Visits & medical services prices at Gulf Coast Medical Center
Fort Myers, FL · every code in this section with a posted price and a Medicare benchmark.
387 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) unusually low: confirm this is the full procedure |
$3,848.80 | $19,244 | 0.5× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $30.80 | $154 | 0.2× |
| Acoustic Reflex Testing (92568) | $25 | $125 | 0.6× |
| Actigraphy Testing Recording Analysis I&R (95803) | $17.80 | $89 | 0.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $15.60 | $78 | 0.4× |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$34.20–$40.20 | $171–$201 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $100.60 | $503 | 0.4× |
| Aep neurodiagnostic i&r (92653) | $128.80 | $644 | 0.6× |
| Aep threshold estimation mlt frequencies i&r (92652) | $140.20 | $701 | 0.6× |
| Airway Inhalation Treatment (94640) range across 18 matching MRF lines |
$93.40–$122.20 | $467–$611 | varies |
| Airway resistance by oscillometry (94728) | $127.40 | $637 | 0.9× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $18 | $90 | 0.5× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $13.40 | $67 | 0.4× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $123.20 | $616 | 0.9× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $75.80 | $379 | 0.5× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $30.60 | $153 | 0.2× |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$32.60–$422.40 | $163–$2,112 | varies |
| Analyze neurostim no prog (95970) | $135 | $675 | 1.0× |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$220–$220.20 | $1,100–$1,101 | varies |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $399.80 | $1,999 | 1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $22.60 | $113 | 1.6× |
| Application Modality 1/> Areas Diathermy (97024) | $14 | $70 | 1.9× |
| Application Modality 1/> Areas Infrared (97026) | $37.60 | $188 | 5.6× |
| Application on-body injector (96377) | $59.80 | $299 | 1.2× |
| Arrhythmia Induction (93618) | $354.60 | $1,773 | 0.3× |
| Assessment of aphasia per hr (96105) | $129.20 | $646 | 1.3× |
| Audiometry Air & Bone (92553) | $70.60 | $353 | 0.5× |
| Auditory Function, 60 Min (92620) | $94.20 | $471 | 0.7× |
| Basic vestibular evaluation (92540) | $48.60 | $243 | 0.2× |
| Behavral qualit analys voice (92524) range across 6 matching MRF lines |
$32.60–$194.60 | $163–$973 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $133.40 | $667 | 1.6× |
| Bfb training ea addl 15 min (90913) | $133.40 | $667 | 4.1× |
| Biofeedback training any modality (90901) | $61.40 | $307 | 1.5× |
| Bis Xtracell Fluid Analysis (93702) | $101.60 | $508 | 0.8× |
| Breath hydrogen/methane test (91065) | $79 | $395 | 0.4× |
| Brief Emotional/Behav Assmt (96127) range across 4 matching MRF lines |
$18.20–$23.40 | $91–$117 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $235.20 | $1,176 | 0.6× |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$506.80 | $2,534 | 0.1× |
| Canalith repositioning proc (95992) | $50.80 | $254 | 1.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $514 | $2,570 | 2.3× |
| Cardiopulmonary exercise testing (94621) | $331 | $1,655 | 0.8× |
| Cardiopulmonary resuscitation (92950) | $437.20 | $2,186 | 1.9× |
| Cardioversion (92960) range across 5 matching MRF lines |
$689.20–$794.40 | $3,446–$3,972 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $14.40 | $72 | 0.4× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $48.80 | $244 | 1.9× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $5,571.20 | $27,856 | 1.6× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $5,571.20 | $27,856 | 1.6× |
| Cbt 1st hour (94644) | $93.40 | $467 | 0.7× |
| Chemo Admin Peritoneal Cavity (96446) | $398 | $1,990 | 1.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $92.40 | $462 | 1.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $48.60 | $243 | 0.6× |
| Chemo Ia Push (96420) | $167.40 | $837 | 0.5× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$96.40–$99.80 | $482–$499 | varies |
| Chemo IV push addl drug (96411) | $183.40 | $917 | 2.4× |
