Visits & medical services prices at Fairview Hospital

Cleveland, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $14,359.15 $22,091 1.9×
Acoustic Reflex Testing (92568) $102.05 $157 2.9×
Acupunct W/Stimul 15 Min (97813) $21.45 $33 0.8×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $21.45 $33 0.8×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines		 $13.81–$185.90 $21.25–$286 varies
Advncd Care Plan 30 Min (99497) $414.70 $638 4.3×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines		 $608.40–$1,885.65 $936–$2,901 varies
Airway resistance by oscillometry (94728) $468 $720 3.8×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $107.25 $165 3.0×
Allg tstg perq & ic venoms immed react w/i&r (95017) $47.45 $73 1.7×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $481.65 $741 3.8×
Analyze neurostim complex (95972) $411.45 $633 4.6×
Analyze neurostim no prog (95970) $577.85 $889 4.6×
Analyze Neurostim Simple (95971) $411.45 $633 4.6×
Analyze Pacemaker System (93724) $1,120.60 $1,724 3.9×
Anrct mano rct sensation&rct balo expulsion test (91125) $1,140.10 $1,754 3.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $113.10 $174 7.9×
Application on-body injector (96377) $206.70 $318 4.7×
Arrhythmia Induction (93618) $4,537 $6,980 3.9×
Assessment of aphasia per hr (96105) $312 $480 3.2×
Assmt & care planning pt w/cognitive impairment (99483) $414.70 $638 4.3×
Audiometry Air & Bone (92553) $406.90 $626 3.3×
Basic vestibular evaluation (92540) $406.90 $626 2.0×
Behavral qualit analys voice (92524) $353.60 $544 3.2×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $173.55 $267 2.1×
Bfb training ea addl 15 min (90913) $173.55 $267 5.3×
Biofeedback training any modality (90901) $207.35 $319 5.0×
Bis Xtracell Fluid Analysis (93702) $585 $900 4.8×
Breath hydrogen/methane test (91065) $468 $720 2.3×
Breathing response to hypoxia (94450) $468 $720 3.8×
Brief Emotional/Behav Assmt (96127) $42.90 $66 1.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $930.80 $1,432 2.6×
Bundle of his recording (93600) $13,485.55 $20,747 1.8×
C motor evoked upr&lwr limbs (95939) $4,563 $7,020 5.6×
Caloric vestibular test w/rec bi monothermal (92538) $406.90 $626 2.0×
Caloric Vstblr Test W/Rec (92537) $406.90 $626 3.3×
Canalith repositioning proc (95992) $156 $240 3.8×
Car seat/bed test 60 min (94780) $117.65 $181 3.3×
Cardiac Stress Tst,Tracing Only (93017) $1,164.15 $1,791 5.7×
Cardiopulmonary exercise testing (94621) $930.80 $1,432 2.6×
Cardiopulmonary resuscitation (92950) $1,164.15 $1,791 5.7×
Cardioversion (92960) $2,445.95 $3,763 3.9×
Cardioversion elective internal (92961) $2,445.95 $3,763 3.9×
Caregiver hlth risk assmt score doc stnd instrm (96161) $57.85 $89 1.6×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $576.55 $887 22.1×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $12,021.10 $18,494 3.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $12,021.10 $18,494 3.9×
Cbt 1st hour (94644) $385.45 $593 3.1×
Chemo Admin Peritoneal Cavity (96446) $1,487.85 $2,289 4.8×
Chemo Anti-Neopl Sq/Im (96401) $319.15 $491 4.7×
Chemo Hormon Antineopl Sq/Im (96402) $319.15 $491 4.7×
Chemo Ia Push (96420) $1,487.85 $2,289 4.8×
Chemo Intralesional Over 7 (96406) $945.10 $1,454 4.7×
Chemo intralesional up to 7 (96405) $319.15 $491 4.7×
Chemo IV infusion addl hr (96415) $319.15 $491 4.7×
Chemo IV push addl drug (96411) $319.15 $491 4.7×
Chemother Prolong Infuse W/Pump (96416) $1,487.85 $2,289 4.8×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $1,487.85 $2,289 4.8×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $206.70 $318 4.7×
Chemotherapy Into Cns (96450) $1,487.85 $2,289 4.8×
Chemotherapy Intracavitary (96440) $1,487.85 $2,289 4.8×
