Visits & medical services prices at Lawrence + Memorial Hospital

New London, CT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650)
unusually low: confirm this is the full procedure
$4,389.29 $12,192.47 0.5×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $168.12 $466.99 1.1×
Acoustic Reflex Testing (92568) $37.56 $104.34 0.8×
Actinotherapy Ultraviolet Light (96900) $51.89 $144.13 1.2×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $52.44 $145.68 1.5×
Admn Sarscov2 Vacc 1 Dose (90480) $51.84 $144 1.1×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $213.12 $592 0.8×
Aep neurodiagnostic i&r (92653) $403.93 $1,122.04 1.6×
Aep threshold estimation mlt frequencies i&r (92652) $403.93 $1,122.04 1.6×
Airway Inhalation Treatment (94640) $229.36 $637.10 0.9×
Airway resistance by oscillometry (94728) $307.43 $853.96 2.0×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $37.08 $103 0.8×
Allg tstg perq & ic venoms immed react w/i&r (95017) $37.56 $104.34 1.1×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $132.38 $367.72 0.8×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $132.38 $367.72 0.8×
Analyze neurostim complex (95972) $144.41 $401.15 1.3×
Analyze neurostim no prog (95970) $132.38 $367.72 0.8×
Analyze Neurostim Simple (95971) $144.41 $401.15 1.3×
Analyze Pacemaker System (93724) $334.41 $928.92 0.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $71.48 $198.55 5.0×
Application on-body injector (96377) $70.38 $195.51 1.3×
Assessment of aphasia per hr (96105) $296.12 $822.56 3.0×
Assessment of tinnitus (92625) $168.12 $466.99 1.1×
Audiometry Air & Bone (92553) $168.12 $466.99 1.1×
Behavral qualit analys voice (92524) $378.54 $1,051.49 3.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $168.12 $466.99 2.0×
Bfb training ea addl 15 min (90913) $126.09 $350.24 3.9×
Biofeedback training any modality (90901) $158.64 $440.66 3.9×
Bis Xtracell Fluid Analysis (93702) $168.12 $466.99 1.1×
Blink reflex test (95933) $72.21 $200.57 1.0×
Breath hydrogen/methane test (91065) $225.14 $625.38 0.9×
Breathing response to hypoxia (94450) $168.12 $466.99 1.1×
Brief Emotional/Behav Assmt (96127) $43.74 $121.50 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $307.43 $853.96 0.7×
C motor evoked upr&lwr limbs (95939) $1,144.73 $3,179.81 1.1×
Caloric vestibular test w/rec bi monothermal (92538) $307.43 $853.96 1.2×
Caloric Vstblr Test W/Rec (92537) $307.43 $853.96 2.0×
Canalith repositioning proc (95992) $113.41 $315.04 2.8×
Car seat/bed test 60 min (94780) $44.84 $124.56 1.0×
Cardiac Stress Tst,Tracing Only (93017) $307.43 $853.96 1.2×
Cardiopulmonary exercise testing (94621) $307.43 $853.96 0.7×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$307.43–$373.72 $853.96–$1,038.12 varies
Cardioversion (92960)
range across 2 matching MRF lines
$247.18–$747.51 $686.61–$2,076.43 varies
Cardioversion elective internal (92961) $747.51 $2,076.43 0.9×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $135.66 $376.84 5.2×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $3,297.44 $9,159.55 0.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,297.44 $9,159.55 0.8×
Cbt 1st hour (94644) $132.38 $367.72 0.8×
Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) $142.55 $395.98 0.9×
Chemo Admin Peritoneal Cavity (96446) $198.75 $552.09 0.5×
Chemo Anti-Neopl Sq/Im (96401) $70.38 $195.51 0.8×
Chemo Hormon Antineopl Sq/Im (96402) $70.38 $195.51 0.8×
Chemo Ia Push (96420) $257.83 $716.19 0.7×
Chemo Intralesional Over 7 (96406) $237.77 $660.48 0.9×
Chemo intralesional up to 7 (96405) $70.38 $195.51 0.8×
Chemo IV infusion addl hr (96415) $70.38 $195.51 0.8×
Chemo IV push addl drug (96411) $70.38 $195.51 0.8×
Chemother Prolong Infuse W/Pump (96416) $369.78 $1,027.18 0.9×
Chemotherapy Into Cns (96450) $369.78 $1,027.18 0.9×
