Visits & medical services prices at Foothills Hospital
Boulder, CO · every code in this section with a posted price and a Medicare benchmark.
288 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) | $146 | $292 | 1.3× |
| Ablate Heart Dysrhythm Focus (93650) range across 3 matching MRF lines |
$554–$21,876.50 | $1,108–$43,753 | varies |
| Acupunct W/Stimul 15 Min (97813) | $143 | $286 | 4.6× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $143 | $286 | 4.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $113.50 | $227 | 2.6× |
| Advncd Care Plan 30 Min (99497) | $74.50 | $149 | 0.7× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $187 | $374 | 0.8× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$21.50–$269 | $43–$538 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) range across 2 matching MRF lines |
$737–$1,116.50 | $1,474–$2,233 | varies |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) range across 2 matching MRF lines |
$737–$1,116.50 | $1,474–$2,233 | varies |
| Analyze neurostim complex (95972) | $39.50 | $79 | 0.4× |
| Analyze neurostim no prog (95970) | $18 | $36 | 0.1× |
| Analyze Neurostim Simple (95971) | $38 | $76 | 0.4× |
| Analyze Pacemaker System (93724) | $229.50 | $459 | 0.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $138.50 | $277 | 9.6× |
| Application Modality 1/> Areas Infrared (97026) | $70.50 | $141 | 10.6× |
| Application on-body injector (96377) | $72 | $144 | 1.4× |
| Arrhythmia Induction (93618) range across 2 matching MRF lines |
$205–$1,586.50 | $410–$3,173 | varies |
| Assessment of aphasia per hr (96105) | $635 | $1,270 | 6.5× |
| Behavral qualit analys voice (92524) | $635 | $1,270 | 5.8× |
| Biofeedback training any modality (90901) | $110 | $220 | 2.7× |
| Bioimpedance Cv Analysis (93701) | $28 | $56 | 0.2× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$9.50–$756.50 | $19–$1,513 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$861.50 | $23–$1,723 | 2.2× |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$110.50 | $221 | 0.0× |
| Canalith repositioning proc (95992) | $277 | $554 | 6.8× |
| Cardiac Stress Tst,Tracing Only (93017) range across 15 matching MRF lines |
$1,994–$2,155.50 | $3,988–$4,311 | varies |
| Cardiopulmonary exercise testing (94621) range across 4 matching MRF lines |
$65.50–$1,101 | $131–$2,202 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$178–$1,091.50 | $356–$2,183 | varies |
| Cardioversion (92960) range across 5 matching MRF lines |
$147–$6,905 | $294–$13,810 | varies |
| Cardioversion elective internal (92961) | $1,056.50 | $2,113 | 1.5× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $58 | $116 | 1.5× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$355–$31,148.50 | $710–$62,297 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$280.50–$26,337 | $561–$52,674 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $1,258.50 | $2,517 | 16.4× |
| Chemo Hormon Antineopl Sq/Im (96402) | $1,258.50 | $2,517 | 16.4× |
| Chemo Ia Push (96420) | $513.50 | $1,027 | 1.5× |
| Chemo IV infusion addl hr (96415) | $161 | $322 | 2.1× |
| Chemotherapy Into Cns (96450) | $1,471 | $2,942 | 4.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $147.50 | $295 | 1.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $631.50 | $1,263 | 1.8× |
| Color/duplex Doppler, complete (93975) | $2,424.50 | $4,849 | 9.5× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$142–$1,738 | $284–$3,476 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $138.50 | $277 | 4.3× |
| Continuous Pulse Ox (94762) | $26.50 | $53 | 0.2× |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$264.50–$23,393.50 | $529–$46,787 | varies |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$227–$16,858.50 | $454–$33,717 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$272.50–$8,478.50 | $545–$16,957 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$35–$335.50 | $70–$671 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $1,036 | $2,072 | 7.5× |
| Dialysis One Evaluation (90945) | $567.50 | $1,135 | 1.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $2,647 | $5,294 | 10.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,320 | $2,640 | 11.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$192–$2,860.50 | $384–$5,721 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$20.50–$2,860.50 | $41–$5,721 | varies |
| Duplex Scan Hemodialysis Access (93990) | $1,150 | $2,300 | 10.3× |
| Duplex up extrem art unilat/ltd (93931) | $2,860.50 | $5,721 | 25.7× |
