Visits & medical services prices at Lima Memorial Health System
Lima, OH · every code in this section with a posted price and a Medicare benchmark.
608 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $93.60 | $104 | 1.0× |
| 1St set-up & prgrmg phys/qhp of wearable cvdfb (93745) | $342 | $380 | 1.2× |
| Ablate Heart Dysrhythm Focus (93650) range across 2 matching MRF lines |
$7,628.40–$15,166.80 | $8,476–$16,852 | varies |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) range across 2 matching MRF lines |
$175.50–$1,009.80 | $195–$1,122 | varies |
| Acoustic Reflex Testing (92568) | $42.30 | $47 | 1.2× |
| Actigraphy Testing Recording Analysis I&R (95803) | $70.20 | $78 | 1.2× |
| Actinotherapy Ultraviolet Light (96900) | $42.30 | $47 | 1.2× |
| Acupunct W/Stimul 15 Min (97813) | $31.50 | $35 | 1.1× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $31.50 | $35 | 1.1× |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) | $93.60 | $104 | 0.6× |
| Adaptive behavior tx by protocol tech ea 15 min (97153) | $93.60 | $104 | 1.0× |
| Advncd Care Plan 30 Min (99497) | $75.60 | $84 | 0.8× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $175.50 | $195 | 0.9× |
| Aep neurodiagnostic i&r (92653) | $332.10 | $369 | 1.6× |
| Aep threshold estimation mlt frequencies i&r (92652) range across 2 matching MRF lines |
$332.10–$1,849.50 | $369–$2,055 | varies |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$235.80–$263.70 | $262–$293 | varies |
| Airway resistance by oscillometry (94728) | $332.10 | $369 | 2.7× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $42.30 | $47 | 1.2× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $31.50 | $35 | 1.1× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $67.50 | $75 | 0.5× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $142.20 | $158 | 1.1× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $175.50 | $195 | 1.4× |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) | $175.50 | $195 | 1.4× |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$125.10–$3,565.80 | $139–$3,962 | varies |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$142.20–$918 | $158–$1,020 | varies |
| Analyze Neurostim Simple (95971) range across 3 matching MRF lines |
$125.10–$484.20 | $139–$538 | varies |
| Analyze Pacemaker System (93724) | $342 | $380 | 1.2× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $215.10 | $239 | 1.1× |
| Ans parasymp & symp w/tilt (95924) | $332.10 | $369 | 1.6× |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) | $142.20 | $158 | 1.1× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $142.20 | $158 | 1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 11 matching MRF lines |
$22.50–$111.60 | $25–$124 | varies |
| Application Modality 1/> Areas Diathermy (97024) range across 3 matching MRF lines |
$10.80–$76.50 | $12–$85 | varies |
| Application Modality 1/> Areas Infrared (97026) | $9 | $10 | 1.3× |
| Application on-body injector (96377) range across 2 matching MRF lines |
$49.50–$326.70 | $55–$363 | varies |
| Arrhythmia Induction (93618) range across 2 matching MRF lines |
$1,397.70–$2,983.50 | $1,553–$3,315 | varies |
| Art pressure waveform analys (93050) | $31.50 | $35 | 1.1× |
| Assessment of aphasia per hr (96105) | $147.60 | $164 | 1.5× |
| Assessment of tinnitus (92625) | $175.50 | $195 | 1.4× |
| Assmt & care planning pt w/cognitive impairment (99483) | $93.60 | $104 | 1.0× |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$75.60–$175.50 | $84–$195 | varies |
| Auditory Function, 60 Min (92620) range across 2 matching MRF lines |
$175.50–$536.40 | $195–$596 | varies |
| Basic vestibular evaluation (92540) range across 3 matching MRF lines |
$175.50–$2,205.90 | $195–$2,451 | varies |
| Behavior id assessment by phys/qhp ea 15 min (97151) | $93.60 | $104 | 1.0× |
| Behavior id support assmt by 1 tech ea 15 min (97152) | $93.60 | $104 | 1.0× |
| Behavral qualit analys voice (92524) range across 3 matching MRF lines |
$164.70–$446.40 | $183–$496 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $65.70 | $73 | 0.8× |
| Bfb training ea addl 15 min (90913) | $36.90 | $41 | 1.1× |
| Biofeedback training any modality (90901) range across 4 matching MRF lines |
$29.70–$241.20 | $33–$268 | varies |
| Bioimpedance Cv Analysis (93701) | $142.20 | $158 | 1.1× |
| Bis Xtracell Fluid Analysis (93702) | $175.50 | $195 | 1.4× |
| Blink reflex test (95933) | $70.20 | $78 | 1.2× |
| Breath hydrogen/methane test (91065) | $175.50 | $195 | 0.9× |
| Breathing response to hypoxia (94450) | $332.10 | $369 | 2.7× |
| Brief Emotional/Behav Assmt (96127) | $42.30 | $47 | 1.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$332.10–$944.10 | $369–$1,049 | varies |
| Bundle of his recording (93600) range across 2 matching MRF lines |
$7,628.40–$14,455.80 | $8,476–$16,062 | varies |
| C motor evoked uppr limbs (95928) | $1,154.70 | $1,283 | 1.4× |
| C motor evoked upr&lwr limbs (95939) | $1,154.70 | $1,283 | 1.4× |
| Caloric vestibular test w/rec bi monothermal (92538) range across 2 matching MRF lines |
$175.50–$544.50 | $195–$605 | varies |
| Caloric Vstblr Test W/Rec (92537) range across 2 matching MRF lines |
$175.50–$1,138.50 | $195–$1,265 | varies |
| Canalith repositioning proc (95992) | $55.80 | $62 | 1.4× |
| Car seat/bed test 60 min (94780) | $42.30 | $47 | 1.2× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$332.10–$3,049.20 | $369–$3,388 | varies |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$332.10–$496.80 | $369–$552 | varies |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$332.10–$1,122.30 | $369–$1,247 | varies |
| Cardioversion (92960) range across 8 matching MRF lines |
$704.70–$1,333.80 | $783–$1,482 | varies |
| Cardioversion elective internal (92961) | $704.70 | $783 | 1.1× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $32.40 | $36 | 0.9× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $32.40 | $36 | 0.9× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$3,639.60–$10,588.50 | $4,044–$11,765 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$3,639.60–$13,294.80 | $4,044–$14,772 | varies |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$142.20–$339.30 | $158–$377 | varies |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) | $142.20 | $158 | 1.1× |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $332.10 | $369 | 1.6× |
