Visits & medical services prices at Memorial Healthcare
Owosso, MI · every code in this section with a posted price and a Medicare benchmark.
257 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acupunct W/Stimul 15 Min (97813) | $24 | $30 | 0.8× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $53.60 | $67 | 1.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $36.80 | $46 | 0.9× |
| Advncd Care Plan 30 Min (99497) | $71.20 | $89 | 0.7× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $272 | $340 | 1.3× |
| Aep neurodiagnostic i&r (92653) | $248.80 | $311 | 1.2× |
| Aep threshold estimation mlt frequencies i&r (92652) | $257.60 | $322 | 1.2× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$13.60–$388.80 | $17–$486 | varies |
| Airway resistance by oscillometry (94728) | $344 | $430 | 2.7× |
| Analyze neurostim complex (95972) | $107.20 | $134 | 1.1× |
| Analyze neurostim no prog (95970) range across 3 matching MRF lines |
$104–$317.60 | $130–$397 | varies |
| Analyze Neurostim Simple (95971) range across 3 matching MRF lines |
$107.20–$346.40 | $134–$433 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $200 | $250 | 13.9× |
| Application on-body injector (96377) | $88.80 | $111 | 1.9× |
| Assmt & care planning pt w/cognitive impairment (99483) | $73.60 | $92 | 0.7× |
| Basic vestibular evaluation (92540) | $143.20 | $179 | 0.7× |
| Behavral qualit analys voice (92524) | $475.20 | $594 | 4.3× |
| Blink reflex test (95933) | $52.80 | $66 | 0.9× |
| Breath hydrogen/methane test (91065) | $141.60 | $177 | 0.7× |
| Breathing response to hypoxia (94450) | $340 | $425 | 2.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$19.20–$576.80 | $24–$721 | varies |
| Caloric vestibular test w/rec bi monothermal (92538) | $131.20 | $164 | 0.6× |
| Caloric Vstblr Test W/Rec (92537) | $214.40 | $268 | 1.7× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$185.60–$240.80 | $232–$301 | varies |
| Car seat/bed test 60 min (94780) | $72.80 | $91 | 2.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,306.40 | $1,633 | 6.1× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$284–$832.80 | $355–$1,041 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$184.80–$3,870.40 | $231–$4,838 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 8 matching MRF lines |
$119.20–$436.80 | $149–$546 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$54.40–$408.80 | $68–$511 | varies |
| Chemo intralesional up to 7 (96405) range across 2 matching MRF lines |
$59.20–$388 | $74–$485 | varies |
| Chemo IV infusion addl hr (96415) | $641.60 | $802 | 8.9× |
| Chemo IV push addl drug (96411) | $531.20 | $664 | 7.4× |
| Chemother Prolong Infuse W/Pump (96416) | $1,295.20 | $1,619 | 3.9× |
| Chemotherapy Into Cns (96450) range across 4 matching MRF lines |
$120–$835.20 | $150–$1,044 | varies |
| Chemotherapy Unspecified (96549) | $110.40 | $138 | 2.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $471.20 | $589 | 6.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $792 | $990 | 2.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $533.60 | $667 | 1.6× |
| Chest Wall Manipulation (94668) | $180 | $225 | 1.4× |
| Chron Care Mgmt Srvc 20 Min (99490) | $84 | $105 | 0.8× |
| Cmptr ophth dx img ant segmt (92132) | $54.40 | $68 | 0.9× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$347.20–$1,250.40 | $434–$1,563 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $145.60 | $182 | 0.8× |
| Comprehensive Hearing Test (92557) | $130.40 | $163 | 1.0× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $54.40 | $68 | 0.9× |
| Computerized Ophthalmic Imaging Retina (92134) | $54.40 | $68 | 0.9× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$105.60–$248.80 | $132–$311 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 2 matching MRF lines |
$51.20–$114.40 | $64–$143 | varies |
| Continuous Pulse Ox (94762) | $609.60 | $762 | 4.8× |
| Corneal Topography (92025) | $54.40 | $68 | 0.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $898.40 | $1,123 | 4.1× |
| Cpt initial (94667) | $277.60 | $347 | 2.1× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$332.80–$4,200 | $416–$5,250 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$34.40–$330.40 | $43–$413 | varies |
| Dialysis One Evaluation (90945) | $1,092 | $1,365 | 2.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $819.20 | $1,024 | 3.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,184 | $1,480 | 5.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$38.40–$697.60 | $48–$872 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$52.80–$1,077.60 | $66–$1,347 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$33.60–$849.60 | $42–$1,062 | varies |
| Duplex Scan Hemodialysis Access (93990) | $37.60 | $47 | 0.4× |
