Visits & medical services prices at Indiana University Health Tipton Hospital Inc
Tipton, IN · every code in this section with a posted price and a Medicare benchmark.
505 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $8,528.11 | $22,645 | 1.0× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) range across 2 matching MRF lines |
$149.89–$234.62 | $398–$623 | varies |
| Acoustic Reflex Testing (92568) range across 2 matching MRF lines |
$55.74–$86.62 | $148–$230 | varies |
| Actigraphy Testing Recording Analysis I&R (95803) | $199.22 | $529 | 3.2× |
| Acupunct W/Stimul 15 Min (97813) | $39.54 | $105 | 1.3× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $32.76 | $87 | 1.1× |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) | $92.64 | $246 | 0.5× |
| Adaptive behavior tx by protocol tech ea 15 min (97153) | $92.64 | $246 | 0.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$7.65–$27.49 | $20.32–$73 | varies |
| Advncd Care Plan 30 Min (99497) | $54.23 | $144 | 0.5× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 2 matching MRF lines |
$211.27–$421.42 | $561–$1,119 | varies |
| Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines |
$399.57–$798.77 | $1,061–$2,121 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) range across 2 matching MRF lines |
$399.57–$798.77 | $1,061–$2,121 | varies |
| Airway Inhalation Treatment (94640) range across 31 matching MRF lines |
$22.22–$221.44 | $59–$588 | varies |
| Airway resistance by oscillometry (94728) | $316.72 | $841 | 2.3× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $380.74 | $1,011 | 2.7× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $232.74 | $618 | 1.7× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) range across 6 matching MRF lines |
$218.43–$1,498.11 | $580–$3,978 | varies |
| Analyze neurostim complex (95972) | $227.47 | $604 | 2.3× |
| Analyze neurostim no prog (95970) | $102.06 | $271 | 0.7× |
| Analyze Neurostim Simple (95971) | $214.66 | $570 | 2.1× |
| Analyze Pacemaker System (93724) | $492.22 | $1,307 | 1.5× |
| Anrct mano rct sensation&rct balo expulsion test (91125) range across 2 matching MRF lines |
$1,494.73–$1,785.08 | $3,969–$4,740 | varies |
| Ans parasymp & symp w/tilt (95924) | $305.05 | $810 | 1.3× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $266.26 | $707 | 1.9× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $33.89 | $90 | 0.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $33.89 | $90 | 2.4× |
| Application on-body injector (96377) | $72.31 | $192 | 1.5× |
| Arrhythmia Induction (93618) | $4,386.26 | $11,647 | 3.4× |
| Art pressure waveform analys (93050) range across 2 matching MRF lines |
$112.98–$346.10 | $300–$919 | varies |
| Assessment of aphasia per hr (96105) | $166.08 | $441 | 1.7× |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$108.84–$235.38 | $289–$625 | varies |
| Basic vestibular evaluation (92540) | $412.38 | $1,095 | 1.8× |
| Behavior id assessment by phys/qhp ea 15 min (97151) | $92.64 | $246 | 0.9× |
| Behavior id support assmt by 1 tech ea 15 min (97152) | $92.64 | $246 | 0.9× |
| Behavral qualit analys voice (92524) range across 9 matching MRF lines |
$158.17–$627.79 | $420–$1,667 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $251.95 | $669 | 3.1× |
| Bfb training ea addl 15 min (90913) | $251.95 | $669 | 7.7× |
| Biofeedback training any modality (90901) range across 2 matching MRF lines |
$158.93–$171.73 | $422–$456 | varies |
| Bioimpedance Cv Analysis (93701) | $322.37 | $856 | 2.3× |
| Blink reflex test (95933) | $146.12 | $388 | 2.3× |
| Breath hydrogen/methane test (91065) | $768.26 | $2,040 | 3.4× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$4.52–$34.27 | $12–$91 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 7 matching MRF lines |
$251.95–$1,333.92 | $669–$3,542 | varies |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$4,037.15 | $10,720 | 0.5× |
| C motor evoked uppr limbs (95928) | $730.98 | $1,941 | 0.8× |
| C motor evoked upr&lwr limbs (95939) | $1,506.02 | $3,999 | 1.7× |
| Caloric vestibular test w/rec bi monothermal (92538) | $76.45 | $203 | 0.3× |
| Caloric Vstblr Test W/Rec (92537) | $151.77 | $403 | 1.1× |
| Canalith repositioning proc (95992) | $114.49 | $304 | 2.8× |
| Car seat/bed test 60 min (94780) | $243.66 | $647 | 6.2× |
| Cardiac Stress Tst,Tracing Only (93017) range across 8 matching MRF lines |
$28.25–$447.78 | $75–$1,189 | varies |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$1,925.18–$2,020.84 | $5,112–$5,366 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$1,970.75–$1,994.47 | $5,233–$5,296 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,162.56–$2,223.45 | $3,087–$5,904 | varies |
| Cardioversion elective internal (92961) | $1,999.75 | $5,310 | 2.9× |
| Care mgmt services behavioral hlth cond 20 mins (99484) range across 2 matching MRF lines |
$36.15–$42.18 | $96–$112 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) range across 2 matching MRF lines |
