Visits & medical services prices at Fairbanks Memorial Hospital
Fairbanks, AK · every code in this section with a posted price and a Medicare benchmark.
308 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $369.55 | $389 | 3.3× |
| Ablate Heart Dysrhythm Focus (93650) | $11,643.30 | $12,256.10 | 1.3× |
| Acupunct W/Stimul 15 Min (97813) range across 3 matching MRF lines |
$52.56–$694.58 | $55.33–$731.14 | varies |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$129.20–$154 | $136–$162.11 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) | $57.95 | $61 | 1.3× |
| Advncd Care Plan 30 Min (99497) | $342.95 | $361 | 3.0× |
| Airway Inhalation Treatment (94640) range across 8 matching MRF lines |
$73.15–$442.74 | $77–$466.04 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $90.25 | $95 | 2.2× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $99.75 | $105 | 3.1× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $1,672.30 | $1,760.32 | 11.3× |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$330.90–$338.07 | $348.32–$355.86 | varies |
| Analyze neurostim no prog (95970) | $236.96 | $249.43 | 1.6× |
| Analyze Neurostim Simple (95971) | $338.07 | $355.86 | 3.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$156.52–$164.59 | $164.76–$173.25 | varies |
| Assmt & care planning pt w/cognitive impairment (99483) | $760 | $800 | 6.7× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$643.78–$694.16 | $677.66–$730.69 | varies |
| Bioimpedance Cv Analysis (93701) | $465.23 | $489.72 | 3.2× |
| Blink reflex test (95933) | $394.71 | $415.48 | 6.0× |
| Brief Emotional/Behav Assmt (96127) range across 3 matching MRF lines |
$20.90–$86.79 | $22–$91.36 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 5 matching MRF lines |
$149.15–$1,282.32 | $157–$1,349.81 | varies |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$2,093.84 | $2,204.04 | 0.2× |
| Canalith repositioning proc (95992) range across 6 matching MRF lines |
$174.36–$523.17 | $183.54–$550.71 | varies |
| Car seat/bed test 60 min (94780) | $106.11 | $111.69 | 2.6× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$360.10–$2,326.21 | $379.05–$2,448.64 | varies |
| Cardiopulmonary exercise testing (94621) | $829.08 | $872.72 | 2.0× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$833.18–$1,377.46 | $877.03–$1,449.96 | varies |
| Cardioversion (92960) range across 5 matching MRF lines |
$803.70–$4,937.25 | $846–$5,197.11 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $15.20 | $16 | 0.4× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$4,120.09–$57,385.36 | $4,336.94–$60,405.64 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$3,244.13–$33,479.36 | $3,414.87–$35,241.43 | varies |
| Cbt 1st hour (94644) | $518.61 | $545.90 | 3.5× |
| Chemo Anti-Neopl Sq/Im (96401) | $109.58 | $115.35 | 1.4× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$109.58–$157.75 | $115.35–$166.05 | varies |
| Chemo Intralesional Over 7 (96406) | $391.59 | $412.20 | 1.7× |
| Chemo intralesional up to 7 (96405) | $109.58 | $115.35 | 1.4× |
| Chemo IV infusion addl hr (96415) | $109.58 | $115.35 | 1.4× |
| Chemo IV push addl drug (96411) | $223.82 | $235.60 | 2.8× |
| Chemother Prolong Infuse W/Pump (96416) | $664.41 | $699.38 | 1.8× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$571.27–$944.03 | $601.34–$993.72 | varies |
| Chemotherapy Unspecified (96549) | $81.64 | $85.94 | 1.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $223.82 | $235.60 | 2.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,166.99 | $1,228.41 | 3.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $391.59 | $412.20 | 1.1× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $391.59 | $412.20 | 1.1× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$326.50–$390.16 | $343.68–$410.69 | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) range across 2 matching MRF lines |
$3,390.01–$3,506.97 | $3,568.43–$3,691.55 | varies |
| Color/duplex Doppler, complete (93975) range across 5 matching MRF lines |
$641.68–$2,305.95 | $675.45–$2,427.32 | varies |
| Color/duplex Doppler, limited (93976) range across 4 matching MRF lines |
$445.57–$1,060.08 | $469.02–$1,115.87 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 3 matching MRF lines |
$111.97–$143.01 | $117.86–$150.54 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 4 matching MRF lines |
$246.52–$722.49 | $259.49–$760.52 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 4 matching MRF lines |
$107.58–$616.05 | $113.24–$648.47 | varies |