Chemotherapy Unspecified (96549) $458.25 $705 10.3×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $1,487.85 $2,289 4.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $319.15 $491 4.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,487.85 $2,289 4.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,487.85 $2,289 4.8×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $1,487.85 $2,289 4.8×
Chest Wall Manipulation (94668) $385.45 $593 3.1×
Chiropract manj 3-4 regions (98941) $49.40 $76 2.4×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) $49.40 $76 2.4×
Chron Care Mgmt Srvc 20 Min (99490) $414.70 $638 4.3×
Color/duplex Doppler, complete (93975) $903.50 $1,390 4.0×
Color/duplex Doppler, limited (93976) $397.15 $611 4.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $114.40 $176 3.6×
Comprehensive Hearing Test (92557) $406.90 $626 3.3×
Computerized Ophthalmic Imaging Optic Nerve (92133) $177.45 $273 3.2×
Computerized Ophthalmic Imaging Retina (92134) $177.45 $273 3.2×
Conditioning Play Audiometry (92582) $406.90 $626 3.3×
Cont gluc mntr physician/qhp provided equiptment (95250) $334.75 $515 2.7×
Cont Gluc Mntr Pt Prov Eqp (95249) $154.70 $238 2.8×
Continuous Pulse Ox (94762) $468 $720 3.8×
Corneal Topography (92025) $177.45 $273 3.2×
Coronary Art/Grft Angio S&I (93455) $12,021.10 $18,494 3.9×
Coronary Artery Angio S&I (93454) $12,021.10 $18,494 3.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $608.40 $936 2.9×
Cpt initial (94667) $385.45 $593 3.1×
Critical care first hour (99291) $3,779.10 $5,814 4.8×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $2,379.65 $3,661 6.7×
Debridement Open Wound 20 Sq Cm< (97597) $594.10 $914 3.1×
Developmental tst admin phys/qhp 1st hour (96112) $702 $1,080 5.8×
Dialysis One Evaluation (90945) $1,909.70 $2,938 4.8×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $809.90 $1,246 2.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $903.50 $1,390 4.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $397.15 $611 4.0×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $397.15 $611 4.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $903.50 $1,390 4.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $397.15 $611 4.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $903.50 $1,390 4.0×
Dup-scan xtr veins unilateral/limited study (93971) $397.15 $611 4.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $903.50 $1,390 4.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $397.15 $611 4.0×
Duplex Scan Hemodialysis Access (93990) $397.15 $611 4.0×
Duplex up extrem art bilat (93930) $903.50 $1,390 4.0×
Duplex up extrem art unilat/ltd (93931) $397.15 $611 4.0×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $406.90 $626 3.3×
ECG/monitoring and analysis (93271) $343.20 $528 3.8×
Echo Congenital Complete (93303) $2,049.45 $3,153 4.0×
Echo Heart Xthoracic,Limited (93308) $903.50 $1,390 4.0×
Echo transesophag montr cardiac pump functj (93318) $2,049.45 $3,153 4.0×
Echo transesophageal (93312) $2,049.45 $3,153 4.0×
Echo Transesophageal - Congenital Tee Complete (93315) $2,049.45 $3,153 4.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,049.45 $3,153 4.0×
Eeg 41-60 Minutes (95812) $1,396.85 $2,149 6.8×
EEG awake and asleep (95819) $1,396.85 $2,149 6.8×
EEG awake drowsy (95816) $1,396.85 $2,149 6.8×
EEG cerebral death evaluation (95824) $2,379.65 $3,661 6.7×
EEG cont rec w/video by tech min 8 channels (95700) $702 $1,080 3.4×
EEG extended monitoring 61-119 minutes (95813) $1,396.85 $2,149 6.8×
Eeg Sleep Only (95822) $1,396.85 $2,149 6.8×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,396.85 $2,149 6.8×
EEG wo vid ea 12-26hr unmntr (95708) $2,379.65 $3,661 6.7×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $411.45 $633 4.6×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $411.45 $633 4.6×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $167.05 $257 4.7×
