Visits & medical services prices at Holland Hospital
Holland, MI · every code in this section with a posted price and a Medicare benchmark.
239 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $127.20 | $212 | 1.3× |
| Acoustic Reflex Testing (92568) | $22.80 | $38 | 0.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 3 matching MRF lines |
$27–$30 | $45–$50 | varies |
| Advncd Care Plan 30 Min (99497) | $80.40 | $134 | 0.8× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $87 | $145 | 0.4× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$19.20–$114 | $32–$190 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $190.20 | $317 | 1.4× |
| Analyze neurostim complex (95972) | $109.80 | $183 | 1.2× |
| Analyze neurostim no prog (95970) range across 3 matching MRF lines |
$14.40–$61.80 | $24–$103 | varies |
| Analyze Pacemaker System (93724) | $190.20 | $317 | 0.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $27.60 | $46 | 1.9× |
| Audiometry Air & Bone (92553) range across 3 matching MRF lines |
$27–$90 | $45–$150 | varies |
| Behavral qualit analys voice (92524) | $192.60 | $321 | 1.8× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $108 | $180 | 1.3× |
| Bis Xtracell Fluid Analysis (93702) | $36 | $60 | 0.3× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$6–$24 | $10–$40 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$247.80 | $20–$413 | 0.7× |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$18.60–$40.80 | $31–$68 | varies |
| Car seat/bed test 60 min (94780) | $52.20 | $87 | 1.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $330 | $550 | 1.5× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$192.99–$551.40 | $321.65–$919 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$120–$1,320 | $200–$2,200 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $6 | $10 | 0.2× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $8,640 | $14,400 | 2.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $7,410 | $12,350 | 2.3× |
| Cbt 1st hour (94644) | $150 | $250 | 1.1× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$195–$225 | $325–$375 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $42.60 | $71 | 0.6× |
| Chemo IV infusion addl hr (96415) | $102.60 | $171 | 1.4× |
| Chemotherapy Into Cns (96450) | $357 | $595 | 1.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $360 | $600 | 1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $417 | $695 | 1.3× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) range across 3 matching MRF lines |
$12.60–$25.80 | $21–$43 | varies |
| Color/duplex Doppler, complete (93975) | $261 | $435 | 1.1× |
| Color/duplex Doppler, limited (93976) | $162.60 | $271 | 1.6× |
| Comprehensive Hearing Test (92557) range across 4 matching MRF lines |
$27–$90 | $45–$150 | varies |
| Conditioning Play Audiometry (92582) | $40.80 | $68 | 0.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $270 | $450 | 2.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 3 matching MRF lines |
$36–$165 | $60–$275 | varies |
| Continuous Pulse Ox (94762) | $157.80 | $263 | 1.2× |
| Coronary Art/Grft Angio S&I (93455) | $4,155.60 | $6,926 | 1.3× |
| Coronary Artery Angio S&I (93454) | $6,660 | $11,100 | 2.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $616.20 | $1,027 | 2.8× |
| Cpt initial (94667) range across 2 matching MRF lines |
$23.40–$130.20 | $39–$217 | varies |
| Critical care first hour (99291) | $271.20 | $452 | 0.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 10 matching MRF lines |
$13.80–$233.40 | $23–$389 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 3 matching MRF lines |
$19.20–$75 | $32–$125 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $305.40 | $509 | 1.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $228.60 | $381 | 2.2× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) range across 3 matching MRF lines |
$69.60–$192 | $116–$320 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $484.80 | $808 | 2.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $214.20 | $357 | 2.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,113.60 | $1,856 | 4.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $856.20 | $1,427 | 8.2× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$362.40–$720 | $604–$1,200 | varies |
| Duplex up extrem art unilat/ltd (93931) | $360 | $600 | 3.5× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 2 matching MRF lines |
$90–$108 | $150–$180 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) range across 3 matching MRF lines |
