Visits & medical services prices at Franciscan Health Michigan City
Michigan City, IN · every code in this section with a posted price and a Medicare benchmark.
339 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) | $5,165.06 | $24,832 | 0.6× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $37.44 | $180 | 0.3× |
| Acoustic Reflex Testing (92568) | $23.09 | $111 | 0.6× |
| Actinotherapy Ultraviolet Light (96900) | $37.44 | $180 | 0.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$8.94–$27.46 | $43–$132 | varies |
| Advncd Care Plan 30 Min (99497) | $56.16 | $270 | 0.5× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $129.17 | $621 | 0.6× |
| Aep neurodiagnostic i&r (92653) | $286.83 | $1,379 | 1.3× |
| Aep threshold estimation mlt frequencies i&r (92652) | $286.83 | $1,379 | 1.3× |
| Airway Inhalation Treatment (94640) range across 11 matching MRF lines |
$35.57–$71.76 | $171–$345 | varies |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $344.45 | $1,656 | 2.4× |
| Analyze neurostim complex (95972) | $126.88 | $610 | 1.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $28.91 | $139 | 2.0× |
| Application Modality 1/> Areas Infrared (97026) | $12.06 | $58 | 1.8× |
| Application on-body injector (96377) | $37.44 | $180 | 0.8× |
| Assessment of aphasia per hr (96105) | $157.87 | $759 | 1.6× |
| Assessment of tinnitus (92625) | $83.62 | $402 | 0.6× |
| Assmt & care planning pt w/cognitive impairment (99483) | $21.63 | $104 | 0.2× |
| Audiometry Air & Bone (92553) | $40.14 | $193 | 0.3× |
| Auditory Function, 60 Min (92620) | $83.62 | $402 | 0.6× |
| Basic vestibular evaluation (92540) | $227.14 | $1,092 | 1.0× |
| Behavral qualit analys voice (92524) | $235.87 | $1,134 | 2.2× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $104.83 | $504 | 1.3× |
| Biofeedback training any modality (90901) | $34.94 | $168 | 0.9× |
| Blink reflex test (95933) | $66.35 | $319 | 1.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $212.78 | $1,023 | 0.5× |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$1,836.64 | $8,830 | 0.2× |
| C motor evoked uppr limbs (95928) | $574.08 | $2,760 | 0.6× |
| C motor evoked upr&lwr limbs (95939) | $631.07 | $3,034 | 0.7× |
| Canalith repositioning proc (95992) | $40.14 | $193 | 1.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $401.86 | $1,932 | 1.8× |
| Cardiopulmonary resuscitation (92950) | $315.74 | $1,518 | 1.4× |
| Cardioversion (92960) | $574.08 | $2,760 | 0.8× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $10.40 | $50 | 0.4× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $6,025.97 | $28,971 | 1.8× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $5,738.72 | $27,590 | 1.7× |
| Cbt 1st hour (94644) | $123.55 | $594 | 0.9× |
| Chemo Admin Peritoneal Cavity (96446) | $100.67 | $484 | 0.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $100.67 | $484 | 1.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $71.76 | $345 | 0.9× |
| Chemo Ia Push (96420) | $183.87 | $884 | 0.5× |
| Chemo Intralesional Over 7 (96406) | $100.67 | $484 | 0.4× |
| Chemo intralesional up to 7 (96405) | $51.79 | $249 | 0.7× |
| Chemo IV infusion addl hr (96415) | $100.67 | $484 | 1.3× |
| Chemo IV push addl drug (96411) | $143.73 | $691 | 1.9× |
| Chemother Prolong Infuse W/Pump (96416) | $172.43 | $829 | 0.5× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $206.96 | $995 | 0.6× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $57.62 | $277 | 1.2× |
| Chemotherapy Into Cns (96450) | $229.42 | $1,103 | 0.7× |
| Chemotherapy Intracavitary (96440) | $100.67 | $484 | 0.3× |
| Chemotherapy Unspecified (96549) | $34.94 | $168 | 0.7× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $164.11 | $789 | 0.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $115.02 | $553 | 1.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$243.98–$487.97 | $1,173–$2,346 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $100.67 | $484 | 0.3× |
| Chest Wall Manipulation (94668) | $43.26 | $208 | 0.3× |
| Color/duplex Doppler, complete (93975) | $281.22 | $1,352 | 1.1× |
