Visits & medical services prices at Glendale Adventist Medical Center
Glendale, CA · every code in this section with a posted price and a Medicare benchmark.
325 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St set-up & prgrmg phys/qhp of wearable cvdfb (93745) | $60 | $400 | 0.2× |
| Ablate Heart Dysrhythm Focus (93650) unusually low: confirm this is the full procedure |
$4,638.60 | $30,924 | 0.5× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $88.65 | $591 | 0.5× |
| Acoustic Reflex Testing (92568) | $34.95 | $233 | 0.7× |
| Acupunct W/Stimul 15 Min (97813) | $28.35 | $189 | 0.8× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $26.70 | $178 | 0.7× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $14.25 | $95 | 0.3× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $60.60 | $404 | 0.2× |
| Aep neurodiagnostic i&r (92653) | $200.40 | $1,336 | 0.7× |
| Aep threshold estimation mlt frequencies i&r (92652) | $328.35 | $2,189 | 1.2× |
| Airway Inhalation Treatment (94640) | $104.70 | $698 | 0.4× |
| Airway resistance by oscillometry (94728) | $112.50 | $750 | 0.7× |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$15.15–$96.15 | $101–$641 | varies |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$14.85–$125.85 | $99–$839 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $39.75 | $265 | 2.8× |
| Arrhythmia Induction (93618) | $748.20 | $4,988 | 0.5× |
| Assessment of aphasia per hr (96105) | $105.60 | $704 | 1.1× |
| Audiometry Air & Bone (92553) | $71.40 | $476 | 0.4× |
| Basic vestibular evaluation (92540) | $92.55 | $617 | 0.3× |
| Behavral qualit analys voice (92524) | $167.40 | $1,116 | 1.5× |
| Blink reflex test (95933) range across 2 matching MRF lines |
$12–$48.45 | $80–$323 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $216.75 | $1,445 | 0.5× |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$4,847.55 | $32,317 | 0.5× |
| C motor evoked uppr limbs (95928) range across 2 matching MRF lines |
$30.30–$370.20 | $202–$2,468 | varies |
| C motor evoked upr&lwr limbs (95939) range across 2 matching MRF lines |
$45.60–$728.10 | $304–$4,854 | varies |
| Caloric Vstblr Test W/Rec (92537) | $66.90 | $446 | 0.4× |
| Canalith repositioning proc (95992) | $96 | $640 | 2.4× |
| Car seat/bed test 60 min (94780) | $34.20 | $228 | 0.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $525.75 | $3,505 | 1.9× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$68.85–$423.60 | $459–$2,824 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$41.85–$891.60 | $279–$5,944 | varies |
| Cardioversion elective internal (92961) | $471.30 | $3,142 | 0.6× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) range across 2 matching MRF lines |
$26.40–$28.95 | $176–$193 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$5,043.30 | $912–$33,622 | 1.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$4,951.95 | $717–$33,013 | 1.2× |
| Cbt 1st hour (94644) | $112.20 | $748 | 0.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $171.90 | $1,146 | 1.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $145.35 | $969 | 1.6× |
| Chemo Ia Push (96420) | $132.30 | $882 | 0.3× |
| Chemo IV infusion addl hr (96415) | $113.40 | $756 | 1.2× |
| Chemo IV push addl drug (96411) | $122.55 | $817 | 1.3× |
| Chemother Prolong Infuse W/Pump (96416) | $817.35 | $5,449 | 1.9× |
| Chemotherapy Into Cns (96450) | $337.20 | $2,248 | 0.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $117.15 | $781 | 1.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $340.05 | $2,267 | 0.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $171.90 | $1,146 | 0.4× |
| Chest Wall Manipulation (94668) | $105 | $700 | 0.6× |
| Chron Care Mgmt Srvc 20 Min (99490) | $54.60 | $364 | 0.4× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $410.55 | $2,737 | 0.9× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $3.45 | $23 | 0.0× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$34.35–$630.60 | $229–$4,204 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$24.45–$252.15 | $163–$1,681 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $23.25 | $155 | 0.7× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $104.85 | $699 | 0.5× |
