Visits & medical services prices at Lutheran Downtown Hospital
Fort Wayne, IN · every code in this section with a posted price and a Medicare benchmark.
389 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) range across 3 matching MRF lines |
$414.72–$5,356.32 | $1,728–$22,318 | varies |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $18.48 | $77 | 0.1× |
| Acoustic Reflex Testing (92568) | $10.56 | $44 | 0.3× |
| Acupunct W/Stimul 15 Min (97813) | $20.64 | $86 | 0.7× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $19.20 | $80 | 0.6× |
| Advncd Care Plan 30 Min (99497) range across 6 matching MRF lines |
$45.84–$54 | $191–$225 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) range across 5 matching MRF lines |
$447.42–$533.04 | $1,864.25–$2,221 | varies |
| Airway Inhalation Treatment (94640) range across 23 matching MRF lines |
$13.44–$105.12 | $46–$438 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $4.56 | $19 | 0.1× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $2.16 | $9 | 0.1× |
| Analyze neurostim complex (95972) | $43.44 | $181 | 0.4× |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$14.88–$21.84 | $62–$91 | varies |
| Analyze Neurostim Simple (95971) | $25.20 | $105 | 0.3× |
| Analyze Pacemaker System (93724) | $362.64 | $1,511 | 1.1× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) range across 2 matching MRF lines |
$52.08–$80.40 | $217–$335 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 21 matching MRF lines |
$7.92–$75.36 | $33–$314 | varies |
| Arrhythmia Induction (93618) range across 4 matching MRF lines |
$145.92–$3,230.88 | $608–$13,462 | varies |
| Assessment of aphasia per hr (96105) | $173.76 | $724 | 1.8× |
| Audiometry Air & Bone (92553) range across 4 matching MRF lines |
$21.36–$21.84 | $89–$91 | varies |
| Auditory Function, 60 Min (92620) | $51.36 | $214 | 0.4× |
| Basic vestibular evaluation (92540) | $62.64 | $261 | 0.3× |
| Behavral qualit analys voice (92524) range across 9 matching MRF lines |
$90.48–$128.64 | $377–$536 | varies |
| Blink reflex test (95933) | $160.08 | $667 | 2.6× |
| Breath hydrogen/methane test (91065) range across 3 matching MRF lines |
$54.72–$472.56 | $40–$1,969 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 13 matching MRF lines |
$28.32–$332.64 | $35–$1,386 | varies |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$2,103.12 | $8,763 | 0.3× |
| C motor evoked uppr limbs (95928) | $914.88 | $3,812 | 1.0× |
| Canalith repositioning proc (95992) range across 6 matching MRF lines |
$23.28–$45.12 | $97–$188 | varies |
| Car seat/bed test 60 min (94780) range across 2 matching MRF lines |
$29.52–$29.76 | $123–$124 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 6 matching MRF lines |
$38.88–$667.92 | $162–$2,783 | varies |
| Cardiopulmonary exercise testing (94621) range across 4 matching MRF lines |
$43.20–$932.88 | $180–$3,887 | varies |
| Cardiopulmonary resuscitation (92950) range across 8 matching MRF lines |
$137.52–$385.44 | $573–$1,606 | varies |
| Cardioversion (92960) range across 14 matching MRF lines |
$71.04–$1,876.44 | $296–$7,818.50 | varies |
| Cardioversion elective internal (92961) range across 3 matching MRF lines |
$159.60–$612.96 | $665–$2,554 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 6 matching MRF lines |
$240.72–$10,976.16 | $1,003–$45,734 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 7 matching MRF lines |
$191.28–$8,229.60 | $797–$34,290 | varies |
| Cbt 1st hour (94644) range across 3 matching MRF lines |
$25.92–$102.96 | $108–$429 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 5 matching MRF lines |
$41.28–$62.16 | $172–$259 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $21.36 | $89 | 0.3× |
| Chemo Ia Push (96420) | $225.60 | $940 | 0.6× |
| Chemo Intralesional Over 7 (96406) | $41.76 | $174 | 0.2× |
| Chemo intralesional up to 7 (96405) | $27.60 | $115 | 0.4× |
| Chemo IV infusion addl hr (96415) range across 5 matching MRF lines |
$25.20–$118.32 | $105–$493 | varies |
| Chemo IV push addl drug (96411) | $62.16 | $259 | 0.8× |
| Chemother Prolong Infuse W/Pump (96416) | $96.96 | $404 | 0.3× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $114 | $475 | 2.3× |
| Chemotherapy Into Cns (96450) range across 7 matching MRF lines |
$72–$288.96 | $300–$1,204 | varies |
| Chemotherapy Unspecified (96549) | $34.56 | $144 | 0.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 4 matching MRF lines |
$43.68–$62.16 | $182–$259 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 5 matching MRF lines |
$113.52–$398.16 | $473–$1,659 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $203.52 | $848 | 0.6× |
