Visits & medical services prices at Fresno Surgical Hospital

Fresno, CA · every code in this section with a posted price and a Medicare benchmark.

279 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $20,156 $25,195 2.0×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $772 $965 2.8×
Aep neurodiagnostic i&r (92653) $772 $965 2.8×
Airway Inhalation Treatment (94640) $540.80 $676 1.9×
Airway resistance by oscillometry (94728) $460.80 $576 2.8×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $958.40 $1,198 5.6×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $645.60 $807 3.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $91.20 $114 6.4×
Application on-body injector (96377) $255.20 $319 4.2×
Assessment of aphasia per hr (96105) $463.20 $579 4.8×
Behavral qualit analys voice (92524) $451.20 $564 4.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,028.80 $1,286 2.1×
C motor evoked uppr limbs (95928) $3,084.80 $3,856 2.8×
C motor evoked upr&lwr limbs (95939) $3,084.80 $3,856 2.8×
Canalith repositioning proc (95992) $208 $260 5.1×
Cardiac Stress Tst,Tracing Only (93017) $1,347.20 $1,684 4.9×
Cardiopulmonary exercise testing (94621) $2,612.80 $3,266 5.4×
Cardiopulmonary resuscitation (92950) $1,080 $1,350 3.9×
Cardioversion (92960) $2,880 $3,600 3.4×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551)
range across 3 matching MRF lines
$60–$61.60 $75–$77 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $20,752 $25,940 5.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $17,061.75 $21,327.18 4.1×
Cbt 1st hour (94644) $488.80 $611 2.9×
Chemo Anti-Neopl Sq/Im (96401) $400.80 $501 4.3×
Chemo Hormon Antineopl Sq/Im (96402) $364.80 $456 3.9×
Chemo Ia Push (96420) $1,398.40 $1,748 3.3×
Chemo Intralesional Over 7 (96406) $950.40 $1,188 3.5×
Chemo intralesional up to 7 (96405) $195.20 $244 2.1×
Chemo IV infusion addl hr (96415) $352.80 $441 3.8×
Chemo IV push addl drug (96411) $594.40 $743 6.4×
Chemother Prolong Infuse W/Pump (96416) $943.20 $1,179 2.2×
Chemotherapy Into Cns (96450) $1,139.20 $1,424 2.7×
Chemotherapy Unspecified (96549) $173.60 $217 2.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $560 $700 6.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,198.40 $1,498 2.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $965.60 $1,207 2.3×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $1,566.40 $1,958 3.7×
Chest Wall Manipulation (94668) $404 $505 2.4×
Color/duplex Doppler, complete (93975) $2,603.20 $3,254 8.5×
Color/duplex Doppler, limited (93976) $1,280 $1,600 9.5×
Community/Work Reintegration Trainj Ea 15 Min (97537) $155.20 $194 4.8×
Continuous Pulse Ox (94762) $512.80 $641 3.1×
Coronary Art/Grft Angio S&I (93455) $14,054.40 $17,568 3.4×
Coronary Artery Angio S&I (93454) $14,054.40 $17,568 3.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$1,280–$1,760 $1,600–$2,200 varies
Cpt initial (94667) $372 $465 2.2×
Critical care first hour (99291) $7,392 $9,240 7.0×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,581.60 $1,977 3.3×
Debridement Open Wound 20 Sq Cm< (97597) $406.40 $508 1.6×
Developmental tst admin phys/qhp 1st hour (96112)
range across 3 matching MRF lines
$474.40–$493.60 $593–$617 varies
Dialysis One Evaluation (90945) $1,263.20 $1,579 2.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $2,144 $2,680 7.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,499.20 $1,874 11.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,234.40 $2,793 7.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,383.20 $1,729 10.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,299.20 $2,874 7.5×
Dup-scan xtr veins unilateral/limited study (93971) $1,341.60 $1,677 10.0×
Duplex Scan Hemodialysis Access (93990) $1,024 $1,280 7.6×
Duplex up extrem art bilat (93930) $2,080.80 $2,601 6.8×
Duplex up extrem art unilat/ltd (93931) $966.40 $1,208 7.2×
Echo Congenital Complete (93303) $2,503.20 $3,129 3.6×
Echo Heart Xthoracic,Limited (93308) $1,383.20 $1,729 4.5×
Echo transesophag montr cardiac pump functj (93318) $2,713.60 $3,392 3.9×
Echo transesophageal (93312) $2,157.60 $2,697 3.1×
Echo Transesophageal - Congenital Tee Complete (93315) $2,880 $3,600 4.1×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,178.40 $3,973 4.5×
Eeg 41-60 Minutes (95812) $1,701.60 $2,127 6.1×
