Visits & medical services prices at Iu Health Bloomington Hospital
Bloomington, 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.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $5,575.20 | $22,645 | 0.7× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) range across 2 matching MRF lines |
$97.99–$153.38 | $398–$623 | varies |
| Acoustic Reflex Testing (92568) range across 2 matching MRF lines |
$36.44–$56.63 | $148–$230 | varies |
| Actigraphy Testing Recording Analysis I&R (95803) | $130.24 | $529 | 2.1× |
| Acupunct W/Stimul 15 Min (97813) | $25.85 | $105 | 0.8× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $21.42 | $87 | 0.7× |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) | $60.57 | $246 | 0.3× |
| Adaptive behavior tx by protocol tech ea 15 min (97153) | $60.57 | $246 | 0.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$5–$17.97 | $20.32–$73 | varies |
| Advncd Care Plan 30 Min (99497) | $35.45 | $144 | 0.3× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 2 matching MRF lines |
$138.12–$275.50 | $561–$1,119 | varies |
| Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines |
$261.22–$522.19 | $1,061–$2,121 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) range across 2 matching MRF lines |
$261.22–$522.19 | $1,061–$2,121 | varies |
| Airway Inhalation Treatment (94640) range across 31 matching MRF lines |
$14.53–$144.77 | $59–$588 | varies |
| Airway resistance by oscillometry (94728) | $207.05 | $841 | 1.5× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $248.91 | $1,011 | 1.8× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $152.15 | $618 | 1.1× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) range across 6 matching MRF lines |
$142.80–$979.38 | $580–$3,978 | varies |
| Analyze neurostim complex (95972) | $148.70 | $604 | 1.5× |
| Analyze neurostim no prog (95970) | $66.72 | $271 | 0.5× |
| Analyze Neurostim Simple (95971) | $140.33 | $570 | 1.4× |
| Analyze Pacemaker System (93724) | $321.78 | $1,307 | 1.0× |
| Anrct mano rct sensation&rct balo expulsion test (91125) range across 2 matching MRF lines |
$977.17–$1,166.99 | $3,969–$4,740 | varies |
| Ans parasymp & symp w/tilt (95924) | $199.42 | $810 | 0.9× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $174.06 | $707 | 1.2× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $22.16 | $90 | 0.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $22.16 | $90 | 1.5× |
| Application on-body injector (96377) | $47.27 | $192 | 1.0× |
| Arrhythmia Induction (93618) | $2,867.49 | $11,647 | 2.2× |
| Art pressure waveform analys (93050) range across 2 matching MRF lines |
$73.86–$226.26 | $300–$919 | varies |
| Assessment of aphasia per hr (96105) | $108.57 | $441 | 1.1× |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$71.15–$153.88 | $289–$625 | varies |
| Basic vestibular evaluation (92540) | $269.59 | $1,095 | 1.2× |
| Behavior id assessment by phys/qhp ea 15 min (97151) | $60.57 | $246 | 0.6× |
| Behavior id support assmt by 1 tech ea 15 min (97152) | $60.57 | $246 | 0.6× |
| Behavral qualit analys voice (92524) range across 9 matching MRF lines |
$103.40–$410.42 | $420–$1,667 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $164.71 | $669 | 2.0× |
| Bfb training ea addl 15 min (90913) | $164.71 | $669 | 5.0× |
| Biofeedback training any modality (90901) range across 2 matching MRF lines |
$103.90–$112.27 | $422–$456 | varies |
| Bioimpedance Cv Analysis (93701) | $210.75 | $856 | 1.5× |
| Blink reflex test (95933) | $95.53 | $388 | 1.5× |
| Breath hydrogen/methane test (91065) | $502.25 | $2,040 | 2.2× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$2.95–$22.40 | $12–$91 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 7 matching MRF lines |
$164.71–$872.04 | $669–$3,542 | varies |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$2,639.26 | $10,720 | 0.3× |
| C motor evoked uppr limbs (95928) | $477.87 | $1,941 | 0.5× |
| C motor evoked upr&lwr limbs (95939) | $984.55 | $3,999 | 1.1× |
| Caloric vestibular test w/rec bi monothermal (92538) | $49.98 | $203 | 0.2× |
| Caloric Vstblr Test W/Rec (92537) | $99.22 | $403 | 0.7× |
| Canalith repositioning proc (95992) | $74.84 | $304 | 1.8× |
| Car seat/bed test 60 min (94780) | $159.29 | $647 | 4.0× |
| Cardiac Stress Tst,Tracing Only (93017) range across 8 matching MRF lines |
$18.47–$292.73 | $75–$1,189 | varies |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$1,258.57–$1,321.11 | $5,112–$5,366 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$1,288.36–$1,303.88 | $5,233–$5,296 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$760.02–$1,453.56 | $3,087–$5,904 | varies |
| Cardioversion elective internal (92961) | $1,307.32 | $5,310 | 1.9× |
| Care mgmt services behavioral hlth cond 20 mins (99484) range across 2 matching MRF lines |
$23.64–$27.57 | $96–$112 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) range across 2 matching MRF lines |
$25.11–$54.16 | $102–$220 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $6,295.83 | $25,572 | 1.8× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $10,197.85 | $41,421 | 3.0× |
