Visits & medical services prices at Franciscan Health Dyer
Dyer, IN · every code in this section with a posted price and a Medicare benchmark.
347 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) | $6,332.31 | $23,453 | 0.8× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $41.31 | $153 | 0.3× |
| Acoustic Reflex Testing (92568) | $29.97 | $111 | 0.8× |
| Actinotherapy Ultraviolet Light (96900) | $37.53 | $139 | 0.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$11.61–$35.64 | $43–$132 | varies |
| Advncd Care Plan 30 Min (99497) | $72.90 | $270 | 0.7× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $167.67 | $621 | 0.7× |
| Aep neurodiagnostic i&r (92653) | $595.89 | $2,207 | 2.6× |
| Aep threshold estimation mlt frequencies i&r (92652) | $595.89 | $2,207 | 2.6× |
| Airway Inhalation Treatment (94640) range across 10 matching MRF lines |
$46.17–$59.94 | $171–$222 | varies |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $85.59 | $317 | 0.6× |
| Analyze neurostim complex (95972) | $178.74 | $662 | 1.8× |
| Analyze neurostim no prog (95970) | $97.47 | $361 | 0.7× |
| Analyze Neurostim Simple (95971) | $183.06 | $678 | 1.8× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $21.87 | $81 | 0.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $52.11 | $193 | 3.6× |
| Application Modality 1/> Areas Infrared (97026) | $15.66 | $58 | 2.3× |
| Application on-body injector (96377) | $67.23 | $249 | 1.4× |
| Arrhythmia Induction (93618) | $3,017.52 | $11,176 | 2.3× |
| Assessment of aphasia per hr (96105) | $204.93 | $759 | 2.1× |
| Assessment of tinnitus (92625) | $115.56 | $428 | 0.8× |
| Assmt & care planning pt w/cognitive impairment (99483) | $28.08 | $104 | 0.3× |
| Audiometry Air & Bone (92553) | $71.28 | $264 | 0.5× |
| Auditory Function, 60 Min (92620) | $108.54 | $402 | 0.8× |
| Basic vestibular evaluation (92540) | $447.12 | $1,656 | 2.0× |
| Behavral qualit analys voice (92524) | $141.75 | $525 | 1.3× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $136.08 | $504 | 1.7× |
| Bfb training ea addl 15 min (90913) | $136.08 | $504 | 4.2× |
| Biofeedback training any modality (90901) | $45.36 | $168 | 1.1× |
| Bis Xtracell Fluid Analysis (93702) | $86.94 | $322 | 0.6× |
| Blink reflex test (95933) | $189.81 | $703 | 3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $287.28 | $1,064 | 0.7× |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$3,241.08 | $12,004 | 0.4× |
| C motor evoked uppr limbs (95928) | $745.20 | $2,760 | 0.8× |
| C motor evoked upr&lwr limbs (95939) | $745.20 | $2,760 | 0.8× |
| Caloric vestibular test w/rec bi monothermal (92538) | $257.31 | $953 | 1.1× |
| Caloric Vstblr Test W/Rec (92537) | $521.64 | $1,932 | 3.8× |
| Canalith repositioning proc (95992) | $82.62 | $306 | 2.0× |
| Car seat/bed test 60 min (94780) | $22.95 | $85 | 0.6× |
| Cardiac Stress Tst,Tracing Only (93017) | $521.64 | $1,932 | 2.3× |
| Cardiopulmonary resuscitation (92950) | $276.21 | $1,023 | 1.2× |
| Cardioversion (92960) | $931.77 | $3,451 | 1.3× |
| Cardioversion elective internal (92961) | $521.64 | $1,932 | 0.7× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $17.28 | $64 | 0.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $7,077.24 | $26,212 | 2.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $6,704.64 | $24,832 | 2.0× |
| Cbt 1st hour (94644) | $115.56 | $428 | 0.8× |
| Chemo Admin Peritoneal Cavity (96446) | $216 | $800 | 0.6× |
| Chemo Anti-Neopl Sq/Im (96401) | $145.53 | $539 | 1.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $97.47 | $361 | 1.3× |
| Chemo Ia Push (96420) | $238.68 | $884 | 0.7× |
| Chemo intralesional up to 7 (96405) | $100.98 | $374 | 1.3× |
| Chemo IV infusion addl hr (96415) | $204.66 | $758 | 2.7× |
| Chemo IV push addl drug (96411) | $194.13 | $719 | 2.5× |
| Chemother Prolong Infuse W/Pump (96416) | $447.12 | $1,656 | 1.3× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $297.81 | $1,103 | 0.9× |
| Chemotherapy Into Cns (96450) | $287.28 | $1,064 | 0.8× |
| Chemotherapy Intracavitary (96440) | $216 | $800 | 0.6× |