EEG awake and asleep (95819) $1,879.20 $2,349 6.8×
EEG awake drowsy (95816) $1,221.60 $1,527 4.4×
EEG cerebral death evaluation (95824) $1,540 $1,925 3.2×
EEG cont rec w/video by tech min 8 channels (95700) $460.80 $576 1.7×
EEG extended monitoring 61-119 minutes (95813) $2,084.80 $2,606 7.5×
Eeg Sleep Only (95822) $874.40 $1,093 3.1×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $926.40 $1,158 3.3×
EEG wo vid ea 12-26hr unmntr (95708) $1,602.40 $2,003 3.3×
Electrical Stimulation Ea 15 Min (97032) $106.40 $133 7.2×
Electrocardiogram Tracing (93005) $306.40 $383 4.0×
Electrophysiology Evaluation (93642) $3,116 $3,895 2.0×
Emergency Dept Visit Level 2 (99282) $1,280 $1,600 6.5×
Emergency Dept Visit Level 3 (99283) $2,184 $2,730 6.2×
Emergency Dept Visit Level 4 (99284) $3,360 $4,200 6.3×
Emg 3 Extremities (95863) $464.80 $581 2.8×
Emg 4 Extremities (95864) $557.14 $696.42 3.4×
Endomyocardial Biopsy (93505) $10,712 $13,390 2.6×
Ep & ablate supravent arrhyt (93653) $64,272 $80,340 1.9×
Ep & ablate ventric tachy (93654) $64,272 $80,340 1.9×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $16,486.40 $20,608 1.6×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $14,021.60 $17,527 1.4×
Er level 1 (99281) $684 $855 6.3×
Er level v (99285) $5,050.40 $6,313 6.6×
Evaluate pt use of inhaler (94664) $372 $465 1.3×
Evaluate Speech Production (92522) $445.60 $557 4.0×
Evaluate Swallowing Function (92610) $612 $765 7.2×
Evaluation of speech fluency (92521) $445.60 $557 3.3×
Exercise test for bronchospasm (94617) $371.20 $464 2.2×
External Ecg Scanning Analysis Report (93226) $557.60 $697 7.3×
Extracranial Bilat Study (93880) $2,048 $2,560 6.7×
Extracranial Uni/Ltd Study (93882) $1,376.08 $1,720.10 10.2×
F-up/limited tthrc echo congenital car anomaly (93304) $1,604.80 $2,006 2.3×
Flexible endoscopic eval swallow c/v rec (92612) $641.60 $802 3.2×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,467.20 $1,834 1.3×
Fundus photography (92250) $416.80 $521 2.4×
Group Therapeutic Procedures (97150) $212.80 $266 11.8×
Health Behavior Assessment/Re-Assessment (96156) $220.80 $276 1.7×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $228 $285 4.7×
Health behavior ivntj indiv f2f 1st 30 min (96158) $220.80 $276 1.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $23,804.80 $29,756 5.7×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $2,284.80 $2,856 2.6×
High altitude simulation test (94452) $529.60 $662 3.1×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $550.40 $688 3.2×
Holter monitor recording (93225) $651.20 $814 3.8×
Icd Device Interrogate (93289) $257.60 $322 5.4×
Icd device progr eval dual (93283) $381.60 $477 8.0×
Icd Device Progr Eval Mult (93284) $440.80 $551 9.2×
Immunization administration (90471) $89.60 $112 1.0×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $1,680 $2,100 3.5×
Insert/Place Heart Catheter (93503) $4,877.60 $6,097 2.4×
Interrogate Subq Defib (93261) $153.60 $192 3.2×
Interrogation vad in person (93750) $339.20 $424 2.8×
Intra-atrial recording (93602) $11,016.80 $13,771 1.1×
Intracranial Complete Study (93886) $1,840 $2,300 6.0×
Intraventricular pacing (93612) $18,596.04 $23,245.04 1.9×
Irrig Drug Delivery Device (96523) $190.40 $238 2.5×
IV infusion hydration each additional hour (96361) $241.60 $302 4.0×
IV infusion hydration initial 31 min-1 hour (96360) $524 $655 1.9×
IV infusion ther proph addl sequential to 1 hr (96367) $228.80 $286 2.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $240.80 $301 4.0×
IV push initial (96374) $398.40 $498 1.5×
L Hrt Art/Grft Angio (93459) $18,278.40 $22,848 4.4×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $7,281.60 $9,102 1.7×
Liver Elastography W/O Imag W/I&R (91200) $955.20 $1,194 5.8×
Low frequency non-thermal us (97610) $655.20 $819 2.5×
Mechanical chest wall oscillation per session (94669) $392 $490 1.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$76.80–$152.80 $96–$191 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$76.80–$152.80 $96–$191 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $71.20 $89 4.2×
Methacholine challenge (94070) $1,142.40 $1,428 2.4×
Motion Fluoroscopy/Swallow (92611) $624.80 $781 6.8×
Muscle Test 2 Limbs (95861) $352 $440 2.1×
Muscle Test Hemidiaphragm (95866) $460.24 $575.30 2.8×
Muscle Test Nonparaspinal (95870) $281.60 $352 1.6×