| Chemother Prolong Infuse W/Pump (96416) | $299.20 | $1,496 | 0.9× |
| Chemotherapy Into Cns (96450) range across 7 matching MRF lines |
$475.40–$504.60 | $2,377–$2,523 | varies |
| Chemotherapy Unspecified (96549) | $34.60 | $173 | 0.7× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $354.80 | $1,774 | 1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$130.20–$135 | $651–$675 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$457.80–$475.40 | $2,289–$2,377 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $327.60 | $1,638 | 0.9× |
| Chest Wall Manipulation (94668) range across 4 matching MRF lines |
$18.40–$102 | $92–$510 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $42 | $210 | 0.4× |
| Cmptr ophth dx img ant segmt (92132) | $51.60 | $258 | 0.8× |
| Color/duplex Doppler, complete (93975) | $421.60 | $2,108 | 1.7× |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$244.40–$292 | $1,222–$1,460 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $44.80 | $224 | 1.4× |
| Comprehensive Hearing Test (92557) | $89 | $445 | 0.7× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $64.20 | $321 | 1.0× |
| Computerized Ophthalmic Imaging Retina (92134) | $65 | $325 | 1.1× |
| Conditioning Play Audiometry (92582) | $48.20 | $241 | 0.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$59.80–$60.20 | $299–$301 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $30.80 | $154 | 0.5× |
| Continuous Pulse Ox (94762) | $195.60 | $978 | 1.5× |
| Coronary Art/Grft Angio S&I (93455) | $3,096.40 | $15,482 | 0.9× |
| Coronary Artery Angio S&I (93454) | $3,096.40 | $15,482 | 0.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 10 matching MRF lines |
$85.60–$831.80 | $428–$4,159 | varies |
| Cpt initial (94667) range across 3 matching MRF lines |
$98–$152.60 | $490–$763 | varies |
| Critical care first hour (99291) | $1,703.20 | $8,516 | 2.0× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$180.40–$251.20 | $902–$1,256 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) range across 4 matching MRF lines |
$122–$242.20 | $610–$1,211 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $30.60 | $153 | 0.2× |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$364.80–$428.40 | $1,824–$2,142 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $71.40 | $357 | 0.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $270 | $1,350 | 1.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $185.40 | $927 | 1.7× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $242.20 | $1,211 | 2.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $449 | $2,245 | 1.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $260.60 | $1,303 | 2.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 6 matching MRF lines |
$477.20–$596.60 | $2,386–$2,983 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 16 matching MRF lines |
$275–$365 | $1,375–$1,825 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $455.20 | $2,276 | 1.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $219 | $1,095 | 2.0× |
| Duplex Scan Hemodialysis Access (93990) range across 6 matching MRF lines |
$335.60–$356.20 | $1,678–$1,781 | varies |
| Duplex up extrem art bilat (93930) | $527.20 | $2,636 | 2.1× |
| Duplex up extrem art unilat/ltd (93931) | $354.20 | $1,771 | 3.2× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $78.40 | $392 | 0.6× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $30.60 | $153 | 0.2× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $30.60 | $153 | 0.2× |
| ECG/monitoring and analysis (93271) | $262 | $1,310 | 2.6× |
| Echo Congenital Complete (93303) | $709.60 | $3,548 | 1.2× |
| Echo Heart Xthoracic,Limited (93308) | $316.60 | $1,583 | 1.3× |
| Echo transesophageal (93312) range across 4 matching MRF lines |
$612.80–$928.80 | $3,064–$4,644 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $928.80 | $4,644 | 1.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $655.60 | $3,278 | 1.1× |
| Eeg 41-60 Minutes (95812) | $403.40 | $2,017 | 1.8× |
| EEG awake and asleep (95819) | $399.60 | $1,998 | 1.8× |
| EEG awake drowsy (95816) | $347.40 | $1,737 | 1.5× |
