Visits & medical services prices at Marshfield Medical Center - Beaver Dam

Beaver Dam, WI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Actigraphy Testing Recording Analysis I&R (95803) $1,751.80 $1,844 30.6×
Actinotherapy Ultraviolet Light (96900) $195.70 $206 5.4×
Acupunct W/Stimul 15 Min (97813) $33.25 $35 1.2×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $30.40 $32 1.1×
Admn Sarscov2 Vacc 1 Dose (90480) $95.95 $101 2.4×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $129.20 $136 0.6×
Aep neurodiagnostic i&r (92653) $125.40 $132 0.6×
Aep threshold estimation mlt frequencies i&r (92652) $142.50 $150 0.7×
Airway Inhalation Treatment (94640) $388.55 $409 1.8×
Airway resistance by oscillometry (94728) $488.30 $514 3.9×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $27.55 $29 0.8×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $541.50 $570 4.2×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $94.05 $99 0.7×
Analyze neurostim complex (95972) $114 $120 1.2×
Analyze neurostim no prog (95970) $65.55 $69 0.5×
Analyze Neurostim Simple (95971) $111.15 $117 1.2×
Analyze Pacemaker System (93724) $564.30 $594 1.9×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $226.10 $238 1.2×
Ans parasymp & symp w/tilt (95924) $1,045 $1,100 5.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $52.25 $55 3.6×
Application Modality 1/> Areas Infrared (97026) $30.40 $32 4.6×
Application on-body injector (96377) $214.70 $226 4.7×
Assessment of aphasia per hr (96105)
range across 2 matching MRF lines
$177.65–$268.85 $187–$283 varies
Assessment of tinnitus (92625) $92.15 $97 0.7×
Audiometry Air & Bone (92553) $296.40 $312 2.4×
Basic vestibular evaluation (92540) $173.85 $183 0.8×
Behavral qualit analys voice (92524) $727.70 $766 6.6×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $412.30 $434 5.0×
Biofeedback training any modality (90901) $272.65 $287 6.6×
Breath hydrogen/methane test (91065) $535.80 $564 2.6×
Brief Emotional/Behav Assmt (96127) $35.15 $37 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $845.50 $890 2.3×
C motor evoked uppr limbs (95928) $2,565.95 $2,701 3.1×
C motor evoked upr&lwr limbs (95939) $6,813.40 $7,172 8.2×
Caloric vestibular test w/rec bi monothermal (92538) $43.70 $46 0.2×
Caloric Vstblr Test W/Rec (92537) $78.85 $83 0.6×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$143.45–$938.60 $151–$988 varies
Car seat/bed test 60 min (94780)
range across 2 matching MRF lines
$109.25–$193.80 $115–$204 varies
Cardiac Stress Tst,Tracing Only (93017) $858.80 $904 4.1×
Cardiopulmonary exercise testing (94621) $1,662.50 $1,750 4.6×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$561.45–$945.25 $591–$995 varies
Cardioversion (92960)
range across 2 matching MRF lines
$368.60–$2,641 $388–$2,780 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $146.30 $154 5.6×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $19,188.10 $20,198 6.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $16,409.35 $17,273 5.2×
Cbt 1st hour (94644) $84.55 $89 0.7×
Cervical & Ocular Vemp Testing W/I&R (92519) $159.60 $168 0.8×
Cervical Vemp Testing W/I&R (92517) $102.60 $108 0.8×
Chemo Admin Peritoneal Cavity (96446) $1,027.90 $1,082 3.2×
Chemo Anti-Neopl Sq/Im (96401) $597.55 $629 8.5×
Chemo Hormon Antineopl Sq/Im (96402) $260.30 $274 3.7×
Chemo Ia Push (96420) $843.60 $888 2.6×
Chemo Intralesional Over 7 (96406) $152 $160 0.7×
Chemo intralesional up to 7 (96405) $107.35 $113 1.5×
Chemo IV infusion addl hr (96415) $228.95 $241 3.3×
Chemo IV push addl drug (96411) $497.80 $524 7.1×