Muscle Test One Limb (95860) $304 $380 1.8×
Nasopharyngoscopy (92511) $550.40 $688 2.1×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $926.40 $1,158 3.3×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $926.40 $1,158 3.3×
Needle electromyography larynx (95865) $924.80 $1,156 5.4×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $926.40 $1,158 3.3×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $453.60 $567 1.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,039.20 $1,299 2.0×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $4,630.40 $5,788 8.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $462.40 $578 1.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $823.20 $1,029 1.6×
Nerve Conduction Studies 1-2 Studies (95907) $460.80 $576 1.7×
Nerve Conduction Studies 11-12 Studies (95912) $1,581.60 $1,977 3.3×
Nerve conduction studies 13 or more studies (95913) $1,581.60 $1,977 3.3×
Nerve Conduction Studies 3-4 Studies (95908) $926.40 $1,158 3.3×
Nerve conduction studies 5-6 studies (95909) $926.40 $1,158 3.3×
Nerve conduction studies 7-8 studies (95910) $926.40 $1,158 1.9×
Nerve Conduction Studies 9-10 Studies (95911) $1,581.60 $1,977 3.3×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $500.80 $626 3.0×
Neuromuscular Reeducation (97112) $163.20 $204 5.0×
Nonphysician Telephone Assessment 11-20 Min (98967) $62.40 $78 2.5×
Nonphysician Telephone Assessment 21-30 Min (98968) $91.20 $114 2.6×
Nonphysician Telephone Assessment 5-10 Min (98966) $35.20 $44 2.6×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $613.60 $767 1.3×
Oral Function Therapy (92526) $371.20 $464 4.4×
Oral Speech Device Eval (92597)
range across 4 matching MRF lines
$302.40–$381.60 $378–$477 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $146.40 $183 2.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $131.20 $164 2.8×
Ot Contrast Bath Ea 15 Min (97034) $82.40 $103 5.9×
Ot eval high complexity (97167) $399.20 $499 4.0×
Ot Eval Low Complex (97165) $315.20 $394 3.1×
Ot Eval Moderate Complexity (97166) $357.60 $447 3.6×
Ot manual therapy 15 min (97140) $163.20 $204 5.9×
Ot paraffin bath (97018) $84 $105 14.0×
Ot Prosthetic Training, Each 15 Min (97761) $133.60 $167 3.3×
Ot Re-Eval Est Plan Care (97168) $192.80 $241 2.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $410.40 $513 2.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $267.20 $334 1.6×
Oxygen Uptake Rest Indirect (94690) $184 $230 2.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $815.20 $1,019 2.9×
Percutaneous tests w/allergenic extracts (95004) $3,084.80 $3,856 2.8×
Peripheral arterial disease rehab per session (93668) $202.40 $253 2.7×
Perq Transcath Cls Aortic (93591) $41,867.20 $52,334 1.8×
Perq Transcath Cls Mitral (93590) $41,377.60 $51,722 1.8×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $14,427.20 $18,034 2.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $40,861.60 $51,077 2.8×
Phlebotomy therapeutic (99195) $327.20 $409 1.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $287.20 $359 3.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $308.80 $386 4.1×
Physical Performance Test (97750) $116 $145 3.4×
Plethysmography (94726) $683.20 $854 1.4×
Pm device eval in person (93288) $225.60 $282 4.7×
Pm device progr eval dual (93280) $251.20 $314 5.2×
Pm device progr eval multi (93281) $236 $295 4.9×
Pm Device Progr Eval Sngl (93279) $236 $295 4.9×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $126.40 $158 2.6×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $250.40 $313 5.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $140 $175 2.3×
Prq Card Angio/Athrect 1 Art (92924) $28,862.40 $36,078 1.9×
Prq Card Stent W/Angio 1 Vsl (92928) $17,855.20 $22,319 1.2×
Prq Card Stent/Ath/Angio (92933) $15,343.20 $19,179 0.7×
Prq Revasc Byp Graft 1 Vsl (92937) $18,216.80 $22,771 1.2×
Psychiatric diagnostic evaluation (90791) $429.60 $537 1.9×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $159.20 $199 4.2×
Pt Eval High Complex (97163) $388.80 $486 4.0×
Pt eval low complex 20 min (97161) $315.20 $394 3.2×
Pt Eval Mod Complex (97162) $354.40 $443 3.6×
Pt gait training 15 min (97116) $134.40 $168 4.6×
Pt group caregiver training (97552) $8.80 $11 0.4×
Pt mechanical traction (97012) $88 $110 6.1×