| Color/duplex Doppler, limited (93976) | $118.14 | $568 | 1.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 4 matching MRF lines |
$40.14–$43.26 | $193–$208 | varies |
| Comprehensive Hearing Test (92557) | $86.11 | $414 | 0.6× |
| Computerized dynamic posturography (92548) | $129.17 | $621 | 0.9× |
| Conditioning Play Audiometry (92582) | $57.62 | $277 | 0.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $126.88 | $610 | 0.9× |
| Continuous Pulse Ox (94762) | $155.17 | $746 | 1.1× |
| Coronary Art/Grft Angio S&I (93455) | $2,525.12 | $12,140 | 0.7× |
| Coronary Artery Angio S&I (93454) | $3,156.61 | $15,176 | 0.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $272.69 | $1,311 | 1.2× |
| Cpt initial (94667) | $57.62 | $277 | 0.4× |
| Critical care first hour (99291) | $1,148.16 | $5,520 | 1.3× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $631.07 | $3,034 | 1.6× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$86.11–$92.35 | $414–$444 | varies |
| Dialysis One Evaluation (90945) | $344.45 | $1,656 | 0.8× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $80.50 | $387 | 0.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $224.02 | $1,077 | 0.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $212.78 | $1,023 | 1.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $516.46 | $2,483 | 2.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $315.74 | $1,518 | 2.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $516.46 | $2,483 | 2.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $344.45 | $1,656 | 3.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $437.22 | $2,102 | 1.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $157.66 | $758 | 1.4× |
| Duplex Scan Hemodialysis Access (93990) | $97.76 | $470 | 0.9× |
| Duplex up extrem art bilat (93930) | $487.97 | $2,346 | 1.9× |
| Duplex up extrem art unilat/ltd (93931) | $237.95 | $1,144 | 2.2× |
| Echo Congenital Complete (93303) | $487.97 | $2,346 | 0.8× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$198.22–$264.37 | $15.80–$1,271 | varies |
| Echo r-t 2d w/probe placement only (93313) | $281.22 | $1,352 | 0.5× |
| Echo transesophag congen probe plcmt only (93316) | $401.86 | $1,932 | 0.7× |
| Echo transesophag montr cardiac pump functj (93318) | $659.98 | $3,173 | 1.1× |
| Echo transesophageal (93312) | $803.71 | $3,864 | 1.4× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $286.83 | $1,379 | 0.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $725.50 | $3,488 | 1.3× |
| Eeg 41-60 Minutes (95812) | $160.99 | $774 | 0.7× |
| EEG awake and asleep (95819) | $344.45 | $1,656 | 1.5× |
| EEG awake drowsy (95816) | $401.86 | $1,932 | 1.8× |
| EEG cerebral death evaluation (95824) | $212.78 | $1,023 | 0.5× |
| EEG cont rec w/video by tech min 8 channels (95700) | $286.83 | $1,379 | 1.3× |
| EEG extended monitoring 61-119 minutes (95813) | $344.45 | $1,656 | 1.5× |
| Eeg Sleep Only (95822) | $183.87 | $884 | 0.8× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $138.94 | $668 | 0.6× |
| EEG w/o vid 2-12hr cont mntr (95707) | $138.94 | $668 | 0.6× |
| EEG w/o vid ea 12-26hr intmt (95709) | $717.81 | $3,451 | 1.8× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $1,578.30 | $7,588 | 4.0× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $138.94 | $668 | 0.6× |
| EEG wo vid ea 12-26hr unmntr (95708) | $574.08 | $2,760 | 1.5× |
| EKG signal averaged (93278) | $118.14 | $568 | 1.9× |
| Electrical Stimulation Ea 15 Min (97032) | $40.14 | $193 | 2.7× |
| Electrocardiogram Tracing (93005) range across 6 matching MRF lines |
$3.29–$103.38 | $15.80–$497 | varies |
| Electroconvulsive Therapy (90870) | $430.56 | $2,070 | 0.5× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) likely a partial charge, not the full procedure |
$2,037.36 | $9,795 | 0.2× |
| Electrophysiology Evaluation (93642) | $631.07 | $3,034 | 0.5× |
| Emergency Dept Visit Level 2 (99282) | $172.43 | $829 | 1.1× |
| Emergency Dept Visit Level 3 (99283) | $401.86 | $1,932 | 1.4× |
| Emergency Dept Visit Level 4 (99284) | $574.08 | $2,760 | 1.3× |
| Emg 3 Extremities (95863) | $430.56 | $2,070 | 3.2× |
| Emg 4 Extremities (95864) | $574.08 | $2,760 | 4.2× |
