Visits & medical services prices at Holston Valley Medical Center

Kingsport, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $3,730.80 $24,872 0.5×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $15.45 $103 0.1×
Acoustic Reflex Testing (92568) $10.50 $70 0.3×
Admn Sarscov2 Vacc 1 Dose (90480) $17.85 $119 0.5×
Advncd Care Plan 30 Min (99497) $36.45 $243 0.4×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $66.30 $442 0.3×
Aep neurodiagnostic i&r (92653) $125.55 $837 0.6×
Aep threshold estimation mlt frequencies i&r (92652) $125.55 $837 0.6×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines		 $60.30–$98.55 $402–$657 varies
Airway resistance by oscillometry (94728) $42.90 $286 0.4×
Analyze neurostim no prog (95970) $54.75 $365 0.4×
Analyze Neurostim Simple (95971) $59.85 $399 0.7×
Analyze Pacemaker System (93724) $513.90 $3,426 1.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $16.35 $109 1.1×
Application Modality 1/> Areas Infrared (97026) $17.70 $118 2.6×
Application on-body injector (96377) $27 $180 0.6×
Arrhythmia Induction (93618) $513.90 $3,426 0.4×
Assessment of aphasia per hr (96105) $98.70 $658 1.0×
Assessment of tinnitus (92625) $16.50 $110 0.1×
Assmt & care planning pt w/cognitive impairment (99483) $39.45 $263 0.4×
Audiometry Air & Bone (92553) $27.45 $183 0.2×
Auditory Function, 60 Min (92620) $57.30 $382 0.5×
Behavral qualit analys voice (92524) $92.55 $617 0.8×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $11.40 $76 0.1×
Bfb training ea addl 15 min (90913) $6.30 $42 0.2×
Biofeedback training any modality (90901) $38.85 $259 0.9×
Blink reflex test (95933) $66.15 $441 1.2×
Breath hydrogen/methane test (91065) $69.45 $463 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $194.55 $1,297 0.5×
Bundle of his recording (93600)
likely a partial charge, not the full procedure		 $1,142.25 $7,615 0.2×
C motor evoked uppr limbs (95928) $413.85 $2,759 0.5×
C motor evoked upr&lwr limbs (95939) $347.85 $2,319 0.4×
Canalith repositioning proc (95992) $42.30 $282 1.0×
Car seat/bed test 60 min (94780) $49.65 $331 1.4×
Cardiac Stress Tst,Tracing Only (93017) $223.95 $1,493 1.1×
Cardiopulmonary exercise testing (94621) $247.50 $1,650 0.7×
Cardiopulmonary resuscitation (92950) $513.90 $3,426 2.5×
Cardioversion (92960) $513.90 $3,426 0.8×
Cardioversion elective internal (92961) $513.90 $3,426 0.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $33.60 $224 1.3×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $2,576.70 $17,178 0.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $2,405.40 $16,036 0.8×
Cbt 1st hour (94644) $43.50 $290 0.3×
Chemo Admin Peritoneal Cavity (96446) $63.90 $426 0.2×
Chemo Anti-Neopl Sq/Im (96401) $88.05 $587 1.3×
Chemo Hormon Antineopl Sq/Im (96402) $53.55 $357 0.8×
Chemo Ia Push (96420) $296.25 $1,975 0.9×
Chemo Intralesional Over 7 (96406) $43.20 $288 0.2×
Chemo intralesional up to 7 (96405) $39.15 $261 0.6×
Chemo IV infusion addl hr (96415) $58.95 $393 0.9×
Chemo IV push addl drug (96411) $106.95 $713 1.6×
Chemother Prolong Infuse W/Pump (96416) $279.90 $1,866 0.9×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $296.25 $1,975 0.9×
Chemotherapy Into Cns (96450) $221.55 $1,477 0.7×
Chemotherapy Unspecified (96549) $16.95 $113 0.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $126.90 $846 1.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $260.40 $1,736 0.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $184.05 $1,227 0.6×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $46.95 $313 0.1×
Chest Wall Manipulation (94668) $28.95 $193 0.2×
Chiropract manj 3-4 regions (98941) $14.70 $98 0.7×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) $13.35 $89 0.7×
Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) $16.20 $108 0.8×
Chron Care Mgmt Srvc 20 Min (99490) $38.55 $257 0.4×
Color/duplex Doppler, complete (93975) $344.25 $2,295 1.5×
Color/duplex Doppler, limited (93976) $229.50 $1,530 2.3×
Community/Work Reintegration Trainj Ea 15 Min (97537) $29.25 $195 0.9×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $39.45 $263 0.2×
Comprehensive Hearing Test (92557) $44.25 $295 0.4×
Cont gluc mntr physician/qhp provided equiptment (95250) $94.35 $629 0.7×
Cont Gluc Mntr Pt Prov Eqp (95249) $33.90 $226 0.6×
Continuous Pulse Ox (94762) $69.15 $461 0.6×
Coronary Art/Grft Angio S&I (93455) $1,818.15 $12,121 0.6×
Coronary Artery Angio S&I (93454) $1,818.15 $12,121 0.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $234.75 $1,565 1.1×
Cpt initial (94667) $38.85 $259 0.3×
Critical care first hour (99291) $699.60 $4,664 0.9×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $413.85 $2,759 1.2×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines		 $71.55–$76.95 $477–$513 varies
Developmental tst admin phys/qhp 1st hour (96112) $67.20 $448 0.6×
Dialysis One Evaluation (90945) $194.55 $1,297 0.5×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $25.80 $172 0.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $344.25 $2,295 1.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $229.50 $1,530 2.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $344.25 $2,295 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $229.50 $1,530 2.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $344.25 $2,295 1.5×
Dup-scan xtr veins unilateral/limited study (93971) $229.50 $1,530 2.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $476.25 $3,175 2.1×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $317.55 $2,117 3.2×
Duplex Scan Hemodialysis Access (93990) $229.50 $1,530 2.3×
Duplex up extrem art bilat (93930) $344.25 $2,295 1.5×
Duplex up extrem art unilat/ltd (93931) $229.50 $1,530 2.3×
Echo Congenital Complete (93303) $448.35 $2,989 0.9×
Echo Heart Xthoracic,Limited (93308) $175.35 $1,169 0.8×
Echo transesophageal (93312) $448.35 $2,989 0.9×
Echo Transesophageal - Congenital Tee Complete (93315) $293.10 $1,954 0.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $448.35 $2,989 0.9×
Eeg 41-60 Minutes (95812) $350.70 $2,338 1.7×
EEG awake and asleep (95819) $213.45 $1,423 1.0×
EEG awake drowsy (95816) $205.50 $1,370 1.0×
EEG cerebral death evaluation (95824) $184.80 $1,232 0.5×
EEG cont rec w/video by tech min 8 channels (95700) $263.55 $1,757 1.3×
EEG extended monitoring 61-119 minutes (95813) $386.85 $2,579 1.9×
Eeg Sleep Only (95822) $282.45 $1,883 1.4×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $263.55 $1,757 1.3×
EEG w/o vid 2-12hr cont mntr (95707) $318.75 $2,125 1.6×
EEG w/o vid ea 12-26hr intmt (95709) $241.05 $1,607 0.7×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $505.35 $3,369 1.4×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $289.80 $1,932 1.4×
EEG wo vid ea 12-26hr unmntr (95708) $505.35 $3,369 1.4×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $61.80 $412 0.7×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $19.35 $129 0.5×
Electrical Stimulation Ea 15 Min (97032) $18.45 $123 1.3×
Electrocardiogram Tracing (93005) $70.95 $473 1.3×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
likely a partial charge, not the full procedure		 $1,142.25 $7,615 0.2×
Electrophysiology Evaluation (93642) $513.90 $3,426 0.4×
Emergency Dept Visit Level 2 (99282) $94.35 $629 0.6×
Emergency Dept Visit Level 3 (99283) $204.75 $1,365 0.8×
