Visits & medical services prices at Great Plains Health (North Platte, NE)

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

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Procedure	Posted cash	Posted gross	× Medicare
Actigraphy Testing Recording Analysis I&R (95803) range across 2 matching MRF lines	$67–$178	$111–$407	varies
Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines	$50–$59	$99–$182	varies
Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 2 matching MRF lines	$135–$416	$225–$918	varies
Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines	$131–$925	$218–$1,759	varies
Aep threshold estimation mlt frequencies i&r (92652) range across 2 matching MRF lines	$178–$416	$297–$990	varies
Airway Inhalation Treatment (94640) range across 8 matching MRF lines	$25–$272	$41–$494	varies
Airway resistance by oscillometry (94728)	$235	$391	1.8×
Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 3 matching MRF lines	$10–$59	$17–$115	varies
Allg tstg perq & ic venoms immed react w/i&r (95017)	$37	$61	1.2×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786)	$406	$676	2.9×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788)	$406	$676	2.9×
Analyze neurostim no prog (95970) range across 2 matching MRF lines	$28–$386	$46–$690	varies
Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) range across 2 matching MRF lines	$225–$386	$375–$1,019	varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)	$43	$71	3.0×
Application Modality 1/> Areas Infrared (97026)	$17	$29	2.5×
Application on-body injector (96377)	$76	$127	1.6×
Assessment of aphasia per hr (96105)	$323	$539	3.3×
Behavral qualit analys voice (92524)	$275	$458	2.5×
Bis Xtracell Fluid Analysis (93702)	$469	$782	3.5×
Blink reflex test (95933) range across 2 matching MRF lines	$121–$178	$201–$497	varies
Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines	$7–$59	$11–$109	varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines	$83–$463	$139–$910	varies
Canalith repositioning proc (95992) range across 3 matching MRF lines	$56–$63	$93–$198	varies
Car seat/bed test 60 min (94780)	$59	$98	1.5×
Cardiac Stress Tst,Tracing Only (93017)	$1,109	$1,849	4.9×
Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines	$274–$862	$456–$1,892	varies
Cardioversion (92960) range across 2 matching MRF lines	$161–$2,351	$268–$4,187	varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines	$531–$10,706	$885–$18,729	varies
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines	$419–$10,706	$698–$18,542	varies
Cbt 1st hour (94644) range across 2 matching MRF lines	$86–$174	$144–$434	varies
Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines	$110–$192	$183–$503	varies
Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines	$47–$192	$78–$398	varies
Chemo IV infusion addl hr (96415) range across 3 matching MRF lines	$43–$192	$71–$391	varies
Chemo IV push addl drug (96411) range across 2 matching MRF lines	$82–$192	$137–$457	varies
Chemother Prolong Infuse W/Pump (96416)	$894	$1,490	2.6×
Chemotherapy Into Cns (96450) range across 2 matching MRF lines	$116–$894	$193–$1,683	varies
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines	$95–$192	$158–$478	varies
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines	$195–$881	$325–$1,793	varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines	$151–$894	$251–$1,741	varies
Chest Wall Manipulation (94668)	$174	$290	1.3×
Cmptr ophth dx img ant segmt (92132) range across 2 matching MRF lines	$25–$178	$41–$337	varies
Color/duplex Doppler, complete (93975) range across 2 matching MRF lines	$392–$1,375	$653–$2,944	varies
Color/duplex Doppler, limited (93976) range across 2 matching MRF lines	$233–$606	$388–$1,398	varies
Community/Work Reintegration Trainj Ea 15 Min (97537)	$102	$170	3.2×
Computerized Ophthalmic Imaging Optic Nerve (92133) range across 2 matching MRF lines	$33–$178	$55–$351	varies
Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines	$38–$178	$63–$359	varies
Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines	$209–$386	$348–$992	varies
Cont Gluc Mntr Pt Prov Eqp (95249) range across 2 matching MRF lines	$82–$178	$137–$433	varies
Continuous Pulse Ox (94762) range across 3 matching MRF lines	$37–$235	$62–$453	varies
Corneal Topography (92025) range across 2 matching MRF lines	$29–$178	$49–$345	varies
Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines	$395–$10,706	$658–$18,502	varies
Coronary Artery Angio S&I (93454) range across 3 matching MRF lines	$340–$10,706	$566–$18,410	varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 6 matching MRF lines	$56–$272	$93–$546	varies
