Visits & medical services prices at Franciscan Health Crawfordsville
Crawfordsville, IN · every code in this section with a posted price and a Medicare benchmark.
240 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) unusually low: confirm this is the full procedure |
$4,112.70 | $15,176 | 0.5× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $48.78 | $180 | 0.4× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $35.77 | $132 | 0.8× |
| Airway Inhalation Treatment (94640) | $46.34 | $171 | 0.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $45.80 | $169 | 3.2× |
| Application Modality 1/> Areas Infrared (97026) | $15.72 | $58 | 2.4× |
| Assessment of aphasia per hr (96105) | $205.69 | $759 | 2.1× |
| Audiometry Air & Bone (92553) | $138.75 | $512 | 1.0× |
| Basic vestibular evaluation (92540) | $295.93 | $1,092 | 1.3× |
| Behavral qualit analys voice (92524) | $159.08 | $587 | 1.5× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $115.99 | $428 | 1.4× |
| Biofeedback training any modality (90901) | $45.53 | $168 | 1.1× |
| Blink reflex test (95933) | $448.78 | $1,656 | 7.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $288.34 | $1,064 | 0.7× |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$747.96 | $2,760 | 0.1× |
| C motor evoked uppr limbs (95928) | $347.96 | $1,284 | 0.4× |
| Canalith repositioning proc (95992) | $52.30 | $193 | 1.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $411.38 | $1,518 | 1.8× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$423.57–$448.78 | $1,563–$1,656 | varies |
| Cardioversion (92960) | $1,121.67 | $4,139 | 1.6× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $21.41 | $79 | 0.8× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $7,851.14 | $28,971 | 2.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $6,729.47 | $24,832 | 2.0× |
| Cbt 1st hour (94644) | $130.89 | $483 | 0.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $75.07 | $277 | 1.0× |
| Chemo Hormon Antineopl Sq/Im (96402) | $93.50 | $345 | 1.2× |
| Chemo IV infusion addl hr (96415) | $168.29 | $621 | 2.2× |
| Chemo IV push addl drug (96411) | $157.18 | $580 | 2.1× |
| Chemotherapy Into Cns (96450) | $179.40 | $662 | 0.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $149.86 | $553 | 2.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $448.78 | $1,656 | 1.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $307.04 | $1,133 | 0.9× |
| Chest Wall Manipulation (94668) | $42.55 | $157 | 0.3× |
| Color/duplex Doppler, complete (93975) | $448.78 | $1,656 | 1.8× |
| Color/duplex Doppler, limited (93976) | $224.66 | $829 | 2.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $52.30 | $193 | 1.6× |
| Comprehensive Hearing Test (92557) | $146.07 | $539 | 1.1× |
| Computerized dynamic posturography (92548) | $168.29 | $621 | 1.2× |
| Conditioning Play Audiometry (92582) | $142.28 | $525 | 1.0× |
| Continuous Pulse Ox (94762) | $146.07 | $539 | 1.1× |
| Coronary Art/Grft Angio S&I (93455) | $4,859.84 | $17,933 | 1.4× |
| Coronary Artery Angio S&I (93454) | $4,112.70 | $15,176 | 1.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $211.92 | $782 | 0.9× |
| Cpt initial (94667) | $88.08 | $325 | 0.6× |
| Critical care first hour (99291) | $1,622.21 | $5,986 | 1.9× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $672.89 | $2,483 | 1.7× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$52.30–$179.40 | $193–$662 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $104.88 | $387 | 0.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $672.89 | $2,483 | 2.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $247.15 | $912 | 2.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $523.57 | $1,932 | 2.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $448.78 | $1,656 | 4.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $971.81 | $3,586 | 3.8× |
| Dup-scan xtr veins unilateral/limited study (93971) | $785.36 | $2,898 | 7.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $569.64 | $2,102 | 2.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $94.85 | $350 | 0.9× |
| Duplex Scan Hemodialysis Access (93990) | $224.66 | $829 | 2.0× |
| Duplex up extrem art bilat (93930) | $1,009.20 | $3,724 | 4.0× |