Chemother Prolong Infuse W/Pump (96416) $1,122.90 $1,182 3.5×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $874.95 $921 2.7×
Chemotherapy Into Cns (96450)
range across 2 matching MRF lines
$238.45–$842.65 $251–$887 varies
Chemotherapy Intracavitary (96440) $3,822.80 $4,024 11.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $500.65 $527 7.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,082.05 $1,139 3.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $887.30 $934 2.8×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $158.65 $167 0.5×
Chest Wall Manipulation (94668) $151.05 $159 1.2×
Cmptr ophth dx img ant segmt (92132) $41.80 $44 0.7×
Color/duplex Doppler, complete (93975) $2,692.30 $2,834 11.6×
Color/duplex Doppler, limited (93976) $2,202.10 $2,318 21.7×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines
$122.55–$146.30 $129–$154 varies
Comprehensive Hearing Test (92557)
range across 2 matching MRF lines
$49.40–$76 $52–$80 varies
Computerized Ophthalmic Imaging Optic Nerve (92133) $67.45 $71 1.2×
Computerized Ophthalmic Imaging Retina (92134) $66.50 $70 1.2×
Conditioning Play Audiometry (92582) $539.60 $568 4.3×
Cont gluc mntr physician/qhp provided equiptment (95250) $974.70 $1,026 7.5×
Cont Gluc Mntr Pt Prov Eqp (95249) $525.35 $553 9.2×
Continuous Pulse Ox (94762) $430.35 $453 3.4×
Cornea hysteresis determin impulse stimj uni/bi (92145) $42.75 $45 0.7×
Corneal Topography (92025) $88.35 $93 1.5×
Coronary Artery Angio S&I (93454) $13,756 $14,480 4.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$180.50–$475.95 $190–$501 varies
Cpt initial (94667) $151.05 $159 1.2×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $64.79 $68.20 0.3×
Critical care first hour (99291) $4,013.75 $4,225 5.0×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $2,584 $2,720 7.1×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$61.75–$192.85 $65–$203 varies
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) $317.30 $334 1.6×
Dialysis One Evaluation (90945) $741.95 $781 1.8×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $2,698.95 $2,841 11.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,702.40 $1,792 16.8×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $1,111.50 $1,170 10.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 3 matching MRF lines
$552.90–$2,692.30 $582–$2,834 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$224.49–$2,308.50 $236.30–$2,430 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,692.30 $2,834 11.6×
Dup-scan xtr veins unilateral/limited study (93971) $1,753.70 $1,846 17.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $3,848.45 $4,051 16.6×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $1,852.50 $1,950 18.2×
Duplex Scan Hemodialysis Access (93990) $1,522.85 $1,603 15.0×
Duplex up extrem art bilat (93930) $2,698.95 $2,841 11.6×
Duplex up extrem art unilat/ltd (93931) $1,877.20 $1,976 18.5×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $182.40 $192 1.5×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $198.55 $209 1.6×
ECG/monitoring and analysis (93271) $3,735.40 $3,932 40.4×
Echo Congenital Complete (93303) $3,199.60 $3,368 6.0×
Echo Heart Xthoracic,Limited (93308)
range across 5 matching MRF lines
$1,808.80–$2,174.55 $1,904–$2,289 varies
Echo r-t 2d w/probe placement only (93313) $644.10 $678 1.2×
Echo transesophag congen probe plcmt only (93316) $723.90 $762 1.4×
Echo transesophag montr cardiac pump functj (93318) $1,252.10 $1,318 2.4×
Echo transesophageal (93312) $3,383.90 $3,562 6.4×
Echo Transesophageal - Congenital Tee Complete (93315) $5,358.95 $5,641 10.1×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,393.40 $3,572 6.4×
