Visits & medical services prices at Ira Davenport Memorial Hospital
Bath, NY · every code in this section with a posted price and a Medicare benchmark.
267 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) likely a partial charge, not the full procedure |
$2,523.89 | $12,619.44 | 0.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $13.10 | $65.52 | 0.3× |
| Advncd Care Plan 30 Min (99497) | $25.55 | $127.76 | 0.2× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$9.61–$96.01 | $48.05–$480.04 | varies |
| Analyze neurostim complex (95972) | $86.72 | $433.59 | 0.7× |
| Analyze neurostim no prog (95970) | $67.70 | $338.52 | 0.4× |
| Analyze Pacemaker System (93724) | $168.79 | $843.94 | 0.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $14.44 | $72.18 | 1.0× |
| Application Modality 1/> Areas Infrared (97026) range across 2 matching MRF lines |
$11.09–$33.29 | $55.47–$166.44 | varies |
| Application on-body injector (96377) | $22.85 | $114.26 | 0.4× |
| Arrhythmia Induction (93618) | $954.86 | $4,774.29 | 0.6× |
| Assessment of aphasia per hr (96105) | $64.28 | $321.38 | 0.7× |
| Behavral qualit analys voice (92524) | $46.85 | $234.23 | 0.4× |
| Brief Emotional/Behav Assmt (96127) | $14.41 | $72.07 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $141.09 | $705.46 | 0.3× |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$466.18 | $2,330.92 | 0.0× |
| Canalith repositioning proc (95992) | $29 | $144.99 | 0.7× |
| Car seat/bed test 60 min (94780) | $20.17 | $100.86 | 0.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $272.29 | $1,361.45 | 1.0× |
| Cardiopulmonary exercise testing (94621) | $102.90 | $514.50 | 0.2× |
| Cardiopulmonary resuscitation (92950) | $115.54 | $577.70 | 0.4× |
| Cardioversion (92960) | $613.75 | $3,068.77 | 0.7× |
| Cardioversion elective internal (92961) | $167.57 | $837.84 | 0.2× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $15.72 | $78.62 | 0.3× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $1,971.59 | $9,857.93 | 0.5× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $1,971.59 | $9,857.93 | 0.5× |
| Cbt 1st hour (94644) | $51.57 | $257.84 | 0.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $71.37 | $356.87 | 0.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $53.63 | $268.15 | 0.6× |
| Chemo Ia Push (96420) | $278.62 | $1,393.10 | 0.7× |
| Chemo IV infusion addl hr (96415) | $83.75 | $418.75 | 0.9× |
| Chemo IV push addl drug (96411) | $108.09 | $540.44 | 1.2× |
| Chemother Prolong Infuse W/Pump (96416) | $139.45 | $697.23 | 0.3× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $278.62 | $1,393.10 | 0.7× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $38.76 | $193.79 | 0.7× |
| Chemotherapy Into Cns (96450) | $264.84 | $1,324.20 | 0.6× |
| Chemotherapy Unspecified (96549) | $38.76 | $193.79 | 0.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $83.34 | $416.69 | 0.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $152.65 | $763.25 | 0.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $162.14 | $810.71 | 0.4× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $278.62 | $1,393.10 | 0.7× |
| Chest Wall Manipulation (94668) | $30.42 | $152.08 | 0.2× |
| Color/duplex Doppler, complete (93975) | $364.71 | $1,823.55 | 1.2× |
| Color/duplex Doppler, limited (93976) | $169.15 | $845.74 | 1.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $82.56 | $412.78 | 0.5× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$113.45 | $26.70–$567.27 | 0.7× |
| Coronary Art/Grft Angio S&I (93455) | $1,971.59 | $9,857.93 | 0.5× |
| Coronary Artery Angio S&I (93454) | $2,319.79 | $11,598.95 | 0.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$16.06 | $80.30–$80.31 | 0.1× |
| Cpt initial (94667) | $96.01 | $480.04 | 0.6× |
