Visits & medical services prices at Gibson Community Hospital
Gibson City, IL · every code in this section with a posted price and a Medicare benchmark.
282 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) range across 3 matching MRF lines |
$39–$79 | $39–$79 | varies |
| Acoustic Reflex Testing (92568) range across 2 matching MRF lines |
$24–$48 | $24–$48 | varies |
| Advncd Care Plan 30 Min (99497) range across 3 matching MRF lines |
$97–$224 | $97–$224 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $124 | $124 | 0.5× |
| Aep neurodiagnostic i&r (92653) | $119 | $119 | 0.5× |
| Aep threshold estimation mlt frequencies i&r (92652) | $155 | $155 | 0.7× |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$176–$541 | $176–$541 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $203 | $203 | 1.4× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) range across 5 matching MRF lines |
$32–$126 | $32–$126 | varies |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) range across 3 matching MRF lines |
$131–$288 | $131–$288 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 6 matching MRF lines |
$91–$146 | $91–$146 | varies |
| Application Modality 1/> Areas Diathermy (97024) range across 2 matching MRF lines |
$24–$159 | $24–$159 | varies |
| Application Modality 1/> Areas Infrared (97026) | $48 | $48 | 7.2× |
| Application on-body injector (96377) | $512 | $512 | 10.2× |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$650–$676 | $650–$676 | varies |
| Assessment of tinnitus (92625) range across 3 matching MRF lines |
$53–$116 | $53–$116 | varies |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$51–$131 | $51–$131 | varies |
| Basic vestibular evaluation (92540) range across 2 matching MRF lines |
$280–$809 | $280–$809 | varies |
| Behavral qualit analys voice (92524) range across 3 matching MRF lines |
$390–$780 | $390–$780 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $230 | $230 | 2.8× |
| Biofeedback training any modality (90901) | $235 | $235 | 5.7× |
| Brief Emotional/Behav Assmt (96127) | $34 | $34 | 0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $1,042 | $1,042 | 2.6× |
| Caloric Vstblr Test W/Rec (92537) range across 3 matching MRF lines |
$49–$126 | $49–$126 | varies |
| Canalith repositioning proc (95992) | $193 | $193 | 4.7× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$591–$1,755 | $591–$1,755 | varies |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$814–$2,374 | $814–$2,374 | varies |
| Cardioversion (92960) | $1,444 | $1,444 | 2.0× |
| Cardioversion elective internal (92961) | $678 | $678 | 1.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 3 matching MRF lines |
$208–$1,975 | $208–$1,975 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$1,538–$6,154 | $1,538–$6,154 | varies |
| Cbt 1st hour (94644) | $513 | $513 | 3.6× |
| Chemo Anti-Neopl Sq/Im (96401) | $499 | $499 | 6.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $499 | $499 | 6.5× |
| Chemo IV infusion addl hr (96415) | $335 | $335 | 4.3× |
| Chemo IV push addl drug (96411) | $643 | $643 | 8.3× |
| Chemother Prolong Infuse W/Pump (96416) | $1,991 | $1,991 | 5.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $536 | $536 | 6.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,975 | $1,975 | 5.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $713 | $713 | 2.0× |
| Chest Wall Manipulation (94668) | $364 | $364 | 2.6× |
| Chron Care Mgmt Srvc 20 Min (99490) | $109 | $109 | 1.0× |
| Color/duplex Doppler, complete (93975) | $2,481 | $2,481 | 9.7× |
| Color/duplex Doppler, limited (93976) | $1,661 | $1,661 | 14.8× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $152 | $152 | 4.7× |
| Comprehensive Hearing Test (92557) | $52 | $52 | 0.4× |
| Computerized dynamic posturography (92548) range across 3 matching MRF lines |
$162–$399 | $162–$399 | varies |
| Conditioning Play Audiometry (92582) | $163 | $163 | 1.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $252 | $252 | 1.8× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $107 | $107 | 1.7× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$263–$687 | $263–$687 | varies |
| Coronary Art/Grft Angio S&I (93455) range across 3 matching MRF lines |
$195–$1,544 | $195–$1,544 | varies |
