Visits & medical services prices at Franciscan Health Mooresville
Mooresville, IN · every code in this section with a posted price and a Medicare benchmark.
369 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $55.37 | $218 | 0.5× |
| Ablate Heart Dysrhythm Focus (93650) | $8,409.69 | $33,109 | 1.0× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $45.72 | $180 | 0.3× |
| Acoustic Reflex Testing (92568) | $92.71 | $365 | 2.3× |
| Actigraphy Testing Recording Analysis I&R (95803) | $270.51 | $1,065 | 4.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$10.92–$33.53 | $43–$132 | varies |
| Advncd Care Plan 30 Min (99497) | $68.58 | $270 | 0.6× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $199.64 | $786 | 0.9× |
| Aep neurodiagnostic i&r (92653) | $733.55 | $2,888 | 3.2× |
| Aep threshold estimation mlt frequencies i&r (92652) | $733.55 | $2,888 | 3.2× |
| Airway Inhalation Treatment (94640) range across 11 matching MRF lines |
$29.21–$44.20 | $115–$174 | varies |
| Airway resistance by oscillometry (94728) | $44.70 | $176 | 0.3× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $122.94 | $484 | 0.9× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $122.94 | $484 | 0.9× |
| Analyze Neurostim Simple (95971) | $270.51 | $1,065 | 2.7× |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $308.10 | $1,213 | 0.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $52.83 | $208 | 3.7× |
| Application Modality 1/> Areas Infrared (97026) | $14.73 | $58 | 2.2× |
| Application on-body injector (96377) | $73.91 | $291 | 1.5× |
| Arrhythmia Induction (93618) | $3,329.43 | $13,108 | 2.6× |
| Assessment of aphasia per hr (96105) | $192.79 | $759 | 2.0× |
| Assmt & care planning pt w/cognitive impairment (99483) range across 2 matching MRF lines |
$26.42–$49.78 | $104–$196 | varies |
| Audiometry Air & Bone (92553) | $140.97 | $555 | 1.0× |
| Auditory Function, 60 Min (92620) | $155.96 | $614 | 1.1× |
| Basic vestibular evaluation (92540) | $322.58 | $1,270 | 1.4× |
| Behavral qualit analys voice (92524) | $170.43 | $671 | 1.6× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $82.04 | $323 | 1.0× |
| Bfb training ea addl 15 min (90913) | $31.75 | $125 | 1.0× |
| Biofeedback training any modality (90901) range across 2 matching MRF lines |
$42.67–$71.63 | $168–$282 | varies |
| Blink reflex test (95933) | $70.87 | $279 | 1.1× |
| Brief Emotional/Behav Assmt (96127) | $10.92 | $43 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $629.41 | $2,478 | 1.6× |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$2,347.98 | $9,244 | 0.3× |
| C motor evoked uppr limbs (95928) | $999.74 | $3,936 | 1.1× |
| C motor evoked upr&lwr limbs (95939) | $1,037.08 | $4,083 | 1.1× |
| Caloric vestibular test w/rec bi monothermal (92538) | $145.03 | $571 | 0.6× |
| Caloric Vstblr Test W/Rec (92537) | $145.03 | $571 | 1.1× |
| Canalith repositioning proc (95992) | $52.83 | $208 | 1.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $490.73 | $1,932 | 2.1× |
| Cardiopulmonary exercise testing (94621) | $1,628.90 | $6,413 | 4.1× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$163.83–$420.62 | $645–$1,656 | varies |
| Cardioversion (92960) | $910.84 | $3,586 | 1.3× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $22.35 | $88 | 0.6× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $19.81 | $78 | 0.5× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $20.83 | $82 | 0.8× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $12,264.14 | $48,284 | 3.6× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $10,511.79 | $41,385 | 3.1× |
| Cbt 1st hour (94644) | $83.82 | $330 | 0.6× |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $209.80 | $826 | 0.9× |
| Cervical Vemp Testing W/I&R (92517) | $110.74 | $436 | 0.8× |
