Visits & medical services prices at Mayo Clinic Hospital — Phoenix
Phoenix, AZ · every code in this section with a posted price and a Medicare benchmark.
290 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $18,330 | $24,440 | 2.2× |
| Actigraphy Testing Recording Analysis I&R (95803) | $210.75 | $281 | 3.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $52.50 | $70 | 1.2× |
| Aep neurodiagnostic i&r (92653) | $838.50 | $1,118 | 3.6× |
| Aep threshold estimation mlt frequencies i&r (92652) | $815.25 | $1,087 | 3.5× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$345.75–$384.75 | $461–$513 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $831 | $1,108 | 5.9× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $831 | $1,108 | 5.9× |
| Analyze neurostim no prog (95970) | $629.25 | $839 | 4.4× |
| Analyze Neurostim Simple (95971) | $1,785 | $2,380 | 17.6× |
| Ans parasymp & symp w/tilt (95924) | $331.50 | $442 | 1.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $44.25 | $59 | 3.1× |
| Application on-body injector (96377) | $84 | $112 | 1.7× |
| Arrhythmia Induction (93618) | $4,640.25 | $6,187 | 3.6× |
| Assessment of aphasia per hr (96105) | $424.50 | $566 | 4.4× |
| Behavral qualit analys voice (92524) | $479.25 | $639 | 4.4× |
| Biofeedback training any modality (90901) range across 2 matching MRF lines |
$305.25–$365.25 | $407–$487 | varies |
| Blink reflex test (95933) | $315 | $420 | 5.0× |
| Breath hydrogen/methane test (91065) | $570.75 | $761 | 2.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $595.50 | $794 | 1.5× |
| C motor evoked upr&lwr limbs (95939) | $2,742 | $3,656 | 3.0× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$339.75–$341.25 | $453–$455 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $921.75 | $1,229 | 4.0× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$967.50–$972 | $1,290–$1,296 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,935–$1,971.75 | $2,580–$2,629 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $84.75 | $113 | 3.3× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $10,041.75 | $13,389 | 2.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $10,600.50 | $14,134 | 3.1× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$344.25–$347.25 | $459–$463 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $192.75 | $257 | 2.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $129 | $172 | 1.7× |
| Chemo Ia Push (96420) | $486.75 | $649 | 1.4× |
| Chemo intralesional up to 7 (96405) | $543.75 | $725 | 7.1× |
| Chemo IV infusion addl hr (96415) | $137.25 | $183 | 1.8× |
| Chemo IV push addl drug (96411) | $231 | $308 | 3.0× |
| Chemotherapy Into Cns (96450) | $869.25 | $1,159 | 2.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $365.25 | $487 | 4.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $568.50 | $758 | 1.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $506.25 | $675 | 1.4× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $499.50 | $666 | 1.4× |
| Chest Wall Manipulation (94668) | $237 | $316 | 1.7× |
| Cmptr ophth dx img ant segmt (92132) | $408 | $544 | 6.5× |
| Color/duplex Doppler, complete (93975) | $1,474.50 | $1,966 | 5.8× |
| Color/duplex Doppler, limited (93976) | $1,173.75 | $1,565 | 10.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $88.50 | $118 | 2.8× |
| Comprehensive Hearing Test (92557) | $562.50 | $750 | 4.1× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 2 matching MRF lines |
$304.50–$418.50 | $406–$558 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$95.25–$344.25 | $127–$459 | varies |
| Continuous Pulse Ox (94762) | $349.50 | $466 | 2.5× |
| Coronary Art/Grft Angio S&I (93455) | $10,419 | $13,892 | 3.0× |
| Coronary Artery Angio S&I (93454) | $10,352.25 | $13,803 | 3.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $655.50 | $874 | 2.8× |
| Cpt initial (94667) | $305.25 | $407 | 2.2× |
