Visits & medical services prices at Kaleida Health

Buffalo, NY · every code in this section with a posted price and a Medicare benchmark.

417 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $184 $184 1.5×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $255 $255 1.6×
Acoustic Reflex Testing (92568)
range across 3 matching MRF lines		 $45–$259 $45–$259 varies
Actinotherapy Ultraviolet Light (96900) $204 $204 4.4×
Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) $243 $243 1.1×
Adaptive behavior tx by protocol tech ea 15 min (97153) $243 $243 1.9×
Admn Sarscov2 Vacc 1 Dose (90480) $121 $121 2.4×
Advncd Care Plan 30 Min (99497) $324 $324 2.6×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $458 $458 1.7×
Aep neurodiagnostic i&r (92653) $867 $867 3.2×
Aep threshold estimation mlt frequencies i&r (92652) $867 $867 3.2×
Airway Inhalation Treatment (94640) $139 $139 0.5×
Airway resistance by oscillometry (94728) $954 $954 5.9×
Allg test perq & ic drug/biol immed react w/ i&r (95018)
range across 3 matching MRF lines		 $25–$173 $25–$173 varies
Allg tstg perq & ic venoms immed react w/i&r (95017)
range across 2 matching MRF lines		 $25–$173 $25–$173 varies
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $324 $324 2.0×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $324 $324 2.0×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $973 $973 6.1×
Analyze neurostim complex (95972) $571 $571 4.8×
Analyze neurostim no prog (95970) $462 $462 2.8×
Analyze Neurostim Simple (95971) $263 $263 2.2×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170)
range across 2 matching MRF lines		 $272–$623 $272–$623 varies
Ant sgm imaging w/microscopy endothelial analy (92286)
range across 2 matching MRF lines		 $111–$334 $111–$334 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $67 $67 4.7×
Application Modality 1/> Areas Diathermy (97024) $35 $35 4.8×
Application on-body injector (96377) $188 $188 3.2×
Assessment of aphasia per hr (96105) $406 $406 4.2×
Assmt & care planning pt w/cognitive impairment (99483)
range across 2 matching MRF lines		 $391–$554 $391–$554 varies
Audiometry Air & Bone (92553) $583 $583 3.6×
Auditory Function, 60 Min (92620) $232 $232 1.4×
Behavior id assessment by phys/qhp ea 15 min (97151) $243 $243 1.9×
Behavior id support assmt by 1 tech ea 15 min (97152) $243 $243 1.9×
Behavral qualit analys voice (92524) $717 $717 6.5×
Bioimpedance Cv Analysis (93701) $135 $135 0.8×
Blink reflex test (95933)
range across 3 matching MRF lines		 $47–$268 $47–$268 varies
Breath hydrogen/methane test (91065) $120 $120 0.4×
Breathing response to hypoxia (94450) $244 $244 1.5×
Brief Emotional/Behav Assmt (96127) $54 $54 1.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $444 $444 1.0×
C motor evoked uppr limbs (95928) $3,533 $3,533 3.3×
C motor evoked upr&lwr limbs (95939) $3,533 $3,533 3.3×
Canalith repositioning proc (95992) $171 $171 4.2×
Cardiac Stress Tst,Tracing Only (93017) $683 $683 2.5×
Cardiopulmonary exercise testing (94621) $1,088 $1,088 2.3×
Cardiopulmonary resuscitation (92950) $1,584 $1,584 5.9×
Cardioversion (92960) $2,917 $2,917 3.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $92 $92 3.5×
Cbt 1st hour (94644) $421 $421 2.5×
Chemo Admin Peritoneal Cavity (96446) $1,053 $1,053 2.6×
Chemo Anti-Neopl Sq/Im (96401) $447 $447 5.0×
Chemo Hormon Antineopl Sq/Im (96402) $447 $447 5.0×
Chemo Ia Push (96420) $405 $405 1.0×
Chemo IV infusion addl hr (96415) $387 $387 4.3×
Chemo IV push addl drug (96411) $447 $447 5.0×
Chemother Prolong Infuse W/Pump (96416) $1,053 $1,053 2.6×
Chemotherapy Into Cns (96450) $454 $454 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $351 $351 3.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,788 $1,788 4.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $447 $447 1.1×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $454 $454 1.1×
Chest Wall Manipulation (94668) $139 $139 0.8×
