Visits & medical services prices at Holy Cross Hospital-jordan Valley
West Jordan, UT · every code in this section with a posted price and a Medicare benchmark.
233 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) | $6,415.52 | $16,038.79 | 0.8× |
| Airway Inhalation Treatment (94640) | $314.48 | $786.19 | 1.4× |
| Analyze Neurostim Simple (95971) | $384.10 | $960.25 | 4.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$49.09–$59.76 | $122.71–$149.38 | varies |
| Arrhythmia Induction (93618) | $1,626.74 | $4,066.84 | 1.3× |
| Assessment of aphasia per hr (96105) | $186.16 | $465.39 | 1.9× |
| Behavral qualit analys voice (92524) | $101.93 | $254.82 | 0.9× |
| Biofeedback training any modality (90901) | $38.31 | $95.76 | 0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $414.13 | $1,035.32 | 1.1× |
| C motor evoked upr&lwr limbs (95939) range across 2 matching MRF lines |
$771.12–$1,572.33 | $1,927.79–$3,930.81 | varies |
| Canalith repositioning proc (95992) | $56.18 | $140.44 | 1.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $420.27 | $1,050.67 | 1.9× |
| Cardiopulmonary exercise testing (94621) | $424.56 | $1,061.40 | 1.1× |
| Cardiopulmonary resuscitation (92950) | $1,151.45 | $2,878.61 | 5.3× |
| Cardioversion (92960) range across 2 matching MRF lines |
$736.63–$751.08 | $1,841.57–$1,877.68 | varies |
| Cardioversion elective internal (92961) | $844.95 | $2,112.37 | 1.3× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $20.66 | $51.64 | 0.8× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $7,851.32 | $19,628.29 | 2.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $7,851.32 | $19,628.29 | 2.4× |
| Cbt 1st hour (94644) | $174.52 | $436.28 | 1.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $190.81 | $477.01 | 2.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $134.40 | $336 | 1.8× |
| Chemo IV infusion addl hr (96415) | $228.38 | $570.93 | 3.1× |
| Chemo IV push addl drug (96411) | $156.19 | $390.46 | 2.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $161.62 | $404.03 | 2.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $460.81 | $1,152.02 | 1.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $301.78 | $754.43 | 0.9× |
| Chest Wall Manipulation (94668) | $78.50 | $196.23 | 0.6× |
| Color/duplex Doppler, complete (93975) | $932.24 | $2,330.60 | 3.9× |
| Color/duplex Doppler, limited (93976) | $356.61 | $891.52 | 3.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$55.63–$56.91 | $139.06–$142.26 | varies |
| Continuous Pulse Ox (94762) | $206.62 | $516.53 | 1.6× |
| Coronary Art/Grft Angio S&I (93455) | $6,938.54 | $17,346.33 | 2.1× |
| Coronary Artery Angio S&I (93454) | $7,035.46 | $17,588.64 | 2.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $521.80 | $1,304.50 | 2.4× |
| Cpt initial (94667) | $216.80 | $542 | 1.6× |
| Critical care first hour (99291) | $1,362.37 | $3,405.92 | 1.6× |
| Debridement Open Wound 20 Sq Cm< (97597) | $260.56 | $651.40 | 1.3× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $397.51 | $993.76 | 1.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $371.79 | $929.46 | 1.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $327.17 | $817.92 | 3.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $604.20 | $1,510.50 | 2.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $344.66 | $861.65 | 3.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $771.55 | $1,928.87 | 3.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $403.50 | $1,008.73 | 3.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $319.85 | $799.61 | 1.3× |
| Duplex Scan Hemodialysis Access (93990) | $211.30 | $528.25 | 2.0× |
| Duplex up extrem art bilat (93930) | $896.22 | $2,240.55 | 3.7× |
| Duplex up extrem art unilat/ltd (93931) | $1,506.07 | $3,765.17 | 14.2× |
| ECG/monitoring and analysis (93271) | $672.19 | $1,680.47 | 7.0× |
| Echo Congenital Complete (93303) | $858.52 | $2,146.30 | 1.6× |
| Echo Heart Xthoracic,Limited (93308) | $1,015.56 | $2,538.88 | 4.2× |
| Echo r-t 2d w/probe placement only (93313) | $722.36 | $1,805.90 | 1.3× |
| Echo transesophag montr cardiac pump functj (93318) | $834.71 | $2,086.77 | 1.5× |
| Echo transesophageal (93312) | $1,152.86 | $2,882.14 | 2.1× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,152.86 | $2,882.14 | 2.1× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $843.68 | $2,109.20 | 1.5× |