$72.60–$151.20 | $121–$252 | varies |
| Ear and throat examination (92502) | $98.40 | $164 | 0.2× |
| Echo Congenital Complete (93303) | $384.60 | $641 | 0.7× |
| Echo Heart Xthoracic,Limited (93308) | $278.40 | $464 | 1.2× |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$338.40–$774.60 | $564–$1,291 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$55.20–$604.80 | $92–$1,008 | varies |
| EEG awake drowsy (95816) | $66 | $110 | 0.3× |
| Eeg Sleep Only (95822) | $261.60 | $436 | 1.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$27–$30 | $45–$50 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $40.80 | $68 | 2.8× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$13.80–$96.60 | $23–$161 | varies |
| Electroconvulsive Therapy (90870) range across 2 matching MRF lines |
$131.40–$2,292.60 | $219–$3,821 | varies |
| Electrophysiology Evaluation (93642) | $1,477.80 | $2,463 | 1.2× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$40.80–$43.20 | $68–$72 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$68.40–$126 | $114–$210 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$120.60–$210 | $201–$350 | varies |
| Er level 1 (99281) | $22.20 | $37 | 0.3× |
| Er level v (99285) range across 3 matching MRF lines |
$179.40–$306 | $299–$510 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $861 | $1,435 | 2.3× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 3 matching MRF lines |
$72–$90 | $120–$150 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$17.40–$130.20 | $29–$217 | varies |
| Evaluate Speech Production (92522) | $199.20 | $332 | 1.8× |
| Evaluate Swallowing Function (92610) | $185.40 | $309 | 2.2× |
| Evaluation of speech fluency (92521) | $240 | $400 | 1.8× |
| Evoked Auditory Test,Limited (92587) range across 3 matching MRF lines |
$12.60–$53.40 | $21–$89 | varies |
| External ECG rec>48hr<7d recording (93242) | $242.40 | $404 | 6.5× |
| External ECG rec>7d<15d recording (93246) | $242.40 | $404 | 6.5× |
| External Ecg Scanning Analysis Report (93226) | $401.40 | $669 | 6.8× |
| Extracranial Bilat Study (93880) | $1,192.20 | $1,987 | 5.0× |
| Extracranial Uni/Ltd Study (93882) | $228.60 | $381 | 2.2× |
| Eye exam w anesth; complete (92018) | $134.40 | $224 | 0.1× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$51–$795 | $85–$1,325 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$81–$793.80 | $135–$1,323 | varies |
| Gi tract capsule endoscopy (91110) range across 3 matching MRF lines |
$507–$744 | $845–$1,240 | varies |
| Group Therapeutic Procedures (97150) | $37.80 | $63 | 2.1× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $9,507 | $15,845 | 2.9× |
| Holter monitor recording (93225) | $173.40 | $289 | 1.3× |
| Icd Device Interrogate (93289) | $52.20 | $87 | 1.4× |
| Icd device progr eval dual (93283) | $89.40 | $149 | 2.4× |
| Ilr Device Interrogate (93291) | $60 | $100 | 2.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $22.80 | $38 | 0.3× |
| Immunization administration (90471) range across 4 matching MRF lines |
$13.82–$60 | $23.03–$100 | varies |
| Inital newborn e/m (99460) range across 2 matching MRF lines |
$92.40–$100.20 | $154–$167 | varies |
| Insert/Place Heart Catheter (93503) | $2,040 | $3,400 | 1.3× |
| Interrogate Subq Defib (93261) | $52.20 | $87 | 1.4× |
| Iontophoresis 15 min (97033) | $46.80 | $78 | 2.5× |
| Irrig Drug Delivery Device (96523) | $69.60 | $116 | 1.2× |
| IV infusion hydration each additional hour (96361) | $210 | $350 | 4.5× |
| IV infusion hydration initial 31 min-1 hour (96360) | $246 | $410 | 1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $166.20 | $277 | 2.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $166.20 | $277 | 3.6× |
| IV push initial (96374) | $150 | $250 | 0.7× |
| L Hrt Art/Grft Angio (93459) | $7,800 | $13,000 | 2.4× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $2,550 | $4,250 | 0.8× |
| Laryngeal Function Studies (92520) | $162 | $270 | 1.2× |
| Low frequency non-thermal us (97610) range across 3 matching MRF lines |
$18–$133.20 | $30–$222 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $392.40 | $654 | 1.8× |
| Mechanical chest wall oscillation per session (94669) | $65.40 | $109 | 0.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$25.80–$36 | $43–$60 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$29.40–$43.20 | $49–$72 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $63.60 | $106 | 3.7× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$30–$341.40 | $50–$569 | varies |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$63–$1,146 | $105–$1,910 | varies |
