Visits & medical services prices at Marshfield Medical Center - Minocqua

Minocqua, 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) $904.40 $952 15.8×
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) $358.15 $377 2.9×
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) $397.10 $418 3.1×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $69.35 $73 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) $363.85 $383 1.2×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $226.10 $238 1.2×
Ans parasymp & symp w/tilt (95924) $767.60 $808 3.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $39.90 $42 2.8×
Application Modality 1/> Areas Infrared (97026) $24.70 $26 3.7×
Application on-body injector (96377) $157.70 $166 3.5×
Assessment of aphasia per hr (96105)
range across 2 matching MRF lines
$173.85–$177.65 $183–$187 varies
Assessment of tinnitus (92625) $92.15 $97 0.7×
Audiometry Air & Bone (92553) $217.55 $229 1.7×
Basic vestibular evaluation (92540) $359.10 $378 1.7×
Behavral qualit analys voice (92524) $564.30 $594 5.2×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $266 $280 3.2×
Biofeedback training any modality (90901) $209 $220 5.1×
Breath hydrogen/methane test (91065) $393.30 $414 1.9×
Brief Emotional/Behav Assmt (96127) $28.50 $30 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $620.35 $653 1.7×
C motor evoked uppr limbs (95928) $1,883.85 $1,983 2.3×
C motor evoked upr&lwr limbs (95939) $5,000.80 $5,264 6.0×
Caloric vestibular test w/rec bi monothermal (92538) $28.50 $30 0.1×
Caloric Vstblr Test W/Rec (92537) $50.35 $53 0.4×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$143.45–$604.20 $151–$636 varies
Car seat/bed test 60 min (94780)
range across 2 matching MRF lines
$70.30–$193.80 $74–$204 varies
Cardiac Stress Tst,Tracing Only (93017) $554.80 $584 2.6×
Cardiopulmonary exercise testing (94621) $1,219.80 $1,284 3.4×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$483.55–$561.45 $509–$591 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) $95 $100 3.6×
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) $61.75 $65 0.5×
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) $1,105.80 $1,164 3.4×
Chemo Anti-Neopl Sq/Im (96401) $414.20 $436 5.9×
Chemo Hormon Antineopl Sq/Im (96402) $180.50 $190 2.6×
Chemo Ia Push (96420) $586.15 $617 1.8×
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) $158.65 $167 2.3×
Chemo IV push addl drug (96411) $345.80 $364 4.9×
Chemother Prolong Infuse W/Pump (96416) $779.95 $821 2.4×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $941.45 $991 2.9×
Chemotherapy Into Cns (96450)
range across 2 matching MRF lines
$238.45–$584.25 $251–$615 varies
Chemotherapy Intracavitary (96440) $2,653.35 $2,793 8.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $347.70 $366 5.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $750.50 $790 2.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $615.60 $648 1.9×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $158.65 $167 0.5×
Chest Wall Manipulation (94668) $76.95 $81 0.6×
Cmptr ophth dx img ant segmt (92132) $47.50 $50 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)
range across 2 matching MRF lines
$94.05–$118.75 $99–$125 varies
Comprehensive Hearing Test (92557) $49.40 $52 0.4×
Computerized Ophthalmic Imaging Optic Nerve (92133) $49.40 $52 0.9×
Computerized Ophthalmic Imaging Retina (92134) $49.40 $52 0.9×
Conditioning Play Audiometry (92582) $395.20 $416 3.2×
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) $316.35 $333 2.5×
Cornea hysteresis determin impulse stimj uni/bi (92145) $31.35 $33 0.5×
Corneal Topography (92025) $45.60 $48 0.8×
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) $76.95 $81 0.6×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $64.79 $68.20 0.3×
Critical care first hour (99291) $3,082.75 $3,245 3.8×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,895.25 $1,995 5.2×
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) $603.25 $635 1.5×
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) $1,131.45 $1,191 11.1×
