Visits & medical services prices at Corewell Health Grand Rapids Hospitals Butterworth
Grand Rapids, MI · every code in this section with a posted price and a Medicare benchmark.
318 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) | $4,791 | $4,791 | 0.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $80 | $80 | 2.0× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $476 | $476 | 2.2× |
| Aep neurodiagnostic i&r (92653) | $648 | $648 | 3.0× |
| Aep threshold estimation mlt frequencies i&r (92652) | $735 | $735 | 3.4× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$367–$376 | $367–$376 | varies |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) range across 2 matching MRF lines |
$560–$569 | $560–$569 | varies |
| Analyze neurostim no prog (95970) | $380 | $380 | 2.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $77 | $77 | 5.4× |
| Application on-body injector (96377) | $198 | $198 | 4.2× |
| Arrhythmia Induction (93618) | $2,242 | $2,242 | 1.8× |
| Assessment of aphasia per hr (96105) | $420 | $420 | 4.3× |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$339–$417 | $339–$417 | varies |
| Basic vestibular evaluation (92540) | $815 | $815 | 3.8× |
| Behavral qualit analys voice (92524) | $133 | $133 | 1.2× |
| Bis Xtracell Fluid Analysis (93702) | $235 | $235 | 1.8× |
| Breath hydrogen/methane test (91065) | $462 | $462 | 2.1× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$76–$88 | $76–$88 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $343 | $343 | 0.9× |
| C motor evoked uppr limbs (95928) | $1,927 | $1,927 | 2.3× |
| C motor evoked upr&lwr limbs (95939) | $2,040 | $2,040 | 2.4× |
| Caloric vestibular test w/rec bi monothermal (92538) range across 2 matching MRF lines |
$825–$917 | $825–$917 | varies |
| Caloric Vstblr Test W/Rec (92537) range across 2 matching MRF lines |
$825–$917 | $825–$917 | varies |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$130–$145 | $130–$145 | varies |
| Car seat/bed test 60 min (94780) | $161 | $161 | 4.3× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$912–$935 | $912–$935 | varies |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$680–$1,216 | $680–$1,216 | varies |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$308–$352 | $308–$352 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$879–$1,006 | $879–$1,006 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $62 | $62 | 1.7× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $63 | $63 | 2.4× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $9,601 | $9,601 | 3.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $8,684 | $8,684 | 2.7× |
| Cbt 1st hour (94644) | $217 | $217 | 1.6× |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $860 | $860 | 4.0× |
| Cervical Vemp Testing W/I&R (92517) | $678 | $678 | 5.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $289 | $289 | 4.0× |
| Chemo Hormon Antineopl Sq/Im (96402) | $278 | $278 | 3.9× |
| Chemo Ia Push (96420) | $728 | $728 | 2.2× |
| Chemo IV infusion addl hr (96415) | $216 | $216 | 3.0× |
| Chemo IV push addl drug (96411) | $254 | $254 | 3.5× |
| Chemotherapy Into Cns (96450) range across 3 matching MRF lines |
$700–$980 | $700–$980 | varies |
| Chemotherapy Unspecified (96549) | $248 | $248 | 5.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $353 | $353 | 4.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $526 | $526 | 1.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $319 | $319 | 1.0× |
| Chest Wall Manipulation (94668) | $114 | $114 | 0.9× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$800–$1,121 | $800–$1,121 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$611–$936 | $611–$936 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $69 | $69 | 2.2× |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$303–$466 | $303–$466 | varies |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$459–$466 | $459–$466 | varies |
| Continuous Pulse Ox (94762) | $327 | $327 | 2.6× |
| Coronary Art/Grft Angio S&I (93455) | $5,234 | $5,234 | 1.6× |
| Coronary Artery Angio S&I (93454) | $4,551 | $4,551 | 1.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $432 | $432 | 2.0× |
| Cpt initial (94667) | $114 | $114 | 0.9× |
| Critical care first hour (99291) | $4,094 | $4,094 | 5.0× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$184–$213 | $184–$213 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) range across 2 matching MRF lines |
$470–$477 | $470–$477 | varies |
