Visits & medical services prices at Dolly Parton Children’s Hospital
Knoxville, TN · every code in this section with a posted price and a Medicare benchmark.
239 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $36 | $60 | 1.0× |
| Advncd Care Plan 30 Min (99497) | $102 | $170 | 1.1× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $234 | $390 | 1.2× |
| Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines |
$18–$564.60 | $30–$941 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) range across 2 matching MRF lines |
$30–$282 | $50–$470 | varies |
| Airway Inhalation Treatment (94640) range across 11 matching MRF lines |
$22.80–$102 | $38–$170 | varies |
| Analyze neurostim no prog (95970) | $71.40 | $119 | 0.6× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) range across 2 matching MRF lines |
$95.40–$165 | $159–$275 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $22.80 | $38 | 1.6× |
| Application on-body injector (96377) | $121.20 | $202 | 2.9× |
| Assessment of aphasia per hr (96105) | $254.40 | $424 | 2.6× |
| Behavral qualit analys voice (92524) | $227.40 | $379 | 2.1× |
| Biofeedback training any modality (90901) | $57 | $95 | 1.4× |
| Breathing response to hypoxia (94450) | $207.60 | $346 | 1.8× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$6.60–$15 | $11–$25 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$42–$93.60 | $70–$156 | varies |
| C motor evoked uppr limbs (95928) range across 2 matching MRF lines |
$315–$487.20 | $525–$812 | varies |
| C motor evoked upr&lwr limbs (95939) | $627.60 | $1,046 | 0.8× |
| Car seat/bed test 60 min (94780) | $112.80 | $188 | 3.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,005 | $1,675 | 5.1× |
| Cardiopulmonary exercise testing (94621) range across 3 matching MRF lines |
$106.47–$295.20 | $177.45–$492 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$318–$610.80 | $530–$1,018 | varies |
| Cardioversion (92960) | $1,667.40 | $2,779 | 2.8× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $39.60 | $66 | 1.2× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $20.40 | $34 | 0.6× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $43.20 | $72 | 1.7× |
| Cbt 1st hour (94644) range across 3 matching MRF lines |
$53.40–$418.20 | $89–$697 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $190.20 | $317 | 2.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $190.20 | $317 | 2.9× |
| Chemo Intralesional Over 7 (96406) | $522.60 | $871 | 2.7× |
| Chemo intralesional up to 7 (96405) | $165 | $275 | 2.5× |
| Chemo IV infusion addl hr (96415) | $198.60 | $331 | 3.0× |
| Chemo IV push addl drug (96411) | $174 | $290 | 2.7× |
| Chemother Prolong Infuse W/Pump (96416) | $951.60 | $1,586 | 3.2× |
| Chemotherapy Into Cns (96450) range across 3 matching MRF lines |
$285–$622.80 | $475–$1,038 | varies |
| Chemotherapy Unspecified (96549) | $444.60 | $741 | 10.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $295.80 | $493 | 4.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 5 matching MRF lines |
$173.40–$593.40 | $289–$989 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $571.80 | $953 | 1.9× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) range across 2 matching MRF lines |
$54–$552 | $90–$920 | varies |
| Chest Wall Manipulation (94668) | $159.60 | $266 | 1.3× |
| Chron Care Mgmt Srvc 20 Min (99490) | $39 | $65 | 0.4× |
| Color/duplex Doppler, complete (93975) | $947.40 | $1,579 | 4.4× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $99.60 | $166 | 1.9× |
| Continuous Pulse Ox (94762) range across 3 matching MRF lines |
$61.80–$74.40 | $103–$124 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $430.80 | $718 | 2.2× |
| Cpt initial (94667) | $159.60 | $266 | 1.3× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$271.20–$1,901.40 | $452–$3,169 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) range across 2 matching MRF lines |
$45–$157.80 | $75–$263 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $138 | $230 | 0.8× |
| Developmental tst admin phys/qhp 1st hour (96112) | $15 | $25 | 0.1× |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$104.40–$4,702.80 | $174–$7,838 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $784.20 | $1,307 | 3.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $761.40 | $1,269 | 3.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $510.60 | $851 | 5.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $837 | $1,395 | 3.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $561.60 | $936 | 5.9× |
| Duplex up extrem art bilat (93930) | $534.60 | $891 | 2.5× |
