Visits & medical services prices at Golden Valley Memorial Healthcare
Clinton, MO · every code in this section with a posted price and a Medicare benchmark.
241 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) | $119.46 | $199.10 | 0.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $24.32 | $40.53 | 0.6× |
| Advncd Care Plan 30 Min (99497) range across 3 matching MRF lines |
$68.75–$175.40 | $114.59–$292.34 | varies |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$25.71–$193.45 | $42.85–$322.42 | varies |
| Analyze neurostim complex (95972) range across 3 matching MRF lines |
$88.41–$192.07 | $147.35–$320.12 | varies |
| Analyze neurostim no prog (95970) range across 4 matching MRF lines |
$30.15–$198.66 | $50.25–$331.10 | varies |
| Analyze Neurostim Simple (95971) range across 3 matching MRF lines |
$79.13–$182.80 | $131.89–$304.66 | varies |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) range across 3 matching MRF lines |
$73.39–$167.92 | $122.31–$279.87 | varies |
| Ant sgm imaging w/microscopy endothelial analy (92286) range across 3 matching MRF lines |
$34.93–$129.47 | $58.22–$215.78 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$75–$81.59 | $125–$135.99 | varies |
| Application on-body injector (96377) | $87.04 | $145.07 | 1.9× |
| Audiometry Air & Bone (92553) range across 3 matching MRF lines |
$68.41–$206.22 | $114.01–$343.70 | varies |
| Basic vestibular evaluation (92540) range across 4 matching MRF lines |
$122.69–$248.11 | $204.48–$413.52 | varies |
| Behavral qualit analys voice (92524) | $210 | $350 | 1.9× |
| Brief Emotional/Behav Assmt (96127) range across 3 matching MRF lines |
$7.62–$36.24 | $12.70–$60.40 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$20.83–$380.83 | $34.72–$634.72 | varies |
| Caloric Vstblr Test W/Rec (92537) range across 4 matching MRF lines |
$50.18–$364.32 | $83.63–$607.20 | varies |
| Canalith repositioning proc (95992) range across 4 matching MRF lines |
$53.81–$69.11 | $89.69–$115.19 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 6 matching MRF lines |
$48.32–$709.46 | $80.54–$1,182.43 | varies |
| Cardiopulmonary resuscitation (92950) | $720 | $1,200 | 3.3× |
| Cardioversion (92960) range across 2 matching MRF lines |
$900–$1,020 | $1,500–$1,700 | varies |
| Cbt 1st hour (94644) range across 3 matching MRF lines |
$70.43–$164.97 | $117.39–$274.95 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$165–$180 | $275–$300 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$150–$162 | $250–$270 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$150–$177 | $250–$295 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$180–$189 | $300–$315 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$900–$901.49 | $1,500–$1,502.48 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 4 matching MRF lines |
$180–$744 | $300–$1,240 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$732–$741.60 | $1,220–$1,236 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$510–$537.46 | $850–$895.76 | varies |
| Chest Wall Manipulation (94668) | $87 | $145 | 0.7× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 3 matching MRF lines |
$63.98–$128.72 | $106.63–$214.54 | varies |
| Cmptr ophth dx img ant segmt (92132) | $23.35 | $38.92 | 0.4× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) range across 3 matching MRF lines |
$14.50–$109.04 | $24.17–$181.73 | varies |
| Color/duplex Doppler, complete (93975) range across 5 matching MRF lines |
$92.43–$823.44 | $154.05–$1,372.40 | varies |
| Color/duplex Doppler, limited (93976) range across 5 matching MRF lines |
$63.56–$723.56 | $105.93–$1,205.93 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $45 | $75 | 1.4× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 3 matching MRF lines |
$64.75–$202.84 | $107.91–$338.07 | varies |
| Comprehensive Hearing Test (92557) range across 3 matching MRF lines |
$119.66–$206.22 | $199.44–$343.70 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 3 matching MRF lines |
$34.93–$85.30 | $58.22–$142.16 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 3 matching MRF lines |
$40.34–$90.71 | $67.24–$151.18 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $121.70 | $202.84 | 0.9× |
| Contact Lens Fit,Corneoscleral Lens (92313) range across 2 matching MRF lines |
$64.06–$135.31 | $106.76–$225.52 | varies |
| Continuous Pulse Ox (94762) range across 3 matching MRF lines |