| Dialysis One Evaluation (90945) | $310 | $310 | 0.7× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$800–$1,099 | $800–$1,099 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$754–$1,267 | $754–$1,267 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$693–$945 | $693–$945 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$668–$956 | $668–$956 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$800–$1,134 | $800–$1,134 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$611–$940 | $611–$940 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $508 | $508 | 2.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $227 | $227 | 2.2× |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$273–$288 | $273–$288 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$688–$769 | $688–$769 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$570–$702 | $570–$702 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 2 matching MRF lines |
$430–$477 | $430–$477 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) range across 2 matching MRF lines |
$535–$542 | $535–$542 | varies |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$1,178–$1,196 | $1,178–$1,196 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$440–$611 | $440–$611 | varies |
| Echo transesophageal (93312) | $1,192 | $1,192 | 2.2× |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 2 matching MRF lines |
$1,161–$1,162 | $1,161–$1,162 | varies |
| Eeg 41-60 Minutes (95812) | $798 | $798 | 3.7× |
| EEG awake and asleep (95819) | $665 | $665 | 3.1× |
| EEG awake drowsy (95816) | $665 | $665 | 3.1× |
| EEG cont rec w/video by tech min 8 channels (95700) range across 2 matching MRF lines |
$741–$988 | $741–$988 | varies |
| EEG extended monitoring 61-119 minutes (95813) | $958 | $958 | 4.5× |
| Eeg Sleep Only (95822) | $1,002 | $1,002 | 4.7× |
| EEG w/o vid 2-12hr cont mntr (95707) range across 2 matching MRF lines |
$741–$988 | $741–$988 | varies |
| EEG w/o vid ea 12-26hr intmt (95709) range across 2 matching MRF lines |
$1,420–$1,894 | $1,420–$1,894 | varies |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) range across 2 matching MRF lines |
$741–$988 | $741–$988 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $154 | $154 | 1.6× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $54 | $54 | 1.5× |
| Electrical Stimulation Ea 15 Min (97032) | $67 | $67 | 4.6× |
| Electrocardiogram Tracing (93005) | $160 | $160 | 2.7× |
| Electrocochleography (92584) | $393 | $393 | 3.1× |
| Electrophysiology Evaluation (93642) | $2,063 | $2,063 | 1.7× |
| Emergency Dept Visit Level 2 (99282) | $514 | $514 | 3.4× |
| Emergency Dept Visit Level 3 (99283) | $682 | $682 | 2.5× |
| Emergency Dept Visit Level 4 (99284) | $1,325 | $1,325 | 3.2× |
| Emg 4 Extremities (95864) | $477 | $477 | 3.7× |
| Endomyocardial Biopsy (93505) | $2,290 | $2,290 | 0.7× |
| Ep & ablate supravent arrhyt (93653) | $27,433 | $27,433 | 1.1× |
| Ep & ablate ventric tachy (93654) | $22,290 | $22,290 | 0.9× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $14,102 | $14,102 | 1.8× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $10,211 | $10,211 | 1.3× |
| Er level 1 (99281) | $140 | $140 | 1.7× |
| Er level v (99285) | $1,815 | $1,815 | 3.1× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,300 | $1,300 | 3.5× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $253 | $253 | 2.0× |
| Evaluate Speech Production (92522) | $140 | $140 | 1.3× |
| Evaluate Swallowing Function (92610) | $333 | $333 | 3.9× |
| Evaluation of speech fluency (92521) | $157 | $157 | 1.2× |
| Evoked Auditory Test,Limited (92587) | $314 | $314 | 1.5× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$201–$230 | $201–$230 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$252–$288 | $252–$288 | varies |
| External Ecg Scanning Analysis Report (93226) | $304 | $304 | 5.2× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$292–$373 | $292–$373 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$302–$370 | $302–$370 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) | $497 | $497 | 0.9× |
| Flexible endoscopic eval swallow c/v rec (92612) | $528 | $528 | 2.6× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $714 | $714 | 1.9× |
| Group Therapeutic Procedures (97150) | $70 | $70 | 3.9× |
| Health Behavior Assessment/Re-Assessment (96156) | $125 | $125 | 1.2× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $130 | $130 | 0.7× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $10,285 | $10,285 | 3.2× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $939 | $939 | 1.4× |
