Visits & medical services prices at Javon Bea Hospital
Rockford, IL · every code in this section with a posted price and a Medicare benchmark.
389 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) | $6,147.84 | $8,197.12 | 0.7× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $103.52 | $138.03 | 0.8× |
| Acoustic Reflex Testing (92568) | $30.05 | $40.07 | 0.8× |
| Actigraphy Testing Recording Analysis I&R (95803) | $47.46 | $63.28 | 0.8× |
| Actinotherapy Ultraviolet Light (96900) | $30.05 | $40.07 | 0.8× |
| Acupunct W/Stimul 15 Min (97813) | $23.27 | $31.03 | 0.8× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $23.27 | $31.03 | 0.8× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 3 matching MRF lines |
$32.70–$101.25 | $43.60–$135 | varies |
| Advncd Care Plan 30 Min (99497) | $81.74 | $108.98 | 0.8× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $323.09 | $430.79 | 1.4× |
| Aep neurodiagnostic i&r (92653) | $612.26 | $816.35 | 2.6× |
| Aep threshold estimation mlt frequencies i&r (92652) | $612.26 | $816.35 | 2.6× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$91.28–$176.18 | $121.70–$234.91 | varies |
| Analyze neurostim no prog (95970) | $107.05 | $142.73 | 0.8× |
| Analyze Neurostim Simple (95971) | $76.49 | $101.99 | 0.8× |
| Analyze Pacemaker System (93724) | $1,493.44 | $1,991.25 | 4.5× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $107.05 | $142.73 | 0.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $40.04 | $53.38 | 2.8× |
| Application Modality 1/> Areas Diathermy (97024) | $44.29 | $59.05 | 6.0× |
| Arrhythmia Induction (93618) | $3,599.92 | $4,799.90 | 2.8× |
| Assessment of aphasia per hr (96105) | $343.82 | $458.43 | 3.5× |
| Audiometry Air & Bone (92553) | $103.52 | $138.03 | 0.8× |
| Auditory Function, 60 Min (92620) | $103.52 | $138.03 | 0.8× |
| Basic vestibular evaluation (92540) | $173.72 | $231.63 | 0.8× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$98.63–$176.30 | $131.51–$235.06 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $246.83 | $329.11 | 3.0× |
| Bfb training ea addl 15 min (90913) | $82.24 | $109.65 | 2.5× |
| Breath hydrogen/methane test (91065) | $173.72 | $231.63 | 0.8× |
| Brief Emotional/Behav Assmt (96127) | $30.05 | $40.07 | 0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$300.22–$588.07 | $400.30–$784.09 | varies |
| C motor evoked uppr limbs (95928) | $1,341.40 | $1,788.53 | 1.5× |
| C motor evoked upr&lwr limbs (95939) | $781.64 | $1,042.18 | 0.8× |
| Caloric vestibular test w/rec bi monothermal (92538) | $173.72 | $231.63 | 0.8× |
| Caloric Vstblr Test W/Rec (92537) | $103.52 | $138.03 | 0.8× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$55.19–$742.11 | $73.59–$989.48 | varies |
| Car seat/bed test 60 min (94780) | $340.74 | $454.32 | 8.5× |
| Cardiac Stress Tst,Tracing Only (93017) range across 6 matching MRF lines |
$173.72–$1,568.45 | $231.63–$2,091.27 | varies |
| Cardiopulmonary exercise testing (94621) | $300.22 | $400.30 | 0.8× |
| Cardiopulmonary resuscitation (92950) | $1,225.94 | $1,634.59 | 5.3× |
| Cardioversion (92960) range across 3 matching MRF lines |
$531.76–$1,752.18 | $709.02–$2,336.24 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $181.01 | $241.35 | 6.9× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $13,935.44 | $18,580.58 | 4.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$2,608.32–$12,742.42 | $3,477.76–$16,989.90 | varies |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$107.05–$219.77 | $142.73–$293.03 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$57.93–$233.71 | $77.24–$311.61 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$57.93–$265.63 | $77.24–$354.17 | varies |
| Chemo Ia Push (96420) | $1,292.78 | $1,723.71 | 3.7× |
| Chemo intralesional up to 7 (96405) | $57.93 | $77.24 | 0.8× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$57.93–$541.15 | $77.24–$721.53 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$57.93–$183.28 | $77.24–$244.37 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$265.75–$1,006.43 | $354.33–$1,341.91 | varies |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$265.75–$745.86 | $354.33–$994.48 | varies |
| Chemotherapy Unspecified (96549) range across 2 matching MRF lines |
$37.67–$541.15 | $50.23–$721.53 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$57.93–$640.21 | $77.24–$853.61 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$265.75–$1,292.78 | $354.33–$1,723.71 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$265.75–$796.34 | $354.33–$1,061.79 | varies |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$122.71–$394.28 | $163.61–$525.71 | varies |
