Visits & medical services prices at Jackson County Regional Health Center
Maquoketa, IA · every code in this section with a posted price and a Medicare benchmark.
256 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $115 | $115 | 0.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $46 | $46 | 1.2× |
| Advncd Care Plan 30 Min (99497) | $269 | $269 | 2.8× |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$52–$342 | $52–$342 | varies |
| Airway resistance by oscillometry (94728) range across 3 matching MRF lines |
$18–$95 | $18–$95 | varies |
| Analyze neurostim no prog (95970) | $194 | $194 | 1.5× |
| Analyze Neurostim Simple (95971) | $129 | $129 | 1.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$81–$118 | $81–$118 | varies |
| Application Modality 1/> Areas Infrared (97026) | $73 | $73 | 10.9× |
| Assessment of aphasia per hr (96105) range across 7 matching MRF lines |
$176–$573 | $176–$573 | varies |
| Assessment of tinnitus (92625) | $213 | $213 | 1.7× |
| Assmt & care planning pt w/cognitive impairment (99483) | $932 | $932 | 9.5× |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$77–$108 | $77–$108 | varies |
| Basic vestibular evaluation (92540) range across 2 matching MRF lines |
$60–$243 | $60–$243 | varies |
| Behavral qualit analys voice (92524) range across 5 matching MRF lines |
$183–$411 | $183–$411 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) range across 4 matching MRF lines |
$93–$310 | $93–$310 | varies |
| Bfb training ea addl 15 min (90913) range across 4 matching MRF lines |
$118–$133 | $118–$133 | varies |
| Biofeedback training any modality (90901) range across 5 matching MRF lines |
$58–$116 | $58–$116 | varies |
| Breath hydrogen/methane test (91065) | $278 | $278 | 1.3× |
| Brief Emotional/Behav Assmt (96127) | $13 | $13 | 0.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$41–$185 | $41–$185 | varies |
| Caloric Vstblr Test W/Rec (92537) | $184 | $184 | 1.5× |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$172–$255 | $172–$255 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $670 | $670 | 3.2× |
| Cardiopulmonary exercise testing (94621) | $414 | $414 | 1.2× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$65–$1,585 | $65–$1,585 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$78–$677 | $78–$677 | varies |
| Cardioversion elective internal (92961) | $776 | $776 | 1.2× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $14 | $14 | 0.4× |
| Cbt 1st hour (94644) | $131 | $131 | 1.0× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$238–$403 | $238–$403 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $403 | $403 | 5.8× |
| Chemo intralesional up to 7 (96405) | $196 | $196 | 2.8× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$66–$442 | $66–$442 | varies |
| Chemo IV push addl drug (96411) | $488 | $488 | 7.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$313–$548 | $313–$548 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $301 | $301 | 0.9× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $325 | $325 | 1.0× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$114–$141 | $114–$141 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $128 | $128 | 1.3× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$1,113–$1,266 | $1,113–$1,266 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$91–$911 | $91–$911 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $120 | $120 | 3.7× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $271 | $271 | 1.6× |
| Comprehensive Hearing Test (92557) | $48 | $48 | 0.4× |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$139–$190 | $139–$190 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 4 matching MRF lines |
$30–$443 | $30–$443 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $285 | $285 | 5.0× |
| Continuous Pulse Ox (94762) | $111 | $111 | 0.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $481 | $481 | 2.3× |
| Cpt initial (94667) range across 3 matching MRF lines |
$72–$117 | $72–$117 | varies |
| Critical care first hour (99291) range across 6 matching MRF lines |
$257–$1,114 | $257–$1,114 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$67–$412 | $67–$412 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$56–$767 | $56–$767 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $55 | $55 | 0.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$91–$767 | $91–$767 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 5 matching MRF lines |
$55–$1,128 | $55–$1,128 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 4 matching MRF lines |
$50–$1,751 | $50–$1,751 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 6 matching MRF lines |
$32–$1,567 | $32–$1,567 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $779 | $779 | 3.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $487 | $487 | 4.8× |
| Duplex Scan Hemodialysis Access (93990) | $487 | $487 | 4.8× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$43–$611 | $43–$611 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$404–$749 | $404–$749 | varies |
