Visits & medical services prices at Marshfield Medical Center - Ladysmith

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

402 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) $1,073.50 $1,130 18.7×
Actinotherapy Ultraviolet Light (96900) $99.75 $105 2.7×
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) $109.25 $115 2.8×
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) $198.55 $209 0.9×
Airway resistance by oscillometry (94728) $352.45 $371 2.8×
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) $391.40 $412 3.0×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $68.40 $72 0.5×
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) $292.60 $308 1.0×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $226.10 $238 1.2×
Ans parasymp & symp w/tilt (95924) $755.25 $795 3.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines
$39.90–$40.09 $42–$42.20 varies
Application Modality 1/> Areas Infrared (97026) $19.95 $21 3.0×
Application on-body injector (96377) $157.70 $166 3.5×
Assessment of aphasia per hr (96105)
range across 2 matching MRF lines
$144.40–$177.65 $152–$187 varies
Assessment of tinnitus (92625) $92.15 $97 0.7×
Audiometry Air & Bone (92553) $213.75 $225 1.7×
Basic vestibular evaluation (92540) $353.40 $372 1.7×
Behavral qualit analys voice (92524) $470.25 $495 4.3×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $222.30 $234 2.7×
Biofeedback training any modality (90901) $209 $220 5.1×
Breath hydrogen/methane test (91065) $387.60 $408 1.8×
Brief Emotional/Behav Assmt (96127) $28.50 $30 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $608.95 $641 1.7×
C motor evoked uppr limbs (95928) $1,853.45 $1,951 2.2×
C motor evoked upr&lwr limbs (95939) $4,920.05 $5,179 5.9×
Caloric vestibular test w/rec bi monothermal (92538) $23.75 $25 0.1×
Caloric Vstblr Test W/Rec (92537) $41.80 $44 0.3×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$143.45–$503.50 $151–$530 varies
Car seat/bed test 60 min (94780)
range across 2 matching MRF lines
$65.55–$193.80 $69–$204 varies
Cardiac Stress Tst,Tracing Only (93017) $445.55 $469 2.1×
Cardiopulmonary exercise testing (94621) $1,200.80 $1,264 3.3×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$561.45–$2,135.60 $591–$2,248 varies
Cardioversion (92960)
range across 2 matching MRF lines
$368.60–$1,348.05 $388–$1,419 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $88.35 $93 3.4×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $9,801.15 $10,317 3.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,380.90 $8,822 2.7×
Cbt 1st hour (94644) $208.05 $219 1.6×
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) $1,151.40 $1,212 3.6×
Chemo Anti-Neopl Sq/Im (96401) $431.30 $454 6.2×
Chemo Hormon Antineopl Sq/Im (96402) $188.10 $198 2.7×
Chemo Ia Push (96420) $609.90 $642 1.9×
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) $165.30 $174 2.4×
Chemo IV push addl drug (96411) $360.05 $379 5.1×
Chemother Prolong Infuse W/Pump (96416) $812.25 $855 2.5×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $980.40 $1,032 3.1×
Chemotherapy Into Cns (96450)
range across 2 matching MRF lines
$238.45–$608.95 $251–$641 varies
Chemotherapy Intracavitary (96440) $2,762.60 $2,908 8.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $361.95 $381 5.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $780.90 $822 2.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $640.30 $674 2.0×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $158.65 $167 0.5×
Chest Wall Manipulation (94668) $108.30 $114 0.8×
Cmptr ophth dx img ant segmt (92132) $46.55 $49 0.8×
Color/duplex Doppler, complete (93975) $1,736.60 $1,828 7.5×
Color/duplex Doppler, limited (93976) $1,421.20 $1,496 14.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $94.05 $99 2.9×