| Cbt 1st hour (94644) | $35.45 | $144 | 0.3× |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) | $109.56 | $445 | 0.8× |
| Cervical & Ocular Vemp Testing W/I&R (92519) range across 2 matching MRF lines |
$42.59–$84.94 | $173–$345 | varies |
| Cervical Vemp Testing W/I&R (92517) range across 2 matching MRF lines |
$22.65–$45.05 | $92–$183 | varies |
| Chemo Admin Peritoneal Cavity (96446) | $187.60 | $762 | 0.5× |
| Chemo Anti-Neopl Sq/Im (96401) | $134.92 | $548 | 1.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $134.92 | $548 | 1.8× |
| Chemo Ia Push (96420) | $139.84 | $568 | 0.4× |
| Chemo Intralesional Over 7 (96406) | $161.26 | $655 | 0.7× |
| Chemo intralesional up to 7 (96405) | $79.52 | $323 | 1.0× |
| Chemo IV infusion addl hr (96415) | $134.92 | $548 | 1.8× |
| Chemo IV push addl drug (96411) | $196.71 | $799 | 2.6× |
| Chemother Prolong Infuse W/Pump (96416) | $1,181.76 | $4,800 | 3.4× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $509.63 | $2,070 | 1.5× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $76.08 | $309 | 1.5× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$105.62–$210.99 | $429–$857 | varies |
| Chemotherapy Intracavitary (96440) | $360.68 | $1,465 | 1.0× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $777.01 | $3,156 | 2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $134.92 | $548 | 1.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $914.63 | $3,715 | 2.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $261.96 | $1,064 | 0.7× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $105.37 | $428 | 0.3× |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$26.34–$72.88 | $107–$296 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $76.57 | $311 | 0.7× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) range across 2 matching MRF lines |
$380.87–$563.31 | $1,547–$2,288 | varies |
| Cmptr ophth dx img ant segmt (92132) | $205.08 | $833 | 3.3× |
| Colon Motility 6 Hr Study (91117) range across 2 matching MRF lines |
$1,744.82–$3,707.53 | $7,087–$15,059 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $126.05 | $512 | 2.0× |
| Color/duplex Doppler, complete (93975) | $281.16 | $1,142 | 1.1× |
| Color/duplex Doppler, limited (93976) | $166.92 | $678 | 1.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 3 matching MRF lines |
$27.82–$83.46 | $113–$339 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $146 | $593 | 0.8× |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) | $700.69 | $2,846 | 0.8× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $592.11 | $2,405 | 1.5× |
| Comprehensive Hearing Test (92557) range across 4 matching MRF lines |
$111.77–$250.39 | $454–$1,017 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $358.22 | $1,455 | 5.7× |
| Computerized Ophthalmic Imaging Retina (92134) | $107.34 | $436 | 1.7× |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$96.02–$149.20 | $390–$606 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$160.28–$185.39 | $651–$753 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $74.35 | $302 | 1.2× |
| Continuous Pulse Ox (94762) | $195.73 | $795 | 1.4× |
| Corneal Topography (92025) | $137.38 | $558 | 2.2× |
| Coronary Art/Grft Angio S&I (93455) | $4,324.50 | $17,565 | 1.3× |
| Coronary Artery Angio S&I (93454) | $4,785.64 | $19,438 | 1.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 10 matching MRF lines |
$68.44–$421.74 | $278–$1,713 | varies |
| Cpt initial (94667) range across 5 matching MRF lines |
$29.05–$190.31 | $118–$773 | varies |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) | $562.57 | $2,285 | 2.5× |
| Critical care first hour (99291) range across 5 matching MRF lines |
$1,615.56–$10,234.04 | $6,562–$41,568 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $497.32 | $2,020 | 1.3× |
| Dark Adaptation Eye Exam (92284) | $106.36 | $432 | 0.2× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 14 matching MRF lines |
$32.25–$676.80 | $131–$2,749 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $45.30 | $184 | 0.3× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) range across 6 matching MRF lines |
$231.18–$1,106.42 | $939–$4,494 | varies |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$813.20–$1,084.26 | $3,303–$4,404 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 2 matching MRF lines |
$70.17–$118.42 | $285–$481 | varies |
| Duodenal motility study (91022) range across 2 matching MRF lines |
$721.61–$2,711.15 | $2,931–$11,012 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,256.11 | $5,102 | 5.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 3 matching MRF lines |
$16–$468.52 | $65–$1,903 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $105.62 | $429 | 1.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,005.23 | $4,083 | 4.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$670.40–$722.60 | $2,723–$2,935 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$967.32–$1,696.32 | $3,929–$6,890 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $936.05 | $3,802 | 8.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $205.08 | $833 | 0.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $205.08 | $833 | 1.9× |
