Visits & medical services prices at Logan Health Medical Center
Kalispell, MT · every code in this section with a posted price and a Medicare benchmark.
338 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) | $231.40 | $356 | 2.2× |
| Ablate Heart Dysrhythm Focus (93650) | $7,639.78 | $11,753.50 | 1.0× |
| Actigraphy Testing Recording Analysis I&R (95803) | $155.02 | $238.50 | 2.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$30.88–$43.71 | $47.50–$67.25 | varies |
| Advncd Care Plan 30 Min (99497) | $124.80 | $192 | 1.2× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$26.65–$83.20 | $41–$128 | varies |
| Airway resistance by oscillometry (94728) | $40.95 | $63 | 0.3× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $27.30 | $42 | 0.7× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $43.55 | $67 | 0.3× |
| Analyze neurostim complex (95972) | $55.25 | $85 | 0.6× |
| Analyze neurostim no prog (95970) | $15.60 | $24 | 0.1× |
| Analyze Neurostim Simple (95971) | $46.80 | $72 | 0.5× |
| Analyze Pacemaker System (93724) | $819.81 | $1,261.25 | 2.6× |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $319.80 | $492 | 0.8× |
| Ans parasymp & symp w/tilt (95924) | $89.05 | $137 | 0.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$20.80–$35.59 | $32–$54.75 | varies |
| Application Modality 1/> Areas Infrared (97026) | $27.46 | $42.25 | 4.1× |
| Application on-body injector (96377) | $122.04 | $187.75 | 2.6× |
| Arrhythmia Induction (93618) | $1,395.22 | $2,146.50 | 1.1× |
| Assessment of aphasia per hr (96105) | $191.26 | $294.25 | 2.0× |
| Behavral qualit analys voice (92524) | $180.38 | $277.50 | 1.6× |
| Bioimpedance Cv Analysis (93701) | $37.05 | $57 | 0.3× |
| Blink reflex test (95933) | $83.85 | $129 | 1.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $68.25 | $105 | 0.2× |
| Bundle of his recording (93600) | $7,924.96 | $12,192.25 | 1.0× |
| Canalith repositioning proc (95992) | $35.75 | $55 | 0.9× |
| Cardiac Stress Tst,Tracing Only (93017) range across 16 matching MRF lines |
$50.05–$747.99 | $77–$1,150.75 | varies |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$134.55–$417.79 | $207–$642.75 | varies |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$411.45–$1,029.28 | $633–$1,583.50 | varies |
| Cardioversion (92960) | $1,229.80 | $1,892 | 1.8× |
| Cardioversion elective internal (92961) | $1,114.75 | $1,715 | 1.7× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $66.30 | $102 | 1.7× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $2.76 | $4.25 | 0.1× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $14,191.78 | $21,833.50 | 4.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $12,751.86 | $19,618.25 | 3.9× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$72.80–$198.58 | $112–$305.50 | varies |
| Chemo Admin Peritoneal Cavity (96446) range across 2 matching MRF lines |
$300.95–$329.71 | $463–$507.25 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$117–$163.31 | $180–$251.25 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$45.50–$104.16 | $70–$160.25 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$44.85–$187.69 | $69–$288.75 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$85.80–$263.58 | $132–$405.50 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $207.35 | $319 | 0.6× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$256.75–$354.09 | $395–$544.75 | varies |
| Chemotherapy Unspecified (96549) | $83.36 | $128.25 | 1.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$100.10–$167.70 | $154–$258 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $206.70 | $318 | 0.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$158.60–$289.74 | $244–$445.75 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $171.60 | $264 | 0.5× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$42.09–$48.10 | $64.75–$74 | varies |
| Chiropract manj 3-4 regions (98941) | $20.80 | $32 | 0.9× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $26.65 | $41 | 1.2× |
