Visits & medical services prices at M Health Fairview Northland Medical Center
Princeton, MN · every code in this section with a posted price and a Medicare benchmark.
345 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) | $7,780.43 | $19,402.55 | 1.0× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $158.40 | $395 | 1.2× |
| Actigraphy Testing Recording Analysis I&R (95803) | $185.67 | $463 | 3.0× |
| Acupunct W/Stimul 15 Min (97813) | $76.60 | $191 | 2.5× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $76.60 | $191 | 2.5× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $40.10 | $100 | 0.9× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $193.29 | $482 | 0.9× |
| Aep neurodiagnostic i&r (92653) | $342.06 | $853 | 1.5× |
| Aep threshold estimation mlt frequencies i&r (92652) range across 2 matching MRF lines |
$342.06–$342.08 | $853–$853.06 | varies |
| Airway Inhalation Treatment (94640) range across 8 matching MRF lines |
$259.58–$263.62 | $647.33–$657.40 | varies |
| Airway resistance by oscillometry (94728) | $170.43 | $425 | 1.3× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $48.93 | $122 | 1.3× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $202.51 | $505 | 1.5× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $133.54 | $333 | 1.0× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $348.47 | $869 | 2.6× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $206.52 | $515 | 1.0× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $211.73 | $528 | 1.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $52.13 | $130 | 3.6× |
| Application Modality 1/> Areas Infrared (97026) | $97.85 | $244 | 14.6× |
| Application on-body injector (96377) range across 4 matching MRF lines |
$202.51–$202.57 | $505–$505.15 | varies |
| Arrhythmia Induction (93618) | $1,796.48 | $4,480 | 1.4× |
| Audiometry Air & Bone (92553) | $158.80 | $396 | 1.2× |
| Behavral qualit analys voice (92524) | $224.16 | $559 | 2.0× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) range across 2 matching MRF lines |
$183.26–$192.57 | $457–$480.20 | varies |
| Bfb training ea addl 15 min (90913) range across 2 matching MRF lines |
$73.39–$77.45 | $183–$193.12 | varies |
| Biofeedback training any modality (90901) range across 3 matching MRF lines |
$100.96–$102.29 | $251.75–$255.07 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$228.57–$231.21 | $570–$576.58 | varies |
| Canalith repositioning proc (95992) range across 4 matching MRF lines |
$105.84–$106.61 | $263.93–$265.86 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$416.44–$425.06 | $1,038.50–$1,060 | varies |
| Cardiopulmonary exercise testing (94621) | $414.72 | $1,034.21 | 1.1× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$439.23–$446.32 | $1,095.33–$1,113 | varies |
| Cardioversion (92960) range across 5 matching MRF lines |
$721.93–$727.02 | $1,800.31–$1,813 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $32.89 | $82 | 1.3× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $3,511.56 | $8,757 | 1.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 3 matching MRF lines |
$3,909.35–$3,912.56 | $9,748.99–$9,757 | varies |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$150.38–$150.76 | $375–$375.95 | varies |
| Chemo Admin Peritoneal Cavity (96446) | $352.48 | $879 | 1.0× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$259.77–$259.85 | $647.80–$648 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$147.91–$147.97 | $368.85–$369 | varies |
| Chemo Ia Push (96420) | $324.63 | $809.55 | 0.9× |
| Chemo intralesional up to 7 (96405) | $142.68 | $355.80 | 1.9× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$186.47–$186.65 | $465–$465.44 | varies |
| Chemo IV push addl drug (96411) | $214.94 | $536 | 2.9× |
| Chemother Prolong Infuse W/Pump (96416) range across 3 matching MRF lines |
$379.35–$462.56 | $946–$1,153.50 | varies |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$333.64–$333.71 | $832–$832.17 | varies |
| Chemotherapy Unspecified (96549) | $88.57 | $220.87 | 1.8× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $428.67 | $1,069 | 1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$228.17–$228.58 | $569–$570.01 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$439.61–$444.91 | $1,096.26–$1,109.50 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$327.54–$327.62 | $816.81–$817 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $303.16 | $756 | 0.9× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$147.17 | $366.99–$367 | 1.1× |
