Visits & medical services prices at Froedtert Memorial Lutheran Hospital
Milwaukee, WI · every code in this section with a posted price and a Medicare benchmark.
398 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) | $14,095.40 | $25,628 | 1.8× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $209.55 | $381 | 1.6× |
| Actigraphy Testing Recording Analysis I&R (95803) | $147.40 | $268 | 2.5× |
| Actinotherapy Ultraviolet Light (96900) | $48.95 | $89 | 1.3× |
| Acupunct W/Stimul 15 Min (97813) | $17.60 | $32 | 0.6× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $17.60 | $32 | 0.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $36.85 | $67 | 0.9× |
| Advncd Care Plan 30 Min (99497) | $112.75 | $205 | 1.1× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $382.80 | $696 | 1.8× |
| Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines |
$425.15–$522.50 | $773–$950 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) range across 2 matching MRF lines |
$425.15–$522.50 | $773–$950 | varies |
| Airway Inhalation Treatment (94640) range across 12 matching MRF lines |
$57.75–$257.40 | $105–$468 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $155.65 | $283 | 1.2× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $207.35 | $377 | 1.5× |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) | $223.85 | $407 | 1.7× |
| Analyze neurostim complex (95972) | $424.05 | $771 | 4.4× |
| Analyze neurostim no prog (95970) | $394.90 | $718 | 2.9× |
| Analyze Neurostim Simple (95971) | $282.70 | $514 | 2.9× |
| Analyze Pacemaker System (93724) | $2,870.45 | $5,219 | 9.2× |
| Ans parasymp & symp w/tilt (95924) | $617.10 | $1,122 | 2.8× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $239.80 | $436 | 1.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$86.35–$92.40 | $157–$168 | varies |
| Application on-body injector (96377) | $72.05 | $131 | 1.5× |
| Assessment of aphasia per hr (96105) | $268.95 | $489 | 2.8× |
| Assessment of tinnitus (92625) | $190.30 | $346 | 1.5× |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$171.05–$190.30 | $311–$346 | varies |
| Auditory Function, 60 Min (92620) | $190.30 | $346 | 1.5× |
| Basic vestibular evaluation (92540) | $190.30 | $346 | 0.9× |
| Behavral qualit analys voice (92524) range across 10 matching MRF lines |
$50.05–$273.35 | $91–$497 | varies |
| Biofeedback training any modality (90901) range across 5 matching MRF lines |
$83.05–$171.60 | $151–$312 | varies |
| Bis Xtracell Fluid Analysis (93702) | $205.15 | $373 | 1.6× |
| Blink reflex test (95933) | $162.25 | $295 | 2.7× |
| Breath hydrogen/methane test (91065) | $232.10 | $422 | 1.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $466.40 | $848 | 1.2× |
| Bundle of his recording (93600) | $10,453.30 | $19,006 | 1.3× |
| C motor evoked uppr limbs (95928) | $1,540 | $2,800 | 1.8× |
| C motor evoked upr&lwr limbs (95939) | $1,797.40 | $3,268 | 2.1× |
| Caloric vestibular test w/rec bi monothermal (92538) | $190.30 | $346 | 0.9× |
| Caloric Vstblr Test W/Rec (92537) | $190.30 | $346 | 1.5× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$114.40–$146.85 | $208–$267 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $610.50 | $1,110 | 2.8× |
| Cardiopulmonary exercise testing (94621) | $1,325.50 | $2,410 | 3.5× |
| Cardiopulmonary resuscitation (92950) | $1,005.95 | $1,829 | 4.6× |
| Cardioversion (92960) | $1,146.20 | $2,084 | 1.7× |
| Cardioversion elective internal (92961) | $1,116.50 | $2,030 | 1.7× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $89.65 | $163 | 3.4× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $9,957.75 | $18,105 | 3.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $15,862 | $28,840 | 4.8× |
| Cbt 1st hour (94644) | $140.25 | $255 | 1.0× |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $493.35 | $897 | 2.3× |
| Cervical Vemp Testing W/I&R (92517) | $353.10 | $642 | 2.7× |
| Chemo Admin Peritoneal Cavity (96446) | $445.50 | $810 | 1.3× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$237.60–$246.40 | $432–$448 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$191.95–$212.30 | $349–$386 | varies |
| Chemo Ia Push (96420) | $329.45 | $599 | 1.0× |
| Chemo Intralesional Over 7 (96406) | $538.45 | $979 | 2.5× |
| Chemo intralesional up to 7 (96405) range across 2 matching MRF lines |
