Visits & medical services prices at Medical City Lewisville
Lewisville, TX · every code in this section with a posted price and a Medicare benchmark.
219 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $35,751.91 | $35,751.91 | 4.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $88.32 | $88.32 | 2.2× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$414.10–$603.58 | $414.10–$603.58 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $299.01 | $299.01 | 20.8× |
| Application Modality 1/> Areas Diathermy (97024) | $273.14 | $273.14 | 37.2× |
| Arrhythmia Induction (93618) | $4,299.47 | $4,299.47 | 3.5× |
| Assessment of aphasia per hr (96105) | $1,228.36 | $1,228.36 | 12.6× |
| Behavral qualit analys voice (92524) range across 4 matching MRF lines |
$326.47–$950.35 | $326.47–$950.35 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $228.01 | $228.01 | 2.8× |
| Bfb training ea addl 15 min (90913) | $228.01 | $228.01 | 7.0× |
| Biofeedback training any modality (90901) | $303.86 | $303.86 | 7.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $3,688.18 | $3,688.18 | 9.8× |
| Bundle of his recording (93600) | $25,914.84 | $25,914.84 | 3.3× |
| Canalith repositioning proc (95992) | $357.19 | $357.19 | 8.8× |
| Car seat/bed test 60 min (94780) | $352.66 | $352.66 | 9.4× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$4,345.57–$5,118.47 | $4,345.57–$5,118.47 | varies |
| Cardiopulmonary exercise testing (94621) | $3,876.35 | $3,876.35 | 10.3× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$3,672.86–$3,966.69 | $3,672.86–$3,966.69 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$3,524.64–$7,192.35 | $3,524.64–$7,192.35 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) range across 3 matching MRF lines |
$286.08–$363.65 | $286.08–$363.65 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 3 matching MRF lines |
$58,652.46–$63,344.66 | $58,652.46–$63,344.66 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 3 matching MRF lines |
$56,795.83–$61,339.50 | $56,795.83–$61,339.50 | varies |
| Cbt 1st hour (94644) | $796.59 | $796.59 | 6.0× |
| Chemo IV infusion addl hr (96415) | $151.61 | $151.61 | 2.1× |
| Chemo IV push addl drug (96411) | $335.39 | $335.39 | 4.6× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $384.77 | $384.77 | 8.2× |
| Chemotherapy Into Cns (96450) | $1,035.85 | $1,035.85 | 3.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $151.61 | $151.61 | 2.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$384.77–$385.92 | $384.77–$385.92 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $418.08 | $418.08 | 1.3× |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$666.74–$821.15 | $666.74–$821.15 | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $6,681.38 | $6,681.38 | 17.8× |
| Color/duplex Doppler, complete (93975) | $4,055.61 | $4,055.61 | 16.9× |
| Color/duplex Doppler, limited (93976) | $3,835.03 | $3,835.03 | 36.5× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $986.15 | $986.15 | 7.4× |
| Continuous Pulse Ox (94762) | $2,044.86 | $2,044.86 | 15.8× |
| Coronary Art/Grft Angio S&I (93455) range across 3 matching MRF lines |
$33,277.73–$35,939.95 | $33,277.73–$35,939.95 | varies |
| Coronary Artery Angio S&I (93454) range across 3 matching MRF lines |
$24,896.58–$26,888.31 | $24,896.58–$26,888.31 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$6,304.23–$6,304.27 | $6,304.23–$6,304.27 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$794.83–$903.63 | $794.83–$903.63 | varies |
| Critical care first hour (99291) | $5,959.95 | $5,959.95 | 7.2× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 8 matching MRF lines |
$320.03–$630.34 | $320.03–$630.34 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $735.39 | $735.39 | 5.7× |
| Dialysis One Evaluation (90945) | $4,241.23 | $4,241.23 | 10.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $4,672.31 | $4,672.31 | 19.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $4,004.83 | $4,004.83 | 38.1× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $6,273.02 | $6,273.02 | 59.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $6,993.89 | $6,993.89 | 29.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $3,953.25 | $3,953.25 | 37.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $6,807.90 | $6,807.90 | 28.4× |
| Dup-scan xtr veins unilateral/limited study (93971) | $3,953.25 | $3,953.25 | 37.6× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $3,245.37 | $3,245.37 | 13.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $3,245.37 | $3,245.37 | 30.9× |
