Visits & medical services prices at Memorial Hospital

Abilene, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $97 $97 0.8×
Acoustic Reflex Testing (92568) $45 $45 1.3×
Acupunct W/Stimul 15 Min (97813)
range across 2 matching MRF lines
$67.80–$146.60 $67.80–$146.60 varies
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $136.40 $136.40 5.1×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 4 matching MRF lines
$20.20–$85.60 $20.20–$85.60 varies
Advncd Care Plan 30 Min (99497)
range across 3 matching MRF lines
$80.30–$141 $80.30–$141 varies
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $192 $192 1.0×
Aep neurodiagnostic i&r (92653)
range across 2 matching MRF lines
$300–$515.30 $300–$515.30 varies
Aep threshold estimation mlt frequencies i&r (92652)
range across 2 matching MRF lines
$343.50–$515.30 $343.50–$515.30 varies
Airway Inhalation Treatment (94640)
range across 8 matching MRF lines
$52–$289.40 $52–$289.40 varies
Airway resistance by oscillometry (94728) $532.50 $532.50 4.5×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $732.60 $732.60 6.0×
Analyze neurostim complex (95972)
range across 4 matching MRF lines
$26.80–$135 $26.80–$135 varies
Analyze neurostim no prog (95970) $77.90 $77.90 0.6×
Analyze Neurostim Simple (95971) $241.70 $241.70 2.8×
Anrct mano rct sensation&rct balo expulsion test (91125) $360 $360 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$79.40–$102.30 $79.40–$102.30 varies
Application on-body injector (96377) $106 $106 2.5×
Arrhythmia Induction (93618) $1,816.20 $1,816.20 1.6×
Assessment of aphasia per hr (96105)
range across 2 matching MRF lines
$228–$303.60 $228–$303.60 varies
Assessment of tinnitus (92625) $202.80 $202.80 1.7×
Assmt & care planning pt w/cognitive impairment (99483)
range across 3 matching MRF lines
$137–$447.30 $137–$447.30 varies
Audiometry Air & Bone (92553)
range across 2 matching MRF lines
$113.90–$115 $113.90–$115 varies
Auditory Function, 60 Min (92620) $269.80 $269.80 2.3×
Basic vestibular evaluation (92540) $226.80 $226.80 1.1×
Behavral qualit analys voice (92524) $590.50 $590.50 5.4×
Biofeedback training any modality (90901) $190 $190 4.6×
Bioimpedance Cv Analysis (93701) $310.80 $310.80 2.5×
Breath hydrogen/methane test (91065) $216.10 $216.10 1.1×
Brief Emotional/Behav Assmt (96127)
range across 2 matching MRF lines
$1.10–$12.70 $1.10–$12.70 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 5 matching MRF lines
$130–$647.40 $130–$647.40 varies
Caloric vestibular test w/rec bi monothermal (92538)
range across 3 matching MRF lines
$26.80–$186.20 $26.80–$186.20 varies
Caloric Vstblr Test W/Rec (92537) $171.80 $171.80 1.5×
Canalith repositioning proc (95992)
range across 3 matching MRF lines
$127.90–$204.10 $127.90–$204.10 varies
Car seat/bed test 60 min (94780) $223.40 $223.40 6.5×
Cardiac Stress Tst,Tracing Only (93017) $1,094.50 $1,094.50 5.5×
Cardiopulmonary exercise testing (94621)
range across 2 matching MRF lines
$205.10–$515.30 $205.10–$515.30 varies
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines
$29.90–$2,059.20 $29.90–$2,059.20 varies
Cardioversion (92960)
range across 2 matching MRF lines
$381.40–$1,450.10 $381.40–$1,450.10 varies
Cardioversion elective internal (92961) $1,411.80 $1,411.80 2.3×
Caregiver hlth risk assmt score doc stnd instrm (96161) $37.50 $37.50 1.1×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460)
range across 2 matching MRF lines
$842.80–$19,594.50 $842.80–$19,594.50 varies
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458)
range across 2 matching MRF lines
$664.10–$19,594.50 $664.10–$19,594.50 varies
Cbt 1st hour (94644) $414.70 $414.70 3.4×
Cervical & Ocular Vemp Testing W/I&R (92519) $185.60 $185.60 0.9×
Cervical Vemp Testing W/I&R (92517) $120.30 $120.30 1.0×
Chemo Admin Peritoneal Cavity (96446) $651.40 $651.40 2.1×
