Visits & medical services prices at Marshfield Medical Center - Neillsville

Neillsville, 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) $1,130.50 $1,190 19.7×
Actinotherapy Ultraviolet Light (96900) $104.50 $110 2.9×
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) $361.95 $381 1.7×
Airway resistance by oscillometry (94728) $314.45 $331 2.5×
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) $348.65 $367 2.7×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $60.80 $64 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) $303.05 $319 1.0×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $226.10 $238 1.2×
Ans parasymp & symp w/tilt (95924) $674.50 $710 3.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $171.95 $181 12.0×
Application Modality 1/> Areas Infrared (97026) $21.85 $23 3.3×
Application on-body injector (96377) $157.70 $166 3.5×
Assessment of aphasia per hr (96105)
range across 2 matching MRF lines
$166.25–$177.65 $175–$187 varies
Assessment of tinnitus (92625) $92.15 $97 0.7×
Audiometry Air & Bone (92553) $190.95 $201 1.5×
Basic vestibular evaluation (92540) $315.40 $332 1.5×
Behavral qualit analys voice (92524) $539.60 $568 4.9×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $254.60 $268 3.1×
Biofeedback training any modality (90901) $250.80 $264 6.1×
Breath hydrogen/methane test (91065) $345.80 $364 1.6×
Brief Emotional/Behav Assmt (96127) $29.45 $31 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $569.05 $599 1.6×
C motor evoked uppr limbs (95928) $1,655.85 $1,743 2.0×
C motor evoked upr&lwr limbs (95939) $4,395.65 $4,627 5.3×
Caloric vestibular test w/rec bi monothermal (92538) $26.60 $28 0.1×
Caloric Vstblr Test W/Rec (92537) $48.45 $51 0.4×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$143.45–$182.40 $151–$192 varies
Car seat/bed test 60 min (94780)
range across 2 matching MRF lines
$67.45–$193.80 $71–$204 varies
Cardiac Stress Tst,Tracing Only (93017) $461.70 $486 2.2×
Cardiopulmonary exercise testing (94621) $1,072.55 $1,129 3.0×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$561.45–$2,247.70 $591–$2,366 varies
Cardioversion (92960)
range across 2 matching MRF lines
$368.60–$1,419.30 $388–$1,494 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $90.25 $95 3.5×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $10,317 $10,860 3.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,821.70 $9,286 2.8×
Cbt 1st hour (94644) $463.60 $488 3.6×
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) $1,181.80 $1,244 3.7×
Chemo Anti-Neopl Sq/Im (96401) $442.70 $466 6.3×
Chemo Hormon Antineopl Sq/Im (96402) $192.85 $203 2.8×
Chemo Ia Push (96420) $625.10 $658 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) $169.10 $178 2.4×
Chemo IV push addl drug (96411) $368.60 $388 5.3×
Chemother Prolong Infuse W/Pump (96416) $833.15 $877 2.6×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $1,006.05 $1,059 3.1×
Chemotherapy Into Cns (96450)
range across 2 matching MRF lines
$238.45–$624.15 $251–$657 varies
Chemotherapy Intracavitary (96440) $2,835.75 $2,985 8.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $371.45 $391 5.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $801.80 $844 2.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $657.40 $692 2.0×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $158.65 $167 0.5×
Chest Wall Manipulation (94668) $125.40 $132 1.0×
Cmptr ophth dx img ant segmt (92132) $41.80 $44 0.7×
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
$109.25–$113.05 $115–$119 varies
Comprehensive Hearing Test (92557) $49.40 $52 0.4×
Computerized Ophthalmic Imaging Optic Nerve (92133) $42.75 $45 0.7×
Computerized Ophthalmic Imaging Retina (92134) $42.75 $45 0.7×
Conditioning Play Audiometry (92582) $346.75 $365 2.8×
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) $353.40 $372 2.8×
Cornea hysteresis determin impulse stimj uni/bi (92145) $27.55 $29 0.5×
Corneal Topography (92025) $44.65 $47 0.8×
Coronary Artery Angio S&I (93454) $7,395.75 $7,785 2.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $624.15 $657 2.9×
Cpt initial (94667) $269.80 $284 2.1×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $64.79 $68.20 0.3×