Chemotherapy Unspecified (96549) $45.95 $127.64 0.8×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $410.56 $1,140.45 1.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $70.38 $195.51 0.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $369.78 $1,027.18 0.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $237.77 $660.48 0.6×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $237.77 $660.48 0.6×
Chest Wall Manipulation (94668) $166.11 $461.41 1.0×
Color/duplex Doppler, complete (93975) $299.04 $830.66 1.0×
Color/duplex Doppler, limited (93976) $240.69 $668.58 1.9×
Community/Work Reintegration Trainj Ea 15 Min (97537) $83.15 $230.96 2.6×
Comprehensive Hearing Test (92557) $168.12 $466.99 1.1×
Conditioning Play Audiometry (92582) $154.62 $429.51 1.0×
Cont gluc mntr physician/qhp provided equiptment (95250) $141.12 $392 0.9×
Cont Gluc Mntr Pt Prov Eqp (95249) $77.97 $216.58 1.1×
Continuous Pulse Ox (94762) $168.12 $466.99 1.1×
Coronary Art/Grft Angio S&I (93455) $3,297.44 $9,159.55 0.8×
Coronary Artery Angio S&I (93454) $3,297.44 $9,159.55 0.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $229.36 $637.10 0.9×
Cpt initial (94667) $166.11 $461.41 1.0×
Critical care first hour (99291)
range across 2 matching MRF lines
$653–$1,369.74 $1,813.88–$3,804.83 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,144.73 $3,179.81 2.6×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$18.98–$202.76 $52.73–$563.23 varies
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $168.12 $466.99 1.1×
Dialysis One Evaluation (90945) $460.29 $1,278.57 0.9×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $282.63 $785.08 0.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $299.04 $830.66 1.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $168.10 $466.95 1.3×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $149.16 $414.32 1.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $447.71 $1,243.63 1.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $306.02 $850.06 2.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $387.02 $1,075.06 1.4×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$130.19–$235.24 $361.64–$653.45 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $304.76 $846.55 1.1×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $146.64 $407.32 1.2×
Duplex Scan Hemodialysis Access (93990) $260.75 $724.30 2.1×
Duplex up extrem art bilat (93930) $404.73 $1,124.24 1.4×
Duplex up extrem art unilat/ltd (93931) $250.40 $695.56 2.0×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $225.10 $625.28 1.5×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $111.23 $308.97 0.7×
ECG/monitoring and analysis (93271) $331.86 $921.83 2.9×
Echo Congenital Complete (93303) $595.16 $1,653.22 0.9×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$299.04–$334.77 $830.66–$929.93 varies
Echo transesophageal (93312) $595.16 $1,653.22 0.9×
Echo Transesophageal - Congenital Tee Complete (93315) $816.52 $2,268.11 1.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $595.16 $1,653.22 0.9×
Eeg 41-60 Minutes (95812) $389.86 $1,082.94 1.5×
EEG awake and asleep (95819) $389.86 $1,082.94 1.5×
EEG awake drowsy (95816) $389.86 $1,082.94 1.5×
EEG cerebral death evaluation (95824) $549.94 $1,527.60 1.2×
EEG cont rec w/video by tech min 8 channels (95700) $331.12 $919.78 1.3×
EEG extended monitoring 61-119 minutes (95813) $389.86 $1,082.94 1.5×
Eeg Sleep Only (95822) $307.43 $853.96 1.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $331.12 $919.78 1.3×
EEG w/o vid 2-12hr cont mntr (95707) $331.12 $919.78 1.3×
EEG w/o vid ea 12-26hr intmt (95709) $634.28 $1,761.90 1.4×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $634.28 $1,761.90 1.4×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $331.12 $919.78 1.3×
EEG wo vid ea 12-26hr unmntr (95708) $634.28 $1,761.90 1.4×
Electrical Stimulation Ea 15 Min (97032) $71.11 $197.54 4.8×
Electrocardiogram Tracing (93005) $87.81 $243.92 1.2×