Eeg 41-60 Minutes (95812)
range across 2 matching MRF lines
$608.95–$6,205.40 $641–$6,532 varies
EEG awake and asleep (95819) $7,633.25 $8,035 36.4×
EEG awake drowsy (95816) $6,525.55 $6,869 31.1×
EEG cont rec w/video by tech min 8 channels (95700) $8,339.10 $8,778 39.8×
EEG extended monitoring 61-119 minutes (95813) $7,079.40 $7,452 33.8×
Eeg Sleep Only (95822) $6,719.35 $7,073 32.0×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $8,339.10 $8,778 39.8×
EEG w/o vid 2-12hr cont mntr (95707) $8,339.10 $8,778 39.8×
EEG w/o vid ea 12-26hr intmt (95709) $15,998.95 $16,841 44.1×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $15,998.95 $16,841 44.1×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $8,339.10 $8,778 39.8×
EEG wo vid ea 12-26hr unmntr (95708) $15,998.95 $16,841 44.1×
EKG signal averaged (93278) $384.75 $405 6.7×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $147.25 $155 1.6×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $155.80 $164 1.7×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $117.80 $124 3.2×
Electrical Stimulation Ea 15 Min (97032) $77.90 $82 5.3×
Electro-Oculography (92270) $250.80 $264 1.9×
Electrocardiogram Tracing (93005) $183.35 $193 3.2×
Electrocochleography (92584) $146.30 $154 1.2×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
likely a partial charge, not the full procedure
$1,751.80 $1,844 0.2×
Emergency Dept Visit Level 2 (99282) $477.85 $503 3.2×
Emergency Dept Visit Level 3 (99283) $918.65 $967 3.5×
Emergency Dept Visit Level 4 (99284) $1,435.45 $1,511 3.5×
Emg 3 Extremities (95863) $2,964 $3,120 23.7×
Emg 4 Extremities (95864) $5,168.95 $5,441 41.4×
Endomyocardial Biopsy (93505) $11,393.35 $11,993 3.7×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $7,587.65 $7,987 1.0×
Er level 1 (99281) $341.05 $359 4.2×
Er level v (99285) $2,609.65 $2,747 4.5×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $3,751.55 $3,949 10.4×
Eval aud funcj cand/po surg implt dev 1st hr (92626)
range across 2 matching MRF lines
$182.40–$513 $192–$540 varies
Evaluate pt use of inhaler (94664)
range across 4 matching MRF lines
$196.84–$365.75 $207.20–$385 varies
Evaluate Speech Production (92522) $751.45 $791 6.7×
Evaluate Swallowing Function (92610) $693.50 $730 8.2×
Evaluation of speech fluency (92521) $902.50 $950 6.8×
Exercise test for bronchospasm (94617) $1,105.80 $1,164 8.6×
Exhaled Air Analysis O2 (94680) $313.50 $330 2.5×
External ECG rec>48hr<7d recording (93242) $309.70 $326 8.5×
External ECG rec>48hr<7d scanning alys w/report (93243) $627.95 $661 4.9×
External ECG rec>7d<15d recording (93246) $309.70 $326 8.5×
External ECG rec>7d<15d scanning alys w/report (93247) $627.95 $661 4.9×
External Ecg Scanning Analysis Report (93226) $828.40 $872 14.5×
Extracranial Bilat Study (93880) $2,699.90 $2,842 11.6×
Extracranial Uni/Ltd Study (93882) $1,876.25 $1,975 18.5×
F-up/limited tthrc echo congenital car anomaly (93304) $2,175.50 $2,290 4.1×
Flexible endoscopic eval swallow c/v rec (92612) $163.40 $172 0.8×
Fluorescein angiography (92235) $311.60 $328 1.5×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $865.45 $911 4.1×
Full Field Electroretinography W/I&R (92273) $315.40 $332 1.5×
Fundus photography (92250) $275.50 $290 2.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $3,782.90 $3,982 10.4×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $1,049.75 $1,105 5.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $4,611.30 $4,854 5.5×
Gi tract capsule endoscopy (91110) $6,625.30 $6,974 7.5×
Gi wireless capsule measure (91112) $9,334.70 $9,826 10.6×