| Coronary Artery Angio S&I (93454) range across 3 matching MRF lines |
$191–$1,377 | $191–$1,377 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$460–$680 | $460–$680 | varies |
| Cpt initial (94667) | $364 | $364 | 2.6× |
| Critical care first hour (99291) | $6,834 | $6,834 | 7.7× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$255–$792 | $255–$792 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $52 | $52 | 0.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $2,011 | $2,011 | 7.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $3,453 | $3,453 | 13.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $2,802 | $2,802 | 25.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$2,721–$3,878 | $2,721–$3,878 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,939 | $1,939 | 17.3× |
| Duplex Scan Hemodialysis Access (93990) | $1,172 | $1,172 | 10.5× |
| Duplex up extrem art bilat (93930) | $5,875 | $5,875 | 23.0× |
| Duplex up extrem art unilat/ltd (93931) | $2,938 | $2,938 | 26.2× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$187–$1,266 | $187–$1,266 | varies |
| Echo Heart Xthoracic,Limited (93308) | $416 | $416 | 1.6× |
| Echo r-t 2d w/probe placement only (93313) | $1,206 | $1,206 | 2.1× |
| Echo transesophag congen probe plcmt only (93316) | $1,206 | $1,206 | 2.1× |
| Echo transesophag montr cardiac pump functj (93318) | $2,716 | $2,716 | 4.6× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$5,880–$6,023 | $5,880–$6,023 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,206 | $1,206 | 2.1× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $477 | $477 | 0.8× |
| Eeg 41-60 Minutes (95812) | $1,881 | $1,881 | 8.1× |
| EEG awake and asleep (95819) | $1,881 | $1,881 | 8.1× |
| EEG awake drowsy (95816) | $2,372 | $2,372 | 10.3× |
| EEG extended monitoring 61-119 minutes (95813) | $2,332 | $2,332 | 10.1× |
| Eeg Sleep Only (95822) | $1,975 | $1,975 | 8.5× |
| Electrical Stimulation Ea 15 Min (97032) | $154 | $154 | 10.5× |
| Electrocardiogram Tracing (93005) range across 5 matching MRF lines |
$123–$520 | $123–$520 | varies |
| Emergency Dept Visit Level 2 (99282) | $1,538 | $1,538 | 9.3× |
| Emergency Dept Visit Level 3 (99283) | $2,358 | $2,358 | 8.1× |
| Emergency Dept Visit Level 4 (99284) | $3,766 | $3,766 | 8.4× |
| Emg 3 Extremities (95863) | $1,849 | $1,849 | 13.4× |
| Emg 4 Extremities (95864) | $2,176 | $2,176 | 15.8× |
| Er level 1 (99281) | $893 | $893 | 9.9× |
| Er level v (99285) | $5,624 | $5,624 | 8.8× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $2,809 | $2,809 | 7.0× |
| Evaluate pt use of inhaler (94664) | $364 | $364 | 1.6× |
| Evaluate Speech Production (92522) range across 3 matching MRF lines |
$390–$780 | $390–$780 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$674–$680 | $674–$680 | varies |
| Evaluation of speech fluency (92521) range across 5 matching MRF lines |
$363–$780 | $363–$780 | varies |
| Evoked Auditory Test,Limited (92587) | $113 | $113 | 0.5× |
| External ECG rec>48hr<7d recording (93242) | $677 | $677 | 16.9× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $677 | $677 | 4.7× |
| External ECG rec>7d<15d recording (93246) | $677 | $677 | 16.9× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $677 | $677 | 4.7× |
| External Ecg Scanning Analysis Report (93226) | $1,031 | $1,031 | 16.3× |
| Extracranial Bilat Study (93880) | $2,634 | $2,634 | 10.3× |
| Flexible endoscopic eval swallow c/v rec (92612) | $841 | $841 | 4.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $3,254 | $3,254 | 3.5× |
| Gi tract capsule endoscopy (91110) | $1,030 | $1,030 | 1.1× |
| Gi wireless capsule measure (91112) | $4,578 | $4,578 | 4.7× |
| Group Therapeutic Procedures (97150) | $108 | $108 | 6.0× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 3 matching MRF lines |
$212–$2,127 | $212–$2,127 | varies |
| Holter monitor recording (93225) | $870 | $870 | 6.1× |
| Icd Device Interrogate (93289) range across 3 matching MRF lines |
$145–$299 | $145–$299 | varies |
| Icd device progr eval dual (93283) | $353 | $353 | 8.8× |
| Icd Device Progr Eval Mult (93284) | $394 | $394 | 9.9× |
| Ilr Device Interrogate (93291) | $173 | $173 | 5.6× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $47 | $47 | 0.6× |