| Endomyocardial Biopsy (93505) | $1,090.54 | $5,243 | 0.3× |
| Ep & ablate supravent arrhyt (93653) unusually low: confirm this is the full procedure |
$10,330.32 | $49,665 | 0.4× |
| Ep & ablate ventric tachy (93654) unusually low: confirm this is the full procedure |
$8,895.33 | $42,766 | 0.3× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) unusually low: confirm this is the full procedure |
$2,554.03 | $12,279 | 0.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) likely a partial charge, not the full procedure |
$1,521.10 | $7,313 | 0.2× |
| Er level 1 (99281) | $86.11 | $414 | 1.0× |
| Er level v (99285) | $860.91 | $4,139 | 1.4× |
| Ergonovine provocation test (93024) | $545.17 | $2,621 | 1.2× |
| Evaluate pt use of inhaler (94664) | $57.62 | $277 | 0.2× |
| Evaluate Speech Production (92522) | $117.52 | $565 | 1.1× |
| Evaluate Swallowing Function (92610) | $159.12 | $765 | 1.9× |
| Evaluation of speech fluency (92521) | $186.99 | $899 | 1.4× |
| Evoked Auditory Test,Limited (92587) | $146.22 | $703 | 0.6× |
| Exercise test for bronchospasm (94617) | $33.70 | $162 | 0.2× |
| External ECG rec>48hr<7d recording (93242) | $54.91 | $264 | 1.4× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $82.58 | $397 | 0.6× |
| External ECG rec>7d<15d recording (93246) | $109.62 | $527 | 2.8× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $164.94 | $793 | 1.2× |
| External Ecg Scanning Analysis Report (93226) | $281.22 | $1,352 | 4.5× |
| Extracranial Bilat Study (93880) | $401.86 | $1,932 | 1.6× |
| Extracranial Uni/Ltd Study (93882) | $141.02 | $678 | 1.3× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $315.74 | $1,518 | 0.5× |
| Flexible endoscopic eval swallow c/v rec (92612) | $208.83 | $1,004 | 1.0× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $430.56 | $2,070 | 1.1× |
| Group Therapeutic Procedures (97150) | $14.56 | $70 | 0.8× |
| Health Behavior Assessment/Re-Assessment (96156) | $75.92 | $365 | 0.7× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $21.63 | $104 | 0.5× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $60.53 | $291 | 0.3× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $3,156.61 | $15,176 | 0.9× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $574.08 | $2,760 | 0.8× |
| Holter monitor recording (93225) | $164.11 | $789 | 1.2× |
| Hubbard tank 15 min (97036) | $66.35 | $319 | 1.9× |
| Icd Device Interrogate (93289) | $97.76 | $470 | 2.5× |
| Icd device progr eval dual (93283) | $221.31 | $1,064 | 5.6× |
| Immunization administration (90471) | $8.94 | $43 | 0.1× |
| Insert/Place Heart Catheter (93503) | $1,004.64 | $4,830 | 0.6× |
| Interrogate Subq Defib (93261) | $28.91 | $139 | 0.7× |
| Intra-atrial pacing (93610) unusually low: confirm this is the full procedure |
$3,156.61 | $15,176 | 0.4× |
| Intra-atrial recording (93602) unusually low: confirm this is the full procedure |
$3,156.61 | $15,176 | 0.4× |
| Intracranial Complete Study (93886) | $315.74 | $1,518 | 1.3× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$1,377.58 | $6,623 | 0.2× |
| Iontophoresis 15 min (97033) | $31.82 | $153 | 1.7× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$39.52–$71.76 | $190–$345 | varies |
| IV infusion hydration each additional hour (96361) | $71.76 | $345 | 1.4× |
| IV infusion hydration initial 31 min-1 hour (96360) | $189.70 | $912 | 0.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $75.09 | $361 | 1.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $69.06 | $332 | 1.4× |
| IV push initial (96374) | $80.50 | $387 | 0.4× |
| L Hrt Art/Grft Angio (93459) | $6,312.80 | $30,350 | 1.8× |
| Low frequency non-thermal us (97610) range across 3 matching MRF lines |
$88.19–$115.02 | $424–$553 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $51.79 | $249 | 0.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $315.74 | $1,518 | 1.4× |
| Mechanical chest wall oscillation per session (94669) | $90.06 | $433 | 0.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 3 matching MRF lines |
$13.31–$26 | $64–$125 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$13.31–$27.66 | $64–$133 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $14.56 | $70 | 0.9× |
