Visits & medical services prices at Dukes Memorial Hospital

Peru, IN · every code in this section with a posted price and a Medicare benchmark.

369 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650)
likely a partial charge, not the full procedure
$864 $1,728 0.1×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570)
range across 3 matching MRF lines
$38.50–$41.50 $77–$83 varies
Acoustic Reflex Testing (92568) $22 $44 0.6×
Acupunct W/Stimul 15 Min (97813) $43 $86 1.4×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $40 $80 1.3×
Advncd Care Plan 30 Min (99497)
range across 6 matching MRF lines
$95.50–$112.50 $191–$225 varies
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $178 $356 0.8×
Aep neurodiagnostic i&r (92653) $544.50 $1,089 2.4×
Airway Inhalation Treatment (94640)
range across 13 matching MRF lines
$23–$155.50 $46–$311 varies
Allg test perq & ic drug/biol immed react w/ i&r (95018) $9.50 $19 0.2×
Allg tstg perq & ic venoms immed react w/i&r (95017) $4.50 $9 0.1×
Analysis w/prgrmg aud brainstem implant pr hr (92640) $145.50 $291 1.1×
Analyze neurostim complex (95972) $90.50 $181 0.9×
Analyze neurostim no prog (95970)
range across 2 matching MRF lines
$31–$45.50 $62–$91 varies
Analyze Neurostim Simple (95971) $52.50 $105 0.5×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170)
range across 3 matching MRF lines
$108.50–$229 $217–$458 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 13 matching MRF lines
$16.50–$137 $33–$274 varies
Arrhythmia Induction (93618)
range across 2 matching MRF lines
$304–$432.50 $608–$865 varies
Assessment of tinnitus (92625) $90 $180 0.7×
Audiometry Air & Bone (92553)
range across 5 matching MRF lines
$44.50–$45.50 $89–$91 varies
Auditory Function, 60 Min (92620)
range across 3 matching MRF lines
$107–$121 $214–$242 varies
Basic vestibular evaluation (92540) $130.50 $261 0.6×
Behavral qualit analys voice (92524) $131.50 $263 1.2×
Breath hydrogen/methane test (91065)
range across 2 matching MRF lines
$20–$114 $40–$228 varies
Brief Emotional/Behav Assmt (96127) $7 $14 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 12 matching MRF lines
$59–$704.50 $35–$1,409 varies
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$153 $306 0.0×
Caloric Vstblr Test W/Rec (92537) $52 $104 0.4×
Canalith repositioning proc (95992)
range across 3 matching MRF lines
$48.50–$91 $97–$182 varies
Car seat/bed test 60 min (94780) $51.50 $103 1.3×
Cardiac Stress Tst,Tracing Only (93017)
range across 3 matching MRF lines
$81–$1,325 $162–$2,650 varies
Cardiopulmonary exercise testing (94621)
range across 3 matching MRF lines
$90–$206.50 $180–$413 varies
Cardiopulmonary resuscitation (92950)
range across 5 matching MRF lines
$286.50–$1,175.50 $573–$2,351 varies
Cardioversion (92960)
range across 7 matching MRF lines
$148–$3,249.63 $296–$6,499.26 varies
Cardioversion elective internal (92961) $332.50 $665 0.5×
Caregiver hlth risk assmt score doc stnd instrm (96161) $3.50 $7 0.1×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460)
range across 6 matching MRF lines
$501.50–$1,582 $1,003–$3,164 varies
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458)
range across 4 matching MRF lines
$398.50–$1,333.50 $797–$2,667 varies
Cbt 1st hour (94644)
range across 3 matching MRF lines
$54–$395.50 $108–$791 varies
Chemo Anti-Neopl Sq/Im (96401)
range across 3 matching MRF lines
$86–$154.50 $172–$309 varies
Chemo Hormon Antineopl Sq/Im (96402)
range across 2 matching MRF lines
$44.50–$208.50 $89–$417 varies
Chemo Intralesional Over 7 (96406) $87 $174 0.4×
Chemo intralesional up to 7 (96405) $57.50 $115 0.8×
Chemo IV infusion addl hr (96415)
range across 2 matching MRF lines
$52.50–$443 $105–$886 varies
Chemother Prolong Infuse W/Pump (96416) $202 $404 0.6×
