Visits & medical services prices at Covenant Health Fort Loudoun
Lenoir City, TN · every code in this section with a posted price and a Medicare benchmark.
285 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) likely a partial charge, not the full procedure |
$1,760 | $5,500 | 0.2× |
| Actigraphy Testing Recording Analysis I&R (95803) | $37.44 | $117 | 0.7× |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) | $19.52 | $61 | 0.1× |
| Adaptive behavior tx by protocol tech ea 15 min (97153) | $35.84 | $112 | 0.4× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $32.96 | $103 | 0.9× |
| Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines |
$39.68–$228.48 | $124–$714 | varies |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$64.96–$97.60 | $203–$305 | varies |
| Analyze neurostim no prog (95970) | $61.76 | $193 | 0.5× |
| Analyze Neurostim Simple (95971) | $61.76 | $193 | 0.7× |
| Analyze Pacemaker System (93724) | $144 | $450 | 0.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $10.88 | $34 | 0.8× |
| Application on-body injector (96377) | $32 | $100 | 0.8× |
| Arrhythmia Induction (93618) | $1,306.56 | $4,083 | 1.2× |
| Assessment of aphasia per hr (96105) | $58.24 | $182 | 0.6× |
| Behavior id assessment by phys/qhp ea 15 min (97151) | $19.52 | $61 | 0.2× |
| Behavior id support assmt by 1 tech ea 15 min (97152) | $35.84 | $112 | 0.4× |
| Behavral qualit analys voice (92524) | $58.24 | $182 | 0.5× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $50.88 | $159 | 0.6× |
| Bfb training ea addl 15 min (90913) | $50.88 | $159 | 1.6× |
| Blink reflex test (95933) range across 2 matching MRF lines |
$39.36–$99.52 | $123–$311 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$13.56–$159.36 | $42.38–$498 | varies |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$2,004.48 | $6,264 | 0.3× |
| C motor evoked uppr limbs (95928) range across 2 matching MRF lines |
$87.68–$488.32 | $274–$1,526 | varies |
| C motor evoked upr&lwr limbs (95939) range across 2 matching MRF lines |
$109.76–$488.32 | $343–$1,526 | varies |
| Canalith repositioning proc (95992) | $45.44 | $142 | 1.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $155.84 | $487 | 0.8× |
| Cardiopulmonary exercise testing (94621) | $315.20 | $985 | 0.9× |
| Cardiopulmonary resuscitation (92950) | $192.32 | $601 | 1.0× |
| Cardioversion (92960) range across 6 matching MRF lines |
$51.40–$314.24 | $160.64–$982 | varies |
| Cardioversion elective internal (92961) | $314.24 | $982 | 0.5× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $42.24 | $132 | 1.6× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $2,160.96 | $6,753 | 0.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $1,685.12 | $5,266 | 0.6× |
| Cbt 1st hour (94644) | $61.76 | $193 | 0.5× |
| Chemo Admin Peritoneal Cavity (96446) | $159.68 | $499 | 0.5× |
| Chemo Anti-Neopl Sq/Im (96401) | $46.72 | $146 | 0.7× |
| Chemo Hormon Antineopl Sq/Im (96402) | $46.72 | $146 | 0.7× |
| Chemo Ia Push (96420) | $159.68 | $499 | 0.5× |
| Chemo IV infusion addl hr (96415) | $34.24 | $107 | 0.5× |
| Chemo IV push addl drug (96411) | $47.68 | $149 | 0.7× |
| Chemother Prolong Infuse W/Pump (96416) | $159.68 | $499 | 0.5× |
| Chemotherapy Into Cns (96450) | $159.68 | $499 | 0.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $40.64 | $127 | 0.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $159.68 | $499 | 0.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $159.36 | $498 | 0.5× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $183.68 | $574 | 0.6× |
| Chest Wall Manipulation (94668) | $61.76 | $193 | 0.5× |
| Color/duplex Doppler, complete (93975) | $117.12 | $366 | 0.5× |
| Color/duplex Doppler, limited (93976) | $78.72 | $246 | 0.8× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $16 | $50 | 0.5× |
| Coronary Art/Grft Angio S&I (93455) | $1,802.88 | $5,634 | 0.6× |
| Coronary Artery Angio S&I (93454) | $1,361.28 | $4,254 | 0.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $277.12 | $866 | 1.4× |
| Cpt initial (94667) | $61.76 | $193 | 0.5× |
| Critical care first hour (99291) | $422.40 | $1,320 | 0.6× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) range across 2 matching MRF lines |
$91.20–$346.24 | $285–$1,082 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $95.36 | $298 | 0.5× |
