Visits & medical services prices at Dunes Surgical Hospital

Dakota Dunes, SD · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $136.44 — 1.3×
1St set-up & prgrmg phys/qhp of wearable cvdfb (93745) $457.20 — 1.5×
Ablate Heart Dysrhythm Focus (93650) $11,431.25 — 1.4×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $239.10 — 1.8×
Acoustic Reflex Testing (92568) $61.38 — 1.6×
Actigraphy Testing Recording Analysis I&R (95803) $93.63 — 1.6×
Actinotherapy Ultraviolet Light (96900) $61.38 — 1.6×
Acupunct W/Stimul 15 Min (97813) $45.57 — 1.5×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $45.57 — 1.5×
Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) $244.05 — 1.3×
Adaptive behavior tx by protocol tech ea 15 min (97153) $136.44 — 1.3×
Advncd Care Plan 30 Min (99497) $136.44 — 1.3×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $480.44 — 2.2×
Aep neurodiagnostic i&r (92653) $480.44 — 2.2×
Aep threshold estimation mlt frequencies i&r (92652) $480.44 $716 2.2×
Airway Inhalation Treatment (94640) $326.48 $231 1.5×
Airway resistance by oscillometry (94728) $239.10 — 1.8×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $61.38 — 1.6×
Allg tstg perq & ic venoms immed react w/i&r (95017) $45.57 — 1.5×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $195.53 — 1.4×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $195.53 — 1.4×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $239.10 — 1.8×
Analysis w/prgrmg aud brainstem implant pr hr (92640) $239.10 — 1.8×
Analyze neurostim complex (95972) $148.17 — 1.5×
Analyze neurostim no prog (95970) $195.53 $176 1.4×
Analyze Neurostim Simple (95971) $148.17 $481 1.5×
Analyze Pacemaker System (93724) $457.20 — 1.5×
Ans parasymp & symp w/tilt (95924) $480.44 — 2.2×
Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) $195.53 — 1.4×
Ant sgm imaging w/microscopy endothelial analy (92286) $195.53 — 1.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $63 $42 4.4×
Application on-body injector (96377) $72.71 — 1.5×
Arrhythmia Induction (93618) $1,821.69 — 1.5×
Art pressure waveform analys (93050) $45.57 — 1.5×
Assessment of tinnitus (92625) $239.10 — 1.8×
Assmt & care planning pt w/cognitive impairment (99483) $136.44 — 1.3×
Audiometry Air & Bone (92553) $239.10 — 1.8×
Auditory Function, 60 Min (92620) $239.10 — 1.8×
Basic vestibular evaluation (92540) $239.10 — 1.1×
Behavior id assessment by phys/qhp ea 15 min (97151) $136.44 — 1.3×
Behavior id support assmt by 1 tech ea 15 min (97152) $136.44 — 1.3×
Bioimpedance Cv Analysis (93701) $195.53 — 1.4×
Bis Xtracell Fluid Analysis (93702) $239.10 — 1.8×
Blink reflex test (95933) $93.63 — 1.6×
Breath hydrogen/methane test (91065) $239.10 — 1.1×
Breathing response to hypoxia (94450) $239.10 — 1.8×
Brief Emotional/Behav Assmt (96127) $61.38 — 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $480.44 $665 1.3×
Bundle of his recording (93600) $11,431.25 — 1.4×
C motor evoked uppr limbs (95928) $1,600.37 — 1.8×
C motor evoked upr&lwr limbs (95939) $1,600.37 $1,067 1.8×
Caloric vestibular test w/rec bi monothermal (92538) $239.10 — 1.1×
Caloric Vstblr Test W/Rec (92537) $239.10 — 1.8×
Car seat/bed test 60 min (94780) $61.38 — 1.6×
Cardiac Stress Tst,Tracing Only (93017) $480.44 — 2.2×
Cardiopulmonary exercise testing (94621) $480.44 — 1.3×
Cardiopulmonary resuscitation (92950) $480.44 $1,059 2.2×
Cardioversion (92960) $996.20 — 1.5×
Cardioversion elective internal (92961) $996.20 — 1.5×
Care mgmt services behavioral hlth cond 20 mins (99484) $43.92 — 1.1×
Caregiver hlth risk assmt score doc stnd instrm (96161) $43.92 — 1.1×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $4,987.76 — 1.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $4,987.76 — 1.5×
Cbt 1st hour (94644) $195.53 $327 1.4×
Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) $195.53 — 1.4×
Cervical & Ocular Vemp Testing W/I&R (92519) $480.44 — 2.2×
Cervical Vemp Testing W/I&R (92517) $239.10 — 1.8×
