Visits & medical services prices at Good Samaritan Hospital
San Jose, CA · every code in this section with a posted price and a Medicare benchmark.
223 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) | $100,068.47 | $100,068.47 | 8.7× |
| Airway Inhalation Treatment (94640) range across 9 matching MRF lines |
$188.51–$3,295.11 | $188.51–$3,295.11 | varies |
| Airway resistance by oscillometry (94728) | $1,532.54 | $1,532.54 | 8.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$209.41–$690.06 | $209.41–$690.06 | varies |
| Arrhythmia Induction (93618) | $12,678.23 | $12,678.23 | 7.1× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$1,567.83–$3,032.58 | $1,567.83–$3,032.58 | varies |
| Bis Xtracell Fluid Analysis (93702) | $1,079.58 | $1,079.58 | 5.7× |
| Breath hydrogen/methane test (91065) | $7,088.04 | $7,088.04 | 22.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $3,243.07 | $3,243.07 | 5.9× |
| Bundle of his recording (93600) | $18,561.10 | $18,561.10 | 1.6× |
| Canalith repositioning proc (95992) range across 4 matching MRF lines |
$898.38–$1,468.01 | $898.38–$1,468.01 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$2,800.39–$10,598.28 | $2,800.39–$10,598.28 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$2,848.13–$7,555.88 | $2,848.13–$7,555.88 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $183.37 | $183.37 | 7.0× |
| Cbt 1st hour (94644) | $2,573.04 | $2,573.04 | 13.1× |
| Chemo Admin Peritoneal Cavity (96446) | $3,368.93 | $3,368.93 | 6.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $3,368.93 | $3,368.93 | 31.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $3,368.93 | $3,368.93 | 31.8× |
| Chemo Ia Push (96420) range across 3 matching MRF lines |
$2,928.42–$13,729.59 | $2,928.42–$13,729.59 | varies |
| Chemo Intralesional Over 7 (96406) | $3,368.93 | $3,368.93 | 10.8× |
| Chemo intralesional up to 7 (96405) | $3,368.93 | $3,368.93 | 31.8× |
| Chemo IV infusion addl hr (96415) | $938.53 | $938.53 | 8.9× |
| Chemo IV push addl drug (96411) | $938.53 | $938.53 | 8.9× |
| Chemother Prolong Infuse W/Pump (96416) | $3,972.19 | $3,972.19 | 8.2× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $3,972.19 | $3,972.19 | 8.2× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $938.53 | $938.53 | 13.6× |
| Chemotherapy Into Cns (96450) | $3,368.93 | $3,368.93 | 6.9× |
| Chemotherapy Intracavitary (96440) | $3,368.93 | $3,368.93 | 6.9× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $3,972.19 | $3,972.19 | 8.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $938.53 | $938.53 | 8.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $3,972.19 | $3,972.19 | 8.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $3,368.93 | $3,368.93 | 6.9× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $3,368.93 | $3,368.93 | 6.9× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$446.24–$463.28 | $446.24–$463.28 | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $9,686.88 | $9,686.88 | 17.6× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$8,881.81–$9,260.48 | $8,881.81–$9,260.48 | varies |
| Color/duplex Doppler, limited (93976) | $5,697.34 | $5,697.34 | 37.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 6 matching MRF lines |
$431.83–$707.42 | $431.83–$707.42 | varies |
| Comprehensive Hearing Test (92557) | $244.13 | $244.13 | 1.3× |
| Continuous Pulse Ox (94762) | $3,652.11 | $3,652.11 | 19.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$3,360.08–$12,076.04 | $3,360.08–$12,076.04 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$632.61–$664.56 | $632.61–$664.56 | varies |
| Critical care first hour (99291) | $25,592 | $25,592 | 21.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 7 matching MRF lines |
$449.19–$2,078.86 | $449.19–$2,078.86 | varies |
