Visits & medical services prices at Loma Linda University Medical Center

Loma Linda, CA · every code in this section with a posted price and a Medicare benchmark.

366 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650)
unusually low: confirm this is the full procedure
$3,978.45 $8,841 0.4×
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) $399.60 $888 1.4×
Airway Inhalation Treatment (94640) $258.75 $575 0.9×
Anrct mano rct sensation&rct balo expulsion test (91125)
range across 2 matching MRF lines
$1,096.20–$1,353.60 $2,436–$3,008 varies
Ans parasymp & symp w/tilt (95924) $389.25 $865 1.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $88.20 $196 6.1×
Application Modality 1/> Areas Infrared (97026) $55.80 $124 8.4×
Application on-body injector (96377) $40.95 $91 0.7×
Arrhythmia Induction (93618) $2,240.10 $4,978 1.4×
Assessment of aphasia per hr (96105)
range across 4 matching MRF lines
$58.95–$433.35 $131–$963 varies
Auditory Function, 60 Min (92620) $141.75 $315 0.9×
Behavral qualit analys voice (92524) $435.60 $968 4.0×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $127.80 $284 1.6×
Bfb training ea addl 15 min (90913) $51.30 $114 1.6×
Biofeedback training any modality (90901) $27.45 $61 0.7×
Breathing response to hypoxia (94450) $252.45 $561 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $580.05 $1,289 1.2×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$3,084.30 $6,854 0.3×
C motor evoked upr&lwr limbs (95939) $1,128.60 $2,508 1.0×
Canalith repositioning proc (95992) $96.75 $215 2.4×
Cardiac Stress Tst,Tracing Only (93017) $1,956.60 $4,348 7.0×
Cardiopulmonary exercise testing (94621) $1,755.45 $3,901 3.7×
Cardiopulmonary resuscitation (92950) $1,515.60 $3,368 5.5×
Cardioversion (92960) $3,127.95 $6,951 3.7×
Cardioversion elective internal (92961) $444.15 $987 0.5×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $9,156.60 $20,348 2.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,309.80 $16,244 1.8×
Cbt 1st hour (94644) $201.60 $448 1.2×
Chemo Admin Peritoneal Cavity (96446) $653.40 $1,452 1.5×
Chemo Anti-Neopl Sq/Im (96401) $351.90 $782 3.8×
Chemo Hormon Antineopl Sq/Im (96402) $303.75 $675 3.3×
Chemo Ia Push (96420) $487.80 $1,084 1.1×
Chemo Intralesional Over 7 (96406) $237.60 $528 0.9×
Chemo intralesional up to 7 (96405) $76.05 $169 0.8×
Chemo IV infusion addl hr (96415) $283.95 $631 3.1×
Chemo IV push addl drug (96411) $405.90 $902 4.4×
Chemother Prolong Infuse W/Pump (96416) $478.35 $1,063 1.1×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $522.45 $1,161 1.2×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $185.85 $413 3.1×
Chemotherapy Into Cns (96450) $1,279.35 $2,843 3.0×
Chemotherapy Intracavitary (96440) $522.45 $1,161 1.2×
Chemotherapy Unspecified (96549) $164.25 $365 2.7×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $522.45 $1,161 1.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $212.40 $472 2.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $794.70 $1,766 1.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $428.40 $952 1.0×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $242.10 $538 0.6×
Chest Wall Manipulation (94668) $195.75 $435 1.1×
Color/duplex Doppler, complete (93975) $1,133.10 $2,518 3.7×
Color/duplex Doppler, limited (93976) $968.40 $2,152 7.2×
Community/Work Reintegration Trainj Ea 15 Min (97537) $95.85 $213 3.0×
Computerized dynamic posturography (92548) $213.75 $475 1.2×
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) $297.45 $661 1.8×
Coronary Art/Grft Angio S&I (93455) $5,385.15 $11,967 1.3×
Coronary Artery Angio S&I (93454) $6,292.35 $13,983 1.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $2,472.75 $5,495 8.8×
Cpt initial (94667) $314.55 $699 1.8×
Critical care first hour (99291) $7,501.95 $16,671 7.1×
Debridement Open Wound 20 Sq Cm< (97597) $560.25 $1,245 2.2×
Developmental tst admin phys/qhp 1st hour (96112) $616.50 $1,370 3.7×