Chemo Anti-Neopl Sq/Im (96401)
range across 3 matching MRF lines
$186–$383 $186–$383 varies
Chemo Hormon Antineopl Sq/Im (96402)
range across 2 matching MRF lines
$80–$360.50 $80–$360.50 varies
Chemo IV infusion addl hr (96415)
range across 3 matching MRF lines
$107–$415.50 $107–$415.50 varies
Chemo IV push addl drug (96411)
range across 3 matching MRF lines
$161–$438.10 $161–$438.10 varies
Chemother Prolong Infuse W/Pump (96416)
range across 2 matching MRF lines
$429–$988.60 $429–$988.60 varies
Chemotherapy Into Cns (96450)
range across 2 matching MRF lines
$532.50–$1,529.30 $532.50–$1,529.30 varies
Chemotherapy Intracavitary (96440) $1,525.30 $1,525.30 5.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417)
range across 3 matching MRF lines
$171–$415.50 $171–$415.50 varies
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 3 matching MRF lines
$287–$830.20 $287–$830.20 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 3 matching MRF lines
$207–$466.60 $207–$466.60 varies
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $425.70 $425.70 1.4×
Chest Wall Manipulation (94668) $171.70 $171.70 1.4×
Chron Care Mgmt Srvc 20 Min (99490) $98 $98 1.0×
Color/duplex Doppler, complete (93975)
range across 3 matching MRF lines
$127.40–$1,578.20 $127.40–$1,578.20 varies
Color/duplex Doppler, limited (93976)
range across 4 matching MRF lines
$469.50–$1,578.20 $469.50–$1,578.20 varies
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 3 matching MRF lines
$90.30–$100.50 $90.30–$100.50 varies
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $195 $195 1.2×
Comprehensive Hearing Test (92557)
range across 2 matching MRF lines
$110.90–$112 $110.90–$112 varies
Conditioning Play Audiometry (92582) $218.90 $218.90 1.8×
Cont gluc mntr physician/qhp provided equiptment (95250) $250 $250 2.0×
Cont Gluc Mntr Pt Prov Eqp (95249) $271.40 $271.40 5.0×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$36.90–$489 $36.90–$489 varies
Coronary Art/Grft Angio S&I (93455)
range across 2 matching MRF lines
$625.20–$13,817.60 $625.20–$13,817.60 varies
Coronary Artery Angio S&I (93454)
range across 2 matching MRF lines
$535.90–$13,278.60 $535.90–$13,278.60 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 7 matching MRF lines
$84.10–$2,495.20 $84.10–$2,495.20 varies
Cpt initial (94667) $192.80 $192.80 1.6×
Critical care first hour (99291) $870.20 $870.20 1.1×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$117–$417.30 $117–$417.30 varies
Developmental tst admin phys/qhp 1st hour (96112)
range across 3 matching MRF lines
$142.90–$301.30 $142.90–$301.30 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588)
range across 2 matching MRF lines
$83–$98.60 $83–$98.60 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$87.10–$762 $87.10–$762 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 2 matching MRF lines
$762–$1,182.10 $762–$1,182.10 varies
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $681.80 $681.80 7.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 3 matching MRF lines
$75.70–$1,533.50 $75.70–$1,533.50 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines
$50.40–$980.60 $50.40–$980.60 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$123.70–$1,604.50 $123.70–$1,604.50 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines
$77.90–$1,604.50 $77.90–$1,604.50 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $786.30 $786.30 3.6×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $786.30 $786.30 8.2×
Duplex Scan Hemodialysis Access (93990) $1,161.50 $1,161.50 12.1×
Duplex up extrem art bilat (93930) $1,533.50 $1,533.50 7.0×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$353.90–$980.60 $353.90–$980.60 varies
Ear and throat examination (92502) $272.80 $272.80 0.6×
Echo Congenital Complete (93303) $2,199.60 $2,199.60 4.4×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$73–$893.40 $73–$893.40 varies
