Visits & medical services prices at Maimonides Medical Center

Brooklyn, NY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $381 $381 3.0×
1St set-up & prgrmg phys/qhp of wearable cvdfb (93745) $1,571 $1,571 4.1×
Ablate Heart Dysrhythm Focus (93650) $27,842 $27,842 2.9×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570)
range across 3 matching MRF lines
$593–$633 $593–$633 varies
Acoustic Reflex Testing (92568)
range across 2 matching MRF lines
$133–$140 $133–$140 varies
Actigraphy Testing Recording Analysis I&R (95803) $582 $582 7.9×
Actinotherapy Ultraviolet Light (96900) $165 $165 3.5×
Acupunct W/Stimul 15 Min (97813) $138 $138 3.8×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $110 $110 3.0×
Admn Sarscov2 Vacc 1 Dose (90480) $99 $99 2.0×
Advncd Care Plan 30 Min (99497)
range across 3 matching MRF lines
$210–$348 $210–$348 varies
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $623 $623 2.3×
Aep neurodiagnostic i&r (92653) $1,137 $1,137 4.2×
Aep threshold estimation mlt frequencies i&r (92652) $1,137 $1,137 4.2×
Airway Inhalation Treatment (94640)
range across 23 matching MRF lines
$25–$760 $25–$760 varies
Airway resistance by oscillometry (94728) $1,084 $1,084 6.7×
Allg test perq & ic drug/biol immed react w/ i&r (95018)
range across 2 matching MRF lines
$20–$133 $20–$133 varies
Allg tstg perq & ic venoms immed react w/i&r (95017) $163 $163 4.5×
Analyze neurostim complex (95972) $525 $525 4.4×
Analyze neurostim no prog (95970) $466 $466 2.8×
Analyze Neurostim Simple (95971) $517 $517 4.4×
Analyze Pacemaker System (93724) $1,337 $1,337 3.5×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $745 $745 3.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $92 $92 6.4×
Application on-body injector (96377) $242 $242 4.1×
Arrhythmia Induction (93618) $4,582 $4,582 3.0×
Assessment of aphasia per hr (96105) $440 $440 4.5×
Audiometry Air & Bone (92553)
range across 2 matching MRF lines
$593–$605 $593–$605 varies
Behavral qualit analys voice (92524)
range across 2 matching MRF lines
$407–$451 $407–$451 varies
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $622 $622 7.6×
Bfb training ea addl 15 min (90913) $380 $380 11.6×
Biofeedback training any modality (90901) $660 $660 16.1×
Bioimpedance Cv Analysis (93701) $1,393 $1,393 8.4×
Bis Xtracell Fluid Analysis (93702) $623 $623 3.9×
Blink reflex test (95933) $332 $332 4.5×
Breath hydrogen/methane test (91065) $605 $605 2.2×
Brief Emotional/Behav Assmt (96127) $165 $165 3.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 5 matching MRF lines
$115–$1,084 $115–$1,084 varies
Bundle of his recording (93600) $27,778 $27,778 2.9×
C motor evoked upr&lwr limbs (95939) $4,029 $4,029 3.8×
Caloric vestibular test w/rec bi monothermal (92538) $1,084 $1,084 4.0×
Caloric Vstblr Test W/Rec (92537) $1,084 $1,084 6.7×
Canalith repositioning proc (95992) $182 $182 4.5×
Car seat/bed test 60 min (94780) $140 $140 3.0×
Cardiac Stress Tst,Tracing Only (93017)
range across 10 matching MRF lines
$1,170–$1,290 $1,170–$1,290 varies
Cardiopulmonary exercise testing (94621) $1,229 $1,229 2.6×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$510–$1,343 $510–$1,343 varies
Cardioversion (92960)
range across 7 matching MRF lines
$300–$2,668 $300–$2,668 varies
Cardioversion elective internal (92961) $2,668 $2,668 3.2×
Care mgmt services behavioral hlth cond 20 mins (99484) $142 $142 3.0×
Caregiver hlth risk assmt score doc stnd instrm (96161) $123 $123 2.6×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $55 $55 2.1×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $17,600 $17,600 4.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $15,950 $15,950 3.9×