| Duplex up extrem art unilat/ltd (93931) | $342.60 | $571 | 3.6× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$91.80–$1,383 | $153–$2,305 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$36–$938.40 | $60–$1,564 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$271.20–$1,376.40 | $452–$2,294 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 3 matching MRF lines |
$172.80–$1,440.60 | $288–$2,401 | varies |
| Eeg 41-60 Minutes (95812) range across 3 matching MRF lines |
$101.40–$1,039.80 | $169–$1,733 | varies |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$81.60–$871.20 | $136–$1,452 | varies |
| EEG cerebral death evaluation (95824) range across 3 matching MRF lines |
$63–$86.40 | $105–$144 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $522 | $870 | 2.7× |
| EEG extended monitoring 61-119 minutes (95813) range across 3 matching MRF lines |
$161.40–$1,332.60 | $269–$2,221 | varies |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$101.40–$106.80 | $169–$178 | varies |
| EEG wo vid ea 12-26hr unmntr (95708) | $764.40 | $1,274 | 2.3× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $45.60 | $76 | 0.5× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $48.60 | $81 | 1.4× |
| Electrical Stimulation Ea 15 Min (97032) | $78.60 | $131 | 5.3× |
| Electrocardiogram Tracing (93005) range across 5 matching MRF lines |
$12–$327 | $20–$545 | varies |
| Emergency Dept Visit Level 2 (99282) range across 5 matching MRF lines |
$39.60–$420 | $66–$700 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$75.60–$567.60 | $126–$946 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$142.80–$921 | $238–$1,535 | varies |
| Emg 3 Extremities (95863) | $2,326.80 | $3,878 | 19.9× |
| Emg 4 Extremities (95864) | $3,032.40 | $5,054 | 26.0× |
| Er level 1 (99281) range across 3 matching MRF lines |
$22.80–$351 | $38–$585 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$207.60–$1,348.80 | $346–$2,248 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $85.93 | $143.21 | 0.3× |
| Evaluate pt use of inhaler (94664) range across 4 matching MRF lines |
$21.60–$134.40 | $36–$224 | varies |
| Evaluate Speech Production (92522) | $235.20 | $392 | 2.1× |
| Evaluate Swallowing Function (92610) | $262.20 | $437 | 3.1× |
| Evaluation of speech fluency (92521) | $227.40 | $379 | 1.7× |
| Exercise test for bronchospasm (94617) range across 2 matching MRF lines |
$42–$466.80 | $70–$778 | varies |
| External ECG rec>48hr<7d recording (93242) | $22.20 | $37 | 0.7× |
| External ECG rec>7d<15d recording (93246) | $22.20 | $37 | 0.7× |
| Extracranial Bilat Study (93880) | $1,259.40 | $2,099 | 5.8× |
| Eye exam w anesth; complete (92018) | $1,092 | $1,820 | 0.5× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$45–$499.80 | $75–$833 | varies |
| Full Field Electroretinography W/I&R (92273) | $603.60 | $1,006 | 3.1× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$75.60–$285 | $126–$475 | varies |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$193.94–$1,309.20 | $323.24–$2,182 | varies |
| Group Therapeutic Procedures (97150) | $189.60 | $316 | 10.5× |
| Health Behavior Assessment/Re-Assessment (96156) | $15 | $25 | 0.2× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $15 | $25 | 0.4× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $15 | $25 | 0.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $90 | $150 | 0.1× |
| High altitude simulation test (94452) range across 3 matching MRF lines |
$78–$108 | $130–$180 | varies |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) range across 2 matching MRF lines |
$28.96–$130.80 | $48.27–$218 | varies |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$39.60–$90 | $66–$150 | varies |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$45.60–$69.49 | $76–$115.82 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$37.80–$89.32 | $63–$148.86 | varies |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$31.20–$44.37 | $52–$73.95 | varies |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$36.73–$39.60 | $61.22–$66 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $64.20 | $107 | 1.0× |
| Immunization administration (90471) range across 9 matching MRF lines |
$20.40–$82.80 | $34–$138 | varies |
| Intracranial Complete Study (93886) | $1,135.20 | $1,892 | 5.2× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$49.20–$159 | $82–$265 | varies |
| IV infusion hydration each additional hour (96361) | $102 | $170 | 2.4× |
| IV infusion hydration initial 31 min-1 hour (96360) | $276 | $460 | 1.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $191.40 | $319 | 2.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $121.80 | $203 | 2.9× |
| IV push initial (96374) range across 5 matching MRF lines |
$54.60–$285.60 | $91–$476 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $143.40 | $239 | 2.7× |
