Visits & medical services prices at Freeman Neosho Hospital
Neosho, MO · every code in this section with a posted price and a Medicare benchmark.
224 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $79.20 | $132 | 0.6× |
| Acoustic Reflex Testing (92568) | $41.40 | $69 | 1.1× |
| Actigraphy Testing Recording Analysis I&R (95803) range across 2 matching MRF lines |
$226.20–$557.40 | $377–$929 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$12.60–$45.60 | $21–$76 | varies |
| Advncd Care Plan 30 Min (99497) range across 3 matching MRF lines |
$108–$251.40 | $180–$419 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $178.20 | $297 | 0.8× |
| Aep neurodiagnostic i&r (92653) | $283.20 | $472 | 1.3× |
| Aep threshold estimation mlt frequencies i&r (92652) | $283.20 | $472 | 1.3× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$30–$119.40 | $50–$199 | varies |
| Airway resistance by oscillometry (94728) range across 2 matching MRF lines |
$364.20–$397.80 | $607–$663 | varies |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $328.80 | $548 | 2.6× |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$49.20–$209.40 | $82–$349 | varies |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$217.20–$366.60 | $362–$611 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $88.20 | $147 | 6.1× |
| Application on-body injector (96377) | $180.60 | $301 | 3.9× |
| Assessment of aphasia per hr (96105) | $352.80 | $588 | 3.6× |
| Assessment of tinnitus (92625) | $115.80 | $193 | 0.9× |
| Assmt & care planning pt w/cognitive impairment (99483) range across 2 matching MRF lines |
$95.40–$421.20 | $159–$702 | varies |
| Audiometry Air & Bone (92553) | $107.40 | $179 | 0.8× |
| Auditory Function, 60 Min (92620) | $222.60 | $371 | 1.7× |
| Basic vestibular evaluation (92540) | $414.60 | $691 | 1.9× |
| Behavral qualit analys voice (92524) | $352.80 | $588 | 3.2× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $70.20 | $117 | 0.9× |
| Bfb training ea addl 15 min (90913) | $67.20 | $112 | 2.1× |
| Blink reflex test (95933) range across 2 matching MRF lines |
$129.60–$207.60 | $216–$346 | varies |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$42–$61.20 | $70–$102 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$114.60–$519.60 | $191–$866 | varies |
| Caloric vestibular test w/rec bi monothermal (92538) | $216 | $360 | 1.0× |
| Caloric Vstblr Test W/Rec (92537) | $274.80 | $458 | 2.1× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$67.80–$177 | $113–$295 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $833.40 | $1,389 | 3.9× |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$318.60–$493.80 | $531–$823 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,555.80–$2,072.40 | $2,593–$3,454 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $52.20 | $87 | 1.4× |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $283.20 | $472 | 1.3× |
| Cervical Vemp Testing W/I&R (92517) | $178.20 | $297 | 1.4× |
| Chemo Admin Peritoneal Cavity (96446) | $222.60 | $371 | 0.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $151.20 | $252 | 2.1× |
| Chemo Hormon Antineopl Sq/Im (96402) | $151.20 | $252 | 2.1× |
| Chemo Ia Push (96420) | $142.20 | $237 | 0.4× |
| Chemo IV infusion addl hr (96415) | $138 | $230 | 1.9× |
| Chemo IV push addl drug (96411) | $286.80 | $478 | 4.0× |
| Chemother Prolong Infuse W/Pump (96416) | $462 | $770 | 1.4× |
| Chemotherapy Into Cns (96450) | $372 | $620 | 1.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $142.20 | $237 | 2.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $393.60 | $656 | 1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $286.80 | $478 | 0.9× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) range across 2 matching MRF lines |
$222.60–$312.60 | $371–$521 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$173.40–$327 | $289–$545 | varies |
| Comprehensive Hearing Test (92557) | $93.60 | $156 | 0.7× |
| Conditioning Play Audiometry (92582) | $145.80 | $243 | 1.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $145.20 | $242 | 1.1× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $69.60 | $116 | 1.2× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$65.40–$311.40 | $109–$519 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) range across 2 matching MRF lines |
