Visits & medical services prices at Indiana University Health White Memorial Hospital
Monticello, 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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $7,060.71 | $22,645 | 0.9× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) range across 2 matching MRF lines |
$124.10–$194.25 | $398–$623 | varies |
| Acoustic Reflex Testing (92568) range across 2 matching MRF lines |
$46.15–$71.71 | $148–$230 | varies |
| Actigraphy Testing Recording Analysis I&R (95803) | $164.94 | $529 | 2.6× |
| Acupunct W/Stimul 15 Min (97813) | $32.74 | $105 | 1.1× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $27.13 | $87 | 0.9× |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) | $76.70 | $246 | 0.4× |
| Adaptive behavior tx by protocol tech ea 15 min (97153) | $76.70 | $246 | 0.7× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$6.34–$22.76 | $20.32–$73 | varies |
| Advncd Care Plan 30 Min (99497) | $44.90 | $144 | 0.4× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 2 matching MRF lines |
$174.92–$348.90 | $561–$1,119 | varies |
| Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines |
$330.82–$661.33 | $1,061–$2,121 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) range across 2 matching MRF lines |
$330.82–$661.33 | $1,061–$2,121 | varies |
| Airway Inhalation Treatment (94640) range across 31 matching MRF lines |
$18.40–$183.34 | $59–$588 | varies |
| Airway resistance by oscillometry (94728) | $262.22 | $841 | 1.9× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $315.23 | $1,011 | 2.2× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $192.69 | $618 | 1.4× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) range across 6 matching MRF lines |
$180.84–$1,240.34 | $580–$3,978 | varies |
| Analyze neurostim complex (95972) | $188.33 | $604 | 1.9× |
| Analyze neurostim no prog (95970) | $84.50 | $271 | 0.6× |
| Analyze Neurostim Simple (95971) | $177.73 | $570 | 1.8× |
| Analyze Pacemaker System (93724) | $407.52 | $1,307 | 1.3× |
| Anrct mano rct sensation&rct balo expulsion test (91125) range across 2 matching MRF lines |
$1,237.53–$1,477.93 | $3,969–$4,740 | varies |
| Ans parasymp & symp w/tilt (95924) | $252.56 | $810 | 1.1× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $220.44 | $707 | 1.6× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $28.06 | $90 | 0.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $28.06 | $90 | 2.0× |
| Application on-body injector (96377) | $59.87 | $192 | 1.2× |
| Arrhythmia Induction (93618) | $3,631.53 | $11,647 | 2.8× |
| Art pressure waveform analys (93050) range across 2 matching MRF lines |
$93.54–$286.54 | $300–$919 | varies |
| Assessment of aphasia per hr (96105) | $137.50 | $441 | 1.4× |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$90.11–$194.88 | $289–$625 | varies |
| Basic vestibular evaluation (92540) | $341.42 | $1,095 | 1.5× |
| Behavior id assessment by phys/qhp ea 15 min (97151) | $76.70 | $246 | 0.7× |
| Behavior id support assmt by 1 tech ea 15 min (97152) | $76.70 | $246 | 0.7× |
| Behavral qualit analys voice (92524) range across 9 matching MRF lines |
$130.96–$519.77 | $420–$1,667 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $208.59 | $669 | 2.5× |
| Bfb training ea addl 15 min (90913) | $208.59 | $669 | 6.4× |
| Biofeedback training any modality (90901) range across 2 matching MRF lines |
$131.58–$142.18 | $422–$456 | varies |
| Bioimpedance Cv Analysis (93701) | $266.90 | $856 | 1.9× |
| Blink reflex test (95933) | $120.98 | $388 | 1.9× |
| Breath hydrogen/methane test (91065) | $636.07 | $2,040 | 2.8× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$3.74–$28.37 | $12–$91 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 7 matching MRF lines |
$208.59–$1,104.40 | $669–$3,542 | varies |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$3,342.50 | $10,720 | 0.4× |
| C motor evoked uppr limbs (95928) | $605.20 | $1,941 | 0.7× |
| C motor evoked upr&lwr limbs (95939) | $1,246.89 | $3,999 | 1.4× |
| Caloric vestibular test w/rec bi monothermal (92538) | $63.30 | $203 | 0.3× |
| Caloric Vstblr Test W/Rec (92537) | $125.66 | $403 | 0.9× |
| Canalith repositioning proc (95992) | $94.79 | $304 | 2.3× |
| Car seat/bed test 60 min (94780) | $201.73 | $647 | 5.1× |
| Cardiac Stress Tst,Tracing Only (93017) range across 8 matching MRF lines |
$23.39–$370.73 | $75–$1,189 | varies |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$1,593.92–$1,673.12 | $5,112–$5,366 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$1,631.65–$1,651.29 | $5,233–$5,296 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$962.53–$1,840.87 | $3,087–$5,904 | varies |
| Cardioversion elective internal (92961) | $1,655.66 | $5,310 | 2.4× |
| Care mgmt services behavioral hlth cond 20 mins (99484) range across 2 matching MRF lines |
$29.93–$34.92 | $96–$112 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) range across 2 matching MRF lines |
$31.80–$68.60 | $102–$220 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $7,973.35 | $25,572 | 2.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $12,915.07 | $41,421 | 3.8× |
