Visits & medical services prices at Elliot Hospital

Manchester, NH · every code in this section with a posted price and a Medicare benchmark.

308 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
$3,576.05 $9,665 0.4×
Actinotherapy Ultraviolet Light (96900) $81.40 $220 2.0×
Acupunct W/Stimul 15 Min (97813) $39.59 $107 1.3×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $28.86 $78 0.9×
Admn Sarscov2 Vacc 1 Dose (90480) $18.87 $51 0.4×
Advncd Care Plan 30 Min (99497) $51.43 $139 0.5×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $369.63 $999 1.6×
Aep threshold estimation mlt frequencies i&r (92652) $369.63 $999 1.6×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$54.02–$243.46 $146–$658 varies
Airway resistance by oscillometry (94728) $258.63 $699 1.9×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $200.54 $542 1.4×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $200.54 $542 1.4×
Analyze Neurostim Simple (95971) $623.08 $1,684 6.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $49.95 $135 3.5×
Application Modality 1/> Areas Infrared (97026) $20.72 $56 3.1×
Application on-body injector (96377) $42.18 $114 0.8×
Assessment of aphasia per hr (96105) $222 $600 2.3×
Behavral qualit analys voice (92524) $203.13 $549 1.9×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $103.97 $281 1.3×
Bfb training ea addl 15 min (90913) $83.25 $225 2.5×
Biofeedback training any modality (90901) $98.79 $267 2.4×
Blink reflex test (95933) $180.56 $488 2.9×
Breath hydrogen/methane test (91065) $198.69 $537 0.9×
Brief Emotional/Behav Assmt (96127) $24.05 $65 0.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $317.46 $858 0.8×
C motor evoked uppr limbs (95928) $1,178.45 $3,185 1.3×
C motor evoked upr&lwr limbs (95939) $420.32 $1,136 0.5×
Car seat/bed test 60 min (94780) $69.93 $189 1.8×
Cardiac Stress Tst,Tracing Only (93017) $666 $1,800 2.9×
Cardiopulmonary exercise testing (94621) $878.38 $2,374 2.2×
Cardiopulmonary resuscitation (92950) $192.40 $520 0.8×
Cardioversion (92960) $986.79 $2,667 1.4×
Cardioversion elective internal (92961) $525.03 $1,419 0.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $52.17 $141 2.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $6,523.84 $17,632 1.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $5,965.88 $16,124 1.7×
Cbt 1st hour (94644) $231.25 $625 1.6×
Chemo Admin Peritoneal Cavity (96446) $322.64 $872 0.9×
Chemo Anti-Neopl Sq/Im (96401) $176.49 $477 2.3×
Chemo Hormon Antineopl Sq/Im (96402) $158.36 $428 2.1×
Chemo Ia Push (96420) $322.64 $872 0.9×
Chemo Intralesional Over 7 (96406) $190.92 $516 0.8×
Chemo intralesional up to 7 (96405) $63.27 $171 0.8×
Chemo IV infusion addl hr (96415) $179.82 $486 2.3×
Chemo IV push addl drug (96411) $246.05 $665 3.2×
Chemother Prolong Infuse W/Pump (96416) $1,105.19 $2,987 3.1×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $190.92 $516 0.5×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $39.59 $107 0.8×
Chemotherapy Into Cns (96450) $526.51 $1,423 1.5×
Chemotherapy Intracavitary (96440) $322.64 $872 0.9×
Chemotherapy Unspecified (96549) $39.59 $107 0.8×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $322.64 $872 0.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $216.45 $585 2.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $524.66 $1,418 1.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $253.08 $684 0.7×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $190.92 $516 0.5×
Chest Wall Manipulation (94668) $88.80 $240 0.6×
Color/duplex Doppler, complete (93975) $710.03 $1,919 2.8×
Color/duplex Doppler, limited (93976) $594.22 $1,606 5.3×
Cont gluc mntr physician/qhp provided equiptment (95250) $432.53 $1,169 3.0×
Cont Gluc Mntr Pt Prov Eqp (95249) $150.59 $407 2.4×