Critical care first hour (99291) $2,588.75 $2,725 3.2×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,666.30 $1,754 4.6×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$61.75–$223.25 $65–$235 varies
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) $317.30 $334 1.6×
Dialysis One Evaluation (90945) $476.90 $502 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) $1,131.45 $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) $1,199.85 $1,263 5.2×
Dup-scan xtr veins unilateral/limited study (93971) $915.80 $964 9.0×
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) $1,194.15 $1,257 11.8×
Duplex Scan Hemodialysis Access (93990) $981.35 $1,033 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) $2,008.30 $2,114 21.7×
Echo Congenital Complete (93303) $2,375 $2,500 4.5×
Echo Heart Xthoracic,Limited (93308)
range across 5 matching MRF lines
$1,341.40–$1,403.15 $1,412–$1,477 varies
Echo r-t 2d w/probe placement only (93313) $476.90 $502 0.9×
Echo transesophag congen probe plcmt only (93316) $536.75 $565 1.0×
Echo transesophag montr cardiac pump functj (93318) $4,198.05 $4,419 7.9×
Echo transesophageal (93312) $2,510.85 $2,643 4.7×
Echo Transesophageal - Congenital Tee Complete (93315) $3,974.80 $4,184 7.5×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,517.50 $2,650 4.7×
Eeg 41-60 Minutes (95812) $3,336.40 $3,512 15.9×
EEG awake and asleep (95819) $4,104 $4,320 19.6×
EEG awake drowsy (95816) $3,508.35 $3,693 16.7×
EEG cerebral death evaluation (95824) $326.80 $344 0.9×
EEG cont rec w/video by tech min 8 channels (95700) $4,484 $4,720 21.4×
EEG extended monitoring 61-119 minutes (95813) $3,805.70 $4,006 18.1×
Eeg Sleep Only (95822) $3,611.90 $3,802 17.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $4,484 $4,720 21.4×
EEG w/o vid 2-12hr cont mntr (95707) $4,484 $4,720 21.4×
EEG w/o vid ea 12-26hr intmt (95709) $8,601.30 $9,054 23.7×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $8,601.30 $9,054 23.7×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $4,484 $4,720 21.4×
EEG wo vid ea 12-26hr unmntr (95708) $8,601.30 $9,054 23.7×
EKG signal averaged (93278) $206.15 $217 3.6×
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) $196.65 $207 13.4×
Electro-Oculography (92270) $154.85 $163 1.2×
Electrocardiogram Tracing (93005) $283.10 $298 4.9×
Electrocochleography (92584) $94.05 $99 0.8×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
likely a partial charge, not the full procedure
$941.45 $991 0.1×
Emergency Dept Visit Level 2 (99282) $428.45 $451 2.9×
Emergency Dept Visit Level 3 (99283) $809.40 $852 3.1×
Emergency Dept Visit Level 4 (99284) $1,099.15 $1,157 2.7×
Emg 3 Extremities (95863) $2,470 $2,600 19.8×
Emg 4 Extremities (95864) $2,779.70 $2,926 22.2×
Endomyocardial Biopsy (93505) $6,125.60 $6,448 2.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $4,079.30 $4,294 0.5×
Er level 1 (99281) $259.35 $273 3.2×
Er level v (99285) $1,887.65 $1,987 3.3×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $2,017.80 $2,124 5.6×
Eval aud funcj cand/po surg implt dev 1st hr (92626)
range across 2 matching MRF lines
$117.80–$380 $124–$400 varies
Evaluate pt use of inhaler (94664)
range across 4 matching MRF lines
$196.84–$213.75 $207.20–$225 varies
Evaluate Speech Production (92522) $556.70 $586 5.0×
Evaluate Swallowing Function (92610) $513.95 $541 6.1×
Evaluation of speech fluency (92521) $668.80 $704 5.0×
Exercise test for bronchospasm (94617) $713.45 $751 5.5×
Exhaled Air Analysis O2 (94680) $201.40 $212 1.6×
External ECG rec>48hr<7d recording (93242) $166.25 $175 4.6×
External ECG rec>48hr<7d scanning alys w/report (93243) $337.25 $355 2.6×
External ECG rec>7d<15d recording (93246) $166.25 $175 4.6×
External ECG rec>7d<15d scanning alys w/report (93247) $337.25 $355 2.6×
External Ecg Scanning Analysis Report (93226) $445.55 $469 7.8×
Extracranial Bilat Study (93880) $2,042.50 $2,150 8.8×
Extracranial Uni/Ltd Study (93882) $1,391.75 $1,465 13.7×
F-up/limited tthrc echo congenital car anomaly (93304) $1,614.05 $1,699 3.0×
Flexible endoscopic eval swallow c/v rec (92612) $120.65 $127 0.6×
Fluorescein angiography (92235) $192.85 $203 0.9×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $441.75 $465 2.1×