Echo r-t 2d w/probe placement only (93313) $28.90 $28.90 0.1×
Echo transesophag montr cardiac pump functj (93318) $306.90 $306.90 0.6×
Echo transesophageal (93312)
range across 2 matching MRF lines
$242.20–$2,799.20 $242.20–$2,799.20 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $187.80 $187.80 0.4×
Eeg 41-60 Minutes (95812)
range across 2 matching MRF lines
$233.60–$535.60 $233.60–$535.60 varies
EEG awake and asleep (95819)
range across 2 matching MRF lines
$221.10–$1,448.40 $221.10–$1,448.40 varies
EEG awake drowsy (95816)
range across 2 matching MRF lines
$211.90–$1,234.80 $211.90–$1,234.80 varies
EEG cerebral death evaluation (95824)
range across 2 matching MRF lines
$329.80–$1,230.90 $329.80–$1,230.90 varies
EEG extended monitoring 61-119 minutes (95813)
range across 2 matching MRF lines
$290.90–$1,149.20 $290.90–$1,149.20 varies
Eeg Sleep Only (95822)
range across 2 matching MRF lines
$251.90–$1,153.40 $251.90–$1,153.40 varies
Eeg W/O Vid 2-12 Hr Unmntr (95705) $853.70 $853.70 4.3×
EEG wo vid ea 12-26hr unmntr (95708) $1,637.10 $1,637.10 4.8×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $134 $134 1.5×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977)
range across 4 matching MRF lines
$34.30–$143.20 $34.30–$143.20 varies
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976)
range across 2 matching MRF lines
$27–$107.70 $27–$107.70 varies
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines
$26.80–$143 $26.80–$143 varies
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$42.40–$238.50 $42.40–$238.50 varies
Electrocochleography (92584) $347.70 $347.70 2.9×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $7,859.20 $7,859.20 1.1×
Emergency Dept Visit Level 2 (99282) $183.20 $183.20 1.3×
Emergency Dept Visit Level 3 (99283) $276 $276 1.1×
Emergency Dept Visit Level 4 (99284) $469.50 $469.50 1.2×
Emg 3 Extremities (95863) $466 $466 3.9×
Endomyocardial Biopsy (93505) $3,475 $3,475 1.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $7,859.20 $7,859.20 1.1×
Er level 1 (99281) $136.40 $136.40 1.8×
Er level v (99285) $683.60 $683.60 1.2×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$43.60–$343.50 $43.60–$343.50 varies
Evaluate Speech Production (92522) $590.50 $590.50 5.3×
Evaluate Swallowing Function (92610) $478.90 $478.90 5.6×
Evaluation of speech fluency (92521) $590.50 $590.50 4.4×
Evoked Auditory Test,Limited (92587) $64.20 $64.20 0.3×
Exercise test for bronchospasm (94617) $240.50 $240.50 2.0×
External ECG rec>48hr<7d recording (93242) $177.10 $177.10 5.2×
External ECG rec>48hr<7d scanning alys w/report (93243) $529.10 $529.10 4.3×
External ECG rec>7d<15d recording (93246) $272 $272 7.9×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines
$83.90–$557.70 $83.90–$557.70 varies
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$79.10–$2,383.40 $79.10–$2,383.40 varies
Extracranial Uni/Ltd Study (93882) $1,326.20 $1,326.20 13.8×
F-up/limited tthrc echo congenital car anomaly (93304) $1,109.60 $1,109.60 2.2×
Facial nerve function studies (92516) $202.80 $202.80 1.0×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $429.50 $429.50 2.8×
Flexible endoscopic eval swallow c/v rec (92612) $576.30 $576.30 2.9×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $632.30 $632.30 2.8×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034)
range across 2 matching MRF lines
$305.70–$1,863.30 $305.70–$1,863.30 varies
Gastroesophag reflx test w/telemtry ph eltrd (91035) $194 $194 0.2×
Gi tract capsule endoscopy (91110)
range across 4 matching MRF lines
$775–$2,775 $775–$2,775 varies
Gonioscopy (92020) $59.10 $59.10 0.5×
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines
$69.90–$90 $69.90–$90 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461)
range across 4 matching MRF lines