Chron Care Mgmt Srvc 20 Min (99490) $214 $214 1.7×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $1,088 $1,088 2.3×
Colon Motility 6 Hr Study (91117) $1,209 $1,209 4.5×
Color Vision Xm Extended Anomaloscope/Equiv (92283)
range across 2 matching MRF lines		 $29–$220 $29–$220 varies
Color/duplex Doppler, complete (93975) $986 $986 3.3×
Color/duplex Doppler, limited (93976) $986 $986 7.6×
Community/Work Reintegration Trainj Ea 15 Min (97537) $148 $148 4.6×
Comprehensive Hearing Test (92557)
range across 3 matching MRF lines		 $139–$591 $139–$591 varies
Computerized dynamic posturography (92548) $769 $769 4.6×
Computerized Ophthalmic Imaging Retina (92134) $175 $175 2.4×
Conditioning Play Audiometry (92582) $583 $583 3.6×
Cont gluc mntr physician/qhp provided equiptment (95250)
range across 2 matching MRF lines		 $179–$1,182 $179–$1,182 varies
Cont Gluc Mntr Pt Prov Eqp (95249) $207 $207 2.8×
Continuous Pulse Ox (94762) $227 $227 1.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $537 $537 2.0×
Cpt initial (94667) $139 $139 0.8×
Critical care first hour (99291) $3,992 $3,992 3.9×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $3,533 $3,533 7.6×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines		 $102–$714 $102–$714 varies
Developmental tst admin phys/qhp 1st hour (96112) $481 $481 3.0×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $680 $680 4.2×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $769 $769 1.7×
Duodenal motility study (91022) $1,402 $1,402 3.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $986 $986 3.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $986 $986 7.6×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $986 $986 7.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $986 $986 3.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $986 $986 7.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $986 $986 3.3×
Dup-scan xtr veins unilateral/limited study (93971) $986 $986 7.6×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $807 $807 2.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $388 $388 3.0×
Duplex Scan Hemodialysis Access (93990) $986 $986 7.6×
Duplex up extrem art bilat (93930) $986 $986 3.3×
Duplex up extrem art unilat/ltd (93931) $986 $986 7.6×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $446 $446 2.8×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $654 $654 4.1×
Ear and throat examination (92502) $913 $913 1.4×
Ear Protector Evaluation (92596) $583 $583 12.5×
ECG/monitoring and analysis (93271) $731 $731 6.2×
Echo Congenital Complete (93303) $883 $883 1.3×
Echo Heart Xthoracic,Limited (93308) $659 $659 2.2×
Echo r-t 2d w/probe placement only (93313) $2,251 $2,251 3.3×
Echo transesophag montr cardiac pump functj (93318) $2,251 $2,251 3.3×
Echo transesophageal (93312) $2,251 $2,251 3.3×
Echo Transesophageal - Congenital Tee Complete (93315) $2,251 $2,251 3.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,300 $2,300 3.4×
Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) $111 $111 2.4×
Eeg 41-60 Minutes (95812) $1,099 $1,099 4.1×
EEG awake and asleep (95819) $839 $839 3.1×
EEG awake drowsy (95816) $839 $839 3.1×
EEG cerebral death evaluation (95824) $839 $839 1.8×
EEG cont rec w/video by tech min 8 channels (95700) $876 $876 3.3×
EEG extended monitoring 61-119 minutes (95813) $1,099 $1,099 4.1×
Eeg Sleep Only (95822) $839 $839 3.1×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $876 $876 3.3×
EEG w/o vid 2-12hr cont mntr (95707) $876 $876 3.3×
EEG w/o vid ea 12-26hr intmt (95709) $1,681 $1,681 3.6×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,681 $1,681 3.6×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $876 $876 3.3×
EEG wo vid ea 12-26hr unmntr (95708) $1,681 $1,681 3.6×
EKG signal averaged (93278) $167 $167 2.3×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $263 $263 2.2×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $432 $432 3.6×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $138 $138 3.0×
