Visits & medical services prices at Humboldt Park Health
Chicago, IL · every code in this section with a posted price and a Medicare benchmark.
252 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Reflex Testing (92568) | $14.41 | $51.45 | 0.4× |
| Actinotherapy Ultraviolet Light (96900) | $26.75 | $95.55 | 0.7× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$7.35–$37.80 | $26.25–$135 | varies |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$18.52–$198.52 | $66.15–$709 | varies |
| Airway resistance by oscillometry (94728) | $149.35 | $533.40 | 1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$12.05–$55.57 | $43.05–$198.45 | varies |
| Application on-body injector (96377) | $40.28 | $143.85 | 0.8× |
| Assessment of aphasia per hr (96105) | $310.17 | $1,107.75 | 3.2× |
| Behavral qualit analys voice (92524) | $110.25 | $393.75 | 1.0× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $88.49 | $316.05 | 1.1× |
| Bfb training ea addl 15 min (90913) | $88.49 | $316.05 | 2.7× |
| Brief Emotional/Behav Assmt (96127) range across 3 matching MRF lines |
$12.32–$33.04 | $44–$118 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$36.46–$318.99 | $130.20–$1,139.25 | varies |
| Canalith repositioning proc (95992) | $38.51 | $137.55 | 0.9× |
| Car seat/bed test 60 min (94780) | $34.99 | $124.95 | 0.9× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$665.28–$698.54 | $2,376–$2,494.80 | varies |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$220.21–$292.82 | $786.45–$1,045.80 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$193.45–$560.66 | $690.90–$2,002.35 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $8.82 | $31.50 | 0.2× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$349.57–$2,867.68 | $1,248.45–$10,241.70 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $2,867.68 | $10,241.70 | 0.8× |
| Cbt 1st hour (94644) | $95.55 | $341.25 | 0.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $63.80 | $227.85 | 0.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $63.80 | $227.85 | 0.8× |
| Chemo IV infusion addl hr (96415) | $63.80 | $227.85 | 0.8× |
| Chemo IV push addl drug (96411) | $63.80 | $227.85 | 0.8× |
| Chemother Prolong Infuse W/Pump (96416) | $325.46 | $1,162.35 | 0.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $63.80 | $227.85 | 0.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $325.46 | $1,162.35 | 0.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $209.03 | $746.55 | 0.6× |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$25.58–$51.45 | $91.35–$183.75 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) range across 2 matching MRF lines |
$11.17–$54.10 | $39.90–$193.20 | varies |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$84.38–$267.68 | $301.35–$956 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$34.10–$179.48 | $121.80–$641 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $28.52 | $101.85 | 0.9× |
| Comprehensive Hearing Test (92557) | $35.28 | $126 | 0.3× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 2 matching MRF lines |
$26.04–$50.68 | $93–$181 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$27.44–$50.68 | $98–$181 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $132.01 | $471.45 | 0.9× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $58.80 | $210 | 0.9× |
| Coronary Art/Grft Angio S&I (93455) | $2,867.68 | $10,241.70 | 0.8× |
| Coronary Artery Angio S&I (93454) | $2,867.68 | $10,241.70 | 0.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$60.56–$222.85 | $216.30–$795.90 | varies |
| Cpt initial (94667) range across 3 matching MRF lines |
$24.70–$114.95 | $88.20–$410.55 | varies |
| Critical care first hour (99291) | $277.76 | $992 | 0.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$73.79–$108.49 | $263.55–$387.45 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $117.31 | $418.95 | 0.9× |
| Dialysis One Evaluation (90945) | $381.61 | $1,362.90 | 0.9× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $31.46 | $112.35 | 0.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$35.57–$267.68 | $127.05–$956 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 3 matching MRF lines |
