Visits & medical services prices at Dartmouth Hitchcock Medical Center

Lebanon, NH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $6,034.93 $19,722 0.7×
Admn Sarscov2 Vacc 1 Dose (90480) $84 $84 1.9×
Aep neurodiagnostic i&r (92653) $211.14 $690 0.9×
Aep threshold estimation mlt frequencies i&r (92652) $287.33 $939 1.2×
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines		 $53.55–$67.01 $175–$219 varies
Allg test perq & ic drug/biol immed react w/ i&r (95018) $17.14 $56 0.4×
Analyze neurostim no prog (95970) $88.43 $289 0.6×
Analyze Neurostim Simple (95971) $168.30 $550 1.7×
Analyze Pacemaker System (93724) $564.26 $1,844 1.7×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $70.07 $229 0.3×
Appl modality 1+ areas lllt po pain reduction (97037) $24.48 $80 0.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $25.70 $84 1.8×
Application on-body injector (96377) $68.85 $225 1.4×
Arrhythmia Induction (93618) $1,586.92 $5,186 1.2×
Assessment of aphasia per hr (96105) $139.23 $455 1.4×
Behavral qualit analys voice (92524) $144.13 $471 1.3×
Blink reflex test (95933) $175.95 $575 2.8×
Breath hydrogen/methane test (91065) $42.53 $139 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $340.27 $1,112 0.9×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure		 $2,780.62 $9,087 0.3×
C motor evoked uppr limbs (95928) $480.42 $1,570 0.5×
C motor evoked upr&lwr limbs (95939) $907.60 $2,966 1.0×
Caloric vestibular test w/rec bi monothermal (92538) $97.61 $319 0.4×
Caloric Vstblr Test W/Rec (92537) $97.61 $319 0.7×
Canalith repositioning proc (95992) $71.60 $234 1.8×
Car seat/bed test 60 min (94780) $72.83 $238 1.8×
Cardiac Stress Tst,Tracing Only (93017) $521.12 $1,703 2.3×
Cardiopulmonary exercise testing (94621) $456.55 $1,492 1.1×
Cardiopulmonary resuscitation (92950) $363.83 $1,189 1.6×
Cardioversion (92960) $1,100.99 $3,598 1.6×
Cardioversion elective internal (92961) $688.50 $2,250 1.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $56.30 $184 2.2×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $9,006.50 $29,433 2.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,140.82 $26,604 2.4×
Cbt 1st hour (94644) $117.50 $384 0.8×
Chemo Admin Peritoneal Cavity (96446) $265.61 $868 0.8×
Chemo Anti-Neopl Sq/Im (96401) $220.63 $721 2.9×
Chemo Hormon Antineopl Sq/Im (96402) $119.03 $389 1.5×
Chemo Ia Push (96420) $268.67 $878 0.8×
Chemo Intralesional Over 7 (96406) $176.87 $578 0.8×
Chemo intralesional up to 7 (96405) $208.39 $681 2.7×
Chemo IV infusion addl hr (96415) $191.56 $626 2.5×
Chemo IV push addl drug (96411) $211.75 $692 2.8×
Chemother Prolong Infuse W/Pump (96416) $370.57 $1,211 1.1×
Chemotherapy Into Cns (96450) $639.85 $2,091 1.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $222.77 $728 2.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $533.36 $1,743 1.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $410.04 $1,340 1.2×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $367.81 $1,202 1.0×
Chest Wall Manipulation (94668) $48.65 $159 0.3×
Color/duplex Doppler, complete (93975) $847.93 $2,771 3.3×
Color/duplex Doppler, limited (93976) $601.60 $1,966 5.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $56.30 $184 1.8×
Computerized Ophthalmic Imaging Optic Nerve (92133) $41.92 $137 0.7×
Computerized Ophthalmic Imaging Retina (92134) $94.86 $310 1.5×
Continuous Pulse Ox (94762) $108.94 $356 0.8×
Coronary Art/Grft Angio S&I (93455) $6,778.51 $22,152 2.0×
Coronary Artery Angio S&I (93454) $6,073.79 $19,849 1.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $319.46 $1,044 1.4×
Cpt initial (94667) $67.01 $219 0.5×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $168.91 $552 0.7×
Critical care first hour (99291) $1,778.47 $5,812 2.0×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $397.80 $1,300 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $123.32 $403 0.6×
