Visits & medical services prices at Kenmare Community Hospital

Kenmare, ND · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $209.60 $262 1.6×
Acoustic Reflex Testing (92568) $49.60 $62 1.3×
Actinotherapy Ultraviolet Light (96900) $53.60 $67 1.4×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$16.79–$42.40 $20.99–$53 varies
Aep Hearing Status Deter Broadband Stimuli I&R (92651)
range across 3 matching MRF lines
$191.20–$489.60 $239–$612 varies
Aep neurodiagnostic i&r (92653)
range across 3 matching MRF lines
$294.40–$642.40 $368–$803 varies
Aep threshold estimation mlt frequencies i&r (92652)
range across 2 matching MRF lines
$294.40–$642.40 $368–$803 varies
Airway Inhalation Treatment (94640) $245.60 $307 1.1×
Airway resistance by oscillometry (94728)
range across 2 matching MRF lines
$160.80–$406.40 $201–$508 varies
Allg test perq & ic drug/biol immed react w/ i&r (95018) $40 $50 1.0×
Allg tstg perq & ic venoms immed react w/i&r (95017) $28 $35 0.9×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $311.20 $389 2.4×
Analyze neurostim complex (95972) $94.40 $118 1.0×
Analyze neurostim no prog (95970) $132.80 $166 1.0×
Analyze Neurostim Simple (95971) $94.40 $118 1.0×
Anrct mano rct sensation&rct balo expulsion test (91125) $816.80 $1,021 2.1×
Ant sgm imaging w/microscopy endothelial analy (92286) $132.80 $166 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $104 $130 7.2×
Application on-body injector (96377) $74.40 $93 1.6×
Assessment of aphasia per hr (96105) $520 $650 5.3×
Assessment of tinnitus (92625) $340.80 $426 2.6×
Audiometry Air & Bone (92553) $209.60 $262 1.6×
Auditory Function, 60 Min (92620) $340.80 $426 2.6×
Basic vestibular evaluation (92540) $332 $415 1.5×
Behavral qualit analys voice (92524) $320 $400 2.9×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $136 $170 1.7×
Bfb training ea addl 15 min (90913) $96 $120 2.9×
Biofeedback training any modality (90901) $103.20 $129 2.5×
Bioimpedance Cv Analysis (93701) $132.80 $166 1.0×
Blink reflex test (95933)
range across 2 matching MRF lines
$106.40–$164 $133–$205 varies
Breath hydrogen/methane test (91065) $296 $370 1.3×
Brief Emotional/Behav Assmt (96127)
range across 2 matching MRF lines
$40–$64 $50–$80 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$320–$431.20 $400–$539 varies
C motor evoked upr&lwr limbs (95939) $1,440 $1,800 1.6×
Caloric vestibular test w/rec bi monothermal (92538) $242.40 $303 1.1×
Caloric Vstblr Test W/Rec (92537) $242.40 $303 1.8×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$84–$142.40 $105–$178 varies
Car seat/bed test 60 min (94780) $95.20 $119 2.5×
Cardiac Stress Tst,Tracing Only (93017)
range across 3 matching MRF lines
$320–$492.80 $400–$616 varies
Cardiopulmonary exercise testing (94621) $431.20 $539 1.1×
Cardiopulmonary resuscitation (92950) $755.20 $944 3.4×
Cardioversion (92960) $1,019.20 $1,274 1.5×
Cardioversion elective internal (92961) $1,401.60 $1,752 2.1×
Caregiver hlth risk assmt score doc stnd instrm (96161) $30.40 $38 0.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $64 $80 2.5×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $7,576 $9,470 2.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,576 $9,470 2.3×
Cbt 1st hour (94644) $176 $220 1.3×
Cervical & Ocular Vemp Testing W/I&R (92519) $407.20 $509 1.8×
Cervical Vemp Testing W/I&R (92517) $215.20 $269 1.6×
Chemo Admin Peritoneal Cavity (96446) $482.40 $603 1.4×
Chemo Anti-Neopl Sq/Im (96401)
range across 3 matching MRF lines
$152.80–$176 $191–$220 varies
Chemo Hormon Antineopl Sq/Im (96402)
range across 3 matching MRF lines
$72.80–$136 $91–$170 varies
Chemo Ia Push (96420) $482.40 $603 1.4×
Chemo intralesional up to 7 (96405) $176 $220 2.4×
