Visits & medical services prices at Iowa Specialty Hospital - Clarion
Clarion, IA · every code in this section with a posted price and a Medicare benchmark.
240 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) range across 6 matching MRF lines |
$27.60–$39.60 | $46–$66 | varies |
| Advncd Care Plan 30 Min (99497) | $123.60 | $206 | 1.3× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$42–$384.60 | $70–$641 | varies |
| Airway resistance by oscillometry (94728) | $274.20 | $457 | 2.2× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $195 | $325 | 1.5× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $124.20 | $207 | 1.0× |
| Analyze neurostim complex (95972) | $168.60 | $281 | 1.8× |
| Analyze neurostim no prog (95970) | $123.60 | $206 | 1.0× |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$91.80–$99 | $153–$165 | varies |
| Anrct mano rct sensation&rct balo expulsion test (91125) range across 4 matching MRF lines |
$265.20–$1,110 | $442–$1,850 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$43.20–$64.20 | $72–$107 | varies |
| Application Modality 1/> Areas Infrared (97026) range across 2 matching MRF lines |
$60.60–$64.20 | $101–$107 | varies |
| Application on-body injector (96377) | $141 | $235 | 3.1× |
| Assessment of aphasia per hr (96105) | $149.40 | $249 | 1.5× |
| Assmt & care planning pt w/cognitive impairment (99483) | $397.20 | $662 | 4.1× |
| Audiometry Air & Bone (92553) | $64.80 | $108 | 0.5× |
| Behavral qualit analys voice (92524) | $116.40 | $194 | 1.1× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $135 | $225 | 1.6× |
| Bfb training ea addl 15 min (90913) | $79.20 | $132 | 2.4× |
| Biofeedback training any modality (90901) range across 3 matching MRF lines |
$75.60–$97.20 | $126–$162 | varies |
| Breath hydrogen/methane test (91065) range across 2 matching MRF lines |
$39–$487.80 | $65–$813 | varies |
| Brief Emotional/Behav Assmt (96127) | $37.80 | $63 | 1.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$25.80–$629.40 | $43–$1,049 | varies |
| Canalith repositioning proc (95992) | $74.40 | $124 | 1.8× |
| Car seat/bed test 60 min (94780) | $89.40 | $149 | 2.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $635.40 | $1,059 | 3.1× |
| Cardiopulmonary exercise testing (94621) | $732 | $1,220 | 2.0× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$571.80–$724.80 | $953–$1,208 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$289.80–$1,122 | $483–$1,870 | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $66.60 | $111 | 1.8× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $9.60 | $16 | 0.3× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $38.40 | $64 | 1.5× |
| Cbt 1st hour (94644) | $106.20 | $177 | 0.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $381.60 | $636 | 5.5× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$54–$381.60 | $90–$636 | varies |
| Chemo IV infusion addl hr (96415) | $278.40 | $464 | 4.0× |
| Chemo IV push addl drug (96411) | $301.20 | $502 | 4.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $348 | $580 | 5.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $765 | $1,275 | 2.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $486.60 | $811 | 1.5× |
| Chest Wall Manipulation (94668) | $119.40 | $199 | 0.9× |
| Chron Care Mgmt Srvc 20 Min (99490) | $115.80 | $193 | 1.2× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $100.20 | $167 | 1.8× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$259.20–$1,097.40 | $432–$1,829 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$54.60–$57.60 | $91–$96 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $127.20 | $212 | 0.7× |
| Comprehensive Hearing Test (92557) | $66.60 | $111 | 0.5× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $348 | $580 | 2.7× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $144 | $240 | 2.5× |
| Continuous Pulse Ox (94762) | $169.20 | $282 | 1.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $374.40 | $624 | 1.8× |
| Cpt initial (94667) | $107.40 | $179 | 0.8× |
| Critical care first hour (99291) | $281.40 | $469 | 0.4× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$229.20–$301.80 | $382–$503 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$97.20–$664.20 | $162–$1,107 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$106.20–$681 | $177–$1,135 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$63.60–$549 | $106–$915 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$126.60–$811.80 | $211–$1,353 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$75–$591.60 | $125–$986 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$73.80–$712.80 | $123–$1,188 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$67.20–$553.80 | $112–$923 | varies |