Electrical Stimulation Ea 15 Min (97032) $155.35 $239 10.6×
Electro-Oculography (92270) $385.45 $593 3.1×
Electrocardiogram Tracing (93005) $222.30 $342 4.0×
Electroconvulsive Therapy (90870) $1,034.80 $1,592 1.3×
Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) $385.45 $593 3.1×
Electrophysiology Evaluation (93642) $4,537 $6,980 3.9×
Emergency Dept Visit Level 2 (99282) $710.45 $1,093 4.9×
Emergency Dept Visit Level 3 (99283) $1,242.15 $1,911 4.8×
Emergency Dept Visit Level 4 (99284) $1,909.70 $2,938 4.8×
Emg 4 Extremities (95864) $702 $1,080 5.8×
Endomyocardial Biopsy (93505) $11,763.70 $18,098 3.9×
Ep & ablate supravent arrhyt (93653) $51,107.55 $78,627 2.1×
Ep & ablate ventric tachy (93654) $48,623.25 $74,805 2.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $28,360.80 $43,632 3.8×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $28,360.80 $43,632 3.8×
Er level 1 (99281) $395.20 $608 5.0×
Er level v (99285) $2,749.50 $4,230 4.9×
Ergonovine provocation test (93024) $1,491.10 $2,294 3.5×
Esophageal Capsule Endoscopy (91111) $2,803.45 $4,313 3.3×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $406.90 $626 3.3×
Evaluate pt use of inhaler (94664) $608.40 $936 2.9×
Evaluate Speech Production (92522) $372.45 $573 3.3×
Evaluate Swallowing Function (92610) $370.50 $570 4.4×
Evaluation of speech fluency (92521) $385.45 $593 2.9×
Evoked Auditory Test,Limited (92587) $809.90 $1,246 4.0×
Exercise test for bronchospasm (94617) $385.45 $593 3.1×
External ECG rec>48hr<7d recording (93242) $146.90 $226 4.2×
External ECG rec>7d<15d recording (93246) $146.90 $226 4.2×
External Ecg Scanning Analysis Report (93226) $222.30 $342 4.0×
Extracranial Bilat Study (93880) $903.50 $1,390 4.0×
Extracranial Uni/Ltd Study (93882) $397.15 $611 4.0×
F-up/limited tthrc echo congenital car anomaly (93304) $2,049.45 $3,153 4.0×
Flexible endoscopic eval swallow c/v rec (92612) $704.60 $1,084 3.5×
Fundus photography (92250) $385.45 $593 3.1×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,586.65 $2,441 2.0×
Gi tract capsule endoscopy (91110) $2,803.45 $4,313 3.3×
Gi wireless capsule measure (91112) $2,803.45 $4,313 3.3×
Group Therapeutic Procedures (97150) $152.10 $234 8.4×
Health Behavior Assessment/Re-Assessment (96156) $180.70 $278 1.9×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $57.85 $89 1.6×
Health behavior ivntj group f2f 1st 30 min (96164) $57.85 $89 1.6×
Health behavior ivntj indiv f2f 1st 30 min (96158) $313.30 $482 1.9×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $12,021.10 $18,494 3.9×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $3,138.20 $4,828 4.8×
High altitude simulation test (94452) $385.45 $593 3.1×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $385.45 $593 3.1×
Holter monitor recording (93225) $481.65 $741 3.8×
Hubbard tank 15 min (97036) $150.80 $232 4.3×
Icd Device Interrogate (93289) $139.10 $214 3.9×
Icd device progr eval dual (93283) $139.10 $214 3.9×
Icd Device Progr Eval Mult (93284) $139.10 $214 3.9×
Icm Device Eval (93290) $139.10 $214 3.9×
Ilr Device Eval Progr (93285) $139.10 $214 3.9×
Ilr Device Interrogate (93291) $91.65 $141 3.3×
Im Adm Intransl/Oral 1 Vaccine (90473) $139.10 $214 2.0×
Immunization administration (90471)
range across 7 matching MRF lines		 $21.45–$139.10 $33–$214 varies
Ingestion challenge test initial 120 minutes (95076) $1,034.80 $1,592 2.9×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $1,034.80 $1,592 2.9×
Insert/Place Heart Catheter (93503) $5,805.80 $8,932 3.9×
Interrog eval crtd sins bat modulj sys ip w/ (93146) $589.55 $907 4.8×
Interrog eval crtd sins bat modulj sys ip wo (93145) $589.55 $907 4.8×
Interrog&prgrmg impl phrenic nrv stimulator sys (93151) $411.45 $633 4.6×
