94664) | $59.45 | $148 | 0.3× |
| Evaluate Speech Production (92522) | $159.47 | $397 | 1.4× |
| Evaluate Swallowing Function (92610) | $219.72 | $547 | 2.6× |
| Evaluation of speech fluency (92521) | $183.97 | $458 | 1.4× |
| Evoked Auditory Test,Limited (92587) | $283.19 | $705 | 1.3× |
| External ECG rec>48hr<7d recording (93242) | $30.53 | $76 | 0.8× |
| Extracranial Bilat Study (93880) | $694.10 | $1,728 | 3.0× |
| Extracranial Uni/Ltd Study (93882) | $479.20 | $1,193 | 4.7× |
| Flexible endoscopic eval swallow c/v rec (92612) | $338.62 | $843 | 1.7× |
| Gastric motility studies (91020) | $520.58 | $1,296 | 1.4× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $520.58 | $1,296 | 1.4× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $282.38 | $703 | 1.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $520.58 | $1,296 | 0.6× |
| Gi tract capsule endoscopy (91110) | $863.20 | $2,149 | 1.0× |
| Gi wireless capsule measure (91112) | $949.56 | $2,364 | 1.1× |
| Group Therapeutic Procedures (97150) | $44.99 | $112 | 2.5× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $4,605.21 | $11,465 | 1.5× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $812.99 | $2,024 | 1.2× |
| Hubbard tank 15 min (97036) | $141.39 | $352 | 4.1× |
| Immunization administration (90471) range across 4 matching MRF lines |
$9.65–$39.37 | $24–$98 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $445.86 | $1,110 | 1.2× |
| Insert/Place Heart Catheter (93503) | $839.91 | $2,091 | 0.5× |
| Interrogate Subq Defib (93261) | $44.59 | $111 | 1.2× |
| Intracranial Complete Study (93886) | $570.78 | $1,421 | 2.4× |
| Iontophoresis 15 min (97033) | $88.78 | $221 | 4.7× |
| Irrig Drug Delivery Device (96523) | $68.69 | $171 | 1.2× |
| IV infusion hydration each additional hour (96361) | $44.99 | $112 | 1.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $258.28 | $643 | 1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $58.65 | $146 | 0.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $38.16 | $95 | 0.8× |
| IV push initial (96374) | $140.59 | $350 | 0.7× |
| L Hrt Art/Grft Angio (93459) | $5,829.11 | $14,512 | 1.8× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $3,092.90 | $7,700 | 1.0× |
| Laryngeal Function Studies (92520) | $151.84 | $378 | 1.2× |
| Low frequency non-thermal us (97610) | $212.09 | $528 | 1.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $927.07 | $2,308 | 4.4× |
| Mechanical chest wall oscillation per session (94669) | $131.35 | $327 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $22.50 | $56 | 0.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $23.30 | $58 | 0.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $11.25 | $28 | 0.7× |
| Methacholine challenge (94070) | $202.05 | $503 | 0.6× |
| Motility study esophagus (91010) | $520.58 | $1,296 | 1.4× |
| Motion Fluoroscopy/Swallow (92611) | $259.09 | $645 | 2.8× |
| Multiple Sleep Latency Test (95805) | $1,391.81 | $3,465 | 1.7× |
| Muscle Test 2 Limbs (95861) | $123.32 | $307 | 0.9× |
| Muscle Test Hemidiaphragm (95866) | $116.09 | $289 | 0.9× |
| Muscle Test Nonparaspinal (95870) | $68.69 | $171 | 0.5× |
| Muscle Test One Limb (95860) | $125.73 | $313 | 1.0× |
| Nasopharyngoscopy (92511) | $175.54 | $437 | 0.9× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $159.07 | $396 | 0.8× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $136.17 | $339 | 0.6× |
| Needle electromyography larynx (95865) | $116.09 | $289 | 0.9× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $77.53 | $193 | 0.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $206.87 | $515 | 1.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $424.17 | $1,056 | 1.1× |
| Nerve Conduction Studies 1-2 Studies (95907) | $184.37 | $459 | 0.9× |
| Nerve Conduction Studies 11-12 Studies (95912) | $654.73 | $1,630 | 1.8× |
| Nerve conduction studies 13 or more studies (95913) | $1,217.48 | $3,031 | 3.3× |
| Nerve Conduction Studies 3-4 Studies (95908) | $357.90 | $891 | 1.7× |
| Nerve conduction studies 5-6 studies (95909) | $603.72 | $1,503 | 2.9× |
| Nerve conduction studies 7-8 studies (95910) | $951.17 | $2,368 | 2.6× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,022.67 | $2,546 | 2.8× |
