Visits & medical services prices at Concord Hospital
Concord, NH · every code in this section with a posted price and a Medicare benchmark.
539 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $107.10 | $357 | 1.0× |
| Ablate Heart Dysrhythm Focus (93650) range across 3 matching MRF lines |
$1,027.50–$6,251.70 | $3,425–$20,839 | varies |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) range across 2 matching MRF lines |
$34.80–$99 | $116–$330 | varies |
| Acoustic Reflex Testing (92568) range across 2 matching MRF lines |
$18.60–$23.70 | $62–$79 | varies |
| Actigraphy Testing Recording Analysis I&R (95803) | $56.40 | $188 | 0.9× |
| Acupunct W/Stimul 15 Min (97813) | $41.10 | $137 | 1.3× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$3–$37.80 | $10–$126 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$6.60–$11.40 | $22–$38 | varies |
| Advncd Care Plan 30 Min (99497) range across 4 matching MRF lines |
$85.80–$142.80 | $286–$476 | varies |
| Aep neurodiagnostic i&r (92653) | $66 | $220 | 0.3× |
| Aep threshold estimation mlt frequencies i&r (92652) | $94.50 | $315 | 0.4× |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$65.10–$206.40 | $217–$688 | varies |
| Airway resistance by oscillometry (94728) | $48 | $160 | 0.3× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $9.60 | $32 | 0.2× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $4.50 | $15 | 0.1× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $44.70 | $149 | 0.3× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $45.60 | $152 | 0.3× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) range across 2 matching MRF lines |
$144.60–$303.60 | $482–$1,012 | varies |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) | $110.70 | $369 | 0.8× |
| Analyze neurostim complex (95972) range across 4 matching MRF lines |
$50.40–$239.40 | $168–$798 | varies |
| Analyze neurostim no prog (95970) range across 3 matching MRF lines |
$27.90–$99 | $93–$330 | varies |
| Analyze Neurostim Simple (95971) range across 3 matching MRF lines |
$49.50–$92.10 | $165–$307 | varies |
| Analyze Pacemaker System (93724) | $307.80 | $1,026 | 0.9× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) range across 4 matching MRF lines |
$110.40–$157.50 | $368–$525 | varies |
| Ans parasymp & symp w/tilt (95924) | $109.20 | $364 | 0.5× |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) | $51 | $170 | 0.4× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $24.60 | $82 | 0.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 5 matching MRF lines |
$10.20–$45.90 | $34–$153 | varies |
| Application Modality 1/> Areas Diathermy (97024) | $3.90 | $13 | 0.5× |
| Application Modality 1/> Areas Infrared (97026) | $3.90 | $13 | 0.6× |
| Arrhythmia Induction (93618) range across 3 matching MRF lines |
$269.40–$1,221.90 | $898–$4,073 | varies |
| Art pressure waveform analys (93050) | $10.80 | $36 | 0.3× |
| Assessment of aphasia per hr (96105) range across 3 matching MRF lines |
$110.40–$167.70 | $368–$559 | varies |
| Assessment of tinnitus (92625) | $72.60 | $242 | 0.5× |
| Assmt & care planning pt w/cognitive impairment (99483) range across 3 matching MRF lines |
$216.90–$276.60 | $723–$922 | varies |
| Audiometry Air & Bone (92553) | $99 | $330 | 0.7× |
| Auditory Function, 60 Min (92620) | $94.50 | $315 | 0.7× |
| Basic vestibular evaluation (92540) range across 2 matching MRF lines |
$94.50–$191.70 | $315–$639 | varies |
| Behavral qualit analys voice (92524) range across 3 matching MRF lines |
$94.50–$189.60 | $315–$632 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) range across 2 matching MRF lines |
$56.40–$143.10 | $188–$477 | varies |
| Bfb training ea addl 15 min (90913) range across 2 matching MRF lines |
$31.80–$57 | $106–$190 | varies |
| Biofeedback training any modality (90901) | $25.20 | $84 | 0.6× |
| Blink reflex test (95933) | $36.90 | $123 | 0.6× |
| Breath hydrogen/methane test (91065) | $12.30 | $41 | 0.1× |
| Breathing response to hypoxia (94450) | $24.60 | $82 | 0.2× |
| Brief Emotional/Behav Assmt (96127) | $9.60 | $32 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 8 matching MRF lines |
$85.20–$354.60 | $45–$1,182 | varies |
| Bundle of his recording (93600) range across 3 matching MRF lines |
$133.80–$1,567.50 | $446–$5,225 | varies |
| C motor evoked uppr limbs (95928) range across 2 matching MRF lines |
$94.50–$216 | $315–$720 | varies |
| C motor evoked upr&lwr limbs (95939) range across 2 matching MRF lines |
$141.90–$216 | $473–$720 | varies |
| Caloric vestibular test w/rec bi monothermal (92538) range across 2 matching MRF lines |
$19.20–$40.20 | $64–$134 | varies |
| Caloric Vstblr Test W/Rec (92537) range across 2 matching MRF lines |
$37.80–$74.40 | $126–$248 | varies |
| Canalith repositioning proc (95992) range across 6 matching MRF lines |
$31.80–$67.80 | $106–$226 | varies |
| Car seat/bed test 60 min (94780) range across 3 matching MRF lines |
$30–$61.20 | $100–$204 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $577.20 | $1,924 | 2.5× |
| Cardiopulmonary exercise testing (94621) | $89.70 | $299 | 0.2× |
| Cardiopulmonary resuscitation (92950) range across 8 matching MRF lines |
$300–$5,492.40 | $1,000–$18,308 | varies |
| Cardioversion (92960) range across 11 matching MRF lines |
$209.40–$8,636.10 | $698–$28,787 | varies |
| Cardioversion elective internal (92961) range across 3 matching MRF lines |
$304.80–$909.90 | $1,016–$3,033 | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) range across 2 matching MRF lines |
$38.10–$57.30 | $127–$191 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $13.20 | $44 | 0.3× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) range across 6 matching MRF lines |
$30–$51.60 | $100–$172 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 5 matching MRF lines |
$934.80–$10,585.80 | $3,116–$35,286 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 6 matching MRF lines |
$941.10–$24,237 | $3,137–$80,790 | varies |
| Cbt 1st hour (94644) | $99.90 | $333 | 0.7× |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) | $54.90 | $183 | 0.4× |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $75.60 | $252 | 0.3× |