| Critical care first hour (99291) | $400.26 | $2,001.32 | 0.4× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$38.25–$119.64 | $191.23–$598.21 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $38.22 | $191.10 | 0.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $244.20 | $1,221.01 | 0.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $88.86 | $444.29 | 0.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $186.89 | $934.45 | 0.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $184.63 | $923.14 | 1.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $287.56 | $1,437.80 | 1.0× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$196.58–$258.68 | $982.89–$1,293.38 | varies |
| Duplex Scan Hemodialysis Access (93990) | $92 | $460.01 | 0.7× |
| Duplex up extrem art bilat (93930) | $292.65 | $1,463.24 | 1.0× |
| Duplex up extrem art unilat/ltd (93931) | $149.77 | $748.85 | 1.1× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$102.65–$390.72 | $513.24–$1,953.62 | varies |
| Echo Heart Xthoracic,Limited (93308) | $134.09 | $670.45 | 0.5× |
| Echo transesophag montr cardiac pump functj (93318) | $384.47 | $1,922.37 | 0.6× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$80.59–$497.55 | $402.95–$2,487.75 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $712.09 | $3,560.45 | 1.0× |
| EEG awake and asleep (95819) | $182.97 | $914.85 | 0.7× |
| EEG awake drowsy (95816) | $182.97 | $914.85 | 0.7× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $21.84 | $109.20 | 0.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$12.01–$19.31 | $60.06–$96.54 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $18.98 | $94.91 | 1.3× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$4.59–$136.20 | $22.93–$680.98 | varies |
| Electroconvulsive Therapy (90870) | $249.41 | $1,247.06 | 0.2× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) likely a partial charge, not the full procedure |
$2,523.89 | $12,619.44 | 0.3× |
| Electrophysiology Evaluation (93642) | $1,159.45 | $5,797.24 | 0.8× |
| Emergency Dept Visit Level 2 (99282) | $85.29 | $426.47 | 0.4× |
| Emergency Dept Visit Level 3 (99283) | $145.94 | $729.69 | 0.4× |
| Emergency Dept Visit Level 4 (99284) | $228.51 | $1,142.53 | 0.4× |
| Endomyocardial Biopsy (93505) | $770.75 | $3,853.75 | 0.2× |
| Ep & ablate supravent arrhyt (93653) likely a partial charge, not the full procedure |
$6,023.23 | $30,116.17 | 0.2× |
| Ep & ablate ventric tachy (93654) likely a partial charge, not the full procedure |
$6,023.24 | $30,116.18 | 0.2× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) likely a partial charge, not the full procedure |
$2,523.89 | $12,619.44 | 0.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) likely a partial charge, not the full procedure |
$2,523.89 | $12,619.44 | 0.3× |
| Ep Esophageal Recording Atria+Pacing (93616) | $466.18 | $2,330.92 | 0.3× |
| Er level 1 (99281) | $53.16 | $265.78 | 0.5× |
| Er level v (99285) | $310.76 | $1,553.82 | 0.4× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$5.02–$96.01 | $25.12–$480.04 | varies |
| Evaluate Speech Production (92522) | $45.23 | $226.13 | 0.4× |
| Evaluate Swallowing Function (92610) | $75.80 | $379.02 | 0.9× |
| Evaluation of speech fluency (92521) | $55.61 | $278.04 | 0.4× |
| Evoked Auditory Test,Limited (92587) | $17.04 | $85.22 | 0.1× |
| Exercise test for bronchospasm (94617) | $102.90 | $514.50 | 0.6× |
| External ECG rec>48hr<7d recording (93242) | $18.85 | $94.26 | 0.4× |
| External Ecg Scanning Analysis Report (93226) | $126.66 | $633.30 | 1.7× |
| Extracranial Bilat Study (93880) | $276.83 | $1,384.15 | 0.9× |
| Extracranial Uni/Ltd Study (93882) | $146.99 | $734.97 | 1.1× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $68.45 | $342.23 | 0.1× |
| Fundus photography (92250) | $24.02 | $120.12 | 0.1× |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$540.80–$787.55 | $2,704–$3,937.75 | varies |
| Group Therapeutic Procedures (97150) | $20.63 | $103.14 | 1.1× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $1,971.59 | $9,857.93 | 0.5× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $125.48 | $627.41 | 0.1× |
| Holter monitor recording (93225) | $7.43 | $37.13 | 0.0× |
| Icd Device Interrogate (93289) | $21.18 | $105.92 | 0.5× |