Chemo Admin Peritoneal Cavity (96446) $518.39 — 1.5×
Chemo Anti-Neopl Sq/Im (96401) $107.84 — 1.5×
Chemo Hormon Antineopl Sq/Im (96402) $107.84 — 1.5×
Chemo Ia Push (96420) $518.39 — 1.5×
Chemo Intralesional Over 7 (96406) $328.08 — 1.5×
Chemo intralesional up to 7 (96405) $107.84 — 1.5×
Chemo IV infusion addl hr (96415) $107.84 — 1.5×
Chemo IV push addl drug (96411) $107.84 — 1.5×
Chemother Prolong Infuse W/Pump (96416) $518.39 — 1.5×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $518.39 — 1.5×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $72.71 — 1.5×
Chemotherapy Into Cns (96450) $518.39 — 1.5×
Chemotherapy Intracavitary (96440) $518.39 — 1.5×
Chemotherapy Unspecified (96549) $72.71 — 1.5×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $518.39 — 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $107.84 — 1.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $518.39 — 1.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $518.39 — 1.5×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $518.39 — 1.5×
Chest Wall Manipulation (94668) $195.53 $231 1.4×
Chiropract manj 3-4 regions (98941) $39.72 — 1.8×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) $39.72 — 1.8×
Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) $39.72 — 1.8×
Chron Care Mgmt Srvc 20 Min (99490) $136.44 — 1.3×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $820.41 — 2.2×
Cmptr ophth dx img ant segmt (92132) $93.63 — 1.6×
Colon Motility 6 Hr Study (91117) $480.44 — 2.2×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $93.63 — 1.6×
Color/duplex Doppler, complete (93975) $375.08 — 1.5×
Color/duplex Doppler, limited (93976) $168.29 — 1.6×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $244.05 — 1.3×
Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) $1,600.37 — 1.8×
Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) $820.41 — 2.2×
Comprehensive Hearing Test (92557) $239.10 — 1.8×
Computerized dynamic posturography (92548) $195.53 — 1.4×
Computerized Ophthalmic Imaging Optic Nerve (92133) $93.63 — 1.6×
Computerized Ophthalmic Imaging Retina (92134) $93.63 — 1.6×
Conditioning Play Audiometry (92582) $239.10 — 1.8×
Cont gluc mntr physician/qhp provided equiptment (95250) $202.34 — 1.5×
Cont Gluc Mntr Pt Prov Eqp (95249) $93.63 — 1.6×
Contact Lens Fit,Corneoscleral Lens (92313) $195.53 — 1.4×
Continuous Pulse Ox (94762) $239.10 $438 1.8×
Cornea hysteresis determin impulse stimj uni/bi (92145) $93.63 — 1.6×
Corneal Topography (92025) $93.63 — 1.6×
Coronary Art/Grft Angio S&I (93455) $4,987.76 — 1.5×
Coronary Artery Angio S&I (93454) $4,987.76 — 1.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $326.48 $665 1.5×
Cpt initial (94667) $195.53 $231 1.4×
Critical care first hour (99291) $1,358.27 $1,030 1.6×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $820.41 — 2.2×
Dark Adaptation Eye Exam (92284) $609.87 — 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $306.44 — 1.5×
Developmental tst admin phys/qhp 1st hour (96112) $239.10 — 1.8×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $239.10 — 1.8×
Dialysis One Evaluation (90945) $677.94 — 1.6×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $480.44 $392 1.3×
Duodenal motility study (91022) $820.41 — 2.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $375.08 — 1.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $168.29 — 1.6×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $168.29 — 1.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $375.08 $714 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $168.29 $550 1.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $375.08 $714 1.5×
Dup-scan xtr veins unilateral/limited study (93971) $168.29 $550 1.6×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $375.08 — 1.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $168.29 — 1.6×
Duplex Scan Hemodialysis Access (93990) $168.29 — 1.6×
Duplex up extrem art bilat (93930) $375.08 — 1.5×