Cbt 1st hour (94644) $525 $525 3.2×
Chemo Admin Peritoneal Cavity (96446) $1,375 $1,375 3.3×
Chemo Anti-Neopl Sq/Im (96401)
range across 4 matching MRF lines
$200–$314 $200–$314 varies
Chemo Hormon Antineopl Sq/Im (96402) $305 $305 3.4×
Chemo IV infusion addl hr (96415) $311 $311 3.5×
Chemo IV push addl drug (96411) $281 $281 3.1×
Chemother Prolong Infuse W/Pump (96416) $1,367 $1,367 3.3×
Chemotherapy Into Cns (96450) $1,430 $1,430 3.5×
Chemotherapy Unspecified (96549) $231 $231 4.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $311 $311 3.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,573 $1,573 3.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $886 $886 2.1×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $838 $838 2.0×
Chest Wall Manipulation (94668) $332 $332 2.0×
Chron Care Mgmt Srvc 20 Min (99490) $328 $328 2.6×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $2,035 $2,035 4.4×
Cmptr ophth dx img ant segmt (92132) $350 $350 4.8×
Color/duplex Doppler, complete (93975) $1,099 $1,099 3.7×
Color/duplex Doppler, limited (93976) $550 $550 4.2×
Community/Work Reintegration Trainj Ea 15 Min (97537) $173 $173 5.4×
Comprehensive Hearing Test (92557) $593 $593 3.7×
Computerized Ophthalmic Imaging Optic Nerve (92133) $270 $270 3.7×
Computerized Ophthalmic Imaging Retina (92134) $285 $285 3.9×
Conditioning Play Audiometry (92582) $593 $593 3.7×
Cont gluc mntr physician/qhp provided equiptment (95250)
range across 2 matching MRF lines
$425–$454 $425–$454 varies
Cont Gluc Mntr Pt Prov Eqp (95249)
range across 2 matching MRF lines
$195–$250 $195–$250 varies
Continuous Pulse Ox (94762) $670 $670 4.2×
Corneal Topography (92025) $300 $300 4.1×
Coronary Art/Grft Angio S&I (93455) $15,950 $15,950 3.9×
Coronary Artery Angio S&I (93454) $17,545 $17,545 4.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $800 $800 2.9×
Cpt initial (94667) $466 $466 2.8×
Critical care first hour (99291)
range across 4 matching MRF lines
$595–$4,000 $595–$4,000 varies
Debridement Open Wound 20 Sq Cm< (97597) $853 $853 3.4×
Developmental tst admin phys/qhp 1st hour (96112) $550 $550 3.4×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $1,084 $1,084 2.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,099 $1,099 3.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $550 $550 4.2×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $526 $526 4.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,315 $1,315 4.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $656 $656 5.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,315 $1,315 4.4×
Dup-scan xtr veins unilateral/limited study (93971) $656 $656 5.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $924 $924 3.1×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $450 $450 3.4×
Duplex Scan Hemodialysis Access (93990) $677 $677 5.2×
Duplex up extrem art bilat (93930)
range across 3 matching MRF lines
$1,195–$1,854 $1,195–$1,854 varies
Duplex up extrem art unilat/ltd (93931)
range across 4 matching MRF lines
$526–$596 $526–$596 varies
ECG/monitoring and analysis (93271)
range across 2 matching MRF lines
$660–$693 $660–$693 varies
Echo Congenital Complete (93303)
range across 6 matching MRF lines
$2,200–$2,376 $2,200–$2,376 varies
Echo Heart Xthoracic,Limited (93308) $1,300 $1,300 4.4×
Echo r-t 2d w/probe placement only (93313) $2,376 $2,376 3.5×
Echo transesophag congen probe plcmt only (93316) $2,495 $2,495 3.7×
Echo transesophag montr cardiac pump functj (93318) $2,495 $2,495 3.7×
Echo transesophageal (93312) $2,700 $2,700 4.0×