Continuous Pulse Ox (94762) $283.05 $765 2.1×
Coronary Art/Grft Angio S&I (93455) $5,965.88 $16,124 1.7×
Coronary Artery Angio S&I (93454) $5,150.40 $13,920 1.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $468.79 $1,267 2.0×
Cpt initial (94667) $129.13 $349 0.9×
Critical care first hour (99291) $1,730.86 $4,678 2.0×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,257.26 $3,398 3.2×
Debridement Open Wound 20 Sq Cm< (97597) $307.47 $831 1.4×
Dialysis One Evaluation (90945)
range across 3 matching MRF lines
$123.58–$253.45 $334–$685 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $747.03 $2,019 2.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $526.51 $1,423 4.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $746.66 $2,018 2.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $524.29 $1,417 4.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $858.40 $2,320 3.4×
Dup-scan xtr veins unilateral/limited study (93971) $610.87 $1,651 5.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $453.99 $1,227 1.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $305.99 $827 2.7×
Duplex Scan Hemodialysis Access (93990) $159.84 $432 1.4×
Duplex up extrem art bilat (93930) $747.03 $2,019 2.9×
Duplex up extrem art unilat/ltd (93931) $526.51 $1,423 4.7×
ECG/monitoring and analysis (93271) $484.70 $1,310 4.8×
Echo Congenital Complete (93303) $1,098.16 $2,968 1.9×
Echo Heart Xthoracic,Limited (93308) $546.49 $1,477 2.1×
Echo transesophageal (93312) $1,651.31 $4,463 2.8×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,670.92 $4,516 2.9×
Eeg 41-60 Minutes (95812) $925 $2,500 4.0×
EEG awake and asleep (95819) $1,099.27 $2,971 4.8×
EEG awake drowsy (95816) $824.73 $2,229 3.6×
EEG cont rec w/video by tech min 8 channels (95700) $3,495.76 $9,448 15.2×
EEG extended monitoring 61-119 minutes (95813) $1,099.27 $2,971 4.8×
Eeg Sleep Only (95822) $925 $2,500 4.0×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,390.46 $3,758 6.0×
EEG w/o vid 2-12hr cont mntr (95707) $1,390.46 $3,758 6.0×
EEG w/o vid ea 12-26hr intmt (95709) $1,529.58 $4,134 3.8×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,529.58 $4,134 3.8×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $1,390.46 $3,758 6.0×
EEG wo vid ea 12-26hr unmntr (95708) $1,529.58 $4,134 3.8×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $659.34 $1,782 6.5×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $464.72 $1,256 11.7×
Electrical Stimulation Ea 15 Min (97032) $45.51 $123 3.1×
Electrocardiogram Tracing (93005) $116.55 $315 1.9×
Electroconvulsive Therapy (90870) $867.65 $2,345 0.9×
Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) $230.88 $624 1.0×
Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) $247.90 $670 1.7×
Emergency Dept Visit Level 2 (99282) $266.40 $720 1.6×
Emergency Dept Visit Level 3 (99283) $532.43 $1,439 1.8×
Emergency Dept Visit Level 4 (99284) $910.57 $2,461 2.0×
Emg 3 Extremities (95863) $269.73 $729 2.0×
Ep & ablate supravent arrhyt (93653) $24,785.56 $66,988 0.9×
Ep & ablate ventric tachy (93654)
likely a partial charge, not the full procedure
$3,809.15 $10,295 0.1×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $4,676.06 $12,638 0.6×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $4,205.79 $11,367 0.5×
Er level 1 (99281) $167.24 $452 1.9×
Er level v (99285) $1,298.33 $3,509 2.0×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $898.36 $2,428 2.3×
Evaluate pt use of inhaler (94664) $95.83 $259 0.4×
Evaluate Speech Production (92522) $203.13 $549 1.8×
Evaluate Swallowing Function (92610) $233.84 $632 2.8×
Evaluation of speech fluency (92521) $203.13 $549 1.5×
Evoked Auditory Test,Limited (92587) $212.75 $575 0.9×
Excimer laser tx psoriasis 250-500 sq cm (96921) $251.60 $680 1.2×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $182.41 $493 0.9×
