Visits & medical services prices at Emanate Health Foothill Presbyterian Hospital
Glendora, CA · every code in this section with a posted price and a Medicare benchmark.
242 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) | $23,169 | $23,169 | 2.3× |
| Actinotherapy Ultraviolet Light (96900) | $788 | $788 | 16.4× |
| Advncd Care Plan 30 Min (99497) | $243 | $243 | 1.9× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $737 | $737 | 2.7× |
| Aep neurodiagnostic i&r (92653) | $565 | $565 | 2.0× |
| Aep threshold estimation mlt frequencies i&r (92652) | $565 | $565 | 2.0× |
| Airway Inhalation Treatment (94640) | $292 | $292 | 1.0× |
| Airway resistance by oscillometry (94728) | $397 | $397 | 2.4× |
| Analyze Pacemaker System (93724) | $605 | $605 | 1.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $305 | $305 | 21.2× |
| Application Modality 1/> Areas Infrared (97026) | $72 | $72 | 10.8× |
| Application on-body injector (96377) | $250 | $250 | 4.2× |
| Arrhythmia Induction (93618) | $13,989 | $13,989 | 8.9× |
| Assessment of aphasia per hr (96105) | $1.15 | $1.15 | 0.0× |
| Behavral qualit analys voice (92524) | $1,017 | $1,017 | 9.3× |
| Brief Emotional/Behav Assmt (96127) | $58 | $58 | 1.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $2,295 | $2,295 | 4.8× |
| Bundle of his recording (93600) | $11,779 | $11,779 | 1.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $4,512 | $4,512 | 16.2× |
| Cardiopulmonary resuscitation (92950) | $1,973 | $1,973 | 7.1× |
| Cardioversion (92960) | $2,091 | $2,091 | 2.5× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $33,570 | $33,570 | 8.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $24,197 | $24,197 | 5.8× |
| Cbt 1st hour (94644) | $887 | $887 | 5.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $237 | $237 | 2.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $164 | $164 | 1.8× |
| Chemo Ia Push (96420) | $899 | $899 | 2.1× |
| Chemo IV infusion addl hr (96415) | $193 | $193 | 2.1× |
| Chemo IV push addl drug (96411) | $288 | $288 | 3.1× |
| Chemother Prolong Infuse W/Pump (96416) | $808 | $808 | 1.9× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $502 | $502 | 1.2× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $68 | $68 | 1.1× |
| Chemotherapy Into Cns (96450) | $808 | $808 | 1.9× |
| Chemotherapy Unspecified (96549) | $517 | $517 | 8.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $465 | $465 | 5.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,328 | $1,328 | 3.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $502 | $502 | 1.2× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $539 | $539 | 1.3× |
| Chest Wall Manipulation (94668) | $250 | $250 | 1.5× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $3,601 | $3,601 | 7.5× |
| Color/duplex Doppler, complete (93975) | $2,496 | $2,496 | 8.1× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$261–$769 | $261–$769 | varies |
| Coronary Art/Grft Angio S&I (93455) | $21,932 | $21,932 | 5.3× |
| Coronary Artery Angio S&I (93454) | $19,338 | $19,338 | 4.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$232–$1,396 | $232–$1,396 | varies |
| Cpt initial (94667) | $301 | $301 | 1.8× |
| Critical care first hour (99291) | $6,297 | $6,297 | 5.9× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$512–$589 | $512–$589 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $1,060 | $1,060 | 6.4× |
| Dialysis One Evaluation (90945) | $1,151 | $1,151 | 2.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $2,214 | $2,214 | 7.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $1,664 | $1,664 | 12.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $3,151 | $3,151 | 10.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,746 | $1,746 | 13.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $2,387 | $2,387 | 7.8× |
| Dup-scan xtr veins unilateral/limited study (93971) | $2,387 | $2,387 | 17.8× |
| Duplex Scan Hemodialysis Access (93990) | $693 | $693 | 5.2× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$772–$1,796 | $772–$1,796 | varies |
| Duplex up extrem art unilat/ltd (93931) | $1,115 | $1,115 | 8.3× |