Pt Re-Eval Est Plan Care (97164) $185.60 $232 2.8×
Pulm function test by gas (94727) $460.80 $576 1.7×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$460.80–$488 $576–$610 varies
Pulmonary Stress Testing (94618) $808 $1,010 4.7×
R Hrt Art/Grft Angio (93457) $15,432 $19,290 3.7×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $2,540.80 $3,176 0.6×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $9,205.60 $11,507 2.2×
R hrt coronary artery angio (93456) $17,552.80 $21,941 4.2×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $9,358.40 $11,698 2.2×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $8,958.40 $11,198 2.1×
R&L Hrt Cath W/Ventriclgrphy (93453) $16,422.40 $20,528 3.9×
Refill/Maint Portable Pump (96521) $1,025.60 $1,282 3.7×
Remote 30 Day Ecg Rev/Report (93270) $236 $295 4.9×
Remote 30 Day Ecg Tech Supp (93229) $926.40 $1,158 1.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $230.40 $288 3.0×
Right Heart Cath (93451) $9,017.60 $11,272 2.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $299.20 $374 1.2×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $484 $605 4.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $184 $230 3.9×
Self Care Mngment Training (97535) $163.20 $204 5.0×
Sensory Integration Ea 15 Min (97533) $160 $200 2.6×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $926.40 $1,158 3.3×
Short-latency somatosens ep std upr limbs (95925) $926.40 $1,158 3.3×
Slp caregiver training 1st 30 min (97550)
range across 3 matching MRF lines
$111.20–$113.60 $139–$142 varies
Somatosensory Testing (95938) $1,571.20 $1,964 1.4×
Speech sound lang comprehen (92523)
range across 6 matching MRF lines
$598.40–$604.80 $748–$756 varies
Spirometry (94010) $505.60 $632 1.8×
Ssep lower limbs (95926) $926.40 $1,158 3.3×
Standardized Cognitive Performance Testing (96125) $513.60 $642 5.0×
Stress Tte Only (93350) $6,701.60 $8,377 9.5×
Subcutaneous Infusion Each Additional Hour (96370) $492.80 $616 8.2×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $1,228.80 $1,536 4.5×
Surfactant Admin Thru Tube (94610) $629.60 $787 2.2×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $1,440 $1,800 10.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $124 $155 5.5×
Ther Ivntj Ea Addl 15 Min (97130) $124 $155 5.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $134.40 $168 4.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $504 $630 4.9×
Ther/Prop/Diag Inj/Inf Proc (96379) $93.60 $117 1.6×
Ther/Proph/Diag Inj Ia (96373) $330.40 $413 1.2×
Ther/Proph/Diag Inj Sc/Im (96372) $198.40 $248 2.1×
Ther/Proph/Diag Iv Inf Init (96365) $580 $725 2.1×
Therapeutic Activities (97530) $163.20 $204 4.7×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,772 $3,465 5.8×
Transcath Closure of Asd (93580) $29,458.40 $36,823 1.2×
Transcranial Doppler Intracran Art Emboli Detect (93892) $1,440 $1,800 10.7×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $824 $1,030 6.1×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$2,120–$2,240 $2,650–$2,800 varies
Tte W/O Doppler Complete (93307) $1,368 $1,710 4.5×
Tx atrial fib pulm vein isol (93656) $64,272 $80,340 1.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $367.20 $459 4.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $230.40 $288 3.8×
Tympanometry (92567) $258.40 $323 5.4×
Unlisted cardiovascular service/procedure (93799)
range across 4 matching MRF lines
$3,367.20–$24,204 $4,209–$30,255 varies
Unlisted noninvasive vascular diagnostic study (93998) $665.60 $832 17.9×
Upr/L Xtremity Art 2 Levels (93922) $821.60 $1,027 4.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,120 $1,400 4.0×
Valvuloplasty aortic valve (92986) $24,204 $30,255 3.3×
Valvuloplasty mitral valve (92987) $38,803.20 $48,504 2.6×
Vasopneumatic device (97016) $84 $105 7.0×
Veeg 2-12 Hr Cont Mntr (95713)
range across 3 matching MRF lines
$1,540.80–$1,602.40 $1,926–$2,003 varies
Veeg 2-12 hr intmt mntr (95712) $926.40 $1,158 1.9×
Veeg 2-12 hr unmonitored (95711) $1,120 $1,400 4.0×
Veeg Ea 12-26 Hr Unmntr (95714) $1,571.20 $1,964 3.3×
Vent Mgmt Inpat Init Day (94002) $3,304.80 $4,131 4.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,815.20 $3,519 3.5×
Visual Evoked Potential Test (95930) $926.40 $1,158 3.3×
Wheelchair Mgmt Ea 15 Min (97542) $148 $185 4.8×

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.