| Continuous Pulse Ox (94762) | $855.48 | $900.51 | 6.0× |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$3,069.94–$27,058.17 | $3,231.52–$28,482.28 | varies |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$2,631.79–$23,611.28 | $2,770.30–$24,853.98 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 9 matching MRF lines |
$467.14–$1,555.82 | $491.73–$1,637.70 | varies |
| Cpt initial (94667) | $595.18 | $626.50 | 4.0× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$902.50–$999.89 | $950–$1,052.52 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 8 matching MRF lines |
$187.74–$642.92 | $197.62–$676.76 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) range across 2 matching MRF lines |
$523.17–$559.55 | $550.71–$589 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 4 matching MRF lines |
$440.52–$1,380.03 | $463.70–$1,452.66 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 4 matching MRF lines |
$271.75–$1,131.99 | $286.05–$1,191.57 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 4 matching MRF lines |
$436.45–$1,326.68 | $459.42–$1,396.51 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 5 matching MRF lines |
$266.87–$1,255.64 | $280.92–$1,321.73 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 4 matching MRF lines |
$381.40–$1,471.10 | $401.47–$1,548.53 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 5 matching MRF lines |
$246.38–$1,471.10 | $259.35–$1,548.53 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$435.91–$1,471.10 | $458.85–$1,548.53 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $981.32 | $1,032.97 | 8.5× |
| Duplex Scan Hemodialysis Access (93990) range across 3 matching MRF lines |
$265.79–$1,094.63 | $279.78–$1,152.24 | varies |
| Duplex up extrem art bilat (93930) range across 4 matching MRF lines |
$441.32–$1,365.73 | $464.55–$1,437.61 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 6 matching MRF lines |
$270.03–$1,537.60 | $284.24–$1,618.53 | varies |
| ECG/monitoring and analysis (93271) | $4,698.31 | $4,945.59 | 44.5× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$721.37–$2,483.33 | $759.34–$2,614.03 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$292.32–$1,270.14 | $307.71–$1,336.99 | varies |
| Echo r-t 2d w/probe placement only (93313) | $4,281.30 | $4,506.63 | 7.1× |
| Echo transesophag congen probe plcmt only (93316) | $5.23 | $5.51 | 0.0× |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$1,255.92–$4,281.30 | $1,322.02–$4,506.63 | varies |
| Eeg 41-60 Minutes (95812) range across 3 matching MRF lines |
$1,460.15–$1,661.55 | $1,537–$1,749 | varies |
| EEG awake and asleep (95819) | $1,296.51 | $1,364.75 | 5.4× |
| EEG awake drowsy (95816) | $1,296.51 | $1,364.75 | 5.4× |
| EEG cont rec w/video by tech min 8 channels (95700) range across 2 matching MRF lines |
$2,137.11–$3,695.59 | $2,249.59–$3,890.09 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$1,661.55–$1,711.40 | $1,749–$1,801.47 | varies |
| Eeg Sleep Only (95822) | $1,296.51 | $1,364.75 | 5.4× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$182.64–$235.17 | $192.25–$247.55 | varies |
| Electrocardiogram Tracing (93005) range across 5 matching MRF lines |
$58.58–$851.52 | $61.66–$896.34 | varies |
| Electroconvulsive Therapy (90870) | $1,651.04 | $1,737.94 | 1.7× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $11,643.30 | $12,256.10 | 1.3× |
| Electrophysiology Evaluation (93642) | $2,093.84 | $2,204.04 | 1.5× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$188.78–$250.80 | $198.72–$264 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$309.56–$372.40 | $325.85–$392 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$459.28–$679.25 | $483.45–$715 | varies |
| Emg 3 Extremities (95863) | $603.03 | $634.77 | 4.2× |
| Emg 4 Extremities (95864) | $603.03 | $634.77 | 4.2× |
| Endomyocardial Biopsy (93505) | $3,535.79 | $3,721.88 | 1.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $11,643.30 | $12,256.10 | 1.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $11,643.30 | $12,256.10 | 1.3× |
| Er level 1 (99281) range across 2 matching MRF lines |
$225.05–$563.60 | $236.89–$593.26 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$666.98–$985.15 | $702.08–$1,037 | varies |
| Ergonovine provocation test (93024) | $1,031.36 | $1,085.64 | 2.1× |
| Evaluate pt use of inhaler (94664) range across 4 matching MRF lines |
$155.58–$352.11 | $163.77–$370.64 | varies |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$643.78–$694.16 | $677.66–$730.69 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$524.69–$642.79 | $552.31–$676.62 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$643.78–$694.16 | $677.66–$730.69 | varies |