| Icd device progr eval dual (93283) | $31.32 | $156.62 | 0.7× |
| Icd Device Progr Eval Mult (93284) | $48.70 | $243.52 | 1.0× |
| Ilr Device Eval Progr (93285) | $31.32 | $156.62 | 0.7× |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$20.56–$20.57 | $102.82–$102.86 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $13.54 | $67.70 | 0.2× |
| Immunization administration (90471) | $17.43 | $87.13 | 0.2× |
| Inital newborn e/m (99460) | $33.85 | $169.26 | 0.2× |
| Insert/Place Heart Catheter (93503) | $313.43 | $1,567.17 | 0.2× |
| Interrogate Subq Defib (93261) | $31.32 | $156.62 | 0.7× |
| Interrogation vad in person (93750) | $77.10 | $385.52 | 0.6× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$466.18 | $2,330.92 | 0.0× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$466.18 | $2,330.92 | 0.0× |
| Intracranial Complete Study (93886) | $230.84 | $1,154.22 | 0.8× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$466.18 | $2,330.92 | 0.0× |
| Iontophoresis 15 min (97033) | $8.70 | $43.51 | 0.5× |
| Irrig Drug Delivery Device (96523) | $30.53 | $152.65 | 0.4× |
| IV infusion hydration each additional hour (96361) | $30.53 | $152.65 | 0.5× |
| IV infusion hydration initial 31 min-1 hour (96360) | $169.15 | $845.74 | 0.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$24.92–$35.69 | $124.58–$178.46 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$26.10–$30.53 | $130.49–$152.65 | varies |
| IV push initial (96374) | $64.36 | $321.80 | 0.2× |
| L Hrt Art/Grft Angio (93459) | $1,971.59 | $9,857.93 | 0.5× |
| Liver Elastography W/O Imag W/I&R (91200) | $32.54 | $162.71 | 0.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $177.82 | $889.08 | 0.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $16.16 | $80.81 | 0.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $18.78 | $93.91 | 0.5× |
| Methacholine challenge (94070) | $259.09 | $1,295.46 | 0.6× |
| Motion Fluoroscopy/Swallow (92611) | $136.24 | $681.21 | 1.5× |
| Multiple Sleep Latency Test (95805) | $801.96 | $4,009.78 | 0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $55.69 | $278.47 | 0.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $69.72 | $348.61 | 0.1× |
| Nerve Conduction Studies 1-2 Studies (95907) | $92.84 | $464.22 | 0.3× |
| Nerve Conduction Studies 11-12 Studies (95912) | $166.35 | $831.77 | 0.4× |
| Nerve conduction studies 13 or more studies (95913) | $174.27 | $871.35 | 0.4× |
| Nerve Conduction Studies 3-4 Studies (95908) | $95.06 | $475.29 | 0.4× |
| Nerve conduction studies 5-6 studies (95909) | $161.60 | $808 | 0.6× |
| Nerve conduction studies 7-8 studies (95910) | $163.18 | $815.91 | 0.4× |
| Nerve Conduction Studies 9-10 Studies (95911) | $164.77 | $823.84 | 0.4× |
| Neuromuscular Reeducation (97112) | $26.06 | $130.31 | 0.8× |
| Nitric oxide expired gas determination (95012) | $18.17 | $90.86 | 0.4× |
| Oral Function Therapy (92526) | $58.69 | $293.44 | 0.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $33.29 | $166.44 | 0.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $26.82 | $134.10 | 0.6× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $9.39 | $46.96 | 0.3× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $13.76 | $68.80 | 0.5× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $19.22 | $96.10 | 0.7× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $22.93 | $114.66 | 0.9× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$11.08–$11.09 | $55.42–$55.47 | varies |
| Ot eval high complexity (97167) | $108.16 | $540.78 | 1.1× |
| Ot Eval Low Complex (97165) | $75.11 | $375.55 | 0.7× |
| Ot Eval Moderate Complexity (97166) | $90.13 | $450.66 | 0.9× |
| Ot manual therapy 15 min (97140) | $31.36 | $156.78 | 1.1× |
| Ot paraffin bath (97018) | $22.19 | $110.95 | 3.7× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$19.94–$32.87 | $99.72–$164.35 | varies |
| Ot Re-Eval Est Plan Care (97168) | $31.79 | $158.96 | 0.5× |