| Chron Care Mgmt Srvc 20 Min (99490) | $96.20 | $148 | 0.9× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$85.15–$865.80 | $131–$1,332 | varies |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$58.50–$615.22 | $90–$946.50 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $58.82 | $90.50 | 1.8× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $202.15 | $311 | 1.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$221.65–$298.19 | $341–$458.75 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $94.90 | $146 | 1.6× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$37.05–$231.89 | $57–$356.75 | varies |
| Coronary Art/Grft Angio S&I (93455) | $10,268.38 | $15,797.50 | 3.1× |
| Coronary Artery Angio S&I (93454) | $9,443.36 | $14,528.25 | 2.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$68.25–$372.61 | $105–$573.25 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$37.05–$122.52 | $57–$188.50 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$357.50–$3,407.46 | $550–$5,242.25 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$101.40–$196.79 | $156–$302.75 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $113.75 | $175 | 0.9× |
| Dialysis One Evaluation (90945) | $126.10 | $194 | 0.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 3 matching MRF lines |
$59.15–$724.10 | $91–$1,114 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$36.40–$150.15 | $56–$231 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$57.20–$834.76 | $88–$1,284.25 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$35.75–$517.72 | $55–$796.50 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$50.70–$1,097.69 | $78–$1,688.75 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$33.15–$509.28 | $51–$783.50 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 3 matching MRF lines |
$36.40–$570.05 | $56–$877 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$59.80–$985.56 | $92–$1,516.25 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$36.40–$553.48 | $56–$851.50 | varies |
| ECG/monitoring and analysis (93271) | $245.70 | $378 | 2.5× |
| Echo Congenital Complete (93303) | $252.20 | $388 | 0.5× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$35.59–$106.60 | $54.75–$164 | varies |
| Echo r-t 2d w/probe placement only (93313) | $693.55 | $1,067 | 1.2× |
| Echo transesophag montr cardiac pump functj (93318) | $1,223.30 | $1,882 | 2.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $215.80 | $332 | 0.4× |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) | $99.29 | $152.75 | 2.6× |
| Eeg 41-60 Minutes (95812) | $416.16 | $640.25 | 1.9× |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$575.41–$1,017.90 | $885.25–$1,566 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$475.48–$730.11 | $731.50–$1,123.25 | varies |
| EEG cerebral death evaluation (95824) | $1,840.48 | $2,831.50 | 4.8× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$493.35–$710.61 | $759–$1,093.25 | varies |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$509.92–$1,368.41 | $784.50–$2,105.25 | varies |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $40.95 | $63 | 0.4× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $43.55 | $67 | 0.4× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $33.15 | $51 | 0.9× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$22.10–$40.62 | $34–$62.50 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$13–$179.08 | $20–$275.50 | varies |
| Electrophysiology Evaluation (93642) | $1,508.65 | $2,321 | 1.2× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$55.90–$223.76 | $86–$344.25 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$83.69–$388.05 | $128.75–$597 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$158.76–$721.82 | $244.25–$1,110.50 | varies |
| Emg 3 Extremities (95863) | $171.60 | $264 | 1.3× |
| Emg 4 Extremities (95864) | $209.30 | $322 | 1.6× |
| Endomyocardial Biopsy (93505) | $1,522.30 | $2,342 | 0.5× |
| Ep & ablate supravent arrhyt (93653) | $16,592.71 | $25,527.25 | 0.6× |
| Ep & ablate ventric tachy (93654) | $30,941.62 | $47,602.50 | 1.2× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $7,639.78 | $11,753.50 | 1.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $7,476.79 | $11,502.75 | 0.9× |
| Er level 1 (99281) range across 2 matching MRF lines |
$28.76–$62.24 | $44.25–$95.75 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$234.16–$1,524.25 | $360.25–$2,345 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$25.35–$71.82 | $39–$110.50 | varies |
| Evaluate Speech Production (92522) | $180.38 | $277.50 | 1.6× |
