Visits & medical services prices at Lutheran Hospital of Indiana
Fort Wayne, IN · every code in this section with a posted price and a Medicare benchmark.
410 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 |
$518.40–$6,695.40 | $1,728–$22,318 | varies |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) range across 2 matching MRF lines |
$23.10–$24.90 | $77–$83 | varies |
| Acoustic Reflex Testing (92568) | $13.20 | $44 | 0.3× |
| Acupunct W/Stimul 15 Min (97813) range across 2 matching MRF lines |
$25.80–$30 | $86–$100 | varies |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$24–$28.20 | $80–$94 | varies |
| Advncd Care Plan 30 Min (99497) range across 6 matching MRF lines |
$57.30–$67.50 | $191–$225 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) range across 5 matching MRF lines |
$559.28–$666.30 | $1,864.25–$2,221 | varies |
| Airway Inhalation Treatment (94640) range across 13 matching MRF lines |
$13.80–$131.40 | $46–$438 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 2 matching MRF lines |
$5.70–$20.10 | $19–$67 | varies |
| Allg tstg perq & ic venoms immed react w/i&r (95017) range across 2 matching MRF lines |
$2.70–$9.90 | $9–$33 | varies |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$54.30–$76.50 | $181–$255 | varies |
| Analyze neurostim no prog (95970) range across 3 matching MRF lines |
$18.60–$50.40 | $62–$168 | varies |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$31.50–$43.80 | $105–$146 | varies |
| Analyze Pacemaker System (93724) | $453.30 | $1,511 | 1.4× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) range across 3 matching MRF lines |
$65.10–$100.50 | $217–$335 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 9 matching MRF lines |
$9.90–$86.70 | $33–$289 | varies |
| Arrhythmia Induction (93618) range across 4 matching MRF lines |
$182.40–$4,038.60 | $608–$13,462 | varies |
| Assessment of aphasia per hr (96105) | $217.20 | $724 | 2.2× |
| Assmt & care planning pt w/cognitive impairment (99483) | $198 | $660 | 1.8× |
| Audiometry Air & Bone (92553) range across 4 matching MRF lines |
$26.70–$27.30 | $89–$91 | varies |
| Auditory Function, 60 Min (92620) range across 2 matching MRF lines |
$64.20–$72.60 | $214–$242 | varies |
| Basic vestibular evaluation (92540) | $78.30 | $261 | 0.3× |
| Behavral qualit analys voice (92524) | $113.10 | $377 | 1.0× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $54.30 | $181 | 0.7× |
| Bfb training ea addl 15 min (90913) | $21 | $70 | 0.6× |
| Breath hydrogen/methane test (91065) range across 3 matching MRF lines |
$12–$590.70 | $40–$1,969 | varies |
| Brief Emotional/Behav Assmt (96127) | $4.80 | $16 | 0.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 12 matching MRF lines |
$35.40–$415.80 | $35–$1,386 | varies |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$2,628.90 | $8,763 | 0.3× |
| C motor evoked uppr limbs (95928) | $1,143.60 | $3,812 | 1.3× |
| Canalith repositioning proc (95992) range across 8 matching MRF lines |
$29.10–$56.40 | $97–$188 | varies |
| Car seat/bed test 60 min (94780) range across 2 matching MRF lines |
$36.90–$37.20 | $123–$124 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 6 matching MRF lines |
$48.60–$885 | $162–$2,950 | varies |
| Cardiopulmonary exercise testing (94621) range across 4 matching MRF lines |
$54–$1,166.10 | $180–$3,887 | varies |
| Cardiopulmonary resuscitation (92950) range across 8 matching MRF lines |
$171.90–$481.80 | $573–$1,606 | varies |
| Cardioversion (92960) range across 13 matching MRF lines |
$88.80–$13,621.70 | $296–$45,405.66 | varies |
| Cardioversion elective internal (92961) range across 3 matching MRF lines |
$199.50–$766.20 | $665–$2,554 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $2.10 | $7 | 0.1× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 6 matching MRF lines |
$300.90–$13,720.20 | $1,003–$45,734 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 5 matching MRF lines |
$239.10–$10,287 | $797–$34,290 | varies |
| Cbt 1st hour (94644) range across 3 matching MRF lines |
$32.40–$128.70 | $108–$429 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 5 matching MRF lines |
$51.60–$77.70 | $172–$259 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $26.70 | $89 | 0.4× |
| Chemo Ia Push (96420) range across 3 matching MRF lines |
$282–$298.80 | $940–$996 | varies |
| Chemo Intralesional Over 7 (96406) range across 2 matching MRF lines |
$52.20–$90 | $174–$300 | varies |
| Chemo intralesional up to 7 (96405) range across 2 matching MRF lines |
$34.50–$65.40 | $115–$218 | varies |
| Chemo IV infusion addl hr (96415) range across 4 matching MRF lines |
$31.50–$77.70 | $105–$259 | varies |
| Chemo IV push addl drug (96411) | $77.70 | $259 | 1.0× |
| Chemother Prolong Infuse W/Pump (96416) | $121.20 | $404 | 0.3× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $142.50 | $475 | 2.9× |