Electrical Stimulation Ea 15 Min (97032) $105 $105 7.1×
Electrocardiogram Tracing (93005) $167 $167 2.3×
Electrocochleography (92584) $769 $769 4.8×
Electroconvulsive Therapy (90870) $1,107 $1,107 1.0×
Emergency Dept Visit Level 2 (99282) $962 $962 5.0×
Emergency Dept Visit Level 3 (99283) $1,332 $1,332 3.9×
Emergency Dept Visit Level 4 (99284) $2,162 $2,162 4.2×
Emg 3 Extremities (95863)
range across 3 matching MRF lines		 $147–$473 $147–$473 varies
Emg 4 Extremities (95864)
range across 3 matching MRF lines		 $157–$473 $157–$473 varies
Er level 1 (99281) $634 $634 6.0×
Er level v (99285) $2,825 $2,825 3.8×
Ergonovine provocation test (93024) $1,358 $1,358 2.4×
Esophagus acid perfusion test esophagitis (91030) $1,466 $1,466 3.1×
Esophgl Balo Distension Dx Std W/Provocation (91040) $1,205 $1,205 2.6×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,497 $1,497 3.2×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $573 $573 3.6×
Evaluate pt use of inhaler (94664) $130 $130 0.5×
Evaluate Speech Production (92522) $717 $717 6.4×
Evaluate Swallowing Function (92610) $764 $764 9.0×
Evaluation of speech fluency (92521) $717 $717 5.4×
Evoked Auditory Test,Limited (92587) $769 $769 2.9×
Exercise test for bronchospasm (94617) $444 $444 2.7×
Exhaled Air Analysis O2 (94680) $244 $244 1.5×
External Ecg Scanning Analysis Report (93226) $683 $683 9.3×
Extracranial Bilat Study (93880) $986 $986 3.3×
Extracranial Uni/Ltd Study (93882) $986 $986 7.6×
Eye Exam With Photos (92230)
range across 2 matching MRF lines		 $94–$2,298 $94–$2,298 varies
F-up/limited tthrc echo congenital car anomaly (93304) $659 $659 1.0×
Facial nerve function studies (92516)
range across 4 matching MRF lines		 $76–$780 $76–$780 varies
Family adapt bhv tx gdn phys/qhp ea 15 min (97156) $96 $96 2.1×
Filtered Speech Test (92571) $255 $255 5.5×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $720 $720 4.7×
Flexible endoscopic eval swallow c/v rec (92612) $720 $720 3.6×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $764 $764 3.3×
Fluorescein angiography (92235)
range across 2 matching MRF lines		 $138–$726 $138–$726 varies
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,231 $1,231 1.1×
Fundus photography (92250)
range across 2 matching MRF lines		 $75–$220 $75–$220 varies
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034)
range across 3 matching MRF lines		 $395–$1,498 $395–$1,498 varies
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $1,497 $1,497 5.6×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $3,249 $3,249 3.0×
Gi tract capsule endoscopy (91110)
range across 2 matching MRF lines		 $3,127–$3,208 $3,127–$3,208 varies
Gonioscopy (92020)
range across 2 matching MRF lines		 $62–$234 $62–$234 varies
Group adaptive bhv tx by protocol tech ea 15 min (97154) $96 $96 2.1×
Group Therapeutic Procedures (97150) $110 $110 6.1×
Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) $96 $96 2.1×
Health Behavior Assessment/Re-Assessment (96156) $125 $125 1.0×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $44 $44 0.9×
Health behavior ivntj indiv f2f 1st 30 min (96158) $125 $125 0.6×
Holter monitor recording (93225) $683 $683 4.1×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028)
range across 2 matching MRF lines		 $27–$173 $27–$173 varies
Icd Device Interrogate (93289) $236 $236 5.1×
Icd device progr eval dual (93283) $215 $215 4.6×
Icd Device Progr Eval Mult (93284) $215 $215 4.6×
Icm Device Eval (93290) $140 $140 3.0×
Ilr Device Eval Progr (93285) $127 $127 2.7×
Ilr Device Interrogate (93291) $140 $140 3.9×
Im Adm Intransl/Oral 1 Vaccine (90473) $77 $77 0.9×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $66 $66 1.4×
Immunization administration (90471) $77 $77 0.9×
Indocyanine-green angrph w/multiframe i&r uni/bi (92240)
range across 2 matching MRF lines		 $186–$898 $186–$898 varies
