Visits & medical services prices at Lutheran Kosciusko Hospital
Warsaw, IN · every code in this section with a posted price and a Medicare benchmark.
359 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) likely a partial charge, not the full procedure |
$362.88 | $1,728 | 0.0× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) range across 2 matching MRF lines |
$16.17–$17.43 | $77–$83 | varies |
| Acoustic Reflex Testing (92568) | $9.24 | $44 | 0.2× |
| Acupunct W/Stimul 15 Min (97813) | $18.06 | $86 | 0.6× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $16.80 | $80 | 0.5× |
| Advncd Care Plan 30 Min (99497) range across 8 matching MRF lines |
$40.11–$47.25 | $191–$225 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $111.51 | $531 | 0.5× |
| Aep neurodiagnostic i&r (92653) | $243.60 | $1,160 | 1.1× |
| Airway Inhalation Treatment (94640) range across 13 matching MRF lines |
$11.76–$169.89 | $46–$809 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $3.99 | $19 | 0.1× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $1.89 | $9 | 0.1× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $321.72 | $1,532 | 2.3× |
| Analyze neurostim complex (95972) | $38.01 | $181 | 0.4× |
| Analyze neurostim no prog (95970) range across 3 matching MRF lines |
$13.02–$34.44 | $62–$164 | varies |
| Analyze Neurostim Simple (95971) | $22.05 | $105 | 0.2× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) range across 2 matching MRF lines |
$45.57–$70.35 | $217–$335 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 21 matching MRF lines |
$6.93–$43.47 | $33–$207 | varies |
| Application on-body injector (96377) | $69.51 | $331 | 1.4× |
| Arrhythmia Induction (93618) range across 2 matching MRF lines |
$127.68–$181.65 | $608–$865 | varies |
| Audiometry Air & Bone (92553) range across 5 matching MRF lines |
$9.45–$19.11 | $45–$91 | varies |
| Auditory Function, 60 Min (92620) | $44.94 | $214 | 0.3× |
| Basic vestibular evaluation (92540) | $54.81 | $261 | 0.2× |
| Behavral qualit analys voice (92524) | $59.22 | $282 | 0.5× |
| Breath hydrogen/methane test (91065) range across 2 matching MRF lines |
$8.40–$47.88 | $40–$228 | varies |
| Brief Emotional/Behav Assmt (96127) | $2.73 | $13 | 0.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 12 matching MRF lines |
$24.78–$284.55 | $35–$1,355 | varies |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$64.26 | $306 | 0.0× |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$20.37–$39.48 | $97–$188 | varies |
| Car seat/bed test 60 min (94780) | $51.24 | $244 | 1.3× |
| Cardiac Stress Tst,Tracing Only (93017) range across 4 matching MRF lines |
$34.02–$419.79 | $162–$1,999 | varies |
| Cardiopulmonary exercise testing (94621) range across 3 matching MRF lines |
$37.80–$86.73 | $180–$413 | varies |
| Cardiopulmonary resuscitation (92950) range across 6 matching MRF lines |
$120.33–$256.62 | $573–$1,222 | varies |
| Cardioversion (92960) range across 9 matching MRF lines |
$62.16–$1,533.47 | $296–$7,302.24 | varies |
| Cardioversion elective internal (92961) range across 2 matching MRF lines |
$139.65–$461.37 | $665–$2,197 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $1.47 | $7 | 0.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 6 matching MRF lines |
$210.63–$8,823.15 | $1,003–$42,015 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 5 matching MRF lines |
$167.37–$6,810.93 | $797–$32,433 | varies |
| Cbt 1st hour (94644) range across 3 matching MRF lines |
$22.68–$112.35 | $108–$535 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 4 matching MRF lines |
$36.12–$72.66 | $172–$346 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 3 matching MRF lines |
$17.43–$72.66 | $83–$346 | varies |
| Chemo Intralesional Over 7 (96406) | $36.54 | $174 | 0.2× |
| Chemo intralesional up to 7 (96405) | $24.15 | $115 | 0.3× |
| Chemo IV infusion addl hr (96415) range across 3 matching MRF lines |
$22.05–$195.93 | $105–$933 | varies |
| Chemo IV push addl drug (96411) | $116.97 | $557 | 1.5× |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$84.84–$278.88 | $404–$1,328 | varies |
