Visits & medical services prices at Flowers Hospital

Dothan, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $4,920.90 $32,806 0.7×
Admn Sarscov2 Vacc 1 Dose (90480) $18 $120 0.5×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $86.70 $578.02 0.4×
Aep neurodiagnostic i&r (92653) $146.62 $977.48 0.7×
Airway Inhalation Treatment (94640) $68.10 $454 0.3×
Airway resistance by oscillometry (94728) $72.48 $483.21 0.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 6 matching MRF lines
$37.71–$61.05 $251.37–$407 varies
Arrhythmia Induction (93618) $420.89 $2,805.95 0.4×
Assessment of aphasia per hr (96105) $126.23 $841.51 1.3×
Behavral qualit analys voice (92524) $243.90 $1,626 2.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $200.40 $1,336 0.6×
Canalith repositioning proc (95992)
range across 3 matching MRF lines
$71.80–$77.55 $478.69–$517 varies
Car seat/bed test 60 min (94780)
range across 2 matching MRF lines
$36.80–$39.30 $245.30–$262 varies
Cardiac Stress Tst,Tracing Only (93017) $390.30 $2,602 1.9×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$778.20–$807.60 $5,188–$5,384 varies
Cardioversion (92960)
range across 2 matching MRF lines
$513.45–$641.85 $3,423–$4,279 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $3.77 $25.12 0.1×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $6,966.90 $46,446 2.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,398.10 $42,654 2.0×
Cbt 1st hour (94644) $170.25 $1,135 1.3×
Chemo Admin Peritoneal Cavity (96446) $181.49 $1,209.93 0.6×
Chemo Anti-Neopl Sq/Im (96401) $297.08 $1,980.56 4.3×
Chemo Hormon Antineopl Sq/Im (96402) $304.35 $2,028.97 4.4×
Chemo Ia Push (96420)
range across 2 matching MRF lines
$53.74–$120.91 $358.25–$806.07 varies
Chemo Intralesional Over 7 (96406) $181.49 $1,209.93 0.9×
Chemo intralesional up to 7 (96405) $1,090.61 $7,270.71 15.7×
Chemo IV infusion addl hr (96415) $92.14 $614.27 1.3×
Chemo IV push addl drug (96411) $449.89 $2,999.25 6.5×
Chemother Prolong Infuse W/Pump (96416) $314.12 $2,094.12 1.0×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $297.74 $1,984.96 0.9×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $111.68 $744.56 2.5×
Chemotherapy Into Cns (96450) $102.41 $682.75 0.3×
Chemotherapy Intracavitary (96440) $181.49 $1,209.93 0.6×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $314.12 $2,094.12 1.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $1,019.93 $6,799.55 14.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,108.14 $7,387.60 3.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $929.62 $6,197.46 2.9×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $111.68 $744.56 0.4×
Chest Wall Manipulation (94668) $40.05 $267 0.3×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $197.32 $1,315.45 0.5×
Color/duplex Doppler, complete (93975) $237 $1,580 1.0×
Color/duplex Doppler, limited (93976) $239.70 $1,598 2.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $30.49 $203.27 1.0×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$109.04–$114.60 $726.96–$764 varies
Coronary Art/Grft Angio S&I (93455) $5,160.45 $34,403 1.7×
Coronary Artery Angio S&I (93454) $4,804.35 $32,029 1.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $579.60 $3,864 2.7×
Cpt initial (94667) $68.10 $454 0.5×
Critical care first hour (99291) $861.03 $5,740.20 1.1×
Debridement Open Wound 20 Sq Cm< (97597)
range across 7 matching MRF lines
$121.96–$4,006.87 $813.09–$26,712.45 varies
Dialysis One Evaluation (90945) $413.85 $2,759 1.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $315.90 $2,105.98 1.4×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $110.33 $735.56 1.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $480.60 $3,204 2.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $297.30 $1,982 3.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $430.05 $2,867 1.9×
Dup-scan xtr veins unilateral/limited study (93971) $270.90 $1,806 2.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $745.47 $4,969.80 3.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $496.98 $3,313.20 4.9×
Duplex Scan Hemodialysis Access (93990) $315.90 $2,105.98 3.1×
Duplex up extrem art bilat (93930) $583.95 $3,893 2.5×
Duplex up extrem art unilat/ltd (93931) $291.90 $1,946 2.9×
ECG/monitoring and analysis (93271) $347.55 $2,317 3.8×
Echo Congenital Complete (93303) $1,192.08 $7,947.17 2.3×
