Supplies, drugs & other prices at Lima Memorial Health System
Lima, OH · every code in this section with a posted price and a Medicare benchmark.
323 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $44.10 | $49 | 1.2× |
| 2d tee w or w/o fol w/con,in (C8925) range across 2 matching MRF lines |
$898.20–$5,232.60 | $998–$5,814 | varies |
| 2d tte w or w/o fol w/con,co (C8923) | $898.20 | $998 | 1.2× |
| 2d tte w or w/o fol w/con,fu (C8924) range across 2 matching MRF lines |
$462.60–$1,910.70 | $514–$2,123 | varies |
| Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T) unusually low: confirm this is the full procedure |
$3,260.70 | $3,623 | 0.3× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) | $1,233.90 | $1,371 | 0.3× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $644.40 | $716 | 0.3× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) likely a partial charge, not the full procedure |
$2,217.60 | $2,464 | 0.3× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $644.40 | $716 | 0.3× |
| Adapt bhv tx prtcl modificaj ea 15 min tech time (0373T) | $9.90 | $11 | 0.3× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$27.90–$99 | $31–$110 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$27.90–$74.70 | $31–$83 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$27.90–$74.70 | $31–$83 | varies |
| Adv prim care mgmt lvl 1 (G0556) | $20.70 | $23 | 0.6× |
| Adv prim care mgmt lvl 2 (G0557) | $64.80 | $72 | 1.8× |
| Adv prim care mgmt lvl 3 (G0558) | $142.20 | $158 | 1.5× |
| Alcohol/sub misuse assess (G2011) | $31.50 | $35 | 1.1× |
| Alcohol/subs interv 15-30mn (G0396) | $32.40 | $36 | 0.9× |
| Alcohol/subs interv >30 min (G0397) | $167.40 | $186 | 1.0× |
| Anatomic guide 3d printed 1st anatomic guide (0561T) | $21.60 | $24 | 0.2× |
| Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) | $21.60 | $24 | 0.2× |
| Annual alcohol screen 15 min (G0442) | $32.40 | $36 | 0.9× |
| Autolog prp not diab ulcer (G0460) | $2,150.10 | $2,389 | 1.1× |
| Behavior counsel obesity 15m (G0447) | $93.60 | $104 | 1.0× |
| Bhv id suprt assmt ea 15 min (0362T) | $9.90 | $11 | 0.3× |
| Bia whole body composition assessment w/i&r (0358T) | $8.10 | $9 | 0.3× |
| Blind interatrial shunt ide (C9758) | $18,699.30 | $20,777 | 1.1× |
| Blinded conv. tx mdd clin tr (G2000) | $612 | $680 | 1.7× |
| Brief alcohol misuse counsel (G0443) | $93.60 | $104 | 1.0× |
| Brief chkin by md/qhp, 11-20 (G2252) | $40.50 | $45 | 1.4× |
| Brief chkin, 5-10, non-e/m (G2251) range across 2 matching MRF lines |
$20.70–$21.60 | $23–$24 | varies |
| Ca screen;flexi sigmoidscope (G0104) | $995.40 | $1,106 | 1.1× |
| Ca screen;pelvic/breast exam (G0101) | $43.20 | $48 | 0.4× |
| Cardiac mri seg dys strain (C9762) | $527.40 | $586 | 1.0× |
| Cardiac mri seg dys stress (C9763) | $527.40 | $586 | 1.0× |
| Cardiokymography (Q0035) | $36.90 | $41 | 1.0× |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$102.60–$157.50 | $114–$175 | varies |
| Chemo extend iv infus w/pump (G0498) range across 3 matching MRF lines |
$400.50–$907.20 | $445–$1,008 | varies |
| Collagen Cross-Linking Cornea&Pachymetry (0402T) | $759.60 | $844 | 0.3× |
| Colon ca scrn not hi rsk ind (G0121) | $995.40 | $1,106 | 1.1× |
| Colorectal scrn; hi risk ind (G0105) | $995.40 | $1,106 | 1.1× |
| Compre Audiom Threshold Eval & Speech Recog (0212T) | $51.30 | $57 | 0.4× |
| Comt gene analysis c.472g>a variant (0032U) | $1,464.30 | $1,627 | 8.4× |
| Cool Quant Sensory Test (0108T) | $21.60 | $24 | 0.4× |
| Covid-19 lab test non-cdc (U0002) | $167.40 | $186 | 3.3× |