| Duplex Scan Hemodialysis Access (93990) | $4,004.83 | $4,004.83 | 38.1× |
| Duplex up extrem art bilat (93930) | $6,993.89 | $6,993.89 | 29.2× |
| Duplex up extrem art unilat/ltd (93931) | $3,953.25 | $3,953.25 | 37.6× |
| Echo Congenital Complete (93303) | $13,385.47 | $13,385.47 | 24.4× |
| Echo Heart Xthoracic,Limited (93308) | $5,745.49 | $5,745.49 | 24.0× |
| Echo r-t 2d w/probe placement only (93313) | $12,960 | $12,960 | 23.6× |
| Echo transesophageal (93312) | $18,574.36 | $18,574.36 | 33.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $12,627.68 | $12,627.68 | 23.0× |
| Eeg 41-60 Minutes (95812) | $2,040.86 | $2,040.86 | 9.4× |
| EEG awake and asleep (95819) | $4,060.70 | $4,060.70 | 18.7× |
| EEG awake drowsy (95816) | $3,221.10 | $3,221.10 | 14.8× |
| EEG cerebral death evaluation (95824) | $3,742.52 | $3,742.52 | 10.0× |
| EEG cont rec w/video by tech min 8 channels (95700) | $4,095.75 | $4,095.75 | 18.9× |
| EEG extended monitoring 61-119 minutes (95813) | $9,202.12 | $9,202.12 | 42.4× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $2,663.22 | $2,663.22 | 12.3× |
| EEG w/o vid 2-12hr cont mntr (95707) | $4,360.66 | $4,360.66 | 20.1× |
| EEG w/o vid ea 12-26hr intmt (95709) | $4,716.71 | $4,716.71 | 12.6× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $5,547.90 | $5,547.90 | 14.8× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $5,120.38 | $5,120.38 | 23.6× |
| EEG wo vid ea 12-26hr unmntr (95708) | $6,095.95 | $6,095.95 | 16.3× |
| Electrical Stimulation Ea 15 Min (97032) | $299.01 | $299.01 | 20.3× |
| Electrocardiogram Tracing (93005) | $1,604.95 | $1,604.95 | 27.1× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $17,277.42 | $17,277.42 | 2.2× |
| Emergency Dept Visit Level 2 (99282) | $1,548.64 | $1,548.64 | 10.0× |
| Emergency Dept Visit Level 3 (99283) | $2,429.69 | $2,429.69 | 8.9× |
| Emergency Dept Visit Level 4 (99284) | $3,315.29 | $3,315.29 | 7.9× |
| Ep & ablate supravent arrhyt (93653) | $92,602.13 | $92,602.13 | 3.5× |
| Ep & ablate ventric tachy (93654) | $92,602.13 | $92,602.13 | 3.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $25,914.84 | $25,914.84 | 3.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $25,914.84 | $25,914.84 | 3.3× |
| Er level 1 (99281) | $734.21 | $734.21 | 8.7× |
| Er level v (99285) | $4,194.81 | $4,194.81 | 7.0× |
| Evaluate pt use of inhaler (94664) | $607.08 | $607.08 | 2.8× |
| Evaluate Speech Production (92522) range across 4 matching MRF lines |
$326.47–$950.35 | $326.47–$950.35 | varies |
| Evaluate Swallowing Function (92610) range across 4 matching MRF lines |
$326.47–$950.35 | $326.47–$950.35 | varies |
| Evaluation of speech fluency (92521) range across 4 matching MRF lines |
$326.47–$950.35 | $326.47–$950.35 | varies |
| External Ecg Scanning Analysis Report (93226) | $1,421.32 | $1,421.32 | 24.0× |
| Extracranial Bilat Study (93880) | $3,111.26 | $3,111.26 | 13.0× |
| Extracranial Uni/Ltd Study (93882) | $3,848.01 | $3,848.01 | 36.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $7,807.63 | $7,807.63 | 14.2× |
| Flexible endoscopic eval swallow c/v rec (92612) | $720.77 | $720.77 | 3.6× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$2,415.32–$6,420.59 | $2,415.32–$6,420.59 | varies |
| Gi tract capsule endoscopy (91110) | $5,995.31 | $5,995.31 | 6.6× |
| Group Therapeutic Procedures (97150) range across 8 matching MRF lines |
$185.87–$583.47 | $185.87–$583.47 | varies |
| Health Behavior Assessment/Re-Assessment (96156) | $202.81 | $202.81 | 2.0× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $236.82 | $236.82 | 6.3× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $204.08 | $204.08 | 5.4× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $239.35 | $239.35 | 1.3× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 3 matching MRF lines |
$67,036.68–$72,399.61 | $67,036.68–$72,399.61 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $4,241.23 | $4,241.23 | 6.2× |
| Holter monitor recording (93225) | $4,171.44 | $4,171.44 | 31.2× |
| Immunization administration (90471) | $113.57 | $113.57 | 1.6× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $3,902.79 | $3,902.79 | 10.4× |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$5,565.18–$6,010.39 | $5,565.18–$6,010.39 | varies |
| Intra-atrial pacing (93610) | $25,914.84 | $25,914.84 | 3.3× |
| Intra-atrial recording (93602) | $25,914.84 | $25,914.84 | 3.3× |