| Duplex Scan Hemodialysis Access (93990) | $105.62 | $429 | 1.0× |
| Duplex up extrem art bilat (93930) | $684.68 | $2,781 | 2.7× |
| Duplex up extrem art unilat/ltd (93931) | $787.10 | $3,197 | 7.1× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $79.03 | $321 | 0.6× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 6 matching MRF lines |
$251.12–$752.39 | $1,020–$3,056 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) range across 6 matching MRF lines |
$142.80–$901.58 | $580–$3,662 | varies |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) | $139.10 | $565 | 0.6× |
| ECG/monitoring and analysis (93271) | $280.91 | $1,141 | 2.8× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$840.03–$1,119.72 | $3,412–$4,548 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 9 matching MRF lines |
$356.01–$474.67 | $1,446–$1,928 | varies |
| Echo transesophageal (93312) range across 6 matching MRF lines |
$670.16–$892.97 | $2,722–$3,627 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 2 matching MRF lines |
$676.80–$902.82 | $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 |
$233.64–$1,279.99 | $949–$5,199 | varies |
| Eeg 41-60 Minutes (95812) | $914.88 | $3,716 | 4.0× |
| EEG awake and asleep (95819) | $720.14 | $2,925 | 3.2× |
| EEG awake drowsy (95816) | $617.72 | $2,509 | 2.7× |
| EEG cerebral death evaluation (95824) | $506.68 | $2,058 | 1.3× |
| EEG cont rec w/video by tech min 8 channels (95700) | $275.74 | $1,120 | 1.2× |
| EEG extended monitoring 61-119 minutes (95813) | $1,467.35 | $5,960 | 6.4× |
| Eeg Sleep Only (95822) | $467.53 | $1,899 | 2.0× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $524.65 | $2,131 | 2.3× |
| EEG w/o vid 2-12hr cont mntr (95707) | $524.65 | $2,131 | 2.3× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $524.65 | $2,131 | 2.3× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $81.25 | $330 | 0.8× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $126.79 | $515 | 1.3× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $144.52 | $587 | 3.7× |
| Electrical Stimulation Ea 15 Min (97032) | $32.25 | $131 | 2.2× |
| Electro-Oculography (92270) | $427.65 | $1,737 | 3.0× |
| Electrocardiogram Tracing (93005) | $71.64 | $291 | 1.1× |
| Electrocochleography (92584) range across 2 matching MRF lines |
$195.73–$305.29 | $795–$1,240 | varies |
| Electroconvulsive Therapy (90870) | $969.54 | $3,938 | 1.1× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) | $460.89 | $1,872 | 2.0× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) unusually low: confirm this is the full procedure |
$3,817.08 | $15,504 | 0.5× |
| Electrophysiology Evaluation (93642) | $1,960.49 | $7,963 | 1.5× |
| Emergency Dept Visit Level 2 (99282) | $233.40 | $948 | 1.4× |
| Emergency Dept Visit Level 3 (99283) | $454.98 | $1,848 | 1.6× |
| Emergency Dept Visit Level 4 (99284) range across 6 matching MRF lines |
$1,032.32–$9,669.26 | $4,193–$39,274 | varies |
| Emg 3 Extremities (95863) | $536.47 | $2,179 | 3.9× |
| Emg 4 Extremities (95864) | $638.40 | $2,593 | 4.7× |
| Endomyocardial Biopsy (93505) | $4,438.99 | $18,030 | 1.3× |
| Ep & ablate supravent arrhyt (93653) | $16,752.43 | $68,044 | 0.6× |
| Ep & ablate ventric tachy (93654) | $22,409.86 | $91,023 | 0.8× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 2 matching MRF lines |
$3,288–$18,508.09 | $13,355–$75,175 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) unusually low: confirm this is the full procedure |
$2,899.74 | $11,778 | 0.4× |
| Er level 1 (99281) | $138.36 | $562 | 1.6× |
| Er level v (99285) range across 6 matching MRF lines |
$1,321.11–$9,966.67 | $5,366–$40,482 | varies |
| Ergonovine provocation test (93024) | $510.13 | $2,072 | 1.1× |
| Esophagus acid perfusion test esophagitis (91030) | $111.77 | $454 | 0.3× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) range across 3 matching MRF lines |
$429.13–$2,512.96 | $1,743–$10,207 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,215.74 | $4,938 | 3.1× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $323.51 | $1,314 | 2.4× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$39.88–$108.57 | $162–$441 | varies |
| Evaluate Speech Production (92522) | $73.61 | $299 | 0.7× |
| Evaluate Swallowing Function (92610) range across 7 matching MRF lines |
$89.12–$89.37 | $362–$363 | varies |
| Evaluation of speech fluency (92521) range across 9 matching MRF lines |
$135.16–$354.77 | $549–$1,441 | varies |
| Evoked Auditory Test,Limited (92587) range across 3 matching MRF lines |
$65.49–$103.65 | $266–$421 | varies |
| Exercise test for bronchospasm (94617) | $891.49 | $3,621 | 6.3× |
| External ECG rec>48hr<7d recording (93242) | $572.17 | $2,324 | 14.5× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $733.43 | $2,979 | 5.2× |
| External ECG rec>7d<15d recording (93246) | $952.79 | $3,870 | 24.1× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $1,472.03 | $5,979 | 10.5× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$340–$615.75 | $1,381–$2,501 | varies |