Electroconvulsive Therapy (90870) $1,087.56 $3,020.99 1.1×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
unusually low: confirm this is the full procedure
$4,389.29 $12,192.47 0.5×
Electrophysiology Evaluation (93642) $1,137.80 $3,160.56 0.8×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$137.28–$247.62 $381.34–$687.83 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$251.59–$532.80 $698.87–$1,479.99 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$384.66–$684.87 $1,068.51–$1,902.41 varies
Endomyocardial Biopsy (93505) $1,727.13 $4,797.57 0.5×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure
$13,416.94 $37,269.28 0.4×
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure
$13,416.94 $37,269.28 0.4×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure
$4,389.29 $12,192.47 0.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure
$4,389.29 $12,192.47 0.5×
Er level 1 (99281)
range across 2 matching MRF lines
$88.56–$130.19 $246.01–$361.64 varies
Er level v (99285)
range across 2 matching MRF lines
$606.23–$951.45 $1,683.96–$2,642.92 varies
Esophageal Capsule Endoscopy (91111) $1,306.27 $3,628.52 1.2×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $772.37 $2,145.47 1.7×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $109.04 $302.89 0.7×
Evaluate pt use of inhaler (94664) $229.36 $637.10 0.9×
Evaluate Speech Production (92522) $231.94 $644.27 2.1×
Evaluate Swallowing Function (92610) $326.75 $907.65 3.9×
Evaluation of speech fluency (92521) $138.58 $384.94 1.0×
Evoked Auditory Test,Limited (92587) $245.43 $681.75 0.9×
Excimer laser tx psoriasis >500 sq cm (96922) $275.88 $766.33 0.6×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $275.88 $766.33 1.1×
Exercise test for bronchospasm (94617) $132.38 $367.72 0.8×
Exhaled Air Analysis O2 (94680) $168.12 $466.99 1.1×
External ECG rec>48hr<7d recording (93242) $51.70 $143.60 1.2×
External ECG rec>48hr<7d scanning alys w/report (93243) $85.01 $236.15 0.5×
External ECG rec>7d<15d recording (93246) $85.01 $236.15 1.9×
External ECG rec>7d<15d scanning alys w/report (93247) $170.91 $474.75 1.1×
External Ecg Scanning Analysis Report (93226) $132.38 $367.72 1.9×
Extracranial Bilat Study (93880) $387.02 $1,075.06 1.4×
Extracranial Uni/Ltd Study (93882) $247.88 $688.55 2.0×
F-up/limited tthrc echo congenital car anomaly (93304) $595.16 $1,653.22 0.9×
Flexible endoscopic eval swallow c/v rec (92612) $357.39 $992.74 1.8×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $307.43 $853.96 1.2×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,144.73 $3,179.81 1.1×
Fundus photography (92250) $132.38 $367.72 0.8×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $772.37 $2,145.47 1.7×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $452.30 $1,256.40 1.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $772.37 $2,145.47 0.8×
Gi tract capsule endoscopy (91110) $1,306.27 $3,628.52 1.2×
Gi wireless capsule measure (91112) $2,393.71 $6,649.20 2.2×
Gonioscopy (92020) $48.88 $135.78 0.3×
Group Therapeutic Procedures (97150) $72.94 $202.60 4.0×
Health Behavior Assessment/Re-Assessment (96156) $102.75 $285.42 0.8×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $35.74 $99.29 0.8×
Health behavior ivntj group f2f 1st 30 min (96164) $35.74 $99.29 0.8×
Health behavior ivntj indiv f2f 1st 30 min (96158) $102.75 $285.42 0.5×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $3,297.44 $9,159.55 0.8×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $728.63 $2,023.97 0.9×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $132.38 $367.72 0.8×
Holter monitor recording (93225) $132.38 $367.72 0.8×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $37.08 $103 0.8×
Icd Device Interrogate (93289) $46.68 $129.66 1.0×
Icd device progr eval dual (93283) $46.68 $129.66 1.0×
Icd Device Progr Eval Mult (93284) $52.88 $146.89 1.2×
Icm Device Eval (93290) $46.68 $129.66 1.0×