$20.58–$301.42 | $73.50–$1,076.51 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) range across 2 matching MRF lines |
$154.06–$428.86 | $550.20–$1,531.65 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$37.34–$281.06 | $133.35–$1,003.80 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$24.40–$254.79 | $87.15–$909.97 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$33.81–$281.06 | $120.75–$1,003.80 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$109.96–$167.58 | $392.70–$598.50 | varies |
| Duplex Scan Hemodialysis Access (93990) | $60.27 | $215.25 | 0.5× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$22.05–$267.68 | $78.75–$956 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$21.46–$277.54 | $76.65–$991.21 | varies |
| Ear and throat examination (92502) | $91.43 | $326.55 | 0.2× |
| Echo Heart Xthoracic,Limited (93308) | $206.09 | $736.05 | 0.8× |
| Echo r-t 2d w/probe placement only (93313) | $114.66 | $409.50 | 0.2× |
| Echo transesophag congen probe plcmt only (93316) | $83.79 | $299.25 | 0.1× |
| Echo transesophag montr cardiac pump functj (93318) | $672.84 | $2,403 | 1.1× |
| Echo transesophageal (93312) | $550.66 | $1,966.65 | 0.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $550.66 | $1,966.65 | 0.9× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$50.27–$243.14 | $179.55–$868.35 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$50.27–$198.45 | $179.55–$708.75 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$50.27–$243.14 | $179.55–$868.35 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$34.10–$166.11 | $121.80–$593.25 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) range across 2 matching MRF lines |
$210.50–$243.14 | $751.80–$868.35 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$75.85–$256.37 | $270.90–$915.60 | varies |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$50.27–$243.14 | $179.55–$868.35 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) range across 2 matching MRF lines |
$109.96–$243.14 | $392.70–$868.35 | varies |
| EEG w/o vid 2-12hr cont mntr (95707) range across 2 matching MRF lines |
$243.14–$423.95 | $868.35–$1,514.10 | varies |
| EEG w/o vid ea 12-26hr intmt (95709) range across 2 matching MRF lines |
$448.35–$634.75 | $1,601.25–$2,266.95 | varies |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) range across 2 matching MRF lines |
$448.35–$793.80 | $1,601.25–$2,835 | varies |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) range across 2 matching MRF lines |
$243.14–$335.16 | $868.35–$1,197 | varies |
| EEG wo vid ea 12-26hr unmntr (95708) range across 2 matching MRF lines |
$162.22–$448.35 | $579.35–$1,601.25 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $82.32 | $294 | 5.6× |
| Electro-Oculography (92270) | $87.91 | $313.95 | 0.6× |
| Electrocardiogram Tracing (93005) | $87.32 | $311.85 | 1.4× |
| Electrophysiology Evaluation (93642) | $748.52 | $2,673.30 | 0.6× |
| Emergency Dept Visit Level 2 (99282) | $39.10 | $139.65 | 0.2× |
| Emergency Dept Visit Level 3 (99283) | $66.08 | $236 | 0.2× |
| Emergency Dept Visit Level 4 (99284) | $112.84 | $403 | 0.3× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$87.02–$149.06 | $310.80–$532.35 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$92.90–$149.06 | $331.80–$532.35 | varies |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$812.91–$12,536.75 | $2,903.25–$44,774.10 | varies |
| Er level 1 (99281) | $19.70 | $70.35 | 0.2× |
| Er level v (99285) | $162.58 | $580.65 | 0.3× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $201.68 | $720.30 | 1.5× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$17.93–$201.68 | $64.05–$720.30 | varies |
| Evaluate Swallowing Function (92610) | $134.65 | $480.90 | 1.6× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$10.58–$288.41 | $37.80–$1,030.05 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $204.33 | $729.75 | 1.4× |
| External ECG rec>7d<15d recording (93246) | $10.58 | $37.80 | 0.3× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $211.97 | $757.05 | 1.5× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$27.93–$267.68 | $99.75–$956 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$22.05–$164.36 | $78.75–$587 | varies |