$38.41–$82.85 | $102–$220 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $9,630.42 | $25,572 | 2.8× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $15,599.15 | $41,421 | 4.5× |
| Cbt 1st hour (94644) | $54.23 | $144 | 0.4× |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) | $167.59 | $445 | 1.2× |
| Cervical & Ocular Vemp Testing W/I&R (92519) range across 2 matching MRF lines |
$65.15–$129.93 | $173–$345 | varies |
| Cervical Vemp Testing W/I&R (92517) range across 2 matching MRF lines |
$34.65–$68.92 | $92–$183 | varies |
| Chemo Admin Peritoneal Cavity (96446) | $286.97 | $762 | 0.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $206.38 | $548 | 2.7× |
| Chemo Hormon Antineopl Sq/Im (96402) | $206.38 | $548 | 2.7× |
| Chemo Ia Push (96420) | $213.91 | $568 | 0.6× |
| Chemo Intralesional Over 7 (96406) | $246.67 | $655 | 1.1× |
| Chemo intralesional up to 7 (96405) | $121.64 | $323 | 1.6× |
| Chemo IV infusion addl hr (96415) | $206.38 | $548 | 2.7× |
| Chemo IV push addl drug (96411) | $300.90 | $799 | 3.9× |
| Chemother Prolong Infuse W/Pump (96416) | $1,807.68 | $4,800 | 5.2× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $779.56 | $2,070 | 2.2× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $116.37 | $309 | 2.3× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$161.56–$322.75 | $429–$857 | varies |
| Chemotherapy Intracavitary (96440) | $551.72 | $1,465 | 1.6× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $1,188.55 | $3,156 | 3.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $206.38 | $548 | 2.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,399.07 | $3,715 | 4.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $400.70 | $1,064 | 1.1× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $161.18 | $428 | 0.5× |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$40.30–$111.47 | $107–$296 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $117.12 | $311 | 1.1× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) range across 2 matching MRF lines |
$582.60–$861.66 | $1,547–$2,288 | varies |
| Cmptr ophth dx img ant segmt (92132) | $313.71 | $833 | 5.0× |
| Colon Motility 6 Hr Study (91117) range across 2 matching MRF lines |
$2,668.96–$5,671.22 | $7,087–$15,059 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $192.82 | $512 | 3.1× |
| Color/duplex Doppler, complete (93975) | $430.08 | $1,142 | 1.7× |
| Color/duplex Doppler, limited (93976) | $255.33 | $678 | 2.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 3 matching MRF lines |
$42.56–$127.67 | $113–$339 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $223.32 | $593 | 1.2× |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) | $1,071.80 | $2,846 | 1.2× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $905.72 | $2,405 | 2.3× |
| Comprehensive Hearing Test (92557) range across 4 matching MRF lines |
$170.98–$383 | $454–$1,017 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $547.95 | $1,455 | 8.8× |
| Computerized Ophthalmic Imaging Retina (92134) | $164.20 | $436 | 2.6× |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$146.87–$228.22 | $390–$606 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$245.17–$283.58 | $651–$753 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $113.73 | $302 | 1.8× |
| Continuous Pulse Ox (94762) | $299.40 | $795 | 2.2× |
| Corneal Topography (92025) | $210.14 | $558 | 3.4× |
| Coronary Art/Grft Angio S&I (93455) | $6,614.98 | $17,565 | 1.9× |
| Coronary Artery Angio S&I (93454) | $7,320.35 | $19,438 | 2.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 10 matching MRF lines |
$104.69–$645.12 | $278–$1,713 | varies |
| Cpt initial (94667) range across 5 matching MRF lines |
$44.44–$291.11 | $118–$773 | varies |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) | $860.53 | $2,285 | 3.8× |
| Critical care first hour (99291) range across 5 matching MRF lines |
$1,794.12–$15,654.51 | $4,764–$41,568 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $760.73 | $2,020 | 1.9× |
| Dark Adaptation Eye Exam (92284) | $162.69 | $432 | 0.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 14 matching MRF lines |
$49.33–$1,035.27 | $131–$2,749 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $69.29 | $184 | 0.5× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) range across 6 matching MRF lines |
$353.63–$1,692.44 | $939–$4,494 | varies |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$1,243.91–$1,658.55 | $3,303–$4,404 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 2 matching MRF lines |
$107.33–$181.14 | $285–$481 | varies |
| Duodenal motility study (91022) range across 2 matching MRF lines |
$1,103.81–$4,147.12 | $2,931–$11,012 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,921.41 | $5,102 | 7.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 3 matching MRF lines |
$24.48–$716.67 | $65–$1,903 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $161.56 | $429 | 1.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,537.66 | $4,083 | 6.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$1,025.48–$1,105.32 | $2,723–$2,935 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$1,479.66–$2,594.77 | $3,929–$6,890 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,431.83 | $3,802 | 12.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $313.71 | $833 | 1.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $313.71 | $833 | 2.8× |