| Chiropract manj 3-4 regions (98941) | $17.37 | $23.16 | 0.8× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $17.37 | $23.16 | 0.8× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $17.37 | $23.16 | 0.8× |
| Chron Care Mgmt Srvc 20 Min (99490) | $81.74 | $108.98 | 0.8× |
| Cmptr ophth dx img ant segmt (92132) | $47.46 | $63.28 | 0.8× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$191.97–$2,857.92 | $255.96–$3,810.56 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$84.11–$1,831.51 | $112.15–$2,442.01 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $123.20 | $164.27 | 3.8× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $142.81 | $190.41 | 0.8× |
| Comprehensive Hearing Test (92557) | $103.52 | $138.03 | 0.8× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $47.46 | $63.28 | 0.8× |
| Computerized Ophthalmic Imaging Retina (92134) | $47.46 | $63.28 | 0.8× |
| Conditioning Play Audiometry (92582) | $103.52 | $138.03 | 0.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $107.12 | $142.82 | 0.8× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $47.46 | $63.28 | 0.8× |
| Contact Lens Fit,Corneoscleral Lens (92313) | $107.05 | $142.73 | 0.8× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$103.52–$568.45 | $138.03–$757.93 | varies |
| Corneal Topography (92025) | $47.46 | $63.28 | 0.8× |
| Coronary Art/Grft Angio S&I (93455) | $7,005.58 | $9,340.78 | 2.0× |
| Coronary Artery Angio S&I (93454) | $5,824.64 | $7,766.19 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$176.18–$1,577 | $234.91–$2,102.66 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$107.05–$392.76 | $142.73–$523.68 | varies |
| Critical care first hour (99291) | $4,441.88 | $5,922.50 | 5.0× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,259.24 | $1,678.98 | 3.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$161.42–$892.90 | $215.23–$1,190.53 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $161.42 | $215.23 | 0.8× |
| Developmental tst admin phys/qhp 1st hour (96112) range across 9 matching MRF lines |
$34.04–$164.81 | $45.38–$219.75 | varies |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$799.02–$4,658.84 | $1,065.36–$6,211.79 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $300.22 | $400.30 | 0.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,220.47 | $1,627.29 | 4.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$191.97–$3,058.17 | $255.96–$4,077.56 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,738.25 | $2,317.67 | 15.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$191.97–$2,565.57 | $255.96–$3,420.76 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$84.11–$1,523.22 | $112.15–$2,030.96 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $490.29 | $653.72 | 1.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $219.98 | $293.30 | 2.0× |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$84.11–$290.63 | $112.15–$387.51 | varies |
| Duplex up extrem art bilat (93930) | $2,642.72 | $3,523.63 | 10.3× |
| Duplex up extrem art unilat/ltd (93931) | $1,618.36 | $2,157.82 | 14.4× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $103.52 | $138.03 | 0.8× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $103.52 | $138.03 | 0.8× |
| ECG/monitoring and analysis (93271) | $1,014.02 | $1,352.02 | 10.0× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$439.62–$3,600.50 | $586.16–$4,800.66 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$1,060.81–$1,061.49 | $1,414.41–$1,415.32 | varies |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$439.62–$4,385.56 | $586.16–$5,847.42 | varies |
| Eeg 41-60 Minutes (95812) | $1,772.37 | $2,363.16 | 7.7× |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$173.72–$1,648.60 | $231.63–$2,198.14 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$173.72–$1,772.37 | $231.63–$2,363.16 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $523.21 | $697.61 | 2.3× |
| EEG extended monitoring 61-119 minutes (95813) | $3,737.51 | $4,983.35 | 16.2× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) range across 2 matching MRF lines |
$173.72–$523.21 | $231.63–$697.61 | varies |
| EEG w/o vid 2-12hr cont mntr (95707) range across 2 matching MRF lines |
$173.72–$523.21 | $231.63–$697.61 | varies |
| EEG w/o vid ea 12-26hr intmt (95709) range across 2 matching MRF lines |
$300.22–$1,003.85 | $400.30–$1,338.47 | varies |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) range across 2 matching MRF lines |