| Crtj Subq Insj Impltbl Glucose Sensor Sys Train (0446T) | $619.20 | $688 | 0.2× |
| CT breast w/3d rendering bi with contrast (0637T) | $133.20 | $148 | 0.4× |
| CT breast w/3d rendering bi without contrast (0636T) | $83.70 | $93 | 0.4× |
| CT breast w/3d rendering uni with contrast (0634T) | $64.80 | $72 | 0.4× |
| CT breast w/3d rendering uni without contrast (0633T) | $38.70 | $43 | 0.4× |
| CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) | $133.20 | $148 | 0.4× |
| CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) | $64.80 | $72 | 0.4× |
| Cysto impl 4 or more (C9740) | $9,006.30 | $10,007 | 1.0× |
| Cysto, litho, vacuum kidney (C9761) | $10,358.10 | $11,509 | 1.1× |
| Cystoscopy prostatic imp 1-3 (C9739) | $4,814.10 | $5,349 | 0.9× |
| Demonstrate use home inr mon (G0248) | $149.40 | $166 | 1.2× |
| Depression screen annual (G0444) | $32.40 | $36 | 0.9× |
| Dermal filler injection(s) (G0429) | $2,150.10 | $2,389 | 1.1× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) | $209.70 | $233 | 0.3× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) | $209.70 | $233 | 0.3× |
| Device evaluation and interrogation of intraocular retinal electrode array (eg, retinal prosthesis), in person,… (0473T) | $36 | $40 | 0.4× |
| Device evaluation, interrogation, and initial programming of intraocular retinal electrode array (eg, retinal… (0472T) | $99.90 | $111 | 0.3× |
| Devlopment test interpt&rep (G0451) range across 2 matching MRF lines |
$10.80–$93.60 | $12–$104 | varies |
| Diab manage trn per indiv (G0108) | $81.90 | $91 | 1.5× |
| Diab manage trn ind/group (G0109) | $24.30 | $27 | 1.5× |
| Direct refer hospital observ (G0379) range across 9 matching MRF lines |
$655.20–$799.20 | $728–$888 | varies |
| Drug test def 1-7 classes (G0480) range across 55 matching MRF lines |
$27–$472.50 | $30–$525 | varies |
| Drug test def 8-14 classes (G0481) range across 3 matching MRF lines |
$315.90–$458.10 | $351–$509 | varies |
| Dstry eye lesn,fdr vssl tech (G0186) | $631.80 | $702 | 1.2× |
| Ed svc ckd grp per session (G0421) | $40.50 | $45 | 1.5× |
| Ed svc ckd ind per session (G0420) range across 2 matching MRF lines |
$168.30–$181.80 | $187–$202 | varies |
| Eia hiv-1/hiv-2 screen (G0432) range across 3 matching MRF lines |
$52.20–$336.60 | $58–$374 | varies |
| Ekg tracing for initial prev (G0404) range across 2 matching MRF lines |
$21.60–$31.50 | $24–$35 | varies |
| Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) | $36 | $40 | 0.4× |
| Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) | $36 | $40 | 0.4× |
| Elec stim other than wound (G0283) range across 5 matching MRF lines |
$18–$127.80 | $20–$142 | varies |
| Elec stim unattend for press (G0281) | $18 | $20 | 1.5× |
| Electromagntic tx for ulcers (G0329) | $15.30 | $17 | 1.4× |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) | $401.40 | $446 | 0.3× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) likely a partial charge, not the full procedure |
$6,165 | $6,850 | 0.1× |
| Esw integumentary wound healing initial wound (0512T) | $65.70 | $73 | 0.3× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) | $1,069.20 | $1,188 | 0.4× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) unusually low: confirm this is the full procedure |
$3,810.60 | $4,234 | 0.3× |
| Evac Meibomian Glnds Auto Ht& Intmt Press Uni (0207T) | $41.40 | $46 | 0.3× |
| Evacuation meibomian glands using heat bilateral (0563T) | $21.60 | $24 | 0.4× |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) unusually low: confirm this is the full procedure |
$1,881 | $2,090 | 0.3× |