Duplex up extrem art unilat/ltd (93931) $168.29 — 1.6×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $239.10 — 1.8×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $239.10 — 1.8×
Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) $480.44 — 2.2×
Ear and throat examination (92502) $842.18 $965 1.5×
Ear Protector Evaluation (92596) $61.38 — 1.6×
ECG/monitoring and analysis (93271) $148.17 — 1.5×
Echo Congenital Complete (93303) $844.43 — 1.5×
Echo Heart Xthoracic,Limited (93308) $375.08 $981 1.5×
Echo r-t 2d w/probe placement only (93313) $844.43 — 1.5×
Echo transesophag congen probe plcmt only (93316) $844.43 — 1.5×
Echo transesophag montr cardiac pump functj (93318) $844.43 — 1.5×
Echo transesophageal (93312) $844.43 — 1.5×
Echo Transesophageal - Congenital Tee Complete (93315) $844.43 — 1.5×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $844.43 — 1.5×
Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) $57.72 — 1.5×
Eeg 41-60 Minutes (95812) $480.44 — 2.2×
EEG awake and asleep (95819) $480.44 — 2.2×
EEG awake drowsy (95816) $480.44 — 2.2×
EEG cerebral death evaluation (95824) $820.41 — 2.2×
EEG cont rec w/video by tech min 8 channels (95700) $239.10 — 1.1×
EEG extended monitoring 61-119 minutes (95813) $480.44 — 2.2×
Eeg Sleep Only (95822) $480.44 — 2.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $480.44 — 2.2×
EEG w/o vid 2-12hr cont mntr (95707) $480.44 — 2.2×
EEG w/o vid ea 12-26hr intmt (95709) $820.41 — 2.2×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $820.41 — 2.2×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $480.44 — 2.2×
EEG wo vid ea 12-26hr unmntr (95708) $820.41 — 2.2×
EKG signal averaged (93278) $93.63 — 1.6×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $148.17 — 1.5×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $148.17 — 1.5×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $57.72 — 1.5×
Electro-Oculography (92270) $195.53 — 1.4×
Electrocardiogram Tracing (93005) $93.63 $206 1.6×
Electrocochleography (92584) $239.10 — 1.8×
Electroconvulsive Therapy (90870) $820.41 — 0.9×
Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) $480.44 — 2.2×
Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) $195.53 — 1.4×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $11,431.25 — 1.4×
Electrophysiology Evaluation (93642) $1,821.69 — 1.5×
Emg 3 Extremities (95863) $239.10 $589 1.8×
Emg 4 Extremities (95864) $239.10 — 1.8×
Endomyocardial Biopsy (93505) $4,878.96 — 1.5×
Ep & ablate supravent arrhyt (93653) $36,353.79 — 1.4×
Ep & ablate ventric tachy (93654) $36,353.79 — 1.4×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $11,431.25 — 1.4×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $11,431.25 — 1.4×
Ep Esophageal Recording Atria+Pacing (93616) $1,821.69 — 1.5×
Ergonovine provocation test (93024) $609.87 — 1.3×
Esoph Atrial Electrogram (93615) $1,821.69 — 1.5×
Esophageal Capsule Endoscopy (91111) $1,387.52 — 1.5×
Esophagus acid perfusion test esophagitis (91030) $820.41 — 2.2×
Esophgl Balo Distension Dx Std W/Provocation (91040) $820.41 — 2.2×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $820.41 — 2.2×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $239.10 — 1.8×
Evaluate pt use of inhaler (94664) $326.48 $231 1.5×
Evoked Auditory Test,Limited (92587) $480.44 — 2.2×
Excimer laser tx psoriasis 250-500 sq cm (96921) $306.44 — 1.5×
Excimer laser tx psoriasis >500 sq cm (96922) $610.34 — 1.5×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $306.44 — 1.5×
Exercise test for bronchospasm (94617) $195.53 — 1.4×
Exhaled Air Analysis O2 (94680) $239.10 — 1.8×
External ECG rec>48hr<7d recording (93242) $61.38 — 1.6×
External ECG rec>48hr<7d scanning alys w/report (93243) $195.53 — 1.4×
External ECG rec>7d<15d recording (93246) $61.38 — 1.6×
External ECG rec>7d<15d scanning alys w/report (93247) $195.53 — 1.4×
External Ecg Scanning Analysis Report (93226) $93.63 — 1.6×