| Duplex up extrem art bilat (93930) | $910.40 | $1,138 | 3.8× |
| Duplex up extrem art unilat/ltd (93931) | $566.40 | $708 | 5.4× |
| Ear and throat examination (92502) | $142.40 | $178 | 0.3× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$152.80–$656.80 | $191–$821 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $156 | $195 | 0.3× |
| Echo transesophageal (93312) | $1,048.80 | $1,311 | 1.9× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,048.80 | $1,311 | 1.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,004.80 | $1,256 | 1.8× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$1,142.40–$1,545.60 | $1,428–$1,932 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$1,396.80–$1,890.40 | $1,746–$2,363 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$1,194.40–$1,616 | $1,493–$2,020 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $585.60 | $732 | 2.7× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$1,295.20–$1,752 | $1,619–$2,190 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $585.60 | $732 | 2.7× |
| EEG w/o vid 2-12hr cont mntr (95707) | $585.60 | $732 | 2.7× |
| EEG w/o vid ea 12-26hr intmt (95709) | $1,120 | $1,400 | 3.0× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $1,120 | $1,400 | 3.0× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $585.60 | $732 | 2.7× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,120 | $1,400 | 3.0× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $107.20 | $134 | 1.1× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $35.20 | $44 | 0.9× |
| Electrical Stimulation Ea 15 Min (97032) | $232 | $290 | 15.8× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$79.20–$248 | $99–$310 | varies |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$65.60–$628 | $82–$785 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$110.40–$1,141.60 | $138–$1,427 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$188.80–$2,100 | $236–$2,625 | varies |
| Emg 3 Extremities (95863) | $132 | $165 | 1.0× |
| Emg 4 Extremities (95864) | $132 | $165 | 1.0× |
| Er level 1 (99281) range across 3 matching MRF lines |
$18.40–$420 | $23–$525 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$272.80–$2,940 | $341–$3,675 | varies |
| Evaluate pt use of inhaler (94664) | $174.40 | $218 | 0.8× |
| Evaluate Speech Production (92522) | $475.20 | $594 | 4.2× |
| Evaluate Swallowing Function (92610) | $475.20 | $594 | 5.6× |
| Exhaled Air Analysis O2 (94680) | $668.80 | $836 | 5.2× |
| External ECG rec>48hr<7d recording (93242) | $82.40 | $103 | 2.2× |
| External ECG rec>7d<15d recording (93246) | $134.40 | $168 | 3.6× |
| External Ecg Scanning Analysis Report (93226) | $948.80 | $1,186 | 16.1× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$44.80–$1,241.60 | $56–$1,552 | varies |
| Extracranial Uni/Ltd Study (93882) | $776 | $970 | 7.4× |
| Eye Allergy Tests (95060) | $97.60 | $122 | 0.7× |
| Eye exam w anesth; complete (92018) | $134.40 | $168 | 0.1× |
| Eye exam w anesth; limited (92019) | $83.20 | $104 | 0.0× |
| Fundus photography (92250) | $103.20 | $129 | 0.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$128–$2,090.40 | $160–$2,613 | varies |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$196.80–$4,195.20 | $246–$5,244 | varies |
| Group Therapeutic Procedures (97150) | $144 | $180 | 8.0× |
| Health Behavior Assessment/Re-Assessment (96156) | $76 | $95 | 0.8× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $55.20 | $69 | 1.5× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $76 | $95 | 0.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,091.20 | $1,364 | 1.6× |
| Holter monitor recording (93225) range across 3 matching MRF lines |
$109.60–$968 | $137–$1,210 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $54.40 | $68 | 0.8× |
| Immunization administration (90471) range across 12 matching MRF lines |
$23.03–$151.20 | $28.79–$189 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) range across 2 matching MRF lines |
$55.20–$976 | $69–$1,220 | varies |
| Inital newborn e/m (99460) | $136 | $170 | 1.0× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$22.40–$212 | $28–$265 | varies |
| Irrig Drug Delivery Device (96523) | $471.20 | $589 | 8.0× |
| IV infusion hydration each additional hour (96361) range across 10 matching MRF lines |
$331.20–$579.20 | $414–$724 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $579.20 | $724 | 2.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $398.40 | $498 | 5.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $323.20 | $404 | 6.9× |
| IV push initial (96374) range across 12 matching MRF lines |
$302.40–$408.80 | $378–$511 | varies |