| Chemotherapy Into Cns (96450) range across 4 matching MRF lines |
$63–$252.84 | $300–$1,204 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 3 matching MRF lines |
$38.22–$195.93 | $182–$933 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$99.33–$273.63 | $473–$1,303 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $174.09 | $829 | 0.5× |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$14.91–$95.76 | $71–$456 | varies |
| Chiropract manj 3-4 regions (98941) | $19.11 | $91 | 0.8× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$16.59–$21.42 | $79–$102 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $29.19 | $139 | 0.5× |
| Color/duplex Doppler, complete (93975) | $533.19 | $2,539 | 2.1× |
| Color/duplex Doppler, limited (93976) | $325.50 | $1,550 | 2.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 15 matching MRF lines |
$16.38–$51.24 | $78–$244 | varies |
| Comprehensive Hearing Test (92557) range across 13 matching MRF lines |
$9.24–$18.48 | $44–$88 | varies |
| Computerized dynamic posturography (92548) | $14.28 | $68 | 0.1× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $23.52 | $112 | 0.4× |
| Computerized Ophthalmic Imaging Retina (92134) | $24.15 | $115 | 0.4× |
| Conditioning Play Audiometry (92582) | $36.96 | $176 | 0.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 9 matching MRF lines |
$78.96–$81.48 | $376–$388 | varies |
| Continuous Pulse Ox (94762) | $138.18 | $658 | 1.0× |
| Corneal Topography (92025) | $20.16 | $96 | 0.3× |
| Coronary Art/Grft Angio S&I (93455) range across 5 matching MRF lines |
$543.90–$5,427.03 | $757–$25,843 | varies |
| Coronary Artery Angio S&I (93454) range across 6 matching MRF lines |
$467.25–$4,122.93 | $654–$19,633 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $597.87 | $2,847 | 2.6× |
| Cpt initial (94667) range across 3 matching MRF lines |
$13.44–$138.39 | $64–$659 | varies |
| Critical care first hour (99291) range across 7 matching MRF lines |
$99.54–$669.06 | $474–$3,186 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 27 matching MRF lines |
$18.48–$236.25 | $88–$1,125 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $69.09 | $329 | 0.5× |
| Dialysis One Evaluation (90945) | $364.35 | $1,735 | 0.8× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 4 matching MRF lines |
$15.33–$26.46 | $73–$126 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $252 | $1,200 | 1.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $654.36 | $3,116 | 5.9× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $33.39 | $159 | 0.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 6 matching MRF lines |
$21.42–$339.57 | $102–$1,617 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$13.44–$226.59 | $64–$1,079 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 9 matching MRF lines |
$18.90–$582.12 | $90–$2,772 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 9 matching MRF lines |
$12.39–$464.31 | $59–$2,211 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $19.53 | $93 | 0.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $12.39 | $59 | 0.1× |
| Duplex Scan Hemodialysis Access (93990) range across 3 matching MRF lines |
$13.44–$106.68 | $64–$508 | varies |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$21.42–$339.57 | $102–$1,617 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 5 matching MRF lines |
$13.65–$226.59 | $65–$1,079 | varies |
| Ear and throat examination (92502) | $52.29 | $249 | 0.1× |
| ECG/monitoring and analysis (93271) | $100.59 | $479 | 1.0× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$34.86–$124.32 | $166–$592 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$13.23–$379.89 | $63–$1,809 | varies |
| Echo r-t 2d w/probe placement only (93313) range across 2 matching MRF lines |
$11.34–$22.47 | $54–$107 | varies |
| Echo transesophag montr cardiac pump functj (93318) range across 5 matching MRF lines |
$63.42–$826.98 | $302–$3,938 | varies |
| Echo transesophageal (93312) range across 9 matching MRF lines |
