Visits & medical services prices at Hartford Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $14,991 $14,991 1.6×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $219 $219 6.3×
Acupuncture 1/> ndls w/elec stimj 1st 15 min (97813) $107.50 $107.50 3.1×
Advance care planning first 30 mins (99497) $187.50 $187.50 1.5×
Airway inhalation treatment (94640) $214 $214 0.8×
Analyze Neurostim Complex (95972) $237.50 $237.50 2.1×
Analyze neurostim no prog (95970) $233 $233 1.5×
Appl on-body injector for timed subq injection (96377) $196 $196 3.5×
Assessment of aphasia (96105) $407.16 $407.16 4.2×
Assmt & care planning pt w/cognitive impairment (99483) $477.50 $477.50 3.9×
Behav assmt w/score & docd/stand instrument (96127) $54 $54 1.2×
Behavioral and qualitative analysis of voice and resonance (92524) $450.36 $450.36 4.1×
Blink reflex test (95933) $228 $228 3.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $588 $588 1.3×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$184 $184 0.0×
Canalith Repositioning (95992) $179.28 $179.28 4.4×
Capsule endoscopy (91110) $3,758 $3,758 3.5×
Cardiac Stress Tst,Tracing Only (93017) $1,549 $1,549 6.0×
Cardiopulmonary exercise testing (94621) $1,825 $1,825 4.1×
Cardiopulmonary resuscitation (92950) $1,010 $1,010 3.9×
Cardioversion (92960) $1,998 $1,998 2.5×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $19,361 $19,361 5.0×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $28,558 $28,558 1.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $1,642 $1,642 0.4×
Cbt 1st hour (94644) $265 $265 1.7×
Chemo Hormon Antineopl Sq/Im (96402) $288 $288 3.3×
Chemo IV push addl drug (96411) $252 $252 2.9×
Chemo Iv Push Sngl Drug (96409) $827 $827 2.1×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,263 $1,263 3.2×
Chemother, IV infusion, 1 hr (96413) $1,263 $1,263 3.2×
Chemother, IV infusion, ea add hr (96415) $252 $252 2.9×
Chemother,Ia Push Technique (96420) $1,153 $1,153 2.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $288 $288 3.3×
Chemotherapy, unspecified procedure (96549) $442 $442 7.9×
Chemotx Admn Cns Req Spinal Puncture (96450) $1,173 $1,173 3.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $252 $252 2.9×
Color/duplex Doppler, complete (93975) $1,265 $1,265 4.4×
Color/duplex Doppler, limited (93976) $854 $854 6.8×
Comprehensive Hearing Test (92557) $254 $254 1.6×
Cont Gluc Monitoring Patient Provided Equipment (95249) $109 $109 1.5×
Continuous Glucose Monitoring (95250) $340 $340 2.1×
Coronary artery angio s&i (93454) $1,426 $1,426 0.4×
Cpap initiation and management (94660) $873 $873 3.3×
Critical care (99291) $7,853 $7,853 7.9×
Debridement Open Wound 20 Sq Cm< (97597) $638 $638 2.7×
Demo &/or eval,pt use,aerosol device (94664) $214 $214 0.8×
Developmental tst admin phys/qhp 1st hour (96112) $575 $575 3.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $998 $998 3.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $742 $742 5.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,573 $1,573 5.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $862 $862 6.9×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,052 $1,052 3.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $659 $659 5.3×
Dup-scan xtr veins unilateral/limited study (93971) $855 $855 6.8×
Duplex hemodialysis access (93990) $1,015 $1,015 8.1×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $483 $483 1.7×
Duplex scan extracranial art compl bi study (93880) $1,604 $1,604 5.6×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $286 $286 1.9×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $361 $361 2.3×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $372 $372 2.4×
Echo Heart Xthoracic,Limited (93308) $1,484.50 $1,484.50 5.2×
Echo transesophageal (93312) $2,815.50 $2,815.50 4.3×
Echo Transesophageal - Congenital Tee Complete (93315) $142 $142 0.2×
EEG awake asleep (95819) $1,558 $1,558 6.0×
EEG awake drowsy (95816) $1,449 $1,449 5.6×
EEG coma or sleep only (95822) $660.62 $660.62 2.6×
EEG cont rec w/video by tech min 8 channels (95700) $520 $520 2.0×
Eeg Extended Monitoring 61-119 Minutes (95813) $1,721 $1,721 6.6×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $843 $843 3.3×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $1,679 $1,679 3.8×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $2,059 $2,059 4.6×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $1,971 $1,971 4.4×