| Cbt 1st hour (94644) | $44.90 | $144 | 0.3× |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) | $138.75 | $445 | 1.0× |
| Cervical & Ocular Vemp Testing W/I&R (92519) range across 2 matching MRF lines |
$53.94–$107.57 | $173–$345 | varies |
| Cervical Vemp Testing W/I&R (92517) range across 2 matching MRF lines |
$28.69–$57.06 | $92–$183 | varies |
| Chemo Admin Peritoneal Cavity (96446) | $237.59 | $762 | 0.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $170.87 | $548 | 2.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $170.87 | $548 | 2.2× |
| Chemo Ia Push (96420) | $177.10 | $568 | 0.5× |
| Chemo Intralesional Over 7 (96406) | $204.23 | $655 | 0.9× |
| Chemo intralesional up to 7 (96405) | $100.71 | $323 | 1.3× |
| Chemo IV infusion addl hr (96415) | $170.87 | $548 | 2.2× |
| Chemo IV push addl drug (96411) | $249.13 | $799 | 3.3× |
| Chemother Prolong Infuse W/Pump (96416) | $1,496.64 | $4,800 | 4.3× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $645.43 | $2,070 | 1.8× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $96.35 | $309 | 1.9× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$133.76–$267.21 | $429–$857 | varies |
| Chemotherapy Intracavitary (96440) | $456.79 | $1,465 | 1.3× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $984.04 | $3,156 | 2.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $170.87 | $548 | 2.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,158.34 | $3,715 | 3.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $331.76 | $1,064 | 0.9× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $133.45 | $428 | 0.4× |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$33.36–$92.29 | $107–$296 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $96.97 | $311 | 0.9× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) range across 2 matching MRF lines |
$482.35–$713.40 | $1,547–$2,288 | varies |
| Cmptr ophth dx img ant segmt (92132) | $259.73 | $833 | 4.2× |
| Colon Motility 6 Hr Study (91117) range across 2 matching MRF lines |
$2,209.73–$4,695.40 | $7,087–$15,059 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $159.64 | $512 | 2.6× |
| Color/duplex Doppler, complete (93975) | $356.08 | $1,142 | 1.4× |
| Color/duplex Doppler, limited (93976) | $211.40 | $678 | 1.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 3 matching MRF lines |
$35.23–$105.70 | $113–$339 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $184.90 | $593 | 1.0× |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) | $887.38 | $2,846 | 1.0× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $749.88 | $2,405 | 1.9× |
| Comprehensive Hearing Test (92557) range across 4 matching MRF lines |
$141.56–$317.10 | $454–$1,017 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $453.67 | $1,455 | 7.3× |
| Computerized Ophthalmic Imaging Retina (92134) | $135.94 | $436 | 2.2× |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$121.60–$188.95 | $390–$606 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$202.98–$234.79 | $651–$753 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $94.16 | $302 | 1.5× |
| Continuous Pulse Ox (94762) | $247.88 | $795 | 1.8× |
| Corneal Topography (92025) | $173.98 | $558 | 2.8× |
| Coronary Art/Grft Angio S&I (93455) | $5,476.77 | $17,565 | 1.6× |
| Coronary Artery Angio S&I (93454) | $6,060.77 | $19,438 | 1.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 10 matching MRF lines |
$86.68–$534.11 | $278–$1,713 | varies |
| Cpt initial (94667) range across 5 matching MRF lines |
$36.79–$241.02 | $118–$773 | varies |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) | $712.46 | $2,285 | 3.1× |
| Critical care first hour (99291) range across 5 matching MRF lines |
$1,485.42–$12,960.90 | $4,764–$41,568 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $629.84 | $2,020 | 1.6× |
| Dark Adaptation Eye Exam (92284) | $134.70 | $432 | 0.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 14 matching MRF lines |
$40.85–$857.14 | $131–$2,749 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $57.37 | $184 | 0.4× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) range across 6 matching MRF lines |
$292.78–$1,401.23 | $939–$4,494 | varies |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$1,029.88–$1,373.17 | $3,303–$4,404 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 2 matching MRF lines |
$88.86–$149.98 | $285–$481 | varies |
| Duodenal motility study (91022) range across 2 matching MRF lines |
$913.89–$3,433.54 | $2,931–$11,012 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,590.80 | $5,102 | 6.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 3 matching MRF lines |
$20.27–$593.36 | $65–$1,903 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $133.76 | $429 | 1.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,273.08 | $4,083 | 5.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$849.03–$915.13 | $2,723–$2,935 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$1,225.06–$2,148.30 | $3,929–$6,890 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,185.46 | $3,802 | 10.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $259.73 | $833 | 1.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $259.73 | $833 | 2.3× |