| Holter monitor recording (93225) | $304 | $304 | 2.3× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$95–$105 | $95–$105 | varies |
| Icd device progr eval dual (93283) | $124 | $124 | 3.3× |
| Icd Device Progr Eval Mult (93284) | $124 | $124 | 3.3× |
| Icm Device Eval (93290) | $130 | $130 | 3.5× |
| Ilr Device Interrogate (93291) | $89 | $89 | 3.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$23.03–$66 | $23.03–$66 | varies |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $42 | $42 | 1.1× |
| Immunization administration (90471) range across 12 matching MRF lines |
$23.03–$83 | $23.03–$83 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $666 | $666 | 1.8× |
| Insert/Place Heart Catheter (93503) | $1,869 | $1,869 | 1.2× |
| Interrogate Subq Defib (93261) range across 2 matching MRF lines |
$88–$89 | $88–$89 | varies |
| Interrogation vad in person (93750) | $443 | $443 | 4.7× |
| Intracranial Complete Study (93886) | $377 | $377 | 1.6× |
| Intraventricular pacing (93612) | $10,461 | $10,461 | 1.3× |
| Iontophoresis 15 min (97033) | $139 | $139 | 7.3× |
| Irrig Drug Delivery Device (96523) | $93 | $93 | 1.6× |
| IV infusion hydration each additional hour (96361) | $86 | $86 | 1.8× |
| IV infusion hydration initial 31 min-1 hour (96360) | $261 | $261 | 1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$236–$254 | $236–$254 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$164–$178 | $164–$178 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$260–$266 | $260–$266 | varies |
| L Hrt Art/Grft Angio (93459) | $9,369 | $9,369 | 2.9× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $8,860 | $8,860 | 2.7× |
| Low frequency non-thermal us (97610) | $578 | $578 | 2.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$296–$329 | $296–$329 | varies |
| Mechanical chest wall oscillation per session (94669) | $192 | $192 | 0.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$41–$45 | $41–$45 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$41–$45 | $41–$45 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$37–$40 | $37–$40 | varies |
| Methacholine challenge (94070) | $393 | $393 | 1.1× |
| Motion Fluoroscopy/Swallow (92611) | $438 | $438 | 4.8× |
| Multiple Sleep Latency Test (95805) | $5,143 | $5,143 | 6.0× |
| Muscle Test 2 Limbs (95861) | $390 | $390 | 2.9× |
| Muscle Test Nonparaspinal (95870) | $259 | $259 | 2.0× |
| Muscle Test One Limb (95860) | $259 | $259 | 2.0× |
| Nasal function studies (92512) | $325 | $325 | 1.5× |
| Nasopharyngoscopy (92511) | $212 | $212 | 1.1× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $921 | $921 | 4.3× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $701 | $701 | 3.3× |
| Needle electromyography larynx (95865) | $310 | $310 | 2.3× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $701 | $701 | 3.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$351–$402 | $351–$402 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$439–$477 | $439–$477 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$266–$452 | $266–$452 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$404–$714 | $404–$714 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $489 | $489 | 2.3× |
| Nerve Conduction Studies 3-4 Studies (95908) | $908 | $908 | 4.2× |
| Nerve conduction studies 5-6 studies (95909) | $908 | $908 | 4.2× |
| Nerve conduction studies 7-8 studies (95910) | $908 | $908 | 2.4× |
| Neurobehavioral Status Exam (96116) | $906 | $906 | 4.2× |
| Neuromuscular Reeducation (97112) | $75 | $75 | 2.3× |
| Newborn resuscitation (99465) | $1,052 | $1,052 | 1.6× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $73 | $73 | 2.9× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $109 | $109 | 3.1× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $36 | $36 | 2.6× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $1,529 | $1,529 | 4.1× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $323 | $323 | 0.9× |
| Oculoelectromyography (92265) | $157 | $157 | 2.7× |
| Optokinetic Nystagmus Test (92544) | $258 | $258 | 2.0× |
| Oral Function Therapy (92526) | $214 | $214 | 2.5× |
| Oral Speech Device Eval (92597) | $292 | $292 | 4.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $57 | $57 | 1.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $83 | $83 | 1.8× |
| Oscillating Tracking Test (92545) | $371 | $371 | 1.7× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $58 | $58 | 2.7× |
| Ot eval high complexity (97167) | $242 | $242 | 2.4× |
| Ot Eval Low Complex (97165) | $226 | $226 | 2.2× |
| Ot Eval Moderate Complexity (97166) | $230 | $230 | 2.3× |
| Ot manual therapy 15 min (97140) | $75 | $75 | 2.7× |