Chemotherapy Into Cns (96450) $150 $300 0.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $91 $182 1.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$236.50–$726.50 $473–$1,453 varies
Chest Wall Manipulation (94668)
range across 3 matching MRF lines
$35.50–$132 $71–$264 varies
Chiropract manj 3-4 regions (98941) $45.50 $91 2.0×
Chron Care Mgmt Srvc 20 Min (99490)
range across 2 matching MRF lines
$39.50–$51 $79–$102 varies
Color Vision Xm Extended Anomaloscope/Equiv (92283)
range across 2 matching MRF lines
$5–$69.50 $10–$139 varies
Color/duplex Doppler, complete (93975) $495 $990 2.0×
Color/duplex Doppler, limited (93976) $529 $1,058 4.8×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 4 matching MRF lines
$39–$46.50 $78–$93 varies
Comprehensive Hearing Test (92557)
range across 13 matching MRF lines
$38–$48 $76–$96 varies
Computerized dynamic posturography (92548)
range across 2 matching MRF lines
$34–$128.50 $68–$257 varies
Computerized Ophthalmic Imaging Optic Nerve (92133) $56 $112 0.9×
Computerized Ophthalmic Imaging Retina (92134) $57.50 $115 0.9×
Conditioning Play Audiometry (92582) $88 $176 0.6×
Cont gluc mntr physician/qhp provided equiptment (95250)
range across 9 matching MRF lines
$188–$194 $376–$388 varies
Cont Gluc Mntr Pt Prov Eqp (95249) $70 $140 1.1×
Continuous Pulse Ox (94762) $324.50 $649 2.4×
Corneal Topography (92025) $48 $96 0.8×
Coronary Art/Grft Angio S&I (93455)
range across 4 matching MRF lines
$378.50–$1,295 $757–$2,590 varies
Coronary Artery Angio S&I (93454)
range across 6 matching MRF lines
$327–$1,112.50 $654–$2,225 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $749.50 $1,499 3.2×
Cpt initial (94667)
range across 3 matching MRF lines
$32–$196 $64–$392 varies
Critical care first hour (99291)
range across 7 matching MRF lines
$237–$3,750 $474–$7,500 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 9 matching MRF lines
$44–$89.50 $88–$179 varies
Developmental tst admin phys/qhp 1st hour (96112) $164.50 $329 1.2×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $114.50 $229 0.8×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588)
range across 4 matching MRF lines
$38–$63 $76–$126 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $871.50 $1,743 3.5×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $79.50 $159 0.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 6 matching MRF lines
$51–$850.50 $102–$1,701 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 4 matching MRF lines
$32–$463 $64–$926 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 9 matching MRF lines
$45–$930 $90–$1,860 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 9 matching MRF lines
$29.50–$590 $59–$1,180 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $46.50 $93 0.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $29.50 $59 0.3×
Duplex Scan Hemodialysis Access (93990)
range across 3 matching MRF lines
$32–$254 $64–$508 varies
Duplex up extrem art bilat (93930)
range across 3 matching MRF lines
$51–$850.50 $102–$1,701 varies
Duplex up extrem art unilat/ltd (93931)
range across 4 matching MRF lines
$32.50–$477.50 $65–$955 varies
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $113.50 $227 0.8×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $191 $382 1.4×
Ear and throat examination (92502) $124.50 $249 0.2×
ECG/monitoring and analysis (93271)
range across 3 matching MRF lines
$68.50–$70.50 $137–$141 varies
Echo Congenital Complete (93303)
range across 4 matching MRF lines
$83–$2,104.50 $166–$4,209 varies
Echo Heart Xthoracic,Limited (93308)
range across 7 matching MRF lines
$31.50–$333 $63–$666 varies
Echo r-t 2d w/probe placement only (93313)
range across 2 matching MRF lines
$27–$53.50 $54–$107 varies