| Evaluate Swallowing Function (92610) | $160.22 | $246.50 | 1.9× |
| Evaluation of speech fluency (92521) | $228.31 | $351.25 | 1.7× |
| Exercise test for bronchospasm (94617) | $48.75 | $75 | 0.4× |
| Exhaled Air Analysis O2 (94680) | $18.85 | $29 | 0.1× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$23.40–$293.48 | $36–$451.50 | varies |
| External ECG rec>7d<15d recording (93246) | $23.40 | $36 | 0.6× |
| External Ecg Scanning Analysis Report (93226) | $53.95 | $83 | 0.9× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$58.50–$523.74 | $90–$805.75 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$37.05–$427.54 | $57–$657.75 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) | $182 | $280 | 0.3× |
| Flexible endoscopic eval swallow c/v rec (92612) | $549.09 | $844.75 | 2.7× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $962.65 | $1,481 | 2.5× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $939.41 | $1,445.25 | 1.1× |
| Gi tract capsule endoscopy (91110) | $1,596.72 | $2,456.50 | 1.7× |
| Gi tract imaging intraluminal colon i&r (91113) | $1,660.26 | $2,554.25 | 1.7× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$37.86–$43.88 | $58.25–$67.50 | varies |
| Health Behavior Assessment/Re-Assessment (96156) | $85.80 | $132 | 0.8× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $63.05 | $97 | 1.6× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $9.10 | $14 | 0.2× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $59.15 | $91 | 0.3× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $15,406.46 | $23,702.25 | 4.7× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $107.90 | $166 | 0.2× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $28.60 | $44 | 0.2× |
| Holter monitor recording (93225) | $38.35 | $59 | 0.3× |
| Hypnotherapy (90880) | $93.60 | $144 | 0.9× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$33.80–$124.15 | $52–$191 | varies |
| Icd device progr eval dual (93283) | $39 | $60 | 1.0× |
| Icd Device Progr Eval Mult (93284) | $41.60 | $64 | 1.1× |
| Icm Device Eval (93290) | $29.90 | $46 | 0.8× |
| Ilr Device Eval Progr (93285) | $32.50 | $50 | 0.9× |
| Ilr Device Interrogate (93291) | $28.60 | $44 | 1.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $32.50 | $50 | 0.4× |
| Immunization administration (90471) range across 3 matching MRF lines |
$51.68–$62.89 | $79.50–$96.75 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $332.96 | $512.25 | 0.9× |
| Inital newborn e/m (99460) | $141.05 | $217 | 1.0× |
| Insert/Place Heart Catheter (93503) | $1,430.49 | $2,200.75 | 0.9× |
| Interrogate Subq Defib (93261) | $37.05 | $57 | 1.0× |
| Intra-atrial recording (93602) | $7,924.96 | $12,192.25 | 1.0× |
| Intracranial Complete Study (93886) range across 2 matching MRF lines |
$70.20–$846.79 | $108–$1,302.75 | varies |
| Intracutaneous tests w/allergenic extracts (95024) | $11.70 | $18 | 0.2× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$1,395.22 | $2,146.50 | 0.2× |
| Iontophoresis 15 min (97033) | $57.20 | $88 | 3.0× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$40.30–$66.46 | $62–$102.25 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$20.15–$95.88 | $31–$147.50 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$55.90–$355.39 | $86–$546.75 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$46.15–$95.88 | $71–$147.50 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$31.85–$102.54 | $49–$157.75 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$57.20–$208.32 | $88–$320.50 | varies |
| L Hrt Art/Grft Angio (93459) | $13,967.52 | $21,488.50 | 4.2× |
| Liver Elastography W/O Imag W/I&R (91200) range across 2 matching MRF lines |
$20.15–$238.39 | $31–$366.75 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $32.50 | $50 | 0.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 3 matching MRF lines |
$36.40–$745.39 | $56–$1,146.75 | varies |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$46.80–$386.91 | $72–$595.25 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 6 matching MRF lines |
$33.64–$295.10 | $51.75–$454 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 6 matching MRF lines |
$33.64–$353.28 | $51.75–$543.50 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 3 matching MRF lines |
