Visits & medical services prices at Dupont Hospital LLC
Fort Wayne, IN · every code in this section with a posted price and a Medicare benchmark.
370 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) likely a partial charge, not the full procedure |
$466.56 | $1,728 | 0.1× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $20.79 | $77 | 0.2× |
| Acoustic Reflex Testing (92568) | $11.88 | $44 | 0.3× |
| Acupunct W/Stimul 15 Min (97813) | $23.22 | $86 | 0.8× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $21.60 | $80 | 0.7× |
| Advncd Care Plan 30 Min (99497) range across 6 matching MRF lines |
$51.57–$60.75 | $191–$225 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $196.83 | $729 | 0.9× |
| Aep neurodiagnostic i&r (92653) | $311.31 | $1,153 | 1.4× |
| Aep threshold estimation mlt frequencies i&r (92652) | $599.67 | $2,221 | 2.6× |
| Airway Inhalation Treatment (94640) range across 13 matching MRF lines |
$12.42–$134.19 | $46–$497 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $5.13 | $19 | 0.1× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $2.43 | $9 | 0.1× |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$48.87–$45,835.18 | $181–$169,759.92 | varies |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$16.74–$24.57 | $62–$91 | varies |
| Analyze Neurostim Simple (95971) | $28.35 | $105 | 0.3× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) range across 2 matching MRF lines |
$58.59–$90.45 | $217–$335 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 7 matching MRF lines |
$8.91–$89.10 | $33–$330 | varies |
| Arrhythmia Induction (93618) range across 2 matching MRF lines |
$164.16–$233.55 | $608–$865 | varies |
| Assessment of aphasia per hr (96105) | $200.07 | $741 | 2.1× |
| Audiometry Air & Bone (92553) range across 4 matching MRF lines |
$24.03–$24.57 | $89–$91 | varies |
| Auditory Function, 60 Min (92620) | $57.78 | $214 | 0.4× |
| Basic vestibular evaluation (92540) | $70.47 | $261 | 0.3× |
| Behavral qualit analys voice (92524) | $148.77 | $551 | 1.4× |
| Breath hydrogen/methane test (91065) range across 2 matching MRF lines |
$10.80–$61.56 | $40–$228 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 13 matching MRF lines |
$31.86–$388.26 | $35–$1,438 | varies |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$82.62 | $306 | 0.0× |
| Canalith repositioning proc (95992) | $26.19 | $97 | 0.6× |
| Car seat/bed test 60 min (94780) | $28.62 | $106 | 0.7× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$43.74–$755.19 | $162–$2,797 | varies |
| Cardiopulmonary exercise testing (94621) range across 3 matching MRF lines |
$48.60–$111.51 | $180–$413 | varies |
| Cardiopulmonary resuscitation (92950) range across 5 matching MRF lines |
$154.71–$505.17 | $573–$1,871 | varies |
| Cardioversion (92960) range across 7 matching MRF lines |
$79.92–$593.19 | $296–$2,197 | varies |
| Cardioversion elective internal (92961) | $179.55 | $665 | 0.3× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 6 matching MRF lines |
$270.81–$12,348.18 | $1,003–$45,734 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 5 matching MRF lines |
$215.19–$3,863.70 | $797–$14,310 | varies |
| Cbt 1st hour (94644) range across 3 matching MRF lines |
$29.16–$151.74 | $108–$562 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 4 matching MRF lines |
$46.44–$173.88 | $172–$644 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $24.03 | $89 | 0.3× |
| Chemo Ia Push (96420) range across 3 matching MRF lines |
$264.06–$279.99 | $978–$1,037 | varies |
| Chemo Intralesional Over 7 (96406) | $46.98 | $174 | 0.2× |
| Chemo intralesional up to 7 (96405) | $31.05 | $115 | 0.4× |
| Chemo IV infusion addl hr (96415) range across 3 matching MRF lines |
$28.35–$75.06 | $105–$278 | varies |
| Chemo IV push addl drug (96411) | $161.73 | $599 | 2.1× |
| Chemother Prolong Infuse W/Pump (96416) | $109.08 | $404 | 0.3× |
| Chemotherapy Into Cns (96450) range across 5 matching MRF lines |
$81–$527.85 | $300–$1,955 | varies |
