Visits & medical services prices at Glens Falls Hospital
Glens Falls, NY · every code in this section with a posted price and a Medicare benchmark.
329 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) | $6,111.50 | $12,223 | 0.6× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $136.50 | $273 | 0.8× |
| Acoustic Reflex Testing (92568) range across 2 matching MRF lines |
$30.50–$32 | $61–$64 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$41.50–$47.50 | $83–$95 | varies |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$65.50–$75.50 | $131–$151 | varies |
| Aep neurodiagnostic i&r (92653) | $304 | $608 | 1.1× |
| Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
$158.50–$1,319 | $317–$2,638 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $30.50 | $61 | 0.7× |
| Analyze neurostim complex (95972) | $106.50 | $213 | 0.9× |
| Analyze neurostim no prog (95970) | $91 | $182 | 0.5× |
| Analyze Pacemaker System (93724) | $301.50 | $603 | 0.8× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $172.50 | $345 | 0.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $34.50 | $69 | 2.4× |
| Application Modality 1/> Areas Infrared (97026) | $10.50 | $21 | 1.6× |
| Application on-body injector (96377) | $41 | $82 | 0.7× |
| Arrhythmia Induction (93618) | $909.50 | $1,819 | 0.6× |
| Assessment of aphasia per hr (96105) | $122.50 | $245 | 1.3× |
| Assessment of tinnitus (92625) | $136.50 | $273 | 0.8× |
| Audiometry Air & Bone (92553) | $136.50 | $273 | 0.8× |
| Auditory Function, 60 Min (92620) | $82 | $164 | 0.5× |
| Basic vestibular evaluation (92540) range across 2 matching MRF lines |
$199–$220.50 | $398–$441 | varies |
| Behavral qualit analys voice (92524) | $167 | $334 | 1.5× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) range across 2 matching MRF lines |
$75–$201 | $150–$402 | varies |
| Bfb training ea addl 15 min (90913) | $37.50 | $75 | 1.1× |
| Biofeedback training any modality (90901) | $50.50 | $101 | 1.2× |
| Blink reflex test (95933) | $64 | $128 | 0.9× |
| Brief Emotional/Behav Assmt (96127) | $46.50 | $93 | 1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$330.50–$380 | $661–$760 | varies |
| Bundle of his recording (93600) | $5,314.50 | $10,629 | 0.5× |
| Caloric vestibular test w/rec bi monothermal (92538) | $253.50 | $507 | 0.9× |
| Caloric Vstblr Test W/Rec (92537) range across 2 matching MRF lines |
$220.50–$253.50 | $441–$507 | varies |
| Canalith repositioning proc (95992) | $73 | $146 | 1.8× |
| Cardiac Stress Tst,Tracing Only (93017) range across 46 matching MRF lines |
$249–$286.50 | $498–$573 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$286.50–$555.50 | $573–$1,111 | varies |
| Cardioversion (92960) range across 6 matching MRF lines |
$774–$1,103 | $1,548–$2,206 | varies |
| Cardioversion elective internal (92961) | $589.50 | $1,179 | 0.7× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $33 | $66 | 0.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $4,461.50 | $8,923 | 1.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $4,461.50 | $8,923 | 1.1× |
| Cbt 1st hour (94644) | $79.50 | $159 | 0.5× |
| Chemo Admin Peritoneal Cavity (96446) | $313.50 | $627 | 0.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $65 | $130 | 0.7× |
| Chemo Hormon Antineopl Sq/Im (96402) | $64.50 | $129 | 0.7× |
| Chemo Ia Push (96420) | $342 | $684 | 0.8× |
| Chemo intralesional up to 7 (96405) | $60.50 | $121 | 0.7× |
| Chemo IV infusion addl hr (96415) | $68.50 | $137 | 0.8× |
| Chemo IV push addl drug (96411) | $65 | $130 | 0.7× |
| Chemother Prolong Infuse W/Pump (96416) | $357.50 | $715 | 0.9× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$298–$342.50 | $596–$685 | varies |
| Chemotherapy Unspecified (96549) | $50.50 | $101 | 0.9× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $286.50 | $573 | 0.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $65 | $130 | 0.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $331 | $662 | 0.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $203.50 | $407 | 0.5× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) range across 2 matching MRF lines |
