Visits & medical services prices at Intermountain Health Spanish Fork Hospital
Spanish Fork, UT · every code in this section with a posted price and a Medicare benchmark.
302 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) range across 2 matching MRF lines |
$11,726.80–$13,677.70 | $15,635.73–$18,236.94 | varies |
| Acoustic Reflex Testing (92568) | $93.43 | $124.57 | 2.5× |
| Actigraphy Testing Recording Analysis I&R (95803) | $576.24 | $768.32 | 9.6× |
| 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) | $112.36 | $149.82 | 0.5× |
| Airway resistance by oscillometry (94728) | $507.66 | $676.88 | 3.9× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $241.89 | $322.52 | 1.8× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $275.66 | $367.55 | 2.0× |
| Analyze neurostim complex (95972) | $483.69 | $644.92 | 5.0× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $71.50 | $95.34 | 1.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$58.25–$63.09 | $77.67–$84.12 | varies |
| Application Modality 1/> Areas Diathermy (97024) | $92.68 | $123.57 | 12.6× |
| Application on-body injector (96377) | $117.93 | $157.24 | 2.5× |
| Arrhythmia Induction (93618) | $2,365.91 | $3,154.55 | 1.9× |
| Assessment of aphasia per hr (96105) | $441.68 | $588.90 | 4.5× |
| Audiometry Air & Bone (92553) | $228.79 | $305.05 | 1.8× |
| Auditory Function, 60 Min (92620) | $374.28 | $499.04 | 2.9× |
| Basic vestibular evaluation (92540) | $593.28 | $791.04 | 2.7× |
| Behavral qualit analys voice (92524) | $453.99 | $605.32 | 4.1× |
| Biofeedback training any modality (90901) | $199.24 | $265.65 | 4.9× |
| 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) range across 2 matching MRF lines |
$90.85–$103.54 | $121.13–$138.06 | varies |
| Car seat/bed test 60 min (94780) | $143.78 | $191.70 | 3.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $420.01 | $560.01 | 1.9× |
| Cardiopulmonary exercise testing (94621) | $961.53 | $1,282.04 | 2.5× |
| Cardiopulmonary resuscitation (92950) | $970.91 | $1,294.55 | 4.4× |
| Cardioversion (92960) | $1,417.63 | $1,890.17 | 2.1× |
| Cardioversion elective internal (92961) | $1,019.84 | $1,359.78 | 1.5× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) range across 4 matching MRF lines |
$63.43–$85.86 | $84.57–$114.48 | varies |
| 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) | $344.54 | $459.39 | 4.7× |
| Chemo Hormon Antineopl Sq/Im (96402) | $207.92 | $277.22 | 2.9× |
| Chemo Ia Push (96420) | $669.07 | $892.09 | 2.0× |
| Chemo Intralesional Over 7 (96406) | $2,086.16 | $2,781.55 | 9.7× |
| Chemo intralesional up to 7 (96405) | $1,531.77 | $2,042.36 | 21.0× |
| 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) | $1,083.16 | $1,444.22 | 3.2× |
| Chemotherapy Unspecified (96549) | $484.43 | $645.91 | 10.2× |
| 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) | $393.22 | $524.29 | 1.2× |
| Chest Wall Manipulation (94668) | $136.04 | $181.38 | 1.0× |
| Colon Motility 6 Hr Study (91117) | $1,174.86 | $1,566.48 | 5.4× |
| Color/duplex Doppler, complete (93975) | $1,184.81 | $1,579.75 | 4.9× |
| Color/duplex Doppler, limited (93976) | $709.77 | $946.36 | 6.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $133.56 | $178.08 | 4.2× |
| Comprehensive Hearing Test (92557) | $360.62 | $480.82 | 2.8× |
| Conditioning Play Audiometry (92582) | $313.23 | $417.64 | 2.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $299.38 | $399.17 | 2.2× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$198.46–$268.67 | $264.62–$358.23 | varies |
| 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 4 matching MRF lines |
$246.62–$998.30 | $328.83–$1,331.06 | varies |
| Cpt initial (94667) | $136.11 | $181.48 | 1.0× |
| Critical care first hour (99291) | $4,666.56 | $6,222.08 | 5.6× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$409.23–$468.40 | $545.64–$624.53 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) range across 2 matching MRF lines |
$624.76–$709.77 | $833.01–$946.36 | varies |
| Dialysis One Evaluation (90945) range across 5 matching MRF lines |
$690.40–$1,010.11 | $920.54–$1,346.81 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $114 | $152 | 0.3× |
