Visits & medical services prices at El Paso Children's Hospital

El Paso, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $43.40 $217 0.3×
Acoustic Reflex Testing (92568) $41.80 $209 1.1×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $131.40 $657 0.6×
Aep neurodiagnostic i&r (92653) $312.60 $1,563 1.4×
Aep threshold estimation mlt frequencies i&r (92652) $554 $2,770 2.6×
Airway Inhalation Treatment (94640)
range across 5 matching MRF lines
$20.20–$85.20 $101–$426 varies
Allg test perq & ic drug/biol immed react w/ i&r (95018) $19.60 $98 0.5×
Allg tstg perq & ic venoms immed react w/i&r (95017) $9.60 $48 0.3×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786)
range across 2 matching MRF lines
$25–$44.20 $125–$221 varies
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $188.60 $943 1.5×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $105 $525 0.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $37.20 $186 2.6×
Assessment of aphasia per hr (96105) $82.60 $413 0.8×
Audiometry Air & Bone (92553) $73.20 $366 0.6×
Basic vestibular evaluation (92540) $87.60 $438 0.4×
Behavral qualit analys voice (92524)
range across 5 matching MRF lines
$35.80–$44.80 $179–$224 varies
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $47.80 $239 0.6×
Bfb training ea addl 15 min (90913) $18 $90 0.5×
Blink reflex test (95933) $42.80 $214 0.7×
Breath hydrogen/methane test (91065) $274 $1,370 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $280.40 $1,402 0.7×
Caloric vestibular test w/rec bi monothermal (92538) $32.20 $161 0.1×
Caloric Vstblr Test W/Rec (92537) $48.20 $241 0.4×
Canalith repositioning proc (95992) $37.60 $188 0.9×
Car seat/bed test 60 min (94780) $44.60 $223 1.2×
Cardiac Stress Tst,Tracing Only (93017) $499 $2,495 2.3×
Cardiopulmonary resuscitation (92950)
range across 8 matching MRF lines
$103–$289.80 $515–$1,449 varies
Cardioversion (92960)
range across 5 matching MRF lines
$222–$607.80 $1,110–$3,039 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $2,090.40 $10,452 0.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $1,899.20 $9,496 0.6×
Cbt 1st hour (94644) $81.40 $407 0.6×
Cervical & Ocular Vemp Testing W/I&R (92519) $91 $455 0.4×
Cervical Vemp Testing W/I&R (92517) $57.80 $289 0.4×
Chemo Anti-Neopl Sq/Im (96401)
range across 6 matching MRF lines
$48.60–$101.80 $243–$509 varies
Chemo Hormon Antineopl Sq/Im (96402)
range across 4 matching MRF lines
$36.40–$95.20 $182–$476 varies
Chemo IV infusion addl hr (96415) $122.20 $611 1.7×
Chemo IV push addl drug (96411) $126 $630 1.7×
Chemother Prolong Infuse W/Pump (96416)
range across 7 matching MRF lines
$224.60–$267.60 $1,123–$1,338 varies
Chemotherapy Into Cns (96450)
range across 7 matching MRF lines
$244.71–$329.20 $1,223.55–$1,646 varies
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $128.20 $641 1.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $315.80 $1,579 1.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $166 $830 0.5×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $174.20 $871 0.5×
Chest Wall Manipulation (94668) $52.60 $263 0.4×
Chron Care Mgmt Srvc 20 Min (99490) $23.40 $117 0.2×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $257.40 $1,287 0.7×
Color/duplex Doppler, complete (93975) $217.40 $1,087 0.9×
Complex chronic care mgmt svc 1st 60 min cal mo (99487)
range across 2 matching MRF lines
$34–$40.60 $170–$203 varies
Comprehensive Hearing Test (92557) $118.20 $591 0.9×
Conditioning Play Audiometry (92582) $115 $575 0.9×
Cont gluc mntr physician/qhp provided equiptment (95250) $143.80 $719 1.1×
Cont Gluc Mntr Pt Prov Eqp (95249) $95 $475 1.6×
Continuous Pulse Ox (94762) $56.20 $281 0.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $596.40 $2,982 2.7×
Cpt initial (94667) $59.40 $297 0.4×
Critical care first hour (99291) $575.20 $2,876 0.7×
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$37–$130.80 $185–$654 varies
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $163 $815 1.3×
Dialysis One Evaluation (90945)
range across 4 matching MRF lines
$172.80–$468.20 $864–$2,341 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $175.40 $877 0.5×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $168.20 $841 0.7×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $99.40 $497 0.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $217.40 $1,087 0.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $99.40 $497 0.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $421 $2,105 1.8×