| Chest Wall Manipulation (94668) range across 5 matching MRF lines |
$17.04–$106.56 | $71–$444 | varies |
| Chiropract manj 3-4 regions (98941) | $21.84 | $91 | 1.0× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$18.96–$24.48 | $79–$102 | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $1,097.28 | $4,572 | 2.8× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $33.36 | $139 | 0.5× |
| Color/duplex Doppler, complete (93975) | $506.88 | $2,112 | 2.0× |
| Color/duplex Doppler, limited (93976) | $386.88 | $1,612 | 3.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 5 matching MRF lines |
$18.72–$56.88 | $78–$237 | varies |
| Comprehensive Hearing Test (92557) range across 8 matching MRF lines |
$18.24–$20.16 | $76–$84 | varies |
| Computerized dynamic posturography (92548) | $16.32 | $68 | 0.1× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $26.88 | $112 | 0.4× |
| Computerized Ophthalmic Imaging Retina (92134) | $27.60 | $115 | 0.4× |
| Conditioning Play Audiometry (92582) | $42.24 | $176 | 0.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 9 matching MRF lines |
$90.24–$93.12 | $376–$388 | varies |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$175.68–$176.40 | $732–$735 | varies |
| Corneal Topography (92025) | $23.04 | $96 | 0.4× |
| Coronary Art/Grft Angio S&I (93455) range across 7 matching MRF lines |
$181.68–$6,566.88 | $757–$27,362 | varies |
| Coronary Artery Angio S&I (93454) range across 8 matching MRF lines |
$534–$4,907.28 | $654–$20,447 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 6 matching MRF lines |
$618.72–$709.44 | $2,578–$2,956 | varies |
| Cpt initial (94667) range across 5 matching MRF lines |
$15.36–$108.48 | $64–$452 | varies |
| Critical care first hour (99291) range across 6 matching MRF lines |
$113.76–$1,589.52 | $474–$6,623 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $903.60 | $3,765 | 2.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 18 matching MRF lines |
$21.12–$195.84 | $88–$816 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) range across 5 matching MRF lines |
$78.96–$265.44 | $329–$1,106 | varies |
| Dialysis One Evaluation (90945) | $616.56 | $2,569 | 1.4× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 3 matching MRF lines |
$18.24–$30.24 | $76–$126 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $524.64 | $2,186 | 2.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $321.84 | $1,341 | 2.9× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $38.16 | $159 | 0.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 6 matching MRF lines |
$24.48–$447.84 | $102–$1,866 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 6 matching MRF lines |
$15.36–$298.08 | $64–$1,242 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 10 matching MRF lines |
$21.60–$586.80 | $90–$2,445 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 10 matching MRF lines |
$14.16–$399.36 | $59–$1,664 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 3 matching MRF lines |
$22.32–$273.60 | $93–$1,140 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 5 matching MRF lines |
$14.16–$131.52 | $59–$548 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 8 matching MRF lines |
$15.36–$279.60 | $64–$1,165 | varies |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$24.48–$448.08 | $102–$1,867 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 4 matching MRF lines |
$15.60–$299.76 | $65–$1,249 | varies |
| Ear and throat examination (92502) | $59.76 | $249 | 0.1× |
| ECG/monitoring and analysis (93271) | $108.48 | $452 | 1.1× |
| Echo Congenital Complete (93303) range across 4 matching MRF lines |
$39.84–$1,133.76 | $166–$4,724 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 8 matching MRF lines |
$15.12–$450.24 | $63–$1,876 | varies |
| Echo r-t 2d w/probe placement only (93313) range across 2 matching MRF lines |
$12.96–$25.68 | $54–$107 | varies |
| Echo transesophag montr cardiac pump functj (93318) range across 4 matching MRF lines |
$72.48–$945.12 | $302–$3,938 | varies |
| Echo transesophageal (93312) range across 10 matching MRF lines |
$56.88–$1,053.36 | $237–$4,389 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 4 matching MRF lines |
$90.24–$90.48 | $376–$377 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 7 matching MRF lines |
$49.92–$162.24 | $208–$676 | varies |
| Eeg 41-60 Minutes (95812) | $609.60 | $2,540 | 2.7× |
| EEG awake and asleep (95819) range across 9 matching MRF lines |
$31.92–$570.48 | $133–$2,377 | varies |
| EEG awake drowsy (95816) range across 9 matching MRF lines |
