Visits & medical services prices at Good Samaritan Regional Medical Center

Corvallis, OR · every code in this section with a posted price and a Medicare benchmark.

293 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $7,128 $8,910 0.8×
Actigraphy Testing Recording Analysis I&R (95803) $512 $640 7.8×
Actinotherapy Ultraviolet Light (96900) $38.40 $48 0.9×
Acupunct W/Stimul 15 Min (97813) $67.20 $84 2.1×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $57.60 $72 1.8×
Admn Sarscov2 Vacc 1 Dose (90480) $48 $60 1.1×
Airway Inhalation Treatment (94640) $200 $250 0.8×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $408 $510 2.8×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $352 $440 2.4×
Analyze Pacemaker System (93724) $424 $530 1.2×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $249.60 $312 1.1×
Appl modality 1+ areas lllt po pain reduction (97037) $52 $65 1.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 4 matching MRF lines		 $48.80–$65.60 $61–$82 varies
Application on-body injector (96377) $72 $90 1.4×
Arrhythmia Induction (93618) $1,584 $1,980 1.2×
Assessment of aphasia per hr (96105) $288 $360 3.0×
Behavral qualit analys voice (92524) $160 $200 1.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $56.80 $71 0.7×
Bfb training ea addl 15 min (90913) $32 $40 1.0×
Biofeedback training any modality (90901) $128 $160 3.1×
Bioimpedance Cv Analysis (93701)
range across 2 matching MRF lines		 $52.80–$128 $66–$160 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $408 $510 1.0×
C motor evoked uppr limbs (95928) $2,120 $2,650 2.2×
C motor evoked upr&lwr limbs (95939) $2,192 $2,740 2.3×
Canalith repositioning proc (95992)
range across 2 matching MRF lines		 $104–$128 $130–$160 varies
Car seat/bed test 60 min (94780) $184 $230 4.4×
Cardiac Stress Tst,Tracing Only (93017) $672 $840 2.8×
Cardiopulmonary resuscitation (92950) $1,224 $1,530 5.1×
Cardioversion (92960)
range across 2 matching MRF lines		 $1,552–$2,016 $1,940–$2,520 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $60 $75 2.3×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $10,544 $13,180 2.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,336 $11,670 2.6×
Cbt 1st hour (94644) $168 $210 1.1×
Chemo Anti-Neopl Sq/Im (96401) $184 $230 2.3×
Chemo Hormon Antineopl Sq/Im (96402) $296 $370 3.7×
Chemo IV infusion addl hr (96415) $184 $230 2.3×
Chemo IV push addl drug (96411) $272 $340 3.4×
Chemother Prolong Infuse W/Pump (96416) $816 $1,020 2.2×
Chemotherapy Into Cns (96450) $968 $1,210 2.6×
Chemotherapy Unspecified (96549) $288 $360 5.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $184 $230 2.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $768 $960 2.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $472 $590 1.3×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $225.60 $282 0.6×
Chest Wall Manipulation (94668) $112 $140 0.8×
Color/duplex Doppler, complete (93975) $1,112 $1,390 4.2×
Color/duplex Doppler, limited (93976) $712 $890 6.1×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines		 $73.60–$80 $92–$100 varies
Cont gluc mntr physician/qhp provided equiptment (95250) $536 $670 3.6×
Cont Gluc Mntr Pt Prov Eqp (95249) $184 $230 2.8×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines		 $240–$304 $300–$380 varies
Coronary Art/Grft Angio S&I (93455) $4,880 $6,100 1.4×
Coronary Artery Angio S&I (93454) $6,800 $8,500 1.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines		 $100.80–$408 $126–$510 varies
Cpt initial (94667) $144 $180 1.0×
Critical care first hour (99291) $2,544 $3,180 2.8×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,704 $2,130 4.1×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines		 $139.20–$384 $174–$480 varies