| Chemo Admin Peritoneal Cavity (96446) | $318.52 | $1,254 | 0.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $203.71 | $802 | 2.7× |
| Chemo Hormon Antineopl Sq/Im (96402) | $207.52 | $817 | 2.7× |
| Chemo Ia Push (96420) | $333.25 | $1,312 | 1.0× |
| Chemo Intralesional Over 7 (96406) | $174.24 | $686 | 0.8× |
| Chemo intralesional up to 7 (96405) | $44.45 | $175 | 0.6× |
| Chemo IV infusion addl hr (96415) | $259.33 | $1,021 | 3.4× |
| Chemo IV push addl drug (96411) | $259.33 | $1,021 | 3.4× |
| Chemother Prolong Infuse W/Pump (96416) | $555.50 | $2,187 | 1.6× |
| Chemotherapy Into Cns (96450) | $370.33 | $1,458 | 1.1× |
| Chemotherapy Unspecified (96549) | $73.91 | $291 | 1.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $200.41 | $789 | 2.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $666.50 | $2,624 | 1.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $333.25 | $1,312 | 1.0× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $407.16 | $1,603 | 1.2× |
| Chest Wall Manipulation (94668) | $25.91 | $102 | 0.2× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $962.66 | $3,790 | 2.4× |
| Color/duplex Doppler, complete (93975) | $518.67 | $2,042 | 2.1× |
| Color/duplex Doppler, limited (93976) | $274.83 | $1,082 | 2.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 5 matching MRF lines |
$48.51–$52.83 | $191–$208 | varies |
| Comprehensive Hearing Test (92557) | $293.37 | $1,155 | 2.2× |
| Computerized dynamic posturography (92548) | $140.97 | $555 | 1.0× |
| Conditioning Play Audiometry (92582) | $133.35 | $525 | 1.0× |
| Continuous Pulse Ox (94762) | $304.29 | $1,198 | 2.2× |
| Coronary Art/Grft Angio S&I (93455) | $5,606.54 | $22,073 | 1.6× |
| Coronary Artery Angio S&I (93454) | $5,606.54 | $22,073 | 1.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$160.53–$163.83 | $632–$645 | varies |
| Cpt initial (94667) | $47.50 | $187 | 0.3× |
| Critical care first hour (99291) range across 4 matching MRF lines |
$2,073.15–$4,182.11 | $8,162–$16,465 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $999.74 | $3,936 | 2.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$49.02–$129.54 | $193–$510 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $151.89 | $598 | 1.1× |
| Dialysis One Evaluation (90945) | $315.98 | $1,244 | 0.7× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $185.17 | $729 | 0.5× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $333.25 | $1,312 | 1.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $151.89 | $598 | 1.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,111 | $4,374 | 4.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $740.66 | $2,916 | 6.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,111 | $4,374 | 4.4× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$777.75–$1,555.50 | $3,062–$6,124 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $826.52 | $3,254 | 3.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $779.53 | $3,069 | 7.0× |
| Duplex Scan Hemodialysis Access (93990) | $444.75 | $1,751 | 4.0× |
| Duplex up extrem art bilat (93930) | $592.58 | $2,333 | 2.3× |
| Duplex up extrem art unilat/ltd (93931) | $740.66 | $2,916 | 6.7× |
| Echo Congenital Complete (93303) | $544.32 | $2,143 | 0.9× |
| Echo Heart Xthoracic,Limited (93308) | $270.26 | $1,064 | 1.1× |
| Echo r-t 2d w/probe placement only (93313) | $701.04 | $2,760 | 1.2× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$1,402.08–$1,577.09 | $5,520–$6,209 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,247.90 | $4,913 | 2.2× |
| Eeg 41-60 Minutes (95812) | $592.58 | $2,333 | 2.6× |
| EEG awake and asleep (95819) | $666.50 | $2,624 | 2.9× |
| EEG awake drowsy (95816) | $592.58 | $2,333 | 2.6× |
| EEG cerebral death evaluation (95824) | $703.33 | $2,769 | 1.8× |