| Duplex up extrem art unilat/ltd (93931) | $333.33 | $1,230 | 3.0× |
| Echo Congenital Complete (93303) | $672.89 | $2,483 | 1.2× |
| Echo Heart Xthoracic,Limited (93308) | $247.15 | $912 | 1.0× |
| Echo transesophageal (93312) | $1,495.92 | $5,520 | 2.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $3,365.01 | $12,417 | 5.8× |
| Eeg 41-60 Minutes (95812) | $747.96 | $2,760 | 3.3× |
| EEG awake and asleep (95819) | $373.71 | $1,379 | 1.6× |
| EEG awake drowsy (95816) | $373.71 | $1,379 | 1.6× |
| EEG cerebral death evaluation (95824) | $971.81 | $3,586 | 2.5× |
| Eeg Sleep Only (95822) | $560.97 | $2,070 | 2.5× |
| EEG wo vid ea 12-26hr unmntr (95708) | $747.96 | $2,760 | 1.9× |
| Electrical Stimulation Ea 15 Min (97032) | $53.66 | $198 | 3.7× |
| Electrocardiogram Tracing (93005) | $116.53 | $430 | 1.9× |
| Electrophysiology Evaluation (93642) | $598.10 | $2,207 | 0.5× |
| Emergency Dept Visit Level 2 (99282) | $243.63 | $899 | 1.5× |
| Emergency Dept Visit Level 3 (99283) | $568.29 | $2,097 | 2.0× |
| Emergency Dept Visit Level 4 (99284) | $811.37 | $2,994 | 1.8× |
| Emg 3 Extremities (95863) | $560.97 | $2,070 | 4.1× |
| Emg 4 Extremities (95864) | $635.77 | $2,346 | 4.7× |
| Endomyocardial Biopsy (93505) | $1,532.78 | $5,656 | 0.5× |
| Ep & ablate supravent arrhyt (93653) unusually low: confirm this is the full procedure |
$8,972.54 | $33,109 | 0.3× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) unusually low: confirm this is the full procedure |
$2,841.16 | $10,484 | 0.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $4,486.68 | $16,556 | 0.5× |
| Er level 1 (99281) | $121.95 | $450 | 1.4× |
| Er level v (99285) | $1,217.06 | $4,491 | 1.9× |
| Evaluate pt use of inhaler (94664) | $53.12 | $196 | 0.2× |
| Evaluate Speech Production (92522) | $150.41 | $555 | 1.3× |
| Evaluate Swallowing Function (92610) | $127.10 | $469 | 1.5× |
| Evaluation of speech fluency (92521) | $131.16 | $484 | 1.0× |
| Evoked Auditory Test,Limited (92587) | $26.83 | $99 | 0.1× |
| External ECG rec>48hr<7d recording (93242) | $29.27 | $108 | 0.7× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $71 | $262 | 0.5× |
| External ECG rec>7d<15d recording (93246) | $141.46 | $522 | 3.6× |
| External Ecg Scanning Analysis Report (93226) | $261.79 | $966 | 4.2× |
| Extracranial Bilat Study (93880) | $747.96 | $2,760 | 3.0× |
| Extracranial Uni/Ltd Study (93882) | $183.74 | $678 | 1.7× |
| Flexible endoscopic eval swallow c/v rec (92612) | $272.08 | $1,004 | 1.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $8,598.83 | $31,730 | 2.5× |
| Holter monitor recording (93225) | $336.58 | $1,242 | 2.4× |
| Immunization administration (90471) | $46.34 | $171 | 0.6× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$1,196.74 | $4,416 | 0.1× |
| Intracranial Complete Study (93886) | $131.16 | $484 | 0.5× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$1,196.74 | $4,416 | 0.1× |
| Iontophoresis 15 min (97033) | $52.30 | $193 | 2.7× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$93.50–$94.04 | $345–$347 | varies |
| IV infusion hydration each additional hour (96361) | $42.55 | $157 | 0.9× |
| IV infusion hydration initial 31 min-1 hour (96360) | $127.37 | $470 | 0.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $84.82 | $313 | 1.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $50.95 | $188 | 1.0× |
| IV push initial (96374) | $105.69 | $390 | 0.5× |
| L Hrt Art/Grft Angio (93459) | $7,103.45 | $26,212 | 2.1× |
| Low frequency non-thermal us (97610) range across 3 matching MRF lines |
$114.90–$149.86 | $424–$553 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $935.22 | $3,451 | 4.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$14.36–$17.34 | $53–$64 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$17.34–$18.97 | $64–$70 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $9.49 | $35 | 0.6× |
| Methacholine challenge (94070) | $149.86 | $553 | 0.4× |
| Motion Fluoroscopy/Swallow (92611) | $194.85 | $719 | 2.1× |
| Multiple Family Group Psychotherapy (90849) | $86.45 | $319 | 0.5× |
| Multiple Sleep Latency Test (95805) | $935.22 | $3,451 | 1.0× |
| Muscle Test 2 Limbs (95861) | $486.17 | $1,794 | 3.5× |