Interrog&prgrmg ipnss during polysomnography (93152) $1,344.85 $2,069 4.6×
Interrogate Subq Defib (93261) $139.10 $214 3.9×
Interrogation eval in person wr defibrillator (93292) $139.10 $214 3.9×
Interrogation vad in person (93750) $343.20 $528 3.8×
Interrogation without programming ipnss (93153) $411.45 $633 4.6×
Intra-atrial pacing (93610) $28,360.80 $43,632 3.8×
Intra-atrial recording (93602) $28,360.80 $43,632 3.8×
Intracranial Complete Study (93886) $903.50 $1,390 4.0×
Intracutaneous tests w/allergenic extracts (95024) $105.95 $163 1.9×
Intraventricular pacing (93612) $28,360.80 $43,632 3.8×
Iontophoresis 15 min (97033) $122.85 $189 6.5×
Irrig Drug Delivery Device (96523) $266.50 $410 4.8×
IV infusion hydration each additional hour (96361) $206.70 $318 4.7×
IV infusion hydration initial 31 min-1 hour (96360) $945.10 $1,454 4.7×
IV infusion ther proph addl sequential to 1 hr (96367) $319.15 $491 4.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $206.70 $318 4.7×
IV push initial (96374) $945.10 $1,454 4.7×
L Hrt Art/Grft Angio (93459) $12,021.10 $18,494 3.9×
Laryngeal Function Studies (92520) $335.40 $516 2.7×
Low frequency non-thermal us (97610) $594.10 $914 3.1×
Lung Function Test (Mbc/Mvv) (94200) $177.45 $273 3.2×
Lwr Xtr Vasc Stdy Bilat (93924) $585 $900 2.9×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $6,505.20 $10,008 4.8×
Mechanical chest wall oscillation per session (94669) $608.40 $936 2.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $117 $180 3.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $137.80 $212 3.8×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $65 $100 3.8×
Methacholine challenge (94070) $930.80 $1,432 2.6×
Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) $159.25 $245 7.9×
Mlt fam group bhv mgmt/modificaj traing ea addl (96203) $38.35 $59 7.2×
Motion Fluoroscopy/Swallow (92611) $538.85 $829 5.9×
Multiple Family Group Psychotherapy (90849) $313.30 $482 1.9×
Multiple Sleep Latency Test (95805) $2,379.65 $3,661 2.9×
Muscle Test 2 Limbs (95861) $577.85 $889 4.6×
Muscle Test One Limb (95860) $577.85 $889 4.6×
Nasopharyngoscopy (92511) $505.05 $777 2.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,194.70 $1,838 3.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,194.70 $1,838 3.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $594.10 $914 3.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,194.70 $1,838 3.1×
Nerve Conduction Studies 1-2 Studies (95907) $702 $1,080 3.4×
Nerve Conduction Studies 11-12 Studies (95912) $2,379.65 $3,661 6.7×
Nerve conduction studies 13 or more studies (95913) $2,379.65 $3,661 6.7×
Nerve Conduction Studies 3-4 Studies (95908) $1,396.85 $2,149 6.8×
Nerve conduction studies 5-6 studies (95909) $1,396.85 $2,149 6.8×
Nerve conduction studies 7-8 studies (95910) $1,396.85 $2,149 4.0×
Nerve Conduction Studies 9-10 Studies (95911) $2,379.65 $3,661 6.7×
Neurobehavioral Status Exam (96116) $1,396.85 $2,149 6.8×
Neuromuscular Reeducation (97112) $169.65 $261 5.2×
Newborn resuscitation (99465) $2,934.75 $4,515 4.7×
Nitric oxide expired gas determination (95012) $76.70 $118 2.2×
Nonphysician Telephone Assessment 11-20 Min (98967) $135.20 $208 5.4×
Nonphysician Telephone Assessment 21-30 Min (98968) $203.45 $313 5.9×
Nonphysician Telephone Assessment 5-10 Min (98966) $66.30 $102 4.8×
Nrpsyc tst eval phys/qhp 1st (96132) $1,034.80 $1,592 2.9×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $930.80 $1,432 2.6×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $385.45 $593 3.1×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $385.45 $593 3.1×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $385.45 $593 3.1×