$191.40–$351.60 | $319–$586 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $194.40 | $324 | 1.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$460.20–$529.20 | $767–$882 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$304.20–$353.40 | $507–$589 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$354–$435 | $590–$725 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$254.40–$308.40 | $424–$514 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$2,146.80–$3,276.60 | $3,578–$5,461 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 2 matching MRF lines |
$1,631.40–$2,500.20 | $2,719–$4,167 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$817.20–$1,185 | $1,362–$1,975 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$397.80–$463.20 | $663–$772 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$276–$325.20 | $460–$542 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $238.20 | $397 | 1.8× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $343.80 | $573 | 2.7× |
| Ear Protector Evaluation (92596) | $42 | $70 | 1.1× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$289.80–$1,233.60 | $483–$2,056 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$66–$597 | $110–$995 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 3 matching MRF lines |
$689.40–$2,362.20 | $1,149–$3,937 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 2 matching MRF lines |
$217.20–$619.20 | $362–$1,032 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$52.80–$308.40 | $88–$514 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $94.80 | $158 | 6.4× |
| Electrocardiogram Tracing (93005) | $65.40 | $109 | 1.1× |
| Electrocochleography (92584) | $145.80 | $243 | 1.1× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$159–$375.60 | $265–$626 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$167.40–$691.80 | $279–$1,153 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $243 | $405 | 1.9× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$58.20–$121.20 | $97–$202 | varies |
| Evaluate Speech Production (92522) | $352.80 | $588 | 3.2× |
| Evaluate Swallowing Function (92610) | $330 | $550 | 3.9× |
| Evaluation of speech fluency (92521) | $388.20 | $647 | 2.9× |
| Evoked Auditory Test,Limited (92587) | $222.60 | $371 | 1.0× |
| External ECG rec>48hr<7d recording (93242) | $258 | $430 | 6.9× |
| External ECG rec>7d<15d recording (93246) | $258 | $430 | 6.9× |
| External Ecg Scanning Analysis Report (93226) | $520.80 | $868 | 8.8× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$348.60–$417.60 | $581–$696 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$100.80–$516 | $168–$860 | varies |
| Fundus photography (92250) range across 2 matching MRF lines |
$159–$208.20 | $265–$347 | varies |
| Group Therapeutic Procedures (97150) | $94.20 | $157 | 5.2× |
| Health Behavior Assessment/Re-Assessment (96156) range across 2 matching MRF lines |
$99.60–$131.40 | $166–$219 | varies |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) range across 2 matching MRF lines |
$99.60–$122.40 | $166–$204 | varies |
| Health behavior ivntj indiv f2f 1st 30 min (96158) range across 2 matching MRF lines |
$99.60–$122.40 | $166–$204 | varies |
| Holter monitor recording (93225) | $831.60 | $1,386 | 6.2× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$67.20–$163.80 | $112–$273 | varies |
| Icd device progr eval dual (93283) range across 3 matching MRF lines |
$75–$199.80 | $125–$333 | varies |
| Icd Device Progr Eval Mult (93284) range across 3 matching MRF lines |
$72–$220.80 | $120–$368 | varies |
| Icm Device Eval (93290) range across 2 matching MRF lines |
$29.40–$78.60 | $49–$131 | varies |
| Ilr Device Eval Progr (93285) range across 3 matching MRF lines |
$34.80–$103.80 | $58–$173 | varies |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$31.20–$90 | $52–$150 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
$12.60–$45.60 | $21–$76 | varies |
| Immunization administration (90471) range across 3 matching MRF lines |
$12–$45.60 | $20–$76 | varies |
| Inital newborn e/m (99460) | $192.60 | $321 | 1.4× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) range across 2 matching MRF lines |
$21–$25.20 | $35–$42 | varies |
| Iontophoresis 15 min (97033) | $94.20 | $157 | 4.9× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$45.60–$175.80 | $76–$293 | varies |
| IV infusion hydration each additional hour (96361) | $105.60 | $176 | 2.3× |