Echo Heart Xthoracic,Limited (93308) $313.05 $2,087 1.4×
Echo transesophageal (93312) $746.40 $4,976 1.4×
Eeg 41-60 Minutes (95812) $597 $3,980 2.9×
EEG awake and asleep (95819) $495.90 $3,306 2.4×
EEG awake drowsy (95816) $495 $3,300 2.4×
EEG cerebral death evaluation (95824) $530.85 $3,539 1.5×
EEG cont rec w/video by tech min 8 channels (95700) $506.40 $3,376 2.4×
EEG extended monitoring 61-119 minutes (95813) $643.35 $4,289 3.1×
Eeg Sleep Only (95822) $342.36 $2,282.40 1.6×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $171.20 $1,141.34 0.8×
EEG wo vid ea 12-26hr unmntr (95708) $354.75 $2,365 1.0×
Electrical Stimulation Ea 15 Min (97032)
range across 5 matching MRF lines
$67.37–$72.75 $449.16–$485 varies
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$72.95–$78 $486.30–$520 varies
Electrophysiology Evaluation (93642) $612.78 $4,085.18 0.5×
Emergency Dept Visit Level 2 (99282) $294.68 $1,964.52 2.0×
Emergency Dept Visit Level 3 (99283) $372.44 $2,482.92 1.4×
Emergency Dept Visit Level 4 (99284) $488.59 $3,257.28 1.2×
Emg 4 Extremities (95864) $216.29 $1,441.93 1.7×
Ep & ablate supravent arrhyt (93653) $15,000 $99,999.99 0.6×
Ep & ablate ventric tachy (93654) $15,000 $99,999.99 0.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $4,920.90 $32,806 0.7×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $4,909.35 $32,729 0.7×
Er level 1 (99281) $76.79 $511.92 0.9×
Er level v (99285) $618.19 $4,121.28 1.1×
Evaluate pt use of inhaler (94664) $68.10 $454 0.3×
Evaluate Speech Production (92522) $243.90 $1,626 2.2×
Evaluate Swallowing Function (92610) $120 $800 1.4×
Evaluation of speech fluency (92521) $243.90 $1,626 1.8×
External ECG rec>48hr<7d recording (93242) $223.66 $1,491.07 6.2×
External ECG rec>7d<15d recording (93246) $223.66 $1,491.07 6.2×
External Ecg Scanning Analysis Report (93226) $407.79 $2,718.60 7.2×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$419.28–$452.85 $2,795.21–$3,019 varies
Extracranial Uni/Ltd Study (93882) $283.74 $1,891.58 2.8×
F-up/limited tthrc echo congenital car anomaly (93304) $202.16 $1,347.74 0.4×
Flexible endoscopic eval swallow c/v rec (92612) $222.62 $1,484.10 1.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $616.26 $4,108.42 1.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035)
range across 2 matching MRF lines
$1,517.40–$5,109.88 $10,116–$34,065.86 varies
Group Therapeutic Procedures (97150)
range across 5 matching MRF lines
$28.20–$45.75 $187.97–$305 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $7,322.55 $48,817 2.3×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $563.85 $3,759 0.9×
Holter monitor recording (93225) $260.85 $1,739 2.0×
Immunization administration (90471)
range across 2 matching MRF lines
$69.90–$72.60 $466–$484 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $197.32 $1,315.45 0.5×
Insert/Place Heart Catheter (93503)
range across 2 matching MRF lines
$1,756.44–$1,914.60 $11,709.63–$12,764 varies
Intra-atrial pacing (93610) $4,154.73 $27,698.21 0.6×
Intracranial Complete Study (93886)
range across 2 matching MRF lines
$283.73–$283.74 $1,891.56–$1,891.57 varies
Iontophoresis 15 min (97033)
range across 4 matching MRF lines
$44.92–$67.37 $299.45–$449.16 varies
Irrig Drug Delivery Device (96523) $294.75 $1,965 5.2×
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$58.65–$61.50 $391–$410 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$405.75–$425.10 $2,705–$2,834 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines
$405.75–$425.10 $2,705–$2,834 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$60.30–$63.15 $402–$421 varies
IV push initial (96374)
range across 3 matching MRF lines
$359.10–$376.20 $2,394–$2,508 varies
L Hrt Art/Grft Angio (93459) $6,966.90 $46,446 2.2×
Low frequency non-thermal us (97610) $88.60 $590.66 0.5×
Lung Function Test (Mbc/Mvv) (94200) $46.98 $313.19 0.8×
Lwr Xtr Vasc Stdy Bilat (93924) $650.10 $4,334 3.1×
Mechanical chest wall oscillation per session (94669) $40.05 $267 0.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $7.14 $47.62 0.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $7.14 $47.62 0.2×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $11.43 $76.17 0.7×
Methacholine challenge (94070) $197.32 $1,315.45 0.5×
Motility study esophagus (91010) $1,038 $6,920 2.9×