Ophth medical xm&eval intermediate estab pt (92012) $385.45 $593 3.1×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $385.45 $593 3.1×
Optokinetic Nystagmus Test (92544) $468 $720 3.8×
Oral Function Therapy (92526) $431.60 $664 5.1×
Oral Speech Device Eval (92597) $413.40 $636 5.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $208 $320 4.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $191.75 $295 4.2×
Oscillating Tracking Test (92545) $930.80 $1,432 4.6×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $49.40 $76 2.4×
Osteopathic manipulative tx 3-4 body regions (98926) $49.40 $76 2.4×
Osteopathic manipulative tx 5-6 body regions (98927) $49.40 $76 2.4×
Osteopathic manipulative tx 7-8 body regions (98928) $49.40 $76 2.4×
Osteopathic manipulative tx 9-10 body regions (98929) $49.40 $76 2.4×
Ot Contrast Bath Ea 15 Min (97034) $81.90 $126 5.8×
Ot eval high complexity (97167) $438.10 $674 4.4×
Ot Eval Low Complex (97165) $438.10 $674 4.4×
Ot Eval Moderate Complexity (97166) $438.10 $674 4.4×
Ot manual therapy 15 min (97140) $156.65 $241 5.7×
Ot paraffin bath (97018) $107.90 $166 18.0×
Ot Prosthetic Training, Each 15 Min (97761) $175.50 $270 4.3×
Ot Re-Eval Est Plan Care (97168) $248.95 $383 3.6×
Ot rom hand (95852) $40.95 $63 1.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $470.60 $724 3.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $470.60 $724 3.9×
Patient-initiated spirometric recording (94015) $930.80 $1,432 4.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $608.40 $936 2.9×
Percutaneous tests w/allergenic extracts (95004) $109.85 $169 0.1×
Peripheral arterial disease rehab per session (93668) $222.30 $342 4.0×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $83,998.20 $129,228 4.8×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $21,309.60 $32,784 4.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $24,922.30 $38,342 2.3×
Phlebotomy therapeutic (99195) $577.85 $889 4.6×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $177.45 $273 3.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $177.45 $273 3.2×
Physical Performance Test (97750) $176.80 $272 5.2×
Plethysmography (94726) $930.80 $1,432 2.6×
Pm device eval in person (93288) $139.10 $214 3.9×
Pm device progr eval dual (93280) $139.10 $214 3.9×
Pm device progr eval multi (93281) $139.10 $214 3.9×
Pm Device Progr Eval Sngl (93279) $139.10 $214 3.9×
Pm/Icd Remote Tech Serv (93296) $139.10 $214 3.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,563 $7,020 5.6×
Polysom <6 yrs 4/> paramtrs (95782) $4,563 $7,020 5.6×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $4,563 $7,020 5.6×
Positional nystagmus test (92542) $335.40 $516 2.7×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $80.60 $124 1.8×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $89.70 $138 2.0×
Prepj& antigen allergen immunotherapy 2 insect (95146) $89.70 $138 2.0×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $139.10 $214 2.0×
Prepj& antigen allergen immunotherapy 5 insect (95149) $139.10 $214 2.0×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $139.10 $214 3.9×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $139.10 $214 3.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $89.70 $138 2.0×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $128.70 $198 2.9×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $139.10 $214 2.0×
Prq Card Angio/Athrect 1 Art (92924) $19,632.60 $30,204 1.8×
Prq Card Stent W/Angio 1 Vsl (92928) $27,482.65 $42,281 2.5×
Prq Card Stent/Ath/Angio (92933) $29,389.10 $45,214 1.7×
Prq Revasc Byp Graft 1 Vsl (92937) $29,038.10 $44,674 2.7×
Prq trl rvs ch occ ant&rtrgr (92945) $52,897 $81,380 4.8×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $42,385.20 $65,208 3.9×
Psych diag eval w/med srvcs (90792) $313.30 $482 1.9×