Comprehensive Hearing Test (92557) $49.40 $52 0.4×
Computerized Ophthalmic Imaging Optic Nerve (92133) $48.45 $51 0.8×
Computerized Ophthalmic Imaging Retina (92134) $48.45 $51 0.8×
Conditioning Play Audiometry (92582) $389.50 $410 3.1×
Cont gluc mntr physician/qhp provided equiptment (95250) $925.30 $974 7.2×
Cont Gluc Mntr Pt Prov Eqp (95249) $322.05 $339 5.6×
Continuous Pulse Ox (94762) $310.65 $327 2.5×
Cornea hysteresis determin impulse stimj uni/bi (92145) $30.40 $32 0.5×
Corneal Topography (92025) $53.20 $56 0.9×
Coronary Artery Angio S&I (93454) $7,026.20 $7,396 2.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$116.85–$306.85 $123–$323 varies
Cpt initial (94667) $119.70 $126 0.9×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $64.79 $68.20 0.3×
Critical care first hour (99291) $2,589.70 $2,726 3.2×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,864.85 $1,963 5.1×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$61.75–$98.80 $65–$104 varies
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) $317.30 $334 1.6×
Dialysis One Evaluation (90945) $477.85 $503 1.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,740.40 $1,832 7.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,097.25 $1,155 10.8×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $716.30 $754 7.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 3 matching MRF lines
$356.72–$1,735.65 $375.50–$1,827 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$144.88–$1,489.60 $152.50–$1,568 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,736.60 $1,828 7.5×
Dup-scan xtr veins unilateral/limited study (93971) $1,131.45 $1,191 11.1×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $2,482.35 $2,613 10.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $1,195.10 $1,258 11.8×
Duplex Scan Hemodialysis Access (93990) $982.30 $1,034 9.7×
Duplex up extrem art bilat (93930) $1,740.40 $1,832 7.5×
Duplex up extrem art unilat/ltd (93931) $1,212.20 $1,276 11.9×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $117.80 $124 0.9×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $198.55 $209 1.6×
ECG/monitoring and analysis (93271) $1,938 $2,040 21.0×
Echo Congenital Complete (93303) $1,960.80 $2,064 3.7×
Echo Heart Xthoracic,Limited (93308)
range across 5 matching MRF lines
$1,108.65–$1,403.15 $1,167–$1,477 varies
Echo r-t 2d w/probe placement only (93313) $394.25 $415 0.7×
Echo transesophag congen probe plcmt only (93316) $443.65 $467 0.8×
Echo transesophag montr cardiac pump functj (93318) $3,468.45 $3,651 6.5×
Echo transesophageal (93312) $2,074.80 $2,184 3.9×
Echo Transesophageal - Congenital Tee Complete (93315) $3,284.15 $3,457 6.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,080.50 $2,190 3.9×
Eeg 41-60 Minutes (95812) $3,219.55 $3,389 15.4×
EEG awake and asleep (95819) $3,959.60 $4,168 18.9×
EEG awake drowsy (95816) $3,384.85 $3,563 16.1×
EEG cerebral death evaluation (95824) $315.40 $332 0.9×
EEG cont rec w/video by tech min 8 channels (95700) $4,326.30 $4,554 20.6×
EEG extended monitoring 61-119 minutes (95813) $3,671.75 $3,865 17.5×
Eeg Sleep Only (95822) $3,485.55 $3,669 16.6×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $4,326.30 $4,554 20.6×
EEG w/o vid 2-12hr cont mntr (95707) $4,326.30 $4,554 20.6×
EEG w/o vid ea 12-26hr intmt (95709) $8,299.20 $8,736 22.9×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $8,299.20 $8,736 22.9×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $4,326.30 $4,554 20.6×
EEG wo vid ea 12-26hr unmntr (95708) $8,299.20 $8,736 22.9×
EKG signal averaged (93278) $199.50 $210 3.5×
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) $59.85 $63 4.1×
Electro-Oculography (92270) $134.90 $142 1.0×
Electrocardiogram Tracing (93005) $124.45 $131 2.2×