| Echo Congenital Complete (93303) range across 4 matching MRF lines |
$59.50–$4,819 | $119–$9,638 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 8 matching MRF lines |
$34–$2,048 | $68–$4,096 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $98.50 | $197 | 0.2× |
| Echo transesophageal (93312) range across 11 matching MRF lines |
$103.50–$4,809.50 | $207–$9,619 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 7 matching MRF lines |
$123–$4,809.50 | $246–$9,619 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $122 | $244 | 0.2× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$56–$2,107 | $112–$4,214 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$56–$1,775.50 | $112–$3,551 | varies |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$56–$1,781 | $112–$3,562 | varies |
| EEG cerebral death evaluation (95824) | $38 | $76 | 0.1× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$84–$1,758 | $168–$3,516 | varies |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$56–$1,775.50 | $112–$3,551 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,130 | $2,260 | 4.9× |
| EEG w/o vid 2-12hr cont mntr (95707) | $586.50 | $1,173 | 2.5× |
| EEG w/o vid ea 12-26hr intmt (95709) | $1,533 | $3,066 | 3.9× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $2,131 | $4,262 | 5.4× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $709 | $1,418 | 3.1× |
| EEG wo vid ea 12-26hr unmntr (95708) range across 2 matching MRF lines |
$669.50–$1,652.50 | $1,339–$3,305 | varies |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $48.50 | $97 | 0.5× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $51 | $102 | 0.5× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $38.50 | $77 | 1.0× |
| Electrical Stimulation Ea 15 Min (97032) | $138.50 | $277 | 9.4× |
| Electrocardiogram Tracing (93005) | $393 | $786 | 6.2× |
| Electroconvulsive Therapy (90870) | $1,802.50 | $3,605 | 2.0× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) range across 2 matching MRF lines |
$12,436.50 | $455–$24,873 | 1.5× |
| Electrophysiology Evaluation (93642) range across 2 matching MRF lines |
$239–$3,759 | $478–$7,518 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$41–$866 | $82–$1,732 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$69.50–$1,791.50 | $139–$3,583 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$118–$2,889 | $236–$5,778 | varies |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$97–$211 | $194–$422 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$103–$236 | $206–$472 | varies |
| Endomyocardial Biopsy (93505) range across 2 matching MRF lines |
$217–$9,178.50 | $434–$18,357 | varies |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$107,416.50 | $1,590–$214,833 | 3.9× |
| Ep & ablate ventric tachy (93654) range across 2 matching MRF lines |
$140,064.50 | $1,915–$280,129 | 5.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 2 matching MRF lines |
$587.50–$41,399.50 | $1,175–$82,799 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) range across 2 matching MRF lines |
$26,174 | $732–$52,348 | 3.1× |
| Ep Esophageal Recording Atria+Pacing (93616) | $56.50 | $113 | 0.0× |
| Er level 1 (99281) range across 3 matching MRF lines |
$18.50–$450.50 | $37–$901 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$170.50–$5,227.50 | $341–$10,455 | varies |
| Esoph Atrial Electrogram (93615) | $42 | $84 | 0.0× |
| Evaluate pt use of inhaler (94664) | $18.50 | $37 | 0.1× |
| Evaluate Speech Production (92522) | $635 | $1,270 | 5.7× |
| Evaluate Swallowing Function (92610) range across 4 matching MRF lines |
$357.50–$635 | $715–$1,270 | varies |
| Evaluation of speech fluency (92521) | $635 | $1,270 | 4.8× |
| Evoked Auditory Test,Limited (92587) | $177.50 | $355 | 0.8× |
| External Ecg Scanning Analysis Report (93226) range across 4 matching MRF lines |
$1,370–$1,481.50 | $2,740–$2,963 | varies |
| Extracranial Bilat Study (93880) range across 4 matching MRF lines |
$37–$1,856 | $74–$3,712 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$35–$775 | $70–$1,550 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $635 | $1,270 | 3.2× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) range across 2 matching MRF lines |
$157.50–$333 | $315–$666 | varies |
| Fundus photography (92250) | $38 | $76 | 0.3× |
| Group Therapeutic Procedures (97150) | $226.50 | $453 | 12.6× |
