Visits & medical services prices at Legacy Good Samaritan Medical Center
Portland, OR · every code in this section with a posted price and a Medicare benchmark.
329 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $7,391.80 | $11,372 | 0.9× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $327.60 | $504 | 2.3× |
| Actigraphy Testing Recording Analysis I&R (95803) | $533 | $820 | 8.1× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $51.35 | $79 | 1.1× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $688.35 | $1,059 | 2.9× |
| Aep neurodiagnostic i&r (92653) | $1,102.40 | $1,696 | 4.6× |
| Aep threshold estimation mlt frequencies i&r (92652) | $1,064.70 | $1,638 | 4.4× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$98.80–$1,023.10 | $152–$1,574 | varies |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $153.40 | $236 | 1.1× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) range across 2 matching MRF lines |
$401.05–$469.30 | $617–$722 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$33.80–$41.60 | $52–$64 | varies |
| Assessment of aphasia per hr (96105) | $371.80 | $572 | 3.8× |
| Assessment of tinnitus (92625) | $218.40 | $336 | 1.5× |
| Audiometry Air & Bone (92553) | $182.65 | $281 | 1.3× |
| Auditory Function, 60 Min (92620) | $286 | $440 | 2.0× |
| Basic vestibular evaluation (92540) range across 2 matching MRF lines |
$209.30–$1,778.40 | $322–$2,736 | varies |
| Behavral qualit analys voice (92524) | $438.75 | $675 | 4.0× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $164.45 | $253 | 2.0× |
| Bfb training ea addl 15 min (90913) | $41.60 | $64 | 1.3× |
| Bis Xtracell Fluid Analysis (93702) | $136.50 | $210 | 1.0× |
| Breath hydrogen/methane test (91065) | $741 | $1,140 | 3.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$100.75–$603.20 | $155–$928 | varies |
| Bundle of his recording (93600) | $4,830.80 | $7,432 | 0.6× |
| C motor evoked uppr limbs (95928) range across 2 matching MRF lines |
$299.65–$1,194.05 | $461–$1,837 | varies |
| C motor evoked upr&lwr limbs (95939) range across 2 matching MRF lines |
$735.80–$1,945.45 | $1,132–$2,993 | varies |
| Caloric vestibular test w/rec bi monothermal (92538) range across 2 matching MRF lines |
$267.15–$562.90 | $411–$866 | varies |
| Caloric Vstblr Test W/Rec (92537) range across 2 matching MRF lines |
$533.65–$1,123.20 | $821–$1,728 | varies |
| Canalith repositioning proc (95992) | $103.35 | $159 | 2.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $583.05 | $897 | 2.4× |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$206.70–$2,077.40 | $318–$3,196 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$1,418.95–$1,589.25 | $2,183–$2,445 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$1,357.20–$1,520.35 | $2,088–$2,339 | varies |
| Cardioversion elective internal (92961) | $1,210.30 | $1,862 | 1.6× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $52 | $80 | 2.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $12,078.30 | $18,582 | 3.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $9,795.50 | $15,070 | 2.7× |
| Cbt 1st hour (94644) | $219.05 | $337 | 1.5× |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) range across 2 matching MRF lines |
$133.25–$1,410.50 | $205–$2,170 | varies |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $470.60 | $724 | 2.0× |
| Cervical Vemp Testing W/I&R (92517) | $234.65 | $361 | 1.6× |
| Chemo Admin Peritoneal Cavity (96446) | $860.60 | $1,324 | 2.3× |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$348.40–$390 | $536–$600 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $250.90 | $386 | 3.1× |
| Chemo Ia Push (96420) | $442.65 | $681 | 1.2× |
| Chemo Intralesional Over 7 (96406) | $321.10 | $494 | 1.4× |
| Chemo intralesional up to 7 (96405) | $213.85 | $329 | 2.7× |
| Chemo IV infusion addl hr (96415) | $274.30 | $422 | 3.4× |
| Chemo IV push addl drug (96411) | $527.80 | $812 | 6.6× |
| Chemother Prolong Infuse W/Pump (96416) | $1,362.40 | $2,096 | 3.7× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$709.15–$905.45 | $1,091–$1,393 | varies |
| Chemotherapy Intracavitary (96440) | $431.60 | $664 | 1.2× |
| Chemotherapy Unspecified (96549) range across 4 matching MRF lines |
$181.35–$301.60 | $279–$464 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $349.70 | $538 | 4.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $763.75 | $1,175 | 2.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $672.10 | $1,034 | 1.8× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $431.60 | $664 | 1.2× |
