Visits & medical services prices at HCA HealthOne Presbyterian St. Luke's Medical Center
Denver, CO · every code in this section with a posted price and a Medicare benchmark.
256 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) | $42,491.25 | $42,491.25 | 5.2× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $201.75 | $201.75 | 1.5× |
| Acoustic Reflex Testing (92568) | $290.50 | $290.50 | 7.4× |
| Aep neurodiagnostic i&r (92653) | $899 | $899 | 3.9× |
| Aep threshold estimation mlt frequencies i&r (92652) | $899 | $899 | 3.9× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$764.25–$871.25 | $764.25–$871.25 | varies |
| Airway resistance by oscillometry (94728) | $5,862.25 | $5,862.25 | 43.2× |
| Analyze Pacemaker System (93724) | $2,773 | $2,773 | 8.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$259.50–$261.75 | $259.50–$261.75 | varies |
| Arrhythmia Induction (93618) | $18,120.50 | $18,120.50 | 14.1× |
| Assessment of aphasia per hr (96105) | $1,904.75 | $1,904.75 | 19.6× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$1,390.25–$1,446 | $1,390.25–$1,446 | varies |
| Biofeedback training any modality (90901) | $261.75 | $261.75 | 6.4× |
| Blink reflex test (95933) | $364.25 | $364.25 | 5.9× |
| Breath hydrogen/methane test (91065) | $2,492.25 | $2,492.25 | 10.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $6,755 | $6,755 | 17.2× |
| Bundle of his recording (93600) | $35,785.50 | $35,785.50 | 4.3× |
| Canalith repositioning proc (95992) | $235.50 | $235.50 | 5.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $4,281.25 | $4,281.25 | 18.8× |
| Cardiopulmonary exercise testing (94621) | $8,884.50 | $8,884.50 | 22.6× |
| Cardioversion (92960) range across 2 matching MRF lines |
$6,684.50–$8,586.75 | $6,684.50–$8,586.75 | varies |
| Cbt 1st hour (94644) | $1,887 | $1,887 | 13.4× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$554.25–$568.75 | $554.25–$568.75 | varies |
| Chemo Ia Push (96420) | $1,841.25 | $1,841.25 | 5.3× |
| Chemo Intralesional Over 7 (96406) | $862.25 | $862.25 | 3.8× |
| Chemo intralesional up to 7 (96405) | $263 | $263 | 3.5× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$848.25–$958 | $848.25–$958 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$1,577.75–$1,781.25 | $1,577.75–$1,781.25 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $2,376 | $2,376 | 6.8× |
| Chemotherapy Into Cns (96450) range across 5 matching MRF lines |
$1,649.75–$4,501.25 | $1,649.75–$4,501.25 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$967–$993.50 | $967–$993.50 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$2,276.75–$2,449.50 | $2,276.75–$2,449.50 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$1,577.75–$1,781.25 | $1,577.75–$1,781.25 | varies |
| Chest Wall Manipulation (94668) | $749.50 | $749.50 | 5.3× |
| Color/duplex Doppler, complete (93975) | $1,853.75 | $1,853.75 | 7.4× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$1,377–$1,738.50 | $1,377–$1,738.50 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $261.75 | $261.75 | 8.2× |
| Comprehensive Hearing Test (92557) | $692.50 | $692.50 | 5.1× |
| Conditioning Play Audiometry (92582) | $403.75 | $403.75 | 3.0× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $1,094.50 | $1,094.50 | 7.8× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $192 | $192 | 3.1× |
| Continuous Pulse Ox (94762) | $1,495.25 | $1,495.25 | 11.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$2,522.25–$8,020.75 | $2,522.25–$8,020.75 | varies |
| Cpt initial (94667) | $3,145.50 | $3,145.50 | 22.4× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$18,482–$30,653.50 | $18,482–$30,653.50 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$259.50–$1,547.50 | $259.50–$1,547.50 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $1,162.50 | $1,162.50 | 8.6× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $899 | $899 | 2.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $957.25 | $957.25 | 3.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $402 | $402 | 3.6× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $461 | $461 | 4.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $3,354.75 | $3,354.75 | 13.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$1,377–$1,699 | $1,377–$1,699 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$4,646.75–$5,867 | $4,646.75–$5,867 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$1,923.25–$2,313 | $1,923.25–$2,313 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $835.50 | $835.50 | 3.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $402 | $402 | 3.6× |