Dup-scan xtr veins unilateral/limited study (93971) $280.80 $1,404 2.7×
Duplex Scan Hemodialysis Access (93990) $99.40 $497 0.9×
Duplex up extrem art bilat (93930) $182.60 $913 0.8×
Duplex up extrem art unilat/ltd (93931) $99.40 $497 0.9×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $46.60 $233 0.4×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $151.40 $757 1.2×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $196.20 $981 1.5×
Ear Protector Evaluation (92596) $10.20 $51 0.3×
Echo Congenital Complete (93303) $320.20 $1,601 0.6×
Echo Heart Xthoracic,Limited (93308) $312.60 $1,563 1.3×
Echo transesophageal (93312) $791.20 $3,956 1.4×
Echo Transesophageal - Congenital Tee Complete (93315) $334.60 $1,673 0.6×
Eeg 41-60 Minutes (95812) $484.40 $2,422 2.2×
EEG awake drowsy (95816) $156.40 $782 0.7×
EEG extended monitoring 61-119 minutes (95813) $496.20 $2,481 2.3×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $452.40 $2,262 2.1×
Electrical Stimulation Ea 15 Min (97032)
range across 4 matching MRF lines
$18.20–$37.20 $91–$186 varies
Electrocardiogram Tracing (93005) $114.20 $571 1.9×
Electrocochleography (92584) $114 $570 0.9×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$89.20–$210.40 $446–$1,052 varies
Emergency Dept Visit Level 3 (99283)
range across 6 matching MRF lines
$121.20–$362.20 $606–$1,811 varies
Emergency Dept Visit Level 4 (99284)
range across 4 matching MRF lines
$227.80–$691.40 $1,139–$3,457 varies
Emg 3 Extremities (95863) $90.60 $453 0.7×
Emg 4 Extremities (95864) $301.40 $1,507 2.3×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure
$12,443.80 $62,219 0.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $4,543.60 $22,718 0.6×
Er level 1 (99281)
range across 3 matching MRF lines
$31.80–$105 $159–$525 varies
Er level v (99285)
range across 5 matching MRF lines
$336.60–$966 $1,683–$4,830 varies
Esophageal Capsule Endoscopy (91111) $768.20 $3,841 0.8×
Esophgl Balo Distension Dx Std W/Provocation (91040) $481.20 $2,406 1.3×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $686.80 $3,434 1.8×
Eval aud funcj cand/po surg implt dev 1st hr (92626)
range across 3 matching MRF lines
$53.20–$113.80 $266–$569 varies
Evaluate pt use of inhaler (94664) $55.40 $277 0.3×
Evaluate Speech Production (92522)
range across 5 matching MRF lines
$53.60–$59.60 $268–$298 varies
Evaluate Swallowing Function (92610)
range across 14 matching MRF lines
$59.40–$160.20 $297–$801 varies
Evaluation of speech fluency (92521)
range across 5 matching MRF lines
$49.20–$162 $246–$810 varies
Evoked Auditory Test,Limited (92587) $113.60 $568 0.5×
Exercise test for bronchospasm (94617)
range across 2 matching MRF lines
$82.80–$248.40 $414–$1,242 varies
External Ecg Scanning Analysis Report (93226)
range across 3 matching MRF lines
$124.60–$242.80 $623–$1,214 varies
Extracranial Bilat Study (93880) $178.20 $891 0.7×
Extracranial Uni/Ltd Study (93882) $99.40 $497 0.9×
Eye exam w anesth; limited (92019) $337.80 $1,689 0.1×
Fundus photography (92250)
range across 11 matching MRF lines
$27.80–$65.60 $139–$328 varies
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $224.80 $1,124 1.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $574.80 $2,874 0.7×
Gi tract capsule endoscopy (91110) $729 $3,645 0.8×
Gi wireless capsule measure (91112) $768.20 $3,841 0.8×
Group Therapeutic Procedures (97150) $15.20 $76 0.8×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 4 matching MRF lines
$280–$399 $1,400–$1,995 varies
Holter monitor recording (93225) $332.80 $1,664 2.5×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $24.60 $123 0.7×
Im Adm Intransl/Oral 1 Vaccine (90473) $11 $55 0.2×
Immunization administration (90471) $20.60 $103 0.3×
Ingestion challenge test initial 120 minutes (95076) $246.60 $1,233 0.7×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $131.20 $656 0.3×
Intracranial Complete Study (93886) $217.40 $1,087 0.9×
Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) $10 $50 0.3×
Intracutaneous tests w/allergenic extracts (95024) $15.80 $79 0.3×
Iontophoresis 15 min (97033) $14.80 $74 0.8×
Irrig Drug Delivery Device (96523) $57.40 $287 1.0×
IV infusion hydration each additional hour (96361)
range across 7 matching MRF lines
$27.20–$39.20 $136–$196 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 7 matching MRF lines
