Visits & medical services prices at Loyola Gottlieb Memorial Hospital

Melrose Park, IL · every code in this section with a posted price and a Medicare benchmark.

491 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
$2,658.29 $13,991 0.3×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $61.18 $322 0.4×
Acoustic Reflex Testing (92568) $58.14 $306 1.5×
Acupunct W/Stimul 15 Min (97813) $13.30 $70 0.4×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $11.40 $60 0.4×
Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) $28.88 $152 0.2×
Adaptive behavior tx by protocol tech ea 15 min (97153) $28.88 $152 0.3×
Admn Sarscov2 Vacc 1 Dose (90480) $16.15 $85 0.4×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $77.71 $409 0.3×
Aep neurodiagnostic i&r (92653) $201.40 $1,060 0.9×
Aep threshold estimation mlt frequencies i&r (92652) $201.40 $1,060 0.9×
Airway Inhalation Treatment (94640) $52.44 $276 0.2×
Airway resistance by oscillometry (94728) $108.68 $572 0.8×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $17.29 $91 0.4×
Allg tstg perq & ic venoms immed react w/i&r (95017) $17.29 $91 0.6×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $111.53 $587 0.8×
Analyze neurostim complex (95972) $232.18 $1,222 2.3×
Analyze neurostim no prog (95970) $77.52 $408 0.5×
Analyze Neurostim Simple (95971) $86.26 $454 0.8×
Analyze Pacemaker System (93724) $165.87 $873 0.5×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $40.85 $215 0.2×
Ans parasymp & symp w/tilt (95924) $118.94 $626 0.5×
Ant sgm imaging w/microscopy endothelial analy (92286) $116.09 $611 0.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $28.12 $148 2.0×
Application Modality 1/> Areas Infrared (97026) $48.83 $257 7.3×
Application on-body injector (96377) $41.04 $216 0.8×
Arrhythmia Induction (93618) $1,302.45 $6,855 1.0×
Assessment of aphasia per hr (96105) $84.17 $443 0.9×
Assessment of tinnitus (92625) $75.05 $395 0.5×
Audiometry Air & Bone (92553)
range across 2 matching MRF lines
$46.17–$48.45 $243–$255 varies
Auditory Function, 60 Min (92620) $89.11 $469 0.6×
Basic vestibular evaluation (92540) $199.12 $1,048 0.9×
Behavior id assessment by phys/qhp ea 15 min (97151) $30.78 $162 0.3×
Behavior id support assmt by 1 tech ea 15 min (97152) $28.88 $152 0.3×
Behavral qualit analys voice (92524) $108.30 $570 1.0×
Biofeedback training any modality (90901)
range across 5 matching MRF lines
$23.56–$79.99 $124–$421 varies
Blink reflex test (95933) $77.52 $408 1.2×
Breath hydrogen/methane test (91065) $265.81 $1,399 1.1×
Brief Emotional/Behav Assmt (96127) $10.64 $56 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $173.85 $915 0.4×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$1,575.86 $8,294 0.2×
C motor evoked uppr limbs (95928) $183.92 $968 0.2×
C motor evoked upr&lwr limbs (95939) $203.68 $1,072 0.2×
Caloric vestibular test w/rec bi monothermal (92538) $91.58 $482 0.4×
Caloric Vstblr Test W/Rec (92537) $135.66 $714 1.0×
Car seat/bed test 60 min (94780) $101.84 $536 2.5×
Cardiac Stress Tst,Tracing Only (93017) $298.49 $1,571 1.3×
Cardiopulmonary exercise testing (94621)
range across 4 matching MRF lines
$272.46–$286.71 $1,434–$1,509 varies
Cardiopulmonary resuscitation (92950) $237.88 $1,252 1.0×
Cardioversion (92960)
range across 5 matching MRF lines
$353.59–$372.21 $1,861–$1,959 varies
Cardioversion elective internal (92961) $466.45 $2,455 0.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $15.58 $82 0.6×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $2,564.05 $13,495 0.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $2,633.59 $13,861 0.8×
Cbt 1st hour (94644) $48.83 $257 0.3×
Cervical & Ocular Vemp Testing W/I&R (92519) $110.77 $583 0.5×
Cervical Vemp Testing W/I&R (92517) $64.41 $339 0.5×
Chemo Admin Peritoneal Cavity (96446) $83.22 $438 0.2×
Chemo Anti-Neopl Sq/Im (96401) $92.15 $485 1.2×
Chemo Hormon Antineopl Sq/Im (96402) $77.33 $407 1.0×
Chemo Ia Push (96420) $72.01 $379 0.2×
Chemo Intralesional Over 7 (96406) $84.17 $443 0.4×
Chemo intralesional up to 7 (96405) $25.84 $136 0.3×