EKG (93005) $273 $273 3.9×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $304 $304 2.7×
Elec alys implt cplx cn npgt prgrmg (95977) $210 $210 1.8×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $263 $263 5.9×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $272 $272 2.4×
Electroconvulsive Therapy (90870) $2,118 $2,118 2.1×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,431 $1,431 5.5×
EMG cranial nerve unilat (95867) $313 $313 1.2×
EMG one extremity (95860) $636 $636 4.0×
EMG two extremities (95861) $675 $675 4.2×
Endomyocardial biopsy (93505) $1,437.75 $1,437.75 0.4×
Ep & ablate supravent arrhyt (93653) $59,147 $59,147 1.9×
Ep & ablate ventric tachy (93654) $39,158 $39,158 1.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $12,943 $12,943 1.4×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $739.25 $739.25 0.5×
Ep Right Ventricular Recording (93603) $5,086 $5,086 3.5×
Er level 1 (99281) $722 $722 7.1×
Er level ii (99282) $1,082 $1,082 5.9×
Er level iii (99283) $2,704 $2,704 8.3×
Er level IV (99284) $3,958 $3,958 7.9×
Er level v (99285) $5,277 $5,277 7.4×
Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) $2,097 $2,097 4.7×
Esophageal Capsule Endoscopy (91111) $3,758 $3,758 3.5×
Esophgl balo distension dx std w/provocation (91040) $2,264 $2,264 5.1×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $361 $361 2.3×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $291.60 $291.60 4.1×
Evaluation of speech sound production (92522) $460.08 $460.08 4.1×
Evaluation of swallowing function (92610) $349.92 $349.92 4.1×
Evaluation with prescription of speech-generating alternative (92607) $517.32 $517.32 4.2×
Exam of visual field with extended testing (92083) $96.25 $96.25 0.6×
Exercise tst brncspsm (94617) $140.88 $140.88 0.9×
External ECG rec>48hr<7d recording (93242) $250 $250 5.6×
External ECG rec>7d<15d recording (93246) $312 $312 7.0×
Eye exam, new patient,comprehesv (92004) $158 $158 1.0×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $833.76 $833.76 4.2×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $2,264 $2,264 5.1×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,264 $2,264 2.2×
Gi wireless capsule measure (91112) $3,483 $3,483 3.2×
Gonioscopy (92020) $149 $149 0.9×
Group Therapeutic Procedures (97150) $104.76 $104.76 5.8×
Health Behavior Assessment/Re-Assessment (96156) $385 $385 3.2×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $277.50 $277.50 6.2×
High altitude simulation test (94453) $302 $302 1.9×
Holter Monitor Recording (93225) $560 $560 3.5×
Hypoxia Response Curve (94450) $132.88 $132.88 0.9×
Icd Device Interrogate (93289) $309 $309 6.9×
Ilr Device Eval Progr (93285) $93.50 $93.50 2.1×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $70 $70 1.4×
Immunization Admin (90471) $84.86 $84.86 1.0×
Ins swan ganz bedside (93503) $545 $545 0.3×
Interrog dev eval icpms phys/qhp in person (93290) $35.35 $35.35 0.8×
Interrog dev eval scrms phys/qhp in person (93291) $122 $122 3.5×
Interrogate subq defib (93261) $135 $135 3.0×
Interrogation of vad (93750) $493 $493 4.3×
Intralesional Chemo Admin,<8 Lesn (96405) $243 $243 2.8×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$240.62 $240.62 0.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $193 $193 2.7×
IV infusion hydration each additional hour (96361) $151 $151 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $768 $768 3.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $233 $233 2.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $768 $768 3.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $151 $151 2.7×
IV push initial (96374) $768 $768 3.0×
Laryngeal Function Studies (92520) $338.04 $338.04 2.1×
Liver elastography w/o imag w/i&r (91200) $490 $490 3.2×
Manual therapy 15 min (97140) $136.62 $136.62 4.9×
Massage 15 min (97124) $120.96 $120.96 4.1×
Maximum voluntary ventilation (94200) $198 $198 2.8×
Mechanical traction (97012) $86.40 $86.40 6.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $80 $80 2.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $87 $87 2.4×
Methacholine challenge (94070) $869 $869 1.9×
Mnt Group Ea 30 Min (97804) $52 $52 3.1×
Motility study esophagus (91010) $2,264 $2,264 5.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $379.08 $379.08 4.1×
Multiple sleep latency test (95805) $5,116 $5,116 5.0×