| Cervical Vemp Testing W/I&R (92517) | $50.40 | $168 | 0.4× |
| Chemo Admin Peritoneal Cavity (96446) | $23.40 | $78 | 0.1× |
| Chemo Anti-Neopl Sq/Im (96401) range across 6 matching MRF lines |
$79.20–$100.80 | $264–$336 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 4 matching MRF lines |
$12–$101.40 | $40–$338 | varies |
| Chemo Ia Push (96420) | $131.70 | $439 | 0.4× |
| Chemo Intralesional Over 7 (96406) range across 3 matching MRF lines |
$50.40–$199.50 | $168–$665 | varies |
| Chemo intralesional up to 7 (96405) range across 3 matching MRF lines |
$32.70–$127.50 | $109–$425 | varies |
| Chemo IV infusion addl hr (96415) range across 4 matching MRF lines |
$12–$106.50 | $40–$355 | varies |
| Chemo IV push addl drug (96411) range across 3 matching MRF lines |
$76.80–$143.10 | $256–$477 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $172.50 | $575 | 0.5× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $229.20 | $764 | 0.6× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $93.30 | $311 | 1.9× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$96.30–$345.90 | $321–$1,153 | varies |
| Chemotherapy Intracavitary (96440) | $133.80 | $446 | 0.4× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $226.80 | $756 | 0.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 3 matching MRF lines |
$81–$156 | $270–$520 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 8 matching MRF lines |
$170.70–$269.70 | $569–$899 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 4 matching MRF lines |
$137.70–$195.90 | $459–$653 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $47.40 | $158 | 0.1× |
| Chest Wall Manipulation (94668) | $77.70 | $259 | 0.5× |
| Chiropract manj 3-4 regions (98941) range across 4 matching MRF lines |
$21–$61.80 | $70–$206 | varies |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) range across 2 matching MRF lines |
$19.50–$28.80 | $65–$96 | varies |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) range across 4 matching MRF lines |
$22.50–$83.70 | $75–$279 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$38.10–$73.80 | $127–$246 | varies |
| Cmptr ophth dx img ant segmt (92132) | $19.20 | $64 | 0.3× |
| Colon Motility 6 Hr Study (91117) | $154.50 | $515 | 0.7× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $10.80 | $36 | 0.2× |
| Color/duplex Doppler, complete (93975) range across 5 matching MRF lines |
$72.90–$911.10 | $243–$3,037 | varies |
| Color/duplex Doppler, limited (93976) range across 7 matching MRF lines |
$50.40–$715.20 | $168–$2,384 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $27.90 | $93 | 0.9× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$63–$161.10 | $210–$537 | varies |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) | $135.30 | $451 | 0.1× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $113.70 | $379 | 0.3× |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$37.80–$99 | $126–$330 | varies |
| Computerized dynamic posturography (92548) | $31.80 | $106 | 0.2× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $24.60 | $82 | 0.4× |
| Computerized Ophthalmic Imaging Retina (92134) | $27.90 | $93 | 0.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$202.50–$231.60 | $675–$772 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 2 matching MRF lines |
$129.60–$147.60 | $432–$492 | varies |
| Contact Lens Fit,Corneoscleral Lens (92313) | $57.90 | $193 | 0.4× |
| Continuous Pulse Ox (94762) | $55.20 | $184 | 0.4× |
| Cornea hysteresis determin impulse stimj uni/bi (92145) | $10.80 | $36 | 0.2× |
| Corneal Topography (92025) | $22.20 | $74 | 0.4× |
| Coronary Art/Grft Angio S&I (93455) range across 3 matching MRF lines |
$422.40–$5,259 | $1,408–$17,530 | varies |
| Coronary Artery Angio S&I (93454) range across 3 matching MRF lines |
$390.30–$4,618.20 | $1,301–$15,394 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$48–$428.40 | $160–$1,428 | varies |
| Cpt initial (94667) | $97.20 | $324 | 0.7× |
| Critical care first hour (99291) range across 8 matching MRF lines |
$283.80–$3,616.20 | $946–$12,054 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) range across 2 matching MRF lines |
$94.50–$216 | $315–$720 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 10 matching MRF lines |
$48.30–$6,606.60 | $161–$22,022 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $436.50 | $1,455 | 2.0× |
| Developmental tst admin phys/qhp 1st hour (96112) | $161.70 | $539 | 1.2× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) range across 3 matching MRF lines |
$81.60–$192.60 | $272–$642 | varies |
| Dialysis One Evaluation (90945) range across 6 matching MRF lines |
$98.40–$895.20 | $328–$2,984 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 3 matching MRF lines |
$27.90–$34.80 | $93–$116 | varies |
| Duodenal motility study (91022) | $90.90 | $303 | 0.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 10 matching MRF lines |
$50.40–$784.80 | $168–$2,616 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 8 matching MRF lines |
$31.80–$522.90 | $106–$1,743 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) range across 3 matching MRF lines |
$78.60–$137.40 | $262–$458 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$73.20–$1,064.40 | $244–$3,548 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 8 matching MRF lines |
$31.80–$923.40 | $106–$3,078 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 11 matching MRF lines |
$44.10–$1,021.20 | $147–$3,404 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 31 matching MRF lines |
$28.20–$633.60 | $94–$2,112 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 3 matching MRF lines |
$50.40–$1,021.20 | $168–$3,404 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 5 matching MRF lines |
$31.80–$615.30 | $106–$2,051 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 3 matching MRF lines |
$31.80–$615.30 | $106–$2,051 | varies |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$50.40–$1,021.20 | $168–$3,404 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 6 matching MRF lines |
$31.80–$615.30 | $106–$2,051 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 3 matching MRF lines |