| Evoked Auditory Test,Limited (92587) | $181.78 | $191.35 | 0.8× |
| Exercise test for bronchospasm (94617) | $422.28 | $444.51 | 2.9× |
| External ECG rec>48hr<7d recording (93242) | $111.40 | $117.26 | 2.7× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $183.22 | $192.86 | 1.2× |
| External ECG rec>7d<15d recording (93246) | $183.22 | $192.86 | 4.4× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $368.53 | $387.93 | 2.5× |
| External Ecg Scanning Analysis Report (93226) | $917.13 | $965.40 | 14.0× |
| Extracranial Bilat Study (93880) range across 4 matching MRF lines |
$442.77–$1,962.50 | $466.07–$2,065.79 | varies |
| Extracranial Uni/Ltd Study (93882) range across 4 matching MRF lines |
$271.75–$1,043.31 | $286.05–$1,098.22 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,766.08 | $1,859.03 | 2.9× |
| Flexible endoscopic eval swallow c/v rec (92612) | $688.79 | $725.04 | 3.4× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,707.55 | $1,797.42 | 4.1× |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$1,023.15–$3,171.07 | $1,077–$3,337.97 | varies |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$97.84–$119.86 | $102.99–$126.17 | varies |
| Health Behavior Assessment/Re-Assessment (96156) | $399.95 | $421 | 3.5× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $274.55 | $289 | 1.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$4,553.03–$60,832.22 | $4,792.66–$64,033.92 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $598.50 | $630 | 0.8× |
| Holter monitor recording (93225) | $609.17 | $641.23 | 4.1× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$421.92–$607.01 | $444.13–$638.96 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$463.96–$652.51 | $488.38–$686.85 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$463.96–$708.92 | $488.38–$746.23 | varies |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$294.31–$338.96 | $309.80–$356.80 | varies |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$207.94–$338.96 | $218.88–$356.80 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $25.65 | $27 | 0.3× |
| Immunization administration (90471) range across 3 matching MRF lines |
$25.65–$90.16 | $27–$94.90 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $485.45 | $511 | 1.2× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $1,222.61 | $1,286.96 | 3.0× |
| Inital newborn e/m (99460) | $285 | $300 | 1.9× |
| Insert/Place Heart Catheter (93503) | $5,280.42 | $5,558.34 | 3.0× |
| Interrogation eval in person wr defibrillator (93292) | $1,424.35 | $1,499.32 | 34.4× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$2,093.84 | $2,204.04 | 0.2× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$2,093.84 | $2,204.04 | 0.2× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) | $28.50 | $30 | 0.9× |
| Intracutaneous tests w/allergenic extracts (95024) | $38 | $40 | 0.6× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$2,093.84 | $2,204.04 | 0.2× |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$199.67–$224.10 | $210.18–$235.89 | varies |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$119.70–$130.69 | $126–$137.57 | varies |
| IV infusion hydration each additional hour (96361) range across 8 matching MRF lines |
$70.30–$477.12 | $74–$502.23 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 9 matching MRF lines |
$228–$651.61 | $240–$685.90 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $141.34 | $148.78 | 1.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 7 matching MRF lines |
$133–$417.53 | $140–$439.50 | varies |
| IV push initial (96374) range across 7 matching MRF lines |
$190.10–$681.39 | $200.11–$717.25 | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$3,678.77–$36,926.32 | $3,872.39–$38,869.81 | varies |
| Low frequency non-thermal us (97610) | $179.46 | $188.90 | 0.8× |
| Lung Function Test (Mbc/Mvv) (94200) | $359.71 | $378.64 | 5.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 3 matching MRF lines |
$274.90–$1,063.62 | $289.37–$1,119.60 | varies |
| Mechanical chest wall oscillation per session (94669) | $595.18 | $626.50 | 2.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 3 matching MRF lines |
$46.04–$128.25 | $48.46–$135 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$55.11–$146.30 | $58.01–$154 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $27.67 | $29.13 | 1.6× |
| Methacholine challenge (94070) range across 3 matching MRF lines |