| Echo Heart Xthoracic,Limited (93308) | $2,031 | $2,031 | 6.6× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$5,423–$6,508 | $5,423–$6,508 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $5,015 | $5,015 | 7.1× |
| EEG awake and asleep (95819) | $2,663 | $2,663 | 9.6× |
| EEG cerebral death evaluation (95824) | $3,840 | $3,840 | 8.0× |
| Eeg Sleep Only (95822) | $3,487 | $3,487 | 12.6× |
| Electrical Stimulation Ea 15 Min (97032) | $291 | $291 | 19.8× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$328.98–$967 | $328.98–$967 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $18,049 | $18,049 | 1.8× |
| Electrophysiology Evaluation (93642) | $7,044 | $7,044 | 4.5× |
| Emergency Dept Visit Level 2 (99282) | $1,649 | $1,649 | 8.4× |
| Emergency Dept Visit Level 3 (99283) | $2,748 | $2,748 | 7.8× |
| Emergency Dept Visit Level 4 (99284) | $3,435 | $3,435 | 6.4× |
| Endomyocardial Biopsy (93505) | $7,942 | $7,942 | 2.0× |
| Ep & ablate supravent arrhyt (93653) | $67,486 | $67,486 | 2.0× |
| Ep & ablate ventric tachy (93654) | $58,018 | $58,018 | 1.7× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $32,874 | $32,874 | 3.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $34,058 | $34,058 | 3.4× |
| Ep Esophageal Recording Atria+Pacing (93616) | $7,641 | $7,641 | 4.9× |
| Er level 1 (99281) | $416 | $416 | 3.8× |
| Er level v (99285) | $5,084 | $5,084 | 6.6× |
| Esoph Atrial Electrogram (93615) | $7,310 | $7,310 | 4.7× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $3,262 | $3,262 | 6.8× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$271–$391 | $271–$391 | varies |
| Evaluate Speech Production (92522) | $1,209 | $1,209 | 10.8× |
| Evaluate Swallowing Function (92610) | $950 | $950 | 11.2× |
| Evaluation of speech fluency (92521) | $1,209 | $1,209 | 9.1× |
| External Ecg Scanning Analysis Report (93226) | $4,591 | $4,591 | 60.5× |
| Extracranial Bilat Study (93880) | $1,689 | $1,689 | 5.5× |
| Extracranial Uni/Ltd Study (93882) | $1,518 | $1,518 | 11.3× |
| Flexible endoscopic eval swallow c/v rec (92612) | $1,143 | $1,143 | 5.7× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $1,199 | $1,199 | 5.2× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $8,798 | $8,798 | 18.3× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $1,823 | $1,823 | 6.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $3,901 | $3,901 | 3.5× |
| Group Therapeutic Procedures (97150) | $799 | $799 | 44.3× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $36,485 | $36,485 | 8.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,151 | $1,151 | 1.3× |
| High altitude simulation test (94452) | $455 | $455 | 2.7× |
| Holter monitor recording (93225) | $3,258 | $3,258 | 19.0× |
| Icd device progr eval dual (93283) | $331 | $331 | 6.9× |
| Immunization administration (90471) | $389 | $389 | 4.2× |
| Insert/Place Heart Catheter (93503) | $4,678 | $4,678 | 2.3× |
| Interrogate Subq Defib (93261) | $218 | $218 | 4.5× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$2,820 | $2,820 | 0.3× |
| Intra-atrial recording (93602) | $7,394 | $7,394 | 0.7× |
| Intracranial Complete Study (93886) | $1,482 | $1,482 | 4.8× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$2,820 | $2,820 | 0.3× |
| Iontophoresis 15 min (97033) | $301 | $301 | 15.8× |
| Irrig Drug Delivery Device (96523) | $184 | $184 | 2.4× |
| IV infusion hydration each additional hour (96361) | $207 | $207 | 3.4× |
| IV infusion hydration initial 31 min-1 hour (96360) | $857 | $857 | 3.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $620 | $620 | 6.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $380 | $380 | 6.3× |
| IV push initial (96374) | $856 | $856 | 3.1× |
| L Hrt Art/Grft Angio (93459) | $26,995 | $26,995 | 6.5× |
| Low frequency non-thermal us (97610) | $699 | $699 | 2.7× |
| Lung Function Test (Mbc/Mvv) (94200) | $300 | $300 | 4.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 3 matching MRF lines |
$60.31–$300.24 | $60.31–$300.24 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 4 matching MRF lines |
$73–$331.09 | $73–$331.09 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$40–$164 | $40–$164 | varies |