| Critical care first hour (99291) | $7,062 | $9,416 | 8.0× |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$1,201.50–$1,413.75 | $1,602–$1,885 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $803.25 | $1,071 | 3.2× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $548.25 | $731 | 4.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,759.50 | $2,346 | 6.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,194 | $1,592 | 10.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $990.75 | $1,321 | 3.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $764.25 | $1,019 | 6.9× |
| Duplex Scan Hemodialysis Access (93990) | $678 | $904 | 6.1× |
| Duplex up extrem art bilat (93930) | $1,829.25 | $2,439 | 7.2× |
| Duplex up extrem art unilat/ltd (93931) | $1,205.25 | $1,607 | 10.8× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $968.25 | $1,291 | 7.1× |
| ECG/monitoring and analysis (93271) | $1,104.75 | $1,473 | 10.9× |
| Echo Congenital Complete (93303) | $1,974.75 | $2,633 | 3.4× |
| Echo Heart Xthoracic,Limited (93308) | $1,110.75 | $1,481 | 4.4× |
| Echo transesophageal (93312) | $1,875 | $2,500 | 3.2× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $3,633 | $4,844 | 6.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,920 | $2,560 | 3.3× |
| Eeg 41-60 Minutes (95812) | $1,113.75 | $1,485 | 4.8× |
| EEG awake and asleep (95819) | $1,141.50 | $1,522 | 5.0× |
| EEG awake drowsy (95816) | $1,136.25 | $1,515 | 4.9× |
| EEG cont rec w/video by tech min 8 channels (95700) | $1,026.75 | $1,369 | 4.5× |
| EEG extended monitoring 61-119 minutes (95813) | $1,772.25 | $2,363 | 7.7× |
| Eeg Sleep Only (95822) | $2,496 | $3,328 | 10.8× |
| EEG w/o vid 2-12hr cont mntr (95707) | $2,927.25 | $3,903 | 12.7× |
| EEG wo vid ea 12-26hr unmntr (95708) | $2,799 | $3,732 | 7.0× |
| EKG signal averaged (93278) | $566.25 | $755 | 9.0× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $892.50 | $1,190 | 8.8× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $669.75 | $893 | 16.8× |
| Electrical Stimulation Ea 15 Min (97032) | $114 | $152 | 7.8× |
| Electrocardiogram Tracing (93005) | $214.50 | $286 | 3.4× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $17,226 | $22,968 | 2.1× |
| Electrophysiology Evaluation (93642) | $6,403.50 | $8,538 | 4.9× |
| Emergency Dept Visit Level 2 (99282) | $562.50 | $750 | 3.4× |
| Emergency Dept Visit Level 3 (99283) | $1,046.25 | $1,395 | 3.6× |
| Emergency Dept Visit Level 4 (99284) | $1,993.50 | $2,658 | 4.5× |
| Emg 4 Extremities (95864) | $1,216.50 | $1,622 | 8.9× |
| Endomyocardial Biopsy (93505) | $9,773.25 | $13,031 | 2.9× |
| Ep & ablate supravent arrhyt (93653) | $44,274 | $59,032 | 1.6× |
| Ep & ablate ventric tachy (93654) | $51,222.75 | $68,297 | 1.8× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $19,110 | $25,480 | 2.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $19,874.25 | $26,499 | 2.4× |
| Er level 1 (99281) | $321.75 | $429 | 3.6× |
| Er level v (99285) | $3,276.75 | $4,369 | 5.2× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $2,407.50 | $3,210 | 6.0× |
| Evaluate pt use of inhaler (94664) | $446.25 | $595 | 1.9× |
| Evaluate Speech Production (92522) | $562.50 | $750 | 5.0× |
| Evaluate Swallowing Function (92610) | $559.50 | $746 | 6.6× |
| Evaluation of speech fluency (92521) | $330.75 | $441 | 2.5× |
| External Ecg Scanning Analysis Report (93226) | $366 | $488 | 5.8× |
| Extracranial Bilat Study (93880) | $1,100.25 | $1,467 | 4.3× |
| Extracranial Uni/Ltd Study (93882) | $605.25 | $807 | 5.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,866 | $2,488 | 3.2× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $604.50 | $806 | 4.0× |
| Flexible endoscopic eval swallow c/v rec (92612) | $903 | $1,204 | 4.5× |
| Fluorescein angiography (92235) | $1,557 | $2,076 | 6.8× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $2,823 | $3,764 | 3.1× |
| Fundus photography (92250) range across 2 matching MRF lines |
$489–$601.50 | $652–$802 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $808.50 | $1,078 | 3.5× |
| Gi tract capsule endoscopy (91110) | $3,332.25 | $4,443 | 3.4× |
| Gonioscopy (92020) | $303.75 | $405 | 2.1× |
| Group Therapeutic Procedures (97150) | $87 | $116 | 4.8× |
| Health Behavior Assessment/Re-Assessment (96156) | $278.25 | $371 | 2.6× |