| Extracranial Bilat Study (93880) | $592.11 | $2,405 | 2.3× |
| Extracranial Uni/Ltd Study (93882) range across 4 matching MRF lines |
$368.32–$468.27 | $1,496–$1,902 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$605.90–$807.78 | $2,461–$3,281 | varies |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) | $60.57 | $246 | 1.5× |
| Flexible endoscopic eval swallow c/v rec (92612) | $131.47 | $534 | 0.7× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $126.79 | $515 | 0.6× |
| Fluorescein angiography (92235) | $1,056.20 | $4,290 | 4.6× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $1,179.54 | $4,791 | 5.2× |
| Full Field Electroretinography W/I&R (92273) | $462.36 | $1,878 | 2.0× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $405.25 | $1,646 | 0.4× |
| Fundus photography (92250) | $309.23 | $1,256 | 2.2× |
| Gastric motility studies (91020) | $931.62 | $3,784 | 2.4× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $849.88 | $3,452 | 2.2× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $429.13 | $1,743 | 1.9× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $928.42 | $3,771 | 1.0× |
| Gi tract capsule endoscopy (91110) | $2,860.35 | $11,618 | 3.0× |
| Gi tract imaging intraluminal colon i&r (91113) range across 2 matching MRF lines |
$790.30–$1,994.47 | $3,210–$8,101 | varies |
| Gi wireless capsule measure (91112) | $1,307.81 | $5,312 | 1.4× |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) | $60.57 | $246 | 1.5× |
| Group Therapeutic Procedures (97150) range across 15 matching MRF lines |
$23.39–$169.39 | $95–$688 | varies |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) | $60.57 | $246 | 1.5× |
| Health Behavior Assessment/Re-Assessment (96156) | $232.17 | $943 | 2.2× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $116.21 | $472 | 2.9× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $92.33 | $375 | 2.3× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $116.21 | $472 | 0.6× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $9,773.40 | $39,697 | 2.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 6 matching MRF lines |
$159.29–$1,693.86 | $647–$6,880 | varies |
| High altitude simulation test (94452) | $913.65 | $3,711 | 6.5× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $1,265.96 | $5,142 | 9.0× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$219.86–$366.10 | $893–$1,487 | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $37.67 | $153 | 1.0× |
| Icd Device Interrogate (93289) | $55.40 | $225 | 1.4× |
| Icd device progr eval dual (93283) | $117.68 | $478 | 3.0× |
| Icd Device Progr Eval Mult (93284) | $138.12 | $561 | 3.5× |
| Icm Device Eval (93290) | $44.56 | $181 | 1.1× |
| Ilr Device Eval Progr (93285) | $237.09 | $963 | 6.0× |
| Ilr Device Interrogate (93291) | $221.09 | $898 | 7.2× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
$5–$11.08 | $20.32–$45 | varies |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $154.12 | $626 | 2.5× |
| Immunization administration (90471) range across 10 matching MRF lines |
$5–$29.30 | $20.32–$119 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $548.29 | $2,227 | 2.4× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $760.76 | $3,090 | 1.9× |
| Insert/Place Heart Catheter (93503) | $908.48 | $3,690 | 0.5× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) | $55.89 | $227 | 0.6× |
| Interrog&prgrmg ipnss during polysomnography (93152) | $391.95 | $1,592 | 1.2× |
| Interrogate Subq Defib (93261) | $51.21 | $208 | 1.3× |
| Interrogation vad in person (93750) | $55.89 | $227 | 0.6× |
| Interrogation without programming ipnss (93153) | $55.89 | $227 | 0.6× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$1,153.69 | $4,686 | 0.1× |
| Intra-atrial recording (93602) unusually low: confirm this is the full procedure |
$2,639.26 | $10,720 | 0.3× |
| Intracranial Complete Study (93886) | $1,110.85 | $4,512 | 4.4× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$1,061.12 | $4,310 | 0.1× |
| Io anal gast n-stim subsq (95981) | $48.75 | $198 | 0.8× |
| Io ga n-stim subsq w/reprog (95982) | $210.25 | $854 | 5.3× |
| Iontophoresis 15 min (97033) | $23.39 | $95 | 1.2× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$77.55–$81 | $315–$329 | varies |
| Ischemic limb exercise test (95875) | $138.12 | $561 | 1.0× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$73.12–$88.39 | $297–$359 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$774.30–$853.82 | $3,145–$3,468 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$73.12–$88.39 | $297–$359 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$77.80–$81 | $316–$329 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$110.05–$114.24 | $447–$464 | varies |
| L Hrt Art/Grft Angio (93459) | $7,526.09 | $30,569 | 2.2× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $12,326 | $50,065 | 3.6× |
| Laryngeal Function Studies (92520) range across 2 matching MRF lines |