Echo transesophag montr cardiac pump functj (93318)
range across 3 matching MRF lines
$151–$154.50 $302–$309 varies
Echo transesophageal (93312)
range across 10 matching MRF lines
$118.50–$2,433.50 $237–$4,867 varies
Echo Transesophageal - Congenital Tee Complete (93315)
range across 4 matching MRF lines
$188–$188.50 $376–$377 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 8 matching MRF lines
$104–$338 $208–$676 varies
EEG awake and asleep (95819)
range across 9 matching MRF lines
$66.50–$849 $133–$1,698 varies
EEG awake drowsy (95816)
range across 12 matching MRF lines
$65.50–$1,123 $131–$2,246 varies
EEG cerebral death evaluation (95824) $52 $104 0.1×
EEG extended monitoring 61-119 minutes (95813)
range across 3 matching MRF lines
$120–$849 $240–$1,698 varies
Eeg Sleep Only (95822)
range across 3 matching MRF lines
$74.50–$485.50 $149–$971 varies
Eeg W/O Vid 2-12 Hr Unmntr (95705) $495.50 $991 2.2×
EEG w/o vid 2-12hr cont mntr (95707) $495.50 $991 2.2×
EEG w/o vid ea 12-26hr intmt (95709) $950 $1,900 2.4×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $950 $1,900 2.4×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $495.50 $991 2.2×
EEG wo vid ea 12-26hr unmntr (95708) $950 $1,900 2.4×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $61.50 $123 0.6×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $64.50 $129 0.6×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $48 $96 1.2×
Electrical Stimulation Ea 15 Min (97032)
range across 11 matching MRF lines
$24.50–$155 $49–$310 varies
Electrocardiogram Tracing (93005)
range across 14 matching MRF lines
$18.50–$257 $37–$514 varies
Electrocochleography (92584) $91 $182 0.7×
Electroconvulsive Therapy (90870) $210.50 $421 0.2×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
likely a partial charge, not the full procedure
$331.50 $663 0.0×
Electrophysiology Evaluation (93642) $346.50 $693 0.3×
Emergency Dept Visit Level 2 (99282)
range across 7 matching MRF lines
$64–$636.50 $128–$1,273 varies
Emergency Dept Visit Level 3 (99283)
range across 7 matching MRF lines
$82.50–$984 $165–$1,968 varies
Emergency Dept Visit Level 4 (99284)
range across 5 matching MRF lines
$126–$1,378.50 $252–$2,757 varies
Endomyocardial Biopsy (93505)
range across 3 matching MRF lines
$298.50–$1,002.50 $597–$2,005 varies
Ep & ablate supravent arrhyt (93653)
likely a partial charge, not the full procedure
$1,079.50 $2,159 0.0×
Ep & ablate ventric tachy (93654)
likely a partial charge, not the full procedure
$1,436 $2,872 0.1×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
range across 3 matching MRF lines
$829–$1,177.50 $1,658–$2,355 varies
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
likely a partial charge, not the full procedure
$522 $1,044 0.1×
Er level 1 (99281)
range across 7 matching MRF lines
$37–$288 $74–$576 varies
Er level v (99285)
range across 5 matching MRF lines
$184.50–$1,781.50 $369–$3,563 varies
Esophageal Capsule Endoscopy (91111) $68.50 $137 0.1×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $76.50 $153 0.2×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $115 $230 0.8×
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines
$21.50–$124 $43–$248 varies
Evaluate Speech Production (92522) $157 $314 1.4×
Evaluate Swallowing Function (92610) $196.50 $393 2.3×
Evoked Auditory Test,Limited (92587)
range across 4 matching MRF lines
$24–$41 $48–$82 varies
Exercise test for bronchospasm (94617) $111.50 $223 0.8×
External ECG rec>48hr<7d recording (93242) $91 $182 2.3×
External ECG rec>48hr<7d scanning alys w/report (93243) $289.50 $579 2.1×
External ECG rec>7d<15d scanning alys w/report (93247) $289.50 $579 2.1×
External Ecg Scanning Analysis Report (93226)
range across 5 matching MRF lines
$52–$898.50 $104–$1,797 varies