Echo Transesophageal - Congenital Tee Complete (93315) $2,376 $2,376 3.5×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,662 $2,662 3.9×
Eeg 41-60 Minutes (95812) $3,335 $3,335 12.4×
EEG awake and asleep (95819)
range across 3 matching MRF lines
$1,310–$3,817 $1,310–$3,817 varies
EEG awake drowsy (95816)
range across 4 matching MRF lines
$1,125–$6,368 $1,125–$6,368 varies
EEG cerebral death evaluation (95824) $2,090 $2,090 4.5×
EEG cont rec w/video by tech min 8 channels (95700) $10,011 $10,011 37.1×
EEG extended monitoring 61-119 minutes (95813) $4,315 $4,315 16.0×
Eeg Sleep Only (95822)
range across 3 matching MRF lines
$155–$3,817 $155–$3,817 varies
Eeg W/O Vid 2-12 Hr Unmntr (95705) $6,368 $6,368 23.6×
EEG w/o vid 2-12hr cont mntr (95707) $1,410 $1,410 5.2×
EEG w/o vid ea 12-26hr intmt (95709) $2,603 $2,603 5.6×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $2,603 $2,603 5.6×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $1,410 $1,410 5.2×
EEG wo vid ea 12-26hr unmntr (95708) $6,368 $6,368 13.7×
EKG signal averaged (93278)
range across 4 matching MRF lines
$268–$305 $268–$305 varies
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $509 $509 4.3×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $358 $358 7.7×
Electrical Stimulation Ea 15 Min (97032) $114 $114 7.8×
Electrocardiogram Tracing (93005) $315 $315 4.3×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $26,455 $26,455 2.7×
Electrophysiology Evaluation (93642) $4,582 $4,582 3.0×
Emergency Dept Visit Level 2 (99282)
range across 4 matching MRF lines
$120–$2,000 $120–$2,000 varies
Emergency Dept Visit Level 3 (99283)
range across 4 matching MRF lines
$200–$2,300 $200–$2,300 varies
Emergency Dept Visit Level 4 (99284)
range across 4 matching MRF lines
$340–$2,500 $340–$2,500 varies
Emg 3 Extremities (95863) $660 $660 4.1×
Emg 4 Extremities (95864) $660 $660 4.1×
Endomyocardial Biopsy (93505) $12,474 $12,474 3.2×
Ep & ablate supravent arrhyt (93653) $97,011 $97,011 3.0×
Ep & ablate ventric tachy (93654) $97,011 $97,011 3.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $26,455 $26,455 2.7×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $26,455 $26,455 2.7×
Er level 1 (99281)
range across 6 matching MRF lines
$35–$1,617 $35–$1,617 varies
Er level v (99285)
range across 3 matching MRF lines
$490–$3,000 $490–$3,000 varies
Esophageal Capsule Endoscopy (91111) $3,520 $3,520 3.1×
Esophgl Balo Distension Dx Std W/Provocation (91040) $2,640 $2,640 5.7×
Esophgl funcj g-esop rflx impd eltrd prolng (91038)
range across 3 matching MRF lines
$2,090–$2,200 $2,090–$2,200 varies
Evaluate pt use of inhaler (94664)
range across 5 matching MRF lines
$55–$800 $55–$800 varies
Evaluate Speech Production (92522)
range across 2 matching MRF lines
$385–$424 $385–$424 varies
Evaluate Swallowing Function (92610)
range across 5 matching MRF lines
$699–$805 $699–$805 varies
Evaluation of speech fluency (92521)
range across 2 matching MRF lines
$468–$491 $468–$491 varies
Evoked Auditory Test,Limited (92587) $1,084 $1,084 4.0×
External ECG rec>48hr<7d recording (93242) $677 $677 14.5×
External ECG rec>48hr<7d scanning alys w/report (93243) $677 $677 4.1×
External ECG rec>7d<15d recording (93246) $688 $688 14.8×
External ECG rec>7d<15d scanning alys w/report (93247) $688 $688 4.1×
External Ecg Scanning Analysis Report (93226) $628 $628 8.5×
Extracranial Bilat Study (93880)
range across 3 matching MRF lines
$1,053–$1,195 $1,053–$1,195 varies
Extracranial Uni/Ltd Study (93882) $604 $604 4.6×
F-up/limited tthrc echo congenital car anomaly (93304)
range across 5 matching MRF lines
$2,365–$2,420 $2,365–$2,420 varies
Flexible endoscopic eval swallow c/v rec (92612) $550 $550 2.8×