Ilr Device Interrogate (93291) $37.56 $104.34 1.1×
Im Adm Intransl/Oral 1 Vaccine (90473) $51.84 $144 0.6×
Immunization administration (90471) $51.84 $144 0.6×
Ingestion challenge test initial 120 minutes (95076) $598.13 $1,661.48 1.3×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $549.94 $1,527.60 1.2×
Inital newborn e/m (99460) $141.13 $392.03 0.9×
Insert/Place Heart Catheter (93503) $823.08 $2,286.34 0.4×
Interrogate Subq Defib (93261) $46.68 $129.66 1.0×
Interrogation eval in person wr defibrillator (93292) $46.68 $129.66 1.0×
Interrogation vad in person (93750) $144.41 $401.15 1.3×
Intra-atrial recording (93602)
unusually low: confirm this is the full procedure
$3,142.53 $8,729.25 0.3×
Intracranial Complete Study (93886) $367.23 $1,020.09 1.3×
Intracutaneous tests w/allergenic extracts (95024) $71.28 $198 1.0×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$4,389.29 $12,192.47 0.5×
Iontophoresis 15 min (97033) $63.09 $175.25 3.3×
Irrig Drug Delivery Device (96523) $72.21 $200.57 1.0×
IV infusion hydration each additional hour (96361) $45.95 $127.64 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $237.77 $660.48 0.9×
IV infusion ther proph addl sequential to 1 hr (96367) $70.38 $195.51 0.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $45.95 $127.64 0.8×
IV push initial (96374) $208.96 $580.45 0.8×
L Hrt Art/Grft Angio (93459) $3,297.44 $9,159.55 0.8×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $3,746.57 $10,407.14 1.0×
Laryngeal Function Studies (92520) $132.38 $367.72 0.8×
Low frequency non-thermal us (97610) $202.76 $563.23 0.8×
Lung Function Test (Mbc/Mvv) (94200) $132.38 $367.72 1.9×
Mechanical chest wall oscillation per session (94669) $307.35 $853.76 1.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $51.81 $143.92 1.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $51.81 $143.92 1.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $33 $91.67 1.9×
Methacholine challenge (94070) $307.43 $853.96 0.7×
Motility study esophagus (91010) $772.37 $2,145.47 1.7×
Motion Fluoroscopy/Swallow (92611) $255.64 $710.11 2.8×
Multiple Family Group Psychotherapy (90849)
range across 5 matching MRF lines
$32.31–$105.03 $89.76–$291.74 varies
Multiple Sleep Latency Test (95805) $1,224.38 $3,401.06 1.2×
Muscle Test 2 Limbs (95861) $132.38 $367.72 0.8×
Muscle Test Nonparaspinal (95870) $72.21 $200.57 0.5×
Muscle Test One Limb (95860) $132.38 $367.72 0.8×
Nasal function studies (92512) $119.98 $333.28 0.5×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$101.62–$193.64 $282.27–$537.90 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868) $168.12 $466.99 0.6×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $168.12 $466.99 0.6×
Needle electromyography larynx (95865) $132.38 $367.72 0.8×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $104.66 $290.73 0.4×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $168.12 $466.99 0.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $382.91 $1,063.65 0.8×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $382.91 $1,063.65 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $136.03 $377.85 0.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $286.28 $795.21 0.6×
Nerve Conduction Studies 1-2 Studies (95907) $168.12 $466.99 0.6×
Nerve Conduction Studies 11-12 Studies (95912) $549.94 $1,527.60 1.2×
Nerve conduction studies 13 or more studies (95913) $549.94 $1,527.60 1.2×
Nerve Conduction Studies 3-4 Studies (95908) $307.43 $853.96 1.2×
Nerve conduction studies 5-6 studies (95909) $307.43 $853.96 1.2×
Nerve conduction studies 7-8 studies (95910) $307.43 $853.96 0.7×
Nerve Conduction Studies 9-10 Studies (95911) $549.94 $1,527.60 1.2×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $168.12 $466.99 1.1×
Neuromuscular Reeducation (97112) $134.57 $373.80 4.1×
Newborn resuscitation (99465) $637.10 $1,769.71 0.8×
Nitric oxide expired gas determination (95012) $37.56 $104.34 0.8×