$99.55–$101.75 | $181–$185 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$243.65–$260.70 | $443–$474 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$242–$268.95 | $440–$489 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$268.95–$606.10 | $489–$1,102 | varies |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $456.50 | $830 | 1.4× |
| Chemotherapy Into Cns (96450) | $1,006.50 | $1,830 | 3.0× |
| Chemotherapy Unspecified (96549) range across 2 matching MRF lines |
$83.60–$86.35 | $152–$157 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$296.45–$314.60 | $539–$572 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$456.50–$623.15 | $830–$1,133 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$407–$416.35 | $740–$757 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $284.90 | $518 | 0.9× |
| Chest Wall Manipulation (94668) | $37.95 | $69 | 0.3× |
| Chron Care Mgmt Srvc 20 Min (99490) | $114.40 | $208 | 1.1× |
| Cmptr ophth dx img ant segmt (92132) | $116.05 | $211 | 1.9× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $212.30 | $386 | 3.6× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$828.30–$1,175.90 | $1,506–$2,138 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$690.80–$774.95 | $1,256–$1,409 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $204.05 | $371 | 1.1× |
| Comprehensive Hearing Test (92557) | $190.30 | $346 | 1.5× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $131.45 | $239 | 2.2× |
| Computerized Ophthalmic Imaging Retina (92134) | $139.70 | $254 | 2.3× |
| Conditioning Play Audiometry (92582) | $190.30 | $346 | 1.5× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $175.45 | $319 | 1.3× |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 2 matching MRF lines |
$126.50–$129.25 | $230–$235 | varies |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$211.20–$300.30 | $384–$546 | varies |
| Corneal Topography (92025) | $99.55 | $181 | 1.7× |
| Coronary Art/Grft Angio S&I (93455) | $7,293.55 | $13,261 | 2.2× |
| Coronary Artery Angio S&I (93454) | $8,515.65 | $15,483 | 2.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$143–$451 | $260–$820 | varies |
| Cpt initial (94667) | $137.50 | $250 | 1.0× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) | $191.40 | $348 | 0.9× |
| Critical care first hour (99291) | $1,617 | $2,940 | 1.9× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $983.95 | $1,789 | 2.6× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 14 matching MRF lines |
$229.90–$373.45 | $418–$679 | varies |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$342.10–$1,566.40 | $622–$2,848 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $382.80 | $696 | 1.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $871.20 | $1,584 | 3.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$297–$331.65 | $540–$603 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $301.95 | $549 | 2.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,048.30 | $1,906 | 4.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $860.75 | $1,565 | 8.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 4 matching MRF lines |
$1,082.40–$1,826.55 | $1,968–$3,321 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$689.70–$696.30 | $1,254–$1,266 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $463.10 | $842 | 1.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $474.10 | $862 | 4.5× |
| Duplex Scan Hemodialysis Access (93990) | $380.05 | $691 | 3.6× |
| Duplex up extrem art bilat (93930) | $675.40 | $1,228 | 2.8× |
| Duplex up extrem art unilat/ltd (93931) | $656.15 | $1,193 | 6.2× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $127.05 | $231 | 1.0× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $223.85 | $407 | 1.7× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $455.95 | $829 | 3.5× |
| Echo Congenital Complete (93303) | $1,452 | $2,640 | 2.6× |
| Echo Heart Xthoracic,Limited (93308) | $701.80 | $1,276 | 2.9× |
| Echo r-t 2d w/probe placement only (93313) | $1,323.85 | $2,407 | 2.4× |
| Echo transesophag congen probe plcmt only (93316) | $1,205.60 | $2,192 | 2.2× |
| Echo transesophag montr cardiac pump functj (93318) | $1,476.75 | $2,685 | 2.7× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$1,834.80–$1,950.30 | $3,336–$3,546 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 2 matching MRF lines |