Electrocochleography (92584) $94.05 $99 0.8×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
likely a partial charge, not the full procedure
$908.20 $956 0.1×
Emergency Dept Visit Level 2 (99282) $308.75 $325 2.1×
Emergency Dept Visit Level 3 (99283) $592.80 $624 2.2×
Emergency Dept Visit Level 4 (99284) $925.30 $974 2.3×
Emg 3 Extremities (95863) $2,346.50 $2,470 18.8×
Emg 4 Extremities (95864) $2,641 $2,780 21.1×
Endomyocardial Biopsy (93505) $5,819.70 $6,126 1.9×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $3,935.85 $4,143 0.5×
Er level 1 (99281) $220.40 $232 2.7×
Er level v (99285) $1,682.45 $1,771 2.9×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,917.10 $2,018 5.3×
Eval aud funcj cand/po surg implt dev 1st hr (92626)
range across 2 matching MRF lines
$117.80–$330.60 $124–$348 varies
Evaluate pt use of inhaler (94664)
range across 4 matching MRF lines
$187.15–$196.84 $197–$207.20 varies
Evaluate Speech Production (92522) $484.50 $510 4.3×
Evaluate Swallowing Function (92610) $447.45 $471 5.3×
Evaluation of speech fluency (92521) $582.35 $613 4.4×
Exercise test for bronchospasm (94617) $798.95 $841 6.2×
Exhaled Air Analysis O2 (94680) $226.10 $238 1.8×
External ECG rec>48hr<7d recording (93242) $160.55 $169 4.4×
External ECG rec>48hr<7d scanning alys w/report (93243) $325.85 $343 2.5×
External ECG rec>7d<15d recording (93246) $160.55 $169 4.4×
External ECG rec>7d<15d scanning alys w/report (93247) $325.85 $343 2.5×
External Ecg Scanning Analysis Report (93226) $430.35 $453 7.5×
Extracranial Bilat Study (93880) $1,654.90 $1,742 7.1×
Extracranial Uni/Ltd Study (93882) $1,148.55 $1,209 11.3×
F-up/limited tthrc echo congenital car anomaly (93304) $1,333.80 $1,404 2.5×
Flexible endoscopic eval swallow c/v rec (92612) $105.45 $111 0.5×
Fluorescein angiography (92235) $168.15 $177 0.8×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $520.60 $548 2.5×
Full Field Electroretinography W/I&R (92273) $262.20 $276 1.3×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,420.25 $1,495 1.7×
Fundus photography (92250) $148.20 $156 1.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,931.35 $2,033 5.3×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $535.80 $564 2.6×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,355.05 $2,479 2.8×
Gi tract capsule endoscopy (91110) $3,383.90 $3,562 3.8×
Gi wireless capsule measure (91112) $4,767.10 $5,018 5.4×
Gonioscopy (92020) $20.90 $22 0.2×
Group Therapeutic Procedures (97150) $54.15 $57 3.0×
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) $779 $820 6.0×
Holter monitor recording (93225) $452.20 $476 3.5×
Icd Device Interrogate (93289) $253.65 $267 7.0×
Icd device progr eval dual (93283) $273.60 $288 7.5×
Icd Device Progr Eval Mult (93284) $301.15 $317 8.3×
Icm Device Eval (93290) $124.45 $131 3.4×
Ilr Device Eval Progr (93285) $179.55 $189 5.0×
Ilr Device Interrogate (93291) $187.15 $197 6.7×
Im Adm Intransl/Oral 1 Vaccine (90473) $51.30 $54 0.7×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $39.90 $42 1.1×
Immunization administration (90471)
range across 10 matching MRF lines
$19.95–$61.75 $21–$65 varies
Ingestion challenge test initial 120 minutes (95076) $159.60 $168 0.4×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $182.40 $192 0.5×
Insert/Place Heart Catheter (93503) $4,901.05 $5,159 3.2×
Intracranial Complete Study (93886) $274.55 $289 1.2×
Intracutaneous tests w/allergenic extracts (95024) $10.45 $11 0.2×
Iontophoresis 15 min (97033) $81.70 $86 4.3×
Irrig Drug Delivery Device (96523) $144.40 $152 2.5×
Ischemic limb exercise test (95875) $713.45 $751 5.7×
IV infusion hydration each additional hour (96361) $95 $100 2.1×