| Motion Fluoroscopy/Swallow (92611) | $187.80 | $313 | 2.1× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$57–$2,621.40 | $95–$4,369 | varies |
| Nasopharyngoscopy (92511) range across 3 matching MRF lines |
$23.40–$156.60 | $39–$261 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$36–$300 | $60–$500 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 3 matching MRF lines |
$169.20–$420.60 | $282–$701 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$30–$180 | $50–$300 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$38.40–$153.60 | $64–$256 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 3 matching MRF lines |
$150.60–$410.40 | $251–$684 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 3 matching MRF lines |
$172.20–$476.40 | $287–$794 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 3 matching MRF lines |
$68.40–$183 | $114–$305 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 3 matching MRF lines |
$83.40–$219 | $139–$365 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 3 matching MRF lines |
$111–$288.60 | $185–$481 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 3 matching MRF lines |
$133.80–$350.40 | $223–$584 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $76.20 | $127 | 0.6× |
| Neuromuscular Reeducation (97112) | $73.20 | $122 | 2.2× |
| Newborn resuscitation (99465) | $141 | $235 | 0.2× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $36 | $60 | 1.4× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $51 | $85 | 1.5× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $18 | $30 | 1.3× |
| Oral Function Therapy (92526) | $186 | $310 | 2.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $82.20 | $137 | 1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $82.20 | $137 | 1.8× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 4 matching MRF lines |
$8.82–$30 | $14.70–$50 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) | $42.60 | $71 | 2.0× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $55.20 | $92 | 2.6× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $62.40 | $104 | 2.9× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $71.40 | $119 | 3.3× |
| Ot eval high complexity (97167) | $178.80 | $298 | 1.8× |
| Ot Eval Low Complex (97165) | $156.60 | $261 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $168.60 | $281 | 1.7× |
| Ot manual therapy 15 min (97140) | $64.80 | $108 | 2.3× |
| Ot paraffin bath (97018) | $23.40 | $39 | 3.9× |
| Ot Prosthetic Training, Each 15 Min (97761) | $82.20 | $137 | 2.0× |
| Ot Re-Eval Est Plan Care (97168) | $111.60 | $186 | 1.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $178.20 | $297 | 1.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $178.20 | $297 | 1.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $126 | $210 | 0.6× |
| Percutaneous tests w/allergenic extracts (95004) | $570 | $950 | 0.7× |
| Peripheral arterial disease rehab per session (93668) | $40.80 | $68 | 0.7× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) unusually low: confirm this is the full procedure |
$5,970 | $9,950 | 0.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $3,590.40 | $5,984 | 0.6× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $7,340.40 | $12,234 | 0.6× |
| Phlebotomy therapeutic (99195) | $210 | $350 | 1.6× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $142.80 | $238 | 2.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $142.80 | $238 | 2.4× |
| Physical Performance Test (97750) | $70.80 | $118 | 2.1× |
| Plethysmography (94726) range across 2 matching MRF lines |
$1,012.80 | $20–$1,688 | 2.7× |
| Pm device eval in person (93288) | $52.20 | $87 | 1.4× |
| Pm device progr eval dual (93280) | $60 | $100 | 1.6× |
| Pm Device Progr Eval Sngl (93279) | $60 | $100 | 1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$123–$3,233.40 | $205–$5,389 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 2 matching MRF lines |
$15–$36 | $25–$60 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $89.40 | $149 | 2.4× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $66 | $110 | 0.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$9–$36 | $15–$60 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$12–$36 | $20–$60 | varies |
| Prq Card Angio/Athrect 1 Art (92924) | $6,582 | $10,970 | 0.6× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $7,340.40 | $12,234 | 0.6× |
