Visits & medical services prices at Loma Linda University Children's Hospital
Loma Linda, CA · every code in this section with a posted price and a Medicare benchmark.
305 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) unusually low: confirm this is the full procedure |
$4,815.90 | $10,702 | 0.5× |
| Actigraphy Testing Recording Analysis I&R (95803) | $77.40 | $172 | 1.0× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $54.45 | $121 | 1.0× |
| Aep neurodiagnostic i&r (92653) | $331.20 | $736 | 1.2× |
| Airway Inhalation Treatment (94640) range across 9 matching MRF lines |
$231.75–$265.95 | $515–$591 | varies |
| Anrct mano rct sensation&rct balo expulsion test (91125) range across 2 matching MRF lines |
$1,000.80–$1,096.20 | $2,224–$2,436 | varies |
| Ans parasymp & symp w/tilt (95924) | $287.55 | $639 | 1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $120.60 | $268 | 8.4× |
| Application Modality 1/> Areas Infrared (97026) | $76.50 | $170 | 11.5× |
| Arrhythmia Induction (93618) | $2,711.25 | $6,025 | 1.7× |
| Assessment of aphasia per hr (96105) | $329.85 | $733 | 3.4× |
| Audiometry Air & Bone (92553) | $186.30 | $414 | 1.1× |
| Behavral qualit analys voice (92524) | $360.90 | $802 | 3.3× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $97.20 | $216 | 1.2× |
| Bfb training ea addl 15 min (90913) | $39.15 | $87 | 1.2× |
| Breathing response to hypoxia (94450) | $186.75 | $415 | 1.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $428.85 | $953 | 0.9× |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$3,733.20 | $8,296 | 0.4× |
| C motor evoked upr&lwr limbs (95939) | $834.30 | $1,854 | 0.8× |
| Car seat/bed test 60 min (94780) | $157.50 | $350 | 3.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,446.30 | $3,214 | 5.2× |
| Cardiopulmonary exercise testing (94621) | $1,297.35 | $2,883 | 2.7× |
| Cardiopulmonary resuscitation (92950) | $1,834.20 | $4,076 | 6.6× |
| Cardioversion (92960) | $2,311.65 | $5,137 | 2.7× |
| Cardioversion elective internal (92961) | $537.30 | $1,194 | 0.6× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $11,083.95 | $24,631 | 2.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $8,848.35 | $19,663 | 2.1× |
| Cbt 1st hour (94644) | $149.40 | $332 | 0.9× |
| Chemo Admin Peritoneal Cavity (96446) | $510.75 | $1,135 | 1.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $274.95 | $611 | 3.0× |
| Chemo Hormon Antineopl Sq/Im (96402) | $227.25 | $505 | 2.5× |
| Chemo Ia Push (96420) | $381.15 | $847 | 0.9× |
| Chemo IV infusion addl hr (96415) | $221.85 | $493 | 2.4× |
| Chemo IV push addl drug (96411) | $317.70 | $706 | 3.4× |
| Chemother Prolong Infuse W/Pump (96416) | $373.95 | $831 | 0.9× |
| Chemotherapy Into Cns (96450) | $1,000.80 | $2,224 | 2.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $166.05 | $369 | 1.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $621.45 | $1,381 | 1.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $334.80 | $744 | 0.8× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $189 | $420 | 0.4× |
| Chest Wall Manipulation (94668) | $144.45 | $321 | 0.8× |
| Color/duplex Doppler, complete (93975) | $1,101.15 | $2,447 | 3.6× |
| Color/duplex Doppler, limited (93976) | $940.50 | $2,090 | 7.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $131.40 | $292 | 4.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $607.50 | $1,350 | 3.5× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $217.80 | $484 | 2.9× |
| Continuous Pulse Ox (94762) | $220.05 | $489 | 1.3× |
| Coronary Art/Grft Angio S&I (93455) | $6,519.15 | $14,487 | 1.6× |
| Coronary Artery Angio S&I (93454) | $7,617.15 | $16,927 | 1.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $2,425.95 | $5,391 | 8.6× |
| Cpt initial (94667) | $232.65 | $517 | 1.4× |