$31.44–$487.20 | $131–$2,030 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$24.96–$251.76 | $104–$1,049 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) range across 5 matching MRF lines |
$280.08–$296.88 | $1,167–$1,237 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 3 matching MRF lines |
$57.60–$633.60 | $240–$2,640 | varies |
| Eeg Sleep Only (95822) range across 5 matching MRF lines |
$35.76–$348 | $149–$1,450 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) range across 3 matching MRF lines |
$280.08–$296.88 | $1,167–$1,237 | varies |
| EEG w/o vid 2-12hr cont mntr (95707) range across 3 matching MRF lines |
$280.08–$296.88 | $1,167–$1,237 | varies |
| EEG w/o vid ea 12-26hr intmt (95709) range across 3 matching MRF lines |
$537.60–$569.76 | $2,240–$2,374 | varies |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) range across 3 matching MRF lines |
$537.60–$569.76 | $2,240–$2,374 | varies |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) range across 3 matching MRF lines |
$280.08–$296.88 | $1,167–$1,237 | varies |
| EEG wo vid ea 12-26hr unmntr (95708) range across 3 matching MRF lines |
$537.60–$569.76 | $2,240–$2,374 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $30.96 | $129 | 0.3× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $23.04 | $96 | 0.6× |
| Electrical Stimulation Ea 15 Min (97032) range across 11 matching MRF lines |
$11.76–$87.84 | $49–$366 | varies |
| Electrocardiogram Tracing (93005) range across 25 matching MRF lines |
$8.88–$126.48 | $37–$527 | varies |
| Electroconvulsive Therapy (90870) range across 3 matching MRF lines |
$101.04–$285.84 | $421–$1,191 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) likely a partial charge, not the full procedure |
$159.12 | $663 | 0.0× |
| Electrophysiology Evaluation (93642) range across 6 matching MRF lines |
$166.32–$1,521.12 | $693–$6,338 | varies |
| Emergency Dept Visit Level 2 (99282) range across 8 matching MRF lines |
$30.72–$281.76 | $128–$1,174 | varies |
| Emergency Dept Visit Level 3 (99283) range across 8 matching MRF lines |
$39.60–$457.44 | $165–$1,906 | varies |
| Emergency Dept Visit Level 4 (99284) range across 6 matching MRF lines |
$60.48–$699.12 | $252–$2,913 | varies |
| Emg 3 Extremities (95863) | $301.92 | $1,258 | 2.2× |
| Emg 4 Extremities (95864) | $383.52 | $1,598 | 2.8× |
| Endomyocardial Biopsy (93505) range across 7 matching MRF lines |
$481.20–$2,799.84 | $597–$11,666 | varies |
| Ep & ablate supravent arrhyt (93653) range across 3 matching MRF lines |
$16,348.80 | $2,159–$68,120 | 0.6× |
| Ep & ablate ventric tachy (93654) range across 3 matching MRF lines |
$22,102.56 | $2,872–$92,094 | 0.8× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 5 matching MRF lines |
$565.20–$9,662.64 | $1,658–$40,261 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) range across 4 matching MRF lines |
$4,810.56 | $1,044–$20,044 | 0.6× |
| Er level 1 (99281) range across 8 matching MRF lines |
$17.76–$199.20 | $74–$830 | varies |
| Er level v (99285) range across 8 matching MRF lines |
$88.56–$4,601.04 | $369–$19,171 | varies |
| Esophageal Capsule Endoscopy (91111) range across 2 matching MRF lines |
$697.20 | $137–$2,905 | 0.7× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $541.20 | $2,255 | 1.4× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $36.72 | $153 | 0.1× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $138.96 | $579 | 1.0× |
| Evaluate pt use of inhaler (94664) range across 4 matching MRF lines |
$16.56–$255.84 | $43–$1,066 | varies |
| Evaluate Speech Production (92522) range across 9 matching MRF lines |
$83.04–$123.12 | $346–$513 | varies |
| Evaluate Swallowing Function (92610) range across 9 matching MRF lines |
$189.84–$260.88 | $791–$1,087 | varies |
| Evaluation of speech fluency (92521) | $102.72 | $428 | 0.8× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$11.52–$19.68 | $48–$82 | varies |
| External ECG rec>48hr<7d recording (93242) range across 6 matching MRF lines |
$517.20–$560.40 | $2,155–$2,335 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) range across 6 matching MRF lines |
$352.08–$384.72 | $1,467–$1,603 | varies |
| External ECG rec>7d<15d recording (93246) range across 4 matching MRF lines |
$517.20–$560.40 | $2,155–$2,335 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) range across 4 matching MRF lines |
$352.08–$384.72 | $1,467–$1,603 | varies |
| External Ecg Scanning Analysis Report (93226) range across 4 matching MRF lines |
$24.96–$495.60 | $104–$2,065 | varies |
| Extracranial Bilat Study (93880) range across 6 matching MRF lines |