Chemo IV infusion addl hr (96415) $77.52 $408 1.0×
Chemo IV push addl drug (96411) $62.13 $327 0.8×
Chemother Prolong Infuse W/Pump (96416) $178.60 $940 0.5×
Chemotherapy Into Cns (96450)
range across 3 matching MRF lines
$258.21–$288.80 $1,359–$1,520 varies
Chemotherapy Unspecified (96549) $65.17 $343 1.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $94.24 $496 1.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $208.81 $1,099 0.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $104.50 $550 0.3×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $67.64 $356 0.2×
Chest Wall Manipulation (94668) $42.37 $223 0.3×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $105.83 $557 0.3×
Cmptr ophth dx img ant segmt (92132) $77.52 $408 1.2×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $20.71 $109 0.3×
Color/duplex Doppler, complete (93975) $379.05 $1,995 1.5×
Color/duplex Doppler, limited (93976) $227.62 $1,198 2.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $29.83 $157 0.9×
Comprehensive Hearing Test (92557)
range across 3 matching MRF lines
$58.71–$95.76 $309–$504 varies
Computerized dynamic posturography (92548) $143.64 $756 1.0×
Computerized Ophthalmic Imaging Optic Nerve (92133) $14.63 $77 0.2×
Computerized Ophthalmic Imaging Retina (92134) $93.86 $494 1.5×
Conditioning Play Audiometry (92582) $76 $400 0.6×
Cont gluc mntr physician/qhp provided equiptment (95250) $106.97 $563 0.7×
Cont Gluc Mntr Pt Prov Eqp (95249) $53.58 $282 0.8×
Contact Lens Fit,Corneoscleral Lens (92313) $28.88 $152 0.2×
Continuous Pulse Ox (94762) $78.09 $411 0.6×
Cornea hysteresis determin impulse stimj uni/bi (92145) $9.50 $50 0.2×
Corneal Topography (92025) $33.44 $176 0.5×
Coronary Art/Grft Angio S&I (93455) $2,119.07 $11,153 0.6×
Coronary Artery Angio S&I (93454) $1,959.66 $10,314 0.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $177.46 $934 0.8×
Cpt initial (94667) $49.21 $259 0.3×
Critical care first hour (99291) $804.27 $4,233 0.9×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $177.08 $932 0.4×
Debridement Open Wound 20 Sq Cm< (97597) $80.37 $423 0.4×
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) $77.14 $406 0.4×
Developmental tst admin phys/qhp 1st hour (96112) $106.59 $561 0.8×
Dialysis One Evaluation (90945) $379.05 $1,995 0.8×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $63.65 $335 0.2×
Duodenal motility study (91022) $199.12 $1,048 0.5×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $311.60 $1,640 1.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $161.88 $852 1.4×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $256.50 $1,350 2.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $277.97 $1,463 1.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $201.78 $1,062 1.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $391.40 $2,060 1.5×
Dup-scan xtr veins unilateral/limited study (93971) $259.92 $1,368 2.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $179.17 $943 0.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $66.88 $352 0.6×
Duplex Scan Hemodialysis Access (93990) $181.83 $957 1.6×
Duplex up extrem art bilat (93930) $290.13 $1,527 1.1×
Duplex up extrem art unilat/ltd (93931) $226.29 $1,191 2.0×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $57.76 $304 0.4×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $98.04 $516 0.7×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $114.38 $602 0.8×
ECG/monitoring and analysis (93271) $256.88 $1,352 2.5×
Echo Congenital Complete (93303) $436.62 $2,298 0.7×
Echo Heart Xthoracic,Limited (93308) $217.74 $1,146 0.9×
Echo r-t 2d w/probe placement only (93313) $226.67 $1,193 0.4×
Echo transesophag montr cardiac pump functj (93318) $252.51 $1,329 0.4×
Echo transesophageal (93312)
range across 5 matching MRF lines
$475.19–$500.08 $2,501–$2,632 varies
Echo Transesophageal - Congenital Tee Complete (93315) $573.23 $3,017 1.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 6 matching MRF lines
$720.10–$901.17 $3,790–$4,743 varies
