Visits & medical services prices at Dayton Children's Hospital
Dayton, OH · every code in this section with a posted price and a Medicare benchmark.
355 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $362.60 | $518 | 2.9× |
| Acoustic Reflex Testing (92568) | $67.90 | $97 | 1.9× |
| Actigraphy Testing Recording Analysis I&R (95803) | $182.70 | $261 | 3.2× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $37.80 | $54 | 0.9× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $168.70 | $241 | 0.8× |
| Aep neurodiagnostic i&r (92653) | $763.70 | $1,091 | 3.6× |
| Aep threshold estimation mlt frequencies i&r (92652) range across 2 matching MRF lines |
$890.40–$952.70 | $1,272–$1,361 | varies |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$57.81–$293.30 | $82.58–$419 | varies |
| Airway resistance by oscillometry (94728) | $109.90 | $157 | 0.9× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $57.40 | $82 | 1.6× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $39.20 | $56 | 1.4× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $233.10 | $333 | 1.8× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $116.90 | $167 | 0.9× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $351.40 | $502 | 2.8× |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) | $228.90 | $327 | 1.8× |
| Analyze neurostim complex (95972) | $51.80 | $74 | 0.6× |
| Analyze neurostim no prog (95970) | $82.60 | $118 | 0.6× |
| Analyze Neurostim Simple (95971) | $407.40 | $582 | 4.4× |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $1,549.80 | $2,214 | 4.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $31.50 | $45 | 2.2× |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$90.38–$96.60 | $129.11–$138 | varies |
| Auditory Function, 60 Min (92620) range across 2 matching MRF lines |
$226.53–$242.20 | $323.62–$346 | varies |
| Behavior id assessment by phys/qhp ea 15 min (97151) | $73.50 | $105 | 0.7× |
| Behavior id support assmt by 1 tech ea 15 min (97152) | $73.50 | $105 | 0.7× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$163.44–$175 | $233.48–$250 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $55.30 | $79 | 0.7× |
| Bfb training ea addl 15 min (90913) | $55.30 | $79 | 1.7× |
| Biofeedback training any modality (90901) range across 2 matching MRF lines |
$54.78–$58.80 | $78.25–$84 | varies |
| Blink reflex test (95933) | $763.70 | $1,091 | 13.2× |
| Breath hydrogen/methane test (91065) range across 4 matching MRF lines |
$101.50–$252 | $145–$360 | varies |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$236.38–$252.70 | $337.68–$361 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$276.50–$522.20 | $395–$746 | varies |
| C motor evoked uppr limbs (95928) | $569.10 | $813 | 0.7× |
| C motor evoked upr&lwr limbs (95939) | $1,137.50 | $1,625 | 1.4× |
| Caloric vestibular test w/rec bi monothermal (92538) | $105 | $150 | 0.5× |
| Caloric Vstblr Test W/Rec (92537) | $105 | $150 | 0.8× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$490–$1,508.12 | $700–$2,154.45 | varies |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$790.35–$845.60 | $1,129.07–$1,208 | varies |
| Cardiopulmonary resuscitation (92950) | $538.30 | $769 | 2.5× |
| Cardioversion (92960) | $142.10 | $203 | 0.2× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $290.50 | $415 | 0.1× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$236–$252.70 | $337.14–$361 | varies |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $288.40 | $412 | 1.4× |
| Cervical Vemp Testing W/I&R (92517) | $288.40 | $412 | 2.3× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$326.80–$350 | $466.85–$500 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$402.50–$1,960.77 | $575–$2,801.10 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$326.80–$350 | $466.85–$500 | varies |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$427.97–$457.80 | $611.39–$654 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$326.80–$350 | $466.85–$500 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$395.19–$700 | $564.56–$1,000 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$326.80–$350 | $466.85–$500 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $232.40 | $332 | 0.7× |
| Chest Wall Manipulation (94668) | $105.70 | $151 | 0.8× |
| Chron Care Mgmt Srvc 20 Min (99490) | $158.20 | $226 | 1.6× |
| Cmptr ophth dx img ant segmt (92132) | $151.20 | $216 | 2.6× |
| Colon Motility 6 Hr Study (91117) | $583.10 | $833 | 2.8× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) range across 2 matching MRF lines |
$184.55–$197.40 | $263.64–$282 | varies |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$236.60–$1,542.10 | $338–$2,203 | varies |
| Color/duplex Doppler, limited (93976) range across 4 matching MRF lines |
$389.20–$652.40 | $556–$932 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $158.20 | $226 | 0.9× |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) | $1,987.30 | $2,839 | 2.4× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $977.90 | $1,397 | 2.7× |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$259.70–$277.90 | $371–$397 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 2 matching MRF lines |