| Duodenal motility study (91022) | $2,033.53 | $2,711.37 | 5.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,119.09 | $1,492.12 | 4.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $490.55 | $654.07 | 4.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $833.66 | $1,111.55 | 3.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $750.29 | $1,000.39 | 7.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,265.81 | $1,687.75 | 5.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $856.84 | $1,142.46 | 8.1× |
| 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) range across 2 matching MRF lines |
$741.62–$824.02 | $988.82–$1,098.69 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$896.78–$896.83 | $1,195.71–$1,195.77 | varies |
| Duplex up extrem art bilat (93930) | $967.73 | $1,290.31 | 4.0× |
| Duplex up extrem art unilat/ltd (93931) | $772.94 | $1,030.59 | 7.3× |
| ECG/monitoring and analysis (93271) | $132.62 | $176.83 | 1.4× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$1,719.64–$1,719.74 | $2,292.85–$2,292.98 | varies |
| Echo Heart Xthoracic,Limited (93308) | $874.90 | $1,166.53 | 3.6× |
| Echo r-t 2d w/probe placement only (93313) | $962.73 | $1,283.64 | 1.7× |
| Echo transesophag montr cardiac pump functj (93318) | $4,378.70 | $5,838.27 | 7.9× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$2,157.61–$2,397.34 | $2,876.82–$3,196.45 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $2,998.02 | $3,997.36 | 5.4× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,812.16 | $2,416.22 | 3.3× |
| Eeg 41-60 Minutes (95812) | $821.11 | $1,094.81 | 3.8× |
| EEG awake and asleep (95819) | $691.70 | $922.26 | 3.2× |
| EEG awake drowsy (95816) | $633.62 | $844.83 | 2.9× |
| EEG cerebral death evaluation (95824) | $781.09 | $1,041.45 | 2.1× |
| EEG cont rec w/video by tech min 8 channels (95700) | $642.45 | $856.60 | 2.9× |
| EEG extended monitoring 61-119 minutes (95813) | $510.95 | $681.27 | 2.3× |
| Eeg Sleep Only (95822) | $513.57 | $684.76 | 2.3× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $519.76 | $693.02 | 2.4× |
| EEG w/o vid 2-12hr cont mntr (95707) | $709.98 | $946.64 | 3.2× |
| EEG w/o vid ea 12-26hr intmt (95709) | $1,563.58 | $2,084.78 | 4.1× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $2,997.40 | $3,996.54 | 7.9× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $728.35 | $971.13 | 3.3× |
| EEG wo vid ea 12-26hr unmntr (95708) | $997.20 | $1,329.60 | 2.6× |
| EKG signal averaged (93278) | $166.40 | $221.86 | 2.8× |
| Electrical Stimulation Ea 15 Min (97032) | $93.52 | $124.69 | 6.4× |
| Electrocardiogram Tracing (93005) | $191.24 | $254.99 | 3.2× |
| Electrophysiology Evaluation (93642) | $2,243.46 | $2,991.28 | 1.8× |
| Emergency Dept Visit Level 2 (99282) | $922.08 | $1,229.44 | 5.9× |
| Emergency Dept Visit Level 3 (99283) | $1,382.96 | $1,843.94 | 5.0× |
| Emergency Dept Visit Level 4 (99284) | $2,074.30 | $2,765.74 | 4.9× |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$63,068.60–$63,719.98 | $84,091.47–$84,959.97 | varies |
| Ep & ablate ventric tachy (93654) range across 2 matching MRF lines |
$51,534.34–$70,283.68 | $68,712.45–$93,711.57 | varies |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $12,127.45 | $16,169.93 | 1.5× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $9,894.80 | $13,193.07 | 1.3× |
| Ep Esophageal Recording Atria+Pacing (93616) | $1,840.41 | $2,453.88 | 1.5× |
| Er level 1 (99281) | $614.97 | $819.96 | 7.2× |
| Er level v (99285) | $3,111.41 | $4,148.55 | 5.2× |
| 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) | $198.68 | $264.91 | 1.5× |
| Evaluate pt use of inhaler (94664) | $267.04 | $356.05 | 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) | $329.57 | $439.43 | 1.5× |
| Exercise test for bronchospasm (94617) | $741.40 | $988.54 | 5.5× |
| External ECG rec>48hr<7d recording (93242) | $309.46 | $412.61 | 8.2× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $450.74 | $600.98 | 3.3× |
| External ECG rec>7d<15d recording (93246) | $144.83 | $193.11 | 3.8× |
| External Ecg Scanning Analysis Report (93226) | $333.88 | $445.17 | 5.6× |
| Extracranial Bilat Study (93880) | $973.74 | $1,298.32 | 4.0× |