| Duplex Scan Hemodialysis Access (93990) | $7,842.75 | $7,842.75 | 71.1× |
| Duplex up extrem art bilat (93930) | $3,272 | $3,272 | 13.0× |
| Duplex up extrem art unilat/ltd (93931) | $1,099.50 | $1,099.50 | 10.0× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$6,233.50–$7,534.75 | $6,233.50–$7,534.75 | varies |
| Echo Heart Xthoracic,Limited (93308) | $2,603.25 | $2,603.25 | 10.3× |
| Echo transesophag montr cardiac pump functj (93318) | $9,167.50 | $9,167.50 | 15.9× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$9,167.50–$20,239 | $9,167.50–$20,239 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $9,167.50 | $9,167.50 | 15.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $5,914.25 | $5,914.25 | 10.3× |
| Eeg 41-60 Minutes (95812) | $3,909.50 | $3,909.50 | 17.2× |
| EEG awake and asleep (95819) | $2,973 | $2,973 | 13.1× |
| EEG awake drowsy (95816) | $905.75 | $905.75 | 4.0× |
| EEG cont rec w/video by tech min 8 channels (95700) | $951 | $951 | 4.2× |
| EEG extended monitoring 61-119 minutes (95813) | $5,425.75 | $5,425.75 | 23.8× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $951 | $951 | 4.2× |
| EEG w/o vid 2-12hr cont mntr (95707) | $951 | $951 | 4.2× |
| EEG w/o vid ea 12-26hr intmt (95709) | $1,824.50 | $1,824.50 | 4.6× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $1,824.50 | $1,824.50 | 4.6× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $951 | $951 | 4.2× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,824.50 | $1,824.50 | 4.6× |
| EKG signal averaged (93278) | $971.75 | $971.75 | 15.6× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $285.50 | $285.50 | 2.8× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$111.25–$130 | $111.25–$130 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $261.75 | $261.75 | 17.8× |
| Electrocardiogram Tracing (93005) | $861.25 | $861.25 | 13.8× |
| Electrocochleography (92584) | $1,304.50 | $1,304.50 | 9.6× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $32,886.50 | $32,886.50 | 4.0× |
| Electrophysiology Evaluation (93642) | $18,120.50 | $18,120.50 | 14.1× |
| Emergency Dept Visit Level 2 (99282) | $3,573.75 | $3,573.75 | 22.1× |
| Emergency Dept Visit Level 3 (99283) | $8,139.75 | $8,139.75 | 28.3× |
| Emergency Dept Visit Level 4 (99284) | $13,639 | $13,639 | 31.0× |
| Emg 3 Extremities (95863) | $654 | $654 | 4.8× |
| Emg 4 Extremities (95864) | $654 | $654 | 4.8× |
| Ep & ablate supravent arrhyt (93653) | $114,580.50 | $114,580.50 | 4.2× |
| Ep & ablate ventric tachy (93654) | $114,580.50 | $114,580.50 | 4.2× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $32,886.50 | $32,886.50 | 4.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $32,886.50 | $32,886.50 | 4.0× |
| Er level 1 (99281) | $1,316.75 | $1,316.75 | 14.8× |
| Er level v (99285) | $14,090 | $14,090 | 22.4× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $2,157.50 | $2,157.50 | 5.5× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$801–$913.50 | $801–$913.50 | varies |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$1,390.25–$1,446 | $1,390.25–$1,446 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$1,272.75–$1,323.75 | $1,272.75–$1,323.75 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$1,390.25–$1,446 | $1,390.25–$1,446 | varies |
| Exercise test for bronchospasm (94617) range across 2 matching MRF lines |
$626.25–$701 | $626.25–$701 | varies |
| Exhaled Air Analysis O2 (94680) | $6,797.75 | $6,797.75 | 50.1× |
| External Ecg Scanning Analysis Report (93226) | $465.50 | $465.50 | 7.5× |