| EEG cerebral death evaluation (95824) | $78.40 | $392 | 0.2× |
| EEG cont rec w/video by tech min 8 channels (95700) | $286.20 | $1,431 | 1.3× |
| EEG extended monitoring 61-119 minutes (95813) | $464.20 | $2,321 | 2.1× |
| Eeg Sleep Only (95822) | $584.60 | $2,923 | 2.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $62.20 | $311 | 0.3× |
| EEG w/o vid 2-12hr cont mntr (95707) | $62.20 | $311 | 0.3× |
| EEG w/o vid ea 12-26hr intmt (95709) | $106 | $530 | 0.3× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $106 | $530 | 0.3× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $62.20 | $311 | 0.3× |
| EEG wo vid ea 12-26hr unmntr (95708) | $106 | $530 | 0.3× |
| EKG signal averaged (93278) | $12.60 | $63 | 0.2× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $14.80 | $74 | 0.1× |
| Electrical Stimulation Ea 15 Min (97032) | $27.40 | $137 | 1.9× |
| Electrocardiogram Tracing (93005) | $143.20 | $716 | 2.3× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) likely a partial charge, not the full procedure |
$1,662.80 | $8,314 | 0.2× |
| Electrophysiology Evaluation (93642) range across 3 matching MRF lines |
$850.20–$966.20 | $4,251–$4,831 | varies |
| Emergency Dept Visit Level 2 (99282) | $322.80 | $1,614 | 2.0× |
| Emergency Dept Visit Level 3 (99283) | $483.60 | $2,418 | 1.7× |
| Emergency Dept Visit Level 4 (99284) | $913.40 | $4,567 | 2.1× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$68.20–$142.20 | $341–$711 | varies |
| Emg 4 Extremities (95864) range across 3 matching MRF lines |
$70.80–$170.20 | $354–$851 | varies |
| Endomyocardial Biopsy (93505) | $490.80 | $2,454 | 0.1× |
| Ep & ablate supravent arrhyt (93653) unusually low: confirm this is the full procedure |
$12,585.40 | $62,927 | 0.5× |
| Ep & ablate ventric tachy (93654) | $14,029 | $70,145 | 0.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) unusually low: confirm this is the full procedure |
$3,848.80 | $19,244 | 0.5× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) unusually low: confirm this is the full procedure |
$2,463.40 | $12,317 | 0.3× |
| Er level 1 (99281) range across 4 matching MRF lines |
$40–$161.60 | $200–$808 | varies |
| Er level v (99285) | $1,342.40 | $6,712 | 2.2× |
| Esophageal Capsule Endoscopy (91111) | $735.80 | $3,679 | 0.8× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $980.20 | $4,901 | 2.5× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $30.60 | $153 | 0.2× |
| Evaluate pt use of inhaler (94664) | $45.60 | $228 | 0.2× |
| Evaluate Speech Production (92522) range across 7 matching MRF lines |
$32.60–$194.60 | $163–$973 | varies |
| Evaluate Swallowing Function (92610) range across 4 matching MRF lines |
$36.40–$156.40 | $182–$782 | varies |
| Evaluation of speech fluency (92521) range across 10 matching MRF lines |
$32.60–$194.60 | $163–$973 | varies |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$46.80–$180.60 | $234–$903 | varies |
| Exercise test for bronchospasm (94617) | $293.60 | $1,468 | 2.1× |
| Exhaled Air Analysis O2 (94680) | $70.80 | $354 | 0.5× |
| External ECG rec>48hr<7d recording (93242) range across 3 matching MRF lines |
$242.40–$323.60 | $1,212–$1,618 | varies |
| External ECG rec>7d<15d recording (93246) | $257.20 | $1,286 | 6.6× |
| External Ecg Scanning Analysis Report (93226) | $517.60 | $2,588 | 8.4× |
| Extracranial Bilat Study (93880) | $437.20 | $2,186 | 1.8× |
| Extracranial Uni/Ltd Study (93882) | $315.60 | $1,578 | 2.9× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $233.40 | $1,167 | 0.4× |
| Filtered Speech Test (92571) | $37.60 | $188 | 1.0× |
| Flexible endoscopic eval swallow c/v rec (92612) | $117.40 | $587 | 0.6× |
| Fundus photography (92250) range across 2 matching MRF lines |
$57.80–$63.40 | $289–$317 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $344 | $1,720 | 1.5× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $398.20 | $1,991 | 0.4× |
| Gi tract capsule endoscopy (91110) | $596.40 | $2,982 | 0.6× |
| Group Therapeutic Procedures (97150) | $29.60 | $148 | 1.6× |