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–$1,736.60 $375.50–$1,828 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) $3,135.95 $3,301 13.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $1,509.55 $1,589 14.9×
Duplex Scan Hemodialysis Access (93990) $1,240.70 $1,306 12.2×
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) $2,410.15 $2,537 26.1×
Echo Congenital Complete (93303) $2,478.55 $2,609 4.7×
Echo Heart Xthoracic,Limited (93308)
range across 5 matching MRF lines
$1,400.30–$1,403.15 $1,474–$1,477 varies
Echo r-t 2d w/probe placement only (93313) $498.75 $525 0.9×
Echo transesophag congen probe plcmt only (93316) $560.50 $590 1.1×
Echo transesophag montr cardiac pump functj (93318) $4,381.40 $4,612 8.3×
Echo transesophageal (93312) $2,620.10 $2,758 4.9×
Echo Transesophageal - Congenital Tee Complete (93315) $4,148.65 $4,367 7.8×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,627.70 $2,766 5.0×
Eeg 41-60 Minutes (95812) $4,003.30 $4,214 19.1×
EEG awake and asleep (95819) $4,924.80 $5,184 23.5×
EEG awake drowsy (95816) $4,210.40 $4,432 20.1×
EEG cerebral death evaluation (95824) $392.35 $413 1.1×
EEG cont rec w/video by tech min 8 channels (95700) $5,380.80 $5,664 25.7×
EEG extended monitoring 61-119 minutes (95813) $4,566.65 $4,807 21.8×
Eeg Sleep Only (95822) $4,333.90 $4,562 20.7×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $5,380.80 $5,664 25.7×
EEG w/o vid 2-12hr cont mntr (95707) $5,380.80 $5,664 25.7×
EEG w/o vid ea 12-26hr intmt (95709) $10,321.75 $10,865 28.5×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $10,321.75 $10,865 28.5×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $5,380.80 $5,664 25.7×
EEG wo vid ea 12-26hr unmntr (95708) $10,321.75 $10,865 28.5×
EKG signal averaged (93278) $247.95 $261 4.3×
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) $161.50 $170 1.2×
Electrocardiogram Tracing (93005) $118.75 $125 2.1×
Electrocochleography (92584) $94.05 $99 0.8×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
likely a partial charge, not the full procedure
$1,129.55 $1,189 0.1×
Emergency Dept Visit Level 2 (99282) $367.65 $387 2.5×
Emergency Dept Visit Level 3 (99283) $704.90 $742 2.7×
Emergency Dept Visit Level 4 (99284) $1,102 $1,160 2.7×
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) $4,895.35 $5,153 0.6×
Er level 1 (99281) $262.20 $276 3.2×
Er level v (99285) $2,003.55 $2,109 3.5×
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–$397.10 $124–$418 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) $581.40 $612 5.2×
Evaluate Swallowing Function (92610) $536.75 $565 6.3×
Evaluation of speech fluency (92521) $699.20 $736 5.2×
Exercise test for bronchospasm (94617) $811.30 $854 6.3×
Exhaled Air Analysis O2 (94680) $229.90 $242 1.8×
External ECG rec>48hr<7d recording (93242) $199.50 $210 5.5×
External ECG rec>48hr<7d scanning alys w/report (93243) $404.70 $426 3.1×
External ECG rec>7d<15d recording (93246) $199.50 $210 5.5×
External ECG rec>7d<15d scanning alys w/report (93247) $404.70 $426 3.1×
External Ecg Scanning Analysis Report (93226) $534.85 $563 9.3×
Extracranial Bilat Study (93880) $2,090.95 $2,201 9.0×
Extracranial Uni/Ltd Study (93882) $1,452.55 $1,529 14.3×
F-up/limited tthrc echo congenital car anomaly (93304) $1,685.30 $1,774 3.2×
Flexible endoscopic eval swallow c/v rec (92612) $126.35 $133 0.6×
Fluorescein angiography (92235) $201.40 $212 1.0×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $441.75 $465 2.1×
Full Field Electroretinography W/I&R (92273) $315.40 $332 1.5×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,794.55 $1,889 2.2×
Fundus photography (92250) $177.65 $187 1.4×
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) $1,931.35 $2,033 2.3×
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) $792.30 $834 6.1×
Holter monitor recording (93225) $562.40 $592 4.4×
Icd Device Interrogate (93289) $257.45 $271 7.1×
Icd device progr eval dual (93283) $340.10 $358 9.4×
Icd Device Progr Eval Mult (93284) $374.30 $394 10.3×
Icm Device Eval (93290) $126.35 $133 3.5×
Ilr Device Eval Progr (93285) $223.25 $235 6.2×
Ilr Device Interrogate (93291) $190.95 $201 6.8×