| Health Behavior Assessment/Re-Assessment (96156) | $87.50 | $175 | 0.8× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $64 | $128 | 1.6× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $9.50 | $19 | 0.2× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $60.50 | $121 | 0.3× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$392.50–$34,938 | $785–$69,876 | varies |
| Holter monitor recording (93225) range across 4 matching MRF lines |
$824.50–$891.50 | $1,649–$1,783 | varies |
| Icd Device Interrogate (93289) range across 4 matching MRF lines |
$33.50–$73 | $67–$146 | varies |
| Icd device progr eval dual (93283) range across 3 matching MRF lines |
$54.50–$304 | $109–$608 | varies |
| Icd Device Progr Eval Mult (93284) | $59 | $118 | 1.5× |
| Icm Device Eval (93290) | $20.50 | $41 | 0.5× |
| Ilr Device Eval Progr (93285) range across 4 matching MRF lines |
$61–$487.50 | $122–$975 | varies |
| Ilr Device Interrogate (93291) | $17.50 | $35 | 0.6× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $113.50 | $227 | 1.5× |
| Immunization administration (90471) | $113.50 | $227 | 1.5× |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$103.50–$2,043.50 | $207–$4,087 | varies |
| Interrogate Subq Defib (93261) | $35 | $70 | 0.9× |
| Interrogation eval in person wr defibrillator (93292) | $20.50 | $41 | 0.5× |
| Interrogation vad in person (93750) | $39 | $78 | 0.4× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$153.50 | $307 | 0.0× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$109 | $218 | 0.0× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$151.50 | $303 | 0.0× |
| Iontophoresis 15 min (97033) | $138.50 | $277 | 7.3× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$26–$115.50 | $52–$231 | varies |
| IV infusion hydration each additional hour (96361) | $222.50 | $445 | 4.5× |
| IV infusion hydration initial 31 min-1 hour (96360) | $783.50 | $1,567 | 3.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $170 | $340 | 2.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $222.50 | $445 | 4.5× |
| IV push initial (96374) range across 2 matching MRF lines |
$45–$330.50 | $90–$661 | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$317.50–$30,217 | $635–$60,434 | varies |
| Low frequency non-thermal us (97610) | $18 | $36 | 0.1× |
| Lung Function Test (Mbc/Mvv) (94200) | $4.50 | $9 | 0.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 3 matching MRF lines |
$23–$1,795.50 | $46–$3,591 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $27.50 | $55 | 0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $32.50 | $65 | 0.9× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$27–$2,468.50 | $54–$4,937 | varies |
| Motion Fluoroscopy/Swallow (92611) | $635 | $1,270 | 6.9× |
| Multiple Sleep Latency Test (95805) range across 3 matching MRF lines |
$56–$3,377.50 | $112–$6,755 | varies |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$79.50–$162 | $159–$324 | varies |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$19.50–$85.50 | $39–$171 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$50–$114.50 | $100–$229 | varies |
| Nasopharyngoscopy (92511) | $350 | $700 | 1.6× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$19.50–$97.50 | $39–$195 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $907 | $1,814 | 2.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$24.50–$907 | $49–$1,814 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$24–$263.50 | $48–$527 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$26.50–$335.50 | $53–$671 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$52–$91.50 | $104–$183 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) | $250 | $500 | 0.6× |
| Nerve conduction studies 13 or more studies (95913) | $288.50 | $577 | 0.7× |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$65–$113.50 | $130–$227 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$77.50–$136 | $155–$272 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$103–$177.50 | $206–$355 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$129–$214 | $258–$428 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$34–$106.50 | $68–$213 | varies |
| Neuromuscular Reeducation (97112) | $138.50 | $277 | 4.2× |
| Newborn resuscitation (99465) | $139.50 | $279 | 0.2× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $184.50 | $369 | 7.4× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $277 | $554 | 8.0× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $92 | $184 | 6.7× |
| Oral Function Therapy (92526) | $553.50 | $1,107 | 6.6× |
| Oral Speech Device Eval (92597) | $635 | $1,270 | 8.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$138.50–$153 | $277–$306 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 5 matching MRF lines |