Full Field Electroretinography W/I&R (92273) $301.15 $317 1.4×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,719.50 $1,810 2.1×
Fundus photography (92250) $170.05 $179 1.3×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $2,033 $2,140 5.6×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $564.30 $594 2.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,478.55 $2,609 3.0×
Gi tract capsule endoscopy (91110) $3,382.95 $3,561 3.8×
Gi wireless capsule measure (91112) $4,766.15 $5,017 5.4×
Gonioscopy (92020) $20.90 $22 0.2×
Group Therapeutic Procedures (97150) $65.55 $69 3.6×
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) $696.35 $733 5.4×
Holter monitor recording (93225) $665 $700 5.1×
Icd Device Interrogate (93289) $226.10 $238 6.2×
Icd device progr eval dual (93283) $283.10 $298 7.8×
Icd Device Progr Eval Mult (93284) $311.60 $328 8.6×
Icm Device Eval (93290) $111.15 $117 3.1×
Ilr Device Eval Progr (93285) $185.25 $195 5.1×
Ilr Device Interrogate (93291) $167.20 $176 6.0×
Im Adm Intransl/Oral 1 Vaccine (90473) $50.35 $53 0.7×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $35.15 $37 1.0×
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) $162.45 $171 0.4×
Insert/Place Heart Catheter (93503) $5,159.45 $5,431 3.4×
Intracranial Complete Study (93886) $331.55 $349 1.4×
Intracutaneous tests w/allergenic extracts (95024) $10.45 $11 0.2×
Iontophoresis 15 min (97033) $209.95 $221 11.0×
Irrig Drug Delivery Device (96523) $133.95 $141 2.3×
Ischemic limb exercise test (95875) $751.45 $791 6.0×
IV infusion hydration each additional hour (96361) $156.75 $165 3.4×
IV infusion hydration initial 31 min-1 hour (96360) $446.50 $470 2.2×
IV infusion ther proph addl sequential to 1 hr (96367) $247 $260 3.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $156.75 $165 3.4×
IV push initial (96374) $251.75 $265 1.2×
L Hrt Art/Grft Angio (93459) $9,708.05 $10,219 3.1×
Liver Elastography W/O Imag W/I&R (91200) $108.30 $114 0.9×
Lung Function Test (Mbc/Mvv) (94200) $220.40 $232 3.8×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines
$271.60–$1,727.10 $285.90–$1,818 varies
Mechanical chest wall oscillation per session (94669) $372.40 $392 1.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $24.04 $25.30 0.8×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $35.15 $37 2.1×
Methacholine challenge (94070) $351.50 $370 1.0×
Motility study esophagus (91010) $556.70 $586 1.5×
Motion Fluoroscopy/Swallow (92611) $522.50 $550 5.7×
Multifocal Electroretinography W/I&R (92274) $181.45 $191 1.5×
Multiple Family Group Psychotherapy (90849) $42.75 $45 0.2×
Multiple Sleep Latency Test (95805) $4,235.10 $4,458 5.1×
Muscle Test 2 Limbs (95861) $1,989.30 $2,094 15.4×
Muscle Test Hemidiaphragm (95866) $768.55 $809 6.1×
Muscle Test Nonparaspinal (95870) $836.95 $881 6.5×
Muscle Test One Limb (95860) $1,416.45 $1,491 11.0×
Nasopharyngoscopy (92511) $146.30 $154 0.8×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $1,538.05 $1,619 7.3×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $1,093.45 $1,151 5.2×
Needle electromyography larynx (95865) $685.90 $722 5.3×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $836.95 $881 4.0×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $2,286.65 $2,407 10.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$271.70–$446.50 $286–$470 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$272.65–$446.50 $287–$470 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$34.20–$413.25 $36–$435 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$39.90–$270.75 $42–$285 varies
Nerve Conduction Studies 1-2 Studies (95907) $475.95 $501 2.3×
Nerve Conduction Studies 11-12 Studies (95912) $1,149.50 $1,210 3.2×
Nerve conduction studies 13 or more studies (95913) $2,216.35 $2,333 6.1×
Nerve Conduction Studies 3-4 Studies (95908) $784.70 $826 3.7×
Nerve conduction studies 5-6 studies (95909) $939.55 $989 4.5×
Nerve conduction studies 7-8 studies (95910) $961.40 $1,012 2.7×
Nerve Conduction Studies 9-10 Studies (95911) $1,134.30 $1,194 3.1×
Neurobehavioral Status Exam (96116) $135.85 $143 0.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $538.65 $567 4.3×