| Cmptr ophth dx img ant segmt (92132) | $82.21 | $205 | 1.3× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $115.09 | $287 | 1.9× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$461.66–$469.18 | $1,151.25–$1,170.02 | varies |
| Color/duplex Doppler, limited (93976) range across 8 matching MRF lines |
$207.32–$222.36 | $517–$554.50 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 3 matching MRF lines |
$69.69–$69.80 | $173.78–$174.05 | varies |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$145.97–$146 | $364–$364.09 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 3 matching MRF lines |
$144.50–$145.97 | $360.33–$364 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 4 matching MRF lines |
$115.49–$119.37 | $288–$297.68 | varies |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$168.42–$168.44 | $420–$420.04 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 3 matching MRF lines |
$262.26–$276.02 | $654–$688.32 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $128.32 | $320 | 2.1× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$170.43–$170.44 | $425–$425.03 | varies |
| Corneal Topography (92025) range across 2 matching MRF lines |
$468.34–$468.37 | $1,167.93–$1,168 | varies |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$3,508.78–$3,511.56 | $8,750.05–$8,757 | varies |
| Coronary Artery Angio S&I (93454) range across 4 matching MRF lines |
$3,611.89–$3,678.78 | $9,007.20–$9,174 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$315.97–$315.99 | $787.94–$788 | varies |
| Cpt initial (94667) range across 3 matching MRF lines |
$134.66–$139.16 | $335.80–$347.03 | varies |
| Critical care first hour (99291) range across 7 matching MRF lines |
$941.42–$1,409.52 | $2,347.67–$3,515 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$208.43–$211.87 | $519.77–$528.33 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) range across 3 matching MRF lines |
$237.40–$259.85 | $592–$648 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) range across 3 matching MRF lines |
$179.65–$237.86 | $448–$593.17 | varies |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$490.43–$504.86 | $1,223–$1,259 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $273.49 | $682 | 0.7× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $446.32 | $1,113 | 1.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $254.24 | $634 | 2.3× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $202.91 | $506 | 1.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$435.29–$446.32 | $1,085.50–$1,113 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 7 matching MRF lines |
$217.75–$283.51 | $543–$707 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 5 matching MRF lines |
$428.27–$494.84 | $1,068–$1,234 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 11 matching MRF lines |
$193.29–$262.31 | $482–$654.12 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $446.32 | $1,113 | 1.8× |
| Duplex Scan Hemodialysis Access (93990) range across 3 matching MRF lines |
$249.29–$260.72 | $621.67–$650.17 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$490.56–$490.83 | $1,223.32–$1,224 | varies |
| Duplex up extrem art unilat/ltd (93931) | $207.72 | $518 | 1.9× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $220.55 | $550 | 1.6× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 2 matching MRF lines |
$196.09–$228.17 | $489–$569 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $374.94 | $935 | 2.8× |
| Ear and throat examination (92502) | $610.33 | $1,522 | 1.1× |
| Echo Congenital Complete (93303) | $627.17 | $1,564 | 1.1× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$445.32–$446.32 | $1,110.50–$1,113 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$875.79–$876.22 | $2,184–$2,185.08 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $660.45 | $1,647 | 1.2× |
| Eeg 41-60 Minutes (95812) | $557.80 | $1,391 | 2.5× |
