Visits & medical services prices at EvergreenHealth Medical Center

Kirkland, WA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $49.60 $62 1.1×
Advncd Care Plan 30 Min (99497)
range across 2 matching MRF lines		 $96–$192 $120–$240 varies
Airway Inhalation Treatment (94640) $216 $270 0.8×
Analyze neurostim complex (95972) $274.40 $343 2.5×
Analyze neurostim no prog (95970) $326.40 $408 2.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $67.20 $84 4.7×
Application Modality 1/> Areas Infrared (97026) $48.80 $61 7.3×
Application on-body injector (96377) $111.20 $139 2.0×
Assessment of aphasia per hr (96105) $297.60 $372 3.1×
Assmt & care planning pt w/cognitive impairment (99483) $180.80 $226 1.5×
Behavral qualit analys voice (92524) $331.20 $414 3.0×
Blink reflex test (95933) $132 $165 1.9×
Brief Emotional/Behav Assmt (96127)
range across 2 matching MRF lines		 $51.20–$100 $64–$125 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $528 $660 1.2×
C motor evoked uppr limbs (95928) $2,604.80 $3,256 2.6×
C motor evoked upr&lwr limbs (95939) $1,150.40 $1,438 1.2×
Canalith repositioning proc (95992) $137.60 $172 3.4×
Car seat/bed test 60 min (94780) $153.60 $192 3.5×
Cardiac Stress Tst,Tracing Only (93017) $912 $1,140 3.6×
Cardiopulmonary exercise testing (94621) $948.80 $1,186 2.2×
Cardiopulmonary resuscitation (92950) $898.40 $1,123 3.6×
Cardioversion (92960) $2,173.60 $2,717 2.8×
Cardioversion elective internal (92961) $937.60 $1,172 1.2×
Caregiver hlth risk assmt score doc stnd instrm (96161) $59.20 $74 1.4×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $6,547.20 $8,184 1.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,547.20 $8,184 1.7×
Cbt 1st hour (94644) $342.40 $428 2.2×
Chemo Anti-Neopl Sq/Im (96401) $311.20 $389 3.7×
Chemo Hormon Antineopl Sq/Im (96402) $165.60 $207 2.0×
Chemo Ia Push (96420) $541.60 $677 1.4×
Chemo IV infusion addl hr (96415) $182.40 $228 2.2×
Chemo IV push addl drug (96411) $277.60 $347 3.3×
Chemother Prolong Infuse W/Pump (96416) $691.20 $864 1.8×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $552.80 $691 1.4×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $121.60 $152 2.2×
Chemotherapy Into Cns (96450) $536 $670 1.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $351.20 $439 4.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $756 $945 2.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $569.60 $712 1.5×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $429.60 $537 1.1×
Chest Wall Manipulation (94668) $227.20 $284 1.5×
Color/duplex Doppler, complete (93975)
range across 4 matching MRF lines		 $1,399.20–$1,490.40 $1,749–$1,863 varies
Color/duplex Doppler, limited (93976) $1,009.60 $1,262 8.3×
Community/Work Reintegration Trainj Ea 15 Min (97537) $126.40 $158 3.9×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $180.80 $226 0.9×
Cont gluc mntr physician/qhp provided equiptment (95250) $616 $770 4.0×
Cont Gluc Mntr Pt Prov Eqp (95249) $176 $220 2.6×
Continuous Pulse Ox (94762) $250.40 $313 1.7×
Coronary Art/Grft Angio S&I (93455) $6,547.20 $8,184 1.7×
Coronary Artery Angio S&I (93454) $6,547.20 $8,184 1.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $971.20 $1,214 3.8×
Cpt initial (94667) $239.20 $299 1.5×
Critical care first hour (99291) $4,001.51 $5,001.89 4.2×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,335.20 $1,669 3.1×
Debridement Open Wound 20 Sq Cm< (97597) $460.80 $576 2.0×
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) $442.40 $553 1.9×