$173–$199 | $346–$398 | varies |
| Chest Wall Manipulation (94668) | $57 | $114 | 0.3× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $91 | $182 | 1.2× |
| Color/duplex Doppler, complete (93975) range across 4 matching MRF lines |
$235–$356 | $470–$712 | varies |
| Color/duplex Doppler, limited (93976) range across 4 matching MRF lines |
$114.50–$309.50 | $229–$619 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $34 | $68 | 1.1× |
| Comprehensive Hearing Test (92557) | $78.50 | $157 | 0.5× |
| Computerized dynamic posturography (92548) | $91 | $182 | 0.5× |
| Conditioning Play Audiometry (92582) | $136.50 | $273 | 0.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $155.50 | $311 | 0.9× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $70.50 | $141 | 1.0× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$136.50–$157 | $273–$314 | varies |
| Coronary Art/Grft Angio S&I (93455) | $3,879.50 | $7,759 | 1.0× |
| Coronary Artery Angio S&I (93454) | $4,461.50 | $8,923 | 1.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $214.50 | $429 | 0.8× |
| Cpt initial (94667) | $57 | $114 | 0.3× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$1,454–$1,519 | $2,908–$3,038 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $194.50 | $389 | 0.8× |
| Developmental tst admin phys/qhp 1st hour (96112) | $404.50 | $809 | 2.5× |
| Dialysis One Evaluation (90945) range across 7 matching MRF lines |
$97–$480.50 | $194–$961 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $286.50 | $573 | 0.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 7 matching MRF lines |
$232.50–$309.50 | $465–$619 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 4 matching MRF lines |
$114.50–$251 | $229–$502 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 4 matching MRF lines |
$232.50–$314.50 | $465–$629 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$153.50–$301.50 | $307–$603 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 5 matching MRF lines |
$232.50–$447 | $465–$894 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 6 matching MRF lines |
$153.50–$301.50 | $307–$603 | varies |
| Duplex Scan Hemodialysis Access (93990) | $288.50 | $577 | 2.2× |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$232.50–$268 | $465–$536 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$153.50–$189 | $307–$378 | varies |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $185.50 | $371 | 1.2× |
| Ear and throat examination (92502) | $313 | $626 | 0.5× |
| ECG/monitoring and analysis (93271) | $122.50 | $245 | 1.0× |
| Echo Congenital Complete (93303) | $803.50 | $1,607 | 1.2× |
| Echo Heart Xthoracic,Limited (93308) range across 14 matching MRF lines |
$443.50–$456.50 | $887–$913 | varies |
| Echo r-t 2d w/probe placement only (93313) | — | $52 | — |
| Echo transesophageal (93312) range across 15 matching MRF lines |
$746.50–$1,070 | $1,493–$2,140 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $877 | $1,754 | 1.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 4 matching MRF lines |
$267–$784.50 | $534–$1,569 | varies |
| Eeg 41-60 Minutes (95812) | $286.50 | $573 | 1.1× |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$249–$286.50 | $498–$573 | varies |
| EEG awake drowsy (95816) | $249 | $498 | 0.9× |
| EEG cerebral death evaluation (95824) | $511 | $1,022 | 1.1× |
| EEG extended monitoring 61-119 minutes (95813) | $286.50 | $573 | 1.1× |
| Eeg Sleep Only (95822) | $286.50 | $573 | 1.1× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $291 | $582 | 1.1× |
| EEG wo vid ea 12-26hr unmntr (95708) | $558.50 | $1,117 | 1.2× |
| Electrical Stimulation Ea 15 Min (97032) | $48.50 | $97 | 3.3× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$53–$58 | $106–$116 | varies |
| Electrophysiology Evaluation (93642) | $909.50 | $1,819 | 0.6× |
| Emergency Dept Visit Level 2 (99282) | $259 | $518 | 1.4× |
| Emergency Dept Visit Level 3 (99283) | $704.50 | $1,409 | 2.1× |