| EEG cont rec w/video by tech min 8 channels (95700) | $235.97 | $929 | 1.0× |
| EEG extended monitoring 61-119 minutes (95813) | $629.41 | $2,478 | 2.8× |
| Eeg Sleep Only (95822) | $592.58 | $2,333 | 2.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $314.96 | $1,240 | 1.4× |
| EEG w/o vid 2-12hr cont mntr (95707) | $314.96 | $1,240 | 1.4× |
| EEG w/o vid ea 12-26hr intmt (95709) | $314.96 | $1,240 | 0.8× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $851.92 | $3,354 | 2.2× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $314.96 | $1,240 | 1.4× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,962.40 | $7,726 | 5.0× |
| Electrical Stimulation Ea 15 Min (97032) | $86.36 | $340 | 5.9× |
| Electrocardiogram Tracing (93005) | $82.04 | $323 | 1.3× |
| Electrocochleography (92584) | $145.03 | $571 | 1.1× |
| Electrophysiology Evaluation (93642) | $5,606.54 | $22,073 | 4.4× |
| Emergency Dept Visit Level 2 (99282) | $254.76 | $1,003 | 1.6× |
| Emergency Dept Visit Level 3 (99283) | $691.13 | $2,721 | 2.4× |
| Emergency Dept Visit Level 4 (99284) | $1,127.51 | $4,439 | 2.6× |
| Emg 3 Extremities (95863) | $481.33 | $1,895 | 3.5× |
| Emg 4 Extremities (95864) | $518.67 | $2,042 | 3.8× |
| Endomyocardial Biopsy (93505) | $1,402.08 | $5,520 | 0.4× |
| Ep & ablate supravent arrhyt (93653) | $15,768.07 | $62,079 | 0.6× |
| Ep & ablate ventric tachy (93654) | $15,768.07 | $62,079 | 0.6× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) unusually low: confirm this is the full procedure |
$2,803.14 | $11,036 | 0.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $5,256.02 | $20,693 | 0.6× |
| Er level 1 (99281) | $109.47 | $431 | 1.2× |
| Er level v (99285) | $1,672.84 | $6,586 | 2.7× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $401.07 | $1,579 | 1.0× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $137.41 | $541 | 1.0× |
| Evaluate pt use of inhaler (94664) range across 6 matching MRF lines |
$29.21–$151.89 | $115–$598 | varies |
| Evaluate Speech Production (92522) | $210.31 | $828 | 1.9× |
| Evaluate Swallowing Function (92610) | $138.43 | $545 | 1.6× |
| Evaluation of speech fluency (92521) | $224.54 | $884 | 1.7× |
| Evoked Auditory Test,Limited (92587) | $107.70 | $424 | 0.5× |
| Exercise test for bronchospasm (94617) | $41.15 | $162 | 0.3× |
| External ECG rec>48hr<7d recording (93242) | $146.30 | $576 | 3.7× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $66.55 | $262 | 0.5× |
| External ECG rec>7d<15d recording (93246) | $146.30 | $576 | 3.7× |
| External Ecg Scanning Analysis Report (93226) | $629.41 | $2,478 | 10.1× |
| Extracranial Bilat Study (93880) | $888.75 | $3,499 | 3.5× |
| Extracranial Uni/Ltd Study (93882) | $444.75 | $1,751 | 4.0× |
| Filtered Speech Test (92571) | $48.51 | $191 | 1.2× |
| Flexible endoscopic eval swallow c/v rec (92612) | $195.83 | $771 | 1.0× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $781.05 | $3,075 | 0.9× |
| Group Therapeutic Procedures (97150) | $31.75 | $125 | 1.8× |
| Health Behavior Assessment/Re-Assessment (96156) | $92.71 | $365 | 0.9× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $55.37 | $218 | 1.4× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $26.42 | $104 | 0.7× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $73.91 | $291 | 0.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $12,264.14 | $48,284 | 3.6× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 3 matching MRF lines |
$691.13–$703.33 | $2,721–$2,769 | varies |
| Holter monitor recording (93225) | $299.72 | $1,180 | 2.1× |
| Icd Device Interrogate (93289) | $147.32 | $580 | 3.7× |
| Icd device progr eval dual (93283) | $210.57 | $829 | 5.3× |
| Icd Device Progr Eval Mult (93284) | $252.73 | $995 | 6.4× |
| Icm Device Eval (93290) | $59.94 | $236 | 1.5× |
| Ilr Device Eval Progr (93285) | $122.94 | $484 | 3.1× |