| Eye Exam With Photos (92230) | $51.74 | $184.80 | 0.1× |
| Flexible endoscopic eval swallow c/v rec (92612) | $215.21 | $768.60 | 1.1× |
| Fluorescein angiography (92235) range across 2 matching MRF lines |
$105.84–$266.95 | $378–$953.40 | varies |
| Fundus photography (92250) range across 2 matching MRF lines |
$61.74–$115.84 | $220.50–$413.70 | varies |
| Gonioscopy (92020) range across 3 matching MRF lines |
$26.46–$114.24 | $94.50–$408 | varies |
| Health Behavior Assessment/Re-Assessment (96156) | $86.73 | $309.75 | 0.8× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $2,867.68 | $10,241.70 | 0.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $499.80 | $1,785 | 0.7× |
| Holter monitor recording (93225) | $288.41 | $1,030.05 | 2.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $24.40 | $87.15 | 0.3× |
| Immunization administration (90471) range across 3 matching MRF lines |
$6.47–$55.57 | $23.10–$198.45 | varies |
| Inital newborn e/m (99460) | $83.79 | $299.25 | 0.6× |
| Insert/Place Heart Catheter (93503) | $125.83 | $449.40 | 0.1× |
| Intracutaneous tests w/allergenic extracts (95024) | $7.94 | $28.35 | 0.1× |
| Iontophoresis 15 min (97033) | $32.34 | $115.50 | 1.7× |
| Irrig Drug Delivery Device (96523) | $59.40 | $212.15 | 0.9× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$39.31–$202.84 | $140.39–$724.42 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $202.84 | $724.42 | 0.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$61.78–$120.54 | $220.65–$430.50 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$31.46–$39.31 | $112.35–$140.39 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$202.84–$206.64 | $724.42–$738 | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$496.86–$2,867.68 | $1,774.50–$10,241.70 | varies |
| Liver Elastography W/O Imag W/I&R (91200) range across 2 matching MRF lines |
$9.41–$131.12 | $33.60–$468.30 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $122.30 | $436.80 | 1.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 3 matching MRF lines |
$120.54–$418.59 | $430.50–$1,494.97 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $35.57 | $127.05 | 1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $29.40 | $105 | 0.8× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $19.70 | $70.35 | 1.2× |
| Motion Fluoroscopy/Swallow (92611) | $109.37 | $390.60 | 1.2× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$71.44–$115.84 | $255.15–$413.70 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$44.69–$115.84 | $159.60–$413.70 | varies |
| Nasopharyngoscopy (92511) | $134.06 | $478.80 | 0.6× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$84.38–$149.06 | $301.35–$532.35 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$30.58–$149.06 | $109.20–$532.35 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$17.54–$149.06 | $62.65–$532.35 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$278.88–$364.27 | $996–$1,300.95 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$286.72–$364.27 | $1,024–$1,300.95 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$34.69–$184.93 | $123.90–$660.45 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$20.58–$352.51 | $73.50–$1,258.95 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$46.45–$147.88 | $165.90–$528.15 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$138.18–$495.10 | $493.50–$1,768.20 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$163.46–$500.68 | $583.80–$1,788.15 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$42.04–$191.39 | $150.15–$683.55 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$69.68–$252.84 | $248.85–$903 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$92.61–$274.60 | $330.75–$980.70 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$115.84–$411.89 | $413.70–$1,471.05 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$30.28–$147.88 | $108.15–$528.15 | varies |
| Neuromuscular Reeducation (97112) | $66.15 | $236.25 | 2.0× |