| Developmental tst admin phys/qhp 1st hour (96112) | $71.68 | $224 | 0.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $116.16 | $363 | 0.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $278.08 | $869 | 1.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $139.52 | $436 | 1.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $241.92 | $756 | 1.1× |
| Dup-scan xtr veins unilateral/limited study (93971) | $139.52 | $436 | 1.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $279.04 | $872 | 1.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $139.52 | $436 | 1.5× |
| Duplex Scan Hemodialysis Access (93990) | $111.68 | $349 | 1.2× |
| Duplex up extrem art bilat (93930) | $265.92 | $831 | 1.2× |
| Duplex up extrem art unilat/ltd (93931) | $139.52 | $436 | 1.5× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$30.08–$399.68 | $94.01–$1,249 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$49.60–$251.20 | $155–$785 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $263.04 | $822 | 0.5× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$50.05–$264.32 | $156.40–$826 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 2 matching MRF lines |
$61.02–$263.04 | $190.70–$822 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 3 matching MRF lines |
$42.88–$430.40 | $134–$1,345 | varies |
| Eeg 41-60 Minutes (95812) | $224.32 | $701 | 1.1× |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$31.04–$217.28 | $97–$679 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$31.04–$192.32 | $97–$601 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$31.04–$254.72 | $97–$796 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $129.60 | $405 | 0.7× |
| EEG extended monitoring 61-119 minutes (95813) range across 3 matching MRF lines |
$31.04–$256.32 | $97–$801 | varies |
| Eeg Sleep Only (95822) | $215.36 | $673 | 1.1× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $280 | $875 | 1.4× |
| EEG wo vid ea 12-26hr unmntr (95708) | $280 | $875 | 0.8× |
| Electrical Stimulation Ea 15 Min (97032) | $16 | $50 | 1.1× |
| Electrocardiogram Tracing (93005) | $50.24 | $157 | 0.9× |
| Electroconvulsive Therapy (90870) range across 2 matching MRF lines |
$48.32–$254.72 | $151–$796 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) likely a partial charge, not the full procedure |
$2,004.48 | $6,264 | 0.3× |
| Electrophysiology Evaluation (93642) | $469.12 | $1,466 | 0.4× |
| Emergency Dept Visit Level 2 (99282) | $187.52 | $586 | 1.3× |
| Emergency Dept Visit Level 3 (99283) | $240 | $750 | 1.0× |
| Emergency Dept Visit Level 4 (99284) | $320 | $1,000 | 0.8× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$72.96–$204.48 | $228–$639 | varies |
| Emg 4 Extremities (95864) | $238.40 | $745 | 2.0× |
| Endomyocardial Biopsy (93505) | $945.28 | $2,954 | 0.3× |
| Ep & ablate supravent arrhyt (93653) likely a partial charge, not the full procedure |
$5,049.92 | $15,781 | 0.2× |
| Ep & ablate ventric tachy (93654) likely a partial charge, not the full procedure |
$5,049.92 | $15,781 | 0.2× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) likely a partial charge, not the full procedure |
$2,004.48 | $6,264 | 0.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) likely a partial charge, not the full procedure |
$1,833.92 | $5,731 | 0.3× |
| Ep Esophageal Recording Atria+Pacing (93616) | $320 | $1,000 | 0.3× |
| Er level 1 (99281) | $104 | $325 | 1.4× |
| Er level v (99285) | $366.08 | $1,144 | 0.7× |
| Ergonovine provocation test (93024) | $191.68 | $599 | 0.5× |
| Esoph Atrial Electrogram (93615) | $320 | $1,000 | 0.3× |
| Evaluate Speech Production (92522) | $58.24 | $182 | 0.5× |
| Evaluate Swallowing Function (92610) | $58.24 | $182 | 0.7× |
| Evaluation of speech fluency (92521) | $58.24 | $182 | 0.4× |
| External ECG rec>48hr<7d recording (93242) | $166.72 | $521 | 4.9× |
| External ECG rec>7d<15d recording (93246) | $166.72 | $521 | 4.9× |
| External Ecg Scanning Analysis Report (93226) | $111.04 | $347 | 2.1× |
| Extracranial Bilat Study (93880) | $196.80 | $615 | 0.9× |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$62.40–$124.80 | $195–$390 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$72.02–$263.04 | $225.06–$822 | varies |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) | $19.52 | $61 | 0.6× |
| Flexible endoscopic eval swallow c/v rec (92612) | $93.12 | $291 | 0.5× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $488.32 | $1,526 | 0.6× |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) | $11.52 | $36 | 0.3× |