$49.77–$803.67 | $237–$3,827 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 4 matching MRF lines |
$78.96–$79.17 | $376–$377 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 7 matching MRF lines |
$43.68–$141.96 | $208–$676 | varies |
| EEG awake and asleep (95819) range across 8 matching MRF lines |
$27.93–$407.40 | $133–$1,940 | varies |
| EEG awake drowsy (95816) range across 10 matching MRF lines |
$27.51–$407.40 | $131–$1,940 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$21.84–$483.21 | $104–$2,301 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$50.40–$260.61 | $240–$1,241 | varies |
| Eeg Sleep Only (95822) range across 3 matching MRF lines |
$31.29–$203.91 | $149–$971 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $259.77 | $1,237 | 1.1× |
| EEG w/o vid 2-12hr cont mntr (95707) | $259.77 | $1,237 | 1.1× |
| EEG w/o vid ea 12-26hr intmt (95709) | $498.54 | $2,374 | 1.3× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $498.54 | $2,374 | 1.3× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $259.77 | $1,237 | 1.1× |
| EEG wo vid ea 12-26hr unmntr (95708) | $498.54 | $2,374 | 1.3× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $25.83 | $123 | 0.3× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $27.09 | $129 | 0.3× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $20.16 | $96 | 0.5× |
| Electrical Stimulation Ea 15 Min (97032) range across 19 matching MRF lines |
$10.29–$45.57 | $49–$217 | varies |
| Electrocardiogram Tracing (93005) range across 13 matching MRF lines |
$7.77–$110.88 | $37–$528 | varies |
| Electroconvulsive Therapy (90870) | $88.41 | $421 | 0.1× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) likely a partial charge, not the full procedure |
$139.23 | $663 | 0.0× |
| Electrophysiology Evaluation (93642) range across 4 matching MRF lines |
$145.53–$1,330.98 | $693–$6,338 | varies |
| Emergency Dept Visit Level 2 (99282) range across 7 matching MRF lines |
$26.88–$124.95 | $128–$595 | varies |
| Emergency Dept Visit Level 3 (99283) range across 7 matching MRF lines |
$34.65–$228.27 | $165–$1,087 | varies |
| Emergency Dept Visit Level 4 (99284) range across 5 matching MRF lines |
$52.92–$326.76 | $252–$1,556 | varies |
| Endomyocardial Biopsy (93505) range across 5 matching MRF lines |
$421.05–$2,327.64 | $597–$11,084 | varies |
| Ep & ablate supravent arrhyt (93653) likely a partial charge, not the full procedure |
$453.39 | $2,159 | 0.0× |
| Ep & ablate ventric tachy (93654) likely a partial charge, not the full procedure |
$603.12 | $2,872 | 0.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 3 matching MRF lines |
$348.18–$494.55 | $1,658–$2,355 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) likely a partial charge, not the full procedure |
$219.24 | $1,044 | 0.0× |
| Er level 1 (99281) range across 7 matching MRF lines |
$15.54–$69.30 | $74–$330 | varies |
| Er level v (99285) range across 5 matching MRF lines |
$77.49–$507.78 | $369–$2,418 | varies |
| Esophageal Capsule Endoscopy (91111) range across 3 matching MRF lines |
$610.05–$2,100.84 | $137–$10,004 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $32.13 | $153 | 0.1× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$14.49–$174.72 | $43–$832 | varies |
| Evaluate Speech Production (92522) | $58.17 | $277 | 0.5× |
| Evaluate Swallowing Function (92610) | $126.21 | $601 | 1.5× |
| Evaluation of speech fluency (92521) | $68.25 | $325 | 0.5× |
| Evoked Auditory Test,Limited (92587) range across 3 matching MRF lines |
$9.87–$17.22 | $47–$82 | varies |
| Exercise test for bronchospasm (94617) | $46.83 | $223 | 0.3× |
| External ECG rec>48hr<7d recording (93242) | $519.75 | $2,475 | 13.2× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $326.55 | $1,555 | 2.3× |
| External ECG rec>7d<15d recording (93246) | $519.75 | $2,475 | 13.2× |
| External Ecg Scanning Analysis Report (93226) range across 3 matching MRF lines |
$21.84–$452.76 | $104–$2,156 | varies |
| Extracranial Bilat Study (93880) range across 4 matching MRF lines |
$21.63–$582.12 | $103–$2,772 | varies |