Gonioscopy (92020) $20.90 $22 0.2×
Group Therapeutic Procedures (97150) $71.25 $75 3.9×
Health Behavior Assessment/Re-Assessment (96156) $145.35 $153 1.5×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $106.40 $112 2.9×
Health behavior ivntj group f2f 1st 30 min (96164) $14.25 $15 0.4×
Health behavior ivntj indiv f2f 1st 30 min (96158) $99.75 $105 0.6×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $1,079.20 $1,136 8.4×
Holter monitor recording (93225) $871.15 $917 6.7×
Icd Device Interrogate (93289) $351.50 $370 9.7×
Icd device progr eval dual (93283) $527.25 $555 14.5×
Icd Device Progr Eval Mult (93284) $580.45 $611 16.0×
Icm Device Eval (93290) $172.90 $182 4.8×
Ilr Device Eval Progr (93285) $345.80 $364 9.5×
Ilr Device Interrogate (93291) $259.35 $273 9.2×
Im Adm Intransl/Oral 1 Vaccine (90473) $44.65 $47 0.6×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $55.10 $58 1.5×
Immunization administration (90471)
range across 10 matching MRF lines
$19.79–$59.85 $20.83–$63 varies
Ingestion challenge test initial 120 minutes (95076) $159.60 $168 0.4×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $252.70 $266 0.7×
Insert/Place Heart Catheter (93503) $9,595 $10,100 6.3×
Intracranial Complete Study (93886) $448.40 $472 1.9×
Intracutaneous tests w/allergenic extracts (95024) $10.45 $11 0.2×
Iontophoresis 15 min (97033) $106.40 $112 5.6×
Irrig Drug Delivery Device (96523) $199.50 $210 3.5×
Ischemic limb exercise test (95875) $1,397.45 $1,471 11.2×
IV infusion hydration each additional hour (96361) $129.20 $136 2.8×
IV infusion hydration initial 31 min-1 hour (96360) $481.65 $507 2.3×
IV infusion ther proph addl sequential to 1 hr (96367) $258.40 $272 3.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $160.55 $169 3.5×
IV push initial (96374) $477.85 $503 2.3×
L Hrt Art/Grft Angio (93459) $18,056.65 $19,007 5.7×
Liver Elastography W/O Imag W/I&R (91200) $146.30 $154 1.2×
Lung Function Test (Mbc/Mvv) (94200) $342 $360 6.0×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines
$420.94–$2,677.10 $443.10–$2,818 varies
Mechanical chest wall oscillation per session (94669) $693.50 $730 3.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $24.04 $25.30 0.8×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $66.50 $70 3.9×
Methacholine challenge (94070) $545.30 $574 1.5×
Motility study esophagus (91010) $861.65 $907 2.4×
Motion Fluoroscopy/Swallow (92611) $704.90 $742 7.7×
Multiple Family Group Psychotherapy (90849)
range across 2 matching MRF lines
$42.75–$56.05 $45–$59 varies
Multiple Sleep Latency Test (95805) $6,566.40 $6,912 7.9×
Muscle Test 2 Limbs (95861) $2,387.35 $2,513 18.5×
Muscle Test Hemidiaphragm (95866) $1,191.30 $1,254 9.5×
Muscle Test Nonparaspinal (95870) $1,558 $1,640 12.1×
Muscle Test One Limb (95860) $1,699.55 $1,789 13.2×
Nasopharyngoscopy (92511) $146.30 $154 0.8×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $1,845.85 $1,943 8.8×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $1,311.95 $1,381 6.3×
Needle electromyography larynx (95865) $1,063.05 $1,119 8.2×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $1,558 $1,640 7.4×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $2,743.60 $2,888 13.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$271.70–$831.25 $286–$875 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$272.65–$530.10 $287–$558 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$34.20–$443.65 $36–$467 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$39.90–$503.50 $42–$530 varies
Nerve Conduction Studies 1-2 Studies (95907) $738.15 $777 3.5×