Dialysis One Evaluation (90945) $734.85 $1,633 1.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,118.25 $2,485 3.6×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $783.45 $1,741 5.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,312.20 $2,916 4.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $941.85 $2,093 7.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,443.60 $3,208 4.7×
Dup-scan xtr veins unilateral/limited study (93971) $908.55 $2,019 6.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $820.80 $1,824 2.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $238.95 $531 1.8×
Duplex Scan Hemodialysis Access (93990) $650.25 $1,445 4.8×
Duplex up extrem art bilat (93930) $1,246.50 $2,770 4.1×
Duplex up extrem art unilat/ltd (93931) $1,045.35 $2,323 7.8×
Ear and throat examination (92502) $423.90 $942 0.6×
Echo Congenital Complete (93303) $1,137.15 $2,527 1.6×
Echo Heart Xthoracic,Limited (93308) $886.05 $1,969 2.9×
Echo transesophag congen probe plcmt only (93316) $878.85 $1,953 1.3×
Echo transesophageal (93312) $1,776.15 $3,947 2.5×
Echo Transesophageal - Congenital Tee Complete (93315) $1,625.40 $3,612 2.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,371.15 $3,047 2.0×
Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) $64.80 $144 1.3×
Eeg 41-60 Minutes (95812) $1,372.95 $3,051 4.9×
EEG awake and asleep (95819) $1,975.95 $4,391 7.1×
EEG awake drowsy (95816) $1,330.65 $2,957 4.8×
EEG cerebral death evaluation (95824) $753.30 $1,674 1.6×
EEG cont rec w/video by tech min 8 channels (95700) $977.40 $2,172 3.5×
EEG extended monitoring 61-119 minutes (95813) $2,270.25 $5,045 8.2×
Eeg Sleep Only (95822) $1,876.95 $4,171 6.8×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $562.05 $1,249 2.0×
EEG w/o vid 2-12hr cont mntr (95707) $562.05 $1,249 2.0×
EEG w/o vid ea 12-26hr intmt (95709) $1,078.65 $2,397 2.2×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,078.65 $2,397 2.2×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $562.05 $1,249 2.0×
EEG wo vid ea 12-26hr unmntr (95708) $1,875.60 $4,168 3.9×
EKG signal averaged (93278) $657.90 $1,462 8.7×
Electrical Stimulation Ea 15 Min (97032) $88.20 $196 6.0×
Electrocardiogram Tracing (93005) $524.25 $1,165 6.9×
Electroconvulsive Therapy (90870) $1,298.70 $2,886 1.2×
Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132)
range across 2 matching MRF lines
$932.40–$1,688.40 $2,072–$3,752 varies
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $6,309.45 $14,021 0.6×
Electrophysiology Evaluation (93642) $2,824.65 $6,277 1.8×
Emergency Dept Visit Level 2 (99282) $903.60 $2,008 4.6×
Emergency Dept Visit Level 3 (99283) $1,486.35 $3,303 4.2×
Emergency Dept Visit Level 4 (99284) $2,069.10 $4,598 3.9×
Emg 3 Extremities (95863) $1,755 $3,900 10.6×
Emg 4 Extremities (95864) $706.05 $1,569 4.3×
Endomyocardial Biopsy (93505) $2,131.65 $4,737 0.5×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure
$15,014.25 $33,365 0.4×
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure
$13,978.80 $31,064 0.4×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $13,981.95 $31,071 1.4×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $9,938.25 $22,085 1.0×
Ep Esophageal Recording Atria+Pacing (93616) $2,240.10 $4,978 1.4×
Er level 1 (99281) $600.30 $1,334 5.5×
Er level v (99285) $3,167.10 $7,038 4.1×
Esoph Atrial Electrogram (93615) $2,240.10 $4,978 1.4×
Esophgl Balo Distension Dx Std W/Provocation (91040)
range across 2 matching MRF lines
$416.70–$754.20 $926–$1,676 varies
Esophgl funcj g-esop rflx impd eltrd prolng (91038)
range across 2 matching MRF lines
$642.60–$1,453.50 $1,428–$3,230 varies
Eval aud funcj cand/po surg implt dev 1st hr (92626) $141.75 $315 0.9×
Evaluate pt use of inhaler (94664) $230.85 $513 0.8×
Evaluate Speech Production (92522) $348.30 $774 3.1×
Evaluate Swallowing Function (92610) $443.70 $986 5.2×