Ingestion challenge test initial 120 minutes (95076) $1,019 $1,019 2.2×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $1,019 $1,019 2.2×
Interrogate Subq Defib (93261) $151 $151 3.2×
Interrogation vad in person (93750) $522 $522 4.4×
Intracranial Complete Study (93886) $986 $986 3.3×
Intracutaneous tests w/allergenic extracts (95024)
range across 2 matching MRF lines		 $18–$173 $18–$173 varies
Iontophoresis 15 min (97033) $90 $90 4.7×
Irrig Drug Delivery Device (96523) $224 $224 3.0×
Ischemic limb exercise test (95875) $616 $616 3.8×
IV infusion hydration each additional hour (96361) $236 $236 4.0×
IV infusion hydration initial 31 min-1 hour (96360) $1,432 $1,432 5.4×
IV infusion ther proph addl sequential to 1 hr (96367) $236 $236 2.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $236 $236 4.0×
IV push initial (96374)
range across 4 matching MRF lines		 $291–$326 $291–$326 varies
Laryngeal Function Studies (92520) $769 $769 4.6×
Loudness balance test (92562) $255 $255 0.9×
Lung Function Test (Mbc/Mvv) (94200) $244 $244 3.3×
Lwr Xtr Vasc Stdy Bilat (93924) $798 $798 3.0×
Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) $414 $414 1.5×
Measurement Lung Volumes Infant/Child/2 Yrs (94013) $952 $952 2.0×
Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) $308 $308 1.9×
Mechanical chest wall oscillation per session (94669) $139 $139 0.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $101 $101 3.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $101 $101 2.7×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $49 $49 2.9×
Methacholine challenge (94070) $1,088 $1,088 2.3×
Microvolt T-Wave Assess (93025) $904 $904 5.6×
Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) $80 $80 4.0×
Mlt fam group bhv mgmt/modificaj traing ea addl (96203) $21 $21 3.9×
Motility study esophagus (91010) $1,466 $1,466 3.1×
Motion Fluoroscopy/Swallow (92611) $681 $681 7.4×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $268 $268 0.5×
Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) $96 $96 2.1×
Multiple Family Group Psychotherapy (90849)
range across 3 matching MRF lines		 $295–$352 $295–$352 varies
Multiple Sleep Latency Test (95805) $4,345 $4,345 4.1×
Muscle Test 2 Limbs (95861)
range across 3 matching MRF lines		 $121–$473 $121–$473 varies
Muscle Test Nonparaspinal (95870)
range across 3 matching MRF lines		 $29–$208 $29–$208 varies
Muscle Test One Limb (95860)
range across 3 matching MRF lines		 $76–$473 $76–$473 varies
Narcosynthesis (90865) $633 $633 2.9×
Nasal function studies (92512) $769 $769 2.9×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines		 $427–$1,112 $427–$1,112 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868) $445 $445 1.7×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $473 $473 1.8×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869)
range across 3 matching MRF lines		 $30–$268 $30–$268 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $693 $693 1.4×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $693 $693 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines		 $80–$344 $80–$344 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines		 $87–$431 $87–$431 varies
Nerve Conduction Studies 1-2 Studies (95907)
range across 3 matching MRF lines		 $79–$268 $79–$268 varies
Nerve Conduction Studies 11-12 Studies (95912)
range across 3 matching MRF lines		 $235–$1,604 $235–$1,604 varies
Nerve conduction studies 13 or more studies (95913)
range across 3 matching MRF lines		 $278–$1,872 $278–$1,872 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 3 matching MRF lines		 $99–$534 $99–$534 varies
Nerve conduction studies 5-6 studies (95909)
range across 3 matching MRF lines		 $118–$802 $118–$802 varies
Nerve conduction studies 7-8 studies (95910)
range across 3 matching MRF lines		 $158–$1,070 $158–$1,070 varies
Nerve Conduction Studies 9-10 Studies (95911)
range across 3 matching MRF lines		 $196–$1,338 $196–$1,338 varies
