Visits & medical services prices at HealthAlliance Hospital Mary's Avenue Campus
Kingston, NY · every code in this section with a posted price and a Medicare benchmark.
259 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $384 | $384 | 2.4× |
| Acoustic Reflex Testing (92568) | $384 | $384 | 8.2× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $128 | $128 | 2.5× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $485 | $485 | 1.8× |
| Airway Inhalation Treatment (94640) | $459 | $459 | 1.7× |
| Airway resistance by oscillometry (94728) | $137 | $137 | 0.9× |
| Analyze Pacemaker System (93724) | $941 | $941 | 2.5× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $46 | $46 | 0.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $135 | $135 | 9.4× |
| Application Modality 1/> Areas Infrared (97026) | $29 | $29 | 4.3× |
| Application on-body injector (96377) | $225 | $225 | 3.8× |
| Arrhythmia Induction (93618) | $3,098 | $3,098 | 2.0× |
| Assessment of aphasia per hr (96105) | $626 | $626 | 6.4× |
| Assessment of tinnitus (92625) | $349 | $349 | 2.2× |
| Audiometry Air & Bone (92553) | $349 | $349 | 2.2× |
| Auditory Function, 60 Min (92620) | $431 | $431 | 2.7× |
| Basic vestibular evaluation (92540) | $501 | $501 | 1.9× |
| Behavral qualit analys voice (92524) | $327 | $327 | 3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $1,079 | $1,079 | 2.3× |
| Bundle of his recording (93600) | $16,066 | $16,066 | 1.7× |
| Caloric vestibular test w/rec bi monothermal (92538) | $871 | $871 | 3.2× |
| Caloric Vstblr Test W/Rec (92537) | $871 | $871 | 5.4× |
| Canalith repositioning proc (95992) | $188 | $188 | 4.6× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,028 | $1,028 | 3.8× |
| Cardiopulmonary exercise testing (94621) | $3,462 | $3,462 | 7.4× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$958–$1,016 | $958–$1,016 | varies |
| Cardioversion (92960) | $2,180 | $2,180 | 2.6× |
| Cardioversion elective internal (92961) | $1,667 | $1,667 | 2.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $13,882 | $13,882 | 3.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $14,854 | $14,854 | 3.7× |
| Cbt 1st hour (94644) | $357 | $357 | 2.1× |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$110–$214 | $110–$214 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 3 matching MRF lines |
$110–$199 | $110–$199 | varies |
| Chemo IV infusion addl hr (96415) range across 3 matching MRF lines |
$197–$1,173 | $197–$1,173 | varies |
| Chemo IV push addl drug (96411) range across 3 matching MRF lines |
$225–$1,434 | $225–$1,434 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 3 matching MRF lines |
$613–$1,089 | $613–$1,089 | varies |
| Chemotherapy Into Cns (96450) | $988 | $988 | 2.4× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $931 | $931 | 2.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 3 matching MRF lines |
$225–$1,173 | $225–$1,173 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 4 matching MRF lines |
$613–$1,186 | $613–$1,186 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 3 matching MRF lines |
$482–$1,173 | $482–$1,173 | varies |
| Chest Wall Manipulation (94668) | $279 | $279 | 1.7× |
| Color/duplex Doppler, complete (93975) | $1,993 | $1,993 | 6.7× |
| Color/duplex Doppler, limited (93976) | $1,199 | $1,199 | 9.2× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $150 | $150 | 4.7× |
| Comprehensive Hearing Test (92557) | $401 | $401 | 2.5× |
| Conditioning Play Audiometry (92582) | $418 | $418 | 2.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $1,133 | $1,133 | 6.8× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $206 | $206 | 2.8× |
| Continuous Pulse Ox (94762) | $358 | $358 | 2.2× |
| Coronary Art/Grft Angio S&I (93455) | $13,882 | $13,882 | 3.4× |
| Coronary Artery Angio S&I (93454) | $13,882 | $13,882 | 3.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $568 | $568 | 2.1× |
| Cpt initial (94667) | $279 | $279 | 1.7× |
| Critical care first hour (99291) range across 10 matching MRF lines |
$892–$9,010 | $892–$9,010 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $608 | $608 | 2.4× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $739 | $739 | 1.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,730 | $1,730 | 5.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $791 | $791 | 6.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $2,133 | $2,133 | 7.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,238 | $1,238 | 9.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $2,159 | $2,159 | 7.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,442 | $1,442 | 11.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $713 | $713 | 2.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $343 | $343 | 2.6× |