| Extracranial Uni/Ltd Study (93882) range across 5 matching MRF lines |
$13.44–$358.89 | $64–$1,709 | varies |
| Eye exam w anesth; complete (92018) | $78.54 | $374 | 0.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$19.95–$81.06 | $95–$386 | varies |
| Fundus photography (92250) | $41.37 | $197 | 0.3× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$96.81–$104.79 | $461–$499 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 4 matching MRF lines |
$27.93–$202.44 | $133–$964 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 5 matching MRF lines |
$45.78–$2,235.45 | $194–$10,645 | varies |
| Gi tract capsule endoscopy (91110) range across 11 matching MRF lines |
$105–$848.19 | $500–$4,039 | varies |
| Gonioscopy (92020) | $11.34 | $54 | 0.1× |
| Group Therapeutic Procedures (97150) range across 20 matching MRF lines |
$9.45–$42.21 | $45–$201 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 4 matching MRF lines |
$232.26–$9,778.23 | $1,106–$46,563 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $574.77 | $2,737 | 0.8× |
| Holter monitor recording (93225) range across 3 matching MRF lines |
$14.91–$452.76 | $71–$2,156 | varies |
| Hypnotherapy (90880) range across 3 matching MRF lines |
$45.57–$51.45 | $217–$245 | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $6.93 | $33 | 0.2× |
| Icd Device Interrogate (93289) range across 3 matching MRF lines |
$24.99–$36.75 | $119–$175 | varies |
| Icd device progr eval dual (93283) range across 6 matching MRF lines |
$27.72–$45.78 | $132–$218 | varies |
| Icd Device Progr Eval Mult (93284) range across 6 matching MRF lines |
$14.28–$50.82 | $68–$242 | varies |
| Icm Device Eval (93290) | $16.59 | $79 | 0.4× |
| Ilr Device Eval Progr (93285) range across 3 matching MRF lines |
$13.65–$23.73 | $65–$113 | varies |
| Ilr Device Interrogate (93291) | $20.37 | $97 | 0.7× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 6 matching MRF lines |
$3.15–$12.39 | $15–$59 | varies |
| Immunization administration (90471) range across 19 matching MRF lines |
$12.39–$53.34 | $15–$254 | varies |
| Ingestion challenge test initial 120 minutes (95076) range across 2 matching MRF lines |
$39.90–$62.16 | $190–$296 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $20.16 | $96 | 0.1× |
| Inital newborn e/m (99460) range across 6 matching MRF lines |
$36.54–$49.14 | $174–$234 | varies |
| Insert/Place Heart Catheter (93503) range across 6 matching MRF lines |
$103.74–$2,337.30 | $494–$11,130 | varies |
| Interrogation eval in person wr defibrillator (93292) | $17.43 | $83 | 0.4× |
| Interrogation vad in person (93750) | $27.72 | $132 | 0.3× |
| Intra-atrial pacing (93610) range across 2 matching MRF lines |
$89.25–$116.34 | $425–$554 | varies |
| Intra-atrial recording (93602) range across 2 matching MRF lines |
$63–$87.36 | $300–$416 | varies |
| Intracutaneous tests w/allergenic extracts (95024) range across 2 matching MRF lines |
$4.20 | $3–$20 | 0.1× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$88.62 | $422 | 0.0× |
| Io anal gast n-stim subsq (95981) | $9.66 | $46 | 0.2× |
| Io ga n-stim subsq w/reprog (95982) | $19.74 | $94 | 0.5× |
| Iontophoresis 15 min (97033) range across 20 matching MRF lines |
$15.96–$53.97 | $76–$257 | varies |
| Irrig Drug Delivery Device (96523) | $100.59 | $479 | 1.6× |
| IV infusion hydration each additional hour (96361) range across 7 matching MRF lines |
$8.19–$141.33 | $39–$673 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 7 matching MRF lines |
$30.03–$266.91 | $143–$1,271 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$127.26–$141.33 | $606–$673 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 9 matching MRF lines |
$11.55–$141.33 | $55–$673 | varies |
| IV push initial (96374) range across 9 matching MRF lines |
$27.30–$174.09 | $130–$829 | varies |
| L Hrt Art/Grft Angio (93459) range across 5 matching MRF lines |
$188.79–$7,737.87 | $899–$36,847 | varies |
| Loudness balance test (92562) | $23.94 | $114 | 0.1× |
| Low frequency non-thermal us (97610) | $212.10 | $1,010 | 1.0× |