| Immunization administration (90471) | $499 | $499 | 6.5× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $139 | $139 | 0.3× |
| Inital newborn e/m (99460) | $365 | $365 | 2.6× |
| Insert/Place Heart Catheter (93503) | $1,675 | $1,675 | 1.0× |
| Iontophoresis 15 min (97033) | $231 | $231 | 12.1× |
| Irrig Drug Delivery Device (96523) | $536 | $536 | 8.5× |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$240–$302 | $240–$302 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$832–$1,000 | $832–$1,000 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$499–$501 | $499–$501 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 7 matching MRF lines |
$210–$303 | $210–$303 | varies |
| IV push initial (96374) range across 5 matching MRF lines |
$523–$613 | $523–$613 | varies |
| L Hrt Art/Grft Angio (93459) range across 3 matching MRF lines |
$201–$1,733 | $201–$1,733 | varies |
| Laryngeal Function Studies (92520) | $417 | $417 | 2.9× |
| Loudness balance test (92562) | $58 | $58 | 0.3× |
| Low frequency non-thermal us (97610) | $782 | $782 | 3.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $3,558 | $3,558 | 15.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $95 | $95 | 3.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $255 | $255 | 6.9× |
| Methacholine challenge (94070) | $1,527 | $1,527 | 3.8× |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) | $52 | $52 | 0.4× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$944–$952 | $944–$952 | varies |
| Multiple Family Group Psychotherapy (90849) | $225 | $225 | 1.2× |
| Multiple Sleep Latency Test (95805) | $4,706 | $4,706 | 5.1× |
| Muscle Test 2 Limbs (95861) | $1,587 | $1,587 | 11.1× |
| Muscle Test Nonparaspinal (95870) | $784 | $784 | 5.5× |
| Muscle Test One Limb (95860) | $1,052 | $1,052 | 7.4× |
| Nasopharyngoscopy (92511) | $508 | $508 | 2.4× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $1,495 | $1,495 | 6.5× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $1,304 | $1,304 | 5.6× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $832 | $832 | 3.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$29–$484 | $29–$484 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $632 | $632 | 1.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $444 | $444 | 2.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$559–$668 | $559–$668 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $1,025 | $1,025 | 4.4× |
| Nerve Conduction Studies 11-12 Studies (95912) | $4,613 | $4,613 | 11.5× |
| Nerve conduction studies 13 or more studies (95913) | $5,980 | $5,980 | 15.0× |
| Nerve Conduction Studies 3-4 Studies (95908) | $1,643 | $1,643 | 7.1× |
| Nerve conduction studies 5-6 studies (95909) | $2,514 | $2,514 | 10.9× |
| Nerve conduction studies 7-8 studies (95910) | $3,263 | $3,263 | 8.2× |
| Nerve Conduction Studies 9-10 Studies (95911) | $4,202 | $4,202 | 10.5× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $1,019 | $1,019 | 7.4× |
| Neuromuscular Reeducation (97112) range across 10 matching MRF lines |
$238–$250 | $238–$250 | varies |
| Newborn resuscitation (99465) | $1,562 | $1,562 | 2.2× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $73 | $73 | 2.9× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $109 | $109 | 3.1× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $85 | $85 | 6.2× |
| Ophth medical xm&eval intermediate estab pt (92012) range across 3 matching MRF lines |
$54–$150 | $54–$150 | varies |
| Optokinetic Nystagmus Test (92544) | $352 | $352 | 2.6× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$452–$469 | $452–$469 | varies |
| Oral Speech Device Eval (92597) | $680 | $680 | 9.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $342 | $342 | 6.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $146 | $146 | 3.2× |
| Oscillating Tracking Test (92545) | $334 | $334 | 1.4× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $141 | $141 | 6.1× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $151 | $151 | 6.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $146 | $146 | 10.4× |
| Ot eval high complexity (97167) range across 5 matching MRF lines |
$153–$612 | $153–$612 | varies |
| Ot Eval Low Complex (97165) range across 5 matching MRF lines |
$153–$643 | $153–$643 | varies |