Dialysis One Evaluation (90945) $1,387.71 $4,535 3.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $625.77 $2,045 2.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $448.29 $1,465 4.0×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $482.56 $1,577 4.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $789.48 $2,580 3.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $500.92 $1,637 4.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $656.37 $2,145 2.6×
Dup-scan xtr veins unilateral/limited study (93971) $474.30 $1,550 4.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $615.06 $2,010 2.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $370.26 $1,210 3.3×
Duplex Scan Hemodialysis Access (93990) $424.12 $1,386 3.8×
Duplex up extrem art bilat (93930) $655.45 $2,142 2.6×
Duplex up extrem art unilat/ltd (93931) $457.47 $1,495 4.1×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $70.07 $229 0.5×
Ear and throat examination (92502) $179.93 $588 0.3×
Echo Congenital Complete (93303) $858.33 $2,805 1.5×
Echo Heart Xthoracic,Limited (93308) $472.46 $1,544 1.9×
Echo r-t 2d w/probe placement only (93313) $724 $2,366 1.2×
Echo transesophageal (93312) $1,377 $4,500 2.4×
Echo Transesophageal - Congenital Tee Complete (93315) $1,258.58 $4,113 2.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,316.41 $4,302 2.3×
Eeg 41-60 Minutes (95812) $631.28 $2,063 2.7×
EEG awake and asleep (95819) $854.66 $2,793 3.7×
EEG awake drowsy (95816) $651.17 $2,128 2.8×
EEG cerebral death evaluation (95824) $566.10 $1,850 1.4×
EEG cont rec w/video by tech min 8 channels (95700) $766.84 $2,506 3.3×
EEG extended monitoring 61-119 minutes (95813) $798.97 $2,611 3.5×
Eeg Sleep Only (95822) $847.31 $2,769 3.7×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $965.12 $3,154 4.2×
EEG wo vid ea 12-26hr unmntr (95708) $1,032.75 $3,375 2.6×
EKG signal averaged (93278) $191.25 $625 3.0×
Electrical Stimulation Ea 15 Min (97032) $35.50 $116 2.4×
Electrocardiogram Tracing (93005) $95.78 $313 1.5×
Electroconvulsive Therapy (90870) $681.77 $2,228 0.7×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
likely a partial charge, not the full procedure		 $1,883.43 $6,155 0.2×
Electrophysiology Evaluation (93642) $2,824.69 $9,231 2.2×
Emergency Dept Visit Level 2 (99282) $286.11 $935 1.7×
Emergency Dept Visit Level 3 (99283) $460.53 $1,505 1.6×
Emergency Dept Visit Level 4 (99284) $810.29 $2,648 1.8×
Emg 3 Extremities (95863) $249.08 $814 1.8×
Emg 4 Extremities (95864) $271.42 $887 2.0×
Endomyocardial Biopsy (93505) $2,466.05 $8,059 0.7×
Ep & ablate supravent arrhyt (93653) $20,128.99 $65,781 0.7×
Ep & ablate ventric tachy (93654) $20,317.79 $66,398 0.7×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $7,326.25 $23,942 0.9×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure		 $3,050.82 $9,970 0.4×
Ep Esophageal Recording Atria+Pacing (93616) $659.74 $2,156 0.5×
Er level 1 (99281) $192.17 $628 2.1×
Er level v (99285) $1,260.41 $4,119 2.0×
Esoph Atrial Electrogram (93615) $511.94 $1,673 0.4×
Esophageal Capsule Endoscopy (91111) $1,566.41 $5,119 1.6×
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines		 $47.12–$58.14 $154–$190 varies
Evaluate Speech Production (92522) $144.13 $471 1.3×
Evaluate Swallowing Function (92610) $111.69 $365 1.3×
Evaluation of speech fluency (92521) $167.08 $546 1.3×
Evoked Auditory Test,Limited (92587) $94.55 $309 0.4×
Exercise test for bronchospasm (94617) $230.72 $754 1.6×
External ECG rec>48hr<7d recording (93242) $283.36 $926 7.1×
External ECG rec>7d<15d recording (93246) $283.36 $926 7.1×
External Ecg Scanning Analysis Report (93226) $456.55 $1,492 7.2×
Extracranial Bilat Study (93880) $698.60 $2,283 2.7×
Extracranial Uni/Ltd Study (93882) $473.69 $1,548 4.2×
Eye exam w anesth; complete (92018) $1,253.07 $4,095 0.5×