Nasopharyngoscopy (92511) $315 $315 1.3×
Needle electromyography hemidiaphragm (95866) $312 $312 2.0×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $392 $392 2.5×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $467 $467 1.8×
Neg press wnd tx </=50 sq cm (97607) $1,256 $1,256 2.6×
Neg press wound tx >50 cm (97608) $1,256 $1,256 2.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $638 $638 2.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,256 $1,256 2.6×
Nerve conduction studies 13/> studies (95913) $4,171 $4,171 9.3×
Nerve Conduction Studies 3-4 Studies (95908) $1,264 $1,264 4.9×
Nerve Conduction Studies 9-10 Studies (95911) $2,979 $2,979 6.7×
Nerve conduction studies; 1-2 studies (95907) $596 $596 2.3×
Nerve conduction studies; 11-12 studies (95912) $3,790 $3,790 8.5×
Nerve conduction studies; 5-6 studies (95909) $1,788 $1,788 6.9×
Nerve conduction studies; 7-8 studies (95910) $2,384 $2,384 5.3×
Neurobehavioral Status Exam (96116) $398 $398 1.5×
Neuromuscular junction test (95937) $374 $374 2.4×
New patient problem focused exam of visual system (92002) $135 $135 0.8×
Nitric oxide expired gas determination (95012) $132 $132 2.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $565 $565 3.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $1,103 $1,103 4.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $270 $270 1.8×
Nonphysician Telephone Assessment 11-20 Min (98967) $100 $100 4.0×
Nonphysician Telephone Assessment 21-30 Min (98968) $137.50 $137.50 4.0×
Nonphysician Telephone Assessment 5-10 Min (98966) $52.50 $52.50 3.8×
Nrpsyc tst eval phys/qhp 1st (96132) $612.63 $612.63 1.4×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $198 $198 1.2×
Ophth medical xm&eval intermediate estab pt (92012) $135 $135 0.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $122.58 $122.58 2.7×
Osteopathic manipulative tx 1-2 body regions (98925) $100 $100 3.9×
Osteopathic manipulative tx 3-4 body regions (98926) $55 $55 2.1×
Osteopathic manipulative tx 5-6 body regions (98927) $202.50 $202.50 7.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $131.76 $131.76 4.1×
Ot eval high complex 60 min (97167) $398.52 $398.52 4.0×
Ot eval low complex 30 min (97165) $398.52 $398.52 4.0×
Ot eval mod complex 45 min (97166) $398.52 $398.52 4.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $226.80 $226.80 4.5×
Ot Prosthetic Training, Each 15 Min (97761) $173.88 $173.88 4.3×
Ot Range Motion Measure,Each Extrem (95851) $104 $104 4.0×
Ot re-eval est plan care (97168) $270 $270 3.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $351 $351 2.3×
Paraffin bath (97018) $55.08 $55.08 9.2×
Peripheral arterial disease rehab per session (93668) $142 $142 2.0×
Perq Transcath Cls Mitral (93590) $25,718 $25,718 1.2×
Phy/qhp op pulm rhb w/mntr (94626) $650 $650 9.2×
Phy/qhp op pulm rhb w/o mntr (94625) $591 $591 8.4×
Plethysmography (94726) $1,006 $1,006 2.2×
Pm device eval in person (93288) $276 $276 6.2×
Pm device progr eval dual (93280) $344 $344 7.7×
Pm device progr eval multi (93281) $344 $344 7.7×
Pm device progr eval sngl (93279) $289 $289 6.5×
Pm/Icd Remote Tech Serv (93296) $261 $261 5.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $6,043 $6,043 5.9×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $376 $376 8.4×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $420 $420 9.4×
Programming of dual lead implantable defibrillator system (93283) $420 $420 9.4×
Programming of single lead implantable defibrillator system (93282) $376 $376 8.4×
Prq card revasc chronic 1vsl (92943) $17,928 $17,928 1.3×
Prq Card Stent W/Angio 1 Vsl (92928) $14,940 $14,940 1.1×
Prq Card Stent/Ath/Angio (92933) $14,940 $14,940 0.7×
Prq revasc byp graft 1 vsl (92937) $17,928 $17,928 1.3×
Prq trluml coronary angio/atherect one art/brnch (92924) $16,220 $16,220 1.2×
Prq trluml coronary angioplasty one art/branch (92920) $8,388 $8,388 1.2×
Psych diag eval w/med srvcs (90792) $393 $393 1.8×
Psychiatric diagnostic evaluation (90791) $163 $163 0.8×
Psycl tst eval phys/qhp 1st (96130) $472 $472 1.8×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $260 $260 1.6×
Psytx crisis initial 60 min (90839) $307 $307 1.4×
Pt Aquatic Therapy/Exercises (97113) $156.60 $156.60 4.2×
Pt Electrical Stimulation (97032) $86.40 $86.40 5.9×
Pt eval high complex 45 min (97163) $412.56 $412.56 4.2×