Nonphysician Telephone Assessment 11-20 Min (98967) $23.40 $65 0.9×
Nonphysician Telephone Assessment 21-30 Min (98968) $34.56 $96 1.0×
Nonphysician Telephone Assessment 5-10 Min (98966) $12.24 $34 0.9×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $141.13 $392.03 0.9×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $141.13 $392.03 0.9×
Ophth medical xm&eval intermediate estab pt (92012) $89.35 $248.19 0.6×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $141.13 $392.03 0.9×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $71.95 $199.86 1.0×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $82 $227.78 1.2×
Oral Function Therapy (92526) $282.63 $785.08 3.4×
Oral Speech Device Eval (92597) $246.52 $684.79 3.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $92.63 $257.30 1.8×
Orthoptic training under supervision of phys/qhp (92066) $85.39 $237.20 1.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $72.94 $202.60 1.6×
Ot Contrast Bath Ea 15 Min (97034) $287.73 $799.26 20.5×
Ot eval high complexity (97167) $256.37 $712.14 2.5×
Ot Eval Low Complex (97165) $256.37 $712.14 2.5×
Ot Eval Moderate Complexity (97166) $256.37 $712.14 2.5×
Ot manual therapy 15 min (97140) $90.08 $250.21 3.2×
Ot paraffin bath (97018) $68.56 $190.44 11.4×
Ot Prosthetic Training, Each 15 Min (97761) $84.61 $235.02 2.1×
Ot Re-Eval Est Plan Care (97168) $167.39 $464.97 2.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $145.87 $405.20 0.9×
Oxygen Uptake Rest Indirect (94690) $37.56 $104.34 0.5×
Patch/Application Test Specify Number Tests (95044) $95.40 $265 0.1×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $346.08 $961.34 0.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $229.36 $637.10 0.9×
Percutaneous tests w/allergenic extracts (95004) $95.40 $265 0.1×
Peripheral arterial disease rehab per session (93668) $38.66 $107.38 0.5×
Perq transcath closure pda (93582)
unusually low: confirm this is the full procedure
$9,213.64 $25,593.45 0.4×
Perq Transcath Cls Mitral (93590)
unusually low: confirm this is the full procedure
$9,213.64 $25,593.45 0.4×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $4,496.14 $12,489.28 0.7×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $9,763.03 $27,119.54 0.7×
Phlebotomy therapeutic (99195) $72.21 $200.57 0.5×
Photochemotx Psoralens&Ultraviolet Puva (96912) $103.20 $286.68 1.5×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $82 $227.78 1.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $82 $227.78 1.2×
Physical Performance Test (97750) $97.73 $271.48 2.9×
Plethysmography (94726) $202.76 $563.23 0.5×
Pm device eval in person (93288) $46.68 $129.66 1.0×
Pm device progr eval dual (93280) $46.68 $129.66 1.0×
Pm device progr eval multi (93281) $46.68 $129.66 1.0×
Pm Device Progr Eval Sngl (93279) $46.68 $129.66 1.0×
Pm/Icd Remote Tech Serv (93296) $46.68 $129.66 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,388.11 $3,855.85 1.3×
Polysom <6 yrs 4/> paramtrs (95782) $1,388.11 $3,855.85 1.3×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,388.11 $3,855.85 1.3×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $1,388.11 $3,855.85 1.3×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $45.95 $127.64 0.8×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $46.68 $129.66 1.0×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $46.68 $129.66 1.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $21.24 $59 0.4×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $68.52 $190.33 1.2×
Prq Card Angio/Athrect 1 Art (92924) $7,303.45 $20,287.35 0.5×
Prq Card Stent W/Angio 1 Vsl (92928) $9,763.03 $27,119.54 0.7×
Prq Card Stent/Ath/Angio (92933) $13,185.90 $36,627.50 0.6×
Prq Revasc Byp Graft 1 Vsl (92937) $9,763.03 $27,119.54 0.7×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
unusually low: confirm this is the full procedure