$243.20–$2,851.79 | $256–$3,001.88 | varies |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) | $5.23 | $5.51 | 0.0× |
| Motility study esophagus (91010) | $1,738.51 | $1,830.01 | 4.2× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$524.69–$737.03 | $552.31–$775.82 | varies |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $394.71 | $415.48 | 0.8× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$2,902.20–$5,804.44 | $3,054.95–$6,109.94 | varies |
| Muscle Test 2 Limbs (95861) | $474.55 | $499.53 | 3.2× |
| Muscle Test Nonparaspinal (95870) | $229.09 | $241.15 | 1.6× |
| Muscle Test One Limb (95860) | $419.96 | $442.06 | 2.8× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $533.73 | $561.82 | 2.2× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $533.73 | $561.82 | 2.2× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $533.73 | $561.82 | 2.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 4 matching MRF lines |
$241.78–$1,228.64 | $254.51–$1,293.30 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,228.64 | $1,293.30 | 2.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$126.35–$642.92 | $133–$676.76 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$251.75–$1,138.45 | $265–$1,198.37 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $533.73 | $561.82 | 2.2× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,746.38 | $1,838.29 | 4.2× |
| Nerve conduction studies 13 or more studies (95913) | $1,746.38 | $1,838.29 | 4.2× |
| Nerve Conduction Studies 3-4 Studies (95908) | $975.56 | $1,026.91 | 4.1× |
| Nerve conduction studies 5-6 studies (95909) | $975.56 | $1,026.91 | 4.1× |
| Nerve conduction studies 7-8 studies (95910) | $975.56 | $1,026.91 | 2.4× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,746.38 | $1,838.29 | 4.2× |
| Neurobehavioral Status Exam (96116) | $394.25 | $415 | 1.6× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$170.72–$179.43 | $179.70–$188.87 | varies |
| Newborn resuscitation (99465) range across 3 matching MRF lines |
$415.73–$530.10 | $437.61–$558 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 2 matching MRF lines |
$54.36–$115.90 | $57.22–$122 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 2 matching MRF lines |
$154–$167.20 | $162.11–$176 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $61.75 | $65 | 4.5× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$524.69–$642.79 | $552.31–$676.62 | varies |
| Oral Speech Device Eval (92597) range across 3 matching MRF lines |
$556.23–$714.99 | $585.51–$752.62 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $199.77 | $210.28 | 4.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $169.31 | $178.22 | 3.7× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$128.25–$140.02 | $135–$147.39 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$185.25–$202.26 | $195–$212.90 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$242.25–$264.49 | $255–$278.41 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$294.50–$321.54 | $310–$338.46 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$351.50–$383.77 | $370–$403.97 | varies |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$107.83–$114.52 | $113.50–$120.55 | varies |
| Ot eval high complexity (97167) | $370.91 | $390.43 | 3.7× |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$347.11–$354.04 | $365.38–$372.67 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$348.49–$354.04 | $366.83–$372.67 | varies |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$170.72–$195.56 | $179.70–$205.85 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$160.14–$190.78 | $168.57–$200.82 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $162.99 | $171.57 | 4.0× |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$227.60–$236.03 | $239.58–$248.45 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$154.64–$247.55 | $162.78–$260.58 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $247.55 | $260.58 | 1.7× |
| Oxygen Uptake Rest Indirect (94690) | $654.02 | $688.44 | 10.0× |
| Patch/Application Test Specify Number Tests (95044) | $28.50 | $30 | 0.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $656.79 | $691.36 | 2.7× |
| Percutaneous tests w/allergenic extracts (95004) range across 2 matching MRF lines |
$19–$72.18 | $20–$75.98 | varies |
| Peripheral arterial disease rehab per session (93668) | $148.70 | $156.53 | 2.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 2 matching MRF lines |