Psychiatric diagnostic evaluation (90791) $313.30 $482 1.9×
Psychological tst eval svc phys/qhp first hour (96130) $607.10 $934 3.0×
Psycl/Nrpsyc Tst Auto Result (96146) $47.45 $73 1.7×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $778.05 $1,197 1.8×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $251.55 $387 2.0×
Psytx Crisis Initial 60 Min (90839) $313.30 $482 1.9×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $192.40 $296 5.1×
Pt Eval High Complex (97163) $393.25 $605 4.0×
Pt eval low complex 20 min (97161) $393.25 $605 4.0×
Pt Eval Mod Complex (97162) $393.25 $605 4.0×
Pt gait training 15 min (97116) $148.20 $228 5.1×
Pt group caregiver training (97552) $576.55 $887 26.2×
Pt mechanical traction (97012) $126.10 $194 8.8×
Pt Re-Eval Est Plan Care (97164) $248.95 $383 3.7×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $57.85 $89 1.6×
Pulm function test by gas (94727) $468 $720 2.3×
Pulmonary service/procedure (94799)
range across 5 matching MRF lines		 $71.50–$313.95 $110–$483 varies
Pulmonary Stress Testing (94618) $385.45 $593 3.1×
Pure Tone Audiometry Air (92552) $335.40 $516 2.7×
R Hrt Art/Grft Angio (93457) $12,021.10 $18,494 3.9×
R hrt coronary artery angio (93456) $12,021.10 $18,494 3.9×
R&L Hrt Cath W/Ventriclgrphy (93453) $12,021.10 $18,494 3.9×
Rapid Desensitization Procedure Each Hour (95180) $778.05 $1,197 1.8×
Rectal sensation tone&compliance study (91124) $989.30 $1,522 4.8×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $1,487.85 $2,289 4.8×
Refill/Maint Portable Pump (96521) $945.10 $1,454 4.7×
Refill/Maint Pump/Resvr Syst (96522) $945.10 $1,454 4.7×
Rem interrog icpms <30 d phys/qhp (93297) $139.10 $214 3.9×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $139.10 $214 3.9×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $167.05 $257 4.7×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $577.85 $889 4.6×
Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) $170.95 $263 4.8×
Rem Mntr Wrls P-Art Prs Snr (93264) $139.10 $214 3.9×
Rem Ther Mntr Dev Sply Cbt (98978) $72.80 $112 2.1×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $111.80 $172 3.2×
Remote 30 Day Ecg Rev/Report (93270) $139.10 $214 3.9×
Remote 30 Day Ecg Tech Supp (93229) $1,164.15 $1,791 3.3×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $385.45 $593 3.1×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $46.80 $72 1.1×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $46.80 $72 0.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $222.30 $342 4.0×
Right Heart Cath (93451) $12,021.10 $18,494 3.9×
Right ventricular recording (93603) $4,537 $6,980 3.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $594.10 $914 3.1×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $43.55 $67 1.7×
Rtm dev sply data cbt 2-15 days in 30 d pd (98986) $170.95 $263 4.8×
Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) $170.95 $263 4.8×
Rtm dev sply data respir sys 2-15 days in 30d pd (98984) $170.95 $263 4.8×
Rtm tx mgmt 1 r-t ia comunicaj cal mo 1st 10 min (98979)
range across 2 matching MRF lines		 $111.80–$385.45 $172–$593 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $923 $1,420 7.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $111.80 $172 2.3×
Self Care Mngment Training (97535) $178.10 $274 5.5×
Self-meas bp pt educaj/traing & dev calibration (99473) $109.85 $169 4.0×
Sensory Integration Ea 15 Min (97533) $122.20 $188 2.0×
Short-latency somatosens ep std upr limbs (95925) $1,396.85 $2,149 6.8×
Sleep study attended (95807) $2,379.65 $3,661 6.7×
Sleep study unattended (95806) $702 $1,080 3.4×
Slp caregiver training 1st 30 min (97550) $576.55 $887 10.9×
Somatosensory Testing (95938) $2,379.65 $3,661 2.9×
Speech Audiometry Complete (92556) $154.70 $238 2.8×
Speech audiometry threshold (92555) $154.70 $238 2.8×