Flexible ndsc eval swlng&laryn sens c/v rec (92616)
range across 2 matching MRF lines
$515–$769 $515–$769 varies
Fluorescein angiography (92235) $1,300 $1,300 4.8×
Fundus photography (92250)
range across 2 matching MRF lines
$105–$468 $105–$468 varies
Gastric motility studies (91020) $2,173 $2,173 4.7×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,980 $1,980 4.3×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $1,540 $1,540 5.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,371 $2,371 2.2×
Gi tract capsule endoscopy (91110)
range across 2 matching MRF lines
$3,500–$3,850 $3,500–$3,850 varies
Gonioscopy (92020) $465 $465 2.8×
Health Behavior Assessment/Re-Assessment (96156) $767 $767 6.0×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $934 $934 20.0×
Health behavior ivntj group f2f 1st 30 min (96164) $438 $438 9.4×
Health behavior ivntj indiv f2f 1st 30 min (96158) $767 $767 3.5×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $17,600 $17,600 4.3×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 8 matching MRF lines
$195–$2,600 $195–$2,600 varies
High altitude simulation test (94452) $466 $466 2.8×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $466 $466 2.8×
Holter monitor recording (93225)
range across 6 matching MRF lines
$554–$628 $554–$628 varies
Hypnotherapy (90880) $347 $347 2.7×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $140 $140 3.0×
Icd Device Interrogate (93289) $217 $217 4.7×
Icd device progr eval dual (93283) $193 $193 4.1×
Icd Device Progr Eval Mult (93284) $193 $193 4.1×
Icm Device Eval (93290) $197 $197 4.2×
Ilr Device Eval Progr (93285) $193 $193 4.1×
Ilr Device Interrogate (93291)
range across 2 matching MRF lines
$133–$152 $133–$152 varies
Im Adm Intransl/Oral 1 Vaccine (90473) $259 $259 2.9×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $176 $176 3.8×
Immunization administration (90471)
range across 11 matching MRF lines
$60–$259 $60–$259 varies
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $1,300 $1,300 4.8×
Ingestion challenge test initial 120 minutes (95076)
range across 2 matching MRF lines
$200–$1,938 $200–$1,938 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $1,938 $1,938 4.2×
Insert/Place Heart Catheter (93503)
range across 6 matching MRF lines
$3,464–$3,617 $3,464–$3,617 varies
Interrogate Subq Defib (93261) $186 $186 4.0×
Interrogation vad in person (93750) $509 $509 4.3×
Intra-atrial pacing (93610) $26,455 $26,455 2.7×
Intra-atrial recording (93602) $27,778 $27,778 2.9×
Intracranial Complete Study (93886) $1,053 $1,053 3.5×
Intracutaneous tests w/allergenic extracts (95024)
range across 2 matching MRF lines
$5–$255 $5–$255 varies
Intraventricular pacing (93612) $26,455 $26,455 2.7×
Iontophoresis 15 min (97033) $153 $153 8.0×
Irrig Drug Delivery Device (96523) $268 $268 3.6×
IV infusion hydration each additional hour (96361) $205 $205 3.5×
IV infusion hydration initial 31 min-1 hour (96360) $915 $915 3.4×
IV infusion ther proph addl sequential to 1 hr (96367) $382 $382 4.3×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 4 matching MRF lines
$60–$224 $60–$224 varies
IV push initial (96374)
range across 7 matching MRF lines
$105–$938 $105–$938 varies
L Hrt Art/Grft Angio (93459) $15,950 $15,950 3.9×
Laryngeal Function Studies (92520) $637 $637 3.8×
Lung Function Test (Mbc/Mvv) (94200) $466 $466 6.3×
Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) $1,084 $1,084 4.0×
Measurement Lung Volumes Infant/Child/2 Yrs (94013) $1,938 $1,938 4.2×
Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) $593 $593 3.7×
Mechanical chest wall oscillation per session (94669) $950 $950 3.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 4 matching MRF lines