$5,776.18–$11,942.33 | $6,080.19–$12,570.87 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$7,213.50–$39,491.80 | $7,593.16–$41,570.32 | varies |
| Phlebotomy therapeutic (99195) | $417.60 | $439.58 | 2.8× |
| Physical Performance Test (97750) range across 6 matching MRF lines |
$116.76–$147.75 | $122.90–$155.53 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$114.95–$873.80 | $121–$919.79 | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$240.52–$273.19 | $253.18–$287.57 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$232.39–$432.12 | $244.62–$454.86 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$139.95–$481.57 | $147.32–$506.92 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$199.70–$366.96 | $210.21–$386.27 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$5.23–$927.88 | $5.51–$976.72 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$4,514.05–$9,750.31 | $4,751.63–$10,263.48 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$7,756.27–$9,307.53 | $8,164.49–$9,797.40 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$7,756.27–$10,610.57 | $8,164.49–$11,169.02 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $63.65 | $67 | 1.2× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $129.20 | $136 | 2.5× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $232.75 | $245 | 4.5× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $234.65 | $247 | 2.9× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $449.35 | $473 | 5.6× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$463.96–$481.57 | $488.38–$506.92 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$52.25–$76.91 | $55–$80.96 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$66.50–$100.23 | $70–$105.51 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $340.10 | $358 | 4.3× |
| Prq Card Angio/Athrect 1 Art (92924) | $22,771.66 | $23,970.17 | 1.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$6,421.83–$39,491.80 | $6,759.82–$41,570.32 | varies |
| Prq Card Stent/Ath/Angio (92933) | $60,194.74 | $63,362.88 | 3.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$6,417.50–$39,491.80 | $6,755.26–$41,570.32 | varies |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $11,942.33 | $12,570.87 | 0.9× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$537.70–$640.96 | $566–$674.69 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$386.65–$460.89 | $407–$485.15 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) range across 2 matching MRF lines |
$446.18–$486.40 | $469.66–$512 | varies |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 2 matching MRF lines |
$178.92–$194.75 | $188.34–$205 | varies |
| Psytx Crisis Initial 60 Min (90839) | $292.60 | $308 | 1.5× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) range across 3 matching MRF lines |
$91.37–$114.81 | $96.18–$120.85 | varies |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$358.46–$369.21 | $377.33–$388.64 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$356.54–$367.20 | $375.30–$386.53 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$356.54–$367.20 | $375.30–$386.53 | varies |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$135.95–$177.61 | $143.11–$186.96 | varies |
| Pt mechanical traction (97012) range across 4 matching MRF lines |
$47.50–$253.69 | $50–$267.04 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$239.18–$246.38 | $251.77–$259.35 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $15.20 | $16 | 0.4× |
| Pulm function test by gas (94727) | $654.10 | $688.53 | 2.7× |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$140.60–$422.28 | $148–$444.51 | varies |
| Pure Tone Audiometry Air (92552) | $132.05 | $139 | 0.9× |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$3,855.76–$27,612.82 | $4,058.69–$29,066.13 | varies |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$3,428.60–$24,167.40 | $3,609.05–$25,439.37 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $33,771.61 | $35,549.06 | 9.4× |
| Rapid Desensitization Procedure Each Hour (95180) range across 2 matching MRF lines |
$295.99–$556.70 | $311.57–$586 | varies |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $571.27 | $601.34 | 1.6× |
| Refill/Maint Portable Pump (96521) | $571.27 | $601.34 | 2.4× |
| Refill/Maint Pump/Resvr Syst (96522) | $391.59 | $412.20 | 1.7× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 2 matching MRF lines |
$291.15–$463.96 | $306.47–$488.38 | varies |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$5.23–$500.61 | $5.51–$526.96 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $58.41 | $61.48 | 0.9× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$1,447.97–$12,230.97 | $1,524.18–$12,874.71 | varies |