$111.17–$136.60 $555.84–$683 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 8 matching MRF lines
$48.96–$76.40 $244.80–$382 varies
IV infusion therapy prophylaxis/dx ea hour (96366) $81.60 $408 1.7×
IV push initial (96374)
range across 9 matching MRF lines
$30.60–$77 $153–$385 varies
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $2,946.60 $14,733 0.9×
Lung Function Test (Mbc/Mvv) (94200) $35.60 $178 0.6×
Mechanical chest wall oscillation per session (94669) $73 $365 0.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $21.20 $106 0.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $22.60 $113 0.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $8.80 $44 0.5×
Methacholine challenge (94070) $294.20 $1,471 0.8×
Motility study esophagus (91010) $919.40 $4,597 2.5×
Motion Fluoroscopy/Swallow (92611)
range across 2 matching MRF lines
$65.40–$194 $327–$970 varies
Muscle Test 2 Limbs (95861) $116.20 $581 0.9×
Muscle Test One Limb (95860) $96 $480 0.7×
Nasopharyngoscopy (92511) $66 $330 0.3×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $81.40 $407 0.4×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $83.80 $419 0.4×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $71.40 $357 0.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$69–$73 $345–$365 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 4 matching MRF lines
$54.60–$147.40 $273–$737 varies
Nerve Conduction Studies 1-2 Studies (95907) $79.80 $399 0.4×
Nerve Conduction Studies 11-12 Studies (95912) $356.40 $1,782 1.0×
Nerve conduction studies 13 or more studies (95913) $374.80 $1,874 1.0×
Nerve Conduction Studies 3-4 Studies (95908) $142.40 $712 0.7×
Nerve conduction studies 5-6 studies (95909) $155.80 $779 0.7×
Nerve conduction studies 7-8 studies (95910) $177.60 $888 0.5×
Nerve Conduction Studies 9-10 Studies (95911) $242.80 $1,214 0.6×
Neuromuscular Reeducation (97112) $52.40 $262 1.6×
Nitric oxide expired gas determination (95012) $26 $130 0.7×
Nrpsyc tst eval phys/qhp 1st (96132) $74.40 $372 0.2×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $76 $380 0.2×
Ocular Vemp Testing W/I&R (92518) $58.80 $294 0.5×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $59.40 $297 0.4×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $31 $155 0.5×
Optokinetic Nystagmus Test (92544) $20 $100 0.2×
Oral Function Therapy (92526)
range across 8 matching MRF lines
$34.60–$118 $173–$590 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $79 $395 1.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 4 matching MRF lines
$45.80–$47.80 $229–$239 varies
Oscillating Tracking Test (92545) $11.40 $57 0.1×
Ot eval high complexity (97167) $170.80 $854 1.7×
Ot Eval Low Complex (97165) $98 $490 1.0×
Ot Eval Moderate Complexity (97166) $131.80 $659 1.3×
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$49.40–$56.40 $247–$282 varies
Ot paraffin bath (97018)
range across 3 matching MRF lines
$19.40–$42.60 $97–$213 varies
Ot Prosthetic Training, Each 15 Min (97761) $19 $95 0.5×
Ot Re-Eval Est Plan Care (97168) $78 $390 1.1×
Oxygen Uptake Rest Indirect (94690) $143.80 $719 2.4×
Patch/Application Test Specify Number Tests (95044)
range across 2 matching MRF lines
$5.40–$51.60 $27–$258 varies
Penile Vascular Study,Ltd or F/U (93981) $65.20 $326 0.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $130.60 $653 0.6×
Percutaneous tests w/allergenic extracts (95004)
range across 2 matching MRF lines
$13.20–$59.40 $66–$297 varies
Perq transcath closure pda (93582)
range across 4 matching MRF lines
$2,254.80–$2,818.60 $11,274–$14,093 varies
Phlebotomy therapeutic (99195)
range across 3 matching MRF lines
$62–$66.80 $310–$334 varies
Physical Performance Test (97750) $21 $105 0.6×
Plethysmography (94726) $185.20 $926 0.5×
Positional nystagmus test (92542) $39.20 $196 0.3×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $12.40 $62 0.3×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $3.20 $16 0.1×
Prepj& antigen allergen immunotherapy 2 insect (95146) $3.80 $19 0.1×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $4.20 $21 0.1×
Prepj& antigen allergen immunotherapy 5 insect (95149) $24.80 $124 0.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $11.40 $57 0.2×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $15 $75 0.3×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $18.20 $91 0.3×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) $9 $45 0.2×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) $2.40 $12 0.1×
