Visits & medical services prices at Driscoll Children's Hospital Rio Grande Valley
Edinburg, TX · every code in this section with a posted price and a Medicare benchmark.
268 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) unusually low: confirm this is the full procedure |
$3,639.02 | $18,195.10 | 0.5× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $52.14 | $260.70 | 0.4× |
| Acoustic Reflex Testing (92568) | $51.04 | $255.20 | 1.4× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$6.60–$7.18 | $33–$35.88 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $148.72 | $743.60 | 0.7× |
| Aep threshold estimation mlt frequencies i&r (92652) | $623.48 | $3,117.40 | 2.9× |
| Airway Inhalation Treatment (94640) range across 9 matching MRF lines |
$11.20–$50.40 | $56–$252 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $236.28 | $1,181.40 | 1.8× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $236.50 | $1,182.50 | 1.8× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $298.32 | $1,491.60 | 2.3× |
| Analyze Pacemaker System (93724) | $65.12 | $325.60 | 0.2× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $116.38 | $581.90 | 0.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$58.52–$74.58 | $292.60–$372.90 | varies |
| Arrhythmia Induction (93618) | $2,657.38 | $13,286.90 | 2.2× |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$14.30–$115.94 | $71.50–$579.70 | varies |
| Auditory Function, 60 Min (92620) | $162.58 | $812.90 | 1.3× |
| Behavral qualit analys voice (92524) range across 6 matching MRF lines |
$160.38–$601.92 | $801.90–$3,009.60 | varies |
| Breath hydrogen/methane test (91065) range across 2 matching MRF lines |
$152.40–$204.20 | $762–$1,021 | varies |
| Brief Emotional/Behav Assmt (96127) | $4.80 | $24 | 0.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $333 | $1,665 | 0.9× |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$2,656.94 | $13,284.70 | 0.3× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$837.54–$1,087.68 | $4,187.70–$5,438.40 | varies |
| Cardiopulmonary exercise testing (94621) | $1,267.40 | $6,337 | 3.4× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$11.20–$180.18 | $56–$900.90 | varies |
| Cardioversion (92960) | $415.14 | $2,075.70 | 0.6× |
| Cardioversion elective internal (92961) | $339.02 | $1,695.10 | 0.5× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $31.60 | $158 | 0.8× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $4,775.98 | $23,879.90 | 1.5× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $2,943.16 | $14,715.80 | 0.9× |
| Cbt 1st hour (94644) | $11.20 | $56 | 0.1× |
| Chemo Anti-Neopl Sq/Im (96401) | $180.77 | $903.84 | 2.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $180.77 | $903.84 | 2.5× |
| Chemo intralesional up to 7 (96405) | $91.62 | $458.08 | 1.3× |
| Chemo IV infusion addl hr (96415) | $172.93 | $864.64 | 2.4× |
| Chemo IV push addl drug (96411) | $309.34 | $1,546.72 | 4.3× |
| Chemotherapy Into Cns (96450) | $180.77 | $903.84 | 0.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $147.39 | $736.96 | 2.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $794.08 | $3,970.40 | 2.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $356.38 | $1,781.92 | 1.1× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $149.41 | $747.04 | 0.5× |
| Chest Wall Manipulation (94668) | $11.20 | $56 | 0.1× |
| Color/duplex Doppler, complete (93975) range across 5 matching MRF lines |
$523.16–$812.24 | $2,615.80–$4,061.20 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$217.58–$271.70 | $1,087.90–$1,358.50 | varies |
| Comprehensive Hearing Test (92557) | $142.56 | $712.80 | 1.1× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 3 matching MRF lines |
$78.98–$91.30 | $394.90–$456.50 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$72.60–$86.90 | $363–$434.50 | varies |
| Conditioning Play Audiometry (92582) | $171.60 | $858 | 1.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $176.88 | $884.40 | 1.3× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $56.54 | $282.70 | 1.0× |
| Continuous Pulse Ox (94762) | $153.60 | $768 | 1.2× |
| Coronary Art/Grft Angio S&I (93455) | $3,017.74 | $15,088.70 | 0.9× |
| Coronary Artery Angio S&I (93454) | $2,255.66 | $11,278.30 | 0.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $972.40 | $4,862 | 4.4× |