| Muscle Test Nonparaspinal (95870) | $935.22 | $3,451 | 6.6× |
| Muscle Test One Limb (95860) | $131.16 | $484 | 0.9× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $317.88 | $1,173 | 1.4× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $194.85 | $719 | 0.9× |
| Needle electromyography larynx (95865) | $1,981.82 | $7,313 | 14.1× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $115.99 | $428 | 0.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $233.60 | $862 | 0.5× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $149.86 | $553 | 0.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$149.86–$205.42 | $553–$758 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$269.65–$276.96 | $995–$1,022 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $560.97 | $2,070 | 2.5× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,794.83 | $6,623 | 4.5× |
| Nerve conduction studies 13 or more studies (95913) | $89.97 | $332 | 0.2× |
| Nerve Conduction Studies 3-4 Studies (95908) | $822.21 | $3,034 | 3.6× |
| Nerve conduction studies 5-6 studies (95909) | $1,121.67 | $4,139 | 4.9× |
| Nerve conduction studies 7-8 studies (95910) | $1,383.18 | $5,104 | 3.5× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,682.64 | $6,209 | 4.3× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $97.83 | $361 | 0.7× |
| Neuromuscular Reeducation (97112) | $56.37 | $208 | 1.7× |
| Optokinetic Nystagmus Test (92544) | $104.88 | $387 | 0.8× |
| Oral Function Therapy (92526) | $102.71 | $379 | 1.2× |
| Oral Speech Device Eval (92597) | $160.70 | $593 | 2.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $37.67 | $139 | 0.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $52.30 | $193 | 1.1× |
| Oscillating Tracking Test (92545) | $104.88 | $387 | 0.5× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$41.46–$52.30 | $153–$193 | varies |
| Ot eval high complexity (97167) | $291.87 | $1,077 | 2.9× |
| Ot Eval Low Complex (97165) | $138.75 | $512 | 1.4× |
| Ot Eval Moderate Complexity (97166) | $209.75 | $774 | 2.1× |
| Ot manual therapy 15 min (97140) | $53.93 | $199 | 1.9× |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$52.30–$56.37 | $193–$208 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$46.34–$71.54 | $171–$264 | varies |
| Ot Re-Eval Est Plan Care (97168) | $52.30 | $193 | 0.8× |
| Ot rom hand (95852) | $336.58 | $1,242 | 15.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $153.93 | $568 | 1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $115.99 | $428 | 0.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $5,607.80 | $20,693 | 0.9× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$7.05–$115.99 | $26–$428 | varies |
| Physical Performance Test (97750) | $33.88 | $125 | 1.0× |
| Plethysmography (94726) | $204.33 | $754 | 0.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,177.49 | $8,035 | 2.4× |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,981.82 | $7,313 | 2.2× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $280.49 | $1,035 | 0.3× |
| Positional nystagmus test (92542) | $123.58 | $456 | 0.9× |
| Prq Card Angio/Athrect 1 Art (92924) unusually low: confirm this is the full procedure |
$5,981.78 | $22,073 | 0.5× |
| Psych diag eval w/med srvcs (90792) | $190.51 | $703 | 1.0× |
| Psychiatric diagnostic evaluation (90791) | $115.99 | $428 | 0.6× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $56.37 | $208 | 1.5× |
| Pt Eval High Complex (97163) | $291.87 | $1,077 | 3.0× |
| Pt eval low complex 20 min (97161) | $138.75 | $512 | 1.4× |
| Pt Eval Mod Complex (97162) | $209.75 | $774 | 2.1× |
| Pt gait training 15 min (97116) | $37.67 | $139 | 1.3× |
| Pt group caregiver training (97552) | $18.43 | $68 | 0.8× |
| Pt mechanical traction (97012) | $74.80 | $276 | 5.2× |
| Pt Re-Eval Est Plan Care (97164) | $52.30 | $193 | 0.8× |
| Pulm function test by gas (94727) | $157.18 | $580 | 0.7× |
| Pulmonary Stress Testing (94618) | $95.66 | $353 | 0.7× |
| Pure Tone Audiometry Air (92552) | $56.37 | $208 | 0.4× |
| R Hrt Art/Grft Angio (93457) | $6,729.47 | $24,832 | 2.0× |
| R hrt coronary artery angio (93456) | $5,981.78 | $22,073 | 1.7× |