Neuromuscular Reeducation (97112) $169.10 $178 5.2×
Nitric oxide expired gas determination (95012) $101.65 $107 2.8×
Nrpsyc tst eval phys/qhp 1st (96132) $172.90 $182 0.5×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $489.25 $515 1.3×
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) $11.40 $12 0.1×
Oral Function Therapy (92526) $519.65 $547 6.2×
Oral Speech Device Eval (92597) $435.10 $458 6.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $179.55 $189 3.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $144.40 $152 3.1×
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) $65.55 $69 4.7×
Ot eval high complexity (97167) $490.20 $516 4.9×
Ot Eval Low Complex (97165) $307.80 $324 3.1×
Ot Eval Moderate Complexity (97166) $419.90 $442 4.2×
Ot manual therapy 15 min (97140) $208.05 $219 7.5×
Ot paraffin bath (97018) $39.90 $42 6.6×
Ot Prosthetic Training, Each 15 Min (97761) $123.50 $130 3.1×
Ot Re-Eval Est Plan Care (97168) $219.45 $231 3.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$329.65–$427.50 $347–$450 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $121.60 $128 1.0×
Oxygen Uptake Rest Indirect (94690) $524.40 $552 9.2×
Patch/Application Test Specify Number Tests (95044) $29.45 $31 0.0×
Pdt dstr prmlg les phys/qhp (96573) $246.05 $259 1.3×
Pdt dstr prmlg les skn illum/activj per day (96567) $798 $840 4.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $193.80 $204 0.9×
Percutaneous tests w/allergenic extracts (95004) $8.55 $9 0.0×
Peripheral arterial disease rehab per session (93668) $232.75 $245 4.1×
Phlebotomy therapeutic (99195) $245.10 $258 1.9×
Photochemotx Psoralens&Ultraviolet Puva (96912) $468.35 $493 8.2×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $365.75 $385 6.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $307.80 $324 5.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $207.10 $218 3.6×
Physical Performance Test (97750) $123.50 $130 3.7×
Plethysmography (94726) $400.90 $422 1.1×
Pm device eval in person (93288) $184.30 $194 5.1×
Pm device progr eval dual (93280) $228 $240 6.3×
Pm device progr eval multi (93281) $545.30 $574 15.0×
Pm Device Progr Eval Sngl (93279) $200.45 $211 5.5×
Pm/Icd Remote Tech Serv (93296) $303.05 $319 8.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $6,047.70 $6,366 7.3×
Polysom <6 yrs 4/> paramtrs (95782) $11,828.45 $12,451 14.2×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $10,793.90 $11,362 12.9×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $6,251.95 $6,581 7.5×
Positional nystagmus test (92542) $12.35 $13 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) $255.55 $269 7.0×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $239.40 $252 6.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $53.20 $56 1.2×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $62.70 $66 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) $435.10 $458 4.4×
Pt Eval Mod Complex (97162) $344.85 $363 3.5×
Pt gait training 15 min (97116) $171 $180 5.9×
Pt group caregiver training (97552) $75.05 $79 3.4×
Pt mechanical traction (97012) $154.85 $163 10.8×
Pt Re-Eval Est Plan Care (97164) $198.55 $209 2.9×
Pt ultraviolet (97028) $27.55 $29 3.3×
Pulm function test by gas (94727) $338.20 $356 1.6×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$42.75–$2,897.50 $45–$3,050 varies
Pulmonary Stress Testing (94618) $314.45 $331 2.4×
Pure Tone Audiometry Air (92552) $159.60 $168 1.2×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $1,207.45 $1,271 3.8×
Refill/Maint Portable Pump (96521) $820.80 $864 4.0×
Rem interrog icpms <30 d phys/qhp (93297) $386.65 $407 10.7×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $831.25 $875 22.9×
Remote 30 Day Ecg Rev/Report (93270) $106.40 $112 2.9×
Remote 30 Day Ecg Tech Supp (93229) $8,474 $8,920 23.4×
Respiratory flow volume loop (94375) $275.50 $290 1.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $110.20 $116 1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$37.05–$136.80 $39–$144 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $760.95 $801 6.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $317.30 $334 6.6×
