Visits & medical services prices at East Jefferson General Hospital

Metairie, LA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650)
unusually low: confirm this is the full procedure		 $3,151.12 $22,508 0.4×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $26.32 $188 0.2×
Acoustic Reflex Testing (92568) $14.84 $106 0.4×
Actigraphy Testing Recording Analysis I&R (95803) $46.34 $331 0.8×
Actinotherapy Ultraviolet Light (96900) $19.46 $139 0.6×
Admn Sarscov2 Vacc 1 Dose (90480) $19.32 $138 0.5×
Aep neurodiagnostic i&r (92653) $161.42 $1,153 0.8×
Aep threshold estimation mlt frequencies i&r (92652) $161.42 $1,153 0.8×
Airway Inhalation Treatment (94640) $70.56 $504 0.3×
Analyze neurostim complex (95972) $196.28 $1,402 2.2×
Analyze neurostim no prog (95970) $201.46 $1,439 1.6×
Analyze Neurostim Simple (95971) $201.46 $1,439 2.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $33.18 $237 2.3×
Application Modality 1/> Areas Infrared (97026) $21.56 $154 3.2×
Application on-body injector (96377) $17.50 $125 0.4×
Arrhythmia Induction (93618) $601.86 $4,299 0.5×
Assessment of aphasia per hr (96105) $81.34 $581 0.8×
Audiometry Air & Bone (92553) $24.22 $173 0.2×
Auditory Function, 60 Min (92620) $47.60 $340 0.4×
Basic vestibular evaluation (92540) $82.60 $590 0.4×
Behavral qualit analys voice (92524) $115.36 $824 1.1×
Biofeedback training any modality (90901) $22.68 $162 0.6×
Bioimpedance Cv Analysis (93701) $45.22 $323 0.4×
Blink reflex test (95933) $75.18 $537 1.4×
Breathing response to hypoxia (94450) $153.58 $1,097 1.3×
Brief Emotional/Behav Assmt (96127) $16.80 $120 0.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $116.20 $830 0.3×
Bundle of his recording (93600)
likely a partial charge, not the full procedure		 $2,028.18 $14,487 0.3×
C motor evoked uppr limbs (95928) $453.88 $3,242 0.6×
C motor evoked upr&lwr limbs (95939) $453.88 $3,242 0.6×
Caloric vestibular test w/rec bi monothermal (92538) $41.72 $298 0.2×
Caloric Vstblr Test W/Rec (92537) $41.72 $298 0.3×
Canalith repositioning proc (95992)
range across 3 matching MRF lines		 $9.66–$24.64 $69–$176 varies
Car seat/bed test 60 min (94780) $23.24 $166 0.7×
Cardiac Stress Tst,Tracing Only (93017) $351.12 $2,508 1.7×
Cardiopulmonary exercise testing (94621) $298.76 $2,134 0.9×
Cardiopulmonary resuscitation (92950) $258.30 $1,845 1.3×
Cardioversion (92960) $398.44 $2,846 0.6×
Cardioversion elective internal (92961) $174.02 $1,243 0.3×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $4,701.48 $33,582 1.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $4,701.48 $33,582 1.5×
Cbt 1st hour (94644) $106.82 $763 0.9×
Chemo Admin Peritoneal Cavity (96446) $138.88 $992 0.4×
Chemo Anti-Neopl Sq/Im (96401) $90.72 $648 1.3×
Chemo Hormon Antineopl Sq/Im (96402) $90.72 $648 1.3×
Chemo Ia Push (96420) $118.58 $847 0.4×
Chemo Intralesional Over 7 (96406) $89.60 $640 0.4×
Chemo intralesional up to 7 (96405) $117.74 $841 1.7×
Chemo IV infusion addl hr (96415) $84.14 $601 1.2×
Chemo IV push addl drug (96411) $230.72 $1,648 3.4×
Chemother Prolong Infuse W/Pump (96416) $230.72 $1,648 0.7×
Chemotherapy Into Cns (96450) $134.96 $964 0.4×
Chemotherapy Intracavitary (96440) $151.62 $1,083 0.5×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $204.26 $1,459 0.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $230.72 $1,648 3.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $230.44 $1,646 0.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $230.72 $1,648 0.7×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $45.22 $323 0.1×
Chest Wall Manipulation (94668) $85.96 $614 0.7×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $21.28 $152 0.4×
Color/duplex Doppler, complete (93975) $211.12 $1,508 0.9×