$25.36–$50.47 | $103–$205 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $121.62 | $494 | 0.9× |
| Loudness balance test (92562) range across 2 matching MRF lines |
$57.61–$114.98 | $234–$467 | varies |
| Low frequency non-thermal us (97610) range across 8 matching MRF lines |
$59.58–$160.03 | $242–$650 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $123.59 | $502 | 2.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $918.08 | $3,729 | 4.0× |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) | $2,979.27 | $12,101 | 3.3× |
| Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) | $2,979.27 | $12,101 | 3.3× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) | $358.71 | $1,457 | 1.6× |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) | $425.19 | $1,727 | 1.1× |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) | $487.48 | $1,980 | 3.6× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$72.88–$162.25 | $296–$659 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $22.16 | $90 | 0.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $22.16 | $90 | 0.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$23.64–$24.13 | $96–$98 | varies |
| Methacholine challenge (94070) range across 3 matching MRF lines |
$532.04–$1,476.71 | $2,161–$5,998 | varies |
| Microvolt T-Wave Assess (93025) | $270.08 | $1,097 | 2.0× |
| Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) | $22.90 | $93 | 1.1× |
| Mlt fam group bhv mgmt/modificaj traing ea addl (96203) | $6.40 | $26 | 1.2× |
| Motility study esophagus (91010) | $909.22 | $3,693 | 2.3× |
| Motion Fluoroscopy/Swallow (92611) | $190.56 | $774 | 2.1× |
| Multifocal Electroretinography W/I&R (92274) | $249.40 | $1,013 | 1.8× |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) | $60.57 | $246 | 1.5× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$651.94–$1,181.02 | $2,648–$4,797 | varies |
| Muscle Test 2 Limbs (95861) | $433.07 | $1,759 | 3.1× |
| Muscle Test Nonparaspinal (95870) | $131.47 | $534 | 0.9× |
| Muscle Test One Limb (95860) | $329.91 | $1,340 | 2.3× |
| Nasal function studies (92512) | $26.59 | $108 | 0.1× |
| Nasopharyngoscopy (92511) | $510.37 | $2,073 | 2.4× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $365.36 | $1,484 | 1.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $243.98 | $991 | 1.1× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $147.47 | $599 | 0.6× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $322.52 | $1,310 | 1.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$78.78–$628.30 | $320–$2,552 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$136.89–$607.38 | $556–$2,467 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$85.92–$628.30 | $349–$2,552 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$148.21–$659.82 | $602–$2,680 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $258.26 | $1,049 | 1.1× |
| Nerve Conduction Studies 11-12 Studies (95912) | $773.81 | $3,143 | 2.0× |
| Nerve conduction studies 13 or more studies (95913) | $798.43 | $3,243 | 2.0× |
| Nerve Conduction Studies 3-4 Studies (95908) | $322.77 | $1,311 | 1.4× |
| Nerve conduction studies 5-6 studies (95909) | $387.03 | $1,572 | 1.7× |
| Nerve conduction studies 7-8 studies (95910) | $449.07 | $1,824 | 1.1× |
| Nerve Conduction Studies 9-10 Studies (95911) | $644.80 | $2,619 | 1.6× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $139.10 | $565 | 1.0× |
| Neuromuscular Reeducation (97112) | $32.01 | $130 | 1.0× |
| Nitric oxide expired gas determination (95012) | $204.10 | $829 | 5.2× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $29.79 | $121 | 1.2× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $41.61 | $169 | 1.2× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $20.68 | $84 | 1.5× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $466.55 | $1,895 | 1.2× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $1,242.57 | $5,047 | 3.1× |
| Ocular Vemp Testing W/I&R (92518) range across 2 matching MRF lines |
$22.65–$45.05 | $92–$183 | varies |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $107.34 | $436 | 0.8× |
| Ophth medical xm&eval intermediate estab pt (92012) | $34.71 | $141 | 0.2× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $46.04 | $187 | 0.3× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $55.89 | $227 | 0.9× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $86.17 | $350 | 1.4× |
| Optokinetic Nystagmus Test (92544) | $41.36 | $168 | 0.3× |
| Oral Function Therapy (92526) range across 7 matching MRF lines |
$36.44–$330.40 | $148–$1,342 | varies |
| Oral Speech Device Eval (92597) | $94.79 | $385 | 1.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $41.61 | $169 | 0.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $36.19 | $147 | 0.8× |
| Oscillating Tracking Test (92545) | $46.78 | $190 | 0.2× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $105.13 | $427 | 4.6× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$15.76–$29.30 | $64–$119 | varies |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$88.14–$94.05 | $358–$382 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$88.14–$94.05 | $358–$382 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$88.14–$94.05 | $358–$382 | varies |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$32.01–$41.12 | $130–$167 | varies |