Dialysis One Evaluation (90945) $1,832 $2,290 3.8×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,194.40 $1,493 4.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $675.20 $844 5.6×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $245.60 $307 2.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,260.80 $1,576 4.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $843.20 $1,054 6.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 4 matching MRF lines		 $1,396.80–$1,487.20 $1,746–$1,859 varies
Dup-scan xtr veins unilateral/limited study (93971) $1,035.20 $1,294 8.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $574.40 $718 2.1×
Duplex Scan Hemodialysis Access (93990) $276.80 $346 2.3×
Duplex up extrem art bilat (93930) $956 $1,195 3.5×
Duplex up extrem art unilat/ltd (93931) $860.80 $1,076 7.1×
Echo Congenital Complete (93303) $1,480.80 $1,851 2.3×
Echo Heart Xthoracic,Limited (93308) $1,012.80 $1,266 3.7×
Echo transesophageal (93312) $2,104.80 $2,631 3.3×
Echo Transesophageal - Congenital Tee Complete (93315) $1,202.40 $1,503 1.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,987.20 $2,484 3.1×
Eeg 41-60 Minutes (95812) $1,136.80 $1,421 4.5×
EEG awake and asleep (95819) $1,250.40 $1,563 5.0×
EEG awake drowsy (95816) $1,089.60 $1,362 4.3×
EEG cont rec w/video by tech min 8 channels (95700) $583.20 $729 2.3×
EEG extended monitoring 61-119 minutes (95813) $1,332 $1,665 5.3×
Eeg Sleep Only (95822) $1,136.80 $1,421 4.5×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $526.40 $658 2.1×
EEG w/o vid 2-12hr cont mntr (95707) $526.40 $658 2.1×
EEG w/o vid ea 12-26hr intmt (95709) $1,011.20 $1,264 2.3×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,011.20 $1,264 2.3×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $526.40 $658 2.1×
EEG wo vid ea 12-26hr unmntr (95708) $1,041.60 $1,302 2.4×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $197.60 $247 1.8×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $318.40 $398 2.9×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $97.60 $122 2.3×
Electrical Stimulation Ea 15 Min (97032) $92.80 $116 6.3×
Electrocardiogram Tracing (93005) $288 $360 4.2×
Emergency Dept Visit Level 2 (99282) $576.47 $720.59 3.2×
Emergency Dept Visit Level 3 (99283) $1,122.38 $1,402.98 3.5×
Emergency Dept Visit Level 4 (99284) $1,858.85 $2,323.56 3.8×
Emg 3 Extremities (95863) $713.60 $892 4.8×
Emg 4 Extremities (95864) $844 $1,055 5.6×
Endomyocardial Biopsy (93505) $2,460 $3,075 0.7×
Er level 1 (99281) $458.28 $572.85 4.7×
Er level v (99285) $3,121.94 $3,902.42 4.5×
Evaluate pt use of inhaler (94664) $356 $445 1.4×
Evaluate Speech Production (92522) $331.20 $414 3.0×
Evaluate Swallowing Function (92610) $404.80 $506 4.8×
Exhaled Air Analysis O2 (94680) $502.40 $628 3.4×
External ECG rec>48hr<7d recording (93242) $79.20 $99 1.8×
External ECG rec>7d<15d recording (93246) $111.20 $139 2.6×
External Ecg Scanning Analysis Report (93226) $234.40 $293 3.4×
Extracranial Bilat Study (93880) $1,052.80 $1,316 3.8×
Extracranial Uni/Ltd Study (93882) $616 $770 5.1×
F-up/limited tthrc echo congenital car anomaly (93304) $875.20 $1,094 1.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,335.20 $1,669 1.3×
Gi tract capsule endoscopy (91110) $2,087.20 $2,609 2.0×
Group Therapeutic Procedures (97150) $84.80 $106 4.7×
Health Behavior Assessment/Re-Assessment (96156)
range across 2 matching MRF lines		 $120–$240 $150–$300 varies
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $64.80 $81 1.5×
Health behavior ivntj group f2f 1st 30 min (96164) $70.40 $88 1.6×
Health behavior ivntj indiv f2f 1st 30 min (96158)
range across 2 matching MRF lines		 $120–$240 $150–$300 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $6,547.20 $8,184 1.7×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,740.80 $2,176 2.2×