Exercise test for bronchospasm (94617) $363.71 $983 2.6×
External ECG rec>48hr<7d recording (93242) $192.03 $519 4.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $192.03 $519 1.4×
External ECG rec>7d<15d recording (93246) $244.57 $661 6.1×
External ECG rec>7d<15d scanning alys w/report (93247) $244.57 $661 1.7×
External Ecg Scanning Analysis Report (93226) $284.16 $768 4.5×
Extracranial Bilat Study (93880) $957.93 $2,589 3.8×
Extracranial Uni/Ltd Study (93882) $694.86 $1,878 6.2×
F-up/limited tthrc echo congenital car anomaly (93304) $688.57 $1,861 1.2×
Gastric motility studies (91020) $1,145.52 $3,096 2.9×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $669.70 $1,810 1.7×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $500.98 $1,354 2.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $997.15 $2,695 1.1×
Gi tract capsule endoscopy (91110) $1,836.68 $4,964 1.9×
Gi wireless capsule measure (91112) $1,768.60 $4,780 1.8×
Group Therapeutic Procedures (97150) $53.65 $145 3.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $6,523.84 $17,632 1.9×
High altitude simulation test (94452) $571.65 $1,545 4.0×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $610.50 $1,650 4.3×
Holter monitor recording (93225) $223.11 $603 1.6×
Icd Device Interrogate (93289) $308.58 $834 7.7×
Icd device progr eval dual (93283) $105.82 $286 2.7×
Icd Device Progr Eval Mult (93284) $95.09 $257 2.4×
Ilr Device Interrogate (93291) $99.53 $269 3.2×
Im Adm Intransl/Oral 1 Vaccine (90473) $19.24 $52 0.3×
Immunization administration (90471) $19.24 $52 0.3×
Ingestion challenge test initial 120 minutes (95076) $716.32 $1,936 1.8×
Interrogate Subq Defib (93261) $109.52 $296 2.7×
Iontophoresis 15 min (97033) $68.82 $186 3.6×
Irrig Drug Delivery Device (96523) $137.27 $371 2.2×
IV infusion hydration each additional hour (96361) $123.95 $335 2.5×
IV infusion hydration initial 31 min-1 hour (96360) $269.36 $728 1.2×
IV infusion ther proph addl sequential to 1 hr (96367) $139.12 $376 1.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $121.36 $328 2.4×
IV push initial (96374) $173.53 $469 0.8×
L Hrt Art/Grft Angio (93459) $6,523.84 $17,632 1.9×
Lung Function Test (Mbc/Mvv) (94200) $132.46 $358 2.1×
Lwr Xtr Vasc Stdy Bilat (93924) $614.20 $1,660 2.7×
Mechanical chest wall oscillation per session (94669) $95.09 $257 0.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $46.99 $127 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $59.57 $161 1.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $42.18 $114 2.5×
Methacholine challenge (94070) $659.34 $1,782 1.7×
Motility study esophagus (91010) $1,050.06 $2,838 2.6×
Motion Fluoroscopy/Swallow (92611) $306.73 $829 3.4×
Multiple Sleep Latency Test (95805) $1,690.90 $4,570 1.8×
Muscle Test 2 Limbs (95861) $270.47 $731 1.9×
Muscle Test Nonparaspinal (95870) $112.11 $303 0.8×
Muscle Test One Limb (95860) $206.46 $558 1.5×
Nasopharyngoscopy (92511) $262.33 $709 1.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $521.33 $1,409 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $178.34 $482 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $462.87 $1,251 1.1×
Nerve Conduction Studies 1-2 Studies (95907) $475.08 $1,284 2.1×
Nerve Conduction Studies 11-12 Studies (95912) $1,208.42 $3,266 3.0×
Nerve conduction studies 13 or more studies (95913) $1,450.77 $3,921 3.6×
Nerve Conduction Studies 3-4 Studies (95908) $539.46 $1,458 2.3×
Nerve conduction studies 5-6 studies (95909) $665.63 $1,799 2.9×
Nerve conduction studies 7-8 studies (95910) $886.89 $2,397 2.2×
Nerve Conduction Studies 9-10 Studies (95911) $1,047.10 $2,830 2.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $202.02 $546 1.5×
Neuromuscular Reeducation (97112) $64.75 $175 2.0×
