Visits & medical services prices at Lucile Salter Packard Children's Hsp at Stanford

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $24,210 $48,420 2.1×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $274.50 $549 1.5×
Actigraphy Testing Recording Analysis I&R (95803) $485.50 $971 5.6×
Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) — $153 —
Adaptive behavior tx by protocol tech ea 15 min (97153) — $153 —
Admn Sarscov2 Vacc 1 Dose (90480) $99.50 $199 1.7×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $892.50 $1,785 2.8×
Aep neurodiagnostic i&r (92653) $1,097.50 $2,195 3.5×
Aep threshold estimation mlt frequencies i&r (92652) $1,338 $2,676 4.2×
Airway Inhalation Treatment (94640)
range across 12 matching MRF lines
$93.50–$2,707.50 $83–$5,415 varies
Allg test perq & ic drug/biol immed react w/ i&r (95018)
range across 450 matching MRF lines
$79.20–$17,205.76 $158.40–$34,411.52 varies
Allg tstg perq & ic venoms immed react w/i&r (95017) $108 $216 2.5×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $445 $890 2.3×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $445 $890 2.3×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $781 $1,562 4.1×
Analyze neurostim complex (95972) $3,934 $7,868 28.1×
Analyze neurostim no prog (95970)
range across 2 matching MRF lines
$3,934 $281–$7,868 20.1×
Analyze Neurostim Simple (95971) $3,934 $7,868 28.1×
Analyze Pacemaker System (93724) $14,175.50 $28,351 31.4×
Anrct mano rct sensation&rct balo expulsion test (91125) $8,421.50 $16,843 15.3×
Ant sgm imaging w/microscopy endothelial analy (92286) $736.50 $1,473 3.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $183.50 $367 12.8×
Arrhythmia Induction (93618) $18,321 $36,642 10.2×
Audiometry Air & Bone (92553) $367.50 $735 1.9×
Auditory Function, 60 Min (92620) $805 $1,610 4.3×
Behavior id assessment by phys/qhp ea 15 min (97151) — $223 —
Behavral qualit analys voice (92524) $658.50 $1,317 6.0×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $307 $614 3.7×
Bfb training ea addl 15 min (90913) $307 $614 9.4×
Biofeedback training any modality (90901) $483 $966 11.8×
Blink reflex test (95933) $406.50 $813 4.7×
Breath hydrogen/methane test (91065) $643.50 $1,287 2.0×
Breathing response to hypoxia (94450) $505 $1,010 2.7×
Brief Emotional/Behav Assmt (96127) — $26 —
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines
$1,328.50–$2,306 $2,657–$4,612 varies
Bundle of his recording (93600) $6,547.50 $13,095 0.6×
C motor evoked uppr limbs (95928) $823 $1,646 0.7×
C motor evoked upr&lwr limbs (95939) $1,647 $3,294 1.3×
Cardiac Stress Tst,Tracing Only (93017) $1,580 $3,160 5.0×
Cardiopulmonary exercise testing (94621) $1,644 $3,288 3.0×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$1,720.50 $1,358–$3,441 5.4×
Cardioversion (92960) $12,435.50 $24,871 12.8×
Cardioversion elective internal (92961) $6,547.50 $13,095 6.7×
Caregiver hlth risk assmt score doc stnd instrm (96161) — $57 —
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551)
range across 2 matching MRF lines
$14.50 $29–$85 0.6×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $21,985.50 $43,971 4.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $12,435.50 $24,871 2.6×
Cbt 1st hour (94644) $805.50 $1,611 4.1×
Chemo Anti-Neopl Sq/Im (96401) $219 $438 2.1×
Chemo Hormon Antineopl Sq/Im (96402) $219 $438 2.1×
Chemo Ia Push (96420) $892.50 $1,785 1.8×
Chemo IV infusion addl hr (96415) $1,291.50 $2,583 12.2×
Chemo IV push addl drug (96411) $727 $1,454 6.9×
Chemother Prolong Infuse W/Pump (96416) $1,136.50 $2,273 2.3×
Chemotherapy Into Cns (96450)
range across 2 matching MRF lines