Extracranial Bilat Study (93880) $375.08 $714 1.5×
Extracranial Uni/Ltd Study (93882) $168.29 $542 1.6×
Eye Allergy Tests (95060) $195.53 — 1.4×
Eye exam w anesth; complete (92018) $3,576.84 $6,304 1.5×
Eye exam w anesth; limited (92019) $3,576.84 — 1.5×
Eye Exam With Photos (92230) $820.41 — 2.2×
F-up/limited tthrc echo congenital car anomaly (93304) $844.43 — 1.5×
Facial nerve function studies (92516) $480.44 — 2.2×
Family adapt bhv tx gdn phys/qhp ea 15 min (97156) $43.92 — 1.1×
Filtered Speech Test (92571) $61.38 — 1.6×
Fitting of spectacle mounted low vision aid; single element system Facility (92354) $61.38 — 1.6×
Fitting of spectacle mounted low vision aid; telescopic or other compound lens system Non-Facility OP Neurology,… (92355) $61.38 — 1.6×
Fitting of spectacle prosthesis for aphakia; monofocal Facility (92352) $93.63 — 1.6×
Fitting of spectacle prosthesis for aphakia; multifocal Facility (92353) $93.63 — 1.6×
Fluorescein angiography (92235) $480.44 — 2.2×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $480.44 — 2.2×
Full Field Electroretinography W/I&R (92273) $480.44 — 2.2×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,600.37 $999 1.8×
Fundus photography (92250) $195.53 — 1.4×
Gastric motility studies (91020) $820.41 — 2.2×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $820.41 — 2.2×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $480.44 $480 2.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $820.41 $1,059 0.9×
Gi tract capsule endoscopy (91110) $1,387.52 $2,627 1.5×
Gi tract imaging intraluminal colon i&r (91113) $1,398.96 — 1.5×
Gi wireless capsule measure (91112) $1,387.52 — 1.5×
Gonioscopy (92020) $195.53 — 1.4×
Group adaptive bhv tx by protocol tech ea 15 min (97154) $43.92 — 1.1×
Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) $43.92 — 1.1×
Health Behavior Assessment/Re-Assessment (96156) $136.44 — 1.3×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $4,987.76 — 1.5×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,069.62 — 1.5×
High altitude simulation test (94452) $195.53 — 1.4×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $195.53 — 1.4×
Holter monitor recording (93225) $195.53 — 1.4×
Hypnotherapy (90880) $136.44 — 1.3×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $61.38 — 1.6×
Icd Device Interrogate (93289) $57.72 — 1.5×
Icd device progr eval dual (93283) $57.72 — 1.5×
Icd Device Progr Eval Mult (93284) $57.72 — 1.5×
Icm Device Eval (93290) $57.72 — 1.5×
Ilr Device Eval Progr (93285) $57.72 — 1.5×
Ilr Device Interrogate (93291) $45.57 — 1.5×
Im Adm Intransl/Oral 1 Vaccine (90473) $107.84 — 1.5×
Img retina detcj/mntr ds poc auton a/r uni/bi (92229) $93.63 — 1.6×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $93.63 — 1.6×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $61.38 — 1.6×
Immunization administration (90471) $107.84 $168 1.5×
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $480.44 — 2.2×
Ingestion challenge test initial 120 minutes (95076) $820.41 — 2.2×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $820.41 — 2.2×
Insert/Place Heart Catheter (93503) $2,451.41 $4,048 1.5×
Interrogate Subq Defib (93261) $57.72 — 1.5×
Interrogation eval in person wr defibrillator (93292) $57.72 — 1.5×
Interrogation vad in person (93750) $148.17 — 1.5×
Intra-atrial pacing (93610) $11,431.25 — 1.4×
Intra-atrial recording (93602) $11,431.25 — 1.4×
Intracranial Complete Study (93886) $375.08 — 1.5×
Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) $45.57 — 1.5×
Intracutaneous tests w/allergenic extracts (95024) $93.63 — 1.6×
Intraventricular pacing (93612) $11,431.25 — 1.4×
Io anal gast n-stim subsq (95981) $93.63 — 1.6×
Io ga n-stim subsq w/reprog (95982) $57.72 — 1.5×
Irrig Drug Delivery Device (96523) $93.63 $227 1.6×
Ischemic limb exercise test (95875) $239.10 — 1.8×
IV infusion hydration each additional hour (96361) $72.71 $109 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $328.08 $303 1.5×