| Ilr Device Interrogate (93291) | $102.11 | $402 | 3.3× |
| Immunization administration (90471) | $51.31 | $202 | 0.7× |
| Insert/Place Heart Catheter (93503) | $1,436.62 | $5,656 | 0.9× |
| Interrogate Subq Defib (93261) | $42.67 | $168 | 1.1× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$2,102.61 | $8,278 | 0.3× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$2,102.61 | $8,278 | 0.3× |
| Intracranial Complete Study (93886) | $122.94 | $484 | 0.5× |
| Intraventricular pacing (93612) | $6,307.33 | $24,832 | 0.8× |
| Iontophoresis 15 min (97033) | $56.39 | $222 | 3.0× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$63.25–$96.52 | $249–$380 | varies |
| IV infusion hydration each additional hour (96361) | $129.54 | $510 | 2.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $444.75 | $1,751 | 2.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $166.88 | $657 | 2.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $129.54 | $510 | 2.6× |
| IV push initial (96374) | $129.54 | $510 | 0.6× |
| L Hrt Art/Grft Angio (93459) | $10,511.79 | $41,385 | 3.1× |
| Laryngeal Function Studies (92520) | $159.77 | $629 | 1.1× |
| Liver Elastography W/O Imag W/I&R (91200) | $277.88 | $1,094 | 2.0× |
| Low frequency non-thermal us (97610) range across 3 matching MRF lines |
$140.46–$177.80 | $553–$700 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,259.08 | $4,957 | 5.5× |
| Mechanical chest wall oscillation per session (94669) | $47.50 | $187 | 0.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 3 matching MRF lines |
$13.46–$29.72 | $53–$117 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$17.78–$33.78 | $70–$133 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $9.40 | $37 | 0.6× |
| Methacholine challenge (94070) | $1,518.16 | $5,977 | 3.8× |
| Microvolt T-Wave Assess (93025) | $630.68 | $2,483 | 4.6× |
| Motion Fluoroscopy/Swallow (92611) | $231.39 | $911 | 2.5× |
| Multiple Family Group Psychotherapy (90849) | $55.37 | $218 | 0.3× |
| Multiple Sleep Latency Test (95805) | $1,962.40 | $7,726 | 2.2× |
| Muscle Test 2 Limbs (95861) | $444.75 | $1,751 | 3.2× |
| Muscle Test Nonparaspinal (95870) | $222.50 | $876 | 1.6× |
| Muscle Test One Limb (95860) | $407.16 | $1,603 | 2.9× |
| Nasopharyngoscopy (92511) | $222.50 | $876 | 1.1× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $444.75 | $1,751 | 1.9× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $370.33 | $1,458 | 1.6× |
| Needle electromyography larynx (95865) | $370.33 | $1,458 | 2.6× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $370.33 | $1,458 | 1.6× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $185.17 | $729 | 0.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $148.34 | $584 | 0.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $137.41 | $541 | 0.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$140.46–$192.53 | $553–$758 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$252.73–$367.03 | $995–$1,445 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $370.33 | $1,458 | 1.6× |
| Nerve Conduction Studies 11-12 Studies (95912) | $740.66 | $2,916 | 1.9× |
| Nerve conduction studies 13 or more studies (95913) | $814.58 | $3,207 | 2.1× |
| Nerve Conduction Studies 3-4 Studies (95908) | $444.75 | $1,751 | 1.9× |
| Nerve conduction studies 5-6 studies (95909) | $518.67 | $2,042 | 2.3× |
| Nerve conduction studies 7-8 studies (95910) | $592.58 | $2,333 | 1.5× |
| Nerve Conduction Studies 9-10 Studies (95911) | $666.50 | $2,624 | 1.7× |
| Neurobehavioral Status Exam (96116) | $218.95 | $862 | 1.0× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $196.60 | $774 | 1.4× |
| Neuromuscular Reeducation (97112) | $63.25 | $249 | 1.9× |
| Newborn resuscitation (99465) | $555.50 | $2,187 | 0.8× |