| Color/duplex Doppler, complete (93975) | $688.35 | $1,059 | 2.6× |
| Color/duplex Doppler, limited (93976) | $585.65 | $901 | 5.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $78 | $120 | 2.4× |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$349.05–$471.90 | $537–$726 | varies |
| Computerized dynamic posturography (92548) range across 2 matching MRF lines |
$100.10–$1,056.25 | $154–$1,625 | varies |
| Conditioning Play Audiometry (92582) | $183.95 | $283 | 1.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $537.55 | $827 | 3.6× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $187.20 | $288 | 2.9× |
| Continuous Pulse Ox (94762) | $354.90 | $546 | 2.5× |
| Coronary Art/Grft Angio S&I (93455) | $8,113.30 | $12,482 | 2.3× |
| Coronary Artery Angio S&I (93454) | $7,581.60 | $11,664 | 2.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 5 matching MRF lines |
$154.05–$1,393.60 | $237–$2,144 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$1,290.90–$3,965 | $1,986–$6,100 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) range across 2 matching MRF lines |
$299.65–$1,194.05 | $461–$1,837 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$352.95–$395.20 | $543–$608 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) range across 5 matching MRF lines |
$224.25–$313.95 | $345–$483 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $153.40 | $236 | 1.1× |
| Dialysis One Evaluation (90945) range across 4 matching MRF lines |
$1,222.65–$1,898.65 | $1,881–$2,921 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $318.50 | $490 | 0.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $593.45 | $913 | 2.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $422.50 | $650 | 3.6× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $551.20 | $848 | 4.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,035.45 | $1,593 | 3.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $709.80 | $1,092 | 6.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $956.15 | $1,471 | 3.6× |
| Dup-scan xtr veins unilateral/limited study (93971) | $590.20 | $908 | 5.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $228.80 | $352 | 0.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $109.20 | $168 | 0.9× |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$546–$817.05 | $840–$1,257 | varies |
| Duplex up extrem art bilat (93930) | $681.20 | $1,048 | 2.6× |
| Duplex up extrem art unilat/ltd (93931) | $580.45 | $893 | 5.0× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $156 | $240 | 1.1× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $153.40 | $236 | 1.1× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $153.40 | $236 | 1.1× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$142.35–$1,630.20 | $219–$2,508 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$204.10–$848.25 | $314–$1,305 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $2,382.25 | $3,665 | 3.9× |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$573.95–$1,588.60 | $883–$2,444 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$573.95–$2,313.35 | $883–$3,559 | varies |
| Eeg 41-60 Minutes (95812) range across 4 matching MRF lines |
$244.40–$1,029.60 | $376–$1,584 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$317.20–$911.95 | $488–$1,403 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$274.95–$911.95 | $423–$1,403 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$367.25–$971.10 | $565–$1,494 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $403 | $620 | 1.7× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$308.10–$1,189.50 | $474–$1,830 | varies |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$287.95–$911.95 | $443–$1,403 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,928.55 | $2,967 | 8.0× |
| EEG w/o vid ea 12-26hr intmt (95709) | $3,791.45 | $5,833 | 9.1× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $2,020.20 | $3,108 | 8.4× |
| EEG wo vid ea 12-26hr unmntr (95708) | $3,699.15 | $5,691 | 8.9× |
| EKG signal averaged (93278) range across 2 matching MRF lines |
$163.15–$504.40 | $251–$776 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$70.85–$81.25 | $109–$125 | varies |
| Electrocardiogram Tracing (93005) | $278.85 | $429 | 4.3× |
| Electrocochleography (92584) | $1,075.75 | $1,655 | 7.5× |
| Electroconvulsive Therapy (90870) | $920.40 | $1,416 | 1.0× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $5,924.10 | $9,114 | 0.7× |
| Electrophysiology Evaluation (93642) | $1,197.95 | $1,843 | 0.9× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$216.45–$492.05 | $333–$757 | varies |