| Group Therapeutic Procedures (97150) | $11.52 | $36 | 0.6× |
| Health Behavior Assessment/Re-Assessment (96156) | $64 | $200 | 0.7× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $30.40 | $95 | 0.9× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $16 | $50 | 0.5× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $56.32 | $176 | 0.3× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $2,404.80 | $7,515 | 0.8× |
| Holter monitor recording (93225) | $166.72 | $521 | 1.4× |
| Immunization administration (90471) | $34.24 | $107 | 0.5× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $254.72 | $796 | 0.8× |
| Insert/Place Heart Catheter (93503) | $273.92 | $856 | 0.2× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$2,004.48 | $6,264 | 0.3× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$2,004.48 | $6,264 | 0.3× |
| Intracranial Complete Study (93886) | $199.68 | $624 | 0.9× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$2,004.48 | $6,264 | 0.3× |
| Iontophoresis 15 min (97033) | $21.76 | $68 | 1.1× |
| Irrig Drug Delivery Device (96523) | $28.80 | $90 | 0.5× |
| IV infusion hydration each additional hour (96361) | $22.08 | $69 | 0.5× |
| IV infusion hydration initial 31 min-1 hour (96360) | $101.12 | $316 | 0.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $34.24 | $107 | 0.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $22.08 | $69 | 0.5× |
| IV push initial (96374) range across 5 matching MRF lines |
$100.16–$101.12 | $313–$316 | varies |
| L Hrt Art/Grft Angio (93459) | $1,928.96 | $6,028 | 0.7× |
| Lung Function Test (Mbc/Mvv) (94200) | $42.56 | $133 | 0.8× |
| Mechanical chest wall oscillation per session (94669) | $97.60 | $305 | 0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $13.76 | $43 | 0.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $13.76 | $43 | 0.4× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $15.04 | $47 | 0.9× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$19.52–$149.44 | $61–$467 | varies |
| Motion Fluoroscopy/Swallow (92611) | $96.32 | $301 | 1.1× |
| Multiple Family Group Psychotherapy (90849) range across 2 matching MRF lines |
$35.20–$65.60 | $110–$205 | varies |
| Multiple Sleep Latency Test (95805) | $583.68 | $1,824 | 0.7× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$61.44–$134.72 | $192–$421 | varies |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$47.04–$61.76 | $147–$193 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$47.04–$101.12 | $147–$316 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$101.44–$149.44 | $317–$467 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$61.76–$149.44 | $193–$467 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$61.44–$149.44 | $192–$467 | varies |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) range across 2 matching MRF lines |
$108.16–$125.44 | $338–$392 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $191.68 | $599 | 0.5× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $191.68 | $599 | 0.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $95.36 | $298 | 0.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $191.68 | $599 | 0.5× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$45.12–$75.20 | $141–$235 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$471.68–$500.80 | $1,474–$1,565 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$565.12–$722.56 | $1,766–$2,258 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$149.44–$153.60 | $467–$480 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$198.40–$236.48 | $620–$739 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$291.84–$340.80 | $912–$1,065 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$372.16–$459.20 | $1,163–$1,435 | varies |
| Neurobehavioral Status Exam (96116) | $71.68 | $224 | 0.4× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 3 matching MRF lines |
$31.68–$85.44 | $99–$267 | varies |
| Neuromuscular Reeducation (97112) | $16 | $50 | 0.5× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $71.68 | $224 | 0.2× |
| Oral Function Therapy (92526) | $61.76 | $193 | 0.7× |
| Oral Speech Device Eval (92597) | $58.24 | $182 | 0.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $21.76 | $68 | 0.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $16 | $50 | 0.3× |