Chemo IV infusion addl hr (96415)
range across 3 matching MRF lines
$72.80–$440 $91–$550 varies
Chemo IV push addl drug (96411)
range across 3 matching MRF lines
$95.20–$144 $119–$180 varies
Chemother Prolong Infuse W/Pump (96416) $448 $560 1.3×
Chemotherapy Into Cns (96450) $482.40 $603 1.4×
Chemotherapy Unspecified (96549) $256 $320 5.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $448 $560 6.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 3 matching MRF lines
$340.80–$480 $426–$600 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) $336 $420 1.0×
Chest Wall Manipulation (94668) $212 $265 1.6×
Chron Care Mgmt Srvc 20 Min (99490) $132 $165 1.3×
Cmptr ophth dx img ant segmt (92132) $60.80 $76 1.0×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $96 $120 1.6×
Color/duplex Doppler, complete (93975) $1,003.20 $1,254 4.1×
Color/duplex Doppler, limited (93976) $413.60 $517 3.9×
Community/Work Reintegration Trainj Ea 15 Min (97537) $121.60 $152 3.8×
Comprehensive Hearing Test (92557) $209.60 $262 1.6×
Computerized Ophthalmic Imaging Optic Nerve (92133) $59.20 $74 1.0×
Computerized Ophthalmic Imaging Retina (92134) $83.20 $104 1.4×
Conditioning Play Audiometry (92582) $209.60 $262 1.6×
Cont gluc mntr physician/qhp provided equiptment (95250)
range across 2 matching MRF lines
$132.80–$520 $166–$650 varies
Cont Gluc Mntr Pt Prov Eqp (95249) $401.60 $502 6.7×
Continuous Pulse Ox (94762) $298.40 $373 2.3×
Corneal Topography (92025) $64 $80 1.1×
Coronary Art/Grft Angio S&I (93455) $7,576 $9,470 2.3×
Coronary Artery Angio S&I (93454) $7,576 $9,470 2.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $506.40 $633 2.3×
Cpt initial (94667) $283.20 $354 2.1×
Critical care first hour (99291)
range across 5 matching MRF lines
$760.80–$9,200 $951–$11,500 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 6 matching MRF lines
$204–$920 $255–$1,150 varies
Developmental tst admin phys/qhp 1st hour (96112) $279.20 $349 2.1×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $311.20 $389 2.4×
Dialysis One Evaluation (90945) $800 $1,000 1.9×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588)
range across 2 matching MRF lines
$272–$500 $340–$625 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $920 $1,150 3.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $109.60 $137 1.0×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $453.60 $567 4.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,343.20 $1,679 5.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $780 $975 7.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $982.40 $1,228 4.0×
Dup-scan xtr veins unilateral/limited study (93971) $664.80 $831 6.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $664 $830 2.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $413.60 $517 3.9×
Duplex Scan Hemodialysis Access (93990) $321.60 $402 3.0×
Duplex up extrem art bilat (93930) $1,024.80 $1,281 4.2×
Duplex up extrem art unilat/ltd (93931) $637.60 $797 6.0×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $195.20 $244 1.5×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $311.20 $389 2.4×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $311.20 $389 2.4×
Echo Congenital Complete (93303) $924.80 $1,156 1.7×
Echo Heart Xthoracic,Limited (93308) $700 $875 2.9×
Echo transesophag montr cardiac pump functj (93318) $1,127.20 $1,409 2.0×
Echo transesophageal (93312) $924.80 $1,156 1.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $924.80 $1,156 1.7×
Eeg 41-60 Minutes (95812) $780 $975 3.5×
EEG awake and asleep (95819) $745.60 $932 3.4×
EEG awake drowsy (95816) $638.40 $798 2.9×
EEG cerebral death evaluation (95824) $745.60 $932 2.0×