| Critical care first hour (99291) | $5,723.55 | $12,719 | 5.4× |
| Debridement Open Wound 20 Sq Cm< (97597) | $414.45 | $921 | 1.6× |
| Developmental tst admin phys/qhp 1st hour (96112) | $468.90 | $1,042 | 2.8× |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$406.80–$468 | $904–$1,040 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,086.30 | $2,414 | 3.5× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $760.95 | $1,691 | 5.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,274.85 | $2,833 | 4.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $915.30 | $2,034 | 6.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,402.20 | $3,116 | 4.6× |
| Dup-scan xtr veins unilateral/limited study (93971) | $882.45 | $1,961 | 6.6× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $315.90 | $702 | 1.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $151.65 | $337 | 1.1× |
| Duplex up extrem art bilat (93930) | $1,210.50 | $2,690 | 3.9× |
| Duplex up extrem art unilat/ltd (93931) | $1,015.65 | $2,257 | 7.6× |
| Ear and throat examination (92502) | $322.65 | $717 | 0.5× |
| Echo Congenital Complete (93303) | $1,312.20 | $2,916 | 1.9× |
| Echo Heart Xthoracic,Limited (93308) | $1,022.85 | $2,273 | 3.3× |
| Echo transesophag congen probe plcmt only (93316) | $932.85 | $2,073 | 1.3× |
| Echo transesophageal (93312) | $2,049.75 | $4,555 | 2.9× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,875.60 | $4,168 | 2.7× |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) | $47.70 | $106 | 1.0× |
| Eeg 41-60 Minutes (95812) | $1,014.75 | $2,255 | 3.7× |
| EEG awake and asleep (95819) | $1,460.25 | $3,245 | 5.3× |
| EEG awake drowsy (95816) | $983.25 | $2,185 | 3.5× |
| EEG cerebral death evaluation (95824) | $557.10 | $1,238 | 1.2× |
| EEG cont rec w/video by tech min 8 channels (95700) | $415.35 | $923 | 1.5× |
| EEG extended monitoring 61-119 minutes (95813) | $1,678.05 | $3,729 | 6.0× |
| Eeg Sleep Only (95822) | $1,387.35 | $3,083 | 5.0× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $415.35 | $923 | 1.5× |
| EEG w/o vid 2-12hr cont mntr (95707) | $415.35 | $923 | 1.5× |
| EEG w/o vid ea 12-26hr intmt (95709) | $796.95 | $1,771 | 1.7× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $796.95 | $1,771 | 1.7× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $415.35 | $923 | 1.5× |
| EEG wo vid ea 12-26hr unmntr (95708) | $796.95 | $1,771 | 1.7× |
| Electrical Stimulation Ea 15 Min (97032) | $120.60 | $268 | 8.2× |
| Electrocardiogram Tracing (93005) | $387.45 | $861 | 5.1× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) range across 2 matching MRF lines |
$932.40–$1,247.85 | $2,072–$2,773 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) unusually low: confirm this is the full procedure |
$4,663.35 | $10,363 | 0.5× |
| Electrophysiology Evaluation (93642) | $2,087.55 | $4,639 | 1.3× |
| Emergency Dept Visit Level 2 (99282) | $732.60 | $1,628 | 3.7× |
| Emergency Dept Visit Level 3 (99283) | $1,099.35 | $2,443 | 3.1× |
| Emergency Dept Visit Level 4 (99284) | $1,804.95 | $4,011 | 3.4× |
| Emg 3 Extremities (95863) | $1,296.90 | $2,882 | 7.8× |
| Emg 4 Extremities (95864) | $1,296.90 | $2,882 | 7.8× |
| Endomyocardial Biopsy (93505) | $2,579.85 | $5,733 | 0.6× |
| Ep & ablate supravent arrhyt (93653) | $18,175.05 | $40,389 | 0.5× |
| Ep & ablate ventric tachy (93654) | $16,921.80 | $37,604 | 0.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $10,334.25 | $22,965 | 1.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $7,345.35 | $16,323 | 0.7× |
| Ep Esophageal Recording Atria+Pacing (93616) | $2,711.25 | $6,025 | 1.7× |
| Er level 1 (99281) | $504.45 | $1,121 | 4.7× |
| Er level v (99285) | $2,596.05 | $5,769 | 3.4× |