| Dialysis One Evaluation (90945) range across 4 matching MRF lines |
$5,172.80–$11,528.56 | $5,172.80–$11,528.56 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$6,176.91–$8,740.76 | $6,176.91–$8,740.76 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $4,340 | $4,340 | 28.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $13,949.85 | $13,949.85 | 39.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $6,140.02 | $6,140.02 | 39.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $11,491.24 | $11,491.24 | 32.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $7,874.93 | $7,874.93 | 51.2× |
| Duplex Scan Hemodialysis Access (93990) | $6,117.23 | $6,117.23 | 39.8× |
| Duplex up extrem art bilat (93930) | $11,456.52 | $11,456.52 | 32.6× |
| Duplex up extrem art unilat/ltd (93931) | $7,572.22 | $7,572.22 | 49.2× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$6,373.29–$9,099.90 | $6,373.29–$9,099.90 | varies |
| Echo Heart Xthoracic,Limited (93308) | $6,360.27 | $6,360.27 | 18.1× |
| Echo transesophageal (93312) | $18,767.25 | $18,767.25 | 23.4× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $23,677.96 | $23,677.96 | 29.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $6,236.58 | $6,236.58 | 7.8× |
| Eeg 41-60 Minutes (95812) | $7,318.33 | $7,318.33 | 23.0× |
| EEG awake and asleep (95819) | $5,056.10 | $5,056.10 | 15.9× |
| EEG awake drowsy (95816) | $4,675.27 | $4,675.27 | 14.7× |
| EEG cerebral death evaluation (95824) | $6,608.74 | $6,608.74 | 12.0× |
| EEG cont rec w/video by tech min 8 channels (95700) | $15,686.93 | $15,686.93 | 49.4× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $15,686.93 | $15,686.93 | 49.4× |
| EEG w/o vid 2-12hr cont mntr (95707) | $15,686.93 | $15,686.93 | 49.4× |
| EEG w/o vid ea 12-26hr intmt (95709) | $15,686.93 | $15,686.93 | 28.6× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $15,686.93 | $15,686.93 | 28.6× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $15,686.93 | $15,686.93 | 49.4× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$386.26–$690.06 | $386.26–$690.06 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$427.49–$2,128.77 | $427.49–$2,128.77 | varies |
| Electroconvulsive Therapy (90870) | $7,545.09 | $7,545.09 | 6.0× |
| Electrophysiology Evaluation (93642) | $11,020.35 | $11,020.35 | 6.2× |
| Emergency Dept Visit Level 2 (99282) | $4,973.92 | $4,973.92 | 22.0× |
| Emergency Dept Visit Level 3 (99283) | $7,104.16 | $7,104.16 | 17.7× |
| Emergency Dept Visit Level 4 (99284) | $13,839.84 | $13,839.84 | 22.6× |
| Ep & ablate supravent arrhyt (93653) | $201,953.02 | $201,953.02 | 5.3× |
| Ep & ablate ventric tachy (93654) | $201,953.02 | $201,953.02 | 5.3× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $56,350.56 | $56,350.56 | 4.9× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $43,700.55 | $43,700.55 | 3.8× |
| Er level 1 (99281) | $3,525.76 | $3,525.76 | 28.4× |
| Er level v (99285) | $21,255.36 | $21,255.36 | 24.3× |
| Evaluate pt use of inhaler (94664) range across 4 matching MRF lines |
$572.97–$710.36 | $572.97–$710.36 | varies |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$1,567.83–$3,032.58 | $1,567.83–$3,032.58 | varies |
| Evaluate Swallowing Function (92610) range across 7 matching MRF lines |
$1,567.83–$3,032.58 | $1,567.83–$3,032.58 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$1,567.83–$3,032.58 | $1,567.83–$3,032.58 | varies |
| Evoked Auditory Test,Limited (92587) | $415.56 | $415.56 | 1.3× |
| Exercise test for bronchospasm (94617) | $1,366.02 | $1,366.02 | 7.0× |
| External ECG rec>48hr<7d recording (93242) | $1,546.13 | $1,546.13 | 28.1× |
| External ECG rec>7d<15d recording (93246) | $1,546.13 | $1,546.13 | 28.1× |
| Extracranial Bilat Study (93880) | $8,517.25 | $8,517.25 | 24.3× |