$1,420.65–$1,455.85 | $2,583–$2,647 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,982.10 | $5,422 | 5.4× |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) | $73.70 | $134 | 2.0× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$528.55–$679.25 | $961–$1,235 | varies |
| EEG awake and asleep (95819) | $1,070.30 | $1,946 | 4.9× |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$326.70–$822.25 | $594–$1,495 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $429 | $780 | 2.0× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$581.90–$799.70 | $1,058–$1,454 | varies |
| Eeg Sleep Only (95822) | $641.30 | $1,166 | 2.9× |
| EEG w/o vid ea 12-26hr intmt (95709) | $936.10 | $1,702 | 2.5× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $425.15 | $773 | 1.9× |
| EKG signal averaged (93278) | $321.20 | $584 | 5.4× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $172.70 | $314 | 1.8× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $408.65 | $743 | 4.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $303.60 | $552 | 8.0× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$96.25–$112.75 | $175–$205 | varies |
| Electro-Oculography (92270) | $192.50 | $350 | 1.4× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$143.55–$249.15 | $261–$453 | varies |
| Electrocochleography (92584) | $190.30 | $346 | 1.5× |
| Electrophysiology Evaluation (93642) | $2,956.80 | $5,376 | 2.4× |
| Emergency Dept Visit Level 2 (99282) | $421.58 | $766.50 | 2.7× |
| Emergency Dept Visit Level 3 (99283) | $1,118.15 | $2,033 | 4.0× |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$710.60–$1,501.50 | $1,292–$2,730 | varies |
| Endomyocardial Biopsy (93505) | $3,756.50 | $6,830 | 1.2× |
| Ep & ablate supravent arrhyt (93653) | $24,599.30 | $44,726 | 0.9× |
| Ep & ablate ventric tachy (93654) | $24,985.95 | $45,429 | 0.9× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $10,285 | $18,700 | 1.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $8,571.20 | $15,584 | 1.1× |
| Er level 1 (99281) | $173.25 | $315 | 2.0× |
| Er level v (99285) range across 2 matching MRF lines |
$982.30–$1,683 | $1,786–$3,060 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $653.40 | $1,188 | 1.7× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $190.30 | $346 | 1.5× |
| Evaluate pt use of inhaler (94664) | $147.40 | $268 | 0.7× |
| Evaluate Speech Production (92522) range across 10 matching MRF lines |
$107.25–$757.35 | $195–$1,377 | varies |
| Evaluate Swallowing Function (92610) range across 6 matching MRF lines |
$138.60–$831.05 | $252–$1,511 | varies |
| Evaluation of speech fluency (92521) range across 9 matching MRF lines |
$88.55–$420.75 | $161–$765 | varies |
| Evoked Auditory Test,Limited (92587) | $382.80 | $696 | 1.8× |
| Exercise test for bronchospasm (94617) | $552.20 | $1,004 | 4.1× |
| Exhaled Air Analysis O2 (94680) | $301.95 | $549 | 2.3× |
| External ECG rec>48hr<7d recording (93242) | $436.15 | $793 | 11.5× |
| External ECG rec>7d<15d recording (93246) | $448.80 | $816 | 11.9× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$1,089–$1,467.95 | $1,980–$2,669 | varies |
| Extracranial Uni/Ltd Study (93882) | $453.75 | $825 | 4.3× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $994.40 | $1,808 | 1.8× |
| Facial nerve function studies (92516) | $382.80 | $696 | 1.8× |
| Flexible endoscopic eval swallow c/v rec (92612) | $403.15 | $733 | 2.0× |
| Fluorescein angiography (92235) range across 3 matching MRF lines |
$203.50–$562.65 | $370–$1,023 | varies |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $633.60 | $1,152 | 2.9× |
| Full Field Electroretinography W/I&R (92273) | $498.85 | $907 | 2.3× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $1,416.25 | $2,575 | 1.6× |
| Fundus photography (92250) range across 4 matching MRF lines |
$85.25–$178.75 | $155–$325 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $779.35 | $1,417 | 2.1× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $535.15 | $973 | 2.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $779.35 | $1,417 | 0.9× |
| Gi tract capsule endoscopy (91110) | $1,436.05 | $2,611 | 1.6× |
| Gi wireless capsule measure (91112) | $1,104.95 | $2,009 | 1.2× |