| Esoph Atrial Electrogram (93615) | $2,711.25 | $6,025 | 1.7× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) range across 2 matching MRF lines |
$320.40–$416.70 | $712–$926 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) range across 2 matching MRF lines |
$642.60–$1,074.60 | $1,428–$2,388 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $141.75 | $315 | 0.9× |
| Evaluate pt use of inhaler (94664) | $170.55 | $379 | 0.6× |
| Evaluate Speech Production (92522) | $288.90 | $642 | 2.6× |
| Evaluate Swallowing Function (92610) | $368.10 | $818 | 4.3× |
| Evaluation of speech fluency (92521) | $358.65 | $797 | 2.7× |
| Evoked Auditory Test,Limited (92587) | $312.30 | $694 | 1.1× |
| Exercise test for bronchospasm (94617) | $136.35 | $303 | 0.8× |
| Exhaled Air Analysis O2 (94680) | $214.20 | $476 | 1.3× |
| External ECG rec>48hr<7d recording (93242) | $164.25 | $365 | 3.4× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $216.90 | $482 | 1.3× |
| External ECG rec>7d<15d recording (93246) | $216.90 | $482 | 4.5× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $216.90 | $482 | 1.3× |
| Extracranial Bilat Study (93880) | $1,019.70 | $2,266 | 3.3× |
| Extracranial Uni/Ltd Study (93882) | $495.90 | $1,102 | 3.7× |
| Eye exam w anesth; limited (92019) | $2,016 | $4,480 | 0.7× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,121.85 | $2,493 | 1.6× |
| Flexible endoscopic eval swallow c/v rec (92612) | $438.75 | $975 | 2.2× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $109.80 | $244 | 0.5× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $1,140.75 | $2,535 | 1.0× |
| Gastric motility studies (91020) range across 2 matching MRF lines |
$721.35–$790.20 | $1,603–$1,756 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 4 matching MRF lines |
$939.15–$1,572.30 | $2,087–$3,494 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 2 matching MRF lines |
$642.60–$1,074.60 | $1,428–$2,388 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$1,342.35–$2,176.20 | $2,983–$4,836 | varies |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$3,877.20–$4,309.65 | $8,616–$9,577 | varies |
| Group Therapeutic Procedures (97150) | $291.15 | $647 | 16.1× |
| Health Behavior Assessment/Re-Assessment (96156) | $310.95 | $691 | 2.4× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) range across 2 matching MRF lines |
$35.55–$54 | $79–$120 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $7,743.60 | $17,208 | 1.9× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 4 matching MRF lines |
$639.45–$735.30 | $1,421–$1,634 | varies |
| High altitude simulation test (94452) | $451.35 | $1,003 | 2.6× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $424.35 | $943 | 2.5× |
| Holter monitor recording (93225) | $580.05 | $1,289 | 3.4× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $28.80 | $64 | 0.3× |
| Immunization administration (90471) range across 6 matching MRF lines |
$32.85–$45 | $73–$100 | varies |
| Insert/Place Heart Catheter (93503) | $1,089 | $2,420 | 0.5× |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) | $181.35 | $403 | 1.1× |
| Interrog eval crtd sins bat modulj sys ip wo (93145) | $181.35 | $403 | 1.1× |
| Interrogate Subq Defib (93261) | $62.55 | $139 | 1.3× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$2,711.25 | $6,025 | 0.3× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$2,711.25 | $6,025 | 0.3× |
| Intracranial Complete Study (93886) | $1,144.35 | $2,543 | 3.7× |
| Intraventricular pacing (93612) unusually low: confirm this is the full procedure |
$3,260.25 | $7,245 | 0.3× |
| Iontophoresis 15 min (97033) | $120.60 | $268 | 6.3× |
| Irrig Drug Delivery Device (96523) | $146.70 | $326 | 1.9× |
| IV infusion hydration each additional hour (96361) | $75.60 | $168 | 1.3× |