Extracranial Bilat Study (93880)
range across 4 matching MRF lines
$51.50–$819 $103–$1,638 varies
Extracranial Uni/Ltd Study (93882)
range across 3 matching MRF lines
$32–$199.50 $64–$399 varies
Eye exam w anesth; complete (92018) $187 $374 0.1×
F-up/limited tthrc echo congenital car anomaly (93304)
range across 5 matching MRF lines
$41.50–$1,162.50 $83–$2,325 varies
Filtered Speech Test (92571) $33.50 $67 0.8×
Fluorescein angiography (92235) $586.50 $1,173 2.6×
Fundus photography (92250) $98.50 $197 0.7×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034)
range across 2 matching MRF lines
$230.50–$249.50 $461–$499 varies
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $66.50 $133 0.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035)
range across 4 matching MRF lines
$97–$709 $194–$1,418 varies
Gi tract capsule endoscopy (91110)
range across 9 matching MRF lines
$250–$1,610 $500–$3,220 varies
Gonioscopy (92020) $27 $54 0.2×
Group Therapeutic Procedures (97150) $22.50 $45 1.2×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461)
range across 3 matching MRF lines
$553–$1,808 $1,106–$3,616 varies
Holter monitor recording (93225)
range across 4 matching MRF lines
$35.50–$929 $71–$1,858 varies
Hypnotherapy (90880)
range across 3 matching MRF lines
$108.50–$122.50 $217–$245 varies
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $16.50 $33 0.4×
Icd Device Interrogate (93289)
range across 3 matching MRF lines
$59.50–$87.50 $119–$175 varies
Icd device progr eval dual (93283)
range across 3 matching MRF lines
$75–$109 $150–$218 varies
Icd Device Progr Eval Mult (93284)
range across 3 matching MRF lines
$81.50–$121 $163–$242 varies
Icm Device Eval (93290) $39.50 $79 1.0×
Ilr Device Eval Progr (93285)
range across 2 matching MRF lines
$32.50–$56.50 $65–$113 varies
Ilr Device Interrogate (93291) $48.50 $97 1.6×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 6 matching MRF lines
$7.50–$29.50 $15–$59 varies
Immunization administration (90471)
range across 17 matching MRF lines
$7.50–$114 $15–$228 varies
Ingestion challenge test initial 120 minutes (95076) $95 $190 0.2×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $48 $96 0.1×
Inital newborn e/m (99460)
range across 6 matching MRF lines
$87–$117 $174–$234 varies
Insert/Place Heart Catheter (93503) $247 $494 0.1×
Interrogation eval in person wr defibrillator (93292) $41.50 $83 1.1×
Interrogation vad in person (93750) $66 $132 0.7×
Intra-atrial pacing (93610)
range across 2 matching MRF lines
$212.50–$277 $425–$554 varies
Intra-atrial recording (93602)
range across 2 matching MRF lines
$150–$208 $300–$416 varies
Intracutaneous tests w/allergenic extracts (95024) $1.50 $3 0.0×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$211 $422 0.0×
Io anal gast n-stim subsq (95981) $23 $46 0.4×
Io ga n-stim subsq w/reprog (95982) $47 $94 1.2×
Iontophoresis 15 min (97033)
range across 8 matching MRF lines
$38–$134 $76–$268 varies
Irrig Drug Delivery Device (96523) $145 $290 2.3×
IV infusion hydration each additional hour (96361)
range across 6 matching MRF lines
$19.50–$101.50 $39–$203 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 6 matching MRF lines
$71.50–$461.50 $143–$923 varies
IV infusion ther proph addl sequential to 1 hr (96367) $108.50 $217 1.4×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 7 matching MRF lines
$27.50–$106 $55–$212 varies
IV push initial (96374)
range across 6 matching MRF lines
$70.50–$191 $141–$382 varies
L Hrt Art/Grft Angio (93459)
range across 4 matching MRF lines
$449.50–$1,473.50 $899–$2,947 varies
Loudness balance test (92562) $57 $114 0.2×
Lung Function Test (Mbc/Mvv) (94200) $32 $64 0.5×
Lwr Xtr Vasc Stdy Bilat (93924) $32 $64 0.1×