| Cervical Vemp Testing W/I&R (92517) | $175.50 | $195 | 1.4× |
| Chemo Admin Peritoneal Cavity (96446) | $400.50 | $445 | 1.3× |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$78.30–$455.40 | $87–$506 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$68.40–$455.40 | $76–$506 | varies |
| Chemo Ia Push (96420) | $400.50 | $445 | 1.3× |
| Chemo Intralesional Over 7 (96406) | $256.50 | $285 | 1.3× |
| Chemo intralesional up to 7 (96405) | $78.30 | $87 | 1.1× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$78.30–$355.50 | $87–$395 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$78.30–$351.90 | $87–$391 | varies |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $256.50 | $285 | 0.8× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $49.50 | $55 | 1.1× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$400.50–$1,127.70 | $445–$1,253 | varies |
| Chemotherapy Intracavitary (96440) | $400.50 | $445 | 1.3× |
| Chemotherapy Unspecified (96549) | $49.50 | $55 | 1.1× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $400.50 | $445 | 1.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$78.30–$345.60 | $87–$384 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$400.50–$747.90 | $445–$831 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$256.50–$550.80 | $285–$612 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $256.50 | $285 | 0.8× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$106.20–$142.20 | $118–$158 | varies |
| Chiropract manj 3-4 regions (98941) | $34.20 | $38 | 1.7× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $34.20 | $38 | 1.7× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $34.20 | $38 | 1.7× |
| Chron Care Mgmt Srvc 20 Min (99490) | $93.60 | $104 | 1.0× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) range across 2 matching MRF lines |
$612–$6,068.70 | $680–$6,743 | varies |
| Cmptr ophth dx img ant segmt (92132) | $70.20 | $78 | 1.2× |
| Colon Motility 6 Hr Study (91117) | $333.90 | $371 | 1.6× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $70.20 | $78 | 1.2× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$289.80–$2,813.40 | $322–$3,126 | varies |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$137.70–$1,681.20 | $153–$1,868 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 6 matching MRF lines |
$47.70–$112.50 | $53–$125 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $167.40 | $186 | 1.0× |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) | $1,154.70 | $1,283 | 1.4× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $612 | $680 | 1.7× |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$108–$175.50 | $120–$195 | varies |
| Computerized dynamic posturography (92548) | $142.20 | $158 | 1.1× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $70.20 | $78 | 1.2× |
| Computerized Ophthalmic Imaging Retina (92134) | $70.20 | $78 | 1.2× |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$175.50–$401.40 | $195–$446 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $51.30 | $57 | 0.4× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $70.20 | $78 | 1.2× |
| Contact Lens Fit,Corneoscleral Lens (92313) | $142.20 | $158 | 1.1× |
| Continuous Pulse Ox (94762) range across 4 matching MRF lines |
$175.50–$642.60 | $195–$714 | varies |
| Cornea hysteresis determin impulse stimj uni/bi (92145) | $42.30 | $47 | 0.8× |
| Corneal Topography (92025) | $70.20 | $78 | 1.2× |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$3,639.60–$10,373.40 | $4,044–$11,526 | varies |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$3,639.60–$9,175.50 | $4,044–$10,195 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$235.80–$280.80 | $262–$312 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$142.20–$186.30 | $158–$207 | varies |
| Critical care first hour (99291) range across 3 matching MRF lines |
$935.10–$5,306.40 | $1,039–$5,896 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $612 | $680 | 1.7× |
| Dark Adaptation Eye Exam (92284) | $340.20 | $378 | 0.8× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$165.60–$225 | $184–$250 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $225 | $250 | 1.2× |
| Developmental tst admin phys/qhp 1st hour (96112) | $332.10 | $369 | 2.7× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $175.50 | $195 | 1.4× |
| Dialysis One Evaluation (90945) range across 4 matching MRF lines |
$138.60–$1,203.30 | $154–$1,337 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 3 matching MRF lines |
$332.10–$603.90 | $369–$671 | varies |
| Duodenal motility study (91022) | $612 | $680 | 1.7× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$289.80–$2,572.20 | $322–$2,858 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$137.70–$1,681.20 | $153–$1,868 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $137.70 | $153 | 1.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$289.80–$2,618.10 | $322–$2,909 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$136.80–$1,416.60 | $152–$1,574 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$289.80–$3,294 | $322–$3,660 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$137.70–$1,592.10 | $153–$1,769 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$289.80–$810 | $322–$900 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 2 matching MRF lines |
$137.70–$810 | $153–$900 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$137.70–$628.20 | $153–$698 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$289.80–$2,407.50 | $322–$2,675 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$137.70–$1,151.10 | $153–$1,279 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $175.50 | $195 | 1.4× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $175.50 | $195 | 1.4× |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) | $175.50 | $195 | 0.9× |