Emergency Dept Visit Level 4 (99284) $300.30 $2,002 0.8×
Emg 3 Extremities (95863) $123.75 $825 1.0×
Emg 4 Extremities (95864) $133.20 $888 1.1×
Ep & ablate supravent arrhyt (93653)
likely a partial charge, not the full procedure		 $4,032.60 $26,884 0.2×
Ep & ablate ventric tachy (93654)
likely a partial charge, not the full procedure		 $4,032.60 $26,884 0.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
likely a partial charge, not the full procedure		 $1,142.25 $7,615 0.2×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
likely a partial charge, not the full procedure		 $1,142.25 $7,615 0.2×
Er level 1 (99281) $68.40 $456 0.9×
Er level v (99285) $456.15 $3,041 0.8×
Evaluate pt use of inhaler (94664) $34.80 $232 0.2×
Evaluate Speech Production (92522) $89.85 $599 0.8×
Evaluate Swallowing Function (92610) $82.20 $548 1.0×
Evaluation of speech fluency (92521) $110.10 $734 0.8×
Evoked Auditory Test,Limited (92587) $23.70 $158 0.1×
Exercise test for bronchospasm (94617) $60.15 $401 0.5×
External ECG rec>48hr<7d recording (93242) $161.85 $1,079 4.6×
External ECG rec>7d<15d recording (93246) $161.85 $1,079 4.6×
External Ecg Scanning Analysis Report (93226) $247.50 $1,650 4.4×
Extracranial Bilat Study (93880) $229.50 $1,530 1.0×
Extracranial Uni/Ltd Study (93882) $229.50 $1,530 2.3×
F-up/limited tthrc echo congenital car anomaly (93304) $209.55 $1,397 0.4×
Flexible endoscopic eval swallow c/v rec (92612) $167.10 $1,114 0.8×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $282.60 $1,884 0.3×
Fundus photography (92250) $54.75 $365 0.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $227.25 $1,515 0.3×
Gi tract capsule endoscopy (91110) $382.35 $2,549 0.4×
Group Therapeutic Procedures (97150) $16.80 $112 0.9×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $2,576.70 $17,178 0.8×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $301.05 $2,007 0.5×
Holter monitor recording (93225) $247.50 $1,650 2.0×
Icd Device Interrogate (93289) $513.90 $3,426 14.5×
Icd device progr eval dual (93283) $513.90 $3,426 14.5×
Icd Device Progr Eval Mult (93284) $513.90 $3,426 14.5×
Ilr Device Eval Progr (93285) $513.90 $3,426 14.5×
Ilr Device Interrogate (93291) $513.90 $3,426 18.7×
Im Adm Intransl/Oral 1 Vaccine (90473) $30.60 $204 0.4×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $25.05 $167 0.4×
Immunization administration (90471) $25.50 $170 0.4×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $106.35 $709 0.3×
Insert/Place Heart Catheter (93503) $1,818.15 $12,121 1.2×
Interrog&prgrmg impl phrenic nrv stimulator sys (93151) $47.55 $317 0.5×
Interrog&prgrmg ipnss during polysomnography (93152) $147 $980 0.5×
Interrogation without programming ipnss (93153) $147 $980 1.6×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure		 $1,142.25 $7,615 0.2×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure		 $1,142.25 $7,615 0.2×
Intracranial Complete Study (93886) $317.55 $2,117 1.4×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure		 $1,142.25 $7,615 0.2×
Iontophoresis 15 min (97033) $28.20 $188 1.5×
Irrig Drug Delivery Device (96523) $29.40 $196 0.5×
IV infusion hydration each additional hour (96361) $27.60 $184 0.6×
IV infusion hydration initial 31 min-1 hour (96360) $79.95 $533 0.4×
IV infusion ther proph addl sequential to 1 hr (96367) $43.95 $293 0.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $36 $240 0.8×
IV push initial (96374) $59.70 $398 0.3×
L Hrt Art/Grft Angio (93459) $2,405.40 $16,036 0.8×
Liver Elastography W/O Imag W/I&R (91200) $91.65 $611 0.8×
Lung Function Test (Mbc/Mvv) (94200) $28.95 $193 0.5×