Neurobehavioral Status Exam (96116) $597 $597 2.2×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937)
range across 3 matching MRF lines		 $52–$384 $52–$384 varies
Neuromuscular Reeducation (97112) $170 $170 5.2×
Nitric oxide expired gas determination (95012) $122 $122 2.6×
Nonphysician Telephone Assessment 11-20 Min (98967) $53 $53 2.1×
Nonphysician Telephone Assessment 21-30 Min (98968) $78 $78 2.2×
Nonphysician Telephone Assessment 5-10 Min (98966) $28 $28 2.0×
Nose Allergy Test (95065)
range across 2 matching MRF lines		 $23–$173 $23–$173 varies
Nrpsyc tst eval phys/qhp 1st (96132) $529 $529 1.1×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $444 $444 1.0×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $522 $522 3.1×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $522 $522 3.1×
Ophth medical xm&eval intermediate estab pt (92012) $301 $301 1.8×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $348 $348 2.1×
Ophthalmodynamometry (92260)
range across 2 matching MRF lines		 $27–$265 $27–$265 varies
Optokinetic Nystagmus Test (92544)
range across 4 matching MRF lines		 $140–$780 $140–$780 varies
Oral Function Therapy (92526) $578 $578 6.9×
Oral Speech Device Eval (92597) $821 $821 11.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $158 $158 3.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $163 $163 3.5×
Oscillating Tracking Test (92545)
range across 3 matching MRF lines		 $129–$780 $129–$780 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 2 matching MRF lines		 $56–$70 $56–$70 varies
Osteopathic manipulative tx 3-4 body regions (98926)
range across 2 matching MRF lines		 $56–$106 $56–$106 varies
Osteopathic manipulative tx 5-6 body regions (98927)
range across 2 matching MRF lines		 $56–$137 $56–$137 varies
Osteopathic manipulative tx 7-8 body regions (98928)
range across 2 matching MRF lines		 $56–$161 $56–$161 varies
Osteopathic manipulative tx 9-10 body regions (98929)
range across 2 matching MRF lines		 $56–$184 $56–$184 varies
Ot Contrast Bath Ea 15 Min (97034) $80 $80 5.7×
Ot eval high complexity (97167) $510 $510 5.1×
Ot Eval Low Complex (97165) $255 $255 2.5×
Ot Eval Moderate Complexity (97166) $382 $382 3.8×
Ot manual therapy 15 min (97140) $153 $153 5.5×
Ot paraffin bath (97018) $35 $35 5.8×
Ot Prosthetic Training, Each 15 Min (97761) $152 $152 3.8×
Ot Re-Eval Est Plan Care (97168) $342 $342 5.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $396 $396 2.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $119 $119 0.7×
Oxygen Uptake Rest Indirect (94690) $244 $244 3.3×
Patch/Application Test Specify Number Tests (95044)
range across 2 matching MRF lines		 $23–$173 $23–$173 varies
Patient-initiated spirometric recording (94015) $244 $244 0.9×
Penile Vascular Study,Ltd or F/U (93981) $986 $986 7.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $310 $310 1.1×
Percutaneous tests w/allergenic extracts (95004)
range across 2 matching MRF lines		 $12–$173 $12–$173 varies
Phlebotomy therapeutic (99195) $257 $257 1.5×
Photochemotherapy Dermatoses 4-8 Hrs Supervision (96913) $901 $901 1.8×
Photochemotx Psoralens&Ultraviolet Puva (96912) $197 $197 2.7×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $190 $190 2.6×
Physical Performance Test (97750) $160 $160 4.7×
Plethysmography (94726) $444 $444 1.0×
Pm device eval in person (93288) $140 $140 3.0×
Pm device progr eval dual (93280) $127 $127 2.7×
Pm device progr eval multi (93281) $127 $127 2.7×
Pm Device Progr Eval Sngl (93279) $127 $127 2.7×
Pm/Icd Remote Tech Serv (93296) $236 $236 5.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,382 $4,382 4.1×
Polysom <6 yrs 4/> paramtrs (95782) $4,382 $4,382 4.1×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $4,382 $4,382 4.1×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $4,382 $4,382 4.1×
Positional nystagmus test (92542)
range across 4 matching MRF lines		 $57–$780 $57–$780 varies
Prepj& allergen immunotherapy 1/mlt antigen (95165)