| Comprehensive Hearing Test (92557) | $133.05 | $887 | 0.8× |
| Conditioning Play Audiometry (92582) | $86.40 | $576 | 0.5× |
| Continuous Pulse Ox (94762) | $190.95 | $1,273 | 1.2× |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$6,325.35 | $679–$42,169 | 1.5× |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$3,958.20 | $582–$26,388 | 0.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $217.20 | $1,448 | 0.8× |
| Cpt initial (94667) | $85.20 | $568 | 0.5× |
| Critical care first hour (99291) | $115.80 | $772 | 0.1× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) range across 2 matching MRF lines |
$30.15–$370.20 | $201–$2,468 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$13.50–$173.25 | $90–$1,155 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $104.40 | $696 | 0.6× |
| Dialysis One Evaluation (90945) | $1,129.50 | $7,530 | 2.1× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $137.70 | $918 | 0.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 3 matching MRF lines |
$22.95–$419.55 | $153–$2,797 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $14.85 | $99 | 0.1× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $354.15 | $2,361 | 2.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$23.85–$643.50 | $159–$4,290 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$14.55–$332.85 | $97–$2,219 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$20.85–$591 | $139–$3,940 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$13.50–$406.65 | $90–$2,711 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $308.70 | $2,058 | 1.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 2 matching MRF lines |
$13.65–$76.50 | $91–$510 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 3 matching MRF lines |
$13.65–$394.80 | $91–$2,632 | varies |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$24–$471.30 | $160–$3,142 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$14.70–$301.65 | $98–$2,011 | varies |
| ECG/monitoring and analysis (93271) range across 2 matching MRF lines |
$320.25–$373.50 | $2,135–$2,490 | varies |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$48.15–$552.90 | $321–$3,686 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$17.55–$361.20 | $117–$2,408 | varies |
| Echo r-t 2d w/probe placement only (93313) | $174.90 | $1,166 | 0.2× |
| Echo transesophag congen probe plcmt only (93316) | $19.80 | $132 | 0.0× |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$81.75–$1,000.50 | $545–$6,670 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $98.70 | $658 | 0.1× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$64.80–$411.75 | $432–$2,745 | varies |
| EEG awake and asleep (95819) | $395.85 | $2,639 | 1.4× |
| EEG awake drowsy (95816) | $336.90 | $2,246 | 1.2× |
| EEG cerebral death evaluation (95824) | $179.40 | $1,196 | 0.4× |
| EEG cont rec w/video by tech min 8 channels (95700) | $302.55 | $2,017 | 1.1× |
| Eeg Sleep Only (95822) | $635.55 | $4,237 | 2.3× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $153.60 | $1,024 | 0.6× |
| EEG w/o vid 2-12hr cont mntr (95707) | $153.60 | $1,024 | 0.6× |
| EEG w/o vid ea 12-26hr intmt (95709) | $294.60 | $1,964 | 0.6× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $294.60 | $1,964 | 0.6× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $153.60 | $1,024 | 0.6× |
| EEG wo vid ea 12-26hr unmntr (95708) | $294.60 | $1,964 | 0.6× |
| EKG signal averaged (93278) | $189 | $1,260 | 2.5× |
| Electrical Stimulation Ea 15 Min (97032) | $38.25 | $255 | 2.6× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$123.30–$150 | $822–$1,000 | varies |
| Electroconvulsive Therapy (90870) | $399.75 | $2,665 | 0.4× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) unusually low: confirm this is the full procedure |
$4,373.10 | $29,154 | 0.4× |
| Electrophysiology Evaluation (93642) | $999.60 | $6,664 | 0.6× |
| Emergency Dept Visit Level 2 (99282) | $251.25 | $1,675 | 1.3× |
| Emergency Dept Visit Level 3 (99283) | $38.25 | $255 | 0.1× |