Cpt initial (94667)	$174	$290	1.3×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) range across 2 matching MRF lines	$55–$925	$92–$1,633	varies
Critical care first hour (99291) range across 4 matching MRF lines	$299–$3,550	$498–$6,415	varies
Debridement Open Wound 20 Sq Cm< (97597)	$391	$651	1.9×
Dialysis One Evaluation (90945) range across 2 matching MRF lines	$126–$766	$210–$1,487	varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines	$265–$1,375	$442–$2,733	varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines	$358–$1,375	$597–$2,888	varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines	$211–$606	$352–$1,362	varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 5 matching MRF lines	$50–$1,375	$84–$2,750	varies
Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines	$172–$606	$287–$1,297	varies
Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines	$35–$606	$58–$1,068	varies
Duplex up extrem art bilat (93930) range across 2 matching MRF lines	$290–$1,375	$484–$2,775	varies
Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines	$181–$606	$302–$1,312	varies
ECG/monitoring and analysis (93271)	$412	$687	4.2×
Echo Congenital Complete (93303) range across 2 matching MRF lines	$95–$1,965	$158–$3,433	varies
Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines	$140–$868	$234–$1,681	varies
Echo transesophageal (93312) range across 2 matching MRF lines	$164–$1,946	$273–$3,517	varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines	$336–$1,719	$560–$3,425	varies
Eeg 41-60 Minutes (95812) range across 2 matching MRF lines	$85–$1,202	$142–$2,145	varies
EEG awake and asleep (95819) range across 3 matching MRF lines	$86–$1,202	$143–$2,146	varies
EEG awake drowsy (95816) range across 2 matching MRF lines	$85–$1,202	$142–$2,145	varies
EEG cerebral death evaluation (95824) range across 2 matching MRF lines	$85–$2,054	$141–$3,565	varies
EEG cont rec w/video by tech min 8 channels (95700)	$610	$1,017	2.7×
EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines	$130–$1,202	$216–$2,219	varies
Eeg Sleep Only (95822) range across 2 matching MRF lines	$86–$1,202	$143–$2,146	varies
Eeg W/O Vid 2-12 Hr Unmntr (95705)	$1,202	$2,003	5.4×
EEG w/o vid 2-12hr cont mntr (95707)	$1,202	$2,003	5.4×
EEG w/o vid ea 12-26hr intmt (95709)	$2,054	$3,424	5.3×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710)	$2,054	$3,424	5.3×
EEG w/o video by tech 2-12 hr intermittent mntr (95706)	$1,202	$2,003	5.4×
EEG wo vid ea 12-26hr unmntr (95708)	$2,054	$3,424	5.3×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 2 matching MRF lines	$77–$275	$129–$587	varies
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines	$59–$112	$98–$284	varies
Electrocardiogram Tracing (93005) range across 4 matching MRF lines	$11–$1,214	$19–$2,023	varies
Electroconvulsive Therapy (90870) range across 2 matching MRF lines	$164–$790	$274–$1,591	varies
Electrophysiology Evaluation (93642) range across 2 matching MRF lines	$362–$4,487	$603–$8,082	varies
Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines	$58–$403	$97–$769	varies
Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines	$96–$1,306	$160–$2,336	varies
Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines	$162–$1,774	$270–$3,226	varies
Er level 1 (99281) range across 2 matching MRF lines	$30–$224	$50–$424	varies
Er level v (99285) range across 4 matching MRF lines	$235–$2,572	$392–$4,678	varies
Evaluate pt use of inhaler (94664) range across 4 matching MRF lines	$24–$272	$40–$493	varies
Evaluate Speech Production (92522)	$136	$227	1.2×
Evaluate Swallowing Function (92610)	$266	$444	3.1×
Exercise test for bronchospasm (94617)	$193	$322	1.4×
External ECG rec>48hr<7d recording (93242)	$176	$294	4.5×
External ECG rec>48hr<7d scanning alys w/report (93243)	$579	$965	4.2×
External ECG rec>7d<15d recording (93246)	$176	$294	4.5×
External ECG rec>7d<15d scanning alys w/report (93247)	$579	$965	4.2×
External Ecg Scanning Analysis Report (93226)	$267	$445	4.4×
Extracranial Bilat Study (93880) range across 2 matching MRF lines	$282–$1,375	$470–$2,761	varies
Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines	$180–$606	$300–$1,310	varies
F-up/limited tthrc echo congenital car anomaly (93304)	$1,965	$3,275	3.5×
Flexible endoscopic eval swallow c/v rec (92612)	$606	$1,010	3.0×
Fundus photography (92250) range across 2 matching MRF lines	$48–$386	$80–$724	varies
Gi tract capsule endoscopy (91110) range across 2 matching MRF lines	$191–$1,218	$319–$2,349	varies
Gonioscopy (92020) range across 2 matching MRF lines	$31–$212	$51–$405	varies
Group Therapeutic Procedures (97150)	$58	$96	3.2×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines	$587–$10,706	$978–$18,822	varies