| Chemotherapy Unspecified (96549) | $41.31 | $153 | 0.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $160.38 | $594 | 2.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $294.84 | $1,092 | 0.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $160.38 | $594 | 0.5× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $108.54 | $402 | 0.3× |
| Chest Wall Manipulation (94668) | $18.90 | $70 | 0.1× |
| Color/duplex Doppler, complete (93975) | $595.89 | $2,207 | 2.4× |
| Color/duplex Doppler, limited (93976) | $484.38 | $1,794 | 4.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 4 matching MRF lines |
$48.60–$52.11 | $180–$193 | varies |
| Comprehensive Hearing Test (92557) | $189.81 | $703 | 1.4× |
| Computerized dynamic posturography (92548) | $167.67 | $621 | 1.2× |
| Conditioning Play Audiometry (92582) | $74.79 | $277 | 0.5× |
| Continuous Pulse Ox (94762) | $164.70 | $610 | 1.2× |
| Coronary Art/Grft Angio S&I (93455) | $5,587.11 | $20,693 | 1.6× |
| Coronary Artery Angio S&I (93454) | $4,841.91 | $17,933 | 1.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$227.61–$353.97 | $843–$1,311 | varies |
| Cpt initial (94667) | $48.60 | $180 | 0.3× |
| Critical care first hour (99291) | $1,490.40 | $5,520 | 1.7× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $745.20 | $2,760 | 1.9× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$111.78–$205.74 | $414–$762 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $85.59 | $317 | 0.6× |
| Dialysis One Evaluation (90945) | $447.12 | $1,656 | 1.0× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $115.56 | $428 | 0.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $372.33 | $1,379 | 1.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $287.28 | $1,064 | 2.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $745.20 | $2,760 | 3.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $447.12 | $1,656 | 4.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $670.41 | $2,483 | 2.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $447.12 | $1,656 | 4.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $197.64 | $732 | 0.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $79.38 | $294 | 0.7× |
| Duplex Scan Hemodialysis Access (93990) | $123.12 | $456 | 1.1× |
| Duplex up extrem art bilat (93930) | $745.20 | $2,760 | 3.0× |
| Duplex up extrem art unilat/ltd (93931) | $447.12 | $1,656 | 4.0× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $85.59 | $317 | 0.6× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $85.59 | $317 | 0.6× |
| Echo Congenital Complete (93303) | $558.90 | $2,070 | 1.0× |
| Echo Heart Xthoracic,Limited (93308) | $308.88 | $1,144 | 1.2× |
| Echo r-t 2d w/probe placement only (93313) | $365.04 | $1,352 | 0.6× |
| Echo transesophag montr cardiac pump functj (93318) | $1,005.48 | $3,724 | 1.7× |
| Echo transesophageal (93312) | $1,005.48 | $3,724 | 1.7× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,266.84 | $4,692 | 2.2× |
| Eeg 41-60 Minutes (95812) | $365.04 | $1,352 | 1.6× |
| EEG awake and asleep (95819) | $353.97 | $1,311 | 1.5× |
| EEG awake drowsy (95816) | $409.86 | $1,518 | 1.8× |
| EEG cerebral death evaluation (95824) | $558.90 | $2,070 | 1.4× |
| EEG cont rec w/video by tech min 8 channels (95700) | $180.36 | $668 | 0.8× |
| EEG extended monitoring 61-119 minutes (95813) | $447.12 | $1,656 | 2.0× |
| Eeg Sleep Only (95822) | $372.33 | $1,379 | 1.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $180.36 | $668 | 0.8× |
| EEG w/o vid 2-12hr cont mntr (95707) | $180.36 | $668 | 0.8× |
| EEG w/o vid ea 12-26hr intmt (95709) | $894.24 | $3,312 | 2.3× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $1,043.28 | $3,864 | 2.6× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $180.36 | $668 | 0.8× |
| EEG wo vid ea 12-26hr unmntr (95708) | $745.20 | $2,760 | 1.9× |
| EKG signal averaged (93278) | $231.39 | $857 | 3.7× |
| Electrical Stimulation Ea 15 Min (97032) | $52.11 | $193 | 3.5× |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$130.68–$138.24 | $484–$512 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) unusually low: confirm this is the full procedure |
$3,166.29 | $11,727 | 0.4× |
| Electrophysiology Evaluation (93642) | $856.71 | $3,173 | 0.7× |