| EEG awake and asleep (95819) | $342.06 | $853 | 1.5× |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$336.80–$336.84 | $839.89–$840 | varies |
| EEG extended monitoring 61-119 minutes (95813) | $680.50 | $1,697 | 3.0× |
| Eeg Sleep Only (95822) | $342.06 | $853 | 1.5× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $358.90 | $895 | 1.6× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $387.37 | $966 | 1.7× |
| EEG wo vid ea 12-26hr unmntr (95708) | $635.99 | $1,586 | 1.6× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $132.33 | $330 | 1.3× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$53.30–$58.47 | $132.91–$145.80 | varies |
| Electro-Oculography (92270) | $263.86 | $658 | 1.9× |
| Electrocardiogram Tracing (93005) range across 20 matching MRF lines |
$82.41–$89.43 | $205.50–$223 | varies |
| Electroconvulsive Therapy (90870) | $567.82 | $1,416 | 0.6× |
| Electrophysiology Evaluation (93642) | $1,522.20 | $3,796 | 1.2× |
| Emergency Dept Visit Level 2 (99282) range across 7 matching MRF lines |
$239.42–$242.85 | $597.04–$605.60 | varies |
| Emergency Dept Visit Level 3 (99283) range across 9 matching MRF lines |
$285.86–$292.13 | $712.86–$728.50 | varies |
| Emergency Dept Visit Level 4 (99284) range across 10 matching MRF lines |
$492.67–$500.85 | $1,228.60–$1,249 | varies |
| Endomyocardial Biopsy (93505) | $3,446.20 | $8,594 | 1.0× |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$20,041.98–$20,074.79 | $49,980–$50,061.82 | varies |
| Ep & ablate ventric tachy (93654) range across 2 matching MRF lines |
$26,661.29–$26,667.71 | $66,487–$66,503 | varies |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $7,787.42 | $19,420 | 1.0× |
| Ep Esophageal Recording Atria+Pacing (93616) | $1,753.58 | $4,373 | 1.4× |
| Er level 1 (99281) range across 6 matching MRF lines |
$202.50–$207.32 | $504.97–$517 | varies |
| Er level v (99285) range across 11 matching MRF lines |
$609.12–$710.58 | $1,519–$1,772 | varies |
| Ergonovine provocation test (93024) | $438.30 | $1,093 | 0.9× |
| Esoph Atrial Electrogram (93615) | $1,795.36 | $4,477.20 | 1.4× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) range across 2 matching MRF lines |
$680.50–$714.59 | $1,697–$1,782 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $739.85 | $1,845 | 1.9× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $239 | $596 | 1.8× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$231.94–$234.22 | $578.39–$584.08 | varies |
| Evaluate Speech Production (92522) | $199.70 | $498 | 1.8× |
| Evaluate Swallowing Function (92610) range across 5 matching MRF lines |
$182.39–$199.70 | $454.82–$498 | varies |
| Evaluation of speech fluency (92521) | $237.40 | $592 | 1.8× |
| Evoked Auditory Test,Limited (92587) | $262.26 | $654 | 1.2× |
| External ECG rec>48hr<7d recording (93242) range across 3 matching MRF lines |
$70.78–$72.59 | $176.50–$181 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$83.64–$83.81 | $208.56–$209 | varies |
| External Ecg Scanning Analysis Report (93226) range across 3 matching MRF lines |
$168.21–$168.42 | $419.47–$420 | varies |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$380.54–$382.60 | $948.97–$954.09 | varies |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$204.31–$204.92 | $509.49–$511.02 | varies |
| Eye exam w anesth; complete (92018) | $2,445.70 | $6,099 | 1.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $600.41 | $1,497.27 | 1.0× |
| Flexible endoscopic eval swallow c/v rec (92612) | $511.28 | $1,275 | 2.6× |
| Fluorescein angiography (92235) | $433.83 | $1,081.87 | 1.9× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $334.62 | $834.45 | 1.5× |
| Full Field Electroretinography W/I&R (92273) | $338.45 | $844 | 1.5× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $1,100.35 | $2,744 | 1.2× |
| Fundus photography (92250) range across 4 matching MRF lines |
$149.32–$151.45 | $372.35–$377.67 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$785.68–$788.37 | $1,959.29–$1,966 | varies |
| Gi tract capsule endoscopy (91110) | $1,550.50 | $3,866.58 | 1.6× |
| Gonioscopy (92020) range across 3 matching MRF lines |
$125.52–$128.82 | $313–$321.22 | varies |
| Group Therapeutic Procedures (97150) range across 7 matching MRF lines |