| Lung Function Test (Mbc/Mvv) (94200) | $13.44 | $64 | 0.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $13.44 | $64 | 0.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 6 matching MRF lines |
$13.65–$25.41 | $65–$121 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 7 matching MRF lines |
$15.96–$30.03 | $76–$143 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 5 matching MRF lines |
$7.56–$15.33 | $36–$73 | varies |
| Methacholine challenge (94070) range across 3 matching MRF lines |
$15.75–$47.04 | $75–$224 | varies |
| Motility study esophagus (91010) range across 6 matching MRF lines |
$37.17–$2,107.35 | $177–$10,035 | varies |
| Motion Fluoroscopy/Swallow (92611) | $133.77 | $637 | 1.5× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) range across 2 matching MRF lines |
$40.32–$99.12 | $192–$472 | varies |
| Multiple Sleep Latency Test (95805) range across 4 matching MRF lines |
$217.98–$823.41 | $160–$3,921 | varies |
| Muscle Test 2 Limbs (95861) range across 3 matching MRF lines |
$84.63–$408.03 | $403–$1,943 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$61.53–$64.89 | $293–$309 | varies |
| Nasopharyngoscopy (92511) range across 4 matching MRF lines |
$26.04–$69.09 | $124–$329 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $34.44 | $164 | 0.2× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 4 matching MRF lines |
$22.89–$55.65 | $109–$265 | varies |
| Needle electromyography larynx (95865) | $45.57 | $217 | 0.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$72.45–$452.76 | $345–$2,156 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $67.83 | $323 | 0.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 24 matching MRF lines |
$12.81–$154.14 | $61–$734 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 18 matching MRF lines |
$21.84–$283.08 | $104–$1,348 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$45.99–$51.66 | $219–$246 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 4 matching MRF lines |
$127.05–$138.60 | $605–$660 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$147.21–$157.29 | $701–$749 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 5 matching MRF lines |
$56.70–$66.15 | $270–$315 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 6 matching MRF lines |
$68.04–$78.54 | $324–$374 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$89.46–$104.16 | $426–$496 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$108.36–$124.11 | $516–$591 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$38.22–$43.68 | $182–$208 | varies |
| Neuromuscular Reeducation (97112) range across 19 matching MRF lines |
$16.38–$45.36 | $78–$216 | varies |
| Newborn resuscitation (99465) range across 7 matching MRF lines |
$63.63–$438.90 | $303–$2,090 | varies |
| Nitric oxide expired gas determination (95012) | $10.08 | $48 | 0.3× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $73.08 | $348 | 0.2× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $47.46 | $226 | 0.3× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 4 matching MRF lines |
$46.83–$74.55 | $223–$355 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 4 matching MRF lines |
$37.38–$61.53 | $178–$293 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 4 matching MRF lines |
$24.57–$42.42 | $117–$202 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 8 matching MRF lines |
$22.68–$40.32 | $108–$192 | varies |
| Oral Function Therapy (92526) | $63.84 | $304 | 0.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 17 matching MRF lines |
$31.29–$43.47 | $149–$207 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 20 matching MRF lines |
$18.69–$45.57 | $89–$217 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 4 matching MRF lines |
$11.34–$22.05 | $54–$105 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 4 matching MRF lines |
$18.27–$28.98 | $87–$138 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 3 matching MRF lines |
$23.10–$28.77 | $110–$137 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 3 matching MRF lines |
$29.19–$33.18 | $139–$158 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 3 matching MRF lines |