| Mechanical chest wall oscillation per session (94669) | $679.20 | $1,132 | 3.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 6 matching MRF lines |
$15–$229.80 | $25–$383 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 5 matching MRF lines |
$15–$229.80 | $25–$383 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $50.40 | $84 | 3.0× |
| Methacholine challenge (94070) range across 4 matching MRF lines |
$35.40–$724.20 | $59–$1,207 | varies |
| Motion Fluoroscopy/Swallow (92611) | $382.20 | $637 | 4.2× |
| Multiple Sleep Latency Test (95805) range across 5 matching MRF lines |
$90–$1,577.40 | $150–$2,629 | varies |
| Muscle Test 2 Limbs (95861) | $1,942.80 | $3,238 | 16.1× |
| Muscle Test Nonparaspinal (95870) | $445.20 | $742 | 3.7× |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$74.40–$924 | $124–$1,540 | varies |
| Nasal function studies (92512) | $480 | $800 | 2.5× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $283.80 | $473 | 1.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $50.40 | $84 | 0.3× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$82.80–$748.20 | $138–$1,247 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$192–$2,873.40 | $320–$4,789 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$228–$3,298.80 | $380–$5,498 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$103.80–$1,176 | $173–$1,960 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$124.20–$1,597.80 | $207–$2,663 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$166.20–$2,023.20 | $277–$3,372 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$207.60–$2,448.60 | $346–$4,081 | varies |
| Neurobehavioral Status Exam (96116) | $15 | $25 | 0.1× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 3 matching MRF lines |
$171–$537 | $285–$895 | varies |
| Neuromuscular Reeducation (97112) | $57 | $95 | 1.7× |
| Nitric oxide expired gas determination (95012) | $87.60 | $146 | 2.6× |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 5 matching MRF lines |
$33–$45 | $55–$75 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 5 matching MRF lines |
$33–$45 | $55–$75 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 5 matching MRF lines |
$33–$45 | $55–$75 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) | $15 | $25 | 0.0× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $699 | $1,165 | 2.1× |
| Oral Function Therapy (92526) | $222 | $370 | 2.6× |
| Oral Speech Device Eval (92597) | $154.20 | $257 | 2.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $102 | $170 | 2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $156 | $260 | 3.4× |
| Ot eval high complexity (97167) | $470.40 | $784 | 4.7× |
| Ot Eval Low Complex (97165) | $357 | $595 | 3.6× |
| Ot Eval Moderate Complexity (97166) | $394.80 | $658 | 3.9× |
| Ot manual therapy 15 min (97140) | $51 | $85 | 1.8× |
| Ot paraffin bath (97018) | $18 | $30 | 3.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $56.40 | $94 | 1.4× |
| Ot Re-Eval Est Plan Care (97168) | $207.60 | $346 | 3.0× |
| Ot rom hand (95852) | $27.60 | $46 | 1.3× |
| Oxygen Uptake Rest Indirect (94690) range across 3 matching MRF lines |
$231.60–$699 | $386–$1,165 | varies |
| Patient-initiated spirometric recording (94015) | $700.80 | $1,168 | 3.6× |
| Pediatric apnea monitor analyses computer (94776) | $424.20 | $707 | 3.6× |
| Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of… (94775) | $87.60 | $146 | 0.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $418.20 | $697 | 2.1× |
| Phlebotomy therapeutic (99195) | $169.20 | $282 | 1.4× |
| Plethysmography (94726) range across 5 matching MRF lines |
$485.40 | $26–$809 | 1.4× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$36.39–$46.20 | $60.65–$77 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$36.60–$76.06 | $61–$126.77 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$31.80–$54.28 | $53–$90.47 | varies |
| Pm/Icd Remote Tech Serv (93296) | $34.20 | $57 | 1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 5 matching MRF lines |
$324–$3,933 | $540–$6,555 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 5 matching MRF lines |
$94.80–$4,717.80 | $158–$7,863 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 5 matching MRF lines |
$465–$5,737.80 | $775–$9,563 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$33–$71.04 | $55–$118.40 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $13.20 | $22 | 0.3× |
| Psych diag eval w/med srvcs (90792) | $15 | $25 | 0.1× |
| Psychiatric diagnostic evaluation (90791) | $15 | $25 | 0.1× |
| Psychoanalysis (90845) | $123.60 | $206 | 0.8× |