Developmental tst admin phys/qhp 1st hour (96112) $320 $400 2.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,008 $1,260 3.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $568 $710 4.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,056 $1,320 4.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $712 $890 6.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,072 $1,340 4.0×
Dup-scan xtr veins unilateral/limited study (93971) $728 $910 6.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $624 $780 2.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $336 $420 2.9×
Duplex Scan Hemodialysis Access (93990) $616 $770 5.3×
Duplex up extrem art bilat (93930) $1,024 $1,280 3.9×
Duplex up extrem art unilat/ltd (93931) $688 $860 5.9×
ECG/monitoring and analysis (93271) $440 $550 4.2×
Echo Congenital Complete (93303) $1,336 $1,670 2.2×
Echo Heart Xthoracic,Limited (93308) $848 $1,060 3.2×
Echo r-t 2d w/probe placement only (93313) $896 $1,120 1.5×
Echo transesophageal (93312) $1,400 $1,750 2.3×
Eeg 41-60 Minutes (95812) $1,392 $1,740 5.8×
EEG awake and asleep (95819) $1,496 $1,870 6.2×
EEG awake drowsy (95816) $1,320 $1,650 5.5×
EEG cont rec w/video by tech min 8 channels (95700) $840 $1,050 3.5×
EEG extended monitoring 61-119 minutes (95813) $1,312 $1,640 5.5×
Eeg Sleep Only (95822) $1,152 $1,440 4.8×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $864 $1,080 3.6×
EEG w/o vid 2-12hr cont mntr (95707) $936 $1,170 3.9×
EEG w/o vid ea 12-26hr intmt (95709) $1,704 $2,130 4.1×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,792 $2,240 4.3×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $936 $1,170 3.9×
EEG wo vid ea 12-26hr unmntr (95708) $2,112 $2,640 5.1×
Electrical Stimulation Ea 15 Min (97032) $56.80 $71 3.9×
Electrocardiogram Tracing (93005) $160 $200 2.4×
Electrophysiology Evaluation (93642) $1,744 $2,180 1.3×
Emergency Dept Visit Level 2 (99282) $472 $590 2.8×
Emergency Dept Visit Level 3 (99283) $960 $1,200 3.2×
Emergency Dept Visit Level 4 (99284) $1,600 $2,000 3.4×
Emg 4 Extremities (95864) $592 $740 4.1×
Ep & ablate supravent arrhyt (93653) $40,000 $50,000 1.4×
Ep & ablate ventric tachy (93654) $40,000 $50,000 1.4×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $7,168 $8,960 0.8×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $7,168 $8,960 0.8×
Ep Esophageal Recording Atria+Pacing (93616) $1,584 $1,980 1.2×
Er level 1 (99281)
range across 4 matching MRF lines		 $112–$344 $140–$430 varies
Er level v (99285) $2,160 $2,700 3.3×
Esoph Atrial Electrogram (93615) $1,584 $1,980 1.2×
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines		 $27.20–$208 $34–$260 varies
Evaluate Speech Production (92522) $104 $130 0.9×
Evaluate Swallowing Function (92610) $304 $380 3.6×
Evaluation of speech fluency (92521) $136 $170 1.0×
Evoked Auditory Test,Limited (92587) $704 $880 2.9×
Exhaled Air Analysis O2 (94680) $136 $170 1.0×
External ECG rec>48hr<7d recording (93242) $328 $410 7.9×
External ECG rec>48hr<7d scanning alys w/report (93243) $536 $670 3.6×
External ECG rec>7d<15d recording (93246) $344 $430 8.3×
External ECG rec>7d<15d scanning alys w/report (93247) $584 $730 3.9×
External Ecg Scanning Analysis Report (93226) $416 $520 6.3×
Extracranial Bilat Study (93880) $1,048 $1,310 4.0×
Extracranial Uni/Ltd Study (93882) $624 $780 5.4×
Flexible endoscopic eval swallow c/v rec (92612) $264 $330 1.3×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $968 $1,210 4.0×
Group Therapeutic Procedures (97150) $48.80 $61 2.7×