| Emergency Dept Visit Level 2 (99282) | $223.83 | $829 | 1.4× |
| Emergency Dept Visit Level 3 (99283) | $521.64 | $1,932 | 1.8× |
| Emergency Dept Visit Level 4 (99284) | $745.20 | $2,760 | 1.7× |
| Emg 3 Extremities (95863) | $558.90 | $2,070 | 4.1× |
| Emg 4 Extremities (95864) | $745.20 | $2,760 | 5.5× |
| Endomyocardial Biopsy (93505) | $3,724.92 | $13,796 | 1.1× |
| Ep & ablate supravent arrhyt (93653) | $14,154.21 | $52,423 | 0.5× |
| Ep & ablate ventric tachy (93654) unusually low: confirm this is the full procedure |
$11,546.82 | $42,766 | 0.4× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) unusually low: confirm this is the full procedure |
$4,097.52 | $15,176 | 0.5× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) unusually low: confirm this is the full procedure |
$3,166.29 | $11,727 | 0.4× |
| Ep Esophageal Recording Atria+Pacing (93616) | $2,867.94 | $10,622 | 2.2× |
| Er level 1 (99281) | $111.78 | $414 | 1.3× |
| Er level v (99285) | $1,117.53 | $4,139 | 1.8× |
| Esoph Atrial Electrogram (93615) | $2,867.94 | $10,622 | 2.2× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $85.59 | $317 | 0.6× |
| Evaluate pt use of inhaler (94664) | $59.94 | $222 | 0.3× |
| Evaluate Speech Production (92522) | $152.55 | $565 | 1.4× |
| Evaluate Swallowing Function (92610) | $150.93 | $559 | 1.8× |
| Evaluation of speech fluency (92521) | $241.92 | $896 | 1.8× |
| Evoked Auditory Test,Limited (92587) | $189.81 | $703 | 0.8× |
| Exercise test for bronchospasm (94617) | $43.74 | $162 | 0.3× |
| Exhaled Air Analysis O2 (94680) | $111.78 | $414 | 0.8× |
| External ECG rec>48hr<7d recording (93242) | $71.28 | $264 | 1.8× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $107.19 | $397 | 0.8× |
| External ECG rec>7d<15d recording (93246) | $142.29 | $527 | 3.6× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $214.11 | $793 | 1.5× |
| External Ecg Scanning Analysis Report (93226) | $290.79 | $1,077 | 4.7× |
| Extracranial Bilat Study (93880) | $595.89 | $2,207 | 2.4× |
| Extracranial Uni/Ltd Study (93882) | $186.57 | $691 | 1.7× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $409.86 | $1,518 | 0.7× |
| Facial nerve function studies (92516) | $189.81 | $703 | 0.8× |
| Flexible endoscopic eval swallow c/v rec (92612) | $271.08 | $1,004 | 1.4× |
| Gi tract capsule endoscopy (91110) | $1,043.28 | $3,864 | 1.1× |
| Group Therapeutic Procedures (97150) | $73.44 | $272 | 4.1× |
| Health Behavior Assessment/Re-Assessment (96156) | $98.55 | $365 | 0.9× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $28.08 | $104 | 0.7× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $78.57 | $291 | 0.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $7,077.24 | $26,212 | 2.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $447.12 | $1,656 | 0.6× |
| Holter monitor recording (93225) | $332.10 | $1,230 | 2.4× |
| Hubbard tank 15 min (97036) | $86.13 | $319 | 2.5× |
| Icd Device Interrogate (93289) | $52.11 | $193 | 1.3× |
| Icd device progr eval dual (93283) | $48.60 | $180 | 1.2× |
| Icd Device Progr Eval Mult (93284) | $48.60 | $180 | 1.2× |
| Icm Device Eval (93290) | $29.97 | $111 | 0.8× |
| Immunization administration (90471) | $11.61 | $43 | 0.2× |
| Insert/Place Heart Catheter (93503) | $1,862.19 | $6,897 | 1.1× |
| Interrogate Subq Defib (93261) | $37.53 | $139 | 1.0× |
| Intra-atrial pacing (93610) unusually low: confirm this is the full procedure |
$4,097.52 | $15,176 | 0.5× |
| Intra-atrial recording (93602) unusually low: confirm this is the full procedure |
$4,097.52 | $15,176 | 0.5× |
| Intracranial Complete Study (93886) | $305.91 | $1,133 | 1.2× |
| Intraventricular pacing (93612) unusually low: confirm this is the full procedure |
$3,017.52 | $11,176 | 0.4× |
| Iontophoresis 15 min (97033) | $52.11 | $193 | 2.7× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$48.60–$74.79 | $180–$277 | varies |
| IV infusion hydration each additional hour (96361) | $93.15 | $345 | 1.9× |
| IV infusion hydration initial 31 min-1 hour (96360) | $260.82 | $966 | 1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $93.15 | $345 | 1.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $93.15 | $345 | 1.9× |