| Ear and throat examination (92502) range across 2 matching MRF lines |
$24–$288 | $24–$288 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$312–$893 | $312–$893 | varies |
| Echo transesophag congen probe plcmt only (93316) | $547 | $547 | 1.0× |
| Eeg 41-60 Minutes (95812) | $184 | $184 | 0.9× |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$175–$1,157 | $175–$1,157 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$176–$1,254 | $176–$1,254 | varies |
| EEG cerebral death evaluation (95824) | $884 | $884 | 2.5× |
| EEG extended monitoring 61-119 minutes (95813) | $278 | $278 | 1.3× |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$175–$1,289 | $175–$1,289 | varies |
| EKG signal averaged (93278) | $196 | $196 | 3.5× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $447 | $447 | 4.9× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $537 | $537 | 5.9× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$200–$405 | $200–$405 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$87–$227 | $87–$227 | varies |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$43–$1,813 | $43–$1,813 | varies |
| Electroconvulsive Therapy (90870) | $444 | $444 | 0.5× |
| Emergency Dept Visit Level 2 (99282) range across 6 matching MRF lines |
$170–$663 | $170–$663 | varies |
| Emergency Dept Visit Level 3 (99283) range across 8 matching MRF lines |
$188–$1,109 | $188–$1,109 | varies |
| Emergency Dept Visit Level 4 (99284) range across 5 matching MRF lines |
$359–$1,464 | $359–$1,464 | varies |
| Emg 3 Extremities (95863) | $526 | $526 | 4.3× |
| Emg 4 Extremities (95864) | $570 | $570 | 4.6× |
| Er level 1 (99281) range across 6 matching MRF lines |
$66–$1,464 | $66–$1,464 | varies |
| Er level v (99285) range across 5 matching MRF lines |
$604–$2,246 | $604–$2,246 | varies |
| Esophageal Capsule Endoscopy (91111) | $121 | $121 | 0.1× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $186 | $186 | 1.5× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$49–$128 | $49–$128 | varies |
| Evaluate Speech Production (92522) range across 5 matching MRF lines |
$194–$411 | $194–$411 | varies |
| Evaluate Swallowing Function (92610) range across 5 matching MRF lines |
$177–$385 | $177–$385 | varies |
| Evaluation of speech fluency (92521) range across 5 matching MRF lines |
$208–$411 | $208–$411 | varies |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$151–$166 | $151–$166 | varies |
| External Ecg Scanning Analysis Report (93226) | $212 | $212 | 3.7× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$56–$731 | $56–$731 | varies |
| Extracranial Uni/Ltd Study (93882) | $519 | $519 | 5.2× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 2 matching MRF lines |
$366–$550 | $366–$550 | varies |
| Fundus photography (92250) | $214 | $214 | 1.7× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $233 | $233 | 0.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,516 | $1,516 | 1.8× |
| Gi tract capsule endoscopy (91110) | $2,136 | $2,136 | 2.4× |
| Group Therapeutic Procedures (97150) range across 4 matching MRF lines |
$90–$116 | $90–$116 | varies |
| Holter monitor recording (93225) | $85 | $85 | 0.7× |
| Hypnotherapy (90880) | $45 | $45 | 0.5× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $62 | $62 | 0.9× |
| Immunization administration (90471) range across 10 matching MRF lines |
$6.40–$155 | $6.40–$155 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $95 | $95 | 0.3× |
| Inital newborn e/m (99460) | $309 | $309 | 2.4× |
| Insert/Place Heart Catheter (93503) | $486 | $486 | 0.3× |
| Iontophoresis 15 min (97033) range across 5 matching MRF lines |
$38–$110 | $38–$110 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$145–$403 | $145–$403 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$40–$495 | $40–$495 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$95–$183 | $95–$183 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$49–$743 | $49–$743 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$101–$145 | $101–$145 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $75 | $75 | 0.6× |
| Lung Function Test (Mbc/Mvv) (94200) range across 3 matching MRF lines |
$19–$56 | $19–$56 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$58–$480 | $58–$480 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 4 matching MRF lines |
$30–$120 | $30–$120 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 5 matching MRF lines |
$27–$140 | $27–$140 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 6 matching MRF lines |
$5–$2,112.50 | $5–$2,112.50 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$93–$300 | $93–$300 | varies |
| Motility study esophagus (91010) | $517 | $517 | 1.4× |
| Motion Fluoroscopy/Swallow (92611) range across 3 matching MRF lines |
$335–$411 | $335–$411 | varies |
| Multiple Family Group Psychotherapy (90849) | $192 | $192 | 1.1× |