Lwr Xtr Vasc Stdy Bilat (93924) $229.50 $1,530 1.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $12 $80 0.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $15.75 $105 0.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $5.25 $35 0.3×
Methacholine challenge (94070) $229.20 $1,528 0.6×
Motility study esophagus (91010) $227.25 $1,515 0.6×
Motion Fluoroscopy/Swallow (92611) $83.70 $558 0.9×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $55.20 $368 0.1×
Multiple Sleep Latency Test (95805) $338.40 $2,256 0.4×
Muscle Test 2 Limbs (95861) $87.75 $585 0.7×
Muscle Test Hemidiaphragm (95866) $71.55 $477 0.6×
Muscle Test Nonparaspinal (95870) $71.85 $479 0.6×
Muscle Test One Limb (95860) $68.10 $454 0.5×
Nasopharyngoscopy (92511) $79.80 $532 0.4×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $69.15 $461 0.3×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $71.55 $477 0.3×
Needle electromyography larynx (95865) $55.20 $368 0.4×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $85.80 $572 0.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $75.45 $503 0.2×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $75.45 $503 0.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $39.15 $261 0.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $54.30 $362 0.1×
Nerve Conduction Studies 1-2 Studies (95907) $42.75 $285 0.2×
Nerve Conduction Studies 11-12 Studies (95912) $69.15 $461 0.2×
Nerve conduction studies 13 or more studies (95913) $76.05 $507 0.2×
Nerve Conduction Studies 3-4 Studies (95908) $46.95 $313 0.2×
Nerve conduction studies 5-6 studies (95909) $51.75 $345 0.3×
Nerve conduction studies 7-8 studies (95910) $57 $380 0.2×
Nerve Conduction Studies 9-10 Studies (95911) $62.85 $419 0.2×
Neurobehavioral Status Exam (96116) $128.40 $856 0.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $54.30 $362 0.4×
Neuromuscular Reeducation (97112) $32.25 $215 1.0×
Newborn resuscitation (99465) $130.20 $868 0.2×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $58.35 $389 0.5×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $58.35 $389 0.5×
Ophth medical xm&eval intermediate estab pt (92012) $58.35 $389 0.5×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $58.35 $389 0.5×
Oral Function Therapy (92526) $84 $560 1.0×
Oral Speech Device Eval (92597) $70.50 $470 1.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $46.20 $308 0.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $36.60 $244 0.8×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $5.85 $39 0.3×
Osteopathic manipulative tx 3-4 body regions (98926) $6.45 $43 0.3×
Osteopathic manipulative tx 5-6 body regions (98927) $6.90 $46 0.3×
Osteopathic manipulative tx 7-8 body regions (98928) $7.65 $51 0.4×
Osteopathic manipulative tx 9-10 body regions (98929) $8.55 $57 0.4×
Ot Contrast Bath Ea 15 Min (97034) $17.40 $116 1.2×
Ot eval high complexity (97167) $79.20 $528 0.8×
Ot Eval Low Complex (97165) $71.70 $478 0.7×
Ot Eval Moderate Complexity (97166) $75.45 $503 0.8×
Ot manual therapy 15 min (97140) $28.95 $193 1.0×
Ot paraffin bath (97018) $18.75 $125 3.1×
Ot Prosthetic Training, Each 15 Min (97761) $31.95 $213 0.8×
Ot Re-Eval Est Plan Care (97168) $45.90 $306 0.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $25.35 $169 0.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $49.20 $328 0.4×
Oxygen Uptake Rest Indirect (94690) $41.10 $274 0.7×
Penile Vascular Study,Ltd or F/U (93981) $273.75 $1,825 2.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $53.55 $357 0.3×
Peripheral arterial disease rehab per session (93668) $513.90 $3,426 9.2×
Perq transcath closure pda (93582)
likely a partial charge, not the full procedure		 $3,018.15 $20,121 0.2×