| Methacholine challenge (94070) | $315.74 | $1,518 | 0.8× |
| Microvolt T-Wave Assess (93025) | $166.40 | $800 | 1.2× |
| Motility study esophagus (91010) range across 4 matching MRF lines |
$860.91–$1,246.22 | $4,139–$5,991.45 | varies |
| Motion Fluoroscopy/Swallow (92611) | $186.99 | $899 | 2.0× |
| Multiple Family Group Psychotherapy (90849) | $66.35 | $319 | 0.4× |
| Multiple Sleep Latency Test (95805) | $717.81 | $3,451 | 0.8× |
| Muscle Test 2 Limbs (95861) | $286.83 | $1,379 | 2.0× |
| Muscle Test Nonparaspinal (95870) | $37.44 | $180 | 0.3× |
| Muscle Test One Limb (95860) | $221.31 | $1,064 | 1.6× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $344.45 | $1,656 | 1.5× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $137.70 | $662 | 0.6× |
| Needle electromyography larynx (95865) | $66.35 | $319 | 0.5× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $66.35 | $319 | 0.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $109.20 | $525 | 0.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $146.22 | $703 | 0.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$109.20–$157.66 | $525–$758 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$146.22–$212.58 | $703–$1,022 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $286.83 | $1,379 | 1.3× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,721.82 | $8,278 | 4.4× |
| Nerve conduction studies 13 or more studies (95913) | $2,008.66 | $9,657 | 5.1× |
| Nerve Conduction Studies 3-4 Studies (95908) | $430.56 | $2,070 | 1.9× |
| Nerve conduction studies 5-6 studies (95909) | $574.08 | $2,760 | 2.5× |
| Nerve conduction studies 7-8 studies (95910) | $860.91 | $4,139 | 2.2× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,434.58 | $6,897 | 3.6× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $112.11 | $539 | 0.8× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$31.82–$51.79 | $153–$249 | varies |
| Newborn resuscitation (99465) | $274.56 | $1,320 | 0.4× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $11.23 | $54 | 0.8× |
| Optokinetic Nystagmus Test (92544) | $57.62 | $277 | 0.4× |
| Oral Function Therapy (92526) | $120.02 | $577 | 1.4× |
| Oral Speech Device Eval (92597) | $123.34 | $593 | 1.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 3 matching MRF lines |
$40.14–$60.32 | $193–$290 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$34.94–$57.62 | $168–$277 | varies |
| Oscillating Tracking Test (92545) | $57.62 | $277 | 0.3× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$37.44–$40.14 | $180–$193 | varies |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$115.02–$120.64 | $553–$580 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$75.09–$86.53 | $361–$416 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$97.76–$100.67 | $470–$484 | varies |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$26–$33.70 | $125–$162 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$40.14–$51.79 | $193–$249 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$35.57–$54.91 | $171–$264 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$43.26–$83.62 | $208–$402 | varies |
| Ot rom hand (95852) | $258.34 | $1,242 | 12.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$106.50–$118.14 | $512–$568 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$69.26–$89.02 | $333–$428 | varies |
| Oxygen Uptake Rest Indirect (94690) | $51.79 | $249 | 0.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $89.86 | $432 | 0.4× |
| Peripheral arterial disease rehab per session (93668) | $46.18 | $222 | 0.7× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $17,790.66 | $85,532 | 0.9× |
| Perq transcath closure pda (93582) unusually low: confirm this is the full procedure |
$6,599.84 | $31,730 | 0.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $6,312.80 | $30,350 | 1.0× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) unusually low: confirm this is the full procedure |