Motion Fluoroscopy/Swallow (92611) $240.45 $1,603 2.6×
Multiple Sleep Latency Test (95805) $880.95 $5,873 1.1×
Muscle Test 2 Limbs (95861) $336.93 $2,246.18 2.6×
Muscle Test Nonparaspinal (95870) $260.12 $1,734.13 2.0×
Muscle Test One Limb (95860) $336.93 $2,246.18 2.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $270.16 $1,801.06 0.7×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $270.16 $1,801.06 0.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 5 matching MRF lines
$82.30–$267.15 $548.64–$1,781 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 5 matching MRF lines
$144.91–$400.80 $966.09–$2,672 varies
Nerve Conduction Studies 1-2 Studies (95907) $139.48 $929.87 0.7×
Nerve Conduction Studies 11-12 Studies (95912) $1,484.28 $9,895.21 4.1×
Nerve conduction studies 13 or more studies (95913) $2,073 $13,820 5.8×
Nerve Conduction Studies 3-4 Studies (95908) $883.98 $5,893.19 4.2×
Nerve conduction studies 5-6 studies (95909) $894.48 $5,963.21 4.3×
Nerve conduction studies 7-8 studies (95910) $1,178.15 $7,854.34 3.3×
Nerve Conduction Studies 9-10 Studies (95911) $1,483.56 $9,890.42 4.1×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $141.65 $944.36 1.1×
Neuromuscular Reeducation (97112) $62.70 $418 1.9×
Newborn resuscitation (99465) $144.97 $966.48 0.2×
Oral Function Therapy (92526)
range across 3 matching MRF lines
$59.35–$139.65 $395.65–$931 varies
Oral Speech Device Eval (92597) $144.15 $961 2.0×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 4 matching MRF lines
$35.74–$57.90 $238.24–$386 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 5 matching MRF lines
$56.56–$61.05 $377.06–$407 varies
Ot Contrast Bath Ea 15 Min (97034)
range across 4 matching MRF lines
$51.80–$52.13 $345.35–$347.54 varies
Ot eval high complexity (97167)
range across 2 matching MRF lines
$88.79–$95.85 $591.94–$639 varies
Ot Eval Low Complex (97165)
range across 2 matching MRF lines
$88.79–$95.85 $591.94–$639 varies
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines
$88.79–$95.85 $591.94–$639 varies
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$88.52–$95.55 $590.13–$637 varies
Ot paraffin bath (97018) $29.51 $196.72 4.9×
Ot Prosthetic Training, Each 15 Min (97761) $35.41 $236.04 0.9×
Ot Re-Eval Est Plan Care (97168)
range across 3 matching MRF lines
$60.65–$65.55 $404.36–$437 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $78.45 $523 0.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $57 $380 0.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $110.07 $733.80 0.5×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $14,046.52 $93,643.45 0.8×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $6,447.90 $42,986 1.2×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $11,022.97 $73,486.44 1.0×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$126.60–$130.20 $844–$868 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $39.72 $264.77 0.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $39.72 $264.77 0.7×
Physical Performance Test (97750)
range across 5 matching MRF lines
$46.56–$50.25 $310.37–$335 varies
Plethysmography (94726) $72.48 $483.21 0.2×
Pm device eval in person (93288) $108.27 $721.80 3.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,193.30 $14,622 2.7×
Polysom <6 yrs 4/> paramtrs (95782) $1,814.70 $12,098 2.2×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,193.30 $14,622 2.7×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $880.95 $5,873 1.1×
Prq Card Angio/Athrect 1 Art (92924) $11,125.05 $74,167 1.0×
Prq Card Stent W/Angio 1 Vsl (92928) $6,787.96 $45,253.07 0.6×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$8,036.57 $53,577.10 0.5×
Prq Revasc Byp Graft 1 Vsl (92937) $11,022.97 $73,486.44 1.0×
Prq trl rvs ch occ ant&rtrgr (92945) $8,845.67 $58,971.15 0.8×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
likely a partial charge, not the full procedure
$2,875.31 $19,168.72 0.3×
Pt Eval High Complex (97163)
range across 2 matching MRF lines
$88.79–$95.85 $591.94–$639 varies
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$88.79–$95.85 $591.94–$639 varies
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$88.79–$95.85 $591.94–$639 varies
Pt gait training 15 min (97116) $36.60 $244 1.3×
Pt mechanical traction (97012) $117.54 $783.58 8.2×
Pt Re-Eval Est Plan Care (97164)
range across 3 matching MRF lines
