Visits & medical services prices at HonorHealth John C. Lincoln Medical Center

Phoenix, AZ · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $17,224 $17,224 2.1×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $720 $720 5.2×
Acoustic Reflex Testing (92568) $312 $312 7.8×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines		 $23–$584 $23–$584 varies
Airway resistance by oscillometry (94728) $718 $718 5.2×
Analyze neurostim no prog (95970) $621 $621 4.4×
Ans parasymp & symp w/tilt (95924) $339 $339 1.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $400 $400 27.9×
Application on-body injector (96377) $473 $473 9.5×
Arrhythmia Induction (93618) $13,185 $13,185 10.1×
Assessment of aphasia per hr (96105) $1,572 $1,572 16.2×
Assessment of tinnitus (92625) $509 $509 3.7×
Audiometry Air & Bone (92553) $573 $573 4.2×
Basic vestibular evaluation (92540) $2,011 $2,011 8.7×
Behavral qualit analys voice (92524) $1,158 $1,158 10.6×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $632 $632 7.7×
Bfb training ea addl 15 min (90913) $632 $632 19.3×
Blink reflex test (95933) $411 $411 6.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,110 $1,110 2.8×
Caloric vestibular test w/rec bi monothermal (92538) $844 $844 3.7×
Caloric Vstblr Test W/Rec (92537)
range across 2 matching MRF lines		 $1,258–$1,886 $1,258–$1,886 varies
Canalith repositioning proc (95992) $770 $770 18.9×
Car seat/bed test 60 min (94780) $815 $815 20.4×
Cardiac Stress Tst,Tracing Only (93017) $1,461 $1,461 6.3×
Cardiopulmonary exercise testing (94621) $1,695 $1,695 4.3×
Cardiopulmonary resuscitation (92950) $2,309 $2,309 10.0×
Cardioversion (92960) $4,466 $4,466 6.3×
Cardioversion elective internal (92961) $2,046 $2,046 2.9×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $12,696 $12,696 3.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $17,355 $17,355 5.0×
Cbt 1st hour (94644) $800 $800 5.6×
Chemo Admin Peritoneal Cavity (96446) $2,202 $2,202 6.2×
Chemo Anti-Neopl Sq/Im (96401) $735 $735 9.6×
Chemo Hormon Antineopl Sq/Im (96402) $552 $552 7.2×
Chemo Ia Push (96420) $906 $906 2.6×
Chemo Intralesional Over 7 (96406) $1,260 $1,260 5.6×
Chemo intralesional up to 7 (96405) $561 $561 7.3×
Chemo IV infusion addl hr (96415) $715 $715 9.3×
Chemo IV push addl drug (96411) $671 $671 8.7×
Chemother Prolong Infuse W/Pump (96416) $2,134 $2,134 6.1×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $1,846 $1,846 5.2×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $715 $715 14.3×
Chemotherapy Into Cns (96450) $2,707 $2,707 7.7×
Chemotherapy Unspecified (96549) $436 $436 8.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $932 $932 12.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,846 $1,846 5.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,210 $1,210 3.4×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $1,180 $1,180 3.3×
Chest Wall Manipulation (94668) $553 $553 3.9×
Chron Care Mgmt Srvc 20 Min (99490) $584 $584 5.4×
Color/duplex Doppler, complete (93975) $2,865 $2,865 11.3×
Color/duplex Doppler, limited (93976) $2,244 $2,244 20.1×
Comprehensive Hearing Test (92557) $690 $690 5.0×
Computerized dynamic posturography (92548) $838 $838 5.9×
Conditioning Play Audiometry (92582) $705 $705 5.1×
Cont gluc mntr physician/qhp provided equiptment (95250) $930 $930 6.5×
Continuous Pulse Ox (94762) $602 $602 4.4×
Coronary Art/Grft Angio S&I (93455) $18,502 $18,502 5.3×
Coronary Artery Angio S&I (93454) $20,452 $20,452 5.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,032 $1,032 4.4×
Cpt initial (94667) $985 $985 6.9×
Critical care first hour (99291)
range across 7 matching MRF lines		 $11,873–$37,282 $11,873–$37,282 varies
Debridement Open Wound 20 Sq Cm< (97597) $1,543 $1,543 7.2×
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) $1,600 $1,600 7.5×
Developmental tst admin phys/qhp 1st hour (96112) $1,104 $1,104 8.0×
Dialysis One Evaluation (90945) $4,416 $4,416 9.9×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $650 $650 1.6×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $2,116 $2,116 19.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,854 $1,854 7.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,807 $1,807 16.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,806 $1,806 7.1×