| Ot paraffin bath (97018) | $14 | $14 | 2.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $70 | $70 | 1.7× |
| Ot Re-Eval Est Plan Care (97168) | $150 | $150 | 2.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $265 | $265 | 2.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $265 | $265 | 2.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $290 | $290 | 1.3× |
| Peripheral arterial disease rehab per session (93668) | $160 | $160 | 2.7× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $54,797 | $54,797 | 3.0× |
| Perq Transcath Cls Mitral (93590) | $41,990 | $41,990 | 2.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $5,795 | $5,795 | 1.0× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $10,571 | $10,571 | 0.9× |
| Phlebotomy therapeutic (99195) | $295 | $295 | 2.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $231 | $231 | 3.9× |
| Physical Performance Test (97750) | $79 | $79 | 2.3× |
| Plethysmography (94726) | $374 | $374 | 1.0× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$84–$92 | $84–$92 | varies |
| Pm device progr eval dual (93280) | $124 | $124 | 3.3× |
| Pm device progr eval multi (93281) | $124 | $124 | 3.3× |
| Pm Device Progr Eval Sngl (93279) | $124 | $124 | 3.3× |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$122–$170 | $122–$170 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$3,555–$4,096 | $3,555–$4,096 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$5,862–$7,816 | $5,862–$7,816 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$6,528–$8,704 | $6,528–$8,704 | varies |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) range across 2 matching MRF lines |
$104–$115 | $104–$115 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $124 | $124 | 3.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $106 | $106 | 2.3× |
| Prq Card Angio/Athrect 1 Art (92924) | $8,087 | $8,087 | 0.7× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $10,571 | $10,571 | 0.9× |
| Prq Card Stent/Ath/Angio (92933) | $12,931 | $12,931 | 0.7× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $10,571 | $10,571 | 0.9× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $25,891 | $25,891 | 1.4× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $34,508 | $34,508 | 3.0× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $8,087 | $8,087 | 0.7× |
| Psychiatric diagnostic evaluation (90791) | $224 | $224 | 1.3× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $96 | $96 | 3.3× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $330 | $330 | 0.7× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $367 | $367 | 2.8× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $126 | $126 | 3.3× |
| Pt Eval High Complex (97163) | $195 | $195 | 2.0× |
| Pt eval low complex 20 min (97161) | $182 | $182 | 1.9× |
| Pt Eval Mod Complex (97162) | $191 | $191 | 2.0× |
| Pt gait training 15 min (97116) | $72 | $72 | 2.5× |
| Pt group caregiver training (97552) | $53 | $53 | 2.4× |
| Pt mechanical traction (97012) | $128 | $128 | 8.9× |
| Pt Re-Eval Est Plan Care (97164) | $115 | $115 | 1.7× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $62 | $62 | 1.7× |
| Pulm function test by gas (94727) | $474 | $474 | 2.2× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$172–$2,146 | $172–$2,146 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$478–$530 | $478–$530 | varies |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$143–$175 | $143–$175 | varies |
| R Hrt Art/Grft Angio (93457) | $9,606 | $9,606 | 3.0× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $2,754 | $2,754 | 0.9× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $2,777 | $2,777 | 0.9× |
| R hrt coronary artery angio (93456) | $10,699 | $10,699 | 3.3× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $4,166 | $4,166 | 1.3× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $4,166 | $4,166 | 1.3× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $7,851 | $7,851 | 2.4× |
| Rem interrog icpms <30 d phys/qhp (93297) | $64 | $64 | 1.7× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $64 | $64 | 1.7× |
| Rem Mntr Wrls P-Art Prs Snr (93264) range across 2 matching MRF lines |
$64–$203 | $64–$203 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $138 | $138 | 3.7× |
| Right Heart Cath (93451) | $7,935 | $7,935 | 2.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$211–$214 | $211–$214 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $618 | $618 | 5.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $323 | $323 | 6.8× |