Color/duplex Doppler, limited (93976) $173.88 $1,242 1.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $39.34 $281 1.2×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $66.08 $472 0.4×
Comprehensive Hearing Test (92557) $68.88 $492 0.6×
Computerized Ophthalmic Imaging Optic Nerve (92133) $61.04 $436 1.1×
Computerized Ophthalmic Imaging Retina (92134) $61.04 $436 1.1×
Conditioning Play Audiometry (92582) $26.60 $190 0.2×
Continuous Pulse Ox (94762) $62.72 $448 0.5×
Corneal Topography (92025) $42.70 $305 0.8×
Coronary Art/Grft Angio S&I (93455) $3,569.16 $25,494 1.2×
Coronary Artery Angio S&I (93454) $3,171.98 $22,657 1.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $374.78 $2,677 1.8×
Cpt initial (94667) $85.96 $614 0.7×
Critical care first hour (99291) $344.54 $2,461 0.4×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $240.80 $1,720 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $43.54 $311 0.2×
Dialysis One Evaluation (90945) $231.84 $1,656 0.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $397.60 $2,840 1.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $201.74 $1,441 2.1×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $191.94 $1,371 2.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $453.88 $3,242 2.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $308.42 $2,203 3.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $417.76 $2,984 1.9×
Dup-scan xtr veins unilateral/limited study (93971) $337.12 $2,408 3.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $102.34 $731 0.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $49.28 $352 0.5×
Duplex Scan Hemodialysis Access (93990) $327.18 $2,337 3.3×
Duplex up extrem art bilat (93930) $452.20 $3,230 2.0×
Duplex up extrem art unilat/ltd (93931) $313.46 $2,239 3.2×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $64.96 $464 0.5×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $47.60 $340 0.4×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $47.60 $340 0.4×
Ear and throat examination (92502) $223.16 $1,594 0.4×
ECG/monitoring and analysis (93271) $44.52 $318 0.5×
Echo Congenital Complete (93303)
range across 4 matching MRF lines		 $158.48–$459.06 $1,132–$3,279 varies
Echo Heart Xthoracic,Limited (93308) $465.50 $3,325 2.1×
Echo r-t 2d w/probe placement only (93313) $202.58 $1,447 0.4×
Echo transesophag montr cardiac pump functj (93318) $717.92 $5,128 1.4×
Echo transesophageal (93312) $790.16 $5,644 1.5×
Echo Transesophageal - Congenital Tee Complete (93315) $202.58 $1,447 0.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $229.04 $1,636 0.4×
Eeg 41-60 Minutes (95812) $97.16 $694 0.5×
EEG awake and asleep (95819) $306.88 $2,192 1.5×
EEG awake drowsy (95816) $306.88 $2,192 1.5×
EEG cerebral death evaluation (95824) $240.80 $1,720 0.7×
EEG cont rec w/video by tech min 8 channels (95700) $248.36 $1,774 1.2×
EEG extended monitoring 61-119 minutes (95813) $97.16 $694 0.5×
Eeg Sleep Only (95822) $306.88 $2,192 1.5×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $875 $6,250 4.3×
EEG w/o vid 2-12hr cont mntr (95707) $875 $6,250 4.3×
EEG w/o vid ea 12-26hr intmt (95709) $875 $6,250 2.5×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $875 $6,250 2.5×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $875 $6,250 4.3×
EEG wo vid ea 12-26hr unmntr (95708) $246.68 $1,762 0.7×
EKG signal averaged (93278) $136.92 $978 2.5×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $102.76 $734 1.2×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $19.88 $142 0.6×
Electrical Stimulation Ea 15 Min (97032) $41.16 $294 2.8×
Electrocardiogram Tracing (93005) $29.12 $208 0.5×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