Dup-scan xtr veins unilateral/limited study (93971) $1,748 $1,748 15.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $716 $716 2.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $344 $344 3.1×
Duplex Scan Hemodialysis Access (93990) $1,093 $1,093 9.8×
Duplex up extrem art bilat (93930) $3,210 $3,210 12.6×
Duplex up extrem art unilat/ltd (93931) $1,582 $1,582 14.2×
Echo Congenital Complete (93303) $3,198 $3,198 5.5×
Echo Heart Xthoracic,Limited (93308) $1,128 $1,128 4.4×
Echo transesophag montr cardiac pump functj (93318) $2,880 $2,880 4.9×
Echo transesophageal (93312) $2,370 $2,370 4.1×
Echo Transesophageal - Congenital Tee Complete (93315) $3,909 $3,909 6.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,973 $3,973 6.8×
Eeg 41-60 Minutes (95812) $1,730 $1,730 7.5×
EEG awake and asleep (95819) $1,850 $1,850 8.0×
EEG awake drowsy (95816) $1,468 $1,468 6.4×
EEG cerebral death evaluation (95824) $2,324 $2,324 5.8×
EEG cont rec w/video by tech min 8 channels (95700) $682 $682 3.0×
EEG extended monitoring 61-119 minutes (95813) $3,069 $3,069 13.3×
Eeg Sleep Only (95822) $2,175 $2,175 9.4×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $682 $682 3.0×
EEG w/o vid 2-12hr cont mntr (95707) $682 $682 3.0×
EEG w/o vid ea 12-26hr intmt (95709) $1,309 $1,309 3.3×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,309 $1,309 3.3×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $682 $682 3.0×
EEG wo vid ea 12-26hr unmntr (95708) $1,309 $1,309 3.3×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $176 $176 1.7×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $351 $351 3.5×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $123 $123 3.1×
Electrical Stimulation Ea 15 Min (97032) $400 $400 27.2×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines		 $18–$520 $18–$520 varies
Electrocochleography (92584) $1,380 $1,380 10.1×
Electroconvulsive Therapy (90870) $2,708 $2,708 3.0×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $11,338 $11,338 1.4×
Electrophysiology Evaluation (93642) $3,574 $3,574 2.8×
Emergency Dept Visit Level 2 (99282) $1,485 $1,485 9.1×
Emergency Dept Visit Level 3 (99283) $2,304 $2,304 7.9×
Emergency Dept Visit Level 4 (99284) $3,583 $3,583 8.0×
Emg 4 Extremities (95864) $2,231 $2,231 16.2×
Endomyocardial Biopsy (93505) $7,206 $7,206 2.1×
Ep & ablate supravent arrhyt (93653) $48,115 $48,115 1.7×
Ep & ablate ventric tachy (93654) $58,746 $58,746 2.1×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $18,150 $18,150 2.2×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $14,136 $14,136 1.7×
Ep Esophageal Recording Atria+Pacing (93616) $12,865 $12,865 9.9×
Er level 1 (99281) $750 $750 8.3×
Er level v (99285)
range across 7 matching MRF lines		 $5,490–$29,421 $5,490–$29,421 varies
Esoph Atrial Electrogram (93615) $10,934 $10,934 8.4×
Esophgl Balo Distension Dx Std W/Provocation (91040) $1,966 $1,966 4.9×
Evaluate Speech Production (92522) $878 $878 7.8×
Evaluate Swallowing Function (92610) $740 $740 8.7×
Evaluation of speech fluency (92521) $710 $710 5.3×
Evoked Auditory Test,Limited (92587) $427 $427 1.9×
Exercise test for bronchospasm (94617) $340 $340 2.4×
External Ecg Scanning Analysis Report (93226) $971 $971 15.4×
Extracranial Bilat Study (93880) $3,137 $3,137 12.3×
Extracranial Uni/Ltd Study (93882) $2,106 $2,106 18.9×
F-up/limited tthrc echo congenital car anomaly (93304) $2,035 $2,035 3.5×
Flexible endoscopic eval swallow c/v rec (92612) $1,375 $1,375 6.9×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,966 $1,966 4.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $5,953 $5,953 6.5×
Gi tract capsule endoscopy (91110) $3,200 $3,200 3.3×
Group Therapeutic Procedures (97150) $204 $204 11.3×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $15,170 $15,170 4.4×
High altitude simulation test (94452) $455 $455 3.2×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $455 $455 3.2×
Immunization administration (90471)
range across 2 matching MRF lines		 $59–$324 $59–$324 varies
Insert/Place Heart Catheter (93503) $7,206 $7,206 4.3×
Intracranial Complete Study (93886) $595 $595 2.3×
Iontophoresis 15 min (97033) $400 $400 21.0×
Irrig Drug Delivery Device (96523) $641 $641 10.2×
IV infusion hydration each additional hour (96361) $400 $400 8.0×
IV infusion hydration initial 31 min-1 hour (96360) $644 $644 2.8×
IV infusion ther proph addl sequential to 1 hr (96367) $686 $686 8.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $433 $433 8.7×