| Extracranial Bilat Study (93880) | $2,424.25 | $2,424.25 | 9.6× |
| Extracranial Uni/Ltd Study (93882) | $957.25 | $957.25 | 8.7× |
| Eye exam w anesth; limited (92019) | $14,621.25 | $14,621.25 | 5.8× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $2,964 | $2,964 | 5.1× |
| Flexible endoscopic eval swallow c/v rec (92612) | $991.50 | $991.50 | 5.0× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $1,492.25 | $1,492.25 | 1.6× |
| Gastric motility studies (91020) | $2,047.25 | $2,047.25 | 5.2× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $2,266.50 | $2,266.50 | 5.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $3,958 | $3,958 | 4.4× |
| Gi tract capsule endoscopy (91110) | $7,873 | $7,873 | 8.2× |
| Gi tract imaging intraluminal colon i&r (91113) | $5,766.25 | $5,766.25 | 5.9× |
| Group Therapeutic Procedures (97150) range across 3 matching MRF lines |
$435.50–$461 | $435.50–$461 | varies |
| Holter monitor recording (93225) | $465.50 | $465.50 | 3.3× |
| Hubbard tank 15 min (97036) | $249.75 | $249.75 | 7.2× |
| Immunization administration (90471) range across 2 matching MRF lines |
$274.50–$706.25 | $274.50–$706.25 | varies |
| Intra-atrial pacing (93610) | $32,886.50 | $32,886.50 | 4.0× |
| Iontophoresis 15 min (97033) | $401 | $401 | 21.1× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$1,059.50–$1,194.50 | $1,059.50–$1,194.50 | varies |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$456–$985 | $456–$985 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$1,172.75–$2,531 | $1,172.75–$2,531 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$883.25–$1,181.75 | $883.25–$1,181.75 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 6 matching MRF lines |
$194.25–$985 | $194.25–$985 | varies |
| IV push initial (96374) range across 6 matching MRF lines |
$742.25–$1,034.75 | $742.25–$1,034.75 | varies |
| Mechanical chest wall oscillation per session (94669) | $3,892.50 | $3,892.50 | 16.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $189 | $189 | 6.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $189 | $189 | 5.1× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $189 | $189 | 11.1× |
| Motility study esophagus (91010) | $5,946.50 | $5,946.50 | 15.1× |
| Motion Fluoroscopy/Swallow (92611) | $2,944.25 | $2,944.25 | 32.2× |
| Multiple Sleep Latency Test (95805) | $6,213 | $6,213 | 6.9× |
| Muscle Test 2 Limbs (95861) | $654 | $654 | 4.7× |
| Muscle Test Nonparaspinal (95870) | $364.25 | $364.25 | 2.6× |
| Muscle Test One Limb (95860) | $654 | $654 | 4.7× |
| Nasopharyngoscopy (92511) | $717.25 | $717.25 | 3.4× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $654 | $654 | 2.9× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $654 | $654 | 2.9× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $364.25 | $364.25 | 1.6× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $633.50 | $633.50 | 2.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $521.25 | $521.25 | 1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $915.75 | $915.75 | 2.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$521.25–$1,019.50 | $521.25–$1,019.50 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$708.50–$1,273 | $708.50–$1,273 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $326.50 | $326.50 | 1.4× |
| Nerve Conduction Studies 11-12 Studies (95912) | $433 | $433 | 1.1× |
| Nerve conduction studies 13 or more studies (95913) | $433 | $433 | 1.1× |
| Nerve Conduction Studies 3-4 Studies (95908) | $366.25 | $366.25 | 1.6× |
| Nerve conduction studies 5-6 studies (95909) | $366.25 | $366.25 | 1.6× |
| Nerve conduction studies 7-8 studies (95910) | $366.25 | $366.25 | 0.9× |
| Nerve Conduction Studies 9-10 Studies (95911) | $433 | $433 | 1.1× |
| Neurobehavioral Status Exam (96116) | $647.25 | $647.25 | 2.8× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $364.25 | $364.25 | 2.7× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$252.50–$314 | $252.50–$314 | varies |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$4,128.50–$4,708 | $4,128.50–$4,708 | varies |