| Duplex Scan Hemodialysis Access (93990) | $133.76 | $429 | 1.2× |
| Duplex up extrem art bilat (93930) | $867.12 | $2,781 | 3.4× |
| Duplex up extrem art unilat/ltd (93931) | $996.82 | $3,197 | 9.0× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $100.09 | $321 | 0.7× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 6 matching MRF lines |
$318.04–$952.86 | $1,020–$3,056 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) range across 6 matching MRF lines |
$180.84–$1,141.81 | $580–$3,662 | varies |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) | $176.17 | $565 | 0.8× |
| ECG/monitoring and analysis (93271) | $355.76 | $1,141 | 3.5× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$1,063.86–$1,418.07 | $3,412–$4,548 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 9 matching MRF lines |
$450.86–$601.15 | $1,446–$1,928 | varies |
| Echo transesophageal (93312) range across 6 matching MRF lines |
$848.72–$1,130.90 | $2,722–$3,627 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 2 matching MRF lines |
$857.14–$1,143.37 | $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 |
$295.90–$1,621.05 | $949–$5,199 | varies |
| Eeg 41-60 Minutes (95812) | $1,158.65 | $3,716 | 5.1× |
| EEG awake and asleep (95819) | $912.02 | $2,925 | 4.0× |
| EEG awake drowsy (95816) | $782.31 | $2,509 | 3.4× |
| EEG cerebral death evaluation (95824) | $641.68 | $2,058 | 1.6× |
| EEG cont rec w/video by tech min 8 channels (95700) | $349.22 | $1,120 | 1.5× |
| EEG extended monitoring 61-119 minutes (95813) | $1,858.33 | $5,960 | 8.1× |
| Eeg Sleep Only (95822) | $592.11 | $1,899 | 2.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $664.45 | $2,131 | 2.9× |
| EEG w/o vid 2-12hr cont mntr (95707) | $664.45 | $2,131 | 2.9× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $664.45 | $2,131 | 2.9× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $102.89 | $330 | 1.0× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $160.58 | $515 | 1.6× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $183.03 | $587 | 4.6× |
| Electrical Stimulation Ea 15 Min (97032) | $40.85 | $131 | 2.8× |
| Electro-Oculography (92270) | $541.60 | $1,737 | 3.8× |
| Electrocardiogram Tracing (93005) | $90.73 | $291 | 1.5× |
| Electrocochleography (92584) range across 2 matching MRF lines |
$247.88–$386.63 | $795–$1,240 | varies |
| Electroconvulsive Therapy (90870) | $1,227.87 | $3,938 | 1.4× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) | $583.69 | $1,872 | 2.6× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $4,834.15 | $15,504 | 0.6× |
| Electrophysiology Evaluation (93642) | $2,482.86 | $7,963 | 1.9× |
| Emergency Dept Visit Level 2 (99282) | $226.99 | $728 | 1.4× |
| Emergency Dept Visit Level 3 (99283) | $408.15 | $1,309 | 1.4× |
| Emergency Dept Visit Level 4 (99284) range across 6 matching MRF lines |
$549.70–$12,245.63 | $1,763–$39,274 | varies |
| Emg 3 Extremities (95863) | $679.41 | $2,179 | 5.0× |
| Emg 4 Extremities (95864) | $808.50 | $2,593 | 5.9× |
| Endomyocardial Biopsy (93505) | $5,621.75 | $18,030 | 1.7× |
| Ep & ablate supravent arrhyt (93653) | $21,216.12 | $68,044 | 0.8× |
| Ep & ablate ventric tachy (93654) | $28,380.97 | $91,023 | 1.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 2 matching MRF lines |
$4,164.09–$23,439.57 | $13,355–$75,175 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) unusually low: confirm this is the full procedure |
$3,672.38 | $11,778 | 0.4× |
| Er level 1 (99281) | $139.69 | $448 | 1.6× |
| Er level v (99285) range across 6 matching MRF lines |
$877.72–$12,622.29 | $2,815–$40,482 | varies |
| Ergonovine provocation test (93024) | $646.05 | $2,072 | 1.4× |
| Esophagus acid perfusion test esophagitis (91030) | $141.56 | $454 | 0.4× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) range across 3 matching MRF lines |
$543.47–$3,182.54 | $1,743–$10,207 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,539.67 | $4,938 | 3.9× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $409.71 | $1,314 | 3.0× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$50.51–$137.50 | $162–$441 | varies |
| Evaluate Speech Production (92522) | $93.23 | $299 | 0.8× |
| Evaluate Swallowing Function (92610) range across 7 matching MRF lines |
$112.87–$113.18 | $362–$363 | varies |
| Evaluation of speech fluency (92521) range across 9 matching MRF lines |
$171.18–$449.30 | $549–$1,441 | varies |
| Evoked Auditory Test,Limited (92587) range across 3 matching MRF lines |
$82.94–$131.27 | $266–$421 | varies |
| Exercise test for bronchospasm (94617) | $1,129.03 | $3,621 | 8.0× |
| External ECG rec>48hr<7d recording (93242) | $724.62 | $2,324 | 18.3× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $928.85 | $2,979 | 6.6× |