| Intraventricular pacing (93612) | $25,914.84 | $25,914.84 | 3.3× |
| Iontophoresis 15 min (97033) | $299.01 | $299.01 | 15.7× |
| Irrig Drug Delivery Device (96523) | $1,879.58 | $1,879.58 | 31.7× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$1,084.68–$1,208.29 | $1,084.68–$1,208.29 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$1,084.68–$1,208.29 | $1,084.68–$1,208.29 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $479.15 | $479.15 | 6.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $479.15 | $479.15 | 10.2× |
| IV push initial (96374) range across 6 matching MRF lines |
$378.39–$414.17 | $378.39–$414.17 | varies |
| L Hrt Art/Grft Angio (93459) range across 3 matching MRF lines |
$65,180.07–$70,394.48 | $65,180.07–$70,394.48 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $795.72 | $795.72 | 13.4× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $5,351.73 | $5,351.73 | 24.7× |
| Mechanical chest wall oscillation per session (94669) | $794.83 | $794.83 | 3.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$163.75–$239.41 | $163.75–$239.41 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$163.75–$239.41 | $163.75–$239.41 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$232.55–$348.13 | $232.55–$348.13 | varies |
| Methacholine challenge (94070) | $4,415.73 | $4,415.73 | 11.8× |
| Motility study esophagus (91010) | $4,466.11 | $4,466.11 | 11.9× |
| Motion Fluoroscopy/Swallow (92611) | $1,228.36 | $1,228.36 | 13.4× |
| Multiple Sleep Latency Test (95805) | $12,166.85 | $12,166.85 | 14.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 8 matching MRF lines |
$381.43–$791.97 | $381.43–$791.97 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 8 matching MRF lines |
$585.09–$1,126.54 | $585.09–$1,126.54 | varies |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$273.13–$273.14 | $273.13–$273.14 | varies |
| Newborn resuscitation (99465) | $1,158.01 | $1,158.01 | 1.7× |
| Oral Function Therapy (92526) range across 4 matching MRF lines |
$363.65–$924.50 | $363.65–$924.50 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $223.04 | $223.04 | 4.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $223.04 | $223.04 | 4.8× |
| Ot Contrast Bath Ea 15 Min (97034) | $273.14 | $273.14 | 19.5× |
| Ot eval high complexity (97167) | $867.94 | $867.94 | 8.6× |
| Ot Eval Low Complex (97165) | $326.47 | $326.47 | 3.2× |
| Ot Eval Moderate Complexity (97166) | $402.44 | $402.44 | 4.0× |
| Ot manual therapy 15 min (97140) | $329.73 | $329.73 | 11.9× |
| Ot paraffin bath (97018) | $282.84 | $282.84 | 47.1× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$279.62–$297.40 | $279.62–$297.40 | varies |
| Ot Re-Eval Est Plan Care (97168) | $373.36 | $373.36 | 5.5× |
| Ot rom hand (95852) | $638.42 | $638.42 | 29.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $1,052.61 | $1,052.61 | 8.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $1,075.56 | $1,075.56 | 4.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 6 matching MRF lines |
$67,328.54–$72,714.82 | $67,328.54–$72,714.82 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 10 matching MRF lines |
$38,423.76–$50,136.88 | $38,423.76–$50,136.88 | varies |
| Phlebotomy therapeutic (99195) | $1,191.59 | $1,191.59 | 8.9× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$279.62–$309.59 | $279.62–$309.59 | varies |
| Plethysmography (94726) | $11,947.66 | $11,947.66 | 31.9× |
| Pm device eval in person (93288) | $637.10 | $637.10 | 17.0× |
| Pm Device Progr Eval Sngl (93279) | $637.10 | $637.10 | 17.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $17,383.05 | $17,383.05 | 20.2× |
| Polysom <6 yrs 4/> paramtrs (95782) | $16,470.44 | $16,470.44 | 19.1× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $17,383.05 | $17,383.05 | 20.2× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 6 matching MRF lines |
$64,524.78–$70,977.26 | $64,524.78–$70,977.26 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 6 matching MRF lines |
$64,524.78–$70,977.26 | $64,524.78–$70,977.26 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 9 matching MRF lines |
$67,521.02–$72,922.70 | $67,521.02–$72,922.70 | varies |
| Pt Eval High Complex (97163) | $837.23 | $837.23 | 8.6× |
| Pt eval low complex 20 min (97161) | $326.47 | $326.47 | 3.3× |
| Pt Eval Mod Complex (97162) | $459.02 | $459.02 | 4.7× |
| Pt gait training 15 min (97116) | $305.48 | $305.48 | 10.5× |
| Pt group caregiver training (97552) range across 3 matching MRF lines |