IV infusion hydration initial 31 min-1 hour (96360) $355.30 $374 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $190.95 $201 2.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $117.80 $124 2.6×
IV push initial (96374) $352.45 $371 1.7×
L Hrt Art/Grft Angio (93459) $9,222.60 $9,708 2.9×
Liver Elastography W/O Imag W/I&R (91200) $106.40 $112 0.9×
Lung Function Test (Mbc/Mvv) (94200) $247 $260 4.3×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines
$271.60–$1,933.25 $285.90–$2,035 varies
Mechanical chest wall oscillation per session (94669) $354.35 $373 1.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $24.04 $25.30 0.8×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $34.20 $36 2.0×
Methacholine challenge (94070) $393.30 $414 1.1×
Motility study esophagus (91010) $623.20 $656 1.7×
Motion Fluoroscopy/Swallow (92611) $454.10 $478 5.0×
Multifocal Electroretinography W/I&R (92274) $157.70 $166 1.3×
Multiple Family Group Psychotherapy (90849) $42.75 $45 0.2×
Multiple Sleep Latency Test (95805) $4,023.25 $4,235 4.8×
Muscle Test 2 Limbs (95861) $1,889.55 $1,989 14.6×
Muscle Test Hemidiaphragm (95866) $860.70 $906 6.9×
Muscle Test Nonparaspinal (95870) $795.15 $837 6.2×
Muscle Test One Limb (95860) $1,345.20 $1,416 10.4×
Nasopharyngoscopy (92511) $146.30 $154 0.8×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $1,461.10 $1,538 7.0×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $1,038.35 $1,093 5.0×
Needle electromyography larynx (95865) $767.60 $808 5.9×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $795.15 $837 3.8×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $2,172.65 $2,287 10.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$271.70–$424.65 $286–$447 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$272.65–$424.65 $287–$447 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$34.20–$226.10 $36–$238 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$39.90–$257.45 $42–$271 varies
Nerve Conduction Studies 1-2 Studies (95907) $532.95 $561 2.5×
Nerve Conduction Studies 11-12 Studies (95912) $1,286.30 $1,354 3.5×
Nerve conduction studies 13 or more studies (95913) $2,480.45 $2,611 6.8×
Nerve Conduction Studies 3-4 Studies (95908) $878.75 $925 4.2×
Nerve conduction studies 5-6 studies (95909) $1,051.65 $1,107 5.0×
Nerve conduction studies 7-8 studies (95910) $1,076.35 $1,133 3.0×
Nerve Conduction Studies 9-10 Studies (95911) $1,269.20 $1,336 3.5×
Neurobehavioral Status Exam (96116) $135.85 $143 0.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $603.25 $635 4.8×
Neuromuscular Reeducation (97112) $105.45 $111 3.2×
Nitric oxide expired gas determination (95012) $114.95 $121 3.2×
Nrpsyc tst eval phys/qhp 1st (96132) $172.90 $182 0.5×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $547.20 $576 1.5×
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) $13.30 $14 0.1×
Oral Function Therapy (92526) $452.20 $476 5.4×
Oral Speech Device Eval (92597) $378.10 $398 5.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $149.15 $157 3.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $117.80 $124 2.6×
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 $100 4.5×
Ot Contrast Bath Ea 15 Min (97034) $56.05 $59 4.0×
Ot eval high complexity (97167) $242.25 $255 2.4×
Ot Eval Low Complex (97165) $242.25 $255 2.4×
Ot Eval Moderate Complexity (97166) $242.25 $255 2.4×
Ot manual therapy 15 min (97140) $93.10 $98 3.4×
Ot paraffin bath (97018) $33.25 $35 5.5×
Ot Prosthetic Training, Each 15 Min (97761) $102.60 $108 2.5×
Ot Re-Eval Est Plan Care (97168) $160.55 $169 2.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$287.85–$299.25 $303–$315 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $106.40 $112 0.8×
Oxygen Uptake Rest Indirect (94690) $587.10 $618 10.2×
Patch/Application Test Specify Number Tests (95044) $33.25 $35 0.0×