Prq Card Stent W/Angio 1 Vsl (92928)
likely a partial charge, not the full procedure
$2,235.80 $11,179 0.2×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
likely a partial charge, not the full procedure
$2,786.20 $13,931 0.2×
Psychiatric diagnostic evaluation (90791) $89.80 $449 0.5×
Psychoanalysis (90845) $56.40 $282 0.3×
Psychological tst eval svc phys/qhp first hour (96130) $73.60 $368 0.3×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138)
range across 4 matching MRF lines
$31.60–$72.40 $158–$362 varies
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $16.40 $82 0.1×
Psytx Crisis Initial 60 Min (90839) $101.60 $508 0.6×
Pt Eval High Complex (97163) $154 $770 1.6×
Pt eval low complex 20 min (97161) $89.80 $449 0.9×
Pt Eval Mod Complex (97162) $114.40 $572 1.2×
Pt gait training 15 min (97116) $45.80 $229 1.6×
Pt mechanical traction (97012) $19.80 $99 1.4×
Pt Re-Eval Est Plan Care (97164) $81.20 $406 1.2×
Pure Tone Audiometry Air (92552) $61.40 $307 0.5×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $1,593.60 $7,968 0.5×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $1,519 $7,595 0.5×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $1,824.20 $9,121 0.6×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $1,349 $6,745 0.4×
R&L Hrt Cath W/Ventriclgrphy (93453) $2,541.40 $12,707 0.8×
Rapid Desensitization Procedure Each Hour (95180) $80 $400 0.2×
Refill/Maint Portable Pump (96521) $201 $1,005 0.9×
Right Heart Cath (93451) $1,011.40 $5,057 0.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 19 matching MRF lines
$8.41–$23.40 $42.04–$117 varies
Select picture audiometry (92583) $50.40 $252 0.9×
Self Care Mngment Training (97535)
range across 4 matching MRF lines
$41.40–$41.80 $207–$209 varies
Short-latency somatosens ep std upr limbs (95925) $149.80 $749 0.7×
Sinusoidal Vertical Axis Rotational Testing (92546) $67.60 $338 0.5×
Speech Audiometry Complete (92556) $48.80 $244 0.8×
Speech audiometry threshold (92555) $32.40 $162 0.5×
Speech sound lang comprehen (92523)
range across 5 matching MRF lines
$33.60–$203.40 $168–$1,017 varies
Spirometry (94010)
range across 3 matching MRF lines
$54.20–$161.60 $271–$808 varies
Spontaneous Nystagmus Test (92541) $35.80 $179 0.3×
Ssep lower limbs (95926) $261.60 $1,308 1.2×
Standardized Cognitive Performance Testing (96125) $90.20 $451 0.9×
Stenger Test, Pure Tone (92565) $19.40 $97 0.3×
Surfactant Admin Thru Tube (94610) $63.60 $318 0.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $17 $85 0.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 4 matching MRF lines
$38.40–$38.60 $192–$193 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 8 matching MRF lines
$19.29–$53 $96.43–$265 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 9 matching MRF lines
$96.40–$170.60 $482–$853 varies
Therapeutic Activities (97530)
range across 4 matching MRF lines
$51.20–$51.40 $256–$257 varies
Trans Care Mgmt 14 Day Disch (99495) $49.80 $249 0.4×
Trans Care Mgmt 7 Day Disch (99496) $63.40 $317 0.5×
Transcath Closure of Asd (93580)
range across 3 matching MRF lines
$2,951–$7,001.20 $14,755–$35,006 varies
Tte w/doppler, complete (93306) $869.40 $4,347 1.6×
Tte W/O Doppler Complete (93307) $562 $2,810 2.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $110 $550 1.4×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $27.20 $136 1.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $57.20 $286 1.2×
Tympanometry (92567) $37.20 $186 1.0×
Tympanometry and reflex threshold measurements (92550) $60 $300 0.3×
Unlisted otorhinolaryngological service (92700) $75.20 $376 2.6×
Upr/L Xtremity Art 2 Levels (93922) $35.20 $176 0.3×
Valvuloplasty pulmonary valve (92990)
likely a partial charge, not the full procedure
$1,691 $8,455 0.1×
Vasopneumatic device (97016) $11.20 $56 0.9×
Veeg 2-12 Hr Cont Mntr (95713) $774.20 $3,871 2.1×
Veeg 2-12 hr intmt mntr (95712) $584.20 $2,921 1.6×
Veeg ea 12-26hr cont mntr (95716) $1,504.40 $7,522 1.7×
Vent Mgmt Inpat Init Day (94002) $815.20 $4,076 1.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $770 $3,850 1.2×
Visual Evoked Potential Test (95930) $286 $1,430 1.3×
Visual reinforcement audiometry (vra) (92579) $107.40 $537 0.5×
Vital capacity, total (94150) $100.60 $503 0.8×
Wheelchair Mgmt Ea 15 Min (97542) $28.60 $143 0.9×
Whirlpool Therapy (97022) $43.80 $219 2.8×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.