Visits & medical services prices at Greenwich Hospital

Greenwich, CT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $6,340.08 $12,192.47 0.7×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $242.83 $466.99 1.6×
Acoustic Reflex Testing (92568) $54.26 $104.34 1.2×
Actinotherapy Ultraviolet Light (96900) $74.95 $144.13 1.7×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $75.75 $145.68 2.2×
Admn Sarscov2 Vacc 1 Dose (90480) $74.88 $144 1.5×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $307.84 $592 1.2×
Aep neurodiagnostic i&r (92653) $583.46 $1,122.04 2.3×
Aep threshold estimation mlt frequencies i&r (92652) $583.46 $1,122.04 2.3×
Airway Inhalation Treatment (94640) $331.29 $637.10 1.3×
Airway resistance by oscillometry (94728) $444.06 $853.96 2.9×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $53.56 $103 1.2×
Allg tstg perq & ic venoms immed react w/i&r (95017) $54.26 $104.34 1.6×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $191.21 $367.72 1.2×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $191.21 $367.72 1.2×
Analyze neurostim complex (95972) $208.60 $401.15 1.8×
Analyze neurostim no prog (95970) $191.21 $367.72 1.2×
Analyze Neurostim Simple (95971) $208.60 $401.15 1.8×
Analyze Pacemaker System (93724) $483.04 $928.92 1.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $103.25 $198.55 7.2×
Application on-body injector (96377) $101.67 $195.51 1.8×
Assessment of aphasia per hr (96105) $427.73 $822.56 4.4×
Assessment of tinnitus (92625) $242.83 $466.99 1.6×
Audiometry Air & Bone (92553) $242.83 $466.99 1.6×
Behavral qualit analys voice (92524) $546.77 $1,051.49 5.0×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $242.83 $466.99 3.0×
Bfb training ea addl 15 min (90913) $182.12 $350.24 5.6×
Biofeedback training any modality (90901) $229.14 $440.66 5.6×
Bis Xtracell Fluid Analysis (93702) $242.83 $466.99 1.6×
Blink reflex test (95933) $104.30 $200.57 1.5×
Breath hydrogen/methane test (91065) $325.20 $625.38 1.3×
Breathing response to hypoxia (94450) $242.83 $466.99 1.6×
Brief Emotional/Behav Assmt (96127) $63.18 $121.50 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $444.06 $853.96 1.0×
C motor evoked upr&lwr limbs (95939) $1,653.50 $3,179.81 1.6×
Caloric vestibular test w/rec bi monothermal (92538) $444.06 $853.96 1.7×
Caloric Vstblr Test W/Rec (92537) $444.06 $853.96 2.9×
Canalith repositioning proc (95992) $163.82 $315.04 4.0×
Car seat/bed test 60 min (94780) $64.77 $124.56 1.4×
Cardiac Stress Tst,Tracing Only (93017) $444.06 $853.96 1.7×
Cardiopulmonary exercise testing (94621) $444.06 $853.96 1.0×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$444.06–$539.82 $853.96–$1,038.12 varies
Cardioversion (92960)
range across 2 matching MRF lines
$357.04–$1,079.74 $686.61–$2,076.43 varies
Cardioversion elective internal (92961) $1,079.74 $2,076.43 1.4×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $195.96 $376.84 7.5×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $4,762.97 $9,159.55 1.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $4,762.97 $9,159.55 1.2×
Cbt 1st hour (94644) $191.21 $367.72 1.2×
Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) $205.91 $395.98 1.3×
Chemo Admin Peritoneal Cavity (96446) $287.09 $552.09 0.7×
Chemo Anti-Neopl Sq/Im (96401) $101.67 $195.51 1.2×
Chemo Hormon Antineopl Sq/Im (96402) $101.67 $195.51 1.2×
Chemo Ia Push (96420) $372.42 $716.19 0.9×
Chemo Intralesional Over 7 (96406) $343.45 $660.48 1.3×
Chemo intralesional up to 7 (96405) $101.67 $195.51 1.2×
Chemo IV infusion addl hr (96415) $101.67 $195.51 1.2×
Chemo IV push addl drug (96411) $101.67 $195.51 1.2×
Chemother Prolong Infuse W/Pump (96416) $534.13 $1,027.18 1.3×
Chemotherapy Into Cns (96450) $534.13 $1,027.18 1.3×