| External ECG rec>7d<15d recording (93246) | $1,206.67 | $3,870 | 30.5× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $1,864.25 | $5,979 | 13.2× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$430.60–$779.81 | $1,381–$2,501 | varies |
| Extracranial Bilat Study (93880) | $749.88 | $2,405 | 3.0× |
| Extracranial Uni/Ltd Study (93882) range across 4 matching MRF lines |
$466.45–$593.04 | $1,496–$1,902 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$767.34–$1,023.02 | $2,461–$3,281 | varies |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) | $76.70 | $246 | 1.9× |
| Flexible endoscopic eval swallow c/v rec (92612) | $166.50 | $534 | 0.8× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $160.58 | $515 | 0.7× |
| Fluorescein angiography (92235) | $1,337.62 | $4,290 | 5.9× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $1,493.83 | $4,791 | 6.5× |
| Full Field Electroretinography W/I&R (92273) | $585.56 | $1,878 | 2.6× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $513.22 | $1,646 | 0.6× |
| Fundus photography (92250) | $391.62 | $1,256 | 2.8× |
| Gastric motility studies (91020) | $1,179.85 | $3,784 | 3.0× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,076.33 | $3,452 | 2.7× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $543.47 | $1,743 | 2.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,175.80 | $3,771 | 1.3× |
| Gi tract capsule endoscopy (91110) | $3,622.49 | $11,618 | 3.8× |
| Gi tract imaging intraluminal colon i&r (91113) range across 2 matching MRF lines |
$1,000.88–$2,525.89 | $3,210–$8,101 | varies |
| Gi wireless capsule measure (91112) | $1,656.28 | $5,312 | 1.7× |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) | $76.70 | $246 | 1.9× |
| Group Therapeutic Procedures (97150) range across 15 matching MRF lines |
$29.62–$214.52 | $95–$688 | varies |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) | $76.70 | $246 | 1.9× |
| Health Behavior Assessment/Re-Assessment (96156) | $294.03 | $943 | 2.7× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $147.17 | $472 | 3.7× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $116.93 | $375 | 2.9× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $147.17 | $472 | 0.8× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $12,377.52 | $39,697 | 3.6× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 6 matching MRF lines |
$201.73–$2,145.18 | $647–$6,880 | varies |
| High altitude simulation test (94452) | $1,157.09 | $3,711 | 8.2× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $1,603.28 | $5,142 | 11.4× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$278.44–$463.65 | $893–$1,487 | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $47.71 | $153 | 1.2× |
| Icd Device Interrogate (93289) | $70.16 | $225 | 1.8× |
| Icd device progr eval dual (93283) | $149.04 | $478 | 3.8× |
| Icd Device Progr Eval Mult (93284) | $174.92 | $561 | 4.4× |
| Icm Device Eval (93290) | $56.44 | $181 | 1.4× |
| Ilr Device Eval Progr (93285) | $300.26 | $963 | 7.6× |
| Ilr Device Interrogate (93291) | $280 | $898 | 9.2× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
$6.34–$14.03 | $20.32–$45 | varies |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $195.19 | $626 | 3.1× |
| Immunization administration (90471) range across 10 matching MRF lines |
$6.34–$37.10 | $20.32–$119 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $694.38 | $2,227 | 3.0× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $963.46 | $3,090 | 2.4× |
| Insert/Place Heart Catheter (93503) | $1,150.54 | $3,690 | 0.7× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) | $70.78 | $227 | 0.7× |
| Interrog&prgrmg ipnss during polysomnography (93152) | $496.39 | $1,592 | 1.5× |
| Interrogate Subq Defib (93261) | $64.85 | $208 | 1.6× |
| Interrogation vad in person (93750) | $70.78 | $227 | 0.7× |
| Interrogation without programming ipnss (93153) | $70.78 | $227 | 0.7× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$1,461.09 | $4,686 | 0.2× |
| Intra-atrial recording (93602) unusually low: confirm this is the full procedure |
$3,342.50 | $10,720 | 0.4× |
| Intracranial Complete Study (93886) | $1,406.84 | $4,512 | 5.6× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$1,343.86 | $4,310 | 0.2× |
| Io anal gast n-stim subsq (95981) | $61.74 | $198 | 1.0× |
| Io ga n-stim subsq w/reprog (95982) | $266.28 | $854 | 6.7× |
| Iontophoresis 15 min (97033) | $29.62 | $95 | 1.6× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$98.22–$102.58 | $315–$329 | varies |
| Ischemic limb exercise test (95875) | $174.92 | $561 | 1.3× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$92.60–$111.94 | $297–$359 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$980.61–$1,081.32 | $3,145–$3,468 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$92.60–$111.94 | $297–$359 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$98.53–$102.58 | $316–$329 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$139.37–$144.68 | $447–$464 | varies |
| L Hrt Art/Grft Angio (93459) | $9,531.41 | $30,569 | 2.8× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $15,610.27 | $50,065 | 4.6× |
| Laryngeal Function Studies (92520) range across 2 matching MRF lines |
