Visits & medical services prices at Intermountain Health Fillmore Community Hospital
Fillmore, UT · every code in this section with a posted price and a Medicare benchmark.
256 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actigraphy Testing Recording Analysis I&R (95803) | $518.62 | $691.50 | 8.7× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$11.45–$87.48 | $15.27–$116.64 | varies |
| Airway Inhalation Treatment (94640) | $95.51 | $127.35 | 0.4× |
| Airway resistance by oscillometry (94728) | $406.12 | $541.50 | 3.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $63.09 | $84.12 | 4.4× |
| Application Modality 1/> Areas Diathermy (97024) | $74.14 | $98.85 | 10.1× |
| Application Modality 1/> Areas Infrared (97026) | $35.39 | $47.19 | 5.3× |
| Application on-body injector (96377) | $94.34 | $125.79 | 2.0× |
| Assessment of aphasia per hr (96105) | $441.68 | $588.90 | 4.5× |
| Behavral qualit analys voice (92524) | $453.99 | $605.32 | 4.1× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $208.28 | $277.71 | 2.5× |
| Bfb training ea addl 15 min (90913) | $208.28 | $277.71 | 6.4× |
| Biofeedback training any modality (90901) | $246.78 | $329.04 | 6.0× |
| Brief Emotional/Behav Assmt (96127) | $121.84 | $162.45 | 3.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $423.04 | $564.05 | 1.1× |
| Canalith repositioning proc (95992) | $103.54 | $138.06 | 2.5× |
| Car seat/bed test 60 min (94780) | $126.69 | $168.92 | 3.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $357.01 | $476.01 | 1.6× |
| Cardiopulmonary resuscitation (92950) | $873.82 | $1,165.10 | 4.0× |
| Cardioversion (92960) | $1,204.98 | $1,606.64 | 1.8× |
| Cardioversion elective internal (92961) | $866.86 | $1,155.81 | 1.3× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $68.69 | $91.59 | 2.6× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $8,793.72 | $11,724.96 | 2.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $7,783.77 | $10,378.36 | 2.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $275.64 | $367.52 | 3.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $223.78 | $298.38 | 3.1× |
| Chemo Ia Push (96420) | $568.71 | $758.28 | 1.7× |
| Chemo intralesional up to 7 (96405) | $1,302.01 | $1,736.01 | 17.9× |
| Chemo IV infusion addl hr (96415) | $465.23 | $620.31 | 6.4× |
| Chemo IV push addl drug (96411) | $269.18 | $358.90 | 3.7× |
| Chemother Prolong Infuse W/Pump (96416) | $703.19 | $937.59 | 2.1× |
| Chemotherapy Into Cns (96450) | $920.69 | $1,227.59 | 2.8× |
| Chemotherapy Unspecified (96549) | $387.55 | $516.73 | 8.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $463.97 | $618.63 | 6.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $813.68 | $1,084.90 | 2.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $555.18 | $740.24 | 1.7× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $314.58 | $419.44 | 0.9× |
| Colon Motility 6 Hr Study (91117) | $1,057.38 | $1,409.84 | 4.8× |
| Color/duplex Doppler, complete (93975) | $1,007.09 | $1,342.79 | 4.2× |
| Color/duplex Doppler, limited (93976) | $603.31 | $804.41 | 5.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $133.56 | $178.08 | 4.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $270.66 | $360.88 | 2.0× |
| Continuous Pulse Ox (94762) | $214.94 | $286.58 | 1.6× |
| Coronary Art/Grft Angio S&I (93455) | $7,516.82 | $10,022.42 | 2.3× |
| Coronary Artery Angio S&I (93454) | $6,941.44 | $9,255.25 | 2.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$201.08–$798.64 | $268.10–$1,064.86 | varies |
| Critical care first hour (99291) | $4,199.90 | $5,599.87 | 5.0× |
| Debridement Open Wound 20 Sq Cm< (97597) | $443.20 | $590.93 | 2.2× |
| Developmental tst admin phys/qhp 1st hour (96112) | $624.76 | $833.01 | 4.8× |
| Dialysis One Evaluation (90945) range across 5 matching MRF lines |