Chemotherapy Unspecified (96549) $66.37 $127.64 1.2×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $593.03 $1,140.45 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $101.67 $195.51 1.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $534.13 $1,027.18 1.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $343.45 $660.48 0.9×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $343.45 $660.48 0.9×
Chest Wall Manipulation (94668) $239.93 $461.41 1.5×
Color/duplex Doppler, complete (93975) $431.94 $830.66 1.5×
Color/duplex Doppler, limited (93976) $347.66 $668.58 2.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $120.10 $230.96 3.7×
Comprehensive Hearing Test (92557) $242.83 $466.99 1.6×
Conditioning Play Audiometry (92582) $223.35 $429.51 1.4×
Cont gluc mntr physician/qhp provided equiptment (95250) $203.84 $392 1.3×
Cont Gluc Mntr Pt Prov Eqp (95249) $112.62 $216.58 1.6×
Continuous Pulse Ox (94762) $242.83 $466.99 1.6×
Coronary Art/Grft Angio S&I (93455) $4,762.97 $9,159.55 1.2×
Coronary Artery Angio S&I (93454) $4,762.97 $9,159.55 1.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $331.29 $637.10 1.3×
Cpt initial (94667) $239.93 $461.41 1.5×
Critical care first hour (99291)
range across 2 matching MRF lines
$943.22–$1,978.51 $1,813.88–$3,804.83 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,653.50 $3,179.81 3.7×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$27.42–$292.88 $52.73–$563.23 varies
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $242.83 $466.99 1.6×
Dialysis One Evaluation (90945) $664.86 $1,278.57 1.3×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $408.24 $785.08 0.9×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $431.94 $830.66 1.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $242.81 $466.95 1.9×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $215.45 $414.32 1.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $646.69 $1,243.63 2.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $442.03 $850.06 3.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $559.03 $1,075.06 2.0×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$188.05–$339.79 $361.64–$653.45 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $440.21 $846.55 1.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $211.81 $407.32 1.7×
Duplex Scan Hemodialysis Access (93990) $376.64 $724.30 3.0×
Duplex up extrem art bilat (93930) $584.60 $1,124.24 2.0×
Duplex up extrem art unilat/ltd (93931) $361.69 $695.56 2.9×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $325.15 $625.28 2.1×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $160.66 $308.97 1.0×
ECG/monitoring and analysis (93271) $479.35 $921.83 4.2×
Echo Congenital Complete (93303) $859.67 $1,653.22 1.3×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$431.94–$483.56 $830.66–$929.93 varies
Echo transesophageal (93312) $859.67 $1,653.22 1.3×
Echo Transesophageal - Congenital Tee Complete (93315) $1,179.42 $2,268.11 1.8×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $859.67 $1,653.22 1.3×
Eeg 41-60 Minutes (95812) $563.13 $1,082.94 2.2×
EEG awake and asleep (95819) $563.13 $1,082.94 2.2×
EEG awake drowsy (95816) $563.13 $1,082.94 2.2×
EEG cerebral death evaluation (95824) $794.35 $1,527.60 1.8×
EEG cont rec w/video by tech min 8 channels (95700) $478.29 $919.78 1.8×
EEG extended monitoring 61-119 minutes (95813) $563.13 $1,082.94 2.2×
Eeg Sleep Only (95822) $444.06 $853.96 1.7×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $478.29 $919.78 1.8×
EEG w/o vid 2-12hr cont mntr (95707) $478.29 $919.78 1.8×
EEG w/o vid ea 12-26hr intmt (95709) $916.19 $1,761.90 2.0×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $916.19 $1,761.90 2.0×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $478.29 $919.78 1.8×
EEG wo vid ea 12-26hr unmntr (95708) $916.19 $1,761.90 2.0×
Electrical Stimulation Ea 15 Min (97032) $102.72 $197.54 7.0×