| Chemotherapy Into Cns (96450) range across 8 matching MRF lines |
$90–$361.20 | $300–$1,204 | varies |
| Chemotherapy Unspecified (96549) | $43.20 | $144 | 0.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 4 matching MRF lines |
$54.60–$77.70 | $182–$259 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 4 matching MRF lines |
$141.90–$396.60 | $473–$1,322 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $254.40 | $848 | 0.7× |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$21.30–$133.20 | $71–$444 | varies |
| Chiropract manj 3-4 regions (98941) range across 2 matching MRF lines |
$27.30–$31.80 | $91–$106 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$23.70–$30.60 | $79–$102 | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $1,371.60 | $4,572 | 3.5× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $41.70 | $139 | 0.7× |
| Color/duplex Doppler, complete (93975) range across 4 matching MRF lines |
$477.90–$818.40 | $1,593–$2,728 | varies |
| Color/duplex Doppler, limited (93976) range across 8 matching MRF lines |
$382.50–$661.50 | $1,275–$2,205 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 5 matching MRF lines |
$23.40–$71.10 | $78–$237 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $75.30 | $251 | 0.4× |
| Comprehensive Hearing Test (92557) range across 12 matching MRF lines |
$22.80–$28.80 | $76–$96 | varies |
| Computerized dynamic posturography (92548) | $20.40 | $68 | 0.1× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $33.60 | $112 | 0.5× |
| Computerized Ophthalmic Imaging Retina (92134) | $34.50 | $115 | 0.6× |
| Conditioning Play Audiometry (92582) | $52.80 | $176 | 0.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 9 matching MRF lines |
$112.80–$116.40 | $376–$388 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $42 | $140 | 0.7× |
| Continuous Pulse Ox (94762) | $220.50 | $735 | 1.6× |
| Corneal Topography (92025) | $28.80 | $96 | 0.5× |
| Coronary Art/Grft Angio S&I (93455) range across 5 matching MRF lines |
$227.10–$8,208.60 | $757–$27,362 | varies |
| Coronary Artery Angio S&I (93454) range across 6 matching MRF lines |
$196.20–$6,134.10 | $654–$20,447 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $886.80 | $2,956 | 3.8× |
| Cpt initial (94667) range across 3 matching MRF lines |
$19.20–$133.20 | $64–$444 | varies |
| Critical care first hour (99291) range across 8 matching MRF lines |
$142.20–$2,106 | $474–$7,020 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,129.50 | $3,765 | 2.9× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 21 matching MRF lines |
$26.40–$5,661.83 | $88–$18,872.75 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) range across 5 matching MRF lines |
$98.70–$331.80 | $329–$1,106 | varies |
| Dialysis One Evaluation (90945) | $770.70 | $2,569 | 1.7× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 3 matching MRF lines |
$22.80–$37.80 | $76–$126 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 5 matching MRF lines |
$480.90–$641.10 | $1,603–$2,137 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 3 matching MRF lines |
$402.30–$481.80 | $1,341–$1,606 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $47.70 | $159 | 0.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 8 matching MRF lines |
$30.60–$747.90 | $102–$2,493 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 9 matching MRF lines |
$19.20–$503.70 | $64–$1,679 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 13 matching MRF lines |
$27–$823.80 | $90–$2,746 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 18 matching MRF lines |
$17.70–$636.30 | $59–$2,121 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 3 matching MRF lines |
$27.90–$342 | $93–$1,140 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 5 matching MRF lines |
$17.70–$164.40 | $59–$548 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 9 matching MRF lines |
$19.20–$212.40 | $64–$708 | varies |
| Duplex up extrem art bilat (93930) range across 4 matching MRF lines |
$30.60–$560.10 | $102–$1,867 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 6 matching MRF lines |
$19.50–$398.70 | $65–$1,329 | varies |
| Ear and throat examination (92502) | $74.70 | $249 | 0.1× |
| ECG/monitoring and analysis (93271) range across 2 matching MRF lines |
$135.60–$143.70 | $452–$479 | varies |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$49.80–$1,417.20 | $166–$4,724 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 7 matching MRF lines |
$18.90–$562.80 | $63–$1,876 | varies |
| Echo r-t 2d w/probe placement only (93313) range across 2 matching MRF lines |
$16.20–$32.10 | $54–$107 | varies |
| Echo transesophag montr cardiac pump functj (93318) range across 4 matching MRF lines |
$90.60–$1,181.40 | $302–$3,938 | varies |