Nerve Conduction Studies 11-12 Studies (95912) $1,781.25 $1,875 4.9×
Nerve conduction studies 13 or more studies (95913) $3,434.25 $3,615 9.5×
Nerve Conduction Studies 3-4 Studies (95908) $1,216 $1,280 5.8×
Nerve conduction studies 5-6 studies (95909) $1,456.35 $1,533 6.9×
Nerve conduction studies 7-8 studies (95910) $1,489.60 $1,568 4.1×
Nerve Conduction Studies 9-10 Studies (95911) $1,757.50 $1,850 4.8×
Neurobehavioral Status Exam (96116) $135.85 $143 0.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $834.10 $878 6.7×
Neuromuscular Reeducation (97112) $136.80 $144 4.2×
Nitric oxide expired gas determination (95012) $158.65 $167 4.4×
Nrpsyc tst eval phys/qhp 1st (96132) $172.90 $182 0.5×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $758.10 $798 2.1×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $159.60 $168 1.2×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $115.90 $122 0.9×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $95.95 $101 0.7×
Ophth medical xm&eval intermediate estab pt (92012) $66.50 $70 0.5×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $62.70 $66 0.5×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $11.40 $12 0.2×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $17.10 $18 0.3×
Optokinetic Nystagmus Test (92544) $19 $20 0.2×
Oral Function Therapy (92526) $700.15 $737 8.3×
Oral Speech Device Eval (92597) $587.10 $618 8.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $135.85 $143 2.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $153.90 $162 3.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $40.85 $43 1.9×
Osteopathic manipulative tx 3-4 body regions (98926) $59.85 $63 2.9×
Osteopathic manipulative tx 5-6 body regions (98927) $77.90 $82 3.7×
Osteopathic manipulative tx 7-8 body regions (98928) $95.19 $100.20 4.5×
Ot Contrast Bath Ea 15 Min (97034) $87.40 $92 6.2×
Ot eval high complexity (97167) $316.35 $333 3.1×
Ot Eval Low Complex (97165) $316.35 $333 3.1×
Ot Eval Moderate Complexity (97166) $316.35 $333 3.1×
Ot manual therapy 15 min (97140) $121.60 $128 4.4×
Ot paraffin bath (97018) $43.70 $46 7.3×
Ot Prosthetic Training, Each 15 Min (97761) $133.95 $141 3.3×
Ot Re-Eval Est Plan Care (97168) $209 $220 3.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $402.80 $424 3.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $197.60 $208 1.6×
Oxygen Uptake Rest Indirect (94690) $813.20 $856 14.2×
Patch/Application Test Specify Number Tests (95044) $46.55 $49 0.1×
Pdt dstr prmlg les phys/qhp (96573) $245.81 $258.75 1.3×
Pdt dstr prmlg les skn illum/activj per day (96567) $694.45 $731 3.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $361 $380 1.7×
Percutaneous tests w/allergenic extracts (95004) $8.55 $9 0.0×
Peripheral arterial disease rehab per session (93668) $377.15 $397 6.6×
Phlebotomy therapeutic (99195) $950 $1,000 7.4×
Photochemotx Psoralens&Ultraviolet Puva (96912) $563.35 $593 9.8×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $439.85 $463 7.7×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $477.85 $503 8.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $322.05 $339 5.6×
Physical Performance Test (97750) $133.95 $141 4.0×
Plethysmography (94726) $712.50 $750 2.0×
Pm device eval in person (93288) $285.95 $301 7.9×
Pm device progr eval dual (93280) $425.60 $448 11.7×
Pm device progr eval multi (93281) $1,014.60 $1,068 28.0×
Pm Device Progr Eval Sngl (93279) $374.30 $394 10.3×
Pm/Icd Remote Tech Serv (93296) $470.25 $495 13.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $6,046.75 $6,365 7.2×