| Emergency Dept Visit Level 3 (99283) | $893.75 | $1,375 | 2.9× |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$620.75–$1,547 | $955–$2,380 | varies |
| Endomyocardial Biopsy (93505) | $2,714.40 | $4,176 | 0.8× |
| Ep & ablate supravent arrhyt (93653) | $17,057.30 | $26,242 | 0.6× |
| Ep & ablate ventric tachy (93654) | $25,837.50 | $39,750 | 0.9× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $7,732.40 | $11,896 | 0.9× |
| Er level 1 (99281) range across 2 matching MRF lines |
$137.15–$271.70 | $211–$418 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$976.95–$2,282.15 | $1,503–$3,511 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 4 matching MRF lines |
$243.10–$507 | $374–$780 | varies |
| Evaluate pt use of inhaler (94664) | $270.40 | $416 | 1.1× |
| Evaluate Speech Production (92522) | $438.75 | $675 | 3.9× |
| Evaluate Swallowing Function (92610) range across 6 matching MRF lines |
$101.40–$793.65 | $156–$1,221 | varies |
| Evaluation of speech fluency (92521) | $438.75 | $675 | 3.3× |
| Evoked Auditory Test,Limited (92587) | $318.50 | $490 | 1.3× |
| External ECG rec>48hr<7d recording (93242) | $462.80 | $712 | 11.1× |
| External ECG rec>7d<15d recording (93246) | $462.80 | $712 | 11.1× |
| Extracranial Bilat Study (93880) | $856.05 | $1,317 | 3.2× |
| Extracranial Uni/Ltd Study (93882) | $601.25 | $925 | 5.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$138.45–$1,060.80 | $213–$1,632 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) range across 5 matching MRF lines |
$196.30–$596.05 | $302–$917 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) range across 2 matching MRF lines |
$216.45–$1,564.55 | $333–$2,407 | varies |
| Group Therapeutic Procedures (97150) range across 12 matching MRF lines |
$33.80–$448.50 | $52–$690 | varies |
| Health Behavior Assessment/Re-Assessment (96156) range across 4 matching MRF lines |
$164.45–$201.50 | $253–$310 | varies |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $156 | $240 | 3.7× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $83.85 | $129 | 2.0× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $156 | $240 | 0.8× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $11,965.85 | $18,409 | 3.3× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $2,471.30 | $3,802 | 3.2× |
| High altitude simulation test (94452) range across 2 matching MRF lines |
$51.35–$325 | $79–$500 | varies |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) range across 2 matching MRF lines |
$67.60–$414.70 | $104–$638 | varies |
| Holter monitor recording (93225) | $462.80 | $712 | 3.1× |
| Icd Device Interrogate (93289) | $368.55 | $567 | 8.9× |
| Icd device progr eval dual (93283) | $304.20 | $468 | 7.3× |
| Immunization administration (90471) | $76.70 | $118 | 1.0× |
| Insert/Place Heart Catheter (93503) range across 3 matching MRF lines |
$1,719.25–$2,115.10 | $2,645–$3,254 | varies |
| Intra-atrial pacing (93610) | $4,830.80 | $7,432 | 0.6× |
| Intra-atrial recording (93602) | $4,830.80 | $7,432 | 0.6× |
| Intracranial Complete Study (93886) | $1,472.90 | $2,266 | 5.6× |
| Intraventricular pacing (93612) | $4,830.80 | $7,432 | 0.6× |
| Iontophoresis 15 min (97033) | $78 | $120 | 4.1× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$181.35–$202.80 | $279–$312 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$126.10–$141.05 | $194–$217 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$447.20–$501.15 | $688–$771 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$169–$189.15 | $260–$291 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$135.20–$170.30 | $208–$262 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$248.30–$278.20 | $382–$428 | varies |
| L Hrt Art/Grft Angio (93459) | $10,241.40 | $15,756 | 2.8× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $6,848.40 | $10,536 | 1.9× |
| Laryngeal Function Studies (92520) | $618.15 | $951 | 4.2× |
| Low frequency non-thermal us (97610) | $279.50 | $430 | 1.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,086.80 | $1,672 | 4.5× |
| Mechanical chest wall oscillation per session (94669) | $208.65 | $321 | 0.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 7 matching MRF lines |
$61.75–$102.70 | $95–$158 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 7 matching MRF lines |
$61.75–$84.50 | $95–$130 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 4 matching MRF lines |
$40.30–$56.55 | $62–$87 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$206.70–$1,040.65 | $318–$1,601 | varies |