| IV infusion hydration initial 31 min-1 hour (96360) | $348.60 | $581 | 1.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $105.60 | $176 | 1.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $105.60 | $176 | 2.3× |
| IV push initial (96374) range across 2 matching MRF lines |
$106.20–$211.20 | $177–$352 | varies |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$186.60–$200.40 | $311–$334 | varies |
| Methacholine challenge (94070) range across 3 matching MRF lines |
$68.40–$694.80 | $114–$1,158 | varies |
| Motion Fluoroscopy/Swallow (92611) | $426 | $710 | 4.7× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$167.40–$565.20 | $279–$942 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$67.20–$337.80 | $112–$563 | varies |
| Nasopharyngoscopy (92511) range across 3 matching MRF lines |
$270–$408.60 | $450–$681 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$246–$356.40 | $410–$594 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$259.80–$370.80 | $433–$618 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$259.80–$370.80 | $433–$618 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$167.40–$395.40 | $279–$659 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$300–$933.60 | $500–$1,556 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$300–$1,035.60 | $500–$1,726 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$300–$579.60 | $500–$966 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$300–$637.80 | $500–$1,063 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$300–$742.20 | $500–$1,237 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$300–$838.80 | $500–$1,398 | varies |
| Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$373.80–$611.40 | $623–$1,019 | varies |
| Neuromuscular Reeducation (97112) | $129.60 | $216 | 4.0× |
| Newborn resuscitation (99465) | $283.20 | $472 | 0.4× |
| Nitric oxide expired gas determination (95012) | $43.80 | $73 | 1.2× |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 2 matching MRF lines |
$230.40–$405.60 | $384–$676 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
$469.20–$488.40 | $782–$814 | varies |
| Ocular Vemp Testing W/I&R (92518) | $178.20 | $297 | 1.4× |
| Optokinetic Nystagmus Test (92544) | $414.60 | $691 | 3.2× |
| Oral Function Therapy (92526) | $155.40 | $259 | 1.8× |
| Oral Speech Device Eval (92597) | $396 | $660 | 5.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $82.20 | $137 | 1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $109.80 | $183 | 2.4× |
| Oscillating Tracking Test (92545) | $414.60 | $691 | 1.9× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$37.20–$98.40 | $62–$164 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 3 matching MRF lines |
$37.20–$129 | $62–$215 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 3 matching MRF lines |
$37.20–$152.40 | $62–$254 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 3 matching MRF lines |
$37.20–$190.80 | $62–$318 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$37.20–$211.80 | $62–$353 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $130.80 | $218 | 9.3× |
| Ot eval high complexity (97167) | $256.20 | $427 | 2.5× |
| Ot Eval Low Complex (97165) | $154.20 | $257 | 1.5× |
| Ot Eval Moderate Complexity (97166) | $205.20 | $342 | 2.0× |
| Ot manual therapy 15 min (97140) | $115.20 | $192 | 4.2× |
| Ot paraffin bath (97018) | $111 | $185 | 18.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $71.40 | $119 | 1.8× |
| Ot Re-Eval Est Plan Care (97168) | $114.60 | $191 | 1.7× |
| Patch/Application Test Specify Number Tests (95044) | $15.60 | $26 | 0.0× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $37.20 | $62 | 1.5× |
| Phlebotomy therapeutic (99195) | $185.40 | $309 | 1.4× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $73.80 | $123 | 1.2× |
| Physical Performance Test (97750) | $93 | $155 | 2.8× |
| Plethysmography (94726) range across 2 matching MRF lines |
$364.20–$397.80 | $607–$663 | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$37.20–$91.20 | $62–$152 | varies |
| Pm device progr eval dual (93280) range across 3 matching MRF lines |
$39.60–$145.20 | $66–$242 | varies |
| Pm device progr eval multi (93281) range across 3 matching MRF lines |
$57–$166.80 | $95–$278 | varies |
| Pm Device Progr Eval Sngl (93279) range across 3 matching MRF lines |
$44.40–$124.80 | $74–$208 | varies |
| Pm/Icd Remote Tech Serv (93296) | $76.80 | $128 | 2.1× |