$9,213.64 $25,593.45 0.4×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $7,303.45 $20,287.35 0.5×
Psych diag eval w/med srvcs (90792)
range across 2 matching MRF lines
$197.10–$198.40 $547.51–$551.10 varies
Psychiatric diagnostic evaluation (90791)
range across 4 matching MRF lines
$173.42–$197.10 $481.71–$547.51 varies
Psychological tst eval svc phys/qhp first hour (96130)
range across 2 matching MRF lines
$123.47–$178.61 $342.96–$496.15 varies
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $50.69 $140.81 1.3×
Pt Eval High Complex (97163) $256.37 $712.14 2.6×
Pt eval low complex 20 min (97161) $256.37 $712.14 2.6×
Pt Eval Mod Complex (97162) $256.37 $712.14 2.6×
Pt gait training 15 min (97116) $94.09 $261.35 3.2×
Pt group caregiver training (97552) $72.94 $202.60 3.3×
Pt mechanical traction (97012) $114.51 $318.08 8.0×
Pt Re-Eval Est Plan Care (97164) $167.39 $464.97 2.5×
Pulm function test by gas (94727) $168.12 $466.99 0.6×
Pulmonary service/procedure (94799) $123.63 $343.41 0.8×
Pulmonary Stress Testing (94618) $132.38 $367.72 0.8×
Pure Tone Audiometry Air (92552) $72.21 $200.57 0.5×
Quan puplmtry phy/qhp uni/bi (95919) $172.49 $479.15 1.1×
R Hrt Art/Grft Angio (93457) $3,297.44 $9,159.55 0.8×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $3,746.57 $10,407.14 1.0×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $3,746.57 $10,407.14 1.0×
R hrt coronary artery angio (93456) $3,297.44 $9,159.55 0.8×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $3,746.57 $10,407.14 1.0×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $3,746.57 $10,407.14 1.0×
R&L Hrt Cath W/Ventriclgrphy (93453) $3,297.44 $9,159.55 0.8×
Rapid Desensitization Procedure Each Hour (95180) $115.24 $320.11 0.2×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $369.78 $1,027.18 0.9×
Refill/Maint Portable Pump (96521) $237.77 $660.48 0.9×
Refill/Maint Pump/Resvr Syst (96522) $237.77 $660.48 0.9×
Rem interrog icpms <30 d phys/qhp (93297) $54.35 $150.96 1.2×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $54.35 $150.96 1.2×
Rem Ther Mntr Dev Sply Cbt (98978) $52 $144.45 1.2×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $52 $144.45 1.2×
Remote 30 Day Ecg Rev/Report (93270) $51.15 $142.09 1.1×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $179.55 $498.75 1.1×
Repet tms tx initial w/map/motr threshld/del&m (90867) $741.60 $2,060 2.9×
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) $620.72 $1,724.22 2.4×
Respiratory flow volume loop (94375) $191.09 $530.81 0.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $72.21 $200.57 1.0×
Right Heart Cath (93451) $3,297.44 $9,159.55 0.8×
Right ventricular recording (93603) $1,137.80 $3,160.56 0.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $169.58 $471.05 0.7×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $23.71 $65.85 0.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $412.82 $1,146.72 3.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $122.90 $341.38 2.6×
Select picture audiometry (92583) $37.56 $104.34 0.5×
Self Care Mngment Training (97535) $135.66 $376.84 4.2×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $82 $227.78 1.2×
Sensory Integration Ea 15 Min (97533) $88.62 $246.16 1.5×
Short-latency somatosens ep std upr limbs (95925) $307.43 $853.96 1.2×
Sleep study attended (95807) $718.17 $1,994.93 1.6×
Sleep study unattended (95806) $349.66 $971.29 1.4×
Slp caregiver training 1st 30 min (97550) $271.32 $753.68 5.1×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $477.96 $1,327.67 1.8×
Somatosensory Testing (95938) $549.94 $1,527.60 0.5×
Speech Audiometry Complete (92556) $37.56 $104.34 0.5×
Speech audiometry threshold (92555) $37.56 $104.34 0.5×
Speech sound lang comprehen (92523) $470.44 $1,306.77 2.1×
Spin/Brain Pump Refil & Main (95991) $305.60 $848.89 0.8×
Spirometry (94010) $168.12 $466.99 0.6×
Ssep lower limbs (95926) $307.43 $853.96 1.2×