| Ear and throat examination (92502) | $185.40 | $309 | 0.4× |
| ECG/monitoring and analysis (93271) | $633.60 | $1,056 | 6.9× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$115.20–$745.80 | $192–$1,243 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$46.80–$282.60 | $78–$471 | varies |
| EEG awake and asleep (95819) | $553.80 | $923 | 2.7× |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$105–$679.20 | $175–$1,132 | varies |
| Eeg Sleep Only (95822) | $576 | $960 | 2.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$16.20–$121.80 | $27–$203 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$33–$136.20 | $55–$227 | varies |
| Emergency Dept Visit Level 2 (99282) | $78 | $130 | 0.5× |
| Emergency Dept Visit Level 3 (99283) | $94.20 | $157 | 0.4× |
| Emergency Dept Visit Level 4 (99284) | $161.40 | $269 | 0.4× |
| Er level 1 (99281) | $62.40 | $104 | 0.8× |
| Er level v (99285) | $201.60 | $336 | 0.4× |
| Ergonovine provocation test (93024) range across 2 matching MRF lines |
$452.40–$657 | $754–$1,095 | varies |
| Esophageal Capsule Endoscopy (91111) range across 2 matching MRF lines |
$84–$2,007.60 | $140–$3,346 | varies |
| Evaluate pt use of inhaler (94664) range across 5 matching MRF lines |
$30.60–$202.80 | $51–$338 | varies |
| Evaluate Speech Production (92522) | $327.60 | $546 | 2.9× |
| Evaluate Swallowing Function (92610) | $184.20 | $307 | 2.2× |
| Evaluation of speech fluency (92521) | $139.20 | $232 | 1.0× |
| Evoked Auditory Test,Limited (92587) range across 3 matching MRF lines |
$103.20–$235.20 | $172–$392 | varies |
| Exercise test for bronchospasm (94617) range across 2 matching MRF lines |
$63.60–$222.60 | $106–$371 | varies |
| External ECG rec>48hr<7d recording (93242) | $132 | $220 | 3.7× |
| External ECG rec>7d<15d recording (93246) | $150 | $250 | 4.2× |
| External Ecg Scanning Analysis Report (93226) | $558 | $930 | 9.8× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$49.80–$855.60 | $83–$1,426 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$44.40–$76.80 | $74–$128 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$153–$1,599.60 | $255–$2,666 | varies |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$234–$2,293.80 | $390–$3,823 | varies |
| Group Therapeutic Procedures (97150) range across 3 matching MRF lines |
$57.60–$102.60 | $96–$171 | varies |
| Health Behavior Assessment/Re-Assessment (96156) range across 2 matching MRF lines |
$156–$198.60 | $260–$331 | varies |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $130.80 | $218 | 3.6× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $27.60 | $46 | 0.8× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) range across 2 matching MRF lines |
$129–$186.60 | $215–$311 | varies |
| Holter monitor recording (93225) | $274.80 | $458 | 2.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$11.81–$33 | $19.68–$55 | varies |
| Immunization administration (90471) range across 6 matching MRF lines |
$11.81–$64.80 | $19.68–$108 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $634.20 | $1,057 | 1.8× |
| Inital newborn e/m (99460) | $110.40 | $184 | 0.9× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$74.40–$85.80 | $124–$143 | varies |
| Irrig Drug Delivery Device (96523) | $295.80 | $493 | 5.2× |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$28.80–$304.80 | $48–$508 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$75–$418.80 | $125–$698 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$187.20–$189 | $312–$315 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$42–$468 | $70–$780 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$108.60–$424.80 | $181–$708 | varies |
| Low frequency non-thermal us (97610) | $327.60 | $546 | 1.7× |
| Lung Function Test (Mbc/Mvv) (94200) | $119.40 | $199 | 2.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$49.20–$758.40 | $82–$1,264 | varies |
| Mechanical chest wall oscillation per session (94669) | $150 | $250 | 0.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $55.20 | $92 | 1.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $58.20 | $97 | 1.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $45.60 | $76 | 2.7× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$55.20–$644.40 | $92–$1,074 | varies |