| Emergency Dept Visit Level 4 (99284) | $751 | $1,502 | 1.4× |
| Emg 3 Extremities (95863) | $157 | $314 | 1.0× |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$136.50–$157 | $273–$314 | varies |
| Ep & ablate supravent arrhyt (93653) | $21,293.50 | $42,587 | 0.7× |
| Ep & ablate ventric tachy (93654) | $20,650.50 | $41,301 | 0.6× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $5,314.50 | $10,629 | 0.5× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $5,314.50 | $10,629 | 0.5× |
| Ep Esophageal Recording Atria+Pacing (93616) | $909.50 | $1,819 | 0.6× |
| Er level 1 (99281) | $157.50 | $315 | 1.5× |
| Er level v (99285) | $970 | $1,940 | 1.3× |
| Esoph Atrial Electrogram (93615) | $909.50 | $1,819 | 0.6× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $168.50 | $337 | 1.0× |
| Evaluate pt use of inhaler (94664) | $117 | $234 | 0.4× |
| Evaluate Speech Production (92522) | $103.50 | $207 | 0.9× |
| Evaluate Swallowing Function (92610) | $94 | $188 | 1.1× |
| Evaluation of speech fluency (92521) | $128.50 | $257 | 1.0× |
| Evoked Auditory Test,Limited (92587) | $286.50 | $573 | 1.1× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$34–$39 | $68–$78 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) range across 2 matching MRF lines |
$55.50–$64 | $111–$128 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$55.50–$60.50 | $111–$121 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) range across 2 matching MRF lines |
$112–$128.50 | $224–$257 | varies |
| External Ecg Scanning Analysis Report (93226) range across 4 matching MRF lines |
$100–$115 | $200–$230 | varies |
| Extracranial Bilat Study (93880) range across 4 matching MRF lines |
$232.50–$267.50 | $465–$535 | varies |
| Extracranial Uni/Ltd Study (93882) range across 4 matching MRF lines |
$153.50–$176.50 | $307–$353 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) | $559.50 | $1,119 | 0.8× |
| Facial nerve function studies (92516) | $304 | $608 | 1.1× |
| Flexible endoscopic eval swallow c/v rec (92612) | $186.50 | $373 | 0.9× |
| Group Therapeutic Procedures (97150) | $35.50 | $71 | 2.0× |
| Health Behavior Assessment/Re-Assessment (96156) | $221.50 | $443 | 1.7× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $222.50 | $445 | 4.8× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $222.50 | $445 | 4.8× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $222.50 | $445 | 1.0× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $3,879.50 | $7,759 | 1.0× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 12 matching MRF lines |
$546.50–$652.50 | $1,093–$1,305 | varies |
| Holter monitor recording (93225) range across 4 matching MRF lines |
$81–$132.50 | $162–$265 | varies |
| Icd Device Interrogate (93289) | $37.50 | $75 | 0.8× |
| Icd device progr eval dual (93283) | $37.50 | $75 | 0.8× |
| Icd Device Progr Eval Mult (93284) | $35 | $70 | 0.8× |
| Icm Device Eval (93290) | $37.50 | $75 | 0.8× |
| Ilr Device Eval Progr (93285) | $38.50 | $77 | 0.8× |
| Ilr Device Interrogate (93291) | $31 | $62 | 0.9× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$42.50–$60 | $85–$120 | varies |
| Immunization administration (90471) range across 2 matching MRF lines |
$31–$74.50 | $62–$149 | varies |
| Insert/Place Heart Catheter (93503) | $1,087.50 | $2,175 | 0.6× |
| Intra-atrial pacing (93610) | $5,314.50 | $10,629 | 0.5× |
| Intra-atrial recording (93602) | $5,314.50 | $10,629 | 0.5× |
| Intracranial Complete Study (93886) range across 2 matching MRF lines |
$136–$156.50 | $272–$313 | varies |
| Intracutaneous tests w/allergenic extracts (95024) | $56 | $112 | 0.8× |
| Intraventricular pacing (93612) | $5,314.50 | $10,629 | 0.5× |
| Iontophoresis 15 min (97033) | $34.50 | $69 | 1.8× |
| Irrig Drug Delivery Device (96523) | $86.50 | $173 | 1.2× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$47–$1,319 | $94–$2,638 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$240.50–$1,517 | $481–$3,034 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $65 | $130 | 0.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $59 | $118 | 1.0× |