| Mlt fam group bhv mgmt/modificaj traing ea addl (96203) | $183.30 | $282 | 34.3× |
| Motion Fluoroscopy/Swallow (92611) range across 6 matching MRF lines |
$265.20–$517.40 | $408–$796 | varies |
| Multiple Family Group Psychotherapy (90849) range across 4 matching MRF lines |
$111.80–$279.50 | $172–$430 | varies |
| Multiple Sleep Latency Test (95805) range across 4 matching MRF lines |
$1,947.40–$2,542.80 | $2,996–$3,912 | varies |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$252.85–$306.80 | $389–$472 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$190.45–$249.60 | $293–$384 | varies |
| Nasopharyngoscopy (92511) range across 3 matching MRF lines |
$195–$382.20 | $300–$588 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$83.85–$382.20 | $129–$588 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $562.90 | $866 | 1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $743.60 | $1,144 | 1.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$97.50–$389.35 | $150–$599 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $568.75 | $875 | 1.3× |
| Neurobehavioral Status Exam (96116) range across 3 matching MRF lines |
$262.60–$443.95 | $404–$683 | varies |
| Neuromuscular Reeducation (97112) range across 11 matching MRF lines |
$72.80–$103.35 | $112–$159 | varies |
| Newborn resuscitation (99465) | $529.75 | $815 | 0.7× |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 4 matching MRF lines |
$48.75–$125.45 | $75–$193 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 4 matching MRF lines |
$73.45–$195.65 | $113–$301 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 4 matching MRF lines |
$24.05–$87.75 | $37–$135 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 4 matching MRF lines |
$262.60–$366.60 | $404–$564 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $607.75 | $935 | 1.5× |
| Ocular Vemp Testing W/I&R (92518) | $234.65 | $361 | 1.6× |
| Optokinetic Nystagmus Test (92544) range across 4 matching MRF lines |
$109.20–$891.80 | $168–$1,372 | varies |
| Oral Function Therapy (92526) range across 14 matching MRF lines |
$110.50–$542.75 | $170–$835 | varies |
| Oral Speech Device Eval (92597) | $420.55 | $647 | 5.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 4 matching MRF lines |
$100.75–$115.70 | $155–$178 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 5 matching MRF lines |
$100.75–$109.85 | $155–$169 | varies |
| Oscillating Tracking Test (92545) range across 2 matching MRF lines |
$109.20–$353.60 | $168–$544 | varies |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$61.75–$63.70 | $95–$98 | varies |
| Ot eval high complexity (97167) range across 4 matching MRF lines |
$438.10–$666.90 | $674–$1,026 | varies |
| Ot Eval Low Complex (97165) range across 5 matching MRF lines |
$91–$406.90 | $140–$626 | varies |
| Ot Eval Moderate Complexity (97166) range across 4 matching MRF lines |
$314.60–$470.60 | $484–$724 | varies |
| Ot manual therapy 15 min (97140) range across 6 matching MRF lines |
$52–$70.20 | $80–$108 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$52–$61.75 | $80–$95 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $100.75 | $155 | 2.5× |
| Ot Re-Eval Est Plan Care (97168) | $188.50 | $290 | 2.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $155.35 | $239 | 1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $115.05 | $177 | 0.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $450.45 | $693 | 1.9× |
| Peripheral arterial disease rehab per session (93668) | $106.60 | $164 | 1.6× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $22,588.80 | $34,752 | 1.1× |
| Perq transcath closure pda (93582) | $16,191.50 | $24,910 | 0.8× |
| Perq Transcath Cls Aortic (93591) | $16,191.50 | $24,910 | 0.8× |
| Perq Transcath Cls Mitral (93590) | $16,191.50 | $24,910 | 0.8× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $6,658.60 | $10,244 | 1.1× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $10,501.40 | $16,156 | 0.8× |
| Phlebotomy therapeutic (99195) | $438.10 | $674 | 3.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $596.05 | $917 | 9.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $496.60 | $764 | 7.6× |
| Physical Performance Test (97750) range across 11 matching MRF lines |
$45.50–$536.25 | $70–$825 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$63.05–$631.15 | $97–$971 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 7 matching MRF lines |
$3,522.35–$4,957.55 | $5,419–$7,627 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $3,383.90 | $5,206 | 3.5× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $3,467.10 | $5,334 | 3.6× |
