Visits & medical services prices at Marshfield Medical Center

Marshfield, 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) $1,356.60 $1,428 23.7×
Actinotherapy Ultraviolet Light (96900) $127.30 $134 3.5×
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) $91.20 $96 2.3×
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) $119.70 $126 0.6×
Airway resistance by oscillometry (94728) $379.05 $399 3.0×
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) $419.90 $442 3.2×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $73.15 $77 0.6×
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) $304 $320 1.0×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $226.10 $238 1.2×
Ans parasymp & symp w/tilt (95924) $809.40 $852 3.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $105.45 $111 7.3×
Application Modality 1/> Areas Infrared (97026) $20.52 $21.60 3.1×
Application on-body injector (96377) $132.05 $139 2.9×
Assessment of aphasia per hr (96105)
range across 2 matching MRF lines
$137.75–$177.65 $145–$187 varies
Assessment of tinnitus (92625) $92.15 $97 0.7×
Audiometry Air & Bone (92553) $229.90 $242 1.8×
Basic vestibular evaluation (92540) $379.05 $399 1.8×
Behavral qualit analys voice (92524) $564.30 $594 5.2×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $210.90 $222 2.6×
Biofeedback training any modality (90901) $264.10 $278 6.4×
Breath hydrogen/methane test (91065) $416.10 $438 2.0×
Brief Emotional/Behav Assmt (96127) $36.10 $38 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $653.60 $688 1.8×
C motor evoked uppr limbs (95928) $1,987.40 $2,092 2.4×
C motor evoked upr&lwr limbs (95939) $181.45 $191 0.2×
Caloric vestibular test w/rec bi monothermal (92538) $22.80 $24 0.1×
Caloric Vstblr Test W/Rec (92537) $40.85 $43 0.3×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$143.45–$478.80 $151–$504 varies
Car seat/bed test 60 min (94780)
range across 2 matching MRF lines
$58.90–$193.80 $62–$204 varies
Cardiac Stress Tst,Tracing Only (93017) $539.60 $568 2.6×
Cardiopulmonary exercise testing (94621) $1,287.25 $1,355 3.6×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$561.45–$565.25 $591–$595 varies
Cardioversion (92960)
range across 2 matching MRF lines
$368.60–$1,427.85 $388–$1,503 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $78.85 $83 3.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $12,380.40 $13,032 3.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $10,586.80 $11,144 3.4×
Cbt 1st hour (94644) $65.55 $69 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) $1,234.05 $1,299 3.8×
Chemo Anti-Neopl Sq/Im (96401) $462.65 $487 6.6×
Chemo Hormon Antineopl Sq/Im (96402) $202.35 $213 2.9×
Chemo Ia Push (96420) $653.60 $688 2.0×
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) $177.65 $187 2.5×
Chemo IV push addl drug (96411) $388.55 $409 5.6×
Chemother Prolong Infuse W/Pump (96416) $870.20 $916 2.7×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $1,050.70 $1,106 3.3×
Chemotherapy Into Cns (96450)
range across 2 matching MRF lines
$238.45–$652.65 $251–$687 varies
Chemotherapy Intracavitary (96440) $2,960.20 $3,116 9.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $388.55 $409 5.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $836.95 $881 2.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $388.55 $409 1.2×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $158.65 $167 0.5×
Chest Wall Manipulation (94668) $97.85 $103 0.8×
Cmptr ophth dx img ant segmt (92132) $50.35 $53 0.9×
Color/duplex Doppler, complete (93975) $358.15 $377 1.5×
Color/duplex Doppler, limited (93976) $1,409.80 $1,484 13.9×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines
$99.18–$123.50 $104.40–$130 varies
Comprehensive Hearing Test (92557) $49.40 $52 0.4×
Computerized Ophthalmic Imaging Optic Nerve (92133) $52.25 $55 0.9×
Computerized Ophthalmic Imaging Retina (92134) $52.25 $55 0.9×
Conditioning Play Audiometry (92582) $418 $440 3.3×
Cont gluc mntr physician/qhp provided equiptment (95250) $974.70 $1,026 7.5×