$987.70–$20,775.40 $987.70–$20,775.40 varies
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $194.70 $194.70 0.3×
Holter monitor recording (93225) $603.50 $603.50 4.9×
Icd device progr eval dual (93283) $150 $150 4.4×
Ilr Device Eval Progr (93285) $58.30 $58.30 1.7×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$20.20–$32.10 $20.20–$32.10 varies
Immunization administration (90471)
range across 4 matching MRF lines
$20.20–$150.40 $20.20–$150.40 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $333.20 $333.20 1.0×
Inital newborn e/m (99460) $251.90 $251.90 2.1×
Insert/Place Heart Catheter (93503)
range across 2 matching MRF lines
$572.50–$3,143.20 $572.50–$3,143.20 varies
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$1,816.20 $1,816.20 0.3×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure
$1,816.20 $1,816.20 0.3×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$1,816.20 $1,816.20 0.3×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$126.90–$163.40 $126.90–$163.40 varies
Irrig Drug Delivery Device (96523)
range across 4 matching MRF lines
$81–$294 $81–$294 varies
IV infusion hydration each additional hour (96361)
range across 6 matching MRF lines
$69–$297 $69–$297 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 6 matching MRF lines
$190–$486.90 $190–$486.90 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 4 matching MRF lines
$132–$324.30 $132–$324.30 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 6 matching MRF lines
$80–$324.30 $80–$324.30 varies
IV push initial (96374)
range across 2 matching MRF lines
$115–$370.30 $115–$370.30 varies
L Hrt Art/Grft Angio (93459)
range across 2 matching MRF lines
$751.20–$20,775.40 $751.20–$20,775.40 varies
Laryngeal Function Studies (92520) $235.80 $235.80 1.9×
Lung Function Test (Mbc/Mvv) (94200) $171.80 $171.80 3.2×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines
$477.50–$1,308.10 $477.50–$1,308.10 varies
Mechanical chest wall oscillation per session (94669) $343.50 $343.50 1.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$45–$60.20 $45–$60.20 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$50–$72.50 $50–$72.50 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804)
range across 2 matching MRF lines
$26.20–$28.40 $26.20–$28.40 varies
Methacholine challenge (94070)
range across 2 matching MRF lines
$104.30–$775.80 $104.30–$775.80 varies
Microvolt T-Wave Assess (93025) $423.60 $423.60 3.6×
Motility study esophagus (91010)
range across 2 matching MRF lines
$390.50–$1,863.20 $390.50–$1,863.20 varies
Motion Fluoroscopy/Swallow (92611) $407.30 $407.30 4.5×
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
$429.40–$3,012 $429.40–$3,012 varies
Muscle Test 2 Limbs (95861) $374.40 $374.40 3.1×
Muscle Test Nonparaspinal (95870) $148.80 $148.80 1.2×
Muscle Test One Limb (95860) $266.90 $266.90 2.2×
Nasal function studies (92512) $175.80 $175.80 0.9×
Nasopharyngoscopy (92511) $429.40 $429.40 2.3×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $173.40 $173.40 0.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$89.40–$615.50 $89.40–$615.50 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 3 matching MRF lines
$32.10–$768.30 $32.10–$768.30 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$89.40–$334 $89.40–$334 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 4 matching MRF lines
$121.50–$492.20 $121.50–$492.20 varies
Nerve Conduction Studies 1-2 Studies (95907) $240.50 $240.50 1.2×
Nerve Conduction Studies 11-12 Studies (95912) $665.30 $665.30 1.9×
Nerve conduction studies 13 or more studies (95913) $771.70 $771.70 2.2×
Nerve Conduction Studies 3-4 Studies (95908) $297.70 $297.70 1.5×
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines
$149.80–$356.10 $149.80–$356.10 varies
Nerve conduction studies 7-8 studies (95910) $467.20 $467.20 1.4×