Eye exam w anesth; limited (92019) $1,193.40 $3,900 0.5×
F-up/limited tthrc echo congenital car anomaly (93304) $470.02 $1,536 0.8×
Flexible endoscopic eval swallow c/v rec (92612) $167.08 $546 0.8×
Fluorescein angiography (92235) $240.21 $785 1.0×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $582.32 $1,903 0.6×
Fundus photography (92250) $58.75 $192 0.4×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $608.94 $1,990 1.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,100.38 $3,596 1.2×
Gi tract capsule endoscopy (91110) $1,644.75 $5,375 1.7×
Group Therapeutic Procedures (97150) $39.78 $130 2.2×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $9,970.09 $32,582 2.9×
High altitude simulation test (94452) $95.17 $311 0.7×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $125.77 $411 0.9×
Holter monitor recording (93225) $332.93 $1,088 2.3×
Icd Device Interrogate (93289) $145.96 $477 3.7×
Icd device progr eval dual (93283) $121.18 $396 3.0×
Icd Device Progr Eval Mult (93284) $211.45 $691 5.3×
Icm Device Eval (93290) $44.68 $146 1.1×
Ilr Device Eval Progr (93285) $145.96 $477 3.7×
Ilr Device Interrogate (93291) $108.02 $353 3.5×
Immunization administration (90471) $25.70 $84 0.3×
Insert/Place Heart Catheter (93503) $1,032.44 $3,374 0.6×
Interrogate Subq Defib (93261) $84.15 $275 2.1×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure		 $2,847.94 $9,307 0.3×
Intra-atrial recording (93602)
unusually low: confirm this is the full procedure		 $2,829.58 $9,247 0.3×
Intracranial Complete Study (93886) $619.96 $2,026 2.4×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure		 $2,165.87 $7,078 0.3×
Iontophoresis 15 min (97033) $11.93 $39 0.6×
Irrig Drug Delivery Device (96523) $94.55 $309 1.5×
IV infusion hydration each additional hour (96361) $104.96 $343 2.1×
IV infusion hydration initial 31 min-1 hour (96360) $269.59 $881 1.2×
IV infusion ther proph addl sequential to 1 hr (96367) $135.86 $444 1.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $116.28 $380 2.3×
IV push initial (96374) $196.15 $641 0.9×
L Hrt Art/Grft Angio (93459) $8,533.12 $27,886 2.5×
Low frequency non-thermal us (97610) $45.59 $149 0.2×
Lwr Xtr Vasc Stdy Bilat (93924) $571.91 $1,869 2.5×
Methacholine challenge (94070) $583.85 $1,908 1.5×
Microvolt T-Wave Assess (93025) $330.79 $1,081 2.4×
Motility study esophagus (91010) $579.87 $1,895 1.5×
Motion Fluoroscopy/Swallow (92611) $167.08 $546 1.8×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $107.71 $352 0.2×
Muscle Test 2 Limbs (95861) $224.91 $735 1.6×
Muscle Test Nonparaspinal (95870) $133.11 $435 0.9×
Muscle Test One Limb (95860) $201.65 $659 1.4×
Nasopharyngoscopy (92511) $98.84 $323 0.5×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $321.91 $1,052 1.4×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $232.87 $761 1.0×
Needle electromyography larynx (95865) $105.88 $346 0.7×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $172.58 $564 0.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $250.92 $820 0.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $65.48 $214 0.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $98.23 $321 0.2×
Nerve Conduction Studies 1-2 Studies (95907) $201.65 $659 0.9×
Nerve Conduction Studies 11-12 Studies (95912) $675.95 $2,209 1.7×
Nerve conduction studies 13 or more studies (95913) $714.82 $2,336 1.8×
Nerve Conduction Studies 3-4 Studies (95908) $278.77 $911 1.2×
Nerve conduction studies 5-6 studies (95909) $357.10 $1,167 1.5×
Nerve conduction studies 7-8 studies (95910) $453.19 $1,481 1.1×
Nerve Conduction Studies 9-10 Studies (95911) $548.96 $1,794 1.4×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $203.80 $666 1.5×
Neuromuscular Reeducation (97112) $64.87 $212 2.0×
Newborn resuscitation (99465) $201.96 $660 0.3×
Nitric oxide expired gas determination (95012) $30.91 $101 0.8×