Electrocardiogram Tracing (93005) $126.84 $243.92 1.8×
Electroconvulsive Therapy (90870) $1,570.91 $3,020.99 1.5×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $6,340.08 $12,192.47 0.7×
Electrophysiology Evaluation (93642) $1,643.49 $3,160.56 1.1×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$198.30–$357.67 $381.34–$687.83 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$363.41–$769.59 $698.87–$1,479.99 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$555.63–$989.25 $1,068.51–$1,902.41 varies
Endomyocardial Biopsy (93505) $2,494.74 $4,797.57 0.7×
Ep & ablate supravent arrhyt (93653) $19,380.03 $37,269.28 0.6×
Ep & ablate ventric tachy (93654) $19,380.03 $37,269.28 0.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $6,340.08 $12,192.47 0.7×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $6,340.08 $12,192.47 0.7×
Er level 1 (99281)
range across 2 matching MRF lines
$127.93–$188.05 $246.01–$361.64 varies
Er level v (99285)
range across 2 matching MRF lines
$875.66–$1,374.32 $1,683.96–$2,642.92 varies
Esophageal Capsule Endoscopy (91111) $1,886.83 $3,628.52 1.7×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,115.64 $2,145.47 2.5×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $157.50 $302.89 1.0×
Evaluate pt use of inhaler (94664) $331.29 $637.10 1.3×
Evaluate Speech Production (92522) $335.02 $644.27 3.0×
Evaluate Swallowing Function (92610) $471.98 $907.65 5.6×
Evaluation of speech fluency (92521) $200.17 $384.94 1.5×
Evoked Auditory Test,Limited (92587) $354.51 $681.75 1.4×
Excimer laser tx psoriasis >500 sq cm (96922) $398.49 $766.33 0.8×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $398.49 $766.33 1.7×
Exercise test for bronchospasm (94617) $191.21 $367.72 1.2×
Exhaled Air Analysis O2 (94680) $242.83 $466.99 1.6×
External ECG rec>48hr<7d recording (93242) $74.67 $143.60 1.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $122.80 $236.15 0.8×
External ECG rec>7d<15d recording (93246) $122.80 $236.15 2.7×
External ECG rec>7d<15d scanning alys w/report (93247) $246.87 $474.75 1.5×
External Ecg Scanning Analysis Report (93226) $191.21 $367.72 2.7×
Extracranial Bilat Study (93880) $559.03 $1,075.06 2.0×
Extracranial Uni/Ltd Study (93882) $358.05 $688.55 2.9×
F-up/limited tthrc echo congenital car anomaly (93304) $859.67 $1,653.22 1.3×
Flexible endoscopic eval swallow c/v rec (92612) $516.22 $992.74 2.6×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $444.06 $853.96 1.7×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,653.50 $3,179.81 1.6×
Fundus photography (92250) $191.21 $367.72 1.2×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,115.64 $2,145.47 2.5×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $653.33 $1,256.40 2.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,115.64 $2,145.47 1.1×
Gi tract capsule endoscopy (91110) $1,886.83 $3,628.52 1.7×
Gi wireless capsule measure (91112) $3,457.58 $6,649.20 3.2×
Gonioscopy (92020) $70.61 $135.78 0.4×
Group Therapeutic Procedures (97150) $105.35 $202.60 5.8×
Health Behavior Assessment/Re-Assessment (96156) $148.42 $285.42 1.2×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $51.63 $99.29 1.1×
Health behavior ivntj group f2f 1st 30 min (96164) $51.63 $99.29 1.1×
Health behavior ivntj indiv f2f 1st 30 min (96158) $148.42 $285.42 0.7×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $4,762.97 $9,159.55 1.2×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,052.46 $2,023.97 1.3×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $191.21 $367.72 1.2×
Holter monitor recording (93225) $191.21 $367.72 1.2×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $53.56 $103 1.2×
Icd Device Interrogate (93289) $67.42 $129.66 1.5×
Icd device progr eval dual (93283) $67.42 $129.66 1.5×
Icd Device Progr Eval Mult (93284) $76.38 $146.89 1.7×
Icm Device Eval (93290) $67.42 $129.66 1.5×