| Nitric oxide expired gas determination (95012) | $37.34 | $147 | 0.9× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $13.72 | $54 | 1.0× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $151.89 | $598 | 0.4× |
| Ocular Vemp Testing W/I&R (92518) | $110.74 | $436 | 0.8× |
| Optokinetic Nystagmus Test (92544) | $118.87 | $468 | 0.9× |
| Oral Function Therapy (92526) | $113.03 | $445 | 1.3× |
| Oral Speech Device Eval (92597) | $147.32 | $580 | 2.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $73.66 | $290 | 1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$63.25–$77.47 | $249–$305 | varies |
| Oscillating Tracking Test (92545) | $118.87 | $468 | 0.5× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$38.86–$49.02 | $153–$193 | varies |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$147.32–$164.85 | $580–$649 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$91.69–$95 | $361–$374 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$119.38–$130.05 | $470–$512 | varies |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$41.15–$63.25 | $162–$249 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$49.02–$52.83 | $193–$208 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$43.43–$67.06 | $171–$264 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$102.11–$107.19 | $402–$422 | varies |
| Ot rom hand (95852) | $315.47 | $1,242 | 14.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $166.88 | $657 | 1.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 3 matching MRF lines |
$108.71–$137.16 | $428–$540 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $29.21 | $115 | 0.1× |
| Peripheral arterial disease rehab per session (93668) | $63.25 | $249 | 1.0× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $11,774.17 | $46,355 | 0.6× |
| Perq Transcath Cls Aortic (93591) | $14,015.97 | $55,181 | 0.7× |
| Perq Transcath Cls Mitral (93590) | $14,015.97 | $55,181 | 0.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $4,906.01 | $19,315 | 0.8× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $6,307.33 | $24,832 | 0.5× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$145.03 | $26–$571 | 1.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $225.81 | $889 | 3.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $225.81 | $889 | 3.6× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$31.75–$49.02 | $125–$193 | varies |
| Plethysmography (94726) | $518.67 | $2,042 | 1.3× |
| Pm device eval in person (93288) | $87.63 | $345 | 2.2× |
| Pm device progr eval dual (93280) | $217.68 | $857 | 5.5× |
| Pm device progr eval multi (93281) | $189.48 | $746 | 4.8× |
| Pm Device Progr Eval Sngl (93279) | $136.91 | $539 | 3.5× |
| Pm/Icd Remote Tech Serv (93296) | $91.69 | $361 | 2.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $1,491.23 | $5,871 | 1.6× |
| Polysom <6 yrs 4/> paramtrs (95782) | $2,962.15 | $11,662 | 3.3× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $2,962.15 | $11,662 | 3.3× |
| Positional nystagmus test (92542) | $122.43 | $482 | 0.9× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $42.67 | $168 | 1.1× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $175.51 | $691 | 4.4× |
| Prq Card Angio/Athrect 1 Art (92924) unusually low: confirm this is the full procedure |
$5,957.06 | $23,453 | 0.5× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $6,307.33 | $24,832 | 0.5× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $7,414.77 | $29,192 | 0.6× |
| Psych diag eval w/med srvcs (90792) | $111.51 | $439 | 0.6× |
| Psychiatric diagnostic evaluation (90791) | $126.24 | $497 | 0.7× |
| Psychological tst eval svc phys/qhp first hour (96130) | $151.89 | $598 | 0.7× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $18.80 | $74 | 0.6× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $18.80 | $74 | 0.0× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $18.80 | $74 | 0.1× |