$2,789.50 $1,705–$5,579 5.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $842 $1,684 8.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,291.50 $2,583 2.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $922.50 $1,845 1.9×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $219 $438 0.5×
Chest Wall Manipulation (94668) $498 $996 2.5×
Cmptr ophth dx img ant segmt (92132) — $165 —
Colon Motility 6 Hr Study (91117) $5,333 $10,666 16.8×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $365.50 $731 4.2×
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$532–$2,670.50 $1,064–$5,341 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $268 $536 8.4×
Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) $4,423 $8,846 3.5×
Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) $3,612.50 $7,225 6.6×
Comprehensive Hearing Test (92557)
range across 2 matching MRF lines
$456.50–$682 $913–$1,364 varies
Computerized dynamic posturography (92548) $821.50 $1,643 4.2×
Computerized Ophthalmic Imaging Optic Nerve (92133) — $207 —
Computerized Ophthalmic Imaging Retina (92134) — $207 —
Conditioning Play Audiometry (92582) $692 $1,384 3.7×
Cont gluc mntr physician/qhp provided equiptment (95250) $721 $1,442 3.7×
Cont Gluc Mntr Pt Prov Eqp (95249) — $291 —
Continuous Pulse Ox (94762) $594 $1,188 3.1×
Coronary Art/Grft Angio S&I (93455) $77,688 $155,376 16.3×
Coronary Artery Angio S&I (93454) $20,285 $40,570 4.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$2,497.50–$3,955 $4,995–$7,910 varies
Cpt initial (94667) $379 $758 1.9×
Critical care first hour (99291) — $1,093 —
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $823 $1,646 1.5×
Developmental tst admin phys/qhp 1st hour (96112)
range across 3 matching MRF lines
$331–$507.50 $662–$1,015 varies
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $781 $1,562 4.1×
Dialysis One Evaluation (90945)
range across 3 matching MRF lines
$4,216.50–$4,721.50 $8,433–$9,443 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $428.50 $857 0.8×
Duodenal motility study (91022) $5,333 $10,666 9.7×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $1,168 $2,336 7.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $3,467.50 $6,935 9.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,596 $3,192 10.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $3,467.50 $6,935 9.9×
Dup-scan xtr veins unilateral/limited study (93971) $2,496 $4,992 16.2×
Duplex Scan Hemodialysis Access (93990) $1,855 $3,710 12.1×
Duplex up extrem art bilat (93930) $3,467.50 $6,935 9.9×
Duplex up extrem art unilat/ltd (93931) $1,596 $3,192 10.4×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $362 $724 1.9×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $781 $1,562 4.1×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $781 $1,562 4.1×
Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) $1,936.50 $3,873 6.1×
Ear and throat examination (92502) $576 $1,152 0.7×
Echo Congenital Complete (93303) $3,986 $7,972 5.0×
Echo Heart Xthoracic,Limited (93308) $1,783 $3,566 5.1×
Echo r-t 2d w/probe placement only (93313) $6,547.50 $13,095 8.1×
Echo transesophag montr cardiac pump functj (93318) $12,435.50 $24,871 15.5×
Echo transesophageal (93312) $2,080.50 $4,161 2.6×
Echo Transesophageal - Congenital Tee Complete (93315) $4,324.50 $8,649 5.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $4,169.50 $8,339 5.2×
Eeg 41-60 Minutes (95812) $3,278.50 $6,557 10.3×
EEG awake and asleep (95819)
range across 2 matching MRF lines
$2,117–$2,599 $4,234–$5,198 varies
EEG awake drowsy (95816) $2,272.50 $4,545 7.2×
EEG cerebral death evaluation (95824) $2,457.50 $4,915 4.5×