IV infusion ther proph addl sequential to 1 hr (96367) $107.84 $190 1.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $72.71 $109 1.5×
IV push initial (96374) $328.08 $158 1.5×
L Hrt Art/Grft Angio (93459) $4,987.76 — 1.5×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $4,987.76 — 1.5×
Laryngeal Function Studies (92520) $195.53 — 1.4×
Liver Elastography W/O Imag W/I&R (91200) $239.10 — 1.8×
Loudness balance test (92562) $480.44 — 2.2×
Low frequency non-thermal us (97610) $306.44 — 1.5×
Lung Function Test (Mbc/Mvv) (94200) $93.63 — 1.6×
Lwr Xtr Vasc Stdy Bilat (93924) $239.10 — 1.1×
Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) $1,600.37 — 1.8×
Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) $1,600.37 $5,756 1.8×
Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) $480.44 — 2.2×
Measurement Lung Volumes Infant/Child/2 Yrs (94013) $820.41 — 2.2×
Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) $239.10 — 1.8×
Mechanical chest wall oscillation per session (94669) $326.48 $176 1.5×
Methacholine challenge (94070) $480.44 — 1.3×
Microvolt T-Wave Assess (93025) $239.10 — 1.8×
Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) $195.53 — 1.4×
Motility study esophagus (91010) $820.41 $1,059 2.2×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $609.87 — 1.3×
Multifocal Electroretinography W/I&R (92274) $239.10 — 1.8×
Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) $43.92 — 1.1×
Multiple Family Group Psychotherapy (90849) $244.05 — 1.3×
Multiple Sleep Latency Test (95805) $820.41 — 0.9×
Muscle Test 2 Limbs (95861) $195.53 $629 1.4×
Muscle Test Hemidiaphragm (95866) $239.10 — 1.8×
Muscle Test Nonparaspinal (95870) $195.53 $263 1.4×
Muscle Test One Limb (95860) $195.53 $232 1.4×
Narcosynthesis (90865) $244.05 — 1.3×
Nasal function studies (92512) $480.44 — 2.2×
Nasopharyngoscopy (92511) $303.20 $526 1.5×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $480.44 $743 2.2×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $480.44 $589 2.2×
Needle electromyography larynx (95865) $195.53 $262 1.4×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $480.44 — 2.2×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $239.10 — 1.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $610.34 — 1.5×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $610.34 — 1.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $306.44 $330 1.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $610.34 $493 1.5×
Nerve Conduction Studies 1-2 Studies (95907) $239.10 — 1.1×
Nerve Conduction Studies 11-12 Studies (95912) $820.41 — 2.2×
Nerve conduction studies 13 or more studies (95913) $820.41 — 2.2×
Nerve Conduction Studies 3-4 Studies (95908) $480.44 — 2.2×
Nerve conduction studies 5-6 studies (95909) $480.44 — 2.2×
Nerve conduction studies 7-8 studies (95910) $480.44 — 1.3×
Nerve Conduction Studies 9-10 Studies (95911) $820.41 — 2.2×
Neurobehavioral Status Exam (96116) $480.44 — 2.2×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $239.10 $547 1.8×
Newborn resuscitation (99465) $996.20 — 1.5×
Nitric oxide expired gas determination (95012) $61.38 — 1.6×
Nose Allergy Test (95065) $61.38 — 1.6×
Nrpsyc tst eval phys/qhp 1st (96132) $820.41 — 2.2×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $480.44 — 1.3×
Ocular Vemp Testing W/I&R (92518) $239.10 — 1.8×
Oculoelectromyography (92265) $93.63 — 1.6×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $195.53 — 1.4×
Ophthalmodynamometry (92260) $61.38 — 1.6×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $93.63 — 1.6×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $93.63 — 1.6×
Optokinetic Nystagmus Test (92544) $239.10 — 1.8×
Oscillating Tracking Test (92545) $480.44 — 2.2×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $39.72 — 1.8×
Osteopathic manipulative tx 3-4 body regions (98926) $39.72 — 1.8×
Osteopathic manipulative tx 5-6 body regions (98927) $39.72 — 1.8×