| IV push initial (96374) | $56.16 | $208 | 0.2× |
| L Hrt Art/Grft Angio (93459) | $7,077.24 | $26,212 | 2.1× |
| Liver Elastography W/O Imag W/I&R (91200) | $98.55 | $365 | 0.7× |
| Low frequency non-thermal us (97610) range across 3 matching MRF lines |
$114.48–$149.31 | $424–$553 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $335.34 | $1,242 | 1.5× |
| Mechanical chest wall oscillation per session (94669) | $120.42 | $446 | 0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 3 matching MRF lines |
$17.28–$31.59 | $64–$117 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$17.28–$35.91 | $64–$133 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $9.45 | $35 | 0.6× |
| Methacholine challenge (94070) | $149.31 | $553 | 0.4× |
| Motion Fluoroscopy/Swallow (92611) | $223.56 | $828 | 2.4× |
| Multiple Family Group Psychotherapy (90849) | $86.13 | $319 | 0.5× |
| Multiple Sleep Latency Test (95805) | $931.77 | $3,451 | 1.0× |
| Muscle Test 2 Limbs (95861) | $372.33 | $1,379 | 2.6× |
| Muscle Test Nonparaspinal (95870) | $48.60 | $180 | 0.3× |
| Muscle Test One Limb (95860) | $287.28 | $1,064 | 2.0× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $153.36 | $568 | 0.7× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $97.47 | $361 | 0.4× |
| Needle electromyography larynx (95865) | $86.13 | $319 | 0.6× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $86.13 | $319 | 0.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $232.74 | $862 | 0.5× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $149.31 | $553 | 0.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$149.31–$204.66 | $553–$758 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$186.57–$275.94 | $691–$1,022 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $372.33 | $1,379 | 1.6× |
| Nerve Conduction Studies 11-12 Studies (95912) | $2,235.06 | $8,278 | 5.7× |
| Nerve conduction studies 13 or more studies (95913) | $2,607.39 | $9,657 | 6.6× |
| Nerve Conduction Studies 3-4 Studies (95908) | $745.20 | $2,760 | 3.3× |
| Nerve conduction studies 5-6 studies (95909) | $1,117.53 | $4,139 | 4.9× |
| Nerve conduction studies 7-8 studies (95910) | $1,490.40 | $5,520 | 3.8× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,862.19 | $6,897 | 4.7× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $134.19 | $497 | 1.0× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$52.38–$67.23 | $194–$249 | varies |
| Newborn resuscitation (99465) | $356.40 | $1,320 | 0.5× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $14.58 | $54 | 1.1× |
| Optokinetic Nystagmus Test (92544) | $74.79 | $277 | 0.5× |
| Oral Function Therapy (92526) | $140.40 | $520 | 1.7× |
| Oral Speech Device Eval (92597) | $160.11 | $593 | 2.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 3 matching MRF lines |
$52.11–$78.30 | $193–$290 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$59.94–$74.79 | $222–$277 | varies |
| Oscillating Tracking Test (92545) | $74.79 | $277 | 0.3× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$41.31–$52.11 | $153–$193 | varies |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$156.60–$257.04 | $580–$952 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$97.47–$111.78 | $361–$414 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$126.90–$197.37 | $470–$731 | varies |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$43.74–$59.94 | $162–$222 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$45.36–$56.16 | $168–$208 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$46.17–$71.28 | $171–$264 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$108.54–$120.15 | $402–$445 | varies |
| Ot rom hand (95852) | $335.34 | $1,242 | 15.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$119.88–$153.36 | $444–$568 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 3 matching MRF lines |
$78.30–$115.56 | $290–$428 | varies |
| Oxygen Uptake Rest Indirect (94690) | $56.16 | $208 | 0.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $111.78 | $414 | 0.5× |