| Ear and throat examination (92502) | $567 | $630 | 1.1× |
| Ear Protector Evaluation (92596) | $42.30 | $47 | 1.2× |
| ECG/monitoring and analysis (93271) | $125.10 | $139 | 1.4× |
| Echo Congenital Complete (93303) | $606.60 | $674 | 1.2× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$289.80–$904.50 | $322–$1,005 | varies |
| Echo r-t 2d w/probe placement only (93313) range across 2 matching MRF lines |
$606.60–$2,161.80 | $674–$2,402 | varies |
| Echo transesophag congen probe plcmt only (93316) | $606.60 | $674 | 1.2× |
| Echo transesophag montr cardiac pump functj (93318) range across 3 matching MRF lines |
$606.60–$2,764.80 | $674–$3,072 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$606.60–$3,798.90 | $674–$4,221 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $606.60 | $674 | 1.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$606.60–$4,311 | $674–$4,790 | varies |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) | $45.90 | $51 | 1.3× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$332.10–$967.50 | $369–$1,075 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$332.10–$1,847.70 | $369–$2,053 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$332.10–$2,128.50 | $369–$2,365 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$612–$1,849.50 | $680–$2,055 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $332.10 | $369 | 1.6× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$332.10–$1,155.60 | $369–$1,284 | varies |
| Eeg Sleep Only (95822) | $332.10 | $369 | 1.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $332.10 | $369 | 1.6× |
| EEG w/o vid 2-12hr cont mntr (95707) | $332.10 | $369 | 1.6× |
| EEG w/o vid ea 12-26hr intmt (95709) | $612 | $680 | 1.7× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $612 | $680 | 1.7× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $332.10 | $369 | 1.6× |
| EEG wo vid ea 12-26hr unmntr (95708) | $612 | $680 | 1.7× |
| EKG signal averaged (93278) | $70.20 | $78 | 1.2× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $125.10 | $139 | 1.4× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $125.10 | $139 | 1.4× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $45.90 | $51 | 1.3× |
| Electrical Stimulation Ea 15 Min (97032) range across 7 matching MRF lines |
$22.50–$133.20 | $25–$148 | varies |
| Electro-Oculography (92270) | $142.20 | $158 | 1.1× |
| Electrocardiogram Tracing (93005) range across 9 matching MRF lines |
$11.70–$433.80 | $13–$482 | varies |
| Electrocochleography (92584) | $175.50 | $195 | 1.4× |
| Electroconvulsive Therapy (90870) | $612 | $680 | 0.7× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) | $332.10 | $369 | 1.6× |
| Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) | $142.20 | $158 | 1.1× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $7,628.40 | $8,476 | 1.0× |
| Electrophysiology Evaluation (93642) range across 2 matching MRF lines |
$1,397.70–$6,754.50 | $1,553–$7,505 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$164.70–$491.40 | $183–$546 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$117.90–$2,482.20 | $131–$2,758 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$200.70–$3,265.20 | $223–$3,628 | varies |
| Emg 3 Extremities (95863) | $175.50 | $195 | 1.4× |
| Emg 4 Extremities (95864) | $175.50 | $195 | 1.4× |
| Endomyocardial Biopsy (93505) | $3,592.80 | $3,992 | 1.2× |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$26,929.80–$48,420 | $29,922–$53,800 | varies |
| Ep & ablate ventric tachy (93654) | $26,929.80 | $29,922 | 1.1× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 2 matching MRF lines |
$7,628.40–$20,463.30 | $8,476–$22,737 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $7,628.40 | $8,476 | 1.0× |
| Ep Esophageal Recording Atria+Pacing (93616) | $1,397.70 | $1,553 | 1.2× |
| Er level 1 (99281) range across 2 matching MRF lines |
$90.90–$326.70 | $101–$363 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$655.20–$4,572 | $728–$5,080 | varies |
| Ergonovine provocation test (93024) | $340.20 | $378 | 0.8× |
| Esoph Atrial Electrogram (93615) | $1,397.70 | $1,553 | 1.2× |
| Esophageal Capsule Endoscopy (91111) | $1,016.10 | $1,129 | 1.2× |
| Esophagus acid perfusion test esophagitis (91030) | $612 | $680 | 1.7× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $612 | $680 | 1.7× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $612 | $680 | 1.7× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $175.50 | $195 | 1.4× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$192.60–$235.80 | $214–$262 | varies |
| Evaluate Speech Production (92522) range across 3 matching MRF lines |
$168.30–$274.50 | $187–$305 | varies |
| Evaluate Swallowing Function (92610) range across 3 matching MRF lines |
$106.20–$589.50 | $118–$655 | varies |
| Evaluation of speech fluency (92521) range across 3 matching MRF lines |
$199.80–$524.70 | $222–$583 | varies |
| Evoked Auditory Test,Limited (92587) range across 3 matching MRF lines |
$39.60–$332.10 | $44–$369 | varies |
| Excimer laser tx psoriasis 250-500 sq cm (96921) | $225 | $250 | 1.2× |
| Excimer laser tx psoriasis >500 sq cm (96922) | $433.80 | $482 | 1.1× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $225 | $250 | 1.2× |
| Exercise test for bronchospasm (94617) | $142.20 | $158 | 1.1× |
| Exhaled Air Analysis O2 (94680) | $175.50 | $195 | 1.4× |
| External ECG rec>48hr<7d recording (93242) | $70.20 | $78 | 2.0× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $142.20 | $158 | 1.1× |
| External ECG rec>7d<15d recording (93246) | $70.20 | $78 | 2.0× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $142.20 | $158 | 1.1× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$142.20–$1,880.10 | $158–$2,089 | varies |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$289.80–$1,653.30 | $322–$1,837 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$137.70–$1,079.10 | $153–$1,199 | varies |
| Eye Allergy Tests (95060) | $142.20 | $158 | 1.1× |
| Eye exam w anesth; complete (92018) | $2,510.10 | $2,789 | 1.1× |
| Eye exam w anesth; limited (92019) | $2,510.10 | $2,789 | 1.1× |
