Visits & medical services prices at Falmouth Hospital

Falmouth, MA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $11,109.09 $26,139.03 1.2×
Admn Sarscov2 Vacc 1 Dose (90480) $43.78 $103 0.9×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $70.32 $165.47 0.3×
Aep neurodiagnostic i&r (92653) $119.43 $281 0.5×
Aep threshold estimation mlt frequencies i&r (92652) $119.43 $281 0.5×
Airway Inhalation Treatment (94640) $142.77 $335.92 0.5×
Analyze neurostim complex (95972) $306.52 $721.22 2.7×
Analyze Neurostim Simple (95971) $306.52 $721.22 2.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines
$48.21–$49.65 $113.43–$116.83 varies
Application Modality 1/> Areas Infrared (97026) $23.86 $56.15 3.6×
Application on-body injector (96377) $113.49 $267.04 2.0×
Arrhythmia Induction (93618) $3,080.97 $7,249.35 2.1×
Assessment of aphasia per hr (96105)
range across 3 matching MRF lines
$259.14–$518.28 $609.74–$1,219.48 varies
Behavral qualit analys voice (92524)
range across 2 matching MRF lines
$362.61–$373.49 $853.21–$878.81 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$277.57–$285.89 $653.10–$672.69 varies
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$1,966.27 $4,626.52 0.2×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$60.21–$157.65 $141.66–$370.95 varies
Car seat/bed test 60 min (94780) $100.63 $236.77 2.2×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$486.21–$500.80 $1,144.03–$1,178.35 varies
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$442.24–$884.48 $1,040.57–$2,081.14 varies
Cardioversion (92960)
range across 2 matching MRF lines
$1,099.06–$1,132.03 $2,586.02–$2,663.60 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $7,504.17 $17,656.88 1.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,504.17 $17,656.88 1.9×
Cbt 1st hour (94644)
range across 2 matching MRF lines
$179.42–$184.80 $422.16–$434.82 varies
Chemo Anti-Neopl Sq/Im (96401)
range across 2 matching MRF lines
$193.37–$199.17 $454.99–$468.64 varies
Chemo Hormon Antineopl Sq/Im (96402) $110.84 $260.79 1.3×
Chemo intralesional up to 7 (96405) $110.84 $260.79 1.3×
Chemo IV infusion addl hr (96415)
range across 2 matching MRF lines
$110.84–$215.21 $260.79–$506.38 varies
Chemo IV push addl drug (96411) $216.83 $510.19 2.5×
Chemother Prolong Infuse W/Pump (96416) $652.84 $1,536.09 1.6×
Chemotherapy Into Cns (96450) $1,151.10 $2,708.46 2.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $250.40 $589.18 2.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$633.82–$652.84 $1,491.35–$1,536.09 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) $414.21 $974.60 1.0×
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$96.50–$99.39 $227.05–$233.86 varies
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$425.50–$438.27 $1,001.18–$1,031.22 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$425.50–$438.27 $1,001.18–$1,031.22 varies
Continuous Pulse Ox (94762) $239.33 $563.13 1.6×
Coronary Art/Grft Angio S&I (93455) $7,504.17 $17,656.88 1.9×
Coronary Artery Angio S&I (93454) $7,504.17 $17,656.88 1.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$277.57–$285.89 $653.10–$672.69 varies
Cpt initial (94667)
range across 2 matching MRF lines
$142.77–$147.05 $335.92–$346 varies
Critical care first hour (99291)
range across 2 matching MRF lines
$4,592.89–$4,730.68 $10,806.80–$11,131 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$631.98–$926.80 $1,487.02–$2,180.70 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$418.80–$431.36 $985.40–$1,014.97 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 3 matching MRF lines
$271.53–$288.07 $638.90–$677.80 varies
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $438.27 $1,031.22 3.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$425.50–$438.27 $1,001.18–$1,031.22 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines
$273.11–$546.23 $642.62–$1,285.24 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$425.50–$438.27 $1,001.18–$1,031.22 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$273.11–$281.31 $642.62–$661.90 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985)
range across 2 matching MRF lines
$461.52–$475.37 $1,085.93–$1,118.51 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $249.33 $586.67 2.0×
Duplex Scan Hemodialysis Access (93990)
range across 2 matching MRF lines
$273.11–$281.31 $642.62–$661.90 varies
Duplex up extrem art bilat (93930)
range across 2 matching MRF lines