| Emergency Dept Visit Level 4 (99284) | $63.45 | $423 | 0.1× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$38.10–$310.50 | $254–$2,070 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$40.50–$357.90 | $270–$2,386 | varies |
| Endomyocardial Biopsy (93505) | $2,051.25 | $13,675 | 0.5× |
| Ep & ablate supravent arrhyt (93653) unusually low: confirm this is the full procedure |
$15,846.15 | $105,641 | 0.5× |
| Ep & ablate ventric tachy (93654) unusually low: confirm this is the full procedure |
$15,846.15 | $105,641 | 0.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) unusually low: confirm this is the full procedure |
$4,373.10 | $29,154 | 0.4× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) unusually low: confirm this is the full procedure |
$4,373.10 | $29,154 | 0.4× |
| Er level 1 (99281) | $6.15 | $41 | 0.1× |
| Er level v (99285) | $94.20 | $628 | 0.1× |
| Esophageal Capsule Endoscopy (91111) | $1,209.45 | $8,063 | 1.0× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $400.05 | $2,667 | 0.8× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $64.80 | $432 | 0.4× |
| Evaluate pt use of inhaler (94664) | $69.90 | $466 | 0.2× |
| Evaluate Speech Production (92522) | $139.05 | $927 | 1.2× |
| Evaluate Swallowing Function (92610) | $179.40 | $1,196 | 2.1× |
| Evaluation of speech fluency (92521) | $111.15 | $741 | 0.8× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$9–$71.85 | $60–$479 | varies |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$27.45–$62.40 | $183–$416 | varies |
| External ECG rec>7d<15d recording (93246) | $62.40 | $416 | 1.3× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $65.40 | $436 | 0.4× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$134.55–$513.75 | $897–$3,425 | varies |
| Extracranial Bilat Study (93880) range across 4 matching MRF lines |
$22.95–$595.50 | $153–$3,970 | varies |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$14.40–$309.30 | $96–$2,062 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$28.05–$358.95 | $187–$2,393 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $216.75 | $1,445 | 1.1× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) range across 2 matching MRF lines |
$61.35–$370.20 | $409–$2,468 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $609.75 | $4,065 | 1.3× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $255.45 | $1,703 | 0.9× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $969.45 | $6,463 | 0.9× |
| Gi tract capsule endoscopy (91110) | $1,497.60 | $9,984 | 1.3× |
| Group Therapeutic Procedures (97150) | $24 | $160 | 1.3× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$5,899.05 | $1,007–$39,327 | 1.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $600.15 | $4,001 | 0.7× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$352.35–$443.10 | $2,349–$2,954 | varies |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$13.80–$49.35 | $92–$329 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$21.45–$39.15 | $143–$261 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$23.25–$63.75 | $155–$425 | varies |
| Icm Device Eval (93290) range across 2 matching MRF lines |
$7.95–$12.60 | $53–$84 | varies |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$9.60–$23.40 | $64–$156 | varies |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$6.75–$21.30 | $45–$142 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $17.85 | $119 | 0.2× |
| Immunization administration (90471) | $17.85 | $119 | 0.2× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $227.10 | $1,514 | 0.5× |
| Inital newborn e/m (99460) | $35.40 | $236 | 0.2× |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$808.95 | $218–$5,393 | 0.4× |
| Interrogation vad in person (93750) | $17.25 | $115 | 0.1× |
| Intra-atrial pacing (93610) unusually low: confirm this is the full procedure |
$4,847.55 | $32,317 | 0.5× |
| Intra-atrial recording (93602) unusually low: confirm this is the full procedure |
$4,847.55 | $32,317 | 0.5× |
| Intracranial Complete Study (93886) | $609.60 | $4,064 | 2.0× |
| Intraventricular pacing (93612) unusually low: confirm this is the full procedure |
$4,373.10 | $29,154 | 0.4× |
| Iontophoresis 15 min (97033) | $36.60 | $244 | 1.9× |
| Irrig Drug Delivery Device (96523) | $75.30 | $502 | 1.0× |