| IV infusion hydration initial 31 min-1 hour (96360) | $404.10 | $898 | 1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $348.30 | $774 | 3.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $75.60 | $168 | 1.3× |
| IV push initial (96374) range across 3 matching MRF lines |
$201.60–$225.90 | $448–$502 | varies |
| L Hrt Art/Grft Angio (93459) | $7,505.10 | $16,678 | 1.8× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $3,094.20 | $6,876 | 0.7× |
| Liver Elastography W/O Imag W/I&R (91200) | $186.75 | $415 | 1.1× |
| Low frequency non-thermal us (97610) | $179.10 | $398 | 0.7× |
| Mechanical chest wall oscillation per session (94669) | $170.55 | $379 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $93.15 | $207 | 2.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $111.60 | $248 | 3.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $93.15 | $207 | 5.5× |
| Methacholine challenge (94070) | $564.75 | $1,255 | 1.2× |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$1,014.75–$1,111.50 | $2,255–$2,470 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$445.05–$536.85 | $989–$1,193 | varies |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $93.60 | $208 | 0.2× |
| Muscle Test 2 Limbs (95861) | $843.75 | $1,875 | 4.9× |
| Muscle Test Hemidiaphragm (95866) | $155.25 | $345 | 0.9× |
| Muscle Test Nonparaspinal (95870) | $129.15 | $287 | 0.8× |
| Muscle Test One Limb (95860) | $1,233 | $2,740 | 7.2× |
| Nasopharyngoscopy (92511) | $321.75 | $715 | 1.3× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $334.80 | $744 | 1.2× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $223.20 | $496 | 0.8× |
| Needle electromyography larynx (95865) | $193.95 | $431 | 1.1× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $162 | $360 | 0.6× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $283.50 | $630 | 1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $184.95 | $411 | 0.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $225.90 | $502 | 0.4× |
| Nerve Conduction Studies 1-2 Studies (95907) | $108.90 | $242 | 0.4× |
| Nerve Conduction Studies 11-12 Studies (95912) | $490.50 | $1,090 | 1.0× |
| Nerve conduction studies 13 or more studies (95913) | $515.25 | $1,145 | 1.1× |
| Nerve Conduction Studies 3-4 Studies (95908) | $271.80 | $604 | 1.0× |
| Nerve conduction studies 5-6 studies (95909) | $239.85 | $533 | 0.9× |
| Nerve conduction studies 7-8 studies (95910) | $429.30 | $954 | 0.9× |
| Nerve Conduction Studies 9-10 Studies (95911) | $467.10 | $1,038 | 1.0× |
| Neurobehavioral Status Exam (96116) | $460.35 | $1,023 | 1.7× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $171.90 | $382 | 1.0× |
| Newborn resuscitation (99465) | $3,357 | $7,460 | 3.9× |
| Oral Function Therapy (92526) | $248.85 | $553 | 3.0× |
| Oral Speech Device Eval (92597) | $319.95 | $711 | 4.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $132.75 | $295 | 2.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $135.45 | $301 | 2.9× |
| Ot Contrast Bath Ea 15 Min (97034) | $68.85 | $153 | 4.9× |
| Ot eval high complexity (97167) | $520.20 | $1,156 | 5.2× |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$346.95–$347.40 | $771–$772 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$433.35–$433.80 | $963–$964 | varies |
| Ot manual therapy 15 min (97140) | $151.20 | $336 | 5.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $93.60 | $208 | 2.3× |
| Ot Re-Eval Est Plan Care (97168) | $299.25 | $665 | 4.4× |
| Ot rom hand (95852) | $126.90 | $282 | 5.9× |
| Oxygen Uptake Rest Indirect (94690) | $199.35 | $443 | 2.6× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $43.20 | $96 | 1.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $515.25 | $1,145 | 1.8× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $25,854.75 | $57,455 | 1.1× |