| Echo transesophageal (93312) range across 9 matching MRF lines |
$71.10–$1,316.70 | $237–$4,389 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 4 matching MRF lines |
$112.80–$113.10 | $376–$377 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 7 matching MRF lines |
$62.40–$202.80 | $208–$676 | varies |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$762–$807.60 | $2,540–$2,692 | varies |
| EEG awake and asleep (95819) range across 9 matching MRF lines |
$39.90–$670.20 | $133–$2,234 | varies |
| EEG awake drowsy (95816) range across 11 matching MRF lines |
$39.30–$645.60 | $131–$2,152 | varies |
| EEG cerebral death evaluation (95824) range across 3 matching MRF lines |
$31.20–$333.60 | $104–$1,112 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) range across 3 matching MRF lines |
$350.10–$371.10 | $1,167–$1,237 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 4 matching MRF lines |
$72–$839.40 | $240–$2,798 | varies |
| Eeg Sleep Only (95822) range across 5 matching MRF lines |
$44.70–$417.90 | $149–$1,393 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) range across 3 matching MRF lines |
$350.10–$371.10 | $1,167–$1,237 | varies |
| EEG w/o vid 2-12hr cont mntr (95707) range across 3 matching MRF lines |
$350.10–$371.10 | $1,167–$1,237 | varies |
| EEG w/o vid ea 12-26hr intmt (95709) range across 3 matching MRF lines |
$672–$712.20 | $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 |
$672–$712.20 | $2,240–$2,374 | varies |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) range across 3 matching MRF lines |
$350.10–$371.10 | $1,167–$1,237 | varies |
| EEG wo vid ea 12-26hr unmntr (95708) range across 3 matching MRF lines |
$672–$712.20 | $2,240–$2,374 | varies |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $36.90 | $123 | 0.4× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $38.70 | $129 | 0.4× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $28.80 | $96 | 0.7× |
| Electrical Stimulation Ea 15 Min (97032) range across 5 matching MRF lines |
$14.70–$94.50 | $49–$315 | varies |
| Electrocardiogram Tracing (93005) range across 28 matching MRF lines |
$5.70–$167.70 | $19–$559 | varies |
| Electroconvulsive Therapy (90870) range across 4 matching MRF lines |
$126.30–$357.30 | $421–$1,191 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) likely a partial charge, not the full procedure |
$198.90 | $663 | 0.0× |
| Electrophysiology Evaluation (93642) range across 4 matching MRF lines |
$207.90–$1,901.40 | $693–$6,338 | varies |
| Emergency Dept Visit Level 2 (99282) range across 8 matching MRF lines |
$38.40–$356.10 | $128–$1,187 | varies |
| Emergency Dept Visit Level 3 (99283) range across 7 matching MRF lines |
$49.50–$546.60 | $165–$1,822 | varies |
| Emergency Dept Visit Level 4 (99284) range across 5 matching MRF lines |
$75.60–$873.90 | $252–$2,913 | varies |
| Emg 3 Extremities (95863) | $377.40 | $1,258 | 2.8× |
| Emg 4 Extremities (95864) | $479.40 | $1,598 | 3.5× |
| Endomyocardial Biopsy (93505) range across 5 matching MRF lines |
$179.10–$3,499.80 | $597–$11,666 | varies |
| Ep & ablate supravent arrhyt (93653) range across 3 matching MRF lines |
$20,436 | $2,159–$68,120 | 0.7× |
| Ep & ablate ventric tachy (93654) range across 3 matching MRF lines |
$27,628.20 | $2,872–$92,094 | 1.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 7 matching MRF lines |
$497.40–$12,078.30 | $1,658–$40,261 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) range across 4 matching MRF lines |
$6,013.20 | $1,044–$20,044 | 0.7× |
| Er level 1 (99281) range across 8 matching MRF lines |
$22.20–$264 | $74–$880 | varies |
| Er level v (99285) range across 8 matching MRF lines |
$110.70–$6,096.30 | $369–$20,321 | varies |
| Esophageal Capsule Endoscopy (91111) range across 3 matching MRF lines |
$871.50–$2,559.19 | $137–$8,530.64 | varies |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $676.50 | $2,255 | 1.7× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $45.90 | $153 | 0.1× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $173.70 | $579 | 1.3× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$12.90–$233.40 | $43–$778 | varies |
| Evaluate Speech Production (92522) range across 4 matching MRF lines |
$103.80–$117.30 | $346–$391 | varies |
| Evaluate Swallowing Function (92610) | $237.30 | $791 | 2.8× |
| Evaluation of speech fluency (92521) | $128.40 | $428 | 1.0× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$14.40–$24.60 | $48–$82 | varies |
| Exercise test for bronchospasm (94617) | $66.90 | $223 | 0.5× |
| External ECG rec>48hr<7d recording (93242) range across 6 matching MRF lines |
$700.50–$742.50 | $2,335–$2,475 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) range across 6 matching MRF lines |
$440.10–$466.50 | $1,467–$1,555 | varies |
| External ECG rec>7d<15d recording (93246) range across 4 matching MRF lines |
