Visits & medical services prices at Memorial Hospital of South Bend
South Bend, IN · every code in this section with a posted price and a Medicare benchmark.
268 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) | $6,650.80 | $10,232 | 0.8× |
| Actigraphy Testing Recording Analysis I&R (95803) | $115.05 | $177 | 1.8× |
| Aep neurodiagnostic i&r (92653) | $448.50 | $690 | 2.0× |
| Aep threshold estimation mlt frequencies i&r (92652) | $885.30 | $1,362 | 3.9× |
| Airway Inhalation Treatment (94640) range across 9 matching MRF lines |
$246.35–$827.45 | $379–$1,273 | varies |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $128.70 | $198 | 0.9× |
| Analyze neurostim no prog (95970) | $305.50 | $470 | 2.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $63.05 | $97 | 4.4× |
| Application on-body injector (96377) | $79.95 | $123 | 1.6× |
| Arrhythmia Induction (93618) | $3,940.30 | $6,062 | 3.1× |
| Assessment of aphasia per hr (96105) | $219.05 | $337 | 2.3× |
| Behavral qualit analys voice (92524) range across 29 matching MRF lines |
$86.45–$664.30 | $133–$1,022 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $74.10 | $114 | 0.9× |
| Bfb training ea addl 15 min (90913) | $74.10 | $114 | 2.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $562.25 | $865 | 1.4× |
| Bundle of his recording (93600) | $4,807.40 | $7,396 | 0.6× |
| C motor evoked uppr limbs (95928) | $781.30 | $1,202 | 0.9× |
| C motor evoked upr&lwr limbs (95939) | $861.90 | $1,326 | 0.9× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$640.25–$652.60 | $985–$1,004 | varies |
| Cardiopulmonary resuscitation (92950) | $451.10 | $694 | 2.0× |
| Cardioversion (92960) range across 3 matching MRF lines |
$1,086.15–$1,106.95 | $1,671–$1,703 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $12,076.35 | $18,579 | 3.5× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $7,330.05 | $11,277 | 2.1× |
| Cbt 1st hour (94644) | $230.75 | $355 | 1.6× |
| Chemo Admin Peritoneal Cavity (96446) range across 2 matching MRF lines |
$340.60–$373.75 | $524–$575 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $340.60 | $524 | 4.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $81.25 | $125 | 1.1× |
| Chemo Ia Push (96420) | $357.50 | $550 | 1.0× |
| Chemo intralesional up to 7 (96405) | $340.60 | $524 | 4.5× |
| Chemo IV infusion addl hr (96415) | $130 | $200 | 1.7× |
| Chemo IV push addl drug (96411) | $125.45 | $193 | 1.6× |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$366.60–$651.95 | $564–$1,003 | varies |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $620.75 | $955 | 1.8× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $219.05 | $337 | 4.4× |
| Chemotherapy Into Cns (96450) | $650 | $1,000 | 1.9× |
| Chemotherapy Intracavitary (96440) | $340.60 | $524 | 1.0× |
| Chemotherapy Unspecified (96549) | $77.35 | $119 | 1.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $81.25 | $125 | 1.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $479.70 | $738 | 1.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $357.50 | $550 | 1.0× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $357.50 | $550 | 1.0× |
| Chest Wall Manipulation (94668) | $81.90 | $126 | 0.6× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$531.70–$542.10 | $818–$834 | varies |
| Color/duplex Doppler, limited (93976) | $466.05 | $717 | 4.2× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $96.20 | $148 | 3.0× |
| Coronary Art/Grft Angio S&I (93455) | $7,437.30 | $11,442 | 2.2× |
| Coronary Artery Angio S&I (93454) | $6,688.50 | $10,290 | 2.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $1,010.75 | $1,555 | 4.4× |
| Cpt initial (94667) | $315.90 | $486 | 2.2× |
| Critical care first hour (99291) | $1,543.10 | $2,374 | 1.8× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $781.30 | $1,202 | 2.0× |
| Debridement Open Wound 20 Sq Cm< (97597) | $336.70 | $518 | 1.6× |
