Visits & medical services prices at Johnson Memorial Hospital
Franklin, IN · every code in this section with a posted price and a Medicare benchmark.
213 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actigraphy Testing Recording Analysis I&R (95803) | $87.20 | $109 | 1.4× |
| Acupunct W/Stimul 15 Min (97813) | $93.60 | $117 | 3.1× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $68 | $85 | 2.2× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 4 matching MRF lines |
$16–$42 | $20–$52.50 | varies |
| Advncd Care Plan 30 Min (99497) | $198.40 | $248 | 1.8× |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$23.20–$208 | $29–$260 | varies |
| Airway resistance by oscillometry (94728) | $24.80 | $31 | 0.2× |
| Analyze neurostim complex (95972) range across 3 matching MRF lines |
$209.60–$395.20 | $262–$494 | varies |
| Analyze neurostim no prog (95970) | $345.60 | $432 | 2.5× |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$352.80–$372 | $441–$465 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$140–$164.80 | $175–$206 | varies |
| Application on-body injector (96377) range across 2 matching MRF lines |
$41.60–$132 | $52–$165 | varies |
| Assessment of aphasia per hr (96105) | $325.60 | $407 | 3.3× |
| Assmt & care planning pt w/cognitive impairment (99483) | $443.20 | $554 | 4.1× |
| Behavral qualit analys voice (92524) | $239.20 | $299 | 2.2× |
| Biofeedback training any modality (90901) | $261.60 | $327 | 6.4× |
| Brief Emotional/Behav Assmt (96127) range across 3 matching MRF lines |
$9.60–$32.15 | $12–$40.18 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines |
$58.40–$1,010.40 | $73–$1,263 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$828.80–$912 | $1,036–$1,140 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$296.80–$678.40 | $371–$848 | varies |
| Cardioversion (92960) | $1,066.40 | $1,333 | 1.5× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $5.60 | $7 | 0.1× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $18,808 | $23,510 | 5.5× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $18,808 | $23,510 | 5.5× |
| Chemo Anti-Neopl Sq/Im (96401) | $402.40 | $503 | 5.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $342.40 | $428 | 4.5× |
| Chemo Intralesional Over 7 (96406) | $144.80 | $181 | 0.6× |
| Chemo intralesional up to 7 (96405) | $144.80 | $181 | 1.9× |
| Chemo IV infusion addl hr (96415) | $600.80 | $751 | 7.9× |
| Chemo IV push addl drug (96411) | $408.80 | $511 | 5.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $157.60 | $197 | 2.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $568.80 | $711 | 1.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $408.80 | $511 | 1.2× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$162.40–$173.60 | $203–$217 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$118.40–$118.79 | $148–$148.49 | varies |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$726.40–$798.40 | $908–$998 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$253.60–$278.40 | $317–$348 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $85.60 | $107 | 2.7× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $81.60 | $102 | 0.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $358.40 | $448 | 2.5× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $134.40 | $168 | 2.2× |
| Continuous Pulse Ox (94762) range across 4 matching MRF lines |
$56–$472 | $70–$590 | varies |
| Coronary Art/Grft Angio S&I (93455) | $15,420.80 | $19,276 | 4.5× |
| Coronary Artery Angio S&I (93454) | $13,640 | $17,050 | 4.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $628 | $785 | 2.7× |
| Cpt initial (94667) | $189.60 | $237 | 1.3× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$356–$605.60 | $445–$757 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$140.80–$536.80 | $176–$671 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $475.20 | $594 | 4.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$84–$568.80 | $105–$711 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$50.40–$408.80 | $63–$511 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 5 matching MRF lines |
$364–$2,360 | $455–$2,950 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 6 matching MRF lines |
$225.60–$1,201.60 | $282–$1,502 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 3 matching MRF lines |
$81.60–$729.60 | $102–$912 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 3 matching MRF lines |
$49.60–$345.60 | $62–$432 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 3 matching MRF lines |
$49.60–$342.40 | $62–$428 | varies |
| Duplex up extrem art bilat (93930) | $729.60 | $912 | 2.9× |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$298.40–$328.80 | $373–$411 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$1,673.60–$1,845.60 | $2,092–$2,307 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 4 matching MRF lines |
$2,824.80–$4,084 | $3,531–$5,105 | varies |
| EEG awake and asleep (95819) | $760 | $950 | 3.3× |
| EEG awake drowsy (95816) | $760 | $950 | 3.3× |
| EEG cerebral death evaluation (95824) | $636 | $795 | 1.6× |
| EEG extended monitoring 61-119 minutes (95813) | $1,031.20 | $1,289 | 4.5× |
| Eeg Sleep Only (95822) | $740.80 | $926 | 3.2× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $120 | $150 | 1.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$91.20–$314.40 | $114–$393 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$158.40–$169.60 | $198–$212 | varies |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$265.60–$312.80 | $332–$391 | varies |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$91.20–$164.80 | $114–$206 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$135.20–$288 | $169–$360 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$257.60–$363.20 | $322–$454 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$47.20–$110.40 | $59–$138 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$310.40–$410.40 | $388–$513 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $969.60 | $1,212 | 2.5× |