| Extracorporeal shock wave muscskel sys nos (0101T) | $1,068.30 | $1,187 | 4.5× |
| Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, and involving the lateral… (0102T) | $1,068.30 | $1,187 | 0.3× |
| Extrnl counterpulse, per tx (G0166) | $142.20 | $158 | 1.1× |
| Eye mvmt analysis w/o spatial calibration i&r (0615T) | $41.40 | $46 | 0.3× |
| Fecal blood scrn immunoassay (G0328) range across 3 matching MRF lines |
$19.80–$135.90 | $22–$151 | varies |
| Fecal microbiota prep instil (G0455) range across 3 matching MRF lines |
$1,016.10–$8,462.70 | $1,129–$9,403 | varies |
| Followup eval of foot pt lop (G0246) | $149.40 | $166 | 1.2× |
| Fractional abl lsr fenestration first 100 sqcm (0479T) | $209.70 | $233 | 0.3× |
| Glaucoma scrn hgh risk direc (G0118) | $42.30 | $47 | 1.2× |
| Glaucoma scrn hgh risk direc (G0117) | $31.50 | $35 | 1.1× |
| Group behave couns 2-10 (G0473) | $32.40 | $36 | 0.9× |
| Group mnt 2 or more 30 mins (G0271) | $23.40 | $26 | 1.4× |
| Hbot, full body chamber, 30m (G0277) | $150.30 | $167 | 1.1× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) | $259.20 | $288 | 0.4× |
| Heart Symp Image Plnr (0331T) | $477 | $530 | 0.4× |
| Heat Quant Sensory Test (0109T) | $11.70 | $13 | 0.3× |
| Hep c screen high risk/other (G0472) range across 2 matching MRF lines |
$43.20–$179.10 | $48–$199 | varies |
| High inten beh couns std 30m (G0445) | $93.60 | $104 | 1.0× |
| Hiv combination assay (G0475) range across 3 matching MRF lines |
$43.20–$279 | $48–$310 | varies |
| Home sleep test/type 2 porta (G0398) | $175.50 | $195 | 0.9× |
| Home sleep test/type 3 porta (G0399) range across 2 matching MRF lines |
$175.50–$1,113.30 | $195–$1,237 | varies |
| Home sleep test/type 4 porta (G0400) | $332.10 | $369 | 1.6× |
| Hospital outpt clinic visit (G0463) range across 129 matching MRF lines |
$11.70–$527.40 | $13–$586 | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) range across 3 matching MRF lines |
$75.60–$315.90 | $84–$351 | varies |
| Init/sub psych care m 1st 30 (G2214) | $93.60 | $104 | 1.0× |
| Initial care training 30 m (G0539) | $115.20 | $128 | 2.2× |
| Initial foot exam pt lops (G0245) | $149.40 | $166 | 1.2× |
| Initial preventive exam (G0402) | $131.40 | $146 | 1.0× |
| Inj for sacroiliac jt anesth (G0260) range across 3 matching MRF lines |
$797.40–$1,369.80 | $886–$1,522 | varies |
| Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image… (0481T) | $135.90 | $151 | 0.3× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) | $305.10 | $339 | 0.4× |
| Insert drug del implant, >=4 (G0516) | $340.20 | $378 | 0.8× |
| Insert palate implants (C9727) | $1,476 | $1,640 | 1.0× |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the… (0253T) | $1,434.60 | $1,594 | 0.4× |
| Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) likely a partial charge, not the full procedure |
$1,434.60 | $1,594 | 0.3× |
| Insertion of sinus tarsi implant (0335T) unusually low: confirm this is the full procedure |
$2,374.20 | $2,638 | 0.3× |
| Insertion of substernal implantable defibrillator electrode (0572T) unusually low: confirm this is the full procedure |
$2,929.50 | $3,255 | 0.4× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) unusually low: confirm this is the full procedure |
$8,190.90 | $9,101 | 0.4× |
| Insertion/Replacement Complete Iims (0525T) likely a partial charge, not the full procedure |
$3,707.10 | $4,119 | 0.2× |
| Insertion/Replacement Iims Electrode Only (0526T) unusually low: confirm this is the full procedure |
$2,929.50 | $3,255 | 0.4× |