IV push initial (96374) $527 $527 2.3×
L Hrt Art/Grft Angio (93459) $20,803 $20,803 6.0×
Laryngeal Function Studies (92520) $834 $834 5.9×
Lung Function Test (Mbc/Mvv) (94200) $680 $680 10.8×
Lwr Xtr Vasc Stdy Bilat (93924) $1,539 $1,539 6.7×
Mechanical chest wall oscillation per session (94669) $1,147 $1,147 4.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $168 $168 5.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $203 $203 5.5×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $215 $215 12.6×
Methacholine challenge (94070) $1,826 $1,826 4.6×
Motility study esophagus (91010) $3,960 $3,960 9.9×
Motion Fluoroscopy/Swallow (92611) $1,071 $1,071 11.7×
Multiple Sleep Latency Test (95805) $5,472 $5,472 6.0×
Muscle Test 2 Limbs (95861) $803 $803 5.7×
Muscle Test Nonparaspinal (95870) $313 $313 2.2×
Muscle Test One Limb (95860) $712 $712 5.0×
Nasopharyngoscopy (92511) $1,555 $1,555 7.3×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $1,218 $1,218 5.3×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $587 $587 2.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,273 $1,273 2.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,496 $1,496 3.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $1,228 $1,228 5.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,440 $1,440 3.3×
Nerve Conduction Studies 1-2 Studies (95907) $110 $110 0.5×
Nerve Conduction Studies 11-12 Studies (95912) $354 $354 0.9×
Nerve conduction studies 13 or more studies (95913) $356 $356 0.9×
Nerve Conduction Studies 3-4 Studies (95908) $196 $196 0.9×
Nerve conduction studies 5-6 studies (95909) $198 $198 0.9×
Nerve conduction studies 7-8 studies (95910) $200 $200 0.5×
Nerve Conduction Studies 9-10 Studies (95911) $353 $353 0.9×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $498 $498 3.6×
Neuromuscular Reeducation (97112) $310 $310 9.5×
Optokinetic Nystagmus Test (92544) $306 $306 2.2×
Oral Function Therapy (92526) $636 $636 7.6×
Oral Speech Device Eval (92597) $763 $763 10.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $227 $227 4.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $278 $278 6.0×
Oscillating Tracking Test (92545) $306 $306 1.3×
Ot eval high complexity (97167) $1,391 $1,391 13.8×
Ot Eval Low Complex (97165) $744 $744 7.4×
Ot Eval Moderate Complexity (97166) $1,110 $1,110 11.0×
Ot manual therapy 15 min (97140) $310 $310 11.2×
Ot Prosthetic Training, Each 15 Min (97761) $264 $264 6.5×
Ot Re-Eval Est Plan Care (97168) $549 $549 8.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $842 $842 6.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $628 $628 4.6×
Oxygen Uptake Rest Indirect (94690) $1,674 $1,674 26.6×
Pdt dstr prmlg les phys/qhp (96573) $1,241 $1,241 5.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $787 $787 3.4×
Peripheral arterial disease rehab per session (93668) $440 $440 7.0×
Perq transcath closure pda (93582) $38,339 $38,339 2.0×
Perq Transcath Cls Aortic (93591) $35,748 $35,748 1.8×
Perq Transcath Cls Mitral (93590) $35,748 $35,748 1.8×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $11,870 $11,870 2.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $20,140 $20,140 1.6×
Phlebotomy therapeutic (99195) $3,095 $3,095 21.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $281 $281 4.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $281 $281 4.5×
Physical Performance Test (97750) $416 $416 12.3×
Plethysmography (94726) $755 $755 1.9×
Pm device progr eval dual (93280) $108 $108 2.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $7,108 $7,108 7.8×
Positional nystagmus test (92542) $638 $638 4.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $209 $209 4.2×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $222 $222 4.4×
Prq Card Angio/Athrect 1 Art (92924) $20,977 $20,977 1.7×
Prq Card Stent W/Angio 1 Vsl (92928) $18,356 $18,356 1.5×
Prq Card Stent/Ath/Angio (92933) $20,140 $20,140 1.0×
Prq Revasc Byp Graft 1 Vsl (92937) $20,140 $20,140 1.6×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $35,629 $35,629 1.8×
Pt Eval High Complex (97163) $1,151 $1,151 11.8×
Pt eval low complex 20 min (97161) $577 $577 5.9×
Pt Eval Mod Complex (97162) $864 $864 8.8×
Pt gait training 15 min (97116) $310 $310 10.7×
Pt mechanical traction (97012) $290 $290 20.2×
Pt Re-Eval Est Plan Care (97164) $549 $549 8.1×