| Mechanical chest wall oscillation per session (94669) | $490.40 | $613 | 2.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$73.60–$76 | $92–$95 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$50.40–$152.80 | $63–$191 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $42.40 | $53 | 2.5× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$44–$805.60 | $55–$1,007 | varies |
| Motion Fluoroscopy/Swallow (92611) | $475.20 | $594 | 5.2× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$90.40–$1,024.80 | $113–$1,281 | varies |
| Muscle Test 2 Limbs (95861) | $104 | $130 | 0.8× |
| Muscle Test Nonparaspinal (95870) | $299.20 | $374 | 2.3× |
| Muscle Test One Limb (95860) | $308 | $385 | 2.3× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$48.80–$434.40 | $61–$543 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $130.40 | $163 | 0.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $158.40 | $198 | 0.7× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $130.40 | $163 | 0.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$301.60–$314.40 | $377–$393 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$40–$232.80 | $50–$291 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$40–$443.20 | $50–$554 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $190.40 | $238 | 0.9× |
| Nerve Conduction Studies 11-12 Studies (95912) | $436 | $545 | 1.2× |
| Nerve conduction studies 13 or more studies (95913) | $436 | $545 | 1.2× |
| Nerve Conduction Studies 3-4 Studies (95908) | $241.60 | $302 | 1.1× |
| Nerve conduction studies 5-6 studies (95909) | $272 | $340 | 1.3× |
| Nerve conduction studies 7-8 studies (95910) | $272 | $340 | 0.7× |
| Nerve Conduction Studies 9-10 Studies (95911) | $436 | $545 | 1.2× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $135.20 | $169 | 1.1× |
| Neuromuscular Reeducation (97112) | $253.60 | $317 | 7.7× |
| Newborn resuscitation (99465) | $219.20 | $274 | 0.3× |
| Nitric oxide expired gas determination (95012) range across 2 matching MRF lines |
$32.80–$89.60 | $41–$112 | varies |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $103.20 | $129 | 0.8× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $112 | $140 | 0.8× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $112 | $140 | 0.8× |
| Ophth medical xm&eval intermediate estab pt (92012) | $112 | $140 | 0.8× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $112 | $140 | 0.8× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $52.80 | $66 | 0.9× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $52.80 | $66 | 0.9× |
| Oral Function Therapy (92526) | $504 | $630 | 6.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $92 | $115 | 1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $172 | $215 | 3.7× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 5 matching MRF lines |
$24.80–$63.20 | $31–$79 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 3 matching MRF lines |
$24.80–$94.40 | $31–$118 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$24.80–$55.20 | $31–$69 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) | $24.80 | $31 | 1.2× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $24.80 | $31 | 1.2× |
| Ot eval high complexity (97167) | $532 | $665 | 5.3× |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$157.60–$532 | $197–$665 | varies |
| Ot Eval Moderate Complexity (97166) | $532 | $665 | 5.3× |
| Ot manual therapy 15 min (97140) | $196 | $245 | 7.1× |
| Ot paraffin bath (97018) | $188 | $235 | 31.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $171.20 | $214 | 4.2× |
| Ot Re-Eval Est Plan Care (97168) | $253.60 | $317 | 3.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $308.80 | $386 | 2.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $180.80 | $226 | 1.4× |
| Oxygen Uptake Rest Indirect (94690) range across 2 matching MRF lines |
$7.20–$244 | $9–$305 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $520 | $650 | 2.4× |
| Phlebotomy therapeutic (99195) | $528 | $660 | 4.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $124 | $155 | 2.1× |
| Physical Performance Test (97750) | $71.20 | $89 | 2.1× |
| Plethysmography (94726) range across 3 matching MRF lines |
$19.20–$709.60 | $24–$887 | varies |
| Pm device eval in person (93288) | $91.20 | $114 | 2.5× |
| Pm/Icd Remote Tech Serv (93296) | $72.80 | $91 | 2.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$152–$1,998.40 | $190–$2,498 | varies |
| Positional nystagmus test (92542) | $104 | $130 | 0.8× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) range across 2 matching MRF lines |
$84–$96 | $105–$120 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $34.40 | $43 | 0.7× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $40.80 | $51 | 0.9× |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$145.60–$208 | $182–$260 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$145.60–$189.60 | $182–$237 | varies |