| Insertion/Replacement Iims Implantable Mntr Only (0527T) unusually low: confirm this is the full procedure |
$2,929.50 | $3,255 | 0.4× |
| Insj ocular telescope prosth (0308T) unusually low: confirm this is the full procedure |
$6,493.50 | $7,215 | 0.4× |
| Insj Wcs Lv Eltrd Only (0516T) likely a partial charge, not the full procedure |
$2,929.50 | $3,255 | 0.3× |
| Insj Wcs Lv Pg Compnt (0517T) likely a partial charge, not the full procedure |
$2,929.50 | $3,255 | 0.3× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) unusually low: confirm this is the full procedure |
$11,512.80 | $12,792 | 0.4× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) unusually low: confirm this is the full procedure |
$2,929.50 | $3,255 | 0.4× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) unusually low: confirm this is the full procedure |
$2,929.50 | $3,255 | 0.4× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) unusually low: confirm this is the full procedure |
$8,190.90 | $9,101 | 0.4× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) unusually low: confirm this is the full procedure |
$11,512.80 | $12,792 | 0.4× |
| Intens behave ther cardio dx (G0446) | $32.40 | $36 | 0.9× |
| Intens cardiac rehab no exer (G0423) | $145.80 | $162 | 1.2× |
| Intens cardiac rehab w/exerc (G0422) | $145.80 | $162 | 1.2× |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $11.70 | $13 | 0.3× |
| Interrog dev eval iims ip (0529T) | $11.70 | $13 | 0.3× |
| Interrog Dev Eval Wrls Car Stimulator in Person (0521T) | $8.10 | $9 | 0.3× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) | $11.70 | $13 | 0.3× |
| Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0263T) | $1,492.20 | $1,658 | 0.4× |
| Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0264T) | $1,492.20 | $1,658 | 0.4× |
| Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0265T) | $1,492.20 | $1,658 | 0.4× |
| Ire Abltj 1+Tum Organ Perq (0600T) range across 2 matching MRF lines |
$3,260.70–$40,588.20 | $3,623–$45,098 | varies |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) range across 3 matching MRF lines |
$721.80–$872.10 | $802–$969 | varies |
| Lev 1 hosp type b ed visit (G0380) | $88.20 | $98 | 1.2× |
| Lev 2 hosp type b ed visit (G0381) | $118.80 | $132 | 1.3× |
| Lev 3 hosp type b ed visit (G0382) | $226.80 | $252 | 1.4× |
| Lev 4 hosp type b ed visit (G0383) | $288 | $320 | 1.1× |
| Lev 5 hosp type b ed visit (G0384) | $400.50 | $445 | 1.0× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $1,205.10 | $1,339 | 2.4× |
| Macular pigment optical density measurement by heterochromatic flicker photometry, unilateral or bilateral, with… (0506T) | $21.60 | $24 | 0.4× |
| Mnt subs tx for change dx (G0270) range across 2 matching MRF lines |
$41.40–$59.40 | $46–$66 | varies |
| Mra w/cont, abd (C8900) | $462.60 | $514 | 1.4× |
| Mra w/cont, chest (C8909) | $462.60 | $514 | 1.4× |
| Mra w/cont, lwr ext (C8912) | $462.60 | $514 | 1.4× |
| Mra w/cont, pelvis (C8918) range across 5 matching MRF lines |
$462.60–$4,391.10 | $514–$4,879 | varies |
| Mra w/o cont, abd (C8901) range across 5 matching MRF lines |
$289.80–$3,079.80 | $322–$3,422 | varies |
| Mra w/o cont, chest (C8910) | $289.80 | $322 | 1.3× |
| Mra w/o cont, lwr ext (C8913) range across 3 matching MRF lines |
$289.80–$5,690.70 | $322–$6,323 | varies |
| Mra w/o cont, pelvis (C8919) range across 5 matching MRF lines |
$289.80–$4,391.10 | $322–$4,879 | varies |
| Mra w/o fol w/cont, abd (C8902) range across 3 matching MRF lines |
$462.60–$4,870.80 | $514–$5,412 | varies |
| Mra w/o fol w/cont, chest (C8911) range across 6 matching MRF lines |