likely a partial charge, not the full procedure		 $2,028.18 $14,487 0.3×
Electrophysiology Evaluation (93642) $490.14 $3,501 0.4×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines		 $86.10–$87.64 $615–$626 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines		 $151.06–$152.46 $1,079–$1,089 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines		 $182.42–$220.64 $1,303–$1,576 varies
Emg 3 Extremities (95863) $108.78 $777 0.9×
Emg 4 Extremities (95864) $68.88 $492 0.6×
Endomyocardial Biopsy (93505) $1,412.18 $10,087 0.5×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure		 $11,521.16 $82,294 0.5×
Ep & ablate ventric tachy (93654) $19,820.78 $141,577 0.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure		 $3,103.10 $22,165 0.4×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure		 $2,240.56 $16,004 0.3×
Ep Esophageal Recording Atria+Pacing (93616) $1,267.98 $9,057 1.1×
Er level 1 (99281)
range across 2 matching MRF lines		 $42.98–$51.38 $307–$367 varies
Er level v (99285) $215.04 $1,536 0.4×
Esoph Atrial Electrogram (93615) $1,267.98 $9,057 1.1×
Esophgl Balo Distension Dx Std W/Provocation (91040) $263.90 $1,885 0.8×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $170.66 $1,219 0.5×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $24.22 $173 0.2×
Evaluate pt use of inhaler (94664) $53.48 $382 0.3×
Evaluate Speech Production (92522) $115.36 $824 1.0×
Evaluate Swallowing Function (92610) $66.50 $475 0.8×
Evaluation of speech fluency (92521) $115.36 $824 0.9×
Excimer laser tx psoriasis 250-500 sq cm (96921) $88.62 $633 0.5×
Excimer laser tx psoriasis >500 sq cm (96922) $187.18 $1,337 0.5×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $88.62 $633 0.5×
Exercise test for bronchospasm (94617) $52.22 $373 0.4×
Exhaled Air Analysis O2 (94680) $65.10 $465 0.5×
External ECG rec>48hr<7d recording (93242) $39.48 $282 1.1×
External ECG rec>48hr<7d scanning alys w/report (93243) $56.14 $401 0.4×
External ECG rec>7d<15d recording (93246) $39.48 $282 1.1×
External ECG rec>7d<15d scanning alys w/report (93247) $55.72 $398 0.4×
External Ecg Scanning Analysis Report (93226) $230.44 $1,646 4.2×
Extracranial Bilat Study (93880) $467.04 $3,336 2.1×
Extracranial Uni/Ltd Study (93882) $278.32 $1,988 2.8×
Eye exam w anesth; complete (92018) $532.42 $3,803 0.2×
Eye exam w anesth; limited (92019) $519.82 $3,713 0.2×
F-up/limited tthrc echo congenital car anomaly (93304) $305.48 $2,182 0.6×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $58.52 $418 0.4×
Flexible endoscopic eval swallow c/v rec (92612) $58.52 $418 0.3×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $58.52 $418 0.3×
Fluorescein angiography (92235) $108.78 $777 0.5×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $77.42 $553 0.1×
Fundus photography (92250) $26.46 $189 0.2×
Gastric motility studies (91020) $143.36 $1,024 0.4×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $127.96 $914 0.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $277.90 $1,985 0.3×
Gi tract capsule endoscopy (91110) $255.08 $1,822 0.3×
Gonioscopy (92020) $12.46 $89 0.1×
Group Therapeutic Procedures (97150) $28.42 $203 1.6×
Health Behavior Assessment/Re-Assessment (96156) $28.84 $206 0.3×
Health behavior ivntj indiv f2f 1st 30 min (96158) $28.84 $206 0.2×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $5,098.94 $36,421 1.7×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $231.84 $1,656 0.4×
High altitude simulation test (94452) $56.14 $401 0.4×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $56.14 $401 0.4×
Holter monitor recording (93225) $39.20 $280 0.3×
Hubbard tank 15 min (97036) $101.22 $723 2.9×
Icd Device Interrogate (93289) $36.54 $261 1.0×
Icd device progr eval dual (93283) $18.48 $132 0.5×