$80–$165 $80–$165 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 5 matching MRF lines
$90–$202 $90–$202 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $94 $94 5.5×
Methacholine challenge (94070) $1,084 $1,084 2.3×
Microvolt T-Wave Assess (93025) $688 $688 4.3×
Motility study esophagus (91010) $2,107 $2,107 4.5×
Motion Fluoroscopy/Swallow (92611) $784 $784 8.6×
Multiple Family Group Psychotherapy (90849) $587 $587 2.6×
Multiple Sleep Latency Test (95805) $7,567 $7,567 7.1×
Muscle Test 2 Limbs (95861) $490 $490 3.0×
Muscle Test Hemidiaphragm (95866) $562 $562 3.5×
Muscle Test Nonparaspinal (95870) $329 $329 2.0×
Muscle Test One Limb (95860) $446 $446 2.7×
Nasopharyngoscopy (92511) $715 $715 2.9×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $666 $666 2.5×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $660 $660 2.4×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $649 $649 2.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,364 $1,364 2.7×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,364 $1,364 2.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $754 $754 3.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,364 $1,364 2.7×
Nerve Conduction Studies 1-2 Studies (95907) $593 $593 2.2×
Nerve Conduction Studies 11-12 Studies (95912) $1,938 $1,938 4.2×
Nerve conduction studies 13 or more studies (95913) $1,938 $1,938 4.2×
Nerve Conduction Studies 3-4 Studies (95908) $1,084 $1,084 4.0×
Nerve conduction studies 5-6 studies (95909) $1,084 $1,084 4.0×
Nerve conduction studies 7-8 studies (95910) $1,084 $1,084 2.3×
Nerve Conduction Studies 9-10 Studies (95911) $1,938 $1,938 4.2×
Neurobehavioral Status Exam (96116) $1,084 $1,084 4.0×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $593 $593 3.7×
Neuromuscular Reeducation (97112)
range across 7 matching MRF lines
$315–$347 $315–$347 varies
Newborn resuscitation (99465) $2,355 $2,355 2.9×
Nitric oxide expired gas determination (95012) $160 $160 3.4×
Nrpsyc tst eval phys/qhp 1st (96132) $1,210 $1,210 2.6×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $600 $600 3.6×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $495 $495 3.0×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $550 $550 3.3×
Ophth medical xm&eval intermediate estab pt (92012) $497 $497 3.0×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $468 $468 2.8×
Ophthalmodynamometry (92260) $140 $140 3.0×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $362 $362 4.9×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $362 $362 4.9×
Optokinetic Nystagmus Test (92544) $605 $605 3.8×
Oral Function Therapy (92526)
range across 4 matching MRF lines
$300–$439 $300–$439 varies
Oral Speech Device Eval (92597) $694 $694 9.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $193 $193 3.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $166 $166 3.6×
Oscillating Tracking Test (92545) $593 $593 2.2×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $121 $121 4.5×
Osteopathic manipulative tx 3-4 body regions (98926) $121 $121 4.5×
Osteopathic manipulative tx 5-6 body regions (98927) $121 $121 4.5×
Osteopathic manipulative tx 7-8 body regions (98928) $121 $121 4.5×
Osteopathic manipulative tx 9-10 body regions (98929) $121 $121 4.5×
Ot Contrast Bath Ea 15 Min (97034) $99 $99 7.1×
Ot eval high complexity (97167)
range across 2 matching MRF lines
$1,089–$1,110 $1,089–$1,110 varies
Ot Eval Low Complex (97165) $494 $494 4.9×
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines
$775–$817 $775–$817 varies
Ot manual therapy 15 min (97140) $187 $187 6.7×