| Health Behavior Assessment/Re-Assessment (96156) | $405.80 | $2,029 | 3.8× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $12.80 | $64 | 0.3× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $12.80 | $64 | 0.3× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $72.60 | $363 | 0.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $5,571.20 | $27,856 | 1.6× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 3 matching MRF lines |
$611–$794 | $3,055–$3,970 | varies |
| Holter monitor recording (93225) | $419.60 | $2,098 | 3.0× |
| Hubbard tank 15 min (97036) | $60.20 | $301 | 1.7× |
| Icd Device Interrogate (93289) | $28.60 | $143 | 0.7× |
| Icd device progr eval dual (93283) | $38 | $190 | 1.0× |
| Icd Device Progr Eval Mult (93284) | $43 | $215 | 1.1× |
| Icm Device Eval (93290) | $28.60 | $143 | 0.7× |
| Ilr Device Eval Progr (93285) | $28.60 | $143 | 0.7× |
| Ilr Device Interrogate (93291) | $28.60 | $143 | 0.9× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $31.80 | $159 | 0.4× |
| Immunization administration (90471) | $57.40 | $287 | 0.8× |
| Ingestion challenge test initial 120 minutes (95076) | $217.40 | $1,087 | 0.6× |
| Insert/Place Heart Catheter (93503) | $490.80 | $2,454 | 0.3× |
| Interrogate Subq Defib (93261) | $28.60 | $143 | 0.7× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$299.20 | $1,496 | 0.0× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$299.20 | $1,496 | 0.0× |
| Intracranial Complete Study (93886) | $351.40 | $1,757 | 1.4× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$299.20 | $1,496 | 0.0× |
| Iontophoresis 15 min (97033) | $47.20 | $236 | 2.5× |
| Irrig Drug Delivery Device (96523) | $103.40 | $517 | 1.7× |
| IV infusion hydration each additional hour (96361) range across 6 matching MRF lines |
$57.40–$61 | $287–$305 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 6 matching MRF lines |
$149.40–$158.60 | $747–$793 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $120.40 | $602 | 1.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $75.60 | $378 | 1.5× |
| IV push initial (96374) range across 6 matching MRF lines |
$78.40–$83.20 | $392–$416 | varies |
| L Hrt Art/Grft Angio (93459) | $5,571.20 | $27,856 | 1.6× |
| Low frequency non-thermal us (97610) | $157.40 | $787 | 0.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $598.80 | $2,994 | 2.7× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $340 | $1,700 | 0.2× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$98–$102 | $490–$510 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $8.80 | $44 | 0.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $10.40 | $52 | 0.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $26 | $130 | 1.5× |
| Methacholine challenge (94070) | $223.80 | $1,119 | 0.6× |
| Microvolt T-Wave Assess (93025) | $514 | $2,570 | 3.8× |
| Motility study esophagus (91010) | $687.40 | $3,437 | 1.8× |
| Motion Fluoroscopy/Swallow (92611) range across 6 matching MRF lines |
$33.20–$166.20 | $166–$831 | varies |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $77.40 | $387 | 0.2× |
| Multiple Family Group Psychotherapy (90849) | $72 | $360 | 0.4× |
| Multiple Sleep Latency Test (95805) | $1,053.60 | $5,268 | 1.2× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$56.40–$113.60 | $282–$568 | varies |
| Muscle Test Nonparaspinal (95870) | $57.20 | $286 | 0.4× |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$41–$69 | $205–$345 | varies |
| Nasopharyngoscopy (92511) | $57.60 | $288 | 0.3× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $103.40 | $517 | 0.5× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $225 | $1,125 | 1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $245 | $1,225 | 1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$367.60–$414.80 | $1,838–$2,074 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 3 matching MRF lines |
$55.40–$115.60 | $277–$578 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$150.40–$346.20 | $752–$1,731 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$175.20–$395.40 | $876–$1,977 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 3 matching MRF lines |