$171.78–$180 | $286.30–$300 | varies |
| Corneal Topography (92025) range across 3 matching MRF lines |
$31.51–$81.87 | $52.51–$136.45 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $720 | $1,200 | 3.3× |
| Cpt initial (94667) range across 2 matching MRF lines |
$122.10–$185.40 | $203.50–$309 | varies |
| Critical care first hour (99291) range across 4 matching MRF lines |
$431.85–$1,650 | $719.75–$2,750 | varies |
| Dark Adaptation Eye Exam (92284) range across 3 matching MRF lines |
$20.08–$317.09 | $33.47–$528.49 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 7 matching MRF lines |
$98.89–$855 | $164.82–$1,425 | varies |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$134.75–$454.73 | $224.58–$757.88 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $262.87 | $438.12 | 0.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 5 matching MRF lines |
$63.21–$813.21 | $105.35–$1,355.35 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$39.04–$609.04 | $65.06–$1,015.06 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$55.30–$850.30 | $92.16–$1,417.16 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 5 matching MRF lines |
$36.05–$2,058.43 | $60.09–$3,430.72 | varies |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$63.78–$633.78 | $106.30–$1,056.30 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 6 matching MRF lines |
$39.54–$609.54 | $65.90–$1,015.90 | varies |
| Ear and throat examination (92502) range across 3 matching MRF lines |
$150.08–$563.97 | $250.14–$939.95 | varies |
| Ear Protector Evaluation (92596) | $59.26 | $98.76 | 1.6× |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$41.06–$864.83 | $68.44–$1,441.38 | varies |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$175.31–$1,958.51 | $292.19–$3,264.19 | varies |
| EEG awake and asleep (95819) | $717.81 | $1,196.35 | 3.3× |
| EEG awake drowsy (95816) | $643.60 | $1,072.66 | 3.0× |
| EEG cont rec w/video by tech min 8 channels (95700) | $253.24 | $422.07 | 1.2× |
| Eeg Sleep Only (95822) range across 4 matching MRF lines |
$92.50–$995.10 | $154.16–$1,658.50 | varies |
| EEG wo vid ea 12-26hr unmntr (95708) range across 2 matching MRF lines |
$579.32–$1,737.97 | $965.54–$2,896.62 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$61.22–$64.65 | $102.03–$107.75 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$96–$99 | $160–$165 | varies |
| Electro-Oculography (92270) range across 3 matching MRF lines |
$67–$161.53 | $111.66–$269.22 | varies |
| Electrocardiogram Tracing (93005) range across 7 matching MRF lines |
$9.70–$324 | $16.16–$540 | varies |
| Emergency Dept Visit Level 2 (99282) range across 5 matching MRF lines |
$66.44–$402 | $110.73–$670 | varies |
| Emergency Dept Visit Level 3 (99283) range across 5 matching MRF lines |
$197.19–$648 | $328.65–$1,080 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$189.01–$939 | $315.02–$1,565 | varies |
| Emg 3 Extremities (95863) range across 4 matching MRF lines |
$122.69–$281.51 | $204.48–$469.18 | varies |
| Emg 4 Extremities (95864) range across 4 matching MRF lines |
$122.69–$292.68 | $204.48–$487.80 | varies |
| Er level 1 (99281) range across 5 matching MRF lines |
$34.05–$222 | $56.75–$370 | varies |
| Er level v (99285) range across 6 matching MRF lines |
$278.72–$1,320 | $464.54–$2,200 | varies |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$20.03–$192.47 | $33.39–$320.79 | varies |
| Evaluate Speech Production (92522) | $189 | $315 | 1.7× |
| Evaluate Swallowing Function (92610) | $222 | $370 | 2.6× |
| Evaluation of speech fluency (92521) | $210 | $350 | 1.6× |
| Evoked Auditory Test,Limited (92587) | $218.46 | $364.10 | 1.0× |
| External ECG rec>48hr<7d recording (93242) | $111 | $185 | 3.0× |
| External ECG rec>7d<15d recording (93246) | $105 | $175 | 2.8× |
| External Ecg Scanning Analysis Report (93226) range across 4 matching MRF lines |
$51.84–$240.20 | $86.40–$400.33 | varies |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$64.20–$859.20 | $107–$1,432 | varies |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$40.20–$310.20 | $67–$517 | varies |
| Eye exam w anesth; complete (92018) range across 4 matching MRF lines |
$228.34–$3,533.89 | $380.56–$5,889.81 | varies |
| Eye exam w anesth; limited (92019) range across 3 matching MRF lines |
$113.85–$1,744.07 | $189.75–$2,906.78 | varies |
| Eye Exam With Photos (92230) range across 3 matching MRF lines |