| Evaluate pt use of inhaler (94664) range across 6 matching MRF lines |
$36–$243.20 | $45–$304 | varies |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$230.40–$253.60 | $288–$317 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$565.60–$604.80 | $707–$756 | varies |
| Evaluation of speech fluency (92521) | $282.40 | $353 | 2.1× |
| Exercise test for bronchospasm (94617) | $64.80 | $81 | 0.5× |
| Exhaled Air Analysis O2 (94680) | $26.40 | $33 | 0.2× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $345.60 | $432 | 2.5× |
| External ECG rec>7d<15d recording (93246) | $270.40 | $338 | 6.8× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$678.40–$822.40 | $848–$1,028 | varies |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$82.40–$1,299.20 | $103–$1,624 | varies |
| Fundus photography (92250) | $84 | $105 | 0.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $360.80 | $451 | 0.4× |
| Gi tract capsule endoscopy (91110) | $1,859.20 | $2,324 | 1.9× |
| Group Therapeutic Procedures (97150) | $92 | $115 | 5.1× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $18,808 | $23,510 | 5.5× |
| Holter monitor recording (93225) | $402.40 | $503 | 2.9× |
| Ilr Device Eval Progr (93285) | $86.40 | $108 | 2.2× |
| Ilr Device Interrogate (93291) | $40.80 | $51 | 1.3× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 4 matching MRF lines |
$6.40–$43.20 | $8–$54 | varies |
| Immunization administration (90471) range across 3 matching MRF lines |
$16–$44.80 | $20–$56 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) range across 2 matching MRF lines |
$63.20–$800.80 | $79–$1,001 | varies |
| Inital newborn e/m (99460) range across 2 matching MRF lines |
$166.40–$177.60 | $208–$222 | varies |
| Intracranial Complete Study (93886) range across 3 matching MRF lines |
$99.20–$587.20 | $124–$734 | varies |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$170.40–$181.60 | $213–$227 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$148.80–$184 | $186–$230 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$62.40–$72 | $78–$90 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$184.80–$215.20 | $231–$269 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$74.40–$80.80 | $93–$101 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$62.40–$72.80 | $78–$91 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$211.20–$225.60 | $264–$282 | varies |
| L Hrt Art/Grft Angio (93459) | $18,808 | $23,510 | 5.5× |
| Lung Function Test (Mbc/Mvv) (94200) range across 3 matching MRF lines |
$24–$92 | $30–$115 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $368 | $460 | 1.6× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$44.80–$613.60 | $56–$767 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$68.80–$74.40 | $86–$93 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$68.80–$74.40 | $86–$93 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 4 matching MRF lines |
$39.20–$102.40 | $49–$128 | varies |
| Methacholine challenge (94070) | $63.20 | $79 | 0.2× |
| Motility study esophagus (91010) | $477.60 | $597 | 1.2× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$565.60–$604.80 | $707–$756 | varies |
| Multiple Sleep Latency Test (95805) range across 3 matching MRF lines |
$116–$4,349.60 | $145–$5,437 | varies |
| Nasopharyngoscopy (92511) | $254.40 | $318 | 1.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$716–$1,044.80 | $895–$1,306 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,074.40 | $1,343 | 2.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $252.80 | $316 | 1.2× |
| Neurobehavioral Status Exam (96116) | $195.20 | $244 | 0.9× |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$142.40–$167.20 | $178–$209 | varies |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$336.80–$354.40 | $421–$443 | varies |
| Nitric oxide expired gas determination (95012) | $164.80 | $206 | 4.2× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $55.20 | $69 | 2.2× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $79.20 | $99 | 2.3× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $36.80 | $46 | 2.7× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$294.40–$314.40 | $368–$393 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$112–$120 | $140–$150 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $68.80 | $86 | 3.0× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $99.20 | $124 | 4.3× |
| Ot Contrast Bath Ea 15 Min (97034) | $173.60 | $217 | 12.4× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$360–$384.80 | $450–$481 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$360–$417.60 | $450–$522 | varies |
| Ot Eval Moderate Complexity (97166) | $360 | $450 | 3.6× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$138.40–$151.20 | $173–$189 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$154.40–$169.60 | $193–$212 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$167.20–$184 | $209–$230 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 3 matching MRF lines |
$191.20–$220.80 | $239–$276 | varies |
| Peripheral arterial disease rehab per session (93668) | $126.40 | $158 | 2.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $14,486.40 | $18,108 | 2.4× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$171.20–$188 | $214–$235 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $360 | $450 | 5.8× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$138.40–$1,264 | $173–$1,580 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$30.40–$237.60 | $38–$297 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$250.40–$6,584 | $313–$8,230 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) range across 2 matching MRF lines |