| Extracranial Uni/Ltd Study (93882) | $5,753.76 | $5,753.76 | 37.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $6,885.41 | $6,885.41 | 8.6× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $3,148.67 | $3,148.67 | 20.8× |
| Flexible endoscopic eval swallow c/v rec (92612) | $3,148.67 | $3,148.67 | 15.8× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $3,249.72 | $3,249.72 | 5.9× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $3,310.20 | $3,310.20 | 2.6× |
| Group Therapeutic Procedures (97150) range across 14 matching MRF lines |
$14.11–$1,075.24 | $14.11–$1,075.24 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $11,528.56 | $11,528.56 | 11.4× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $1,501.64 | $1,501.64 | 7.7× |
| Holter monitor recording (93225) | $1,103.45 | $1,103.45 | 5.6× |
| Icd Device Interrogate (93289) | $448.11 | $448.11 | 8.2× |
| Icd device progr eval dual (93283) | $507.78 | $507.78 | 9.3× |
| Icd Device Progr Eval Mult (93284) | $507.78 | $507.78 | 9.3× |
| Icm Device Eval (93290) | $254.98 | $254.98 | 4.6× |
| Ilr Device Interrogate (93291) | $507.78 | $507.78 | 11.9× |
| Immunization administration (90471) range across 3 matching MRF lines |
$483.84–$645.12 | $483.84–$645.12 | varies |
| Interrogate Subq Defib (93261) | $507.78 | $507.78 | 9.3× |
| Interrogation eval in person wr defibrillator (93292) | $507.78 | $507.78 | 9.3× |
| Intracranial Complete Study (93886) | $10,785.99 | $10,785.99 | 30.7× |
| Iontophoresis 15 min (97033) range across 4 matching MRF lines |
$183.37–$291.87 | $183.37–$291.87 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$438.34–$642.01 | $438.34–$642.01 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$468.72–$882.11 | $468.72–$882.11 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$1,885.73–$3,757.36 | $1,885.73–$3,757.36 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$468.72–$882.11 | $468.72–$882.11 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$468.72–$882.11 | $468.72–$882.11 | varies |
| IV push initial (96374) range across 6 matching MRF lines |
$868–$1,417.92 | $868–$1,417.92 | varies |
| Low frequency non-thermal us (97610) range across 3 matching MRF lines |
$1,205.44–$2,088.63 | $1,205.44–$2,088.63 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $1,140.34 | $1,140.34 | 13.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $11,102.81 | $11,102.81 | 35.0× |
| Mechanical chest wall oscillation per session (94669) | $664.56 | $664.56 | 2.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $224.60 | $224.60 | 7.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $266.91 | $266.91 | 7.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $125.86 | $125.86 | 7.4× |
| Motility study esophagus (91010) | $7,637.76 | $7,637.76 | 13.9× |
| Motion Fluoroscopy/Swallow (92611) range across 6 matching MRF lines |
$1,913.94–$3,148.67 | $1,913.94–$3,148.67 | varies |
| Multiple Family Group Psychotherapy (90849) | $1,551.55 | $1,551.55 | 5.9× |
| Nasopharyngoscopy (92511) | $1,669.82 | $1,669.82 | 5.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $2,061.50 | $2,061.50 | 3.4× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $2,061.50 | $2,061.50 | 3.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$658.60–$2,216.66 | $658.60–$2,216.66 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $2,216.66 | $2,216.66 | 3.7× |
| Neuromuscular Reeducation (97112) range across 8 matching MRF lines |
$449.19–$744.31 | $449.19–$744.31 | varies |
| Newborn resuscitation (99465) range across 4 matching MRF lines |
$1,446.27–$3,881.93 | $1,446.27–$3,881.93 | varies |
| Oral Function Therapy (92526) range across 6 matching MRF lines |
$1,341.06–$1,468.01 | $1,341.06–$1,468.01 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 8 matching MRF lines |