High altitude simulation test (94452) $256 $320 1.7×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $364 $455 2.4×
Holter monitor recording (93225) $234.40 $293 1.5×
Icd Device Interrogate (93289) $44 $55 1.0×
Icd device progr eval dual (93283) $67.20 $84 1.6×
Icd Device Progr Eval Mult (93284) $67.20 $84 1.6×
Ilr Device Eval Progr (93285) $67.20 $84 1.6×
Ilr Device Interrogate (93291) $59.20 $74 1.8×
Immunization administration (90471) $40 $50 0.5×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $1,180.80 $1,476 2.7×
Insert/Place Heart Catheter (93503) $3,324.80 $4,156 1.8×
Interrogate Subq Defib (93261) $67.20 $84 1.6×
Intracranial Complete Study (93886) $560 $700 2.0×
Io ga n-stim subsq w/reprog (95982) $83.20 $104 1.9×
Irrig Drug Delivery Device (96523) $151.20 $189 2.2×
IV infusion hydration each additional hour (96361) $196.80 $246 3.6×
IV infusion hydration initial 31 min-1 hour (96360) $494.40 $618 2.0×
IV infusion ther proph addl sequential to 1 hr (96367) $196.80 $246 2.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $196.80 $246 3.6×
IV push initial (96374) $454.40 $568 1.8×
L Hrt Art/Grft Angio (93459) $6,547.20 $8,184 1.7×
Laryngeal Function Studies (92520) $278.40 $348 1.8×
Mechanical chest wall oscillation per session (94669) $523.20 $654 2.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $113.60 $142 3.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $120 $150 3.3×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $70.40 $88 4.1×
Methacholine challenge (94070) $1,016.80 $1,271 2.3×
Motion Fluoroscopy/Swallow (92611) $439.20 $549 4.8×
Multiple Sleep Latency Test (95805) $3,122.40 $3,903 3.1×
Muscle Test 2 Limbs (95861) $278.40 $348 1.8×
Muscle Test Nonparaspinal (95870) $198.40 $248 1.3×
Muscle Test One Limb (95860) $464.80 $581 3.0×
Nasopharyngoscopy (92511) $449.60 $562 1.9×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $565.60 $707 2.3×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $539.20 $674 2.2×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $403.20 $504 1.6×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $349.60 $437 1.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $853.60 $1,067 1.8×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $853.60 $1,067 1.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $495.20 $619 2.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $994.40 $1,243 2.1×
Nerve Conduction Studies 1-2 Studies (95907) $340.80 $426 1.4×
Nerve Conduction Studies 11-12 Studies (95912) $1,200 $1,500 2.8×
Nerve conduction studies 13 or more studies (95913) $1,200 $1,500 2.8×
Nerve Conduction Studies 3-4 Studies (95908) $624.80 $781 2.5×
Nerve conduction studies 5-6 studies (95909) $624.80 $781 2.5×
Nerve conduction studies 7-8 studies (95910) $624.80 $781 1.4×
Nerve Conduction Studies 9-10 Studies (95911) $1,200 $1,500 2.8×
Neurobehavioral Status Exam (96116) $392.80 $491 1.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $339.20 $424 2.3×
Neuromuscular Reeducation (97112) $133.60 $167 4.1×
Newborn resuscitation (99465) $1,189.60 $1,487 1.5×
Nitric oxide expired gas determination (95012) $89.60 $112 2.1×
Nonphysician Telephone Assessment 11-20 Min (98967) $53.60 $67 2.1×
Nonphysician Telephone Assessment 21-30 Min (98968) $78.40 $98 2.3×
Nonphysician Telephone Assessment 5-10 Min (98966) $27.20 $34 2.0×
Nrpsyc tst eval phys/qhp 1st (96132)
range across 2 matching MRF lines		 $299.20–$599.20 $374–$749 varies
Oral Function Therapy (92526) $307.20 $384 3.6×