$78.60–$90.30 | $262–$301 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) range across 2 matching MRF lines |
$138.60–$141.90 | $462–$473 | varies |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) | $25.20 | $84 | 0.1× |
| Ear and throat examination (92502) | $95.10 | $317 | 0.2× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$81.60–$1,069.80 | $272–$3,566 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 6 matching MRF lines |
$45.30–$661.80 | $151–$2,206 | varies |
| Echo r-t 2d w/probe placement only (93313) range across 5 matching MRF lines |
$1,018.80–$1,069.80 | $52–$3,566 | varies |
| Echo transesophag congen probe plcmt only (93316) range across 3 matching MRF lines |
$37.80–$1,069.80 | $126–$3,566 | varies |
| Echo transesophag montr cardiac pump functj (93318) range across 3 matching MRF lines |
$135.30–$855.30 | $451–$2,851 | varies |
| Echo transesophageal (93312) range across 6 matching MRF lines |
$192.30–$1,123.80 | $641–$3,746 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 3 matching MRF lines |
$169.50–$1,069.80 | $565–$3,566 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$149.70–$781.80 | $499–$2,606 | varies |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) | $124.80 | $416 | 3.1× |
| Eeg 41-60 Minutes (95812) range across 3 matching MRF lines |
$66–$612 | $220–$2,040 | varies |
| EEG awake and asleep (95819) range across 5 matching MRF lines |
$68.10–$918 | $227–$3,060 | varies |
| EEG awake drowsy (95816) range across 5 matching MRF lines |
$68.10–$629.10 | $227–$2,097 | varies |
| EEG cerebral death evaluation (95824) | $46.80 | $156 | 0.1× |
| EEG cont rec w/video by tech min 8 channels (95700) | $117.60 | $392 | 0.5× |
| EEG extended monitoring 61-119 minutes (95813) range across 5 matching MRF lines |
$99.60–$992.70 | $332–$3,309 | varies |
| Eeg Sleep Only (95822) range across 4 matching MRF lines |
$134.40–$582 | $448–$1,940 | varies |
| EEG w/o vid 2-12hr cont mntr (95707) | $310.20 | $1,034 | 1.3× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $200.70 | $669 | 0.9× |
| EEG wo vid ea 12-26hr unmntr (95708) | $256.80 | $856 | 0.6× |
| EKG signal averaged (93278) | $14.70 | $49 | 0.2× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) range across 3 matching MRF lines |
$36.90–$57.60 | $123–$192 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 3 matching MRF lines |
$38.10–$61.20 | $127–$204 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 3 matching MRF lines |
$29.10–$45.90 | $97–$153 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 5 matching MRF lines |
$14.70–$45.90 | $49–$153 | varies |
| Electro-Oculography (92270) | $51 | $170 | 0.4× |
| Electrocardiogram Tracing (93005) | $110.40 | $368 | 1.8× |
| Electrocochleography (92584) | $99 | $330 | 0.7× |
| Electroconvulsive Therapy (90870) range across 3 matching MRF lines |
$157.50–$642 | $525–$2,140 | varies |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) | $33.30 | $111 | 0.1× |
| Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) | $41.40 | $138 | 0.3× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) range across 3 matching MRF lines |
$7,126.50 | $1,028–$23,755 | 0.9× |
| Electrophysiology Evaluation (93642) range across 3 matching MRF lines |
$465–$1,069.80 | $1,550–$3,566 | varies |
| Emergency Dept Visit Level 2 (99282) range across 4 matching MRF lines |
$55.50–$247.50 | $185–$825 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$84.60–$435 | $282–$1,450 | varies |
| Emergency Dept Visit Level 4 (99284) range across 6 matching MRF lines |
$161.40–$2,640 | $538–$8,800 | varies |
| Emg 3 Extremities (95863) range across 3 matching MRF lines |
$117.60–$212.10 | $392–$707 | varies |
| Emg 4 Extremities (95864) range across 3 matching MRF lines |
$125.40–$233.70 | $418–$779 | varies |
| Endomyocardial Biopsy (93505) range across 3 matching MRF lines |
$968.70–$2,282.70 | $3,229–$7,609 | varies |
| Ep & ablate supravent arrhyt (93653) range across 4 matching MRF lines |
$11,952.90–$19,728 | $3,099–$65,760 | varies |
| Ep & ablate ventric tachy (93654) range across 3 matching MRF lines |
$1,244.40–$11,952.90 | $4,148–$39,843 | varies |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 3 matching MRF lines |
$771.60–$7,126.50 | $2,572–$23,755 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) range across 3 matching MRF lines |
$488.10–$5,308.20 | $1,627–$17,694 | varies |
| Ep Esophageal Recording Atria+Pacing (93616) | $78.30 | $261 | 0.1× |
| Er level 1 (99281) range across 3 matching MRF lines |
$27.90–$150 | $93–$500 | varies |
| Er level v (99285) range across 6 matching MRF lines |
$215.10–$3,000 | $717–$10,000 | varies |
| Ergonovine provocation test (93024) | $73.80 | $246 | 0.2× |
| Esoph Atrial Electrogram (93615) | $46.80 | $156 | 0.0× |
| Esophageal Capsule Endoscopy (91111) | $63 | $210 | 0.1× |
| Esophagus acid perfusion test esophagitis (91030) | $57.60 | $192 | 0.1× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $61.20 | $204 | 0.2× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $69.30 | $231 | 0.2× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 3 matching MRF lines |
$75.90–$88.50 | $253–$295 | varies |
| Evaluate pt use of inhaler (94664) range across 5 matching MRF lines |
$57.60–$100.20 | $192–$334 | varies |
| Evaluate Speech Production (92522) range across 5 matching MRF lines |
$94.50–$191.40 | $315–$638 | varies |
| Evaluate Swallowing Function (92610) range across 5 matching MRF lines |
$81.60–$147.30 | $272–$491 | varies |
| Evaluation of speech fluency (92521) range across 3 matching MRF lines |
$110.40–$227.70 | $368–$759 | varies |
| Evoked Auditory Test,Limited (92587) range across 3 matching MRF lines |
$19.20–$22.20 | $64–$74 | varies |
| Excimer laser tx psoriasis 250-500 sq cm (96921) | $81.60 | $272 | 0.4× |
| Excimer laser tx psoriasis >500 sq cm (96922) | $132 | $440 | 0.3× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $72.60 | $242 | 0.3× |
| Exercise test for bronchospasm (94617) range across 3 matching MRF lines |
$68.10–$102.30 | $227–$341 | varies |
| Exhaled Air Analysis O2 (94680) | $15.60 | $52 | 0.1× |
| External ECG rec>48hr<7d recording (93242) | $366.30 | $1,221 | 9.2× |