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) $40.85 $43 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) $185.25 $195 0.5×
Insert/Place Heart Catheter (93503) $4,901.05 $5,159 3.2×
Intracranial Complete Study (93886) $346.75 $365 1.5×
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) $138.70 $146 2.4×
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) $114 $120 0.9×
Lung Function Test (Mbc/Mvv) (94200) $250.80 $264 4.4×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines
$271.60–$1,964.60 $285.90–$2,068 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) $399.95 $421 1.1×
Motility study esophagus (91010) $633.65 $667 1.7×
Motion Fluoroscopy/Swallow (92611) $545.30 $574 6.0×
Multifocal Electroretinography W/I&R (92274) $190 $200 1.5×
Multiple Family Group Psychotherapy (90849) $42.75 $45 0.2×
Multiple Sleep Latency Test (95805) $3,387.70 $3,566 4.1×
Muscle Test 2 Limbs (95861) $1,889.55 $1,989 14.6×
Muscle Test Hemidiaphragm (95866) $874 $920 7.0×
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) $779.95 $821 6.0×
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
$270.75–$272.65 $285–$287 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) $541.50 $570 2.6×
Nerve Conduction Studies 11-12 Studies (95912) $1,308.15 $1,377 3.6×
Nerve conduction studies 13 or more studies (95913) $2,521.30 $2,654 7.0×
Nerve Conduction Studies 3-4 Studies (95908) $893 $940 4.3×
Nerve conduction studies 5-6 studies (95909) $1,068.75 $1,125 5.1×
Nerve conduction studies 7-8 studies (95910) $1,093.45 $1,151 3.0×
Nerve Conduction Studies 9-10 Studies (95911) $1,290.10 $1,358 3.6×
Neurobehavioral Status Exam (96116) $135.85 $143 0.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $612.75 $645 4.9×
Neuromuscular Reeducation (97112) $105.45 $111 3.2×
Nitric oxide expired gas determination (95012) $116.85 $123 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) $556.70 $586 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) $542.45 $571 6.4×
Oral Speech Device Eval (92597) $454.10 $478 6.4×
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) $71.25 $75 5.1×
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
$259.35–$344.85 $273–$363 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $127.30 $134 1.0×
Oxygen Uptake Rest Indirect (94690) $596.60 $628 10.4×
Patch/Application Test Specify Number Tests (95044) $34.20 $36 0.0×
Pdt dstr prmlg les phys/qhp (96573) $246.05 $259 1.3×
Pdt dstr prmlg les skn illum/activj per day (96567) $747.65 $787 3.8×
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) $243.20 $256 4.2×
Phlebotomy therapeutic (99195) $485.45 $511 3.8×
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) $350.55 $369 6.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $236.55 $249 4.1×
Physical Performance Test (97750) $102.60 $108 3.0×
Plethysmography (94726) $523.45 $551 1.4×
Pm device eval in person (93288) $209.95 $221 5.8×
Pm device progr eval dual (93280) $274.55 $289 7.6×
Pm device progr eval multi (93281) $322.05 $339 8.9×
Pm Device Progr Eval Sngl (93279) $241.30 $254 6.7×
Pm/Icd Remote Tech Serv (93296) $344.85 $363 9.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,837.40 $5,092 5.8×
Polysom <6 yrs 4/> paramtrs (95782) $9,462.95 $9,961 11.3×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $8,635.50 $9,090 10.4×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $5,001.75 $5,265 6.0×
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) $287.85 $303 7.9×
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) $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) $78.85 $83 3.6×
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) $384.75 $405 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) $448.40 $472 3.5×
Pure Tone Audiometry Air (92552) $182.40 $192 1.4×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $1,260.65 $1,327 3.9×
Refill/Maint Portable Pump (96521) $768.55 $809 3.7×
Rem interrog icpms <30 d phys/qhp (93297) $439.85 $463 12.1×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $945.25 $995 26.1×
Remote 30 Day Ecg Rev/Report (93270) $128.25 $135 3.5×