$32.82–$96.52 | $50.50–$148.50 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$52–$854.75 | $80–$1,315 | varies |
| Motility study esophagus (91010) | $1,045.36 | $1,608.25 | 2.7× |
| Motion Fluoroscopy/Swallow (92611) | $321.91 | $495.25 | 3.5× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $89.70 | $138 | 0.2× |
| Multiple Family Group Psychotherapy (90849) | $29.74 | $45.75 | 0.2× |
| Multiple Sleep Latency Test (95805) | $708.50 | $1,090 | 0.8× |
| Muscle Test 2 Limbs (95861) | $132.60 | $204 | 1.0× |
| Muscle Test Hemidiaphragm (95866) | $105.30 | $162 | 0.8× |
| Muscle Test Nonparaspinal (95870) | $104.65 | $161 | 0.8× |
| Muscle Test One Limb (95860) | $102.05 | $157 | 0.8× |
| Nasopharyngoscopy (92511) range across 3 matching MRF lines |
$151.94–$302.90 | $233.75–$466 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $110.50 | $170 | 0.5× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $104.65 | $161 | 0.5× |
| Needle electromyography larynx (95865) | $111.80 | $172 | 0.8× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $109.20 | $168 | 0.5× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $96.20 | $148 | 0.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$38.35–$468.98 | $59–$721.50 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $47.45 | $73 | 0.2× |
| Nerve Conduction Studies 1-2 Studies (95907) | $62.40 | $96 | 0.3× |
| Nerve Conduction Studies 11-12 Studies (95912) | $150.15 | $231 | 0.4× |
| Nerve conduction studies 13 or more studies (95913) | $166.40 | $256 | 0.4× |
| Nerve Conduction Studies 3-4 Studies (95908) | $83.20 | $128 | 0.4× |
| Nerve conduction studies 5-6 studies (95909) | $98.80 | $152 | 0.4× |
| Nerve conduction studies 7-8 studies (95910) | $127.40 | $196 | 0.3× |
| Nerve Conduction Studies 9-10 Studies (95911) | $145.60 | $224 | 0.4× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $78 | $120 | 0.6× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$52–$61.75 | $80–$95 | varies |
| Newborn resuscitation (99465) | $215.15 | $331 | 0.3× |
| Nitric oxide expired gas determination (95012) | $30.55 | $47 | 0.8× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $120.90 | $186 | 0.3× |
| Oculoelectromyography (92265) | $63.05 | $97 | 1.0× |
| Oral Function Therapy (92526) | $150.80 | $232 | 1.8× |
| Oral Speech Device Eval (92597) | $180.38 | $277.50 | 2.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$30.39–$74.75 | $46.75–$115 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$70.20–$72.96 | $108–$112.25 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$30.55–$46.80 | $47–$72 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) | $42.25 | $65 | 1.9× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $55.25 | $85 | 2.5× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $65.65 | $101 | 3.0× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $78 | $120 | 3.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $35.75 | $55 | 2.5× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$134.55–$146.09 | $207–$224.75 | varies |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$134.55–$237.25 | $207–$365 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$134.55–$146.09 | $207–$224.75 | varies |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$41.60–$63.21 | $64–$97.25 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $51.02 | $78.50 | 1.3× |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$92.30–$98.80 | $142–$152 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $279.99 | $430.75 | 2.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $200.85 | $309 | 1.5× |
| Oxygen Uptake Rest Indirect (94690) | $5.85 | $9 | 0.1× |
| Patch/Application Test Specify Number Tests (95044) | $4.88 | $7.50 | 0.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$62.40–$271.86 | $96–$418.25 | varies |
| Peripheral arterial disease rehab per session (93668) | $94.90 | $146 | 1.6× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $18,261.10 | $28,094 | 1.0× |
| Perq Transcath Cls Aortic (93591) | $26,008.94 | $40,013.75 | 1.4× |
| Perq Transcath Cls Mitral (93590) | $26,008.94 | $40,013.75 | 1.4× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $10,601.01 | $16,309.25 | 1.8× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $15,951.81 | $24,541.25 | 1.4× |