Health Behavior Assessment/Re-Assessment (96156) $148.80 $186 1.3×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $110.40 $138 2.7×
Health behavior ivntj group f2f 1st 30 min (96164) $15.20 $19 0.4×
Health behavior ivntj indiv f2f 1st 30 min (96158) $100.80 $126 0.5×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $9,424 $11,780 2.6×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,352 $1,690 1.8×
High altitude simulation test (94452) $168 $210 1.1×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $248 $310 1.7×
Holter monitor recording (93225) $552 $690 3.7×
Icd device progr eval dual (93283) $96 $120 2.3×
Icd Device Progr Eval Mult (93284) $76 $95 1.8×
Immunization administration (90471)
range across 4 matching MRF lines		 $104–$144 $130–$180 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $1,320 $1,650 3.2×
Insert/Place Heart Catheter (93503) $1,792 $2,240 1.0×
Interrogation vad in person (93750) $96 $120 0.9×
Intra-atrial recording (93602) $6,992 $8,740 0.8×
Intracutaneous tests w/allergenic extracts (95024) $11.20 $14 0.2×
Iontophoresis 15 min (97033) $88 $110 4.6×
Irrig Drug Delivery Device (96523) $112 $140 1.7×
IV infusion hydration each additional hour (96361) $64 $80 1.2×
IV infusion hydration initial 31 min-1 hour (96360) $232 $290 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $76 $95 0.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $76 $95 1.5×
IV push initial (96374) $288 $360 1.2×
L Hrt Art/Grft Angio (93459) $8,576 $10,720 2.4×
Low frequency non-thermal us (97610) $192 $240 0.9×
Lwr Xtr Vasc Stdy Bilat (93924) $840 $1,050 3.5×
Mechanical chest wall oscillation per session (94669) $240 $300 1.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines		 $48–$59.20 $60–$74 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines		 $57.60–$59.20 $72–$74 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $24 $30 1.4×
Methacholine challenge (94070)
range across 2 matching MRF lines		 $76.80–$544 $96–$680 varies
Motion Fluoroscopy/Swallow (92611) $304 $380 3.3×
Multiple Sleep Latency Test (95805) $2,568 $3,210 2.7×
Muscle Test 2 Limbs (95861) $344 $430 2.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $592 $740 1.3×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $600 $750 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines		 $57.60–$288 $72–$360 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines		 $72–$440 $90–$550 varies
Neurobehavioral Status Exam (96116)
range across 2 matching MRF lines		 $148.80–$288 $186–$360 varies
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $280 $350 2.0×
Neuromuscular Reeducation (97112)
range across 3 matching MRF lines		 $80–$88 $100–$110 varies
Newborn resuscitation (99465) $824 $1,030 1.1×
Nonphysician Telephone Assessment 11-20 Min (98967) $42.40 $53 1.7×
Nonphysician Telephone Assessment 21-30 Min (98968) $67.20 $84 1.9×
Nonphysician Telephone Assessment 5-10 Min (98966) $23.20 $29 1.7×
Nrpsyc tst eval phys/qhp 1st (96132)
range across 2 matching MRF lines		 $201.60–$320 $252–$400 varies
Oral Function Therapy (92526) $200 $250 2.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $96 $120 1.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $96 $120 2.1×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $44 $55 1.8×
Osteopathic manipulative tx 3-4 body regions (98926)
range across 2 matching MRF lines		 $62.40–$72 $78–$90 varies
Osteopathic manipulative tx 5-6 body regions (98927)
range across 2 matching MRF lines		 $56–$81.60 $70–$102 varies
Osteopathic manipulative tx 7-8 body regions (98928) $100.80 $126 4.2×
Osteopathic manipulative tx 9-10 body regions (98929) $120 $150 5.0×
Ot Contrast Bath Ea 15 Min (97034) $73.60 $92 5.2×