$56.50–$174.50 | $113–$349 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $23 | $46 | 1.0× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $34.50 | $69 | 1.5× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $45.50 | $91 | 2.0× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $57.50 | $115 | 2.5× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $69 | $138 | 3.0× |
| Ot Contrast Bath Ea 15 Min (97034) | $138.50 | $277 | 9.9× |
| Ot eval high complexity (97167) | $490.50 | $981 | 4.9× |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$379–$490.50 | $758–$981 | varies |
| Ot Eval Moderate Complexity (97166) | $490.50 | $981 | 4.9× |
| Ot manual therapy 15 min (97140) | $138.50 | $277 | 5.0× |
| Ot paraffin bath (97018) | $30 | $60 | 5.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $138.50 | $277 | 3.4× |
| Ot Re-Eval Est Plan Care (97168) | $318.50 | $637 | 4.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $648.50 | $1,297 | 4.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $447 | $894 | 3.3× |
| Oxygen Uptake Rest Indirect (94690) | $55.50 | $111 | 0.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $500.50 | $1,001 | 2.1× |
| Perq transcath closure pda (93582) | $17,922 | $35,844 | 0.9× |
| Perq Transcath Cls Aortic (93591) | $24,777 | $49,554 | 1.3× |
| Perq Transcath Cls Mitral (93590) | $24,777 | $49,554 | 1.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 2 matching MRF lines |
$502–$30,324 | $1,004–$60,648 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 3 matching MRF lines |
$627–$48,773 | $1,254–$97,546 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$99–$184.50 | $198–$369 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $505 | $1,010 | 8.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $505 | $1,010 | 8.0× |
| Physical Performance Test (97750) | $146 | $292 | 4.3× |
| Plethysmography (94726) range across 2 matching MRF lines |
$532 | $24–$1,064 | 1.3× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$20–$195.50 | $40–$391 | varies |
| Pm device progr eval dual (93280) range across 3 matching MRF lines |
$80–$1,090.50 | $160–$2,181 | varies |
| Pm device progr eval multi (93281) | $40.50 | $81 | 1.0× |
| Pm Device Progr Eval Sngl (93279) range across 3 matching MRF lines |
$30.50–$235.50 | $61–$471 | varies |
| Pm/Icd Remote Tech Serv (93296) | $147 | $294 | 3.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$120–$4,311.50 | $240–$8,623 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$119–$4,555 | $238–$9,110 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $4,734.50 | $9,469 | 5.2× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $40.50 | $81 | 1.0× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $40 | $80 | 1.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $12 | $24 | 0.2× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $15.50 | $31 | 0.3× |
| Prq Card Angio/Athrect 1 Art (92924) range across 2 matching MRF lines |
$598.50–$16,463 | $1,197–$32,926 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 3 matching MRF lines |
$40,884 | $1,117–$81,768 | 3.3× |
| Prq Card Stent/Ath/Angio (92933) range across 3 matching MRF lines |
$48,046 | $1,253–$96,092 | 2.5× |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 3 matching MRF lines |
$40,884 | $1,117–$81,768 | 3.3× |
| Psych diag eval w/med srvcs (90792) | $642.50 | $1,285 | 3.4× |
| Psychiatric diagnostic evaluation (90791) range across 5 matching MRF lines |
$556–$862 | $1,112–$1,724 | varies |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $277 | $554 | 2.0× |
| Psytx Crisis Initial 60 Min (90839) | $279 | $558 | 1.5× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) range across 2 matching MRF lines |
$165–$234.50 | $330–$469 | varies |
| Pt Eval High Complex (97163) | $490.50 | $981 | 5.0× |
| Pt eval low complex 20 min (97161) range across 3 matching MRF lines |
$379–$490.50 | $758–$981 | varies |
| Pt Eval Mod Complex (97162) | $490.50 | $981 | 5.0× |
| Pt gait training 15 min (97116) | $138.50 | $277 | 4.8× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$33.50–$70.50 | $67–$141 | varies |
| Pt Re-Eval Est Plan Care (97164) | $318.50 | $637 | 4.7× |
| Pt ultraviolet (97028) | $70.50 | $141 | 8.4× |
| Pulm function test by gas (94727) | $12 | $24 | 0.1× |
| Pure Tone Audiometry Air (92552) | $41 | $82 | 0.3× |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$332–$28,231 | $664–$56,462 | varies |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) range across 2 matching MRF lines |