| Motion Fluoroscopy/Swallow (92611) | $286.20 | $477 | 3.1× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$149.40–$1,720.80 | $249–$2,868 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$204.60–$219.60 | $341–$366 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$352.80–$630.60 | $588–$1,051 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $939.60 | $1,566 | 2.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$44.40–$360 | $74–$600 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $543.60 | $906 | 1.4× |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$460.20–$1,101.60 | $767–$1,836 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$533.40–$1,548 | $889–$2,580 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$239.40–$619.80 | $399–$1,033 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$324.60–$743.40 | $541–$1,239 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$378–$1,003.20 | $630–$1,672 | varies |
| Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$102.60–$168.60 | $171–$281 | varies |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$55.80–$64.20 | $93–$107 | varies |
| Newborn resuscitation (99465) | $287.40 | $479 | 0.5× |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 2 matching MRF lines |
$37.20–$118.80 | $62–$198 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 2 matching MRF lines |
$55.80–$139.80 | $93–$233 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 2 matching MRF lines |
$22.20–$101.40 | $37–$169 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) | $231.60 | $386 | 0.6× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $256.20 | $427 | 0.7× |
| Oral Function Therapy (92526) | $156.60 | $261 | 1.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$58.80–$109.20 | $98–$182 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$85.80–$166.20 | $143–$277 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $46.80 | $78 | 2.3× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $63 | $105 | 3.0× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $64.80 | $108 | 3.1× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $106.20 | $177 | 5.1× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $129 | $215 | 6.2× |
| Ot eval high complexity (97167) | $178.20 | $297 | 1.8× |
| Ot Eval Low Complex (97165) | $126.60 | $211 | 1.3× |
| Ot Eval Moderate Complexity (97166) | $151.20 | $252 | 1.5× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$57.60–$69 | $96–$115 | varies |
| Ot paraffin bath (97018) | $51 | $85 | 8.5× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$60.60–$110.40 | $101–$184 | varies |
| Ot Re-Eval Est Plan Care (97168) | $151.80 | $253 | 2.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$97.20–$166.20 | $162–$277 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $166.20 | $277 | 1.3× |
| Oxygen Uptake Rest Indirect (94690) range across 2 matching MRF lines |
$145.20–$169.20 | $242–$282 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $211.80 | $353 | 1.0× |
| Percutaneous tests w/allergenic extracts (95004) | $9.60 | $16 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $114 | $190 | 2.0× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$147.60–$196.80 | $246–$328 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $229.20 | $382 | 4.0× |
| Physical Performance Test (97750) | $94.20 | $157 | 2.8× |
| Plethysmography (94726) range across 2 matching MRF lines |
$24–$397.80 | $40–$663 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$253.20–$3,074.40 | $422–$5,124 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $776.40 | $1,294 | 0.9× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $13.20 | $22 | 0.3× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $84 | $140 | 0.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$22.20–$108 | $37–$180 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$28.80–$114 | $48–$190 | varies |
| Psych diag eval w/med srvcs (90792) | $197.40 | $329 | 1.2× |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$178.80–$300 | $298–$500 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $212.40 | $354 | 1.0× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $94.80 | $158 | 3.4× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $79.20 | $132 | 0.6× |
| Psytx Crisis Initial 60 Min (90839) | $156 | $260 | 0.9× |
| Pt Eval High Complex (97163) | $299.40 | $499 | 3.1× |
| Pt eval low complex 20 min (97161) | $248.40 | $414 | 2.5× |
| Pt Eval Mod Complex (97162) | $271.80 | $453 | 2.8× |
| Pt gait training 15 min (97116) | $65.40 | $109 | 2.3× |
| Pt group caregiver training (97552) | $33 | $55 | 1.5× |
| Pt mechanical traction (97012) | $64.20 | $107 | 4.5× |
| Pt Re-Eval Est Plan Care (97164) | $149.40 | $249 | 2.2× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $9.60 | $16 | 0.3× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$24–$70.20 | $40–$117 | varies |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$33.60–$169.20 | $56–$282 | varies |