| Dialysis One Evaluation (90945) | $1,017.90 | $1,566 | 2.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $714.35 | $1,099 | 2.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $536.25 | $825 | 4.8× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $404.95 | $623 | 3.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $618.15 | $951 | 2.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $416.65 | $641 | 3.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$698.75–$712.40 | $1,075–$1,096 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 6 matching MRF lines |
$381.55–$389.35 | $587–$599 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $491.40 | $756 | 1.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $413.40 | $636 | 3.7× |
| Duplex Scan Hemodialysis Access (93990) | $416.65 | $641 | 3.8× |
| Duplex up extrem art bilat (93930) | $609.05 | $937 | 2.4× |
| Duplex up extrem art unilat/ltd (93931) | $336.05 | $517 | 3.0× |
| Echo Congenital Complete (93303) | $795.60 | $1,224 | 1.4× |
| Echo Heart Xthoracic,Limited (93308) | $718.90 | $1,106 | 2.8× |
| Echo transesophageal (93312) | $1,616.55 | $2,487 | 2.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,259.05 | $1,937 | 2.2× |
| Eeg 41-60 Minutes (95812) | $640.25 | $985 | 2.8× |
| EEG awake and asleep (95819) | $449.15 | $691 | 2.0× |
| EEG awake drowsy (95816) | $520.65 | $801 | 2.3× |
| EEG cerebral death evaluation (95824) | $427.70 | $658 | 1.1× |
| EEG cont rec w/video by tech min 8 channels (95700) | $573.30 | $882 | 2.5× |
| EEG extended monitoring 61-119 minutes (95813) | $993.20 | $1,528 | 4.3× |
| Eeg Sleep Only (95822) | $353.60 | $544 | 1.5× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $2,390.70 | $3,678 | 10.5× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,530.75 | $2,355 | 3.9× |
| Electrical Stimulation Ea 15 Min (97032) | $33.15 | $51 | 2.3× |
| Electrocardiogram Tracing (93005) | $182.65 | $281 | 2.9× |
| Electroconvulsive Therapy (90870) | $958.75 | $1,475 | 1.1× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $6,650.80 | $10,232 | 0.8× |
| Electrophysiology Evaluation (93642) range across 2 matching MRF lines |
$1,419.60–$1,631.50 | $2,184–$2,510 | varies |
| Emergency Dept Visit Level 2 (99282) | $326.95 | $503 | 2.0× |
| Emergency Dept Visit Level 3 (99283) | $536.90 | $826 | 1.9× |
| Emergency Dept Visit Level 4 (99284) | $839.15 | $1,291 | 1.9× |
| Emg 3 Extremities (95863) | $199.55 | $307 | 1.5× |
| Emg 4 Extremities (95864) | $731.90 | $1,126 | 5.4× |
| Endomyocardial Biopsy (93505) | $2,215.20 | $3,408 | 0.7× |
| Ep & ablate supravent arrhyt (93653) | $26,365.95 | $40,563 | 1.0× |
| Ep & ablate ventric tachy (93654) | $40,284.40 | $61,976 | 1.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $11,978.85 | $18,429 | 1.5× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $6,650.80 | $10,232 | 0.8× |
| Ep Esophageal Recording Atria+Pacing (93616) | $1,224.60 | $1,884 | 1.0× |
| Er level 1 (99281) | $182.65 | $281 | 2.0× |
| Er level v (99285) | $1,251.25 | $1,925 | 2.0× |
| Ergonovine provocation test (93024) | $316.55 | $487 | 0.7× |
| Esoph Atrial Electrogram (93615) | $1,224.60 | $1,884 | 1.0× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $648.70 | $998 | 1.6× |
| Evaluate pt use of inhaler (94664) | $174.20 | $268 | 0.8× |
| Evaluate Speech Production (92522) range across 31 matching MRF lines |
$96.20–$741 | $148–$1,140 | varies |
| Evaluate Swallowing Function (92610) range across 29 matching MRF lines |
$96.20–$741 | $148–$1,140 | varies |
| Evaluation of speech fluency (92521) range across 37 matching MRF lines |
$96.20–$741 | $148–$1,140 | varies |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$622.70–$635.05 | $958–$977 | varies |
| Extracranial Uni/Ltd Study (93882) | $594.10 | $914 | 5.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $566.80 | $872 | 1.0× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 24 matching MRF lines |