| Positional nystagmus test (92542) | $414.60 | $691 | 3.1× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 3 matching MRF lines |
$54.60–$156.60 | $91–$261 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$14.40–$25.20 | $24–$42 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$16.80–$29.40 | $28–$49 | varies |
| Psychiatric diagnostic evaluation (90791) | $280.20 | $467 | 1.6× |
| Psychoanalysis (90845) | $192.60 | $321 | 1.1× |
| Psytx Crisis Initial 60 Min (90839) | $275.40 | $459 | 1.5× |
| Pt Eval High Complex (97163) | $222.60 | $371 | 2.3× |
| Pt eval low complex 20 min (97161) | $154.80 | $258 | 1.6× |
| Pt Eval Mod Complex (97162) | $204.60 | $341 | 2.1× |
| Pt gait training 15 min (97116) | $99 | $165 | 3.4× |
| Pt mechanical traction (97012) | $79.80 | $133 | 5.6× |
| Pt Re-Eval Est Plan Care (97164) | $130.80 | $218 | 1.9× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $52.20 | $87 | 1.4× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$235.80–$277.20 | $393–$462 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$129–$210 | $215–$350 | varies |
| Pure Tone Audiometry Air (92552) | $69.60 | $116 | 0.5× |
| Refill/Maint Portable Pump (96521) | $226.20 | $377 | 1.1× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 2 matching MRF lines |
$184.20–$267 | $307–$445 | varies |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$117–$154.20 | $195–$257 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$65.40–$230.40 | $109–$384 | varies |
| Same day nb discharge (99463) | $217.20 | $362 | 1.6× |
| Self Care Mngment Training (97535) | $115.20 | $192 | 3.6× |
| Self-meas bp pt educaj/traing & dev calibration (99473) | $39.60 | $66 | 1.4× |
| Speech Audiometry Complete (92556) | $83.40 | $139 | 1.4× |
| Speech audiometry threshold (92555) | $52.80 | $88 | 0.9× |
| Speech sound lang comprehen (92523) | $352.80 | $588 | 1.6× |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$226.20–$511.80 | $377–$853 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$187.20–$220.80 | $312–$368 | varies |
| Spontaneous Nystagmus Test (92541) | $414.60 | $691 | 3.1× |
| Standardized Cognitive Performance Testing (96125) | $352.80 | $588 | 3.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $105.60 | $176 | 4.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $105.60 | $176 | 5.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $113.40 | $189 | 3.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $111.60 | $186 | 3.8× |
| Ther/Proph/Diag Inj Ia (96373) | $142.20 | $237 | 0.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$42–$54 | $70–$90 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $370.80 | $618 | 1.7× |
| Therapeutic Activities (97530) | $123 | $205 | 3.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$51.60–$112.20 | $86–$187 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$44.40–$72 | $74–$120 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$119.40–$436.20 | $199–$727 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 3 matching MRF lines |
$112.80–$560.40 | $188–$934 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 2 matching MRF lines |
$80.40–$124.20 | $134–$207 | varies |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$678.60–$2,956.20 | $1,131–$4,927 | varies |
| Tte W/O Doppler Complete (93307) range across 3 matching MRF lines |
$289.80–$1,279.80 | $483–$2,133 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $254.40 | $424 | 3.3× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $98.40 | $164 | 4.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $169.80 | $283 | 3.6× |
| Tympanometry (92567) | $48 | $80 | 1.3× |
| Tympanometry and reflex threshold measurements (92550) | $54 | $90 | 0.2× |
| Unlisted noninvasive vascular diagnostic study (93998) range across 2 matching MRF lines |
$14.40–$30 | $24–$50 | varies |
| Unlisted otorhinolaryngological service (92700) | $61.80 | $103 | 2.1× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$241.80–$270 | $403–$450 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$254.40–$303 | $424–$505 | varies |
| Vasopneumatic device (97016) | $81.60 | $136 | 6.8× |
| Visual reinforcement audiometry (vra) (92579) | $106.20 | $177 | 0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $95.40 | $159 | 3.1× |
| Whirlpool Therapy (97022) | $131.40 | $219 | 8.4× |
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.