$700.50–$742.50 | $2,335–$2,475 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) range across 4 matching MRF lines |
$440.10–$466.50 | $1,467–$1,555 | varies |
| External Ecg Scanning Analysis Report (93226) range across 4 matching MRF lines |
$31.20–$656.70 | $104–$2,189 | varies |
| Extracranial Bilat Study (93880) range across 6 matching MRF lines |
$30.90–$773.40 | $103–$2,578 | varies |
| Extracranial Uni/Ltd Study (93882) range across 7 matching MRF lines |
$19.20–$488.70 | $64–$1,629 | varies |
| Eye exam w anesth; complete (92018) | $112.20 | $374 | 0.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$28.50–$782.70 | $95–$2,609 | varies |
| Fundus photography (92250) | $59.10 | $197 | 0.4× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$138.30–$149.70 | $461–$499 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 4 matching MRF lines |
$39.90–$289.20 | $133–$964 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 6 matching MRF lines |
$58.20–$2,728.39 | $194–$9,094.63 | varies |
| Gi tract capsule endoscopy (91110) range across 12 matching MRF lines |
$150–$2,247.22 | $500–$7,490.72 | varies |
| Gonioscopy (92020) range across 2 matching MRF lines |
$16.20–$20.40 | $54–$68 | varies |
| Group Therapeutic Procedures (97150) range across 8 matching MRF lines |
$13.50–$82.50 | $45–$275 | varies |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $95.40 | $318 | 0.5× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 4 matching MRF lines |
$331.80–$14,612.10 | $1,106–$48,707 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,079.10 | $3,597 | 1.5× |
| Holter monitor recording (93225) range across 4 matching MRF lines |
$21.30–$913.50 | $71–$3,045 | varies |
| Hypnotherapy (90880) range across 3 matching MRF lines |
$65.10–$78.90 | $217–$263 | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $9.90 | $33 | 0.3× |
| Icd Device Interrogate (93289) range across 5 matching MRF lines |
$35.70–$61.80 | $119–$206 | varies |
| Icd device progr eval dual (93283) range across 5 matching MRF lines |
$45–$65.40 | $150–$218 | varies |
| Icd Device Progr Eval Mult (93284) range across 5 matching MRF lines |
$48.90–$72.60 | $163–$242 | varies |
| Icm Device Eval (93290) | $23.70 | $79 | 0.6× |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$19.50–$33.90 | $65–$113 | varies |
| Ilr Device Interrogate (93291) | $29.10 | $97 | 1.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 8 matching MRF lines |
$4.50–$18.90 | $15–$63 | varies |
| Immunization administration (90471) range across 24 matching MRF lines |
$4.50–$74.70 | $15–$249 | varies |
| Ingestion challenge test initial 120 minutes (95076) range across 2 matching MRF lines |
$57–$88.80 | $190–$296 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) range across 2 matching MRF lines |
$28.80–$570.60 | $96–$1,902 | varies |
| Inital newborn e/m (99460) range across 6 matching MRF lines |
$52.20–$70.20 | $174–$234 | varies |
| Insert/Place Heart Catheter (93503) range across 6 matching MRF lines |
$148.20–$3,513.60 | $494–$11,712 | varies |
| Interrogate Subq Defib (93261) | $45 | $150 | 1.1× |
| Interrogation eval in person wr defibrillator (93292) | $24.90 | $83 | 0.6× |
| Interrogation vad in person (93750) range across 2 matching MRF lines |
$39.60–$42.60 | $132–$142 | varies |
| Intra-atrial pacing (93610) range across 4 matching MRF lines |
$166.20–$2,185.50 | $425–$7,285 | varies |
| Intra-atrial recording (93602) range across 3 matching MRF lines likely a partial charge, not the full procedure |
$2,185.50 | $416–$7,285 | 0.3× |
| Intracranial Complete Study (93886) | $739.50 | $2,465 | 2.9× |
| Intracutaneous tests w/allergenic extracts (95024) range across 2 matching MRF lines |
$5.70 | $3–$19 | 0.1× |
| Intraventricular pacing (93612) range across 3 matching MRF lines |
$126.60–$1,128.30 | $422–$3,761 | varies |
| Io anal gast n-stim subsq (95981) range across 2 matching MRF lines |
$13.80–$24 | $46–$80 | varies |
| Io ga n-stim subsq w/reprog (95982) range across 2 matching MRF lines |
$28.20–$40.20 | $94–$134 | varies |
| Iontophoresis 15 min (97033) range across 6 matching MRF lines |
$22.80–$94.50 | $76–$315 | varies |
| Irrig Drug Delivery Device (96523) range across 5 matching MRF lines |
$74.70–$367.91 | $249–$1,226.36 | varies |
| IV infusion hydration each additional hour (96361) range across 11 matching MRF lines |
$11.70–$51.90 | $39–$173 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 12 matching MRF lines |
$42.90–$239.40 | $143–$798 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 6 matching MRF lines |
$73.80–$78.30 | $246–$261 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 11 matching MRF lines |
$16.50–$49.80 | $55–$166 | varies |
| IV push initial (96374) range across 12 matching MRF lines |
$42.30–$867.13 | $141–$2,890.44 | varies |