| Chemotherapy Unspecified (96549) | $272.16 | $1,008 | 5.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 3 matching MRF lines |
$49.14–$81.27 | $182–$301 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$127.71–$461.16 | $473–$1,708 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $372.33 | $1,379 | 1.1× |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$19.17–$60.75 | $71–$225 | varies |
| Chiropract manj 3-4 regions (98941) | $24.57 | $91 | 1.1× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$21.33–$27.54 | $79–$102 | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $314.28 | $1,164 | 0.8× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $37.53 | $139 | 0.6× |
| Color/duplex Doppler, complete (93975) range across 4 matching MRF lines |
$430.11–$844.56 | $1,593–$3,128 | varies |
| Color/duplex Doppler, limited (93976) range across 8 matching MRF lines |
$344.25–$483.30 | $1,275–$1,790 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $21.06 | $78 | 0.7× |
| Comprehensive Hearing Test (92557) range across 8 matching MRF lines |
$20.52–$22.68 | $76–$84 | varies |
| Computerized dynamic posturography (92548) | $18.36 | $68 | 0.1× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $30.24 | $112 | 0.5× |
| Computerized Ophthalmic Imaging Retina (92134) | $31.05 | $115 | 0.5× |
| Conditioning Play Audiometry (92582) | $47.52 | $176 | 0.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 9 matching MRF lines |
$101.52–$104.76 | $376–$388 | varies |
| Continuous Pulse Ox (94762) | $201.69 | $747 | 1.5× |
| Corneal Topography (92025) | $25.92 | $96 | 0.4× |
| Coronary Art/Grft Angio S&I (93455) range across 5 matching MRF lines |
$204.39–$3,863.70 | $757–$14,310 | varies |
| Coronary Artery Angio S&I (93454) range across 6 matching MRF lines |
$176.58–$3,863.70 | $654–$14,310 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $634.77 | $2,351 | 2.7× |
| Cpt initial (94667) range across 3 matching MRF lines |
$17.28–$120.42 | $64–$446 | varies |
| Critical care first hour (99291) range across 5 matching MRF lines |
$127.98–$579.96 | $474–$2,148 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 7 matching MRF lines |
$23.76–$220.32 | $88–$816 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $88.83 | $329 | 0.7× |
| Dialysis One Evaluation (90945) | $440.37 | $1,631 | 1.0× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 3 matching MRF lines |
$20.52–$34.02 | $76–$126 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 8 matching MRF lines |
$398.52–$432.54 | $1,476–$1,602 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 4 matching MRF lines |
$361.80–$398.52 | $1,340–$1,476 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $42.93 | $159 | 0.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 9 matching MRF lines |
$27.54–$599.94 | $102–$2,222 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 8 matching MRF lines |
$17.28–$392.85 | $64–$1,455 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 13 matching MRF lines |
$24.30–$649.89 | $90–$2,407 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 15 matching MRF lines |
$15.93–$336.42 | $59–$1,246 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $25.11 | $93 | 0.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $15.93 | $59 | 0.1× |
| Duplex Scan Hemodialysis Access (93990) range across 5 matching MRF lines |
$17.28–$354.24 | $64–$1,312 | varies |
| Duplex up extrem art bilat (93930) range across 4 matching MRF lines |
$27.54–$513.54 | $102–$1,902 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 6 matching MRF lines |
$17.55–$451.17 | $65–$1,671 | varies |
| Ear and throat examination (92502) | $67.23 | $249 | 0.1× |
| ECG/monitoring and analysis (93271) | $129.33 | $479 | 1.3× |
| Echo Congenital Complete (93303) range across 4 matching MRF lines |
$44.82–$1,139.40 | $166–$4,220 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 7 matching MRF lines |
$17.01–$506.52 | $63–$1,876 | varies |
| Echo r-t 2d w/probe placement only (93313) range across 2 matching MRF lines |
$14.58–$28.89 | $54–$107 | varies |