| Psychological tst eval svc phys/qhp first hour (96130) | $15 | $25 | 0.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $15 | $25 | 0.1× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $66 | $110 | 1.7× |
| Pt Eval High Complex (97163) | $470.40 | $784 | 4.8× |
| Pt eval low complex 20 min (97161) | $357 | $595 | 3.6× |
| Pt Eval Mod Complex (97162) | $394.80 | $658 | 4.0× |
| Pt gait training 15 min (97116) | $48 | $80 | 1.7× |
| Pt Re-Eval Est Plan Care (97164) | $207.60 | $346 | 3.1× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $20.40 | $34 | 0.6× |
| Pulm function test by gas (94727) | $112.20 | $187 | 0.6× |
| Pulmonary Stress Testing (94618) range across 4 matching MRF lines |
$30–$396 | $50–$660 | varies |
| Pure Tone Audiometry Air (92552) | $38.40 | $64 | 0.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $39.60 | $66 | 1.2× |
| Respiratory flow volume loop (94375) range across 3 matching MRF lines |
$18–$249 | $30–$415 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $98.40 | $164 | 1.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $138 | $230 | 0.8× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $40.20 | $67 | 1.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $388.20 | $647 | 3.2× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $78.60 | $131 | 1.6× |
| Self Care Mngment Training (97535) | $57.60 | $96 | 1.8× |
| Sensory Integration Ea 15 Min (97533) | $69.60 | $116 | 1.1× |
| Short-latency somatosens ep std upr limbs (95925) range across 3 matching MRF lines |
$45.60–$1,028.40 | $76–$1,714 | varies |
| Sleep study attended (95807) range across 2 matching MRF lines |
$2,481–$2,592 | $4,135–$4,320 | varies |
| Sleep study unattended (95806) range across 3 matching MRF lines |
$35.40–$144 | $59–$240 | varies |
| Slp caregiver training 1st 30 min (97550) | $86.40 | $144 | 1.6× |
| Somatosensory Testing (95938) range across 4 matching MRF lines |
$109.80–$1,961.40 | $183–$3,269 | varies |
| Speech sound lang comprehen (92523) | $382.20 | $637 | 1.7× |
| Spirometry (94010) range across 4 matching MRF lines |
$15–$300 | $25–$500 | varies |
| Ssep lower limbs (95926) range across 3 matching MRF lines |
$45.60–$1,028.40 | $76–$1,714 | varies |
| Standardized Cognitive Performance Testing (96125) | $247.80 | $413 | 2.4× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $147 | $245 | 0.8× |
| Surfactant Admin Thru Tube (94610) | $315.60 | $526 | 1.6× |
| Temp transcutaneous pacing (92953) | $335.40 | $559 | 0.6× |
| Testing Autonomic Nervous System Function (95923) | $165.60 | $276 | 1.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $78.60 | $131 | 3.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $78.60 | $131 | 3.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $66 | $110 | 1.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 5 matching MRF lines |
$19.20–$44.40 | $32–$74 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $209.40 | $349 | 2.0× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $118.80 | $198 | 2.8× |
| Ther/Proph/Diag Inj Ia (96373) | $578.40 | $964 | 3.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 10 matching MRF lines |
$20.40–$102 | $34–$170 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $358.20 | $597 | 1.9× |
| Therapeutic Activities (97530) | $90 | $150 | 2.6× |
| Trans Care Mgmt 14 Day Disch (99495) | $133.80 | $223 | 1.1× |
| Trans Care Mgmt 7 Day Disch (99496) | $193.80 | $323 | 1.6× |
| Transcath Closure of Asd (93580) likely a partial charge, not the full procedure |
$1,230 | $2,050 | 0.1× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$94.79–$2,315.40 | $157.99–$3,859 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $349.20 | $582 | 4.6× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $227.40 | $379 | 9.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$22.80–$204 | $38–$340 | varies |
| Tympanometry (92567) range across 3 matching MRF lines |
$18–$244.80 | $30–$408 | varies |
| Unlisted cardiovascular service/procedure (93799) | $233.40 | $389 | 2.0× |
| Veeg 2-12 hr intmt mntr (95712) | $6,261.60 | $10,436 | 18.5× |
| Veeg 2-12 hr unmonitored (95711) | $6,261.60 | $10,436 | 32.0× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $900 | $1,500 | 2.7× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$114–$675.60 | $190–$1,126 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$82.20–$675.60 | $137–$1,126 | varies |
| Visual Evoked Potential Test (95930) | $945.60 | $1,576 | 4.8× |
| Vital capacity, total (94150) | $60.60 | $101 | 0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $43.80 | $73 | 1.4× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) range across 2 matching MRF lines |
$73.35–$638.40 | $122.25–$1,064 | varies |
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.