Ot paraffin bath (97018) $81 $81 13.5×
Ot Prosthetic Training, Each 15 Min (97761) $198 $198 4.9×
Ot Re-Eval Est Plan Care (97168) $410 $410 6.0×
Ot rom hand (95852) $101 $101 4.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $611 $611 3.8×
Oxygen Uptake Rest Indirect (94690) $138 $138 1.9×
Patch/Application Test Specify Number Tests (95044) $3,878 $3,878 3.6×
Penile Vascular Study,Ltd or F/U (93981) $1,053 $1,053 8.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $756 $756 2.8×
Percutaneous tests w/allergenic extracts (95004)
range across 2 matching MRF lines
$15–$34 $15–$34 varies
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $30,000 $30,000 1.3×
Perq transcath closure pda (93582) $78,109 $78,109 3.4×
Perq Transcath Cls Aortic (93591) $78,109 $78,109 3.4×
Perq Transcath Cls Mitral (93590) $78,109 $78,109 3.4×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $25,497 $25,497 3.6×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $51,533 $51,533 3.6×
Phlebotomy therapeutic (99195) $349 $349 2.1×
Plethysmography (94726) $1,192 $1,192 2.6×
Pm device eval in person (93288) $197 $197 4.2×
Pm device progr eval dual (93280) $193 $193 4.1×
Pm device progr eval multi (93281) $193 $193 4.1×
Pm Device Progr Eval Sngl (93279) $193 $193 4.1×
Pm/Icd Remote Tech Serv (93296) $186 $186 4.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,858 $5,858 5.5×
Polysom <6 yrs 4/> paramtrs (95782) $9,614 $9,614 9.0×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $8,940 $8,940 8.3×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $7,204 $7,204 6.7×
Positional nystagmus test (92542) $611 $611 3.7×
Prepj& allergen immunotherapy 1/mlt antigen (95165)
range across 2 matching MRF lines
$10–$163 $10–$163 varies
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $163 $163 2.8×
Prepj& antigen allergen immunotherapy 2 insect (95146) $163 $163 2.8×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) $600 $600 3.6×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $186 $186 4.0×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $193 $193 4.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 4 matching MRF lines
$35–$163 $35–$163 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 3 matching MRF lines
$40–$163 $40–$163 varies
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144)
range across 2 matching MRF lines
$10–$248 $10–$248 varies
Prq Card Angio/Athrect 1 Art (92924) $51,533 $51,533 3.6×
Prq Card Stent W/Angio 1 Vsl (92928) $60,000 $60,000 4.2×
Prq Card Stent/Ath/Angio (92933) $78,109 $78,109 3.4×
Prq Revasc Byp Graft 1 Vsl (92937) $51,533 $51,533 3.6×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $84,700 $84,700 3.7×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $51,533 $51,533 3.6×
Psych diag eval w/med srvcs (90792)
range across 3 matching MRF lines
$600–$757 $600–$757 varies
Psychiatric diagnostic evaluation (90791) $611 $611 2.8×
Psychoanalysis (90845) $587 $587 2.6×
Psychological tst eval svc phys/qhp first hour (96130) $1,271 $1,271 4.7×
Psycl/Nrpsyc Tst Auto Result (96146) $138 $138 3.8×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $165 $165 0.3×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $363 $363 2.2×
Psytx Crisis Initial 60 Min (90839) $616 $616 2.8×
Pt Eval High Complex (97163)
range across 3 matching MRF lines
$990–$1,110 $990–$1,110 varies
Pt eval low complex 20 min (97161) $494 $494 5.0×
Pt Eval Mod Complex (97162) $743 $743 7.6×
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$154–$160 $154–$160 varies
Pt group caregiver training (97552) $70 $70 3.2×
Pt mechanical traction (97012) $138 $138 9.6×