Polysom <6 yrs 4/> paramtrs (95782) $15,950.50 $16,790 19.1×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $16,730.45 $17,611 20.1×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $9,690.95 $10,201 11.6×
Positional nystagmus test (92542) $20.90 $22 0.2×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $19.95 $21 0.4×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $33.25 $35 0.7×
Prepj& antigen allergen immunotherapy 2 insect (95146) $59.85 $63 1.3×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $54.15 $57 0.8×
Prepj& antigen allergen immunotherapy 5 insect (95149) $107.35 $113 1.5×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $476.90 $502 13.2×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $445.55 $469 12.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $56.05 $59 1.2×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $65.55 $69 1.4×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $79.80 $84 1.1×
Psych diag eval w/med srvcs (90792) $241.30 $254 1.4×
Psychiatric diagnostic evaluation (90791) $219.45 $231 1.3×
Psychological tst eval svc phys/qhp first hour (96130) $153.90 $162 0.7×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $49.40 $52 0.1×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $60.80 $64 0.5×
Psytx Crisis Initial 60 Min (90839) $221.35 $233 1.3×
Pt Eval High Complex (97163) $326.80 $344 3.3×
Pt Eval Mod Complex (97162) $326.80 $344 3.3×
Pt gait training 15 min (97116) $115.90 $122 4.0×
Pt group caregiver training (97552) $122.55 $129 5.6×
Pt mechanical traction (97012) $65.55 $69 4.6×
Pt Re-Eval Est Plan Care (97164) $221.35 $233 3.3×
Pulm function test by gas (94727) $524.40 $552 2.5×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$65.93–$4,491.60 $69.40–$4,728 varies
Pulmonary Stress Testing (94618) $201.40 $212 1.6×
Pure Tone Audiometry Air (92552) $247.95 $261 1.9×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $1,260.65 $1,327 3.9×
Refill/Maint Portable Pump (96521) $1,107.70 $1,166 5.4×
Rem interrog icpms <30 d phys/qhp (93297) $599.45 $631 16.5×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $1,288.20 $1,356 35.5×
Remote 30 Day Ecg Rev/Report (93270) $198.55 $209 5.5×
Remote 30 Day Ecg Tech Supp (93229) $15,762.40 $16,592 43.5×
Respiratory flow volume loop (94375) $427.50 $450 2.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $205.20 $216 3.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$37.05–$255.55 $39–$269 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $1,026 $1,080 8.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $427.50 $450 9.0×
Select picture audiometry (92583) $418 $440 7.3×
Self Care Mngment Training (97535) $142.50 $150 4.4×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $85.50 $90 1.5×
Sensory Integration Ea 15 Min (97533) $119.70 $126 2.0×
Short-latency somatosens ep std upr limbs (95925) $2,280.95 $2,401 10.9×
Sinusoidal Vertical Axis Rotational Testing (92546) $700.15 $737 5.6×
Sleep study attended (95807) $7,432.80 $7,824 20.5×
Sleep study unattended (95806) $1,905.70 $2,006 9.1×
Slp caregiver training 1st 30 min (97550) $293.55 $309 5.6×
Slp Stdy Unatnd W/Anal (95801) $735.30 $774 12.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $2,240.10 $2,358 10.7×
Somatosensory Testing (95938) $5,249.70 $5,526 6.3×
Speech Audiometry Complete (92556) $296.40 $312 5.2×
Speech audiometry threshold (92555) $186.20 $196 3.2×
Speech sound lang comprehen (92523) $1,575.10 $1,658 7.0×
Spin/Brain Pump Refil & Main (95991) $420.85 $443 1.4×
Spirometry (94010) $486.40 $512 2.3×
Spontaneous Nystagmus Test (92541) $23.75 $25 0.2×
Ssep lower limbs (95926) $1,966.50 $2,070 9.4×