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines	$108–$1,253	$180–$2,269	varies
Holter monitor recording (93225)	$579	$965	4.2×
Icd Device Interrogate (93289) range across 2 matching MRF lines	$56–$118	$93–$289	varies
Icd device progr eval dual (93283) range across 2 matching MRF lines	$118–$142	$236–$432	varies
Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines	$94–$118	$157–$353	varies
Ilr Device Eval Progr (93285) range across 2 matching MRF lines	$39–$118	$65–$261	varies
Im Adm Intransl/Oral 1 Vaccine (90473) range across 20 matching MRF lines	$10–$1,374	$39–$2,329	varies
Img retina detcj/mntr ds poc auton a/r uni/bi (92229) range across 2 matching MRF lines	$83–$178	$139–$436	varies
Immunization administration (90471) range across 20 matching MRF lines	$25–$640	$43–$1,110	varies
Ingestion challenge test initial 120 minutes (95076) range across 2 matching MRF lines	$112–$790	$186–$1,503	varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070)	$790	$1,317	2.0×
Insert/Place Heart Catheter (93503) range across 2 matching MRF lines	$131–$4,934	$218–$8,441	varies
Interrog eval crtd sins bat modulj sys ip w/ (93146) range across 2 matching MRF lines	$52–$108	$86–$266	varies
Interrog eval crtd sins bat modulj sys ip wo (93145) range across 2 matching MRF lines	$37–$108	$61–$241	varies
Intracranial Complete Study (93886) range across 2 matching MRF lines	$385–$1,375	$642–$2,933	varies
Iontophoresis 15 min (97033)	$64	$107	3.4×
Irrig Drug Delivery Device (96523) range across 2 matching MRF lines	$38–$107	$64–$242	varies
IV infusion hydration each additional hour (96361) range across 3 matching MRF lines	$19–$114	$32–$222	varies
IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines	$48–$378	$80–$710	varies
IV infusion ther proph addl sequential to 1 hr (96367)	$143	$238	1.9×
IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines	$31–$107	$52–$231	varies
IV push initial (96374) range across 2 matching MRF lines	$55–$494	$92–$915	varies
L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines	$474–$10,706	$790–$18,634	varies
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) range across 2 matching MRF lines	$410–$10,706	$684–$18,528	varies
Liver Elastography W/O Imag W/I&R (91200) range across 2 matching MRF lines	$21–$751	$35–$1,286	varies
Low frequency non-thermal us (97610)	$328	$546	1.6×
Lwr Xtr Vasc Stdy Bilat (93924) range across 3 matching MRF lines	$35–$892	$59–$1,545	varies
Mechanical chest wall oscillation per session (94669)	$272	$453	1.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines	$31–$47	$79–$130	varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines	$47–$50	$83–$161	varies
Methacholine challenge (94070) range across 2 matching MRF lines	$43–$463	$71–$842	varies
Motility study esophagus (91010) range across 2 matching MRF lines	$322–$711	$537–$1,722	varies
Motion Fluoroscopy/Swallow (92611)	$288	$480	3.1×
Multiple Sleep Latency Test (95805) range across 3 matching MRF lines	$88–$1,580	$147–$2,781	varies
Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines	$128–$502	$214–$1,051	varies
Nasopharyngoscopy (92511) range across 2 matching MRF lines	$55–$320	$92–$626	varies
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines	$141–$1,202	$235–$2,238	varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines	$32–$658	$53–$1,150	varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines	$35–$658	$59–$1,156	varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines	$39–$328	$65–$611	varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines	$42–$658	$70–$1,167	varies
Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines	$138–$610	$230–$1,247	varies
Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines	$380–$2,054	$634–$4,058	varies
Nerve conduction studies 13 or more studies (95913) range across 3 matching MRF lines	$441–$2,054	$735–$4,159	varies
Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines	$175–$1,202	$292–$2,295	varies
Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines	$210–$1,202	$350–$2,353	varies
Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines	$277–$1,202	$461–$2,464	varies
Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines	$332–$2,054	$554–$3,978	varies
Neurobehavioral Status Exam (96116)	$125	$209	0.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines	$152–$610	$253–$1,270	varies
Neuromuscular Reeducation (97112)	$108	$180	3.3×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 2 matching MRF lines	$70–$386	$116–$760	varies
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 2 matching MRF lines	$145–$155	$242–$500	varies