$287.95–$467.35 | $443–$719 | varies |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) range across 12 matching MRF lines |
$286.65–$457.60 | $441–$704 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $789.75 | $1,215 | 0.9× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $841.75 | $1,295 | 0.9× |
| Group Therapeutic Procedures (97150) range across 60 matching MRF lines |
$48.75–$144.30 | $75–$222 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $8,758.10 | $13,474 | 2.6× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $2,975.70 | $4,578 | 4.1× |
| Icd device progr eval dual (93283) | $209.95 | $323 | 5.3× |
| Icm Device Eval (93290) | $82.55 | $127 | 2.1× |
| Ilr Device Eval Progr (93285) | $1,224.60 | $1,884 | 31.0× |
| Ilr Device Interrogate (93291) | $82.55 | $127 | 2.7× |
| Immunization administration (90471) | $78.65 | $121 | 1.0× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $455 | $700 | 1.2× |
| Insert/Place Heart Catheter (93503) | $2,156.05 | $3,317 | 1.3× |
| Intra-atrial pacing (93610) | $4,578.60 | $7,044 | 0.6× |
| Intra-atrial recording (93602) | $4,578.60 | $7,044 | 0.6× |
| Intracranial Complete Study (93886) | $594.10 | $914 | 2.4× |
| Intraventricular pacing (93612) | $4,578.60 | $7,044 | 0.6× |
| Iontophoresis 15 min (97033) | $46.80 | $72 | 2.5× |
| Irrig Drug Delivery Device (96523) | $173.55 | $267 | 2.8× |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$227.50–$235.95 | $350–$363 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$234.65–$243.10 | $361–$374 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $80.60 | $124 | 1.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $235.95 | $363 | 4.8× |
| IV push initial (96374) range across 6 matching MRF lines |
$159.25–$378.95 | $245–$583 | varies |
| L Hrt Art/Grft Angio (93459) | $8,208.20 | $12,628 | 2.4× |
| Laryngeal Function Studies (92520) | $213.20 | $328 | 1.5× |
| Low frequency non-thermal us (97610) | $172.90 | $266 | 0.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $297.05 | $457 | 1.3× |
| Mechanical chest wall oscillation per session (94669) | $363.35 | $559 | 1.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $45.50 | $70 | 2.7× |
| Methacholine challenge (94070) | $512.20 | $788 | 1.3× |
| Motion Fluoroscopy/Swallow (92611) | $381.55 | $587 | 4.2× |
| Multiple Sleep Latency Test (95805) | $2,034.50 | $3,130 | 2.2× |
| Muscle Test 2 Limbs (95861) | $288.60 | $444 | 2.1× |
| Muscle Test Hemidiaphragm (95866) | $199.55 | $307 | 1.5× |
| Muscle Test Nonparaspinal (95870) | $128.70 | $198 | 0.9× |
| Muscle Test One Limb (95860) | $267.15 | $411 | 1.9× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$188.50–$360.10 | $290–$554 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $226.20 | $348 | 1.0× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $217.10 | $334 | 1.0× |
| Needle electromyography larynx (95865) | $205.40 | $316 | 1.5× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $164.45 | $253 | 0.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$475.80–$480.35 | $732–$739 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 3 matching MRF lines |
$436.15–$440.05 | $671–$677 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 5 matching MRF lines |
$182–$183.30 | $280–$282 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 5 matching MRF lines |
$335.40–$338.65 | $516–$521 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $171.60 | $264 | 0.8× |
| Nerve Conduction Studies 11-12 Studies (95912) | $393.25 | $605 | 1.0× |
| Nerve conduction studies 13 or more studies (95913) | $423.80 | $652 | 1.1× |
| Nerve Conduction Studies 3-4 Studies (95908) | $520.65 | $801 | 2.3× |
| Nerve conduction studies 5-6 studies (95909) | $520.65 | $801 | 2.3× |
| Nerve conduction studies 7-8 studies (95910) | $256.10 | $394 | 0.6× |