| IV push initial (96374) range across 2 matching MRF lines |
$219.50–$287 | $439–$574 | varies |
| L Hrt Art/Grft Angio (93459) | $4,461.50 | $8,923 | 1.1× |
| Loudness balance test (92562) | $138 | $276 | 0.5× |
| Lung Function Test (Mbc/Mvv) (94200) | $1,319 | $2,638 | 17.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 3 matching MRF lines |
$136.50–$157 | $273–$314 | varies |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $1,772.50 | $3,545 | 1.0× |
| Mechanical chest wall oscillation per session (94669) | $230 | $460 | 0.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $33 | $66 | 1.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $35 | $70 | 1.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $15.50 | $31 | 0.9× |
| Methacholine challenge (94070) | $382.50 | $765 | 0.8× |
| Motion Fluoroscopy/Swallow (92611) | $167 | $334 | 1.8× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$856.50–$1,327 | $1,713–$2,654 | varies |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$100–$104.50 | $200–$209 | varies |
| Muscle Test Nonparaspinal (95870) | $93 | $186 | 0.6× |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$93–$100 | $186–$200 | varies |
| Nasopharyngoscopy (92511) | $141.50 | $283 | 0.6× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $157 | $314 | 0.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$130–$149.50 | $260–$299 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$136.50–$138 | $273–$276 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $143.50 | $287 | 0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $311 | $622 | 0.6× |
| Nerve Conduction Studies 1-2 Studies (95907) | $136.50 | $273 | 0.5× |
| Nerve Conduction Studies 11-12 Studies (95912) range across 3 matching MRF lines |
$444.50–$561 | $889–$1,122 | varies |
| Nerve conduction studies 13 or more studies (95913) | $444.50 | $889 | 1.0× |
| Nerve Conduction Studies 3-4 Studies (95908) range across 3 matching MRF lines |
$249–$291 | $498–$582 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 3 matching MRF lines |
$249–$304 | $498–$608 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 3 matching MRF lines |
$249–$286.50 | $498–$573 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 3 matching MRF lines |
$444.50–$536.50 | $889–$1,073 | varies |
| Neurobehavioral Status Exam (96116) | $220.50 | $441 | 0.8× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 3 matching MRF lines |
$136.50–$160.50 | $273–$321 | varies |
| Neuromuscular Reeducation (97112) | $45.50 | $91 | 1.4× |
| Newborn resuscitation (99465) | $165.50 | $331 | 0.2× |
| Nitric oxide expired gas determination (95012) | $33.50 | $67 | 0.7× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $25 | $50 | 1.0× |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 2 matching MRF lines |
$240–$268 | $480–$536 | varies |
| Optokinetic Nystagmus Test (92544) | $256.50 | $513 | 1.6× |
| Oral Function Therapy (92526) | $167 | $334 | 2.0× |
| Oral Speech Device Eval (92597) | $110 | $220 | 1.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $58 | $116 | 1.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $68.50 | $137 | 1.5× |
| Oscillating Tracking Test (92545) | $157 | $314 | 0.6× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $50 | $100 | 1.9× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $50 | $100 | 1.9× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $50 | $100 | 1.9× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $50 | $100 | 1.9× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $50 | $100 | 1.9× |
| Ot Contrast Bath Ea 15 Min (97034) | $31.50 | $63 | 2.2× |
| Ot eval high complexity (97167) | $112 | $224 | 1.1× |
| Ot Eval Low Complex (97165) | $96.50 | $193 | 1.0× |
| Ot Eval Moderate Complexity (97166) | $100.50 | $201 | 1.0× |
| Ot manual therapy 15 min (97140) | $37.50 | $75 | 1.4× |