$24.72–$531.84 | $103–$2,216 | varies |
| Extracranial Uni/Ltd Study (93882) range across 5 matching MRF lines |
$15.36–$225.60 | $64–$940 | varies |
| Eye exam w anesth; complete (92018) | $89.76 | $374 | 0.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 4 matching MRF lines |
$92.64–$626.16 | $95–$2,609 | varies |
| Fundus photography (92250) | $47.28 | $197 | 0.3× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$110.64–$119.76 | $461–$499 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 4 matching MRF lines |
$31.92–$231.36 | $133–$964 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 6 matching MRF lines |
$46.56–$940.56 | $194–$3,919 | varies |
| Gi tract capsule endoscopy (91110) range across 13 matching MRF lines |
$120–$1,018.08 | $500–$4,242 | varies |
| Gonioscopy (92020) | $12.96 | $54 | 0.1× |
| Group Therapeutic Procedures (97150) range across 14 matching MRF lines |
$10.80–$99.12 | $45–$413 | varies |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $76.32 | $318 | 0.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 6 matching MRF lines |
$265.44–$11,689.68 | $1,106–$48,707 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $863.28 | $3,597 | 1.2× |
| Holter monitor recording (93225) range across 4 matching MRF lines |
$17.04–$689.52 | $71–$2,873 | varies |
| Hypnotherapy (90880) range across 2 matching MRF lines |
$52.08–$58.80 | $217–$245 | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $7.92 | $33 | 0.2× |
| Icd Device Interrogate (93289) range across 5 matching MRF lines |
$28.56–$49.44 | $119–$206 | varies |
| Icd device progr eval dual (93283) range across 5 matching MRF lines |
$36–$52.32 | $150–$218 | varies |
| Icd Device Progr Eval Mult (93284) range across 5 matching MRF lines |
$39.12–$58.08 | $163–$242 | varies |
| Icm Device Eval (93290) | $18.96 | $79 | 0.5× |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$15.60–$27.12 | $65–$113 | varies |
| Ilr Device Interrogate (93291) | $23.28 | $97 | 0.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 4 matching MRF lines |
$10.56–$13.92 | $44–$58 | varies |
| Immunization administration (90471) range across 26 matching MRF lines |
$14.16–$59.76 | $15–$249 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $45.60 | $190 | 0.1× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) range across 2 matching MRF lines |
$23.04–$456.48 | $96–$1,902 | varies |
| Inital newborn e/m (99460) range across 6 matching MRF lines |
$41.76–$56.16 | $174–$234 | varies |
| Insert/Place Heart Catheter (93503) range across 8 matching MRF lines |
$118.56–$2,810.88 | $494–$11,712 | varies |
| Interrogation eval in person wr defibrillator (93292) | $19.92 | $83 | 0.5× |
| Interrogation vad in person (93750) | $31.68 | $132 | 0.3× |
| Intra-atrial pacing (93610) range across 4 matching MRF lines likely a partial charge, not the full procedure |
$1,748.40 | $425–$7,285 | 0.2× |
| Intra-atrial recording (93602) range across 3 matching MRF lines likely a partial charge, not the full procedure |
$1,748.40 | $416–$7,285 | 0.2× |
| Intracranial Complete Study (93886) | $591.60 | $2,465 | 2.3× |
| Intracutaneous tests w/allergenic extracts (95024) | — | $3 | — |
| Intraventricular pacing (93612) range across 3 matching MRF lines likely a partial charge, not the full procedure |
$902.64 | $422–$3,761 | 0.1× |
| Io anal gast n-stim subsq (95981) | $11.04 | $46 | 0.2× |
| Io ga n-stim subsq w/reprog (95982) | $22.56 | $94 | 0.6× |
| Iontophoresis 15 min (97033) range across 6 matching MRF lines |
$18.24–$75.60 | $76–$315 | varies |
| Irrig Drug Delivery Device (96523) range across 5 matching MRF lines |
$59.76–$109.20 | $249–$455 | varies |
| IV infusion hydration each additional hour (96361) range across 13 matching MRF lines |
$9.36–$44.88 | $39–$187 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 15 matching MRF lines |
$34.32–$207.36 | $143–$864 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 8 matching MRF lines |
$58.08–$62.64 | $242–$261 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 13 matching MRF lines |
$13.20–$44.88 | $55–$187 | varies |
| IV push initial (96374) range across 15 matching MRF lines |
$33.84–$1,635.84 | $141–$6,816 | varies |
| L Hrt Art/Grft Angio (93459) range across 8 matching MRF lines |
$215.76–$9,250.32 | $899–$38,543 | varies |
| Loudness balance test (92562) | $27.36 | $114 | 0.1× |
| Low frequency non-thermal us (97610) range across 6 matching MRF lines |
$118.32–$204.96 | $493–$854 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $15.36 | $64 | 0.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 3 matching MRF lines |