| L Hrt Art/Grft Angio (93459) range across 6 matching MRF lines |
$269.70–$11,562.90 | $899–$38,543 | varies |
| Loudness balance test (92562) | $34.20 | $114 | 0.1× |
| Low frequency non-thermal us (97610) range across 6 matching MRF lines |
$147.90–$256.20 | $493–$854 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $19.20 | $64 | 0.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 4 matching MRF lines |
$19.20–$189.90 | $64–$633 | varies |
| Mechanical chest wall oscillation per session (94669) | $240 | $800 | 1.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 6 matching MRF lines |
$16.50–$40.80 | $55–$136 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 6 matching MRF lines |
$21–$47.40 | $70–$158 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 3 matching MRF lines |
$10.80–$12.30 | $36–$41 | varies |
| Methacholine challenge (94070) range across 4 matching MRF lines |
$22.50–$772.80 | $75–$2,576 | varies |
| Motility study esophagus (91010) range across 6 matching MRF lines |
$53.10–$2,691.76 | $177–$8,972.52 | varies |
| Motion Fluoroscopy/Swallow (92611) | $276.30 | $921 | 3.0× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $57.60 | $192 | 0.1× |
| Multiple Sleep Latency Test (95805) range across 4 matching MRF lines |
$48–$2,931.60 | $160–$9,772 | varies |
| Muscle Test 2 Limbs (95861) range across 4 matching MRF lines |
$120.90–$290.10 | $403–$967 | varies |
| Muscle Test One Limb (95860) range across 4 matching MRF lines |
$87.90–$203.40 | $293–$678 | varies |
| Nasopharyngoscopy (92511) range across 4 matching MRF lines |
$37.20–$109.50 | $124–$365 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 3 matching MRF lines |
$49.20–$923.10 | $164–$3,077 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 6 matching MRF lines |
$32.70–$454.80 | $109–$1,516 | varies |
| Needle electromyography larynx (95865) | $65.10 | $217 | 0.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 4 matching MRF lines |
$103.50–$10,106.55 | $345–$33,688.49 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $468.60 | $1,562 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 13 matching MRF lines |
$18.30–$220.80 | $61–$736 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 7 matching MRF lines |
$31.20–$468.60 | $104–$1,562 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$65.70–$73.80 | $219–$246 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 4 matching MRF lines |
$181.50–$198 | $605–$660 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$210.30–$224.70 | $701–$749 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 4 matching MRF lines |
$81–$94.50 | $270–$315 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 8 matching MRF lines |
$97.20–$364.20 | $324–$1,214 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$127.80–$148.80 | $426–$496 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$154.80–$177.30 | $516–$591 | varies |
| Neurobehavioral Status Exam (96116) | $72 | $240 | 0.3× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $62.40 | $208 | 0.5× |
| Neuromuscular Reeducation (97112) range across 12 matching MRF lines |
$23.40–$94.50 | $78–$315 | varies |
| Newborn resuscitation (99465) range across 7 matching MRF lines |
$90.90–$627 | $303–$2,090 | varies |
| Nitric oxide expired gas determination (95012) | $14.40 | $48 | 0.4× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $95.40 | $318 | 0.2× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $67.80 | $226 | 0.5× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 6 matching MRF lines |
$66.90–$112.80 | $223–$376 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 6 matching MRF lines |
$53.40–$93.60 | $178–$312 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 6 matching MRF lines |
$35.10–$64.80 | $117–$216 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 8 matching MRF lines |
$32.40–$61.50 | $108–$205 | varies |
| Oral Function Therapy (92526) | $110.10 | $367 | 1.3× |
| Oral Speech Device Eval (92597) | $244.50 | $815 | 3.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $94.50 | $315 | 1.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 12 matching MRF lines |
$26.70–$112.80 | $89–$376 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 4 matching MRF lines |
$16.20–$26.70 | $54–$89 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 4 matching MRF lines |
$26.10–$40.20 | $87–$134 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 3 matching MRF lines |
$33–$45.60 | $110–$152 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 3 matching MRF lines |
$41.70–$56.10 | $139–$187 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 3 matching MRF lines |
$49.80–$66.90 | $166–$223 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $86.70 | $289 | 6.2× |
| Ot eval high complexity (97167) | $232.50 | $775 | 2.3× |