$462.60–$3,471.30 | $514–$3,857 | varies |
| Mra w/o fol w/cont, lwr ext (C8914) | $462.60 | $514 | 1.4× |
| Mra w/o fol w/cont, pelvis (C8920) range across 5 matching MRF lines |
$462.60–$4,391.10 | $514–$4,879 | varies |
| Mra, w/dye, spinal canal (C8931) | $462.60 | $514 | 1.4× |
| Mra, w/dye, upper extremity (C8934) | $462.60 | $514 | 1.4× |
| Mra, w/o dye, spinal canal (C8932) | $289.80 | $322 | 1.3× |
| Mra, w/o dye, upper extr (C8935) | $289.80 | $322 | 1.3× |
| Mra, w/o&w/dye, spinal canal (C8933) | $462.60 | $514 | 1.4× |
| Mra, w/o&w/dye, upper extr (C8936) | $462.60 | $514 | 1.4× |
| Mri w/cont, breast, bi (C8906) range across 2 matching MRF lines |
$462.60–$6,683.40 | $514–$7,426 | varies |
| Mri w/cont, breast, uni (C8903) range across 2 matching MRF lines |
$224.10–$6,651 | $249–$7,390 | varies |
| Mri w/o fol w/cont, breast, (C8908) range across 3 matching MRF lines |
$462.60–$6,075.90 | $514–$6,751 | varies |
| Mri w/o fol w/cont, brst, un (C8905) range across 5 matching MRF lines |
$462.60–$6,046.20 | $514–$6,718 | varies |
| Mrs discogenic pain acquisj single voxel data (0609T) | $83.70 | $93 | 0.4× |
| Mrs discogenic pain algorthmic alys bmrk data (0611T) | $83.70 | $93 | 0.4× |
| Myocardial img by mcg detcj cardiac ischemia (0541T) | $174.60 | $194 | 0.5× |
| Myocrd Symp Innervaj Img Plnr Qual&Quant W/Spect (0332T) | $477 | $530 | 0.4× |
| Ncntc R-T Fluor Wnd Img 1st (0598T) | $100.80 | $112 | 0.5× |
| Near infrared dual imaging (ie, simultaneous reflective and transilluminated light) of meibomian glands, unilateral or… (0507T) | $21.60 | $24 | 0.4× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) | $305.10 | $339 | 0.4× |
| Njx platelet plasma (0232T) | $135.90 | $151 | 0.3× |
| Non-blind interatrial shunt (C9760) | $29,384.10 | $32,649 | 1.1× |
| Non-cov proc, clinical trial (G0294) | $42.30 | $47 | 1.2× |
| Non-cov surg proc,clin trial (G0293) | $42.30 | $47 | 1.2× |
| Non-ophthalmic fva (C9733) | $402.30 | $447 | 1.2× |
| Obtaining screen pap smear (Q0091) | $31.50 | $35 | 1.1× |
| Oct middle ear with i&r bilateral (0486T) | $11.70 | $13 | 0.3× |
| Oct middle ear with i&r unilateral (0485T) | $11.70 | $13 | 0.3× |
| Ocular blood flow measure (0198T) | $41.40 | $46 | 0.3× |
| Off base opioid tx 70min (G2086) | $167.40 | $186 | 1.0× |
| Off base opioid tx, 60 m (G2087) | $167.40 | $186 | 1.0× |
| Open tx iliac spine uni/bil (G0412) likely a partial charge, not the full procedure |
$1,106.10 | $1,229 | 0.2× |
| Open tx post pelvic fxcture (G0415) | $2,095.20 | $2,328 | 0.7× |
| Opps service,sched team conf (G0175) | $456.30 | $507 | 1.1× |
| Osteotomy, humerus, with insertion of an externally controlled intramedullary lengthening device, including… (0594T) unusually low: confirm this is the full procedure |
$2,374.20 | $2,638 | 0.3× |
| Oth resp proc, group (G0239) range across 2 matching MRF lines |
$42.30–$71.10 | $47–$79 | varies |
| Oth resp proc, indiv (G0238) range across 2 matching MRF lines |
$31.50–$113.40 | $35–$126 | varies |
| Pathogen test for platelets (P9100) range across 2 matching MRF lines |
$61.20–$70.20 | $68–$78 | varies |
| Pattern erg w/i&r (0509T) | $100.80 | $112 | 0.5× |
| Pelvic ring fracture uni/bil (G0413) | $7,860.60 | $8,734 | 1.1× |
| Pelvic ring fx treat int fix (G0414) likely a partial charge, not the full procedure |
$1,529.10 | $1,699 | 0.2× |
| Perc d-e cor revasc chro sin (C9607) range across 3 matching MRF lines |
$12,605.40–$20,154.60 | $14,006–$22,394 | varies |
| Perc d-e cor revasc t cabg s (C9604) range across 3 matching MRF lines |