$67.60–$145 | $338–$725 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$81.20–$198 | $406–$990 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$107–$247.60 | $535–$1,238 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$129–$297 | $645–$1,485 | varies |
| Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$128.60–$142.80 | $643–$714 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $7 | $35 | 0.1× |
| Neuromuscular Reeducation (97112) | $56 | $280 | 1.7× |
| Newborn resuscitation (99465) range across 4 matching MRF lines |
$243.60–$456.60 | $1,218–$2,283 | varies |
| Nitric oxide expired gas determination (95012) | $111 | $555 | 2.8× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $222 | $1,110 | 0.6× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $436 | $2,180 | 1.1× |
| Oral Function Therapy (92526) range across 4 matching MRF lines |
$43.60–$156.40 | $218–$782 | varies |
| Oral Speech Device Eval (92597) | $183.40 | $917 | 2.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $48.80 | $244 | 1.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $56 | $280 | 1.2× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $11.40 | $57 | 0.5× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $11.40 | $57 | 0.5× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $16.20 | $81 | 0.7× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $21 | $105 | 0.9× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $25 | $125 | 1.1× |
| Ot Contrast Bath Ea 15 Min (97034) | $19.20 | $96 | 1.4× |
| Ot eval high complexity (97167) range across 8 matching MRF lines |
$91.60–$207.60 | $458–$1,038 | varies |
| Ot Eval Low Complex (97165) range across 7 matching MRF lines |
$64.40–$180.20 | $322–$901 | varies |
| Ot Eval Moderate Complexity (97166) range across 7 matching MRF lines |
$78.20–$194 | $391–$970 | varies |
| Ot manual therapy 15 min (97140) | $51.60 | $258 | 1.9× |
| Ot paraffin bath (97018) | $16.40 | $82 | 2.7× |
| Ot Prosthetic Training, Each 15 Min (97761) | $34 | $170 | 0.8× |
| Ot Re-Eval Est Plan Care (97168) | $77.20 | $386 | 1.1× |
| Ot rom hand (95852) | $14.80 | $74 | 0.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $59.20 | $296 | 0.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $59.20 | $296 | 0.4× |
| Oxygen Uptake Rest Indirect (94690) | $409.60 | $2,048 | 6.6× |
| Patch/Application Test Specify Number Tests (95044) | $476.20 | $2,381 | 0.5× |
| Penile Vascular Study,Ltd or F/U (93981) | $181.60 | $908 | 1.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $126.20 | $631 | 0.6× |
| Percutaneous tests w/allergenic extracts (95004) | $476.20 | $2,381 | 0.5× |
| Peripheral arterial disease rehab per session (93668) | $47.80 | $239 | 0.8× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $10,765.80 | $53,829 | 0.6× |
| Perq transcath closure pda (93582) likely a partial charge, not the full procedure |
$2,270.40 | $11,352 | 0.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $4,003.60 | $20,018 | 0.7× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $9,869 | $49,345 | 0.8× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$85–$90 | $425–$450 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $73.80 | $369 | 1.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $67 | $335 | 1.1× |
| Physical Performance Test (97750) | $56 | $280 | 1.7× |
| Plethysmography (94726) | $130.60 | $653 | 0.3× |
| Pm device eval in person (93288) | $28.60 | $143 | 0.7× |
| Pm device progr eval dual (93280) | $28.60 | $143 | 0.7× |
| Pm device progr eval multi (93281) | $31.60 | $158 | 0.8× |
| Pm Device Progr Eval Sngl (93279) | $24.20 | $121 | 0.6× |
| Pm/Icd Remote Tech Serv (93296) | $28.60 | $143 | 0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $1,761.60 | $8,808 | 2.0× |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,528.80 | $7,644 | 1.7× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $1,681.60 | $8,408 | 1.9× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $21.40 | $107 | 0.4× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $33.20 | $166 | 0.9× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $33.20 | $166 | 0.9× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $48.80 | $244 | 0.5× |
| Prq Card Angio/Athrect 1 Art (92924) unusually low: confirm this is the full procedure |