| Newborn resuscitation (99465) | $137.89 | $492.45 | 0.2× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $143.18 | $511.35 | 1.0× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $119.36 | $426.30 | 0.8× |
| Ophth medical xm&eval intermediate estab pt (92012) | $82.91 | $296.10 | 0.6× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 4 matching MRF lines |
$6.76–$132.89 | $24.15–$474.60 | varies |
| Oral Function Therapy (92526) | $76.24 | $272.30 | 0.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $45.28 | $161.70 | 0.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $50.86 | $181.65 | 1.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $29.69 | $106.05 | 1.3× |
| Ot eval high complexity (97167) | $218.96 | $782 | 2.2× |
| Ot Eval Low Complex (97165) | $206.39 | $737.10 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $145.88 | $521 | 1.5× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$42.34–$42.63 | $151.20–$152.25 | varies |
| Ot paraffin bath (97018) | $25.28 | $90.30 | 4.2× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$3.23–$48.80 | $11.55–$174.30 | varies |
| Ot Re-Eval Est Plan Care (97168) | $109.48 | $391 | 1.6× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $22.64 | $80.85 | 0.9× |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $383.32 | $1,369 | 0.8× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) range across 2 matching MRF lines |
$15,732.08–$16,292.08 | $56,186–$58,186 | varies |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 2 matching MRF lines |
$4,884.60–$5,714.52 | $17,445–$20,409 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $12,127.21 | $43,311.45 | 1.0× |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$86.44–$285.18 | $308.70–$1,018.50 | varies |
| Physical Performance Test (97750) | $52.92 | $189 | 1.6× |
| Plethysmography (94726) range across 2 matching MRF lines |
$203.45–$252.55 | $726.60–$901.95 | varies |
| Positional nystagmus test (92542) | $25.58 | $91.35 | 0.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $9.41 | $33.60 | 0.2× |
| Prq Card Angio/Athrect 1 Art (92924) | $9,907.24 | $35,383 | 0.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $8,828.82 | $31,531.50 | 0.7× |
| Prq Card Stent/Ath/Angio (92933) | $15,732.08 | $56,186 | 0.8× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $11,549.72 | $41,249 | 0.9× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$130.83–$152.32 | $467.25–$544 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$114.37–$152.32 | $408.45–$544 | varies |
| Psytx Crisis Initial 60 Min (90839) | $122.01 | $435.75 | 0.6× |
| Pt Eval High Complex (97163) | $121.13 | $432.60 | 1.2× |
| Pt eval low complex 20 min (97161) | $106.13 | $379.05 | 1.1× |
| Pt Eval Mod Complex (97162) | $113.78 | $406.35 | 1.2× |
| Pt gait training 15 min (97116) | $32.63 | $116.55 | 1.1× |
| Pt mechanical traction (97012) | $33.81 | $120.75 | 2.4× |
| Pt Re-Eval Est Plan Care (97164) | $203.74 | $727.65 | 3.0× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $8.82 | $31.50 | 0.2× |
| Pulm function test by gas (94727) | $149.35 | $533.40 | 0.6× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$30.87–$116.72 | $110.25–$416.85 | varies |
| Pure Tone Audiometry Air (92552) | $30.28 | $108.15 | 0.2× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $18.82 | $67.20 | 0.8× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $27.34 | $97.65 | 0.8× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $10.58 | $37.80 | 0.9× |
| R Hrt Art/Grft Angio (93457) | $2,867.68 | $10,241.70 | 0.8× |
| R hrt coronary artery angio (93456) | $2,867.68 | $10,241.70 | 0.8× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $2,867.68 | $10,241.70 | 0.8× |
| Refill/Maint Pump/Resvr Syst (96522) | $202.84 | $724.42 | 0.9× |
| Respiratory flow volume loop (94375) | $149.35 | $533.40 | 0.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $90.26 | $322.35 | 1.4× |
| Right Heart Cath (93451) | $1,414.43 | $5,051.55 | 0.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$61.45–$164.93 | $219.45–$589.05 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $201.68 | $720.30 | 1.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $100.84 | $360.15 | 2.1× |