| Duplex Scan Hemodialysis Access (93990) | $161.56 | $429 | 1.5× |
| Duplex up extrem art bilat (93930) | $1,047.32 | $2,781 | 4.1× |
| Duplex up extrem art unilat/ltd (93931) | $1,203.99 | $3,197 | 10.9× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $120.89 | $321 | 0.9× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 6 matching MRF lines |
$384.13–$1,150.89 | $1,020–$3,056 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) range across 6 matching MRF lines |
$218.43–$1,379.11 | $580–$3,662 | varies |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) | $212.78 | $565 | 0.9× |
| ECG/monitoring and analysis (93271) | $429.70 | $1,141 | 4.3× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$1,284.96–$1,712.78 | $3,412–$4,548 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 9 matching MRF lines |
$544.56–$726.08 | $1,446–$1,928 | varies |
| Echo transesophageal (93312) range across 6 matching MRF lines |
$1,025.11–$1,365.93 | $2,722–$3,627 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 2 matching MRF lines |
$1,035.27–$1,380.99 | $2,749–$3,667 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 5 matching MRF lines |
$357.39–$1,957.94 | $949–$5,199 | varies |
| Eeg 41-60 Minutes (95812) | $1,399.45 | $3,716 | 6.1× |
| EEG awake and asleep (95819) | $1,101.56 | $2,925 | 4.8× |
| EEG awake drowsy (95816) | $944.89 | $2,509 | 4.1× |
| EEG cerebral death evaluation (95824) | $775.04 | $2,058 | 2.0× |
| EEG cont rec w/video by tech min 8 channels (95700) | $421.79 | $1,120 | 1.8× |
| EEG extended monitoring 61-119 minutes (95813) | $2,244.54 | $5,960 | 9.8× |
| Eeg Sleep Only (95822) | $715.16 | $1,899 | 3.1× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $802.53 | $2,131 | 3.5× |
| EEG w/o vid 2-12hr cont mntr (95707) | $802.53 | $2,131 | 3.5× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $802.53 | $2,131 | 3.5× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $124.28 | $330 | 1.2× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $193.95 | $515 | 1.9× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $221.06 | $587 | 5.6× |
| Electrical Stimulation Ea 15 Min (97032) | $49.33 | $131 | 3.4× |
| Electro-Oculography (92270) | $654.15 | $1,737 | 4.6× |
| Electrocardiogram Tracing (93005) | $109.59 | $291 | 1.8× |
| Electrocochleography (92584) range across 2 matching MRF lines |
$299.40–$466.98 | $795–$1,240 | varies |
| Electroconvulsive Therapy (90870) | $1,483.05 | $3,938 | 1.6× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) | $705 | $1,872 | 3.1× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $5,838.81 | $15,504 | 0.7× |
| Electrophysiology Evaluation (93642) | $2,998.87 | $7,963 | 2.3× |
| Emergency Dept Visit Level 2 (99282) | $274.16 | $728 | 1.7× |
| Emergency Dept Visit Level 3 (99283) | $492.97 | $1,309 | 1.7× |
| Emergency Dept Visit Level 4 (99284) range across 6 matching MRF lines |
$663.95–$14,790.59 | $1,763–$39,274 | varies |
| Emg 3 Extremities (95863) | $820.61 | $2,179 | 6.0× |
| Emg 4 Extremities (95864) | $976.52 | $2,593 | 7.2× |
| Endomyocardial Biopsy (93505) | $6,790.10 | $18,030 | 2.0× |
| Ep & ablate supravent arrhyt (93653) | $25,625.37 | $68,044 | 0.9× |
| Ep & ablate ventric tachy (93654) | $34,279.26 | $91,023 | 1.2× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 2 matching MRF lines |
$5,029.49–$28,310.91 | $13,355–$75,175 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $4,435.59 | $11,778 | 0.5× |
| Er level 1 (99281) | $168.72 | $448 | 1.9× |
| Er level v (99285) range across 6 matching MRF lines |
$1,060.13–$15,245.52 | $2,815–$40,482 | varies |
| Ergonovine provocation test (93024) | $780.32 | $2,072 | 1.7× |
| Esophagus acid perfusion test esophagitis (91030) | $170.98 | $454 | 0.4× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) range across 3 matching MRF lines |
$656.41–$3,843.96 | $1,743–$10,207 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,859.65 | $4,938 | 4.7× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $494.85 | $1,314 | 3.6× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$61.01–$166.08 | $162–$441 | varies |
| Evaluate Speech Production (92522) | $112.60 | $299 | 1.0× |
| Evaluate Swallowing Function (92610) range across 7 matching MRF lines |
$136.33–$136.71 | $362–$363 | varies |
| Evaluation of speech fluency (92521) range across 9 matching MRF lines |
$206.75–$542.68 | $549–$1,441 | varies |
| Evoked Auditory Test,Limited (92587) range across 3 matching MRF lines |
$100.18–$158.55 | $266–$421 | varies |
| Exercise test for bronchospasm (94617) | $1,363.67 | $3,621 | 9.7× |
| External ECG rec>48hr<7d recording (93242) | $875.22 | $2,324 | 22.1× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $1,121.89 | $2,979 | 8.0× |