| Nerve Conduction Studies 9-10 Studies (95911) | $960.70 | $1,478 | 2.4× |
| Neurobehavioral Status Exam (96116) | $351 | $540 | 1.5× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $209.30 | $322 | 1.5× |
| Neuromuscular Reeducation (97112) | $66.30 | $102 | 2.0× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $267.80 | $412 | 0.7× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $469.30 | $722 | 1.2× |
| Oral Function Therapy (92526) range across 22 matching MRF lines |
$86.45–$416 | $133–$640 | varies |
| Oral Speech Device Eval (92597) | $92.30 | $142 | 1.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $105.95 | $163 | 2.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $111.80 | $172 | 2.4× |
| Ot Contrast Bath Ea 15 Min (97034) | $31.85 | $49 | 2.3× |
| Ot eval high complexity (97167) range across 7 matching MRF lines |
$370.50–$745.55 | $570–$1,147 | varies |
| Ot Eval Low Complex (97165) | $191.75 | $295 | 1.9× |
| Ot Eval Moderate Complexity (97166) | $287.95 | $443 | 2.9× |
| Ot manual therapy 15 min (97140) | $62.40 | $96 | 2.3× |
| Ot paraffin bath (97018) | $15.60 | $24 | 2.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $105.95 | $163 | 2.6× |
| Ot Re-Eval Est Plan Care (97168) | $370.50 | $570 | 5.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $235.95 | $363 | 1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $224.90 | $346 | 1.6× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $213.20 | $328 | 0.9× |
| Peripheral arterial disease rehab per session (93668) | $96.85 | $149 | 1.6× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $11,896.95 | $18,303 | 2.0× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $13,464.10 | $20,714 | 1.1× |
| Phlebotomy therapeutic (99195) | $111.80 | $172 | 0.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $104.65 | $161 | 1.7× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $105.30 | $162 | 1.7× |
| Physical Performance Test (97750) | $83.20 | $128 | 2.5× |
| Plethysmography (94726) | $254.15 | $391 | 0.6× |
| Pm device eval in person (93288) | $86.45 | $133 | 2.2× |
| Pm device progr eval multi (93281) | $86.45 | $133 | 2.2× |
| Pm Device Progr Eval Sngl (93279) | $82.55 | $127 | 2.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,248.05 | $4,997 | 3.6× |
| Polysom <6 yrs 4/> paramtrs (95782) | $2,626 | $4,040 | 2.9× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $3,129.75 | $4,815 | 3.4× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $209.95 | $323 | 5.3× |
| Prq Card Angio/Athrect 1 Art (92924) | $11,918.40 | $18,336 | 1.0× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $13,464.10 | $20,714 | 1.1× |
| Prq Card Stent/Ath/Angio (92933) | $14,140.75 | $21,755 | 0.7× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $13,464.10 | $20,714 | 1.1× |
| Psychiatric diagnostic evaluation (90791) | $303.55 | $467 | 1.6× |
| Pt Eval High Complex (97163) range across 9 matching MRF lines |
$280.80–$719.55 | $432–$1,107 | varies |
| Pt eval low complex 20 min (97161) | $169.65 | $261 | 1.7× |
| Pt Eval Mod Complex (97162) | $187.20 | $288 | 1.9× |
| Pt gait training 15 min (97116) | $85.15 | $131 | 2.9× |
| Pt mechanical traction (97012) | $126.10 | $194 | 8.8× |
| Pt Re-Eval Est Plan Care (97164) | $319.80 | $492 | 4.7× |
| Pulm function test by gas (94727) | $178.10 | $274 | 0.8× |
| Pulmonary service/procedure (94799) | $204.10 | $314 | 1.5× |
| R Hrt Art/Grft Angio (93457) | $12,489.10 | $19,214 | 3.6× |
| R hrt coronary artery angio (93456) | $8,343.40 | $12,836 | 2.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $4,845.10 | $7,454 | 1.4× |
| Refill/Maint Portable Pump (96521) | $356.20 | $548 | 1.6× |
| Refill/Maint Pump/Resvr Syst (96522) | $356.20 | $548 | 1.6× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $58.50 | $90 | 1.5× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $204.75 | $315 | 1.5× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $65 | $100 | 1.6× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $82.55 | $127 | 1.5× |