| Pulmonary Stress Testing (94618) | $222.60 | $371 | 1.7× |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$64.20–$90 | $107–$150 | varies |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $57.60 | $96 | 2.5× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $67.20 | $112 | 2.0× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $45 | $75 | 3.6× |
| Rectal sensation tone&compliance study (91124) range across 2 matching MRF lines |
$552–$962.40 | $920–$1,604 | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) range across 3 matching MRF lines |
$36–$116.40 | $60–$194 | varies |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) range across 3 matching MRF lines |
$34.20–$172.80 | $57–$288 | varies |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) range across 2 matching MRF lines |
$83.40–$91.80 | $139–$153 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $204 | $340 | 5.7× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) range across 3 matching MRF lines |
$35.40–$94.20 | $59–$157 | varies |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) range across 2 matching MRF lines |
$65.40–$72 | $109–$120 | varies |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) range across 2 matching MRF lines |
$80.40–$90 | $134–$150 | varies |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$29.40–$225 | $49–$375 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$90–$102.60 | $150–$171 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$106.80–$916.20 | $178–$1,527 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $25.80 | $43 | 1.0× |
| Same day nb discharge (99463) | $132 | $220 | 1.0× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$54–$60.60 | $90–$101 | varies |
| Sensory Integration Ea 15 Min (97533) | $102 | $170 | 1.7× |
| Sleep study unattended (95806) range across 3 matching MRF lines |
$92.40–$622.80 | $154–$1,038 | varies |
| Slp caregiver training 1st 30 min (97550) | $74.40 | $124 | 1.4× |
| Slp Stdy Unatnd W/Anal (95801) | $223.80 | $373 | 3.9× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$72–$568.80 | $120–$948 | varies |
| Speech Audiometry Complete (92556) | $64.80 | $108 | 1.1× |
| Speech audiometry threshold (92555) | $40.20 | $67 | 0.7× |
| Speech sound lang comprehen (92523) | $229.20 | $382 | 1.0× |
| Spirometry (94010) | $16.80 | $28 | 0.1× |
| Standardized Cognitive Performance Testing (96125) | $227.40 | $379 | 2.2× |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$123.60–$920.40 | $206–$1,534 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $223.20 | $372 | 1.1× |
| Subq Infusion Additional Pump Infusion Site (96371) | $160.80 | $268 | 2.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $172.80 | $288 | 7.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $105.60 | $176 | 5.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $105 | $175 | 2.8× |
| Ther/Proph/Diag Inj Ia (96373) | $318 | $530 | 1.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$34.80–$156 | $58–$260 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$137.40–$480 | $229–$800 | varies |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$35.40–$312 | $59–$520 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$37.80–$74.40 | $63–$124 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$19.80–$60 | $33–$100 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $219.60 | $366 | 1.7× |
| Trans Care Mgmt 7 Day Disch (99496) | $308.40 | $514 | 2.4× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$115.20–$1,389 | $192–$2,315 | varies |
| Tte W/O Doppler Complete (93307) | $84 | $140 | 0.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $237.60 | $396 | 3.1× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $86.40 | $144 | 3.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$41.40–$261 | $69–$435 | varies |
| Tympanometry (92567) | $31.20 | $52 | 0.9× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$26.40–$362.40 | $44–$604 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$91.80–$837 | $153–$1,395 | varies |
| Vasopneumatic device (97016) | $67.80 | $113 | 5.6× |
| Vent Mgmt Inpat Init Day (94002) | $1,307.40 | $2,179 | 2.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,092 | $1,820 | 1.8× |
| Vital capacity, total (94150) | $140.40 | $234 | 1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$57.60–$62.40 | $96–$104 | varies |
| Whirlpool Therapy (97022) | $159.60 | $266 | 10.2× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $80.40 | $134 | 1.4× |
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.