| External ECG rec>7d<15d recording (93246) | $366.30 | $1,221 | 9.2× |
| External Ecg Scanning Analysis Report (93226) | $197.10 | $657 | 3.1× |
| Extracranial Bilat Study (93880) range across 4 matching MRF lines |
$50.40–$861.60 | $168–$2,872 | varies |
| Extracranial Uni/Ltd Study (93882) range across 4 matching MRF lines |
$31.80–$522.90 | $106–$1,743 | varies |
| Eye exam w anesth; complete (92018) | $157.50 | $525 | 0.1× |
| Eye exam w anesth; limited (92019) | $82.80 | $276 | 0.0× |
| Eye Exam With Photos (92230) | $37.80 | $126 | 0.1× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$47.40–$676.20 | $158–$2,254 | varies |
| Facial nerve function studies (92516) range across 3 matching MRF lines |
$45.30–$126.90 | $151–$423 | varies |
| Fitting of spectacle prosthesis for aphakia; monofocal Facility (92352) | $23.40 | $78 | 0.4× |
| Fitting of spectacle prosthesis for aphakia; multifocal Facility (92353) | $31.80 | $106 | 0.5× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $79.80 | $266 | 0.5× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 3 matching MRF lines |
$79.80–$335.40 | $266–$1,118 | varies |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) range across 3 matching MRF lines |
$118.80–$372 | $396–$1,240 | varies |
| Fluorescein angiography (92235) | $47.40 | $158 | 0.2× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $60 | $200 | 0.3× |
| Full Field Electroretinography W/I&R (92273) | $43.80 | $146 | 0.2× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $187.20 | $624 | 0.2× |
| Fundus photography (92250) | $24.60 | $82 | 0.2× |
| Gastric motility studies (91020) | $90.90 | $303 | 0.2× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $61.20 | $204 | 0.2× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 2 matching MRF lines |
$61.20–$196.80 | $204–$656 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$100.20–$2,574 | $334–$8,580 | varies |
| Gi tract capsule endoscopy (91110) range across 3 matching MRF lines |
$156.90–$3,059.70 | $523–$10,199 | varies |
| Gi tract imaging intraluminal colon i&r (91113) | $1,538.10 | $5,127 | 1.5× |
| Gi wireless capsule measure (91112) | $132 | $440 | 0.1× |
| Gonioscopy (92020) | $23.40 | $78 | 0.2× |
| Group Therapeutic Procedures (97150) range across 3 matching MRF lines |
$18.60–$33.60 | $62–$112 | varies |
| Health Behavior Assessment/Re-Assessment (96156) range across 2 matching MRF lines |
$121.80–$132.30 | $406–$441 | varies |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) range across 2 matching MRF lines |
$89.70–$97.50 | $299–$325 | varies |
| Health behavior ivntj group f2f 1st 30 min (96164) range across 2 matching MRF lines |
$12.30–$12.90 | $41–$43 | varies |
| Health behavior ivntj indiv f2f 1st 30 min (96158) range across 2 matching MRF lines |
$82.50–$91.50 | $275–$305 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 5 matching MRF lines |
$997.50–$11,284.20 | $3,325–$37,614 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$93.30–$1,195.20 | $311–$3,984 | varies |
| High altitude simulation test (94452) | $20.40 | $68 | 0.1× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $24.60 | $82 | 0.2× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$166.50–$366.30 | $555–$1,221 | varies |
| Hubbard tank 15 min (97036) | $17.40 | $58 | 0.5× |
| Hypnotherapy (90880) | $138.30 | $461 | 1.3× |
| Icd Device Interrogate (93289) range across 5 matching MRF lines |
$51.60–$129.30 | $172–$431 | varies |
| Icd device progr eval dual (93283) range across 5 matching MRF lines |
$65.10–$195.90 | $217–$653 | varies |
| Icd Device Progr Eval Mult (93284) range across 5 matching MRF lines |
$78.60–$213.90 | $262–$713 | varies |
| Icm Device Eval (93290) range across 5 matching MRF lines |
$27–$106.50 | $90–$355 | varies |
| Ilr Device Eval Progr (93285) range across 5 matching MRF lines |
$46.80–$143.10 | $156–$477 | varies |
| Ilr Device Interrogate (93291) range across 3 matching MRF lines |
$23.10–$67.80 | $77–$226 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $6.60 | $22 | 0.1× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $23.40 | $78 | 0.6× |
| Immunization administration (90471) range across 14 matching MRF lines |
$6.60–$11.40 | $22–$38 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $50.40 | $168 | 0.2× |
| Ingestion challenge test initial 120 minutes (95076) | $94.50 | $315 | 0.2× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $383.40 | $1,278 | 1.0× |
| Inital newborn e/m (99460) range across 3 matching MRF lines |
$82.20–$120.90 | $274–$403 | varies |
| Insert/Place Heart Catheter (93503) range across 5 matching MRF lines |
$214.80–$2,137.50 | $716–$7,125 | varies |
| Interrogate Subq Defib (93261) range across 3 matching MRF lines |
$27.90–$111.90 | $93–$373 | varies |
| Interrogation eval in person wr defibrillator (93292) | $26.40 | $88 | 0.7× |
| Interrogation vad in person (93750) | $57.90 | $193 | 0.6× |
| Intra-atrial pacing (93610) range across 3 matching MRF lines |
$205.50–$1,567.50 | $685–$5,225 | varies |
| Intra-atrial recording (93602) range across 3 matching MRF lines |
$133.80–$1,567.50 | $446–$5,225 | varies |
| Intracranial Complete Study (93886) range across 2 matching MRF lines |
$57.60–$1,015.80 | $192–$3,386 | varies |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) range across 2 matching MRF lines |
$4.50 | $3–$15 | 0.1× |
| Intracutaneous tests w/allergenic extracts (95024) range across 2 matching MRF lines |
$10.50 | $3–$35 | 0.2× |
| Intraventricular pacing (93612) range across 3 matching MRF lines |
$205.50–$1,567.50 | $685–$5,225 | varies |
| Io anal gast n-stim subsq (95981) | $19.20 | $64 | 0.3× |
| Io ga n-stim subsq w/reprog (95982) | $41.10 | $137 | 1.0× |
| Iontophoresis 15 min (97033) range across 4 matching MRF lines |
$15.60–$55.20 | $52–$184 | varies |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$59.40–$62.40 | $8–$208 | varies |
| Ischemic limb exercise test (95875) | $69.30 | $231 | 0.5× |
| IV infusion hydration each additional hour (96361) range across 11 matching MRF lines |
$6–$71.70 | $20–$239 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 9 matching MRF lines |
$10.80–$195.60 | $36–$652 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 8 matching MRF lines |