Eeg 41-60 Minutes (95812) $263.34 $1,386 1.1×
EEG awake and asleep (95819) $273.03 $1,437 1.2×
EEG awake drowsy (95816) $244.53 $1,287 1.1×
EEG cerebral death evaluation (95824) $272.46 $1,434 0.7×
EEG cont rec w/video by tech min 8 channels (95700) $143.45 $755 0.6×
EEG extended monitoring 61-119 minutes (95813) $362.71 $1,909 1.6×
Eeg Sleep Only (95822) $313.31 $1,649 1.4×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $143.45 $755 0.6×
EEG w/o vid 2-12hr cont mntr (95707) $143.45 $755 0.6×
EEG w/o vid ea 12-26hr intmt (95709) $254.60 $1,340 0.6×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $254.60 $1,340 0.6×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $143.45 $755 0.6×
EEG wo vid ea 12-26hr unmntr (95708) $254.60 $1,340 0.6×
EKG signal averaged (93278) $69.92 $368 1.1×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $209.38 $1,102 2.1×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $98.99 $521 1.0×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $82.46 $434 2.1×
Electrical Stimulation Ea 15 Min (97032) $28.50 $150 1.9×
Electrocardiogram Tracing (93005) $82.08 $432 1.3×
Electrocochleography (92584) $143.07 $753 1.0×
Electroconvulsive Therapy (90870) $150.86 $794 0.2×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
likely a partial charge, not the full procedure
$1,768.52 $9,308 0.2×
Electrophysiology Evaluation (93642) $1,095.16 $5,764 0.8×
Emergency Dept Visit Level 2 (99282) $158.46 $834 1.0×
Emergency Dept Visit Level 3 (99283) $342 $1,800 1.2×
Emergency Dept Visit Level 4 (99284) $646 $3,400 1.4×
Emg 3 Extremities (95863) $128.44 $676 0.9×
Emg 4 Extremities (95864) $141.36 $744 1.0×
Endomyocardial Biopsy (93505) $861.65 $4,535 0.3×
Ep & ablate supravent arrhyt (93653)
likely a partial charge, not the full procedure
$5,103.21 $26,859 0.2×
Ep & ablate ventric tachy (93654)
likely a partial charge, not the full procedure
$6,846.84 $36,036 0.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
range across 2 matching MRF lines
$2,354.29–$2,478.17 $12,391–$13,043 varies
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
likely a partial charge, not the full procedure
$1,525.13 $8,027 0.2×
Ep Esophageal Recording Atria+Pacing (93616) $505.21 $2,659 0.4×
Er level 1 (99281) $104.50 $550 1.2×
Er level v (99285) $722 $3,800 1.1×
Ergonovine provocation test (93024) $326.42 $1,718 0.7×
Esoph Atrial Electrogram (93615) $459.42 $2,418 0.4×
Esophageal Capsule Endoscopy (91111) $510.72 $2,688 0.5×
Esophgl Balo Distension Dx Std W/Provocation (91040) $162.26 $854 0.4×
Esophgl funcj g-esop rflx impd eltrd prolng (91038)
range across 4 matching MRF lines
$367.46–$386.84 $1,934–$2,036 varies
Eval aud funcj cand/po surg implt dev 1st hr (92626) $77.14 $406 0.6×
Evaluate pt use of inhaler (94664) $53.58 $282 0.2×
Evaluate Speech Production (92522)
range across 6 matching MRF lines
$108.30 $22–$570 1.0×
Evaluate Swallowing Function (92610) $89.11 $469 1.1×
Evaluation of speech fluency (92521)
range across 6 matching MRF lines
$103.36 $22–$544 0.8×
Evoked Auditory Test,Limited (92587) $63.65 $335 0.3×
Excimer laser tx psoriasis 250-500 sq cm (96921) $64.41 $339 0.3×
Excimer laser tx psoriasis >500 sq cm (96922) $141.93 $747 0.3×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $64.41 $339 0.3×
Exercise test for bronchospasm (94617) $112.67 $593 0.8×
External ECG rec>48hr<7d recording (93242) $115.52 $608 2.9×
External ECG rec>7d<15d recording (93246) $115.52 $608 2.9×
External Ecg Scanning Analysis Report (93226) $265.24 $1,396 4.2×
Extracranial Bilat Study (93880) $457.90 $2,410 1.8×
Extracranial Uni/Ltd Study (93882) $174.99 $921 1.6×
Eye exam w anesth; complete (92018) $803.51 $4,229 0.3×
F-up/limited tthrc echo congenital car anomaly (93304) $326.61 $1,719 0.6×
Family adapt bhv tx gdn phys/qhp ea 15 min (97156) $12.73 $67 0.3×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $47.50 $250 0.3×
Flexible endoscopic eval swallow c/v rec (92612) $54.72 $288 0.3×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $89.11 $469 0.4×
Fluorescein angiography (92235)