| Echo transesophag montr cardiac pump functj (93318) range across 4 matching MRF lines |
$81.54–$972 | $302–$3,600 | varies |
| Echo transesophageal (93312) range across 9 matching MRF lines |
$63.99–$969.57 | $237–$3,591 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 5 matching MRF lines |
$101.52–$972 | $376–$3,600 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 7 matching MRF lines |
$56.16–$182.52 | $208–$676 | varies |
| Eeg 41-60 Minutes (95812) | $802.17 | $2,971 | 3.5× |
| EEG awake and asleep (95819) range across 8 matching MRF lines |
$35.91–$605.88 | $133–$2,244 | varies |
| EEG awake drowsy (95816) range across 10 matching MRF lines |
$35.37–$572.13 | $131–$2,119 | varies |
| EEG cerebral death evaluation (95824) | $28.08 | $104 | 0.1× |
| EEG cont rec w/video by tech min 8 channels (95700) | $333.99 | $1,237 | 1.5× |
| EEG extended monitoring 61-119 minutes (95813) range across 3 matching MRF lines |
$64.80–$1,146.15 | $240–$4,245 | varies |
| Eeg Sleep Only (95822) range across 4 matching MRF lines |
$40.23–$376.38 | $149–$1,394 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $333.99 | $1,237 | 1.5× |
| EEG w/o vid 2-12hr cont mntr (95707) | $333.99 | $1,237 | 1.5× |
| EEG w/o vid ea 12-26hr intmt (95709) | $640.71 | $2,373 | 1.6× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $640.71 | $2,373 | 1.6× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $333.99 | $1,237 | 1.5× |
| EEG wo vid ea 12-26hr unmntr (95708) | $640.71 | $2,373 | 1.6× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $34.83 | $129 | 0.3× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $25.92 | $96 | 0.7× |
| Electrical Stimulation Ea 15 Min (97032) | $13.23 | $49 | 0.9× |
| Electrocardiogram Tracing (93005) range across 13 matching MRF lines |
$9.99–$160.92 | $37–$596 | varies |
| Electroconvulsive Therapy (90870) | $113.67 | $421 | 0.1× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) | $921.51 | $3,413 | 4.0× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) likely a partial charge, not the full procedure |
$179.01 | $663 | 0.0× |
| Electrophysiology Evaluation (93642) range across 4 matching MRF lines |
$187.11–$677.97 | $693–$2,511 | varies |
| Emergency Dept Visit Level 2 (99282) range across 8 matching MRF lines |
$34.56–$281.61 | $128–$1,043 | varies |
| Emergency Dept Visit Level 3 (99283) range across 8 matching MRF lines |
$44.55–$494.37 | $165–$1,831 | varies |
| Emergency Dept Visit Level 4 (99284) range across 6 matching MRF lines |
$68.04–$795.96 | $252–$2,948 | varies |
| Endomyocardial Biopsy (93505) range across 5 matching MRF lines |
$541.35–$2,167.56 | $597–$8,028 | varies |
| Ep & ablate supravent arrhyt (93653) likely a partial charge, not the full procedure |
$582.93 | $2,159 | 0.0× |
| Ep & ablate ventric tachy (93654) likely a partial charge, not the full procedure |
$775.44 | $2,872 | 0.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 3 matching MRF lines |
$447.66–$635.85 | $1,658–$2,355 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) likely a partial charge, not the full procedure |
$281.88 | $1,044 | 0.0× |
| Er level 1 (99281) range across 9 matching MRF lines |
$19.98–$196.56 | $74–$728 | varies |
| Er level v (99285) range across 6 matching MRF lines |
$99.63–$1,307.07 | $369–$4,841 | varies |
| Esophageal Capsule Endoscopy (91111) | $36.99 | $137 | 0.0× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $41.31 | $153 | 0.1× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$11.61–$103.41 | $43–$383 | varies |
| Evaluate Speech Production (92522) | $143.10 | $530 | 1.3× |
| Evaluate Swallowing Function (92610) | $273.78 | $1,014 | 3.2× |
| Evaluation of speech fluency (92521) | $176.04 | $652 | 1.3× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$12.96–$22.14 | $48–$82 | varies |
| External ECG rec>48hr<7d recording (93242) | $668.25 | $2,475 | 16.9× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $419.85 | $1,555 | 3.0× |