$425.50–$438.27 $1,001.18–$1,031.22 varies
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$271.53–$288.07 $638.90–$677.80 varies
Echo Congenital Complete (93303) $1,846.77 $4,345.33 2.8×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$584.77–$602.32 $1,375.94–$1,417.22 varies
Echo transesophageal (93312)
range across 2 matching MRF lines
$1,536.20–$1,582.28 $3,614.58–$3,723.02 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,582.28 $3,723.02 2.4×
Eeg 41-60 Minutes (95812) $525.91 $1,237.44 2.0×
EEG awake and asleep (95819)
range across 2 matching MRF lines
$474.64–$488.88 $1,116.80–$1,150.30 varies
EEG awake drowsy (95816)
range across 2 matching MRF lines
$474.64–$488.88 $1,116.80–$1,150.30 varies
EEG cerebral death evaluation (95824) $953.29 $2,243.03 2.1×
EEG extended monitoring 61-119 minutes (95813) $582.41 $1,370.38 2.3×
Eeg Sleep Only (95822) $527.31 $1,240.73 2.0×
EEG w/o vid 2-12hr cont mntr (95707) $525.91 $1,237.44 2.0×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $946.38 $2,226.78 2.1×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$73.76–$75.98 $173.56–$178.77 varies
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$73.35–$220.04 $172.58–$517.74 varies
Electrophysiology Evaluation (93642) $1,997.78 $4,700.65 1.4×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$292.66–$324.28 $688.61–$763 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$361.34–$372.19 $850.22–$875.73 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$687.34–$707.97 $1,617.28–$1,665.80 varies
Ep & ablate supravent arrhyt (93653) $31,567.90 $74,277.42 1.0×
Ep & ablate ventric tachy (93654) $31,567.90 $74,277.42 1.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $11,109.09 $26,139.03 1.2×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $11,109.09 $26,139.03 1.2×
Er level 1 (99281)
range across 2 matching MRF lines
$199.20–$324.28 $468.71–$763 varies
Er level v (99285)
range across 2 matching MRF lines
$1,010.87–$1,041.19 $2,378.51–$2,449.87 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$142.77–$147.05 $335.92–$346 varies
Evaluate Speech Production (92522)
range across 2 matching MRF lines
$349.44–$359.93 $822.22–$846.89 varies
Evaluate Swallowing Function (92610)
range across 2 matching MRF lines
$116.42–$178.67 $273.94–$420.41 varies
Evaluation of speech fluency (92521) $444.89 $1,046.80 3.3×
Evoked Auditory Test,Limited (92587) $184.91 $435.09 0.7×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines
$182.92–$188.41 $430.40–$443.31 varies
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$425.50–$438.27 $1,001.18–$1,031.22 varies
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines
$425.50–$438.27 $1,001.18–$1,031.22 varies
Flexible endoscopic eval swallow c/v rec (92612)
range across 2 matching MRF lines
$160.08–$178.67 $376.67–$420.41 varies
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $499.44 $1,175.15 2.2×
Gi tract capsule endoscopy (91110) $1,714.37 $4,033.80 1.6×
Group Therapeutic Procedures (97150) $67.74 $159.38 3.8×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $7,504.17 $17,656.88 1.9×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines
$1,364.77–$1,405.72 $3,211.23–$3,307.57 varies
Holter monitor recording (93225)
range across 2 matching MRF lines
$182.92–$188.41 $430.40–$443.31 varies
Icd Device Interrogate (93289) $48.96 $115.21 1.1×
Ilr Device Interrogate (93291) $84.52 $198.86 2.4×
Immunization administration (90471)
range across 3 matching MRF lines
$107.60–$110.83 $253.18–$260.78 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $560.09 $1,317.85 1.3×
Insert/Place Heart Catheter (93503) $3,223.87 $7,585.58 1.7×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure
$3,080.97 $7,249.35 0.3×
Intra-atrial recording (93602)
unusually low: confirm this is the full procedure
$3,080.97 $7,249.35 0.3×
Intracranial Complete Study (93886) $431.36 $1,014.97 1.5×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$3,080.97 $7,249.35 0.3×
Iontophoresis 15 min (97033) $131.36 $309.08 6.9×
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines
$135.10–$139.16 $317.89–$327.43 varies
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$74.27–$148.55 $174.76–$349.52 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$214.68–$221.12 $505.13–$520.28 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines
$107.61–$215.21 $253.19–$506.38 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 5 matching MRF lines