$5,452.10 | $26,212 | 0.4× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$75.09–$77.79 | $361–$374 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $106.91 | $514 | 1.7× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $101.30 | $487 | 1.6× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$10.19–$37.86 | $49–$182 | varies |
| Plethysmography (94726) | $172.43 | $829 | 0.4× |
| Pm device eval in person (93288) | $43.26 | $208 | 1.1× |
| Pm device progr eval dual (93280) | $69.06 | $332 | 1.7× |
| Pm Device Progr Eval Sngl (93279) | $60.32 | $290 | 1.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $1,671.28 | $8,035 | 1.8× |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,521.10 | $7,313 | 1.7× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $215.28 | $1,035 | 0.2× |
| Positional nystagmus test (92542) | $57.62 | $277 | 0.4× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $28.91 | $139 | 0.7× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $164.11 | $789 | 4.2× |
| Prq Card Angio/Athrect 1 Art (92924) unusually low: confirm this is the full procedure |
$4,878.22 | $23,453 | 0.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) unusually low: confirm this is the full procedure |
$5,452.10 | $26,212 | 0.4× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $17,272.32 | $83,040 | 1.4× |
| Psych diag eval w/med srvcs (90792) | $146.22 | $703 | 0.8× |
| Psychiatric diagnostic evaluation (90791) | $89.02 | $428 | 0.5× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $43.26 | $208 | 1.1× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$100.67–$112.11 | $484–$539 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$71.76–$75.09 | $345–$361 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$86.53–$106.50 | $416–$512 | varies |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$26–$51.79 | $125–$249 | varies |
| Pt group caregiver training (97552) | $4.78 | $23 | 0.2× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$28.91–$43.26 | $139–$208 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$43.26–$80.50 | $208–$387 | varies |
| Pulm function test by gas (94727) | $109.20 | $525 | 0.5× |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$33.70–$315.74 | $162–$1,518 | varies |
| Pure Tone Audiometry Air (92552) | $31.82 | $153 | 0.2× |
| R Hrt Art/Grft Angio (93457) | $2,496.83 | $12,004 | 0.7× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $2,116.40 | $10,175 | 0.6× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $1,693.33 | $8,141 | 0.5× |
| R hrt coronary artery angio (93456) | $2,525.12 | $12,140 | 0.7× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $2,726.46 | $13,108 | 0.8× |
| Refill/Maint Portable Pump (96521) | $112.11 | $539 | 0.5× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $29.74 | $143 | 0.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $143.73 | $691 | 3.6× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $10.19 | $49 | 0.1× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $21.84 | $105 | 0.5× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $26.83 | $129 | 0.5× |
| Respiratory flow volume loop (94375) | $63.65 | $306 | 0.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $46.18 | $222 | 0.7× |
| Right Heart Cath (93451) | $2,582.74 | $12,417 | 0.8× |
| Right ventricular recording (93603) | $1,836.64 | $8,830 | 1.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$63.65–$77.79 | $306–$374 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $206.96 | $995 | 7.9× |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) | $20.80 | $100 | 0.5× |
| Rtm tx mgmt 1 r-t ia comunicaj cal mo 1st 10 min (98979) | $13.73 | $66 | 0.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $106.50 | $512 | 0.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $48.67 | $234 | 1.0× |
| Select picture audiometry (92583) | $40.14 | $193 | 0.6× |
| Self Care Mngment Training (97535) range across 5 matching MRF lines |
$31.82–$43.26 | $153–$208 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$37.44–$40.14 | $180–$193 | varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $186.78 | $898 | 0.8× |
| Short-latency somatosens ep std upr limbs (95925) | $373.15 | $1,794 | 1.6× |