| External ECG rec>7d<15d recording (93246) | $1,457.44 | $3,870 | 36.9× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $2,251.69 | $5,979 | 16.0× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$520.08–$941.88 | $1,381–$2,501 | varies |
| Extracranial Bilat Study (93880) | $905.72 | $2,405 | 3.6× |
| Extracranial Uni/Ltd Study (93882) range across 4 matching MRF lines |
$563.39–$716.29 | $1,496–$1,902 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$926.81–$1,235.62 | $2,461–$3,281 | varies |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) | $92.64 | $246 | 2.3× |
| Flexible endoscopic eval swallow c/v rec (92612) | $201.10 | $534 | 1.0× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $193.95 | $515 | 0.8× |
| Fluorescein angiography (92235) | $1,615.61 | $4,290 | 7.1× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $1,804.29 | $4,791 | 7.9× |
| Full Field Electroretinography W/I&R (92273) | $707.25 | $1,878 | 3.1× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $619.88 | $1,646 | 0.7× |
| Fundus photography (92250) | $473.01 | $1,256 | 3.4× |
| Gastric motility studies (91020) | $1,425.05 | $3,784 | 3.6× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,300.02 | $3,452 | 3.3× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $656.41 | $1,743 | 2.9× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,420.16 | $3,771 | 1.6× |
| Gi tract capsule endoscopy (91110) | $4,375.34 | $11,618 | 4.6× |
| Gi tract imaging intraluminal colon i&r (91113) range across 2 matching MRF lines |
$1,208.89–$3,050.84 | $3,210–$8,101 | varies |
| Gi wireless capsule measure (91112) | $2,000.50 | $5,312 | 2.1× |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) | $92.64 | $246 | 2.3× |
| Group Therapeutic Procedures (97150) range across 15 matching MRF lines |
$35.78–$259.10 | $95–$688 | varies |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) | $92.64 | $246 | 2.3× |
| Health Behavior Assessment/Re-Assessment (96156) | $355.13 | $943 | 3.3× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $177.76 | $472 | 4.5× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $141.23 | $375 | 3.6× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $177.76 | $472 | 0.9× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $14,949.89 | $39,697 | 4.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 6 matching MRF lines |
$243.66–$2,591.01 | $647–$6,880 | varies |
| High altitude simulation test (94452) | $1,397.56 | $3,711 | 9.9× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $1,936.48 | $5,142 | 13.8× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$336.30–$560 | $893–$1,487 | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $57.62 | $153 | 1.5× |
| Icd Device Interrogate (93289) | $84.74 | $225 | 2.1× |
| Icd device progr eval dual (93283) | $180.01 | $478 | 4.6× |
| Icd Device Progr Eval Mult (93284) | $211.27 | $561 | 5.3× |
| Icm Device Eval (93290) | $68.16 | $181 | 1.7× |
| Ilr Device Eval Progr (93285) | $362.67 | $963 | 9.2× |
| Ilr Device Interrogate (93291) | $338.19 | $898 | 11.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
$7.65–$16.95 | $20.32–$45 | varies |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $235.75 | $626 | 3.8× |
| Immunization administration (90471) range across 10 matching MRF lines |
$7.65–$44.82 | $20.32–$119 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $838.69 | $2,227 | 3.7× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $1,163.69 | $3,090 | 2.9× |
| Insert/Place Heart Catheter (93503) | $1,389.65 | $3,690 | 0.8× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) | $85.49 | $227 | 0.8× |
| Interrog&prgrmg ipnss during polysomnography (93152) | $599.55 | $1,592 | 1.8× |
| Interrogate Subq Defib (93261) | $78.33 | $208 | 2.0× |
| Interrogation vad in person (93750) | $85.49 | $227 | 0.8× |
| Interrogation without programming ipnss (93153) | $85.49 | $227 | 0.8× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$1,764.75 | $4,686 | 0.2× |
| Intra-atrial recording (93602) unusually low: confirm this is the full procedure |
$4,037.15 | $10,720 | 0.5× |
| Intracranial Complete Study (93886) | $1,699.22 | $4,512 | 6.7× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$1,623.15 | $4,310 | 0.2× |
| Io anal gast n-stim subsq (95981) | $74.57 | $198 | 1.2× |
| Io ga n-stim subsq w/reprog (95982) | $321.62 | $854 | 8.1× |
| Iontophoresis 15 min (97033) | $35.78 | $95 | 1.9× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$118.63–$123.90 | $315–$329 | varies |
| Ischemic limb exercise test (95875) | $211.27 | $561 | 1.6× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$111.85–$135.20 | $297–$359 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$1,184.41–$1,306.05 | $3,145–$3,468 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$111.85–$135.20 | $297–$359 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$119.01–$123.90 | $316–$329 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$168.34–$174.74 | $447–$464 | varies |
| L Hrt Art/Grft Angio (93459) | $11,512.29 | $30,569 | 3.4× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $18,854.48 | $50,065 | 5.5× |