| Ot rom hand (95852) | $11.09 | $55.47 | 0.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $69.72 | $348.61 | 0.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $55.43 | $277.16 | 0.3× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $38.22 | $191.10 | 0.2× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $14,704.67 | $73,523.37 | 0.6× |
| Perq transcath closure pda (93582) | $15,083.64 | $75,418.22 | 0.7× |
| Perq Transcath Cls Aortic (93591) | $15,083.64 | $75,418.22 | 0.7× |
| Perq Transcath Cls Mitral (93590) | $15,083.64 | $75,418.22 | 0.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) unusually low: confirm this is the full procedure |
$3,101.90 | $15,509.49 | 0.4× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) likely a partial charge, not the full procedure |
$3,891.60 | $19,458.01 | 0.3× |
| Phlebotomy therapeutic (99195) | $56.11 | $280.54 | 0.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $32.60 | $162.99 | 0.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $32.60 | $162.99 | 0.4× |
| Physical Performance Test (97750) | $26.63 | $133.15 | 0.8× |
| Plethysmography (94726) | $56.52 | $282.59 | 0.1× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$10.92–$19.15 | $54.60–$95.75 | varies |
| Pm device progr eval dual (93280) | $31.32 | $156.62 | 0.7× |
| Pm device progr eval multi (93281) | $20.53 | $102.65 | 0.4× |
| Pm Device Progr Eval Sngl (93279) | $31.32 | $156.62 | 0.7× |
| Pm/Icd Remote Tech Serv (93296) | $31.32 | $156.62 | 0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $964.77 | $4,823.83 | 0.9× |
| Polysom <6 yrs 4/> paramtrs (95782) | $812.33 | $4,061.67 | 0.8× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $31.32 | $156.62 | 0.7× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $10.92 | $54.60 | 0.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $29.07 | $145.34 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $5.46 | $27.30 | 0.1× |
| Prq Card Angio/Athrect 1 Art (92924) unusually low: confirm this is the full procedure |
$4,940.61 | $24,703.05 | 0.3× |
| Prq Card Stent W/Angio 1 Vsl (92928) likely a partial charge, not the full procedure |
$3,820.04 | $19,100.22 | 0.3× |
| Prq Card Stent/Ath/Angio (92933) likely a partial charge, not the full procedure |
$3,890.55 | $19,452.77 | 0.2× |
| Prq Revasc Byp Graft 1 Vsl (92937) likely a partial charge, not the full procedure |
$3,890.55 | $19,452.77 | 0.3× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $15,083.64 | $75,418.22 | 0.7× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $9,526.08 | $47,630.39 | 0.7× |
| Psych diag eval w/med srvcs (90792) | $41.06 | $205.30 | 0.2× |
| Psychiatric diagnostic evaluation (90791) | $37.13 | $185.64 | 0.2× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $27.95 | $139.76 | 0.7× |
| Pt Eval High Complex (97163) | $110.50 | $552.48 | 1.1× |
| Pt eval low complex 20 min (97161) | $76.73 | $383.65 | 0.8× |
| Pt Eval Mod Complex (97162) | $92.08 | $460.40 | 0.9× |
| Pt gait training 15 min (97116) | $24.34 | $121.68 | 0.8× |
| Pt mechanical traction (97012) | $13.22 | $66.12 | 0.9× |
| Pt Re-Eval Est Plan Care (97164) | $33.35 | $166.74 | 0.5× |
| Pt ultraviolet (97028) | $4.72 | $23.60 | 0.6× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $23.79 | $118.94 | 0.5× |
| Pulm function test by gas (94727) | $91.18 | $455.90 | 0.3× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$13.85–$69.36 | $69.23–$346.82 | varies |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$25.93–$131.18 | $129.65–$655.89 | varies |
| R Hrt Art/Grft Angio (93457) | $1,971.59 | $9,857.93 | 0.5× |
| R hrt coronary artery angio (93456) | $1,971.59 | $9,857.93 | 0.5× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $2,531.03 | $12,655.14 | 0.6× |
| Refill/Maint Portable Pump (96521) | $176.98 | $884.90 | 0.7× |
| Refill/Maint Pump/Resvr Syst (96522) | $92.93 | $464.63 | 0.4× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $29.77 | $148.87 | 0.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $83.75 | $418.75 | 1.8× |