| Multiple Sleep Latency Test (95805) | $420 | $420 | 0.5× |
| Muscle Test 2 Limbs (95861) | $436 | $436 | 3.4× |
| Muscle Test Nonparaspinal (95870) | $200 | $200 | 1.6× |
| Muscle Test One Limb (95860) | $298 | $298 | 2.3× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$101–$385 | $101–$385 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$151–$326 | $151–$326 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$130–$239 | $130–$239 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $343 | $343 | 0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$112–$2,693 | $112–$2,693 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$119–$131 | $119–$131 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $212 | $212 | 1.0× |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$380–$550 | $380–$550 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$451–$679 | $451–$679 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$161–$262 | $161–$262 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$193–$313 | $193–$313 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 3 matching MRF lines |
$257–$413 | $257–$413 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$319–$500 | $319–$500 | varies |
| Neurobehavioral Status Exam (96116) | $286 | $286 | 1.4× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $215 | $215 | 1.7× |
| Neuromuscular Reeducation (97112) range across 5 matching MRF lines |
$83–$242 | $83–$242 | varies |
| Newborn resuscitation (99465) | $475 | $475 | 0.7× |
| Nitric oxide expired gas determination (95012) | $57 | $57 | 1.6× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $394 | $394 | 1.1× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 2 matching MRF lines |
$87–$1,260 | $87–$1,260 | varies |
| Oral Function Therapy (92526) range across 7 matching MRF lines |
$92–$331 | $92–$331 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $140 | $140 | 2.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 5 matching MRF lines |
$72–$121 | $72–$121 | varies |
| Oscillating Tracking Test (92545) | $152 | $152 | 0.7× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $98 | $98 | 4.7× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $139 | $139 | 6.7× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $214 | $214 | 10.3× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $222 | $222 | 10.7× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $266 | $266 | 12.8× |
| Ot eval high complexity (97167) range across 4 matching MRF lines |
$109–$312 | $109–$312 | varies |
| Ot Eval Low Complex (97165) | $283 | $283 | 2.8× |
| Ot Eval Moderate Complexity (97166) range across 4 matching MRF lines |
$283–$312 | $283–$312 | varies |
| Ot manual therapy 15 min (97140) range across 6 matching MRF lines |
$81–$221 | $81–$221 | varies |
| Ot paraffin bath (97018) | $72 | $72 | 12.0× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 5 matching MRF lines |
$73–$141 | $73–$141 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$109–$283 | $109–$283 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $177 | $177 | 1.4× |
| Patch/Application Test Specify Number Tests (95044) | $14 | $14 | 0.0× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $77 | $77 | 3.1× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $1,199 | $1,199 | 6.2× |
| Peripheral arterial disease rehab per session (93668) | $170 | $170 | 3.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $165 | $165 | 2.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $196 | $196 | 3.5× |
| Physical Performance Test (97750) range across 5 matching MRF lines |
$96–$185 | $96–$185 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$41–$163 | $41–$163 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$1,114–$3,744 | $1,114–$3,744 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $399 | $399 | 0.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $30 | $30 | 0.7× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $36 | $36 | 0.8× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $38 | $38 | 0.8× |
| Psych diag eval w/med srvcs (90792) | $284 | $284 | 1.7× |
| Psychiatric diagnostic evaluation (90791) | $345 | $345 | 2.0× |
| Psychological tst eval svc phys/qhp first hour (96130) | $394 | $394 | 1.9× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $20 | $20 | 0.7× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $85 | $85 | 0.7× |
| Psytx Crisis Initial 60 Min (90839) | $232 | $232 | 1.4× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $72 | $72 | 1.9× |
| Pt Eval High Complex (97163) range across 4 matching MRF lines |
$127–$287 | $127–$287 | varies |
| Pt eval low complex 20 min (97161) range across 5 matching MRF lines |
$212–$271 | $212–$271 | varies |
| Pt Eval Mod Complex (97162) range across 5 matching MRF lines |
$212–$287 | $212–$287 | varies |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$72–$121 | $72–$121 | varies |
| Pt mechanical traction (97012) range across 3 matching MRF lines |