| Neurobehavioral Status Exam (96116) | $368.74 | $918 | 1.7× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $123.32 | $307 | 1.0× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$68.69–$77.13 | $171–$192 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) | $236.99 | $590 | 0.7× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $326.16 | $812 | 0.9× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$85.96–$90.78 | $214–$226 | varies |
| Oral Speech Device Eval (92597) | $155.85 | $388 | 2.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$47.80–$63.47 | $119–$158 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $113.28 | $282 | 2.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $55.44 | $138 | 4.0× |
| Ot eval high complexity (97167) | $466.75 | $1,162 | 4.6× |
| Ot Eval Low Complex (97165) | $157.06 | $391 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $157.06 | $391 | 1.6× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$67.89–$119.30 | $169–$297 | varies |
| Ot paraffin bath (97018) | $36.96 | $92 | 6.1× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$39.77–$42.58 | $99–$106 | varies |
| Ot Re-Eval Est Plan Care (97168) | $125.33 | $312 | 1.8× |
| Ot rom hand (95852) | $32.54 | $81 | 1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $132.56 | $330 | 1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $24.91 | $62 | 0.2× |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $291.22 | $725 | 0.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $75.92 | $189 | 0.4× |
| Peripheral arterial disease rehab per session (93668) | $54.23 | $135 | 0.9× |
| Perq transcath closure pda (93582) | $15,497.02 | $38,581 | 0.9× |
| Perq Transcath Cls Aortic (93591) | $15,668.53 | $39,008 | 0.9× |
| Perq Transcath Cls Mitral (93590) | $15,668.53 | $39,008 | 0.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $3,003.73 | $7,478 | 0.5× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) unusually low: confirm this is the full procedure |
$4,434.49 | $11,040 | 0.4× |
| Phlebotomy therapeutic (99195) | $132.56 | $330 | 1.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $59.45 | $148 | 1.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $59.45 | $148 | 1.0× |
| Physical Performance Test (97750) | $64.67 | $161 | 1.9× |
| Plethysmography (94726) | $190.40 | $474 | 0.5× |
| Pm device eval in person (93288) | $24.51 | $61 | 0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,821.77 | $7,025 | 3.4× |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,204.63 | $2,999 | 1.4× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $1,276.93 | $3,179 | 1.5× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $44.59 | $111 | 1.2× |
| Prq Card Angio/Athrect 1 Art (92924) | $6,722.83 | $16,737 | 0.6× |
| Prq Card Stent W/Angio 1 Vsl (92928) unusually low: confirm this is the full procedure |
$4,648.99 | $11,574 | 0.4× |
| Prq Card Stent/Ath/Angio (92933) likely a partial charge, not the full procedure |
$4,434.49 | $11,040 | 0.2× |
| Prq Revasc Byp Graft 1 Vsl (92937) unusually low: confirm this is the full procedure |
$4,505.99 | $11,218 | 0.4× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $10,342.73 | $25,749 | 0.6× |
| Psych diag eval w/med srvcs (90792) | $180.76 | $450 | 1.0× |
| Psychiatric diagnostic evaluation (90791) | $301.26 | $750 | 1.7× |
| Psychological tst eval svc phys/qhp first hour (96130) | $236.99 | $590 | 1.1× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $236.99 | $590 | 8.4× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $236.99 | $590 | 0.5× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $239.40 | $596 | 1.8× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$165.09–$217.71 | $411–$542 | varies |
| Pt eval low complex 20 min (97161) | $138.58 | $345 | 1.4× |
| Pt Eval Mod Complex (97162) | $165.09 | $411 | 1.7× |
| Pt gait training 15 min (97116) | $75.52 | $188 | 2.6× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$104.44–$105.24 | $260–$262 | varies |
| Pt Re-Eval Est Plan Care (97164) | $132.16 | $329 | 2.0× |
| Pulm function test by gas (94727) | $200.04 | $498 | 0.9× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$46.20–$1,062.84 | $115–$2,646 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$160.27–$175.94 | $399–$438 | varies |
| R Hrt Art/Grft Angio (93457) | $4,430.08 | $11,029 | 1.4× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $3,092.90 | $7,700 | 1.0× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $3,092.90 | $7,700 | 1.0× |