EEG extended monitoring 61-119 minutes (95813) $865.60 $1,082 3.9×
Eeg Sleep Only (95822) $663.20 $829 3.0×
EKG signal averaged (93278) $60.80 $76 1.0×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $94.40 $118 1.0×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $38.40 $48 1.0×
Electrical Stimulation Ea 15 Min (97032) $80.80 $101 5.5×
Electrocardiogram Tracing (93005)
range across 6 matching MRF lines
$24–$84 $30–$105 varies
Electrocochleography (92584) $309.60 $387 2.4×
Electroconvulsive Therapy (90870) $957.60 $1,197 1.1×
Electrophysiology Evaluation (93642) $4,720 $5,900 3.8×
Emergency Dept Visit Level 2 (99282)
range across 5 matching MRF lines
$111.20–$6,940 $139–$8,675 varies
Emergency Dept Visit Level 3 (99283)
range across 5 matching MRF lines
$175.20–$7,280 $219–$9,100 varies
Emergency Dept Visit Level 4 (99284)
range across 5 matching MRF lines
$272.80–$7,840 $341–$9,800 varies
Emg 3 Extremities (95863) $1,072 $1,340 8.2×
Emg 4 Extremities (95864) $1,072 $1,340 8.2×
Endomyocardial Biopsy (93505) $5,884.80 $7,356 1.8×
Er level 1 (99281)
range across 5 matching MRF lines
$79.20–$6,760 $99–$8,450 varies
Er level v (99285)
range across 5 matching MRF lines
$416–$8,320 $520–$10,400 varies
Ergonovine provocation test (93024) $410.40 $513 0.9×
Esophagus acid perfusion test esophagitis (91030) $545.60 $682 1.4×
Eval aud funcj cand/po surg implt dev 1st hr (92626)
range across 2 matching MRF lines
$311.20–$363.20 $389–$454 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$208.80–$380.80 $261–$476 varies
Evaluate Speech Production (92522) $285.60 $357 2.6×
Evaluate Swallowing Function (92610) $360 $450 4.2×
Evaluation of speech fluency (92521) $425.60 $532 3.2×
Evoked Auditory Test,Limited (92587)
range across 3 matching MRF lines
$272–$479.20 $340–$599 varies
Exercise test for bronchospasm (94617) $176 $220 1.3×
External ECG rec>48hr<7d recording (93242) $72 $90 1.9×
External ECG rec>7d<15d recording (93246) $83.20 $104 2.2×
External Ecg Scanning Analysis Report (93226) $196.80 $246 3.3×
Extracranial Bilat Study (93880) $475.20 $594 1.9×
Extracranial Uni/Ltd Study (93882)
range across 4 matching MRF lines
$28–$305.60 $35–$382 varies
Eye exam w anesth; complete (92018) $879.20 $1,099 0.4×
Eye exam w anesth; limited (92019) $1,281.60 $1,602 0.5×
Filtered Speech Test (92571) $40 $50 1.0×
Fluorescein angiography (92235) $320 $400 1.5×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $2,215.20 $2,769 2.5×
Fundus photography (92250) $132.80 $166 1.0×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034)
range across 2 matching MRF lines
$545.60–$905.60 $682–$1,132 varies
Gastroesophag reflx test w/telemtry ph eltrd (91035) $3,749.60 $4,687 4.3×
Gi tract capsule endoscopy (91110)
range across 2 matching MRF lines
$1,320–$1,943.20 $1,650–$2,429 varies
Gi wireless capsule measure (91112) $1,911.20 $2,389 2.1×
Gonioscopy (92020) $132.80 $166 1.0×
Group Therapeutic Procedures (97150) $90.40 $113 5.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $7,576 $9,470 2.3×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,160 $1,450 1.7×
Holter monitor recording (93225)
range across 3 matching MRF lines
$132.80–$176 $166–$220 varies
Hypnotherapy (90880) $95.20 $119 0.9×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $40 $50 1.0×
Icd Device Interrogate (93289) $38.40 $48 1.0×
Icd device progr eval dual (93283)
range across 2 matching MRF lines
$92–$108 $115–$135 varies
Icd Device Progr Eval Mult (93284) $96 $120 2.5×
Icm Device Eval (93290) $38.40 $48 1.0×
Ilr Device Eval Progr (93285) $38.40 $48 1.0×
Ilr Device Interrogate (93291) $24.80 $31 0.8×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 5 matching MRF lines
$16.79–$120 $20.99–$150 varies