Ilr Device Interrogate (93291) $54.26 $104.34 1.6×
Im Adm Intransl/Oral 1 Vaccine (90473) $74.88 $144 0.9×
Immunization administration (90471) $74.88 $144 0.9×
Ingestion challenge test initial 120 minutes (95076) $863.97 $1,661.48 1.9×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $794.35 $1,527.60 1.8×
Inital newborn e/m (99460) $203.86 $392.03 1.3×
Insert/Place Heart Catheter (93503) $1,188.90 $2,286.34 0.6×
Interrogate Subq Defib (93261) $67.42 $129.66 1.5×
Interrogation eval in person wr defibrillator (93292) $67.42 $129.66 1.5×
Interrogation vad in person (93750) $208.60 $401.15 1.8×
Intra-atrial recording (93602)
unusually low: confirm this is the full procedure
$4,539.21 $8,729.25 0.5×
Intracranial Complete Study (93886) $530.45 $1,020.09 1.9×
Intracutaneous tests w/allergenic extracts (95024) $102.96 $198 1.5×
Intraventricular pacing (93612) $6,340.08 $12,192.47 0.7×
Iontophoresis 15 min (97033) $91.13 $175.25 4.8×
Irrig Drug Delivery Device (96523) $104.30 $200.57 1.5×
IV infusion hydration each additional hour (96361) $66.37 $127.64 1.2×
IV infusion hydration initial 31 min-1 hour (96360) $343.45 $660.48 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $101.67 $195.51 1.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $66.37 $127.64 1.2×
IV push initial (96374) $301.83 $580.45 1.2×
L Hrt Art/Grft Angio (93459) $4,762.97 $9,159.55 1.2×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $5,411.71 $10,407.14 1.4×
Laryngeal Function Studies (92520) $191.21 $367.72 1.2×
Low frequency non-thermal us (97610) $292.88 $563.23 1.2×
Lung Function Test (Mbc/Mvv) (94200) $191.21 $367.72 2.7×
Mechanical chest wall oscillation per session (94669) $443.96 $853.76 1.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $74.84 $143.92 2.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $74.84 $143.92 2.0×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $47.67 $91.67 2.8×
Methacholine challenge (94070) $444.06 $853.96 1.0×
Motility study esophagus (91010) $1,115.64 $2,145.47 2.5×
Motion Fluoroscopy/Swallow (92611) $369.26 $710.11 4.0×
Multiple Family Group Psychotherapy (90849)
range across 5 matching MRF lines
$46.68–$151.70 $89.76–$291.74 varies
Multiple Sleep Latency Test (95805) $1,768.55 $3,401.06 1.7×
Muscle Test 2 Limbs (95861) $191.21 $367.72 1.2×
Muscle Test Nonparaspinal (95870) $104.30 $200.57 0.7×
Muscle Test One Limb (95860) $191.21 $367.72 1.2×
Nasal function studies (92512) $173.31 $333.28 0.7×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$146.78–$279.71 $282.27–$537.90 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868) $242.83 $466.99 0.9×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $242.83 $466.99 0.9×
Needle electromyography larynx (95865) $191.21 $367.72 1.2×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $151.18 $290.73 0.6×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $242.83 $466.99 0.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $553.10 $1,063.65 1.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $553.10 $1,063.65 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $196.48 $377.85 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $413.51 $795.21 0.8×
Nerve Conduction Studies 1-2 Studies (95907) $242.83 $466.99 0.9×
Nerve Conduction Studies 11-12 Studies (95912) $794.35 $1,527.60 1.8×
Nerve conduction studies 13 or more studies (95913) $794.35 $1,527.60 1.8×
Nerve Conduction Studies 3-4 Studies (95908) $444.06 $853.96 1.7×
Nerve conduction studies 5-6 studies (95909) $444.06 $853.96 1.7×
Nerve conduction studies 7-8 studies (95910) $444.06 $853.96 1.0×
Nerve Conduction Studies 9-10 Studies (95911) $794.35 $1,527.60 1.8×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $242.83 $466.99 1.6×
Neuromuscular Reeducation (97112) $194.38 $373.80 5.9×
Newborn resuscitation (99465) $920.25 $1,769.71 1.2×