$482.83–$872.56 | $643.77–$1,163.41 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $114 | $152 | 0.3× |
| Duodenal motility study (91022) | $1,830.17 | $2,440.23 | 4.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $951.22 | $1,268.30 | 3.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $416.97 | $555.96 | 3.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $750.29 | $1,000.39 | 3.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $675.26 | $900.35 | 6.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,139.30 | $1,519.06 | 4.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $771.16 | $1,028.21 | 7.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,029.66 | $1,372.88 | 4.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $741.62 | $988.82 | 7.0× |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$762.26–$762.30 | $1,016.35–$1,016.40 | varies |
| Duplex up extrem art bilat (93930) | $870.96 | $1,161.28 | 3.6× |
| Duplex up extrem art unilat/ltd (93931) | $695.69 | $927.59 | 6.6× |
| ECG/monitoring and analysis (93271) | $132.62 | $176.83 | 1.4× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$1,461.69–$1,461.77 | $1,948.92–$1,949.03 | varies |
| Echo Heart Xthoracic,Limited (93308) | $743.66 | $991.55 | 3.1× |
| Echo r-t 2d w/probe placement only (93313) | $962.73 | $1,283.64 | 1.7× |
| Echo transesophag montr cardiac pump functj (93318) | $3,721.90 | $4,962.53 | 6.7× |
| Echo transesophageal (93312) | $2,157.61 | $2,876.82 | 3.9× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $2,548.32 | $3,397.76 | 4.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,540.34 | $2,053.79 | 2.8× |
| EEG awake and asleep (95819) | $553.36 | $737.82 | 2.5× |
| EEG awake drowsy (95816) | $506.90 | $675.86 | 2.3× |
| EEG cerebral death evaluation (95824) | $624.86 | $833.15 | 1.7× |
| Eeg Sleep Only (95822) | $410.86 | $547.81 | 1.9× |
| EEG w/o vid 2-12hr cont mntr (95707) | $567.98 | $757.31 | 2.6× |
| EEG w/o vid ea 12-26hr intmt (95709) | $1,407.22 | $1,876.30 | 3.7× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $728.35 | $971.13 | 3.3× |
| EKG signal averaged (93278) | $149.76 | $199.68 | 2.5× |
| Electrical Stimulation Ea 15 Min (97032) | $93.52 | $124.69 | 6.4× |
| Electrocardiogram Tracing (93005) | $164.02 | $218.70 | 2.7× |
| Emergency Dept Visit Level 2 (99282) | $829.88 | $1,106.50 | 5.3× |
| Emergency Dept Visit Level 3 (99283) | $1,244.66 | $1,659.54 | 4.5× |
| Emergency Dept Visit Level 4 (99284) | $1,866.87 | $2,489.16 | 4.4× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $12,127.45 | $16,169.93 | 1.5× |
| Ep Esophageal Recording Atria+Pacing (93616) | $1,656.38 | $2,208.50 | 1.3× |
| Er level 1 (99281) | $553.47 | $737.96 | 6.5× |
| Er level v (99285) | $2,800.27 | $3,733.69 | 4.6× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,673.27 | $2,231.03 | 4.4× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $158.95 | $211.93 | 1.2× |
| Evaluate Speech Production (92522) | $297.01 | $396.01 | 2.7× |
| Evaluate Swallowing Function (92610) range across 3 matching MRF lines |
$457.77–$466.54 | $610.36–$622.06 | varies |
| Evaluation of speech fluency (92521) | $422.63 | $563.51 | 3.2× |
| Evoked Auditory Test,Limited (92587) | $263.65 | $351.54 | 1.2× |
| Exercise test for bronchospasm (94617) | $593.12 | $790.83 | 4.4× |
| External ECG rec>48hr<7d recording (93242) | $309.46 | $412.61 | 8.2× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $360.58 | $480.78 | 2.7× |
| External ECG rec>7d<15d recording (93246) | $115.87 | $154.49 | 3.1× |
| External Ecg Scanning Analysis Report (93226) | $333.88 | $445.17 | 5.6× |
| Extracranial Bilat Study (93880) | $876.37 | $1,168.49 | 3.6× |
| Extracranial Uni/Ltd Study (93882) | $470.50 | $627.33 | 4.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $931.40 | $1,241.86 | 1.7× |