| Eye Exam With Photos (92230) | $612 | $680 | 1.7× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $606.60 | $674 | 1.2× |
| Facial nerve function studies (92516) | $332.10 | $369 | 1.6× |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) | $32.40 | $36 | 0.9× |
| Filtered Speech Test (92571) | $42.30 | $47 | 1.2× |
| Fitting of spectacle mounted low vision aid; single element system Facility (92354) | $42.30 | $47 | 1.2× |
| Fitting of spectacle mounted low vision aid; telescopic or other compound lens system Non-Facility OP Neurology,… (92355) | $42.30 | $47 | 1.2× |
| Fitting of spectacle prosthesis for aphakia; monofocal Facility (92352) | $70.20 | $78 | 1.2× |
| Fitting of spectacle prosthesis for aphakia; multifocal Facility (92353) | $70.20 | $78 | 1.2× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $100.80 | $112 | 0.7× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 2 matching MRF lines |
$101.70–$145.80 | $113–$162 | varies |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $149.40 | $166 | 0.7× |
| Fluorescein angiography (92235) | $332.10 | $369 | 1.6× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $332.10 | $369 | 1.6× |
| Full Field Electroretinography W/I&R (92273) | $332.10 | $369 | 1.6× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $1,154.70 | $1,283 | 1.4× |
| Fundus photography (92250) | $142.20 | $158 | 1.1× |
| Gastric motility studies (91020) | $612 | $680 | 1.7× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $612 | $680 | 1.7× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 2 matching MRF lines |
$332.10–$477 | $369–$530 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $612 | $680 | 0.7× |
| Gi tract capsule endoscopy (91110) | $1,016.10 | $1,129 | 1.2× |
| Gi wireless capsule measure (91112) | $1,016.10 | $1,129 | 1.2× |
| Gonioscopy (92020) | $142.20 | $158 | 1.1× |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) | $32.40 | $36 | 0.9× |
| Group Therapeutic Procedures (97150) range across 10 matching MRF lines |
$27–$139.50 | $30–$155 | varies |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) | $32.40 | $36 | 0.9× |
| Health Behavior Assessment/Re-Assessment (96156) | $93.60 | $104 | 1.0× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $32.40 | $36 | 0.9× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $32.40 | $36 | 0.9× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $93.60 | $104 | 0.6× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$3,639.60–$11,787.30 | $4,044–$13,097 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 5 matching MRF lines |
$117–$950.40 | $130–$1,056 | varies |
| High altitude simulation test (94452) | $142.20 | $158 | 1.1× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $142.20 | $158 | 1.1× |
| Holter monitor recording (93225) range across 4 matching MRF lines |
$142.20–$2,507.40 | $158–$2,786 | varies |
| Hubbard tank 15 min (97036) range across 2 matching MRF lines |
$49.50–$169.20 | $55–$188 | varies |
| Hypnotherapy (90880) | $93.60 | $104 | 1.0× |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $42.30 | $47 | 1.2× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$45.90–$341.10 | $51–$379 | varies |
| Icd device progr eval dual (93283) | $45.90 | $51 | 1.3× |
| Icd Device Progr Eval Mult (93284) | $45.90 | $51 | 1.3× |
| Icm Device Eval (93290) | $45.90 | $51 | 1.3× |
| Ilr Device Eval Progr (93285) | $45.90 | $51 | 1.3× |
| Ilr Device Interrogate (93291) | $31.50 | $35 | 1.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $78.30 | $87 | 1.1× |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $70.20 | $78 | 1.2× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $42.30 | $47 | 0.8× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $42.30 | $47 | 1.2× |
| Immunization administration (90471) range across 5 matching MRF lines |
$19.80–$83.70 | $22–$93 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $332.10 | $369 | 1.6× |
| Ingestion challenge test initial 120 minutes (95076) | $612 | $680 | 1.7× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $612 | $680 | 1.7× |
| Inital newborn e/m (99460) | $149.40 | $166 | 1.2× |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$1,764.90–$3,295.80 | $1,961–$3,662 | varies |
| Interrogate Subq Defib (93261) | $45.90 | $51 | 1.3× |
| Interrogation eval in person wr defibrillator (93292) | $45.90 | $51 | 1.3× |
| Interrogation vad in person (93750) | $125.10 | $139 | 1.4× |
| Intra-atrial pacing (93610) range across 2 matching MRF lines |
$7,628.40–$15,114.60 | $8,476–$16,794 | varies |
| Intra-atrial recording (93602) range across 2 matching MRF lines |
$7,628.40–$15,114.60 | $8,476–$16,794 | varies |
| Intracranial Complete Study (93886) | $289.80 | $322 | 1.3× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) | $31.50 | $35 | 1.1× |
| Intracutaneous tests w/allergenic extracts (95024) | $70.20 | $78 | 1.2× |
| Intraventricular pacing (93612) range across 2 matching MRF lines |
$7,628.40–$14,455.80 | $8,476–$16,062 | varies |
| Io anal gast n-stim subsq (95981) | $142.20 | $158 | 2.5× |
| Io ga n-stim subsq w/reprog (95982) | $45.90 | $51 | 1.3× |
| Iontophoresis 15 min (97033) range across 6 matching MRF lines |
$29.70–$137.70 | $33–$153 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$70.20–$246.60 | $78–$274 | varies |
| Ischemic limb exercise test (95875) | $175.50 | $195 | 1.4× |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$49.50–$322.20 | $55–$358 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$256.50–$678.60 | $285–$754 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$78.30–$329.40 | $87–$366 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$49.50–$338.40 | $55–$376 | varies |
| IV push initial (96374) range across 14 matching MRF lines |
$256.50–$378.90 | $285–$421 | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$3,639.60–$14,492.70 | $4,044–$16,103 | varies |
| Laryngeal Function Studies (92520) | $142.20 | $158 | 1.1× |
| Liver Elastography W/O Imag W/I&R (91200) | $175.50 | $195 | 1.4× |
| Loudness balance test (92562) | $175.50 | $195 | 0.9× |