$12,605.40–$17,620.20 | $14,006–$19,578 | varies |
| Perc d-e cor stent ather s (C9602) range across 3 matching MRF lines |
$19,629.90–$20,154.60 | $21,811–$22,394 | varies |
| Perc drug-el cor stent sing (C9600) range across 3 matching MRF lines |
$12,605.40–$17,620.20 | $14,006–$19,578 | varies |
| Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array… (0587T) unusually low: confirm this is the full procedure |
$2,370.60 | $2,634 | 0.4× |
| Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T) unusually low: confirm this is the full procedure |
$2,374.20 | $2,638 | 0.3× |
| Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T) unusually low: confirm this is the full procedure |
$6,165 | $6,850 | 0.4× |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) unusually low: confirm this is the full procedure |
$4,683.60 | $5,204 | 0.4× |
| Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) unusually low: confirm this is the full procedure |
$4,683.60 | $5,204 | 0.4× |
| Perq Sacral Augmt Bilat Inj (0201T) range across 2 matching MRF lines |
$2,374.20–$24,140.70 | $2,638–$26,823 | varies |
| Perq Sacral Augmt Unilat Inj (0200T) range across 3 matching MRF lines |
$2,374.20–$24,140.70 | $2,638–$26,823 | varies |
| Pet not otherwise specified (G0235) | $472.50 | $525 | 1.2× |
| Pild/placebo control clin tr (G0276) | $7,860.60 | $8,734 | 1.1× |
| Place device/marker, non pro (C9728) | $1,584.90 | $1,761 | 1.2× |
| Place endorectal app (C9725) | $865.80 | $962 | 1.0× |
| Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone… (0221T) unusually low: confirm this is the full procedure |
$2,374.20 | $2,638 | 0.3× |
| Placement of interstitial device(s) in bone for radiostereometric analysis (RSA) (0347T) | $21.60 | $24 | 0.4× |
| Post op service lvrs min 6 (G0305) | $612 | $680 | 1.7× |
| Potassium hydroxide preps (Q0112) | $70.20 | $78 | 12.0× |
| Pre-op service lvrs 1-9 dos (G0304) | $612 | $680 | 1.7× |
| Pre-op service lvrs 10-15dos (G0303) | $332.10 | $369 | 1.6× |
| Pre-op service lvrs complete (G0302) | $612 | $680 | 1.7× |
| Prgrmg dev eval iims ip (0528T) | $11.70 | $13 | 0.3× |
| Prgrmg device eval wrls car stimulator in person (0522T) | $11.70 | $13 | 0.3× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) | $11.70 | $13 | 0.3× |
| Programming dev eval icds w/ss eltrd in person (0575T) | $11.70 | $13 | 0.3× |
| Prolonged iv inf, req pump (C8957) | $400.50 | $445 | 2.0× |
| Prostate biopsy, any mthd (G0416) range across 3 matching MRF lines |
$63–$5,376.60 | $70–$5,974 | varies |
| Provide inr test mater/equip (G0249) | $149.40 | $166 | 1.2× |
| Psa screening (G0103) range across 3 matching MRF lines |
$45.90–$260.10 | $51–$289 | varies |
| Pure tone audiometry (threshold), automated; air and bone Non-Facility Physician Technical Component (0209T) | $11.70 | $13 | 0.3× |
| Pure tone audiometry (threshold), automated; air only Non-Facility Physician Technical Component (0208T) | $11.70 | $13 | 0.3× |
| Quant sensory test&interpj/xtr w/vibrj stimuli (0107T) | $11.70 | $13 | 0.3× |
| Quantitative sensory testing (QST), testing and interpretation per extremity; using other stimuli to assess sensation… (0110T) | $41.40 | $46 | 0.3× |
| Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess… (0106T) | $11.70 | $13 | 0.3× |
| Radiologic examination, radiostereometric analysis (RSA); lower extremity(ies), (includes hip, proximal femur, knee,… (0350T) | $31.50 | $35 | 0.4× |
| Radiologic examination, radiostereometric analysis (RSA); spine, (includes cervical, thoracic and lumbosacral, when… (0348T) | $38.70 | $43 | 0.4× |
| Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow, and wrist,… (0349T) | $38.70 | $43 | 0.4× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $347.40 | $386 | 0.5× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $619.20 | $688 | 0.3× |
| Rem interrog dev eval ss ld icds < 90d tech (0579T) | $11.70 | $13 | 0.3× |
| Remot img sub by pt, non e/m (G2250) | $13.50 | $15 | 1.0× |
| Removal and reinsertion of sinus tarsi implant (0511T) unusually low: confirm this is the full procedure |
$2,374.20 | $2,638 | 0.3× |
| Removal complete iims (0530T) | $1,203.30 | $1,337 | 0.3× |
| Removal iims electrode only (0531T) | $1,203.30 | $1,337 | 0.3× |
| Removal iims implt mntr only (0532T) | $1,203.30 | $1,337 | 0.3× |
| Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) | $65.70 | $73 | 0.3× |
| Removal of sinus tarsi implant (0510T) | $1,068.30 | $1,187 | 0.3× |
| Removal Ss Dfb Electrode (0573T) | $1,203.30 | $1,337 | 0.3× |
| Remove drug implant (G0517) | $340.20 | $378 | 0.8× |
| Remove w insert drug implant (G0518) | $340.20 | $378 | 0.8× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $208.80 | $232 | 0.3× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $1,203.30 | $1,337 | 0.3× |
| Revasc intra lithotrip-ather (C9766) range across 2 matching MRF lines |
$17,525.70–$78,188.40 | $19,473–$86,876 | varies |
| Revasc intra lithotrip-stent (C9765) range across 2 matching MRF lines |
$17,525.70–$78,188.40 | $19,473–$86,876 | varies |
| Revasc intravasc lithotripsy (C9764) range across 2 matching MRF lines |
$10,961.10–$48,318.30 | $12,179–$53,687 | varies |
| Revasc lith-sten-ath tib/per (C9775) | $17,525.70 | $19,473 | 1.0× |
| Revasc lithotr-ather tib/per (C9774) range across 2 matching MRF lines |
$17,525.70–$78,188.40 | $19,473–$86,876 | varies |
| Revasc lithotr-stent tib/per (C9773) | $17,525.70 | $19,473 | 1.0× |
| Revasc lithotrip tibi/perone (C9772) range across 2 matching MRF lines |
$10,961.10–$48,318.30 | $12,179–$53,687 | varies |
| Revasc lithotrip-stent-ather (C9767) | $17,525.70 | $19,473 | 1.0× |
| Revision or removal of integrated single device neurostimulation system including electrode array and receiver or pulse… (0588T) | $1,166.40 | $1,296 | 0.3× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) unusually low: confirm this is the full procedure |
$8,190.90 | $9,101 | 0.4× |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) likely a partial charge, not the full procedure |
$1,203.30 | $1,337 | 0.1× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $1,203.30 | $1,337 | 0.3× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $1,203.30 | $1,337 | 0.3× |
| Rmvl insj impltbl gluc sensor dif anatomic site (0448T) | $619.20 | $688 | 0.2× |
| Rmvl Pg Compnt Wcs (0518T) | $1,203.30 | $1,337 | 0.3× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $1,203.30 | $1,337 | 0.3× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) | $8,190.90 | $9,101 | 0.8× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) unusually low: confirm this is the full procedure |
$8,190.90 | $9,101 | 0.4× |
| Routine footcare pt w lops (G0247) | $225 | $250 | 1.2× |
| Scr c/v cyto, automated sys (G0147) | $102.60 | $114 | 5.5× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $102.60 | $114 | 3.9× |
| Screen cerv/vag thin layer (G0123) range across 2 matching MRF lines |
$101.70–$102.60 | $113–$114 | varies |
| Screen pap by tech w md supv (P3000) | $140.40 | $156 | 7.6× |
| Semen analysis (G0027) | $238.50 | $265 | 36.7× |
| Single energy x-ray study (G0130) | $137.70 | $153 | 1.4× |