| Psytx Crisis Initial 60 Min (90839) | $111.51 | $439 | 0.6× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $52.83 | $208 | 1.4× |
| Pt Eval High Complex (97163) | $136.91 | $539 | 1.4× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$91.19–$91.69 | $359–$361 | varies |
| Pt Eval Mod Complex (97162) | $130.05 | $512 | 1.3× |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$56.39–$63.25 | $222–$249 | varies |
| Pt group caregiver training (97552) | $36.83 | $145 | 1.7× |
| Pt mechanical traction (97012) | $49.02 | $193 | 3.4× |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$98.30–$100.08 | $387–$394 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $19.81 | $78 | 0.5× |
| Pulm function test by gas (94727) | $311.40 | $1,226 | 1.4× |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$41.15–$129.54 | $162–$510 | varies |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$96.52–$145.03 | $380–$571 | varies |
| R Hrt Art/Grft Angio (93457) | $9,811.51 | $38,628 | 2.9× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $5,846.57 | $23,018 | 1.7× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $5,884.16 | $23,166 | 1.7× |
| R hrt coronary artery angio (93456) | $9,811.51 | $38,628 | 2.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $7,007.86 | $27,590 | 2.0× |
| Rapid Desensitization Procedure Each Hour (95180) | $129.54 | $510 | 0.3× |
| Refill/Maint Portable Pump (96521) | $296.16 | $1,166 | 1.3× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $42.67 | $168 | 1.1× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $36.32 | $143 | 0.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $166.88 | $657 | 4.2× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $12.45 | $49 | 0.1× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $26.67 | $105 | 0.6× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $32.77 | $129 | 0.6× |
| Right Heart Cath (93451) | $6,307.33 | $24,832 | 1.8× |
| Right ventricular recording (93603) | $5,256.02 | $20,693 | 4.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$63.25–$136.91 | $249–$539 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $252.73 | $995 | 9.7× |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) | $25.40 | $100 | 0.6× |
| Rtm tx mgmt 1 r-t ia comunicaj cal mo 1st 10 min (98979) | $16.76 | $66 | 0.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $154.94 | $610 | 1.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $115.82 | $456 | 2.4× |
| Sbsq Psyc Collab Care Mgmt (99493) | $55.37 | $218 | 0.5× |
| Select picture audiometry (92583) | $49.02 | $193 | 0.8× |
| Self Care Mngment Training (97535) range across 5 matching MRF lines |
$45.72–$52.83 | $180–$208 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$45.72–$52.83 | $180–$208 | varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $304.29 | $1,198 | 1.3× |
| Short-latency somatosens ep std upr limbs (95925) | $703.33 | $2,769 | 3.1× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $166.88 | $657 | 1.2× |
| Sleep study attended (95807) | $518.67 | $2,042 | 1.3× |
| Sleep study unattended (95806) | $524 | $2,063 | 2.3× |
| Slp caregiver training 1st 30 min (97550) | $36.83 | $145 | 0.7× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $245.36 | $966 | 1.1× |
| Somatosensory Testing (95938) | $1,370.08 | $5,394 | 1.5× |
| Speech Audiometry Complete (92556) | $114.81 | $452 | 1.8× |
| Speech audiometry threshold (92555) | $55.37 | $218 | 0.9× |
| Speech sound lang comprehen (92523) | $203.96 | $803 | 0.9× |
| Spirometry (94010) | $266.95 | $1,051 | 1.2× |
| Spontaneous Nystagmus Test (92541) | $181.86 | $716 | 1.3× |
| Ssep lower limbs (95926) | $703.33 | $2,769 | 3.1× |