| IV infusion hydration each additional hour (96361) | $158.10 | $1,054 | 2.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $217.50 | $1,450 | 0.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $107.25 | $715 | 1.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $158.10 | $1,054 | 2.6× |
| IV push initial (96374) | $244.05 | $1,627 | 0.9× |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$7,536.15 | $813–$50,241 | 1.8× |
| Laryngeal Function Studies (92520) | $50.85 | $339 | 0.3× |
| Lung Function Test (Mbc/Mvv) (94200) | $43.35 | $289 | 0.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $244.80 | $1,632 | 0.9× |
| Microvolt T-Wave Assess (93025) | $29.40 | $196 | 0.2× |
| Motility study esophagus (91010) | $884.25 | $5,895 | 1.8× |
| Motion Fluoroscopy/Swallow (92611) | $225 | $1,500 | 2.5× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$802.35 | $146–$5,349 | 0.7× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$31.05–$346.95 | $207–$2,313 | varies |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$7.65–$46.20 | $51–$308 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$19.50–$212.70 | $130–$1,418 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $23.85 | $159 | 0.1× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $60.60 | $404 | 0.2× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $7.65 | $51 | 0.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$258.90 | $54–$1,726 | 0.5× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $9.30 | $62 | 0.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$9.45–$82.50 | $63–$550 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$10.35–$141.30 | $69–$942 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$20.40–$125.85 | $136–$839 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$60.60–$211.80 | $404–$1,412 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$71.85–$229.80 | $479–$1,532 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$25.35–$229.80 | $169–$1,532 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$30.60–$229.80 | $204–$1,532 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$40.65–$229.80 | $271–$1,532 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$50.70–$229.80 | $338–$1,532 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$13.20–$109.50 | $88–$730 | varies |
| Neuromuscular Reeducation (97112) | $45.75 | $305 | 1.4× |
| Newborn resuscitation (99465) | $389.25 | $2,595 | 0.5× |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 2 matching MRF lines |
$8.85–$15.75 | $59–$105 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 2 matching MRF lines |
$12.30–$21.90 | $82–$146 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 2 matching MRF lines |
$4.50–$8.55 | $30–$57 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $166.65 | $1,111 | 0.3× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $5.70 | $38 | 0.1× |
| Optokinetic Nystagmus Test (92544) | $37.50 | $250 | 0.2× |
| Oral Function Therapy (92526) | $100.80 | $672 | 1.2× |
| Oral Speech Device Eval (92597) | $116.10 | $774 | 1.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $29.10 | $194 | 0.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$19.65–$36.60 | $131–$244 | varies |
| Oscillating Tracking Test (92545) | $60.60 | $404 | 0.2× |
| Ot Contrast Bath Ea 15 Min (97034) | $17.70 | $118 | 1.3× |
| Ot eval high complexity (97167) | $162.75 | $1,085 | 1.6× |
| Ot Eval Low Complex (97165) | $122.10 | $814 | 1.2× |
| Ot Eval Moderate Complexity (97166) | $142.50 | $950 | 1.4× |
| Ot manual therapy 15 min (97140) | $35.10 | $234 | 1.3× |
| Ot paraffin bath (97018) | $27.30 | $182 | 4.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $29.40 | $196 | 0.7× |
| Ot Re-Eval Est Plan Care (97168) | $110.70 | $738 | 1.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $180.75 | $1,205 | 1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $164.85 | $1,099 | 1.0× |
| Penile Vascular Study,Ltd or F/U (93981) | $207.30 | $1,382 | 1.5× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) range across 2 matching MRF lines |
$13,484.70 | $1,352–$89,898 | 0.6× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 2 matching MRF lines |