range across 3 matching MRF lines
$175.18–$262.77 $922–$1,383 varies
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $231.42 $1,218 0.3×
Fundus photography (92250) $77.52 $408 0.5×
Gastric motility studies (91020) $129.20 $680 0.3×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $306.28 $1,612 0.8×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $182.21 $959 0.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $581.40 $3,060 0.6×
Gi tract capsule endoscopy (91110) $546.25 $2,875 0.6×
Gi tract imaging intraluminal colon i&r (91113) $636.31 $3,349 0.6×
Gi wireless capsule measure (91112) $376.96 $1,984 0.4×
Gonioscopy (92020) $26.60 $140 0.2×
Group adaptive bhv tx by protocol tech ea 15 min (97154) $12.73 $67 0.3×
Group Therapeutic Procedures (97150) $28.31 $149 1.6×
Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) $12.73 $67 0.3×
Health Behavior Assessment/Re-Assessment (96156) $37.43 $197 0.3×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $13.11 $69 0.3×
Health behavior ivntj group f2f 1st 30 min (96164) $13.11 $69 0.3×
Health behavior ivntj indiv f2f 1st 30 min (96158) $37.43 $197 0.2×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $2,198.11 $11,569 0.6×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 3 matching MRF lines
$282.53–$285.38 $1,487–$1,502 varies
Holter monitor recording (93225) $188.67 $993 1.3×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $75.43 $397 1.9×
Icd Device Interrogate (93289) $83.22 $438 2.1×
Icd device progr eval dual (93283) $117.04 $616 2.9×
Icd Device Progr Eval Mult (93284) $117.04 $616 2.9×
Icm Device Eval (93290) $111.53 $587 2.8×
Ilr Device Eval Progr (93285) $77.52 $408 1.9×
Ilr Device Interrogate (93291) $37.81 $199 1.2×
Im Adm Intransl/Oral 1 Vaccine (90473) $25.65 $135 0.3×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $77.52 $408 1.2×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $77.52 $408 1.9×
Immunization administration (90471) $22.99 $121 0.3×
Ingestion challenge test initial 120 minutes (95076) $109.06 $574 0.3×
Insert/Place Heart Catheter (93503) $722 $3,800 0.4×
Interrogate Subq Defib (93261) $18.62 $98 0.5×
Interrogation eval in person wr defibrillator (93292) $69.35 $365 1.7×
Interrogation vad in person (93750) $69.54 $366 0.7×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure
$2,714.15 $14,285 0.3×
Intra-atrial recording (93602)
unusually low: confirm this is the full procedure
$2,714.15 $14,285 0.3×
Intracranial Complete Study (93886) $315.59 $1,661 1.2×
Intracutaneous tests w/allergenic extracts (95024) $21.85 $115 0.3×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$2,714.15 $14,285 0.3×
Iontophoresis 15 min (97033) $31.92 $168 1.7×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$49.40–$50.16 $260–$264 varies
IV infusion hydration each additional hour (96361) $67.07 $353 1.3×
IV infusion hydration initial 31 min-1 hour (96360) $107.92 $568 0.5×
IV infusion ther proph addl sequential to 1 hr (96367) $60.80 $320 0.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $48.64 $256 1.0×
IV push initial (96374) $72.96 $384 0.3×
L Hrt Art/Grft Angio (93459) $2,441.88 $12,852 0.7×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $1,727.67 $9,093 0.5×
Laryngeal Function Studies (92520) $47.50 $250 0.3×
Liver Elastography W/O Imag W/I&R (91200) $76.38 $402 0.6×
Lung Function Test (Mbc/Mvv) (94200) $50.73 $267 0.8×
Lwr Xtr Vasc Stdy Bilat (93924) $192.28 $1,012 0.8×
Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) $108.68 $572 0.5×
Measurement Lung Volumes Infant/Child/2 Yrs (94013) $187.34 $986 0.5×
Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) $157.51 $829 1.1×
Mechanical chest wall oscillation per session (94669) $42.75 $225 0.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 3 matching MRF lines
$5.70–$15.20 $30–$80 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 3 matching MRF lines
$6.65–$17.86 $35–$94 varies
Methacholine challenge (94070) $279.30 $1,470 0.7×
Motility study esophagus (91010)
range across 3 matching MRF lines