$209.27–$224 | $298.96–$320 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$209.27–$224 | $298.96–$320 | varies |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$266.45–$284.90 | $380.64–$407 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$165.24–$177.10 | $236.06–$253 | varies |
| Continuous Pulse Ox (94762) | $205.80 | $294 | 1.6× |
| Corneal Topography (92025) | $74.90 | $107 | 1.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$889.99–$952 | $1,271.41–$1,360 | varies |
| Cpt initial (94667) | $112 | $160 | 0.9× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$1,256.04–$1,344 | $1,794.34–$1,920 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $569.10 | $813 | 1.6× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$394.30–$422.10 | $563.28–$603 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) range across 2 matching MRF lines |
$325.05–$347.90 | $464.36–$497 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) range across 2 matching MRF lines |
$328.66–$351.40 | $469.52–$502 | varies |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$277.90–$1,116.50 | $397–$1,595 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $210 | $300 | 0.6× |
| Duodenal motility study (91022) | $1,480.50 | $2,115 | 4.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $861.70 | $1,231 | 3.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$386.40–$1,194.20 | $552–$1,706 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$504.70–$1,094.80 | $721–$1,564 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$546.70–$1,283.10 | $781–$1,833 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $462.70 | $661 | 2.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $222.60 | $318 | 2.2× |
| Duplex up extrem art bilat (93930) | $301.70 | $431 | 1.3× |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$364.70–$1,151.50 | $521–$1,645 | varies |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $72.80 | $104 | 0.6× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 2 matching MRF lines |
$328.66–$351.40 | $469.52–$502 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) range across 2 matching MRF lines |
$328.66–$351.40 | $469.52–$502 | varies |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) | $763.70 | $1,091 | 3.6× |
| Ear and throat examination (92502) | $3,036.28 | $4,337.54 | 5.7× |
| Echo Congenital Complete (93303) range across 4 matching MRF lines |
$603.40–$1,985.20 | $862–$2,836 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$304.50–$856.80 | $435–$1,224 | varies |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$266–$2,554.30 | $380–$3,649 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 4 matching MRF lines |
$767.90–$1,983.10 | $1,097–$2,833 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$329–$420.70 | $470–$601 | varies |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$1,533.85–$1,641.50 | $2,191.21–$2,345 | varies |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$574–$884.80 | $820–$1,264 | varies |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$566.30–$884.80 | $809–$1,264 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) range across 2 matching MRF lines |
$510.53–$546 | $729.33–$780 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 3 matching MRF lines |
$463.40–$1,641.50 | $662–$2,345 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $546 | $780 | 2.6× |
| EEG w/o vid 2-12hr cont mntr (95707) | $546 | $780 | 2.6× |
| EEG w/o vid ea 12-26hr intmt (95709) | $3,259.20 | $4,656 | 8.9× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $3,259.20 | $4,656 | 8.9× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $546 | $780 | 2.6× |
| EEG wo vid ea 12-26hr unmntr (95708) range across 2 matching MRF lines |
$3,046.11–$3,259.20 | $4,351.59–$4,656 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $259 | $370 | 2.8× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $81.90 | $117 | 2.2× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$59.80–$63.70 | $85.43–$91 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$44.60–$47.60 | $63.72–$68 | varies |
| Electrocochleography (92584) | $268.80 | $384 | 2.1× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$253.27–$270.90 | $361.82–$387 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$430.32–$472.50 | $614.74–$675 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$262.50–$690.20 | $375–$986 | varies |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$720.30–$763.70 | $1,029–$1,091 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$763.70–$809.20 | $1,091–$1,156 | varies |
| Ep Esophageal Recording Atria+Pacing (93616) | $2,486.40 | $3,552 | 2.1× |
| Er level 1 (99281) range across 2 matching MRF lines |