Evaluation of speech fluency (92521) $433.35 $963 3.3×
Exercise test for bronchospasm (94617) $245.25 $545 1.4×
Exhaled Air Analysis O2 (94680) $289.80 $644 1.8×
External ECG rec>48hr<7d recording (93242) $293.40 $652 6.1×
External ECG rec>48hr<7d scanning alys w/report (93243) $293.40 $652 1.7×
External ECG rec>7d<15d recording (93246) $293.40 $652 6.1×
External ECG rec>7d<15d scanning alys w/report (93247) $293.40 $652 1.7×
External Ecg Scanning Analysis Report (93226) $1,165.05 $2,589 15.4×
Extracranial Bilat Study (93880) $883.80 $1,964 2.9×
Extracranial Uni/Ltd Study (93882) $429.75 $955 3.2×
Eye exam w anesth; complete (92018) $2,027.70 $4,506 0.7×
Eye exam w anesth; limited (92019) $2,649.15 $5,887 0.9×
F-up/limited tthrc echo congenital car anomaly (93304) $972 $2,160 1.4×
Flexible endoscopic eval swallow c/v rec (92612) $529.65 $1,177 2.7×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $133.20 $296 0.6×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $2,261.70 $5,026 2.0×
Gastric motility studies (91020)
range across 2 matching MRF lines
$721.35–$1,069.20 $1,603–$2,376 varies
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034)
range across 4 matching MRF lines
$939.15–$2,127.60 $2,087–$4,728 varies
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037)
range across 2 matching MRF lines
$642.60–$1,453.50 $1,428–$3,230 varies
Gastroesophag reflx test w/telemtry ph eltrd (91035)
range across 2 matching MRF lines
$1,342.35–$2,115 $2,983–$4,700 varies
Gi tract capsule endoscopy (91110)
range across 4 matching MRF lines
$1,142.55–$4,554.45 $2,539–$10,121 varies
Gi tract imaging intraluminal colon i&r (91113) $1,235.25 $2,745 1.0×
Gi wireless capsule measure (91112)
range across 2 matching MRF lines
$441–$999.45 $980–$2,221 varies
Group Therapeutic Procedures (97150) $212.85 $473 11.8×
Health Behavior Assessment/Re-Assessment (96156) $266.40 $592 2.0×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $46.80 $104 1.0×
Health behavior ivntj group f2f 1st 30 min (96164) $408.60 $908 8.5×
Health behavior ivntj indiv f2f 1st 30 min (96158) $408.60 $908 1.8×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $6,397.20 $14,216 1.5×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,155.15 $2,567 1.3×
High altitude simulation test (94452) $610.65 $1,357 3.6×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $573.75 $1,275 3.4×
Holter monitor recording (93225) $785.25 $1,745 4.6×
Icd Device Interrogate (93289) $61.20 $136 1.3×
Icd device progr eval dual (93283) $61.20 $136 1.3×
Icd Device Progr Eval Mult (93284) $61.20 $136 1.3×
Icm Device Eval (93290) $61.20 $136 1.3×
Ilr Device Eval Progr (93285) $61.20 $136 1.3×
Ilr Device Interrogate (93291) $40.50 $90 1.1×
Immunization administration (90471)
range across 6 matching MRF lines
$39.60–$54.45 $88–$121 varies
Insert/Place Heart Catheter (93503) $899.55 $1,999 0.4×
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) $52.20 $116 1.1×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$2,240.10 $4,978 0.2×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure
$2,240.10 $4,978 0.2×
Intracranial Complete Study (93886) $991.80 $2,204 3.2×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$2,693.25 $5,985 0.3×
Iontophoresis 15 min (97033) $88.20 $196 4.6×
Irrig Drug Delivery Device (96523) $170.55 $379 2.2×
IV infusion hydration each additional hour (96361) $90.45 $201 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $481.05 $1,069 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $414.90 $922 4.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $90.45 $201 1.5×
IV push initial (96374)
range across 3 matching MRF lines
$236.70–$269.10 $526–$598 varies
L Hrt Art/Grft Angio (93459) $6,200.10 $13,778 1.5×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $2,556 $5,680 0.6×
Liver Elastography W/O Imag W/I&R (91200) $186.75 $415 1.1×
Low frequency non-thermal us (97610) $242.10 $538 0.9×