$74.27–$297.09 $174.76–$699.04 varies
IV push initial (96374)
range across 2 matching MRF lines
$193.37–$199.17 $454.99–$468.64 varies
L Hrt Art/Grft Angio (93459) $7,504.17 $17,656.88 1.9×
Liver Elastography W/O Imag W/I&R (91200) $285.18 $671 1.8×
Lung Function Test (Mbc/Mvv) (94200)
range across 2 matching MRF lines
$217.62–$224.15 $512.05–$527.41 varies
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines
$298.66–$307.62 $702.72–$723.80 varies
Measurement Lung Volumes Infant/Child/2 Yrs (94013) $974.77 $2,293.58 2.2×
Methacholine challenge (94070)
range across 2 matching MRF lines
$494.59–$509.42 $1,163.73–$1,198.64 varies
Motion Fluoroscopy/Swallow (92611)
range across 2 matching MRF lines
$147.55–$178.67 $347.17–$420.41 varies
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
$2,216.69–$2,283.19 $5,215.73–$5,372.20 varies
Nasopharyngoscopy (92511) $337.27 $793.57 1.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 3 matching MRF lines
$292.43–$2,440.76 $688.06–$5,742.96 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$596.16–$614.04 $1,402.73–$1,444.81 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 4 matching MRF lines
$196.72–$617.87 $462.87–$1,453.80 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 4 matching MRF lines
$294.13–$1,009.30 $692.06–$2,374.83 varies
Neuromuscular Reeducation (97112)
range across 4 matching MRF lines
$128.55–$385.64 $302.46–$907.38 varies
Oral Function Therapy (92526)
range across 3 matching MRF lines
$329.55–$339.43 $775.41–$798.67 varies
Oral Speech Device Eval (92597) $280.83 $660.78 3.9×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 3 matching MRF lines
$196.12–$392.23 $461.45–$922.90 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$147.81–$157.65 $347.79–$370.95 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $60.66 $142.73 2.3×
Osteopathic manipulative tx 3-4 body regions (98926) $60.66 $142.73 2.3×
Osteopathic manipulative tx 5-6 body regions (98927) $60.66 $142.73 2.3×
Osteopathic manipulative tx 7-8 body regions (98928) $60.66 $142.73 2.3×
Ot Contrast Bath Ea 15 Min (97034) $72.17 $169.81 5.1×
Ot eval high complexity (97167)
range across 2 matching MRF lines
$355.26–$365.92 $835.91–$860.99 varies
Ot Eval Low Complex (97165)
range across 2 matching MRF lines
$355.26–$365.92 $835.91–$860.99 varies
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines
$355.26–$365.92 $835.91–$860.99 varies
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$114.32–$342.96 $268.99–$806.97 varies
Ot paraffin bath (97018)
range across 2 matching MRF lines
$43.55–$44.86 $102.48–$105.55 varies
Ot Re-Eval Est Plan Care (97168) $211.10 $496.71 3.1×
Ot rom hand (95852) $157.65 $370.95 7.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$213.33–$219.73 $501.96–$517.02 varies
Penile Vascular Study,Ltd or F/U (93981) $418.12 $983.80 3.3×
Peripheral arterial disease rehab per session (93668)
range across 2 matching MRF lines
$68.09–$70.13 $160.20–$165.01 varies
Perq transcath closure pda (93582)
unusually low: confirm this is the full procedure
$10,268.37 $24,160.86 0.5×
Perq Transcath Cls Aortic (93591) $36,420.80 $85,696 1.7×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $11,394.42 $26,810.39 1.7×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $17,306.49 $40,721.15 1.3×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$143.56–$147.86 $337.78–$347.91 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $234.06 $550.72 3.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625)
range across 2 matching MRF lines
$227.24–$234.06 $534.68–$550.72 varies
Physical Performance Test (97750) $157.65 $370.95 4.7×
Plethysmography (94726)
range across 3 matching MRF lines
$162.05–$166.91 $381.30–$392.74 varies
Pm device eval in person (93288) $94.64 $222.68 2.1×
Pm device progr eval dual (93280) $96.16 $226.26 2.1×
Pm Device Progr Eval Sngl (93279) $96.16 $226.25 2.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 4 matching MRF lines
$2,216.68–$2,283.19 $5,215.72–$5,372.20 varies
Polysom <6 yrs 4/> paramtrs (95782)
range across 2 matching MRF lines
$2,203.93–$2,270.04 $5,185.71–$5,341.28 varies
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $98.48 $231.71 2.2×
Prq Card Angio/Athrect 1 Art (92924) $21,726.98 $51,122.30 1.6×
Prq Card Stent W/Angio 1 Vsl (92928) $17,306.49 $40,721.15 1.3×
Prq Card Stent/Ath/Angio (92933) $17,306.49 $40,721.15 0.8×