Standardized Cognitive Performance Testing (96125) $359.58 $998.82 3.5×
Stenger Test, Pure Tone (92565) $37.56 $104.34 0.5×
Stress Tte Only (93350) $595.16 $1,653.22 0.9×
Subq Infusion Additional Pump Infusion Site (96371) $70.38 $195.51 0.8×
Surfactant Admin Thru Tube (94610) $248.23 $689.53 0.9×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$637.10 $50.30–$1,769.71 0.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $88.62 $246.16 4.0×
Ther Ivntj Ea Addl 15 Min (97130) $88.62 $246.16 4.2×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $76.58 $212.73 2.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $75.49 $209.69 2.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $197.29 $548.03 1.9×
Ther/Proph/Diag Inj Ia (96373) $128.73 $357.59 0.5×
Ther/Proph/Diag Inj Sc/Im (96372) $70.38 $195.51 0.8×
Ther/Proph/Diag Iv Inf Init (96365) $237.77 $660.48 0.9×
Therap repetitive tms tx subseq delivery & mng (90868) $430.87 $1,196.86 1.7×
Therapeutic Activities (97530) $137.48 $381.90 3.9×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $549.94 $1,527.60 1.2×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$30.42–$32.09 $84.51–$89.14 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$14.39–$28.44 $39.96–$79.01 varies
Transcath Closure of Asd (93580)
unusually low: confirm this is the full procedure
$9,213.64 $25,593.45 0.4×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $242.15 $672.63 1.9×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $74.39 $206.65 1.7×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $168.12 $466.99 1.1×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $132.38 $367.72 0.8×
Tte w/doppler, complete (93306) $595.16 $1,653.22 0.9×
Tte W/O Doppler Complete (93307) $502.53 $1,395.91 1.8×
Tx atrial fib pulm vein isol (93656)
unusually low: confirm this is the full procedure
$13,416.94 $37,269.28 0.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $171.76 $477.12 2.3×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $98.83 $274.52 4.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $45.95 $127.64 0.8×
Tympanometry (92567) $37.56 $104.34 0.8×
Tympanometry and reflex threshold measurements (92550) $114.88 $319.10 0.4×
Unlisted allergy/clinical immunologic srvc/px (95199) $16.56 $46 0.5×
Unlisted cardiovascular service/procedure (93799) $168.12 $466.99 1.1×
Unlisted Psychiatric Service/Procedure (90899) $981.51 $2,726.41 21.9×
Upr/L Xtremity Art 2 Levels (93922) $183.83 $510.63 1.2×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $277.38 $770.50 1.1×
Valvuloplasty aortic valve (92986) $4,496.14 $12,489.28 0.7×
Valvuloplasty mitral valve (92987) $7,303.45 $20,287.35 0.5×
Valvuloplasty pulmonary valve (92990) $7,303.45 $20,287.35 0.5×
Vasopneumatic device (97016) $51.06 $141.82 4.2×
Veeg 2-12 Hr Cont Mntr (95713) $634.28 $1,761.90 1.4×
Veeg 2-12 hr intmt mntr (95712) $331.12 $919.78 0.7×
Veeg 2-12 hr unmonitored (95711) $331.12 $919.78 1.3×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $634.28 $1,761.90 1.4×
Veeg Ea 12-26 Hr Unmntr (95714) $634.28 $1,761.90 1.4×
Veeg ea 12-26hr cont mntr (95716) $1,189.14 $3,303.18 1.2×
Vent Mgmt Inpat Init Day (94002) $592.37 $1,645.46 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $592.37 $1,645.46 0.8×
Visual Evoked Potential Test (95930) $168.12 $466.99 0.6×
Visual field xm uni/bi w/interp intermed exam (92082) $72.21 $200.57 1.0×
Visual field xm uni/bi w/interpretj limited exam (92081) $72.21 $200.57 1.0×
Visual reinforcement audiometry (vra) (92579) $168.12 $466.99 0.6×
Vital capacity, total (94150) $91.17 $253.25 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $80.96 $224.89 2.6×
Whirlpool Therapy (97022) $110.50 $306.94 7.0×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $85.01 $236.15 1.2×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $72.21 $200.57 1.6×

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.