| Flexible endoscopic eval swallow c/v rec (92612) | $609.54 | $812.72 | 3.1× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $316.40 | $421.87 | 1.4× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $2,880.26 | $3,840.34 | 3.3× |
| Fundus photography (92250) | $1,131.32 | $1,508.42 | 8.4× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $904.57 | $1,206.09 | 2.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,801.76 | $2,402.35 | 2.1× |
| Gi tract capsule endoscopy (91110) | $3,183.72 | $4,244.96 | 3.5× |
| Gi tract imaging intraluminal colon i&r (91113) | $3,095.95 | $4,127.93 | 3.3× |
| Gi wireless capsule measure (91112) | $3,183.72 | $4,244.96 | 3.5× |
| Group Therapeutic Procedures (97150) | $126.16 | $168.22 | 7.0× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $9,282.96 | $12,377.28 | 2.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,978.84 | $2,638.46 | 2.8× |
| Holter monitor recording (93225) | $309.46 | $412.61 | 2.3× |
| Icd Device Interrogate (93289) | $66.38 | $88.50 | 1.8× |
| Icd device progr eval dual (93283) | $70.28 | $93.70 | 1.9× |
| Icd Device Progr Eval Mult (93284) | $59.73 | $79.64 | 1.6× |
| Ilr Device Eval Progr (93285) | $184.59 | $246.12 | 4.9× |
| Ilr Device Interrogate (93291) | $68.75 | $91.67 | 2.3× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $11.45 | $15.27 | 0.2× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $110.75 | $147.67 | 2.9× |
| Immunization administration (90471) range across 4 matching MRF lines |
$14.04–$28.81 | $18.72–$38.41 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $51.17 | $68.23 | 0.1× |
| Interrogate Subq Defib (93261) | $75.70 | $100.94 | 2.0× |
| Interrogation vad in person (93750) | $265.02 | $353.36 | 2.8× |
| Intracranial Complete Study (93886) | $919.72 | $1,226.29 | 3.8× |
| Intraventricular pacing (93612) | $11,801.02 | $15,734.69 | 1.5× |
| Iontophoresis 15 min (97033) | $114.82 | $153.09 | 6.0× |
| Irrig Drug Delivery Device (96523) | $224.50 | $299.34 | 3.8× |
| IV infusion hydration each additional hour (96361) | $290.22 | $386.96 | 6.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $468.50 | $624.67 | 2.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $321.50 | $428.67 | 4.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $240.23 | $320.31 | 5.1× |
| IV push initial (96374) | $210.20 | $280.27 | 1.0× |
| L Hrt Art/Grft Angio (93459) | $8,305.21 | $11,073.61 | 2.5× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $7,807.87 | $10,410.49 | 2.4× |
| Laryngeal Function Studies (92520) | $217.62 | $290.16 | 1.6× |
| Lung Function Test (Mbc/Mvv) (94200) | $314.38 | $419.18 | 5.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $562.17 | $749.56 | 2.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $40.34 | $53.79 | 1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$38.09–$47.45 | $50.79–$63.27 | varies |
| Methacholine challenge (94070) | $728.73 | $971.64 | 1.9× |
| Motility study esophagus (91010) | $1,830.17 | $2,440.23 | 4.8× |
| Motion Fluoroscopy/Swallow (92611) range across 3 matching MRF lines |
$483.26–$518.60 | $644.34–$691.46 | varies |
| Multiple Sleep Latency Test (95805) | $2,323.63 | $3,098.17 | 2.7× |
| Nasopharyngoscopy (92511) | $674.85 | $899.80 | 3.3× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $571.12 | $761.49 | 2.6× |
| Needle electromyography larynx (95865) | $176 | $234.66 | 1.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$541.20–$550.64 | $721.60–$734.18 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $581.60 | $775.47 | 1.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $607.90 | $810.54 | 3.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $857.58 | $1,143.44 | 2.1× |
| Nerve Conduction Studies 1-2 Studies (95907) | $207.17 | $276.23 | 0.9× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,462.90 | $1,950.54 | 3.9× |