EEG cont rec w/video by tech min 8 channels (95700) $635.50 $1,271 2.0×
EEG extended monitoring 61-119 minutes (95813)
range across 2 matching MRF lines
$936.50–$4,537 $1,873–$9,074 varies
Eeg Sleep Only (95822) $1,628 $3,256 5.1×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,546.50 $3,093 4.9×
EEG w/o vid 2-12hr cont mntr (95707) $19,872 $39,744 62.6×
EEG w/o vid ea 12-26hr intmt (95709) $4,417.50 $8,835 8.0×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $6,508 $13,016 11.9×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $19,440 $38,880 61.2×
EEG wo vid ea 12-26hr unmntr (95708) $2,319.50 $4,639 4.2×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) — $183 —
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines
$221 $65–$442 15.0×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$1,032–$1,033.50 $2,064–$2,067 varies
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $12,665.50 $25,331 1.1×
Electrophysiology Evaluation (93642) $5,294 $10,588 3.0×
Emg 3 Extremities (95863) $733.50 $1,467 3.9×
Emg 4 Extremities (95864) $876.50 $1,753 4.6×
Endomyocardial Biopsy (93505) $18,321 $36,642 3.9×
Ep & ablate supravent arrhyt (93653) $43,524 $87,048 1.1×
Ep & ablate ventric tachy (93654) $47,608 $95,216 1.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $24,655.50 $49,311 2.1×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $18,658.50 $37,317 1.6×
Ep Esophageal Recording Atria+Pacing (93616) $6,547.50 $13,095 3.7×
Esoph Atrial Electrogram (93615) $6,547.50 $13,095 3.7×
Esophageal Capsule Endoscopy (91111) $1,438.50 $2,877 1.1×
Esophgl Balo Distension Dx Std W/Provocation (91040) $3,088.50 $6,177 5.6×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $3,088.50 $6,177 5.6×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $510 $1,020 2.7×
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines
$263.50–$357.50 $527–$715 varies
Evaluate Speech Production (92522) $672 $1,344 6.0×
Evaluate Swallowing Function (92610) $716.50 $1,433 8.4×
Evaluation of speech fluency (92521) $683 $1,366 5.1×
Evoked Auditory Test,Limited (92587) $375 $750 1.2×
Exercise test for bronchospasm (94617) $1,224 $2,448 6.3×
External ECG rec>48hr<7d recording (93242) $806.50 $1,613 14.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $1,073.50 $2,147 5.5×
External ECG rec>7d<15d recording (93246) $806.50 $1,613 14.7×
External ECG rec>7d<15d scanning alys w/report (93247) $1,073.50 $2,147 5.5×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines
$1,074–$1,643 $2,148–$3,286 varies
Extracranial Bilat Study (93880) $3,467.50 $6,935 9.9×
Extracranial Uni/Ltd Study (93882) $1,596 $3,192 10.4×
F-up/limited tthrc echo congenital car anomaly (93304) $2,913.50 $5,827 3.6×
Family adapt bhv tx gdn phys/qhp ea 15 min (97156) — $160 —
Filtered Speech Test (92571) $121 $242 2.2×
Fitting of spectacle mounted low vision aid; telescopic or other compound lens system Non-Facility OP Neurology,… (92355) $489 $978 8.9×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $779.50 $1,559 5.1×
Flexible endoscopic eval swallow c/v rec (92612) $945 $1,890 4.7×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $1,126.50 $2,253 4.9×
Fluorescein angiography (92235)
range across 3 matching MRF lines
$1,159–$2,317 $2,318–$4,634 varies
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961)
range across 2 matching MRF lines
$607.50–$2,478 $1,215–$4,956 varies
Fundus photography (92250) $707.50 $1,415 3.6×
Gastric motility studies (91020) $5,333 $10,666 9.7×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034)
range across 3 matching MRF lines
$3,088.50–$3,440 $6,177–$6,880 varies