| Ot Eval Moderate Complexity (97166) range across 5 matching MRF lines |
$153–$643 | $153–$643 | varies |
| Ot manual therapy 15 min (97140) | $214 | $214 | 7.7× |
| Ot paraffin bath (97018) | $138 | $138 | 23.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $146 | $146 | 3.6× |
| Ot Re-Eval Est Plan Care (97168) range across 6 matching MRF lines |
$391–$411 | $391–$411 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 3 matching MRF lines |
$264–$864 | $264–$864 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $864 | $864 | 6.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 4 matching MRF lines |
$9–$164 | $9–$164 | varies |
| Peripheral arterial disease rehab per session (93668) | $329 | $329 | 5.2× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 3 matching MRF lines |
$194–$1,498 | $194–$1,498 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 3 matching MRF lines |
$208–$1,986 | $208–$1,986 | varies |
| Phlebotomy therapeutic (99195) | $336 | $336 | 2.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 3 matching MRF lines |
$5–$349 | $5–$349 | varies |
| Physical Performance Test (97750) range across 7 matching MRF lines |
$239–$344 | $239–$344 | varies |
| Plethysmography (94726) | $1,573 | $1,573 | 3.9× |
| Pm device eval in person (93288) | $194 | $194 | 4.9× |
| Pm device progr eval dual (93280) | $210 | $210 | 5.3× |
| Pm Device Progr Eval Sngl (93279) | $182 | $182 | 4.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $10,102 | $10,102 | 11.0× |
| Polysom <6 yrs 4/> paramtrs (95782) | $692 | $692 | 0.8× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $799 | $799 | 0.9× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $538 | $538 | 0.6× |
| Positional nystagmus test (92542) | $391 | $391 | 2.7× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $227 | $227 | 5.7× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $126 | $126 | 1.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$17–$67 | $17–$67 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$18–$68 | $18–$68 | varies |
| Prq Card Angio/Athrect 1 Art (92924) range across 3 matching MRF lines |
$203–$1,819 | $203–$1,819 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 3 matching MRF lines |
$200–$1,705 | $200–$1,705 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 3 matching MRF lines |
$208–$1,975 | $208–$1,975 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 3 matching MRF lines |
$200–$1,689 | $200–$1,689 | varies |
| Psych diag eval w/med srvcs (90792) | $685 | $685 | 3.6× |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$421–$687 | $421–$687 | varies |
| Psychoanalysis (90845) | $440 | $440 | 2.3× |
| Psytx Crisis Initial 60 Min (90839) | $775 | $775 | 4.1× |
| Pt Eval High Complex (97163) range across 4 matching MRF lines |
$88–$410 | $88–$410 | varies |
| Pt eval low complex 20 min (97161) range across 4 matching MRF lines |
$88–$410 | $88–$410 | varies |
| Pt Eval Mod Complex (97162) range across 4 matching MRF lines |
$88–$410 | $88–$410 | varies |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$203–$213 | $203–$213 | varies |
| Pt mechanical traction (97012) | $179 | $179 | 12.5× |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$303–$410 | $303–$410 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $42 | $42 | 1.0× |
| Pulm function test by gas (94727) | $604 | $604 | 2.6× |
| Pulmonary Stress Testing (94618) | $220 | $220 | 1.5× |
| Pure Tone Audiometry Air (92552) | $96 | $96 | 0.7× |
| R Hrt Art/Grft Angio (93457) range across 3 matching MRF lines |
$202–$1,763 | $202–$1,763 | varies |
| R hrt coronary artery angio (93456) range across 3 matching MRF lines |
$201–$1,739 | $201–$1,739 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 3 matching MRF lines |
$203–$1,798 | $203–$1,798 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $151 | $151 | 3.8× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $151 | $151 | 3.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $870 | $870 | 21.8× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $52 | $52 | 0.4× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $111 | $111 | 2.7× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $136 | $136 | 2.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $180 | $180 | 2.8× |