| Ot Contrast Bath Ea 15 Min (97034) | $10.88 | $34 | 0.8× |
| Ot eval high complexity (97167) | $58.24 | $182 | 0.6× |
| Ot Eval Low Complex (97165) | $58.24 | $182 | 0.6× |
| Ot Eval Moderate Complexity (97166) | $58.24 | $182 | 0.6× |
| Ot manual therapy 15 min (97140) | $16 | $50 | 0.6× |
| Ot paraffin bath (97018) | $11.52 | $36 | 1.9× |
| Ot Prosthetic Training, Each 15 Min (97761) | $16 | $50 | 0.4× |
| Ot Re-Eval Est Plan Care (97168) | $24.96 | $78 | 0.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $84.80 | $265 | 0.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $84.80 | $265 | 0.7× |
| Penile Vascular Study,Ltd or F/U (93981) | $70.08 | $219 | 0.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $97.60 | $305 | 0.5× |
| Perq Transcath Cls Aortic (93591) unusually low: confirm this is the full procedure |
$6,820.16 | $21,313 | 0.4× |
| Perq Transcath Cls Mitral (93590) unusually low: confirm this is the full procedure |
$6,820.16 | $21,313 | 0.4× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) unusually low: confirm this is the full procedure |
$1,822.72 | $5,696 | 0.4× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) likely a partial charge, not the full procedure |
$2,768.64 | $8,652 | 0.3× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$64–$74.56 | $200–$233 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $38.72 | $121 | 0.7× |
| Physical Performance Test (97750) | $20.16 | $63 | 0.6× |
| Plethysmography (94726) range across 2 matching MRF lines |
$17.57–$149.44 | $54.92–$467 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $1,083.52 | $3,386 | 1.4× |
| Prq Card Angio/Athrect 1 Art (92924) unusually low: confirm this is the full procedure |
$3,475.52 | $10,861 | 0.3× |
| Prq Card Stent W/Angio 1 Vsl (92928) likely a partial charge, not the full procedure |
$2,768.64 | $8,652 | 0.3× |
| Prq Card Stent/Ath/Angio (92933) unusually low: confirm this is the full procedure |
$5,918.72 | $18,496 | 0.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) likely a partial charge, not the full procedure |
$2,768.64 | $8,652 | 0.3× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) unusually low: confirm this is the full procedure |
$5,918.72 | $18,496 | 0.4× |
| Psych diag eval w/med srvcs (90792) range across 7 matching MRF lines |
$96–$105.60 | $300–$330 | varies |
| Psychiatric diagnostic evaluation (90791) range across 9 matching MRF lines |
$80–$88 | $250–$275 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $71.68 | $224 | 0.4× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $19.52 | $61 | 0.7× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $35.84 | $112 | 0.3× |
| Psytx Crisis Initial 60 Min (90839) range across 3 matching MRF lines |
$64–$70.40 | $200–$220 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $13.76 | $43 | 0.4× |
| Pt Eval High Complex (97163) | $58.24 | $182 | 0.6× |
| Pt eval low complex 20 min (97161) | $58.24 | $182 | 0.6× |
| Pt Eval Mod Complex (97162) | $58.24 | $182 | 0.6× |
| Pt gait training 15 min (97116) | $16 | $50 | 0.6× |
| Pt group caregiver training (97552) | $83.52 | $261 | 3.8× |
| Pt mechanical traction (97012) | $11.52 | $36 | 0.8× |
| Pt Re-Eval Est Plan Care (97164) | $24.96 | $78 | 0.4× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$8.79–$75.20 | $27.46–$235 | varies |
| Pulmonary service/procedure (94799) range across 5 matching MRF lines |
$9.60–$75.20 | $30–$235 | varies |
| Pulmonary Stress Testing (94618) | $70.08 | $219 | 0.6× |
| R Hrt Art/Grft Angio (93457) | $2,556.80 | $7,990 | 0.9× |
| R hrt coronary artery angio (93456) | $2,312.96 | $7,228 | 0.8× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $3,353.28 | $10,479 | 1.1× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $3,353.28 | $10,479 | 1.1× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $1,751.68 | $5,474 | 0.6× |
| Refill/Maint Portable Pump (96521) | $101.12 | $316 | 0.5× |
| Remote 30 Day Ecg Rev/Report (93270) | $46.40 | $145 | 1.4× |
| Right Heart Cath (93451) | $1,263.68 | $3,949 | 0.4× |
| Right ventricular recording (93603) | $283.84 | $887 | 0.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $95.36 | $298 | 0.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $90.88 | $284 | 0.7× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $45.44 | $142 | 1.0× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $254.72 | $796 | 0.8× |