| Low frequency non-thermal us (97610) | $225 | $250 | 1.2× |
| Lung Function Test (Mbc/Mvv) (94200) | $70.20 | $78 | 1.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$211.50–$1,831.50 | $235–$2,035 | varies |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) | $1,154.70 | $1,283 | 1.4× |
| Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) | $1,154.70 | $1,283 | 1.4× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) | $332.10 | $369 | 1.6× |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) | $612 | $680 | 1.7× |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) | $175.50 | $195 | 1.4× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$173.70–$235.80 | $193–$262 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $41.40 | $46 | 1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $47.70 | $53 | 1.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $23.40 | $26 | 1.4× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$332.10–$2,115 | $369–$2,350 | varies |
| Microvolt T-Wave Assess (93025) | $175.50 | $195 | 1.4× |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) | $142.20 | $158 | 1.1× |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$612–$1,047.60 | $680–$1,164 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 3 matching MRF lines |
$137.70–$681.30 | $153–$757 | varies |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $340.20 | $378 | 0.8× |
| Multifocal Electroretinography W/I&R (92274) | $175.50 | $195 | 1.4× |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) | $32.40 | $36 | 0.9× |
| Multiple Family Group Psychotherapy (90849) | $167.40 | $186 | 1.0× |
| Multiple Sleep Latency Test (95805) range across 3 matching MRF lines |
$3,478.50–$3,565.80 | $3,865–$3,962 | varies |
| Muscle Test 2 Limbs (95861) | $142.20 | $158 | 1.1× |
| Muscle Test Hemidiaphragm (95866) | $175.50 | $195 | 1.4× |
| Muscle Test Nonparaspinal (95870) | $142.20 | $158 | 1.1× |
| Muscle Test One Limb (95860) | $142.20 | $158 | 1.1× |
| Narcosynthesis (90865) | $167.40 | $186 | 1.0× |
| Nasal function studies (92512) | $332.10 | $369 | 1.6× |
| Nasopharyngoscopy (92511) | $206.10 | $229 | 1.1× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $332.10 | $369 | 1.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $332.10 | $369 | 1.6× |
| Needle electromyography larynx (95865) | $142.20 | $158 | 1.1× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $175.50 | $195 | 0.9× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $175.50 | $195 | 0.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $433.80 | $482 | 1.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $433.80 | $482 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $225 | $250 | 1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $433.80 | $482 | 1.1× |
| Nerve Conduction Studies 1-2 Studies (95907) | $175.50 | $195 | 0.9× |
| Nerve Conduction Studies 11-12 Studies (95912) | $612 | $680 | 1.7× |
| Nerve conduction studies 13 or more studies (95913) | $612 | $680 | 1.7× |
| Nerve Conduction Studies 3-4 Studies (95908) | $332.10 | $369 | 1.6× |
| Nerve conduction studies 5-6 studies (95909) | $332.10 | $369 | 1.6× |
| Nerve conduction studies 7-8 studies (95910) | $332.10 | $369 | 0.9× |
| Nerve Conduction Studies 9-10 Studies (95911) | $612 | $680 | 1.7× |
| Neurobehavioral Status Exam (96116) | $332.10 | $369 | 1.6× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $175.50 | $195 | 1.4× |
| Neuromuscular Reeducation (97112) range across 6 matching MRF lines |
$50.40–$148.50 | $56–$165 | varies |
| Newborn resuscitation (99465) | $704.70 | $783 | 1.1× |
| Nitric oxide expired gas determination (95012) | $42.30 | $47 | 1.2× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $34.20 | $38 | 1.4× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $48.60 | $54 | 1.4× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $16.20 | $18 | 1.2× |
| Nose Allergy Test (95065) | $42.30 | $47 | 1.2× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $332.10 | $369 | 0.9× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $332.10 | $369 | 0.9× |
| Ocular Vemp Testing W/I&R (92518) | $175.50 | $195 | 1.4× |
| Oculoelectromyography (92265) | $70.20 | $78 | 1.2× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $142.20 | $158 | 1.1× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $149.40 | $166 | 1.2× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $149.40 | $166 | 1.2× |
| Ophth medical xm&eval intermediate estab pt (92012) | $149.40 | $166 | 1.2× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $149.40 | $166 | 1.2× |
| Ophthalmodynamometry (92260) | $42.30 | $47 | 1.2× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $70.20 | $78 | 1.2× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $70.20 | $78 | 1.2× |
| Optokinetic Nystagmus Test (92544) range across 2 matching MRF lines |
$175.50–$656.10 | $195–$729 | varies |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$126.90–$325.80 | $141–$362 | varies |
| Oral Speech Device Eval (92597) | $108.90 | $121 | 1.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 3 matching MRF lines |
$79.20–$139.50 | $88–$155 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 5 matching MRF lines |
$72–$135 | $80–$150 | varies |
| Oscillating Tracking Test (92545) range across 2 matching MRF lines |
$332.10–$697.50 | $369–$775 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$34.20–$99 | $38–$110 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$34.20–$118.80 | $38–$132 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$34.20–$153.90 | $38–$171 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) | $34.20 | $38 | 1.7× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $34.20 | $38 | 1.7× |
| Ot Contrast Bath Ea 15 Min (97034) | $22.50 | $25 | 1.6× |
| Ot eval high complexity (97167) range across 3 matching MRF lines |
$151.20–$296.10 | $168–$329 | varies |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$151.20–$257.40 | $168–$286 | varies |
| Ot Eval Moderate Complexity (97166) range across 3 matching MRF lines |