$333.10–$737.80 | $333.10–$737.80 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 8 matching MRF lines |
$386.26–$846.30 | $386.26–$846.30 | varies |
| Ot Contrast Bath Ea 15 Min (97034) range across 4 matching MRF lines |
$183.37–$291.87 | $183.37–$291.87 | varies |
| Ot eval high complexity (97167) range across 4 matching MRF lines |
$1,262.94–$3,004.37 | $1,262.94–$3,004.37 | varies |
| Ot Eval Low Complex (97165) range across 4 matching MRF lines |
$1,262.94–$3,004.37 | $1,262.94–$3,004.37 | varies |
| Ot Eval Moderate Complexity (97166) range across 4 matching MRF lines |
$1,262.94–$3,004.37 | $1,262.94–$3,004.37 | varies |
| Ot manual therapy 15 min (97140) range across 8 matching MRF lines |
$386.26–$707.42 | $386.26–$707.42 | varies |
| Ot paraffin bath (97018) range across 3 matching MRF lines |
$209.41–$524.06 | $209.41–$524.06 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 8 matching MRF lines |
$333.10–$737.80 | $333.10–$737.80 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$809.41–$3,004.37 | $809.41–$3,004.37 | varies |
| Ot rom hand (95852) range across 8 matching MRF lines |
$133.46–$220.26 | $133.46–$220.26 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$118.27–$1,578.68 | $118.27–$1,578.68 | varies |
| Phlebotomy therapeutic (99195) | $1,768.55 | $1,768.55 | 9.0× |
| Physical Performance Test (97750) range across 8 matching MRF lines |
$356.97–$593.50 | $356.97–$593.50 | varies |
| Plethysmography (94726) | $1,501.64 | $1,501.64 | 2.7× |
| Pm device eval in person (93288) | $448.11 | $448.11 | 8.2× |
| Pm device progr eval dual (93280) | $507.78 | $507.78 | 9.3× |
| Pm device progr eval multi (93281) | $507.78 | $507.78 | 9.3× |
| Pm Device Progr Eval Sngl (93279) | $507.78 | $507.78 | 9.3× |
| Pm/Icd Remote Tech Serv (93296) | $507.78 | $507.78 | 9.3× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $507.78 | $507.78 | 9.3× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $507.78 | $507.78 | 9.3× |
| Psychiatric diagnostic evaluation (90791) | $1,448.48 | $1,448.48 | 5.5× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$1,262.94–$2,636.55 | $1,262.94–$2,636.55 | varies |
| Pt eval low complex 20 min (97161) range across 3 matching MRF lines |
$79.21–$2,636.55 | $79.21–$2,636.55 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$1,262.94–$2,636.55 | $1,262.94–$2,636.55 | varies |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$386.26–$629.30 | $386.26–$629.30 | varies |
| Pt group caregiver training (97552) | $183.37 | $183.37 | 8.3× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$350.46–$522.97 | $350.46–$522.97 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$809.41–$2,636.55 | $809.41–$2,636.55 | varies |
| Pulm function test by gas (94727) | $1,501.64 | $1,501.64 | 4.7× |
| Pulmonary service/procedure (94799) | $941.78 | $941.78 | 5.0× |
| Pulmonary Stress Testing (94618) | $1,366.02 | $1,366.02 | 7.0× |
| Rem interrog icpms <30 d phys/qhp (93297) | $507.78 | $507.78 | 9.3× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $507.78 | $507.78 | 9.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $1,103.45 | $1,103.45 | 20.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$272.34–$1,223.88 | $272.34–$1,223.88 | varies |
| Right ventricular recording (93603) | $5,977.27 | $5,977.27 | 3.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $2,059.33 | $2,059.33 | 7.0× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 8 matching MRF lines |
$183.37–$302.72 | $183.37–$302.72 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$1,468.01–$3,032.58 | $1,468.01–$3,032.58 | varies |
| Self Care Mngment Training (97535) range across 6 matching MRF lines |
$431.83–$707.42 | $431.83–$707.42 | varies |
| Sensory Integration Ea 15 Min (97533) | $707.42 | $707.42 | 11.6× |