$46.52–$285.92 | $116–$713 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $3,511.56 | $8,757 | 1.0× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 6 matching MRF lines |
$256.64–$855.96 | $640–$2,134.54 | varies |
| Holter monitor recording (93225) range across 5 matching MRF lines |
$128.73–$269.50 | $321–$672.06 | varies |
| Icd Device Interrogate (93289) | $176.44 | $440 | 4.5× |
| Icd device progr eval dual (93283) | $240.60 | $600 | 6.2× |
| Icd Device Progr Eval Mult (93284) | $264.66 | $660 | 6.8× |
| Icm Device Eval (93290) | $448.32 | $1,118 | 11.5× |
| Ilr Device Interrogate (93291) | $84.21 | $210 | 2.8× |
| Immunization administration (90471) range across 3 matching MRF lines |
$8.51–$16.04 | $21.22–$40 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $412.23 | $1,028 | 1.8× |
| Ingestion challenge test initial 120 minutes (95076) | $738.59 | $1,841.86 | 1.9× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $533.33 | $1,330 | 1.4× |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$2,032.19–$2,038.69 | $5,067.80–$5,084 | varies |
| Interrogate Subq Defib (93261) | $448.32 | $1,118 | 11.5× |
| Interrogation vad in person (93750) range across 2 matching MRF lines |
$335.55–$336.04 | $836.76–$838 | varies |
| Intra-atrial pacing (93610) | $6,620.51 | $16,510 | 0.8× |
| Intra-atrial recording (93602) | $6,620.51 | $16,510 | 0.8× |
| Intracranial Complete Study (93886) | $446.32 | $1,113 | 1.8× |
| Intraventricular pacing (93612) | $6,620.51 | $16,510 | 0.8× |
| Iontophoresis 15 min (97033) | $61.36 | $153 | 3.2× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$210.42–$210.53 | $524.73–$525 | varies |
| IV infusion hydration each additional hour (96361) range across 7 matching MRF lines |
$88.22–$88.71 | $220–$221.20 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 7 matching MRF lines |
$196.09–$207.32 | $489–$517 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$155.19–$170.83 | $387–$426 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 5 matching MRF lines |
$112.28–$113.47 | $280–$282.97 | varies |
| IV push initial (96374) range across 11 matching MRF lines |
$198.50–$205.72 | $495–$513 | varies |
| L Hrt Art/Grft Angio (93459) | $3,511.56 | $8,757 | 1.0× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $3,422.14 | $8,534 | 1.0× |
| Liver Elastography W/O Imag W/I&R (91200) | $182.06 | $454 | 1.4× |
| Low frequency non-thermal us (97610) | $212.53 | $530 | 1.0× |
| Lung Function Test (Mbc/Mvv) (94200) | $146.77 | $366 | 2.4× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $342.06 | $853 | 1.5× |
| Mechanical chest wall oscillation per session (94669) | $232.58 | $580 | 1.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 8 matching MRF lines |
$72.18–$79.62 | $180–$198.55 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 7 matching MRF lines |
$77.17–$82.67 | $192.43–$206.15 | varies |
| Methacholine challenge (94070) | $355.29 | $886 | 0.9× |
| Motility study esophagus (91010) | $955.99 | $2,384 | 2.4× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$239.80–$251.43 | $598–$627 | varies |
| Multifocal Electroretinography W/I&R (92274) | $228.36 | $569.47 | 1.7× |
| Multiple Family Group Psychotherapy (90849) range across 2 matching MRF lines |
$169.23–$285.92 | $422–$713 | varies |
| Muscle Test 2 Limbs (95861) | $214.34 | $534.50 | 1.5× |
| Muscle Test One Limb (95860) | $167.22 | $417 | 1.2× |
| Nasopharyngoscopy (92511) range across 4 matching MRF lines |
$236.19–$256.60 | $589–$639.90 | varies |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $381.36 | $951 | 1.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $504.86 | $1,259 | 1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $687.72 | $1,715 | 1.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$265.78–$266.30 | $662.79–$664.08 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 5 matching MRF lines |
$381.99–$387.18 | $952.57–$965.52 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $146.77 | $366 | 0.6× |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$534.44–$540.95 | $1,332.75–$1,349 | varies |
| Nerve conduction studies 13 or more studies (95913) | $540.95 | $1,349 | 1.4× |
| Nerve Conduction Studies 3-4 Studies (95908) | $342.06 | $853 | 1.5× |
| Nerve conduction studies 5-6 studies (95909) | $341.36 | $851.25 | 1.5× |