| Ot Eval Low Complex (97165) | $232.50 | $775 | 2.3× |
| Ot Eval Moderate Complexity (97166) | $232.50 | $775 | 2.3× |
| Ot manual therapy 15 min (97140) range across 16 matching MRF lines |
$21–$106.50 | $70–$355 | varies |
| Ot paraffin bath (97018) range across 5 matching MRF lines |
$8.40–$175.46 | $28–$584.85 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 10 matching MRF lines |
$23.40–$107.70 | $78–$359 | varies |
| Ot Re-Eval Est Plan Care (97168) | $187.80 | $626 | 2.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $174.90 | $583 | 1.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $166.20 | $554 | 1.2× |
| Oxygen Uptake Rest Indirect (94690) range across 2 matching MRF lines |
$36.90–$40.20 | $123–$134 | varies |
| Patch/Application Test Specify Number Tests (95044) | $4.20 | $14 | 0.0× |
| Pediatric apnea monitor analyses computer (94776) | $170.40 | $568 | 1.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $219 | $730 | 0.9× |
| Percutaneous tests w/allergenic extracts (95004) | $4.80 | $16 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $86.70 | $289 | 1.4× |
| Perq transcath closure pda (93582) range across 3 matching MRF lines |
$14,533.50 | $1,719–$48,445 | 0.7× |
| Perq Transcath Cls Aortic (93591) | $24,606.30 | $82,021 | 1.3× |
| Perq Transcath Cls Mitral (93590) | $23,380.20 | $77,934 | 1.2× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 17 matching MRF lines |
$371.40–$5,425.20 | $1,238–$18,084 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 11 matching MRF lines |
$10,668.90 | $865–$35,563 | 0.9× |
| Phlebotomy therapeutic (99195) | $243 | $810 | 1.7× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $267 | $890 | 4.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $267 | $890 | 4.3× |
| Physical Performance Test (97750) range across 7 matching MRF lines |
$25.20–$106.50 | $84–$355 | varies |
| Plethysmography (94726) range across 10 matching MRF lines |
$41.70–$316.20 | $20–$1,054 | varies |
| Pm device eval in person (93288) range across 5 matching MRF lines |
$12–$61.80 | $40–$206 | varies |
| Pm device progr eval dual (93280) range across 5 matching MRF lines |
$30.30–$53.10 | $101–$177 | varies |
| Pm device progr eval multi (93281) range across 4 matching MRF lines |
$35.10–$55.20 | $117–$184 | varies |
| Pm Device Progr Eval Sngl (93279) range across 5 matching MRF lines |
$12.90–$53.10 | $43–$177 | varies |
| Pm/Icd Remote Tech Serv (93296) | $24.60 | $82 | 0.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 10 matching MRF lines |
$86.70–$3,964.50 | $289–$13,215 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 5 matching MRF lines |
$95.70–$3,228.90 | $319–$10,763 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 3 matching MRF lines |
$115.20–$2,849.70 | $384–$9,499 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $67.80 | $226 | 0.1× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 2 matching MRF lines |
$3.90–$9.60 | $13–$32 | varies |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) range across 2 matching MRF lines |
$3.60–$16.50 | $12–$55 | varies |
| Prepj& antigen allergen immunotherapy 2 insect (95146) range across 2 matching MRF lines |
$3.60–$29.10 | $12–$97 | varies |
| Prepj& antigen allergen immunotherapy 5 insect (95149) range across 2 matching MRF lines |
$3.60–$51.90 | $12–$173 | varies |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $49.20 | $164 | 1.2× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 4 matching MRF lines |
$36.60–$53.10 | $122–$177 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 4 matching MRF lines |
$3.60–$7.50 | $12–$25 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 8 matching MRF lines |
$3.60–$11.10 | $12–$37 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) range across 2 matching MRF lines |
$3.60–$39 | $12–$130 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) range across 2 matching MRF lines |
$3.60–$9.60 | $12–$32 | varies |
| Prq Card Angio/Athrect 1 Art (92924) range across 4 matching MRF lines |
$8,782.80 | $1,472–$29,276 | 0.7× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 11 matching MRF lines |
$10,137 | $1,375–$33,790 | 0.8× |
| Prq Card Stent/Ath/Angio (92933) range across 4 matching MRF lines unusually low: confirm this is the full procedure |
$9,282.60 | $1,538–$30,942 | 0.5× |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 7 matching MRF lines |
$10,668.90 | $1,373–$35,563 | 0.9× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) range across 3 matching MRF lines |
$1,018.50–$10,718.10 | $3,395–$35,727 | varies |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$65.40–$118.50 | $218–$395 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$74.70–$99.30 | $249–$331 | varies |