$151.20–$277.20 | $168–$308 | varies |
| Ot manual therapy 15 min (97140) range across 5 matching MRF lines |
$40.50–$134.10 | $45–$149 | varies |
| Ot paraffin bath (97018) range across 5 matching MRF lines |
$8.10–$83.70 | $9–$93 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 4 matching MRF lines |
$63–$100.80 | $70–$112 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 3 matching MRF lines |
$103.50–$163.80 | $115–$182 | varies |
| Ot rom hand (95852) range across 3 matching MRF lines |
$8.10–$71.10 | $9–$79 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$145.80–$567.90 | $162–$631 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$145.80–$344.70 | $162–$383 | varies |
| Oxygen Uptake Rest Indirect (94690) range across 2 matching MRF lines |
$70.20–$665.10 | $78–$739 | varies |
| Patch/Application Test Specify Number Tests (95044) | $1,154.70 | $1,283 | 1.4× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $36.90 | $41 | 1.5× |
| Patient-initiated spirometric recording (94015) | $332.10 | $369 | 1.6× |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $340.20 | $378 | 0.8× |
| Pdt dstr prmlg les phys/qhp (96573) | $225 | $250 | 1.2× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $225 | $250 | 1.2× |
| Pediatric apnea monitor analyses computer (94776) | $175.50 | $195 | 1.4× |
| Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of… (94775) | $175.50 | $195 | 1.4× |
| Penile Vascular Study,Ltd or F/U (93981) | $137.70 | $153 | 1.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$202.50–$235.80 | $225–$262 | varies |
| Percutaneous tests w/allergenic extracts (95004) | $1,154.70 | $1,283 | 1.4× |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$70.20–$453.60 | $78–$504 | varies |
| Perq transcath closure pda (93582) | $20,154.60 | $22,394 | 1.2× |
| Perq Transcath Cls Aortic (93591) | $20,154.60 | $22,394 | 1.2× |
| Perq Transcath Cls Mitral (93590) | $20,154.60 | $22,394 | 1.2× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 2 matching MRF lines |
$6,219.90–$11,884.50 | $6,911–$13,205 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $17,620.20 | $19,578 | 1.6× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$142.20–$254.70 | $158–$283 | varies |
| Photo patch test(s) (95052) | $70.20 | $78 | 1.2× |
| Photo Tests (95056) | $142.20 | $158 | 1.1× |
| Photochemotherapy Dermatoses 4-8 Hrs Supervision (96913) | $433.80 | $482 | 1.1× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) | $70.20 | $78 | 1.2× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $70.20 | $78 | 1.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$34.20–$242.10 | $38–$269 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $242.10 | $269 | 4.3× |
| Physical Performance Test (97750) range across 7 matching MRF lines |
$49.50–$107.10 | $55–$119 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$332.10–$876.60 | $369–$974 | varies |
| Pm device eval in person (93288) range across 3 matching MRF lines |
$45.90–$214.20 | $51–$238 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$45.90–$531 | $51–$590 | varies |
| Pm device progr eval multi (93281) | $45.90 | $51 | 1.3× |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$45.90–$531 | $51–$590 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 4 matching MRF lines |
$45–$341.10 | $50–$379 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$200.70–$9,557.10 | $223–$10,619 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$8,349.30–$8,558.10 | $9,277–$9,509 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$9,045.90–$9,271.80 | $10,051–$10,302 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $1,154.70 | $1,283 | 1.4× |
| Positional nystagmus test (92542) range across 2 matching MRF lines |
$142.20–$656.10 | $158–$729 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $49.50 | $55 | 1.1× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $49.50 | $55 | 1.1× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $49.50 | $55 | 1.1× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $78.30 | $87 | 1.1× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $78.30 | $87 | 1.1× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) | $340.20 | $378 | 0.8× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) | $142.20 | $158 | 1.1× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) | $142.20 | $158 | 1.1× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) | $42.30 | $47 | 1.2× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) range across 2 matching MRF lines |
$45.90–$90.90 | $51–$101 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $45.90 | $51 | 1.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $49.50 | $55 | 1.1× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $49.50 | $55 | 1.1× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $78.30 | $87 | 1.1× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $49.50 | $55 | 1.1× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) | $49.50 | $55 | 1.1× |
| Prosthesis service for aphakia, temporary (disposable or loan, including materials) Facility (92358) | $70.20 | $78 | 1.2× |
| Prq Card Angio/Athrect 1 Art (92924) range across 2 matching MRF lines |
$12,605.40–$15,003.90 | $14,006–$16,671 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) | $17,620.20 | $19,578 | 1.6× |
| Prq Card Stent/Ath/Angio (92933) | $19,629.90 | $21,811 | 1.1× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $17,620.20 | $19,578 | 1.6× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $20,154.60 | $22,394 | 1.2× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $12,605.40 | $14,006 | 1.1× |
| Psych diag eval w/med srvcs (90792) | $171.90 | $191 | 1.0× |
| Psychiatric diagnostic evaluation (90791) | $167.40 | $186 | 1.0× |
| Psychoanalysis (90845) | $167.40 | $186 | 1.0× |
| Psychological tst eval svc phys/qhp first hour (96130) | $332.10 | $369 | 1.6× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $31.50 | $35 | 1.1× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $340.20 | $378 | 0.8× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $142.20 | $158 | 1.1× |