$96.98–$496.94 | $161.64–$828.23 | varies |
| Filtered Speech Test (92571) | $59.26 | $98.76 | 1.6× |
| Fluorescein angiography (92235) range across 3 matching MRF lines |
$67.88–$291.83 | $113.14–$486.39 | varies |
| Fundus photography (92250) range across 3 matching MRF lines |
$34.42–$128.96 | $57.37–$214.93 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,990.51 | $3,317.52 | 2.3× |
| Gi tract capsule endoscopy (91110) | $1,440 | $2,400 | 1.6× |
| Gonioscopy (92020) range across 3 matching MRF lines |
$42.22–$136.76 | $70.37–$227.93 | varies |
| Group Therapeutic Procedures (97150) | $40.50 | $67.50 | 2.2× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 3 matching MRF lines |
$116.52–$654.75 | $194.20–$1,091.25 | varies |
| Holter monitor recording (93225) range across 4 matching MRF lines |
$36.76–$236.63 | $61.27–$394.38 | varies |
| Ilr Device Interrogate (93291) | $120 | $200 | 4.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
$25.05–$77.43 | $41.75–$129.05 | varies |
| Immunization administration (90471) range across 6 matching MRF lines |
$24.32–$113.21 | $40.53–$188.68 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) range across 3 matching MRF lines |
$74.61–$298.56 | $124.35–$497.60 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $629.16 | $1,048.60 | 1.7× |
| Inital newborn e/m (99460) range across 3 matching MRF lines |
$102.32–$254.75 | $170.54–$424.58 | varies |
| Intracutaneous tests w/allergenic extracts (95024) range across 3 matching MRF lines |
$11.72–$62.08 | $19.53–$103.47 | varies |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$96–$109.50 | $160–$182.50 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$240–$245.75 | $400–$409.58 | varies |
| IV infusion hydration each additional hour (96361) | $133.20 | $222 | 2.8× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$300–$303 | $500–$505 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$141–$423 | $235–$705 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$102–$114 | $170–$190 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$259.20–$266.98 | $432–$444.96 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$43.20–$86.40 | $72–$144 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$44.44–$177.77 | $74.07–$296.28 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $22.20 | $37 | 1.3× |
| Methacholine challenge (94070) | $317.70 | $529.50 | 0.9× |
| Motility study esophagus (91010) | $864.96 | $1,441.60 | 2.3× |
| Motion Fluoroscopy/Swallow (92611) | $336 | $560 | 3.7× |
| Multiple Sleep Latency Test (95805) | $1,236 | $2,060 | 1.4× |
| Muscle Test 2 Limbs (95861) range across 4 matching MRF lines |
$94.54–$226.12 | $157.56–$376.87 | varies |
| Muscle Test One Limb (95860) range across 3 matching MRF lines |
$81.85–$176.39 | $136.42–$293.98 | varies |
| Nasopharyngoscopy (92511) range across 5 matching MRF lines |
$160.80–$1,589.92 | $268–$2,649.86 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$54.29–$248.97 | $90.49–$414.95 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $331.12 | $551.86 | 0.8× |
| Nerve Conduction Studies 1-2 Studies (95907) | $181.50 | $302.50 | 0.8× |
| Nerve Conduction Studies 11-12 Studies (95912) | $870 | $1,450 | 2.3× |
| Nerve conduction studies 13 or more studies (95913) | $1,140 | $1,900 | 3.1× |
| Nerve Conduction Studies 3-4 Studies (95908) | $360 | $600 | 1.7× |
| Nerve conduction studies 5-6 studies (95909) | $535.80 | $893 | 2.5× |
| Nerve conduction studies 7-8 studies (95910) | $720 | $1,200 | 1.9× |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$780–$840 | $1,300–$1,400 | varies |
| Neurobehavioral Status Exam (96116) range across 3 matching MRF lines |
$151.21–$375.16 | $252.01–$625.26 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 4 matching MRF lines |
$54.67–$181.93 | $91.12–$303.22 | varies |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$95.10–$190.20 | $158.50–$317 | varies |
| Newborn resuscitation (99465) range across 3 matching MRF lines |
$232.38–$693.77 | $387.30–$1,156.29 | varies |
| Oculoelectromyography (92265) range across 3 matching MRF lines |
$50.36–$123.75 | $83.94–$206.25 | varies |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 3 matching MRF lines |
$49.11–$143.65 | $81.85–$239.41 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 3 matching MRF lines |
$102.32–$331.47 | $170.54–$552.45 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 3 matching MRF lines |