Nitric oxide expired gas determination (95012) $54.26 $104.34 1.2×
Nonphysician Telephone Assessment 11-20 Min (98967) $33.80 $65 1.3×
Nonphysician Telephone Assessment 21-30 Min (98968) $49.92 $96 1.4×
Nonphysician Telephone Assessment 5-10 Min (98966) $17.68 $34 1.3×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $203.86 $392.03 1.3×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $203.86 $392.03 1.3×
Ophth medical xm&eval intermediate estab pt (92012) $129.06 $248.19 0.8×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $203.86 $392.03 1.3×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $103.93 $199.86 1.5×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $118.45 $227.78 1.7×
Oral Function Therapy (92526) $408.24 $785.08 4.9×
Oral Speech Device Eval (92597) $356.09 $684.79 5.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $133.80 $257.30 2.7×
Orthoptic training under supervision of phys/qhp (92066) $123.34 $237.20 1.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $105.35 $202.60 2.3×
Ot Contrast Bath Ea 15 Min (97034) $415.62 $799.26 29.6×
Ot eval high complexity (97167) $370.31 $712.14 3.7×
Ot Eval Low Complex (97165) $370.31 $712.14 3.7×
Ot Eval Moderate Complexity (97166) $370.31 $712.14 3.7×
Ot manual therapy 15 min (97140) $130.11 $250.21 4.7×
Ot paraffin bath (97018) $99.03 $190.44 16.5×
Ot Prosthetic Training, Each 15 Min (97761) $122.21 $235.02 3.0×
Ot Re-Eval Est Plan Care (97168) $241.78 $464.97 3.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $210.70 $405.20 1.4×
Oxygen Uptake Rest Indirect (94690) $54.26 $104.34 0.8×
Patch/Application Test Specify Number Tests (95044) $137.80 $265 0.1×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $499.90 $961.34 0.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $331.29 $637.10 1.3×
Percutaneous tests w/allergenic extracts (95004) $137.80 $265 0.1×
Peripheral arterial disease rehab per session (93668) $55.84 $107.38 0.8×
Perq transcath closure pda (93582) $13,308.59 $25,593.45 0.6×
Perq Transcath Cls Mitral (93590) $13,308.59 $25,593.45 0.6×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $6,494.43 $12,489.28 1.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $14,102.16 $27,119.54 1.0×
Phlebotomy therapeutic (99195) $104.30 $200.57 0.7×
Photochemotx Psoralens&Ultraviolet Puva (96912) $149.07 $286.68 2.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $118.45 $227.78 1.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $118.45 $227.78 1.7×
Physical Performance Test (97750) $141.17 $271.48 4.2×
Plethysmography (94726) $292.88 $563.23 0.7×
Pm device eval in person (93288) $67.42 $129.66 1.5×
Pm device progr eval dual (93280) $67.42 $129.66 1.5×
Pm device progr eval multi (93281) $67.42 $129.66 1.5×
Pm Device Progr Eval Sngl (93279) $67.42 $129.66 1.5×
Pm/Icd Remote Tech Serv (93296) $67.42 $129.66 1.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,005.04 $3,855.85 1.9×
Polysom <6 yrs 4/> paramtrs (95782) $2,005.04 $3,855.85 1.9×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,005.04 $3,855.85 1.9×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $2,005.04 $3,855.85 1.9×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $66.37 $127.64 1.2×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $67.42 $129.66 1.5×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $67.42 $129.66 1.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $30.68 $59 0.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $98.97 $190.33 1.8×
Prq Card Angio/Athrect 1 Art (92924) $10,549.42 $20,287.35 0.8×
Prq Card Stent W/Angio 1 Vsl (92928) $14,102.16 $27,119.54 1.0×
Prq Card Stent/Ath/Angio (92933) $19,046.30 $36,627.50 0.9×
Prq Revasc Byp Graft 1 Vsl (92937) $14,102.16 $27,119.54 1.0×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $13,308.59 $25,593.45 0.6×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $10,549.42 $20,287.35 0.8×