| Motility study esophagus (91010) | $3,012 | $3,012 | 6.3× |
| Motion Fluoroscopy/Swallow (92611) | $724 | $724 | 7.9× |
| Nasopharyngoscopy (92511) | $821 | $821 | 3.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$1,060–$1,097 | $1,060–$1,097 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$954–$1,060 | $954–$1,060 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$504–$580 | $504–$580 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$629–$699 | $629–$699 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$204–$329 | $204–$329 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$261–$1,073 | $261–$1,073 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$297–$1,341 | $297–$1,341 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$171–$530 | $171–$530 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$204–$536 | $204–$536 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$261–$641 | $261–$641 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$297–$957 | $297–$957 | varies |
| Neuromuscular Reeducation (97112) | $229 | $229 | 7.0× |
| Newborn resuscitation (99465) | $1,263 | $1,263 | 1.5× |
| Nitric oxide expired gas determination (95012) | $358 | $358 | 7.5× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $90 | $90 | 3.6× |
| Oral Function Therapy (92526) | $854 | $854 | 10.1× |
| Oral Speech Device Eval (92597) | $1,046 | $1,046 | 14.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $230 | $230 | 4.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $194 | $194 | 4.2× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $105 | $105 | 3.8× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $150 | $150 | 5.4× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $195 | $195 | 7.0× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $237 | $237 | 8.5× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $282 | $282 | 10.2× |
| Ot Contrast Bath Ea 15 Min (97034) | $174 | $174 | 12.4× |
| Ot eval high complexity (97167) | $726 | $726 | 7.2× |
| Ot Eval Low Complex (97165) | $619 | $619 | 6.2× |
| Ot Eval Moderate Complexity (97166) | $671 | $671 | 6.7× |
| Ot manual therapy 15 min (97140) | $219 | $219 | 7.9× |
| Ot paraffin bath (97018) | $117 | $117 | 19.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $194 | $194 | 4.8× |
| Ot Re-Eval Est Plan Care (97168) | $726 | $726 | 10.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $520 | $520 | 3.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $562 | $562 | 3.4× |
| Oxygen Uptake Rest Indirect (94690) | $167 | $167 | 2.2× |
| Peripheral arterial disease rehab per session (93668) | $520 | $520 | 6.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $25,721 | $25,721 | 3.5× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $37,226 | $37,226 | 2.5× |
| Phlebotomy therapeutic (99195) | $5,163 | $5,163 | 30.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $1,640 | $1,640 | 21.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $1,341 | $1,341 | 17.7× |
| Physical Performance Test (97750) | $201 | $201 | 6.0× |
| Plethysmography (94726) | $986 | $986 | 2.1× |
| Pm device eval in person (93288) | $222 | $222 | 4.6× |
| Pm device progr eval multi (93281) | $268 | $268 | 5.6× |
| Pm/Icd Remote Tech Serv (93296) | $355 | $355 | 7.4× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $218 | $218 | 4.5× |
| Prq Card Angio/Athrect 1 Art (92924) | $36,786 | $36,786 | 2.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $37,226 | $37,226 | 2.5× |
| Prq Card Stent/Ath/Angio (92933) | $37,226 | $37,226 | 1.6× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $37,226 | $37,226 | 2.5× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $303 | $303 | 8.0× |
| Pt Eval High Complex (97163) | $726 | $726 | 7.4× |
| Pt eval low complex 20 min (97161) | $619 | $619 | 6.3× |
| Pt Eval Mod Complex (97162) | $671 | $671 | 6.9× |
| Pt gait training 15 min (97116) | $161 | $161 | 5.5× |
| Pt mechanical traction (97012) | $194 | $194 | 13.5× |
| Pt Re-Eval Est Plan Care (97164) | $726 | $726 | 10.8× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$396–$527 | $396–$527 | varies |