| R hrt coronary artery angio (93456) | $5,887.35 | $14,657 | 1.9× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $3,092.90 | $7,700 | 1.0× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $3,092.90 | $7,700 | 1.0× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $2,189.53 | $5,451 | 0.7× |
| Refill/Maint Portable Pump (96521) | $204.86 | $510 | 1.0× |
| Refill/Maint Pump/Resvr Syst (96522) | $204.86 | $510 | 1.0× |
| Remote 30 Day Ecg Rev/Report (93270) | $89.98 | $224 | 2.5× |
| Respiratory flow volume loop (94375) | $94 | $234 | 0.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $47.80 | $119 | 0.8× |
| Right Heart Cath (93451) | $2,354.22 | $5,861 | 0.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $188.79 | $470 | 1.0× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $29.73 | $74 | 1.1× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $189.19 | $471 | 1.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $83.55 | $208 | 1.7× |
| Self Care Mngment Training (97535) | $75.92 | $189 | 2.3× |
| Sensory Integration Ea 15 Min (97533) | $53.83 | $134 | 0.9× |
| Short-latency somatosens ep std upr limbs (95925) | $359.50 | $895 | 1.7× |
| Sleep study attended (95807) | $1,170.89 | $2,915 | 3.2× |
| Sleep study unattended (95806) | $432.21 | $1,076 | 2.0× |
| Somatosensory Testing (95938) | $1,052.39 | $2,620 | 1.3× |
| Speech sound lang comprehen (92523) | $123.32 | $307 | 0.5× |
| Spirometry (94010) | $109.66 | $273 | 0.5× |
| Ssep lower limbs (95926) | $744.71 | $1,854 | 3.5× |
| Standardized Cognitive Performance Testing (96125) | $109.26 | $272 | 1.1× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$1,274.92–$1,401.05 | $3,174–$3,488 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $37.36 | $93 | 0.8× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $180.36 | $449 | 0.9× |
| Subq Infusion Additional Pump Infusion Site (96371) | $149.43 | $372 | 2.1× |
| Surfactant Admin Thru Tube (94610) | $241.01 | $600 | 1.1× |
| Temp transcutaneous pacing (92953) | $359.10 | $894 | 0.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$72.71–$111.67 | $181–$278 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $55.44 | $138 | 2.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $53.03 | $132 | 1.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $62.67 | $156 | 2.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $138.18 | $344 | 1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$73.51–$74.31 | $183–$185 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $241.01 | $600 | 1.2× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$65.08–$73.11 | $162–$182 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,725.60 | $4,296 | 4.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $68.29 | $170 | 1.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $72.71 | $181 | 2.0× |
| Transcath Closure of Asd (93580) unusually low: confirm this is the full procedure |
$6,320.36 | $15,735 | 0.4× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $444.66 | $1,107 | 4.4× |
| Tte w/doppler, complete (93306) | $1,877.03 | $4,673 | 3.5× |
| Tte W/O Doppler Complete (93307) | $288.41 | $718 | 1.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$146.21–$160.27 | $364–$399 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $143.40 | $357 | 6.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $63.47 | $158 | 1.4× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$140.99–$146.62 | $351–$365 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $148.62 | $370 | 1.2× |
| Upr/L Xtremity Art 2 Levels (93922) | $242.21 | $603 | 1.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $592.48 | $1,475 | 2.8× |
| Valvuloplasty aortic valve (92986) unusually low: confirm this is the full procedure |
$2,393.99 | $5,960 | 0.4× |
| Vasopneumatic device (97016) | $114.08 | $284 | 9.5× |
| Veeg 2-12 hr unmonitored (95711) | $448.27 | $1,116 | 2.1× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,359.04 | $5,873 | 6.5× |
| Vent Mgmt Inpat Init Day (94002) | $439.44 | $1,094 | 0.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $426.58 | $1,062 | 0.7× |
| Visual Evoked Potential Test (95930) | $399.27 | $994 | 1.9× |
| Vital capacity, total (94150) | $42.98 | $107 | 0.3× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $603.72 | $1,503 | 0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $69.09 | $172 | 2.2× |
| Whirlpool Therapy (97022) | $55.84 | $139 | 3.6× |
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.