$12–$106.50 | $40–$355 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 9 matching MRF lines |
$11.40–$71.70 | $38–$239 | varies |
| IV push initial (96374) range across 11 matching MRF lines |
$11.40–$286.20 | $38–$954 | varies |
| L Hrt Art/Grft Angio (93459) range across 5 matching MRF lines |
$1,003.80–$10,572.60 | $3,346–$35,242 | varies |
| Laryngeal Function Studies (92520) range across 2 matching MRF lines |
$47.40–$72 | $158–$240 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $16.20 | $54 | 0.1× |
| Low frequency non-thermal us (97610) range across 3 matching MRF lines |
$22.20–$738.30 | $74–$2,461 | varies |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$8.10–$67.80 | $27–$226 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 3 matching MRF lines |
$31.80–$580.50 | $106–$1,935 | varies |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) | $251.10 | $837 | 0.3× |
| Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) | $503.40 | $1,678 | 0.5× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) | $179.70 | $599 | 0.8× |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) | $25.20 | $84 | 0.1× |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) | $110.40 | $368 | 0.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 5 matching MRF lines |
$19.50–$39.30 | $65–$131 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 7 matching MRF lines |
$19.50–$39.30 | $65–$131 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 5 matching MRF lines |
$11.40–$39.30 | $38–$131 | varies |
| Methacholine challenge (94070) range across 3 matching MRF lines |
$92.40–$383.70 | $308–$1,279 | varies |
| Microvolt T-Wave Assess (93025) range across 3 matching MRF lines |
$51.60–$428.40 | $172–$1,428 | varies |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$80.70–$363.60 | $269–$1,212 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 5 matching MRF lines |
$84.60–$158.70 | $282–$529 | varies |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $3 | $10 | 0.0× |
| Multifocal Electroretinography W/I&R (92274) | $38.10 | $127 | 0.3× |
| Multiple Family Group Psychotherapy (90849) range across 3 matching MRF lines |
$36.90–$60.90 | $123–$203 | varies |
| Multiple Sleep Latency Test (95805) range across 5 matching MRF lines |
$75.60–$1,248.60 | $252–$4,162 | varies |
| Muscle Test 2 Limbs (95861) range across 4 matching MRF lines |
$96.90–$209.10 | $323–$697 | varies |
| Muscle Test Hemidiaphragm (95866) | $78.60 | $262 | 0.6× |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$23.40–$94.20 | $78–$314 | varies |
| Muscle Test One Limb (95860) range across 3 matching MRF lines |
$60.90–$146.70 | $203–$489 | varies |
| Narcosynthesis (90865) | $178.80 | $596 | 0.9× |
| Nasal function studies (92512) | $34.80 | $116 | 0.2× |
| Nasopharyngoscopy (92511) range across 6 matching MRF lines |
$38.10–$189.90 | $127–$633 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 3 matching MRF lines |
$74.40–$195 | $248–$650 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 4 matching MRF lines |
$49.80–$159.30 | $166–$531 | varies |
| Needle electromyography larynx (95865) | $99.30 | $331 | 0.7× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $23.40 | $78 | 0.1× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) range across 3 matching MRF lines |
$176.10–$351 | $587–$1,170 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 6 matching MRF lines |
$25.50–$632.70 | $85–$2,109 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 4 matching MRF lines |
$76.80–$668.10 | $256–$2,227 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$34.80–$140.70 | $116–$469 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$37.80–$167.10 | $126–$557 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 3 matching MRF lines |
$63–$161.10 | $210–$537 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 3 matching MRF lines |
$188.70–$397.50 | $629–$1,325 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 3 matching MRF lines |
$224.40–$491.70 | $748–$1,639 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 3 matching MRF lines |
$78.60–$197.70 | $262–$659 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 3 matching MRF lines |
$94.50–$264.60 | $315–$882 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 3 matching MRF lines |
$126.30–$284.70 | $421–$949 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 3 matching MRF lines |
$157.50–$341.40 | $525–$1,138 | varies |
| Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$107.40–$117 | $358–$390 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 3 matching MRF lines |
$88.20–$111.90 | $294–$373 | varies |
| Neuromuscular Reeducation (97112) range across 8 matching MRF lines |
$11.70–$42 | $39–$140 | varies |
| Newborn resuscitation (99465) range across 7 matching MRF lines |
$184.50–$469.50 | $615–$1,565 | varies |
| Nitric oxide expired gas determination (95012) | $12.90 | $43 | 0.3× |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 3 matching MRF lines |
$30.60–$33.30 | $102–$111 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 3 matching MRF lines |
$45.30–$50.40 | $151–$168 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 3 matching MRF lines |
$14.70–$16.80 | $49–$56 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 5 matching MRF lines |
$54.60–$161.70 | $182–$539 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
$12.30–$162.90 | $41–$543 | varies |
| Ocular Vemp Testing W/I&R (92518) | $50.40 | $168 | 0.4× |
| Oculoelectromyography (92265) | $51 | $170 | 0.8× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $34.20 | $114 | 0.2× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $114.90 | $383 | 0.8× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $89.70 | $299 | 0.6× |
| Ophth medical xm&eval intermediate estab pt (92012) range across 2 matching MRF lines |
$57.90–$58.20 | $193–$194 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 2 matching MRF lines |
$55.50–$74.40 | $185–$248 | varies |
| Ophthalmodynamometry (92260) | $12.30 | $41 | 0.3× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $16.20 | $54 | 0.3× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $24.60 | $82 | 0.4× |