$308.25–$4,184.40 | $2,055–$27,896 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$8,994.75 | $1,603–$59,965 | 0.6× |
| Phlebotomy therapeutic (99195) | $84.90 | $566 | 0.5× |
| Physical Performance Test (97750) | $41.40 | $276 | 1.2× |
| Plethysmography (94726) | $100.65 | $671 | 0.2× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$7.80–$46.95 | $52–$313 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$14.10–$102.15 | $94–$681 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$15.75–$33.90 | $105–$226 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$12–$28.20 | $80–$188 | varies |
| Pm/Icd Remote Tech Serv (93296) | $35.85 | $239 | 0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$47.10–$1,180.20 | $314–$7,868 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$47.10–$828.45 | $314–$5,523 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$51.15–$1,022.55 | $341–$6,817 | varies |
| Positional nystagmus test (92542) | $33.30 | $222 | 0.2× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$15.75–$31.65 | $105–$211 | varies |
| Prq Card Angio/Athrect 1 Art (92924) range across 2 matching MRF lines |
$8,994.75 | $2,447–$59,965 | 0.6× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$10,432.35 | $2,283–$69,549 | 0.7× |
| Prq Card Stent/Ath/Angio (92933) range across 2 matching MRF lines |
$13,710.45 | $2,562–$91,403 | 0.6× |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 3 matching MRF lines |
$9,718.20 | $1,426–$64,788 | 0.7× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $13,710.45 | $91,403 | 0.6× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $7,643.10 | $50,954 | 0.5× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$64.65–$102.60 | $431–$684 | varies |
| Pt Eval High Complex (97163) | $162.75 | $1,085 | 1.7× |
| Pt eval low complex 20 min (97161) | $110.70 | $738 | 1.1× |
| Pt Eval Mod Complex (97162) | $137.25 | $915 | 1.4× |
| Pt gait training 15 min (97116) | $45.75 | $305 | 1.6× |
| Pt mechanical traction (97012) | $39.75 | $265 | 2.8× |
| Pt Re-Eval Est Plan Care (97164) | $110.70 | $738 | 1.6× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$73.80–$204 | $492–$1,360 | varies |
| Pulmonary Stress Testing (94618) | $154.50 | $1,030 | 0.9× |
| Pure Tone Audiometry Air (92552) | $34.95 | $233 | 0.2× |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$4,822.05 | $853–$32,147 | 1.2× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $70.65 | $471 | 0.0× |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$6,733.05 | $759–$44,887 | 1.6× |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$3,418.50 | $770–$22,790 | 0.8× |
| Refill/Maint Pump/Resvr Syst (96522) | $157.20 | $1,048 | 0.6× |
| Rem interrog icpms <30 d phys/qhp (93297) | $9.45 | $63 | 0.2× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$76.05–$88.65 | $507–$591 | varies |
| Respiratory flow volume loop (94375) | $80.40 | $536 | 0.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$43.20–$75.60 | $288–$504 | varies |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$3,114.60 | $322–$20,764 | 0.7× |
| Right ventricular recording (93603) | $804.30 | $5,362 | 0.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$9.75–$137.25 | $65–$915 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $190.20 | $1,268 | 1.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $53.10 | $354 | 1.1× |
| Self Care Mngment Training (97535) | $45.75 | $305 | 1.4× |
| Sensory Integration Ea 15 Min (97533) | $29.10 | $194 | 0.5× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) range across 2 matching MRF lines |
$286.50 | $70–$1,910 | 1.0× |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$286.50 | $70–$1,910 | 1.0× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $37.50 | $250 | 0.2× |
| Sleep study unattended (95806) | $169.05 | $1,127 | 0.6× |
| Slp caregiver training 1st 30 min (97550) range across 3 matching MRF lines |
$52.80–$70.95 | $352–$473 | varies |
| Somatosensory Testing (95938) range across 2 matching MRF lines |
$836.55 | $116–$5,577 | 0.8× |
| Speech Audiometry Complete (92556) | $34.95 | $233 | 0.5× |