| Ot paraffin bath (97018) | $32 | $64 | 5.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $47.50 | $95 | 1.2× |
| Ot Re-Eval Est Plan Care (97168) | $95 | $190 | 1.4× |
| Ot rom hand (95852) | $10.50 | $21 | 0.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $85.50 | $171 | 0.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $127.50 | $255 | 0.8× |
| Oxygen Uptake Rest Indirect (94690) | $56.50 | $113 | 0.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $186.50 | $373 | 0.7× |
| Percutaneous tests w/allergenic extracts (95004) | $5 | $10 | 0.0× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $22,883.09 | $45,766.18 | 1.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $7,104.69 | $14,209.38 | 1.0× |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$101.50–$116.50 | $203–$233 | varies |
| Physical Performance Test (97750) | $46 | $92 | 1.4× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$37.50–$1,315.50 | $75–$2,631 | varies |
| Pm device progr eval dual (93280) | $37.50 | $75 | 0.8× |
| Pm Device Progr Eval Sngl (93279) | $37.50 | $75 | 0.8× |
| Pm/Icd Remote Tech Serv (93296) | $37.50 | $75 | 0.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$856.50–$1,526 | $1,713–$3,052 | varies |
| Positional nystagmus test (92542) range across 2 matching MRF lines |
$45.50–$83 | $91–$166 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $13.50 | $27 | 0.2× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $40.50 | $81 | 0.9× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $37.50 | $75 | 0.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$33.50–$39.50 | $67–$79 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$35–$41 | $70–$82 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) | $14,410.43 | $28,820.86 | 1.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $14,410.43 | $28,820.86 | 1.0× |
| Psych diag eval w/med srvcs (90792) | $144 | $288 | 0.6× |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$227–$261 | $454–$522 | varies |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 2 matching MRF lines |
$229–$268 | $458–$536 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$167–$218 | $334–$436 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $54.50 | $109 | 1.4× |
| Pt Eval High Complex (97163) | $112 | $224 | 1.1× |
| Pt eval low complex 20 min (97161) | $121 | $242 | 1.2× |
| Pt Eval Mod Complex (97162) | $100.50 | $201 | 1.0× |
| Pt gait training 15 min (97116) | $50.50 | $101 | 1.7× |
| Pt mechanical traction (97012) | $61.50 | $123 | 4.3× |
| Pt Re-Eval Est Plan Care (97164) | $89 | $178 | 1.3× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $35.50 | $71 | 0.8× |
| Pulm function test by gas (94727) | $157 | $314 | 0.6× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$143–$168.31 | $286–$336.62 | varies |
| Pulmonary Stress Testing (94618) | $110 | $220 | 0.7× |
| Pure Tone Audiometry Air (92552) | $30 | $60 | 0.2× |
| R Hrt Art/Grft Angio (93457) | $3,879.50 | $7,759 | 1.0× |
| R hrt coronary artery angio (93456) | $4,461.50 | $8,923 | 1.1× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $2,813.50 | $5,627 | 0.7× |
| Refill/Maint Portable Pump (96521) | $317 | $634 | 1.2× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $77.50 | $155 | 1.7× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $43.50 | $87 | 0.9× |
| Rem ther mntr dev sply resp (98976) | $43.50 | $87 | 0.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $37.50 | $75 | 0.8× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $139.50 | $279 | 0.8× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $42 | $84 | 1.0× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $48.50 | $97 | 0.9× |
| Respiratory flow volume loop (94375) | $368.50 | $737 | 1.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $70.50 | $141 | 1.0× |
| Right Heart Cath (93451) | $3,297.50 | $6,595 | 0.8× |
| Right ventricular recording (93603) | $909.50 | $1,819 | 0.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$153–$194.50 | $306–$389 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $46 | $92 | 1.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $189 | $378 | 1.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $80.50 | $161 | 1.7× |