| Peripheral arterial disease rehab per session (93668) | $56.16 | $208 | 0.9× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $20,113.65 | $74,495 | 1.0× |
| Perq transcath closure pda (93582) unusually low: confirm this is the full procedure |
$8,194.50 | $30,350 | 0.4× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $7,822.17 | $28,971 | 1.3× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $7,077.24 | $26,212 | 0.6× |
| Phlebotomy therapeutic (99195) | $111.78 | $414 | 0.8× |
| Physical Performance Test (97750) | $52.11 | $193 | 1.5× |
| Plethysmography (94726) | $203.58 | $754 | 0.5× |
| Pm device eval in person (93288) | $37.53 | $139 | 1.0× |
| Pm device progr eval dual (93280) | $29.97 | $111 | 0.8× |
| Pm device progr eval multi (93281) | $29.97 | $111 | 0.8× |
| Pm Device Progr Eval Sngl (93279) | $29.97 | $111 | 0.8× |
| Pm/Icd Remote Tech Serv (93296) | $48.60 | $180 | 1.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,169.45 | $8,035 | 2.4× |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,974.51 | $7,313 | 2.2× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $279.45 | $1,035 | 0.3× |
| Positional nystagmus test (92542) | $93.15 | $345 | 0.7× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $37.53 | $139 | 1.0× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $48.60 | $180 | 1.2× |
| Prq Card Angio/Athrect 1 Art (92924) | $7,449.30 | $27,590 | 0.6× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $7,077.24 | $26,212 | 0.6× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $19,527.75 | $72,325 | 1.6× |
| Psych diag eval w/med srvcs (90792) | $111.78 | $414 | 0.6× |
| Psychiatric diagnostic evaluation (90791) | $115.56 | $428 | 0.6× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) range across 2 matching MRF lines |
$37.53–$41.31 | $139–$153 | varies |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$145.53–$227.61 | $539–$843 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$89.64–$97.47 | $332–$361 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$133.92–$138.24 | $496–$512 | varies |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$49.14–$67.23 | $182–$249 | varies |
| Pt group caregiver training (97552) | $14.58 | $54 | 0.7× |
| Pt mechanical traction (97012) | $67.23 | $249 | 4.7× |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$75.06–$104.49 | $278–$387 | varies |
| Pulm function test by gas (94727) | $78.30 | $290 | 0.3× |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$43.74–$108.54 | $162–$402 | varies |
| Pure Tone Audiometry Air (92552) | $63.72 | $236 | 0.5× |
| R Hrt Art/Grft Angio (93457) | $5,959.71 | $22,073 | 1.7× |
| R hrt coronary artery angio (93456) | $5,587.11 | $20,693 | 1.6× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $5,959.71 | $22,073 | 1.7× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $231.39 | $857 | 0.7× |
| Refill/Maint Portable Pump (96521) | $167.67 | $621 | 0.7× |
| Rem interrog icpms <30 d phys/qhp (93297) | $29.97 | $111 | 0.8× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $38.61 | $143 | 1.0× |
| Remote 30 Day Ecg Rev/Report (93270) | $138.24 | $512 | 3.5× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $13.23 | $49 | 0.1× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $28.35 | $105 | 0.7× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $34.83 | $129 | 0.6× |
| Right Heart Cath (93451) | $4,841.91 | $17,933 | 1.4× |
| Right ventricular recording (93603) | $3,017.52 | $11,176 | 2.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$82.62–$100.98 | $306–$374 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $268.65 | $995 | 10.3× |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) | $27 | $100 | 0.7× |
| Rtm tx mgmt 1 r-t ia comunicaj cal mo 1st 10 min (98979) | $17.82 | $66 | 0.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $138.24 | $512 | 1.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $123.12 | $456 | 2.6× |
| Select picture audiometry (92583) | $52.11 | $193 | 0.8× |
| Self Care Mngment Training (97535) range across 5 matching MRF lines |
$48.60–$56.16 | $180–$208 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$48.60–$52.11 | $180–$193 | varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $104.49 | $387 | 0.5× |