| Gonioscopy (92020) | $143 | $260 | 1.1× |
| Group Therapeutic Procedures (97150) range across 8 matching MRF lines |
$11–$45.65 | $20–$83 | varies |
| Health Behavior Assessment/Re-Assessment (96156) range across 2 matching MRF lines |
$105.60–$117.15 | $192–$213 | varies |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $184.25 | $335 | 4.9× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $110 | $200 | 0.6× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $8,247.80 | $14,996 | 2.5× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$57.20–$807.40 | $104–$1,468 | varies |
| Holter monitor recording (93225) | $417.45 | $759 | 3.1× |
| Icd Device Interrogate (93289) | $180.95 | $329 | 4.8× |
| Icd device progr eval dual (93283) | $258.50 | $470 | 6.8× |
| Icd Device Progr Eval Mult (93284) | $258.50 | $470 | 6.8× |
| Ilr Device Eval Progr (93285) | $90.20 | $164 | 2.4× |
| Ilr Device Interrogate (93291) | $104.50 | $190 | 3.6× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $35.48 | $64.50 | 0.6× |
| Immunization administration (90471) | $45.65 | $83 | 0.6× |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $442.75 | $805 | 2.0× |
| Insert/Place Heart Catheter (93503) | $3,409.45 | $6,199 | 2.1× |
| Interrogate Subq Defib (93261) | $90.20 | $164 | 2.4× |
| Interrogation vad in person (93750) | $286.55 | $521 | 3.0× |
| Intracranial Complete Study (93886) | $525.25 | $955 | 2.2× |
| Io anal gast n-stim subsq (95981) | $160.05 | $291 | 2.7× |
| Io ga n-stim subsq w/reprog (95982) | $50.05 | $91 | 1.3× |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$101.20–$122.10 | $184–$222 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$121–$124.85 | $220–$227 | varies |
| IV infusion hydration each additional hour (96361) | $106.70 | $194 | 2.3× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$280.50–$302.50 | $510–$550 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $144.10 | $262 | 2.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $119.90 | $218 | 2.5× |
| IV push initial (96374) range across 6 matching MRF lines |
$173.25–$247.50 | $315–$450 | varies |
| L Hrt Art/Grft Angio (93459) | $12,360.70 | $22,474 | 3.8× |
| Laryngeal Function Studies (92520) | $140.25 | $255 | 1.0× |
| Liver Elastography W/O Imag W/I&R (91200) | $252.45 | $459 | 1.9× |
| Low frequency non-thermal us (97610) | $276.10 | $502 | 1.4× |
| Lung Function Test (Mbc/Mvv) (94200) | $124.30 | $226 | 2.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $626.45 | $1,139 | 2.9× |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) | $2,493.70 | $4,534 | 2.9× |
| Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) | $9,973.70 | $18,134 | 11.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $49.50 | $90 | 1.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $67.10 | $122 | 1.8× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $22.55 | $41 | 1.3× |
| Methacholine challenge (94070) range across 3 matching MRF lines |
$435.05–$525.25 | $791–$955 | varies |
| Motility study esophagus (91010) | $768.35 | $1,397 | 2.0× |
| Motion Fluoroscopy/Swallow (92611) range across 8 matching MRF lines |
$99–$790.90 | $180–$1,438 | varies |
| Multifocal Electroretinography W/I&R (92274) | $301.40 | $548 | 2.3× |
| Multiple Sleep Latency Test (95805) | $2,423.85 | $4,407 | 2.8× |
| Muscle Test 2 Limbs (95861) | $510.40 | $928 | 3.8× |
| Muscle Test Nonparaspinal (95870) | $208.45 | $379 | 1.5× |
| Muscle Test One Limb (95860) | $409.75 | $745 | 3.0× |
| Nasal function studies (92512) | $416.35 | $757 | 1.9× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$277.75–$300.85 | $505–$547 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $442.75 | $805 | 2.0× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $285.45 | $519 | 1.3× |
| Needle electromyography larynx (95865) | $132.55 | $241 | 1.0× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $203.50 | $370 | 0.9× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $502.70 | $914 | 2.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$508.48–$524.15 | $924.50–$953 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $500.23 | $909.50 | 1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $244.20 | $444 | 1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$503.80–$514.25 | $916–$935 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $277.75 | $505 | 1.3× |