| Psycl/Nrpsyc Tst Auto Result (96146) | $1.20 | $4 | 0.0× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $25.20 | $84 | 0.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $32.40 | $108 | 0.2× |
| Pt Eval High Complex (97163) | $232.50 | $775 | 2.4× |
| Pt eval low complex 20 min (97161) | $232.50 | $775 | 2.4× |
| Pt Eval Mod Complex (97162) | $232.50 | $775 | 2.4× |
| Pt gait training 15 min (97116) range across 7 matching MRF lines |
$21.90–$94.50 | $73–$315 | varies |
| Pt mechanical traction (97012) range across 3 matching MRF lines |
$12.30–$86.70 | $41–$289 | varies |
| Pt Re-Eval Est Plan Care (97164) | $187.80 | $626 | 2.8× |
| Pt ultraviolet (97028) | $5.70 | $19 | 0.7× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $2.10 | $7 | 0.1× |
| Pulm function test by gas (94727) range across 3 matching MRF lines |
$9.90–$32.70 | $33–$109 | varies |
| Pulmonary service/procedure (94799) | $26.70 | $89 | 0.2× |
| Pulmonary Stress Testing (94618) range across 4 matching MRF lines |
$16.80–$417.60 | $56–$1,392 | varies |
| Pure Tone Audiometry Air (92552) range across 6 matching MRF lines |
$21.90–$23.10 | $73–$77 | varies |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $15.60 | $52 | 0.7× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $24.30 | $81 | 0.7× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $9 | $30 | 0.7× |
| R Hrt Art/Grft Angio (93457) range across 4 matching MRF lines |
$282.30–$13,172.10 | $941–$43,907 | varies |
| R hrt coronary artery angio (93456) range across 4 matching MRF lines |
$252.30–$11,898.60 | $841–$39,662 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 4 matching MRF lines |
$256.20–$11,278.80 | $854–$37,596 | varies |
| Rapid Desensitization Procedure Each Hour (95180) range across 2 matching MRF lines |
$73.20–$108.30 | $244–$361 | varies |
| Rem interrog icpms <30 d phys/qhp (93297) | $20.70 | $69 | 0.5× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $21.60 | $72 | 0.5× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $17.10 | $57 | 0.4× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $5.10 | $17 | 0.0× |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $26.10 | $87 | 0.7× |
| Remote 30 Day Ecg Rev/Report (93270) range across 4 matching MRF lines |
$10.50–$380.10 | $35–$1,267 | varies |
| Respiratory flow volume loop (94375) range across 4 matching MRF lines |
$11.70–$45.60 | $39–$152 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$85.50–$90.60 | $285–$302 | varies |
| Right Heart Cath (93451) range across 6 matching MRF lines |
$582.90–$5,760.90 | $370–$19,203 | varies |
| Right ventricular recording (93603) range across 3 matching MRF lines |
$90–$3,180.30 | $300–$10,601 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 9 matching MRF lines |
$18.60–$1,160.30 | $62–$3,867.67 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$205.20–$244.50 | $684–$815 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $94.50 | $315 | 2.0× |
| Same day nb discharge (99463) range across 6 matching MRF lines |
$60–$78.90 | $200–$263 | varies |
| Self Care Mngment Training (97535) range across 14 matching MRF lines |
$26.70–$94.50 | $89–$315 | varies |
| Self-meas bp pt educaj/traing & dev calibration (99473) | $3 | $10 | 0.1× |
| Sensory Integration Ea 15 Min (97533) range across 6 matching MRF lines |
$40.80–$54.60 | $136–$182 | varies |
| Sleep study attended (95807) range across 3 matching MRF lines |
$48.60–$712.20 | $162–$2,374 | varies |
| Sleep study unattended (95806) range across 4 matching MRF lines |
$47.70–$170.40 | $159–$568 | varies |
| Slp Stdy Unatnd W/Anal (95801) | $38.70 | $129 | 0.6× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $140.40 | $468 | 0.6× |
| Somatosensory Testing (95938) | $608.70 | $2,029 | 0.7× |
| Speech Audiometry Complete (92556) | $27.60 | $92 | 0.4× |
| Speech audiometry threshold (92555) range across 4 matching MRF lines |
$16.80–$17.10 | $56–$57 | varies |
| Speech sound lang comprehen (92523) | $250.20 | $834 | 1.1× |
| Spin/Brain Pump Refil & Main (95991) range across 3 matching MRF lines |
$321.60–$382.80 | $1,072–$1,276 | varies |
| Spirometry (94010) range across 10 matching MRF lines |
$20.40–$227.10 | $20–$757 | varies |
| Spontaneous Nystagmus Test (92541) | $31.20 | $104 | 0.2× |
| Ssep lower limbs (95926) | $1,019.70 | $3,399 | 4.5× |
| Stenger Test Speech (92577) | $13.20 | $44 | 0.0× |
| Stenger Test, Pure Tone (92565) | $12 | $40 | 0.2× |
| Stress Tte Only (93350) range across 8 matching MRF lines |
$51.90–$1,447.80 | $173–$4,826 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) range across 4 matching MRF lines |
$12–$75 | $40–$250 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $254.40 | $848 | 1.1× |
| Subq Infusion Additional Pump Infusion Site (96371) | $75 | $250 | 1.0× |
| Surfactant Admin Thru Tube (94610) | $240 | $800 | 1.0× |
| Temp transcutaneous pacing (92953) range across 6 matching MRF lines |