| Health behavior ivntj group f2f 1st 30 min (96164) range across 2 matching MRF lines |
$278.25–$279 | $371–$372 | varies |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $406.50 | $542 | 2.1× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $10,505.25 | $14,007 | 3.0× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,661.25 | $2,215 | 2.3× |
| Holter monitor recording (93225) | $362.25 | $483 | 2.6× |
| Icd Device Interrogate (93289) | $209.25 | $279 | 5.3× |
| Icd device progr eval dual (93283) | $245.25 | $327 | 6.2× |
| Icd Device Progr Eval Mult (93284) | $293.25 | $391 | 7.4× |
| Ilr Device Eval Progr (93285) | $240 | $320 | 6.0× |
| Ilr Device Interrogate (93291) | $194.25 | $259 | 6.3× |
| Immunization administration (90471) | $47.25 | $63 | 0.6× |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $2,314.50 | $3,086 | 10.0× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $558.75 | $745 | 1.4× |
| Insert/Place Heart Catheter (93503) | $8,095.50 | $10,794 | 4.8× |
| Interrogate Subq Defib (93261) | $261 | $348 | 6.6× |
| Interrogation vad in person (93750) range across 2 matching MRF lines |
$758.25–$2,641.50 | $1,011–$3,522 | varies |
| Intracranial Complete Study (93886) | $801.75 | $1,069 | 3.1× |
| Intraventricular pacing (93612) | $16,985.25 | $22,647 | 2.0× |
| Iontophoresis 15 min (97033) | $81.75 | $109 | 4.3× |
| Irrig Drug Delivery Device (96523) | $477 | $636 | 7.6× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$81.75–$151.50 | $109–$202 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$252.75–$476.25 | $337–$635 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$125.25–$175.50 | $167–$234 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$96.75–$176.25 | $129–$235 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$180–$446.25 | $240–$595 | varies |
| L Hrt Art/Grft Angio (93459) | $11,079.75 | $14,773 | 3.2× |
| Liver Elastography W/O Imag W/I&R (91200) | $450.75 | $601 | 3.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,929 | $2,572 | 8.4× |
| Methacholine challenge (94070) | $379.50 | $506 | 1.0× |
| Motion Fluoroscopy/Swallow (92611) | $651.75 | $869 | 7.1× |
| Multiple Sleep Latency Test (95805) | $3,368.25 | $4,491 | 3.7× |
| Muscle Test 2 Limbs (95861) | $892.50 | $1,190 | 6.3× |
| Muscle Test Hemidiaphragm (95866) | $771 | $1,028 | 5.6× |
| Muscle Test Nonparaspinal (95870) | $606 | $808 | 4.3× |
| Muscle Test One Limb (95860) | $729.75 | $973 | 5.1× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$544.50–$605.25 | $726–$807 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $1,136.25 | $1,515 | 4.9× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $1,024.50 | $1,366 | 4.4× |
| Needle electromyography larynx (95865) | $678 | $904 | 4.8× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $748.50 | $998 | 3.2× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $737.25 | $983 | 3.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $400.50 | $534 | 1.9× |
| Nerve Conduction Studies 1-2 Studies (95907) | $487.50 | $650 | 2.1× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,556.25 | $2,075 | 3.9× |
| Nerve conduction studies 13 or more studies (95913) | $1,728.75 | $2,305 | 4.3× |
| Nerve Conduction Studies 3-4 Studies (95908) | $875.25 | $1,167 | 3.8× |
| Nerve conduction studies 5-6 studies (95909) | $1,054.50 | $1,406 | 4.6× |
| Nerve conduction studies 7-8 studies (95910) | $1,147.50 | $1,530 | 2.9× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,413 | $1,884 | 3.5× |
| Neurobehavioral Status Exam (96116) | $503.25 | $671 | 2.2× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $478.50 | $638 | 3.5× |
| Neuromuscular Reeducation (97112) | $180 | $240 | 5.5× |
| Nitric oxide expired gas determination (95012) | $96.75 | $129 | 2.4× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $621.75 | $829 | 1.6× |
| Oculoelectromyography (92265) | $177.75 | $237 | 2.8× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $521.25 | $695 | 3.7× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $442.50 | $590 | 3.1× |