Pt Re-Eval Est Plan Care (97164) $410 $410 6.1×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $123 $123 2.6×
Pulm function test by gas (94727) $593 $593 2.2×
Pulmonary service/procedure (94799) $593 $593 3.7×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$466–$507 $466–$507 varies
Pure Tone Audiometry Air (92552) $332 $332 2.0×
R Hrt Art/Grft Angio (93457) $15,950 $15,950 3.9×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $11,880 $11,880 2.9×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $11,550 $11,550 2.9×
R hrt coronary artery angio (93456) $15,950 $15,950 3.9×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $17,600 $17,600 4.3×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $17,050 $17,050 4.2×
R&L Hrt Cath W/Ventriclgrphy (93453) $15,950 $15,950 3.9×
Rapid Desensitization Procedure Each Hour (95180) $1,229 $1,229 2.2×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $1,650 $1,650 4.0×
Refill/Maint Portable Pump (96521)
range across 2 matching MRF lines
$838–$957 $838–$957 varies
Refill/Maint Pump/Resvr Syst (96522) $880 $880 3.3×
Rem interrog icpms <30 d phys/qhp (93297)
range across 2 matching MRF lines
$144–$283 $144–$283 varies
Rem Interrog Scrms <30 D Phys/Qhp (93298) $283 $283 6.1×
Rem Mntr Wrls P-Art Prs Snr (93264) $143 $143 3.1×
Remote 30 Day Ecg Rev/Report (93270)
range across 4 matching MRF lines
$273–$286 $273–$286 varies
Remote 30 Day Ecg Tech Supp (93229) $817 $817 1.8×
Repet tms tx initial w/map/motr threshld/del&m (90867) $1,077 $1,077 4.0×
Respiratory flow volume loop (94375) $1,084 $1,084 4.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 4 matching MRF lines
$292–$293 $292–$293 varies
Right Heart Cath (93451) $15,950 $15,950 3.9×
Right ventricular recording (93603) $4,810 $4,810 3.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $754 $754 3.0×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $134 $134 5.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $660 $660 5.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $281 $281 5.9×
Sbsq Psyc Collab Care Mgmt (99493) $381 $381 3.0×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$182–$190 $182–$190 varies
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $255 $255 3.5×
Sensory Integration Ea 15 Min (97533) $191 $191 3.1×
Sinusoidal Vertical Axis Rotational Testing (92546) $605 $605 3.8×
Sleep study attended (95807)
range across 2 matching MRF lines
$3,399–$3,796 $3,399–$3,796 varies
Sleep study unattended (95806) $1,320 $1,320 4.9×
Slp caregiver training 1st 30 min (97550) $160 $160 3.0×
Slp Stdy Unatnd W/Anal (95801) $983 $983 13.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800)
range across 2 matching MRF lines
$721–$913 $721–$913 varies
Somatosensory Testing (95938) $1,938 $1,938 1.8×
Speech Audiometry Complete (92556)
range across 2 matching MRF lines
$133–$177 $133–$177 varies
Speech audiometry threshold (92555)
range across 2 matching MRF lines
$133–$161 $133–$161 varies
Speech sound lang comprehen (92523)
range across 2 matching MRF lines
$798–$842 $798–$842 varies
Spin/Brain Pump Refil & Main (95991) $1,295 $1,295 3.4×
Spirometry (94010)
range across 4 matching MRF lines
$80–$593 $80–$593 varies
Spontaneous Nystagmus Test (92541) $611 $611 3.7×
Standardized Cognitive Performance Testing (96125) $617 $617 6.0×
Stenger Test Speech (92577)
range across 2 matching MRF lines
$1,938–$2,035 $1,938–$2,035 varies
Stenger Test, Pure Tone (92565)
range across 2 matching MRF lines
$133–$171 $133–$171 varies
Stress Tte Only (93350) $2,347 $2,347 3.4×
Surfactant Admin Thru Tube (94610) $972 $972 3.6×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$2,422–$2,543 $2,422–$2,543 varies