Icd Device Progr Eval Mult (93284) $36.54 $261 1.0×
Icm Device Eval (93290) $18.48 $132 0.5×
Ilr Device Eval Progr (93285) $21.56 $154 0.6×
Ilr Device Interrogate (93291) $21.56 $154 0.8×
Im Adm Intransl/Oral 1 Vaccine (90473) $6.30 $45 0.1×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $21.14 $151 0.4×
Immunization administration (90471) $6.30 $45 0.1×
Ingestion challenge test initial 120 minutes (95076) $235.62 $1,683 0.7×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $177.24 $1,266 0.5×
Insert/Place Heart Catheter (93503) $507.92 $3,628 0.3×
Interrogate Subq Defib (93261) $15.40 $110 0.4×
Interrogation eval in person wr defibrillator (93292) $36.54 $261 1.0×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure		 $2,301.74 $16,441 0.3×
Intra-atrial recording (93602)
unusually low: confirm this is the full procedure		 $2,301.74 $16,441 0.3×
Intracranial Complete Study (93886) $372.12 $2,658 1.7×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure		 $3,286.92 $23,478 0.4×
Iontophoresis 15 min (97033) $52.78 $377 2.8×
Irrig Drug Delivery Device (96523) $36.82 $263 0.7×
IV infusion hydration each additional hour (96361) $22.82 $163 0.5×
IV infusion hydration initial 31 min-1 hour (96360) $52.50 $375 0.3×
IV infusion ther proph addl sequential to 1 hr (96367) $30.94 $221 0.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $22.82 $163 0.5×
IV push initial (96374) $35 $250 0.2×
L Hrt Art/Grft Angio (93459) $5,098.94 $36,421 1.7×
Laryngeal Function Studies (92520) $54.18 $387 0.4×
Liver Elastography W/O Imag W/I&R (91200) $66.22 $473 0.5×
Low frequency non-thermal us (97610) $50.40 $360 0.3×
Lung Function Test (Mbc/Mvv) (94200) $45.22 $323 0.8×
Lwr Xtr Vasc Stdy Bilat (93924) $344.54 $2,461 1.7×
Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) $130.48 $932 0.6×
Mechanical chest wall oscillation per session (94669) $74.06 $529 0.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $20.44 $146 0.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $9.66 $69 0.3×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $18.27 $130.50 1.1×
Methacholine challenge (94070) $276.64 $1,976 0.8×
Motility study esophagus (91010) $140.28 $1,002 0.4×
Motion Fluoroscopy/Swallow (92611) $157.36 $1,124 1.7×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $77.70 $555 0.2×
Multiple Family Group Psychotherapy (90849) $66.08 $472 0.4×
Multiple Sleep Latency Test (95805) $552.16 $3,944 0.7×
Muscle Test 2 Limbs (95861) $108.78 $777 0.9×
Muscle Test Nonparaspinal (95870) $30.66 $219 0.2×
Muscle Test One Limb (95860) $108.78 $777 0.9×
Nasopharyngoscopy (92511) $56.56 $404 0.3×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $118.72 $848 0.6×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $118.72 $848 0.6×
Needle electromyography larynx (95865) $45.22 $323 0.4×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $75.18 $537 0.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $38.36 $274 0.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $38.36 $274 0.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $47.46 $339 0.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $54.74 $391 0.1×
Nerve Conduction Studies 1-2 Studies (95907) $77.70 $555 0.4×
Nerve Conduction Studies 11-12 Studies (95912) $107.80 $770 0.3×
Nerve conduction studies 13 or more studies (95913) $135.80 $970 0.4×
Nerve Conduction Studies 3-4 Studies (95908) $77.70 $555 0.4×
Nerve conduction studies 5-6 studies (95909) $77.70 $555 0.4×
Nerve conduction studies 7-8 studies (95910) $77.70 $555 0.2×
Nerve Conduction Studies 9-10 Studies (95911) $135.80 $970 0.4×
Neurobehavioral Status Exam (96116) $52.08 $372 0.3×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $118.72 $848 1.0×