Perq Transcath Cls Aortic (93591)
likely a partial charge, not the full procedure		 $3,392.70 $22,618 0.2×
Perq Transcath Cls Mitral (93590)
likely a partial charge, not the full procedure		 $3,392.70 $22,618 0.2×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $4,357.65 $29,051 0.8×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
unusually low: confirm this is the full procedure		 $4,357.65 $29,051 0.4×
Phlebotomy therapeutic (99195) $65.10 $434 0.5×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $38.10 $254 0.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $35.85 $239 0.6×
Physical Performance Test (97750) $31.95 $213 0.9×
Plethysmography (94726) $92.40 $616 0.3×
Pm device eval in person (93288) $513.90 $3,426 14.5×
Pm device progr eval dual (93280) $513.90 $3,426 14.5×
Pm device progr eval multi (93281) $513.90 $3,426 14.5×
Pm Device Progr Eval Sngl (93279) $513.90 $3,426 14.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $555.60 $3,704 0.7×
Polysom <6 yrs 4/> paramtrs (95782) $933.60 $6,224 1.1×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $972.45 $6,483 1.2×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $512.85 $3,419 0.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $6 $40 0.1×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $12.90 $86 0.3×
Prq Card Angio/Athrect 1 Art (92924)
unusually low: confirm this is the full procedure		 $4,357.65 $29,051 0.4×
Prq Card Stent W/Angio 1 Vsl (92928)
unusually low: confirm this is the full procedure		 $3,339.75 $22,265 0.3×
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure		 $3,339.75 $22,265 0.2×
Prq Revasc Byp Graft 1 Vsl (92937)
unusually low: confirm this is the full procedure		 $4,357.65 $29,051 0.4×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $163.50 $1,090 0.4×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $35.25 $235 0.9×
Pt Eval High Complex (97163) $81.75 $545 0.8×
Pt eval low complex 20 min (97161) $73.80 $492 0.8×
Pt Eval Mod Complex (97162) $77.85 $519 0.8×
Pt gait training 15 min (97116) $27.45 $183 0.9×
Pt mechanical traction (97012) $20.10 $134 1.4×
Pt Re-Eval Est Plan Care (97164) $48.60 $324 0.7×
Pulm function test by gas (94727) $47.55 $317 0.2×
Pulmonary service/procedure (94799) $21.60 $144 0.2×
Pulmonary Stress Testing (94618) $91.80 $612 0.7×
Pure Tone Audiometry Air (92552) $15.90 $106 0.1×
R Hrt Art/Grft Angio (93457) $2,405.40 $16,036 0.8×
R hrt coronary artery angio (93456) $1,783.05 $11,887 0.6×
R&L Hrt Cath W/Ventriclgrphy (93453) $2,576.70 $17,178 0.8×
Refill/Maint Portable Pump (96521) $160.65 $1,071 0.8×
Refill/Maint Pump/Resvr Syst (96522) $132 $880 0.7×
Remote 30 Day Ecg Rev/Report (93270) $247.50 $1,650 7.0×
Respiratory flow volume loop (94375) $92.25 $615 0.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $247.50 $1,650 4.4×
Right Heart Cath (93451) $2,405.40 $16,036 0.8×
Right ventricular recording (93603) $379.35 $2,529 0.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $84 $560 0.4×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $16.80 $112 0.6×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $124.05 $827 1.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $51 $340 1.1×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $232.95 $1,553 0.7×
Self Care Mngment Training (97535) $33.60 $224 1.0×
Sensory Integration Ea 15 Min (97533) $28.35 $189 0.5×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $85.80 $572 0.4×
Short-latency somatosens ep std upr limbs (95925) $365.55 $2,437 1.8×
Sleep study attended (95807) $520.05 $3,467 1.5×
Sleep study unattended (95806) $260.70 $1,738 1.3×