$72–$151 | $72–$151 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$85–$255 | $85–$255 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $14 | $14 | 0.4× |
| Pulm function test by gas (94727) | $127 | $127 | 0.6× |
| Pulmonary Stress Testing (94618) | $57 | $57 | 0.4× |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$88–$120 | $88–$120 | varies |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $255 | $255 | 0.8× |
| Refill/Maint Portable Pump (96521) | $258 | $258 | 1.3× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $48 | $48 | 0.4× |
| Respiratory flow volume loop (94375) | $118 | $118 | 0.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $15 | $15 | 0.3× |
| Right Heart Cath (93451) | $2,650 | $2,650 | 0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$108–$435 | $108–$435 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $58 | $58 | 2.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 4 matching MRF lines |
$262–$416 | $262–$416 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 2 matching MRF lines |
$142–$773 | $142–$773 | varies |
| Same day nb discharge (99463) | $364 | $364 | 2.8× |
| Select picture audiometry (92583) range across 2 matching MRF lines |
$59–$140 | $59–$140 | varies |
| Self Care Mngment Training (97535) range across 7 matching MRF lines |
$81–$256 | $81–$256 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $362 | $362 | 1.7× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$108–$520 | $108–$520 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$165–$494 | $165–$494 | varies |
| Speech Audiometry Complete (92556) | $109 | $109 | 1.9× |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$66–$122 | $66–$122 | varies |
| Speech sound lang comprehen (92523) range across 5 matching MRF lines |
$208–$411 | $208–$411 | varies |
| Spin/Brain Pump Refil & Main (95991) | $357 | $357 | 1.2× |
| Spirometry (94010) range across 4 matching MRF lines |
$28–$770 | $28–$770 | varies |
| Ssep lower limbs (95926) | $362 | $362 | 1.7× |
| Standardized Cognitive Performance Testing (96125) | $116 | $116 | 1.1× |
| Stenger Test, Pure Tone (92565) | $48 | $48 | 0.8× |
| Subcutaneous Infusion Each Additional Hour (96370) | $122 | $122 | 2.7× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $407 | $407 | 2.0× |
| Temp transcutaneous pacing (92953) range across 3 matching MRF lines |
$42–$1,617 | $42–$1,617 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $116 | $116 | 5.2× |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$142–$416 | $142–$416 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $72 | $72 | 1.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $81 | $81 | 2.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 3 matching MRF lines |
$149–$241 | $149–$241 | varies |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $403 | $403 | 9.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 9 matching MRF lines |
$65–$8,502 | $65–$8,502 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$73–$1,433 | $73–$1,433 | varies |
| Therapeutic Activities (97530) range across 5 matching MRF lines |
$72–$133 | $72–$133 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $40 | $40 | 1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $44 | $44 | 1.2× |
| Trans Care Mgmt 14 Day Disch (99495) | $379 | $379 | 3.0× |
| Trans Care Mgmt 7 Day Disch (99496) | $536 | $536 | 4.2× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$368–$652 | $368–$652 | varies |
| Tte W/O Doppler Complete (93307) | $549 | $549 | 2.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 9 matching MRF lines |
$25–$416 | $25–$416 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 2 matching MRF lines |
$48–$229 | $48–$229 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$65–$130 | $65–$130 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$83–$84 | $83–$84 | varies |
| Tympanometry and reflex threshold measurements (92550) | $102 | $102 | 0.5× |
| Unlisted Psychiatric Service/Procedure (90899) | $192 | $192 | 5.3× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$18–$1,100 | $18–$1,100 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$32–$952 | $32–$952 | varies |
| Valvuloplasty aortic valve (92986) | $4,430 | $4,430 | 0.8× |
| Valvuloplasty mitral valve (92987) unusually low: confirm this is the full procedure |
$4,590 | $4,590 | 0.4× |
| Vasopneumatic device (97016) range across 4 matching MRF lines |
$33–$100 | $33–$100 | varies |
| Vent Mgmt Inpat Init Day (94002) | $293 | $293 | 0.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $211 | $211 | 0.4× |
| Visual reinforcement audiometry (vra) (92579) | $211 | $211 | 1.0× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$69–$76 | $69–$76 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 5 matching MRF lines |
$47–$169 | $47–$169 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$81–$105 | $81–$105 | varies |
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.