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $3,088.50 $6,177 9.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $4,023 $8,046 3.2×
Gi tract capsule endoscopy (91110)
range across 2 matching MRF lines
$1,438.50–$3,325 $2,877–$6,650 varies
Gi tract imaging intraluminal colon i&r (91113) $1,438.50 $2,877 1.1×
Gi wireless capsule measure (91112) $1,438.50 $2,877 1.1×
Group adaptive bhv tx by protocol tech ea 15 min (97154) — $73 —
Group Therapeutic Procedures (97150) $218.50 $437 12.1×
Health Behavior Assessment/Re-Assessment (96156) — $398 —
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) — $292 —
Health behavior ivntj group f2f 1st 30 min (96164) — $40 —
Health behavior ivntj indiv f2f 1st 30 min (96158) — $272 —
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $20,548 $41,096 4.3×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $2,853.50 $5,707 2.8×
Holter monitor recording (93225)
range across 2 matching MRF lines
$806.50–$2,347.50 $1,613–$4,695 varies
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $141 $282 2.6×
Icd Device Interrogate (93289) $1,002.50 $2,005 18.3×
Icd device progr eval dual (93283) $1,589.50 $3,179 29.0×
Icd Device Progr Eval Mult (93284) $2,383 $4,766 43.4×
Ilr Device Eval Progr (93285) $550.50 $1,101 10.0×
Ilr Device Interrogate (93291) $470.50 $941 11.1×
Im Adm Intransl/Oral 1 Vaccine (90473) $108 $216 1.0×
Immunization administration (90471)
range across 2 matching MRF lines
$112.50 $98–$225 1.1×
Ingestion challenge test initial 120 minutes (95076) $987.50 $1,975 1.8×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $570 $1,140 1.0×
Inital newborn e/m (99460) — $315 —
Insert/Place Heart Catheter (93503) $12,435.50 $24,871 5.4×
Interrogate Subq Defib (93261) $22,339.50 $44,679 407.0×
Interrogation vad in person (93750) $896 $1,792 6.4×
Intra-atrial pacing (93610) $6,547.50 $13,095 0.6×
Intra-atrial recording (93602) $6,547.50 $13,095 0.6×
Intracranial Complete Study (93886) $1,450 $2,900 4.1×
Intracutaneous tests w/allergenic extracts (95024) $99 $198 1.1×
Intraventricular pacing (93612) $6,547.50 $13,095 0.6×
IV infusion hydration each additional hour (96361) $601.50 $1,203 8.7×
IV infusion hydration initial 31 min-1 hour (96360) $964.50 $1,929 3.1×
IV infusion ther proph addl sequential to 1 hr (96367) $542.50 $1,085 5.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $601.50 $1,203 8.7×
IV push initial (96374) $953.50 $1,907 3.0×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $18,321 $36,642 3.8×
Lung Function Test (Mbc/Mvv) (94200) $587.50 $1,175 6.8×
Mechanical chest wall oscillation per session (94669) $498 $996 1.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $44.50 $89 1.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $44.50 $89 1.2×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $52 $104 3.1×
Methacholine challenge (94070) $3,936.50 $7,873 7.2×
Motility study esophagus (91010) $5,333 $10,666 9.7×
Motion Fluoroscopy/Swallow (92611) $1,202 $2,404 13.1×
Multiple Family Group Psychotherapy (90849) — $173 —
Multiple Sleep Latency Test (95805) $5,370 $10,740 4.3×
Muscle Test 2 Limbs (95861) $1,631.50 $3,263 8.3×
Muscle Test Hemidiaphragm (95866) $891 $1,782 4.7×
Muscle Test Nonparaspinal (95870) $841.50 $1,683 4.3×
Muscle Test One Limb (95860) $1,154 $2,308 5.9×
Nasopharyngoscopy (92511) $579.50 $1,159 2.0×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $403.50 $807 1.3×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $292.50 $585 0.9×
Needle electromyography larynx (95865) $891 $1,782 4.6×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $809.50 $1,619 2.5×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $674 $1,348 2.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $457.50 $915 0.8×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $457.50 $915 0.8×