$34.86–$39.90 | $166–$190 | varies |
| Ot eval high complexity (97167) | $86.94 | $414 | 0.9× |
| Ot Eval Low Complex (97165) | $86.94 | $414 | 0.9× |
| Ot Eval Moderate Complexity (97166) | $86.94 | $414 | 0.9× |
| Ot manual therapy 15 min (97140) range across 25 matching MRF lines |
$14.70–$51.24 | $70–$244 | varies |
| Ot paraffin bath (97018) range across 17 matching MRF lines |
$5.88–$32.76 | $28–$156 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 20 matching MRF lines |
$16.38–$43.47 | $78–$207 | varies |
| Ot Re-Eval Est Plan Care (97168) | $45.57 | $217 | 0.7× |
| Ot rom hand (95852) | $22.26 | $106 | 1.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $149.10 | $710 | 1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $106.47 | $507 | 0.8× |
| Oxygen Uptake Rest Indirect (94690) | $25.83 | $123 | 0.4× |
| Patch/Application Test Specify Number Tests (95044) | $2.94 | $14 | 0.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $153.51 | $731 | 0.7× |
| Percutaneous tests w/allergenic extracts (95004) | $3.36 | $16 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $97.44 | $464 | 1.6× |
| Perq transcath closure pda (93582) range across 3 matching MRF lines |
$10,173.45 | $1,719–$48,445 | 0.5× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 17 matching MRF lines |
$292.32–$5,123.16 | $1,238–$24,396 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 11 matching MRF lines |
$7,225.47 | $865–$34,407 | 0.6× |
| Phlebotomy therapeutic (99195) | $114.87 | $547 | 0.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $91.98 | $438 | 1.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $91.98 | $438 | 1.5× |
| Physical Performance Test (97750) range across 10 matching MRF lines |
$17.64–$34.02 | $84–$162 | varies |
| Plethysmography (94726) range across 9 matching MRF lines |
$29.19–$226.80 | $29–$1,080 | varies |
| Pm device eval in person (93288) range across 4 matching MRF lines |
$8.40–$38.43 | $40–$183 | varies |
| Pm device progr eval dual (93280) range across 6 matching MRF lines |
$18.69–$81.69 | $89–$389 | varies |
| Pm device progr eval multi (93281) range across 4 matching MRF lines |
$21.63–$38.64 | $103–$184 | varies |
| Pm Device Progr Eval Sngl (93279) range across 6 matching MRF lines |
$8.61–$28.14 | $41–$134 | varies |
| Pm/Icd Remote Tech Serv (93296) | $17.22 | $82 | 0.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 9 matching MRF lines |
$60.69–$1,992.90 | $289–$9,490 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 5 matching MRF lines |
$66.99–$1,906.38 | $319–$9,078 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$80.64–$823.41 | $384–$3,921 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 2 matching MRF lines |
$2.73–$6.30 | $13–$30 | varies |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $2.52 | $12 | 0.1× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $2.52 | $12 | 0.1× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $2.52 | $12 | 0.0× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 4 matching MRF lines |
$20.58–$35.70 | $98–$170 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 3 matching MRF lines |
$5.04–$5.25 | $24–$25 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 8 matching MRF lines |
$6.51–$7.77 | $31–$37 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $2.52 | $12 | 0.0× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) range across 2 matching MRF lines |
$2.52–$6.51 | $12–$31 | varies |
| Prq Card Angio/Athrect 1 Art (92924) range across 4 matching MRF lines unusually low: confirm this is the full procedure |
$5,841.78 | $1,472–$27,818 | 0.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 11 matching MRF lines |
$7,095.90 | $1,375–$33,790 | 0.6× |
| Prq Card Stent/Ath/Angio (92933) range across 4 matching MRF lines unusually low: confirm this is the full procedure |
$6,497.82 | $1,538–$30,942 | 0.3× |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 7 matching MRF lines |
$7,095.90 | $1,373–$33,790 | 0.6× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) range across 3 matching MRF lines |