Ot eval high complexity (97167) $248 $310 2.5×
Ot Eval Low Complex (97165) $248 $310 2.5×
Ot Eval Moderate Complexity (97166) $248 $310 2.5×
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines		 $63.20–$73.60 $79–$92 varies
Ot paraffin bath (97018) $48.80 $61 8.1×
Ot Prosthetic Training, Each 15 Min (97761) $96 $120 2.4×
Ot Re-Eval Est Plan Care (97168) $112 $140 1.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $160 $200 1.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $152 $190 1.1×
Oxygen Uptake Rest Indirect (94690) $56 $70 0.9×
Patch/Application Test Specify Number Tests (95044) $8 $10 0.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $208 $260 0.9×
Perq Transcath Cls Aortic (93591) $23,496 $29,370 1.2×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $7,632 $9,540 1.2×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $12,696 $15,870 1.0×
Phlebotomy therapeutic (99195) $160 $200 1.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $120 $150 1.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $88 $110 1.3×
Physical Performance Test (97750) $80 $100 2.4×
Plethysmography (94726)
range across 2 matching MRF lines		 $96.80–$320 $121–$400 varies
Pm device progr eval dual (93280) $42.40 $53 1.0×
Pm device progr eval multi (93281) $76 $95 1.8×
Pm Device Progr Eval Sngl (93279) $67.20 $84 1.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,584 $5,730 4.8×
Polysom <6 yrs 4/> paramtrs (95782) $4,304 $5,380 4.5×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $5,080 $6,350 5.3×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $20.80 $26 0.4×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $76 $95 1.8×
Prq Card Angio/Athrect 1 Art (92924) $12,256 $15,320 1.0×
Prq Card Stent W/Angio 1 Vsl (92928) $14,480 $18,100 1.1×
Prq Card Stent/Ath/Angio (92933) $19,848 $24,810 1.0×
Prq Revasc Byp Graft 1 Vsl (92937) $13,224 $16,530 1.0×
Psych diag eval w/med srvcs (90792)
range across 2 matching MRF lines		 $248–$302.40 $310–$378 varies
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines		 $192–$268.80 $240–$336 varies
Psychological tst eval svc phys/qhp first hour (96130) $272 $340 1.1×
Psycl/Nrpsyc Tst Auto Result (96146) $88 $110 2.7×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138)
range across 2 matching MRF lines		 $57.60–$248 $72–$310 varies
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136)
range across 2 matching MRF lines		 $72–$112 $90–$140 varies
Pt Eval High Complex (97163) $248 $310 2.5×
Pt eval low complex 20 min (97161) $248 $310 2.5×
Pt Eval Mod Complex (97162) $248 $310 2.5×
Pt gait training 15 min (97116)
range across 2 matching MRF lines		 $73.60–$75.20 $92–$94 varies
Pt group caregiver training (97552) $51.20 $64 2.3×
Pt mechanical traction (97012) $56.80 $71 4.0×
Pt Re-Eval Est Plan Care (97164) $144 $180 2.1×
Pulm function test by gas (94727) $152 $190 0.6×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines		 $26.40–$224 $33–$280 varies
R Hrt Art/Grft Angio (93457) $12,256 $15,320 3.4×
R hrt coronary artery angio (93456) $12,256 $15,320 3.4×
R&L Hrt Cath W/Ventriclgrphy (93453) $8,392 $10,490 2.3×
Refill/Maint Portable Pump (96521) $432 $540 1.8×
Rem interrog icpms <30 d phys/qhp (93297) $94.40 $118 2.3×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $203.20 $254 4.9×
Remote 30 Day Ecg Rev/Report (93270) $360 $450 8.7×
Respiratory flow volume loop (94375) $280 $350 1.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $216 $270 3.3×
Right Heart Cath (93451) $4,880 $6,100 1.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines		 $72–$216 $90–$270 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $296 $370 2.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $168 $210 3.5×