Oral Speech Device Eval (92597) $152.80 $191 2.1×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines		 $106.40–$112 $133–$140 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $108 $135 2.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $64 $80 2.6×
Osteopathic manipulative tx 3-4 body regions (98926) $59.20 $74 2.4×
Osteopathic manipulative tx 7-8 body regions (98928) $59.20 $74 2.4×
Ot eval high complexity (97167) $308 $385 3.1×
Ot Eval Low Complex (97165) $254.40 $318 2.5×
Ot Eval Moderate Complexity (97166) $284.80 $356 2.8×
Ot manual therapy 15 min (97140) $107.20 $134 3.9×
Ot paraffin bath (97018) $33.60 $42 5.6×
Ot Prosthetic Training, Each 15 Min (97761) $101.60 $127 2.5×
Ot Re-Eval Est Plan Care (97168) $172.80 $216 2.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $272 $340 1.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $272 $340 1.8×
Oxygen Uptake Rest Indirect (94690) $217.60 $272 3.2×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $489.60 $612 1.9×
Peripheral arterial disease rehab per session (93668) $126.40 $158 1.8×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $42,575.20 $53,219 2.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $10,656.80 $13,321 1.6×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $12,108 $15,135 0.9×
Phlebotomy therapeutic (99195) $164 $205 1.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $155.20 $194 2.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $155.20 $194 2.3×
Physical Performance Test (97750) $102.40 $128 3.0×
Plethysmography (94726) $500 $625 1.2×
Pm device eval in person (93288) $84.80 $106 2.0×
Pm device progr eval dual (93280)
range across 2 matching MRF lines		 $81.60–$113.60 $102–$142 varies
Pm device progr eval multi (93281) $67.20 $84 1.6×
Pm Device Progr Eval Sngl (93279) $67.20 $84 1.6×
Pm/Icd Remote Tech Serv (93296) $96 $120 2.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,272.80 $5,341 4.3×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $2,837.60 $3,547 2.8×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $67.20 $84 1.6×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $74.40 $93 1.7×
Prq Card Angio/Athrect 1 Art (92924) $16,214.40 $20,268 1.2×
Prq Card Stent W/Angio 1 Vsl (92928) $14,129.60 $17,662 1.1×
Prq Revasc Byp Graft 1 Vsl (92937) $12,108 $15,135 0.9×
Prq trl rvs ch occ ant&rtrgr (92945) $26,811.20 $33,514 2.0×
Psych diag eval w/med srvcs (90792)
range across 2 matching MRF lines		 $120–$240 $150–$300 varies
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines		 $120–$240 $150–$300 varies
Psycl/Nrpsyc Tst Auto Result (96146) $599.20 $749 17.8×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138)
range across 2 matching MRF lines		 $240–$480 $300–$600 varies
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $599.20 $749 3.9×
Psytx Crisis Initial 60 Min (90839) $284 $355 1.4×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $80 $100 2.1×
Pt Eval High Complex (97163) $326.40 $408 3.3×
Pt eval low complex 20 min (97161) $258.40 $323 2.6×
Pt Eval Mod Complex (97162) $288.80 $361 3.0×
Pt gait training 15 min (97116) $100 $125 3.4×
Pt mechanical traction (97012) $87.20 $109 6.1×
Pt Re-Eval Est Plan Care (97164) $170.40 $213 2.5×
Pulm function test by gas (94727) $449.60 $562 1.8×
Pulmonary service/procedure (94799) $508 $635 3.4×
Pulmonary Stress Testing (94618) $282.40 $353 1.8×
R hrt coronary artery angio (93456) $6,547.20 $8,184 1.7×
R&L Hrt Cath W/Ventriclgrphy (93453) $6,547.20 $8,184 1.7×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $727.20 $909 1.9×
Rem interrog icpms <30 d phys/qhp (93297) $86.40 $108 2.0×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $73.60 $92 1.7×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $329.60 $412 2.1×