Select picture audiometry (92583) $268.85 $283 4.7×
Self Care Mngment Training (97535) $219.45 $231 6.8×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $81.70 $86 1.4×
Sensory Integration Ea 15 Min (97533) $173.85 $183 2.9×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $1,310.05 $1,379 6.2×
Short-latency somatosens ep std upr limbs (95925) $1,794.55 $1,889 8.6×
Sinusoidal Vertical Axis Rotational Testing (92546) $452.20 $476 3.6×
Sleep study attended (95807) $4,795.60 $5,048 13.2×
Sleep study unattended (95806) $1,229.30 $1,294 5.9×
Slp caregiver training 1st 30 min (97550) $180.50 $190 3.4×
Slp Stdy Unatnd W/Anal (95801) $473.86 $498.80 8.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $1,445.90 $1,522 6.9×
Somatosensory Testing (95938) $3,385.80 $3,564 4.1×
Speech Audiometry Complete (92556) $190.95 $201 3.3×
Speech audiometry threshold (92555) $119.70 $126 2.1×
Speech sound lang comprehen (92523) $1,167.55 $1,229 5.2×
Spin/Brain Pump Refil & Main (95991) $420.85 $443 1.4×
Spirometry (94010) $401.85 $423 1.9×
Spontaneous Nystagmus Test (92541) $15.20 $16 0.1×
Ssep lower limbs (95926) $1,585.55 $1,669 7.6×
Standardized Cognitive Performance Testing (96125) $784.70 $826 7.6×
Stenger Test Speech (92577) $84.55 $89 0.2×
Stenger Test, Pure Tone (92565) $81.70 $86 1.4×
Stress Tte Only (93350) $3,287.95 $3,461 6.2×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $400.90 $422 1.9×
Surfactant Admin Thru Tube (94610) $125.40 $132 0.6×
Temp transcutaneous pacing (92953) $737.20 $776 1.1×
Testing Autonomic Nervous System Function (95923) $1,344.25 $1,415 10.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $89.30 $94 4.0×
Ther Ivntj Ea Addl 15 Min (97130) $85.50 $90 4.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $160.55 $169 4.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $97.85 $103 3.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $665 $700 6.5×
Ther/Proph/Diag Inj Sc/Im (96372) $109.25 $115 1.6×
Ther/Proph/Diag Iv Inf Init (96365) $467.40 $492 2.3×
Therapeutic Activities (97530) $194.75 $205 5.6×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $846.45 $891 2.3×
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) $153.90 $162 4.2×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $1,964.60 $2,068 19.3×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $530.10 $558 4.2×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $598.50 $630 4.6×
Tte w/doppler, complete (93306) $2,238.20 $2,356 4.2×
Tte W/O Doppler Complete (93307) $1,159 $1,220 5.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $272.65 $287 3.6×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $122.55 $129 5.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $170.05 $179 3.7×
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
$64.60–$291.65 $68–$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–$885.40 $152.50–$932 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,344.25 $1,415 6.4×
Vasopneumatic device (97016) $71.25 $75 5.9×
Veeg 2-12 Hr Cont Mntr (95713) $8,601.30 $9,054 23.7×
Veeg 2-12 hr intmt mntr (95712) $4,484 $4,720 12.4×
Veeg 2-12 hr unmonitored (95711) $4,484 $4,720 21.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $8,601.30 $9,054 23.7×
Veeg Ea 12-26 Hr Unmntr (95714) $8,601.30 $9,054 23.7×
Veeg ea 12-26hr cont mntr (95716) $16,099.65 $16,947 19.3×
Vent Mgmt Inpat Init Day (94002) $1,183.70 $1,246 2.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $883.50 $930 1.5×
Visual Evoked Potential Test (95930) $1,491.50 $1,570 7.1×
Visual Field Exam Extended (92083) $112.10 $118 0.9×
Visual field xm uni/bi w/interp intermed exam (92082) $80.75 $85 1.4×
Visual field xm uni/bi w/interpretj limited exam (92081) $53.20 $56 0.9×
Visual reinforcement audiometry (vra) (92579) $55.10 $58 0.3×
Vital capacity, total (94150) $108.30 $114 0.9×
Wada Activation Test Hemispheric Function W/Eeg (95958) $417.05 $439 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $115.90 $122 3.7×
Whirlpool Therapy (97022) $190 $200 12.1×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $533.90 $562 9.3×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $53.20 $56 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.