| Select picture audiometry (92583) | $65.50 | $131 | 0.9× |
| Self Care Mngment Training (97535) | $60.50 | $121 | 1.9× |
| Sensory Integration Ea 15 Min (97533) | $49.50 | $99 | 0.8× |
| Short-latency somatosens ep std upr limbs (95925) | $759 | $1,518 | 2.8× |
| Sleep study attended (95807) | $1,112.50 | $2,225 | 2.4× |
| Sleep study unattended (95806) | $314 | $628 | 1.2× |
| Somatosensory Testing (95938) | $485 | $970 | 0.5× |
| Speech Audiometry Complete (92556) | $32 | $64 | 0.4× |
| Speech audiometry threshold (92555) | $30 | $60 | 0.4× |
| Speech sound lang comprehen (92523) | $390.50 | $781 | 1.7× |
| Spirometry (94010) range across 5 matching MRF lines |
$136.50–$157 | $273–$314 | varies |
| Spontaneous Nystagmus Test (92541) | $206 | $412 | 1.2× |
| Ssep lower limbs (95926) | $286.50 | $573 | 1.1× |
| Standardized Cognitive Performance Testing (96125) | $151.50 | $303 | 1.5× |
| Stenger Test Speech (92577) | $444.50 | $889 | 1.0× |
| Stenger Test, Pure Tone (92565) | $32 | $64 | 0.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $35.50 | $71 | 1.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $18 | $36 | 0.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $51 | $102 | 1.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $51.50 | $103 | 1.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $146.50 | $293 | 1.4× |
| Ther/Proph/Diag Inj Ia (96373) | $208.50 | $417 | 0.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$64–$73.50 | $128–$147 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $237.50 | $475 | 0.9× |
| Therapeutic Activities (97530) | $60.50 | $121 | 1.7× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $511 | $1,022 | 1.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $27 | $54 | 0.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $27 | $54 | 0.6× |
| Tone Decay Test (92563) | $53 | $106 | 1.1× |
| Trans Care Mgmt 14 Day Disch (99495) | $102 | $204 | 0.6× |
| Trans Care Mgmt 7 Day Disch (99496) | $102 | $204 | 0.6× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) range across 2 matching MRF lines |
$106–$122 | $212–$244 | varies |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $149.50 | $299 | 0.9× |
| Tte w/doppler, complete (93306) range across 6 matching MRF lines |
$682–$784.50 | $1,364–$1,569 | varies |
| Tte W/O Doppler Complete (93307) | $93 | $186 | 0.3× |
| Tx atrial fib pulm vein isol (93656) | $21,293.50 | $42,587 | 0.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $137 | $274 | 1.8× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $38.50 | $77 | 1.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$41–$1,513 | $82–$3,026 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$30.50–$38.50 | $61–$77 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 2 matching MRF lines |
$69.50–$130 | $139–$260 | varies |
| Unlisted cardiovascular service/procedure (93799) | $371.50 | $743 | 2.3× |
| Unlisted otorhinolaryngological service (92700) | $32 | $64 | 0.9× |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$112–$131 | $224–$262 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$136.50–$244.50 | $273–$489 | varies |
| Vasopneumatic device (97016) | $33.50 | $67 | 2.8× |
| Veeg 2-12 hr unmonitored (95711) | $291 | $582 | 1.1× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $558.50 | $1,117 | 1.2× |
| Vent Mgmt Inpat Init Day (94002) | $529.50 | $1,059 | 0.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $529.50 | $1,059 | 0.7× |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$129.50–$224.50 | $259–$449 | varies |
| Visual reinforcement audiometry (vra) (92579) | $136.50 | $273 | 0.5× |
| Vital capacity, total (94150) | $136.50 | $273 | 0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) | $43 | $86 | 1.4× |
| Whirlpool Therapy (97022) | $34.50 | $69 | 2.2× |
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.