| External ECG rec>7d<15d recording (93246) | $668.25 | $2,475 | 16.9× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $419.85 | $1,555 | 3.0× |
| External Ecg Scanning Analysis Report (93226) range across 3 matching MRF lines |
$28.08–$419.58 | $104–$1,554 | varies |
| Extracranial Bilat Study (93880) range across 6 matching MRF lines |
$27.81–$628.56 | $103–$2,328 | varies |
| Extracranial Uni/Ltd Study (93882) range across 5 matching MRF lines |
$17.28–$349.65 | $64–$1,295 | varies |
| Eye exam w anesth; complete (92018) | $100.98 | $374 | 0.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 4 matching MRF lines |
$104.22–$658.26 | $95–$2,438 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $244.62 | $906 | 1.2× |
| Fundus photography (92250) | $53.19 | $197 | 0.4× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$124.47–$134.73 | $461–$499 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $35.91 | $133 | 0.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 4 matching MRF lines |
$52.38–$382.86 | $194–$1,418 | varies |
| Gi tract capsule endoscopy (91110) range across 9 matching MRF lines |
$135–$869.40 | $500–$3,220 | varies |
| Gonioscopy (92020) | $14.58 | $54 | 0.1× |
| Group Therapeutic Procedures (97150) | $12.15 | $45 | 0.7× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 4 matching MRF lines |
$298.62–$4,349.70 | $1,106–$16,110 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,354.86 | $5,018 | 1.9× |
| Holter monitor recording (93225) range across 3 matching MRF lines |
$19.17–$668.25 | $71–$2,475 | varies |
| Hypnotherapy (90880) range across 2 matching MRF lines |
$58.59–$66.15 | $217–$245 | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $8.91 | $33 | 0.2× |
| Icd Device Interrogate (93289) range across 3 matching MRF lines |
$32.13–$47.25 | $119–$175 | varies |
| Icd device progr eval dual (93283) range across 3 matching MRF lines |
$40.50–$58.86 | $150–$218 | varies |
| Icd Device Progr Eval Mult (93284) range across 3 matching MRF lines |
$44.01–$65.34 | $163–$242 | varies |
| Icm Device Eval (93290) | $21.33 | $79 | 0.5× |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$17.55–$30.51 | $65–$113 | varies |
| Ilr Device Interrogate (93291) | $26.19 | $97 | 0.9× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
$11.88–$14.85 | $44–$55 | varies |
| Immunization administration (90471) range across 16 matching MRF lines |
$4.05–$67.77 | $15–$251 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $51.30 | $190 | 0.1× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) range across 2 matching MRF lines |
$25.92–$375.57 | $96–$1,391 | varies |
| Inital newborn e/m (99460) range across 6 matching MRF lines |
$46.98–$63.18 | $174–$234 | varies |
| Insert/Place Heart Catheter (93503) range across 6 matching MRF lines |
$133.38–$906.39 | $494–$3,357 | varies |
| Interrogation eval in person wr defibrillator (93292) | $22.41 | $83 | 0.6× |
| Interrogation vad in person (93750) | $35.64 | $132 | 0.4× |
| Intra-atrial pacing (93610) range across 2 matching MRF lines |
$114.75–$149.58 | $425–$554 | varies |
| Intra-atrial recording (93602) range across 2 matching MRF lines |
$81–$112.32 | $300–$416 | varies |
| Intracutaneous tests w/allergenic extracts (95024) | — | $3 | — |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$113.94 | $422 | 0.0× |
| Io anal gast n-stim subsq (95981) | $12.42 | $46 | 0.2× |
| Io ga n-stim subsq w/reprog (95982) | $25.38 | $94 | 0.6× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$20.52–$22.14 | $76–$82 | varies |
| Irrig Drug Delivery Device (96523) | $124.74 | $462 | 2.0× |
| IV infusion hydration each additional hour (96361) range across 11 matching MRF lines |
$10.53–$162.27 | $39–$601 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 11 matching MRF lines |
$38.61–$294.84 | $143–$1,092 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $147.69 | $547 | 1.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 9 matching MRF lines |
$14.85–$147.69 | $55–$547 | varies |
| IV push initial (96374) range across 11 matching MRF lines |
$38.07–$163.08 | $141–$604 | varies |