range across 2 matching MRF lines		 $11–$84 $11–$84 varies
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $11 $11 0.2×
Prepj& antigen allergen immunotherapy 2 insect (95146)
range across 2 matching MRF lines		 $12–$84 $12–$84 varies
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147)
range across 2 matching MRF lines		 $11–$84 $11–$84 varies
Prepj& antigen allergen immunotherapy 5 insect (95149)
range across 2 matching MRF lines		 $12–$84 $12–$84 varies
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $151 $151 3.2×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $215 $215 4.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines		 $45–$87 $45–$87 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines		 $57–$87 $57–$87 varies
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148)
range across 2 matching MRF lines		 $12–$84 $12–$84 varies
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144)
range across 2 matching MRF lines		 $11–$152 $11–$152 varies
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170)
range across 2 matching MRF lines		 $11–$84 $11–$84 varies
Psych diag eval w/med srvcs (90792) $665 $665 3.0×
Psychiatric diagnostic evaluation (90791)
range across 4 matching MRF lines		 $395–$633 $395–$633 varies
Psychoanalysis (90845) $505 $505 2.3×
Psychological tst eval svc phys/qhp first hour (96130) $460 $460 1.7×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $141 $141 0.3×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $252 $252 1.5×
Psytx Crisis Initial 60 Min (90839) $235 $235 1.1×
Pt Eval High Complex (97163) $500 $500 5.1×
Pt eval low complex 20 min (97161) $222 $222 2.3×
Pt Eval Mod Complex (97162) $333 $333 3.4×
Pt gait training 15 min (97116) $141 $141 4.9×
Pt group caregiver training (97552) $40 $40 1.8×
Pt mechanical traction (97012) $83 $83 5.8×
Pt Re-Eval Est Plan Care (97164) $260 $260 3.9×
Pt ultraviolet (97028) $125 $125 15.0×
Pulm function test by gas (94727) $444 $444 1.6×
Pulmonary service/procedure (94799) $505 $505 3.1×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines		 $211–$444 $211–$444 varies
Pure Tone Audiometry Air (92552) $223 $223 1.3×
Rapid Desensitization Procedure Each Hour (95180)
range across 3 matching MRF lines		 $334–$335 $334–$335 varies
Rem interrog icpms <30 d phys/qhp (93297) $229 $229 4.9×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $229 $229 4.9×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $221 $221 4.7×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $401 $401 2.4×
Remote 30 Day Ecg Rev/Report (93270) $368 $368 7.9×
Remote 30 Day Ecg Tech Supp (93229) $2,650 $2,650 5.7×
Respiratory flow volume loop (94375) $244 $244 0.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $167 $167 2.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 5 matching MRF lines		 $146–$211 $146–$211 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $679 $679 5.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $508 $508 10.6×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $839 $839 1.8×
Sbsq Psyc Collab Care Mgmt (99493) $184 $184 1.5×
Select picture audiometry (92583) $255 $255 3.5×
Self Care Mngment Training (97535) $183 $183 5.6×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060)
range across 2 matching MRF lines		 $115–$289 $115–$289 varies
Sensory Integration Ea 15 Min (97533) $148 $148 2.4×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $1,179 $1,179 4.4×
Short-latency somatosens ep std upr limbs (95925) $1,179 $1,179 4.4×
Sinusoidal Vertical Axis Rotational Testing (92546) $769 $769 4.8×
Sleep study attended (95807) $4,382 $4,382 9.4×
Slp caregiver training 1st 30 min (97550) $171 $171 3.2×
Somatosensory Testing (95938) $1,179 $1,179 1.1×
Speech Audiometry Complete (92556) $255 $255 3.5×
Speech audiometry threshold (92555) $255 $255 3.5×
Speech sound lang comprehen (92523) $717 $717 3.2×
Spirometry (94010)
range across 4 matching MRF lines		 $20–$408 $20–$408 varies