| Optokinetic Nystagmus Test (92544) | $16.20 | $54 | 0.1× |
| Oral Function Therapy (92526) range across 5 matching MRF lines |
$84.60–$145.80 | $282–$486 | varies |
| Oral Speech Device Eval (92597) range across 3 matching MRF lines |
$79.20–$124.20 | $264–$414 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 4 matching MRF lines |
$30.60–$64.50 | $102–$215 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$27.90–$64.50 | $93–$215 | varies |
| Oscillating Tracking Test (92545) | $14.70 | $49 | 0.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 5 matching MRF lines |
$14.10–$35.70 | $47–$119 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 3 matching MRF lines |
$22.80–$56.10 | $76–$187 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 3 matching MRF lines |
$26.10–$64.80 | $87–$216 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 3 matching MRF lines |
$33.60–$82.20 | $112–$274 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 3 matching MRF lines |
$37.80–$92.70 | $126–$309 | varies |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$12.90–$22.50 | $43–$75 | varies |
| Ot eval high complexity (97167) range across 3 matching MRF lines |
$75.60–$172.50 | $252–$575 | varies |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$75.60–$126 | $252–$420 | varies |
| Ot Eval Moderate Complexity (97166) range across 3 matching MRF lines |
$75.60–$150 | $252–$500 | varies |
| Ot manual therapy 15 min (97140) range across 8 matching MRF lines |
$8.70–$40.50 | $29–$135 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$3.90–$24.90 | $13–$83 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 3 matching MRF lines |
$27.90–$52.50 | $93–$175 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 3 matching MRF lines |
$47.40–$90 | $158–$300 | varies |
| Ot rom hand (95852) | $8.10 | $27 | 0.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 3 matching MRF lines |
$17.40–$152.40 | $58–$508 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 5 matching MRF lines |
$11.40–$87.60 | $38–$292 | varies |
| Oxygen Uptake Rest Indirect (94690) range across 2 matching MRF lines |
$4.50–$41.70 | $15–$139 | varies |
| Patient-initiated spirometric phys/qhp r&i only (94016) range across 2 matching MRF lines |
$33.30–$45 | $111–$150 | varies |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $33.30 | $111 | 0.1× |
| Pdt dstr prmlg les phys/qhp (96573) range across 2 matching MRF lines |
$30.60–$338.70 | $102–$1,129 | varies |
| Penile Vascular Study,Ltd or F/U (93981) range across 3 matching MRF lines |
$27.30–$102.90 | $91–$343 | varies |
| Percutaneous tests w/allergenic extracts (95004) range across 2 matching MRF lines |
$8.10 | $3–$27 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $48.60 | $162 | 0.8× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) range across 2 matching MRF lines |
$756–$10,319.10 | $2,520–$34,397 | varies |
| Perq transcath closure pda (93582) range across 3 matching MRF lines |
$790.80–$14,841.90 | $2,636–$49,473 | varies |
| Perq Transcath Cls Aortic (93591) range across 3 matching MRF lines |
$1,132.80–$15,469.20 | $3,776–$51,564 | varies |
| Perq Transcath Cls Mitral (93590) range across 3 matching MRF lines |
$1,132.80–$15,469.20 | $3,776–$51,564 | varies |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 2 matching MRF lines |
$621–$4,317 | $2,070–$14,390 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 4 matching MRF lines |
$775.50–$8,825.10 | $2,585–$29,417 | varies |
| Phlebotomy therapeutic (99195) | $115.20 | $384 | 0.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $126.60 | $422 | 2.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $111.60 | $372 | 1.8× |
| Physical Performance Test (97750) range across 6 matching MRF lines |
$27.90–$45 | $93–$150 | varies |
| Plethysmography (94726) range across 4 matching MRF lines |
$44.10–$276 | $147–$920 | varies |
| Pm device eval in person (93288) range across 9 matching MRF lines |
$20.70–$71.70 | $69–$239 | varies |
| Pm device progr eval dual (93280) range across 5 matching MRF lines |
$48.30–$143.10 | $161–$477 | varies |
| Pm device progr eval multi (93281) range across 5 matching MRF lines |
$53.70–$159.90 | $179–$533 | varies |
| Pm Device Progr Eval Sngl (93279) range across 5 matching MRF lines |
$33.30–$124.80 | $111–$416 | varies |
| Pm/Icd Remote Tech Serv (93296) | $74.10 | $247 | 1.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 13 matching MRF lines |
$141.30–$2,776.80 | $471–$9,256 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 5 matching MRF lines |
$164.10–$2,455.80 | $547–$8,186 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 5 matching MRF lines |
$164.10–$2,776.80 | $547–$9,256 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $109.50 | $365 | 0.1× |
| Positional nystagmus test (92542) | $30 | $100 | 0.2× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 2 matching MRF lines |
$3.90–$6 | $13–$20 | varies |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $3.90 | $13 | 0.1× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $3.90 | $13 | 0.1× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $3.90 | $13 | 0.1× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $3.90 | $13 | 0.1× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) | $68.10 | $227 | 0.1× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) | $42.60 | $142 | 0.3× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) | $27.90 | $93 | 0.2× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) | $27.90 | $93 | 0.7× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) range across 3 matching MRF lines |
$32.40–$121.20 | $108–$404 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 5 matching MRF lines |
$33.30–$159.90 | $111–$533 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $23.70 | $79 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $32.40 | $108 | 0.6× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $3.90 | $13 | 0.1× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $3.90 | $13 | 0.1× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) | $3.90 | $13 | 0.1× |