| Sleep study unattended (95806) | $172.43 | $829 | 0.8× |
| Slp caregiver training 1st 30 min (97550) | $19.55 | $94 | 0.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $200.93 | $966 | 0.9× |
| Somatosensory Testing (95938) | $860.91 | $4,139 | 0.9× |
| Speech Audiometry Complete (92556) | $31.82 | $153 | 0.5× |
| Speech audiometry threshold (92555) | $31.82 | $153 | 0.5× |
| Speech sound lang comprehen (92523) | $178.26 | $857 | 0.8× |
| Spirometry (94010) | $109.20 | $525 | 0.5× |
| Spontaneous Nystagmus Test (92541) | $57.62 | $277 | 0.4× |
| Ssep lower limbs (95926) | $344.45 | $1,656 | 1.5× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$97.76–$157.87 | $470–$759 | varies |
| Stenger Test Speech (92577) | $43.26 | $208 | 0.1× |
| Stenger Test, Pure Tone (92565) | $43.26 | $208 | 0.7× |
| Stress Tte Only (93350) | $545.17 | $2,621 | 0.9× |
| Subcutaneous Infusion Each Additional Hour (96370) | $31.82 | $153 | 0.6× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $129.17 | $621 | 0.6× |
| Subq Infusion Additional Pump Infusion Site (96371) | $71.76 | $345 | 0.9× |
| Surfactant Admin Thru Tube (94610) | $89.86 | $432 | 0.4× |
| Synthetic Sentence Identification Test (92576) | $40.14 | $193 | 1.0× |
| Temp transcutaneous pacing (92953) | $97.76 | $470 | 0.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$37.86–$49.09 | $182–$236 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$29.33–$49.09 | $141–$236 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $60.32 | $290 | 1.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$40.35–$46.18 | $194–$222 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $123.34 | $593 | 1.2× |
| Ther/Proph/Diag Inj Ia (96373) | $57.62 | $277 | 0.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$17.06–$46.18 | $82–$222 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $181.17 | $871 | 0.8× |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$31.82–$51.79 | $153–$249 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $659.98 | $3,173 | 1.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $31.82 | $153 | 0.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $17.06 | $82 | 0.4× |
| Transcath Closure of Asd (93580) unusually low: confirm this is the full procedure |
$7,990.32 | $38,415 | 0.4× |
| Tte w/doppler, complete (93306) | $832.42 | $4,002 | 1.4× |
| Tte W/O Doppler Complete (93307) | $315.74 | $1,518 | 1.3× |
| Tx atrial fib pulm vein isol (93656) | $14,060.59 | $67,599 | 0.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$37.44–$154.75 | $180–$744 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $123.34 | $593 | 5.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $80.50 | $387 | 1.6× |
| Tympanometry (92567) | $28.91 | $139 | 0.7× |
| Tympanometry and reflex threshold measurements (92550) | $51.79 | $249 | 0.2× |
| Unlisted cardiovascular service/procedure (93799) | $152.26 | $732 | 1.1× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$269.98 | $15.80–$1,298 | 1.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $286.83 | $1,379 | 1.3× |
| Vasopneumatic device (97016) | $61.36 | $295 | 5.1× |
| Veeg 2-12 Hr Cont Mntr (95713) | $266.03 | $1,279 | 0.7× |
| Veeg 2-12 hr intmt mntr (95712) | $138.94 | $668 | 0.4× |
| Veeg 2-12 hr unmonitored (95711) | $138.94 | $668 | 0.6× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,176.45 | $5,656 | 3.0× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $266.03 | $1,279 | 0.7× |
| Veeg ea 12-26hr cont mntr (95716) | $1,176.45 | $5,656 | 1.3× |
| Vent Mgmt Inpat Init Day (94002) | $344.45 | $1,656 | 0.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $344.45 | $1,656 | 0.5× |
| Visual Evoked Potential Test (95930) | $344.45 | $1,656 | 1.5× |
| Visual reinforcement audiometry (vra) (92579) | $43.26 | $208 | 0.2× |
| Vital capacity, total (94150) | $40.14 | $193 | 0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 4 matching MRF lines |
$34.94–$40.14 | $168–$193 | varies |
| Whirlpool Therapy (97022) | $40.14 | $193 | 2.6× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $28.91 | $139 | 0.5× |
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.