| Oculoelectromyography (92265) | $541.25 | $541.25 | 8.7× |
| Optokinetic Nystagmus Test (92544) | $248.75 | $248.75 | 1.8× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$650.50–$676.25 | $650.50–$676.25 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 4 matching MRF lines |
$254.25–$259.50 | $254.25–$259.50 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$249.75–$467.25 | $249.75–$467.25 | varies |
| Oscillating Tracking Test (92545) | $359.50 | $359.50 | 1.6× |
| Ot Contrast Bath Ea 15 Min (97034) | $261.75 | $261.75 | 18.7× |
| Ot eval high complexity (97167) range across 3 matching MRF lines |
$1,319.75–$1,452.75 | $1,319.75–$1,452.75 | varies |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$660.75–$727.25 | $660.75–$727.25 | varies |
| Ot Eval Moderate Complexity (97166) range across 3 matching MRF lines |
$990–$1,090.25 | $990–$1,090.25 | varies |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$252.50–$261.75 | $252.50–$261.75 | varies |
| Ot paraffin bath (97018) | $261.75 | $261.75 | 43.6× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 4 matching MRF lines |
$249.75–$259.50 | $249.75–$259.50 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 3 matching MRF lines |
$1,272.75–$1,452.75 | $1,272.75–$1,452.75 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$776.75–$1,626 | $776.75–$1,626 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$5,881.50–$6,707 | $5,881.50–$6,707 | varies |
| Peripheral arterial disease rehab per session (93668) | $337.75 | $337.75 | 5.4× |
| Phlebotomy therapeutic (99195) | $1,835.25 | $1,835.25 | 13.1× |
| Plethysmography (94726) range across 2 matching MRF lines |
$4,957.25–$5,653 | $4,957.25–$5,653 | varies |
| Pm device eval in person (93288) | $317.75 | $317.75 | 8.1× |
| Pm device progr eval dual (93280) | $384 | $384 | 9.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $10,233 | $10,233 | 11.3× |
| Polysom <6 yrs 4/> paramtrs (95782) | $8,039.75 | $8,039.75 | 8.9× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $10,233 | $10,233 | 11.3× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $7,308.75 | $7,308.75 | 8.1× |
| Positional nystagmus test (92542) | $663.25 | $663.25 | 4.7× |
| Psych diag eval w/med srvcs (90792) | $3,648.75 | $3,648.75 | 19.5× |
| Psychiatric diagnostic evaluation (90791) | $3,648.75 | $3,648.75 | 19.5× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$1,043–$1,090.25 | $1,043–$1,090.25 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$464.25–$485.25 | $464.25–$485.25 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$695.25–$727.25 | $695.25–$727.25 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$259.50–$261.75 | $259.50–$261.75 | varies |
| Pt mechanical traction (97012) | $261.75 | $261.75 | 18.2× |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$1,396.50–$1,452.75 | $1,396.50–$1,452.75 | varies |
| Pulm function test by gas (94727) | $5,653 | $5,653 | 24.8× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$626.25–$701 | $626.25–$701 | varies |
| Refill/Maint Portable Pump (96521) | $2,464 | $2,464 | 11.0× |
| Refill/Maint Pump/Resvr Syst (96522) | $1,687.25 | $1,687.25 | 7.5× |
| Remote 30 Day Ecg Rev/Report (93270) | $727.75 | $727.75 | 18.5× |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$5,484–$6,254.75 | $5,484–$6,254.75 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $602.75 | $602.75 | 9.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$249.75–$658 | $249.75–$658 | varies |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $4,570.75 | $4,570.75 | 11.6× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$252.50–$261.75 | $252.50–$261.75 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$243–$261.75 | $243–$261.75 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $1,423.25 | $1,423.25 | 6.2× |
| Sleep study attended (95807) | $6,213 | $6,213 | 15.8× |
| Speech Audiometry Complete (92556) | $303 | $303 | 4.9× |