| Prq Card Angio/Athrect 1 Art (92924) range across 2 matching MRF lines |
$740.10–$8,226.60 | $2,467–$27,422 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 4 matching MRF lines |
$690.90–$8,825.10 | $2,303–$29,417 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 4 matching MRF lines |
$774.60–$11,180.70 | $2,582–$37,269 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 4 matching MRF lines |
$690–$8,825.10 | $2,300–$29,417 | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) likely a partial charge, not the full procedure |
$1,537.50 | $5,125 | 0.1× |
| Prq trl rvs ch occ ant&rtrgr (92945) range across 2 matching MRF lines |
$945–$7,306.80 | $3,150–$24,356 | varies |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$754.80 | $2,516 | 0.1× |
| Psych diag eval w/med srvcs (90792) range across 5 matching MRF lines |
$103.50–$261.30 | $345–$871 | varies |
| Psychiatric diagnostic evaluation (90791) range across 8 matching MRF lines |
$93.60–$219.60 | $312–$732 | varies |
| Psychoanalysis (90845) range across 2 matching MRF lines |
$121.80–$132 | $406–$440 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $161.70 | $539 | 0.7× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $34.50 | $115 | 0.2× |
| Psytx Crisis Initial 60 Min (90839) range across 3 matching MRF lines |
$178.80–$197.70 | $596–$659 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $39 | $130 | 1.0× |
| Pt Eval High Complex (97163) range across 4 matching MRF lines |
$75.60–$126 | $252–$420 | varies |
| Pt eval low complex 20 min (97161) range across 4 matching MRF lines |
$75.60–$122.40 | $252–$408 | varies |
| Pt Eval Mod Complex (97162) range across 4 matching MRF lines |
$75.60–$123.60 | $252–$412 | varies |
| Pt gait training 15 min (97116) range across 6 matching MRF lines |
$24.60–$38.70 | $82–$129 | varies |
| Pt mechanical traction (97012) range across 3 matching MRF lines |
$11.70–$34.80 | $39–$116 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 4 matching MRF lines |
$47.40–$85.50 | $158–$285 | varies |
| Pt ultraviolet (97028) | $4.80 | $16 | 0.6× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) range across 2 matching MRF lines |
$5.70–$13.20 | $19–$44 | varies |
| Pulm function test by gas (94727) range across 4 matching MRF lines |
$61.80–$200.70 | $206–$669 | varies |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$26.10–$168.30 | $87–$561 | varies |
| Pulmonary Stress Testing (94618) range across 6 matching MRF lines |
$27.90–$100.20 | $93–$334 | varies |
| Pure Tone Audiometry Air (92552) | $78 | $260 | 0.5× |
| R Hrt Art/Grft Angio (93457) range across 3 matching MRF lines |
$635.10–$9,962.40 | $2,117–$33,208 | varies |
| R hrt coronary artery angio (93456) range across 3 matching MRF lines |
$571.20–$9,263.70 | $1,904–$30,879 | varies |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) range across 2 matching MRF lines |
$694.20–$3,081.60 | $2,314–$10,272 | varies |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) range across 2 matching MRF lines |
$525.60–$2,716.80 | $1,752–$9,056 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 6 matching MRF lines |
$378.30–$8,284.20 | $1,261–$27,614 | varies |
| Rapid Desensitization Procedure Each Hour (95180) | $126.90 | $423 | 0.3× |
| Refill/Maint Portable Pump (96521) | $173.40 | $578 | 0.8× |
| Refill/Maint Pump/Resvr Syst (96522) | $141.30 | $471 | 0.6× |
| Rem interrog icpms <30 d phys/qhp (93297) range across 5 matching MRF lines |
$33.30–$105.90 | $111–$353 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 5 matching MRF lines |
$33.30–$105.90 | $111–$353 | varies |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $44.40 | $148 | 1.1× |
| Remote 30 Day Ecg Rev/Report (93270) | $49.20 | $164 | 1.2× |
| Remote 30 Day Ecg Tech Supp (93229) | $446.70 | $1,489 | 1.1× |
| Respiratory flow volume loop (94375) | $20.40 | $68 | 0.1× |
| Right Heart Cath (93451) range across 3 matching MRF lines |
$244.50–$5,344.80 | $815–$17,816 | varies |
| Right ventricular recording (93603) range across 3 matching MRF lines |
$133.80–$1,567.50 | $446–$5,225 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 5 matching MRF lines |
$121.20–$132 | $404–$440 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $10.50 | $35 | 0.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$116.40–$213.30 | $388–$711 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 3 matching MRF lines |
$44.10–$84 | $147–$280 | varies |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) | $79.20 | $264 | 0.6× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $154.50 | $515 | 0.4× |
| Same day nb discharge (99463) | $134.40 | $448 | 0.9× |
| Sbsq Psyc Collab Care Mgmt (99493) | $96.60 | $322 | 0.9× |
| Self Care Mngment Training (97535) range across 11 matching MRF lines |
$34.20–$62.70 | $114–$209 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $43.50 | $145 | 0.7× |
| Sensory Integration Ea 15 Min (97533) range across 3 matching MRF lines |
$27.30–$111.30 | $91–$371 | varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) range across 2 matching MRF lines |
$34.20–$560.70 | $114–$1,869 | varies |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$34.20–$560.70 | $114–$1,869 | varies |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $18.60 | $62 | 0.1× |
| Sleep study attended (95807) range across 3 matching MRF lines |
$80.70–$352.20 | $269–$1,174 | varies |
| Sleep study unattended (95806) range across 8 matching MRF lines |
$72.30–$1,007.70 | $241–$3,359 | varies |
| Slp caregiver training 1st 30 min (97550) range across 6 matching MRF lines |
$64.50–$104.40 | $215–$348 | varies |
| Slp Stdy Unatnd W/Anal (95801) | $63 | $210 | 1.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $66 | $220 | 0.3× |
| Somatosensory Testing (95938) range across 2 matching MRF lines |
$54–$560.70 | $180–$1,869 | varies |
| Speech Audiometry Complete (92556) | $71.70 | $239 | 1.1× |
| Speech audiometry threshold (92555) | $45 | $150 | 0.7× |
| Speech sound lang comprehen (92523) range across 5 matching MRF lines |
$188.70–$390.30 | $629–$1,301 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 3 matching MRF lines |
$48.60–$211.50 | $162–$705 | varies |