Lwr Xtr Vasc Stdy Bilat (93924) $775.80 $1,724 2.8×
Mechanical chest wall oscillation per session (94669) $230.85 $513 0.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $126.90 $282 4.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $151.20 $336 4.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $99.90 $222 5.9×
Methacholine challenge (94070) $763.65 $1,697 1.6×
Microvolt T-Wave Assess (93025) $1,089.90 $2,422 6.6×
Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) $117.90 $262 5.9×
Mlt fam group bhv mgmt/modificaj traing ea addl (96203) $25.65 $57 4.8×
Motility study esophagus (91010)
range across 2 matching MRF lines
$1,014.75–$1,503.90 $2,255–$3,342 varies
Motion Fluoroscopy/Swallow (92611) $536.85 $1,193 5.9×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $126.90 $282 0.2×
Multiple Family Group Psychotherapy (90849) $217.35 $483 1.0×
Multiple Sleep Latency Test (95805) $1,407.15 $3,127 1.3×
Muscle Test 2 Limbs (95861) $849.15 $1,887 5.0×
Muscle Test Hemidiaphragm (95866) $210.15 $467 1.3×
Muscle Test Nonparaspinal (95870) $125.55 $279 0.7×
Muscle Test One Limb (95860) $497.25 $1,105 2.9×
Nasopharyngoscopy (92511) $540 $1,200 2.1×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $452.70 $1,006 1.6×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $216.90 $482 0.8×
Needle electromyography larynx (95865) $262.35 $583 1.5×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $157.50 $350 0.6×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $383.85 $853 1.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $634.05 $1,409 1.2×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $634.05 $1,409 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $249.75 $555 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $306 $680 0.6×
Nerve Conduction Studies 1-2 Studies (95907) $147.60 $328 0.5×
Nerve Conduction Studies 11-12 Studies (95912) $663.30 $1,474 1.4×
Nerve conduction studies 13 or more studies (95913) $697.05 $1,549 1.5×
Nerve Conduction Studies 3-4 Studies (95908) $367.20 $816 1.3×
Nerve conduction studies 5-6 studies (95909) $324.45 $721 1.2×
Nerve conduction studies 7-8 studies (95910) $580.50 $1,290 1.2×
Nerve Conduction Studies 9-10 Studies (95911) $631.80 $1,404 1.3×
Neurobehavioral Status Exam (96116) $622.35 $1,383 2.2×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $232.20 $516 1.4×
Neuromuscular Reeducation (97112) $114.30 $254 3.5×
Newborn resuscitation (99465) $4,410.45 $9,801 5.2×
Nitric oxide expired gas determination (95012) $98.10 $218 2.0×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $514.80 $1,144 1.1×
Oral Function Therapy (92526) $300.60 $668 3.6×
Oral Speech Device Eval (92597) $386.10 $858 5.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $97.20 $216 1.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $99 $220 2.1×
Ot Contrast Bath Ea 15 Min (97034) $50.40 $112 3.6×
Ot eval high complexity (97167) $379.80 $844 3.8×
Ot Eval Low Complex (97165) $253.35 $563 2.5×
Ot Eval Moderate Complexity (97166) $316.35 $703 3.1×
Ot manual therapy 15 min (97140) $110.70 $246 4.0×
Ot paraffin bath (97018) $105.75 $235 17.6×
Ot Prosthetic Training, Each 15 Min (97761) $68.40 $152 1.7×
Ot Re-Eval Est Plan Care (97168) $219.15 $487 3.2×
Ot rom hand (95852) $166.50 $370 7.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $324.45 $721 2.0×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $288.45 $641 1.7×
Oxygen Uptake Rest Indirect (94690) $199.35 $443 2.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $500.85 $1,113 1.8×
Peripheral arterial disease rehab per session (93668) $94.05 $209 1.2×
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) $17,558.55 $39,019 0.7×
Perq Transcath Cls Aortic (93591) $18,065.70 $40,146 0.8×
Perq Transcath Cls Mitral (93590) $14,155.65 $31,457 0.6×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $9,153 $20,340 1.3×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