$102.32–$293.54 | $170.54–$489.23 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 3 matching MRF lines |
$102.32–$235.09 | $170.54–$391.82 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 3 matching MRF lines |
$102.32–$228.68 | $170.54–$381.14 | varies |
| Ophthalmodynamometry (92260) range across 3 matching MRF lines |
$28.62–$57.93 | $47.70–$96.55 | varies |
| Optokinetic Nystagmus Test (92544) range across 3 matching MRF lines |
$22.84–$145.52 | $38.06–$242.54 | varies |
| Oral Function Therapy (92526) | $195 | $325 | 2.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$71.98–$82.81 | $119.97–$138.02 | varies |
| Oscillating Tracking Test (92545) range across 4 matching MRF lines |
$21.17–$163.78 | $35.28–$272.96 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$24.15–$72.77 | $40.25–$121.29 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 3 matching MRF lines |
$24.15–$94.44 | $40.25–$157.40 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 3 matching MRF lines |
$24.15–$116.63 | $40.25–$194.39 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 3 matching MRF lines |
$24.15–$136.78 | $40.25–$227.96 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 3 matching MRF lines |
$24.15–$158.95 | $40.25–$264.92 | varies |
| Ot eval high complexity (97167) range across 3 matching MRF lines |
$180–$195 | $300–$325 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$180–$194.70 | $300–$324.50 | varies |
| Ot Eval Moderate Complexity (97166) | $177 | $295 | 1.8× |
| Ot manual therapy 15 min (97140) range across 5 matching MRF lines |
$72–$326.40 | $120–$544 | varies |
| Ot paraffin bath (97018) | $60 | $100 | 10.0× |
| Ot Re-Eval Est Plan Care (97168) | $102 | $170 | 1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$143.74–$144 | $239.57–$240 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$75–$140.11 | $125–$233.51 | varies |
| Patch/Application Test Specify Number Tests (95044) | $298.28 | $497.14 | 0.3× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $198 | $330 | 1.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $213.84 | $356.40 | 1.0× |
| Percutaneous tests w/allergenic extracts (95004) range across 3 matching MRF lines |
$821.51–$846.16 | $1,369.19–$1,410.27 | varies |
| Peripheral arterial disease rehab per session (93668) | $102.29 | $170.49 | 1.7× |
| Phlebotomy therapeutic (99195) range across 4 matching MRF lines |
$173.60–$180 | $289.33–$300 | varies |
| Photo patch test(s) (95052) | $50.40 | $84 | 0.9× |
| Photo Tests (95056) | $93.60 | $156 | 0.7× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) | $93.60 | $156 | 1.6× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $93.60 | $156 | 1.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $173.04 | $288.40 | 2.9× |
| Physical Performance Test (97750) | $450 | $750 | 13.3× |
| Plethysmography (94726) | $381.47 | $635.78 | 1.0× |
| Pm device eval in person (93288) range across 4 matching MRF lines |
$33.97–$89.76 | $56.61–$149.60 | varies |
| Pm device progr eval dual (93280) range across 3 matching MRF lines |
$33.97–$95.12 | $56.61–$158.53 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 3 matching MRF lines |
$33.97–$70.22 | $56.61–$117.04 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,052.20 | $5,087 | 3.5× |
| Positional nystagmus test (92542) range across 3 matching MRF lines |
$40.17–$134.71 | $66.95–$224.51 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 4 matching MRF lines |
$20.65–$53.98 | $34.41–$89.96 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 4 matching MRF lines |
$10.85–$46.46 | $18.09–$77.44 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 5 matching MRF lines |
$12.28–$46.37 | $20.47–$77.29 | varies |
| Pt Eval High Complex (97163) | $254.62 | $424.36 | 2.6× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$182.31–$200.54 | $303.85–$334.24 | varies |
| Pt Eval Mod Complex (97162) | $214.96 | $358.26 | 2.2× |
| Pt gait training 15 min (97116) | $95.10 | $158.50 | 3.3× |
| Pt mechanical traction (97012) | $88.54 | $147.56 | 6.2× |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$105–$115.50 | $175–$192.50 | varies |
| Pulm function test by gas (94727) | $213.76 | $356.27 | 1.0× |
| Pulmonary service/procedure (94799) | $203.17 | $338.62 | 1.6× |
| Pulmonary Stress Testing (94618) | $180 | $300 | 1.4× |
| Pure Tone Audiometry Air (92552) range across 3 matching MRF lines |