$60.66–$65.55 $404.38–$437 varies
Pulm function test by gas (94727) $157.65 $1,051 0.8×
R Hrt Art/Grft Angio (93457) $5,897.10 $39,314 1.9×
R hrt coronary artery angio (93456) $6,071.70 $40,478 1.9×
R&L Hrt Cath W/Ventriclgrphy (93453) $1,828.02 $12,186.78 0.6×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $181.49 $1,209.93 0.6×
Refill/Maint Portable Pump (96521) $181.49 $1,209.93 0.9×
Refill/Maint Pump/Resvr Syst (96522) $272.93 $1,819.54 1.3×
Remote 30 Day Ecg Rev/Report (93270) $228.90 $1,526 6.4×
Respiratory flow volume loop (94375) $72.48 $483.21 0.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $61.24 $408.29 1.1×
Right Heart Cath (93451) $3,155.25 $21,035 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 5 matching MRF lines
$83.11–$95.70 $554.06–$638 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $157.04 $1,046.96 1.3×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $126.23 $841.51 2.6×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $494.52 $3,296.80 1.4×
Self Care Mngment Training (97535) $87.15 $581 2.7×
Sensory Integration Ea 15 Min (97533)
range across 3 matching MRF lines
$39.34–$43.28 $262.29–$288.52 varies
Sleep study attended (95807) $450.75 $3,005 1.3×
Sleep study unattended (95806) $182.67 $1,217.82 0.9×
Slp caregiver training 1st 30 min (97550) $7 $46.65 0.1×
Slp Stdy Unatnd W/Anal (95801) $182.67 $1,217.82 3.2×
Somatosensory Testing (95938) $386.56 $2,577.05 0.5×
Speech sound lang comprehen (92523) $243.90 $1,626 1.1×
Spin/Brain Pump Refil & Main (95991) $181.49 $1,209.93 0.6×
Spirometry (94010) $103.80 $692 0.5×
Standardized Cognitive Performance Testing (96125) $111.15 $740.99 1.1×
Stress Tte Only (93350) $854.55 $5,697 1.6×
Subcutaneous Infusion Each Additional Hour (96370) $50.85 $339 1.1×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $172.03 $1,146.86 0.8×
Subq Infusion Additional Pump Infusion Site (96371) $95.98 $639.88 1.4×
Surfactant Admin Thru Tube (94610) $68.10 $454 0.3×
Temp transcutaneous pacing (92953) $343.20 $2,288 0.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $34.42 $229.48 1.5×
Ther Ivntj Ea Addl 15 Min (97130) $34.42 $229.48 1.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 4 matching MRF lines
$36.07–$54.10 $240.44–$360.67 varies
Ther/Proph/Diag Inj Ia (96373) $120.60 $804 0.6×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$261.60–$274.05 $1,744–$1,827 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$417.75–$437.70 $2,785–$2,918 varies
Therapeutic Activities (97530)
range across 5 matching MRF lines
$68.36–$73.80 $455.74–$492 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $674.55 $4,497 1.9×
Tobacco Use Cessation Intensive >10 Minutes (99407) $20.13 $134.23 0.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $20.85 $139 0.6×
Transcath Closure of Asd (93580)
likely a partial charge, not the full procedure
$4,194 $27,960 0.2×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $167.01 $1,113.39 1.7×
Tte w/doppler, complete (93306) $1,287.45 $8,583 2.4×
Tte W/O Doppler Complete (93307) $751.35 $5,009 3.3×
Tx atrial fib pulm vein isol (93656) $15,000 $99,999.99 0.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $131.70 $878 1.7×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $39.90 $266 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$79.95–$83.70 $533–$558 varies
Unlisted cardiovascular service/procedure (93799) $213.08 $1,420.50 1.7×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$256.16–$276.60 $1,707.75–$1,844 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$250.80–$270.90 $1,672.02–$1,806 varies
Valvuloplasty aortic valve (92986)
unusually low: confirm this is the full procedure
$2,671.20 $17,808 0.5×
Vasopneumatic device (97016) $60.32 $402.16 5.0×
Veeg 2-12 hr unmonitored (95711) $171.20 $1,141.34 0.8×
Veeg Ea 12-26 Hr Unmntr (95714) $354.75 $2,365 1.0×
Vent Mgmt Inpat Init Day (94002) $828 $5,520 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $497.25 $3,315 0.8×
Visual Evoked Potential Test (95930) $284.04 $1,893.60 1.4×
Vital capacity, total (94150) $50.70 $338 0.4×
Wheelchair Mgmt Ea 15 Min (97542)
range across 4 matching MRF lines
$32.78–$53.10 $218.55–$354 varies
Whirlpool Therapy (97022)
range across 5 matching MRF lines
$55.08–$59.55 $367.19–$397 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.