$591.60–$627 | $1,972–$2,090 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $94.50 | $315 | 4.2× |
| Ther Ivntj Ea Addl 15 Min (97130) | $94.50 | $315 | 4.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 10 matching MRF lines |
$18.30–$94.50 | $61–$315 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $181.20 | $604 | 1.8× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $127.50 | $425 | 2.6× |
| Ther/Proph/Diag Inj Ia (96373) | $14.70 | $49 | 0.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 18 matching MRF lines |
$5.10–$96.30 | $17–$321 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 16 matching MRF lines |
$51.30–$247.80 | $171–$826 | varies |
| Therapeutic Activities (97530) range across 13 matching MRF lines |
$26.70–$54.60 | $89–$182 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 4 matching MRF lines |
$73.80–$1,917.60 | $246–$6,392 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 8 matching MRF lines |
$16.50–$41.70 | $55–$139 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 8 matching MRF lines |
$8.10–$41.70 | $27–$139 | varies |
| Tone Decay Test (92563) | $22.80 | $76 | 0.6× |
| Trans Care Mgmt 14 Day Disch (99495) range across 4 matching MRF lines |
$94.50–$114.30 | $315–$381 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 4 matching MRF lines |
$138.60–$161.40 | $462–$538 | varies |
| Transcath Closure of Asd (93580) range across 3 matching MRF lines |
$779.40–$12,317.10 | $2,598–$41,057 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$21.90–$517.20 | $73–$1,724 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $42.30 | $141 | 1.1× |
| Tte w/doppler, complete (93306) range across 21 matching MRF lines |
$47.10–$3,060.04 | $157–$10,200.12 | varies |
| Tte W/O Doppler Complete (93307) range across 5 matching MRF lines |
$50.40–$1,027.80 | $168–$3,426 | varies |
| Tx atrial fib pulm vein isol (93656) range across 6 matching MRF lines |
$31,931.10 | $1,442–$106,437 | 1.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 5 matching MRF lines |
$61.20–$187.80 | $204–$626 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 3 matching MRF lines |
$37.80–$40.20 | $126–$134 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 8 matching MRF lines |
$22.20–$51.60 | $74–$172 | varies |
| Tympanometry (92567) range across 11 matching MRF lines |
$8.10–$12.30 | $27–$41 | varies |
| Tympanometry and reflex threshold measurements (92550) | $16.20 | $54 | 0.1× |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$187.80–$253.80 | $626–$846 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $359.70 | $1,199 | 2.6× |
| Upr/L Xtremity Art 2 Levels (93922) range across 16 matching MRF lines |
$9.60–$287.10 | $32–$957 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 10 matching MRF lines |
$17.40–$607.20 | $58–$2,024 | varies |
| Valvuloplasty aortic valve (92986) range across 3 matching MRF lines |
$1,065.30–$6,302.10 | $3,551–$21,007 | varies |
| Valvuloplasty mitral valve (92987) range across 3 matching MRF lines |
$1,099.50–$6,059.70 | $3,665–$20,199 | varies |
| Valvuloplasty pulmonary valve (92990) range across 3 matching MRF lines |
$829.50–$5,714.40 | $2,765–$19,048 | varies |
| Vasopneumatic device (97016) range across 4 matching MRF lines |
$187.50–$187.80 | $625–$626 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) range across 3 matching MRF lines |
$672–$712.20 | $2,240–$2,374 | varies |
| Veeg 2-12 hr intmt mntr (95712) | $350.10 | $1,167 | 0.9× |
| Veeg 2-12 hr unmonitored (95711) range across 3 matching MRF lines |
$350.10–$371.10 | $1,167–$1,237 | varies |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) range across 3 matching MRF lines |
$672–$712.20 | $2,240–$2,374 | varies |
| Veeg Ea 12-26 Hr Unmntr (95714) range across 3 matching MRF lines |
$672–$712.20 | $2,240–$2,374 | varies |
| Veeg ea 12-26hr cont mntr (95716) range across 2 matching MRF lines |
$1,257.60–$1,333.20 | $4,192–$4,444 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$72.60–$1,344.30 | $242–$4,481 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$51.90–$994.50 | $173–$3,315 | varies |
| Visual Evoked Potential Test (95930) | $111.90 | $373 | 0.5× |
| Visual Field Exam Extended (92083) | $63.90 | $213 | 0.5× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $51.30 | $171 | 0.8× |
| Visual reinforcement audiometry (vra) (92579) range across 2 matching MRF lines |
$29.70–$34.80 | $99–$116 | varies |
| Vital capacity, total (94150) | $170.70 | $569 | 1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 13 matching MRF lines |
$23.70–$106.50 | $79–$355 | varies |
| Whirlpool Therapy (97022) range across 10 matching MRF lines |
$17.70–$94.50 | $59–$315 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $18.90 | $63 | 0.5× |
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.