Oculoelectromyography (92265) $88.74 $290 1.4×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $107.10 $350 1.7×
Oral Function Therapy (92526) $80.48 $263 1.0×
Oral Speech Device Eval (92597) $100.67 $329 1.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $65.79 $215 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $69.16 $226 1.5×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $24.48 $80 1.1×
Ot Contrast Bath Ea 15 Min (97034) $28.15 $92 2.0×
Ot eval high complexity (97167) $171.97 $562 1.7×
Ot Eval Low Complex (97165) $56.92 $186 0.6×
Ot Eval Moderate Complexity (97166) $99.76 $326 1.0×
Ot manual therapy 15 min (97140) $52.63 $172 1.9×
Ot paraffin bath (97018) $14.38 $47 2.4×
Ot Prosthetic Training, Each 15 Min (97761) $53.24 $174 1.3×
Ot Re-Eval Est Plan Care (97168) $66.71 $218 1.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $114.14 $373 0.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $108.63 $355 0.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $78.64 $257 0.3×
Peripheral arterial disease rehab per session (93668) $72.22 $236 1.1×
Perq transcath closure pda (93582)
unusually low: confirm this is the full procedure		 $8,732.02 $28,536 0.4×
Perq Transcath Cls Aortic (93591)
unusually low: confirm this is the full procedure		 $8,743.64 $28,574 0.4×
Perq Transcath Cls Mitral (93590)
unusually low: confirm this is the full procedure		 $8,135.32 $26,586 0.4×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $5,572.57 $18,211 0.9×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $8,222.83 $26,872 0.7×
Phlebotomy therapeutic (99195) $132.80 $434 0.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $146.57 $479 2.3×
Physical Performance Test (97750) $59.98 $196 1.8×
Plethysmography (94726) $217.26 $710 0.5×
Pm device eval in person (93288) $123.62 $404 3.1×
Pm device progr eval dual (93280) $121.18 $396 3.0×
Pm device progr eval multi (93281) $121.18 $396 3.0×
Pm Device Progr Eval Sngl (93279) $134.33 $439 3.4×
Pm/Icd Remote Tech Serv (93296) $141.37 $462 3.5×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $84.15 $275 2.1×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $121.18 $396 3.0×
Prq Card Angio/Athrect 1 Art (92924) $7,823.81 $25,568 0.6×
Prq Card Stent W/Angio 1 Vsl (92928) $7,223.74 $23,607 0.6×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure		 $7,580.84 $24,774 0.4×
Prq Revasc Byp Graft 1 Vsl (92937)
unusually low: confirm this is the full procedure		 $5,667.43 $18,521 0.5×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
unusually low: confirm this is the full procedure		 $8,316.16 $27,177 0.4×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
likely a partial charge, not the full procedure		 $1,869.97 $6,111 0.2×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $40.09 $131 1.1×
Pt Eval High Complex (97163) $171.97 $562 1.8×
Pt eval low complex 20 min (97161) $56.92 $186 0.6×
Pt Eval Mod Complex (97162) $99.76 $326 1.0×
Pt gait training 15 min (97116) $53.24 $174 1.8×
Pt group caregiver training (97552) $36.11 $118 1.6×
Pt mechanical traction (97012) $29.68 $97 2.1×
Pt Re-Eval Est Plan Care (97164) $66.71 $218 1.0×
Pulm function test by gas (94727) $253.06 $827 1.1×
Pulmonary Stress Testing (94618) $44.68 $146 0.3×
R Hrt Art/Grft Angio (93457) $10,012.01 $32,719 2.9×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $3,018.69 $9,865 0.9×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $4,437.61 $14,502 1.3×
R hrt coronary artery angio (93456) $8,444.68 $27,597 2.4×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $3,018.69 $9,865 0.9×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $4,437.61 $14,502 1.3×
R&L Hrt Cath W/Ventriclgrphy (93453) $7,685.80 $25,117 2.2×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $160.04 $523 0.5×