| Nerve conduction studies 13 or more studies (95913) | $1,677.45 | $2,236.60 | 4.4× |
| Nerve conduction studies 5-6 studies (95909) | $903.01 | $1,204.01 | 4.1× |
| Nerve conduction studies 7-8 studies (95910) | $1,155.81 | $1,541.08 | 3.1× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,317.86 | $1,757.15 | 3.5× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $603.06 | $804.08 | 4.6× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$93.40–$94.62 | $124.53–$126.16 | varies |
| Newborn resuscitation (99465) | $760.74 | $1,014.32 | 1.1× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $53.02 | $70.70 | 2.1× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $78.82 | $105.09 | 2.3× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $28.56 | $38.08 | 2.1× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$288.72–$316.36 | $384.96–$421.82 | varies |
| Oral Speech Device Eval (92597) | $476.28 | $635.04 | 6.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $85.35 | $113.80 | 1.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $89.66 | $119.55 | 1.9× |
| Ot Contrast Bath Ea 15 Min (97034) | $93.82 | $125.10 | 6.7× |
| Ot eval high complexity (97167) | $434.04 | $578.72 | 4.3× |
| Ot Eval Low Complex (97165) | $260.31 | $347.08 | 2.6× |
| Ot Eval Moderate Complexity (97166) | $351.43 | $468.57 | 3.5× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$92.89–$94.10 | $123.85–$125.47 | varies |
| Ot paraffin bath (97018) | $71.35 | $95.13 | 11.9× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$73.90–$81.85 | $98.53–$109.13 | varies |
| Ot Re-Eval Est Plan Care (97168) | $198.77 | $265.03 | 2.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $206.02 | $274.69 | 1.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $197.91 | $263.88 | 1.5× |
| Penile Vascular Study,Ltd or F/U (93981) range across 2 matching MRF lines |
$393.65–$939.76 | $524.87–$1,253.02 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $267.96 | $357.28 | 1.2× |
| Perq Transcath Cls Mitral (93590) | $35,208.94 | $46,945.26 | 1.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $14,049.98 | $18,733.31 | 2.4× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 3 matching MRF lines |
$26,446.37–$28,143.49 | $35,261.83–$37,524.65 | varies |
| Phlebotomy therapeutic (99195) | $255.47 | $340.63 | 1.9× |
| Physical Performance Test (97750) | $92.42 | $123.23 | 2.7× |
| Plethysmography (94726) | $225.34 | $300.46 | 0.6× |
| Pm device eval in person (93288) | $85.71 | $114.28 | 2.3× |
| Pm device progr eval dual (93280) | $66.38 | $88.50 | 1.8× |
| Pm device progr eval multi (93281) | $66.38 | $88.50 | 1.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$3,505.94–$3,567.43 | $4,674.59–$4,756.57 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $3,671.50 | $4,895.33 | 4.2× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $5,044.55 | $6,726.07 | 5.8× |
| Positional nystagmus test (92542) | $162.37 | $216.49 | 1.2× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $182.85 | $243.80 | 4.8× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $66.38 | $88.50 | 1.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $20,472.52 | $27,296.69 | 1.8× |
| Prq Card Stent/Ath/Angio (92933) range across 4 matching MRF lines |
$28,109.79–$34,414.42 | $37,479.72–$45,885.89 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 3 matching MRF lines |
$22,042.96–$22,517.03 | $29,390.62–$30,022.71 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $85.46 | $113.95 | 2.3× |
| Pt Eval High Complex (97163) | $321.50 | $428.66 | 3.3× |
| Pt eval low complex 20 min (97161) | $212.92 | $283.90 | 2.2× |
| Pt Eval Mod Complex (97162) | $266.48 | $355.31 | 2.7× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$96.86–$96.87 | $129.15–$129.16 | varies |
| Pt group caregiver training (97552) | $30.06 | $40.08 | 1.4× |