$286.08–$612.57 | $286.08–$612.57 | varies |
| Pt mechanical traction (97012) | $315.18 | $315.18 | 21.9× |
| Pt Re-Eval Est Plan Care (97164) | $407.30 | $407.30 | 6.0× |
| Pulm function test by gas (94727) | $2,188.59 | $2,188.59 | 10.1× |
| R Hrt Art/Grft Angio (93457) range across 3 matching MRF lines |
$46,387.33–$50,098.32 | $46,387.33–$50,098.32 | varies |
| R hrt coronary artery angio (93456) range across 3 matching MRF lines |
$38,004.63–$41,045 | $38,004.63–$41,045 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 3 matching MRF lines |
$43,312.13–$46,777.10 | $43,312.13–$46,777.10 | varies |
| Refill/Maint Portable Pump (96521) | $1,879.58 | $1,879.58 | 8.8× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $601.34 | $601.34 | 10.1× |
| Right Heart Cath (93451) range across 3 matching MRF lines |
$13,111.15–$14,160.04 | $13,111.15–$14,160.04 | varies |
| Right ventricular recording (93603) | $4,299.47 | $4,299.47 | 3.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$320.03–$423.46 | $320.03–$423.46 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $638.42 | $638.42 | 24.5× |
| Self Care Mngment Training (97535) | $286.08 | $286.08 | 8.8× |
| Sensory Integration Ea 15 Min (97533) | $240.82 | $240.82 | 4.0× |
| Sleep study attended (95807) | $3,101.19 | $3,101.19 | 8.3× |
| Sleep study unattended (95806) | $1,734.42 | $1,734.42 | 8.0× |
| Slp caregiver training 1st 30 min (97550) range across 3 matching MRF lines |
$286.08–$612.57 | $286.08–$612.57 | varies |
| Speech sound lang comprehen (92523) range across 4 matching MRF lines |
$326.47–$950.35 | $326.47–$950.35 | varies |
| Spin/Brain Pump Refil & Main (95991) | $1,144.24 | $1,144.24 | 3.7× |
| Spirometry (94010) | $1,917.44 | $1,917.44 | 8.8× |
| Standardized Cognitive Performance Testing (96125) | $950.35 | $950.35 | 9.2× |
| Stress Tte Only (93350) | $12,627.68 | $12,627.68 | 23.0× |
| Surfactant Admin Thru Tube (94610) | $601.83 | $601.83 | 2.7× |
| Temp transcutaneous pacing (92953) | $2,967.46 | $2,967.46 | 4.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $308.70 | $308.70 | 13.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $308.70 | $308.70 | 14.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $282.84 | $282.84 | 7.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $329.73 | $329.73 | 11.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$158.22–$308.21 | $158.22–$308.21 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $1,208.29 | $1,208.29 | 5.7× |
| Therapeutic Activities (97530) | $263.44 | $263.44 | 7.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $90.81 | $90.81 | 2.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $66.05 | $66.05 | 1.8× |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$38,340–$41,407.20 | $38,340–$41,407.20 | varies |
| Tte w/doppler, complete (93306) | $13,365.37 | $13,365.37 | 24.3× |
| Tte W/O Doppler Complete (93307) | $12,776.90 | $12,776.90 | 53.3× |
| Tx atrial fib pulm vein isol (93656) | $92,602.13 | $92,602.13 | 3.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 4 matching MRF lines |
$363.65–$998.85 | $363.65–$998.85 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 4 matching MRF lines |
$185.87–$583.47 | $185.87–$583.47 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$413.88–$414.17 | $413.88–$414.17 | varies |
| Unlisted cardiovascular service/procedure (93799) | $6,714.14 | $6,714.14 | 51.9× |
| Unlisted noninvasive vascular diagnostic study (93998) | $7,094.80 | $7,094.80 | 244.1× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$643.01–$3,321.78 | $643.01–$3,321.78 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $4,955.27 | $4,955.27 | 22.8× |
| Vasopneumatic device (97016) | $299.01 | $299.01 | 24.9× |
| Veeg 2-12 Hr Cont Mntr (95713) | $9,391.34 | $9,391.34 | 25.1× |
| Veeg 2-12 hr intmt mntr (95712) | $4,485.41 | $4,485.41 | 12.0× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $14,227.17 | $14,227.17 | 38.0× |
| Veeg ea 12-26hr cont mntr (95716) | $18,827.52 | $18,827.52 | 21.8× |
| Vent Mgmt Inpat Init Day (94002) | $9,450.19 | $9,450.19 | 15.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $9,060.66 | $9,060.66 | 14.6× |
| Visual Evoked Potential Test (95930) | $2,739.31 | $2,739.31 | 12.6× |
| Vital capacity, total (94150) | $1,367.69 | $1,367.69 | 10.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $282.84 | $282.84 | 9.1× |
| Whirlpool Therapy (97022) | $282.84 | $282.84 | 18.0× |
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.