Cont Gluc Mntr Pt Prov Eqp (95249) $339.15 $357 5.9×
Continuous Pulse Ox (94762) $240.35 $253 1.9×
Cornea hysteresis determin impulse stimj uni/bi (92145) $33.25 $35 0.6×
Corneal Topography (92025) $45.60 $48 0.8×
Coronary Artery Angio S&I (93454) $8,874.90 $9,342 2.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$148.20–$586.15 $156–$617 varies
Cpt initial (94667) $183.35 $193 1.4×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $64.79 $68.20 0.3×
Critical care first hour (99291) $2,757.85 $2,903 3.4×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,999.75 $2,105 5.5×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$61.75–$155.80 $65–$164 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) $275.50 $290 1.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,316.70 $1,386 13.0×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $828.40 $872 8.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 3 matching MRF lines
$356.72–$1,381.30 $375.50–$1,454 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$144.88–$687.80 $152.50–$724 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,370.85 $1,443 5.9×
Dup-scan xtr veins unilateral/limited study (93971) $744.80 $784 7.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $3,122.65 $3,287 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) $434.15 $457 1.9×
Duplex up extrem art unilat/ltd (93931) $1,455.40 $1,532 14.3×
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) $1,508.60 $1,588 2.8×
Echo Heart Xthoracic,Limited (93308)
range across 5 matching MRF lines
$356.25–$1,403.15 $375–$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) $2,430.10 $2,558 4.6×
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)
range across 2 matching MRF lines
$327.75–$3,336.40 $345–$3,512 varies
EEG awake and asleep (95819) $1,536.15 $1,617 7.3×
EEG awake drowsy (95816) $1,499.10 $1,578 7.1×
EEG cerebral death evaluation (95824) $327.75 $345 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) $327.75 $345 1.6×
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) $207.10 $218 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) $128.25 $135 8.7×
Electro-Oculography (92270) $128.25 $135 1.0×
Electrocardiogram Tracing (93005) $171 $180 3.0×
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) $629.85 $663 4.2×
Emergency Dept Visit Level 3 (99283) $791.35 $833 3.0×
Emergency Dept Visit Level 4 (99284) $1,667.25 $1,755 4.1×
Emg 3 Extremities (95863) $1,541.85 $1,623 12.3×
Emg 4 Extremities (95864) $3,336.40 $3,512 26.7×
Endomyocardial Biopsy (93505) $7,351.10 $7,738 2.4×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $4,079.30 $4,294 0.5×
Er level 1 (99281) $475.95 $501 5.8×
Er level v (99285) $2,552.65 $2,687 4.4×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $2,421.55 $2,549 6.7×
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
$125.40–$196.84 $132–$207.20 varies
Evaluate Speech Production (92522) $355.30 $374 3.2×
Evaluate Swallowing Function (92610) $424.65 $447 5.0×
Evaluation of speech fluency (92521) $699.20 $736 5.2×
Exercise test for bronchospasm (94617) $856.90 $902 6.6×
Exhaled Air Analysis O2 (94680) $243.20 $256 1.9×
External ECG rec>48hr<7d recording (93242) $167.20 $176 4.6×
External ECG rec>48hr<7d scanning alys w/report (93243) $338.20 $356 2.6×
External ECG rec>7d<15d recording (93246) $167.20 $176 4.6×
External ECG rec>7d<15d scanning alys w/report (93247) $338.20 $356 2.6×
External Ecg Scanning Analysis Report (93226) $534.85 $563 9.3×
Extracranial Bilat Study (93880) $1,175.15 $1,237 5.1×
Extracranial Uni/Ltd Study (93882) $721.05 $759 7.1×
F-up/limited tthrc echo congenital car anomaly (93304) $1,050.70 $1,106 2.0×
Flexible endoscopic eval swallow c/v rec (92612) $127.30 $134 0.6×
Fluorescein angiography (92235) $159.60 $168 0.8×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $442.70 $466 2.1×
Full Field Electroretinography W/I&R (92273) $249.85 $263 1.2×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,794.55 $1,889 2.2×