| L Hrt Art/Grft Angio (93459) range across 5 matching MRF lines |
$242.73–$3,863.70 | $899–$14,310 | varies |
| Loudness balance test (92562) | $30.78 | $114 | 0.1× |
| Low frequency non-thermal us (97610) | $230.58 | $854 | 1.1× |
| Lung Function Test (Mbc/Mvv) (94200) | $17.28 | $64 | 0.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $17.28 | $64 | 0.1× |
| Mechanical chest wall oscillation per session (94669) | $103.41 | $383 | 0.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 6 matching MRF lines |
$17.55–$36.72 | $65–$136 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 6 matching MRF lines |
$15.39–$22.68 | $57–$84 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 5 matching MRF lines |
$9.72–$24.30 | $36–$90 | varies |
| Methacholine challenge (94070) range across 4 matching MRF lines |
$20.25–$713.61 | $75–$2,643 | varies |
| Motility study esophagus (91010) range across 3 matching MRF lines |
$47.79–$127.98 | $177–$474 | varies |
| Motion Fluoroscopy/Swallow (92611) | $244.62 | $906 | 2.7× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $51.84 | $192 | 0.1× |
| Multiple Sleep Latency Test (95805) range across 4 matching MRF lines |
$280.26–$2,046.06 | $160–$7,578 | varies |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$108.81–$117.45 | $403–$435 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$79.11–$83.43 | $293–$309 | varies |
| Nasopharyngoscopy (92511) range across 3 matching MRF lines |
$33.48–$50.49 | $124–$187 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $44.28 | $164 | 0.2× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 4 matching MRF lines |
$29.43–$71.55 | $109–$265 | varies |
| Needle electromyography larynx (95865) | $58.59 | $217 | 0.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$93.15–$421.74 | $345–$1,562 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $421.74 | $1,562 | 1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 10 matching MRF lines |
$16.47–$198.72 | $61–$736 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 5 matching MRF lines |
$28.08–$421.74 | $104–$1,562 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$59.13–$66.42 | $219–$246 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 4 matching MRF lines |
$163.35–$178.20 | $605–$660 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$189.27–$202.23 | $701–$749 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 4 matching MRF lines |
$72.90–$85.05 | $270–$315 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 6 matching MRF lines |
$87.48–$100.98 | $324–$374 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$115.02–$133.92 | $426–$496 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$139.32–$159.57 | $516–$591 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $56.16 | $208 | 0.4× |
| Neuromuscular Reeducation (97112) range across 14 matching MRF lines |
$21.06–$101.79 | $78–$377 | varies |
| Newborn resuscitation (99465) range across 7 matching MRF lines |
$81.81–$489.24 | $303–$1,812 | varies |
| Nitric oxide expired gas determination (95012) | $12.96 | $48 | 0.3× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $61.02 | $226 | 0.4× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 4 matching MRF lines |
$60.21–$95.85 | $223–$355 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 4 matching MRF lines |
$48.06–$79.11 | $178–$293 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 5 matching MRF lines |
$31.59–$3,319.01 | $117–$12,292.62 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 6 matching MRF lines |
$29.16–$51.84 | $108–$192 | varies |
| Oral Function Therapy (92526) | $135.27 | $501 | 1.6× |
| Oral Speech Device Eval (92597) | $197.64 | $732 | 2.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $82.62 | $306 | 1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 14 matching MRF lines |
$24.03–$82.62 | $89–$306 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$14.58–$24.03 | $54–$89 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 3 matching MRF lines |