$15.36–$174.24 | $64–$726 | varies |
| Mechanical chest wall oscillation per session (94669) | $192 | $800 | 0.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 5 matching MRF lines |
$15.60–$32.64 | $65–$136 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 5 matching MRF lines |
$18.24–$37.92 | $76–$158 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$8.64–$9.60 | $36–$40 | varies |
| Methacholine challenge (94070) range across 5 matching MRF lines |
$36.48–$735.36 | $75–$3,064 | varies |
| Motility study esophagus (91010) range across 7 matching MRF lines |
$42.48–$876 | $177–$3,650 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 6 matching MRF lines |
$221.04–$339.12 | $921–$1,413 | varies |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $46.08 | $192 | 0.1× |
| Multiple Sleep Latency Test (95805) range across 4 matching MRF lines |
$249.12–$2,345.28 | $160–$9,772 | varies |
| Muscle Test 2 Limbs (95861) range across 4 matching MRF lines |
$96.72–$232.08 | $403–$967 | varies |
| Muscle Test One Limb (95860) range across 4 matching MRF lines |
$70.32–$162.72 | $293–$678 | varies |
| Nasopharyngoscopy (92511) range across 3 matching MRF lines |
$29.76–$44.88 | $124–$187 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$39.36–$696.72 | $164–$2,903 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 6 matching MRF lines |
$26.16–$363.84 | $109–$1,516 | varies |
| Needle electromyography larynx (95865) | $52.08 | $217 | 0.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$82.80–$374.88 | $345–$1,562 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $374.88 | $1,562 | 0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 11 matching MRF lines |
$14.64–$176.64 | $61–$736 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 6 matching MRF lines |
$24.96–$374.88 | $104–$1,562 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$52.56–$59.04 | $219–$246 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 4 matching MRF lines |
$145.20–$158.40 | $605–$660 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$168.24–$179.76 | $701–$749 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 4 matching MRF lines |
$64.80–$75.60 | $270–$315 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 8 matching MRF lines |
$77.76–$291.36 | $324–$1,214 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$102.24–$119.04 | $426–$496 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$123.84–$141.84 | $516–$591 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $49.92 | $208 | 0.4× |
| Neuromuscular Reeducation (97112) range across 24 matching MRF lines |
$18.72–$75.60 | $78–$315 | varies |
| Newborn resuscitation (99465) range across 8 matching MRF lines |
$72.72–$501.60 | $303–$2,090 | varies |
| Nitric oxide expired gas determination (95012) | $11.52 | $48 | 0.3× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $54.24 | $226 | 0.4× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 4 matching MRF lines |
$53.52–$85.20 | $223–$355 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 4 matching MRF lines |
$42.72–$70.32 | $178–$293 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 4 matching MRF lines |
$28.08–$48.48 | $117–$202 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 6 matching MRF lines |
$25.92–$46.08 | $108–$192 | varies |
| Oral Function Therapy (92526) range across 10 matching MRF lines |
$88.08–$184.56 | $367–$769 | varies |
| Oral Speech Device Eval (92597) range across 10 matching MRF lines |
$180.48–$195.60 | $752–$815 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 21 matching MRF lines |
$75.60–$84.24 | $315–$351 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 24 matching MRF lines |
$21.36–$90.24 | $89–$376 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$12.96–$21.36 | $54–$89 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 3 matching MRF lines |
$20.88–$32.16 | $87–$134 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$26.40–$32.40 | $110–$135 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$33.36–$37.68 | $139–$157 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$39.84–$44.88 | $166–$187 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $69.36 | $289 | 4.9× |
| Ot eval high complexity (97167) range across 7 matching MRF lines |
$186–$187.44 | $775–$781 | varies |
| Ot Eval Low Complex (97165) range across 8 matching MRF lines |
$186–$196.56 | $775–$819 | varies |
| Ot Eval Moderate Complexity (97166) range across 8 matching MRF lines |
$186–$196.56 | $775–$819 | varies |