| Perq transcath closure pda (93582) | $21,255.30 | $47,234 | 0.9× |
| Perq Transcath Cls Aortic (93591) | $21,869.10 | $48,598 | 0.9× |
| Perq Transcath Cls Mitral (93590) | $17,135.55 | $38,079 | 0.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $11,079.90 | $24,622 | 1.5× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $8,267.40 | $18,372 | 0.6× |
| Phlebotomy therapeutic (99195) | $245.70 | $546 | 1.4× |
| Physical Performance Test (97750) | $113.40 | $252 | 3.4× |
| Plethysmography (94726) | $257.40 | $572 | 0.5× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $50.40 | $112 | 1.1× |
| Prq Card Angio/Athrect 1 Art (92924) | $11,763.90 | $26,142 | 0.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $10,876.95 | $24,171 | 0.7× |
| Prq Card Stent/Ath/Angio (92933) | $23,427 | $52,060 | 1.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) unusually low: confirm this is the full procedure |
$6,889.05 | $15,309 | 0.5× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $12,297.15 | $27,327 | 0.5× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $16,281.90 | $36,182 | 1.1× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) unusually low: confirm this is the full procedure |
$6,736.05 | $14,969 | 0.5× |
| Psytx Crisis Initial 60 Min (90839) | $165.15 | $367 | 0.7× |
| Pt Eval High Complex (97163) | $586.35 | $1,303 | 6.0× |
| Pt eval low complex 20 min (97161) | $390.60 | $868 | 4.0× |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$356.40–$488.70 | $792–$1,086 | varies |
| Pt gait training 15 min (97116) | $134.10 | $298 | 4.6× |
| Pt mechanical traction (97012) | $104.40 | $232 | 7.3× |
| Pt Re-Eval Est Plan Care (97164) | $246.60 | $548 | 3.7× |
| Pulmonary service/procedure (94799) range across 7 matching MRF lines |
$153.45–$1,176.75 | $341–$2,615 | varies |
| Pulmonary Stress Testing (94618) | $641.25 | $1,425 | 3.7× |
| Pure Tone Audiometry Air (92552) | $83.25 | $185 | 0.5× |
| R Hrt Art/Grft Angio (93457) | $10,670.40 | $23,712 | 2.6× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $3,094.20 | $6,876 | 0.7× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $3,094.20 | $6,876 | 0.7× |
| R hrt coronary artery angio (93456) | $10,244.70 | $22,766 | 2.5× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $3,094.20 | $6,876 | 0.7× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $3,094.20 | $6,876 | 0.7× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $7,155.90 | $15,902 | 1.7× |
| Rectal sensation tone&compliance study (91124) range across 2 matching MRF lines |
$120.60–$245.70 | $268–$546 | varies |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $310.50 | $690 | 0.7× |
| Refill/Maint Portable Pump (96521) | $370.80 | $824 | 1.4× |
| Refill/Maint Pump/Resvr Syst (96522) | $330.30 | $734 | 1.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $54 | $120 | 1.1× |
| Respiratory flow volume loop (94375) | $189.45 | $421 | 0.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $198.90 | $442 | 2.6× |
| Right Heart Cath (93451) | $6,539.85 | $14,533 | 1.6× |
| Right ventricular recording (93603) | $3,258.90 | $7,242 | 2.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 5 matching MRF lines |
$344.25–$465.75 | $765–$1,035 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $126.90 | $282 | 4.9× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $269.10 | $598 | 2.2× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $116.55 | $259 | 2.4× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $441 | $980 | 0.9× |
| Self Care Mngment Training (97535) | $130.05 | $289 | 4.0× |
| Sensory Integration Ea 15 Min (97533) | $132.30 | $294 | 2.2× |
