Visits & medical services prices at Memorial Medical Center

Port Lavaca, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650)
likely a partial charge, not the full procedure
$411.50 $587.86 0.1×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $21.99 $31.41 0.2×
Acoustic reflex testing (92568) $10.69 $15.27 0.3×
Actigraphy testing recording analysis i&r (95803) $98.70 $141 1.7×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $24.59 $35.13 0.8×
Acupuncture 1/> ndls w/elec stimj 1st 15 min (97813) $26.54 $37.91 0.9×
Administration of prolonged chemotherapy into artery (96425) $115.87 $165.53 0.3×
Airway inhalation treatment (94640) $32.90 $47 0.1×
Allergy skin tests (95028) $8.70 $12.43 0.2×
Allg tstg perq & ic venoms immed react w/ i&r (95017) $5.40 $7.72 0.2×
Ambulatory Bp Analysis (93788) $3.42 $4.89 0.0×
Ambulatory Bp Recording (93786) $19.04 $27.20 0.1×
Analysis and programming of inner ear implant (younger than 7 years) (92601) $94.84 $135.48 0.7×
Analysis and reprogramming of inner ear implant (younger than 7 years) (92602) $55.85 $79.79 0.4×
Analysis w/prgrmg aud brainstem implant pr hr (92640) $82.99 $118.56 0.6×
Analyze Neurostim Complex (95972) $73.35 $104.79 0.8×
Analyze neurostim no prog (95970) $45.18 $64.54 0.3×
Anlys gast neur w/o reprog (95981) $21.23 $30.33 0.4×
Anogenital exam, child (99170) $115.27 $164.67 0.6×
Application of allergenic extract onto mucous membrane of nose with reaction analysis (95065) $16.98 $24.25 0.5×
Application of allergenic extract skin patch, exposure to ultraviolet light, and reaction analysis (95052) $4.11 $5.87 0.1×
Application of heat wave therapy (97024) $12.62 $18.02 1.7×
Assessment of aphasia (96105) $217.46 $310.66 2.2×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $73.58 $105.12 1.9×
Auditory Function, 60 Min (92620) $63.85 $91.22 0.5×
Basic vestibular evaluation (92540) $68.73 $98.18 0.3×
Behav assmt w/score & docd/stand instrument (96127) $68.60 $98 1.8×
Behavioral and qualitative analysis of voice and resonance (92524) $125.94 $179.91 1.1×
Bfb training 1st 15 min (90912) $97.30 $139 1.2×
Bfb training ea addl 15 min (90913) $77.70 $111 2.4×
Biofeedback training any modality (90901) $26.57 $37.95 0.6×
Blink reflex test (95933) $54.66 $78.09 0.9×
Breath Hydrogen/Methane Test (91065) $53.66 $76.66 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $294 $420 0.8×
C motor evoked uppr limbs (95928) $165.76 $236.80 0.2×
C motor evoked upr&lwr limbs (95939) $321.57 $459.39 0.4×
Canalith Repositioning (95992) $80.30 $114.72 2.0×
Capsule endoscopy (91110) $584.26 $834.66 0.6×
Car seat/bed test 60 min (94780) $34.24 $48.92 0.9×
Cardiac Stress Tst,Tracing Only (93017) $404.86 $578.36 1.9×
Cardiopulmonary exercise testing (94621) $108.50 $155 0.3×
Cardiopulmonary resuscitation (92950) $481.60 $688 2.2×
Cardioversion (92960) $388.50 $555 0.6×
Cardioversion internal (92961) $167.34 $239.05 0.3×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $683.05 $975.78 0.2×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $735.51 $1,050.73 0.2×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580)
likely a partial charge, not the full procedure
$677.11 $967.30 0.0×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $777.78 $1,111.11 0.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $703.97 $1,005.67 0.2×
Cbt 1st hour (94644) $28.23 $40.33 0.2×
Chemo Admin Peritoneal Cavity (96446) $124.64 $178.06 0.4×
Chemo Hormon Antineopl Sq/Im (96402) $72.71 $103.87 1.0×
Chemo inj subarach/intravent (96542) $77.51 $110.73 0.2×
Chemo IV push addl drug (96411) $39.63 $56.61 0.5×
Chemo Iv Push Sngl Drug (96409) $70.21 $100.30 0.2×
Chemo prolong 8+ hrs infuse w/pump (96416) $89.39 $127.70 0.3×
Chemother, IV infusion, 1 hr (96413) $356.56 $509.36 1.1×
Chemother, IV infusion, ea add hr (96415) $107.14 $153.06 1.5×
Chemother,ia infusn tech,<1 hr (96422) $107.65 $153.79 0.3×
Chemother,Ia Push Technique (96420) $67 $95.71 0.2×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $47.66 $68.08 0.7×