$55.78–$164.64 | $92.97–$274.40 | varies |
| Refill/Maint Portable Pump (96521) | $358.05 | $596.75 | 1.7× |
| Remote 30 Day Ecg Rev/Report (93270) range across 3 matching MRF lines |
$13.13–$47.10 | $21.89–$78.50 | varies |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $142.88 | $238.14 | 1.1× |
| Respiratory flow volume loop (94375) | $107.83 | $179.71 | 0.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $81 | $135 | 1.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$180–$184.10 | $300–$306.83 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $180 | $300 | 1.5× |
| Same day nb discharge (99463) range across 3 matching MRF lines |
$102.32–$277.68 | $170.54–$462.80 | varies |
| Self Care Mngment Training (97535) | $95.10 | $158.50 | 2.9× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) range across 3 matching MRF lines |
$50.36–$110.22 | $83.94–$183.70 | varies |
| Sensory Integration Ea 15 Min (97533) | $80.40 | $134 | 1.3× |
| Sinusoidal Vertical Axis Rotational Testing (92546) range across 4 matching MRF lines |
$24–$180.16 | $40–$300.26 | varies |
| Sleep study unattended (95806) | $635.24 | $1,058.73 | 2.9× |
| Speech Audiometry Complete (92556) range across 3 matching MRF lines |
$27.41–$81.51 | $45.69–$135.85 | varies |
| Speech audiometry threshold (92555) range across 3 matching MRF lines |
$43.15–$50.94 | $71.92–$84.90 | varies |
| Speech sound lang comprehen (92523) | $294 | $490 | 1.3× |
| Spirometry (94010) range across 2 matching MRF lines |
$13.49–$207.60 | $22.49–$346 | varies |
| Spontaneous Nystagmus Test (92541) range across 3 matching MRF lines |
$33.41–$127.95 | $55.69–$213.25 | varies |
| Stenger Test Speech (92577) | $240 | $400 | 0.6× |
| Stenger Test, Pure Tone (92565) | $90 | $150 | 1.5× |
| Tensilon Test (95857) range across 3 matching MRF lines |
$81.93–$305.88 | $136.55–$509.80 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$30–$36 | $50–$60 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$30–$72 | $50–$120 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 4 matching MRF lines |
$95.10–$380.40 | $158.50–$634 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $84.60 | $141 | 2.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $150 | $250 | 1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$24.56–$228 | $40.93–$380 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$420–$432.60 | $700–$721 | varies |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$95.10–$285.30 | $158.50–$475.50 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$30.04–$65.59 | $50.07–$109.32 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$104.27–$305.28 | $173.78–$508.80 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 4 matching MRF lines |
$104.27–$389.30 | $10.92–$648.84 | varies |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,475.82–$1,728.58 | $2,459.70–$2,880.97 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $180 | $300 | 2.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 7 matching MRF lines |
$138–$846 | $230–$1,410 | varies |
| Tympanometry (92567) range across 3 matching MRF lines |
$23.29–$51.91 | $38.81–$86.51 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 3 matching MRF lines |
$34.74–$206.22 | $57.90–$343.70 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 8 matching MRF lines |
$20.31–$368.91 | $33.85–$614.85 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$255–$414.64 | $425–$691.07 | varies |
| Vasopneumatic device (97016) | $48 | $80 | 4.0× |
| Vent Mgmt Inpat Init Day (94002) | $720 | $1,200 | 1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $592.85 | $988.08 | 1.0× |
| Visual Evoked Potential Test (95930) range across 4 matching MRF lines |
$30.01–$383.25 | $50.02–$638.75 | varies |
| Visual Field Exam Extended (92083) range across 3 matching MRF lines |
$43.78–$138.31 | $72.96–$230.52 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) range across 3 matching MRF lines |
$33.92–$84.28 | $56.53–$140.47 | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) range across 3 matching MRF lines |
$25.58–$75.95 | $42.64–$126.58 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $88.40 | $147.34 | 2.8× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$115.28–$117 | $192.14–$195 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) range across 3 matching MRF lines |
$5–$55.36 | $8.33–$92.27 | varies |
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.