| Refill/Maint Portable Pump (96521) | $176.15 | $650 | 0.8× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $38.75 | $143 | 1.0× |
| Remote 30 Day Ecg Rev/Report (93270) | $112.19 | $414 | 2.8× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $13.28 | $49 | 0.1× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $28.46 | $105 | 0.7× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $34.96 | $129 | 0.6× |
| Right Heart Cath (93451) | $1,907.03 | $7,037 | 0.6× |
| Right ventricular recording (93603) | $448.78 | $1,656 | 0.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$67.48–$101.35 | $249–$374 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $269.65 | $995 | 10.4× |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) | $27.10 | $100 | 0.7× |
| Rtm tx mgmt 1 r-t ia comunicaj cal mo 1st 10 min (98979) | $17.89 | $66 | 0.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $138.75 | $512 | 1.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $123.58 | $456 | 2.6× |
| Select picture audiometry (92583) | $52.30 | $193 | 0.8× |
| Self Care Mngment Training (97535) | $56.37 | $208 | 1.7× |
| Sensory Integration Ea 15 Min (97533) | $48.78 | $180 | 0.8× |
| Sleep study unattended (95806) | $224.66 | $829 | 1.0× |
| Slp caregiver training 1st 30 min (97550) | $43.09 | $159 | 0.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $261.79 | $966 | 1.1× |
| Speech Audiometry Complete (92556) | $56.37 | $208 | 0.9× |
| Speech sound lang comprehen (92523) | $193.77 | $715 | 0.9× |
| Spirometry (94010) | $101.90 | $376 | 0.4× |
| Spontaneous Nystagmus Test (92541) | $104.88 | $387 | 0.7× |
| Ssep lower limbs (95926) | $672.89 | $2,483 | 2.9× |
| Standardized Cognitive Performance Testing (96125) | $131.16 | $484 | 1.3× |
| Stenger Test Speech (92577) | $56.37 | $208 | 0.1× |
| Stenger Test, Pure Tone (92565) | $56.37 | $208 | 0.9× |
| Stress Tte Only (93350) | $859.88 | $3,173 | 1.5× |
| Synthetic Sentence Identification Test (92576) | $52.30 | $193 | 1.3× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$1,607.84–$1,682.64 | $5,933–$6,209 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $74.80 | $276 | 3.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $38.21 | $141 | 1.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $52.30 | $193 | 1.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $60.16 | $222 | 2.0× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $160.70 | $593 | 1.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$22.22–$48.78 | $82–$180 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $139.84 | $516 | 0.6× |
| Therapeutic Activities (97530) | $37.67 | $139 | 1.1× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $822.21 | $3,034 | 2.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $48.78 | $180 | 1.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $22.22 | $82 | 0.6× |
| Tte w/doppler, complete (93306) | $935.22 | $3,451 | 1.6× |
| Tte W/O Doppler Complete (93307) | $411.38 | $1,518 | 1.6× |
| Tx atrial fib pulm vein isol (93656) unusually low: confirm this is the full procedure |
$9,720.50 | $35,869 | 0.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $160.70 | $593 | 2.1× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $160.70 | $593 | 6.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $63.69 | $235 | 1.3× |
| Tympanometry (92567) | $63.96 | $236 | 1.6× |
| Tympanometry and reflex threshold measurements (92550) | $67.48 | $249 | 0.3× |
| Upr/L Xtremity Art 2 Levels (93922) | $325.74 | $1,202 | 2.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $598.10 | $2,207 | 2.6× |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$23.58–$79.95 | $87–$295 | varies |
| Veeg ea 12-26hr cont mntr (95716) | $1,757.16 | $6,484 | 1.9× |
| Vent Mgmt Inpat Init Day (94002) | $314.36 | $1,160 | 0.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $268.29 | $990 | 0.4× |
| Visual Evoked Potential Test (95930) | $120.32 | $444 | 0.5× |
| Visual reinforcement audiometry (vra) (92579) | $123.58 | $456 | 0.5× |
| Vital capacity, total (94150) | $45.53 | $168 | 0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $63.96 | $236 | 2.1× |
| Whirlpool Therapy (97022) | $52.30 | $193 | 3.3× |
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.