$23.49–$36.18 | $87–$134 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$29.70–$36.45 | $110–$135 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$37.53–$42.39 | $139–$157 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$44.82–$50.49 | $166–$187 | varies |
| Ot eval high complexity (97167) | $167.40 | $620 | 1.7× |
| Ot Eval Low Complex (97165) | $167.40 | $620 | 1.7× |
| Ot Eval Moderate Complexity (97166) | $167.40 | $620 | 1.7× |
| Ot manual therapy 15 min (97140) range across 11 matching MRF lines |
$18.90–$90.45 | $70–$335 | varies |
| Ot paraffin bath (97018) | $7.56 | $28 | 1.3× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 14 matching MRF lines |
$21.06–$82.62 | $78–$306 | varies |
| Ot Re-Eval Est Plan Care (97168) | $200.34 | $742 | 2.9× |
| Oxygen Uptake Rest Indirect (94690) | $33.21 | $123 | 0.5× |
| Patch/Application Test Specify Number Tests (95044) | $3.78 | $14 | 0.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $197.37 | $731 | 0.9× |
| Percutaneous tests w/allergenic extracts (95004) | $4.32 | $16 | 0.0× |
| Perq transcath closure pda (93582) range across 3 matching MRF lines |
$13,603.41 | $1,719–$50,383 | 0.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 17 matching MRF lines |
$334.26–$6,586.92 | $1,238–$24,396 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 11 matching MRF lines |
$9,051.48 | $865–$33,524 | 0.7× |
| Phlebotomy therapeutic (99195) | $124.74 | $462 | 0.9× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $240.30 | $890 | 3.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $240.30 | $890 | 3.9× |
| Physical Performance Test (97750) | $22.68 | $84 | 0.7× |
| Plethysmography (94726) range across 9 matching MRF lines |
$37.53–$155.79 | $29–$577 | varies |
| Pm device eval in person (93288) range across 3 matching MRF lines |
$10.80–$27.27 | $40–$101 | varies |
| Pm device progr eval dual (93280) range across 3 matching MRF lines |
$27.27–$42.66 | $101–$158 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$31.59–$49.68 | $117–$184 | varies |
| Pm Device Progr Eval Sngl (93279) range across 3 matching MRF lines |
$11.61–$36.18 | $43–$134 | varies |
| Pm/Icd Remote Tech Serv (93296) | $22.14 | $82 | 0.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 12 matching MRF lines |
$78.03–$2,869.83 | $289–$10,629 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 5 matching MRF lines |
$86.13–$3,076.92 | $319–$11,396 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $103.68 | $384 | 0.1× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $3.51 | $13 | 0.1× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $3.24 | $12 | 0.1× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $3.24 | $12 | 0.1× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $3.24 | $12 | 0.0× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$32.94–$45.90 | $122–$170 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$6.48–$6.75 | $24–$25 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 7 matching MRF lines |
$8.37–$9.99 | $31–$37 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $3.24 | $12 | 0.0× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $3.24 | $12 | 0.1× |
| Prq Card Angio/Athrect 1 Art (92924) range across 4 matching MRF lines |
$12,093.30 | $1,472–$44,790 | 1.0× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 11 matching MRF lines |
$9,503.73 | $1,375–$35,199 | 0.8× |
| Prq Card Stent/Ath/Angio (92933) range across 4 matching MRF lines |
$24,726.33 | $1,538–$91,579 | 1.3× |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 7 matching MRF lines |
$9,051.48 | $1,373–$33,524 | 0.7× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) range across 3 matching MRF lines |
$916.65–$9,646.29 | $3,395–$35,727 | varies |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$58.86–$99.90 | $218–$370 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$67.23–$89.37 | $249–$331 | varies |
| Pt Eval High Complex (97163) | $196.56 | $728 | 2.0× |
| Pt eval low complex 20 min (97161) | $196.56 | $728 | 2.0× |