Mechanical chest wall oscillation per session (94669) $196 $392 0.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$32.50–$35.50 $65–$71 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 4 matching MRF lines
$38–$67.50 $76–$135 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804)
range across 3 matching MRF lines
$18–$20 $36–$40 varies
Methacholine challenge (94070)
range across 3 matching MRF lines
$37.50–$112 $75–$224 varies
Motility study esophagus (91010)
range across 3 matching MRF lines
$88.50–$237 $177–$474 varies
Motion Fluoroscopy/Swallow (92611) $691 $1,382 7.6×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $96 $192 0.2×
Multiple Sleep Latency Test (95805)
range across 4 matching MRF lines
$80–$4,068 $160–$8,136 varies
Muscle Test 2 Limbs (95861)
range across 2 matching MRF lines
$201.50–$217.50 $403–$435 varies
Muscle Test One Limb (95860)
range across 2 matching MRF lines
$146.50–$154.50 $293–$309 varies
Nasopharyngoscopy (92511)
range across 4 matching MRF lines
$62–$190.50 $124–$381 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868) $82 $164 0.4×
Needle Electromyography Cranial Nrv Muscle Uni (95867)
range across 4 matching MRF lines
$54.50–$132.50 $109–$265 varies
Needle electromyography larynx (95865) $108.50 $217 0.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $172.50 $345 0.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 12 matching MRF lines
$30.50–$49.50 $61–$99 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 4 matching MRF lines
$52–$52.50 $104–$105 varies
Nerve Conduction Studies 1-2 Studies (95907)
range across 2 matching MRF lines
$109.50–$123 $219–$246 varies
Nerve Conduction Studies 11-12 Studies (95912)
range across 4 matching MRF lines
$302.50–$330 $605–$660 varies
Nerve conduction studies 13 or more studies (95913)
range across 2 matching MRF lines
$350.50–$374.50 $701–$749 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 4 matching MRF lines
$135–$157.50 $270–$315 varies
Nerve conduction studies 5-6 studies (95909)
range across 6 matching MRF lines
$162–$187 $324–$374 varies
Nerve conduction studies 7-8 studies (95910)
range across 2 matching MRF lines
$213–$248 $426–$496 varies
Nerve Conduction Studies 9-10 Studies (95911)
range across 2 matching MRF lines
$258–$295.50 $516–$591 varies
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $104 $208 0.8×
Neuromuscular Reeducation (97112)
range across 15 matching MRF lines
$39–$138 $78–$276 varies
Newborn resuscitation (99465)
range across 7 matching MRF lines
$151.50–$752 $303–$1,504 varies
Nitric oxide expired gas determination (95012) $24 $48 0.6×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $113 $226 0.8×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004)
range across 6 matching MRF lines
$111.50–$177.50 $223–$355 varies
Ophth medical xm&eval comprhnsv estab pt 1/> (92014)
range across 6 matching MRF lines
$89–$146.50 $178–$293 varies
Ophth medical xm&eval intermediate estab pt (92012)
range across 6 matching MRF lines
$58.50–$101 $117–$202 varies
Ophth Medical Xm&Eval Intermediate New Pt (92002)
range across 8 matching MRF lines
$54–$96 $108–$192 varies
Optokinetic Nystagmus Test (92544) $43 $86 0.3×
Oral Function Therapy (92526) $304 $608 3.6×
Orthc/Prostc Mgmt Sbsq Enc (97763) $116 $232 2.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 14 matching MRF lines
$44.50–$154.50 $89–$309 varies
Oscillating Tracking Test (92545) $39.50 $79 0.2×
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 4 matching MRF lines
$27–$44.50 $54–$89 varies
Osteopathic manipulative tx 3-4 body regions (98926)
range across 4 matching MRF lines
$43.50–$67 $87–$134 varies
Osteopathic manipulative tx 5-6 body regions (98927)
range across 3 matching MRF lines
$55–$68.50 $110–$137 varies
Osteopathic manipulative tx 7-8 body regions (98928)