Nerve Conduction Studies 1-2 Studies (95907) $2,769 $5,538 8.7×
Nerve Conduction Studies 11-12 Studies (95912) $8,306.50 $16,613 15.1×
Nerve conduction studies 13 or more studies (95913) $9,230 $18,460 16.8×
Nerve Conduction Studies 3-4 Studies (95908) $4,154 $8,308 13.1×
Nerve conduction studies 5-6 studies (95909) $5,539 $11,078 17.4×
Nerve conduction studies 7-8 studies (95910) $6,462.50 $12,925 11.8×
Nerve Conduction Studies 9-10 Studies (95911) $7,385 $14,770 13.5×
Neurobehavioral Status Exam (96116) — $385 —
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $1,154 $2,308 6.1×
Neuromuscular Reeducation (97112) $253.50 $507 7.7×
Newborn resuscitation (99465) — $540 —
Nitric oxide expired gas determination (95012) $51.50 $103 0.9×
Nonphysician Telephone Assessment 21-30 Min (98968) — $170 —
Nrpsyc tst eval phys/qhp 1st (96132) — $594 —
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) — $403 —
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) — $644 —
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) — $535 —
Ophth medical xm&eval intermediate estab pt (92012) — $370 —
Ophth Medical Xm&Eval Intermediate New Pt (92002) $172.50 $345 0.9×
Oral Function Therapy (92526) $389 $778 4.6×
Oral Speech Device Eval (92597)
range across 2 matching MRF lines
$244 $444–$488 3.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $132 $264 2.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $221 $442 4.8×
Ot Contrast Bath Ea 15 Min (97034) $177.50 $355 12.7×
Ot eval high complexity (97167) $686.50 $1,373 6.8×
Ot Eval Low Complex (97165) $344 $688 3.4×
Ot Eval Moderate Complexity (97166) $514.50 $1,029 5.1×
Ot manual therapy 15 min (97140) $253.50 $507 9.1×
Ot paraffin bath (97018) $89 $178 14.8×
Ot Prosthetic Training, Each 15 Min (97761) $313 $626 7.7×
Ot Re-Eval Est Plan Care (97168) $301 $602 4.4×
Ot rom hand (95852) $145.50 $291 6.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $200.50 $401 1.1×
Oxygen Uptake Rest Indirect (94690) $1,381.50 $2,763 15.9×
Patch/Application Test Specify Number Tests (95044) $3 $6 0.0×
Penile Vascular Study,Ltd or F/U (93981) $819 $1,638 5.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $680 $1,360 2.1×
Percutaneous tests w/allergenic extracts (95004) $67.50 $135 0.1×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930)
likely a partial charge, not the full procedure
$4,900.50 $9,801 0.2×
Perq transcath closure pda (93582) $38,066 $76,132 1.4×
Perq Transcath Cls Aortic (93591) $50,333 $100,666 1.9×
Perq Transcath Cls Mitral (93590) $50,333 $100,666 1.9×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 2 matching MRF lines
$6,547.50–$18,321 $13,095–$36,642 varies
Phlebotomy therapeutic (99195) $223.50 $447 1.1×
Physical Performance Test (97750)
range across 2 matching MRF lines
$203–$376.50 $406–$753 varies
Plethysmography (94726)
range across 4 matching MRF lines
$848–$1,381.50 $1,696–$2,763 varies
Pm device eval in person (93288) $957 $1,914 17.4×
Pm device progr eval dual (93280) $1,373.50 $2,747 25.0×
Pm device progr eval multi (93281) $2,063 $4,126 37.6×
Pm Device Progr Eval Sngl (93279) $1,072 $2,144 19.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $8,366.50 $16,733 6.6×
Polysom <6 yrs 4/> paramtrs (95782) $7,239 $14,478 5.7×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $8,366.50 $16,733 6.6×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $1,131 $2,262 20.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $46 $92 0.7×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $63 $126 0.9×