Osteopathic manipulative tx 7-8 body regions (98928) $39.72 — 1.8×
Osteopathic manipulative tx 9-10 body regions (98929) $39.72 — 1.8×
Ot eval high complexity (97167) $513 $342 5.1×
Ot Eval Low Complex (97165) $513 $342 5.1×
Ot Eval Moderate Complexity (97166) $513 $342 5.1×
Ot manual therapy 15 min (97140) $183 $122 6.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $202.26 — 1.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $202.26 — 1.5×
Oxygen Uptake Rest Indirect (94690) $93.63 — 1.6×
Patch/Application Test Specify Number Tests (95044) $1,600.37 — 1.8×
Patient-initiated spirometric recording (94015) $480.44 — 2.2×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $609.87 — 1.3×
Pediatric apnea monitor analyses computer (94776) $239.10 — 1.8×
Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of… (94775) $239.10 — 1.8×
Penile Vascular Study,Ltd or F/U (93981) $168.29 — 1.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $326.48 — 1.5×
Percutaneous tests w/allergenic extracts (95004) $1,600.37 — 1.8×
Peripheral arterial disease rehab per session (93668) $93.63 — 1.6×
Perq transcath closure pda (93582) $26,840.30 — 1.4×
Perq Transcath Cls Aortic (93591) $26,840.30 — 1.4×
Perq Transcath Cls Mitral (93590) $26,840.30 — 1.4×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $8,748.74 — 1.5×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $16,839.03 — 1.4×
Phlebotomy therapeutic (99195) $195.53 — 1.4×
Photo patch test(s) (95052) $93.63 — 1.6×
Photo Tests (95056) $195.53 — 1.4×
Photochemotx Psoralens&Ultraviolet Puva (96912) $93.63 — 1.6×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $93.63 — 1.6×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $93.63 — 1.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $93.63 — 1.6×
Plethysmography (94726) $480.44 — 1.3×
Pm device eval in person (93288) $57.72 — 1.5×
Pm device progr eval dual (93280) $57.72 — 1.5×
Pm device progr eval multi (93281) $57.72 — 1.5×
Pm Device Progr Eval Sngl (93279) $57.72 — 1.5×
Pm/Icd Remote Tech Serv (93296) $57.72 — 1.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,600.37 — 1.8×
Polysom <6 yrs 4/> paramtrs (95782) $1,600.37 — 1.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,600.37 — 1.8×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $1,600.37 — 1.8×
Positional nystagmus test (92542) $195.53 — 1.4×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $72.71 — 1.5×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $72.71 — 1.5×
Prepj& antigen allergen immunotherapy 2 insect (95146) $72.71 — 1.5×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $107.84 — 1.5×
Prepj& antigen allergen immunotherapy 5 insect (95149) $107.84 — 1.5×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) $609.87 — 1.3×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) $195.53 — 1.4×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) $195.53 — 1.4×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) $61.38 — 1.6×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $57.72 — 1.5×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $57.72 — 1.5×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $136.44 — 1.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $72.71 — 1.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $72.71 — 1.5×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $107.84 — 1.5×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) $72.71 — 1.5×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) $72.71 — 1.5×
Prosthesis service for aphakia, temporary (disposable or loan, including materials) Facility (92358) $93.63 — 1.6×
Prq Card Angio/Athrect 1 Art (92924) $16,839.03 — 1.4×
Prq Card Stent W/Angio 1 Vsl (92928) $16,839.03 — 1.4×
Prq Card Stent/Ath/Angio (92933) $26,840.30 — 1.4×
Prq Revasc Byp Graft 1 Vsl (92937) $16,839.03 — 1.4×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $26,840.30 — 1.4×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $16,839.03 — 1.4×