| Nerve conduction studies 7-8 studies (95910) | $342.06 | $853 | 0.9× |
| Nerve Conduction Studies 9-10 Studies (95911) | $540.95 | $1,349 | 1.4× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $138.35 | $345 | 1.0× |
| Neuromuscular Reeducation (97112) range across 7 matching MRF lines |
$65.77–$65.82 | $164–$164.14 | varies |
| Nitric oxide expired gas determination (95012) | $146.77 | $366 | 3.8× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
$299.01–$299.77 | $745.66–$747.54 | varies |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $85.82 | $214 | 1.4× |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$182.46–$216.14 | $455–$539 | varies |
| Oral Speech Device Eval (92597) | $192.48 | $480 | 2.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $99.85 | $249 | 2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $74.99 | $187 | 1.6× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$180.40–$180.45 | $449.86–$450 | varies |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$141.16–$145.97 | $352–$364 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$159.60 | $397.99–$398 | 1.6× |
| Ot manual therapy 15 min (97140) range across 9 matching MRF lines |
$62.96–$64.41 | $156.99–$160.60 | varies |
| Ot paraffin bath (97018) | $69.78 | $174 | 11.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $85.82 | $214 | 2.1× |
| Ot Re-Eval Est Plan Care (97168) | $94.24 | $235 | 1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 4 matching MRF lines |
$147.17–$148.37 | $367–$370 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 8 matching MRF lines |
$136.59–$148.82 | $340.60–$371.11 | varies |
| Oxygen Uptake Rest Indirect (94690) | $161.21 | $402 | 2.6× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $297.05 | $740.77 | 1.3× |
| Percutaneous tests w/allergenic extracts (95004) range across 2 matching MRF lines |
$45.31–$88.33 | $112.99–$220.25 | varies |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$87–$87.02 | $216.95–$217 | varies |
| Perq transcath closure pda (93582) | $19,092.82 | $47,613 | 1.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $7,006.28 | $17,472 | 1.2× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$11,921.57–$11,978.68 | $29,729.60–$29,872 | varies |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$189.19–$189.28 | $471.77–$472 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$70.98–$71 | $177–$177.05 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 4 matching MRF lines |
$69.95–$70.98 | $174.43–$177 | varies |
| Physical Performance Test (97750) range across 5 matching MRF lines |
$71.38–$71.64 | $177.99–$178.63 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$214.54–$214.56 | $535–$535.06 | varies |
| Pm device eval in person (93288) | $99.45 | $248 | 2.5× |
| Pm device progr eval dual (93280) | $204.92 | $511 | 5.2× |
| Pm device progr eval multi (93281) | $225.37 | $562 | 5.8× |
| Pm Device Progr Eval Sngl (93279) | $186.47 | $465 | 4.8× |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$117.36–$117.50 | $292.65–$293 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,622.85 | $4,047 | 1.8× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) | $292.73 | $730 | 0.6× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $97.85 | $244 | 2.5× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $218.55 | $545 | 5.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $46.92 | $117 | 1.0× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $46.92 | $117 | 1.0× |
| Prq Card Angio/Athrect 1 Art (92924) | $11,978.68 | $29,872 | 1.0× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $11,978.68 | $29,872 | 1.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$11,693.16–$11,978.68 | $29,160–$29,872 | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $19,092.82 | $47,613 | 1.0× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $11,978.68 | $29,872 | 1.0× |
| Psychiatric diagnostic evaluation (90791) range across 4 matching MRF lines |
$284.71–$367.32 | $710–$916 | varies |
| Psytx Crisis Initial 60 Min (90839) | $235.79 | $588 | 1.3× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $75.39 | $188 | 2.0× |
| Pt Eval High Complex (97163) | $159.60 | $398 | 1.6× |
| Pt eval low complex 20 min (97161) range across 6 matching MRF lines |