| Extracranial Uni/Ltd Study (93882) | $522.77 | $697.03 | 4.9× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,095.76 | $1,461.01 | 2.0× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 2 matching MRF lines |
$562.82–$609.54 | $750.43–$812.72 | varies |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $395.55 | $527.40 | 1.7× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $3,200.28 | $4,267.04 | 3.7× |
| Fundus photography (92250) | $1,190.87 | $1,587.83 | 8.8× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,130.71 | $1,507.62 | 3.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $2,001.96 | $2,669.28 | 2.3× |
| Gi tract capsule endoscopy (91110) | $3,419.80 | $4,559.73 | 3.7× |
| Gi tract imaging intraluminal colon i&r (91113) | $93.97 | $125.29 | 0.1× |
| Gi wireless capsule measure (91112) | $93.97 | $125.29 | 0.1× |
| 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) | $2,198.72 | $2,931.63 | 3.2× |
| Holter monitor recording (93225) | $309.46 | $412.61 | 2.3× |
| Icd Device Interrogate (93289) | $78.09 | $104.12 | 2.1× |
| Icd device progr eval dual (93283) | $80.82 | $107.76 | 2.1× |
| Ilr Device Eval Progr (93285) | $205.10 | $273.47 | 5.4× |
| Ilr Device Interrogate (93291) | $68.75 | $91.67 | 2.3× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$11.45–$87.48 | $15.27–$116.64 | varies |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $110.75 | $147.67 | 2.9× |
| Immunization administration (90471) range across 5 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× |
| Insert/Place Heart Catheter (93503) | $2,425.33 | $3,233.77 | 1.5× |
| Interrogate Subq Defib (93261) | $84.10 | $112.14 | 2.2× |
| Interrogation vad in person (93750) | $294.46 | $392.62 | 3.1× |
| Intracranial Complete Study (93886) | $1,082.02 | $1,442.69 | 4.5× |
| Intraventricular pacing (93612) | $11,801.02 | $15,734.69 | 1.5× |
| Iontophoresis 15 min (97033) | $106.02 | $141.36 | 5.6× |
| Irrig Drug Delivery Device (96523) | $224.50 | $299.34 | 3.8× |
| IV infusion hydration each additional hour (96361) | $341.44 | $455.25 | 7.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $551.17 | $734.90 | 2.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $401.88 | $535.84 | 5.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $300.29 | $400.39 | 6.3× |
| IV push initial (96374) | $262.76 | $350.34 | 1.2× |
| 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× |
| Lung Function Test (Mbc/Mvv) (94200) | $314.38 | $419.18 | 5.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $661.38 | $881.84 | 3.0× |
| Mechanical chest wall oscillation per session (94669) | $211.19 | $281.59 | 1.0× |
| 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 |
$37.46–$47.45 | $49.95–$63.27 | varies |
| Methacholine challenge (94070) | $728.73 | $971.64 | 1.9× |
| Motility study esophagus (91010) | $2,033.53 | $2,711.37 | 5.4× |
| Motion Fluoroscopy/Swallow (92611) range across 3 matching MRF lines |
$483.26–$648.26 | $644.34–$864.35 | varies |
| Multiple Sleep Latency Test (95805) | $2,145.55 | $2,860.73 | 2.5× |
| Nasopharyngoscopy (92511) | $843.57 | $1,124.76 | 4.2× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $634.58 | $846.10 | 2.9× |
| Needle electromyography larynx (95865) | $220 | $293.33 | 1.6× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $534.01 | $712.01 | 2.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$508.43–$601.34 | $677.91–$801.78 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 3 matching MRF lines |
$537.04–$777.39 | $716.05–$1,036.52 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$571.08–$675.45 | $761.44–$900.60 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$778.30–$952.88 | $1,037.73–$1,270.50 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$1,307.46–$1,828.63 | $1,743.28–$2,438.17 | varies |
| Nerve conduction studies 13 or more studies (95913) | $2,236.59 | $2,982.12 | 5.9× |