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines	$116–$155	$194–$452	varies
Ophth medical xm&eval intermediate estab pt (92012) range across 2 matching MRF lines	$77–$155	$128–$386	varies
Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 2 matching MRF lines	$70–$155	$117–$375	varies
Oral Function Therapy (92526)	$266	$444	3.2×
Oral Speech Device Eval (92597)	$237	$395	3.3×
Orthc/Prostc Mgmt Sbsq Enc (97763)	$89	$148	1.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)	$147	$245	3.2×
Ot Contrast Bath Ea 15 Min (97034)	$47	$79	3.3×
Ot eval high complexity (97167)	$233	$389	2.3×
Ot Eval Low Complex (97165)	$164	$273	1.6×
Ot Eval Moderate Complexity (97166)	$194	$323	1.9×
Ot manual therapy 15 min (97140)	$87	$145	3.1×
Ot paraffin bath (97018)	$22	$36	3.7×
Ot Prosthetic Training, Each 15 Min (97761)	$147	$245	3.6×
Ot Re-Eval Est Plan Care (97168)	$122	$204	1.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)	$249	$415	1.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797)	$397	$661	3.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642)	$272	$453	1.2×
Peripheral arterial disease rehab per session (93668)	$118	$196	1.9×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) range across 2 matching MRF lines	$28,284	$1,108–$48,248	1.5×
Perq Transcath Cls Mitral (93590) likely a partial charge, not the full procedure	$1,439	$2,399	0.1×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 2 matching MRF lines	$742–$15,327	$1,236–$26,781	varies
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines	$927–$27,320	$1,545–$47,078	varies
Phlebotomy therapeutic (99195) range across 2 matching MRF lines	$143–$290	$239–$722	varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626)	$133	$222	2.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625)	$133	$222	2.2×
Physical Performance Test (97750) range across 3 matching MRF lines	$51–$108	$85–$265	varies
Plethysmography (94726) range across 2 matching MRF lines	$463	$31–$802	1.2×
Pm device eval in person (93288) range across 2 matching MRF lines	$32–$118	$53–$249	varies
Pm device progr eval dual (93280) range across 2 matching MRF lines	$58–$118	$96–$292	varies
Pm device progr eval multi (93281) range across 2 matching MRF lines	$64–$118	$107–$303	varies
Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines	$49–$118	$81–$277	varies
Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines	$35–$118	$59–$255	varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines	$188–$3,052	$314–$5,401	varies
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines	$116–$118	$194–$390	varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines	$13–$55	$22–$114	varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines	$16–$55	$27–$119	varies
Prq Card Angio/Athrect 1 Art (92924) range across 2 matching MRF lines	$884–$27,320	$1,473–$47,006	varies
Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines	$825–$27,320	$1,375–$46,908	varies
Prq Card Stent/Ath/Angio (92933) range across 2 matching MRF lines	$32,663	$1,541–$55,979	1.7×
Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines	$824–$27,320	$1,373–$46,906	varies
Prq trl rvs ch occ ant&rtrgr (92945) range across 2 matching MRF lines	$831–$28,284	$1,385–$48,525	varies
Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines	$241–$242	$403–$805	varies
Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines	$212–$246	$353–$410	varies
Psychological tst eval svc phys/qhp first hour (96130)	$163	$272	0.7×
Psycl/Nrpsyc Tst Auto Result (96146)	$3	$5	0.1×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136)	$37	$61	0.3×
Psytx Crisis Initial 60 Min (90839)	$196	$326	1.1×
Pt Eval High Complex (97163)	$210	$350	2.1×
Pt eval low complex 20 min (97161)	$148	$247	1.5×
Pt Eval Mod Complex (97162)	$179	$299	1.8×
Pt gait training 15 min (97116)	$98	$164	3.4×
Pt mechanical traction (97012)	$46	$76	3.2×
Pt Re-Eval Est Plan Care (97164)	$109	$181	1.6×
Pulmonary service/procedure (94799) range across 4 matching MRF lines	$14–$218	$24–$387	varies
Pulmonary Stress Testing (94618) range across 3 matching MRF lines	$49–$193	$81–$403	varies
R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines	$497–$10,706	$829–$18,673	varies
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) range across 2 matching MRF lines	$455–$10,706	$759–$18,603	varies
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) range across 2 matching MRF lines	$291–$10,706	$485–$18,329	varies
R hrt coronary artery angio (93456) range across 2 matching MRF lines	$442–$10,706	$736–$18,580	varies