Fundus photography (92250) $140.60 $148 1.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $2,439.60 $2,568 6.7×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $677.35 $713 3.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,439.60 $2,568 2.9×
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) $93.10 $98 5.2×
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) $836 $880 6.5×
Holter monitor recording (93225) $469.30 $494 3.6×
Icd Device Interrogate (93289) $272.65 $287 7.5×
Icd device progr eval dual (93283) $284.05 $299 7.8×
Icd Device Progr Eval Mult (93284) $312.55 $329 8.6×
Icm Device Eval (93290) $133.95 $141 3.7×
Ilr Device Eval Progr (93285) $186.20 $196 5.1×
Ilr Device Interrogate (93291) $201.40 $212 7.2×
Im Adm Intransl/Oral 1 Vaccine (90473) $42.75 $45 0.6×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $43.70 $46 1.2×
Immunization administration (90471)
range across 10 matching MRF lines
$19.79–$61.75 $20.83–$65 varies
Ingestion challenge test initial 120 minutes (95076) $159.60 $168 0.4×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $195.70 $206 0.5×
Insert/Place Heart Catheter (93503) $6,192.10 $6,518 4.0×
Intracranial Complete Study (93886) $347.70 $366 1.5×
Intracutaneous tests w/allergenic extracts (95024) $10.45 $11 0.2×
Iontophoresis 15 min (97033) $128.25 $135 6.7×
Irrig Drug Delivery Device (96523) $154.85 $163 2.7×
Ischemic limb exercise test (95875) $902.50 $950 7.2×
IV infusion hydration each additional hour (96361) $121.60 $128 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $704.90 $742 3.4×
IV infusion ther proph addl sequential to 1 hr (96367) $230.85 $243 3.3×
IV infusion therapy prophylaxis/dx ea hour (96366) $119.70 $126 2.6×
IV push initial (96374) $494.95 $521 2.4×
L Hrt Art/Grft Angio (93459) $11,649.85 $12,263 3.7×
Liver Elastography W/O Imag W/I&R (91200) $95 $100 0.8×
Lung Function Test (Mbc/Mvv) (94200) $265.05 $279 4.6×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines
$271.60–$2,072.90 $285.90–$2,182 varies
Mechanical chest wall oscillation per session (94669) $183.35 $193 0.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $24.04 $25.30 0.8×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $43.70 $46 2.6×
Methacholine challenge (94070) $422.75 $445 1.2×
Motility study esophagus (91010) $668.80 $704 1.8×
Motion Fluoroscopy/Swallow (92611) $356.25 $375 3.9×
Multifocal Electroretinography W/I&R (92274) $151.05 $159 1.2×
Multiple Family Group Psychotherapy (90849) $42.75 $45 0.2×
Multiple Sleep Latency Test (95805) $2,130.85 $2,243 2.6×
Muscle Test 2 Limbs (95861) $1,217.90 $1,282 9.4×
Muscle Test Hemidiaphragm (95866) $922.45 $971 7.4×
Muscle Test Nonparaspinal (95870) $1,005.10 $1,058 7.8×
Muscle Test One Limb (95860) $968.05 $1,019 7.5×
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) $1,312.90 $1,382 6.3×
Needle electromyography larynx (95865) $823.65 $867 6.4×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $1,005.10 $1,058 4.8×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $2,744.55 $2,889 13.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$170.05–$271.70 $179–$286 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$247.95–$272.65 $261–$287 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$34.20–$176.70 $36–$186 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$39.90–$234.65 $42–$247 varies
Nerve Conduction Studies 1-2 Studies (95907) $571.90 $602 2.7×
Nerve Conduction Studies 11-12 Studies (95912) $1,379.40 $1,452 3.8×
Nerve conduction studies 13 or more studies (95913) $1,496.25 $1,575 4.1×
Nerve Conduction Studies 3-4 Studies (95908) $710.60 $748 3.4×
Nerve conduction studies 5-6 studies (95909) $887.30 $934 4.2×
Nerve conduction studies 7-8 studies (95910) $1,154.25 $1,215 3.2×
Nerve Conduction Studies 9-10 Studies (95911) $1,361.35 $1,433 3.8×
Neurobehavioral Status Exam (96116) $135.85 $143 0.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $646.95 $681 5.2×