| Laryngeal Function Studies (92520) range across 2 matching MRF lines |
$38.79–$77.20 | $103–$205 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $186.04 | $494 | 1.4× |
| Loudness balance test (92562) range across 2 matching MRF lines |
$88.12–$175.87 | $234–$467 | varies |
| Low frequency non-thermal us (97610) range across 8 matching MRF lines |
$91.14–$244.79 | $242–$650 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $189.05 | $502 | 3.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,404.34 | $3,729 | 6.1× |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) | $4,557.24 | $12,101 | 5.0× |
| Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) | $4,557.24 | $12,101 | 5.0× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) | $548.71 | $1,457 | 2.4× |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) | $650.39 | $1,727 | 1.6× |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) | $745.67 | $1,980 | 5.5× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$111.47–$248.18 | $296–$659 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $33.89 | $90 | 1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $33.89 | $90 | 0.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$36.15–$36.91 | $96–$98 | varies |
| Methacholine challenge (94070) range across 3 matching MRF lines |
$813.83–$2,258.85 | $2,161–$5,998 | varies |
| Microvolt T-Wave Assess (93025) | $413.13 | $1,097 | 3.0× |
| Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) | $35.02 | $93 | 1.7× |
| Mlt fam group bhv mgmt/modificaj traing ea addl (96203) | $9.79 | $26 | 1.8× |
| Motility study esophagus (91010) | $1,390.78 | $3,693 | 3.5× |
| Motion Fluoroscopy/Swallow (92611) | $291.49 | $774 | 3.2× |
| Multifocal Electroretinography W/I&R (92274) | $381.50 | $1,013 | 2.8× |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) | $92.64 | $246 | 2.3× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$997.24–$1,806.55 | $2,648–$4,797 | varies |
| Muscle Test 2 Limbs (95861) | $662.44 | $1,759 | 4.7× |
| Muscle Test Nonparaspinal (95870) | $201.10 | $534 | 1.4× |
| Muscle Test One Limb (95860) | $504.64 | $1,340 | 3.6× |
| Nasal function studies (92512) | $40.67 | $108 | 0.2× |
| Nasopharyngoscopy (92511) | $780.69 | $2,073 | 3.7× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $558.87 | $1,484 | 2.4× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $373.21 | $991 | 1.6× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $225.58 | $599 | 1.0× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $493.35 | $1,310 | 2.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$120.51–$961.08 | $320–$2,552 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$209.39–$929.07 | $556–$2,467 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$131.43–$961.08 | $349–$2,552 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$226.71–$1,009.29 | $602–$2,680 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $395.05 | $1,049 | 1.7× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,183.65 | $3,143 | 3.0× |
| Nerve conduction studies 13 or more studies (95913) | $1,221.31 | $3,243 | 3.1× |
| Nerve Conduction Studies 3-4 Studies (95908) | $493.72 | $1,311 | 2.2× |
| Nerve conduction studies 5-6 studies (95909) | $592.02 | $1,572 | 2.6× |
| Nerve conduction studies 7-8 studies (95910) | $686.92 | $1,824 | 1.7× |
| Nerve Conduction Studies 9-10 Studies (95911) | $986.32 | $2,619 | 2.5× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $212.78 | $565 | 1.6× |
| Neuromuscular Reeducation (97112) | $48.96 | $130 | 1.5× |
| Nitric oxide expired gas determination (95012) | $312.20 | $829 | 7.9× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $45.57 | $121 | 1.8× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $63.65 | $169 | 1.8× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $31.63 | $84 | 2.3× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $713.66 | $1,895 | 1.8× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $1,900.70 | $5,047 | 4.8× |
| Ocular Vemp Testing W/I&R (92518) range across 2 matching MRF lines |
$34.65–$68.92 | $92–$183 | varies |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $164.20 | $436 | 1.2× |
| Ophth medical xm&eval intermediate estab pt (92012) | $53.10 | $141 | 0.4× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $70.42 | $187 | 0.5× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $85.49 | $227 | 1.4× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $131.81 | $350 | 2.1× |
| Optokinetic Nystagmus Test (92544) | $63.27 | $168 | 0.5× |
| Oral Function Therapy (92526) range across 7 matching MRF lines |
$55.74–$505.40 | $148–$1,342 | varies |
| Oral Speech Device Eval (92597) | $144.99 | $385 | 2.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $63.65 | $169 | 1.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $55.36 | $147 | 1.2× |