Psych diag eval w/med srvcs (90792)
range across 2 matching MRF lines
$284.71–$286.57 $547.51–$551.10 varies
Psychiatric diagnostic evaluation (90791)
range across 4 matching MRF lines
$250.49–$284.71 $481.71–$547.51 varies
Psychological tst eval svc phys/qhp first hour (96130)
range across 2 matching MRF lines
$178.34–$258 $342.96–$496.15 varies
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $73.22 $140.81 1.9×
Pt Eval High Complex (97163) $370.31 $712.14 3.8×
Pt eval low complex 20 min (97161) $370.31 $712.14 3.8×
Pt Eval Mod Complex (97162) $370.31 $712.14 3.8×
Pt gait training 15 min (97116) $135.90 $261.35 4.7×
Pt group caregiver training (97552) $105.35 $202.60 4.8×
Pt mechanical traction (97012) $165.40 $318.08 11.5×
Pt Re-Eval Est Plan Care (97164) $241.78 $464.97 3.6×
Pulm function test by gas (94727) $242.83 $466.99 0.9×
Pulmonary service/procedure (94799) $178.57 $343.41 1.2×
Pulmonary Stress Testing (94618) $191.21 $367.72 1.2×
Pure Tone Audiometry Air (92552) $104.30 $200.57 0.7×
Quan puplmtry phy/qhp uni/bi (95919) $249.16 $479.15 1.6×
R Hrt Art/Grft Angio (93457) $4,762.97 $9,159.55 1.2×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $5,411.71 $10,407.14 1.4×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $5,411.71 $10,407.14 1.4×
R hrt coronary artery angio (93456) $4,762.97 $9,159.55 1.2×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $5,411.71 $10,407.14 1.4×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $5,411.71 $10,407.14 1.4×
R&L Hrt Cath W/Ventriclgrphy (93453) $4,762.97 $9,159.55 1.2×
Rapid Desensitization Procedure Each Hour (95180) $166.46 $320.11 0.3×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $534.13 $1,027.18 1.3×
Refill/Maint Portable Pump (96521) $343.45 $660.48 1.3×
Refill/Maint Pump/Resvr Syst (96522) $343.45 $660.48 1.3×
Rem interrog icpms <30 d phys/qhp (93297) $78.50 $150.96 1.8×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $78.50 $150.96 1.8×
Rem Ther Mntr Dev Sply Cbt (98978) $75.11 $144.45 1.7×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $75.11 $144.45 1.7×
Remote 30 Day Ecg Rev/Report (93270) $73.89 $142.09 1.7×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $259.35 $498.75 1.6×
Repet tms tx initial w/map/motr threshld/del&m (90867) $1,071.20 $2,060 4.1×
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) $896.59 $1,724.22 3.5×
Respiratory flow volume loop (94375) $276.02 $530.81 1.1×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $104.30 $200.57 1.5×
Right Heart Cath (93451) $4,762.97 $9,159.55 1.2×
Right ventricular recording (93603) $1,643.49 $3,160.56 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $244.95 $471.05 1.0×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $34.24 $65.85 1.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $596.29 $1,146.72 4.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $177.52 $341.38 3.7×
Select picture audiometry (92583) $54.26 $104.34 0.8×
Self Care Mngment Training (97535) $195.96 $376.84 6.0×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $118.45 $227.78 1.7×
Sensory Integration Ea 15 Min (97533) $128 $246.16 2.1×
Short-latency somatosens ep std upr limbs (95925) $444.06 $853.96 1.7×
Sleep study attended (95807) $1,037.36 $1,994.93 2.3×
Sleep study unattended (95806) $505.07 $971.29 2.0×
Slp caregiver training 1st 30 min (97550) $391.91 $753.68 7.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $690.39 $1,327.67 2.7×
Somatosensory Testing (95938) $794.35 $1,527.60 0.8×
Speech Audiometry Complete (92556) $54.26 $104.34 0.8×
Speech audiometry threshold (92555) $54.26 $104.34 0.8×
Speech sound lang comprehen (92523) $679.52 $1,306.77 3.0×
Spin/Brain Pump Refil & Main (95991) $441.42 $848.89 1.2×
Spirometry (94010) $242.83 $466.99 0.9×