Newborn resuscitation (99465) $444.37 $1,201 0.6×
Nitric oxide expired gas determination (95012) $25.53 $69 0.6×
Nonphysician Telephone Assessment 11-20 Min (98967) $17.76 $48 0.7×
Nonphysician Telephone Assessment 21-30 Min (98968) $25.90 $70 0.7×
Nonphysician Telephone Assessment 5-10 Min (98966) $8.51 $23 0.6×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $60.31 $163 1.0×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $69.19 $187 1.1×
Oral Function Therapy (92526) $153.18 $414 1.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $49.21 $133 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $61.79 $167 1.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $33.67 $91 1.5×
Osteopathic manipulative tx 3-4 body regions (98926) $37.37 $101 1.6×
Osteopathic manipulative tx 5-6 body regions (98927) $39.96 $108 1.7×
Osteopathic manipulative tx 7-8 body regions (98928) $41.07 $111 1.8×
Osteopathic manipulative tx 9-10 body regions (98929) $42.55 $115 1.8×
Ot eval high complexity (97167) $150.22 $406 1.5×
Ot Eval Low Complex (97165) $127.65 $345 1.3×
Ot Eval Moderate Complexity (97166) $135.42 $366 1.3×
Ot manual therapy 15 min (97140) $68.08 $184 2.5×
Ot paraffin bath (97018) $32.19 $87 5.4×
Ot Prosthetic Training, Each 15 Min (97761) $58.83 $159 1.5×
Ot Re-Eval Est Plan Care (97168) $111.74 $302 1.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $79.55 $215 0.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $71.78 $194 0.5×
Oxygen Uptake Rest Indirect (94690) $206.46 $558 3.3×
Patch/Application Test Specify Number Tests (95044) $46.99 $127 0.1×
Pdt dstr prmlg les skn illum/activj per day (96567) $227.18 $614 1.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $232.36 $628 1.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $5,525.95 $14,935 0.9×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
unusually low: confirm this is the full procedure
$4,948.75 $13,375 0.4×
Phlebotomy therapeutic (99195) $155.03 $419 1.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $62.90 $170 1.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $56.24 $152 0.9×
Physical Performance Test (97750) $52.91 $143 1.6×
Plethysmography (94726) $303.40 $820 0.8×
Pm device eval in person (93288) $192.40 $520 4.8×
Pm device progr eval dual (93280) $87.32 $236 2.2×
Pm device progr eval multi (93281) $75.85 $205 1.9×
Pm Device Progr Eval Sngl (93279) $106.56 $288 2.7×
Pm/Icd Remote Tech Serv (93296) $73.26 $198 1.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,043.25 $8,225 3.3×
Polysom <6 yrs 4/> paramtrs (95782) $3,559.03 $9,619 3.9×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,855.77 $10,421 4.2×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $1,353.09 $3,657 1.5×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $109.52 $296 2.7×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $100.27 $271 2.5×
Prq Card Angio/Athrect 1 Art (92924)
unusually low: confirm this is the full procedure
$4,948.75 $13,375 0.4×
Psych diag eval w/med srvcs (90792) $128.76 $348 0.7×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$69.56–$91.02 $188–$246 varies
Pt Eval High Complex (97163) $142.45 $385 1.5×
Pt eval low complex 20 min (97161) $110.26 $298 1.1×
Pt Eval Mod Complex (97162) $127.28 $344 1.3×
Pt gait training 15 min (97116) $65.49 $177 2.3×
Pt mechanical traction (97012) $38.85 $105 2.7×
Pt Re-Eval Est Plan Care (97164) $101.75 $275 1.5×
Pulm function test by gas (94727) $236.80 $640 1.0×
Pulmonary Stress Testing (94618) $334.85 $905 2.4×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $17.76 $48 0.8×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $25.90 $70 0.8×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $8.51 $23 0.7×
R Hrt Art/Grft Angio (93457) $6,523.84 $17,632 1.9×