unusually low: confirm this is the full procedure
$6,829.65 $15,177 0.5×
Phlebotomy therapeutic (99195) $332.55 $739 1.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $76.50 $170 1.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $76.50 $170 1.0×
Physical Performance Test (97750) $82.80 $184 2.5×
Plethysmography (94726) $348.30 $774 0.7×
Pm device eval in person (93288) $61.20 $136 1.3×
Pm device progr eval dual (93280) $61.20 $136 1.3×
Pm device progr eval multi (93281) $61.20 $136 1.3×
Pm Device Progr Eval Sngl (93279) $61.20 $136 1.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,352.95 $7,451 3.0×
Polysom <6 yrs 4/> paramtrs (95782) $2,585.70 $5,746 2.3×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,098.90 $2,442 1.0×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $41.85 $93 0.9×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $61.20 $136 1.3×
Prq Card Angio/Athrect 1 Art (92924) $9,718.20 $21,596 0.7×
Prq Card Stent W/Angio 1 Vsl (92928) $8,985.60 $19,968 0.6×
Prq Card Stent/Ath/Angio (92933) $19,353.15 $43,007 0.8×
Prq Revasc Byp Graft 1 Vsl (92937)
unusually low: confirm this is the full procedure
$5,691.15 $12,647 0.4×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
unusually low: confirm this is the full procedure
$10,158.30 $22,574 0.4×
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
$5,564.70 $12,366 0.4×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$67.50–$271.35 $150–$603 varies
Psytx Crisis Initial 60 Min (90839) $246.15 $547 1.1×
Pt Eval High Complex (97163) $427.95 $951 4.4×
Pt eval low complex 20 min (97161) $285.30 $634 2.9×
Pt Eval Mod Complex (97162) $356.40 $792 3.6×
Pt gait training 15 min (97116)
range across 3 matching MRF lines
$98.10–$147.15 $218–$327 varies
Pt mechanical traction (97012) $76.50 $170 5.3×
Pt Re-Eval Est Plan Care (97164) $180 $400 2.7×
Pulmonary service/procedure (94799)
range across 8 matching MRF lines
$199.35–$1,591.65 $443–$3,537 varies
Pulmonary Stress Testing (94618) $868.05 $1,929 5.1×
Pure Tone Audiometry Air (92552) $112.95 $251 0.7×
R Hrt Art/Grft Angio (93457) $8,814.60 $19,588 2.1×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $2,556 $5,680 0.6×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $2,556 $5,680 0.6×
R hrt coronary artery angio (93456) $8,463.15 $18,807 2.0×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $2,556 $5,680 0.6×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $2,556 $5,680 0.6×
R&L Hrt Cath W/Ventriclgrphy (93453) $5,911.65 $13,137 1.4×
Rectal sensation tone&compliance study (91124)
range across 2 matching MRF lines
$120.60–$274.95 $268–$611 varies
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $287.10 $638 0.7×
Refill/Maint Portable Pump (96521) $429.75 $955 1.6×
Refill/Maint Pump/Resvr Syst (96522) $382.95 $851 1.4×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $53.10 $118 1.1×
Remote 30 Day Ecg Rev/Report (93270) $54 $120 1.1×
Respiratory flow volume loop (94375) $256.05 $569 0.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $269.10 $598 3.5×
Right Heart Cath (93451) $5,402.70 $12,006 1.3×
Right ventricular recording (93603) $2,692.35 $5,983 1.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $465.75 $1,035 1.8×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $166.50 $370 6.4×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $324.90 $722 2.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $141.30 $314 3.0×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $596.70 $1,326 1.2×
Self Care Mngment Training (97535) $94.95 $211 2.9×
Sensory Integration Ea 15 Min (97533) $96.75 $215 1.6×
Short-latency somatosens ep std upr limbs (95925) $1,467.45 $3,261 5.3×
Sleep study attended (95807) $1,765.80 $3,924 3.7×
Sleep study unattended (95806) $746.10 $1,658 2.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $304.65 $677 1.1×