$300.22–$1,003.85 | $400.30–$1,338.47 | varies |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) range across 2 matching MRF lines |
$173.72–$523.21 | $231.63–$697.61 | varies |
| EEG wo vid ea 12-26hr unmntr (95708) range across 2 matching MRF lines |
$300.22–$1,003.85 | $400.30–$1,338.47 | varies |
| EKG signal averaged (93278) | $47.46 | $63.28 | 0.8× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $76.49 | $101.99 | 0.8× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $30.03 | $40.04 | 0.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$26.58–$120.52 | $35.44–$160.69 | varies |
| Electrocardiogram Tracing (93005) range across 5 matching MRF lines |
$47.46–$327.70 | $63.28–$436.94 | varies |
| Electrophysiology Evaluation (93642) | $3,522 | $4,696 | 2.7× |
| Emergency Dept Visit Level 2 (99282) | $452.81 | $603.75 | 2.8× |
| Emergency Dept Visit Level 3 (99283) | $776.25 | $1,035 | 2.7× |
| Emergency Dept Visit Level 4 (99284) | $1,530.94 | $2,041.25 | 3.4× |
| Emg 3 Extremities (95863) | $103.52 | $138.03 | 0.8× |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$103.52–$781.64 | $138.03–$1,042.18 | varies |
| Endomyocardial Biopsy (93505) | $6,416.20 | $8,554.94 | 1.9× |
| Ep & ablate supravent arrhyt (93653) | $28,642.51 | $38,190.01 | 1.0× |
| Ep & ablate ventric tachy (93654) | $20,430.63 | $27,240.84 | 0.7× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $7,363.03 | $9,817.37 | 0.9× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $4,539.58 | $6,052.78 | 0.5× |
| Ep Esophageal Recording Atria+Pacing (93616) | $3,522 | $4,696 | 2.7× |
| Er level 1 (99281) range across 2 matching MRF lines |
$155.25–$280.31 | $207–$373.75 | varies |
| Er level v (99285) | $2,458.12 | $3,277.50 | 3.9× |
| Ergonovine provocation test (93024) | $359.42 | $479.22 | 0.8× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $103.52 | $138.03 | 0.8× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$176.18–$534.26 | $234.91–$712.35 | varies |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$94.04–$374.12 | $125.38–$498.83 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$98.59–$244.58 | $131.45–$326.10 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$116.02–$426.46 | $154.69–$568.62 | varies |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$173.72–$379 | $231.63–$505.33 | varies |
| Excimer laser tx psoriasis 250-500 sq cm (96921) | $161.42 | $215.23 | 0.8× |
| Excimer laser tx psoriasis >500 sq cm (96922) | $327.07 | $436.09 | 0.8× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $161.42 | $215.23 | 0.8× |
| External ECG rec>48hr<7d recording (93242) | $867.06 | $1,156.08 | 21.7× |
| External ECG rec>7d<15d recording (93246) | $910.41 | $1,213.88 | 22.7× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$47.46–$867.06 | $63.28–$1,156.08 | varies |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$191.97–$2,455.93 | $255.96–$3,274.57 | varies |
| Extracranial Uni/Ltd Study (93882) | $928.18 | $1,237.57 | 8.3× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $2,690.98 | $3,587.98 | 4.6× |
| Fitting of spectacle mounted low vision aid; single element system Facility (92354) | $30.05 | $40.07 | 0.8× |
| Fluorescein angiography (92235) | $173.72 | $231.63 | 0.8× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $2,184.98 | $2,913.31 | 2.4× |
| Fundus photography (92250) | $107.05 | $142.73 | 0.8× |
| Gastric motility studies (91020) | $300.22 | $400.30 | 0.8× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $300.22 | $400.30 | 0.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$690.91–$1,227.61 | $921.21–$1,636.81 | varies |
| Gi tract capsule endoscopy (91110) | $729.72 | $972.96 | 0.8× |
| Gonioscopy (92020) | $107.05 | $142.73 | 0.8× |
| Group Therapeutic Procedures (97150) range across 3 matching MRF lines |
$21.18–$120.10 | $28.24–$160.14 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $17,818.53 | $23,758.04 | 5.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,202.95 | $1,603.93 | 1.6× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$107.05–$952.20 | $142.73–$1,269.60 | varies |
| Icd Device Interrogate (93289) range across 3 matching MRF lines |
$30.03–$422.58 | $40.04–$563.44 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$30.03–$371.17 | $40.04–$494.89 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$30.03–$397.75 | $40.04–$530.33 | varies |
| Ilr Device Eval Progr (93285) | $30.03 | $40.04 | 0.8× |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$23.27–$275.34 | $31.03–$367.12 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $57.93 | $77.24 | 0.8× |
| Immunization administration (90471) range across 2 matching MRF lines |