| Phlebotomy therapeutic (99195) | $140.40 | $216 | 1.0× |
| Photo patch test(s) (95052) | $10.40 | $16 | 0.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $340.44 | $523.75 | 5.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $342.06 | $526.25 | 5.7× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$64.35–$64.84 | $99–$99.75 | varies |
| Plethysmography (94726) | $61.10 | $94 | 0.2× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$33.80–$81.09 | $52–$124.75 | varies |
| Pm device progr eval dual (93280) | $39 | $60 | 1.0× |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$39–$80.28 | $60–$123.50 | varies |
| Pm Device Progr Eval Sngl (93279) | $33.80 | $52 | 0.9× |
| Pm/Icd Remote Tech Serv (93296) | $37.70 | $58 | 1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$902.04–$2,000.70 | $1,387.75–$3,078 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,533.35 | $2,359 | 1.7× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $1,626.30 | $2,502 | 1.9× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $21.45 | $33 | 0.4× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $50.70 | $78 | 1.1× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $76.05 | $117 | 1.6× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $94.25 | $145 | 1.3× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $188.50 | $290 | 2.6× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $37.05 | $57 | 1.0× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $36.40 | $56 | 1.0× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $95.55 | $147 | 0.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $13.65 | $21 | 0.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $15.60 | $24 | 0.3× |
| Prq Card Angio/Athrect 1 Art (92924) | $16,557.78 | $25,473.50 | 1.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $16,918.04 | $26,027.75 | 1.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $16,299.24 | $25,075.75 | 1.4× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $25,112.10 | $38,634 | 1.3× |
| Psych diag eval w/med srvcs (90792) | $131.30 | $202 | 0.7× |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$118.30–$207.84 | $182–$319.75 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $97.50 | $150 | 0.4× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $1.95 | $3 | 0.1× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $31.20 | $48 | 0.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $52.65 | $81 | 0.4× |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$83.20–$206.05 | $128–$317 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $62.08 | $95.50 | 1.6× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$104–$146.09 | $160–$224.75 | varies |
| Pt eval low complex 20 min (97161) | $146.09 | $224.75 | 1.5× |
| Pt Eval Mod Complex (97162) | $146.09 | $224.75 | 1.5× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$44.85–$58.66 | $69–$90.25 | varies |
| Pt mechanical traction (97012) | $38.02 | $58.50 | 2.6× |
| Pt Re-Eval Est Plan Care (97164) | $71.01 | $109.25 | 1.1× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $2.60 | $4 | 0.1× |
| Pulm function test by gas (94727) | $380.25 | $585 | 1.7× |
| Pulmonary Stress Testing (94618) | $134.39 | $206.75 | 1.0× |
| Pure Tone Audiometry Air (92552) | $59.80 | $92 | 0.4× |
| R Hrt Art/Grft Angio (93457) | $8,950.66 | $13,770.25 | 2.7× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $10,415.11 | $16,023.25 | 3.1× |
| Rapid Desensitization Procedure Each Hour (95180) | $140.40 | $216 | 0.3× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) range across 2 matching MRF lines |
$74.75–$411.29 | $115–$632.75 | varies |
| Refill/Maint Portable Pump (96521) | $311.68 | $479.50 | 1.4× |
| Refill/Maint Pump/Resvr Syst (96522) range across 2 matching MRF lines |
$176.80–$342.71 | $272–$527.25 | varies |
| Rem interrog icpms <30 d phys/qhp (93297) | $56.55 | $87 | 1.5× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $38.35 | $59 | 1.0× |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $50.70 | $78 | 1.3× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $74.10 | $114 | 1.9× |