range across 3 matching MRF lines
$69.50–$84.50 $139–$169 varies
Osteopathic manipulative tx 9-10 body regions (98929)
range across 3 matching MRF lines
$83–$101 $166–$202 varies
Ot Contrast Bath Ea 15 Min (97034) $86 $172 6.1×
Ot eval high complexity (97167) $365.50 $731 3.6×
Ot Eval Low Complex (97165) $365.50 $731 3.6×
Ot Eval Moderate Complexity (97166) $365.50 $731 3.6×
Ot manual therapy 15 min (97140)
range across 16 matching MRF lines
$35–$157.50 $70–$315 varies
Ot paraffin bath (97018)
range across 10 matching MRF lines
$14–$122.50 $28–$245 varies
Ot Prosthetic Training, Each 15 Min (97761)
range across 14 matching MRF lines
$39–$105.50 $78–$211 varies
Ot Re-Eval Est Plan Care (97168) $220 $440 3.2×
Ot rom hand (95852) $123.50 $247 5.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $238.50 $477 1.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $300 $600 2.2×
Oxygen Uptake Rest Indirect (94690) $61.50 $123 1.0×
Patch/Application Test Specify Number Tests (95044) $7 $14 0.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $278.50 $557 1.2×
Percutaneous tests w/allergenic extracts (95004) $8 $16 0.0×
Perq transcath closure pda (93582)
likely a partial charge, not the full procedure
$859.50 $1,719 0.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 15 matching MRF lines
$619–$772 $1,238–$1,544 varies
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
range across 9 matching MRF lines
$432.50–$864.50 $865–$1,729 varies
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$185.50–$192 $371–$384 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $120.50 $241 1.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $120.50 $241 1.9×
Physical Performance Test (97750) $42 $84 1.2×
Plethysmography (94726)
range across 9 matching MRF lines
$16.50–$293 $29–$586 varies
Pm device eval in person (93288)
range across 3 matching MRF lines
$20–$50.50 $40–$101 varies
Pm device progr eval dual (93280)
range across 3 matching MRF lines
$50.50–$79 $101–$158 varies
Pm device progr eval multi (93281)
range across 2 matching MRF lines
$58.50–$92 $117–$184 varies
Pm Device Progr Eval Sngl (93279)
range across 3 matching MRF lines
$21.50–$67 $43–$134 varies
Pm/Icd Remote Tech Serv (93296) $41 $82 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 10 matching MRF lines
$144.50–$6,361 $289–$12,722 varies
Polysom <6 yrs 4/> paramtrs (95782)
range across 4 matching MRF lines
$159.50–$4,228.50 $319–$8,457 varies
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783)
range across 3 matching MRF lines
$192–$4,043.50 $384–$8,087 varies
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $1,815 $3,630 2.0×
Positional nystagmus test (92542) $51 $102 0.4×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $6.50 $13 0.1×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $6 $12 0.1×
Prepj& antigen allergen immunotherapy 2 insect (95146) $6 $12 0.1×
Prepj& antigen allergen immunotherapy 5 insect (95149) $6 $12 0.1×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282)
range across 2 matching MRF lines
$61–$85 $122–$170 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 3 matching MRF lines
$12–$12.50 $24–$25 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 7 matching MRF lines
$15.50–$18.50 $31–$37 varies
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $6 $12 0.1×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) $6 $12 0.1×
Prq Card Angio/Athrect 1 Art (92924)
range across 2 matching MRF lines
$736–$826 $1,472–$1,652 varies
Prq Card Stent W/Angio 1 Vsl (92928)
range across 9 matching MRF lines
$687.50–$772 $1,375–$1,544 varies
Prq Card Stent/Ath/Angio (92933)
range across 2 matching MRF lines
$769–$864 $1,538–$1,728 varies
Prq Revasc Byp Graft 1 Vsl (92937)