| Duplex Scan Hemodialysis Access (93990) | $1,337 | $1,337 | 10.2× |
| Duplex up extrem art bilat (93930) | $1,495 | $1,495 | 5.0× |
| Duplex up extrem art unilat/ltd (93931) | $1,012 | $1,012 | 7.8× |
| Ear Protector Evaluation (92596) | $83 | $83 | 1.8× |
| Echo Congenital Complete (93303) | $3,313 | $3,313 | 4.9× |
| Echo Heart Xthoracic,Limited (93308) | $1,053 | $1,053 | 3.5× |
| Echo transesophageal (93312) | $3,231 | $3,231 | 4.7× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $3,545 | $3,545 | 5.2× |
| Eeg 41-60 Minutes (95812) | $1,024 | $1,024 | 3.8× |
| EEG awake and asleep (95819) | $1,693 | $1,693 | 6.3× |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$1,452–$1,814 | $1,452–$1,814 | varies |
| EEG cerebral death evaluation (95824) | $3,328 | $3,328 | 7.1× |
| EEG cont rec w/video by tech min 8 channels (95700) | $997 | $997 | 3.7× |
| EEG extended monitoring 61-119 minutes (95813) | $1,148 | $1,148 | 4.3× |
| Eeg Sleep Only (95822) | $901 | $901 | 3.3× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $997 | $997 | 3.7× |
| EEG w/o vid 2-12hr cont mntr (95707) | $931 | $931 | 3.5× |
| EEG w/o vid ea 12-26hr intmt (95709) | $1,788 | $1,788 | 3.8× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $1,788 | $1,788 | 3.8× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $931 | $931 | 3.5× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,914 | $1,914 | 4.1× |
| EKG signal averaged (93278) | $139 | $139 | 1.9× |
| Electrical Stimulation Ea 15 Min (97032) | $126 | $126 | 8.6× |
| Electro-Oculography (92270) | $287 | $287 | 1.7× |
| Electrocardiogram Tracing (93005) | $158 | $158 | 2.1× |
| Electrocochleography (92584) | $468 | $468 | 2.9× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $16,769 | $16,769 | 1.7× |
| Electrophysiology Evaluation (93642) | $3,098 | $3,098 | 2.0× |
| Emergency Dept Visit Level 2 (99282) range across 13 matching MRF lines |
$200–$4,101 | $200–$4,101 | varies |
| Emergency Dept Visit Level 3 (99283) range across 13 matching MRF lines |
$278–$5,412 | $278–$5,412 | varies |
| Emergency Dept Visit Level 4 (99284) range across 13 matching MRF lines |
$443–$7,052 | $443–$7,052 | varies |
| Endomyocardial Biopsy (93505) | $7,537 | $7,537 | 1.9× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $16,769 | $16,769 | 1.7× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $16,769 | $16,769 | 1.7× |
| Er level 1 (99281) range across 13 matching MRF lines |
$129–$2,463 | $129–$2,463 | varies |
| Er level v (99285) range across 12 matching MRF lines |
$546–$8,586 | $546–$8,586 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $468 | $468 | 2.9× |
| Evaluate pt use of inhaler (94664) | $459 | $459 | 1.7× |
| Evaluate Speech Production (92522) | $315 | $315 | 2.8× |
| Evaluate Swallowing Function (92610) | $745 | $745 | 8.8× |
| Evaluation of speech fluency (92521) | $358 | $358 | 2.7× |
| Evoked Auditory Test,Limited (92587) | $805 | $805 | 3.0× |
| Exercise test for bronchospasm (94617) | $767 | $767 | 4.6× |
| External Ecg Scanning Analysis Report (93226) | $897 | $897 | 12.2× |
| Extracranial Bilat Study (93880) | $2,123 | $2,123 | 7.1× |
| Extracranial Uni/Ltd Study (93882) | $926 | $926 | 7.1× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $3,313 | $3,313 | 4.9× |
| Filtered Speech Test (92571) | $384 | $384 | 8.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,352 | $1,352 | 1.3× |
| Gi tract capsule endoscopy (91110) | $4,215 | $4,215 | 3.7× |
| Group Therapeutic Procedures (97150) | $102 | $102 | 5.7× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $12,737 | $12,737 | 3.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $2,261 | $2,261 | 2.6× |
| Holter monitor recording (93225) | $1,153 | $1,153 | 6.9× |
| Icd Device Progr Eval Mult (93284) | $179 | $179 | 3.8× |
| Immunization administration (90471) range across 4 matching MRF lines |
$17–$163 | $17–$163 | varies |
| Insert/Place Heart Catheter (93503) | $5,381 | $5,381 | 2.7× |
| Intra-atrial recording (93602) | $16,066 | $16,066 | 1.7× |
| Iontophoresis 15 min (97033) | $193 | $193 | 10.1× |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$130–$258 | $130–$258 | varies |