| Speech audiometry threshold (92555) | $34.95 | $233 | 0.5× |
| Speech sound lang comprehen (92523) | $163.20 | $1,088 | 0.7× |
| Spin/Brain Pump Refil & Main (95991) | $99.90 | $666 | 0.3× |
| Spirometry (94010) | $48.75 | $325 | 0.2× |
| Spontaneous Nystagmus Test (92541) | $28.80 | $192 | 0.2× |
| Ssep lower limbs (95926) | $286.50 | $1,910 | 1.0× |
| Standardized Cognitive Performance Testing (96125) | $105.60 | $704 | 1.0× |
| Stenger Test Speech (92577) | $103.50 | $690 | 0.2× |
| Stenger Test, Pure Tone (92565) | $34.95 | $233 | 0.5× |
| Stress Tte Only (93350) range across 4 matching MRF lines |
$48.60–$1,270.20 | $324–$8,468 | varies |
| Surfactant Admin Thru Tube (94610) | $41.10 | $274 | 0.1× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $371.10 | $2,474 | 2.8× |
| Temp transcutaneous pacing (92953) | $632.70 | $4,218 | 0.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $40.05 | $267 | 1.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $40.05 | $267 | 1.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $47.70 | $318 | 1.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$32.40–$35.70 | $216–$238 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $85.80 | $572 | 0.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $57.90 | $386 | 0.6× |
| Ther/Proph/Diag Iv Inf Init (96365) | $217.95 | $1,453 | 0.8× |
| Therapeutic Activities (97530) | $45.75 | $305 | 1.3× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $619.50 | $4,130 | 1.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$9.60–$14.85 | $64–$99 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$4.50–$21.90 | $30–$146 | varies |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$13,710.45 | $2,373–$91,403 | 0.6× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $408.15 | $2,721 | 3.0× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $270.75 | $1,805 | 2.0× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $5.25 | $35 | 0.1× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$44.70–$1,108.05 | $298–$7,387 | varies |
| Tte W/O Doppler Complete (93307) range across 3 matching MRF lines |
$34.05–$834 | $227–$5,560 | varies |
| Tx atrial fib pulm vein isol (93656) unusually low: confirm this is the full procedure |
$15,846.15 | $105,641 | 0.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $115.35 | $769 | 1.5× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $34.80 | $232 | 1.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $244.05 | $1,627 | 4.1× |
| Tympanometry (92567) | $41.40 | $276 | 0.9× |
| Tympanometry and reflex threshold measurements (92550) | $88.65 | $591 | 0.3× |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$13.50–$715.50 | $90–$4,770 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 5 matching MRF lines |
$7.50–$346.50 | $37–$2,310 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$13.50–$440.55 | $90–$2,937 | varies |
| Valvuloplasty aortic valve (92986) range across 3 matching MRF lines |
$493.35–$4,184.40 | $526–$27,896 | varies |
| Valvuloplasty mitral valve (92987) | $7,642.95 | $50,953 | 0.5× |
| Vasopneumatic device (97016) | $39.75 | $265 | 3.3× |
| Veeg 2-12 Hr Cont Mntr (95713) | $294.60 | $1,964 | 0.6× |
| Veeg 2-12 hr intmt mntr (95712) | $335.40 | $2,236 | 0.7× |
| Veeg 2-12 hr unmonitored (95711) | $153.60 | $1,024 | 0.6× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $604.80 | $4,032 | 1.3× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $294.60 | $1,964 | 0.6× |
| Veeg ea 12-26hr cont mntr (95716) | $551.40 | $3,676 | 0.5× |
| Vent Mgmt Inpat Init Day (94002) | $1,421.70 | $9,478 | 1.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,377.60 | $9,184 | 1.7× |
| Visual Evoked Potential Test (95930) | $373.05 | $2,487 | 1.3× |
| Visual reinforcement audiometry (vra) (92579) | $86.40 | $576 | 0.3× |
| Vital capacity, total (94150) | $66.60 | $444 | 0.4× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $289.65 | $1,931 | 0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 3 matching MRF lines |
$35.85–$41.55 | $239–$277 | varies |
| Whirlpool Therapy (97022) | $53.10 | $354 | 3.4× |
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.