Self Care Mngment Training (97535)
range across 5 matching MRF lines		 $80–$88 $100–$110 varies
Self-meas bp pt educaj/traing & dev calibration (99473)
range across 2 matching MRF lines		 $19.20–$32.80 $24–$41 varies
Sensory Integration Ea 15 Min (97533) $80 $100 1.3×
Short-latency somatosens ep std upr limbs (95925) $888 $1,110 3.7×
Sleep study attended (95807) $1,848 $2,310 4.5×
Sleep study unattended (95806) $640 $800 2.7×
Slp caregiver training 1st 30 min (97550) $120 $150 2.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $672 $840 2.8×
Somatosensory Testing (95938) $1,384 $1,730 1.4×
Speech sound lang comprehen (92523) $304 $380 1.3×
Spirometry (94010) $224 $280 0.9×
Ssep lower limbs (95926) $888 $1,110 3.7×
Standardized Cognitive Performance Testing (96125) $256 $320 2.5×
Stress Tte Only (93350) $1,400 $1,750 2.3×
Subcutaneous Infusion Each Additional Hour (96370) $64 $80 1.2×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $232 $290 1.0×
Subq Infusion Additional Pump Infusion Site (96371) $64 $80 0.8×
Surfactant Admin Thru Tube (94610) $272 $340 1.1×
Temp transcutaneous pacing (92953) $1,488 $1,860 2.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $56.80 $71 2.5×
Ther Ivntj Ea Addl 15 Min (97130) $56 $70 2.7×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $88 $110 2.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $73.60 $92 2.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $224 $280 2.2×
Ther/Prop/Diag Inj/Inf Proc (96379) $296 $370 5.7×
Ther/Proph/Diag Inj Ia (96373) $264 $330 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $80 $100 1.0×
Ther/Proph/Diag Iv Inf Init (96365) $232 $290 1.0×
Therapeutic Activities (97530) $88 $110 2.5×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,224 $1,530 3.0×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines		 $41.60–$48.80 $52–$61 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines		 $22.40–$29.60 $28–$37 varies
Transcath Closure of Asd (93580) $26,672 $33,340 1.3×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $496 $620 4.3×
Tte w/doppler, complete (93306) $2,000 $2,500 3.3×
Tx atrial fib pulm vein isol (93656) $40,000 $50,000 1.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $216 $270 2.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $120 $150 2.3×
Tympanometry (92567) $26.40 $33 0.6×
Unlis neurological/neuromuscular dx px (95999) $360 $450 2.5×
Unlisted cardiovascular service/procedure (93799) $672 $840 4.7×
Unlisted noninvasive vascular diagnostic study (93998) $78.40 $98 2.4×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines		 $504–$512 $630–$640 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines		 $512–$536 $640–$670 varies
Valvuloplasty aortic valve (92986) $7,488 $9,360 1.2×
Valvuloplasty mitral valve (92987) $13,760 $17,200 1.1×
Valvuloplasty pulmonary valve (92990) $13,360 $16,700 1.0×
Vasopneumatic device (97016) $48.80 $61 4.1×
Veeg 2-12 Hr Cont Mntr (95713) $1,792 $2,240 4.3×
Veeg 2-12 hr intmt mntr (95712) $936 $1,170 2.3×
Veeg 2-12 hr unmonitored (95711) $1,136 $1,420 4.7×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,504 $1,880 3.6×
Veeg Ea 12-26 Hr Unmntr (95714) $2,144 $2,680 5.2×
Veeg ea 12-26hr cont mntr (95716) $3,128 $3,910 3.3×
Vent Mgmt Inpat Init Day (94002) $1,504 $1,880 2.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,224 $1,530 1.8×
Visual Evoked Potential Test (95930) $792 $990 3.3×
Wheelchair Mgmt Ea 15 Min (97542) $73.60 $92 2.4×
Whirlpool Therapy (97022) $120 $150 7.6×

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.