Immunization administration (90471)
range across 6 matching MRF lines
$16.79–$120 $20.99–$150 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070)
range across 2 matching MRF lines
$545.60–$736.80 $682–$921 varies
Insert/Place Heart Catheter (93503) $3,708.80 $4,636 2.3×
Interrogation eval in person wr defibrillator (93292) $38.40 $48 1.0×
Intracranial Complete Study (93886) $656.80 $821 2.7×
Intracutaneous tests w/allergenic extracts (95024) $15.20 $19 0.3×
Iontophoresis 15 min (97033) $84 $105 4.4×
Irrig Drug Delivery Device (96523)
range across 4 matching MRF lines
$60.80–$226.40 $76–$283 varies
IV infusion hydration each additional hour (96361)
range across 5 matching MRF lines
$47.20–$432 $59–$540 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 5 matching MRF lines
$216.80–$432 $271–$540 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 5 matching MRF lines
$72.80–$245.60 $91–$307 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 5 matching MRF lines
$47.20–$432 $59–$540 varies
IV push initial (96374)
range across 5 matching MRF lines
$216.80–$256 $271–$320 varies
L Hrt Art/Grft Angio (93459) $7,576 $9,470 2.3×
Liver Elastography W/O Imag W/I&R (91200) $160.80 $201 1.2×
Loudness balance test (92562) $320 $400 1.5×
Lwr Xtr Vasc Stdy Bilat (93924) $406.40 $508 1.8×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $1,600 $2,000 1.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $96 $120 3.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $112 $140 3.0×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $188 $235 11.0×
Methacholine challenge (94070)
range across 2 matching MRF lines
$320–$431.20 $400–$539 varies
Motility study esophagus (91010) $545.60 $682 1.4×
Motion Fluoroscopy/Swallow (92611) $485.60 $607 5.3×
Multiple Family Group Psychotherapy (90849) $164.80 $206 0.9×
Multiple Sleep Latency Test (95805) $1,920 $2,400 2.2×
Muscle Test 2 Limbs (95861)
range across 3 matching MRF lines
$168–$1,072 $210–$1,340 varies
Muscle Test Hemidiaphragm (95866) $1,072 $1,340 8.2×
Muscle Test Nonparaspinal (95870) $1,072 $1,340 7.9×
Muscle Test One Limb (95860)
range across 2 matching MRF lines
$132.80–$1,072 $166–$1,340 varies
Narcosynthesis (90865) $164.80 $206 0.9×
Nasopharyngoscopy (92511)
range across 3 matching MRF lines
$200–$344.80 $250–$431 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868) $1,072 $1,340 4.9×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $1,072 $1,340 4.9×
Needle electromyography larynx (95865) $1,072 $1,340 7.9×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869)
range across 2 matching MRF lines
$320–$1,072 $400–$1,340 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $410.40 $513 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 4 matching MRF lines
$204–$335.20 $255–$419 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$410.40–$572 $513–$715 varies
Nerve Conduction Studies 1-2 Studies (95907)
range across 2 matching MRF lines
$160.80–$1,072 $201–$1,340 varies
Nerve Conduction Studies 11-12 Studies (95912)
range across 2 matching MRF lines
$545.60–$1,072 $682–$1,340 varies
Nerve conduction studies 13 or more studies (95913)
range across 2 matching MRF lines
$545.60–$1,000 $682–$1,250 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 2 matching MRF lines
$320–$1,072 $400–$1,340 varies
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines
$320–$1,072 $400–$1,340 varies
Nerve conduction studies 7-8 studies (95910)
range across 2 matching MRF lines
$320–$1,072 $400–$1,340 varies
Nerve Conduction Studies 9-10 Studies (95911)
range across 2 matching MRF lines
$545.60–$1,072 $682–$1,340 varies