| Cpt initial (94667) | $11.20 | $56 | 0.1× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$286.45–$1,221.28 | $1,432.25–$6,106.40 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $36.74 | $183.70 | 0.2× |
| Developmental tst admin phys/qhp 1st hour (96112) range across 2 matching MRF lines |
$218.60–$247.40 | $1,093–$1,237 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $194.26 | $971.30 | 1.5× |
| Dialysis One Evaluation (90945) | $837.61 | $4,188.06 | 2.0× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $112.86 | $564.30 | 0.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $736.78 | $3,683.90 | 3.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $662.42 | $3,312.10 | 6.3× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $450.56 | $2,252.80 | 4.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $638.66 | $3,193.30 | 2.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $561.44 | $2,807.20 | 5.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $715.44 | $3,577.20 | 3.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $553.52 | $2,767.60 | 5.3× |
| Duplex Scan Hemodialysis Access (93990) | $450.56 | $2,252.80 | 4.3× |
| Duplex up extrem art bilat (93930) | $625.02 | $3,125.10 | 2.6× |
| Duplex up extrem art unilat/ltd (93931) | $561.44 | $2,807.20 | 5.3× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $132.88 | $664.40 | 1.0× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $194.26 | $971.30 | 1.5× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $284.24 | $1,421.20 | 2.2× |
| Echo Congenital Complete (93303) | $1,275.78 | $6,378.90 | 2.3× |
| Echo Heart Xthoracic,Limited (93308) | $619.96 | $3,099.80 | 2.6× |
| Echo r-t 2d w/probe placement only (93313) | $1,304.16 | $6,520.80 | 2.4× |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 3 matching MRF lines |
$1,643.40–$3,615.26 | $8,217–$18,076.30 | varies |
| Eeg 41-60 Minutes (95812) | $688.82 | $3,444.10 | 3.2× |
| EEG awake drowsy (95816) | $515.02 | $2,575.10 | 2.4× |
| EEG cont rec w/video by tech min 8 channels (95700) | $205.48 | $1,027.40 | 0.9× |
| EEG extended monitoring 61-119 minutes (95813) | $775.06 | $3,875.30 | 3.6× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$53.24–$74.58 | $266.20–$372.90 | varies |
| Electrocardiogram Tracing (93005) | $187.66 | $938.30 | 3.2× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) likely a partial charge, not the full procedure |
$606.98 | $3,034.90 | 0.1× |
| Electrophysiology Evaluation (93642) | $735.68 | $3,678.40 | 0.6× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$178.84–$214.03 | $894.20–$1,070.15 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$332.35–$410.55 | $1,661.75–$2,052.75 | varies |
| Emergency Dept Visit Level 4 (99284) | $497.42 | $2,487.10 | 1.2× |
| Endomyocardial Biopsy (93505) | $683.54 | $3,417.70 | 0.2× |
| Ep & ablate supravent arrhyt (93653) unusually low: confirm this is the full procedure |
$11,004.18 | $55,020.90 | 0.4× |
| Ep & ablate ventric tachy (93654) likely a partial charge, not the full procedure |
$4,676.54 | $23,382.70 | 0.2× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) unusually low: confirm this is the full procedure |
$2,961.64 | $14,808.20 | 0.4× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) unusually low: confirm this is the full procedure |
$2,813.80 | $14,069 | 0.4× |
| Ep Esophageal Recording Atria+Pacing (93616) | $2,743.84 | $13,719.20 | 2.2× |
| Er level 1 (99281) range across 3 matching MRF lines |
$18.36–$95.88 | $91.80–$479.40 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$359.70–$674.22 | $1,798.50–$3,371.10 | varies |
| Esoph Atrial Electrogram (93615) | $2,564.32 | $12,821.60 | 2.1× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,542.64 | $7,713.20 | 4.1× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $123.64 | $618.20 | 1.0× |
| Evaluate pt use of inhaler (94664) range across 6 matching MRF lines |
$11.20–$41.20 | $56–$206 | varies |
| Evaluate Speech Production (92522) range across 6 matching MRF lines |
$185.24–$604.56 | $926.20–$3,022.80 | varies |
| Evaluate Swallowing Function (92610) range across 6 matching MRF lines |
$183.70–$665.06 | $918.50–$3,325.30 | varies |
| Evaluation of speech fluency (92521) range across 6 matching MRF lines |
$160.38–$521.18 | $801.90–$2,605.90 | varies |
| Evoked Auditory Test,Limited (92587) | $89.98 | $449.90 | 0.4× |
| Exercise test for bronchospasm (94617) range across 2 matching MRF lines |