| Speech audiometry threshold (92555) | $172 | $172 | 2.8× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$1,390.25–$1,446 | $1,390.25–$1,446 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$4,074.25–$4,647 | $4,074.25–$4,647 | varies |
| Spontaneous Nystagmus Test (92541) | $356.75 | $356.75 | 2.5× |
| Ssep lower limbs (95926) | $1,423.25 | $1,423.25 | 6.2× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$1,867–$1,904.75 | $1,867–$1,904.75 | varies |
| Stenger Test Speech (92577) | $135.25 | $135.25 | 0.3× |
| Stenger Test, Pure Tone (92565) | $149.50 | $149.50 | 2.4× |
| Stress Tte Only (93350) | $7,273.50 | $7,273.50 | 12.6× |
| Subcutaneous Infusion Each Additional Hour (96370) | $676.50 | $676.50 | 13.7× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $1,034.75 | $1,034.75 | 4.6× |
| Subq Infusion Additional Pump Infusion Site (96371) | $2,663.25 | $2,663.25 | 35.1× |
| Surfactant Admin Thru Tube (94610) | $869.75 | $869.75 | 3.8× |
| Tensilon Test (95857) | $633.50 | $633.50 | 2.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$261.75–$266 | $261.75–$266 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$261.75–$266 | $261.75–$266 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 4 matching MRF lines |
$252.50–$261.75 | $252.50–$261.75 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 4 matching MRF lines |
$252.50–$261.75 | $252.50–$261.75 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$313–$915.75 | $313–$915.75 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 6 matching MRF lines |
$983.75–$1,687.75 | $983.75–$1,687.75 | varies |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$252.50–$261.75 | $252.50–$261.75 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $6,639.25 | $6,639.25 | 16.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$168.50–$248 | $168.50–$248 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$168.50–$248 | $168.50–$248 | varies |
| Tone Decay Test (92563) | $196.75 | $196.75 | 5.0× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $1,741.50 | $1,741.50 | 15.8× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 2 matching MRF lines |
$383.75–$538 | $383.75–$538 | varies |
| Tte w/doppler, complete (93306) | $5,914.25 | $5,914.25 | 10.3× |
| Tte W/O Doppler Complete (93307) | $6,233.50 | $6,233.50 | 24.8× |
| Tx atrial fib pulm vein isol (93656) | $114,580.50 | $114,580.50 | 4.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$640.75–$667.25 | $640.75–$667.25 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $262.50 | $262.50 | 10.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$631.75–$1,016.50 | $631.75–$1,016.50 | varies |
| Unlisted cardiovascular service/procedure (93799) | $469.38 | $469.38 | 3.5× |
| Upr/L Xtremity Art 2 Levels (93922) | $2,491.50 | $2,491.50 | 17.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$710.50–$4,967.75 | $710.50–$4,967.75 | varies |
| Vasopneumatic device (97016) range across 3 matching MRF lines |
$259.50–$261.75 | $259.50–$261.75 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,824.50 | $1,824.50 | 4.6× |
| Veeg 2-12 hr intmt mntr (95712) | $951 | $951 | 2.4× |
| Veeg 2-12 hr unmonitored (95711) | $951 | $951 | 4.2× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,824.50 | $1,824.50 | 4.6× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,824.50 | $1,824.50 | 4.6× |
| Veeg ea 12-26hr cont mntr (95716) | $3,414.50 | $3,414.50 | 3.8× |
| Vent Mgmt Inpat Init Day (94002) | $32,133 | $32,133 | 49.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $4,249.50 | $4,249.50 | 6.5× |
| Visual Evoked Potential Test (95930) | $1,423.25 | $1,423.25 | 6.2× |
| Visual reinforcement audiometry (vra) (92579) | $484.75 | $484.75 | 2.1× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$4,657.50–$5,312 | $4,657.50–$5,312 | varies |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $4,143.50 | $4,143.50 | 4.6× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$252.50–$261.75 | $252.50–$261.75 | varies |
| Whirlpool Therapy (97022) range across 3 matching MRF lines |
$517.50–$766.75 | $517.50–$766.75 | 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.