| Staggered Spondaic Word Test (92572) | $122.43 | $482 | 0.9× |
| Standardized Cognitive Performance Testing (96125) | $199.39 | $785 | 1.9× |
| Stenger Test Speech (92577) | $52.83 | $208 | 0.1× |
| Stenger Test, Pure Tone (92565) | $100.84 | $397 | 1.6× |
| Stress Tte Only (93350) | $630.68 | $2,483 | 1.1× |
| Subcutaneous Infusion Each Additional Hour (96370) | $148.34 | $584 | 3.0× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $444.75 | $1,751 | 2.0× |
| Surfactant Admin Thru Tube (94610) | $82.04 | $323 | 0.4× |
| Synthetic Sentence Identification Test (92576) | $49.02 | $193 | 1.2× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$385.57–$1,506.98 | $1,518–$5,933 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$59.69–$59.94 | $235–$236 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$59.69–$59.94 | $235–$236 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $73.66 | $290 | 2.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$56.39–$59.69 | $222–$235 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $150.62 | $593 | 1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$20.83–$73.91 | $82–$291 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $444.75 | $1,751 | 2.0× |
| Therapeutic Activities (97530) | $63.25 | $249 | 1.8× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $420.62 | $1,656 | 1.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $55.37 | $218 | 1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $16.76 | $66 | 0.4× |
| Transcath Closure of Asd (93580) unusually low: confirm this is the full procedure |
$9,460.99 | $37,248 | 0.5× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $85.09 | $335 | 0.8× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $144.27 | $568 | 3.7× |
| Tte w/doppler, complete (93306) | $876.55 | $3,451 | 1.5× |
| Tte W/O Doppler Complete (93307) | $420.62 | $1,656 | 1.7× |
| Tx atrial fib pulm vein isol (93656) | $15,768.07 | $62,079 | 0.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $172.72 | $680 | 2.3× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $56.39 | $222 | 2.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $111.51 | $439 | 2.3× |
| Tympanometry (92567) | $96.52 | $380 | 2.4× |
| Tympanometry and reflex threshold measurements (92550) | $122.43 | $482 | 0.5× |
| Unlisted cardiovascular service/procedure (93799) | $1,518.16 | $5,977 | 11.2× |
| Unlisted otorhinolaryngological service (92700) | $177.80 | $700 | 5.8× |
| Upr/L Xtremity Art 2 Levels (93922) | $277.88 | $1,094 | 2.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $592.58 | $2,333 | 2.6× |
| Valvuloplasty aortic valve (92986) unusually low: confirm this is the full procedure |
$2,522.98 | $9,933 | 0.4× |
| Valvuloplasty pulmonary valve (92990) | $7,120.89 | $28,035 | 0.6× |
| Vasopneumatic device (97016) | $74.93 | $295 | 6.2× |
| Veeg 2-12 Hr Cont Mntr (95713) | $956.06 | $3,764 | 2.4× |
| Veeg 2-12 hr intmt mntr (95712) | $314.96 | $1,240 | 0.8× |
| Veeg 2-12 hr unmonitored (95711) | $314.96 | $1,240 | 1.4× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,819.66 | $7,164 | 4.6× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,726.95 | $6,799 | 4.4× |
| Veeg ea 12-26hr cont mntr (95716) | $1,912.11 | $7,528 | 2.1× |
| Vent Mgmt Inpat Init Day (94002) | $400.30 | $1,576 | 0.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $316.74 | $1,247 | 0.5× |
| Visual Evoked Potential Test (95930) | $703.33 | $2,769 | 3.1× |
| Visual reinforcement audiometry (vra) (92579) | $115.82 | $456 | 0.5× |
| Vital capacity, total (94150) | $77.98 | $307 | 0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 4 matching MRF lines |
$49.02–$52.32 | $193–$206 | varies |
| Whirlpool Therapy (97022) | $63.25 | $249 | 4.0× |
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.