| Nerve Conduction Studies 3-4 Studies (95908) | $406.30 | $541.74 | 1.9× |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$660.15–$1,128.77 | $880.20–$1,505.02 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$874.41–$1,444.75 | $1,165.88–$1,926.33 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$1,113.22–$1,647.32 | $1,484.29–$2,196.42 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $753.85 | $1,005.13 | 5.8× |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$77.67–$94.62 | $103.56–$126.16 | varies |
| Newborn resuscitation (99465) | $950.92 | $1,267.89 | 1.4× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $175.73 | $234.31 | 2.9× |
| Optokinetic Nystagmus Test (92544) | $118.33 | $157.77 | 0.9× |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$288.72–$399.58 | $384.96–$532.78 | varies |
| Oral Speech Device Eval (92597) | $476.28 | $635.04 | 6.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$78.81–$85.35 | $105.08–$113.80 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$82.79–$89.66 | $110.39–$119.55 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $73.69 | $98.25 | 5.3× |
| Ot eval high complexity (97167) | $434.04 | $578.72 | 4.3× |
| Ot Eval Low Complex (97165) | $223.68 | $298.24 | 2.2× |
| Ot Eval Moderate Complexity (97166) | $351.43 | $468.57 | 3.5× |
| Ot manual therapy 15 min (97140) | $92.89 | $123.85 | 3.4× |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$65.88–$89.18 | $87.84–$118.91 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $81.85 | $109.13 | 2.0× |
| Ot Re-Eval Est Plan Care (97168) | $198.77 | $265.03 | 2.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $228.91 | $305.21 | 1.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $219.91 | $293.21 | 1.7× |
| Penile Vascular Study,Ltd or F/U (93981) range across 2 matching MRF lines |
$437.38–$1,044.18 | $583.17–$1,392.24 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$252.82–$267.96 | $337.10–$357.28 | varies |
| 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 |
$28,132.88–$29,711.89 | $37,510.50–$39,615.85 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$262.58–$283.86 | $350.10–$378.48 | varies |
| Physical Performance Test (97750) | $92.42 | $123.23 | 2.7× |
| Plethysmography (94726) | $225.34 | $300.46 | 0.6× |
| Pm device eval in person (93288) | $77.13 | $102.84 | 2.0× |
| Pm device progr eval dual (93280) | $78.09 | $104.12 | 2.1× |
| Pm device progr eval multi (93281) | $78.09 | $104.12 | 2.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$4,382.42–$4,459.27 | $5,843.23–$5,945.70 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $4,079.44 | $5,439.26 | 4.7× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $5,605.06 | $7,473.41 | 6.4× |
| Positional nystagmus test (92542) | $162.37 | $216.49 | 1.2× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $78.09 | $104.12 | 2.1× |
| Prq Card Angio/Athrect 1 Art (92924) | $22,443.08 | $29,924.10 | 1.9× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 4 matching MRF lines |
$20,472.52–$25,932.91 | $27,296.69–$34,577.21 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 5 matching MRF lines |
$28,109.79–$36,649.35 | $37,479.72–$48,865.80 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 3 matching MRF lines |
$25,932.90–$26,490.63 | $34,577.20–$35,320.84 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $76.02 | $101.36 | 2.0× |
| 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) | $98.12 | $130.83 | 3.4× |
| Pt group caregiver training (97552) range across 4 matching MRF lines |
$30.06–$40.21 | $40.08–$53.61 | varies |
| 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× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$51.52–$172.26 | $68.70–$229.68 | varies |
| Pulmonary Stress Testing (94618) | $420.74 | $560.98 | 3.1× |
| Pure Tone Audiometry Air (92552) | $116.06 | $154.75 | 0.9× |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$6,942.10–$8,430.31 | $9,256.14–$11,240.41 | varies |
| 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) | $296.26 | $395.02 | 1.4× |
| 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× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$249.87–$323.95 | $333.16–$431.93 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $296.47 | $395.29 | 2.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $157.32 | $209.76 | 3.3× |