| Pt Eval Mod Complex (97162) | $196.56 | $728 | 2.0× |
| Pt gait training 15 min (97116) range across 7 matching MRF lines |
$19.71–$62.10 | $73–$230 | varies |
| Pt mechanical traction (97012) | $11.07 | $41 | 0.8× |
| Pt Re-Eval Est Plan Care (97164) | $259.47 | $961 | 3.8× |
| Pt ultraviolet (97028) | $5.13 | $19 | 0.6× |
| Pulm function test by gas (94727) range across 3 matching MRF lines |
$8.91–$29.43 | $33–$109 | varies |
| Pulmonary service/procedure (94799) | $24.03 | $89 | 0.2× |
| Pulmonary Stress Testing (94618) range across 4 matching MRF lines |
$15.12–$217.89 | $56–$807 | varies |
| Pure Tone Audiometry Air (92552) range across 6 matching MRF lines |
$19.71–$20.79 | $73–$77 | varies |
| R Hrt Art/Grft Angio (93457) range across 4 matching MRF lines |
$254.07–$4,349.70 | $941–$16,110 | varies |
| R hrt coronary artery angio (93456) range across 4 matching MRF lines |
$227.07–$4,034.88 | $841–$14,944 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 4 matching MRF lines |
$230.58–$5,255.28 | $854–$19,464 | varies |
| Rapid Desensitization Procedure Each Hour (95180) range across 2 matching MRF lines |
$65.88–$97.47 | $244–$361 | varies |
| Rem interrog icpms <30 d phys/qhp (93297) | $18.63 | $69 | 0.5× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $19.44 | $72 | 0.5× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $15.39 | $57 | 0.4× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $4.59 | $17 | 0.0× |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $23.49 | $87 | 0.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $9.45 | $35 | 0.2× |
| Respiratory flow volume loop (94375) range across 4 matching MRF lines |
$10.53–$41.04 | $39–$152 | varies |
| Right Heart Cath (93451) range across 4 matching MRF lines |
$524.61–$4,742.28 | $370–$17,564 | varies |
| Right ventricular recording (93603) | $81 | $300 | 0.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$16.74–$230.58 | $62–$854 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $229.77 | $851 | 1.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $192.24 | $712 | 4.0× |
| Same day nb discharge (99463) range across 6 matching MRF lines |
$54–$71.01 | $200–$263 | varies |
| Self Care Mngment Training (97535) range across 7 matching MRF lines |
$24.03–$55.62 | $89–$206 | varies |
| Self-meas bp pt educaj/traing & dev calibration (99473) | $2.70 | $10 | 0.1× |
| Sensory Integration Ea 15 Min (97533) range across 4 matching MRF lines |
$44.82–$46.44 | $166–$172 | varies |
| Sleep study attended (95807) | $43.74 | $162 | 0.1× |
| Sleep study unattended (95806) range across 5 matching MRF lines |
$42.93–$357.21 | $159–$1,323 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $126.36 | $468 | 0.6× |
| Speech Audiometry Complete (92556) | $24.84 | $92 | 0.4× |
| Speech audiometry threshold (92555) range across 4 matching MRF lines |
$15.12–$15.39 | $56–$57 | varies |
| Speech sound lang comprehen (92523) | $296.73 | $1,099 | 1.3× |
| Spirometry (94010) range across 10 matching MRF lines |
$18.36–$202.23 | $20–$749 | varies |
| Spontaneous Nystagmus Test (92541) | $28.08 | $104 | 0.2× |
| Standardized Cognitive Performance Testing (96125) | $229.77 | $851 | 2.2× |
| Stenger Test Speech (92577) | $11.88 | $44 | 0.0× |
| Stenger Test, Pure Tone (92565) | $10.80 | $40 | 0.2× |
| Stress Tte Only (93350) range across 7 matching MRF lines |
$46.71–$1,170.72 | $173–$4,336 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) range across 3 matching MRF lines |
$10.80–$142.29 | $40–$527 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $283.50 | $1,050 | 1.3× |
| Subq Infusion Additional Pump Infusion Site (96371) | $142.29 | $527 | 1.9× |
| Surfactant Admin Thru Tube (94610) | $120.42 | $446 | 0.5× |
| Temp transcutaneous pacing (92953) range across 4 matching MRF lines |
$564.30–$621 | $2,090–$2,300 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $90.99 | $337 | 4.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $90.99 | $337 | 4.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$16.47–$18.36 | $61–$68 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $173.61 | $643 | 1.7× |