| Nerve Conduction Studies 11-12 Studies (95912) | $968.55 | $1,761 | 2.6× |
| Nerve conduction studies 13 or more studies (95913) | $968.55 | $1,761 | 2.6× |
| Nerve Conduction Studies 3-4 Studies (95908) | $598.40 | $1,088 | 2.7× |
| Nerve conduction studies 5-6 studies (95909) | $741.40 | $1,348 | 3.4× |
| Nerve conduction studies 7-8 studies (95910) | $741.40 | $1,348 | 2.0× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,200.65 | $2,183 | 3.2× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $330 | $600 | 2.5× |
| Neuromuscular Reeducation (97112) range across 6 matching MRF lines |
$77.55–$105.60 | $141–$192 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $488.95 | $889 | 1.3× |
| Ocular Vemp Testing W/I&R (92518) | $353.10 | $642 | 2.7× |
| Oculoelectromyography (92265) | $96.25 | $175 | 1.6× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $220 | $400 | 1.6× |
| Ophth medical xm&eval intermediate estab pt (92012) | $79.20 | $144 | 0.6× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $124.85 | $227 | 2.1× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $124.85 | $227 | 2.1× |
| Optokinetic Nystagmus Test (92544) | $190.30 | $346 | 1.5× |
| Oral Function Therapy (92526) range across 10 matching MRF lines |
$106.15–$842.60 | $193–$1,532 | varies |
| Oral Speech Device Eval (92597) range across 6 matching MRF lines |
$166.10–$997.15 | $302–$1,813 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $112.75 | $205 | 2.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$91.85–$109.45 | $167–$199 | varies |
| Oscillating Tracking Test (92545) | $382.80 | $696 | 1.8× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $33 | $60 | 1.5× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$282.70–$300.30 | $514–$546 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$151.80–$202.95 | $276–$369 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$188.65–$238.15 | $343–$433 | varies |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$95.15–$101.75 | $173–$185 | varies |
| Ot paraffin bath (97018) | $52.80 | $96 | 8.8× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 4 matching MRF lines |
$71.50–$94.05 | $130–$171 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$126.50–$142.45 | $230–$259 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$260.15–$267.85 | $473–$487 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $173.80 | $316 | 1.3× |
| Oxygen Uptake Rest Indirect (94690) | $86.90 | $158 | 1.5× |
| Patient-initiated spirometric recording (94015) | $281.60 | $512 | 1.3× |
| Penile Vascular Study,Ltd or F/U (93981) | $355.85 | $647 | 3.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $248.05 | $451 | 1.1× |
| Percutaneous tests w/allergenic extracts (95004) | $7.70 | $14 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $83.05 | $151 | 1.4× |
| Perq transcath closure pda (93582) | $23,645.05 | $42,991 | 1.3× |
| Perq Transcath Cls Aortic (93591) | $22,769.45 | $41,399 | 1.2× |
| Perq Transcath Cls Mitral (93590) | $18,386.50 | $33,430 | 1.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $7,289.70 | $13,254 | 1.3× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $15,132.15 | $27,513 | 1.3× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$187–$194.15 | $340–$353 | varies |
| Photo Tests (95056) | $133.65 | $243 | 1.0× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) | $74.25 | $135 | 1.2× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $82.50 | $150 | 1.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $179.85 | $327 | 3.0× |
| Physical Performance Test (97750) range across 5 matching MRF lines |
$69.30–$91.30 | $126–$166 | varies |
| Plethysmography (94726) | $438.90 | $798 | 1.2× |
| Pm device eval in person (93288) | $108.90 | $198 | 2.9× |
| Pm device progr eval dual (93280) | $189.20 | $344 | 5.0× |
| Pm device progr eval multi (93281) | $152.90 | $278 | 4.0× |
| Pm Device Progr Eval Sngl (93279) | $160.05 | $291 | 4.2× |
| Pm/Icd Remote Tech Serv (93296) | $164.45 | $299 | 4.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,696 | $6,720 | 4.3× |