Standardized Cognitive Performance Testing (96125) $1,058.30 $1,114 10.3×
Stenger Test Speech (92577) $85.50 $90 0.2×
Stenger Test, Pure Tone (92565) $126.35 $133 2.2×
Stress Tte Only (93350) $4,432.70 $4,666 8.4×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $544.35 $573 2.6×
Surfactant Admin Thru Tube (94610) $203.30 $214 1.0×
Temp transcutaneous pacing (92953) $1,369.90 $1,442 2.1×
Testing Autonomic Nervous System Function (95923) $2,084.30 $2,194 16.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $97.85 $103 4.4×
Ther Ivntj Ea Addl 15 Min (97130) $93.10 $98 4.4×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $174.80 $184 4.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $107.35 $113 3.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $896.80 $944 8.7×
Ther/Proph/Diag Inj Sc/Im (96372) $208.05 $219 3.0×
Ther/Proph/Diag Iv Inf Init (96365) $582.35 $613 2.8×
Therapeutic Activities (97530) $142.50 $150 4.1×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,368.95 $1,441 3.8×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$25.65–$60.32 $27–$63.50 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$13.30–$45.98 $14–$48.40 varies
Tone Decay Test (92563) $239.40 $252 6.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $2,648.60 $2,788 26.1×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $821.75 $865 6.6×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $927.20 $976 7.2×
Tte w/doppler, complete (93306) $3,017.20 $3,176 5.7×
Tte W/O Doppler Complete (93307) $1,560.85 $1,643 6.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $368.60 $388 4.8×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $165.30 $174 6.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $189.05 $199 4.2×
Tympanometry (92567) $29.45 $31 0.8×
Tympanometry and reflex threshold measurements (92550) $42.75 $45 0.2×
Unlisted cardiovascular service/procedure (93799)
range across 10 matching MRF lines
$18.05–$244.15 $19–$257 varies
Unlisted noninvasive vascular diagnostic study (93998)
range across 3 matching MRF lines
$100.70–$291.65 $106–$307 varies
Unlisted ophthalmological service/procedure (92499) $89.77 $94.50 3.2×
Unlisted otorhinolaryngological service (92700)
range across 2 matching MRF lines
$14.41–$117.77 $15.17–$123.97 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 4 matching MRF lines
$224.49–$1,371.80 $236.30–$1,444 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $2,084.30 $2,194 9.9×
Vasopneumatic device (97016) $77.90 $82 6.5×
Veeg 2-12 Hr Cont Mntr (95713) $15,998.95 $16,841 44.1×
Veeg 2-12 hr intmt mntr (95712) $8,339.10 $8,778 23.0×
Veeg 2-12 hr unmonitored (95711) $8,339.10 $8,778 39.8×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $15,998.95 $16,841 44.1×
Veeg Ea 12-26 Hr Unmntr (95714) $15,998.95 $16,841 44.1×
Veeg ea 12-26hr cont mntr (95716) $29,944 $31,520 35.9×
Vent Mgmt Inpat Init Day (94002) $1,313.85 $1,383 2.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,131.45 $1,191 1.9×
Visual Evoked Potential Test (95930) $1,964.60 $2,068 9.4×
Visual Field Exam Extended (92083) $172.90 $182 1.3×
Visual field xm uni/bi w/interp intermed exam (92082) $131.10 $138 2.3×
Visual field xm uni/bi w/interpretj limited exam (92081) $56.05 $59 1.0×
Visual reinforcement audiometry (vra) (92579) $85.50 $90 0.4×
Vital capacity, total (94150) $169.10 $178 1.4×
Wheelchair Mgmt Ea 15 Min (97542) $125.40 $132 4.0×
Whirlpool Therapy (97022) $95 $100 6.1×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $828.40 $872 14.5×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $87.40 $92 2.4×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.