$130.51–$139.30 | $186.44–$199 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$468.30–$1,043.70 | $669–$1,491 | varies |
| Esoph Atrial Electrogram (93615) range across 2 matching MRF lines |
$114.80–$2,486.40 | $164–$3,552 | varies |
| Esophageal Capsule Endoscopy (91111) | $1,581.30 | $2,259 | 1.8× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $445.90 | $637 | 1.2× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $154 | $220 | 1.2× |
| Evaluate pt use of inhaler (94664) | $43.40 | $62 | 0.2× |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$167.30–$169.75 | $239–$242.50 | varies |
| Evaluate Swallowing Function (92610) range across 4 matching MRF lines |
$165.72–$324.10 | $236.74–$463 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$145.17–$209.30 | $207.39–$299 | varies |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$217.14–$232.40 | $310.20–$332 | varies |
| Exercise test for bronchospasm (94617) range across 2 matching MRF lines |
$407.60–$436.10 | $582.28–$623 | varies |
| Exhaled Air Analysis O2 (94680) range across 3 matching MRF lines |
$99.40–$479.50 | $142–$685 | varies |
| External ECG rec>48hr<7d recording (93242) | $436.80 | $624 | 11.9× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $436.80 | $624 | 3.3× |
| External ECG rec>7d<15d recording (93246) | $436.80 | $624 | 11.9× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $436.80 | $624 | 3.3× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$630.70–$1,641.50 | $901–$2,345 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$487.20–$1,208.90 | $696–$1,727 | varies |
| Eye exam w anesth; complete (92018) range across 2 matching MRF lines |
$570.50–$592.90 | $815–$847 | varies |
| Eye exam w anesth; limited (92019) | $3,075.10 | $4,393 | 1.3× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 4 matching MRF lines |
$422.10–$923.30 | $603–$1,319 | varies |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) | $73.50 | $105 | 2.0× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 3 matching MRF lines |
$377.45–$403.90 | $539.21–$577 | varies |
| Fluorescein angiography (92235) | $412.30 | $589 | 1.9× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $763.70 | $1,091 | 0.9× |
| Fundus photography (92250) range across 2 matching MRF lines |
$209.27–$224 | $298.96–$320 | varies |
| Gastric motility studies (91020) | $1,190.70 | $1,701 | 3.3× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,773.80 | $2,534 | 4.9× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $1,990.80 | $2,844 | 9.4× |
| Gi tract capsule endoscopy (91110) | $3,011.40 | $4,302 | 3.4× |
| Gi tract imaging intraluminal colon i&r (91113) | $816.20 | $1,166 | 0.9× |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) | $73.50 | $105 | 2.0× |
| Group Therapeutic Procedures (97150) | $49.70 | $71 | 2.8× |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) | $73.50 | $105 | 2.0× |
| Health Behavior Assessment/Re-Assessment (96156) range across 2 matching MRF lines |
$245–$716.31 | $350–$1,023.30 | varies |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $140 | $200 | 3.8× |
| Health behavior ivntj group f2f 1st 30 min (96164) range across 2 matching MRF lines |
$35–$77 | $50–$110 | varies |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $127.40 | $182 | 0.7× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$580.30–$615.30 | $829–$879 | varies |
| High altitude simulation test (94452) | $155.40 | $222 | 1.2× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $170.10 | $243 | 1.3× |
| Holter monitor recording (93225) range across 4 matching MRF lines |
$733.60–$1,171.10 | $1,048–$1,673 | varies |
| Hubbard tank 15 min (97036) | $56 | $80 | 1.6× |
| Hypnotherapy (90880) | $280 | $400 | 2.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $30.80 | $44 | 0.4× |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $233.10 | $333 | 4.0× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $49.70 | $71 | 0.9× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $49.70 | $71 | 1.4× |
| Immunization administration (90471) range across 2 matching MRF lines |
$22.40–$30.80 | $32–$44 | varies |
| Ingestion challenge test initial 120 minutes (95076) range across 2 matching MRF lines |
$116.20–$949.90 | $166–$1,357 | varies |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$1,169.70–$1,683.50 | $1,671–$2,405 | varies |
| Intracranial Complete Study (93886) range across 3 matching MRF lines |
$578.20–$1,256.50 | $826–$1,795 | varies |
| Intracutaneous tests w/allergenic extracts (95024) range across 2 matching MRF lines |
$16.80–$158.69 | $24–$226.70 | varies |
| Iontophoresis 15 min (97033) | $50.40 | $72 | 2.6× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$77–$99.40 | $110–$142 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$85.95–$171.91 | $122.79–$245.58 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$168.57–$180.60 | $240.82–$258 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 5 matching MRF lines |