Neuromuscular Reeducation (97112) $37.10 $265 1.1×
Newborn resuscitation (99465) $289.94 $2,071 0.5×
Nitric oxide expired gas determination (95012) $18.62 $133 0.5×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $130.62 $933 0.4×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $39.20 $280 0.3×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $44.66 $319 0.4×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $35.14 $251 0.3×
Ophth medical xm&eval intermediate estab pt (92012) $24.08 $172 0.2×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $35.14 $251 0.3×
Oral Function Therapy (92526) $83.02 $593 1.0×
Oral Speech Device Eval (92597) $131.18 $937 1.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $29.54 $211 0.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $41.30 $295 0.9×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $14.14 $101 0.7×
Osteopathic manipulative tx 3-4 body regions (98926) $13.16 $94 0.6×
Osteopathic manipulative tx 5-6 body regions (98927) $13.16 $94 0.6×
Osteopathic manipulative tx 7-8 body regions (98928) $13.16 $94 0.6×
Ot Contrast Bath Ea 15 Min (97034) $33.46 $239 2.4×
Ot eval high complexity (97167) $43.54 $311 0.4×
Ot Eval Low Complex (97165) $43.54 $311 0.4×
Ot Eval Moderate Complexity (97166) $43.54 $311 0.4×
Ot manual therapy 15 min (97140) $44.10 $315 1.6×
Ot paraffin bath (97018) $44.66 $319 7.4×
Ot Prosthetic Training, Each 15 Min (97761) $12.60 $90 0.3×
Ot Re-Eval Est Plan Care (97168) $38.92 $278 0.6×
Ot rom hand (95852) $3.50 $25 0.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $70 $500 0.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $70 $500 0.6×
Oxygen Uptake Rest Indirect (94690) $22.82 $163 0.4×
Patch/Application Test Specify Number Tests (95044) $481.18 $3,437 0.6×
Penile Vascular Study,Ltd or F/U (93981) $58.66 $419 0.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $133.70 $955 0.7×
Percutaneous tests w/allergenic extracts (95004) $434.70 $3,105 0.5×
Peripheral arterial disease rehab per session (93668) $27.58 $197 0.5×
Perq Transcath Cls Mitral (93590)
unusually low: confirm this is the full procedure		 $6,840.82 $48,863 0.4×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $3,070.76 $21,934 0.6×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
range across 2 matching MRF lines		 $3,148.74–$10,116.96 $22,491–$72,264 varies
Phlebotomy therapeutic (99195) $46.48 $332 0.4×
Photochemotx Psoralens&Ultraviolet Puva (96912) $23.24 $166 0.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $61.60 $440 1.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $61.60 $440 1.1×
Physical Performance Test (97750) $50.12 $358 1.5×
Plethysmography (94726) $135.94 $971 0.4×
Pm device eval in person (93288) $21.56 $154 0.6×
Pm device progr eval dual (93280) $18.48 $132 0.5×
Pm device progr eval multi (93281) $21.56 $154 0.6×
Pm Device Progr Eval Sngl (93279) $18.48 $132 0.5×
Pm/Icd Remote Tech Serv (93296) $19.60 $140 0.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $712.74 $5,091 0.9×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $405.44 $2,896 0.5×
Prepj& allergen immunotherapy 1/mlt antigen (95165)
range across 18 matching MRF lines		 $126.42–$235.06 $903–$1,679 varies
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $15.40 $110 0.4×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $18.48 $132 0.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $9.24 $66 0.2×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $12.32 $88 0.3×
Prq Card Angio/Athrect 1 Art (92924) $5,461.12 $39,008 0.5×
Prq Card Stent W/Angio 1 Vsl (92928)
range across 2 matching MRF lines		 $3,800.30–$9,246.44 $27,145–$66,046 varies
Prq Card Stent/Ath/Angio (92933)