| Short-latency somatosens ep std upr limbs (95925) | $253.80 | $940 | 1.1× |
| Sleep study unattended (95806) | $223.83 | $829 | 1.0× |
| Slp caregiver training 1st 30 min (97550) | $34.56 | $128 | 0.7× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $260.82 | $966 | 1.1× |
| Somatosensory Testing (95938) | $931.77 | $3,451 | 1.0× |
| Speech Audiometry Complete (92556) | $67.23 | $249 | 1.1× |
| Speech audiometry threshold (92555) | $41.31 | $153 | 0.7× |
| Speech sound lang comprehen (92523) | $210.06 | $778 | 0.9× |
| Spirometry (94010) | $145.53 | $539 | 0.6× |
| Spontaneous Nystagmus Test (92541) | $74.79 | $277 | 0.5× |
| Ssep lower limbs (95926) | $253.80 | $940 | 1.1× |
| Standardized Cognitive Performance Testing (96125) | $55.35 | $205 | 0.5× |
| Stenger Test Speech (92577) | $56.16 | $208 | 0.1× |
| Stenger Test, Pure Tone (92565) | $56.16 | $208 | 0.9× |
| Stress Tte Only (93350) | $745.20 | $2,760 | 1.3× |
| Subcutaneous Infusion Each Additional Hour (96370) | $41.31 | $153 | 0.8× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $167.67 | $621 | 0.7× |
| Surfactant Admin Thru Tube (94610) | $116.64 | $432 | 0.5× |
| Synthetic Sentence Identification Test (92576) | $52.11 | $193 | 1.3× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$343.17–$409.86 | $1,271–$1,518 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$49.14–$63.72 | $182–$236 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$49.14–$63.72 | $182–$236 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$48.60–$52.11 | $180–$193 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $48.60 | $180 | 1.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $160.11 | $593 | 1.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$22.14–$74.79 | $82–$277 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $279.45 | $1,035 | 1.2× |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$48.87–$67.23 | $181–$249 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $745.20 | $2,760 | 1.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $37.53 | $139 | 0.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $28.35 | $105 | 0.7× |
| Transcath Closure of Asd (93580) | $12,291.75 | $45,525 | 0.6× |
| Tte w/doppler, complete (93306) | $894.24 | $3,312 | 1.5× |
| Tte W/O Doppler Complete (93307) | $409.86 | $1,518 | 1.6× |
| Tx atrial fib pulm vein isol (93656) | $16,761.33 | $62,079 | 0.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$100.98–$168.48 | $374–$624 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $67.23 | $249 | 2.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $111.78 | $414 | 2.3× |
| Tympanometry (92567) | $100.98 | $374 | 2.6× |
| Tympanometry and reflex threshold measurements (92550) | $71.28 | $264 | 0.3× |
| Unlisted cardiovascular service/procedure (93799) | $409.86 | $1,518 | 3.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $409.86 | $1,518 | 2.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $595.89 | $2,207 | 2.6× |
| Valvuloplasty aortic valve (92986) | $5,215.05 | $19,315 | 0.9× |
| Vasopneumatic device (97016) | $79.65 | $295 | 6.6× |
| Veeg 2-12 Hr Cont Mntr (95713) | $345.33 | $1,279 | 0.9× |
| Veeg 2-12 hr intmt mntr (95712) | $180.36 | $668 | 0.5× |
| Veeg 2-12 hr unmonitored (95711) | $180.36 | $668 | 0.8× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $819.18 | $3,034 | 2.1× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $345.33 | $1,279 | 0.9× |
| Veeg ea 12-26hr cont mntr (95716) | $819.18 | $3,034 | 0.9× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$313.20–$409.86 | $1,160–$1,518 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $302.40 | $1,120 | 0.5× |
| Visual Evoked Potential Test (95930) | $350.46 | $1,298 | 1.5× |
| Visual reinforcement audiometry (vra) (92579) | $63.72 | $236 | 0.3× |
| Vital capacity, total (94150) | $63.72 | $236 | 0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $52.11 | $193 | 1.7× |
| Whirlpool Therapy (97022) | $67.23 | $249 | 4.3× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $37.53 | $139 | 0.6× |
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.