$48.30–$57.93 | $64.40–$77.24 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $300.22 | $400.30 | 0.8× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $531.54 | $708.72 | 1.3× |
| Insert/Place Heart Catheter (93503) | $2,325.40 | $3,100.53 | 1.4× |
| Interrogate Subq Defib (93261) | $204.07 | $272.09 | 5.1× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$34.76–$155.45 | $46.34–$207.27 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$47.46–$244.93 | $63.28–$326.57 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$37.67–$334.74 | $50.23–$446.32 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$171.14–$1,705.58 | $228.18–$2,274.10 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$57.93–$508.16 | $77.24–$677.54 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$37.67–$334.74 | $50.23–$446.32 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$119.63–$171.14 | $159.51–$228.18 | varies |
| L Hrt Art/Grft Angio (93459) | $14,039.71 | $18,719.61 | 4.0× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $6,856.66 | $9,142.21 | 2.0× |
| Laryngeal Function Studies (92520) | $107.05 | $142.73 | 0.8× |
| Low frequency non-thermal us (97610) | $499.47 | $665.96 | 2.3× |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$47.46–$131.17 | $63.28–$174.89 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,234.36 | $1,645.82 | 5.3× |
| Mechanical chest wall oscillation per session (94669) | $1,172.55 | $1,563.40 | 5.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$42.66–$148.54 | $56.88–$198.05 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$28.62–$156.35 | $38.16–$208.47 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$300.22–$511.51 | $400.30–$682.01 | varies |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$300.22–$1,533.48 | $400.30–$2,044.64 | varies |
| Motion Fluoroscopy/Swallow (92611) | $588.67 | $784.89 | 6.4× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $359.42 | $479.22 | 0.8× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$690.91–$3,210.61 | $921.21–$4,280.81 | varies |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$107.05–$697.89 | $142.73–$930.52 | varies |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$107.05–$142.66 | $142.73–$190.21 | varies |
| Muscle Test One Limb (95860) | $107.05 | $142.73 | 0.8× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$160.60–$230.64 | $214.13–$307.52 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $447.92 | $597.23 | 1.9× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$173.72–$358.76 | $231.63–$478.34 | varies |
| Needle electromyography larynx (95865) | $282.73 | $376.97 | 2.0× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$173.72–$466.96 | $231.63–$622.62 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $935.60 | $1,247.46 | 2.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,013.38 | $1,351.17 | 2.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$161.42–$1,164.30 | $215.23–$1,552.40 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $1,436.98 | $1,915.97 | 3.3× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$173.72–$410.57 | $231.63–$547.43 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$300.22–$1,374.92 | $400.30–$1,833.22 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$300.22–$1,718.12 | $400.30–$2,290.83 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$173.72–$761.97 | $231.63–$1,015.96 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$173.72–$951.70 | $231.63–$1,268.93 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$300.22–$951.70 | $400.30–$1,268.93 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$300.22–$1,718.12 | $400.30–$2,290.83 | varies |
| Neurobehavioral Status Exam (96116) | $173.72 | $231.63 | 0.8× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $358.76 | $478.34 | 2.6× |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$58.77–$161.62 | $78.36–$215.49 | varies |
| Newborn resuscitation (99465) | $417.89 | $557.19 | 0.6× |
| Nitric oxide expired gas determination (95012) range across 2 matching MRF lines |
$30.05–$112.64 | $40.07–$150.18 | varies |
| Nose Allergy Test (95065) | $30.05 | $40.07 | 0.8× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $300.22 | $400.30 | 0.8× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $107.05 | $142.73 | 0.8× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $107.12 | $142.82 | 0.8× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $107.12 | $142.82 | 0.8× |