| Oscillating Tracking Test (92545) | $71.55 | $190 | 0.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $160.81 | $427 | 7.0× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$24.10–$44.82 | $64–$119 | varies |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$134.82–$143.86 | $358–$382 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$134.82–$143.86 | $358–$382 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$134.82–$143.86 | $358–$382 | varies |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$48.96–$62.89 | $130–$167 | varies |
| Ot paraffin bath (97018) | $18.08 | $48 | 3.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $48.96 | $130 | 1.2× |
| Ot Re-Eval Est Plan Care (97168) | $89.25 | $237 | 1.3× |
| Ot rom hand (95852) | $83.98 | $223 | 3.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $264.75 | $703 | 1.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $152.15 | $404 | 1.1× |
| Oxygen Uptake Rest Indirect (94690) range across 4 matching MRF lines |
$402.59–$813.83 | $1,069–$2,161 | varies |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $633.44 | $1,682 | 1.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $449.66 | $1,194 | 1.9× |
| Percutaneous tests w/allergenic extracts (95004) | $19.58 | $52 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $201.86 | $536 | 3.2× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) range across 10 matching MRF lines |
$19,343.31–$24,232.33 | $51,363–$64,345 | varies |
| Perq transcath closure pda (93582) | $11,571.04 | $30,725 | 0.6× |
| Perq Transcath Cls Aortic (93591) | $11,390.64 | $30,246 | 0.6× |
| Perq Transcath Cls Mitral (93590) | $14,519.81 | $38,555 | 0.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 5 matching MRF lines |
$11,888.89–$14,860.26 | $31,569–$39,459 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 10 matching MRF lines |
$11,263.35–$14,860.26 | $29,908–$39,459 | varies |
| Phlebotomy therapeutic (99195) | $275.67 | $732 | 2.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $311.82 | $828 | 5.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $311.82 | $828 | 5.0× |
| Physical Performance Test (97750) | $69.29 | $184 | 2.1× |
| Plethysmography (94726) range across 2 matching MRF lines |
$442.88–$512.55 | $1,176–$1,361 | varies |
| Pm device eval in person (93288) | $214.66 | $570 | 5.4× |
| Pm device progr eval dual (93280) | $407.48 | $1,082 | 10.3× |
| Pm device progr eval multi (93281) | $182.27 | $484 | 4.6× |
| Pm Device Progr Eval Sngl (93279) | $404.09 | $1,073 | 10.2× |
| Pm/Icd Remote Tech Serv (93296) | $155.91 | $414 | 3.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$1,967.74–$2,927.69 | $5,225–$7,774 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $5,104.06 | $13,553 | 5.6× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $5,687.04 | $15,101 | 6.3× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $3,777.67 | $10,031 | 4.2× |
| Positional nystagmus test (92542) | $279.06 | $741 | 2.0× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $143.86 | $382 | 3.6× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $180.01 | $478 | 4.6× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $115.62 | $307 | 1.1× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$30.50–$35.02 | $81–$93 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$42.18–$48.96 | $112–$130 | varies |
| Prq Card Angio/Athrect 1 Art (92924) range across 5 matching MRF lines |
$13,440.85–$14,112.33 | $35,690–$37,473 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 10 matching MRF lines |
$11,888.89–$16,493.95 | $31,569–$43,797 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 10 matching MRF lines |
$10,338.05–$12,835.28 | $27,451–$34,082 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 10 matching MRF lines |
$10,338.05–$16,479.26 | $27,451–$43,758 | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) range across 2 matching MRF lines |
$8,005.01–$21,296.73 | $21,256–$56,550 | varies |
| Prq trl rvs ch occ ant&rtrgr (92945) range across 10 matching MRF lines |
$11,826.75–$14,860.26 | $31,404–$39,459 | varies |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$3,151.01 | $8,367 | 0.3× |
| Psych diag eval w/med srvcs (90792) range across 6 matching MRF lines |
$188.30–$343.84 | $500–$913 | varies |
| Psychiatric diagnostic evaluation (90791) range across 4 matching MRF lines |
$188.30–$280.57 | $500–$745 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $676 | $1,795 | 3.0× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $38.41 | $102 | 1.3× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $676 | $1,795 | 1.4× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $676 | $1,795 | 4.8× |
| Psytx Crisis Initial 60 Min (90839) | $201.86 | $536 | 1.1× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $92.64 | $246 | 2.5× |
| Pt Eval High Complex (97163) | $148.38 | $394 | 1.5× |
| Pt eval low complex 20 min (97161) | $148.38 | $394 | 1.5× |
| Pt Eval Mod Complex (97162) | $148.38 | $394 | 1.5× |
| Pt gait training 15 min (97116) | $51.22 | $136 | 1.8× |
| Pt group caregiver training (97552) range across 8 matching MRF lines |
$140.10–$226.71 | $372–$602 | varies |
| Pt mechanical traction (97012) | $33.89 | $90 | 2.4× |
| Pt Re-Eval Est Plan Care (97164) | $101.31 | $269 | 1.5× |