| Ophth medical xm&eval intermediate estab pt (92012) | $405 | $540 | 2.9× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $523.50 | $698 | 3.7× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $399 | $532 | 6.3× |
| Oral Function Therapy (92526) | $397.50 | $530 | 4.7× |
| Oral Speech Device Eval (92597) | $552.75 | $737 | 7.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $110.25 | $147 | 2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $166.50 | $222 | 3.6× |
| Ot Contrast Bath Ea 15 Min (97034) | $100.50 | $134 | 7.2× |
| Ot eval high complexity (97167) | $408.75 | $545 | 4.1× |
| Ot Eval Low Complex (97165) | $343.50 | $458 | 3.4× |
| Ot Eval Moderate Complexity (97166) | $378 | $504 | 3.8× |
| Ot manual therapy 15 min (97140) | $189.75 | $253 | 6.8× |
| Ot Prosthetic Training, Each 15 Min (97761) | $158.25 | $211 | 3.9× |
| Ot Re-Eval Est Plan Care (97168) | $173.25 | $231 | 2.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $492 | $656 | 2.1× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $58,683 | $78,244 | 3.0× |
| Perq Transcath Cls Aortic (93591) | $50,653.50 | $67,538 | 2.6× |
| Perq Transcath Cls Mitral (93590) | $49,933.50 | $66,578 | 2.6× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $17,526.75 | $23,369 | 2.9× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $40,093.50 | $53,458 | 3.3× |
| Phlebotomy therapeutic (99195) | $814.50 | $1,086 | 5.7× |
| Physical Performance Test (97750) | $199.50 | $266 | 5.9× |
| Plethysmography (94726) range across 2 matching MRF lines |
$555–$558.75 | $740–$745 | varies |
| Pm device eval in person (93288) | $197.25 | $263 | 5.0× |
| Pm device progr eval dual (93280) | $230.25 | $307 | 5.8× |
| Pm device progr eval multi (93281) | $267.75 | $357 | 6.7× |
| Pm Device Progr Eval Sngl (93279) | $230.25 | $307 | 5.8× |
| Pm/Icd Remote Tech Serv (93296) | $263.25 | $351 | 6.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,626.25 | $4,835 | 4.0× |
| Positional nystagmus test (92542) | $594 | $792 | 4.2× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $264 | $352 | 6.6× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $254.25 | $339 | 6.4× |
| Prq Card Angio/Athrect 1 Art (92924) | $32,286 | $43,048 | 2.6× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $23,200.50 | $30,934 | 1.9× |
| Prq Card Stent/Ath/Angio (92933) | $46,277.25 | $61,703 | 2.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $34,201.50 | $45,602 | 2.8× |
| Psych diag eval w/med srvcs (90792) | $552 | $736 | 2.9× |
| Psychiatric diagnostic evaluation (90791) | $566.25 | $755 | 3.0× |
| Psychological tst eval svc phys/qhp first hour (96130) | $422.25 | $563 | 1.8× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $429.75 | $573 | 0.9× |
| Pt Eval High Complex (97163) | $408.75 | $545 | 4.2× |
| Pt eval low complex 20 min (97161) | $343.50 | $458 | 3.5× |
| Pt Eval Mod Complex (97162) | $378 | $504 | 3.9× |
| Pt gait training 15 min (97116) | $181.50 | $242 | 6.2× |
| Pt mechanical traction (97012) | $99 | $132 | 6.9× |
| Pt Re-Eval Est Plan Care (97164) | $173.25 | $231 | 2.6× |
| Pulm function test by gas (94727) | $311.25 | $415 | 1.4× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$372.75–$427.50 | $497–$570 | varies |
| Pulmonary Stress Testing (94618) | $411 | $548 | 2.9× |
| Pure Tone Audiometry Air (92552) | $150.75 | $201 | 1.1× |
| R Hrt Art/Grft Angio (93457) | $10,125 | $13,500 | 2.9× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $12,345 | $16,460 | 3.6× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $12,642.75 | $16,857 | 3.7× |
| R hrt coronary artery angio (93456) | $10,844.25 | $14,459 | 3.1× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $12,522.75 | $16,697 | 3.6× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $12,103.50 | $16,138 | 3.5× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $12,285.75 | $16,381 | 3.6× |
| Rapid Desensitization Procedure Each Hour (95180) | $1,131 | $1,508 | 2.4× |
| Refill/Maint Portable Pump (96521) | $324.75 | $433 | 1.4× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $143.25 | $191 | 3.6× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $46.50 | $62 | 0.3× |
| Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) | $143.25 | $191 | 3.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $504.75 | $673 | 12.7× |
| Remote 30 Day Ecg Tech Supp (93229) | $2,997.75 | $3,997 | 7.5× |
| Right Heart Cath (93451) | $11,034.75 | $14,713 | 3.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $381.75 | $509 | 3.1× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$195.75–$201 | $261–$268 | varies |
| Sensory Integration Ea 15 Min (97533) | $117.75 | $157 | 1.9× |
| Short-latency somatosens ep std upr limbs (95925) | $656.25 | $875 | 2.8× |
| Slp caregiver training 1st 30 min (97550) range across 3 matching MRF lines |
$170.25–$171 | $227–$228 | varies |
| Somatosensory Testing (95938) | $1,429.50 | $1,906 | 1.6× |
| Speech sound lang comprehen (92523) | $975 | $1,300 | 4.3× |
| Spin/Brain Pump Refil & Main (95991) | $949.50 | $1,266 | 2.9× |
| Spirometry (94010) | $391.50 | $522 | 1.7× |
| Spontaneous Nystagmus Test (92541) | $607.50 | $810 | 4.3× |
| Ssep lower limbs (95926) | $669 | $892 | 2.9× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$445.50–$463.50 | $594–$618 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $174.75 | $233 | 3.5× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $426 | $568 | 1.9× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $516.75 | $689 | 4.6× |
| Testing Autonomic Nervous System Function (95923) | $772.50 | $1,030 | 5.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $106.50 | $142 | 4.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $106.50 | $142 | 5.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $64.50 | $86 | 2.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$72–$195.75 | $96–$261 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$252.75–$526.50 | $337–$702 | varies |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$153.75–$156.75 | $205–$209 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,182.50 | $2,910 | 5.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $101.25 | $135 | 2.5× |
| Transcath Closure of Asd (93580) | $45,196.50 | $60,262 | 2.3× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $525 | $700 | 4.7× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $474 | $632 | 4.2× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $284.25 | $379 | 7.1× |
| Tte w/doppler, complete (93306) | $2,270.25 | $3,027 | 3.9× |
| Tx atrial fib pulm vein isol (93656) | $43,605 | $58,140 | 1.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $504 | $672 | 6.6× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $159.75 | $213 | 6.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$102–$174 | $136–$232 | varies |
| Tympanometry (92567) | $102.75 | $137 | 2.6× |
| Unlisted cardiovascular service/procedure (93799) | $4,310.25 | $5,747 | 31.4× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $194.25 | $259 | 1.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,344.75 | $1,793 | 5.8× |
| Veeg 2-12 Hr Cont Mntr (95713) | $2,784.75 | $3,713 | 7.0× |
| Veeg 2-12 hr intmt mntr (95712) | $1,719.75 | $2,293 | 4.3× |
| Veeg 2-12 hr unmonitored (95711) | $1,412.25 | $1,883 | 6.1× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,676.75 | $3,569 | 6.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,745.25 | $2,327 | 4.4× |
| Veeg ea 12-26hr cont mntr (95716) | $3,950.25 | $5,267 | 4.3× |
| Vent Mgmt Inpat Init Day (94002) | $1,516.50 | $2,022 | 2.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,439.25 | $1,919 | 2.2× |
| Visual Evoked Potential Test (95930) | $705 | $940 | 3.1× |
| Visual Field Exam Extended (92083) | $510.75 | $681 | 3.6× |
| Vital capacity, total (94150) | $356.25 | $475 | 2.6× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $2,757 | $3,676 | 3.0× |
| Wheelchair Mgmt Ea 15 Min (97542) | $79.50 | $106 | 2.6× |
| Whirlpool Therapy (97022) | $58.50 | $78 | 3.7× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $519.75 | $693 | 13.0× |
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.