$712.95–$7,502.67 | $3,395–$35,727 | varies |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$45.78–$77.70 | $218–$370 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$52.29–$69.51 | $249–$331 | varies |
| Pt Eval High Complex (97163) range across 10 matching MRF lines |
$36.12–$80.01 | $172–$381 | varies |
| Pt eval low complex 20 min (97161) range across 10 matching MRF lines |
$55.02–$80.01 | $262–$381 | varies |
| Pt Eval Mod Complex (97162) range across 10 matching MRF lines |
$55.02–$80.01 | $262–$381 | varies |
| Pt gait training 15 min (97116) range across 13 matching MRF lines |
$15.33–$45.57 | $73–$217 | varies |
| Pt mechanical traction (97012) range across 12 matching MRF lines |
$8.61–$44.52 | $41–$212 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 10 matching MRF lines |
$25.41–$36.75 | $121–$175 | varies |
| Pt ultraviolet (97028) | $3.99 | $19 | 0.5× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $1.47 | $7 | 0.0× |
| Pulm function test by gas (94727) range across 3 matching MRF lines |
$6.93–$22.89 | $33–$109 | varies |
| Pulmonary service/procedure (94799) | $18.69 | $89 | 0.1× |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$11.76–$95.76 | $56–$456 | varies |
| Pure Tone Audiometry Air (92552) range across 6 matching MRF lines |
$15.33–$16.17 | $73–$77 | varies |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $10.92 | $52 | 0.5× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $17.01 | $81 | 0.5× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $6.30 | $30 | 0.5× |
| R Hrt Art/Grft Angio (93457) range across 4 matching MRF lines |
$197.61–$8,761.41 | $941–$41,721 | varies |
| R hrt coronary artery angio (93456) range across 4 matching MRF lines |
$176.61–$7,674.87 | $841–$36,547 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 4 matching MRF lines |
$179.34–$7,274.82 | $854–$34,642 | varies |
| Rapid Desensitization Procedure Each Hour (95180) range across 2 matching MRF lines |
$51.24–$75.81 | $244–$361 | varies |
| Refill/Maint Portable Pump (96521) | $174.09 | $829 | 0.8× |
| Rem interrog icpms <30 d phys/qhp (93297) | $14.49 | $69 | 0.4× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $15.12 | $72 | 0.4× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $11.97 | $57 | 0.3× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $3.57 | $17 | 0.0× |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $18.27 | $87 | 0.5× |
| Remote 30 Day Ecg Rev/Report (93270) range across 3 matching MRF lines |
$7.35–$113.61 | $35–$541 | varies |
| Respiratory flow volume loop (94375) range across 5 matching MRF lines |
$20.79–$226.80 | $39–$1,080 | varies |
| Right Heart Cath (93451) range across 4 matching MRF lines |
$408.03–$3,762.57 | $370–$17,917 | varies |
| Right ventricular recording (93603) | $63 | $300 | 0.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 22 matching MRF lines |
$13.02–$154.14 | $62–$734 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $28.98 | $138 | 1.1× |
| Same day nb discharge (99463) range across 6 matching MRF lines |
$42–$55.23 | $200–$263 | varies |
| Self Care Mngment Training (97535) range across 21 matching MRF lines |
$18.69–$45.57 | $89–$217 | varies |
| Self-meas bp pt educaj/traing & dev calibration (99473) | $2.10 | $10 | 0.1× |
| Sensory Integration Ea 15 Min (97533) | $45.57 | $217 | 0.7× |
| Sleep study attended (95807) range across 3 matching MRF lines |
$34.02–$411.18 | $162–$1,958 | varies |
| Sleep study unattended (95806) range across 5 matching MRF lines |
$33.39–$237.72 | $159–$1,132 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $98.28 | $468 | 0.4× |
| Speech Audiometry Complete (92556) | $19.32 | $92 | 0.3× |
| Speech audiometry threshold (92555) range across 5 matching MRF lines |
$5.88–$11.97 | $28–$57 | varies |
| Speech sound lang comprehen (92523) | $107.94 | $514 | 0.5× |
| Spirometry (94010) range across 10 matching MRF lines |
$14.28–$156.03 | $20–$743 | varies |
| Spontaneous Nystagmus Test (92541) | $21.84 | $104 | 0.2× |
| Stenger Test Speech (92577) | $9.24 | $44 | 0.0× |