$161–$598.50 | $230–$855 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$186.90–$377.12 | $267–$538.74 | varies |
| IV push initial (96374) range across 5 matching MRF lines |
$60.90–$363.30 | $87–$519 | varies |
| Laryngeal Function Studies (92520) | $93.10 | $133 | 0.7× |
| Lung Function Test (Mbc/Mvv) (94200) | $53.20 | $76 | 0.9× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$92.41–$98.70 | $132.01–$141 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 3 matching MRF lines |
$88.83–$177.66 | $126.90–$253.80 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$88.83–$266.49 | $126.90–$380.70 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$71.40–$133.27 | $102–$190.38 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$496.30–$992.60 | $709–$1,418 | varies |
| Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) | $168.70 | $241 | 8.4× |
| Mlt fam group bhv mgmt/modificaj traing ea addl (96203) | $37.80 | $54 | 7.1× |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$190.40–$1,505.70 | $272–$2,151 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$316.46–$338.80 | $452.09–$484 | varies |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) | $73.50 | $105 | 2.0× |
| Multiple Family Group Psychotherapy (90849) range across 3 matching MRF lines |
$157.50–$266 | $225–$380 | varies |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$2,736.78–$2,928.10 | $3,909.69–$4,183 | varies |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$720.30–$763.70 | $1,029–$1,091 | varies |
| Muscle Test Nonparaspinal (95870) | $763.70 | $1,091 | 5.9× |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$284.90–$763.70 | $407–$1,091 | varies |
| Nasal function studies (92512) | $192.50 | $275 | 0.9× |
| Nasopharyngoscopy (92511) range across 3 matching MRF lines |
$303.80–$1,253 | $434–$1,790 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $763.70 | $1,091 | 3.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $763.70 | $1,091 | 3.6× |
| Needle electromyography larynx (95865) | $763.70 | $1,091 | 5.9× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $763.70 | $1,091 | 3.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $422.10 | $603 | 1.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $422.10 | $603 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$46.90–$422.10 | $67–$603 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$56–$3,113.80 | $80–$4,448.29 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$720.30–$763.70 | $1,029–$1,091 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,855 | $2,650 | 5.1× |
| Nerve conduction studies 13 or more studies (95913) | $1,855 | $2,650 | 5.1× |
| Nerve Conduction Studies 3-4 Studies (95908) range across 3 matching MRF lines |
$713.84–$763.70 | $1,019.77–$1,091 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$1,179.55–$1,262.10 | $1,685.07–$1,803 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$1,733.94–$1,855 | $2,477.06–$2,650 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,855 | $2,650 | 5.1× |
| Neurobehavioral Status Exam (96116) | $223.30 | $319 | 1.1× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $184.10 | $263 | 1.5× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$32.20–$138.73 | $46–$198.18 | varies |
| Newborn resuscitation (99465) | $539 | $770 | 0.8× |
| Nitric oxide expired gas determination (95012) range across 2 matching MRF lines |
$102.59–$109.90 | $146.56–$157 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) | $347.90 | $497 | 1.0× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $276.50 | $395 | 0.8× |
| Ocular Vemp Testing W/I&R (92518) | $288.40 | $412 | 2.3× |
| Oculoelectromyography (92265) | $280.70 | $401 | 4.9× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 2 matching MRF lines |
$274.40–$293.30 | $392–$419 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines |
$220.50–$235.90 | $315–$337 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) | $156.80 | $224 | 1.2× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 2 matching MRF lines |
$161.70–$171.50 | $231–$245 | varies |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$113.88–$227.50 | $162.68–$325 | varies |
| Oral Speech Device Eval (92597) range across 2 matching MRF lines |
$88.90–$138.60 | $127–$198 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$66.84–$74.20 | $95.48–$106 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $152.60 | $218 | 7.2× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $39.90 | $57 | 1.9× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$333.90–$357 | $477–$510 | varies |
| Ot Eval Low Complex (97165) range across 5 matching MRF lines |
$131.60–$238 | $188–$340 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$259.70–$277.90 | $371–$397 | varies |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$65.44–$70 | $93.48–$100 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$164.19–$175.70 | $234.56–$251 | varies |
| Oxygen Uptake Rest Indirect (94690) | $107.10 | $153 | 1.9× |