Pdt dstr prmlg les phys/qhp (96573) $246.05 $259 1.3×
Pdt dstr prmlg les skn illum/activj per day (96567) $778.05 $819 4.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $184.30 $194 0.9×
Percutaneous tests w/allergenic extracts (95004) $8.55 $9 0.0×
Peripheral arterial disease rehab per session (93668) $202.35 $213 3.5×
Phlebotomy therapeutic (99195)
range across 4 matching MRF lines
$485.45–$511.10 $511–$538 varies
Photochemotx Psoralens&Ultraviolet Puva (96912) $445.55 $469 7.8×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $348.65 $367 6.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $344.85 $363 6.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $232.75 $245 4.1×
Physical Performance Test (97750) $102.60 $108 3.0×
Plethysmography (94726) $513.95 $541 1.4×
Pm device eval in person (93288) $206.15 $217 5.7×
Pm device progr eval dual (93280) $220.40 $232 6.1×
Pm device progr eval multi (93281) $526.30 $554 14.5×
Pm Device Progr Eval Sngl (93279) $193.80 $204 5.3×
Pm/Icd Remote Tech Serv (93296) $339.15 $357 9.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,745.60 $6,048 6.9×
Polysom <6 yrs 4/> paramtrs (95782) $11,236.60 $11,828 13.5×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $10,254.30 $10,794 12.3×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $5,939.40 $6,252 7.1×
Positional nystagmus test (92542) $15.20 $16 0.1×
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) $243.20 $256 6.7×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $230.85 $243 6.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $46.55 $49 1.0×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $55.10 $58 1.2×
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) $294.50 $310 1.7×
Pt Eval High Complex (97163) $249.85 $263 2.6×
Pt Eval Mod Complex (97162) $249.85 $263 2.6×
Pt gait training 15 min (97116) $89.30 $94 3.1×
Pt group caregiver training (97552) $74.10 $78 3.4×
Pt mechanical traction (97012) $50.35 $53 3.5×
Pt Re-Eval Est Plan Care (97164) $170.05 $179 2.5×
Pt ultraviolet (97028) $22.80 $24 2.7×
Pulm function test by gas (94727) $379.05 $399 1.8×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$42.75–$2,897.50 $45–$3,050 varies
Pulmonary Stress Testing (94618) $145.35 $153 1.1×
Pure Tone Audiometry Air (92552) $179.55 $189 1.4×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $1,177.05 $1,239 3.7×
Refill/Maint Portable Pump (96521) $799.90 $842 3.9×
Rem interrog icpms <30 d phys/qhp (93297) $433.20 $456 12.0×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $930.05 $979 25.7×
Remote 30 Day Ecg Rev/Report (93270) $103.55 $109 2.9×
Remote 30 Day Ecg Tech Supp (93229) $8,176.65 $8,607 22.6×
Respiratory flow volume loop (94375) $308.75 $325 1.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $106.40 $112 1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$37.05–$130.15 $39–$137 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $662.15 $697 5.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $276.45 $291 5.8×
Select picture audiometry (92583) $302.10 $318 5.3×
Self Care Mngment Training (97535) $109.25 $115 3.4×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $71.25 $75 1.2×
Sensory Integration Ea 15 Min (97533) $91.20 $96 1.5×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $1,466.80 $1,544 7.0×
Short-latency somatosens ep std upr limbs (95925) $2,008.30 $2,114 9.6×
Sinusoidal Vertical Axis Rotational Testing (92546) $506.35 $533 4.1×
Sleep study attended (95807) $4,556.20 $4,796 12.6×
Sleep study unattended (95806) $1,167.55 $1,229 5.6×
Slp caregiver training 1st 30 min (97550) $176.70 $186 3.3×
Slp Stdy Unatnd W/Anal (95801) $450.30 $474 7.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $1,373.70 $1,446 6.5×
Somatosensory Testing (95938) $3,789.55 $3,989 4.5×