| Ophth medical xm&eval intermediate estab pt (92012) | $107.12 | $142.82 | 0.8× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $107.12 | $142.82 | 0.8× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $47.46 | $63.28 | 0.8× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $47.46 | $63.28 | 0.8× |
| Optokinetic Nystagmus Test (92544) | $103.52 | $138.03 | 0.8× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$33.84–$260 | $45.12–$346.67 | varies |
| Oral Speech Device Eval (92597) | $204.21 | $272.28 | 2.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$37.82–$161.62 | $50.43–$215.49 | varies |
| Oscillating Tracking Test (92545) | $173.72 | $231.63 | 0.8× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $17.37 | $23.16 | 0.8× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $17.37 | $23.16 | 0.8× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $17.37 | $23.16 | 0.8× |
| Ot eval high complexity (97167) range across 3 matching MRF lines |
$94.54–$720.35 | $126.06–$960.47 | varies |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$94.54–$360.07 | $126.06–$480.09 | varies |
| Ot Eval Moderate Complexity (97166) range across 3 matching MRF lines |
$94.54–$540.62 | $126.06–$720.83 | varies |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$51.96–$157.59 | $69.28–$210.12 | varies |
| Ot paraffin bath (97018) | $21.98 | $29.30 | 3.7× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$33.73–$133.96 | $44.97–$178.61 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$246.94–$292.65 | $329.25–$390.20 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 3 matching MRF lines |
$100.88–$311.08 | $134.51–$414.77 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$103.72–$268.71 | $138.29–$358.28 | varies |
| Pdt dstr prmlg les phys/qhp (96573) | $161.42 | $215.23 | 0.8× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $161.42 | $215.23 | 0.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$176.18–$978.51 | $234.91–$1,304.68 | varies |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$47.46–$166.88 | $63.28–$222.50 | varies |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $103,133.73 | $137,511.64 | 5.3× |
| Perq transcath closure pda (93582) | $37,975.45 | $50,633.93 | 1.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $11,973.20 | $15,964.26 | 2.0× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$107.05–$347.64 | $142.73–$463.52 | varies |
| Photochemotherapy Dermatoses 4-8 Hrs Supervision (96913) | $327.07 | $436.09 | 0.8× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) | $47.46 | $63.28 | 0.8× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $47.46 | $63.28 | 0.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$47.46–$306.99 | $63.28–$409.32 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$47.46–$292.36 | $63.28–$389.82 | varies |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$36.80–$105.35 | $49.07–$140.47 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$131.17–$300.22 | $174.89–$400.30 | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$30.03–$292.04 | $40.04–$389.39 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$30.03–$267.61 | $40.04–$356.81 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$30.03–$86.01 | $40.04–$114.68 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$30.03–$152.57 | $40.04–$203.43 | varies |
| Pm/Icd Remote Tech Serv (93296) | $30.03 | $40.04 | 0.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 6 matching MRF lines |
$6,016.71–$7,022.22 | $8,022.28–$9,362.96 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$690.91–$6,161.06 | $921.21–$8,214.75 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $7,022.22 | $9,362.96 | 7.6× |
| Positional nystagmus test (92542) | $107.05 | $142.73 | 0.8× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $37.67 | $50.23 | 0.8× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $37.67 | $50.23 | 0.8× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $37.67 | $50.23 | 0.8× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $57.93 | $77.24 | 0.8× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $57.93 | $77.24 | 0.8× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $204.07 | $272.09 | 5.1× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$30.03–$294.16 | $40.04–$392.21 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $37.67 | $50.23 | 0.8× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $37.67 | $50.23 | 0.8× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $57.93 | $77.24 | 0.8× |