$5,382.80 | $26,914 | 0.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $9,869 | $49,345 | 0.8× |
| Prq Card Stent/Ath/Angio (92933) | $10,121 | $50,605 | 0.5× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $9,869 | $49,345 | 0.8× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $8,971.60 | $44,858 | 0.7× |
| Psych diag eval w/med srvcs (90792) | $134.40 | $672 | 0.7× |
| Psychiatric diagnostic evaluation (90791) | $108.40 | $542 | 0.6× |
| Psychoanalysis (90845) | $85.60 | $428 | 0.5× |
| Psychological tst eval svc phys/qhp first hour (96130) | $142.80 | $714 | 0.6× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $14 | $70 | 0.5× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $144.20 | $721 | 0.3× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $51.40 | $257 | 0.4× |
| Psytx Crisis Initial 60 Min (90839) | $101.20 | $506 | 0.5× |
| Pt Eval High Complex (97163) range across 8 matching MRF lines |
$80–$187.20 | $400–$936 | varies |
| Pt eval low complex 20 min (97161) range across 7 matching MRF lines |
$66.80–$135.40 | $334–$677 | varies |
| Pt Eval Mod Complex (97162) range across 7 matching MRF lines |
$69.40–$174 | $347–$870 | varies |
| Pt gait training 15 min (97116) | $41 | $205 | 1.4× |
| Pt group caregiver training (97552) | $48.80 | $244 | 2.2× |
| Pt mechanical traction (97012) | $29.60 | $148 | 2.1× |
| Pt Re-Eval Est Plan Care (97164) | $69.80 | $349 | 1.0× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $21.40 | $107 | 0.5× |
| Pulm function test by gas (94727) | $102.60 | $513 | 0.5× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$108.80–$143.20 | $544–$716 | varies |
| Pulmonary Stress Testing (94618) | $113.20 | $566 | 0.8× |
| Pure Tone Audiometry Air (92552) | $52.80 | $264 | 0.4× |
| R Hrt Art/Grft Angio (93457) | $2,282.20 | $11,411 | 0.7× |
| R hrt coronary artery angio (93456) | $2,282.20 | $11,411 | 0.7× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $5,571.20 | $27,856 | 1.6× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $387.60 | $1,938 | 1.1× |
| Refill/Maint Portable Pump (96521) | $196.40 | $982 | 0.9× |
| Refill/Maint Pump/Resvr Syst (96522) | $220.60 | $1,103 | 1.0× |
| Rem interrog icpms <30 d phys/qhp (93297) range across 2 matching MRF lines |
$27–$28.60 | $135–$143 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $28.60 | $143 | 0.7× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $17 | $85 | 0.4× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $54.40 | $272 | 0.4× |
| Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) | $17 | $85 | 0.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $109.40 | $547 | 2.8× |
| Respiratory flow volume loop (94375) | $91.60 | $458 | 0.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $86 | $430 | 1.4× |
| Right Heart Cath (93451) | $2,282.20 | $11,411 | 0.7× |
| Right ventricular recording (93603) | $299.20 | $1,496 | 0.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$133.80–$150.80 | $669–$754 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $41 | $205 | 1.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $167.20 | $836 | 1.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $67 | $335 | 1.4× |
| Self Care Mngment Training (97535) | $48.80 | $244 | 1.5× |
| Sensory Integration Ea 15 Min (97533) | $34 | $170 | 0.6× |
| Short-latency somatosens ep std upr limbs (95925) | $462 | $2,310 | 2.0× |
| Sleep study attended (95807) | $1,164.20 | $5,821 | 3.0× |
| Slp caregiver training 1st 30 min (97550) | $97.60 | $488 | 1.8× |
| Somatosensory Testing (95938) | $224 | $1,120 | 0.2× |
| Speech Audiometry Complete (92556) | $49 | $245 | 0.8× |
| Speech audiometry threshold (92555) | $31.20 | $156 | 0.5× |
| Speech sound lang comprehen (92523) range across 4 matching MRF lines |
$65–$194.60 | $325–$973 | varies |
| Spirometry (94010) | $121.20 | $606 | 0.5× |
| Ssep lower limbs (95926) | $142.80 | $714 | 0.6× |
| Staggered Spondaic Word Test (92572) | $130.20 | $651 | 1.0× |
| Standardized Cognitive Performance Testing (96125) range across 14 matching MRF lines |
$20–$120 | $100–$600 | varies |