$32.12–$63.92 | $103–$205 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $154.03 | $494 | 1.1× |
| Loudness balance test (92562) range across 2 matching MRF lines |
$72.96–$145.61 | $234–$467 | varies |
| Low frequency non-thermal us (97610) range across 8 matching MRF lines |
$75.46–$202.67 | $242–$650 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $156.52 | $502 | 2.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,162.70 | $3,729 | 5.1× |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) | $3,773.09 | $12,101 | 4.2× |
| Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) | $3,773.09 | $12,101 | 4.2× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) | $454.29 | $1,457 | 2.0× |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) | $538.48 | $1,727 | 1.4× |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) | $617.36 | $1,980 | 4.5× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$92.29–$205.48 | $296–$659 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $28.06 | $90 | 0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $28.06 | $90 | 0.8× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$29.93–$30.56 | $96–$98 | varies |
| Methacholine challenge (94070) range across 3 matching MRF lines |
$673.80–$1,870.18 | $2,161–$5,998 | varies |
| Microvolt T-Wave Assess (93025) | $342.04 | $1,097 | 2.5× |
| Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) | $29 | $93 | 1.4× |
| Mlt fam group bhv mgmt/modificaj traing ea addl (96203) | $8.11 | $26 | 1.5× |
| Motility study esophagus (91010) | $1,151.48 | $3,693 | 2.9× |
| Motion Fluoroscopy/Swallow (92611) | $241.33 | $774 | 2.6× |
| Multifocal Electroretinography W/I&R (92274) | $315.85 | $1,013 | 2.3× |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) | $76.70 | $246 | 1.9× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$825.65–$1,495.70 | $2,648–$4,797 | varies |
| Muscle Test 2 Limbs (95861) | $548.46 | $1,759 | 3.9× |
| Muscle Test Nonparaspinal (95870) | $166.50 | $534 | 1.2× |
| Muscle Test One Limb (95860) | $417.81 | $1,340 | 3.0× |
| Nasal function studies (92512) | $33.67 | $108 | 0.1× |
| Nasopharyngoscopy (92511) | $646.36 | $2,073 | 3.1× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $462.71 | $1,484 | 2.0× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $308.99 | $991 | 1.4× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $186.77 | $599 | 0.8× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $408.46 | $1,310 | 1.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$99.78–$795.71 | $320–$2,552 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$173.36–$769.21 | $556–$2,467 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$108.82–$795.71 | $349–$2,552 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$187.70–$835.62 | $602–$2,680 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $327.08 | $1,049 | 1.4× |
| Nerve Conduction Studies 11-12 Studies (95912) | $979.99 | $3,143 | 2.5× |
| Nerve conduction studies 13 or more studies (95913) | $1,011.17 | $3,243 | 2.6× |
| Nerve Conduction Studies 3-4 Studies (95908) | $408.77 | $1,311 | 1.8× |
| Nerve conduction studies 5-6 studies (95909) | $490.15 | $1,572 | 2.1× |
| Nerve conduction studies 7-8 studies (95910) | $568.72 | $1,824 | 1.4× |
| Nerve Conduction Studies 9-10 Studies (95911) | $816.60 | $2,619 | 2.1× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $176.17 | $565 | 1.3× |
| Neuromuscular Reeducation (97112) | $40.53 | $130 | 1.2× |
| Nitric oxide expired gas determination (95012) | $258.48 | $829 | 6.5× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $37.73 | $121 | 1.5× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $52.69 | $169 | 1.5× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $26.19 | $84 | 1.9× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $590.86 | $1,895 | 1.5× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $1,573.65 | $5,047 | 4.0× |
| Ocular Vemp Testing W/I&R (92518) range across 2 matching MRF lines |
$28.69–$57.06 | $92–$183 | varies |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $135.94 | $436 | 1.0× |
| Ophth medical xm&eval intermediate estab pt (92012) | $43.96 | $141 | 0.3× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $58.31 | $187 | 0.4× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $70.78 | $227 | 1.1× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $109.13 | $350 | 1.7× |
| Optokinetic Nystagmus Test (92544) | $52.38 | $168 | 0.4× |
| Oral Function Therapy (92526) range across 7 matching MRF lines |
$46.15–$418.44 | $148–$1,342 | varies |
| Oral Speech Device Eval (92597) | $120.04 | $385 | 1.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $52.69 | $169 | 1.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $45.83 | $147 | 1.0× |
| Oscillating Tracking Test (92545) | $59.24 | $190 | 0.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $133.14 | $427 | 5.8× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$19.96–$37.10 | $64–$119 | varies |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$111.62–$119.11 | $358–$382 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$111.62–$119.11 | $358–$382 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$111.62–$119.11 | $358–$382 | varies |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$40.53–$52.07 | $130–$167 | varies |