| Psytx Crisis Initial 60 Min (90839) | $167.40 | $186 | 1.0× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $57.60 | $64 | 1.5× |
| Pt Eval High Complex (97163) range across 5 matching MRF lines |
$150.30–$296.10 | $167–$329 | varies |
| Pt eval low complex 20 min (97161) range across 5 matching MRF lines |
$150.30–$257.40 | $167–$286 | varies |
| Pt Eval Mod Complex (97162) range across 5 matching MRF lines |
$150.30–$277.20 | $167–$308 | varies |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$44.10–$108.90 | $49–$121 | varies |
| Pt mechanical traction (97012) range across 3 matching MRF lines |
$22.50–$125.10 | $25–$139 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 5 matching MRF lines |
$103.50–$163.80 | $115–$182 | varies |
| Pt ultraviolet (97028) | $11.70 | $13 | 1.4× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $32.40 | $36 | 0.9× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$175.50–$302.40 | $195–$336 | varies |
| Pulmonary service/procedure (94799) | $175.50 | $195 | 1.4× |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$142.20–$378.90 | $158–$421 | varies |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$61.20–$142.20 | $68–$158 | varies |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $30.60 | $34 | 1.3× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $47.70 | $53 | 1.4× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $16.20 | $18 | 1.3× |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$3,639.60–$10,367.10 | $4,044–$11,519 | varies |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$3,639.60–$9,168.30 | $4,044–$10,187 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$3,639.60–$10,588.50 | $4,044–$11,765 | varies |
| Rapid Desensitization Procedure Each Hour (95180) | $340.20 | $378 | 0.8× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $400.50 | $445 | 1.3× |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$256.50–$682.20 | $285–$758 | varies |
| Refill/Maint Pump/Resvr Syst (96522) | $256.50 | $285 | 1.3× |
| Rem interrog icpms <30 d phys/qhp (93297) range across 3 matching MRF lines |
$40.50–$144.90 | $45–$161 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 2 matching MRF lines |
$72.90–$144.90 | $81–$161 | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $45.90 | $51 | 1.3× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $149.40 | $166 | 1.2× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$45.90–$716.40 | $51–$796 | varies |
| Remote 30 Day Ecg Tech Supp (93229) | $175.50 | $195 | 0.5× |
| Repair and refitting spectacles; spectacle prosthesis for aphakia Facility (92371) | $70.20 | $78 | 1.2× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $332.10 | $369 | 1.6× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $332.10 | $369 | 1.6× |
| Replacement of contact lens (92326) | $70.20 | $78 | 1.2× |
| Respiratory flow volume loop (94375) | $332.10 | $369 | 1.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $70.20 | $78 | 1.2× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$3,639.60–$7,416.90 | $4,044–$8,241 | varies |
| Right ventricular recording (93603) range across 2 matching MRF lines |
$1,397.70–$2,381.40 | $1,553–$2,646 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$193.50–$225 | $215–$250 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 4 matching MRF lines |
$11.70–$88.20 | $13–$98 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 3 matching MRF lines |
$186.30–$567 | $207–$630 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $72.90 | $81 | 1.5× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) | $142.20 | $158 | 1.1× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $612 | $680 | 1.7× |
| Same day nb discharge (99463) | $149.40 | $166 | 1.2× |
| Sbsq Psyc Collab Care Mgmt (99493) | $93.60 | $104 | 1.0× |
| Select picture audiometry (92583) range across 2 matching MRF lines |
$70.20–$162.90 | $78–$181 | varies |
| Self Care Mngment Training (97535) range across 9 matching MRF lines |
$48.60–$116.10 | $54–$129 | varies |
| Self-meas bp pt educaj/traing & dev calibration (99473) | $31.50 | $35 | 1.1× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $70.20 | $78 | 1.2× |
| Sensory Integration Ea 15 Min (97533) range across 3 matching MRF lines |
$94.50–$109.80 | $105–$122 | varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $332.10 | $369 | 1.6× |
| Short-latency somatosens ep std upr limbs (95925) | $332.10 | $369 | 1.6× |
| Sinusoidal Vertical Axis Rotational Testing (92546) range across 2 matching MRF lines |
$175.50–$723.60 | $195–$804 | varies |
| Sleep study attended (95807) | $612 | $680 | 1.7× |
| Sleep study unattended (95806) | $1,141.20 | $1,268 | 5.5× |
| Slp Stdy Unatnd W/Anal (95801) | $142.20 | $158 | 2.5× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $175.50 | $195 | 0.9× |
| Somatosensory Testing (95938) | $612 | $680 | 0.7× |
| Speech Audiometry Complete (92556) range across 2 matching MRF lines |
$70.20–$73.80 | $78–$82 | varies |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$42.30–$46.80 | $47–$52 | varies |
| Speech sound lang comprehen (92523) range across 3 matching MRF lines |
$340.20–$570.60 | $378–$634 | varies |
| Spin/Brain Pump Refil & Main (95991) | $328.50 | $365 | 1.1× |
| Spirometry (94010) range across 3 matching MRF lines |
$36–$840.60 | $40–$934 | varies |
| Spontaneous Nystagmus Test (92541) range across 2 matching MRF lines |
$142.20–$527.40 | $158–$586 | varies |
| Ssep lower limbs (95926) | $332.10 | $369 | 1.6× |
| Staggered Spondaic Word Test (92572) | $175.50 | $195 | 1.4× |
| Standardized Cognitive Performance Testing (96125) | $154.80 | $172 | 1.5× |
| Stenger Test Speech (92577) | $612 | $680 | 1.7× |
| Stenger Test, Pure Tone (92565) | $42.30 | $47 | 0.8× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$606.60–$2,689.20 | $674–$2,988 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $49.50 | $55 | 1.1× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $256.50 | $285 | 1.3× |
| Subq Infusion Additional Pump Infusion Site (96371) | $78.30 | $87 | 1.1× |