| Sleep study attended (95807) | $1,765.80 | $3,924 | 3.7× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $304.65 | $677 | 1.1× |
| Somatosensory Testing (95938) | $1,389.15 | $3,087 | 1.3× |
| Speech sound lang comprehen (92523) | $288.90 | $642 | 1.3× |
| Spirometry (94010) | $205.20 | $456 | 0.7× |
| Subcutaneous Infusion Each Additional Hour (96370) | $44.55 | $99 | 0.7× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $247.95 | $551 | 0.9× |
| Surfactant Admin Thru Tube (94610) | $1,156.05 | $2,569 | 4.1× |
| Temp transcutaneous pacing (92953) | $1,350.90 | $3,002 | 1.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $29.70 | $66 | 1.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $28.80 | $64 | 1.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$151.65–$226.80 | $337–$504 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $120.60 | $268 | 4.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $100.80 | $224 | 1.0× |
| Ther/Proph/Diag Inj Ia (96373) | $233.10 | $518 | 0.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $179.10 | $398 | 1.9× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 5 matching MRF lines |
$346.95–$388.80 | $771–$864 | varies |
| Therapeutic Activities (97530) | $145.35 | $323 | 4.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $71.55 | $159 | 1.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $44.10 | $98 | 0.9× |
| Transcath Closure of Asd (93580) | $16,989.30 | $37,754 | 0.7× |
| Tte w/doppler, complete (93306) | $2,041.65 | $4,537 | 2.9× |
| Tte W/O Doppler Complete (93307) | $1,014.30 | $2,254 | 3.3× |
| Tx atrial fib pulm vein isol (93656) | $25,782.75 | $57,295 | 0.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 5 matching MRF lines |
$230.85–$370.35 | $513–$823 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $167.85 | $373 | 7.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $225.90 | $502 | 3.8× |
| Tympanometry (92567) | $131.40 | $292 | 2.7× |
| Unlisted allergy/clinical immunologic srvc/px (95199) | $22.50 | $50 | 0.6× |
| Unlisted cardiovascular service/procedure (93799) range across 6 matching MRF lines |
$279–$11,258.10 | $620–$25,018 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) range across 2 matching MRF lines |
$701.55–$768.60 | $1,559–$1,708 | varies |
| Unlisted ophthalmological service/procedure (92499) | $110.70 | $246 | 3.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $447.30 | $994 | 1.6× |
| Valvuloplasty aortic valve (92986) | $8,419.95 | $18,711 | 1.2× |
| Valvuloplasty mitral valve (92987) unusually low: confirm this is the full procedure |
$5,613.30 | $12,474 | 0.4× |
| Valvuloplasty pulmonary valve (92990) unusually low: confirm this is the full procedure |
$6,204.60 | $13,788 | 0.4× |
| Vasopneumatic device (97016) | $125.55 | $279 | 10.4× |
| Veeg 2-12 Hr Cont Mntr (95713) | $796.95 | $1,771 | 1.7× |
| Veeg 2-12 hr intmt mntr (95712) | $415.35 | $923 | 0.9× |
| Veeg 2-12 hr unmonitored (95711) | $415.35 | $923 | 1.5× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $796.95 | $1,771 | 1.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $796.95 | $1,771 | 1.7× |
| Veeg ea 12-26hr cont mntr (95716) | $1,491.75 | $3,315 | 1.4× |
| Vent Mgmt Inpat Init Day (94002) | $5,323.50 | $11,830 | 6.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$3,685.50–$4,238.55 | $8,190–$9,419 | varies |
| Visual Evoked Potential Test (95930) | $703.80 | $1,564 | 2.5× |
| Vital capacity, total (94150) | $221.85 | $493 | 1.3× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $2,353.05 | $5,229 | 2.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $82.35 | $183 | 2.7× |
| Whirlpool Therapy (97022) | $133.20 | $296 | 8.5× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $71.55 | $159 | 0.9× |
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.