| Rem ther mntr dev sply resp (98976) | $74.10 | $114 | 1.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $13.65 | $21 | 0.4× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $31.20 | $48 | 0.2× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $42.90 | $66 | 1.0× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $59.15 | $91 | 1.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$8.45–$140.56 | $13–$216.25 | varies |
| Right Heart Cath (93451) | $5,585.29 | $8,592.75 | 1.7× |
| Right ventricular recording (93603) | $1,395.22 | $2,146.50 | 1.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $386.91 | $595.25 | 1.9× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $237.09 | $364.75 | 1.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $100.75 | $155 | 2.1× |
| Sbsq Psyc Collab Care Mgmt (99493) | $219.05 | $337 | 2.1× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$50.70–$67.11 | $78–$103.25 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$56.71–$61.10 | $87.25–$94 | varies |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$153.40–$871.98 | $236–$1,341.50 | varies |
| Sleep study unattended (95806) | $173.71 | $267.25 | 0.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $250.58 | $385.50 | 1.1× |
| Speech sound lang comprehen (92523) | $354.09 | $544.75 | 1.6× |
| Spin/Brain Pump Refil & Main (95991) | $144.30 | $222 | 0.5× |
| Spirometry (94010) | $39.65 | $61 | 0.2× |
| Ssep lower limbs (95926) | $147.55 | $227 | 0.7× |
| Standardized Cognitive Performance Testing (96125) | $194.51 | $299.25 | 1.9× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$105.95–$171.60 | $163–$264 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $23.40 | $36 | 0.5× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $236.60 | $364 | 1.1× |
| Surfactant Admin Thru Tube (94610) | $120.09 | $184.75 | 0.5× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$15.44–$228.96 | $23.75–$352.25 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $30.39 | $46.75 | 1.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $66.14 | $101.75 | 1.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$48.75–$57.04 | $75–$87.75 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $208.49 | $320.75 | 2.0× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $78 | $120 | 1.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$24.70–$95.88 | $38–$147.50 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$105.30–$385.78 | $162–$593.50 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$59.15–$66.14 | $91–$101.75 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,982.50 | $3,050 | 5.2× |
| Transcath Closure of Asd (93580) unusually low: confirm this is the full procedure |
$8,016.45 | $12,333 | 0.4× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$39–$728 | $60–$1,120 | varies |
| Tte w/doppler, complete (93306) | $195.65 | $301 | 0.4× |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$67.60–$140.40 | $104–$216 | varies |
| Tx atrial fib pulm vein isol (93656) | $32,116.99 | $49,410.75 | 1.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $149.18 | $229.50 | 2.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$24.70–$158.44 | $38–$243.75 | varies |
| Unlisted cardiovascular service/procedure (93799) | $1,511.25 | $2,325 | 11.5× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$19.50–$317.20 | $30–$488 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$33.15–$163.80 | $51–$252 | varies |
| Valvuloplasty aortic valve (92986) | $5,045.46 | $7,762.25 | 0.9× |
| Valvuloplasty mitral valve (92987) | $10,375.30 | $15,962 | 0.9× |
| Veeg 2-12 Hr Cont Mntr (95713) | $762.29 | $1,172.75 | 2.0× |
| Veeg 2-12 hr intmt mntr (95712) | $457.44 | $703.75 | 1.2× |
| Veeg 2-12 hr unmonitored (95711) | $457.44 | $703.75 | 2.1× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $762.29 | $1,172.75 | 2.0× |
| Veeg ea 12-26hr cont mntr (95716) | $1,448.04 | $2,227.75 | 1.7× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$358.15–$1,420.41 | $551–$2,185.25 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$358.15–$814.78 | $551–$1,253.50 | varies |
| Visual Evoked Potential Test (95930) | $72.80 | $112 | 0.3× |
| Vital capacity, total (94150) | $31.85 | $49 | 0.2× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$60.45–$61.42 | $93–$94.50 | varies |
| Whirlpool Therapy (97022) | $46.48 | $71.50 | 3.0× |
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.