$134.40–$190.40 | $168–$238 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $17.60 | $22 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $22.40 | $28 | 0.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $18,808 | $23,510 | 1.5× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $14,486.40 | $18,108 | 1.2× |
| Psych diag eval w/med srvcs (90792) | $330.40 | $413 | 1.8× |
| Psychiatric diagnostic evaluation (90791) | $290.40 | $363 | 1.5× |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$252.80–$288.80 | $316–$361 | varies |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$360–$417.60 | $450–$522 | varies |
| Pt eval low complex 20 min (97161) range across 3 matching MRF lines |
$167.20–$417.60 | $209–$522 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$360–$417.60 | $450–$522 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$141.60–$151.20 | $177–$189 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$167.20–$179.20 | $209–$224 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$156.80–$167.20 | $196–$209 | varies |
| Pulm function test by gas (94727) | $30.40 | $38 | 0.1× |
| Pulmonary service/procedure (94799) range across 4 matching MRF lines |
$120.80–$366.40 | $151–$458 | varies |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$50.40–$250.40 | $63–$313 | varies |
| R Hrt Art/Grft Angio (93457) | $24,746.40 | $30,933 | 7.2× |
| R hrt coronary artery angio (93456) | $22,963.20 | $28,704 | 6.7× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $12,937.60 | $16,172 | 3.8× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $651.20 | $814 | 1.9× |
| Refill/Maint Portable Pump (96521) | $667.20 | $834 | 3.0× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) range across 2 matching MRF lines |
$147.20–$147.23 | $184–$184.04 | varies |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) range across 2 matching MRF lines |
$41.60–$42 | $52–$52.50 | varies |
| Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) | $94.40 | $118 | 2.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $183.20 | $229 | 4.6× |
| Respiratory flow volume loop (94375) | $79.20 | $99 | 0.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$211.20–$248 | $264–$310 | varies |
| Right Heart Cath (93451) | $9,330.40 | $11,663 | 2.7× |
| Same day nb discharge (99463) | $236 | $295 | 1.7× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$156.80–$184 | $196–$230 | varies |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$89.60–$90.31 | $112–$112.89 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$172–$810.40 | $215–$1,013 | varies |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$444.80–$476 | $556–$595 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$116–$534.40 | $145–$668 | varies |
| Spirometry (94010) range across 3 matching MRF lines |
$18.40–$120.80 | $23–$151 | varies |
| Standardized Cognitive Performance Testing (96125) | $314.40 | $393 | 3.1× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $321.60 | $402 | 2.9× |
| Temp transcutaneous pacing (92953) | $864.80 | $1,081 | 1.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$152.80–$345.60 | $191–$432 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$152.80–$345.60 | $191–$432 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 4 matching MRF lines |
$14.40–$164.80 | $18–$206 | varies |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$144.80–$145.60 | $181–$182 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$44.80–$2,732.80 | $56–$3,416 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$396.80–$460.80 | $496–$576 | varies |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$142.40–$152.80 | $178–$191 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,040 | $1,300 | 2.6× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$60–$71.20 | $75–$89 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$31.20–$112 | $39–$140 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$212.80–$213.27 | $266–$266.58 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$298.40–$299.92 | $373–$374.90 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 3 matching MRF lines |
$54.40–$348 | $68–$435 | varies |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$2,434.40–$2,616 | $3,043–$3,270 | varies |
| Tte W/O Doppler Complete (93307) | $1,202.40 | $1,503 | 4.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $294.40 | $368 | 3.9× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $92 | $115 | 3.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$145.60–$156.80 | $182–$196 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$44–$88 | $55–$110 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$27.20–$527.20 | $34–$659 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 5 matching MRF lines |
$46.40–$2,112.80 | $58–$2,641 | varies |
| Vasopneumatic device (97016) range across 3 matching MRF lines |
$14.40–$173.60 | $18–$217 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$492–$1,060.80 | $615–$1,326 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$129.60–$852 | $162–$1,065 | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $11.20 | $14 | 0.2× |
| Vital capacity, total (94150) range across 3 matching MRF lines |
$9.60–$251.20 | $12–$314 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $141.60 | $177 | 4.6× |
| Whirlpool Therapy (97022) | $120.80 | $151 | 7.7× |
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.