| Remote 30 Day Ecg Tech Supp (93229) | $198.74 | $993.72 | 0.4× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $113.79 | $568.93 | 0.4× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $95 | $475.02 | 0.4× |
| Respiratory flow volume loop (94375) | $73.80 | $369.02 | 0.3× |
| Right Heart Cath (93451) | $1,971.59 | $9,857.93 | 0.5× |
| Right ventricular recording (93603) | $466.18 | $2,330.92 | 0.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$24.89–$158.72 | $124.44–$793.62 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $12.57 | $62.86 | 0.5× |
| Self Care Mngment Training (97535) | $28.41 | $142.07 | 0.9× |
| Sensory Integration Ea 15 Min (97533) | $20.85 | $104.23 | 0.3× |
| Sleep study unattended (95806) | $136.41 | $682.04 | 0.5× |
| Speech sound lang comprehen (92523) | $93.82 | $469.09 | 0.4× |
| Spirometry (94010) | $69.23 | $346.16 | 0.3× |
| Standardized Cognitive Performance Testing (96125) | $83.15 | $415.75 | 0.8× |
| Stress Tte Only (93350) | $439.80 | $2,199 | 0.6× |
| Subcutaneous Infusion Each Additional Hour (96370) range across 2 matching MRF lines |
$30.53–$38.76 | $152.65–$193.79 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $176.98 | $884.90 | 0.7× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $89.33 | $446.63 | 0.7× |
| Temp transcutaneous pacing (92953) | $183.68 | $918.39 | 0.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $19.56 | $97.79 | 0.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $32.59 | $162.96 | 0.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $33.29 | $166.44 | 1.1× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $28.43 | $142.16 | 0.5× |
| Ther/Proph/Diag Inj Ia (96373) | $10.26 | $51.32 | 0.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$13.54–$48.69 | $67.70–$243.43 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $148.94 | $744.71 | 0.6× |
| Therap repetitive tms tx subseq delivery & mng (90868) | $65.74 | $328.69 | 0.2× |
| Therapeutic Activities (97530) | $30.53 | $152.65 | 0.9× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $450.11 | $2,250.55 | 1.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $25.02 | $125.12 | 0.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$5.04–$14.64 | $25.20–$73.19 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $53.29 | $266.45 | 0.3× |
| Trans Care Mgmt 7 Day Disch (99496) | $81.26 | $406.30 | 0.5× |
| Transcath Closure of Asd (93580) | $15,083.64 | $75,418.22 | 0.7× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $31.32 | $156.62 | 0.7× |
| Tte w/doppler, complete (93306) | $499.90 | $2,499.50 | 0.7× |
| Tx atrial fib pulm vein isol (93656) likely a partial charge, not the full procedure |
$9,079.49 | $45,397.43 | 0.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $40.52 | $202.62 | 0.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $60.24 | $301.18 | 1.0× |
| Tympanometry (92567) | $3.06 | $15.29 | 0.1× |
| Unlisted cardiovascular service/procedure (93799) | $171.90 | $859.50 | 1.1× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $131.43 | $657.13 | 0.8× |
| Unlisted Special Dermatological Service/Px (96999) | $54 | $270 | 0.2× |
| Upr/L Xtremity Art 2 Levels (93922) | $120.88 | $604.42 | 0.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $148.12 | $740.58 | 0.5× |
| Valvuloplasty aortic valve (92986) | $4,789.28 | $23,946.38 | 0.7× |
| Valvuloplasty mitral valve (92987) likely a partial charge, not the full procedure |
$3,101.90 | $15,509.49 | 0.2× |
| Valvuloplasty pulmonary valve (92990) | $9,526.08 | $47,630.39 | 0.7× |
| Vasopneumatic device (97016) | $16.50 | $82.50 | 1.4× |
| Vent Mgmt Inpat Init Day (94002) | $242.85 | $1,214.23 | 0.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $241.60 | $1,208.01 | 0.3× |
| Vital capacity, total (94150) | $28.88 | $144.41 | 0.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $22.31 | $111.55 | 0.7× |
| Whirlpool Therapy (97022) | $33.29 | $166.44 | 2.1× |
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.