| Stenger Test, Pure Tone (92565) | $8.40 | $40 | 0.1× |
| Stress Tte Only (93350) range across 7 matching MRF lines |
$36.33–$1,249.29 | $173–$5,949 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) range across 2 matching MRF lines |
$8.40–$33.60 | $40–$160 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $174.09 | $829 | 0.8× |
| Temp transcutaneous pacing (92953) range across 4 matching MRF lines |
$438.90–$467.67 | $2,090–$2,227 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 16 matching MRF lines |
$12.81–$50.19 | $61–$239 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $10.29 | $49 | 0.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 13 matching MRF lines |
$12.39–$7,386.74 | $59–$35,174.96 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 12 matching MRF lines |
$35.91–$8,011.70 | $171–$38,150.95 | varies |
| Therapeutic Activities (97530) range across 18 matching MRF lines |
$18.69–$44.94 | $89–$214 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 4 matching MRF lines |
$51.66–$1,155.42 | $246–$5,502 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 7 matching MRF lines |
$11.55–$28.77 | $55–$137 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 9 matching MRF lines |
$5.67–$27.93 | $27–$133 | varies |
| Tone Decay Test (92563) | $15.96 | $76 | 0.4× |
| Trans Care Mgmt 14 Day Disch (99495) range across 4 matching MRF lines |
$66.15–$80.01 | $315–$381 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 4 matching MRF lines |
$97.02–$112.98 | $462–$538 | varies |
| Transcath Closure of Asd (93580) range across 3 matching MRF lines unusually low: confirm this is the full procedure |
$8,192.52 | $2,598–$39,012 | 0.4× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $15.33 | $73 | 0.1× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $29.61 | $141 | 0.7× |
| Tte w/doppler, complete (93306) range across 14 matching MRF lines |
$32.97–$1,311.87 | $157–$6,247 | varies |
| Tte W/O Doppler Complete (93307) range across 6 matching MRF lines |
$35.28–$685.02 | $168–$3,262 | varies |
| Tx atrial fib pulm vein isol (93656) range across 4 matching MRF lines |
$302.82–$605.64 | $1,442–$2,884 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 7 matching MRF lines |
$42.84–$63.84 | $204–$304 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $33.18 | $158 | 1.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 7 matching MRF lines |
$7.14–$86.31 | $34–$411 | varies |
| Tympanometry (92567) range across 16 matching MRF lines |
$5.67–$11.34 | $27–$54 | varies |
| Tympanometry and reflex threshold measurements (92550) | $11.34 | $54 | 0.0× |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$131.46–$177.66 | $626–$846 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 8 matching MRF lines |
$58.59–$95.76 | $32–$456 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 6 matching MRF lines |
$12.18–$129.57 | $58–$617 | varies |
| Valvuloplasty aortic valve (92986) range across 3 matching MRF lines |
$745.71–$4,192.02 | $3,551–$19,962 | varies |
| Valvuloplasty mitral valve (92987) range across 3 matching MRF lines |
$769.65–$4,030.53 | $3,665–$19,193 | varies |
| Valvuloplasty pulmonary valve (92990) range across 3 matching MRF lines |
$580.65–$4,000.08 | $2,765–$19,048 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$50.82–$722.40 | $242–$3,440 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$36.33–$630.84 | $173–$3,004 | varies |
| Visual Evoked Potential Test (95930) | $78.33 | $373 | 0.3× |
| Visual Field Exam Extended (92083) | $44.73 | $213 | 0.3× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $35.91 | $171 | 0.6× |
| Visual reinforcement audiometry (vra) (92579) range across 2 matching MRF lines |
$20.79–$24.36 | $99–$116 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 18 matching MRF lines |
$16.59–$86.52 | $79–$412 | varies |
| Whirlpool Therapy (97022) range across 19 matching MRF lines |
$12.39–$44.10 | $59–$210 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $13.23 | $63 | 0.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.