Speech sound lang comprehen (92523) $651.30 $1,002 2.9×
Spin/Brain Pump Refil & Main (95991) $1,324.05 $2,037 4.6×
Spirometry (94010) $468 $720 2.3×
Spontaneous Nystagmus Test (92541) $335.40 $516 2.7×
Ssep lower limbs (95926) $1,396.85 $2,149 6.8×
Standardized Cognitive Performance Testing (96125) $430.30 $662 4.2×
Stress Tte Only (93350) $2,049.45 $3,153 4.0×
Subcutaneous Infusion Each Additional Hour (96370) $206.70 $318 4.7×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $945.10 $1,454 4.7×
Surfactant Admin Thru Tube (94610) $323.70 $498 1.6×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $397.15 $611 4.0×
Temp transcutaneous pacing (92953) $2,445.95 $3,763 3.9×
Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) $411.45 $633 4.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $133.25 $205 6.0×
Ther Ivntj Ea Addl 15 Min (97130) $133.25 $205 6.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $211.90 $326 5.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $131.30 $202 4.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $408.85 $629 4.0×
Ther/Proph/Diag Inj Ia (96373) $945.10 $1,454 4.7×
Ther/Proph/Diag Inj Sc/Im (96372) $319.15 $491 4.7×
Ther/Proph/Diag Iv Inf Init (96365) $945.10 $1,454 4.7×
Therapeutic Activities (97530) $178.10 $274 5.1×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,983.15 $3,051 5.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $57.85 $89 1.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $57.85 $89 1.6×
Trans Care Mgmt 14 Day Disch (99495) $577.85 $889 4.6×
Trans Care Mgmt 7 Day Disch (99496) $577.85 $889 4.6×
Transcath Closure of Asd (93580) $22,006.40 $33,856 1.3×
Transcranial Doppler Intracran Art Emboli Detect (93892) $397.15 $611 4.0×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $397.15 $611 4.0×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $139.10 $214 3.9×
Tte w/doppler, complete (93306) $2,049.45 $3,153 4.0×
Tte W/O Doppler Complete (93307) $903.50 $1,390 4.0×
Tx atrial fib pulm vein isol (93656) $45,258.20 $69,628 1.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $307.45 $473 4.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $183.95 $283 7.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $206.70 $318 4.7×
Tympanometry (92567) $102.05 $157 2.9×
Tympanometry and reflex threshold measurements (92550) $406.90 $626 2.0×
Unlisted cardiovascular service/procedure (93799)
range across 20 matching MRF lines		 $20.15–$9,854 $31–$15,160 varies
Unlisted Diagnostic Gastroenterology Procedure (91299) $311.35 $479 2.6×
Unlisted noninvasive vascular diagnostic study (93998)
range across 2 matching MRF lines		 $100.10–$819.65 $154–$1,261 varies
Upr/L Xtremity Art 2 Levels (93922) $481.65 $741 3.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $585 $900 2.9×
Valvuloplasty aortic valve (92986) $13,623.35 $20,959 2.5×
Valvuloplasty mitral valve (92987) $23,409.75 $36,015 2.1×
Vasopneumatic device (97016) $131.95 $203 11.0×
Veeg 2-12 Hr Cont Mntr (95713) $2,379.65 $3,661 6.7×
Veeg 2-12 hr intmt mntr (95712) $1,396.85 $2,149 4.0×
Veeg 2-12 hr unmonitored (95711) $1,396.85 $2,149 6.8×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $2,379.65 $3,661 6.7×
Veeg Ea 12-26 Hr Unmntr (95714) $2,379.65 $3,661 6.7×
Veeg ea 12-26hr cont mntr (95716) $4,563 $7,020 5.6×
Vent Mgmt Inpat Init Day (94002) $1,976.65 $3,041 3.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,976.65 $3,041 3.4×
Visual Field Exam Extended (92083) $385.45 $593 3.1×
Vital capacity, total (94150) $468 $720 3.8×
Wheelchair Mgmt Ea 15 Min (97542) $165.10 $254 5.3×
Whirlpool Therapy (97022) $116.35 $179 7.4×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $177.45 $273 3.2×

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.