| Ot paraffin bath (97018) | $14.97 | $48 | 2.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $40.53 | $130 | 1.0× |
| Ot Re-Eval Est Plan Care (97168) | $73.90 | $237 | 1.1× |
| Ot rom hand (95852) | $69.53 | $223 | 3.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $219.20 | $703 | 1.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $125.97 | $404 | 0.9× |
| Oxygen Uptake Rest Indirect (94690) range across 4 matching MRF lines |
$333.31–$673.80 | $1,069–$2,161 | varies |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $524.45 | $1,682 | 1.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $372.29 | $1,194 | 1.6× |
| Percutaneous tests w/allergenic extracts (95004) | $16.21 | $52 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $167.12 | $536 | 2.7× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) range across 10 matching MRF lines |
$16,014.98–$20,062.77 | $51,363–$64,345 | varies |
| Perq transcath closure pda (93582) unusually low: confirm this is the full procedure |
$9,580.06 | $30,725 | 0.5× |
| Perq Transcath Cls Aortic (93591) unusually low: confirm this is the full procedure |
$9,430.70 | $30,246 | 0.5× |
| Perq Transcath Cls Mitral (93590) | $12,021.45 | $38,555 | 0.6× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 5 matching MRF lines |
$9,843.21–$12,303.32 | $31,569–$39,459 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 10 matching MRF lines |
$9,325.31–$12,303.32 | $29,908–$39,459 | varies |
| Phlebotomy therapeutic (99195) | $228.24 | $732 | 1.6× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $258.17 | $828 | 4.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $258.17 | $828 | 4.1× |
| Physical Performance Test (97750) | $57.37 | $184 | 1.7× |
| Plethysmography (94726) range across 2 matching MRF lines |
$366.68–$424.36 | $1,176–$1,361 | varies |
| Pm device eval in person (93288) | $177.73 | $570 | 4.5× |
| Pm device progr eval dual (93280) | $337.37 | $1,082 | 8.5× |
| Pm device progr eval multi (93281) | $150.91 | $484 | 3.8× |
| Pm Device Progr Eval Sngl (93279) | $334.56 | $1,073 | 8.5× |
| Pm/Icd Remote Tech Serv (93296) | $129.09 | $414 | 3.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$1,629.16–$2,423.93 | $5,225–$7,774 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $4,225.83 | $13,553 | 4.7× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $4,708.49 | $15,101 | 5.2× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $3,127.67 | $10,031 | 3.4× |
| Positional nystagmus test (92542) | $231.04 | $741 | 1.6× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $119.11 | $382 | 3.0× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $149.04 | $478 | 3.8× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $95.72 | $307 | 0.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$25.26–$29 | $81–$93 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$34.92–$40.53 | $112–$130 | varies |
| Prq Card Angio/Athrect 1 Art (92924) range across 5 matching MRF lines |
$11,128.14–$11,684.08 | $35,690–$37,473 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 10 matching MRF lines |
$9,843.21–$13,655.90 | $31,569–$43,797 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 10 matching MRF lines |
$8,559.22–$10,626.77 | $27,451–$34,082 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 10 matching MRF lines |
$8,559.22–$13,643.74 | $27,451–$43,758 | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) range across 2 matching MRF lines |
$6,627.62–$17,632.29 | $21,256–$56,550 | varies |
| Prq trl rvs ch occ ant&rtrgr (92945) range across 10 matching MRF lines |
$9,791.77–$12,303.32 | $31,404–$39,459 | varies |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$2,608.83 | $8,367 | 0.2× |
| Psych diag eval w/med srvcs (90792) range across 6 matching MRF lines |
$155.90–$284.67 | $500–$913 | varies |
| Psychiatric diagnostic evaluation (90791) range across 4 matching MRF lines |
$155.90–$232.29 | $500–$745 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $559.68 | $1,795 | 2.4× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $31.80 | $102 | 1.0× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $559.68 | $1,795 | 1.2× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $559.68 | $1,795 | 4.0× |
| Psytx Crisis Initial 60 Min (90839) | $167.12 | $536 | 0.9× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $76.70 | $246 | 2.0× |
| Pt Eval High Complex (97163) | $122.85 | $394 | 1.3× |
| Pt eval low complex 20 min (97161) | $122.85 | $394 | 1.3× |
| Pt Eval Mod Complex (97162) | $122.85 | $394 | 1.3× |
| Pt gait training 15 min (97116) | $42.40 | $136 | 1.5× |
| Pt group caregiver training (97552) range across 8 matching MRF lines |
$115.99–$187.70 | $372–$602 | varies |
| Pt mechanical traction (97012) | $28.06 | $90 | 2.0× |