| Psychoanalysis (90845) | $145.60 | $182 | 0.8× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $17.60 | $22 | 0.0× |
| Pt Eval High Complex (97163) | $532 | $665 | 5.4× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$157.60–$532 | $197–$665 | varies |
| Pt Eval Mod Complex (97162) | $532 | $665 | 5.4× |
| Pt gait training 15 min (97116) | $158.40 | $198 | 5.5× |
| Pt mechanical traction (97012) | $212 | $265 | 14.8× |
| Pt Re-Eval Est Plan Care (97164) | $253.60 | $317 | 3.8× |
| Pulm function test by gas (94727) | $787.20 | $984 | 3.7× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$103.20–$212.80 | $129–$266 | varies |
| Refill/Maint Portable Pump (96521) | $720.80 | $901 | 3.4× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$34.40–$867.20 | $43–$1,084 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $232.80 | $291 | 1.2× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $38.40 | $48 | 1.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $226.40 | $283 | 1.9× |
| Same day nb discharge (99463) | $172 | $215 | 1.3× |
| Self Care Mngment Training (97535) | $202.40 | $253 | 6.2× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $54.40 | $68 | 0.9× |
| Sensory Integration Ea 15 Min (97533) | $133.60 | $167 | 2.2× |
| Sleep study unattended (95806) | $837.60 | $1,047 | 3.9× |
| Slp Stdy Unatnd W/Anal (95801) | $73.60 | $92 | 1.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $268.80 | $336 | 1.2× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$231.20–$475.20 | $289–$594 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 5 matching MRF lines |
$247.20–$575.20 | $309–$719 | varies |
| Spirometry (94010) range across 4 matching MRF lines |
$12.80–$497.60 | $16–$622 | varies |
| Spontaneous Nystagmus Test (92541) | $132 | $165 | 1.0× |
| Temp transcutaneous pacing (92953) | $791.20 | $989 | 1.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$26.40–$34.40 | $33–$43 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $32.80 | $41 | 1.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $221.60 | $277 | 6.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $184 | $230 | 6.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $188.80 | $236 | 1.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 13 matching MRF lines |
$57.60–$157.60 | $72–$197 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 16 matching MRF lines |
$474.40–$642.40 | $593–$803 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$36.80–$193.60 | $46–$242 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $24 | $30 | 0.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$14.40–$42.40 | $18–$53 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $124.80 | $156 | 0.9× |
| Trans Care Mgmt 7 Day Disch (99496) | $272 | $340 | 2.1× |
| Tte w/doppler, complete (93306) | $2,697.60 | $3,372 | 5.0× |
| Tte W/O Doppler Complete (93307) | $1,267.20 | $1,584 | 5.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$79.20–$504 | $99–$630 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $329.60 | $412 | 7.1× |
| Tympanometry (92567) | $44 | $55 | 1.2× |
| Unlisted allergy/clinical immunologic srvc/px (95199) | $26.40 | $33 | 0.9× |
| Unlisted cardiovascular service/procedure (93799) | $682.40 | $853 | 5.3× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $636.80 | $796 | 5.0× |
| Unlisted otorhinolaryngological service (92700) | $217.60 | $272 | 7.6× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$17.60–$545.60 | $22–$682 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$33.60–$628.80 | $42–$786 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,426.40 | $1,783 | 3.8× |
| Veeg 2-12 hr intmt mntr (95712) | $585.60 | $732 | 1.6× |
| Veeg 2-12 hr unmonitored (95711) | $585.60 | $732 | 2.7× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,120 | $1,400 | 3.0× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,120 | $1,400 | 3.0× |
| Veeg ea 12-26hr cont mntr (95716) | $2,094.40 | $2,618 | 2.4× |
| Vent Mgmt Inpat Init Day (94002) | $1,113.60 | $1,392 | 1.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,511.20 | $1,889 | 2.5× |
| Visual Evoked Potential Test (95930) | $28 | $35 | 0.1× |
| Visual Field Exam Extended (92083) | $103.20 | $129 | 0.8× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $54.40 | $68 | 0.9× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $54.40 | $68 | 0.9× |
| Vital capacity, total (94150) | $259.20 | $324 | 2.0× |
| Wheelchair Mgmt Ea 15 Min (97542) | $158.40 | $198 | 5.1× |
| Whirlpool Therapy (97022) | $201.60 | $252 | 12.8× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $52.80 | $66 | 1.4× |
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.