Neurobehavioral Status Exam (96116) $320 $400 1.5×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937)
range across 2 matching MRF lines
$160.80–$1,072 $201–$1,340 varies
Neuromuscular Reeducation (97112) $112.80 $141 3.4×
Newborn resuscitation (99465) $894.40 $1,118 1.3×
Nitric oxide expired gas determination (95012) $40 $50 1.0×
Nrpsyc tst eval phys/qhp 1st (96132) $545.60 $682 1.4×
Ocular Vemp Testing W/I&R (92518) $220 $275 1.7×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $132.80 $166 1.0×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $132.80 $166 1.0×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $132.80 $166 1.0×
Ophth medical xm&eval intermediate estab pt (92012) $132.80 $166 1.0×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $132.80 $166 1.0×
Optokinetic Nystagmus Test (92544)
range across 2 matching MRF lines
$196–$280 $245–$350 varies
Oral Function Therapy (92526) $316 $395 3.8×
Oral Speech Device Eval (92597) $360 $450 5.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $231.20 $289 4.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $231.20 $289 5.0×
Oscillating Tracking Test (92545)
range across 2 matching MRF lines
$280–$539.20 $350–$674 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 2 matching MRF lines
$26.40–$49.60 $33–$62 varies
Ot eval high complexity (97167) $306.40 $383 3.0×
Ot Eval Low Complex (97165) $306.40 $383 3.0×
Ot Eval Moderate Complexity (97166) $306.40 $383 3.0×
Ot manual therapy 15 min (97140) $120 $150 4.3×
Ot paraffin bath (97018) $54.40 $68 9.1×
Ot Prosthetic Training, Each 15 Min (97761) $111.20 $139 2.8×
Ot Re-Eval Est Plan Care (97168) $204.80 $256 3.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $220.80 $276 1.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $200 $250 1.5×
Oxygen Uptake Rest Indirect (94690) $155.20 $194 2.6×
Patch/Application Test Specify Number Tests (95044) $13.60 $17 0.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $321.60 $402 1.4×
Percutaneous tests w/allergenic extracts (95004) $20 $25 0.0×
Peripheral arterial disease rehab per session (93668) $153.60 $192 2.5×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $40,116.80 $50,146 2.1×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $12,004 $15,005 2.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $13,219.20 $16,524 1.1×
Phlebotomy therapeutic (99195)
range across 5 matching MRF lines
$200.80–$253.60 $251–$317 varies
Photochemotx Psoralens&Ultraviolet Puva (96912) $211.20 $264 3.5×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $248.80 $311 4.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $164.80 $206 2.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $160.80 $201 2.7×
Physical Performance Test (97750)
range across 3 matching MRF lines
$113.60–$168 $142–$210 varies
Plethysmography (94726) $431.20 $539 1.1×
Pm device eval in person (93288)
range across 3 matching MRF lines
$68.80–$77.60 $86–$97 varies
Pm device progr eval dual (93280)
range across 2 matching MRF lines
$92–$104 $115–$130 varies
Pm device progr eval multi (93281) $88 $110 2.3×
Pm Device Progr Eval Sngl (93279) $80 $100 2.1×
Pm/Icd Remote Tech Serv (93296) $46.40 $58 1.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,240 $2,800 2.6×
Polysom <6 yrs 4/> paramtrs (95782) $2,240 $2,800 2.6×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,240 $2,800 2.6×
Positional nystagmus test (92542)
range across 2 matching MRF lines
$164–$224 $205–$280 varies
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $84 $105 2.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $40 $50 0.8×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $40 $50 0.8×
Prq Card Angio/Athrect 1 Art (92924) $13,219.20 $16,524 1.1×