| Same day nb discharge (99463) | $106.72 | $381.15 | 0.7× |
| Self Care Mngment Training (97535) | $33.22 | $118.65 | 1.0× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $62.62 | $223.65 | 1.0× |
| Sensory Integration Ea 15 Min (97533) | $54.68 | $195.30 | 0.9× |
| Speech sound lang comprehen (92523) | $156.11 | $557.55 | 0.7× |
| Spirometry (94010) range across 3 matching MRF lines |
$23.23–$149.35 | $82.95–$533.40 | varies |
| Spontaneous Nystagmus Test (92541) | $28.52 | $101.85 | 0.2× |
| Standardized Cognitive Performance Testing (96125) | $413.95 | $1,478.40 | 4.0× |
| Stress Tte Only (93350) | $516.26 | $1,843.80 | 0.9× |
| Subcutaneous Infusion Each Additional Hour (96370) | $39.31 | $140.39 | 0.8× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $68.80 | $245.70 | 0.3× |
| Subq Infusion Additional Pump Infusion Site (96371) | $61.78 | $220.65 | 0.8× |
| Temp transcutaneous pacing (92953) | $195.22 | $697.20 | 0.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $36.46 | $130.20 | 1.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $38.22 | $136.50 | 1.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $34.10 | $121.80 | 0.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $32.34 | $115.50 | 1.1× |
| Ther/Proph/Diag Inj Ia (96373) | $202.84 | $724.42 | 0.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$21.17–$119.84 | $75.60–$428 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$134.65–$202.84 | $480.90–$724.42 | varies |
| Therapeutic Activities (97530) | $38.81 | $138.60 | 1.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$23.23–$33.52 | $82.95–$119.70 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$14.70–$33.52 | $52.50–$119.70 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $107.31 | $383.25 | 0.8× |
| Trans Care Mgmt 7 Day Disch (99496) | $145.53 | $519.75 | 1.0× |
| Tte w/doppler, complete (93306) | $323.69 | $1,156.05 | 0.6× |
| Tte W/O Doppler Complete (93307) | $106.72 | $381.15 | 0.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $110.25 | $393.75 | 1.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$39.31–$61.45 | $140.39–$219.45 | varies |
| Tympanometry (92567) | $13.52 | $48.30 | 0.3× |
| Unlis neurological/neuromuscular dx px (95999) | $137.89 | $492.45 | 1.0× |
| Unlisted ophthalmological service/procedure (92499) range across 2 matching MRF lines |
$25.28–$25.87 | $90.30–$92.40 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$87.91–$118.72 | $313.95–$424 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$137–$271.35 | $489.30–$969.11 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) range across 2 matching MRF lines |
$448.35–$573.89 | $1,601.25–$2,049.60 | varies |
| Veeg 2-12 hr intmt mntr (95712) range across 2 matching MRF lines |
$243.14–$423.07 | $868.35–$1,510.95 | varies |
| Veeg 2-12 hr unmonitored (95711) range across 2 matching MRF lines |
$141.12–$243.14 | $504–$868.35 | varies |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) range across 2 matching MRF lines |
$448.35–$754.70 | $1,601.25–$2,695.35 | varies |
| Veeg Ea 12-26 Hr Unmntr (95714) range across 2 matching MRF lines |
$207.86–$448.35 | $742.35–$1,601.25 | varies |
| Veeg ea 12-26hr cont mntr (95716) range across 2 matching MRF lines |
$844.96–$1,020.18 | $3,017.70–$3,643.50 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$88.79–$388.67 | $317.10–$1,388.10 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $355.15 | $1,268.40 | 0.5× |
| Visual Field Exam Extended (92083) range across 3 matching MRF lines |
$62.92–$134.06 | $224.70–$478.80 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) range across 2 matching MRF lines |
$48.22–$50.68 | $172.20–$181 | varies |
| Visual reinforcement audiometry (vra) (92579) range across 3 matching MRF lines |
$9.70–$42.34 | $34.65–$151.20 | varies |
| Vital capacity, total (94150) | $158.17 | $564.90 | 1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $29.11 | $103.95 | 0.9× |
| Whirlpool Therapy (97022) | $32.05 | $114.45 | 2.0× |
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.