Psych diag eval w/med srvcs (90792) $244.05 — 1.3×
Psychiatric diagnostic evaluation (90791) $244.05 — 1.3×
Psychoanalysis (90845) $244.05 — 1.3×
Psychological tst eval svc phys/qhp first hour (96130) $480.44 — 2.2×
Psycl/Nrpsyc Tst Auto Result (96146) $45.57 — 1.5×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $609.87 — 1.3×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $195.53 — 1.4×
Psytx Crisis Initial 60 Min (90839) $244.05 — 1.3×
Pt Eval High Complex (97163) $529.50 $353 5.4×
Pt eval low complex 20 min (97161) $529.50 $353 5.4×
Pt Eval Mod Complex (97162) $529.50 $353 5.4×
Pt gait training 15 min (97116) $145.50 $97 5.0×
Pt Re-Eval Est Plan Care (97164) $291 $194 4.3×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $43.92 — 1.1×
Pulm function test by gas (94727) $239.10 — 1.1×
Pulmonary service/procedure (94799) $239.10 — 1.8×
Pulmonary Stress Testing (94618) $195.53 $414 1.4×
Pure Tone Audiometry Air (92552) $195.53 — 1.4×
R Hrt Art/Grft Angio (93457) $4,987.76 — 1.5×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $4,987.76 — 1.5×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $4,987.76 — 1.5×
R hrt coronary artery angio (93456) $4,987.76 — 1.5×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $4,987.76 — 1.5×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $4,987.76 — 1.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $4,987.76 — 1.5×
Rapid Desensitization Procedure Each Hour (95180) $609.87 — 1.3×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $518.39 — 1.5×
Refill/Maint Portable Pump (96521) $328.08 $673 1.5×
Refill/Maint Pump/Resvr Syst (96522) $328.08 $673 1.5×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $57.72 — 1.5×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $202.34 — 1.5×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $57.72 — 1.5×
Rem ther mntr dev sply resp (98976) $57.72 — 1.5×
Remote 30 Day Ecg Rev/Report (93270) $57.72 — 1.5×
Remote 30 Day Ecg Tech Supp (93229) $480.44 — 1.3×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $202.34 — 1.5×
Repair and refitting spectacles; spectacle prosthesis for aphakia Facility (92371) $93.63 — 1.6×
Repet tms tx initial w/map/motr threshld/del&m (90867) $480.44 — 2.2×
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) $480.44 — 2.2×
Replacement of contact lens (92326) $93.63 — 1.6×
Respiratory flow volume loop (94375) $480.44 $296 2.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $93.63 — 1.6×
Right Heart Cath (93451) $4,987.76 — 1.5×
Right ventricular recording (93603) $1,821.69 — 1.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $306.44 — 1.5×
Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) $195.53 — 1.4×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $820.41 — 2.2×
Sbsq Psyc Collab Care Mgmt (99493) $244.05 — 2.4×
Select picture audiometry (92583) $93.63 — 1.6×
Self Care Mngment Training (97535) $177 $118 5.5×
Self-meas bp pt educaj/traing & dev calibration (99473) $45.57 — 1.5×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $93.63 — 1.6×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $480.44 — 2.2×
Short-latency somatosens ep std upr limbs (95925) $480.44 $999 2.2×
Sinusoidal Vertical Axis Rotational Testing (92546) $239.10 — 1.8×
Sleep study attended (95807) $820.41 — 2.2×
Sleep study unattended (95806) $239.10 — 1.1×
Slp Stdy Unatnd W/Anal (95801) $93.63 — 1.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $239.10 — 1.1×
Somatosensory Testing (95938) $820.41 $1,067 0.9×
Speech Audiometry Complete (92556) $93.63 — 1.6×
Speech audiometry threshold (92555) $93.63 — 1.6×
Spin/Brain Pump Refil & Main (95991) $453.36 — 1.4×
Spirometry (94010) $239.10 $414 1.1×
Spontaneous Nystagmus Test (92541) $195.53 — 1.4×
Ssep lower limbs (95926)
range across 2 matching MRF lines
$480.44 $447–$589 2.2×
Staggered Spondaic Word Test (92572) $239.10 — 1.8×
Stenger Test Speech (92577) $820.41 — 2.2×