| Pt ultraviolet (97028) | $47.08 | $125 | 5.6× |
| Pulm function test by gas (94727) | $394.68 | $1,048 | 1.7× |
| Pulmonary service/procedure (94799) | $66.66 | $177 | 0.5× |
| Pulmonary Stress Testing (94618) | $379.99 | $1,009 | 2.7× |
| Pure Tone Audiometry Air (92552) range across 4 matching MRF lines |
$99.05–$192.82 | $263–$512 | varies |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $43.31 | $115 | 1.9× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $63.27 | $168 | 1.8× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $32.76 | $87 | 2.7× |
| Quan puplmtry phy/qhp uni/bi (95919) | $430.45 | $1,143 | 3.1× |
| R Hrt Art/Grft Angio (93457) | $12,139.70 | $32,235 | 3.5× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $5,026.10 | $13,346 | 1.5× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $15,864.65 | $42,126 | 4.6× |
| R hrt coronary artery angio (93456) | $14,687.02 | $38,999 | 4.3× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $11,140.96 | $29,583 | 3.2× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $18,703.46 | $49,664 | 5.5× |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$10,888.26–$13,259.33 | $28,912–$35,208 | varies |
| Rectal sensation tone&compliance study (91124) range across 2 matching MRF lines |
$224.08–$323.88 | $595–$860 | varies |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $706.50 | $1,876 | 2.0× |
| Refill/Maint Portable Pump (96521) | $477.91 | $1,269 | 2.1× |
| Refill/Maint Pump/Resvr Syst (96522) | $330.65 | $878 | 1.5× |
| Rem interrog icpms <30 d phys/qhp (93297) | $155.91 | $414 | 3.9× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $155.91 | $414 | 3.9× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $142.73 | $379 | 1.0× |
| Rem Ther Mntr Dev Sply Cbt (98978) | $60.26 | $160 | 1.5× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $60.26 | $160 | 1.5× |
| Rem ther mntr dev sply resp (98976) | $60.26 | $160 | 1.5× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$494.85–$902.33 | $1,314–$2,396 | varies |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $210.52 | $559 | 1.5× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $21.09 | $56 | 0.5× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $30.13 | $80 | 0.6× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $279.81 | $743 | 1.2× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $300.15 | $797 | 1.3× |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$470–$948.28 | $1,248–$2,518 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $262.49 | $697 | 4.2× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$8,725.07–$14,763.47 | $23,168–$39,202 | varies |
| Right ventricular recording (93603) | $4,037.15 | $10,720 | 3.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 13 matching MRF lines |
$46.70–$865.80 | $124–$2,299 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $91.14 | $242 | 3.5× |
| Rtm dev sply data cbt 2-15 days in 30 d pd (98986) | $30.13 | $80 | 0.8× |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) | $30.13 | $80 | 0.8× |
| Rtm tx mgmt 1 r-t ia comunicaj cal mo 1st 10 min (98979) | $30.13 | $80 | 1.1× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$204.87–$221.44 | $544–$588 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 2 matching MRF lines |
$103.19–$111.47 | $274–$296 | varies |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $244.04 | $648 | 0.6× |
| Self Care Mngment Training (97535) | $51.59 | $137 | 1.6× |
| Sensory Integration Ea 15 Min (97533) range across 3 matching MRF lines |
$37.66–$43.69 | $100–$116 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $1,074.44 | $2,853 | 4.7× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $322.37 | $856 | 2.4× |
| Sleep study attended (95807) | $1,618.63 | $4,298 | 4.1× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$563.02–$1,004.02 | $1,495–$2,666 | varies |
| Slp caregiver training 1st 30 min (97550) range across 2 matching MRF lines |
$83.61–$181.14 | $222–$481 | varies |
| Slp Stdy Unatnd W/Anal (95801) | $515.94 | $1,370 | 8.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $655.28 | $1,740 | 2.9× |
| Somatosensory Testing (95938) | $1,399.45 | $3,716 | 1.5× |
| Speech Audiometry Complete (92556) range across 2 matching MRF lines |
$99.05–$157.04 | $263–$417 | varies |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$55.74–$86.62 | $148–$230 | varies |
| Speech sound lang comprehen (92523) range across 12 matching MRF lines |
$111.85–$140.47 | $297–$373 | varies |
| Spirometry (94010) range across 3 matching MRF lines |
$238.76–$732.86 | $634–$1,946 | varies |
| Spontaneous Nystagmus Test (92541) | $63.27 | $168 | 0.4× |
| Ssep lower limbs (95926) | $1,074.44 | $2,853 | 4.7× |
| Standardized Cognitive Performance Testing (96125) | $245.92 | $653 | 2.4× |
| Stenger Test Speech (92577) range across 2 matching MRF lines |
$66.66–$82.85 | $177–$220 | varies |
| Stenger Test, Pure Tone (92565) range across 2 matching MRF lines |
$32.76–$41.43 | $87–$110 | varies |
| Stress Tte Only (93350) range across 4 matching MRF lines |