| Speech audiometry threshold, automated; Non-Facility Physician Technical Component (0210T) | $11.70 | $13 | 0.3× |
| Speech audiometry threshold, automated; with speech recognition Non-Facility Physician (0211T) | $11.70 | $13 | 0.3× |
| Spine device implant surgery (C9757) | $13,455.90 | $14,951 | 1.1× |
| Tactile breast img uni/bi (0422T) | $31.50 | $35 | 0.4× |
| Tear film imaging unilateral or bilateral w/i&r (0330T) | $11.70 | $13 | 0.3× |
| Tee w or w/o fol w/cont, mon (C8927) | $898.20 | $998 | 1.2× |
| Tee w or w/o fol w/cont,cong (C8926) | $898.20 | $998 | 1.2× |
| Temp female intraurethral valve-pump 1st insj (0596T) | $224.10 | $249 | 0.3× |
| Temporary female intraurethral valve-pump (ie, voiding prosthesis); replacement (0597T) | $224.10 | $249 | 0.3× |
| Therapeutic apheresis with selective HDL delipidation and plasma reinfusion (0342T) | $1,492.20 | $1,658 | 0.4× |
| Therapeutic procd strg endur (G0237) range across 2 matching MRF lines |
$31.50–$113.40 | $35–$126 | varies |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$34.20–$59.40 | $38–$66 | varies |
| Transcatheter Renal Sympath Denervation Bilat (0339T) unusually low: confirm this is the full procedure |
$1,872.90 | $2,081 | 0.3× |
| Transcatheter renal sympath denervation unilat (0338T) unusually low: confirm this is the full procedure |
$1,872.90 | $2,081 | 0.3× |
| Trauma respons w/hosp criti (G0390) range across 4 matching MRF lines |
$1,195.20–$27,818.10 | $1,328–$30,909 | varies |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $3,150 | $3,500 | 0.9× |
| Trim nail(s) (G0127) | $54 | $60 | 1.0× |
| Trluml perip athrc abd aorta (0236T) range across 2 matching MRF lines |
$3,810.60–$19,103.40 | $4,234–$21,226 | varies |
| Trluml Perip Athrc Brchiocph (0237T) range across 2 matching MRF lines |
$3,810.60–$19,103.40 | $4,234–$21,226 | varies |
| Trluml Perip Athrc Iliac Art (0238T) range across 2 matching MRF lines |
$6,165–$19,103.40 | $6,850–$21,226 | varies |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) range across 2 matching MRF lines |
$3,810.60–$19,103.40 | $4,234–$21,226 | varies |
| Trnscut elect modlation pain reproces ea tx sess (0278T) | $51.30 | $57 | 0.4× |
| Tte w or w/o contr, cont ecg (C8930) range across 2 matching MRF lines |
$898.20–$5,488.20 | $998–$6,098 | varies |
| Tte w or w/o fol w/con,stres (C8928) | $898.20 | $998 | 1.2× |
| Tte w or w/o fol w/cont, com (C8921) | $898.20 | $998 | 1.2× |
| Tte w or w/o fol w/cont, f/u (C8922) | $898.20 | $998 | 1.2× |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$898.20–$5,067.90 | $998–$5,631 | varies |
| Tympanostomy Automated Tube Delivery System (0583T) | $498.60 | $554 | 0.3× |
| U/s trtmt, not leiomyomata (C9734) | $15,472.80 | $17,192 | 1.3× |
| Unsched dialysis esrd pt hos (G0257) range across 2 matching MRF lines |
$821.70–$2,766.60 | $913–$3,074 | varies |
| Urine specimen collect mult (P9615) | $27.90 | $31 | 3.0× |
| US Ablat Uter Leiomyom <200 (0071T) | $1,015.20 | $1,128 | 0.3× |
| US Ablat Uter Leiomyom >200 (0072T) | $1,015.20 | $1,128 | 0.3× |
| Visit esketamine 56m or less (G2082) | $799.20 | $888 | 0.8× |
| Visit esketamine, > 56m (G2083) | $1,168.20 | $1,298 | 0.8× |
| Visit to determ ldct elig (G0296) | $93.60 | $104 | 1.0× |
| Visual ep test for glaucoma (0464T) | $51.30 | $57 | 0.4× |
| Visual Field Assessment Tech Support W/Instruct (0379T) | $11.70 | $13 | 0.3× |
| Warfarin respon genetic test (G9143) | $27.90 | $31 | 0.2× |
| Wet mounts/ w preparations (Q0111) | $99 | $110 | 5.3× |
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.