Nerve Conduction Studies 9-10 Studies (95911) $566.80 $566.80 1.7×
Neurobehavioral Status Exam (96116) $216.50 $216.50 1.1×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $143.40 $143.40 1.2×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$106.60–$137.30 $106.60–$137.30 varies
Newborn resuscitation (99465) $375.60 $375.60 0.6×
Nrpsyc tst eval phys/qhp 1st (96132)
range across 3 matching MRF lines
$103–$531 $103–$531 varies
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $688.50 $688.50 2.0×
Ocular Vemp Testing W/I&R (92518) $112.90 $112.90 1.0×
Oculoelectromyography (92265) $240.50 $240.50 4.4×
Optokinetic Nystagmus Test (92544) $42 $42 0.4×
Oral Function Therapy (92526)
range across 2 matching MRF lines
$232.20–$247.80 $232.20–$247.80 varies
Oral Speech Device Eval (92597) $178 $178 2.5×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines
$119–$153.30 $119–$153.30 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$212.30–$273.40 $212.30–$273.40 varies
Oscillating Tracking Test (92545) $39 $39 0.2×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $40.20 $40.20 2.0×
Osteopathic manipulative tx 3-4 body regions (98926) $60.80 $60.80 3.1×
Osteopathic manipulative tx 5-6 body regions (98927) $80.20 $80.20 4.0×
Osteopathic manipulative tx 7-8 body regions (98928) $100.80 $100.80 5.1×
Osteopathic manipulative tx 9-10 body regions (98929) $215.30 $215.30 10.8×
Ot eval high complexity (97167) $739 $739 7.4×
Ot Eval Low Complex (97165) $340.30 $340.30 3.4×
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines
$162.30–$421.40 $162.30–$421.40 varies
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$111–$143 $111–$143 varies
Ot paraffin bath (97018)
range across 2 matching MRF lines
$65.40–$84.40 $65.40–$84.40 varies
Ot Prosthetic Training, Each 15 Min (97761) $204.10 $204.10 5.0×
Ot Re-Eval Est Plan Care (97168) $134 $134 2.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$340.70–$593.40 $340.70–$593.40 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $259 $259 2.2×
Oxygen Uptake Rest Indirect (94690) $49.40 $49.40 0.9×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $515.30 $515.30 1.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $413.50 $413.50 2.1×
Peripheral arterial disease rehab per session (93668) $125.60 $125.60 2.3×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930)
range across 2 matching MRF lines
$1,270–$46,820 $1,270–$46,820 varies
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 4 matching MRF lines
$716.90–$14,537 $716.90–$14,537 varies
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
range across 2 matching MRF lines
$1,593–$29,485 $1,593–$29,485 varies
Phlebotomy therapeutic (99195)
range across 3 matching MRF lines
$48.20–$299.60 $48.20–$299.60 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626)
range across 2 matching MRF lines
$163.90–$526.70 $163.90–$526.70 varies
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625)
range across 2 matching MRF lines
$163.90–$377.90 $163.90–$377.90 varies
Physical Performance Test (97750)
range across 2 matching MRF lines
$96.30–$204.10 $96.30–$204.10 varies
Plethysmography (94726)
range across 4 matching MRF lines
$84.10–$167.30 $84.10–$167.30 varies
Pm device eval in person (93288) $53.50 $53.50 1.6×
Pm device progr eval dual (93280) $97.40 $97.40 2.8×
Pm device progr eval multi (93281) $111.30 $111.30 3.2×
Pm Device Progr Eval Sngl (93279) $110.30 $110.30 3.2×
Pm/Icd Remote Tech Serv (93296) $52 $52 1.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 3 matching MRF lines
$519.90–$6,800 $519.90–$6,800 varies
Positional nystagmus test (92542) $73 $73 0.6×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $46.10 $46.10 1.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$34.40–$128.60 $34.40–$128.60 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines
$40.20–$128.60 $40.20–$128.60 varies
Prq Card Angio/Athrect 1 Art (92924)
range across 2 matching MRF lines
$16,268.40–$32,536.40 $16,268.40–$32,536.40 varies
Prq Card Stent W/Angio 1 Vsl (92928)
range across 3 matching MRF lines
$1,165–$29,485 $1,165–$29,485 varies
Prq Card Stent/Ath/Angio (92933)
range across 3 matching MRF lines
$1,490.80–$49,822.60 $1,490.80–$49,822.60 varies
Prq Revasc Byp Graft 1 Vsl (92937)
range across 2 matching MRF lines
$1,328.10–$17,226.90 $1,328.10–$17,226.90 varies
Prq trl rvs ch occ ant&rtrgr (92945)
range across 2 matching MRF lines
$17,226.90–$29,485 $17,226.90–$29,485 varies
Psych diag eval w/med srvcs (90792)
range across 3 matching MRF lines
$160–$345 $160–$345 varies
Psychiatric diagnostic evaluation (90791)
range across 3 matching MRF lines
$225–$257.70 $225–$257.70 varies
Psychological tst eval svc phys/qhp first hour (96130)
range across 3 matching MRF lines
$115.60–$320 $115.60–$320 varies
Psycl/Nrpsyc Tst Auto Result (96146) $51.60 $51.60 1.9×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $112.30 $112.30 0.3×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136)
range across 3 matching MRF lines
$45–$175 $45–$175 varies
Psytx Crisis Initial 60 Min (90839)
range across 3 matching MRF lines
$138.10–$257.70 $138.10–$257.70 varies
Pt Eval High Complex (97163) $616.90 $616.90 6.3×
Pt eval low complex 20 min (97161) $279.40 $279.40 2.9×
Pt Eval Mod Complex (97162) $385 $385 3.9×
Pt gait training 15 min (97116) $94.30 $94.30 3.2×
Pt mechanical traction (97012) $120.60 $120.60 8.4×
Pt Re-Eval Est Plan Care (97164) $246.80 $246.80 3.7×
Pulm function test by gas (94727)
range across 2 matching MRF lines
$119.10–$547.70 $119.10–$547.70 varies
Pulmonary service/procedure (94799) $372.90 $372.90 3.2×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$240.50–$1,417.80 $240.50–$1,417.80 varies
Pure Tone Audiometry Air (92552) $94 $94 0.8×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $57.30 $57.30 2.5×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $89.40 $89.40 2.6×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $33.30 $33.30 2.7×
R Hrt Art/Grft Angio (93457) $20,775.40 $20,775.40 7.0×
R hrt coronary artery angio (93456) $19,594.50 $19,594.50 6.6×
R&L Hrt Cath W/Ventriclgrphy (93453) $17,937.80 $17,937.80 6.0×
Rectal sensation tone&compliance study (91124) $415 $415 2.1×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990)
range across 2 matching MRF lines
$125–$631.30 $125–$631.30 varies
Refill/Maint Portable Pump (96521)
range across 2 matching MRF lines
$275–$647.30 $275–$647.30 varies
Rem interrog icpms <30 d phys/qhp (93297) $125 $125 3.6×
Rem Interrog Scrms <30 D Phys/Qhp (93298)
range across 2 matching MRF lines
$58.60–$125 $58.60–$125 varies
Rem Mntr Wrls P-Art Prs Snr (93264) $135.90 $135.90 4.0×
Remote 30 Day Ecg Rev/Report (93270)
range across 2 matching MRF lines
$91.60–$385.20 $91.60–$385.20 varies
Respiratory flow volume loop (94375) $463.80 $463.80 2.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $92.90 $92.90 1.7×
Right Heart Cath (93451)
range across 3 matching MRF lines
$536.10–$12,638.40 $536.10–$12,638.40 varies
Right ventricular recording (93603) $1,816.20 $1,816.20 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $141.20 $141.20 0.8×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $91.60 $91.60 3.5×
Same day nb discharge (99463) $143.20 $143.20 1.2×
Select picture audiometry (92583) $146.80 $146.80 2.7×
Self Care Mngment Training (97535)
range across 4 matching MRF lines
$90.30–$232.20 $90.30–$232.20 varies
Sensory Integration Ea 15 Min (97533) $151.80 $151.80 2.5×
Sleep study attended (95807) $2,588.50 $2,588.50 7.5×
Sleep study unattended (95806) $366.40 $366.40 1.8×
Speech Audiometry Complete (92556) $114 $114 2.1×
Speech audiometry threshold (92555) $72.10 $72.10 1.3×