| Respiratory flow volume loop (94375) | $241.80 | $372 | 1.1× |
| Right Heart Cath (93451) | $5,665.40 | $8,716 | 1.7× |
| Right ventricular recording (93603) | $3,940.30 | $6,062 | 3.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 10 matching MRF lines |
$182–$183.30 | $280–$282 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $287.30 | $442 | 2.4× |
| Self Care Mngment Training (97535) | $92.30 | $142 | 2.8× |
| Sensory Integration Ea 15 Min (97533) | $92.30 | $142 | 1.5× |
| Short-latency somatosens ep std upr limbs (95925) | $547.30 | $842 | 2.4× |
| Sleep study unattended (95806) | $439.40 | $676 | 1.9× |
| Somatosensory Testing (95938) | $512.85 | $789 | 0.6× |
| Speech sound lang comprehen (92523) range across 30 matching MRF lines |
$287.95–$741 | $443–$1,140 | varies |
| Spin/Brain Pump Refil & Main (95991) | $338 | $520 | 1.0× |
| Spirometry (94010) | $326.95 | $503 | 1.4× |
| Ssep lower limbs (95926) | $465.40 | $716 | 2.0× |
| Standardized Cognitive Performance Testing (96125) | $247.65 | $381 | 2.4× |
| Stress Tte Only (93350) | $1,149.20 | $1,768 | 2.0× |
| Subcutaneous Infusion Each Additional Hour (96370) | $69.55 | $107 | 1.4× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $356.20 | $548 | 1.6× |
| Subq Infusion Additional Pump Infusion Site (96371) | $178.10 | $274 | 2.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $61.10 | $94 | 2.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $61.10 | $94 | 2.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $85.15 | $131 | 2.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $60.45 | $93 | 2.0× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 8 matching MRF lines |
$169.65–$650 | $261–$1,000 | varies |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $215.15 | $331 | 4.3× |
| Ther/Proph/Diag Inj Ia (96373) | $225.55 | $347 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $80.60 | $124 | 1.1× |
| Ther/Proph/Diag Iv Inf Init (96365) | $262.60 | $404 | 1.2× |
| Therapeutic Activities (97530) | $87.10 | $134 | 2.5× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,631.50 | $2,510 | 4.1× |
| Transcath Closure of Asd (93580) | $18,707.65 | $28,781 | 1.0× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $317.20 | $488 | 2.9× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,372.80–$1,399.45 | $2,112–$2,153 | varies |
| Tte W/O Doppler Complete (93307) | $704.60 | $1,084 | 2.8× |
| Tx atrial fib pulm vein isol (93656) | $41,405 | $63,700 | 1.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 30 matching MRF lines |
$96.20–$741 | $148–$1,140 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 56 matching MRF lines |
$50.05–$201.50 | $77–$310 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $80.60 | $124 | 1.6× |
| Tympanometry (92567) | $68.25 | $105 | 1.7× |
| Unlisted cardiovascular service/procedure (93799) range across 6 matching MRF lines |
$109.85–$5,096 | $169–$7,840 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $423.15 | $651 | 3.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $423.15 | $651 | 1.9× |
| Valvuloplasty aortic valve (92986) | $7,129.85 | $10,969 | 1.2× |
| Valvuloplasty mitral valve (92987) | $10,357.75 | $15,935 | 0.8× |
| Veeg 2-12 hr unmonitored (95711) | $1,530.75 | $2,355 | 6.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,575.30 | $3,962 | 6.5× |
| Vent Mgmt Inpat Init Day (94002) | $1,571.05 | $2,417 | 2.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,510.60 | $2,324 | 2.3× |
| Visual Evoked Potential Test (95930) | $755.30 | $1,162 | 3.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $86.45 | $133 | 2.8× |
| Whirlpool Therapy (97022) | $37.70 | $58 | 2.4× |
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.