range across 2 matching MRF lines		 $7,048.44–$13,092.66 $50,346–$93,519 varies
Prq Revasc Byp Graft 1 Vsl (92937) $12,801.88 $91,442 1.2×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
likely a partial charge, not the full procedure		 $3,726.80 $26,620 0.2×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $5,430.60 $38,790 0.5×
Psych diag eval w/med srvcs (90792) $32.48 $232 0.2×
Psychiatric diagnostic evaluation (90791) $32.48 $232 0.2×
Psytx Crisis Initial 60 Min (90839) $43.12 $308 0.3×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $18.76 $134 0.5×
Pt Eval High Complex (97163) $43.54 $311 0.4×
Pt eval low complex 20 min (97161) $43.54 $311 0.4×
Pt Eval Mod Complex (97162) $43.54 $311 0.4×
Pt gait training 15 min (97116) $41.30 $295 1.4×
Pt mechanical traction (97012) $35.28 $252 2.5×
Pt Re-Eval Est Plan Care (97164) $38.92 $278 0.6×
Pt ultraviolet (97028) $4.34 $31 0.5×
Pulm function test by gas (94727) $96.32 $688 0.5×
Pulmonary service/procedure (94799)
range across 6 matching MRF lines		 $23.80–$88.48 $170–$632 varies
Pulmonary Stress Testing (94618) $140.98 $1,007 1.1×
Pure Tone Audiometry Air (92552) $16.24 $116 0.1×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $10.08 $72 0.4×
R Hrt Art/Grft Angio (93457) $2,940.14 $21,001 1.0×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $1,430.52 $10,218 0.5×
R hrt coronary artery angio (93456) $3,677.52 $26,268 1.2×
R&L Hrt Cath W/Ventriclgrphy (93453) $2,886.66 $20,619 0.9×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $69.02 $493 0.2×
Refill/Maint Portable Pump (96521) $185.50 $1,325 0.9×
Rem interrog icpms <30 d phys/qhp (93297) $19.60 $140 0.6×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $34.44 $246 1.0×
Rem Mntr Wrls P-Art Prs Snr (93264) $16.10 $115 0.5×
Remote 30 Day Ecg Rev/Report (93270) $66.78 $477 1.9×
Remote 30 Day Ecg Tech Supp (93229) $70.28 $502 0.2×
Repet tms tx initial w/map/motr threshld/del&m (90867) $134.68 $962 0.7×
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) $134.68 $962 0.7×
Respiratory flow volume loop (94375) $65.94 $471 0.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $66.36 $474 1.2×
Right Heart Cath (93451) $1,859.62 $13,283 0.6×
Right ventricular recording (93603) $806.54 $5,761 0.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $43.54 $311 0.2×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $25.34 $181 1.0×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $57.96 $414 0.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $18.62 $133 0.4×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $263.90 $1,885 0.8×
Self Care Mngment Training (97535) $38.50 $275 1.2×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $22.68 $162 0.4×
Sensory Integration Ea 15 Min (97533) $15.40 $110 0.3×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $491.26 $3,509 2.4×
Short-latency somatosens ep std upr limbs (95925) $491.26 $3,509 2.4×
Sleep study unattended (95806) $129.64 $926 0.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $185.50 $1,325 0.9×
Somatosensory Testing (95938) $121.52 $868 0.2×
Speech Audiometry Complete (92556) $20.86 $149 0.4×
Speech audiometry threshold (92555) $14.28 $102 0.3×
Speech sound lang comprehen (92523) $115.36 $824 0.5×
Spin/Brain Pump Refil & Main (95991) $69.02 $493 0.2×
Spirometry (94010) $70.42 $503 0.3×
Ssep lower limbs (95926) $491.26 $3,509 2.4×
Staggered Spondaic Word Test (92572) $14.56 $104 0.1×
Standardized Cognitive Performance Testing (96125) $115.36 $824 1.1×
Stress Tte Only (93350) $531.86 $3,799 1.0×
Subcutaneous Infusion Each Additional Hour (96370) $21.28 $152 0.5×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $108.36 $774 0.5×
Subq Infusion Additional Pump Infusion Site (96371) $29.26 $209 0.4×