| Stenger Test Speech (92577) | $124.40 | $622 | 0.3× |
| Stenger Test, Pure Tone (92565) | $34.80 | $174 | 0.6× |
| Stress Tte Only (93350) | $655.60 | $3,278 | 1.1× |
| Subcutaneous Infusion Each Additional Hour (96370) | $39.80 | $199 | 0.8× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $78.40 | $392 | 0.4× |
| Subq Infusion Additional Pump Infusion Site (96371) | $23.80 | $119 | 0.3× |
| Synthetic Sentence Identification Test (92576) | $60.40 | $302 | 1.5× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $386.60 | $1,933 | 3.5× |
| Temp transcutaneous pacing (92953) | $279 | $1,395 | 0.4× |
| Tensilon Test (95857) | $33.60 | $168 | 0.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $46.60 | $233 | 2.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $46.60 | $233 | 2.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $67 | $335 | 1.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$4.80–$39 | $24–$195 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $135.80 | $679 | 1.3× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $108.40 | $542 | 2.2× |
| Ther/Proph/Diag Inj Ia (96373) | $78.60 | $393 | 0.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $78.40 | $392 | 1.0× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 6 matching MRF lines |
$260–$276.20 | $1,300–$1,381 | varies |
| Therapeutic Activities (97530) | $51.60 | $258 | 1.5× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $900 | $4,500 | 2.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $40.80 | $204 | 1.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $19.20 | $96 | 0.5× |
| Trans Care Mgmt 14 Day Disch (99495) | $48.80 | $244 | 0.4× |
| Trans Care Mgmt 7 Day Disch (99496) | $65.80 | $329 | 0.5× |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$2,270.40–$8,108.60 | $11,352–$40,543 | varies |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $351.40 | $1,757 | 3.2× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $203.80 | $1,019 | 1.9× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $28.60 | $143 | 0.7× |
| Tte w/doppler, complete (93306) | $918.40 | $4,592 | 1.6× |
| Tte W/O Doppler Complete (93307) | $360.80 | $1,804 | 1.4× |
| Tx atrial fib pulm vein isol (93656) | $18,524.80 | $92,624 | 0.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 15 matching MRF lines |
$51.60–$129.80 | $258–$649 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $53 | $265 | 2.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 6 matching MRF lines |
$78.40–$83.20 | $392–$416 | varies |
| Tympanometry (92567) | $33 | $165 | 0.8× |
| Tympanometry and reflex threshold measurements (92550) range across 2 matching MRF lines |
$41.20–$166.80 | $206–$834 | varies |
| Unlisted cardiovascular service/procedure (93799) | $1,032.40 | $5,162 | 7.7× |
| Upr/L Xtremity Art 2 Levels (93922) range across 7 matching MRF lines |
$154.80–$475.60 | $774–$2,378 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$322.20–$475.60 | $1,611–$2,378 | varies |
| Valvuloplasty aortic valve (92986) | $4,076.40 | $20,382 | 0.7× |
| Valvuloplasty mitral valve (92987) | $8,371 | $41,855 | 0.7× |
| Vasopneumatic device (97016) | $15 | $75 | 1.2× |
| Veeg 2-12 Hr Cont Mntr (95713) | $670.20 | $3,351 | 1.7× |
| Veeg 2-12 hr intmt mntr (95712) | $442 | $2,210 | 1.1× |
| Veeg 2-12 hr unmonitored (95711) | $62.20 | $311 | 0.3× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,326.60 | $6,633 | 3.4× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $670.20 | $3,351 | 1.7× |
| Veeg ea 12-26hr cont mntr (95716) | $2,009.80 | $10,049 | 2.2× |
| Vent Mgmt Inpat Init Day (94002) | $882.40 | $4,412 | 1.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $482.80 | $2,414 | 0.7× |
| Visual Evoked Potential Test (95930) | $628 | $3,140 | 2.8× |
| Visual reinforcement audiometry (vra) (92579) | $70.60 | $353 | 0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $51.60 | $258 | 1.7× |
| Whirlpool Therapy (97022) range across 4 matching MRF lines |
$11.40–$34 | $57–$170 | varies |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $174 | $870 | 2.8× |
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.