Speech sound lang comprehen (92523) $590.50 $590.50 2.6×
Spin/Brain Pump Refil & Main (95991) $50 $50 0.2×
Spirometry (94010)
range across 6 matching MRF lines
$92–$401.30 $92–$401.30 varies
Spontaneous Nystagmus Test (92541) $61 $61 0.5×
Staggered Spondaic Word Test (92572) $103.90 $103.90 0.9×
Standardized Cognitive Performance Testing (96125) $278.40 $278.40 2.7×
Stenger Test Speech (92577) $44 $44 0.1×
Stenger Test, Pure Tone (92565) $51 $51 0.9×
Stress Tte Only (93350)
range across 2 matching MRF lines
$155.80–$2,210.70 $155.80–$2,210.70 varies
Subcutaneous Infusion Each Additional Hour (96370) $352.40 $352.40 8.2×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $588.90 $588.90 3.0×
Surfactant Admin Thru Tube (94610) $120 $120 0.6×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$57.30–$356.60 $57.30–$356.60 varies
Tensilon Test (95857) $193.60 $193.60 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $137.30 $137.30 6.1×
Ther Ivntj Ea Addl 15 Min (97130) $81.30 $81.30 3.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $145.20 $145.20 3.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $129 $129 4.3×
Ther/Proph/Diag Inj Ia (96373) $430 $430 2.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$69–$173.90 $69–$173.90 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 6 matching MRF lines
$217–$486.90 $217–$486.90 varies
Therapeutic Activities (97530)
range across 4 matching MRF lines
$93.70–$145.20 $93.70–$145.20 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660)
range across 2 matching MRF lines
$208.10–$2,422 $208.10–$2,422 varies
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 3 matching MRF lines
$19.30–$45.80 $19.30–$45.80 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 3 matching MRF lines
$10.70–$30 $10.70–$30 varies
Tone Decay Test (92563) $91 $91 2.6×
Trans Care Mgmt 14 Day Disch (99495)
range across 4 matching MRF lines
$134.90–$284 $134.90–$284 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 4 matching MRF lines
$134.90–$400.80 $134.90–$400.80 varies
Transcath Closure of Asd (93580) $35,313.70 $35,313.70 2.1×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $428.40 $428.40 4.5×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$232.60–$1,632.90 $232.60–$1,632.90 varies
Tte W/O Doppler Complete (93307) $117.70 $117.70 0.5×
Tx atrial fib pulm vein isol (93656)
range across 2 matching MRF lines
$740.80–$2,959.70 $740.80–$2,959.70 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $430 $430 5.6×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $204.10 $204.10 8.5×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 4 matching MRF lines
$86–$173.90 $86–$173.90 varies
Tympanometry (92567)
range across 2 matching MRF lines
$45.80–$140.10 $45.80–$140.10 varies
Tympanometry and reflex threshold measurements (92550) $65 $65 0.3×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$2,025.30–$4,306.20 $2,025.30–$4,306.20 varies
Unlisted noninvasive vascular diagnostic study (93998) $1,212.40 $1,212.40 45.6×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$300.10–$714.40 $300.10–$714.40 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 3 matching MRF lines
$406.50–$1,431.60 $406.50–$1,431.60 varies
Vasopneumatic device (97016)
range across 2 matching MRF lines
$106.60–$129 $106.60–$129 varies
Veeg 2-12 hr unmonitored (95711) $853.70 $853.70 4.3×
Veeg Ea 12-26 Hr Unmntr (95714) $1,637.10 $1,637.10 4.8×
Vent Mgmt Inpat Init Day (94002)
range across 5 matching MRF lines
$204.30–$3,901.90 $204.30–$3,901.90 varies
Visual reinforcement audiometry (vra) (92579) $136.90 $136.90 0.7×
Vital capacity, total (94150)
range across 2 matching MRF lines
$45.80–$230.80 $45.80–$230.80 varies
Wheelchair Mgmt Ea 15 Min (97542) $116.50 $116.50 3.8×

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.