$378.80–$1,363.60 | $1,894–$6,818 | varies |
| External ECG rec>48hr<7d recording (93242) | $795.08 | $3,975.40 | 21.2× |
| External ECG rec>7d<15d recording (93246) | $795.08 | $3,975.40 | 21.2× |
| External Ecg Scanning Analysis Report (93226) | $229.68 | $1,148.40 | 3.9× |
| Extracranial Bilat Study (93880) | $790.68 | $3,953.40 | 3.3× |
| Extracranial Uni/Ltd Study (93882) | $540.54 | $2,702.70 | 5.1× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $657.58 | $3,287.90 | 1.2× |
| Filtered Speech Test (92571) | $68.86 | $344.30 | 1.8× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 2 matching MRF lines |
$265.32–$317.68 | $1,326.60–$1,588.40 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$286.20–$816.60 | $1,431–$4,083 | varies |
| Gi tract capsule endoscopy (91110) | $1,130.60 | $5,653 | 1.2× |
| Health Behavior Assessment/Re-Assessment (96156) | $155.32 | $776.60 | 1.5× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $254.32 | $1,271.60 | 6.8× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $203.06 | $1,015.30 | 5.4× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $209 | $1,045 | 1.2× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $5,751.24 | $28,756.20 | 1.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $633.44 | $3,167.20 | 0.9× |
| Holter monitor recording (93225) | $965.80 | $4,829 | 7.2× |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $43.34 | $216.70 | 1.2× |
| Icd Device Interrogate (93289) | $202.18 | $1,010.90 | 5.4× |
| Icd device progr eval dual (93283) | $254.98 | $1,274.90 | 6.8× |
| Icd Device Progr Eval Mult (93284) | $277.86 | $1,389.30 | 7.4× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $5.50 | $27.50 | 0.1× |
| Immunization administration (90471) range across 7 matching MRF lines |
$5.04–$7.20 | $25.20–$36 | varies |
| Insert/Place Heart Catheter (93503) | $444.18 | $2,220.90 | 0.3× |
| Intra-atrial pacing (93610) unusually low: confirm this is the full procedure |
$2,523.84 | $12,619.20 | 0.3× |
| Intra-atrial recording (93602) unusually low: confirm this is the full procedure |
$2,656.94 | $13,284.70 | 0.3× |
| Intracranial Complete Study (93886) | $792.88 | $3,964.40 | 3.3× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$138.38 | $691.90 | 0.0× |
| Irrig Drug Delivery Device (96523) | $25.96 | $129.80 | 0.4× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$72.16–$87.78 | $360.80–$438.90 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $253.22 | $1,266.10 | 1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $79.64 | $398.20 | 1.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $107.14 | $535.70 | 2.3× |
| IV push initial (96374) range across 3 matching MRF lines |
$30.58–$66.22 | $152.90–$331.10 | varies |
| L Hrt Art/Grft Angio (93459) | $3,918.64 | $19,593.20 | 1.2× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $2,269.52 | $11,347.60 | 0.7× |
| Liver Elastography W/O Imag W/I&R (91200) | $342.27 | $1,711.36 | 2.6× |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$73.20–$101 | $366–$505 | varies |
| Mechanical chest wall oscillation per session (94669) | $11.20 | $56 | 0.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$17.16–$30.80 | $85.80–$154 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $18.26 | $91.30 | 0.5× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $30.36 | $151.80 | 1.8× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$330.22–$372.24 | $1,651.10–$1,861.20 | varies |
| Multiple Sleep Latency Test (95805) | $765.38 | $3,826.90 | 0.9× |
| Muscle Test One Limb (95860) | $425.86 | $2,129.30 | 3.2× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$216.26–$303.60 | $1,081.30–$1,518 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $280.55 | $1,402.77 | 1.3× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $87.10 | $435.49 | 0.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $219.78 | $1,098.90 | 0.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $35.42 | $177.10 | 0.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $22.22 | $111.10 | 0.1× |
| Neurobehavioral Status Exam (96116) | $247.40 | $1,237 | 1.1× |
| Neuromuscular Reeducation (97112) range across 8 matching MRF lines |
$49.50–$74.58 | $247.50–$372.90 | varies |
| Nitric oxide expired gas determination (95012) | $22.20 | $111 | 0.6× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $333.60 | $1,668 | 0.9× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $163.02 | $815.10 | 1.2× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $130.46 | $652.30 | 1.0× |