| Pulmonary service/procedure (94799) | $830 | $830 | 5.0× |
| Pulmonary Stress Testing (94618) | $601 | $601 | 3.5× |
| R Hrt Art/Grft Angio (93457) | $33,614 | $33,614 | 8.1× |
| R hrt coronary artery angio (93456) | $30,694 | $30,694 | 7.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $24,541 | $24,541 | 5.9× |
| Refill/Maint Portable Pump (96521) | $558 | $558 | 2.0× |
| Refill/Maint Pump/Resvr Syst (96522) | $502 | $502 | 1.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $331 | $331 | 6.9× |
| Respiratory flow volume loop (94375) | $484 | $484 | 1.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $365 | $365 | 4.8× |
| Right Heart Cath (93451) | $11,363 | $11,363 | 2.7× |
| Right ventricular recording (93603) | $11,663 | $11,663 | 7.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $350 | $350 | 1.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $2,284 | $2,284 | 18.7× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $437 | $437 | 9.1× |
| Self Care Mngment Training (97535) | $359 | $359 | 11.1× |
| Sensory Integration Ea 15 Min (97533) | $179 | $179 | 2.9× |
| Sleep study attended (95807) | $1,811 | $1,811 | 3.8× |
| Speech sound lang comprehen (92523) | $2,038 | $2,038 | 9.0× |
| Spin/Brain Pump Refil & Main (95991) | $3,219 | $3,219 | 8.2× |
| Spirometry (94010) | $530 | $530 | 1.9× |
| Standardized Cognitive Performance Testing (96125) | $320 | $320 | 3.1× |
| Stress Tte Only (93350) | $5,014 | $5,014 | 7.1× |
| Subcutaneous Infusion Each Additional Hour (96370) | $176 | $176 | 2.9× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $856 | $856 | 3.1× |
| Surfactant Admin Thru Tube (94610) | $271 | $271 | 1.0× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $803 | $803 | 6.0× |
| Temp transcutaneous pacing (92953) | $439 | $439 | 0.5× |
| Tensilon Test (95857) | $693 | $693 | 2.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $248 | $248 | 11.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $221 | $221 | 10.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $219 | $219 | 7.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $1,208 | $1,208 | 11.8× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $229 | $229 | 3.8× |
| Ther/Proph/Diag Inj Ia (96373) range across 3 matching MRF lines |
$774–$856 | $774–$856 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$238.51–$575 | $238.51–$575 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $1,127 | $1,127 | 4.1× |
| Therapeutic Activities (97530) | $232 | $232 | 6.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $121 | $121 | 2.5× |
| Transcath Closure of Asd (93580) | $102,431 | $102,431 | 4.3× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $803 | $803 | 6.0× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $723 | $723 | 5.4× |
| Tte w/doppler, complete (93306) | $4,600 | $4,600 | 6.5× |
| Tx atrial fib pulm vein isol (93656) | $67,486 | $67,486 | 2.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $854 | $854 | 11.2× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $854 | $854 | 35.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $536 | $536 | 8.9× |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$860–$1,685 | $860–$1,685 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$410.90–$992 | $410.90–$992 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$1,616–$2,085 | $1,616–$2,085 | varies |
| Valvuloplasty aortic valve (92986) | $29,021 | $29,021 | 4.0× |
| Valvuloplasty mitral valve (92987) | $61,558 | $61,558 | 4.1× |
| Valvuloplasty pulmonary valve (92990) | $61,558 | $61,558 | 4.1× |
| Vasopneumatic device (97016) | $170 | $170 | 14.1× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$422–$6,396 | $422–$6,396 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$935–$4,895 | $935–$4,895 | varies |
| Visual Evoked Potential Test (95930) | $1,719 | $1,719 | 6.2× |
| Vital capacity, total (94150) range across 3 matching MRF lines |
$175–$313 | $175–$313 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $247 | $247 | 8.0× |
| Whirlpool Therapy (97022) | $484 | $484 | 30.8× |
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.