| Self Care Mngment Training (97535) | $97 | $97 | 3.0× |
| Sensory Integration Ea 15 Min (97533) | $134 | $134 | 2.2× |
| Short-latency somatosens ep std upr limbs (95925) | $733 | $733 | 3.4× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $598 | $598 | 4.7× |
| Sleep study attended (95807) | $1,463 | $1,463 | 3.9× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$564–$627 | $564–$627 | varies |
| Slp caregiver training 1st 30 min (97550) | $129 | $129 | 2.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $237 | $237 | 1.1× |
| Somatosensory Testing (95938) | $1,082 | $1,082 | 1.3× |
| Speech Audiometry Complete (92556) range across 2 matching MRF lines |
$202–$249 | $202–$249 | varies |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$129–$159 | $129–$159 | varies |
| Speech sound lang comprehen (92523) | $299 | $299 | 1.3× |
| Spirometry (94010) | $170 | $170 | 0.8× |
| Spontaneous Nystagmus Test (92541) range across 2 matching MRF lines |
$202–$224 | $202–$224 | varies |
| Standardized Cognitive Performance Testing (96125) | $234 | $234 | 2.3× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$836–$850 | $836–$850 | varies |
| Surfactant Admin Thru Tube (94610) | $634 | $634 | 2.9× |
| Temp transcutaneous pacing (92953) | $667 | $667 | 1.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $52 | $52 | 2.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $51 | $51 | 2.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $72 | $72 | 1.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $50 | $50 | 1.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $222 | $222 | 2.2× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $347 | $347 | 7.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$107–$160 | $107–$160 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$384–$561 | $384–$561 | varies |
| Therapeutic Activities (97530) | $73 | $73 | 2.1× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $688 | $688 | 1.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $83 | $83 | 2.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $41 | $41 | 1.1× |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$361–$438 | $361–$438 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$361–$438 | $361–$438 | varies |
| Transcath Closure of Asd (93580) | $13,515 | $13,515 | 0.7× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $274 | $274 | 2.6× |
| Tte w/doppler, complete (93306) | $1,169 | $1,169 | 2.1× |
| Tx atrial fib pulm vein isol (93656) | $37,856 | $37,856 | 1.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $213 | $213 | 2.8× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $58 | $58 | 2.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $213 | $213 | 4.6× |
| Tympanometry (92567) range across 2 matching MRF lines |
$114–$175 | $114–$175 | varies |
| Tympanometry and reflex threshold measurements (92550) | $170 | $170 | 0.8× |
| Unlisted cardiovascular service/procedure (93799) range across 10 matching MRF lines |
$235–$18,333 | $235–$18,333 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$246–$297 | $246–$297 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$283–$342 | $283–$342 | varies |
| Valvuloplasty aortic valve (92986) | $8,060 | $8,060 | 1.4× |
| Valvuloplasty mitral valve (92987) | $10,381 | $10,381 | 0.9× |
| Valvuloplasty pulmonary valve (92990) | $8,087 | $8,087 | 0.7× |
| Vasopneumatic device (97016) | $54 | $54 | 4.5× |
| Veeg 2-12 Hr Cont Mntr (95713) range across 2 matching MRF lines |
$1,420–$1,894 | $1,420–$1,894 | varies |
| Veeg 2-12 hr intmt mntr (95712) range across 2 matching MRF lines |
$741–$988 | $741–$988 | varies |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) range across 2 matching MRF lines |
$1,420–$1,894 | $1,420–$1,894 | varies |
| Veeg Ea 12-26 Hr Unmntr (95714) range across 2 matching MRF lines |
$1,137–$1,516 | $1,137–$1,516 | varies |
| Veeg ea 12-26hr cont mntr (95716) range across 2 matching MRF lines |
$2,660–$3,547 | $2,660–$3,547 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$1,039–$1,194 | $1,039–$1,194 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$1,039–$1,194 | $1,039–$1,194 | varies |
| Visual reinforcement audiometry (vra) (92579) range across 2 matching MRF lines |
$459–$466 | $459–$466 | varies |
| Vital capacity, total (94150) | $170 | $170 | 1.3× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $2,093 | $2,093 | 2.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $65 | $65 | 2.1× |
| Whirlpool Therapy (97022) | $73 | $73 | 4.6× |
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.