$564.68–$594.51 $2,972–$3,129 varies
Motion Fluoroscopy/Swallow (92611) $148.39 $781 1.6×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $83.22 $438 0.2×
Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) $12.73 $67 0.3×
Multiple Family Group Psychotherapy (90849) $30.78 $162 0.2×
Multiple Sleep Latency Test (95805) $520.98 $2,742 0.6×
Muscle Test 2 Limbs (95861) $114.95 $605 0.8×
Muscle Test Nonparaspinal (95870) $38.19 $201 0.3×
Muscle Test One Limb (95860) $107.73 $567 0.8×
Nasal function studies (92512) $60.23 $317 0.3×
Nasopharyngoscopy (92511) $93.86 $494 0.4×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $110.58 $582 0.5×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $62.70 $330 0.3×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $33.63 $177 0.1×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $93.67 $493 0.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $96.14 $506 0.2×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $112.29 $591 0.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $73.15 $385 0.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $102.22 $538 0.2×
Nerve Conduction Studies 1-2 Studies (95907) $56.81 $299 0.2×
Nerve Conduction Studies 11-12 Studies (95912) $136.23 $717 0.3×
Nerve conduction studies 13 or more studies (95913) $143.07 $753 0.4×
Nerve Conduction Studies 3-4 Studies (95908) $94.62 $498 0.4×
Nerve conduction studies 5-6 studies (95909) $104.50 $550 0.5×
Nerve conduction studies 7-8 studies (95910) $112.10 $590 0.3×
Nerve Conduction Studies 9-10 Studies (95911) $129.77 $683 0.3×
Neurobehavioral Status Exam (96116) $68.21 $359 0.3×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $78.66 $414 0.6×
Neuromuscular Reeducation (97112) $35.15 $185 1.1×
Nonphysician Telephone Assessment 11-20 Min (98967) $15.96 $84 0.6×
Nonphysician Telephone Assessment 21-30 Min (98968) $21.09 $111 0.6×
Nonphysician Telephone Assessment 5-10 Min (98966) $10.64 $56 0.8×
Nrpsyc tst eval phys/qhp 1st (96132) $183.73 $967 0.5×
Ocular Vemp Testing W/I&R (92518) $64.41 $339 0.5×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $44.27 $233 0.3×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $46.74 $246 0.3×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $46.17 $243 0.3×
Ophth medical xm&eval intermediate estab pt (92012)
range across 2 matching MRF lines
$25.08–$46.17 $132–$243 varies
Ophth Medical Xm&Eval Intermediate New Pt (92002) $46.17 $243 0.3×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $34.77 $183 0.5×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $34.77 $183 0.5×
Optokinetic Nystagmus Test (92544) $60.80 $320 0.4×
Oral Function Therapy (92526) $95.76 $504 1.1×
Oral Speech Device Eval (92597) $125.40 $660 1.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $24.70 $130 0.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $28.31 $149 0.6×
Oscillating Tracking Test (92545) $60.80 $320 0.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $5.13 $27 0.2×
Osteopathic manipulative tx 3-4 body regions (98926) $5.70 $30 0.2×
Osteopathic manipulative tx 5-6 body regions (98927) $7.79 $41 0.3×
Osteopathic manipulative tx 7-8 body regions (98928) $9.31 $49 0.4×
Ot Contrast Bath Ea 15 Min (97034) $28.12 $148 2.0×
Ot eval high complexity (97167) $112.48 $592 1.1×
Ot Eval Low Complex (97165) $76.38 $402 0.8×
Ot Eval Moderate Complexity (97166) $96.14 $506 1.0×
Ot manual therapy 15 min (97140) $42.94 $226 1.5×
Ot Prosthetic Training, Each 15 Min (97761) $24.70 $130 0.6×
Ot Re-Eval Est Plan Care (97168) $56.43 $297 0.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $75.05 $395 0.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $47.88 $252 0.3×
Oxygen Uptake Rest Indirect (94690) $96.14 $506 1.5×
Patch/Application Test Specify Number Tests (95044) $3.42 $18 0.0×
Patient-initiated spirometric recording (94015) $118.37 $623 0.5×
Pdt dstr prmlg les phys/qhp (96573) $70.49 $371 0.3×
Pdt dstr prmlg les skn illum/activj per day (96567) $70.49 $371 0.3×