Spontaneous Nystagmus Test (92541)
range across 4 matching MRF lines		 $173–$780 $173–$780 varies
Ssep lower limbs (95926) $1,179 $1,179 4.4×
Staggered Spondaic Word Test (92572) $255 $255 1.6×
Standardized Cognitive Performance Testing (96125) $341 $341 3.3×
Stenger Test Speech (92577) $583 $583 1.3×
Stenger Test, Pure Tone (92565)
range across 4 matching MRF lines		 $47–$259 $47–$259 varies
Subcutaneous Infusion Each Additional Hour (96370) $33 $33 0.6×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $281 $281 1.1×
Subq Infusion Additional Pump Infusion Site (96371) $120 $120 1.3×
Surfactant Admin Thru Tube (94610) $198 $198 0.7×
Synthetic Sentence Identification Test (92576) $255 $255 5.5×
Temp transcutaneous pacing (92953) $1,521 $1,521 1.8×
Test to assess hearing loss using different tone pitches (92575) $583 $583 12.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $144 $144 6.4×
Ther Ivntj Ea Addl 15 Min (97130) $144 $144 6.8×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $179 $179 4.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $128 $128 4.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $571 $571 5.6×
Ther/Proph/Diag Inj Ia (96373)
range across 3 matching MRF lines		 $15–$773 $15–$773 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines		 $55–$188 $55–$188 varies
Ther/Proph/Diag Iv Inf Init (96365) $1,432 $1,432 5.4×
Therapeutic Activities (97530) $203 $203 5.8×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,627 $1,627 3.5×
Tobacco Use Cessation Intensive >10 Minutes (99407) $70 $70 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $56 $56 1.2×
Tone Decay Test (92563)
range across 4 matching MRF lines		 $45–$259 $45–$259 varies
Trans Care Mgmt 14 Day Disch (99495) $429 $429 2.6×
Trans Care Mgmt 7 Day Disch (99496) $664 $664 4.0×
Transcranial Doppler Intracran Art Emboli Detect (93892) $693 $693 5.3×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $986 $986 7.6×
Tte w/doppler, complete (93306) $2,300 $2,300 3.4×
Tte W/O Doppler Complete (93307) $1,360 $1,360 4.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $567 $567 7.4×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $554 $554 23.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $326 $326 5.6×
Tympanometry (92567)
range across 3 matching MRF lines		 $62–$255 $62–$255 varies
Tympanometry and reflex threshold measurements (92550) $255 $255 0.9×
Unlisted otorhinolaryngological service (92700) $232 $232 6.4×
Upr/L Xtremity Art 2 Levels (93922) $798 $798 4.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $798 $798 3.0×
Veeg 2-12 Hr Cont Mntr (95713) $1,681 $1,681 3.6×
Veeg 2-12 hr intmt mntr (95712) $876 $876 1.9×
Veeg 2-12 hr unmonitored (95711) $876 $876 3.3×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,681 $1,681 3.6×
Veeg Ea 12-26 Hr Unmntr (95714) $1,681 $1,681 3.6×
Veeg ea 12-26hr cont mntr (95716) $3,147 $3,147 2.9×
Vent Mgmt Inpat Init Day (94002) $1,181 $1,181 1.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,181 $1,181 1.5×
Visual Evoked Potential Test (95930) $1,179 $1,179 4.4×
Visual Field Exam Extended (92083)
range across 2 matching MRF lines		 $85–$368 $85–$368 varies
Visual field xm uni/bi w/interp intermed exam (92082)
range across 2 matching MRF lines		 $73–$334 $73–$334 varies
Visual field xm uni/bi w/interpretj limited exam (92081)
range across 2 matching MRF lines		 $267–$415 $267–$415 varies
Visual reinforcement audiometry (vra) (92579) $583 $583 2.2×
Vital capacity, total (94150) $244 $244 1.5×
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,099 $1,099 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $153 $153 4.9×
Whirlpool Therapy (97022) $98 $98 6.2×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $201 $201 2.7×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285)
range across 2 matching MRF lines		 $35–$267 $35–$267 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.