| Pt mechanical traction (97012) | $72.22 | $96.29 | 5.0× |
| Pt Re-Eval Est Plan Care (97164) | $163.04 | $217.39 | 2.4× |
| Pulm function test by gas (94727) | $190.02 | $253.36 | 0.9× |
| R Hrt Art/Grft Angio (93457) | $8,430.31 | $11,240.41 | 2.6× |
| R hrt coronary artery angio (93456) | $7,909.96 | $10,546.61 | 2.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $7,911.58 | $10,548.78 | 2.4× |
| Refill/Maint Portable Pump (96521) | $320.68 | $427.57 | 1.5× |
| Remote 30 Day Ecg Rev/Report (93270) | $128.84 | $171.79 | 3.4× |
| Remote 30 Day Ecg Tech Supp (93229) | $1,624.50 | $2,166 | 4.3× |
| Respiratory flow volume loop (94375) | $297.48 | $396.64 | 1.4× |
| Right Heart Cath (93451) | $5,208.04 | $6,944.06 | 1.6× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$98.18–$109.69 | $130.91–$146.25 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$94.42–$94.57 | $125.89–$126.09 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $1,112.27 | $1,483.03 | 5.1× |
| Sleep study attended (95807) | $1,138.01 | $1,517.35 | 3.0× |
| Sleep study unattended (95806) | $522.59 | $696.79 | 2.4× |
| Slp caregiver training 1st 30 min (97550) | $127.90 | $170.54 | 2.4× |
| Speech sound lang comprehen (92523) | $517.61 | $690.15 | 2.3× |
| Spirometry (94010) | $194.66 | $259.55 | 0.9× |
| Ssep lower limbs (95926) | $1,100 | $1,466.67 | 5.0× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$96.94–$449.16 | $129.25–$598.88 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $433.24 | $577.66 | 2.0× |
| Surfactant Admin Thru Tube (94610) | $256.27 | $341.70 | 1.2× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $684.82 | $913.10 | 6.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$96.73–$100.71 | $128.97–$134.28 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$96.73–$100.71 | $128.97–$134.28 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$85.03–$94.18 | $113.37–$125.57 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$86.93–$89.04 | $115.91–$118.72 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) | $147.34 | $196.45 | 2.0× |
| Ther/Proph/Diag Iv Inf Init (96365) | $443.57 | $591.43 | 2.1× |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$89.54–$96.16 | $119.38–$128.22 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $810 | $1,080 | 2.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $44.27 | $59.03 | 1.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $44.88 | $59.84 | 1.2× |
| Transcath Closure of Asd (93580) | $36,280.61 | $48,374.14 | 2.0× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $610.70 | $814.27 | 5.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $594.42 | $792.56 | 5.6× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,403.23–$1,462.25 | $1,870.97–$1,949.67 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$744.12–$787.89 | $992.16–$1,050.52 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $320.62 | $427.50 | 4.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $110.79 | $147.72 | 2.3× |
| Unlisted cardiovascular service/procedure (93799) range across 6 matching MRF lines |
$1,643.86–$9,343.05 | $2,191.81–$12,457.40 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$469.15–$938.30 | $625.53–$1,251.06 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$561.02–$1,122.02 | $748.02–$1,496.02 | varies |
| Vasopneumatic device (97016) | $90.63 | $120.84 | 7.5× |
| Veeg 2-12 Hr Cont Mntr (95713) | $3,246.19 | $4,328.25 | 8.6× |
| Veeg 2-12 hr intmt mntr (95712) | $2,154.98 | $2,873.30 | 5.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,655.89 | $2,207.85 | 2.6× |
| Vital capacity, total (94150) | $162.97 | $217.29 | 1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $93.16 | $124.21 | 3.0× |
| Whirlpool Therapy (97022) | $160.44 | $213.92 | 10.2× |
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.