| Eeg 41-60 Minutes (95812) | $655.85 | $1,639.62 | 3.0× |
| EEG awake and asleep (95819) | $485.78 | $1,214.44 | 2.2× |
| EEG awake drowsy (95816) | $485.78 | $1,214.44 | 2.2× |
| EEG cerebral death evaluation (95824) | $515.18 | $1,287.93 | 1.4× |
| EEG cont rec w/video by tech min 8 channels (95700) | $380.45 | $951.12 | 1.7× |
| EEG extended monitoring 61-119 minutes (95813) | $711.60 | $1,778.99 | 3.3× |
| Eeg Sleep Only (95822) | $485.78 | $1,214.44 | 2.2× |
| EEG wo vid ea 12-26hr unmntr (95708) | $729.94 | $1,824.85 | 1.9× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$58.79–$74.08 | $146.96–$185.20 | varies |
| Electrocardiogram Tracing (93005) | $174.92 | $437.29 | 2.9× |
| Electrophysiology Evaluation (93642) | $1,518.32 | $3,795.79 | 1.2× |
| Emergency Dept Visit Level 2 (99282) | $308.97 | $772.41 | 2.0× |
| Emergency Dept Visit Level 3 (99283) | $469.86 | $1,174.63 | 1.7× |
| Emergency Dept Visit Level 4 (99284) | $747.11 | $1,867.77 | 1.8× |
| Emg 3 Extremities (95863) | $851.39 | $2,128.46 | 6.5× |
| Emg 4 Extremities (95864) | $982.62 | $2,456.54 | 7.5× |
| Ep & ablate supravent arrhyt (93653) | $13,770.73 | $34,426.82 | 0.5× |
| Ep & ablate ventric tachy (93654) unusually low: confirm this is the full procedure |
$12,518.85 | $31,297.12 | 0.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $5,630.51 | $14,076.26 | 0.7× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $4,948.52 | $12,371.29 | 0.6× |
| Er level 1 (99281) | $143.58 | $358.95 | 1.7× |
| Er level v (99285) | $1,023.84 | $2,559.59 | 1.7× |
| Evaluate pt use of inhaler (94664) | $298.08 | $745.20 | 1.3× |
| Evaluate Speech Production (92522) | $114.59 | $286.47 | 1.0× |
| Evaluate Swallowing Function (92610) | $181.49 | $453.71 | 2.1× |
| Evaluation of speech fluency (92521) | $112.95 | $282.37 | 0.8× |
| Exercise test for bronchospasm (94617) | $165.66 | $414.15 | 1.2× |
| External ECG rec>48hr<7d recording (93242) | $1,449.45 | $3,623.61 | 38.3× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $327.84 | $819.60 | 2.4× |
| External ECG rec>7d<15d recording (93246) | $1,449.45 | $3,623.61 | 38.3× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $181.86 | $454.63 | 1.4× |
| External Ecg Scanning Analysis Report (93226) | $179.35 | $448.36 | 3.0× |
| Extracranial Bilat Study (93880) | $600.82 | $1,502.03 | 2.5× |
| Extracranial Uni/Ltd Study (93882) | $288.60 | $721.49 | 2.7× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $845.27 | $2,113.16 | 1.5× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,806.25 | $4,515.61 | 2.1× |
| Gi tract capsule endoscopy (91110) | $1,806.48 | $4,516.20 | 2.0× |
| Group Therapeutic Procedures (97150) | $60.59 | $151.47 | 3.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $7,008.96 | $17,522.40 | 2.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $928.37 | $2,320.92 | 1.3× |
| Holter monitor recording (93225) | $158.87 | $397.16 | 1.2× |
| Immunization administration (90471) | $54.17 | $135.42 | 0.7× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $358.26 | $895.63 | 0.9× |
| Insert/Place Heart Catheter (93503) | $1,903.62 | $4,759.05 | 1.2× |
| Intracranial Complete Study (93886) | $324.52 | $811.28 | 1.3× |
| Iontophoresis 15 min (97033) | $62.32 | $155.80 | 3.3× |
| Irrig Drug Delivery Device (96523) | $98.20 | $245.49 | 1.6× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$155.83–$160.24 | $389.56–$400.58 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$299.09–$304.95 | $747.71–$762.37 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$156.82–$157.40 | $392.04–$393.49 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$155.83–$164.24 | $389.56–$410.60 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$290.98–$295.52 | $727.43–$738.80 | varies |
| L Hrt Art/Grft Angio (93459) | $8,419.98 | $21,049.93 | 2.6× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $7,851.32 | $19,628.29 | 2.4× |
| Low frequency non-thermal us (97610) | $245.34 | $613.35 | 1.2× |
| Lung Function Test (Mbc/Mvv) (94200) | $97.62 | $244.04 | 1.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $217.48 | $543.69 | 1.0× |