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) range across 2 matching MRF lines	$663–$10,706	$1,105–$18,949	varies
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) range across 2 matching MRF lines	$500–$10,706	$833–$18,677	varies
R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines	$449–$10,706	$748–$18,592	varies
Refill/Maint Portable Pump (96521)	$377	$629	1.7×
Rem interrog icpms <30 d phys/qhp (93297) range across 2 matching MRF lines	$75–$118	$125–$321	varies
Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 2 matching MRF lines	$118–$124	$207–$403	varies
Remote 30 Day Ecg Rev/Report (93270)	$168	$280	4.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines	$8–$267	$13–$458	varies
Right Heart Cath (93451) range across 2 matching MRF lines	$187–$10,706	$311–$18,155	varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines	$127–$268	$211–$658	varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607)	$388	$647	3.2×
Self Care Mngment Training (97535)	$110	$183	3.4×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) range across 2 matching MRF lines	$92–$178	$153–$450	varies
Sleep study attended (95807)	$1,580	$2,634	4.1×
Sleep study unattended (95806) range across 4 matching MRF lines	$67–$469	$112–$894	varies
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines	$62–$469	$103–$885	varies
Somatosensory Testing (95938) range across 2 matching MRF lines	$68–$2,054	$114–$3,538	varies
Speech sound lang comprehen (92523)	$280	$467	1.2×
Spin/Brain Pump Refil & Main (95991) range across 3 matching MRF lines	$58–$788	$97–$1,411	varies
Spirometry (94010) range across 4 matching MRF lines	$50–$235	$83–$474	varies
Stress Tte Only (93350) range across 3 matching MRF lines	$106–$2,405	$177–$4,186	varies
Surfactant Admin Thru Tube (94610) range across 2 matching MRF lines	$82–$272	$136–$589	varies
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) range across 2 matching MRF lines	$506–$606	$843–$1,853	varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)	$39	$65	1.7×
Ther Ivntj Ea Addl 15 Min (97130)	$38	$64	1.8×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)	$121	$201	3.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)	$88	$146	3.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)	$261	$435	2.5×
Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines	$20–$146	$34–$278	varies
Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines	$99–$449	$165–$913	varies
Therapeutic Activities (97530)	$127	$212	3.6×
Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines	$140–$1,889	$234–$3,383	varies
Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines	$39–$67	$65–$177	varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines	$20–$67	$34–$146	varies
Transcranial Doppler Intracran Art Emboli Detect (93892) range across 2 matching MRF lines	$440–$606	$734–$1,744	varies
Tte w/doppler, complete (93306) range across 2 matching MRF lines	$109–$1,965	$182–$3,457	varies
Tte W/O Doppler Complete (93307) range across 2 matching MRF lines	$67–$868	$112–$1,559	varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)	$245	$408	3.2×
Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines	$23–$107	$38–$216	varies
Tympanometry (92567) range across 2 matching MRF lines	$16–$53	$27–$115	varies
Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines	$125–$610	$209–$1,226	varies
Unlisted Diagnostic Gastroenterology Procedure (91299) range across 2 matching MRF lines	$211–$1,361	$2,269–$2,621	varies
Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines	$119–$734	$199–$1,422	varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines	$186–$892	$310–$1,796	varies
Vasopneumatic device (97016)	$40	$66	3.3×
Veeg 2-12 Hr Cont Mntr (95713)	$2,054	$3,424	5.3×
Veeg 2-12 hr intmt mntr (95712)	$1,202	$2,003	3.1×
Veeg 2-12 hr unmonitored (95711)	$1,202	$2,003	5.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715)	$2,054	$3,424	5.3×
Veeg Ea 12-26 Hr Unmntr (95714)	$2,054	$3,424	5.3×
Veeg ea 12-26hr cont mntr (95716)	$3,968	$6,613	4.4×
Vent Mgmt Inpat Init Day (94002)	$865	$1,441	1.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)	$865	$1,441	1.3×
Visual Field Exam Extended (92083) range across 2 matching MRF lines	$41–$386	$68–$712	varies
Visual field xm uni/bi w/interpretj limited exam (92081) range across 2 matching MRF lines	$24–$178	$40–$336	varies
Vital capacity, total (94150)	$235	$391	1.8×
Whirlpool Therapy (97022)	$55	$92	3.5×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619)	$89	$148	1.5×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) range across 2 matching MRF lines	$32–$118	$54–$250	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.