Speech Audiometry Complete (92556) $213.75 $225 3.7×
Speech audiometry threshold (92555) $133.95 $141 2.3×
Speech sound lang comprehen (92523) $1,015.55 $1,069 4.5×
Spin/Brain Pump Refil & Main (95991) $420.85 $443 1.4×
Spirometry (94010) $351.50 $370 1.7×
Spontaneous Nystagmus Test (92541) $17.10 $18 0.1×
Ssep lower limbs (95926) $1,774.60 $1,868 8.5×
Standardized Cognitive Performance Testing (96125) $683.05 $719 6.6×
Stenger Test Speech (92577) $95.95 $101 0.3×
Stenger Test, Pure Tone (92565) $91.20 $96 1.6×
Stress Tte Only (93350) $2,717 $2,860 5.1×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $400.90 $422 1.9×
Surfactant Admin Thru Tube (94610) $109.25 $115 0.5×
Temp transcutaneous pacing (92953) $700.15 $737 1.1×
Testing Autonomic Nervous System Function (95923) $1,504.80 $1,584 11.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $75.05 $79 3.4×
Ther Ivntj Ea Addl 15 Min (97130) $71.25 $75 3.4×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $133.95 $141 3.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $81.70 $86 2.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $578.55 $609 5.6×
Ther/Proph/Diag Inj Sc/Im (96372) $86.45 $91 1.2×
Ther/Proph/Diag Iv Inf Init (96365) $429.40 $452 2.1×
Therapeutic Activities (97530) $109.25 $115 3.1×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $736.25 $775 2.0×
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) $172.90 $182 4.8×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $1,623.55 $1,709 16.0×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $593.75 $625 4.8×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $669.75 $705 5.2×
Tte w/doppler, complete (93306) $1,849.65 $1,947 3.5×
Tte W/O Doppler Complete (93307) $957.60 $1,008 4.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $237.50 $250 3.1×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $107.35 $113 4.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $139.65 $147 3.1×
Tympanometry (92567) $19 $20 0.5×
Tympanometry and reflex threshold measurements (92550) $27.55 $29 0.1×
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
$72.20–$291.65 $76–$307 varies
Unlisted ophthalmological service/procedure (92499) $57.85 $60.90 2.1×
Unlisted otorhinolaryngological service (92700)
range across 3 matching MRF lines
$14.25–$377.15 $15–$397 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 4 matching MRF lines
$144.88–$990.85 $152.50–$1,043 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,504.80 $1,584 7.2×
Vasopneumatic device (97016) $59.85 $63 5.0×
Veeg 2-12 Hr Cont Mntr (95713) $8,299.20 $8,736 22.9×
Veeg 2-12 hr intmt mntr (95712) $4,326.30 $4,554 11.9×
Veeg 2-12 hr unmonitored (95711) $4,326.30 $4,554 20.6×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $8,299.20 $8,736 22.9×
Veeg Ea 12-26 Hr Unmntr (95714) $8,299.20 $8,736 22.9×
Veeg ea 12-26hr cont mntr (95716) $15,535.35 $16,353 18.6×
Vent Mgmt Inpat Init Day (94002) $847.40 $892 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $730.55 $769 1.2×
Visual Evoked Potential Test (95930) $1,669.15 $1,757 8.0×
Visual Field Exam Extended (92083) $97.85 $103 0.8×
Visual field xm uni/bi w/interp intermed exam (92082) $70.30 $74 1.2×
Visual field xm uni/bi w/interpretj limited exam (92081) $46.55 $49 0.8×
Visual reinforcement audiometry (vra) (92579) $55.10 $58 0.3×
Vital capacity, total (94150) $121.60 $128 1.0×
Wada Activation Test Hemispheric Function W/Eeg (95958) $402.80 $424 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $95.95 $101 3.1×
Whirlpool Therapy (97022) $72.20 $76 4.6×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $597.55 $629 10.4×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $46.55 $49 1.3×

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.