Prq Card Stent W/Angio 1 Vsl (92928) $13,219.20 $16,524 1.1×
Prq Card Stent/Ath/Angio (92933) $16,467.20 $20,584 0.9×
Prq Revasc Byp Graft 1 Vsl (92937) $13,219.20 $16,524 1.1×
Prq trl rvs ch occ ant&rtrgr (92945) $25,263.20 $31,579 2.1×
Psych diag eval w/med srvcs (90792) $164.80 $206 0.9×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$164.80–$475.20 $206–$594 varies
Psychoanalysis (90845) $164.80 $206 0.9×
Psychological tst eval svc phys/qhp first hour (96130)
range across 3 matching MRF lines
$320–$558.40 $400–$698 varies
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138)
range across 3 matching MRF lines
$410.40–$664.80 $513–$831 varies
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $132.80 $166 1.0×
Psytx Crisis Initial 60 Min (90839) $164.80 $206 0.9×
Pt Eval High Complex (97163) $269.60 $337 2.8×
Pt eval low complex 20 min (97161) $269.60 $337 2.8×
Pt Eval Mod Complex (97162) $269.60 $337 2.8×
Pt gait training 15 min (97116) $92.80 $116 3.2×
Pt group caregiver training (97552) $93.60 $117 4.2×
Pt mechanical traction (97012) $100.80 $126 7.0×
Pt Re-Eval Est Plan Care (97164) $220.80 $276 3.3×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $30.40 $38 0.8×
Pulm function test by gas (94727) $214.40 $268 1.0×
Pulmonary service/procedure (94799) $160.80 $201 1.2×
Pulmonary Stress Testing (94618) $176 $220 1.3×
Pure Tone Audiometry Air (92552)
range across 2 matching MRF lines
$132.80–$164 $166–$205 varies
R Hrt Art/Grft Angio (93457) $7,576 $9,470 2.3×
R hrt coronary artery angio (93456) $7,576 $9,470 2.3×
R&L Hrt Cath W/Ventriclgrphy (93453) $7,576 $9,470 2.3×
Rapid Desensitization Procedure Each Hour (95180) $547.20 $684 1.2×
Rectal sensation tone&compliance study (91124) $472.80 $591 2.1×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $340.80 $426 1.0×
Refill/Maint Portable Pump (96521) $437.60 $547 2.0×
Refill/Maint Pump/Resvr Syst (96522) $240 $300 1.1×
Rem interrog icpms <30 d phys/qhp (93297) $76 $95 2.0×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $164 $205 4.3×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $56 $70 1.5×
Remote 30 Day Ecg Rev/Report (93270) $57.60 $72 1.5×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $182.40 $228 1.3×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $56 $70 1.4×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $56 $70 1.0×
Repet tms tx initial w/map/motr threshld/del&m (90867) $320 $400 1.5×
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) $320 $400 1.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $60.80 $76 1.0×
Right Heart Cath (93451) $7,576 $9,470 2.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$204–$363.20 $255–$454 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $421.60 $527 3.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $196 $245 4.1×
Select picture audiometry (92583) $152.80 $191 2.5×
Self Care Mngment Training (97535) $115.20 $144 3.6×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $65.60 $82 1.1×
Short-latency somatosens ep std upr limbs (95925) $1,072 $1,340 4.9×
Sleep study unattended (95806) $316.80 $396 1.4×
Slp caregiver training 1st 30 min (97550) $208.80 $261 4.0×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $320 $400 1.5×
Somatosensory Testing (95938) $872 $1,090 1.0×
Speech Audiometry Complete (92556) $68.80 $86 1.1×
Speech audiometry threshold (92555) $60.80 $76 1.0×
Speech sound lang comprehen (92523) $572 $715 2.5×
Spin/Brain Pump Refil & Main (95991)
range across 2 matching MRF lines
$297.60–$303.20 $372–$379 varies
Spirometry (94010)
range across 4 matching MRF lines
$160.80–$214.40 $201–$268 varies
Spontaneous Nystagmus Test (92541)
range across 2 matching MRF lines
$164–$224 $205–$280 varies