| Ot manual therapy 15 min (97140) range across 28 matching MRF lines |
$16.80–$85.20 | $70–$355 | varies |
| Ot paraffin bath (97018) range across 6 matching MRF lines |
$6.72–$140.36 | $28–$584.85 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 22 matching MRF lines |
$18.72–$86.16 | $78–$359 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 14 matching MRF lines |
$120.96–$150.24 | $504–$626 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$139.92–$155.28 | $583–$647 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$132.96–$137.52 | $554–$573 | varies |
| Oxygen Uptake Rest Indirect (94690) range across 2 matching MRF lines |
$29.52–$32.16 | $123–$134 | varies |
| Patch/Application Test Specify Number Tests (95044) | $3.36 | $14 | 0.0× |
| Pediatric apnea monitor analyses computer (94776) | $136.32 | $568 | 1.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $175.20 | $730 | 0.8× |
| Percutaneous tests w/allergenic extracts (95004) | $3.84 | $16 | 0.0× |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$69.36–$83.76 | $289–$349 | varies |
| Perq transcath closure pda (93582) range across 5 matching MRF lines |
$11,626.80–$12,091.68 | $1,719–$50,382 | varies |
| Perq Transcath Cls Aortic (93591) | $19,685.04 | $82,021 | 1.0× |
| Perq Transcath Cls Mitral (93590) | $18,704.16 | $77,934 | 1.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 19 matching MRF lines |
$297.12–$5,855.04 | $1,238–$24,396 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 13 matching MRF lines |
$8,045.76–$8,535.12 | $865–$35,563 | varies |
| Phlebotomy therapeutic (99195) range across 8 matching MRF lines |
$155.28–$194.40 | $647–$810 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$147.60–$213.60 | $615–$890 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$147.60–$213.60 | $615–$890 | varies |
| Physical Performance Test (97750) range across 7 matching MRF lines |
$20.16–$85.20 | $84–$355 | varies |
| Plethysmography (94726) range across 10 matching MRF lines |
$33.36–$252.96 | $29–$1,054 | varies |
| Pm device eval in person (93288) range across 5 matching MRF lines |
$9.60–$49.44 | $40–$206 | varies |
| Pm device progr eval dual (93280) range across 5 matching MRF lines |
$24.24–$42.48 | $101–$177 | varies |
| Pm device progr eval multi (93281) range across 4 matching MRF lines |
$28.08–$44.16 | $117–$184 | varies |
| Pm Device Progr Eval Sngl (93279) range across 5 matching MRF lines |
$10.32–$42.48 | $43–$177 | varies |
| Pm/Icd Remote Tech Serv (93296) | $19.68 | $82 | 0.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 10 matching MRF lines |
$69.36–$3,171.60 | $289–$13,215 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 4 matching MRF lines |
$76.56–$2,583.12 | $319–$10,763 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$92.16–$2,279.76 | $384–$9,499 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $3.12 | $13 | 0.1× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $2.88 | $12 | 0.1× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $2.88 | $12 | 0.1× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $2.88 | $12 | 0.0× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 4 matching MRF lines |
$29.28–$42.48 | $122–$177 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$5.76–$6 | $24–$25 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 7 matching MRF lines |
$7.44–$8.88 | $31–$37 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $2.88 | $12 | 0.0× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $2.88 | $12 | 0.1× |
| Prq Card Angio/Athrect 1 Art (92924) range across 6 matching MRF lines |
$7,026.24–$10,749.60 | $1,472–$44,790 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 13 matching MRF lines |
$8,109.60–$8,447.76 | $1,375–$35,199 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 6 matching MRF lines |
$7,426.08–$21,978.72 | $1,538–$91,578 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 9 matching MRF lines |
$8,045.76–$8,535.12 | $1,373–$35,563 | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) range across 3 matching MRF lines unusually low: confirm this is the full procedure |
$8,574.48 | $3,395–$35,727 | 0.4× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $11,133.36 | $46,389 | 0.9× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$52.32–$88.80 | $218–$370 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$59.76–$79.44 | $249–$331 | varies |
| Pt Eval High Complex (97163) range across 8 matching MRF lines |
$186–$196.56 | $775–$819 | varies |
| Pt eval low complex 20 min (97161) range across 7 matching MRF lines |
$186–$196.56 | $775–$819 | varies |