Pt eval low complex 20 min (97161) $412.56 $412.56 4.2×
Pt Gait Training Therapy (97116) $123.12 $123.12 4.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $142.56 $142.56 4.4×
Pt Physical Performance Test (97750) $140.40 $140.40 4.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $412.56 $412.56 4.2×
Pt re-evaluation (97164) $282.96 $282.96 4.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $137.16 $137.16 4.2×
Pt Ultrasound Therapy (97035) $136.08 $136.08 9.5×
Pt-focused hlth risk assmt (96160) $64 $64 1.4×
Pulm function test by gas (94727) $552 $552 2.1×
Pulmonary stress testing (94618) $425 $425 2.7×
Pure Tone Audiometry Air & Bone (92553) $328 $328 2.1×
Pure Tone Audiometry, Air (92552) $129 $129 0.8×
R & l hrt cath w/njx l ventriculog img s&i (93453) $15,540 $15,540 4.0×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $1,960 $1,960 0.5×
R hrt art/grft angio (93457) $19,733 $19,733 5.1×
Rapid Desensitization Procedure Each Hour (95180) $503 $503 0.9×
Refill/maint, portable pump (96521) $827 $827 3.2×
Rem interrog icpms <30 d phys/qhp (93297) $293 $293 6.5×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $297 $297 6.6×
Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) $78 $78 1.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $563 $563 12.6×
Remote Mntr Wireless P-Art Prs Snr Up to 30 D (93264) $157.50 $157.50 3.5×
Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) $88 $88 1.6×
Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) $72 $72 1.7×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $270 $270 1.7×
Repet tms tx initial w/map/motr threshld/del&m (90867) $714 $714 2.8×
Right heart cath (93451) $1,323.75 $1,323.75 0.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $583 $583 2.4×
Rom meas&reprt hand w/wo comparison normal sid (95852) $76.68 $76.68 3.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $208.44 $208.44 4.4×
Smoking cessation > 10 min (99407) $65 $65 1.4×
Speech Audiometry Threshold (92555) $107 $107 1.5×
Speech Audiometry, Complete (92556) $97 $97 1.4×
Speech group therapy (92508) $139.32 $139.32 5.8×
Speech sound lang comprehen (92523) $948.24 $948.24 4.2×
Spirometry (94010) $437 $437 1.7×
Standardized Cognitive Performance Testing (96125) $432 $432 4.2×
Stress echo (93350) $1,866.50 $1,866.50 2.8×
Stress Tte Complete (93351) $529 $529 0.8×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $92.88 $92.88 4.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $89.64 $89.64 4.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $433.08 $433.08 4.2×
Ther/Proph/Diag Inj Sc/Im (96372) $233 $233 2.7×
Therap repetitive tms tx subseq delivery & mng (90868) $566 $566 2.2×
Therapeutic Activities (97530) $160.92 $160.92 4.6×
Therapeutic phlebotomy (99195) $358 $358 2.2×
Tilt Table Eval (93660) $2,167 $2,167 4.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $69 $69 1.5×
Trans Care Mgmt 14 Day Disch (99495) $209 $209 1.3×
Trans Care Mgmt 7 Day Disch (99496) $209 $209 1.3×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $511.25 $511.25 1.8×
Transcranial Doppler Limited (93888) $255.62 $255.62 2.0×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $3,727.50 $3,727.50 5.7×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $186.78 $186.78 0.7×
Tx atrial fib pulm vein isol (93656) $54,545 $54,545 1.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $314.28 $314.28 4.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $349.92 $349.92 4.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $151 $151 2.7×
Tympanometry (92567) $155 $155 3.5×
Tympanometry And Reflex Threshold Measurements (92550) $162 $162 0.6×
Vasc Duplex Extrem Venous,Bilat (93970) $1,709 $1,709 6.0×
Vasc Duplex Scan Extracranial,Limited (93882) $813 $813 6.5×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $718 $718 2.8×
Vasopneumatic device (97016) $49.68 $49.68 4.1×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $1,862 $1,862 4.2×
Veeg by tech 2-12 hr intermittent monitoring (95712) $1,533 $1,533 3.4×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $3,251 $3,251 3.2×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $3,451 $3,451 7.7×
Veeg Ea 12-26 Hr Unmntr (95714) $2,337 $2,337 5.2×
Ventilation assist & mgmt inpatient 1st day (94002) $2,252 $2,252 3.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,971 $1,971 2.7×
Wheelchair Mgmt Ea 15 Min (97542) $132.84 $132.84 4.3×