Penile Vascular Study,Ltd or F/U (93981) $190.76 $1,004 1.7×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $71.82 $378 0.3×
Percutaneous tests w/allergenic extracts (95004) $2.66 $14 0.0×
Peripheral arterial disease rehab per session (93668) $64.22 $338 1.0×
Perq transcath closure pda (93582)
likely a partial charge, not the full procedure
$3,892.34 $20,486 0.2×
Perq Transcath Cls Aortic (93591)
likely a partial charge, not the full procedure
$4,775.08 $25,132 0.2×
Perq Transcath Cls Mitral (93590)
likely a partial charge, not the full procedure
$4,775.08 $25,132 0.2×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
unusually low: confirm this is the full procedure
$2,624.85 $13,815 0.4×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
likely a partial charge, not the full procedure
$3,228.10 $16,990 0.3×
Phlebotomy therapeutic (99195) $70.68 $372 0.5×
Photo patch test(s) (95052) $18.62 $98 0.3×
Photo Tests (95056) $75.43 $397 0.5×
Photochemotx Psoralens&Ultraviolet Puva (96912) $64.41 $339 1.0×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $85.31 $449 1.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $53.58 $282 0.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $53.58 $282 0.8×
Physical Performance Test (97750) $36.48 $192 1.1×
Plethysmography (94726) $110.20 $580 0.3×
Pm device eval in person (93288) $49.59 $261 1.2×
Pm device progr eval dual (93280) $63.84 $336 1.6×
Pm device progr eval multi (93281) $60.42 $318 1.5×
Pm Device Progr Eval Sngl (93279) $114 $600 2.9×
Pm/Icd Remote Tech Serv (93296) $228 $1,200 5.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,333.80 $7,020 1.4×
Polysom <6 yrs 4/> paramtrs (95782) $939.36 $4,944 1.0×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $975.27 $5,133 1.1×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $623.96 $3,284 0.7×
Positional nystagmus test (92542) $60.80 $320 0.4×
Prepj& allergen immunotherapy 1/mlt antigen (95165)
range across 2 matching MRF lines
$3.42–$17.29 $18–$91 varies
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145)
range across 2 matching MRF lines
$9.50–$17.29 $50–$91 varies
Prepj& antigen allergen immunotherapy 2 insect (95146)
range across 2 matching MRF lines
$9.50–$17.29 $50–$91 varies
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $25.65 $135 0.3×
Prepj& antigen allergen immunotherapy 5 insect (95149) $25.65 $135 0.3×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) $143.64 $756 0.3×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $18.62 $98 0.5×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $76 $400 1.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$16.15–$17.29 $85–$91 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines
$8.74–$17.29 $46–$91 varies
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $25.65 $135 0.3×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) $17.29 $91 0.3×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) $17.29 $91 0.3×
Prq Card Angio/Athrect 1 Art (92924)
likely a partial charge, not the full procedure
$2,955.07 $15,553 0.2×
Prq Card Stent W/Angio 1 Vsl (92928)
unusually low: confirm this is the full procedure
$3,882.84 $20,436 0.3×
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure
$4,634.67 $24,393 0.2×
Prq Revasc Byp Graft 1 Vsl (92937)
likely a partial charge, not the full procedure
$3,228.10 $16,990 0.3×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
likely a partial charge, not the full procedure
$4,330.86 $22,794 0.2×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
likely a partial charge, not the full procedure
$2,614.02 $13,758 0.2×
Psychiatric diagnostic evaluation (90791) $119.89 $631 0.6×
Psychological tst eval svc phys/qhp first hour (96130) $75.62 $398 0.3×
Psycl/Nrpsyc Tst Auto Result (96146) $37.81 $199 1.2×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $143.64 $756 0.3×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $37.81 $199 0.3×
Psytx Crisis Initial 60 Min (90839) $119.89 $631 0.6×
Pt Eval High Complex (97163) $112.48 $592 1.1×
Pt eval low complex 20 min (97161) $76.38 $402 0.8×