| Mechanical chest wall oscillation per session (94669) | $314.48 | $786.19 | 1.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $43.10 | $107.73 | 1.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $48.84 | $122.09 | 1.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $27.06 | $67.64 | 1.6× |
| Methacholine challenge (94070) | $261.46 | $653.64 | 0.7× |
| Motion Fluoroscopy/Swallow (92611) | $295.40 | $738.48 | 3.2× |
| Multiple Sleep Latency Test (95805) | $1,324.53 | $3,311.31 | 1.5× |
| Muscle Test 2 Limbs (95861) | $283.53 | $708.82 | 2.1× |
| Muscle Test Nonparaspinal (95870) | $162.88 | $407.20 | 1.2× |
| Muscle Test One Limb (95860) | $168.05 | $420.12 | 1.2× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $346.75 | $866.86 | 1.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $231.16 | $577.90 | 1.1× |
| Needle electromyography larynx (95865) | $737.12 | $1,842.78 | 5.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $424.72 | $1,061.80 | 1.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $418.03 | $1,045.07 | 1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $130.14 | $325.33 | 0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $515.51 | $1,288.77 | 1.3× |
| Nerve Conduction Studies 1-2 Studies (95907) | $476.26 | $1,190.63 | 2.2× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $218.54 | $546.35 | 1.7× |
| Neuromuscular Reeducation (97112) | $64.16 | $160.38 | 2.0× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $185.62 | $464.03 | 0.5× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $82.17 | $205.42 | 1.4× |
| Oral Function Therapy (92526) | $137.82 | $344.55 | 1.6× |
| Oral Speech Device Eval (92597) | $278.18 | $695.44 | 3.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $78.37 | $195.91 | 1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $70.88 | $177.20 | 1.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $64.99 | $162.47 | 4.6× |
| Ot eval high complexity (97167) | $111.28 | $278.19 | 1.1× |
| Ot Eval Low Complex (97165) | $111.28 | $278.19 | 1.1× |
| Ot Eval Moderate Complexity (97166) | $111.28 | $278.19 | 1.1× |
| Ot manual therapy 15 min (97140) | $63.68 | $159.19 | 2.3× |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$23.46–$37.16 | $58.65–$92.90 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $55.16 | $137.90 | 1.4× |
| Ot Re-Eval Est Plan Care (97168) | $104.41 | $261.01 | 1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $100.57 | $251.42 | 0.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $89.81 | $224.51 | 0.7× |
| Oxygen Uptake Rest Indirect (94690) | $56.64 | $141.60 | 0.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $789.44 | $1,973.59 | 3.6× |
| Peripheral arterial disease rehab per session (93668) | $89.17 | $222.91 | 1.5× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $9,374.32 | $23,435.78 | 1.6× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $24,234.11 | $60,585.27 | 2.1× |
| Phlebotomy therapeutic (99195) | $108.75 | $271.87 | 0.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $80.41 | $201.02 | 1.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $80.41 | $201.02 | 1.3× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$58.87–$79.09 | $147.17–$197.72 | varies |
| Plethysmography (94726) | $216.94 | $542.35 | 0.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,113.61 | $5,284.01 | 2.4× |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,731.38 | $4,328.43 | 2.0× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $1,723.05 | $4,307.62 | 2.0× |
| Prq Card Angio/Athrect 1 Art (92924) | $16,943.60 | $42,358.99 | 1.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $17,146.48 | $42,866.19 | 1.5× |
| Prq Card Stent/Ath/Angio (92933) | $24,234.11 | $60,585.27 | 1.3× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $13,496.30 | $33,740.73 | 1.2× |
| Psychiatric diagnostic evaluation (90791) | $310.60 | $776.48 | 1.7× |
| Pt Eval High Complex (97163) | $166.62 | $416.55 | 1.7× |
| Pt eval low complex 20 min (97161) | $111.28 | $278.19 | 1.1× |
| Pt Eval Mod Complex (97162) | $153.16 | $382.89 | 1.6× |
| Pt gait training 15 min (97116) | $75.04 | $187.59 | 2.6× |
| Pt mechanical traction (97012) | $39.21 | $98.02 | 2.7× |
| Pt Re-Eval Est Plan Care (97164) | $57.07 | $142.67 | 0.8× |
| Pulm function test by gas (94727) | $243.79 | $609.47 | 1.1× |
| Pulmonary service/procedure (94799) | $243.30 | $608.24 | 1.9× |
| Pulmonary Stress Testing (94618) | $176.90 | $442.25 | 1.3× |