| Prq Card Angio/Athrect 1 Art (92924) | $14,535.96 | $19,381.28 | 1.2× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $13,273.16 | $17,697.55 | 1.1× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $16,086.62 | $21,448.83 | 1.3× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $64,947.59 | $86,596.79 | 5.2× |
| Psychiatric diagnostic evaluation (90791) | $142.81 | $190.41 | 0.8× |
| Psychological tst eval svc phys/qhp first hour (96130) | $173.72 | $231.63 | 0.8× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $23.27 | $31.03 | 0.8× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $359.42 | $479.22 | 0.8× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $107.05 | $142.73 | 0.8× |
| Psytx Crisis Initial 60 Min (90839) | $142.81 | $190.41 | 0.8× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $135.40 | $180.53 | 3.6× |
| Pt Eval High Complex (97163) range across 3 matching MRF lines |
$139.69–$767.44 | $186.25–$1,023.26 | varies |
| Pt eval low complex 20 min (97161) range across 3 matching MRF lines |
$139.69–$341.34 | $186.25–$455.12 | varies |
| Pt Eval Mod Complex (97162) range across 3 matching MRF lines |
$139.69–$511.88 | $186.25–$682.50 | varies |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$49.40–$154.38 | $65.87–$205.84 | varies |
| Pt mechanical traction (97012) | $23.50 | $31.34 | 1.6× |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$94.54–$308.06 | $126.06–$410.74 | varies |
| Pulm function test by gas (94727) | $173.72 | $231.63 | 0.8× |
| Pulmonary service/procedure (94799) range across 4 matching MRF lines |
$65.20–$103.52 | $86.93–$138.03 | varies |
| Pulmonary Stress Testing (94618) | $107.05 | $142.73 | 0.8× |
| Pure Tone Audiometry Air (92552) | $107.05 | $142.73 | 0.8× |
| R Hrt Art/Grft Angio (93457) | $8,063.98 | $10,751.98 | 2.3× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $6,856.66 | $9,142.21 | 2.0× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $6,856.66 | $9,142.21 | 2.0× |
| R hrt coronary artery angio (93456) | $6,767.05 | $9,022.73 | 1.9× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $6,856.66 | $9,142.21 | 2.0× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $6,856.66 | $9,142.21 | 2.0× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $13,286.44 | $17,715.25 | 3.8× |
| Rapid Desensitization Procedure Each Hour (95180) | $359.42 | $479.22 | 0.8× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $1,169.78 | $1,559.71 | 3.3× |
| Refill/Maint Portable Pump (96521) | $171.14 | $228.18 | 0.8× |
| Refill/Maint Pump/Resvr Syst (96522) range across 2 matching MRF lines |
$171.14–$446.37 | $228.18–$595.16 | varies |
| Rem interrog icpms <30 d phys/qhp (93297) | $30.03 | $40.04 | 0.8× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $30.03 | $40.04 | 0.8× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$30.03–$923.03 | $40.04–$1,230.71 | varies |
| Replacement of contact lens (92326) | $47.46 | $63.28 | 0.8× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $47.46 | $63.28 | 0.8× |
| Right Heart Cath (93451) | $4,374.79 | $5,833.05 | 1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$161.42–$545.02 | $215.23–$726.70 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $60.82 | $81.09 | 2.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $444.02 | $592.02 | 3.6× |
| Select picture audiometry (92583) | $47.46 | $63.28 | 0.8× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$35.78–$123.28 | $47.70–$164.37 | varies |
| Sensory Integration Ea 15 Min (97533) | $78.32 | $104.42 | 1.3× |
| Short-latency somatosens ep std upr limbs (95925) | $624.89 | $833.19 | 2.7× |
| Sleep study attended (95807) | $300.22 | $400.30 | 0.8× |
| Sleep study unattended (95806) | $575.20 | $766.94 | 2.5× |
| Slp caregiver training 1st 30 min (97550) | $362.02 | $482.70 | 6.9× |
| Slp Stdy Unatnd W/Anal (95801) | $498.04 | $664.06 | 7.9× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $782.92 | $1,043.90 | 3.4× |
| Somatosensory Testing (95938) | $1,341.40 | $1,788.53 | 1.5× |
| Speech Audiometry Complete (92556) | $47.46 | $63.28 | 0.8× |
| Speech audiometry threshold (92555) | $47.46 | $63.28 | 0.8× |
| Speech sound lang comprehen (92523) range across 4 matching MRF lines |
$120.68–$426.97 | $160.91–$569.29 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$151.18–$173.72 | $201.57–$231.63 | varies |
| Spontaneous Nystagmus Test (92541) | $107.05 | $142.73 | 0.8× |
| Ssep lower limbs (95926) | $656.31 | $875.08 | 2.8× |
| Standardized Cognitive Performance Testing (96125) | $404.74 | $539.66 | 3.9× |
| Stenger Test Speech (92577) | $300.22 | $400.30 | 0.8× |
| Stenger Test, Pure Tone (92565) | $47.46 | $63.28 | 0.8× |
| Stress Tte Only (93350) range across 6 matching MRF lines |