| Ot paraffin bath (97018) | $11.82 | $48 | 2.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $32.01 | $130 | 0.8× |
| Ot Re-Eval Est Plan Care (97168) | $58.35 | $237 | 0.9× |
| Ot rom hand (95852) | $54.90 | $223 | 2.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $173.08 | $703 | 1.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $99.46 | $404 | 0.7× |
| Oxygen Uptake Rest Indirect (94690) range across 4 matching MRF lines |
$263.19–$532.04 | $1,069–$2,161 | varies |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $414.11 | $1,682 | 0.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $293.96 | $1,194 | 1.3× |
| Percutaneous tests w/allergenic extracts (95004) | $12.80 | $52 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $131.96 | $536 | 2.1× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) range across 10 matching MRF lines |
$12,645.57–$15,841.74 | $51,363–$64,345 | varies |
| Perq transcath closure pda (93582) unusually low: confirm this is the full procedure |
$7,564.50 | $30,725 | 0.4× |
| Perq Transcath Cls Aortic (93591) unusually low: confirm this is the full procedure |
$7,446.57 | $30,246 | 0.4× |
| Perq Transcath Cls Mitral (93590) unusually low: confirm this is the full procedure |
$9,492.24 | $38,555 | 0.5× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 5 matching MRF lines |
$7,772.29–$9,714.81 | $31,569–$39,459 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 10 matching MRF lines |
$7,363.35–$9,714.81 | $29,908–$39,459 | varies |
| Phlebotomy therapeutic (99195) | $180.22 | $732 | 1.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $203.85 | $828 | 3.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $203.85 | $828 | 3.3× |
| Physical Performance Test (97750) | $45.30 | $184 | 1.3× |
| Plethysmography (94726) range across 2 matching MRF lines |
$289.53–$335.08 | $1,176–$1,361 | varies |
| Pm device eval in person (93288) | $140.33 | $570 | 3.6× |
| Pm device progr eval dual (93280) | $266.39 | $1,082 | 6.7× |
| Pm device progr eval multi (93281) | $119.16 | $484 | 3.0× |
| Pm Device Progr Eval Sngl (93279) | $264.17 | $1,073 | 6.7× |
| Pm/Icd Remote Tech Serv (93296) | $101.93 | $414 | 2.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$1,286.40–$1,913.96 | $5,225–$7,774 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $3,336.75 | $13,553 | 3.7× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $3,717.87 | $15,101 | 4.1× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $2,469.63 | $10,031 | 2.7× |
| Positional nystagmus test (92542) | $182.43 | $741 | 1.3× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $94.05 | $382 | 2.4× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $117.68 | $478 | 3.0× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $75.58 | $307 | 0.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$19.94–$22.90 | $81–$93 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$27.57–$32.01 | $112–$130 | varies |
| Prq Card Angio/Athrect 1 Art (92924) range across 5 matching MRF lines |
$8,786.88–$9,225.85 | $35,690–$37,473 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 10 matching MRF lines |
$7,772.29–$10,782.82 | $31,569–$43,797 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 10 matching MRF lines |
$6,758.44–$8,390.99 | $27,451–$34,082 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 10 matching MRF lines |
$6,758.44–$10,773.22 | $27,451–$43,758 | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) range across 2 matching MRF lines |
$5,233.23–$13,922.61 | $21,256–$56,550 | varies |
| Prq trl rvs ch occ ant&rtrgr (92945) range across 10 matching MRF lines |
$7,731.66–$9,714.81 | $31,404–$39,459 | varies |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$2,059.96 | $8,367 | 0.2× |
| Psych diag eval w/med srvcs (90792) range across 6 matching MRF lines |
$123.10–$224.78 | $500–$913 | varies |
| Psychiatric diagnostic evaluation (90791) range across 4 matching MRF lines |
$123.10–$183.42 | $500–$745 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $441.93 | $1,795 | 1.9× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $25.11 | $102 | 0.8× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $441.93 | $1,795 | 0.9× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $441.93 | $1,795 | 3.1× |
| Psytx Crisis Initial 60 Min (90839) | $131.96 | $536 | 0.7× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $60.57 | $246 | 1.6× |
| Pt Eval High Complex (97163) | $97 | $394 | 1.0× |
| Pt eval low complex 20 min (97161) | $97 | $394 | 1.0× |
| Pt Eval Mod Complex (97162) | $97 | $394 | 1.0× |
| Pt gait training 15 min (97116) | $33.48 | $136 | 1.2× |
| Pt group caregiver training (97552) range across 8 matching MRF lines |
$91.59–$148.21 | $372–$602 | varies |
| Pt mechanical traction (97012) | $22.16 | $90 | 1.5× |
| Pt Re-Eval Est Plan Care (97164) | $66.23 | $269 | 1.0× |