| Spirometry (94010) range across 11 matching MRF lines |
$35.40–$599.70 | $36–$1,999 | varies |
| Spontaneous Nystagmus Test (92541) | $24.60 | $82 | 0.2× |
| Ssep lower limbs (95926) range across 2 matching MRF lines |
$34.20–$560.70 | $114–$1,869 | varies |
| Standardized Cognitive Performance Testing (96125) range across 4 matching MRF lines |
$107.10–$212.10 | $357–$707 | varies |
| Stenger Test Speech (92577) | $346.80 | $1,156 | 0.9× |
| Stenger Test, Pure Tone (92565) | $23.70 | $79 | 0.4× |
| Stress Tte Only (93350) | $91.80 | $306 | 0.2× |
| Subcutaneous Infusion Each Additional Hour (96370) | $11.40 | $38 | 0.2× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $162.90 | $543 | 0.7× |
| Surfactant Admin Thru Tube (94610) range across 2 matching MRF lines |
$73.50–$147.60 | $245–$492 | varies |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $72.60 | $242 | 0.7× |
| Temp transcutaneous pacing (92953) | $19.20 | $64 | 0.0× |
| Temperature Gradient Studies (93740) | $10.50 | $35 | 0.1× |
| Tensilon Test (95857) | $33.60 | $112 | 0.1× |
| Test to assess hearing loss using different tone pitches (92575) | $23.70 | $79 | 0.6× |
| Testing Autonomic Nervous System Function (95923) | $56.40 | $188 | 0.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 6 matching MRF lines |
$31.80–$45.30 | $106–$151 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 6 matching MRF lines |
$30.60–$45.30 | $102–$151 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $27.30 | $91 | 0.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$6.30–$40.50 | $21–$135 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 3 matching MRF lines |
$94.50–$178.80 | $315–$596 | varies |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$10.80–$124.80 | $36–$416 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 12 matching MRF lines |
$23.10–$54 | $77–$180 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 8 matching MRF lines |
$63–$205.50 | $210–$685 | varies |
| Therapeutic Activities (97530) range across 10 matching MRF lines |
$10.80–$43.50 | $36–$145 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $119.10 | $397 | 0.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 5 matching MRF lines |
$28.80–$51.30 | $96–$171 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 5 matching MRF lines |
$13.80–$34.50 | $46–$115 | varies |
| Tone Decay Test (92563) | $23.70 | $79 | 0.6× |
| Trans Care Mgmt 14 Day Disch (99495) range across 4 matching MRF lines |
$80.40–$135.90 | $268–$453 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 4 matching MRF lines |
$116.10–$192.60 | $387–$642 | varies |
| Transcath Closure of Asd (93580) range across 5 matching MRF lines |
$1,132.80–$14,841.90 | $3,776–$49,473 | varies |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $72.60 | $242 | 0.7× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$31.80–$570.90 | $106–$1,903 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 3 matching MRF lines |
$21–$33.90 | $70–$113 | varies |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $56.40 | $188 | 0.4× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) range across 3 matching MRF lines |
$60.60–$144.90 | $202–$483 | varies |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$111.90–$1,053.30 | $373–$3,511 | varies |
| Tte W/O Doppler Complete (93307) | $78.90 | $263 | 0.3× |
| Tx atrial fib pulm vein isol (93656) range across 4 matching MRF lines |
$11,952.90–$27,483.90 | $4,151–$91,613 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 5 matching MRF lines |
$81.60–$131.40 | $272–$438 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 3 matching MRF lines |
$21.30–$47.40 | $71–$158 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 11 matching MRF lines |
$4.80–$143.10 | $16–$477 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$12.30–$23.70 | $41–$79 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 2 matching MRF lines |
$22.20–$99 | $74–$330 | varies |
| Unlis neurological/neuromuscular dx px (95999) range across 2 matching MRF lines |
$69.30–$70.50 | $231–$235 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 6 matching MRF lines |
$472.80–$14,841.90 | $1,576–$49,473 | varies |
| Unlisted Special Dermatological Service/Px (96999) range across 2 matching MRF lines |
$104.10–$159.30 | $347–$531 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 16 matching MRF lines |
$14.70–$422.40 | $49–$1,408 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 5 matching MRF lines |
$28.20–$676.20 | $94–$2,254 | varies |
| Valvuloplasty aortic valve (92986) range across 3 matching MRF lines |
$1,439.70–$4,776 | $4,799–$15,920 | varies |
| Valvuloplasty mitral valve (92987) range across 3 matching MRF lines |
$1,488.60–$9,691.80 | $4,962–$32,306 | varies |
| Valvuloplasty pulmonary valve (92990) range across 3 matching MRF lines |
$1,150.80–$9,691.80 | $3,836–$32,306 | varies |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$11.40–$33.90 | $38–$113 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $382.50 | $1,275 | 1.0× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$125.40–$1,243.50 | $418–$4,145 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$86.40–$1,174.50 | $288–$3,915 | varies |
| Visual Evoked Potential Test (95930) | $22.20 | $74 | 0.1× |
| Visual Field Exam Extended (92083) | $31.80 | $106 | 0.2× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $24.60 | $82 | 0.4× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $19.20 | $64 | 0.3× |
| Visual reinforcement audiometry (vra) (92579) range across 2 matching MRF lines |
$44.10–$99 | $147–$330 | varies |
| Vital capacity, total (94150) range across 4 matching MRF lines |
$50.10–$222 | $15–$740 | varies |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $267 | $890 | 0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 4 matching MRF lines |
$27.90–$64.50 | $93–$215 | varies |
| Whirlpool Therapy (97022) range across 3 matching MRF lines |
$10.80–$30 | $36–$100 | varies |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $31.20 | $104 | 0.5× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $3 | $10 | 0.1× |
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.