Slp caregiver training 1st 30 min (97550) $67.05 $447 1.3×
Slp Stdy Unatnd W/Anal (95801) $161.70 $1,078 2.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $184.80 $1,232 0.9×
Somatosensory Testing (95938) $272.25 $1,815 0.3×
Speech Audiometry Complete (92556) $9.45 $63 0.2×
Speech sound lang comprehen (92523) $185.85 $1,239 0.8×
Spirometry (94010) $86.40 $576 0.4×
Ssep lower limbs (95926) $109.65 $731 0.5×
Standardized Cognitive Performance Testing (96125) $46.05 $307 0.4×
Stress Tte Only (93350) $448.35 $2,989 0.9×
Subcutaneous Infusion Each Additional Hour (96370) $323.25 $2,155 7.3×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $77.40 $516 0.4×
Subq Infusion Additional Pump Infusion Site (96371) $37.80 $252 0.6×
Surfactant Admin Thru Tube (94610) $58.65 $391 0.3×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $300.45 $2,003 3.0×
Temp transcutaneous pacing (92953) $513.90 $3,426 0.8×
Testing Autonomic Nervous System Function (95923) $88.50 $590 0.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $23.70 $158 1.1×
Ther Ivntj Ea Addl 15 Min (97130) $22.65 $151 1.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $40.95 $273 1.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $25.35 $169 0.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $107.10 $714 1.0×
Ther/Prop/Diag Inj/Inf Proc (96379) $19.35 $129 0.4×
Ther/Proph/Diag Inj Ia (96373) $53.70 $358 0.3×
Ther/Proph/Diag Inj Sc/Im (96372) $31.95 $213 0.5×
Ther/Proph/Diag Iv Inf Init (96365) $92.55 $617 0.5×
Therapeutic Activities (97530) $33.60 $224 1.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $450.75 $3,005 1.3×
Tone Decay Test (92563) $13.20 $88 0.4×
Trans Care Mgmt 14 Day Disch (99495) $58.35 $389 0.5×
Trans Care Mgmt 7 Day Disch (99496) $58.35 $389 0.5×
Transcath Closure of Asd (93580)
likely a partial charge, not the full procedure		 $3,076.95 $20,513 0.2×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $229.50 $1,530 2.3×
Tte w/doppler, complete (93306) $448.35 $2,989 0.9×
Tx atrial fib pulm vein isol (93656)
likely a partial charge, not the full procedure		 $4,032.60 $26,884 0.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $77.40 $516 1.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $22.65 $151 0.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $27.75 $185 0.6×
Tympanometry (92567) $17.85 $119 0.5×
Tympanometry and reflex threshold measurements (92550) $14.55 $97 0.1×
Unlis neurological/neuromuscular dx px (95999) $71.55 $477 0.6×
Unlisted Special Dermatological Service/Px (96999) $86.85 $579 0.5×
Upr/L Xtremity Art 2 Levels (93922) $229.50 $1,530 1.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $252.45 $1,683 1.2×
Valvuloplasty aortic valve (92986) $4,357.65 $29,051 0.8×
Valvuloplasty mitral valve (92987)
unusually low: confirm this is the full procedure		 $4,357.65 $29,051 0.4×
Vasopneumatic device (97016) $25.20 $168 2.1×
Veeg 2-12 Hr Cont Mntr (95713) $505.35 $3,369 1.4×
Veeg 2-12 hr intmt mntr (95712) $289.80 $1,932 0.8×
Veeg 2-12 hr unmonitored (95711) $263.55 $1,757 1.3×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $556.05 $3,707 1.6×
Veeg Ea 12-26 Hr Unmntr (95714) $505.35 $3,369 1.4×
Veeg ea 12-26hr cont mntr (95716) $945.90 $6,306 1.2×
Vent Mgmt Inpat Init Day (94002) $198.90 $1,326 0.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $405.60 $2,704 0.7×
Visual Evoked Potential Test (95930) $107.70 $718 0.5×
Visual reinforcement audiometry (vra) (92579) $30 $200 0.1×
Vital capacity, total (94150) $28.35 $189 0.2×
Wheelchair Mgmt Ea 15 Min (97542) $29.55 $197 1.0×
Whirlpool Therapy (97022) $22.05 $147 1.4×

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.