| Right Heart Cath (93451) range across 3 matching MRF lines |
$179–$982 | $179–$982 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$360–$794 | $360–$794 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$650–$676 | $650–$676 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 2 matching MRF lines |
$214–$223 | $214–$223 | varies |
| Same day nb discharge (99463) | $411 | $411 | 2.9× |
| Select picture audiometry (92583) | $90 | $90 | 1.4× |
| Self Care Mngment Training (97535) | $248 | $248 | 7.7× |
| Sensory Integration Ea 15 Min (97533) | $172 | $172 | 2.8× |
| Sinusoidal Vertical Axis Rotational Testing (92546) range across 3 matching MRF lines |
$231–$607 | $231–$607 | varies |
| Sleep study attended (95807) | $450 | $450 | 1.1× |
| Sleep study unattended (95806) | $1,883 | $1,883 | 8.1× |
| Speech Audiometry Complete (92556) | $74 | $74 | 1.2× |
| Speech audiometry threshold (92555) | $55 | $55 | 0.9× |
| Speech sound lang comprehen (92523) range across 3 matching MRF lines |
$390–$780 | $390–$780 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$461–$484 | $461–$484 | varies |
| Spontaneous Nystagmus Test (92541) | $389 | $389 | 2.7× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$650–$676 | $650–$676 | varies |
| Stenger Test Speech (92577) | $43 | $43 | 0.1× |
| Stenger Test, Pure Tone (92565) | $48 | $48 | 0.8× |
| Stress Tte Only (93350) | $3,778 | $3,778 | 6.5× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $672 | $672 | 2.9× |
| Temp transcutaneous pacing (92953) | $905 | $905 | 1.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 7 matching MRF lines |
$132–$138 | $132–$138 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $306 | $306 | 8.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $80 | $80 | 2.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $267 | $267 | 2.6× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $197 | $197 | 3.9× |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$29–$78 | $29–$78 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 7 matching MRF lines |
$77–$2,540 | $77–$2,540 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 5 matching MRF lines |
$672–$1,284 | $672–$1,284 | varies |
| Therapeutic Activities (97530) | $250 | $250 | 7.1× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$515–$3,730 | $515–$3,730 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$36–$87 | $36–$87 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$23–$74 | $23–$74 | varies |
| Tone Decay Test (92563) | $48 | $48 | 1.2× |
| Trans Care Mgmt 14 Day Disch (99495) | $463 | $463 | 3.2× |
| Trans Care Mgmt 7 Day Disch (99496) | $587 | $587 | 4.1× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) range across 2 matching MRF lines |
$105–$146 | $105–$146 | varies |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) range across 5 matching MRF lines |
$79–$186 | $79–$186 | varies |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$103–$4,768 | $103–$4,768 | varies |
| Tte W/O Doppler Complete (93307) | $1,724 | $1,724 | 6.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 4 matching MRF lines |
$343–$520 | $343–$520 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 6 matching MRF lines |
$77–$431 | $77–$431 | varies |
| Tympanometry (92567) | $80 | $80 | 2.0× |
| Tympanometry and reflex threshold measurements (92550) | $92 | $92 | 0.4× |
| Unlisted ophthalmological service/procedure (92499) | $11 | $11 | 0.4× |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$815–$1,303 | $815–$1,303 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 5 matching MRF lines |
$1,253–$2,645 | $1,253–$2,645 | varies |
| Vasopneumatic device (97016) | $132 | $132 | 11.0× |
| Vent Mgmt Inpat Init Day (94002) range across 5 matching MRF lines |
$2,679–$2,982 | $2,679–$2,982 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 4 matching MRF lines |
$2,499–$2,840 | $2,499–$2,840 | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $102 | $102 | 1.6× |
| Visual reinforcement audiometry (vra) (92579) | $114 | $114 | 0.5× |
| Vital capacity, total (94150) | $84 | $84 | 0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $181 | $181 | 5.8× |
| Whirlpool Therapy (97022) | $266 | $266 | 16.9× |
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.