| Pt Re-Eval Est Plan Care (97164) | $83.87 | $269 | 1.2× |
| Pt ultraviolet (97028) | $38.98 | $125 | 4.7× |
| Pulm function test by gas (94727) | $326.77 | $1,048 | 1.4× |
| Pulmonary service/procedure (94799) | $55.19 | $177 | 0.4× |
| Pulmonary Stress Testing (94618) | $314.61 | $1,009 | 2.2× |
| Pure Tone Audiometry Air (92552) range across 4 matching MRF lines |
$82–$159.64 | $263–$512 | varies |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $35.86 | $115 | 1.6× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $52.38 | $168 | 1.5× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $27.13 | $87 | 2.2× |
| Quan puplmtry phy/qhp uni/bi (95919) | $356.39 | $1,143 | 2.5× |
| R Hrt Art/Grft Angio (93457) | $10,050.87 | $32,235 | 2.9× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $4,161.28 | $13,346 | 1.2× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $13,134.89 | $42,126 | 3.8× |
| R hrt coronary artery angio (93456) | $12,159.89 | $38,999 | 3.5× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $9,223.98 | $29,583 | 2.7× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $15,485.24 | $49,664 | 4.5× |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$9,014.76–$10,977.85 | $28,912–$35,208 | varies |
| Rectal sensation tone&compliance study (91124) range across 2 matching MRF lines |
$185.52–$268.15 | $595–$860 | varies |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $584.94 | $1,876 | 1.7× |
| Refill/Maint Portable Pump (96521) | $395.67 | $1,269 | 1.8× |
| Refill/Maint Pump/Resvr Syst (96522) | $273.76 | $878 | 1.2× |
| Rem interrog icpms <30 d phys/qhp (93297) | $129.09 | $414 | 3.3× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $129.09 | $414 | 3.3× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $118.17 | $379 | 0.8× |
| Rem Ther Mntr Dev Sply Cbt (98978) | $49.89 | $160 | 1.3× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $49.89 | $160 | 1.3× |
| Rem ther mntr dev sply resp (98976) | $49.89 | $160 | 1.3× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$409.71–$747.07 | $1,314–$2,396 | varies |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $174.30 | $559 | 1.2× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $17.46 | $56 | 0.4× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $24.94 | $80 | 0.5× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $231.67 | $743 | 1.0× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $248.50 | $797 | 1.1× |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$389.13–$785.11 | $1,248–$2,518 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $217.32 | $697 | 3.5× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$7,223.78–$12,223.18 | $23,168–$39,202 | varies |
| Right ventricular recording (93603) | $3,342.50 | $10,720 | 2.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 13 matching MRF lines |
$38.66–$716.83 | $124–$2,299 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $75.46 | $242 | 2.9× |
| Rtm dev sply data cbt 2-15 days in 30 d pd (98986) | $24.94 | $80 | 0.6× |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) | $24.94 | $80 | 0.6× |
| Rtm tx mgmt 1 r-t ia comunicaj cal mo 1st 10 min (98979) | $24.94 | $80 | 0.9× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$169.62–$183.34 | $544–$588 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 2 matching MRF lines |
$85.43–$92.29 | $274–$296 | varies |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $202.05 | $648 | 0.5× |
| Self Care Mngment Training (97535) | $42.72 | $137 | 1.3× |
| Sensory Integration Ea 15 Min (97533) range across 3 matching MRF lines |
$31.18–$36.17 | $100–$116 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $889.57 | $2,853 | 3.9× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $266.90 | $856 | 2.0× |
| Sleep study attended (95807) | $1,340.12 | $4,298 | 3.4× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$466.14–$831.26 | $1,495–$2,666 | varies |
| Slp caregiver training 1st 30 min (97550) range across 2 matching MRF lines |
$69.22–$149.98 | $222–$481 | varies |
| Slp Stdy Unatnd W/Anal (95801) | $427.17 | $1,370 | 6.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $542.53 | $1,740 | 2.4× |
| Somatosensory Testing (95938) | $1,158.65 | $3,716 | 1.3× |
| Speech Audiometry Complete (92556) range across 2 matching MRF lines |
$82–$130.02 | $263–$417 | varies |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$46.15–$71.71 | $148–$230 | varies |
| Speech sound lang comprehen (92523) range across 12 matching MRF lines |
$92.60–$116.30 | $297–$373 | varies |
| Spirometry (94010) range across 3 matching MRF lines |
$197.68–$606.76 | $634–$1,946 | varies |
| Spontaneous Nystagmus Test (92541) | $52.38 | $168 | 0.4× |
| Ssep lower limbs (95926) | $889.57 | $2,853 | 3.9× |
| Standardized Cognitive Performance Testing (96125) | $203.61 | $653 | 2.0× |
| Stenger Test Speech (92577) range across 2 matching MRF lines |
$55.19–$68.60 | $177–$220 | varies |
| Stenger Test, Pure Tone (92565) range across 2 matching MRF lines |
$27.13–$34.30 | $87–$110 | varies |
| Stress Tte Only (93350) range across 4 matching MRF lines |