range across 5 matching MRF lines
$686.50–$771.50 $1,373–$1,543 varies
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
likely a partial charge, not the full procedure
$1,697.50 $3,395 0.1×
Psych diag eval w/med srvcs (90792)
range across 2 matching MRF lines
$109–$185 $218–$370 varies
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$124.50–$165.50 $249–$331 varies
Pt Eval High Complex (97163) $304.50 $609 3.1×
Pt eval low complex 20 min (97161) $304.50 $609 3.1×
Pt Eval Mod Complex (97162) $304.50 $609 3.1×
Pt gait training 15 min (97116)
range across 7 matching MRF lines
$36.50–$126 $73–$252 varies
Pt mechanical traction (97012)
range across 6 matching MRF lines
$20.50–$184 $41–$368 varies
Pt Re-Eval Est Plan Care (97164) $201.50 $403 3.0×
Pt ultraviolet (97028) $9.50 $19 1.1×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $3.50 $7 0.1×
Pulm function test by gas (94727)
range across 4 matching MRF lines
$16.50–$231 $33–$462 varies
Pulmonary service/procedure (94799) $44.50 $89 0.3×
Pulmonary Stress Testing (94618)
range across 4 matching MRF lines
$28–$122 $56–$244 varies
Pure Tone Audiometry Air (92552)
range across 8 matching MRF lines
$6.50–$38.50 $13–$77 varies
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $26 $52 1.1×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $40.50 $81 1.2×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $15 $30 1.2×
R Hrt Art/Grft Angio (93457) $470.50 $941 0.1×
R hrt coronary artery angio (93456)
range across 3 matching MRF lines
$420.50–$1,392.50 $841–$2,785 varies
R&L Hrt Cath W/Ventriclgrphy (93453)
range across 3 matching MRF lines
$427–$1,415 $854–$2,830 varies
Rapid Desensitization Procedure Each Hour (95180)
range across 3 matching MRF lines
$122–$180.50 $244–$361 varies
Rem interrog icpms <30 d phys/qhp (93297) $34.50 $69 0.9×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $36 $72 0.9×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $28.50 $57 0.7×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $8.50 $17 0.1×
Rem Mntr Wrls P-Art Prs Snr (93264) $43.50 $87 1.1×
Remote 30 Day Ecg Rev/Report (93270) $17.50 $35 0.4×
Respiratory flow volume loop (94375)
range across 5 matching MRF lines
$19.50–$143.50 $39–$287 varies
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $138.50 $277 2.2×
Right Heart Cath (93451)
range across 3 matching MRF lines
$185–$971.50 $370–$1,943 varies
Right ventricular recording (93603) $150 $300 0.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$31–$75 $62–$150 varies
Same day nb discharge (99463)
range across 6 matching MRF lines
$100–$131.50 $200–$263 varies
Self Care Mngment Training (97535)
range across 7 matching MRF lines
$44.50–$173 $89–$346 varies
Self-meas bp pt educaj/traing & dev calibration (99473) $5 $10 0.2×
Sensory Integration Ea 15 Min (97533) $144.50 $289 2.4×
Sinusoidal Vertical Axis Rotational Testing (92546) $127.50 $255 0.9×
Sleep study attended (95807)
range across 3 matching MRF lines
$81–$924 $162–$1,848 varies
Sleep study unattended (95806)
range across 2 matching MRF lines
$79.50–$211 $159–$422 varies
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $234 $468 1.0×
Speech Audiometry Complete (92556) $46 $92 0.7×
Speech audiometry threshold (92555)
range across 7 matching MRF lines
$28–$30.50 $56–$61 varies
Speech sound lang comprehen (92523) $325 $650 1.4×
Spirometry (94010)
range across 10 matching MRF lines
$15.50–$333.50 $20–$667 varies
Spontaneous Nystagmus Test (92541) $52 $104 0.4×
Staggered Spondaic Word Test (92572) $62 $124 0.5×
Stenger Test Speech (92577) $22 $44 0.1×
Stenger Test, Pure Tone (92565) $20 $40 0.3×
Stress Tte Only (93350)
range across 7 matching MRF lines
$86.50–$1,430 $173–$2,860 varies
Subcutaneous Infusion Each Additional Hour (96370)