| Pt ultraviolet (97028) | $30.78 | $125 | 3.7× |
| Pulm function test by gas (94727) | $258.02 | $1,048 | 1.1× |
| Pulmonary service/procedure (94799) | $43.58 | $177 | 0.3× |
| Pulmonary Stress Testing (94618) | $248.42 | $1,009 | 1.8× |
| Pure Tone Audiometry Air (92552) range across 4 matching MRF lines |
$64.75–$126.05 | $263–$512 | varies |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $28.31 | $115 | 1.2× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $41.36 | $168 | 1.2× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $21.42 | $87 | 1.7× |
| Quan puplmtry phy/qhp uni/bi (95919) | $281.41 | $1,143 | 2.0× |
| R Hrt Art/Grft Angio (93457) | $7,936.26 | $32,235 | 2.3× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $3,285.79 | $13,346 | 1.0× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $10,371.42 | $42,126 | 3.0× |
| R hrt coronary artery angio (93456) | $9,601.55 | $38,999 | 2.8× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $7,283.33 | $29,583 | 2.1× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $12,227.28 | $49,664 | 3.6× |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$7,118.13–$8,668.21 | $28,912–$35,208 | varies |
| Rectal sensation tone&compliance study (91124) range across 2 matching MRF lines |
$146.49–$211.73 | $595–$860 | varies |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $461.87 | $1,876 | 1.3× |
| Refill/Maint Portable Pump (96521) | $312.43 | $1,269 | 1.4× |
| Refill/Maint Pump/Resvr Syst (96522) | $216.16 | $878 | 1.0× |
| Rem interrog icpms <30 d phys/qhp (93297) | $101.93 | $414 | 2.6× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $101.93 | $414 | 2.6× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $93.31 | $379 | 0.7× |
| Rem Ther Mntr Dev Sply Cbt (98978) | $39.39 | $160 | 1.0× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $39.39 | $160 | 1.0× |
| Rem ther mntr dev sply resp (98976) | $39.39 | $160 | 1.0× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$323.51–$589.90 | $1,314–$2,396 | varies |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $137.63 | $559 | 1.0× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $13.79 | $56 | 0.3× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $19.70 | $80 | 0.4× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $182.93 | $743 | 0.8× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $196.22 | $797 | 0.9× |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$307.26–$619.93 | $1,248–$2,518 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $171.60 | $697 | 2.7× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$5,703.96–$9,651.53 | $23,168–$39,202 | varies |
| Right ventricular recording (93603) | $2,639.26 | $10,720 | 2.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 13 matching MRF lines |
$30.53–$566.01 | $124–$2,299 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $59.58 | $242 | 2.3× |
| Rtm dev sply data cbt 2-15 days in 30 d pd (98986) | $19.70 | $80 | 0.5× |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) | $19.70 | $80 | 0.5× |
| Rtm tx mgmt 1 r-t ia comunicaj cal mo 1st 10 min (98979) | $19.70 | $80 | 0.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$133.93–$144.77 | $544–$588 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 2 matching MRF lines |
$67.46–$72.88 | $274–$296 | varies |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $159.54 | $648 | 0.4× |
| Self Care Mngment Training (97535) | $33.73 | $137 | 1.0× |
| Sensory Integration Ea 15 Min (97533) range across 3 matching MRF lines |
$24.62–$28.56 | $100–$116 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $702.41 | $2,853 | 3.1× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $210.75 | $856 | 1.5× |
| Sleep study attended (95807) | $1,058.17 | $4,298 | 2.7× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$368.07–$656.37 | $1,495–$2,666 | varies |
| Slp caregiver training 1st 30 min (97550) range across 2 matching MRF lines |
$54.66–$118.42 | $222–$481 | varies |
| Slp Stdy Unatnd W/Anal (95801) | $337.29 | $1,370 | 5.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $428.39 | $1,740 | 1.9× |
| Somatosensory Testing (95938) | $914.88 | $3,716 | 1.0× |
| Speech Audiometry Complete (92556) range across 2 matching MRF lines |
$64.75–$102.67 | $263–$417 | varies |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$36.44–$56.63 | $148–$230 | varies |
| Speech sound lang comprehen (92523) range across 12 matching MRF lines |
$73.12–$91.83 | $297–$373 | varies |
| Spirometry (94010) range across 3 matching MRF lines |
$156.09–$479.11 | $634–$1,946 | varies |
| Spontaneous Nystagmus Test (92541) | $41.36 | $168 | 0.3× |
| Ssep lower limbs (95926) | $702.41 | $2,853 | 3.1× |
| Standardized Cognitive Performance Testing (96125) | $160.77 | $653 | 1.6× |
| Stenger Test Speech (92577) range across 2 matching MRF lines |
$43.58–$54.16 | $177–$220 | varies |
| Stenger Test, Pure Tone (92565) range across 2 matching MRF lines |
$21.42–$27.08 | $87–$110 | varies |
| Stress Tte Only (93350) range across 4 matching MRF lines |