Neuromuscular Reeducation (97112) $142.50 $150 4.4×
Nitric oxide expired gas determination (95012) $123.50 $130 3.4×
Nrpsyc tst eval phys/qhp 1st (96132) $172.90 $182 0.5×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $587.10 $618 1.6×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $191.90 $202 1.5×
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) $15.20 $16 0.1×
Oral Function Therapy (92526) $100.70 $106 1.2×
Oral Speech Device Eval (92597) $209 $220 2.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $171.95 $181 3.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $195.70 $206 4.2×
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) $59.38 $62.50 4.2×
Ot eval high complexity (97167) $657.40 $692 6.5×
Ot Eval Low Complex (97165) $327.75 $345 3.3×
Ot Eval Moderate Complexity (97166) $332.50 $350 3.3×
Ot manual therapy 15 min (97140) $119.70 $126 4.3×
Ot paraffin bath (97018) $42.75 $45 7.1×
Ot Prosthetic Training, Each 15 Min (97761) $142.50 $150 3.5×
Ot Re-Eval Est Plan Care (97168) $191.90 $202 2.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$206.15–$273.60 $217–$288 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $101.65 $107 0.8×
Oxygen Uptake Rest Indirect (94690) $629.85 $663 11.0×
Patch/Application Test Specify Number Tests (95044) $36.10 $38 0.0×
Pdt dstr prmlg les phys/qhp (96573) $246.05 $259 1.3×
Pdt dstr prmlg les skn illum/activj per day (96567) $834.10 $878 4.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $304.95 $321 1.4×
Percutaneous tests w/allergenic extracts (95004) $8.55 $9 0.0×
Peripheral arterial disease rehab per session (93668) $192.85 $203 3.4×
Phlebotomy therapeutic (99195) $613.70 $646 4.7×
Photochemotx Psoralens&Ultraviolet Puva (96912) $563.35 $593 9.8×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $440.80 $464 7.7×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $370.50 $390 6.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $197.60 $208 3.4×
Physical Performance Test (97750) $130.15 $137 3.9×
Plethysmography (94726) $551.95 $581 1.5×
Pm device eval in person (93288) $221.35 $233 6.1×
Pm device progr eval dual (93280) $228.95 $241 6.3×
Pm device progr eval multi (93281) $268.85 $283 7.4×
Pm Device Progr Eval Sngl (93279) $201.40 $212 5.6×
Pm/Icd Remote Tech Serv (93296) $364.80 $384 10.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,845 $5,100 5.8×
Polysom <6 yrs 4/> paramtrs (95782) $14,194.90 $14,942 17.0×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $12,953.25 $13,635 15.5×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $7,503.10 $7,898 9.0×
Positional nystagmus test (92542) $16.15 $17 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) $307.80 $324 8.5×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $240.35 $253 6.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $44.65 $47 1.0×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $52.25 $55 1.1×
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) $503.50 $530 5.1×
Pt Eval Mod Complex (97162) $322.05 $339 3.3×
Pt gait training 15 min (97116) $105.45 $111 3.6×
Pt group caregiver training (97552) $65.74 $69.20 3.0×
Pt mechanical traction (97012) $129.20 $136 9.0×
Pt Re-Eval Est Plan Care (97164) $153.90 $162 2.3×
Pt ultraviolet (97028) $29.45 $31 3.5×
Pulm function test by gas (94727) $406.60 $428 1.9×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$42.75–$2,897.50 $45–$3,050 varies
Pulmonary Stress Testing (94618) $323.95 $341 2.5×
Pure Tone Audiometry Air (92552) $192.85 $203 1.5×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $1,050.70 $1,106 3.3×
Refill/Maint Portable Pump (96521) $857.85 $903 4.2×
Rem interrog icpms <30 d phys/qhp (93297) $367.65 $387 10.1×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $997.50 $1,050 27.5×
Remote 30 Day Ecg Rev/Report (93270) $107.35 $113 3.0×
Remote 30 Day Ecg Tech Supp (93229) $8,474 $8,920 23.4×