| Self Care Mngment Training (97535) | $16 | $50 | 0.5× |
| Sensory Integration Ea 15 Min (97533) | $16 | $50 | 0.3× |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$87.68–$360.32 | $274–$1,126 | varies |
| Sleep study attended (95807) | $361.92 | $1,131 | 1.1× |
| Slp caregiver training 1st 30 min (97550) | $83.52 | $261 | 1.6× |
| Somatosensory Testing (95938) range across 2 matching MRF lines |
$178.88–$721.92 | $559–$2,256 | varies |
| Speech sound lang comprehen (92523) | $58.24 | $182 | 0.3× |
| Spirometry (94010) range across 2 matching MRF lines |
$11.52–$82.24 | $36–$257 | varies |
| Ssep lower limbs (95926) range across 2 matching MRF lines |
$91.20–$361.60 | $285–$1,130 | varies |
| Standardized Cognitive Performance Testing (96125) | $43.20 | $135 | 0.4× |
| Stress Tte Only (93350) | $28.65 | $89.54 | 0.1× |
| Subcutaneous Infusion Each Additional Hour (96370) | $22.08 | $69 | 0.5× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $101.12 | $316 | 0.5× |
| Subq Infusion Additional Pump Infusion Site (96371) | $34.24 | $107 | 0.5× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $91.84 | $287 | 1.0× |
| Temp transcutaneous pacing (92953) | $314.24 | $982 | 0.5× |
| Tensilon Test (95857) | $149.44 | $467 | 0.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $16 | $50 | 0.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $16 | $50 | 0.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $16 | $50 | 0.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $10.88 | $34 | 0.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $53.44 | $167 | 0.5× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $32 | $100 | 0.8× |
| Ther/Proph/Diag Inj Ia (96373) | $101.12 | $316 | 0.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$28.16–$34.24 | $88–$107 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $101.12 | $316 | 0.5× |
| Therapeutic Activities (97530) | $16 | $50 | 0.5× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 3 matching MRF lines |
$44.35–$421.76 | $138.59–$1,318 | varies |
| Transcath Closure of Asd (93580) unusually low: confirm this is the full procedure |
$5,918.72 | $18,496 | 0.4× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $91.84 | $287 | 1.0× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $161.92 | $506 | 1.7× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$76.80–$399.68 | $240–$1,249 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$49.60–$251.20 | $155–$785 | varies |
| Tx atrial fib pulm vein isol (93656) likely a partial charge, not the full procedure |
$5,049.92 | $15,781 | 0.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $53.44 | $167 | 0.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $26.88 | $84 | 1.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $24 | $75 | 0.6× |
| Unlis neurological/neuromuscular dx px (95999) range across 2 matching MRF lines |
$280–$331.20 | $875–$1,035 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 10 matching MRF lines |
$9.60–$1,345.92 | $30–$4,206 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $84.80 | $265 | 0.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $150.72 | $471 | 0.8× |
| Valvuloplasty aortic valve (92986) | $3,127.04 | $9,772 | 0.6× |
| Valvuloplasty mitral valve (92987) likely a partial charge, not the full procedure |
$3,127.04 | $9,772 | 0.3× |
| Valvuloplasty pulmonary valve (92990) likely a partial charge, not the full procedure |
$3,127.04 | $9,772 | 0.3× |
| Vasopneumatic device (97016) | $11.52 | $36 | 1.0× |
| Veeg 2-12 hr intmt mntr (95712) | $149.44 | $467 | 0.4× |
| Veeg 2-12 hr unmonitored (95711) | $348.48 | $1,089 | 1.8× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $254.72 | $796 | 0.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $348.48 | $1,089 | 1.0× |
| Vent Mgmt Inpat Init Day (94002) | $366.40 | $1,145 | 0.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $332.80 | $1,040 | 0.6× |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$87.68–$228.48 | $274–$714 | varies |
| Vital capacity, total (94150) | $75.20 | $235 | 0.6× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $488.32 | $1,526 | 0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $16 | $50 | 0.5× |
| Whirlpool Therapy (97022) | $27.52 | $86 | 1.8× |
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.