Pulm function test by gas (94727) $889 $889 3.9×
Pulmonary Stress Testing (94618) $1,195 $1,195 8.4×
Pure Tone Audiometry Air (92552) $354 $354 2.5×
R Hrt Art/Grft Angio (93457) $24,473 $24,473 7.1×
R hrt coronary artery angio (93456) $18,581 $18,581 5.4×
R&L Hrt Cath W/Ventriclgrphy (93453) $15,974 $15,974 4.6×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $1,002 $1,002 2.8×
Refill/Maint Portable Pump (96521) $1,138 $1,138 5.0×
Remote 30 Day Ecg Rev/Report (93270) $272 $272 6.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $371 $371 5.9×
Right Heart Cath (93451) $14,489 $14,489 4.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $820 $820 3.8×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $958 $958 7.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $479 $479 10.0×
Self Care Mngment Training (97535) $310 $310 9.6×
Sensory Integration Ea 15 Min (97533) $231 $231 3.8×
Short-latency somatosens ep std upr limbs (95925) $2,571 $2,571 11.2×
Sleep study unattended (95806) $2,287 $2,287 9.9×
Speech Audiometry Complete (92556) $245 $245 3.9×
Speech audiometry threshold (92555) $235 $235 3.7×
Speech sound lang comprehen (92523) $973 $973 4.3×
Spin/Brain Pump Refil & Main (95991) $962 $962 2.9×
Spirometry (94010) $911 $911 4.0×
Spontaneous Nystagmus Test (92541) $306 $306 2.2×
Ssep lower limbs (95926) $2,571 $2,571 11.2×
Standardized Cognitive Performance Testing (96125) $836 $836 8.1×
Stenger Test Speech (92577) $883 $883 2.2×
Stenger Test, Pure Tone (92565) $354 $354 5.6×
Stress Tte Only (93350) $1,744 $1,744 3.0×
Subcutaneous Infusion Each Additional Hour (96370) $929 $929 18.6×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $995 $995 4.4×
Subq Infusion Additional Pump Infusion Site (96371) $460 $460 6.0×
Surfactant Admin Thru Tube (94610) $1,673 $1,673 7.2×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $2,909 $2,909 26.1×
Temp transcutaneous pacing (92953) $2,993 $2,993 4.2×
Tensilon Test (95857) $2,684 $2,684 11.6×
Testing Autonomic Nervous System Function (95923) $339 $339 2.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $293 $293 13.1×
Ther Ivntj Ea Addl 15 Min (97130) $293 $293 13.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $310 $310 8.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $310 $310 10.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $690 $690 6.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines		 $41–$242 $41–$242 varies
Ther/Proph/Diag Iv Inf Init (96365) $916 $916 4.0×
Therapeutic Activities (97530) $310 $310 8.8×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $4,658 $4,658 11.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $276 $276 6.9×
Transcath Closure of Asd (93580) $35,629 $35,629 1.8×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $1,717 $1,717 15.4×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $339 $339 2.4×
Tte w/doppler, complete (93306) $2,800 $2,800 4.8×
Tx atrial fib pulm vein isol (93656) $55,069 $55,069 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $974 $974 12.8×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $304 $304 12.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $485 $485 9.7×
Tympanometry (92567) $312 $312 7.8×
Tympanometry and reflex threshold measurements (92550) $436 $436 1.9×
Unlisted cardiovascular service/procedure (93799) $8,363 $8,363 60.9×
Unlisted noninvasive vascular diagnostic study (93998) $340 $340 11.0×
Upr/L Xtremity Art 2 Levels (93922) $1,498 $1,498 10.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,545 $1,545 6.7×
Valvuloplasty aortic valve (92986) $15,127 $15,127 2.5×
Vasopneumatic device (97016) $290 $290 24.1×
Veeg 2-12 Hr Cont Mntr (95713) $1,309 $1,309 3.3×
Veeg 2-12 hr intmt mntr (95712) $682 $682 1.7×
Veeg 2-12 hr unmonitored (95711) $682 $682 3.0×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,309 $1,309 3.3×
Veeg Ea 12-26 Hr Unmntr (95714) $1,309 $1,309 3.3×
Veeg ea 12-26hr cont mntr (95716) $2,449 $2,449 2.7×
Vent Mgmt Inpat Init Day (94002) $3,670 $3,670 5.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,193 $3,193 4.8×
Visual Evoked Potential Test (95930) $2,509 $2,509 10.9×
Visual reinforcement audiometry (vra) (92579) $491 $491 2.1×
Vital capacity, total (94150) $465 $465 3.4×
Wheelchair Mgmt Ea 15 Min (97542) $310 $310 10.0×
Whirlpool Therapy (97022) $430 $430 27.4×

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.