| IV infusion hydration each additional hour (96361) | $488 | $488 | 8.3× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$236–$494 | $236–$494 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$110–$486 | $110–$486 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 5 matching MRF lines |
$78–$488 | $78–$488 | varies |
| IV push initial (96374) range across 6 matching MRF lines |
$110–$512 | $110–$512 | varies |
| L Hrt Art/Grft Angio (93459) | $12,737 | $12,737 | 3.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,424 | $1,424 | 5.3× |
| Mechanical chest wall oscillation per session (94669) | $1,362 | $1,362 | 5.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $126 | $126 | 4.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$130–$150 | $130–$150 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $73 | $73 | 4.3× |
| Motion Fluoroscopy/Swallow (92611) | $808 | $808 | 8.8× |
| Multiple Family Group Psychotherapy (90849) | $349 | $349 | 1.6× |
| Multiple Sleep Latency Test (95805) | $4,624 | $4,624 | 4.3× |
| Muscle Test 2 Limbs (95861) | $748 | $748 | 4.5× |
| Muscle Test One Limb (95860) | $468 | $468 | 2.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $1,187 | $1,187 | 2.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,187 | $1,187 | 2.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $433 | $433 | 1.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $892 | $892 | 1.8× |
| Nerve Conduction Studies 1-2 Studies (95907) | $349 | $349 | 1.3× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,156 | $1,156 | 2.5× |
| Nerve conduction studies 13 or more studies (95913) | $1,156 | $1,156 | 2.5× |
| Nerve Conduction Studies 3-4 Studies (95908) | $670 | $670 | 2.5× |
| Nerve conduction studies 5-6 studies (95909) | $670 | $670 | 2.5× |
| Nerve conduction studies 7-8 studies (95910) | $670 | $670 | 1.4× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,156 | $1,156 | 2.5× |
| Neuromuscular Reeducation (97112) | $221 | $221 | 6.8× |
| Optokinetic Nystagmus Test (92544) | $739 | $739 | 4.6× |
| Oral Function Therapy (92526) | $661 | $661 | 7.9× |
| Oral Speech Device Eval (92597) | $264 | $264 | 3.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$113–$148 | $113–$148 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$200–$214 | $200–$214 | varies |
| Oscillating Tracking Test (92545) | $739 | $739 | 2.7× |
| Ot Contrast Bath Ea 15 Min (97034) | $87 | $87 | 6.2× |
| Ot eval high complexity (97167) | $504 | $504 | 5.0× |
| Ot Eval Low Complex (97165) | $504 | $504 | 5.0× |
| Ot Eval Moderate Complexity (97166) | $504 | $504 | 5.0× |
| Ot manual therapy 15 min (97140) | $210 | $210 | 7.6× |
| Ot paraffin bath (97018) | $127 | $127 | 21.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $164 | $164 | 4.1× |
| Ot Re-Eval Est Plan Care (97168) | $282 | $282 | 4.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $313 | $313 | 1.9× |
| Peripheral arterial disease rehab per session (93668) | $384 | $384 | 5.2× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $17,192 | $17,192 | 2.4× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $34,385 | $34,385 | 2.4× |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$137–$279 | $137–$279 | varies |
| Physical Performance Test (97750) | $109 | $109 | 3.2× |
| Plethysmography (94726) | $670 | $670 | 1.4× |
| Pm device eval in person (93288) | $179 | $179 | 3.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$3,700–$4,624 | $3,700–$4,624 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$1,955–$2,443 | $1,955–$2,443 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$2,092–$2,614 | $2,092–$2,614 | varies |
| Positional nystagmus test (92542) | $739 | $739 | 4.4× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $127 | $127 | 2.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$200–$282 | $200–$282 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$200–$303 | $200–$303 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) | $34,385 | $34,385 | 2.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $34,385 | $34,385 | 2.4× |
| Psych diag eval w/med srvcs (90792) | $423 | $423 | 1.9× |
| Psychiatric diagnostic evaluation (90791) range across 6 matching MRF lines |
$399–$423 | $399–$423 | varies |
| Psytx Crisis Initial 60 Min (90839) | $427 | $427 | 1.9× |
| Pt Eval High Complex (97163) | $497 | $497 | 5.1× |
| Pt eval low complex 20 min (97161) | $497 | $497 | 5.1× |
| Pt Eval Mod Complex (97162) | $497 | $497 | 5.1× |
| Pt gait training 15 min (97116) | $222 | $222 | 7.6× |