| Positional nystagmus test (92542) | $155.65 | $283 | 1.2× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $100.65 | $183 | 2.7× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $247.50 | $450 | 6.6× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $114.40 | $208 | 1.1× |
| Prq Card Angio/Athrect 1 Art (92924) | $12,432.20 | $22,604 | 1.1× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $10,774.50 | $19,590 | 0.9× |
| Prq Card Stent/Ath/Angio (92933) | $16,121.05 | $29,311 | 0.9× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $11,312.95 | $20,569 | 1.0× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $26,523.75 | $48,225 | 1.4× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $20,056.30 | $36,466 | 1.7× |
| Psych diag eval w/med srvcs (90792) | $209.55 | $381 | 1.2× |
| Psychiatric diagnostic evaluation (90791) range across 10 matching MRF lines |
$131.45–$260.70 | $239–$474 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$191.95–$213.40 | $349–$388 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $51.15 | $93 | 1.4× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$262.90–$301.40 | $478–$548 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$136.95–$182.05 | $249–$331 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$185.90–$235.40 | $338–$428 | varies |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$70.95–$89.10 | $129–$162 | varies |
| Pt group caregiver training (97552) | $28.05 | $51 | 1.3× |
| Pt mechanical traction (97012) range across 4 matching MRF lines |
$108.35–$229.90 | $197–$418 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$124.85–$139.70 | $227–$254 | varies |
| Pulm function test by gas (94727) | $293.70 | $534 | 1.3× |
| Pulmonary service/procedure (94799) range across 9 matching MRF lines |
$33.55–$178.20 | $61–$324 | varies |
| Pulmonary Stress Testing (94618) | $241.45 | $439 | 1.8× |
| Pure Tone Audiometry Air (92552) | $151.80 | $276 | 1.1× |
| R Hrt Art/Grft Angio (93457) | $7,301.25 | $13,275 | 2.2× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $6,975.65 | $12,683 | 2.1× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $5,550.05 | $10,091 | 1.7× |
| R hrt coronary artery angio (93456) | $9,076.65 | $16,503 | 2.8× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $7,047.15 | $12,813 | 2.1× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $7,047.15 | $12,813 | 2.1× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $8,071.80 | $14,676 | 2.5× |
| Refill/Maint Portable Pump (96521) | $402.05 | $731 | 1.9× |
| Refill/Maint Pump/Resvr Syst (96522) | $377.30 | $686 | 1.8× |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $51.98 | $94.50 | 1.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $448.80 | $816 | 11.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $88 | $160 | 1.5× |
| Right Heart Cath (93451) | $9,630.50 | $17,510 | 2.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 14 matching MRF lines |
$146.30–$205.70 | $266–$374 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$265.10–$352.55 | $482–$641 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 2 matching MRF lines |
$60.50–$80.85 | $110–$147 | varies |
| Select picture audiometry (92583) | $74.25 | $135 | 1.2× |
| Self Care Mngment Training (97535) range across 5 matching MRF lines |
$62.15–$116.60 | $113–$212 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $83.05 | $151 | 1.4× |
| Sensory Integration Ea 15 Min (97533) | $88 | $160 | 1.4× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $486.75 | $885 | 2.2× |
| Short-latency somatosens ep std upr limbs (95925) | $738.65 | $1,343 | 3.4× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $190.30 | $346 | 1.5× |
| Sleep study unattended (95806) | $420.75 | $765 | 1.9× |
| Slp caregiver training 1st 30 min (97550) | $179.85 | $327 | 3.4× |
| Somatosensory Testing (95938) | $1,019.70 | $1,854 | 1.2× |
| Speech Audiometry Complete (92556) | $121.55 | $221 | 2.0× |
| Speech audiometry threshold (92555) | $97.35 | $177 | 1.6× |
| Speech sound lang comprehen (92523) range across 10 matching MRF lines |
$117.15–$585.75 | $213–$1,065 | varies |
| Spirometry (94010) range across 5 matching MRF lines |
$222.20–$288.75 | $404–$525 | varies |
| Spontaneous Nystagmus Test (92541) | $155.65 | $283 | 1.2× |
| Ssep lower limbs (95926) | $720.50 | $1,310 | 3.3× |
| Stenger Test, Pure Tone (92565) | $74.25 | $135 | 1.2× |