| Short-latency somatosens ep std upr limbs (95925) | $4,832.59 | $4,832.59 | 15.2× |
| Slp caregiver training 1st 30 min (97550) | $183.37 | $183.37 | 3.5× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$1,567.83–$3,032.58 | $1,567.83–$3,032.58 | varies |
| Spin/Brain Pump Refil & Main (95991) | $2,424.98 | $2,424.98 | 5.4× |
| Spirometry (94010) | $1,210.86 | $1,210.86 | 3.8× |
| Ssep lower limbs (95926) | $4,832.59 | $4,832.59 | 15.2× |
| Stress Tte Only (93350) | $8,791.76 | $8,791.76 | 10.9× |
| Surfactant Admin Thru Tube (94610) | $818.99 | $818.99 | 2.5× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $2,429.32 | $2,429.32 | 15.8× |
| Temp transcutaneous pacing (92953) | $4,081.77 | $4,081.77 | 4.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $707.42 | $707.42 | 31.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $707.42 | $707.42 | 33.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 6 matching MRF lines |
$183.37–$291.87 | $183.37–$291.87 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 9 matching MRF lines |
$202.90–$1,585.92 | $202.90–$1,585.92 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$1,885.73–$3,757.36 | $1,885.73–$3,757.36 | varies |
| Therapeutic Activities (97530) range across 8 matching MRF lines |
$356.97–$744.31 | $356.97–$744.31 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $11,020.35 | $11,020.35 | 20.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $571.80 | $571.80 | 10.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $299.46 | $299.46 | 5.4× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $2,429.32 | $2,429.32 | 15.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $8,305.68 | $8,305.68 | 54.0× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$4,552.66–$16,540.83 | $4,552.66–$16,540.83 | varies |
| Tte W/O Doppler Complete (93307) | $5,049.59 | $5,049.59 | 14.4× |
| Tx atrial fib pulm vein isol (93656) | $236,168.12 | $236,168.12 | 6.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$259.32–$1,468.01 | $259.32–$1,468.01 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 2 matching MRF lines |
$636.90–$1,050.28 | $636.90–$1,050.28 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$809.41–$1,417.92 | $809.41–$1,417.92 | varies |
| Tympanometry (92567) | $56.42 | $56.42 | 1.0× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$7,172.94–$70,991.55 | $7,172.94–$70,991.55 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $844.99 | $844.99 | 4.5× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$1,495.13–$4,252.12 | $1,495.13–$4,252.12 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$2,434.74–$8,352.33 | $2,434.74–$8,352.33 | varies |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$364.56–$522.97 | $364.56–$522.97 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $15,686.93 | $15,686.93 | 28.6× |
| Veeg 2-12 hr intmt mntr (95712) | $15,686.93 | $15,686.93 | 28.6× |
| Veeg 2-12 hr unmonitored (95711) | $15,686.93 | $15,686.93 | 49.4× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $15,686.93 | $15,686.93 | 28.6× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $15,686.93 | $15,686.93 | 28.6× |
| Veeg ea 12-26hr cont mntr (95716) | $15,686.93 | $15,686.93 | 12.4× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$3,972.45–$28,685.78 | $3,972.45–$28,685.78 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$3,972.45–$32,698.70 | $3,972.45–$32,698.70 | varies |
| Visual Evoked Potential Test (95930) | $7,039.48 | $7,039.48 | 22.2× |
| Vital capacity, total (94150) | $687.89 | $687.89 | 3.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $737.80 | $737.80 | 23.8× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $1,366.02 | $1,366.02 | 15.7× |
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.