Prq Card Stent W/Angio 1 Vsl (92928)
range across 2 matching MRF lines
$4,900.50–$18,321 $9,801–$36,642 varies
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $24,210 $48,420 0.9×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $18,321 $36,642 1.1×
Psych diag eval w/med srvcs (90792) — $728 —
Psychiatric diagnostic evaluation (90791) — $654 —
Psychological tst eval svc phys/qhp first hour (96130) — $515 —
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) — $204 —
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) — $227 —
Psytx Crisis Initial 60 Min (90839) — $1,024 —
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $228.50 $457 6.1×
Pt Eval High Complex (97163) $686.50 $1,373 7.0×
Pt eval low complex 20 min (97161) $344 $688 3.5×
Pt Eval Mod Complex (97162) $514.50 $1,029 5.3×
Pt gait training 15 min (97116) $259.50 $519 8.9×
Pt group caregiver training (97552)
range across 2 matching MRF lines
$57 $79–$114 2.6×
Pt Re-Eval Est Plan Care (97164) $312 $624 4.6×
Pt-focused hlth risk assmt score doc stnd instrm (96160) — $57 —
Pulm function test by gas (94727) $1,170.50 $2,341 3.7×
Pulmonary service/procedure (94799)
range across 9 matching MRF lines
$79.50–$4,146 $159–$8,292 varies
Pulmonary Stress Testing (94618) $1,170.50 $2,341 6.0×
Pure Tone Audiometry Air (92552) $262 $524 1.3×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $18,321 $36,642 3.8×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $18,321 $36,642 3.8×
R hrt coronary artery angio (93456) $19,406 $38,812 4.1×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $18,321 $36,642 3.8×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $18,321 $36,642 3.8×
R&L Hrt Cath W/Ventriclgrphy (93453) $18,321 $36,642 3.8×
Rapid Desensitization Procedure Each Hour (95180) $1,130 $2,260 1.7×
Rectal sensation tone&compliance study (91124) $3,088.50 $6,177 9.7×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $801.50 $1,603 14.6×
Remote 30 Day Ecg Rev/Report (93270) $377 $754 6.9×
Remote 30 Day Ecg Tech Supp (93229) $1,493 $2,986 2.7×
Repet tms tx initial w/map/motr threshld/del&m (90867) $1,154 $2,308 3.6×
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) $1,154 $2,308 3.6×
Respiratory flow volume loop (94375) $1,080.50 $2,161 3.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $882 $1,764 10.2×
Right Heart Cath (93451) $18,321 $36,642 3.8×
Right ventricular recording (93603) $6,547.50 $13,095 3.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $374 $748 1.3×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $196 $392 7.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $555.50 $1,111 4.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $247 $494 5.2×
Sbsq Psyc Collab Care Mgmt (99493) — $569 —
Select picture audiometry (92583) $130.50 $261 1.5×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$222.50–$239.50 $445–$479 varies
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060)
range across 2 matching MRF lines
$296 $282–$592 3.4×
Sensory Integration Ea 15 Min (97533) $198.50 $397 3.3×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $1,410.50 $2,821 4.4×
Short-latency somatosens ep std upr limbs (95925) $1,731 $3,462 5.5×
Sleep study unattended (95806) $5,887 $11,774 18.5×
Slp caregiver training 1st 30 min (97550)
range across 2 matching MRF lines
$57 $114–$230 1.1×
Somatosensory Testing (95938) $3,461.50 $6,923 2.7×
Speech Audiometry Complete (92556)
range across 2 matching MRF lines
$123.50–$263 $247–$526 varies
Speech audiometry threshold (92555) $128.50 $257 1.5×
Speech sound lang comprehen (92523) $694.50 $1,389 3.1×