Prq Revasc Byp Graft 1 Vsl (92937) $17,306.49 $40,721.15 1.3×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $36,017.19 $84,746.34 1.6×
Pt Eval High Complex (97163)
range across 2 matching MRF lines
$313.56–$322.96 $737.78–$759.91 varies
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$313.56–$322.96 $737.78–$759.91 varies
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$313.56–$322.96 $737.78–$759.91 varies
Pt gait training 15 min (97116)
range across 4 matching MRF lines
$109–$557.09 $256.48–$1,310.80 varies
Pt mechanical traction (97012)
range across 2 matching MRF lines
$60.63–$62.45 $142.65–$146.93 varies
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$209.43–$215.71 $492.77–$507.55 varies
Pulm function test by gas (94727) $166.91 $392.74 0.6×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$231.18–$238.12 $543.96–$560.28 varies
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$232.18–$239.14 $546.30–$562.69 varies
R Hrt Art/Grft Angio (93457) $7,504.17 $17,656.88 1.9×
R hrt coronary artery angio (93456) $7,504.17 $17,656.88 1.9×
R&L Hrt Cath W/Ventriclgrphy (93453) $7,504.17 $17,656.88 1.9×
Refill/Maint Pump/Resvr Syst (96522) $414.21 $974.60 1.6×
Right Heart Cath (93451) $7,504.17 $17,656.88 1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $513.17 $1,207.47 2.1×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $157.65 $370.95 6.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $464.95 $1,093.99 3.8×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$134.36–$157.65 $316.15–$370.95 varies
Sleep study unattended (95806)
range across 2 matching MRF lines
$332.96–$342.95 $783.44–$806.94 varies
Speech sound lang comprehen (92523)
range across 2 matching MRF lines
$727.43–$749.25 $1,711.59–$1,762.94 varies
Spirometry (94010)
range across 2 matching MRF lines
$172.88–$178.06 $406.77–$418.97 varies
Standardized Cognitive Performance Testing (96125)
range across 2 matching MRF lines
$442.82–$456.10 $1,041.92–$1,073.18 varies
Temp transcutaneous pacing (92953) $455.51 $1,071.79 0.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
$101.01–$157.65 $237.68–$370.95 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines
$104.04–$202.03 $244.81–$475.36 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 2 matching MRF lines
$168.09–$489.57 $395.50–$1,151.94 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines
$101.16–$104.19 $238.02–$245.16 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $427.34 $1,005.50 4.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$107.61–$215.21 $253.19–$506.38 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$402.14–$414.21 $946.21–$974.60 varies
Therapeutic Activities (97530)
range across 3 matching MRF lines
$134.53–$269.06 $316.54–$633.08 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $63.33 $149.02 1.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$61.49–$63.33 $144.68–$149.02 varies
Trans Care Mgmt 14 Day Disch (99495) $143.69 $338.10 0.9×
Transcath Closure of Asd (93580) $33,720.45 $79,342.24 1.5×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $248.03 $583.60 2.0×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$1,073.76–$1,105.98 $2,526.50–$2,602.30 varies
Tte W/O Doppler Complete (93307) $1,105.98 $2,602.30 3.9×
Tx atrial fib pulm vein isol (93656) $31,567.90 $74,277.42 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$301.10–$310.13 $708.47–$729.72 varies
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 6 matching MRF lines
$107.61–$645.63 $253.19–$1,519.14 varies
Tympanometry (92567) $38.68 $91.02 0.9×
Unlisted cardiovascular service/procedure (93799) $238.12 $560.28 1.5×
Unlisted Psychiatric Service/Procedure (90899) $54.58 $128.43 1.2×
Unlisted Special Dermatological Service/Px (96999) $247.07 $581.33 1.0×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$182.92–$188.41 $430.39–$443.31 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$298.66–$307.62 $702.72–$723.80 varies
Valvuloplasty aortic valve (92986) $11,394.42 $26,810.39 1.7×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$814.46–$838.89 $1,916.38–$1,973.87 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines
$814.46–$838.89 $1,916.38–$1,973.87 varies
Vital capacity, total (94150)
range across 2 matching MRF lines
$123.90–$127.61 $291.52–$300.27 varies
Wheelchair Mgmt Ea 15 Min (97542) $157.65 $370.95 5.1×

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.