| Pt Eval Mod Complex (97162) range across 9 matching MRF lines |
$186–$196.56 | $775–$819 | varies |
| Pt gait training 15 min (97116) range across 13 matching MRF lines |
$17.52–$75.60 | $73–$315 | varies |
| Pt mechanical traction (97012) range across 8 matching MRF lines |
$9.84–$91.68 | $41–$382 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 11 matching MRF lines |
$120.96–$150.24 | $504–$626 | varies |
| Pt ultraviolet (97028) | $4.56 | $19 | 0.5× |
| Pulm function test by gas (94727) range across 3 matching MRF lines |
$7.92–$26.16 | $33–$109 | varies |
| Pulmonary service/procedure (94799) | $21.36 | $89 | 0.2× |
| Pulmonary Stress Testing (94618) range across 5 matching MRF lines |
$13.44–$334.08 | $56–$1,392 | varies |
| Pure Tone Audiometry Air (92552) range across 6 matching MRF lines |
$17.52–$18.48 | $73–$77 | varies |
| R Hrt Art/Grft Angio (93457) range across 6 matching MRF lines |
$225.84–$10,537.68 | $941–$43,907 | varies |
| R hrt coronary artery angio (93456) range across 6 matching MRF lines |
$201.84–$9,518.88 | $841–$39,662 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 6 matching MRF lines |
$204.96–$9,023.04 | $854–$37,596 | varies |
| Rapid Desensitization Procedure Each Hour (95180) range across 2 matching MRF lines |
$58.56–$86.64 | $244–$361 | varies |
| Rem interrog icpms <30 d phys/qhp (93297) | $16.56 | $69 | 0.4× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $17.28 | $72 | 0.4× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $13.68 | $57 | 0.3× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $4.08 | $17 | 0.0× |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $20.88 | $87 | 0.5× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$8.40–$286.80 | $35–$1,195 | varies |
| Respiratory flow volume loop (94375) range across 4 matching MRF lines |
$9.36–$36.48 | $39–$152 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $68.40 | $285 | 1.1× |
| Right Heart Cath (93451) range across 8 matching MRF lines |
$466.32–$4,608.72 | $370–$19,203 | varies |
| Right ventricular recording (93603) range across 3 matching MRF lines |
$72–$2,544.24 | $300–$10,601 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 8 matching MRF lines |
$14.88–$236.16 | $62–$984 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$164.16–$195.60 | $684–$815 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $75.60 | $315 | 1.6× |
| Same day nb discharge (99463) range across 6 matching MRF lines |
$48–$63.12 | $200–$263 | varies |
| Self Care Mngment Training (97535) range across 20 matching MRF lines |
$21.36–$75.60 | $89–$315 | varies |
| Self-meas bp pt educaj/traing & dev calibration (99473) | $2.40 | $10 | 0.1× |
| Sensory Integration Ea 15 Min (97533) range across 6 matching MRF lines |
$32.64–$43.68 | $136–$182 | varies |
| Sleep study attended (95807) range across 3 matching MRF lines |
$38.88–$569.76 | $162–$2,374 | varies |
| Sleep study unattended (95806) range across 4 matching MRF lines |
$38.16–$136.32 | $159–$568 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $112.32 | $468 | 0.5× |
| Somatosensory Testing (95938) | $486.96 | $2,029 | 0.5× |
| Speech Audiometry Complete (92556) | $22.08 | $92 | 0.4× |
| Speech audiometry threshold (92555) range across 4 matching MRF lines |
$13.44–$13.68 | $56–$57 | varies |
| Speech sound lang comprehen (92523) range across 7 matching MRF lines |
$200.16–$255.84 | $834–$1,066 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$257.28–$288.96 | $1,072–$1,204 | varies |
| Spirometry (94010) range across 11 matching MRF lines |
$16.32–$181.68 | $20–$757 | varies |
| Spontaneous Nystagmus Test (92541) | $24.96 | $104 | 0.2× |
| Ssep lower limbs (95926) | $815.76 | $3,399 | 3.6× |
| Stenger Test Speech (92577) | $10.56 | $44 | 0.0× |
| Stenger Test, Pure Tone (92565) | $9.60 | $40 | 0.2× |
| Stress Tte Only (93350) range across 8 matching MRF lines |
$41.52–$1,158.24 | $173–$4,826 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) range across 5 matching MRF lines |
$9.60–$60 | $40–$250 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 6 matching MRF lines |
$203.52–$217.68 | $848–$907 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) range across 3 matching MRF lines |
$42.48–$60 | $177–$250 | varies |
| Surfactant Admin Thru Tube (94610) | $192 | $800 | 0.8× |
| Temp transcutaneous pacing (92953) range across 6 matching MRF lines |
$473.28–$501.60 | $1,972–$2,090 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 21 matching MRF lines |
$59.04–$75.60 | $246–$315 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 22 matching MRF lines |