| R Hrt Art/Grft Angio (93457) | $6,482.86 | $16,207.15 | 2.0× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $7,851.32 | $19,628.29 | 2.4× |
| R hrt coronary artery angio (93456) | $6,938.54 | $17,346.33 | 2.1× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $7,851.32 | $19,628.29 | 2.4× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $12,160.98 | $30,402.45 | 3.7× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $6,939.52 | $17,348.80 | 2.1× |
| Rem interrog icpms <30 d phys/qhp (93297) | $83.25 | $208.11 | 2.2× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $83.25 | $208.11 | 2.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $312.34 | $780.84 | 8.3× |
| Right Heart Cath (93451) | $6,938.54 | $17,346.33 | 2.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $274.52 | $686.28 | 1.4× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $20.75 | $51.87 | 0.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $357.55 | $893.86 | 2.9× |
| Self Care Mngment Training (97535) | $73.71 | $184.26 | 2.3× |
| Sensory Integration Ea 15 Min (97533) range across 3 matching MRF lines |
$41.86–$70.34 | $104.63–$175.84 | varies |
| Sleep study unattended (95806) | $372.16 | $930.40 | 1.7× |
| Slp caregiver training 1st 30 min (97550) | $45.16 | $112.90 | 0.9× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $351.36 | $878.39 | 1.6× |
| Somatosensory Testing (95938) | $385.44 | $963.59 | 0.4× |
| Speech sound lang comprehen (92523) | $352.75 | $881.87 | 1.6× |
| Spirometry (94010) | $122.56 | $306.38 | 0.6× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$167.09–$255.30 | $417.71–$638.25 | varies |
| Surfactant Admin Thru Tube (94610) | $318.15 | $795.36 | 1.4× |
| Temp transcutaneous pacing (92953) | $380.23 | $950.57 | 0.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $108.37 | $270.92 | 4.8× |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$24.02–$55.65 | $60.03–$139.12 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $53.48 | $133.70 | 1.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$54.20–$54.72 | $135.48–$136.79 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $216.92 | $542.28 | 2.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$75.88–$80.85 | $189.69–$202.11 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$247.56–$252.41 | $618.90–$631.01 | varies |
| Therapeutic Activities (97530) | $76.01 | $190.01 | 2.2× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $722.76 | $1,806.90 | 1.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $66.54 | $166.33 | 1.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $49.22 | $123.04 | 1.3× |
| Transcath Closure of Asd (93580) | $13,932.89 | $34,832.21 | 0.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $205.22 | $513.04 | 1.9× |
| Tte w/doppler, complete (93306) | $1,038.78 | $2,596.95 | 1.9× |
| Tte W/O Doppler Complete (93307) | $958.06 | $2,395.15 | 4.0× |
| Tx atrial fib pulm vein isol (93656) | $24,650.02 | $61,625.05 | 0.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $160.47 | $401.16 | 2.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$75.21–$88.43 | $188.01–$221.07 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 7 matching MRF lines |
$190.75–$8,387.94 | $476.86–$20,969.84 | varies |
| Unlisted Psychiatric Service/Procedure (90899) | $67.22 | $168.04 | 1.8× |
| Upr/L Xtremity Art 2 Levels (93922) | $211.01 | $527.51 | 1.6× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $263.30 | $658.24 | 1.2× |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$42.13–$51.64 | $105.31–$129.09 | varies |
| Veeg 2-12 hr intmt mntr (95712) | $397.51 | $993.76 | 1.1× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $733.21 | $1,833.01 | 1.9× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $733.21 | $1,833.01 | 1.9× |
| Vent Mgmt Inpat Init Day (94002) | $672.60 | $1,681.49 | 1.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $566.36 | $1,415.89 | 0.9× |
| Vital capacity, total (94150) | $106.43 | $266.07 | 0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) | $57.12 | $142.80 | 1.8× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$63.75–$73.94 | $159.36–$184.84 | varies |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $87.34 | $218.34 | 1.5× |
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.