| Ophth medical xm&eval intermediate estab pt (92012) | $97.90 | $489.50 | 0.7× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $130.46 | $652.30 | 1.0× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $88.66 | $443.30 | 1.5× |
| Oral Function Therapy (92526) range across 4 matching MRF lines |
$162.14–$197.34 | $810.70–$986.70 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 3 matching MRF lines |
$74.58–$87.34 | $372.90–$436.70 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$53.24–$91.74 | $266.20–$458.70 | varies |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$260.26–$396.44 | $1,301.30–$1,982.20 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$91.74–$111.54 | $458.70–$557.70 | varies |
| Ot Eval Moderate Complexity (97166) range across 3 matching MRF lines |
$183.70–$271.92 | $918.50–$1,359.60 | varies |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$67.76–$149.60 | $338.80–$748 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 4 matching MRF lines |
$53.24–$64.46 | $266.20–$322.30 | varies |
| Ot Re-Eval Est Plan Care (97168) | $124.74 | $623.70 | 1.8× |
| Oxygen Uptake Rest Indirect (94690) | $561.20 | $2,806 | 9.5× |
| Patch/Application Test Specify Number Tests (95044) | $30.58 | $152.90 | 0.0× |
| Patient-initiated spirometric recording (94015) | $82.40 | $412 | 0.4× |
| Penile Vascular Study,Ltd or F/U (93981) | $291.06 | $1,455.30 | 2.8× |
| Percutaneous tests w/allergenic extracts (95004) | $254.66 | $1,273.30 | 0.3× |
| Perq transcath closure pda (93582) likely a partial charge, not the full procedure |
$4,577.32 | $22,886.60 | 0.2× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$468.38–$583.88 | $2,341.90–$2,919.40 | varies |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $76.78 | $383.90 | 1.3× |
| Plethysmography (94726) range across 2 matching MRF lines |
$159.20–$193.20 | $796–$966 | varies |
| Pm device eval in person (93288) | $94.38 | $471.90 | 2.5× |
| Pm device progr eval dual (93280) | $188.76 | $943.80 | 5.0× |
| Pm device progr eval multi (93281) | $198.88 | $994.40 | 5.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$133.76–$3,509.44 | $668.80–$17,547.20 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $2,603.04 | $13,015.20 | 3.0× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $2,217.38 | $11,086.90 | 2.6× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $188.32 | $941.60 | 5.0× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) likely a partial charge, not the full procedure |
$4,228.18 | $21,140.90 | 0.2× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$2,184.38 | $10,921.90 | 0.2× |
| Psych diag eval w/med srvcs (90792) | $122.98 | $614.90 | 0.7× |
| Psychiatric diagnostic evaluation (90791) | $110.66 | $553.30 | 0.6× |
| Psychoanalysis (90845) | $136.62 | $683.10 | 0.8× |
| Psychological tst eval svc phys/qhp first hour (96130) | $247.40 | $1,237 | 1.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $80 | $400 | 0.6× |
| Psytx Crisis Initial 60 Min (90839) | $198.88 | $994.40 | 1.1× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$326.48–$396.44 | $1,632.40–$1,982.20 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$91.74–$111.54 | $458.70–$557.70 | varies |
| Pt Eval Mod Complex (97162) range across 3 matching MRF lines |
$137.06–$223.30 | $685.30–$1,116.50 | varies |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$49.94–$74.58 | $249.70–$372.90 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$144.10–$181.72 | $720.50–$908.60 | varies |
| Pulm function test by gas (94727) | $349.80 | $1,749 | 1.6× |
| Pulmonary service/procedure (94799) range across 4 matching MRF lines |
$224.40–$374.60 | $1,122–$1,873 | varies |
| Pulmonary Stress Testing (94618) | $218.60 | $1,093 | 1.6× |
| Pure Tone Audiometry Air (92552) | $88.22 | $441.10 | 0.7× |
| R Hrt Art/Grft Angio (93457) | $4,084.96 | $20,424.80 | 1.3× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $1,758.68 | $8,793.40 | 0.5× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $1,360.04 | $6,800.20 | 0.4× |
| R hrt coronary artery angio (93456) | $3,110.14 | $15,550.70 | 1.0× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $5,072.54 | $25,362.70 | 1.6× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $1,360.04 | $6,800.20 | 0.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $4,690.40 | $23,452 | 1.4× |