Tensilon Test (95857) $1,084 $1,084 4.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $144 $144 6.4×
Ther Ivntj Ea Addl 15 Min (97130) $144 $144 6.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $143 $143 4.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $574 $574 5.6×
Ther/Prop/Diag Inj/Inf Proc (96379) $171 $171 2.9×
Ther/Proph/Diag Inj Ia (96373) $924 $924 3.5×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 13 matching MRF lines
$45–$303 $45–$303 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 6 matching MRF lines
$940–$955 $940–$955 varies
Therapeutic Activities (97530)
range across 2 matching MRF lines
$249–$255 $249–$255 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,198 $2,198 4.7×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 4 matching MRF lines
$70–$118 $70–$118 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 6 matching MRF lines
$35–$118 $35–$118 varies
Trans Care Mgmt 14 Day Disch (99495) $454 $454 2.7×
Trans Care Mgmt 7 Day Disch (99496) $454 $454 2.7×
Transcath Closure of Asd (93580) $78,109 $78,109 3.4×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $545 $545 4.2×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $195 $195 4.2×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $623 $623 3.9×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $500 $500 3.0×
Tte w/doppler, complete (93306)
range across 3 matching MRF lines
$555–$2,600 $555–$2,600 varies
Tte W/O Doppler Complete (93307)
range across 5 matching MRF lines
$2,096–$2,376 $2,096–$2,376 varies
Tx atrial fib pulm vein isol (93656) $97,011 $97,011 3.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 3 matching MRF lines
$350–$440 $350–$440 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508)
range across 3 matching MRF lines
$175–$347 $175–$347 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $242 $242 4.1×
Tympanometry (92567)
range across 2 matching MRF lines
$133–$171 $133–$171 varies
Tympanometry and reflex threshold measurements (92550) $593 $593 2.2×
Unlisted cardiovascular service/procedure (93799) $968 $968 6.0×
Unlisted ophthalmological service/procedure (92499) $63 $63 1.7×
Unlisted Psychiatric Service/Procedure (90899) $587 $587 12.6×
Upr/L Xtremity Art 2 Levels (93922) $550 $550 3.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $672 $672 2.5×
Valvuloplasty aortic valve (92986) $25,497 $25,497 3.6×
Valvuloplasty mitral valve (92987) $51,533 $51,533 3.6×
Valvuloplasty pulmonary valve (92990) $51,533 $51,533 3.6×
Vasopneumatic device (97016) $120 $120 10.0×
Veeg 2-12 Hr Cont Mntr (95713) $2,603 $2,603 5.6×
Veeg 2-12 hr intmt mntr (95712) $1,410 $1,410 3.0×
Veeg 2-12 hr unmonitored (95711) $8,416 $8,416 31.2×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $2,603 $2,603 5.6×
Veeg Ea 12-26 Hr Unmntr (95714) $8,416 $8,416 18.1×
Veeg ea 12-26hr cont mntr (95716) $4,907 $4,907 4.6×
Vent Mgmt Inpat Init Day (94002)
range across 5 matching MRF lines
$255–$4,000 $255–$4,000 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 5 matching MRF lines
$180–$4,000 $180–$4,000 varies
Visual Evoked Potential Test (95930) $715 $715 2.7×
Visual Field Exam Extended (92083) $466 $466 2.8×
Visual field xm uni/bi w/interp intermed exam (92082) $268 $268 3.6×
Visual field xm uni/bi w/interpretj limited exam (92081) $268 $268 3.6×
Visual reinforcement audiometry (vra) (92579) $593 $593 2.2×
Vital capacity, total (94150) $593 $593 3.7×
Wheelchair Mgmt Ea 15 Min (97542) $165 $165 5.3×
Whirlpool Therapy (97022) $120 $120 7.6×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $200 $200 4.3×

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.