Respiratory flow volume loop (94375) $331.55 $349 1.6×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $111.15 $117 1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$37.05–$127.30 $39–$134 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $795.15 $837 6.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $331.55 $349 6.9×
Select picture audiometry (92583) $323.95 $341 5.7×
Self Care Mngment Training (97535) $173.85 $183 5.4×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $68.40 $72 1.2×
Sensory Integration Ea 15 Min (97533) $183.35 $193 3.0×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $1,572.25 $1,655 7.5×
Short-latency somatosens ep std upr limbs (95925) $672.60 $708 3.2×
Sinusoidal Vertical Axis Rotational Testing (92546) $543.40 $572 4.3×
Sleep study attended (95807) $5,755.10 $6,058 15.9×
Sleep study unattended (95806) $1,475.35 $1,553 7.0×
Slp caregiver training 1st 30 min (97550) $157.70 $166 3.0×
Slp Stdy Unatnd W/Anal (95801) $569.05 $599 9.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $1,735.65 $1,827 8.3×
Somatosensory Testing (95938) $672.60 $708 0.8×
Speech Audiometry Complete (92556) $229.90 $242 4.0×
Speech audiometry threshold (92555) $144.40 $152 2.5×
Speech sound lang comprehen (92523) $354.35 $373 1.6×
Spin/Brain Pump Refil & Main (95991) $420.85 $443 1.4×
Spirometry (94010) $377.15 $397 1.8×
Spontaneous Nystagmus Test (92541) $19 $20 0.1×
Ssep lower limbs (95926) $1,521.90 $1,602 7.3×
Standardized Cognitive Performance Testing (96125) $819.85 $863 8.0×
Stenger Test Speech (92577) $102.60 $108 0.3×
Stenger Test, Pure Tone (92565) $98.80 $104 1.7×
Stress Tte Only (93350) $3,431.40 $3,612 6.5×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $334.40 $352 1.6×
Surfactant Admin Thru Tube (94610) $104.50 $110 0.5×
Temp transcutaneous pacing (92953) $885.40 $932 1.4×
Testing Autonomic Nervous System Function (95923) $1,613.10 $1,698 12.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $95 $100 4.2×
Ther Ivntj Ea Addl 15 Min (97130) $90.25 $95 4.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $169.10 $178 4.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $104.50 $110 3.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $694.45 $731 6.8×
Ther/Proph/Diag Inj Sc/Im (96372) $232.75 $245 3.3×
Ther/Proph/Diag Iv Inf Init (96365) $722 $760 3.5×
Therapeutic Activities (97530) $162.45 $171 4.6×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $700.15 $737 1.9×
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) $185.25 $195 5.1×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $305.90 $322 3.0×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $636.50 $670 5.1×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $718.20 $756 5.6×
Tte w/doppler, complete (93306) $1,332.85 $1,403 2.5×
Tte W/O Doppler Complete (93307) $1,210.30 $1,274 5.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $137.75 $145 1.8×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $129.20 $136 5.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $494.95 $521 10.9×
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
$77.90–$291.65 $82–$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) $778.05 $819 3.7×
Vasopneumatic device (97016) $75.05 $79 6.2×
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) $966.15 $1,017 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $966.15 $1,017 1.6×
Visual Evoked Potential Test (95930) $1,789.80 $1,884 8.5×
Visual Field Exam Extended (92083) $94.05 $99 0.7×
Visual field xm uni/bi w/interp intermed exam (92082) $67.45 $71 1.2×
Visual field xm uni/bi w/interpretj limited exam (92081) $44.65 $47 0.8×
Visual reinforcement audiometry (vra) (92579) $55.10 $58 0.3×
Vital capacity, total (94150) $131.10 $138 1.0×
Wada Activation Test Hemispheric Function W/Eeg (95958) $418 $440 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $116.85 $123 3.8×
Whirlpool Therapy (97022) $153.90 $162 9.8×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $641.25 $675 11.2×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $44.65 $47 1.2×

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.