$571.43–$761.25 | $2,321–$3,092 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) | $60.32 | $245 | 0.8× |
| Surfactant Admin Thru Tube (94610) | $81.98 | $333 | 0.4× |
| Temp transcutaneous pacing (92953) | $705.61 | $2,866 | 1.0× |
| Testing Autonomic Nervous System Function (95923) | $281.41 | $1,143 | 2.0× |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) | $50.96 | $207 | 0.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $28.81 | $117 | 1.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $28.81 | $117 | 1.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$29.79–$32.25 | $121–$131 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$24.62–$60.57 | $100–$246 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 5 matching MRF lines |
$48.01–$113.01 | $195–$459 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $52.69 | $214 | 0.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$40.87–$48.99 | $166–$199 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$742.79–$774.30 | $3,017–$3,145 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $149.20 | $606 | 0.7× |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$32.25–$65.98 | $131–$268 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$285.84–$359.21 | $1,161–$1,459 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$21.17–$24.62 | $86–$100 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$10.09–$11.82 | $41–$48 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $73.37 | $298 | 0.5× |
| Trans Care Mgmt 7 Day Disch (99496) | $101.93 | $414 | 0.7× |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$7,787.55–$17,111.64 | $31,631–$69,503 | varies |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $1,859.79 | $7,554 | 16.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $883.61 | $3,589 | 8.0× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 3 matching MRF lines |
$57.86–$67.21 | $235–$273 | varies |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $125.56 | $510 | 0.9× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $144.52 | $587 | 1.0× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$652.68–$870.56 | $2,651–$3,536 | varies |
| Tte W/O Doppler Complete (93307) range across 8 matching MRF lines |
$467.04–$829.94 | $1,897–$3,371 | varies |
| Tx atrial fib pulm vein isol (93656) | $22,478.06 | $91,300 | 0.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 19 matching MRF lines |
$32.25–$476.89 | $131–$1,937 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $82.23 | $334 | 3.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$110.05–$114.24 | $447–$464 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$55.15–$84.94 | $224–$345 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 2 matching MRF lines |
$53.18–$90.11 | $216–$366 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$1,576.91–$1,656.19 | $6,405–$6,727 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) range across 4 matching MRF lines |
$121.62–$521.70 | $494–$2,119 | varies |
| Unlisted otorhinolaryngological service (92700) | $61.55 | $250 | 2.0× |
| Unlisted Psychiatric Service/Procedure (90899) | $91.34 | $371 | 2.3× |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$240.05–$552.23 | $975–$2,243 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$198.68–$452.27 | $807–$1,837 | varies |
| Valvuloplasty aortic valve (92986) range across 2 matching MRF lines |
$4,212.73–$4,423.48 | $17,111–$17,967 | varies |
| Valvuloplasty mitral valve (92987) range across 2 matching MRF lines |
$4,381.13–$4,423.48 | $17,795–$17,967 | varies |
| Valvuloplasty pulmonary valve (92990) unusually low: confirm this is the full procedure |
$5,570.03 | $22,624 | 0.5× |
| Vasopneumatic device (97016) | $26.34 | $107 | 2.2× |
| Veeg 2-12 Hr Cont Mntr (95713) | $993.42 | $4,035 | 2.5× |
| Veeg 2-12 hr intmt mntr (95712) | $524.65 | $2,131 | 1.3× |
| Veeg 2-12 hr unmonitored (95711) | $275.74 | $1,120 | 1.2× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,572.48 | $6,387 | 4.0× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $827.97 | $3,363 | 2.1× |
| Veeg ea 12-26hr cont mntr (95716) | $2,979.27 | $12,101 | 3.3× |
| Vent Mgmt Inpat Init Day (94002) range across 4 matching MRF lines |
$746.97–$1,274.58 | $3,034–$5,177 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 7 matching MRF lines |
$88.14–$922.02 | $358–$3,745 | varies |
| Visual Evoked Potential Test (95930) | $680 | $2,762 | 3.0× |
| Visual Field Exam Extended (92083) | $234.38 | $952 | 1.7× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $139.35 | $566 | 2.2× |
| Visual reinforcement audiometry (vra) (92579) range across 4 matching MRF lines |
$83.46–$160.77 | $339–$653 | varies |
| Vital capacity, total (94150) | $53.18 | $216 | 0.4× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,362.47 | $5,534 | 1.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $32.25 | $131 | 1.0× |
| Whirlpool Therapy (97022) | $22.16 | $90 | 1.4× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $239.55 | $973 | 6.1× |
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.