$126.72–$137.55 | $316–$343 | varies |
| Pt Eval Mod Complex (97162) range across 4 matching MRF lines |
$121.11–$136.34 | $302–$340 | varies |
| Pt gait training 15 min (97116) range across 5 matching MRF lines |
$65.37–$66.65 | $163–$166.21 | varies |
| Pt group caregiver training (97552) range across 4 matching MRF lines |
$28.07–$46.52 | $70–$116 | varies |
| Pt mechanical traction (97012) | $58.95 | $147 | 4.1× |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$90.62–$94.24 | $225.97–$235 | varies |
| Pulm function test by gas (94727) | $170.43 | $425 | 0.8× |
| Pulmonary service/procedure (94799) range across 7 matching MRF lines |
$127.12–$625.55 | $317–$1,559.95 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$328.42–$328.77 | $819–$819.86 | varies |
| Pure Tone Audiometry Air (92552) | $127.12 | $317 | 0.9× |
| R Hrt Art/Grft Angio (93457) | $3,548.05 | $8,848 | 1.0× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $3,422.14 | $8,534 | 1.0× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $3,422.14 | $8,534 | 1.0× |
| R hrt coronary artery angio (93456) range across 3 matching MRF lines |
$3,665.40–$3,680.83 | $9,140.64–$9,179.13 | varies |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) range across 2 matching MRF lines |
$3,422.14–$3,423.61 | $8,534–$8,537.67 | varies |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) range across 2 matching MRF lines |
$3,417.48–$3,422.14 | $8,522.37–$8,534 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $3,548.05 | $8,848 | 1.0× |
| Rapid Desensitization Procedure Each Hour (95180) | $315.19 | $786 | 0.7× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $322.81 | $805 | 0.9× |
| Refill/Maint Portable Pump (96521) | $223.76 | $558 | 1.0× |
| Refill/Maint Pump/Resvr Syst (96522) | $231.78 | $578 | 1.0× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 2 matching MRF lines |
$69.71–$69.78 | $173.84–$174 | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) range across 2 matching MRF lines |
$57.22–$57.35 | $142.68–$143 | varies |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $140.35 | $350 | 1.0× |
| Remote 30 Day Ecg Rev/Report (93270) | $237.40 | $592 | 6.1× |
| Respiratory flow volume loop (94375) range across 3 matching MRF lines |
$196.86–$203.93 | $490.91–$508.54 | varies |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$3,677.53–$3,678.78 | $9,170.88–$9,174 | varies |
| Right ventricular recording (93603) | $1,798.89 | $4,486 | 1.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$237–$355.49 | $591–$886.50 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $343.66 | $857 | 2.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $139.15 | $347 | 2.9× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) | $128.73 | $321 | 0.9× |
| Select picture audiometry (92583) range across 2 matching MRF lines |
$68.58–$68.59 | $171–$171.02 | varies |
| Self Care Mngment Training (97535) range across 8 matching MRF lines |
$68.15–$81.81 | $169.95–$204 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) range across 3 matching MRF lines |
$124.31–$125.17 | $310–$312.14 | varies |
| Sensory Integration Ea 15 Min (97533) range across 4 matching MRF lines |
$85.62–$85.83 | $213.51–$214.04 | varies |
| Slp caregiver training 1st 30 min (97550) range across 3 matching MRF lines |
$65.77–$72.18 | $164–$180 | varies |
| Slp Stdy Unatnd W/Anal (95801) | $342.46 | $854 | 5.5× |
| Speech Audiometry Complete (92556) | $72.59 | $181 | 1.2× |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$54.94–$54.95 | $137–$137.01 | varies |
| Speech sound lang comprehen (92523) range across 3 matching MRF lines |
$303.16–$336.68 | $756–$839.60 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$127.12–$127.17 | $317–$317.12 | varies |
| Standardized Cognitive Performance Testing (96125) range across 4 matching MRF lines |
$245.53–$271.48 | $612.29–$677 | varies |
| Stenger Test, Pure Tone (92565) | $66.97 | $167 | 1.1× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$868.17–$868.65 | $2,165–$2,166.21 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $48.93 | $122 | 1.0× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $274.29 | $684 | 1.2× |
| Surfactant Admin Thru Tube (94610) | $232.58 | $580 | 1.0× |