Surfactant Admin Thru Tube (94610) $64.26 $459 0.3×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $53.76 $384 0.5×
Temp transcutaneous pacing (92953) $126.70 $905 0.2×
Tensilon Test (95857) $16.66 $119 0.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $5.46 $39 0.2×
Ther Ivntj Ea Addl 15 Min (97130) $5.32 $38 0.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $32.06 $229 0.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $30.24 $216 1.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $35.98 $257 0.4×
Ther/Proph/Diag Inj Ia (96373) $48.72 $348 0.2×
Ther/Proph/Diag Inj Sc/Im (96372) $24.50 $175 0.4×
Ther/Proph/Diag Iv Inf Init (96365) $93.24 $666 0.5×
Therap repetitive tms tx subseq delivery & mng (90868) $134.68 $962 0.7×
Therapeutic Activities (97530) $35.28 $252 1.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $267.40 $1,910 0.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $12.60 $90 0.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $12.60 $90 0.4×
Trans Care Mgmt 7 Day Disch (99496) $58.66 $419 0.5×
Transcath Closure of Asd (93580)
unusually low: confirm this is the full procedure		 $8,069.60 $57,640 0.5×
Transcranial Doppler Intracran Art Emboli Detect (93892) $53.76 $384 0.5×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $67.06 $479 0.7×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $23.52 $168 0.7×
Tte w/doppler, complete (93306) $601.44 $4,296 1.2×
Tte W/O Doppler Complete (93307)
range across 4 matching MRF lines		 $232.40–$239.12 $1,660–$1,708 varies
Tx atrial fib pulm vein isol (93656) $14,110.18 $100,787 0.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $81.20 $580 1.1×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $19.60 $140 0.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $35 $250 0.8×
Tympanometry (92567) $19.60 $140 0.6×
Tympanometry and reflex threshold measurements (92550) $70.14 $501 0.3×
Unlisted cardiovascular service/procedure (93799)
range across 10 matching MRF lines		 $54.88–$2,405.06 $392–$17,179 varies
Unlisted noninvasive vascular diagnostic study (93998) $12.32 $88 0.5×
Upr/L Xtremity Art 2 Levels (93922) $281.68 $2,012 2.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $257.88 $1,842 1.3×
Valvuloplasty aortic valve (92986) $3,204.04 $22,886 0.6×
Valvuloplasty mitral valve (92987)
unusually low: confirm this is the full procedure		 $4,954.88 $35,392 0.5×
Valvuloplasty pulmonary valve (92990)
unusually low: confirm this is the full procedure		 $4,954.88 $35,392 0.5×
Vasopneumatic device (97016) $28.42 $203 2.4×
Veeg 2-12 Hr Cont Mntr (95713) $875 $6,250 2.5×
Veeg 2-12 hr intmt mntr (95712) $875 $6,250 2.5×
Veeg 2-12 hr unmonitored (95711) $875 $6,250 4.3×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $240.80 $1,720 0.7×
Veeg Ea 12-26 Hr Unmntr (95714) $875 $6,250 2.5×
Veeg ea 12-26hr cont mntr (95716) $453.88 $3,242 0.6×
Vent Mgmt Inpat Init Day (94002) $1,278.48 $9,132 2.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,163.82 $8,313 2.0×
Visual Evoked Potential Test (95930) $470.68 $3,362 2.3×
Visual Field Exam Extended (92083) $43.12 $308 0.3×
Visual field xm uni/bi w/interp intermed exam (92082) $30.10 $215 0.5×
Visual field xm uni/bi w/interpretj limited exam (92081) $19.46 $139 0.4×
Visual reinforcement audiometry (vra) (92579) $26.60 $190 0.1×
Vital capacity, total (94150) $45.78 $327 0.4×
Wada Activation Test Hemispheric Function W/Eeg (95958) $63 $450 0.1×
Wheelchair Mgmt Ea 15 Min (97542) $28.56 $204 0.9×
Whirlpool Therapy (97022) $47.32 $338 3.0×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $27.44 $196 0.5×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $39.20 $280 1.1×

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.