$59.04–$75.60 | $246–$315 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 10 matching MRF lines |
$14.64–$75.60 | $61–$315 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $144.96 | $604 | 1.4× |
| Ther/Proph/Diag Inj Ia (96373) | $11.76 | $49 | 0.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 16 matching MRF lines |
$14.16–$77.04 | $59–$321 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 18 matching MRF lines |
$41.04–$228.96 | $171–$954 | varies |
| Therapeutic Activities (97530) range across 25 matching MRF lines |
$21.36–$66.72 | $89–$278 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 6 matching MRF lines |
$59.04–$1,534.08 | $246–$6,392 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 8 matching MRF lines |
$13.20–$33.36 | $55–$139 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 11 matching MRF lines |
$6.48–$33.36 | $27–$139 | varies |
| Tone Decay Test (92563) | $18.24 | $76 | 0.5× |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$75.60–$91.44 | $315–$381 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 4 matching MRF lines |
$110.88–$129.12 | $462–$538 | varies |
| Transcath Closure of Asd (93580) range across 5 matching MRF lines |
$9,362.88–$9,853.68 | $2,598–$41,057 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$17.52–$413.76 | $73–$1,724 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $33.84 | $141 | 0.9× |
| Tte w/doppler, complete (93306) range across 18 matching MRF lines |
$37.68–$1,409.04 | $157–$5,871 | varies |
| Tte W/O Doppler Complete (93307) range across 6 matching MRF lines |
$40.32–$822.24 | $168–$3,426 | varies |
| Tx atrial fib pulm vein isol (93656) range across 6 matching MRF lines |
$25,544.88 | $1,442–$106,437 | 0.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 10 matching MRF lines |
$48.96–$150.24 | $204–$626 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 3 matching MRF lines |
$30.24–$32.16 | $126–$134 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 12 matching MRF lines |
$17.76–$1,635.84 | $74–$6,816 | varies |
| Tympanometry (92567) range across 10 matching MRF lines |
$9.36–$9.84 | $39–$41 | varies |
| Tympanometry and reflex threshold measurements (92550) | $12.96 | $54 | 0.1× |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$150.24–$203.04 | $626–$846 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $287.76 | $1,199 | 2.1× |
| Upr/L Xtremity Art 2 Levels (93922) range across 14 matching MRF lines |
$7.68–$229.68 | $32–$957 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 8 matching MRF lines |
$13.92–$485.76 | $58–$2,024 | varies |
| Valvuloplasty aortic valve (92986) range across 5 matching MRF lines |
$852.24–$5,575.92 | $3,551–$23,233 | varies |
| Valvuloplasty mitral valve (92987) range across 5 matching MRF lines |
$879.60–$4,847.76 | $3,665–$20,199 | varies |
| Valvuloplasty pulmonary valve (92990) range across 5 matching MRF lines |
$663.60–$5,361.60 | $2,765–$22,340 | varies |
| Vasopneumatic device (97016) range across 4 matching MRF lines |
$150–$150.24 | $625–$626 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) range across 5 matching MRF lines |
$537.60–$569.76 | $2,240–$2,374 | varies |
| Veeg 2-12 hr intmt mntr (95712) range across 3 matching MRF lines |
$280.08–$296.88 | $1,167–$1,237 | varies |
| Veeg 2-12 hr unmonitored (95711) range across 5 matching MRF lines |
$280.08–$296.88 | $1,167–$1,237 | varies |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) range across 5 matching MRF lines |
$537.60–$569.76 | $2,240–$2,374 | varies |
| Veeg Ea 12-26 Hr Unmntr (95714) range across 5 matching MRF lines |
$537.60–$569.76 | $2,240–$2,374 | varies |
| Veeg ea 12-26hr cont mntr (95716) range across 3 matching MRF lines |
$1,006.08–$1,066.56 | $4,192–$4,444 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$58.08–$1,078.08 | $242–$4,492 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$41.52–$826.80 | $173–$3,445 | varies |
| Visual Evoked Potential Test (95930) | $89.52 | $373 | 0.4× |
| Visual Field Exam Extended (92083) | $51.12 | $213 | 0.4× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $41.04 | $171 | 0.7× |
| Visual reinforcement audiometry (vra) (92579) | $23.76 | $99 | 0.1× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$136.56–$181.68 | $569–$757 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 18 matching MRF lines |
$18.96–$85.20 | $79–$355 | varies |
| Whirlpool Therapy (97022) range across 15 matching MRF lines |
$14.16–$84.72 | $59–$353 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $15.12 | $63 | 0.4× |
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.