| Refill/Maint Portable Pump (96521) | $206.80 | $1,034 | 1.0× |
| Refill/Maint Pump/Resvr Syst (96522) | $276.32 | $1,381.60 | 1.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $133.32 | $666.60 | 3.6× |
| Respiratory flow volume loop (94375) | $256.40 | $1,282 | 1.2× |
| Right Heart Cath (93451) | $2,938.32 | $14,691.60 | 0.9× |
| Right ventricular recording (93603) | $3,028.74 | $15,143.70 | 2.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $30.80 | $154 | 0.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$265.32–$341 | $1,326.60–$1,705 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 2 matching MRF lines |
$159.06–$175.12 | $795.30–$875.60 | varies |
| Select picture audiometry (92583) | $95.92 | $479.60 | 1.6× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$49.50–$53.24 | $247.50–$266.20 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $428.64 | $2,143.21 | 2.0× |
| Speech Audiometry Complete (92556) | $95.26 | $476.30 | 1.6× |
| Speech audiometry threshold (92555) | $40.92 | $204.60 | 0.7× |
| Speech sound lang comprehen (92523) range across 6 matching MRF lines |
$185.24–$665.06 | $926.20–$3,325.30 | varies |
| Spirometry (94010) | $193.80 | $969 | 0.9× |
| Ssep lower limbs (95926) | $449.61 | $2,248.07 | 2.1× |
| Staggered Spondaic Word Test (92572) | $68.86 | $344.30 | 0.5× |
| Stenger Test, Pure Tone (92565) | $48.18 | $240.90 | 0.8× |
| Surfactant Admin Thru Tube (94610) | $11.20 | $56 | 0.1× |
| Synthetic Sentence Identification Test (92576) | $68.86 | $344.30 | 1.8× |
| Temp transcutaneous pacing (92953) | $631.40 | $3,157 | 1.0× |
| Test to assess hearing loss using different tone pitches (92575) | $52.58 | $262.90 | 1.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 8 matching MRF lines |
$49.50–$67.76 | $247.50–$338.80 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$25.96–$28.38 | $129.80–$141.90 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $333.74 | $1,668.70 | 1.6× |
| Therapeutic Activities (97530) range across 9 matching MRF lines |
$49.50–$74.58 | $247.50–$372.90 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $664.40 | $3,322 | 1.8× |
| Transcath Closure of Asd (93580) likely a partial charge, not the full procedure |
$4,354.90 | $21,774.50 | 0.2× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $475.86 | $2,379.30 | 4.5× |
| Tte w/doppler, complete (93306) | $1,061.94 | $5,309.70 | 1.9× |
| Tte W/O Doppler Complete (93307) | $619.96 | $3,099.80 | 2.6× |
| Tx atrial fib pulm vein isol (93656) likely a partial charge, not the full procedure |
$4,677.42 | $23,387.10 | 0.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 8 matching MRF lines |
$113.30–$132 | $566.50–$659.99 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$33.66–$47.96 | $168.30–$239.80 | varies |
| Tympanometry (92567) | $51.04 | $255.20 | 1.4× |
| Tympanometry and reflex threshold measurements (92550) | $74.14 | $370.70 | 0.3× |
| Unlisted cardiovascular service/procedure (93799) | $3,792.14 | $18,960.70 | 29.3× |
| Unlisted otorhinolaryngological service (92700) | $80.71 | $403.54 | 2.8× |
| Unlisted Psychiatric Service/Procedure (90899) | $376.20 | $1,881 | 10.0× |
| Valvuloplasty aortic valve (92986) | $4,191.88 | $20,959.40 | 0.7× |
| Valvuloplasty mitral valve (92987) likely a partial charge, not the full procedure |
$2,821.28 | $14,106.40 | 0.2× |
| Valvuloplasty pulmonary valve (92990) likely a partial charge, not the full procedure |
$3,020.38 | $15,101.90 | 0.3× |
| Veeg 2-12 Hr Cont Mntr (95713) | $370.92 | $1,854.60 | 1.0× |
| Veeg 2-12 hr unmonitored (95711) | $1,417.46 | $7,087.30 | 6.5× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,480.94 | $12,404.70 | 6.6× |
| Veeg ea 12-26hr cont mntr (95716) | $3,189.78 | $15,948.90 | 3.7× |
| Vent Mgmt Inpat Init Day (94002) | $11.20 | $56 | 0.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$11.20–$13.64 | $56–$68.20 | varies |
| Visual Evoked Potential Test (95930) | $442.98 | $2,214.90 | 2.0× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $10.78 | $53.90 | 0.2× |
| Visual reinforcement audiometry (vra) (92579) | $171.60 | $858 | 0.8× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$62.20–$111.40 | $311–$557 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$46.64–$65.56 | $233.20–$327.80 | 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.