Ssep lower limbs (95926) $444.06 $853.96 1.7×
Standardized Cognitive Performance Testing (96125) $519.39 $998.82 5.0×
Stenger Test, Pure Tone (92565) $54.26 $104.34 0.8×
Stress Tte Only (93350) $859.67 $1,653.22 1.3×
Subq Infusion Additional Pump Infusion Site (96371) $101.67 $195.51 1.2×
Surfactant Admin Thru Tube (94610) $358.56 $689.53 1.4×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$920.25 $50.30–$1,769.71 1.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $128 $246.16 5.7×
Ther Ivntj Ea Addl 15 Min (97130) $128 $246.16 6.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $110.62 $212.73 3.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $109.04 $209.69 3.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $284.98 $548.03 2.8×
Ther/Proph/Diag Inj Ia (96373) $185.95 $357.59 0.7×
Ther/Proph/Diag Inj Sc/Im (96372) $101.67 $195.51 1.2×
Ther/Proph/Diag Iv Inf Init (96365) $343.45 $660.48 1.3×
Therap repetitive tms tx subseq delivery & mng (90868) $622.37 $1,196.86 2.4×
Therapeutic Activities (97530) $198.59 $381.90 5.7×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $794.35 $1,527.60 1.8×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$43.95–$46.35 $84.51–$89.14 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$20.78–$41.09 $39.96–$79.01 varies
Transcath Closure of Asd (93580) $13,308.59 $25,593.45 0.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $349.77 $672.63 2.8×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $107.46 $206.65 2.4×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $242.83 $466.99 1.6×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $191.21 $367.72 1.2×
Tte w/doppler, complete (93306) $859.67 $1,653.22 1.3×
Tte W/O Doppler Complete (93307) $725.87 $1,395.91 2.5×
Tx atrial fib pulm vein isol (93656) $19,380.03 $37,269.28 0.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $248.10 $477.12 3.3×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $142.75 $274.52 5.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $66.37 $127.64 1.2×
Tympanometry (92567) $54.26 $104.34 1.2×
Tympanometry and reflex threshold measurements (92550) $165.93 $319.10 0.6×
Unlisted allergy/clinical immunologic srvc/px (95199) $23.92 $46 0.7×
Unlisted cardiovascular service/procedure (93799) $242.83 $466.99 1.6×
Unlisted Psychiatric Service/Procedure (90899) $1,417.73 $2,726.41 31.6×
Upr/L Xtremity Art 2 Levels (93922) $265.53 $510.63 1.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $400.66 $770.50 1.5×
Valvuloplasty aortic valve (92986) $6,494.43 $12,489.28 1.0×
Valvuloplasty mitral valve (92987) $10,549.42 $20,287.35 0.8×
Valvuloplasty pulmonary valve (92990) $10,549.42 $20,287.35 0.8×
Vasopneumatic device (97016) $73.75 $141.82 6.1×
Veeg 2-12 Hr Cont Mntr (95713) $916.19 $1,761.90 2.0×
Veeg 2-12 hr intmt mntr (95712) $478.29 $919.78 1.1×
Veeg 2-12 hr unmonitored (95711) $478.29 $919.78 1.8×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $916.19 $1,761.90 2.0×
Veeg Ea 12-26 Hr Unmntr (95714) $916.19 $1,761.90 2.0×
Veeg ea 12-26hr cont mntr (95716) $1,717.65 $3,303.18 1.7×
Vent Mgmt Inpat Init Day (94002) $855.64 $1,645.46 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $855.64 $1,645.46 1.2×
Visual Evoked Potential Test (95930) $242.83 $466.99 0.9×
Visual field xm uni/bi w/interp intermed exam (92082) $104.30 $200.57 1.5×
Visual field xm uni/bi w/interpretj limited exam (92081) $104.30 $200.57 1.5×
Visual reinforcement audiometry (vra) (92579) $242.83 $466.99 0.9×
Vital capacity, total (94150) $131.69 $253.25 0.9×
Wheelchair Mgmt Ea 15 Min (97542) $116.94 $224.89 3.8×
Whirlpool Therapy (97022) $159.61 $306.94 10.2×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $122.80 $236.15 1.7×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $104.30 $200.57 2.3×

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.