| Temp transcutaneous pacing (92953) | $694.14 | $1,731 | 1.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$70.13–$70.58 | $174.88–$176 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$54.94 | $136.99–$137 | 2.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $77.40 | $193 | 2.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$68.17–$72.39 | $170–$180.50 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 2 matching MRF lines |
$250.55–$250.63 | $624.81–$625 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $181.26 | $452 | 0.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 9 matching MRF lines |
$83.31–$84.27 | $207.74–$210.13 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 9 matching MRF lines |
$207.32–$264.66 | $517–$660 | varies |
| Therapeutic Activities (97530) range across 10 matching MRF lines |
$70.95–$76.92 | $176.92–$191.80 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $3,023.14 | $7,539 | 7.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $60.96 | $152 | 1.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $41.31 | $103 | 1.1× |
| Transcath Closure of Asd (93580) | $19,092.82 | $47,613 | 1.0× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $133.94 | $334 | 3.4× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $170.43 | $425 | 1.3× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$550.98–$665.33 | $1,374–$1,659.17 | varies |
| Tx atrial fib pulm vein isol (93656) range across 2 matching MRF lines |
$20,197.97–$20,213.95 | $50,369–$50,408.85 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 7 matching MRF lines |
$153.56–$161.61 | $382.94–$403 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $126.72 | $316 | 5.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 13 matching MRF lines |
$67.37–$72.01 | $168–$179.57 | varies |
| Tympanometry (92567) range across 6 matching MRF lines |
$49.39–$49.74 | $123.14–$124.04 | varies |
| Tympanometry and reflex threshold measurements (92550) | $144.77 | $361 | 0.6× |
| Unlisted cardiovascular service/procedure (93799) range across 8 matching MRF lines |
$1,127.22–$2,259.24 | $2,811–$5,634 | varies |
| Unlisted otorhinolaryngological service (92700) range across 5 matching MRF lines |
$54.94–$440.70 | $137–$1,099 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$290.06–$291.53 | $723.33–$727.01 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $256.64 | $640 | 1.1× |
| Valvuloplasty aortic valve (92986) | $6,894.40 | $17,193 | 1.2× |
| Valvuloplasty mitral valve (92987) | $11,978.68 | $29,872 | 1.0× |
| Valvuloplasty pulmonary valve (92990) | $11,813.87 | $29,461 | 1.0× |
| Veeg 2-12 Hr Cont Mntr (95713) | $682.51 | $1,702 | 1.7× |
| Veeg 2-12 hr intmt mntr (95712) | $346.07 | $863 | 0.9× |
| Veeg 2-12 hr unmonitored (95711) | $368.70 | $919.43 | 1.6× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $704.66 | $1,757.23 | 1.8× |
| Veeg ea 12-26hr cont mntr (95716) | $1,231.88 | $3,072 | 1.4× |
| Vent Mgmt Inpat Init Day (94002) range across 4 matching MRF lines |
$689.49–$705.83 | $1,719.41–$1,760.16 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$682.51 | $1,702–$1,702.02 | 1.1× |
| Visual Evoked Potential Test (95930) | $293.14 | $731 | 1.3× |
| Visual Field Exam Extended (92083) range across 3 matching MRF lines |
$144.36–$164.87 | $360–$411.14 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) | $183.31 | $457.11 | 3.0× |
| Visual field xm uni/bi w/interpretj limited exam (92081) range across 2 matching MRF lines |
$234.99–$242.21 | $586–$604 | varies |
| Visual reinforcement audiometry (vra) (92579) range across 2 matching MRF lines |
$144.78–$144.80 | $361.03–$361.08 | varies |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$170.40–$170.43 | $424.92–$425 | varies |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,185.76 | $2,957 | 1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 7 matching MRF lines |
$69.26–$69.79 | $172.71–$174.03 | varies |
| Whirlpool Therapy (97022) range across 3 matching MRF lines |
$69.18–$69.80 | $172.50–$174.05 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) range across 2 matching MRF lines |
$166.40–$256.85 | $414.95–$640.50 | varies |
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.