Pt Eval Mod Complex (97162) $105.83 $557 1.1×
Pt gait training 15 min (97116) $32.68 $172 1.1×
Pt group caregiver training (97552) $12.92 $68 0.6×
Pt mechanical traction (97012) $40.85 $215 2.8×
Pt Re-Eval Est Plan Care (97164) $56.43 $297 0.8×
Pulm function test by gas (94727) $80.18 $422 0.3×
Pulmonary service/procedure (94799) $56.43 $297 0.4×
Pulmonary Stress Testing (94618) $108.30 $570 0.8×
Pure Tone Audiometry Air (92552)
range across 2 matching MRF lines
$38.38–$40.66 $202–$214 varies
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $15.96 $84 0.7×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $21.09 $111 0.6×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $10.64 $56 0.9×
R Hrt Art/Grft Angio (93457) $2,441.88 $12,852 0.7×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $1,727.67 $9,093 0.5×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $1,727.67 $9,093 0.5×
R hrt coronary artery angio (93456) $2,198.11 $11,569 0.6×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $2,714.91 $14,289 0.8×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $2,714.91 $14,289 0.8×
R&L Hrt Cath W/Ventriclgrphy (93453) $2,038.32 $10,728 0.6×
Rapid Desensitization Procedure Each Hour (95180)
range across 2 matching MRF lines
$143.64–$144.40 $756–$760 varies
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $91.01 $479 0.3×
Refill/Maint Portable Pump (96521) $89.49 $471 0.4×
Refill/Maint Pump/Resvr Syst (96522) $76.57 $403 0.3×
Rem interrog icpms <30 d phys/qhp (93297) $30.97 $163 0.8×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $30.97 $163 0.8×
Remote 30 Day Ecg Rev/Report (93270) $93.29 $491 2.3×
Remote 30 Day Ecg Tech Supp (93229) $933.28 $4,912 2.3×
Repet tms tx initial w/map/motr threshld/del&m (90867) $106.59 $561 0.5×
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) $106.59 $561 0.5×
Respiratory flow volume loop (94375) $67.64 $356 0.3×
Right Heart Cath (93451) $1,573.96 $8,284 0.5×
Right ventricular recording (93603) $1,217.71 $6,409 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$46.36–$47.69 $244–$251 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $94.62 $498 0.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $63.46 $334 1.3×
Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) $143.26 $754 1.0×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $218.12 $1,148 0.5×
Select picture audiometry (92583) $38 $200 0.6×
Self Care Mngment Training (97535) $32.11 $169 1.0×
Self-meas bp pt educaj/traing & dev calibration (99473) $13.49 $71 0.4×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $14.06 $74 0.2×
Sensory Integration Ea 15 Min (97533) $28.31 $149 0.5×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $160.36 $844 0.7×
Short-latency somatosens ep std upr limbs (95925)
range across 2 matching MRF lines
$190.95–$201.02 $1,005–$1,058 varies
Sleep study attended (95807) $529.34 $2,786 1.3×
Sleep study unattended (95806) $141.36 $744 0.6×
Slp caregiver training 1st 30 min (97550) $31.16 $164 0.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $63.65 $335 0.3×
Somatosensory Testing (95938) $193.42 $1,018 0.2×
Speech Audiometry Complete (92556)
range across 2 matching MRF lines
$82.08–$86.45 $432–$455 varies
Speech audiometry threshold (92555)
range across 2 matching MRF lines
$17.29–$18.05 $91–$95 varies
Speech sound lang comprehen (92523)
range across 7 matching MRF lines
$113.81 $22–$599 0.5×
Spin/Brain Pump Refil & Main (95991) $96.14 $506 0.3×
Spirometry (94010) $132.43 $697 0.6×
Spontaneous Nystagmus Test (92541) $60.80 $320 0.4×
Ssep lower limbs (95926)
range across 2 matching MRF lines
$176.89–$186.20 $931–$980 varies
Standardized Cognitive Performance Testing (96125) $99.18 $522 1.0×
Stenger Test Speech (92577) $194.94 $1,026 0.5×
Stress Tte Only (93350) $901.17 $4,743 1.5×
Subcutaneous Infusion Each Additional Hour (96370) $16.34 $86 0.3×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $77.33 $407 0.3×
Subq Infusion Additional Pump Infusion Site (96371) $25.65 $135 0.3×