| Positional nystagmus test (92542) range across 2 matching MRF lines |
$85.80–$611 | $132–$940 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $304.20 | $468 | 7.3× |
| Prq Card Angio/Athrect 1 Art (92924) | $10,501.40 | $16,156 | 0.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $12,041.90 | $18,526 | 0.9× |
| Prq Card Stent/Ath/Angio (92933) | $16,191.50 | $24,910 | 0.8× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $12,314.90 | $18,946 | 1.0× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $16,191.50 | $24,910 | 0.8× |
| Prq trl rvs ch occ ant&rtrgr (92945) unusually low: confirm this is the full procedure |
$4,340.70 | $6,678 | 0.3× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $10,501.40 | $16,156 | 0.8× |
| Psych diag eval w/med srvcs (90792) | $254.80 | $392 | 1.3× |
| Psychiatric diagnostic evaluation (90791) range across 7 matching MRF lines |
$150.80–$377 | $232–$580 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) range across 4 matching MRF lines |
$262.60–$265.20 | $404–$408 | varies |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $93.60 | $144 | 0.2× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 4 matching MRF lines |
$123.50–$130.65 | $190–$201 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 4 matching MRF lines |
$271.05–$347.10 | $417–$534 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $80.60 | $124 | 2.1× |
| Pt Eval High Complex (97163) range across 5 matching MRF lines |
$300.30–$438.10 | $462–$674 | varies |
| Pt eval low complex 20 min (97161) range across 6 matching MRF lines |
$65–$297.05 | $100–$457 | varies |
| Pt Eval Mod Complex (97162) range across 5 matching MRF lines |
$314.60–$360.75 | $484–$555 | varies |
| Pt gait training 15 min (97116) range across 8 matching MRF lines |
$78–$114.40 | $120–$176 | varies |
| Pt mechanical traction (97012) | $52 | $80 | 3.6× |
| Pt Re-Eval Est Plan Care (97164) range across 4 matching MRF lines |
$188.50–$227.50 | $290–$350 | varies |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$63.05–$601.25 | $97–$925 | varies |
| Pulmonary service/procedure (94799) range across 6 matching MRF lines |
$176.15–$2,139.15 | $271–$3,291 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$91.65–$345.80 | $141–$532 | varies |
| Pure Tone Audiometry Air (92552) range across 3 matching MRF lines |
$167.70–$231.40 | $258–$356 | varies |
| R Hrt Art/Grft Angio (93457) | $11,524.50 | $17,730 | 3.2× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $4,217.20 | $6,488 | 1.2× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $3,267.55 | $5,027 | 0.9× |
| R hrt coronary artery angio (93456) | $11,318.45 | $17,413 | 3.1× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $10,227.10 | $15,734 | 2.8× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $9,367.15 | $14,411 | 2.6× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $8,527.35 | $13,119 | 2.4× |
| Refill/Maint Portable Pump (96521) | $888.55 | $1,367 | 3.8× |
| Refill/Maint Pump/Resvr Syst (96522) range across 2 matching MRF lines |
$321.10–$611.65 | $494–$941 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $342.55 | $527 | 8.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $184.60 | $284 | 2.8× |
| Right Heart Cath (93451) | $6,143.15 | $9,451 | 1.7× |
| Right ventricular recording (93603) | $2,377.05 | $3,657 | 1.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$308.10–$345.15 | $474–$531 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 4 matching MRF lines |
$277.55–$463.45 | $427–$713 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $154.70 | $238 | 3.2× |
| Select picture audiometry (92583) | $215.15 | $331 | 3.3× |
| Self Care Mngment Training (97535) range across 6 matching MRF lines |
$100.75–$114.40 | $155–$176 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $1,159.60 | $1,784 | 4.8× |
| Sinusoidal Vertical Axis Rotational Testing (92546) range across 4 matching MRF lines |
$133.25–$1,168.05 | $205–$1,797 | varies |
| Sleep study attended (95807) | $958.10 | $1,474 | 2.3× |
| Sleep study unattended (95806) | $594.75 | $915 | 2.5× |
| Slp caregiver training 1st 30 min (97550) | $113.10 | $174 | 2.1× |
| Slp Stdy Unatnd W/Anal (95801) | $243.10 | $374 | 3.7× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $579.15 | $891 | 2.4× |
| Somatosensory Testing (95938) range across 2 matching MRF lines |
$369.85–$2,317.25 | $569–$3,565 | varies |
| Speech Audiometry Complete (92556) range across 2 matching MRF lines |