range across 2 matching MRF lines
$20–$78.50 $40–$157 varies
Subcutaneous infusion initial 1 hr w/pump set-up (96369)
range across 3 matching MRF lines
$373–$384 $746–$768 varies
Subq Infusion Additional Pump Infusion Site (96371) $117 $234 1.5×
Synthetic Sentence Identification Test (92576) $43.50 $87 1.1×
Temp transcutaneous pacing (92953) $774.50 $1,549 1.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 10 matching MRF lines
$98–$151.50 $196–$303 varies
Ther Ivntj Ea Addl 15 Min (97130) $151.50 $303 7.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 8 matching MRF lines
$30.50–$115.50 $61–$231 varies
Ther/Proph/Diag Inj Ia (96373) $24.50 $49 0.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 11 matching MRF lines
$29.50–$88.50 $59–$177 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 10 matching MRF lines
$85.50–$419 $171–$838 varies
Therapeutic Activities (97530)
range across 14 matching MRF lines
$44.50–$171.50 $89–$343 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $123 $246 0.3×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 6 matching MRF lines
$27.50–$37 $55–$74 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 8 matching MRF lines
$13.50–$45.50 $27–$91 varies
Tone Decay Test (92563) $38 $76 1.0×
Trans Care Mgmt 14 Day Disch (99495)
range across 4 matching MRF lines
$157.50–$195.50 $315–$391 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 4 matching MRF lines
$231–$269 $462–$538 varies
Transcath Closure of Asd (93580)
likely a partial charge, not the full procedure
$1,299 $2,598 0.1×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $36.50 $73 0.3×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $70.50 $141 1.8×
Tte w/doppler, complete (93306)
range across 15 matching MRF lines
$78.50–$2,476 $157–$4,952 varies
Tte W/O Doppler Complete (93307)
range across 5 matching MRF lines
$54.50–$202.50 $109–$405 varies
Tx atrial fib pulm vein isol (93656)
range across 4 matching MRF lines
$721–$1,442 $1,442–$2,884 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 6 matching MRF lines
$102–$139.50 $204–$279 varies
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 5 matching MRF lines
$37–$191 $74–$382 varies
Tympanometry (92567)
range across 17 matching MRF lines
$13.50–$27 $27–$54 varies
Tympanometry and reflex threshold measurements (92550) $27 $54 0.1×
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines
$313–$423 $626–$846 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 11 matching MRF lines
$16–$358 $32–$716 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 6 matching MRF lines
$29–$333 $58–$666 varies
Valvuloplasty aortic valve (92986)
likely a partial charge, not the full procedure
$1,775.50 $3,551 0.3×
Valvuloplasty mitral valve (92987)
likely a partial charge, not the full procedure
$1,832.50 $3,665 0.2×
Valvuloplasty pulmonary valve (92990)
likely a partial charge, not the full procedure
$1,382.50 $2,765 0.1×
Veeg 2-12 Hr Cont Mntr (95713) $997 $1,994 2.5×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$121–$1,554 $242–$3,108 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines
$86.50–$1,106 $173–$2,212 varies
Visual Evoked Potential Test (95930) $186.50 $373 0.8×
Visual Field Exam Extended (92083) $106.50 $213 0.8×
Visual field xm uni/bi w/interp intermed exam (92082) $85.50 $171 1.4×
Visual reinforcement audiometry (vra) (92579)
range across 3 matching MRF lines
$49.50–$58 $99–$116 varies
Wheelchair Mgmt Ea 15 Min (97542)
range across 7 matching MRF lines
$39.50–$96.50 $79–$193 varies
Whirlpool Therapy (97022)
range across 6 matching MRF lines
$29.50–$70.50 $59–$141 varies
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $31.50 $63 0.8×

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.