| Ther/Proph/Diag Inj Ia (96373) | $13.23 | $49 | 0.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 11 matching MRF lines |
$15.93–$98.01 | $59–$363 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 14 matching MRF lines |
$46.17–$294.84 | $171–$1,092 | varies |
| Therapeutic Activities (97530) range across 13 matching MRF lines |
$24.03–$57.78 | $89–$214 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 4 matching MRF lines |
$66.42–$1,467.99 | $246–$5,437 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 4 matching MRF lines |
$14.85–$17.01 | $55–$63 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 6 matching MRF lines |
$7.29–$9.72 | $27–$36 | varies |
| Tone Decay Test (92563) | $20.52 | $76 | 0.5× |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$85.05–$102.87 | $315–$381 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 4 matching MRF lines |
$124.74–$145.26 | $462–$538 | varies |
| Transcath Closure of Asd (93580) range across 3 matching MRF lines |
$10,533.51 | $2,598–$39,013 | 0.5× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $19.71 | $73 | 0.2× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $38.07 | $141 | 1.0× |
| Tte w/doppler, complete (93306) range across 17 matching MRF lines |
$42.39–$1,325.16 | $157–$4,908 | varies |
| Tte W/O Doppler Complete (93307) range across 8 matching MRF lines |
$45.36–$924.75 | $168–$3,425 | varies |
| Tx atrial fib pulm vein isol (93656) range across 4 matching MRF lines |
$389.34–$778.68 | $1,442–$2,884 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 6 matching MRF lines |
$55.08–$200.07 | $204–$741 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $60.21 | $223 | 2.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 8 matching MRF lines |
$19.98–$67.77 | $74–$251 | varies |
| Tympanometry (92567) range across 10 matching MRF lines |
$10.53–$11.07 | $39–$41 | varies |
| Tympanometry and reflex threshold measurements (92550) | $14.58 | $54 | 0.1× |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$169.02–$228.42 | $626–$846 | varies |
| Unlisted otorhinolaryngological service (92700) | $173.61 | $643 | 5.7× |
| Upr/L Xtremity Art 2 Levels (93922) range across 13 matching MRF lines |
$8.64–$252.18 | $32–$934 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 6 matching MRF lines |
$15.66–$307.80 | $58–$1,140 | varies |
| Valvuloplasty aortic valve (92986) range across 3 matching MRF lines |
$958.77–$6,272.91 | $3,551–$23,233 | varies |
| Valvuloplasty mitral valve (92987) range across 3 matching MRF lines |
$989.55–$5,182.11 | $3,665–$19,193 | varies |
| Valvuloplasty pulmonary valve (92990) range across 3 matching MRF lines |
$746.55–$6,031.80 | $2,765–$22,340 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) range across 3 matching MRF lines |
$604.53–$640.71 | $2,239–$2,373 | varies |
| Veeg 2-12 hr intmt mntr (95712) | $333.99 | $1,237 | 0.8× |
| Veeg 2-12 hr unmonitored (95711) | $333.99 | $1,237 | 1.5× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $640.71 | $2,373 | 1.6× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $640.71 | $2,373 | 1.6× |
| Veeg ea 12-26hr cont mntr (95716) | $1,199.88 | $4,444 | 1.3× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$65.34–$1,227.69 | $242–$4,547 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$46.71–$629.10 | $173–$2,330 | varies |
| Visual Evoked Potential Test (95930) | $100.71 | $373 | 0.4× |
| Visual Field Exam Extended (92083) | $57.51 | $213 | 0.4× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $46.17 | $171 | 0.7× |
| Visual reinforcement audiometry (vra) (92579) | $26.73 | $99 | 0.1× |
| Vital capacity, total (94150) | $204.66 | $758 | 1.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $21.33 | $79 | 0.7× |
| Whirlpool Therapy (97022) | $15.93 | $59 | 1.0× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $17.01 | $63 | 0.4× |
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.