Remote 30 Day Ecg Tech Supp (93229) $10,168.80 $10,704 28.1×
Respiratory flow volume loop (94375) $313.50 $330 1.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $132.05 $139 2.3×
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) $794.20 $836 6.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $331.55 $349 6.9×
Select picture audiometry (92583) $306.85 $323 5.4×
Self Care Mngment Training (97535) $109.25 $115 3.4×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $85.50 $90 1.5×
Sensory Integration Ea 15 Min (97533) $144.40 $152 2.4×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $1,490.55 $1,569 7.1×
Short-latency somatosens ep std upr limbs (95925) $2,041.55 $2,149 9.7×
Sinusoidal Vertical Axis Rotational Testing (92546) $514.90 $542 4.1×
Sleep study attended (95807) $3,836.10 $4,038 10.6×
Sleep study unattended (95806) $983.25 $1,035 4.7×
Slp caregiver training 1st 30 min (97550) $189.05 $199 3.6×
Slp Stdy Unatnd W/Anal (95801) $379.05 $399 6.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $1,157.10 $1,218 5.5×
Somatosensory Testing (95938) $3,851.30 $4,054 4.6×
Speech Audiometry Complete (92556) $217.55 $229 3.8×
Speech audiometry threshold (92555) $136.80 $144 2.4×
Speech sound lang comprehen (92523) $1,218.85 $1,283 5.4×
Spin/Brain Pump Refil & Main (95991) $420.85 $443 1.4×
Spirometry (94010) $357.20 $376 1.7×
Spontaneous Nystagmus Test (92541) $17.10 $18 0.1×
Ssep lower limbs (95926) $1,804.05 $1,899 8.6×
Standardized Cognitive Performance Testing (96125) $819.85 $863 8.0×
Stenger Test Speech (92577) $96.90 $102 0.3×
Stenger Test, Pure Tone (92565) $93.10 $98 1.6×
Stress Tte Only (93350) $3,431.40 $3,612 6.5×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $400.90 $422 1.9×
Surfactant Admin Thru Tube (94610) $131.10 $138 0.6×
Temp transcutaneous pacing (92953) $700.15 $737 1.1×
Testing Autonomic Nervous System Function (95923) $1,529.50 $1,610 11.8×
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) $694.45 $731 6.8×
Ther/Proph/Diag Inj Sc/Im (96372) $153.90 $162 2.2×
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) $883.50 $930 2.4×
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) $175.75 $185 4.8×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $2,051.05 $2,159 20.2×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $603.25 $635 4.8×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $681.15 $717 5.3×
Tte w/doppler, complete (93306) $2,336.05 $2,459 4.4×
Tte W/O Doppler Complete (93307) $1,209.35 $1,273 5.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $285 $300 3.7×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $128.25 $135 5.3×
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
$74.10–$291.65 $78–$307 varies
Unlisted ophthalmological service/procedure (92499) $57.85 $60.90 2.1×
Unlisted otorhinolaryngological service (92700)
range across 3 matching MRF lines
$14.41–$376.96 $15.17–$396.80 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 4 matching MRF lines
$144.88–$1,007 $152.50–$1,060 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,529.50 $1,610 7.3×
Vasopneumatic device (97016) $59.85 $63 5.0×
Veeg 2-12 Hr Cont Mntr (95713) $10,321.75 $10,865 28.5×
Veeg 2-12 hr intmt mntr (95712) $5,380.80 $5,664 14.8×
Veeg 2-12 hr unmonitored (95711) $5,380.80 $5,664 25.7×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $10,321.75 $10,865 28.5×
Veeg Ea 12-26 Hr Unmntr (95714) $10,321.75 $10,865 28.5×
Veeg ea 12-26hr cont mntr (95716) $19,319.20 $20,336 23.2×
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) $1,696.70 $1,786 8.1×
Visual Field Exam Extended (92083) $117.80 $124 0.9×
Visual field xm uni/bi w/interp intermed exam (92082) $84.55 $89 1.5×
Visual field xm uni/bi w/interpretj limited exam (92081) $56.05 $59 1.0×
Visual reinforcement audiometry (vra) (92579) $55.10 $58 0.3×
Vital capacity, total (94150) $124.45 $131 1.0×
Wada Activation Test Hemispheric Function W/Eeg (95958) $500.65 $527 0.6×
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) $607.05 $639 10.6×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $56.05 $59 1.5×

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.