| Pt mechanical traction (97012) | $127 | $127 | 8.8× |
| Pt Re-Eval Est Plan Care (97164) | $282 | $282 | 4.2× |
| Pulm function test by gas (94727) | $349 | $349 | 1.3× |
| Pulmonary service/procedure (94799) | $765 | $765 | 4.8× |
| Pulmonary Stress Testing (94618) | $316 | $316 | 1.9× |
| Pure Tone Audiometry Air (92552) | $279 | $279 | 1.7× |
| R Hrt Art/Grft Angio (93457) | $12,737 | $12,737 | 3.1× |
| R hrt coronary artery angio (93456) | $13,882 | $13,882 | 3.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $12,737 | $12,737 | 3.1× |
| Rapid Desensitization Procedure Each Hour (95180) | $905 | $905 | 1.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $358 | $358 | 7.7× |
| Respiratory flow volume loop (94375) | $678 | $678 | 2.5× |
| Right Heart Cath (93451) | $13,882 | $13,882 | 3.4× |
| Right ventricular recording (93603) | $3,098 | $3,098 | 2.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $433 | $433 | 1.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $468 | $468 | 3.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $190 | $190 | 4.0× |
| Select picture audiometry (92583) | $384 | $384 | 5.2× |
| Self Care Mngment Training (97535) | $205 | $205 | 6.3× |
| Sensory Integration Ea 15 Min (97533) | $222 | $222 | 3.7× |
| Sleep study attended (95807) | $1,898 | $1,898 | 4.1× |
| Sleep study unattended (95806) | $1,417 | $1,417 | 5.3× |
| Speech Audiometry Complete (92556) | $197 | $197 | 2.7× |
| Speech audiometry threshold (92555) | $181 | $181 | 2.5× |
| Speech sound lang comprehen (92523) | $700 | $700 | 3.1× |
| Spirometry (94010) | $712 | $712 | 2.6× |
| Spontaneous Nystagmus Test (92541) | $739 | $739 | 4.4× |
| Staggered Spondaic Word Test (92572) | $349 | $349 | 2.2× |
| Standardized Cognitive Performance Testing (96125) | $298 | $298 | 2.9× |
| Stenger Test, Pure Tone (92565) | $384 | $384 | 5.2× |
| Stress Tte Only (93350) | $2,312 | $2,312 | 3.4× |
| Subcutaneous Infusion Each Additional Hour (96370) | $204 | $204 | 3.5× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $648 | $648 | 2.4× |
| Subq Infusion Additional Pump Infusion Site (96371) | $163 | $163 | 1.8× |
| Temp transcutaneous pacing (92953) | $1,405 | $1,405 | 1.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$129–$168 | $129–$168 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$129–$168 | $129–$168 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $154 | $154 | 5.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $750 | $750 | 7.3× |
| Ther/Proph/Diag Inj Ia (96373) | $494 | $494 | 1.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$111–$488 | $111–$488 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 5 matching MRF lines |
$383–$756 | $383–$756 | varies |
| Therapeutic Activities (97530) | $222 | $222 | 6.3× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,361 | $2,361 | 5.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $121 | $121 | 2.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $121 | $121 | 2.6× |
| Tone Decay Test (92563) | $384 | $384 | 8.2× |
| Tte w/doppler, complete (93306) | $2,312 | $2,312 | 3.4× |
| Tte W/O Doppler Complete (93307) | $1,602 | $1,602 | 5.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $572 | $572 | 7.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$110–$488 | $110–$488 | varies |
| Tympanometry (92567) | $197 | $197 | 4.2× |
| Tympanometry and reflex threshold measurements (92550) | $349 | $349 | 1.3× |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$80–$349 | $80–$349 | varies |
| Unlisted ophthalmological service/procedure (92499) | $245 | $245 | 6.8× |
| Upr/L Xtremity Art 2 Levels (93922) | $749 | $749 | 4.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,118 | $1,118 | 4.1× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,788 | $1,788 | 3.8× |
| Veeg 2-12 hr intmt mntr (95712) | $997 | $997 | 2.1× |
| Veeg 2-12 hr unmonitored (95711) | $931 | $931 | 3.5× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,914 | $1,914 | 4.1× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,788 | $1,788 | 3.8× |
| Veeg ea 12-26hr cont mntr (95716) | $3,344 | $3,344 | 3.1× |
| Vent Mgmt Inpat Init Day (94002) | $1,331 | $1,331 | 1.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,331 | $1,331 | 1.7× |
| Visual reinforcement audiometry (vra) (92579) | $418 | $418 | 1.6× |
| Vital capacity, total (94150) | $349 | $349 | 2.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $202 | $202 | 6.5× |
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.