| Prq Card Stent/Ath/Angio (92933) range across 2 matching MRF lines |
$5,425.20–$11,126.40 | $9,042–$18,544 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$5,425.20–$7,340.40 | $9,042–$12,234 | varies |
| Prq trl rvs ch occ ant&rtrgr (92945) range across 2 matching MRF lines |
$5,425.20–$10,352.40 | $9,042–$17,254 | varies |
| Psych diag eval w/med srvcs (90792) | $144 | $240 | 0.8× |
| Psychiatric diagnostic evaluation (90791) range across 4 matching MRF lines |
$81–$177 | $135–$295 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$102–$102.08 | $170–$170.14 | varies |
| Pt Eval High Complex (97163) | $186 | $310 | 1.9× |
| Pt eval low complex 20 min (97161) | $163.80 | $273 | 1.7× |
| Pt Eval Mod Complex (97162) | $175.80 | $293 | 1.8× |
| Pt gait training 15 min (97116) | $61.20 | $102 | 2.1× |
| Pt mechanical traction (97012) | $35.40 | $59 | 2.5× |
| Pt Re-Eval Est Plan Care (97164) | $117.60 | $196 | 1.7× |
| Pt ultraviolet (97028) | $44.40 | $74 | 5.3× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $6 | $10 | 0.2× |
| Pulm function test by gas (94727) | $1,003.20 | $1,672 | 4.7× |
| Pulmonary Stress Testing (94618) range across 4 matching MRF lines |
$25.20–$190.80 | $42–$318 | varies |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$36–$72 | $60–$120 | varies |
| R Hrt Art/Grft Angio (93457) | $5,247.60 | $8,746 | 1.6× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $2,550 | $4,250 | 0.8× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $2,550 | $4,250 | 0.8× |
| R hrt coronary artery angio (93456) | $8,100 | $13,500 | 2.5× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $2,550 | $4,250 | 0.8× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $2,550 | $4,250 | 0.8× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $4,957.20 | $8,262 | 1.5× |
| Remote 30 Day Ecg Rev/Report (93270) | $195.60 | $326 | 5.3× |
| Right Heart Cath (93451) | $7,290 | $12,150 | 2.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$30–$240 | $50–$400 | varies |
| Same day nb discharge (99463) | $108 | $180 | 0.8× |
| Sbsq Psyc Collab Care Mgmt (99493) | $133.80 | $223 | 1.3× |
| Self Care Mngment Training (97535) | $75 | $125 | 2.3× |
| Sleep study unattended (95806) | $51 | $85 | 0.2× |
| Slp caregiver training 1st 30 min (97550) | $54 | $90 | 1.0× |
| Speech Audiometry Complete (92556) range across 2 matching MRF lines |
$45–$54 | $75–$90 | varies |
| Speech audiometry threshold (92555) | $36 | $60 | 0.6× |
| Speech sound lang comprehen (92523) | $424.20 | $707 | 1.9× |
| Spirometry (94010) range across 4 matching MRF lines |
$9–$133.20 | $15–$222 | varies |
| Stenger Test, Pure Tone (92565) | $15.60 | $26 | 0.3× |
| Stress Tte Only (93350) | $640.80 | $1,068 | 1.2× |
| Temp transcutaneous pacing (92953) | $299.40 | $499 | 0.5× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $91.20 | $152 | 2.5× |
| Ther/Proph/Diag Inj Ia (96373) | $129.60 | $216 | 0.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$15–$74.40 | $25–$124 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $219 | $365 | 1.0× |
| Therapeutic Activities (97530) | $75 | $125 | 2.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$26.40–$36 | $44–$60 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$13.20–$33 | $22–$55 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$75–$174 | $125–$290 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$75–$234 | $125–$390 | varies |
| Tte w/doppler, complete (93306) | $1,218 | $2,030 | 2.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $171 | $285 | 2.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $131.40 | $219 | 2.8× |
| Tympanometry (92567) range across 4 matching MRF lines |
$12–$52.20 | $20–$87 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 2 matching MRF lines |
$21–$90 | $35–$150 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$322.80–$4,200 | $538–$7,000 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $926.40 | $1,544 | 7.2× |
| Upr/L Xtremity Art 2 Levels (93922) | $172.80 | $288 | 1.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $449.40 | $749 | 2.1× |
| Vent Mgmt Inpat Init Day (94002) | $1,062 | $1,770 | 1.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $373.20 | $622 | 0.6× |
| Visual reinforcement audiometry (vra) (92579) range across 3 matching MRF lines |
$36–$90 | $60–$150 | varies |
| Whirlpool Therapy (97022) | $49.80 | $83 | 3.2× |
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.