Spirometry (94010) $684 $1,368 2.2×
Ssep lower limbs (95926) $1,731 $3,462 5.5×
Standardized Cognitive Performance Testing (96125) $331 $662 3.2×
Stenger Test, Pure Tone (92565) $145 $290 1.7×
Stress Tte Only (93350) $4,169.50 $8,339 5.2×
Subcutaneous Infusion Each Additional Hour (96370) $576.50 $1,153 8.4×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $964.50 $1,929 3.1×
Surfactant Admin Thru Tube (94610) $576 $1,152 1.8×
Synthetic Sentence Identification Test (92576) $301 $602 5.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $132.50 $265 5.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $186 $372 5.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines
$145.50–$198.50 $291–$397 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $380 $760 3.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$89.50–$376 $179–$752 varies
Ther/Proph/Diag Iv Inf Init (96365) $964.50 $1,929 3.1×
Therap repetitive tms tx subseq delivery & mng (90868) $1,154 $2,308 3.6×
Therapeutic Activities (97530) $270 $540 7.7×
Transcath Closure of Asd (93580) $32,160 $64,320 1.2×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $1,133.50 $2,267 7.4×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $306 $612 5.6×
Tte w/doppler, complete (93306) $4,625.50 $9,251 5.8×
Tte W/O Doppler Complete (93307)
range across 3 matching MRF lines
$1,926–$2,321 $3,852–$4,642 varies
Tx atrial fib pulm vein isol (93656) $36,647.50 $73,295 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $571.50 $1,143 7.5×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508)
range across 2 matching MRF lines
$325.50–$371 $651–$742 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $382 $764 5.5×
Tympanometry (92567) $211 $422 3.8×
Tympanometry and reflex threshold measurements (92550) $251.50 $503 0.8×
Unlis neurological/neuromuscular dx px (95999) $724 $1,448 3.8×
Unlisted cardiovascular service/procedure (93799) $12,435.50 $24,871 65.7×
Unlisted Diagnostic Gastroenterology Procedure (91299) $1,438.50 $2,877 7.6×
Unlisted noninvasive vascular diagnostic study (93998) $2,079.50 $4,159 48.9×
Unlisted ophthalmological service/procedure (92499) $391 $782 9.2×
Unlisted otorhinolaryngological service (92700)
range across 3 matching MRF lines
$53.50–$492 $107–$984 varies
Valvuloplasty aortic valve (92986) $18,321 $36,642 2.2×
Valvuloplasty mitral valve (92987) $18,321 $36,642 1.1×
Valvuloplasty pulmonary valve (92990) $19,772.50 $39,545 1.2×
Veeg 2-12 Hr Cont Mntr (95713) $4,182.50 $8,365 7.6×
Veeg 2-12 hr intmt mntr (95712) $2,934.50 $5,869 5.3×
Veeg 2-12 hr unmonitored (95711) $1,932.50 $3,865 6.1×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $4,663.50 $9,327 8.5×
Veeg Ea 12-26 Hr Unmntr (95714) $3,106.50 $6,213 5.7×
Veeg ea 12-26hr cont mntr (95716) $6,508 $13,016 5.2×
Vent Mgmt Inpat Init Day (94002)
range across 4 matching MRF lines
$2,180–$3,497.50 $4,360–$6,995 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 4 matching MRF lines
$2,025–$2,497.50 $4,050–$4,995 varies
Visual Evoked Potential Test (95930) $1,091 $2,182 3.4×
Visual Field Exam Extended (92083) — $409 —
Visual field xm uni/bi w/interpretj limited exam (92081) $332.50 $665 3.8×
Visual reinforcement audiometry (vra) (92579) $692 $1,384 2.2×
Vital capacity, total (94150) $587.50 $1,175 3.1×
Wada Activation Test Hemispheric Function W/Eeg (95958) $2,294 $4,588 1.8×
Wheelchair Mgmt Ea 15 Min (97542) $221 $442 7.1×
Whirlpool Therapy (97022) $145.50 $291 9.3×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $612.50 $1,225 7.1×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $365.50 $731 6.7×

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.