| Patch/Application Test Specify Number Tests (95044) | $62.30 | $89 | 0.1× |
| Patient-initiated spirometric recording (94015) | $563.50 | $805 | 2.7× |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $676.20 | $966 | 1.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$89.30–$95.20 | $127.57–$136 | varies |
| Percutaneous tests w/allergenic extracts (95004) range across 2 matching MRF lines |
$59.50–$499.78 | $85–$713.97 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$30.80–$102.90 | $44–$147 | varies |
| Physical Performance Test (97750) | $71.40 | $102 | 2.1× |
| Plethysmography (94726) range across 2 matching MRF lines |
$242.87–$259.70 | $346.96–$371 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$4,054.17–$4,337.90 | $5,791.67–$6,197 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$3,244.82–$3,472 | $4,635.45–$4,960 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$4,054.17–$4,337.90 | $5,791.67–$6,197 | varies |
| Positional nystagmus test (92542) | $79.80 | $114 | 0.6× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 2 matching MRF lines |
$58.80–$1,425.06 | $84–$2,035.80 | varies |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $43.40 | $62 | 0.9× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $43.40 | $62 | 0.9× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $43.40 | $62 | 0.6× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $43.40 | $62 | 0.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$52.18–$56 | $74.54–$80 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$52.18–$56 | $74.54–$80 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $43.40 | $62 | 0.6× |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$238–$616 | $340–$880 | varies |
| Psychiatric diagnostic evaluation (90791) range across 5 matching MRF lines |
$58.10–$1,180.24 | $83–$1,686.06 | varies |
| Psychoanalysis (90845) | $378.70 | $541 | 2.2× |
| Psychological tst eval svc phys/qhp first hour (96130) | $347.90 | $497 | 1.6× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $37.80 | $54 | 1.3× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $347.90 | $497 | 0.8× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $347.90 | $497 | 2.7× |
| Psytx Crisis Initial 60 Min (90839) range across 3 matching MRF lines |
$203–$377.30 | $290–$539 | varies |
| Pt Eval High Complex (97163) range across 3 matching MRF lines |
$310.80–$357 | $444–$510 | varies |
| Pt eval low complex 20 min (97161) range across 6 matching MRF lines |
$123.17–$310.80 | $175.96–$444 | varies |
| Pt Eval Mod Complex (97162) range across 3 matching MRF lines |
$259.70–$310.80 | $371–$444 | varies |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$74.20–$223.30 | $106–$319 | varies |
| Pt mechanical traction (97012) range across 4 matching MRF lines |
$69.30–$217.70 | $99–$311 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$179.40–$191.80 | $256.29–$274 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $114.10 | $163 | 3.1× |
| Pulm function test by gas (94727) | $292.60 | $418 | 1.4× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$53.90–$87.50 | $77–$125 | varies |
| Pulmonary Stress Testing (94618) | $231 | $330 | 1.8× |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$74.20–$79.10 | $106–$113 | varies |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $138.60 | $198 | 0.4× |
| Refill/Maint Pump/Resvr Syst (96522) range across 2 matching MRF lines |
$203.70–$280 | $291–$400 | varies |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) range across 2 matching MRF lines |
$74.27–$79.80 | $106.10–$114 | varies |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$225.67–$241.50 | $322.39–$345 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$47.60–$75.60 | $68–$108 | varies |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$1,722–$2,335.90 | $2,460–$3,337 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $422.10 | $603 | 2.1× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $56.70 | $81 | 2.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$197.20–$210.70 | $281.72–$301 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $112.70 | $161 | 2.4× |
| Select picture audiometry (92583) range across 2 matching MRF lines |
$127.95–$137.20 | $182.79–$196 | varies |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$51.10–$142.93 | $73–$204.18 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) range across 2 matching MRF lines |
$209.27–$224 | $298.96–$320 | varies |
| Sensory Integration Ea 15 Min (97533) | $60.20 | $86 | 1.0× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $763.70 | $1,091 | 3.6× |
| Short-latency somatosens ep std upr limbs (95925) | $1,030.40 | $1,472 | 4.9× |
| Sleep study attended (95807) | $1,455.30 | $2,079 | 4.0× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$1,894.24–$2,026.50 | $2,706.06–$2,895 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $2,026.50 | $2,895 | 9.6× |
| Somatosensory Testing (95938) | $2,060.80 | $2,944 | 2.4× |