$874.09–$1,164.45 | $2,321–$3,092 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) | $92.27 | $245 | 1.2× |
| Surfactant Admin Thru Tube (94610) | $125.41 | $333 | 0.5× |
| Temp transcutaneous pacing (92953) | $1,079.34 | $2,866 | 1.5× |
| Testing Autonomic Nervous System Function (95923) | $430.45 | $1,143 | 3.1× |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) | $77.96 | $207 | 0.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $44.06 | $117 | 2.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $44.06 | $117 | 2.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$45.57–$49.33 | $121–$131 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$37.66–$92.64 | $100–$246 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 5 matching MRF lines |
$73.44–$172.86 | $195–$459 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $80.59 | $214 | 0.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$62.52–$74.94 | $166–$199 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$1,136.20–$1,184.41 | $3,017–$3,145 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $228.22 | $606 | 1.0× |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$49.33–$100.93 | $131–$268 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$437.23–$549.46 | $1,161–$1,459 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$32.39–$37.66 | $86–$100 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$15.44–$18.08 | $41–$48 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $112.23 | $298 | 0.8× |
| Trans Care Mgmt 7 Day Disch (99496) | $155.91 | $414 | 1.1× |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$11,912.23–$26,174.83 | $31,631–$69,503 | varies |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $2,844.84 | $7,554 | 25.7× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $1,351.62 | $3,589 | 12.2× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 3 matching MRF lines |
$88.50–$102.81 | $235–$273 | varies |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $192.07 | $510 | 1.4× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $221.06 | $587 | 1.6× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$998.37–$1,331.66 | $2,651–$3,536 | varies |
| Tte W/O Doppler Complete (93307) range across 8 matching MRF lines |
$714.41–$1,269.52 | $1,897–$3,371 | varies |
| Tx atrial fib pulm vein isol (93656) | $34,383.58 | $91,300 | 1.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 19 matching MRF lines |
$49.33–$729.47 | $131–$1,937 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $125.78 | $334 | 5.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$168.34–$174.74 | $447–$464 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$84.36–$129.93 | $224–$345 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 2 matching MRF lines |
$81.35–$137.84 | $216–$366 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$2,412.12–$2,533.39 | $6,405–$6,727 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) range across 4 matching MRF lines |
$186.04–$798.02 | $494–$2,119 | varies |
| Unlisted otorhinolaryngological service (92700) | $94.15 | $250 | 3.1× |
| Unlisted Psychiatric Service/Procedure (90899) | $139.72 | $371 | 3.5× |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$367.19–$844.71 | $975–$2,243 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$303.92–$691.81 | $807–$1,837 | varies |
| Valvuloplasty aortic valve (92986) range across 2 matching MRF lines |
$6,444–$6,766.37 | $17,111–$17,967 | varies |
| Valvuloplasty mitral valve (92987) range across 2 matching MRF lines |
$6,701.60–$6,766.37 | $17,795–$17,967 | varies |
| Valvuloplasty pulmonary valve (92990) | $8,520.20 | $22,624 | 0.7× |
| Vasopneumatic device (97016) | $40.30 | $107 | 3.4× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,519.58 | $4,035 | 3.8× |
| Veeg 2-12 hr intmt mntr (95712) | $802.53 | $2,131 | 2.0× |
| Veeg 2-12 hr unmonitored (95711) | $421.79 | $1,120 | 1.8× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,405.34 | $6,387 | 6.1× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,266.51 | $3,363 | 3.2× |
| Veeg ea 12-26hr cont mntr (95716) | $4,557.24 | $12,101 | 5.0× |
| Vent Mgmt Inpat Init Day (94002) range across 4 matching MRF lines |
$1,142.60–$1,949.66 | $3,034–$5,177 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 7 matching MRF lines |
$134.82–$1,410.37 | $358–$3,745 | varies |
| Visual Evoked Potential Test (95930) | $1,040.17 | $2,762 | 4.6× |
| Visual Field Exam Extended (92083) | $358.52 | $952 | 2.5× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $213.16 | $566 | 3.4× |
| Visual reinforcement audiometry (vra) (92579) range across 4 matching MRF lines |
$127.67–$245.92 | $339–$653 | varies |
| Vital capacity, total (94150) | $81.35 | $216 | 0.6× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $2,084.10 | $5,534 | 2.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $49.33 | $131 | 1.6× |
| Whirlpool Therapy (97022) | $33.89 | $90 | 2.2× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $366.43 | $973 | 9.3× |
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.