Stenger Test, Pure Tone (92565) $93.63 — 1.6×
Stress Tte Only (93350) $844.43 — 1.5×
Subcutaneous Infusion Each Additional Hour (96370) $72.71 — 1.5×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $328.08 — 1.5×
Subq Infusion Additional Pump Infusion Site (96371) $107.84 — 1.5×
Surfactant Admin Thru Tube (94610) $326.48 — 1.5×
Synthetic Sentence Identification Test (92576) $61.38 — 1.6×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $168.29 — 1.6×
Temp transcutaneous pacing (92953) $996.20 — 1.5×
Tensilon Test (95857) $480.44 — 2.2×
Test to assess hearing loss using different tone pitches (92575) $61.38 — 1.6×
Testing Autonomic Nervous System Function (95923) $195.53 — 1.4×
Ther/Prop/Diag Inj/Inf Proc (96379) $72.71 — 1.5×
Ther/Proph/Diag Inj Ia (96373) $328.08 — 1.5×
Ther/Proph/Diag Inj Sc/Im (96372) $107.84 $158 1.5×
Ther/Proph/Diag Iv Inf Init (96365) $328.08 $712 1.5×
Therap repetitive tms tx subseq delivery & mng (90868) $480.44 — 2.2×
Therapeutic Activities (97530) $177 $118 5.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $820.41 — 2.2×
Tobacco Use Cessation Intensive >10 Minutes (99407) $43.92 $147 1.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $43.92 $147 1.1×
Tone Decay Test (92563) $61.38 — 1.6×
Trans Care Mgmt 14 Day Disch (99495) $202.34 — 1.5×
Trans Care Mgmt 7 Day Disch (99496) $202.34 — 1.5×
Transcath Closure of Asd (93580) $26,840.30 — 1.4×
Transcranial Doppler Intracran Art Emboli Detect (93892) $168.29 — 1.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $168.29 — 1.6×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $57.72 — 1.5×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $239.10 — 1.8×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $195.53 — 1.4×
Tte w/doppler, complete (93306) $844.43 $1,801 1.5×
Tte W/O Doppler Complete (93307) $375.08 $1,440 1.5×
Tx atrial fib pulm vein isol (93656) $36,353.79 — 1.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $72.71 $158 1.5×
Tympanometry (92567) $61.38 — 1.6×
Tympanometry and reflex threshold measurements (92550) $239.10 — 1.1×
Unlis neurological/neuromuscular dx px (95999) $239.10 — 1.8×
Unlisted allergy/clinical immunologic srvc/px (95199) $45.57 — 1.5×
Unlisted cardiovascular service/procedure (93799) $239.10 — 1.8×
Unlisted Diagnostic Gastroenterology Procedure (91299) $239.10 $480 1.8×
Unlisted noninvasive vascular diagnostic study (93998) $45.57 — 1.5×
Unlisted ophthalmological service/procedure (92499) $45.57 — 1.5×
Unlisted otorhinolaryngological service (92700) $45.57 — 1.5×
Unlisted Psychiatric Service/Procedure (90899) $43.92 — 1.1×
Upr/L Xtremity Art 2 Levels (93922) $195.53 — 1.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $239.10 $605 1.1×
Valvuloplasty aortic valve (92986) $8,748.74 — 1.5×
Valvuloplasty mitral valve (92987) $16,839.03 — 1.4×
Valvuloplasty pulmonary valve (92990) $16,839.03 — 1.4×
Veeg 2-12 Hr Cont Mntr (95713) $820.41 — 2.2×
Veeg 2-12 hr intmt mntr (95712) $480.44 — 1.3×
Veeg 2-12 hr unmonitored (95711) $480.44 — 2.2×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $820.41 — 2.2×
Veeg Ea 12-26 Hr Unmntr (95714) $820.41 — 2.2×
Veeg ea 12-26hr cont mntr (95716) $1,600.37 — 1.8×
Vent Mgmt Inpat Init Day (94002) $959.21 $1,629 1.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $959.21 $1,629 1.5×
Visual Evoked Potential Test (95930) $480.44 — 2.2×
Visual Field Exam Extended (92083) $195.53 — 1.4×
Visual field xm uni/bi w/interp intermed exam (92082) $93.63 — 1.6×
Visual field xm uni/bi w/interpretj limited exam (92081) $93.63 $271 1.6×
Visual reinforcement audiometry (vra) (92579) $239.10 — 1.1×
Vital capacity, total (94150) $239.10 — 1.8×
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,600.37 — 1.8×
Whirlpool Therapy (97022) $120 $80 7.6×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $93.63 — 1.6×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $61.38 — 1.6×

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.