| Right ventricular recording (93603) | $2,093.84 | $2,204.04 | 1.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 6 matching MRF lines |
$131.37–$642.92 | $138.28–$676.76 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$556.23–$694.16 | $585.51–$730.69 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 2 matching MRF lines |
$278.41–$348.29 | $293.06–$366.62 | varies |
| Same day nb discharge (99463) | $352.45 | $371 | 2.4× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$105.03–$157.35 | $110.56–$165.63 | varies |
| Sensory Integration Ea 15 Min (97533) range across 3 matching MRF lines |
$119.08–$137.39 | $125.35–$144.62 | varies |
| Sleep study unattended (95806) | $1,507 | $1,586.32 | 6.3× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$650.25–$694.16 | $684.47–$730.69 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$466.45–$571.27 | $491–$601.34 | varies |
| Spirometry (94010) range across 4 matching MRF lines |
$95.95–$769.55 | $101–$810.05 | varies |
| Standardized Cognitive Performance Testing (96125) range across 4 matching MRF lines |
$313.51–$446.50 | $330.01–$470 | varies |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$810.36–$2,460.37 | $853.01–$2,589.86 | varies |
| Temp transcutaneous pacing (92953) | $648.33 | $682.45 | 0.9× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$179.43–$184.81 | $188.87–$194.54 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$179.43–$184.81 | $188.87–$194.54 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$152.76–$170.53 | $160.80–$179.51 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 2 matching MRF lines |
$556.23–$694.16 | $585.51–$730.69 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $111.95 | $117.84 | 0.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 12 matching MRF lines |
$50.96–$203.94 | $53.64–$214.67 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 11 matching MRF lines |
$437–$962.07 | $460–$1,012.70 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$165.45–$179.43 | $174.16–$188.87 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$1,069.82–$2,614.34 | $1,126.13–$2,751.94 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$71.88–$152.47 | $75.66–$160.49 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$50.06–$76.75 | $52.69–$80.79 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$284.94–$677.35 | $299.94–$713 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 3 matching MRF lines |
$284.94–$955.70 | $299.94–$1,006 | varies |
| Transcath Closure of Asd (93580) | $35,546.47 | $37,417.34 | 1.7× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$810.36–$1,910.09 | $853.01–$2,010.62 | varies |
| Tte W/O Doppler Complete (93307) | $1,437.70 | $1,513.37 | 5.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$643.78–$694.16 | $677.66–$730.69 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $156.83 | $165.08 | 6.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 6 matching MRF lines |
$99.75–$195.80 | $105–$206.11 | varies |
| Unlisted allergy/clinical immunologic srvc/px (95199) | $99.75 | $105 | 3.1× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$500.61–$4,698.31 | $526.96–$4,945.59 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $337.25 | $355 | 2.4× |
| Unlisted Special Dermatological Service/Px (96999) | $324.90 | $342 | 1.5× |
| Upr/L Xtremity Art 2 Levels (93922) range across 5 matching MRF lines |
$136.73–$640.91 | $143.93–$674.64 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 7 matching MRF lines |
$246.74–$1,427.81 | $259.73–$1,502.96 | varies |
| Valvuloplasty aortic valve (92986) | $15,911.27 | $16,748.70 | 2.5× |
| Valvuloplasty mitral valve (92987) | $15,911.27 | $16,748.70 | 1.2× |
| Valvuloplasty pulmonary valve (92990) | $11,942.33 | $12,570.87 | 0.9× |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$272.52–$329.05 | $286.86–$346.37 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) range across 2 matching MRF lines |
$3,721.43–$5,279.90 | $3,917.29–$5,557.79 | varies |
| Vent Mgmt Inpat Init Day (94002) | $4,392.96 | $4,624.17 | 6.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$518.61–$3,526.51 | $545.90–$3,712.12 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$216.71–$223.24 | $228.12–$234.99 | varies |
| Whirlpool Therapy (97022) range across 12 matching MRF lines |
$156.52–$486.42 | $164.76–$512.02 | varies |
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.