$723.69–$964.09 | $2,321–$3,092 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) | $76.39 | $245 | 1.0× |
| Surfactant Admin Thru Tube (94610) | $103.83 | $333 | 0.4× |
| Temp transcutaneous pacing (92953) | $893.62 | $2,866 | 1.3× |
| Testing Autonomic Nervous System Function (95923) | $356.39 | $1,143 | 2.5× |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) | $64.54 | $207 | 0.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $36.48 | $117 | 1.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $36.48 | $117 | 1.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$37.73–$40.85 | $121–$131 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$31.18–$76.70 | $100–$246 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 5 matching MRF lines |
$60.80–$143.12 | $195–$459 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $66.73 | $214 | 0.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$51.76–$62.05 | $166–$199 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$940.70–$980.61 | $3,017–$3,145 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $188.95 | $606 | 0.8× |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$40.85–$83.56 | $131–$268 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$362–$454.92 | $1,161–$1,459 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$26.81–$31.18 | $86–$100 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$12.78–$14.97 | $41–$48 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $92.92 | $298 | 0.7× |
| Trans Care Mgmt 7 Day Disch (99496) | $129.09 | $414 | 0.9× |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$9,862.55–$21,671.04 | $31,631–$69,503 | varies |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $2,355.34 | $7,554 | 21.3× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $1,119.05 | $3,589 | 10.1× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 3 matching MRF lines |
$73.27–$85.12 | $235–$273 | varies |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $159.02 | $510 | 1.2× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $183.03 | $587 | 1.3× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$826.58–$1,102.52 | $2,651–$3,536 | varies |
| Tte W/O Doppler Complete (93307) range across 8 matching MRF lines |
$591.48–$1,051.08 | $1,897–$3,371 | varies |
| Tx atrial fib pulm vein isol (93656) | $28,467.34 | $91,300 | 1.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 19 matching MRF lines |
$40.85–$603.96 | $131–$1,937 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $104.14 | $334 | 4.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$139.37–$144.68 | $447–$464 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$69.84–$107.57 | $224–$345 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 2 matching MRF lines |
$67.35–$114.12 | $216–$366 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$1,997.08–$2,097.48 | $6,405–$6,727 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) range across 4 matching MRF lines |
$154.03–$660.70 | $494–$2,119 | varies |
| Unlisted otorhinolaryngological service (92700) | $77.95 | $250 | 2.5× |
| Unlisted Psychiatric Service/Procedure (90899) | $115.68 | $371 | 2.9× |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$304.01–$699.37 | $975–$2,243 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$251.62–$572.78 | $807–$1,837 | varies |
| Valvuloplasty aortic valve (92986) range across 2 matching MRF lines |
$5,335.21–$5,602.11 | $17,111–$17,967 | varies |
| Valvuloplasty mitral valve (92987) range across 2 matching MRF lines |
$5,548.48–$5,602.11 | $17,795–$17,967 | varies |
| Valvuloplasty pulmonary valve (92990) | $7,054.16 | $22,624 | 0.6× |
| Vasopneumatic device (97016) | $33.36 | $107 | 2.8× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,258.11 | $4,035 | 3.2× |
| Veeg 2-12 hr intmt mntr (95712) | $664.45 | $2,131 | 1.7× |
| Veeg 2-12 hr unmonitored (95711) | $349.22 | $1,120 | 1.5× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,991.47 | $6,387 | 5.0× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,048.58 | $3,363 | 2.7× |
| Veeg ea 12-26hr cont mntr (95716) | $3,773.09 | $12,101 | 4.2× |
| Vent Mgmt Inpat Init Day (94002) range across 4 matching MRF lines |
$946–$1,614.19 | $3,034–$5,177 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 7 matching MRF lines |
$111.62–$1,167.69 | $358–$3,745 | varies |
| Visual Evoked Potential Test (95930) | $861.19 | $2,762 | 3.8× |
| Visual Field Exam Extended (92083) | $296.83 | $952 | 2.1× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $176.48 | $566 | 2.8× |
| Visual reinforcement audiometry (vra) (92579) range across 4 matching MRF lines |
$105.70–$203.61 | $339–$653 | varies |
| Vital capacity, total (94150) | $67.35 | $216 | 0.5× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,725.50 | $5,534 | 1.9× |
| Wheelchair Mgmt Ea 15 Min (97542) | $40.85 | $131 | 1.3× |
| Whirlpool Therapy (97022) | $28.06 | $90 | 1.8× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $303.38 | $973 | 7.7× |
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.