| 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 3 matching MRF lines |
$87.18–$94.57 | $116.24–$126.09 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $1,390.34 | $1,853.79 | 6.4× |
| Sleep study attended (95807) | $1,422.50 | $1,896.67 | 3.8× |
| Sleep study unattended (95806) | $653.24 | $870.98 | 3.0× |
| Slp caregiver training 1st 30 min (97550) range across 3 matching MRF lines |
$118.10–$127.90 | $157.46–$170.54 | varies |
| Speech Audiometry Complete (92556) | $178.59 | $238.12 | 3.0× |
| Speech audiometry threshold (92555) | $160.73 | $214.31 | 2.7× |
| Speech sound lang comprehen (92523) | $518.44 | $691.25 | 2.3× |
| Spirometry (94010) | $194.66 | $259.55 | 0.9× |
| Spontaneous Nystagmus Test (92541) | $175.87 | $234.49 | 1.3× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$96.94–$560.57 | $129.25–$747.43 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $541.56 | $722.08 | 2.5× |
| Surfactant Admin Thru Tube (94610) | $256.27 | $341.70 | 1.2× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $805.67 | $1,074.23 | 7.6× |
| Temp transcutaneous pacing (92953) | $441.75 | $589 | 0.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$96.82–$125.92 | $129.10–$167.89 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$96.82–$100.71 | $129.10–$134.28 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$94.18–$113.26 | $125.57–$151.01 | 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 Sp-Genratj Dev Prgrmg&Modificaj (92609) | $222.94 | $297.26 | 2.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $173.34 | $231.12 | 2.4× |
| Ther/Proph/Diag Iv Inf Init (96365) | $521.85 | $695.80 | 2.4× |
| 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) | $900 | $1,200 | 2.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $56.09 | $74.79 | 1.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $56.09 | $74.79 | 1.5× |
| Transcath Closure of Asd (93580) | $36,280.61 | $48,374.14 | 2.0× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $718.48 | $957.97 | 6.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $699.32 | $932.42 | 6.6× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,650.86–$1,720.30 | $2,201.14–$2,293.73 | varies |
| Tte W/O Doppler Complete (93307) | $875.44 | $1,167.25 | 3.6× |
| Tx atrial fib pulm vein isol (93656) range across 2 matching MRF lines |
$62,833.22–$68,148.14 | $83,777.63–$90,864.19 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $320.62 | $427.50 | 4.2× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $147.42 | $196.56 | 6.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $138.49 | $184.65 | 2.9× |
| Tympanometry (92567) | $100.10 | $133.46 | 2.6× |
| Tympanometry and reflex threshold measurements (92550) | $78.37 | $104.49 | 0.4× |
| Unlisted cardiovascular service/procedure (93799) range across 6 matching MRF lines |
$2,054.82–$10,381.16 | $2,739.76–$13,841.55 | varies |
| Unlisted otorhinolaryngological service (92700) | $126.92 | $169.23 | 4.3× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$521.28–$1,042.55 | $695.04–$1,390.07 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$623.35–$1,246.69 | $831.13–$1,662.25 | varies |
| Valvuloplasty mitral valve (92987) | $24,213.26 | $32,284.35 | 2.1× |
| Vasopneumatic device (97016) | $114.76 | $153.01 | 9.5× |
| Veeg 2-12 Hr Cont Mntr (95713) | $3,606.88 | $4,809.17 | 9.5× |
| Veeg 2-12 hr intmt mntr (95712) | $2,693.70 | $3,591.60 | 7.1× |
| Veeg 2-12 hr unmonitored (95711) | $623.70 | $831.60 | 2.9× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,551.64 | $2,068.85 | 4.1× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,196.65 | $1,595.53 | 3.2× |
| Veeg ea 12-26hr cont mntr (95716) | $3,730.22 | $4,973.62 | 4.3× |
| Vent Mgmt Inpat Init Day (94002) | $1,499.63 | $1,999.51 | 2.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $2,034.62 | $2,712.82 | 3.3× |
| Visual reinforcement audiometry (vra) (92579) | $310.87 | $414.49 | 1.4× |
| Vital capacity, total (94150) | $162.97 | $217.29 | 1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $93.16 | $124.21 | 3.0× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $741.40 | $988.54 | 12.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.