| Surfactant Admin Thru Tube (94610) range across 2 matching MRF lines |
$235.80–$470.70 | $262–$523 | varies |
| Synthetic Sentence Identification Test (92576) | $42.30 | $47 | 1.2× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $137.70 | $153 | 1.4× |
| Temp transcutaneous pacing (92953) range across 3 matching MRF lines |
$646.20–$704.70 | $718–$783 | varies |
| Temperature Gradient Studies (93740) | $175.50 | $195 | 1.4× |
| Tensilon Test (95857) | $332.10 | $369 | 1.6× |
| Test to assess hearing loss using different tone pitches (92575) | $42.30 | $47 | 1.2× |
| Testing Autonomic Nervous System Function (95923) | $142.20 | $158 | 1.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 5 matching MRF lines |
$35.10–$38.70 | $39–$43 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 5 matching MRF lines |
$34.20–$38.70 | $38–$43 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 4 matching MRF lines |
$54–$134.10 | $60–$149 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 6 matching MRF lines |
$44.10–$109.80 | $49–$122 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 5 matching MRF lines |
$154.80–$277.20 | $172–$308 | varies |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $49.50 | $55 | 1.1× |
| Ther/Proph/Diag Inj Ia (96373) range across 4 matching MRF lines |
$256.50–$387 | $285–$430 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 17 matching MRF lines |
$20.70–$231.30 | $23–$257 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 5 matching MRF lines |
$256.50–$729.90 | $285–$811 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $332.10 | $369 | 1.6× |
| Therapeutic Activities (97530) range across 6 matching MRF lines |
$55.80–$116.10 | $62–$129 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$612–$5,346.90 | $680–$5,941 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $25.20 | $28 | 0.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $11.70 | $13 | 0.3× |
| Tone Decay Test (92563) range across 2 matching MRF lines |
$42.30–$238.50 | $47–$265 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $139.50 | $155 | 1.1× |
| Trans Care Mgmt 7 Day Disch (99496) | $189.90 | $211 | 1.5× |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$20,154.60–$41,877 | $22,394–$46,530 | varies |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $137.70 | $153 | 1.4× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $137.70 | $153 | 1.4× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $45.90 | $51 | 1.3× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $175.50 | $195 | 1.4× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $142.20 | $158 | 1.1× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$606.60–$4,372.20 | $674–$4,858 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$289.80–$1,079.10 | $322–$1,199 | varies |
| Tx atrial fib pulm vein isol (93656) | $26,929.80 | $29,922 | 1.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 4 matching MRF lines |
$115.20–$438.30 | $128–$487 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 2 matching MRF lines |
$35.10–$209.70 | $39–$233 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 6 matching MRF lines |
$49.50–$334.80 | $55–$372 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$42.30–$54 | $47–$60 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 3 matching MRF lines |
$175.50–$750.60 | $195–$834 | varies |
| Unlis neurological/neuromuscular dx px (95999) | $175.50 | $195 | 1.4× |
| Unlisted allergy/clinical immunologic srvc/px (95199) | $31.50 | $35 | 1.1× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$175.50–$46,063.80 | $195–$51,182 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $175.50 | $195 | 1.4× |
| Unlisted noninvasive vascular diagnostic study (93998) | $31.50 | $35 | 1.1× |
| Unlisted ophthalmological service/procedure (92499) | $31.50 | $35 | 1.1× |
| Unlisted otorhinolaryngological service (92700) | $31.50 | $35 | 1.1× |
| Unlisted Psychiatric Service/Procedure (90899) | $32.40 | $36 | 0.9× |
| Unlisted Special Dermatological Service/Px (96999) | $225 | $250 | 1.2× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$142.20–$829.80 | $158–$922 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$175.50–$1,344.60 | $195–$1,494 | varies |
| Valvuloplasty aortic valve (92986) range across 2 matching MRF lines |
$6,219.90–$45,518.40 | $6,911–$50,576 | varies |
| Valvuloplasty mitral valve (92987) | $12,605.40 | $14,006 | 1.1× |
| Valvuloplasty pulmonary valve (92990) | $12,605.40 | $14,006 | 1.1× |
| Vasopneumatic device (97016) range across 4 matching MRF lines |
$16.20–$108 | $18–$120 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $612 | $680 | 1.7× |
| Veeg 2-12 hr intmt mntr (95712) | $332.10 | $369 | 0.9× |
| Veeg 2-12 hr unmonitored (95711) | $332.10 | $369 | 1.6× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $612 | $680 | 1.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $612 | $680 | 1.7× |
| Veeg ea 12-26hr cont mntr (95716) | $1,154.70 | $1,283 | 1.4× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$611.10–$781.20 | $679–$868 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$611.10–$781.20 | $679–$868 | varies |
| Visual Evoked Potential Test (95930) | $332.10 | $369 | 1.6× |
| Visual Field Exam Extended (92083) | $142.20 | $158 | 1.1× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $70.20 | $78 | 1.2× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $70.20 | $78 | 1.2× |
| Visual reinforcement audiometry (vra) (92579) range across 2 matching MRF lines |
$84.60–$175.50 | $94–$195 | varies |
| Vital capacity, total (94150) | $175.50 | $195 | 1.4× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,154.70 | $1,283 | 1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 4 matching MRF lines |
$47.70–$67.50 | $53–$75 | varies |
| Whirlpool Therapy (97022) range across 8 matching MRF lines |
$25.20–$140.40 | $28–$156 | varies |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $70.20 | $78 | 1.2× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $70.20 | $78 | 2.0× |
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.