Surfactant Admin Thru Tube (94610) $49.21 $259 0.2×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $66.12 $348 0.6×
Temp transcutaneous pacing (92953) $165.68 $872 0.2×
Tensilon Test (95857) $91.01 $479 0.4×
Testing Autonomic Nervous System Function (95923) $104.69 $551 0.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $38.38 $202 1.7×
Ther Ivntj Ea Addl 15 Min (97130) $38.38 $202 1.8×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $35.72 $188 1.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $51.49 $271 0.5×
Ther/Proph/Diag Inj Sc/Im (96372) $45.41 $239 0.6×
Ther/Proph/Diag Iv Inf Init (96365) $129.58 $682 0.6×
Therap repetitive tms tx subseq delivery & mng (90868) $106.59 $561 0.5×
Therapeutic Activities (97530) $35.34 $186 1.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $491.53 $2,587 1.2×
Tobacco Use Cessation Intensive >10 Minutes (99407) $15.96 $84 0.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $9.69 $51 0.2×
Tone Decay Test (92563) $27.93 $147 0.7×
Transcath Closure of Asd (93580)
unusually low: confirm this is the full procedure
$6,682.68 $35,172 0.3×
Transcranial Doppler Intracran Art Emboli Detect (93892) $44.08 $232 0.4×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $132.62 $698 1.2×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $45.60 $240 1.1×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $96.90 $510 0.7×
Tte w/doppler, complete (93306) $618.26 $3,254 1.1×
Tte W/O Doppler Complete (93307) $277.78 $1,462 1.1×
Tx atrial fib pulm vein isol (93656)
likely a partial charge, not the full procedure
$6,846.84 $36,036 0.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $86.83 $457 1.1×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $45.22 $238 1.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $64.41 $339 1.3×
Tympanometry (92567) $46.74 $246 1.2×
Tympanometry and reflex threshold measurements (92550) $46.55 $245 0.2×
Unlis neurological/neuromuscular dx px (95999) $85.50 $450 0.6×
Unlisted allergy/clinical immunologic srvc/px (95199) $18.43 $97 0.6×
Unlisted cardiovascular service/procedure (93799)
range across 6 matching MRF lines
$96.14–$999.97 $506–$5,263 varies
Unlisted Diagnostic Gastroenterology Procedure (91299) $65.17 $343 0.5×
Unlisted noninvasive vascular diagnostic study (93998) $20.33 $107 0.7×
Unlisted otorhinolaryngological service (92700) $95 $500 3.1×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$163.40–$171.95 $860–$905 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 9 matching MRF lines
$171.76–$251.75 $904–$1,325 varies
Valvuloplasty aortic valve (92986)
unusually low: confirm this is the full procedure
$2,451.57 $12,903 0.4×
Valvuloplasty mitral valve (92987)
likely a partial charge, not the full procedure
$2,414.52 $12,708 0.2×
Valvuloplasty pulmonary valve (92990)
likely a partial charge, not the full procedure
$2,864.44 $15,076 0.2×
Vasopneumatic device (97016) $26.41 $139 2.2×
Veeg 2-12 Hr Cont Mntr (95713) $254.60 $1,340 0.6×
Veeg 2-12 hr intmt mntr (95712) $143.45 $755 0.4×
Veeg 2-12 hr unmonitored (95711) $143.45 $755 0.6×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $254.60 $1,340 0.6×
Veeg Ea 12-26 Hr Unmntr (95714) $254.60 $1,340 0.6×
Veeg ea 12-26hr cont mntr (95716) $476.33 $2,507 0.5×
Vent Mgmt Inpat Init Day (94002) $223.25 $1,175 0.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $216.60 $1,140 0.3×
Visual Evoked Potential Test (95930) $177.84 $936 0.8×
Visual Field Exam Extended (92083) $44.27 $233 0.3×
Visual field xm uni/bi w/interp intermed exam (92082) $77.52 $408 1.2×
Visual field xm uni/bi w/interpretj limited exam (92081) $48.45 $255 0.8×
Visual reinforcement audiometry (vra) (92579) $73.34 $386 0.3×
Vital capacity, total (94150) $41.61 $219 0.3×
Wada Activation Test Hemispheric Function W/Eeg (95958) $326.80 $1,720 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $28.50 $150 0.9×
Whirlpool Therapy (97022) $33.44 $176 2.1×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $77.52 $408 1.9×

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.