$104–$172.90 | $160–$266 | varies |
| Speech audiometry threshold (92555) | $83.85 | $129 | 1.3× |
| Speech sound lang comprehen (92523) range across 4 matching MRF lines |
$438.75–$793.65 | $675–$1,221 | varies |
| Spin/Brain Pump Refil & Main (95991) | $225.55 | $347 | 0.7× |
| Spirometry (94010) range across 2 matching MRF lines |
$64.35–$282.10 | $99–$434 | varies |
| Spontaneous Nystagmus Test (92541) range across 4 matching MRF lines |
$85.80–$1,695.85 | $132–$2,609 | varies |
| Ssep lower limbs (95926) range across 2 matching MRF lines |
$185.25–$1,160.25 | $285–$1,785 | varies |
| Standardized Cognitive Performance Testing (96125) range across 4 matching MRF lines |
$399.10–$495.30 | $614–$762 | varies |
| Stenger Test, Pure Tone (92565) | $110.50 | $170 | 1.7× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$488.15–$1,966.25 | $751–$3,025 | varies |
| Surfactant Admin Thru Tube (94610) | $289.90 | $446 | 1.2× |
| Temp transcutaneous pacing (92953) | $835.90 | $1,286 | 1.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $81.25 | $125 | 3.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $81.25 | $125 | 3.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$70.85–$81.25 | $109–$125 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$66.30–$88.40 | $102–$136 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $399.10 | $614 | 3.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$48.10–$120.90 | $74–$186 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 5 matching MRF lines |
$381.55–$494 | $587–$760 | varies |
| Therapeutic Activities (97530) range across 13 matching MRF lines |
$33.15–$114.40 | $51–$176 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,212.25 | $1,865 | 2.9× |
| Transcath Closure of Asd (93580) | $16,191.50 | $24,910 | 0.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $854.75 | $1,315 | 7.4× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$500.50–$2,063.10 | $770–$3,174 | varies |
| Tx atrial fib pulm vein isol (93656) | $25,837.50 | $39,750 | 0.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 13 matching MRF lines |
$97.50–$576.55 | $150–$887 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 4 matching MRF lines |
$155.35–$317.20 | $239–$488 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$196.30–$219.70 | $302–$338 | varies |
| Tympanometry (92567) | $130.65 | $201 | 3.1× |
| Tympanometry and reflex threshold measurements (92550) | $234.65 | $361 | 1.0× |
| Unlisted cardiovascular service/procedure (93799) range across 5 matching MRF lines |
$978.25–$4,503.85 | $1,505–$6,929 | varies |
| Unlisted noninvasive vascular diagnostic study (93998) | $318.50 | $490 | 9.9× |
| Unlisted otorhinolaryngological service (92700) | $414.05 | $637 | 12.9× |
| Upr/L Xtremity Art 2 Levels (93922) | $575.90 | $886 | 3.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$877.50–$1,277.25 | $1,350–$1,965 | varies |
| Valvuloplasty aortic valve (92986) | $5,511.35 | $8,479 | 0.9× |
| Valvuloplasty mitral valve (92987) | $10,501.40 | $16,156 | 0.8× |
| Valvuloplasty pulmonary valve (92990) | $10,501.40 | $16,156 | 0.8× |
| Vasopneumatic device (97016) range across 3 matching MRF lines |
$24.70–$118.30 | $38–$182 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $3,699.15 | $5,691 | 8.9× |
| Veeg 2-12 hr intmt mntr (95712) | $2,020.20 | $3,108 | 4.9× |
| Veeg 2-12 hr unmonitored (95711) | $1,928.55 | $2,967 | 8.0× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $3,791.45 | $5,833 | 9.1× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $3,699.15 | $5,691 | 8.9× |
| Veeg ea 12-26hr cont mntr (95716) | $3,395.60 | $5,224 | 3.6× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$1,799.20–$2,668.90 | $2,768–$4,106 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$1,729–$2,297.75 | $2,660–$3,535 | varies |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$185.25–$842.40 | $285–$1,296 | varies |
| Visual reinforcement audiometry (vra) (92579) | $198.25 | $305 | 0.8× |
| Vital capacity, total (94150) | $227.50 | $350 | 1.6× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) range across 2 matching MRF lines |
$499.85–$2,565.55 | $769–$3,947 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$70.85–$80.60 | $109–$124 | varies |
| Whirlpool Therapy (97022) range across 5 matching MRF lines |
$59.80–$85.15 | $92–$131 | varies |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) range across 2 matching MRF lines |
$91.65–$345.80 | $141–$532 | 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.