| Subcutaneous Infusion Each Additional Hour (96370) | $88 | $160 | 1.9× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $363 | $660 | 1.7× |
| Subq Infusion Additional Pump Infusion Site (96371) | $94.05 | $171 | 1.3× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $295.35 | $537 | 2.8× |
| Temp transcutaneous pacing (92953) | $1,072.50 | $1,950 | 1.6× |
| Temperature Gradient Studies (93740) | $141.35 | $257 | 1.1× |
| Tensilon Test (95857) | $443.30 | $806 | 2.0× |
| Testing Autonomic Nervous System Function (95923) | $837.10 | $1,522 | 6.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$70.40–$80.85 | $128–$147 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$67.10–$77 | $122–$140 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $95.70 | $174 | 2.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 5 matching MRF lines |
$238.15–$638 | $433–$1,160 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $229.90 | $418 | 1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$63.25–$199.10 | $115–$362 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 6 matching MRF lines |
$306.35–$388.85 | $557–$707 | varies |
| Therapeutic Activities (97530) range across 6 matching MRF lines |
$64.90–$88.55 | $118–$161 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,417.90 | $2,578 | 3.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $20.63 | $37.50 | 0.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $20.63 | $37.50 | 0.5× |
| Trans Care Mgmt 14 Day Disch (99495) | $131.18 | $238.50 | 1.0× |
| Trans Care Mgmt 7 Day Disch (99496) | $131.18 | $238.50 | 1.0× |
| Transcath Closure of Asd (93580) | $26,523.75 | $48,225 | 1.4× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $295.35 | $537 | 2.8× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $136.40 | $248 | 3.6× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $232.65 | $423 | 1.8× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $260.70 | $474 | 1.9× |
| Tte w/doppler, complete (93306) | $2,297.90 | $4,178 | 4.2× |
| Tx atrial fib pulm vein isol (93656) | $25,271.95 | $45,949 | 1.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 10 matching MRF lines |
$63.25–$634.15 | $115–$1,153 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 4 matching MRF lines |
$66.55–$267.85 | $121–$487 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$96.25–$99 | $175–$180 | varies |
| Tympanometry (92567) | $152.35 | $277 | 4.0× |
| Tympanometry and reflex threshold measurements (92550) | $190.30 | $346 | 0.9× |
| Unlis neurological/neuromuscular dx px (95999) range across 2 matching MRF lines |
$103.95–$190.85 | $189–$347 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$306.35–$27,415.85 | $557–$49,847 | varies |
| Unlisted noninvasive vascular diagnostic study (93998) | $52.80 | $96 | 1.8× |
| Unlisted otorhinolaryngological service (92700) range across 4 matching MRF lines |
$77–$197.45 | $140–$359 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $389.40 | $708 | 2.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $787.05 | $1,431 | 3.6× |
| Valvuloplasty aortic valve (92986) | $5,619.90 | $10,218 | 1.0× |
| Valvuloplasty mitral valve (92987) | $7,981.05 | $14,511 | 0.7× |
| Valvuloplasty pulmonary valve (92990) | $11,672.10 | $21,222 | 1.0× |
| Vasopneumatic device (97016) range across 5 matching MRF lines |
$74.80–$136.40 | $136–$248 | varies |
| Vent Mgmt Inpat Init Day (94002) | $514.80 | $936 | 0.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $514.80 | $936 | 0.8× |
| Visual Evoked Potential Test (95930) | $460.90 | $838 | 2.1× |
| Visual Field Exam Extended (92083) | $257.95 | $469 | 1.9× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $138.05 | $251 | 2.3× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $151.80 | $276 | 2.5× |
| Visual reinforcement audiometry (vra) (92579) | $190.30 | $346 | 0.9× |
| Vital capacity, total (94150) | $116.05 | $211 | 0.9× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,416.25 | $2,575 | 1.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $61.05 | $111 | 2.0× |
| Whirlpool Therapy (97022) | $110.55 | $201 | 7.0× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $217.25 | $395 | 3.6× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $173.25 | $315 | 4.6× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.