Refill/Maint Portable Pump (96521) $254.59 $832 1.1×
Rem interrog icpms <30 d phys/qhp (93297) $87.21 $285 2.2×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $87.21 $285 2.2×
Rem Mntr Wrls P-Art Prs Snr (93264) $87.21 $285 2.2×
Right Heart Cath (93451) $5,491.17 $17,945 1.6×
Right ventricular recording (93603) $1,220.02 $3,987 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $100.37 $328 0.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $124.85 $408 1.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $39.17 $128 0.8×
Self Care Mngment Training (97535) $56.30 $184 1.7×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $50.80 $166 0.8×
Sensory Integration Ea 15 Min (97533) $56.30 $184 0.9×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $246.33 $805 1.1×
Short-latency somatosens ep std upr limbs (95925) $366.89 $1,199 1.6×
Slp caregiver training 1st 30 min (97550) $112.61 $368 2.1×
Somatosensory Testing (95938) $1,021.12 $3,337 1.1×
Speech sound lang comprehen (92523) $144.13 $471 0.6×
Spin/Brain Pump Refil & Main (95991) $166.16 $543 0.5×
Spirometry (94010) $161.26 $527 0.7×
Ssep lower limbs (95926) $447.68 $1,463 1.9×
Standardized Cognitive Performance Testing (96125) $140.45 $459 1.4×
Stress Tte Only (93350) $944.62 $3,087 1.6×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $750.01 $2,451 3.3×
Surfactant Admin Thru Tube (94610) $50.18 $164 0.2×
Testing Autonomic Nervous System Function (95923) $189.11 $618 1.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $52.63 $172 2.4×
Ther Ivntj Ea Addl 15 Min (97130) $52.63 $172 2.5×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $74.66 $244 2.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $52.63 $172 1.8×
Ther/Proph/Diag Inj Ia (96373) $141.98 $464 0.6×
Ther/Proph/Diag Inj Sc/Im (96372) $71.91 $235 0.9×
Ther/Proph/Diag Iv Inf Init (96365) $332.32 $1,086 1.5×
Therapeutic Activities (97530) $27.54 $90 0.8×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $847.62 $2,770 2.1×
Tobacco Use Cessation Intensive >10 Minutes (99407) $22.34 $73 0.6×
Transcath Closure of Asd (93580) $13,088.23 $42,772 0.7×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $339.35 $1,109 3.0×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $82.31 $269 2.1×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $127.60 $417 0.9×
Tte w/doppler, complete (93306) $1,201.66 $3,927 2.1×
Tte W/O Doppler Complete (93307) $773.57 $2,528 3.0×
Tx atrial fib pulm vein isol (93656) $20,718.34 $67,707 0.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $101.29 $331 1.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $138.62 $453 2.8×
Tympanometry (92567) $34.27 $112 0.9×
Upr/L Xtremity Art 2 Levels (93922) $329.56 $1,077 2.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $425.03 $1,389 1.8×
Valvuloplasty aortic valve (92986) $5,318.28 $17,380 0.9×
Valvuloplasty mitral valve (92987)
unusually low: confirm this is the full procedure		 $4,825.01 $15,768 0.4×
Valvuloplasty pulmonary valve (92990)
likely a partial charge, not the full procedure		 $1,375.47 $4,495 0.1×
Veeg 2-12 hr unmonitored (95711) $1,442.18 $4,713 6.3×
Veeg Ea 12-26 Hr Unmntr (95714) $1,442.18 $4,713 3.6×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines		 $665.24–$1,022.35 $2,174–$3,341 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $450.43 $1,472 0.7×
Visual Evoked Potential Test (95930) $489.29 $1,599 2.1×
Visual Field Exam Extended (92083) $169.22 $553 1.2×
Vital capacity, total (94150)
range across 2 matching MRF lines		 $97.92–$172.28 $320–$563 varies
Wada Activation Test Hemispheric Function W/Eeg (95958) $397.80 $1,300 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $53.86 $176 1.7×
Whirlpool Therapy (97022) $31.21 $102 2.0×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $52.02 $170 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.