R hrt coronary artery angio (93456) $5,965.88 $16,124 1.7×
R&L Hrt Cath W/Ventriclgrphy (93453) $4,447.03 $12,019 1.3×
Refill/Maint Portable Pump (96521) $190.92 $516 0.8×
Refill/Maint Pump/Resvr Syst (96522) $190.92 $516 0.8×
Rem interrog icpms <30 d phys/qhp (93297) $74 $200 1.9×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $74 $200 1.9×
Remote 30 Day Ecg Rev/Report (93270) $168.35 $455 4.2×
Respiratory flow volume loop (94375) $215.34 $582 0.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $76.22 $206 1.2×
Right Heart Cath (93451) $3,871.31 $10,463 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $141.34 $382 0.7×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $206.46 $558 1.7×
Self Care Mngment Training (97535) $79.18 $214 2.4×
Sensory Integration Ea 15 Min (97533) $70.30 $190 1.2×
Short-latency somatosens ep std upr limbs (95925) $806.23 $2,179 3.5×
Sleep study unattended (95806) $505.79 $1,367 2.2×
Slp caregiver training 1st 30 min (97550) $103.97 $281 2.0×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $202.76 $548 0.9×
Somatosensory Testing (95938) $1,668.33 $4,509 1.8×
Speech sound lang comprehen (92523) $183.15 $495 0.8×
Spin/Brain Pump Refil & Main (95991) $142.08 $384 0.4×
Spirometry (94010) $196.84 $532 0.9×
Ssep lower limbs (95926) $785.51 $2,123 3.4×
Standardized Cognitive Performance Testing (96125) $169.09 $457 1.6×
Stress Tte Only (93350) $1,098.16 $2,968 1.9×
Subcutaneous Infusion Each Additional Hour (96370) $37.37 $101 0.7×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $200.91 $543 0.9×
Subq Infusion Additional Pump Infusion Site (96371) $66.60 $180 0.9×
Surfactant Admin Thru Tube (94610) $238.28 $644 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $70.67 $191 3.2×
Ther Ivntj Ea Addl 15 Min (97130) $70.67 $191 3.4×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $68.82 $186 1.9×
Ther/Prop/Diag Inj/Inf Proc (96379) $42.18 $114 0.8×
Ther/Proph/Diag Inj Ia (96373) $200.91 $543 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $91.39 $247 1.2×
Ther/Proph/Diag Iv Inf Init (96365) $298.22 $806 1.3×
Therapeutic Activities (97530) $79.18 $214 2.3×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $751.10 $2,030 1.9×
Tobacco Use Cessation Intensive >10 Minutes (99407) $49.95 $135 1.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $22.57 $61 0.6×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $125.06 $338 3.1×
Tte w/doppler, complete (93306) $1,250.97 $3,381 2.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $160.21 $433 2.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $172.79 $467 3.5×
Unlisted cardiovascular service/procedure (93799)
range across 4 matching MRF lines
$430.68–$3,993.04 $1,164–$10,792 varies
Unlisted noninvasive vascular diagnostic study (93998) $553.89 $1,497 17.9×
Upr/L Xtremity Art 2 Levels (93922) $329.30 $890 2.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $547.23 $1,479 2.4×
Vasopneumatic device (97016) $48.84 $132 4.1×
Veeg 2-12 Hr Cont Mntr (95713) $1,529.58 $4,134 3.8×
Veeg 2-12 hr intmt mntr (95712) $1,529.58 $4,134 3.8×
Veeg 2-12 hr unmonitored (95711) $1,529.58 $4,134 6.6×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,682.76 $4,548 4.2×
Veeg Ea 12-26 Hr Unmntr (95714) $1,682.76 $4,548 4.2×
Veeg ea 12-26hr cont mntr (95716) $1,682.76 $4,548 1.8×
Vent Mgmt Inpat Init Day (94002) $811.78 $2,194 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $689.68 $1,864 1.0×
Visual Evoked Potential Test (95930) $644.54 $1,742 2.8×
Vital capacity, total (94150) $132.46 $358 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $58.09 $157 1.9×
Whirlpool Therapy (97022) $51.80 $140 3.3×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $334.85 $905 5.3×

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.