$182–$183.50 | $364–$367 | varies |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$296–$20,467.50 | $592–$40,935 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$300–$15,548 | $600–$31,096 | varies |
| Refill/Maint Portable Pump (96521) | $322.50 | $645 | 1.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $20.50 | $41 | 0.5× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $397.50 | $795 | 1.7× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $397.50 | $795 | 1.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $393 | $786 | 6.2× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$14,989.50 | $250–$29,979 | 4.3× |
| Right ventricular recording (93603) range across 2 matching MRF lines |
$109–$5,295 | $218–$10,590 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$55–$263.50 | $110–$527 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $1,036 | $2,072 | 8.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $321 | $642 | 6.7× |
| Sbsq Psyc Collab Care Mgmt (99493) | $134 | $268 | 1.2× |
| Self Care Mngment Training (97535) | $138.50 | $277 | 4.3× |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$138–$138.50 | $276–$277 | varies |
| Sleep study attended (95807) | $1,232 | $2,464 | 3.1× |
| Speech sound lang comprehen (92523) range across 5 matching MRF lines |
$379–$1,413.50 | $758–$2,827 | varies |
| Spin/Brain Pump Refil & Main (95991) | $39 | $78 | 0.1× |
| Spirometry (94010) range across 2 matching MRF lines |
$348 | $16–$696 | 1.5× |
| Standardized Cognitive Performance Testing (96125) | $635 | $1,270 | 6.2× |
| Stress Tte Only (93350) range across 6 matching MRF lines |
$97–$2,734.50 | $194–$5,469 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $72 | $144 | 1.4× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $358.50 | $717 | 1.6× |
| Surfactant Admin Thru Tube (94610) | $55.50 | $111 | 0.2× |
| Temp transcutaneous pacing (92953) | $872 | $1,744 | 1.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $138.50 | $277 | 6.2× |
| Ther Ivntj Ea Addl 15 Min (97130) | $138.50 | $277 | 6.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$126–$153 | $252–$306 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $553.50 | $1,107 | 5.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$20–$128 | $40–$256 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$320–$830.50 | $640–$1,661 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $397.50 | $795 | 1.7× |
| Therapeutic Activities (97530) | $138.50 | $277 | 3.9× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$89–$4,517.50 | $178–$9,035 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $24.50 | $49 | 0.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $12 | $24 | 0.3× |
| Trans Care Mgmt 14 Day Disch (99495) | $138.50 | $277 | 1.0× |
| Trans Care Mgmt 7 Day Disch (99496) | $187.50 | $375 | 1.3× |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$927–$17,922 | $1,854–$35,844 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $14 | $28 | 0.4× |
| Tte w/doppler, complete (93306) range across 5 matching MRF lines |
$84–$4,819 | $168–$9,638 | varies |
| Tte W/O Doppler Complete (93307) range across 3 matching MRF lines |
$42.50–$4,178 | $85–$8,356 | varies |
| Tx atrial fib pulm vein isol (93656) range across 2 matching MRF lines |
$139,398.50 | $1,876–$278,797 | 5.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $507 | $1,014 | 6.7× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $226.50 | $453 | 9.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$21–$240.50 | $42–$481 | varies |
| Unlisted cardiovascular service/procedure (93799) | $2,512 | $5,024 | 18.3× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$11.50–$686 | $23–$1,372 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$27.50–$2,059 | $55–$4,118 | varies |
| Valvuloplasty aortic valve (92986) range across 2 matching MRF lines |
$1,273–$16,272 | $2,546–$32,544 | varies |
| Valvuloplasty mitral valve (92987) range across 2 matching MRF lines |
$1,311.50–$32,883.50 | $2,623–$65,767 | varies |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$57–$138.50 | $114–$277 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,929.50 | $3,859 | 4.8× |
| Vent Mgmt Inpat Init Day (94002) | $89 | $178 | 0.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $63 | $126 | 0.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $138.50 | $277 | 4.5× |
| Whirlpool Therapy (97022) | $138.50 | $277 | 8.8× |
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.