Respiratory flow volume loop (94375) $225.60 $282 0.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $204.80 $256 3.0×
Right Heart Cath (93451) $6,547.20 $8,184 1.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $495.20 $619 2.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $445.60 $557 3.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $238.40 $298 5.0×
Self Care Mngment Training (97535) $114.40 $143 3.5×
Sensory Integration Ea 15 Min (97533)
range across 3 matching MRF lines		 $113.60–$114.40 $142–$143 varies
Short-latency somatosens ep std upr limbs (95925) $781.60 $977 3.1×
Sleep study attended (95807) $2,225.60 $2,782 5.1×
Sleep study unattended (95806) $823.20 $1,029 3.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $276.80 $346 1.1×
Somatosensory Testing (95938) $817.60 $1,022 0.8×
Speech sound lang comprehen (92523) $364 $455 1.6×
Spin/Brain Pump Refil & Main (95991) $560 $700 1.6×
Spirometry (94010) $356.80 $446 1.4×
Ssep lower limbs (95926) $484 $605 1.9×
Standardized Cognitive Performance Testing (96125) $286.40 $358 2.8×
Subcutaneous Infusion Each Additional Hour (96370) $111.20 $139 2.0×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $542.40 $678 2.2×
Surfactant Admin Thru Tube (94610) $257.60 $322 1.0×
Temp transcutaneous pacing (92953) $1,689.60 $2,112 2.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $115.20 $144 5.1×
Ther Ivntj Ea Addl 15 Min (97130) $115.20 $144 5.5×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $70.40 $88 1.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $98.40 $123 3.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $361.60 $452 3.5×
Ther/Proph/Diag Inj Sc/Im (96372) $183.20 $229 2.2×
Ther/Proph/Diag Iv Inf Init (96365) $667.20 $834 2.7×
Therapeutic Activities (97530) $137.60 $172 3.9×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines		 $48–$96 $60–$120 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines		 $38.40–$76 $48–$95 varies
Trans Care Mgmt 14 Day Disch (99495)
range across 2 matching MRF lines		 $128–$256 $160–$320 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 2 matching MRF lines		 $160–$320 $200–$400 varies
Transcath Closure of Asd (93580) $42,575.20 $53,219 2.0×
Transcranial Doppler Intracran Art Emboli Detect (93892) $228 $285 1.9×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $608 $760 5.0×
Tte w/doppler, complete (93306) $1,957.60 $2,447 3.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $268.80 $336 3.5×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $232.80 $291 9.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $174.40 $218 3.2×
Tympanometry (92567) $83.20 $104 1.9×
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines		 $449.60–$2,224.80 $562–$2,781 varies
Upr/L Xtremity Art 2 Levels (93922) $617.60 $772 4.0×
Veeg 2-12 Hr Cont Mntr (95713) $1,041.60 $1,302 2.4×
Veeg 2-12 hr intmt mntr (95712) $542.40 $678 1.3×
Veeg 2-12 hr unmonitored (95711) $542.40 $678 2.2×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,064 $1,330 2.5×
Veeg Ea 12-26 Hr Unmntr (95714) $1,011.20 $1,264 2.3×
Veeg ea 12-26hr cont mntr (95716) $1,892 $2,365 1.9×
Vent Mgmt Inpat Init Day (94002) $2,243.20 $2,804 3.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,243.20 $2,804 3.1×
Visual Evoked Potential Test (95930) $484 $605 1.9×
Vital capacity, total (94150) $211.20 $264 1.4×
Wada Activation Test Hemispheric Function W/Eeg (95958) $2,028 $2,535 2.0×
Wheelchair Mgmt Ea 15 Min (97542) $146.40 $183 4.7×
Whirlpool Therapy (97022) $44.80 $56 2.9×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $136.80 $171 2.0×

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.