$439.62–$3,313.46 | $586.16–$4,417.95 | varies |
| Surfactant Admin Thru Tube (94610) | $402.15 | $536.20 | 1.7× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $1,764.86 | $2,353.15 | 15.8× |
| Temp transcutaneous pacing (92953) | $1,310.16 | $1,746.88 | 1.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$107.27–$133.67 | $143.03–$178.23 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $71.50 | $95.34 | 3.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $72.40 | $96.54 | 2.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$27.60–$131.90 | $36.80–$175.86 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $381.94 | $509.25 | 3.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$57.93–$142.70 | $77.24–$190.26 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$171.14–$735.35 | $228.18–$980.47 | varies |
| Therapeutic Activities (97530) range across 6 matching MRF lines |
$37.48–$137.19 | $49.97–$182.92 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$300.22–$2,361.90 | $400.30–$3,149.20 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$30.14–$69.62 | $40.19–$92.83 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$30.14–$60.50 | $40.19–$80.67 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $107.12 | $142.82 | 0.8× |
| Trans Care Mgmt 7 Day Disch (99496) | $107.12 | $142.82 | 0.8× |
| Transcath Closure of Asd (93580) | $37,071.56 | $49,428.74 | 1.9× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $1,812.51 | $2,416.68 | 16.2× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $30.03 | $40.04 | 0.8× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $107.05 | $142.73 | 0.8× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$439.62–$3,219.32 | $586.16–$4,292.43 | varies |
| Tte W/O Doppler Complete (93307) | $191.97 | $255.96 | 0.8× |
| Tx atrial fib pulm vein isol (93656) | $38,579.58 | $51,439.44 | 1.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 4 matching MRF lines |
$47.22–$345.80 | $62.96–$461.07 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$37.67–$137.19 | $50.23–$182.92 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$30.05–$314.78 | $40.07–$419.71 | varies |
| Tympanometry and reflex threshold measurements (92550) | $173.72 | $231.63 | 0.8× |
| Unlisted allergy/clinical immunologic srvc/px (95199) | $23.27 | $31.03 | 0.8× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$401.57–$809.72 | $535.43–$1,079.63 | varies |
| Unlisted ophthalmological service/procedure (92499) | $23.27 | $31.03 | 0.8× |
| Unlisted otorhinolaryngological service (92700) | $23.27 | $31.03 | 0.8× |
| Upr/L Xtremity Art 2 Levels (93922) | $1,461.32 | $1,948.43 | 10.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $756.12 | $1,008.16 | 3.3× |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$33.22–$96.74 | $44.29–$128.99 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) range across 2 matching MRF lines |
$300.22–$1,003.85 | $400.30–$1,338.47 | varies |
| Veeg 2-12 hr intmt mntr (95712) range across 2 matching MRF lines |
$300.22–$523.21 | $400.30–$697.61 | varies |
| Veeg 2-12 hr unmonitored (95711) range across 2 matching MRF lines |
$173.72–$523.21 | $231.63–$697.61 | varies |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) range across 2 matching MRF lines |
$300.22–$1,003.85 | $400.30–$1,338.47 | varies |
| Veeg Ea 12-26 Hr Unmntr (95714) range across 2 matching MRF lines |
$300.22–$1,003.85 | $400.30–$1,338.47 | varies |
| Veeg ea 12-26hr cont mntr (95716) range across 2 matching MRF lines |
$690.91–$1,878.98 | $921.21–$2,505.30 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 5 matching MRF lines |
$226.57–$2,898.24 | $302.09–$3,864.32 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 6 matching MRF lines |
$484.01–$2,674.26 | $645.35–$3,565.68 | varies |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$173.72–$1,017.44 | $231.63–$1,356.59 | varies |
| Visual Field Exam Extended (92083) | $107.05 | $142.73 | 0.8× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $47.46 | $63.28 | 0.8× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $47.46 | $63.28 | 0.8× |
| Visual reinforcement audiometry (vra) (92579) | $173.72 | $231.63 | 0.8× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$103.52–$234.87 | $138.03–$313.16 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 3 matching MRF lines |
$31.69–$90.42 | $42.25–$120.56 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$37.48–$109.76 | $49.97–$146.34 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $30.05 | $40.07 | 0.8× |
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.