| Speech Audiometry Complete (92556) range across 9 matching MRF lines |
$30.80–$71.40 | $44–$102 | varies |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$44.52–$47.60 | $63.60–$68 | varies |
| Speech sound lang comprehen (92523) range across 4 matching MRF lines |
$211.40–$317.80 | $302–$454 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$96.21–$102.90 | $137.44–$147 | varies |
| Spirometry (94010) range across 3 matching MRF lines |
$213.50–$401.80 | $305–$574 | varies |
| Ssep lower limbs (95926) | $1,030.40 | $1,472 | 4.9× |
| Standardized Cognitive Performance Testing (96125) | $574 | $820 | 5.6× |
| Stenger Test Speech (92577) | $362.60 | $518 | 1.0× |
| Stenger Test, Pure Tone (92565) | $56 | $80 | 1.0× |
| Subcutaneous Infusion Each Additional Hour (96370) | $76.30 | $109 | 1.7× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 2 matching MRF lines |
$369.72–$395.50 | $528.17–$565 | varies |
| Surfactant Admin Thru Tube (94610) | $80.50 | $115 | 0.4× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) range across 2 matching MRF lines |
$745.50–$1,075.90 | $1,065–$1,537 | varies |
| Tensilon Test (95857) | $555.10 | $793 | 2.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$120.40–$270.20 | $172–$386 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$120.40–$135.10 | $172–$193 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $70.70 | $101 | 1.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $232.40 | $332 | 7.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 2 matching MRF lines |
$166.95–$178.50 | $238.50–$255 | varies |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $78.40 | $112 | 1.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$64.13–$121 | $91.62–$172.86 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$350–$465.50 | $500–$665 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$74.20–$208.09 | $106–$297.27 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 3 matching MRF lines |
$104.30–$362.60 | $149–$518 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $37.10 | $53 | 1.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $37.10 | $53 | 1.0× |
| Tone Decay Test (92563) | $19.60 | $28 | 0.5× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) range across 2 matching MRF lines |
$714–$1,014.30 | $1,020–$1,449 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$246.40–$703.50 | $352–$1,005 | varies |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $138.60 | $198 | 1.1× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$1,292.20–$2,375.10 | $1,846–$3,393 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$118.30–$1,096.20 | $169–$1,566 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 4 matching MRF lines |
$102.20–$227.50 | $146–$325 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 2 matching MRF lines |
$56.39–$60.20 | $80.55–$86 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$64.75–$69.30 | $92.50–$99 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$70.42–$75.60 | $100.60–$108 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 2 matching MRF lines |
$18.20–$128.80 | $26–$184 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $862.40 | $1,232 | 6.8× |
| Unlisted otorhinolaryngological service (92700) | $86.80 | $124 | 3.1× |
| Unlisted Psychiatric Service/Procedure (90899) range across 4 matching MRF lines |
$245–$485.42 | $350–$693.45 | varies |
| Vasopneumatic device (97016) | $89.60 | $128 | 7.5× |
| Veeg 2-12 Hr Cont Mntr (95713) range across 2 matching MRF lines |
$510.53–$546 | $729.33–$780 | varies |
| Veeg 2-12 hr intmt mntr (95712) range across 2 matching MRF lines |
$510.53–$546 | $729.33–$780 | varies |
| Veeg 2-12 hr unmonitored (95711) | $546 | $780 | 2.6× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) range across 2 matching MRF lines |
$3,046.11–$3,259.20 | $4,351.59–$4,656 | varies |
| Veeg Ea 12-26 Hr Unmntr (95714) | $3,259.20 | $4,656 | 8.9× |
| Veeg ea 12-26hr cont mntr (95716) range across 2 matching MRF lines |
$3,046.11–$3,259.20 | $4,351.59–$4,656 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$1,086.06–$1,162 | $1,551.51–$1,660 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,015 | $1,450 | 1.7× |
| Visual Evoked Potential Test (95930) | $763.70 | $1,091 | 3.6× |
| Visual Field Exam Extended (92083) range across 2 matching MRF lines |
$154–$224 | $220–$320 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) | $291.20 | $416 | 5.0× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $224 | $320 | 3.9× |
| Visual reinforcement audiometry (vra) (92579) range across 2 matching MRF lines |
$205.41–$219.80 | $293.44–$314 | varies |
| Vital capacity, total (94150) | $53.20 | $76 | 0.4× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$65.10–$121.98 | $93–$174.26 | varies |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $486.50 | $695 | 8.4× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $151.20 | $216 | 4.1× |
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.