Somatosensory Testing (95938) $1,879.65 $4,177 1.7×
Speech sound lang comprehen (92523) $348.30 $774 1.5×
Spin/Brain Pump Refil & Main (95991) $221.85 $493 0.6×
Spirometry (94010) $278.10 $618 1.0×
Ssep lower limbs (95926) $1,062 $2,360 3.8×
Stress Tte Only (93350) $1,244.25 $2,765 1.8×
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×
Subq Infusion Additional Pump Infusion Site (96371) $123.75 $275 1.3×
Surfactant Admin Thru Tube (94610) $1,518.75 $3,375 5.4×
Temp transcutaneous pacing (92953) $1,828.35 $4,063 2.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $21.60 $48 1.0×
Ther Ivntj Ea Addl 15 Min (97130) $21.15 $47 1.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 4 matching MRF lines
$110.70–$165.60 $246–$368 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $88.20 $196 3.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $121.95 $271 1.2×
Ther/Prop/Diag Inj/Inf Proc (96379) $377.55 $839 6.3×
Ther/Proph/Diag Inj Ia (96373) $278.10 $618 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $213.30 $474 2.3×
Ther/Proph/Diag Iv Inf Init (96365)
range across 7 matching MRF lines
$190.35–$463.05 $423–$1,029 varies
Therapeutic Activities (97530) $106.20 $236 3.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,048.85 $4,553 4.3×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$47.70–$71.55 $106–$159 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$44.10–$47.70 $98–$106 varies
Transcath Closure of Asd (93580) $14,034.60 $31,188 0.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $490.50 $1,090 3.6×
Tte w/doppler, complete (93306) $1,769.40 $3,932 2.5×
Tte W/O Doppler Complete (93307) $879.30 $1,954 2.9×
Tx atrial fib pulm vein isol (93656) $21,298.95 $47,331 0.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 5 matching MRF lines
$278.55–$446.85 $619–$993 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $202.50 $450 8.4×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$236.70–$269.10 $526–$598 varies
Tympanometry (92567) $177.30 $394 3.7×
Unlisted allergy/clinical immunologic srvc/px (95199) $22.50 $50 0.6×
Unlisted cardiovascular service/procedure (93799)
range across 7 matching MRF lines
$378–$11,258.10 $840–$25,018 varies
Unlisted Diagnostic Gastroenterology Procedure (91299)
range across 2 matching MRF lines
$701.55–$1,040.40 $1,559–$2,312 varies
Unlisted ophthalmological service/procedure (92499) $166.05 $369 4.5×
Unlisted Psychiatric Service/Procedure (90899)
range across 3 matching MRF lines
$217.35–$826.65 $483–$1,837 varies
Upr/L Xtremity Art 2 Levels (93922) $547.20 $1,216 3.2×
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$605.70–$918.45 $1,346–$2,041 varies
Valvuloplasty aortic valve (92986) $6,955.65 $15,457 1.0×
Valvuloplasty mitral valve (92987)
unusually low: confirm this is the full procedure
$4,637.25 $10,305 0.3×
Valvuloplasty pulmonary valve (92990)
unusually low: confirm this is the full procedure
$5,125.95 $11,391 0.3×
Vasopneumatic device (97016) $91.80 $204 7.6×
Veeg 2-12 Hr Cont Mntr (95713) $1,875.60 $4,168 3.9×
Veeg 2-12 hr intmt mntr (95712) $977.40 $2,172 2.0×
Veeg 2-12 hr unmonitored (95711) $562.05 $1,249 2.0×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,030.70 $2,290.45 2.1×
Veeg Ea 12-26 Hr Unmntr (95714) $1,075.05 $2,389 2.2×
Veeg ea 12-26hr cont mntr (95716) $2,018.25 $4,485 1.8×
Vent Mgmt Inpat Init Day (94002) $4,718.70 $10,486 5.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines
$3,756.60–$3,954.15 $8,348–$8,787 varies
Visual Evoked Potential Test (95930) $952.20 $2,116 3.4×
Vital capacity, total (94150) $300.15 $667 1.8×
Wada Activation Test Hemispheric Function W/Eeg (95958) $3,183.75 $7,075 2.9×
Wheelchair Mgmt Ea 15 Min (97542) $59.85 $133 1.9×
Whirlpool Therapy (97022) $97.65 $217 6.2×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $96.75 $215 1.3×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.