Ssep lower limbs (95926) $1,072 $1,340 4.9×
Staggered Spondaic Word Test (92572) $212.80 $266 1.6×
Standardized Cognitive Performance Testing (96125) $603.20 $754 5.9×
Stenger Test Speech (92577) $702.40 $878 1.8×
Stenger Test, Pure Tone (92565) $52 $65 0.9×
Stress Tte Only (93350) $924.80 $1,156 1.7×
Surfactant Admin Thru Tube (94610) $292.80 $366 1.3×
Synthetic Sentence Identification Test (92576) $52 $65 1.4×
Temp transcutaneous pacing (92953) $1,011.20 $1,264 1.5×
Tensilon Test (95857) $320 $400 1.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $125.60 $157 5.6×
Ther Ivntj Ea Addl 15 Min (97130) $125.60 $157 6.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $142.40 $178 3.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $87.20 $109 2.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $297.60 $372 2.9×
Ther/Prop/Diag Inj/Inf Proc (96379)
range across 2 matching MRF lines
$47.20–$432 $59–$540 varies
Ther/Proph/Diag Inj Ia (96373) $259.20 $324 1.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 7 matching MRF lines
$16.79–$131.20 $20.99–$164 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 7 matching MRF lines
$216.80–$456 $271–$570 varies
Therap repetitive tms tx subseq delivery & mng (90868) $320 $400 1.5×
Therapeutic Activities (97530) $115.20 $144 3.3×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $736.80 $921 1.9×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$36–$56.80 $45–$71 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$36–$56.80 $45–$71 varies
Tone Decay Test (92563) $49.60 $62 1.3×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $38.40 $48 1.0×
Tte w/doppler, complete (93306) $924.80 $1,156 1.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$236.80–$313.60 $296–$392 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $80 $100 3.3×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 6 matching MRF lines
$47.20–$96 $59–$120 varies
Tympanometry (92567)
range across 2 matching MRF lines
$49.60–$55.20 $62–$69 varies
Tympanometry and reflex threshold measurements (92550)
range across 2 matching MRF lines
$209.60–$214.40 $262–$268 varies
Unlisted cardiovascular service/procedure (93799) $214.40 $268 1.6×
Unlisted ophthalmological service/procedure (92499)
range across 3 matching MRF lines
$28–$36.80 $35–$46 varies
Unlisted otorhinolaryngological service (92700)
range across 3 matching MRF lines
$26.40–$148 $33–$185 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$28–$194.40 $35–$243 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $269.60 $337 1.2×
Valvuloplasty aortic valve (92986) $12,004 $15,005 2.1×
Valvuloplasty mitral valve (92987) $13,219.20 $16,524 1.1×
Valvuloplasty pulmonary valve (92990) $13,219.20 $16,524 1.1×
Veeg 2-12 hr intmt mntr (95712) $540 $675 1.4×
Veeg 2-12 hr unmonitored (95711) $431.20 $539 2.0×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $748.80 $936 2.0×
Veeg Ea 12-26 Hr Unmntr (95714) $748.80 $936 2.0×
Vent Mgmt Inpat Init Day (94002) $1,868.80 $2,336 3.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,444 $1,805 2.3×
Visual Evoked Potential Test (95930)
range across 2 matching MRF lines
$320–$1,072 $400–$1,340 varies
Visual Field Exam Extended (92083) $131.20 $164 1.0×
Visual field xm uni/bi w/interp intermed exam (92082) $69.60 $87 1.2×
Visual field xm uni/bi w/interpretj limited exam (92081) $99.20 $124 1.6×
Visual reinforcement audiometry (vra) (92579) $209.60 $262 1.0×
Vital capacity, total (94150) $214.40 $268 1.6×
Wheelchair Mgmt Ea 15 Min (97542) $111.20 $139 3.6×
Whirlpool Therapy (97022) $96 $120 6.1×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $24.80 $31 0.6×

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.