Chemotherapy admn intraarterial infusion ea hr (96423) $49.88 $71.25 1.1×
Chemotx Admn Cns Req Spinal Puncture (96450) $119.63 $170.90 0.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $40.10 $57.29 0.6×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $551.74 $788.20 1.7×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions (98940) $19.09 $27.27 0.9×
Chiropractic manipulative treatment (CMT); spinal, 3-4 regions (98941) $28.06 $40.09 1.3×
Chiropractic manipulative treatment (CMT); spinal, 5 regions (98942) $36.40 $52 1.7×
Circadian respiratry pattern rec 12-24 hr infant (94772) $682.50 $975 1.8×
Colon Motility 6 Hr Study (91117) $101.42 $144.88 0.5×
Color vision examination (92283) $35.91 $51.30 0.6×
Color/duplex Doppler, complete (93975) $235.38 $336.26 1.0×
Color/duplex Doppler, limited (93976) $139.22 $198.89 1.3×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $35.04 $50.05 0.2×
Compre cptr mtn alys video taping 3d kinematics (96000) $65.07 $92.96 0.2×
Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) $68.34 $97.63 0.1×
Comprehensive Hearing Test (92557) $25.54 $36.48 0.2×
Computerized dynamic posturography (92548) $68.08 $97.25 0.5×
Computerized Ophthalmic Imaging Anterior Segment (92132) $23.84 $34.05 0.4×
Computerized Ophthalmic Imaging Optic Nerve (92133) $29.90 $42.71 0.5×
Conditioning Play Audiometry (92582) $43.85 $62.64 0.3×
Contact lens fitting (92312) $77.41 $110.58 0.6×
Contact lens fitting (92311) $68.45 $97.79 0.2×
Continuous Glucose Monitoring (95250) $100.81 $144.02 0.8×
Corneal Topography (92025) $25.26 $36.09 0.4×
Coronary artery angio s&i (93454) $586.78 $838.25 0.2×
Cortical mapping 1st hr (95961) $190.12 $271.60 0.2×
Cpap initiation and management (94660) $243.32 $347.60 1.1×
Cpt initial (94667) $81.29 $116.13 0.6×
Cptrized oph dx img pst segment uni/bi retina (92134) $30.58 $43.69 0.5×
Critical care (99291) $840 $1,200 1.0×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $161.63 $230.90 0.4×
Dark adaptation exam w int & rep (92284) $39.50 $56.43 0.1×
Debridement Open Wound 20 Sq Cm< (97597) $374.50 $535 1.9×
Demo &/or eval,pt use,aerosol device (94664) $329 $242.86 1.5×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $58.67 $83.82 0.1×
Duodenal Motility Study (91022) $112.22 $160.31 0.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $146.57 $209.38 0.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $101.41 $144.87 1.0×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $81.68 $116.68 0.8×
Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) $48.83 $69.76 0.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $379.46 $542.08 1.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $252.18 $360.26 2.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $369.66 $528.09 1.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $244.59 $349.42 2.3×
Dup-scan xtr veins unilateral/limited study (93971) $363.02 $518.59 3.5×
Duplex hemodialysis access (93990) $429.12 $613.03 4.1×
Duplex scan extracranial art compl bi study (93880) $457.63 $653.76 1.9×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $59.93 $85.62 0.5×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $99.79 $142.55 0.8×
Dyn surf EMG,walking/func act,1-12 mus (96002) $14.57 $20.81 0.1×
Ear and throat examination (92502) $66.17 $94.53 0.1×
Ear Protector Attenuation Measurements (92596) $27.31 $39.01 0.7×
Echo Heart Xthoracic,Limited (93308) $80.31 $114.73 0.3×
Echo r-t 2d w/probe placement only (93313) $29.16 $41.66 0.1×
Echo transesophageal (93312) $218.23 $311.76 0.4×
Echo Transthoracic - Congenital Tte Complete (93303) $156.05 $222.93 0.3×
Echo Transthoracic - Congenital Tte Limited (93304) $103.24 $147.48 0.2×
Ed special anterior segment photography with interpretation and report; with fluorescein angiography (92287) $90.50 $129.28 0.7×
EEG awake asleep (95819) $562.38 $803.40 2.6×
EEG awake drowsy (95816) $229.47 $327.82 1.1×
EEG cerebral death evaluation (95824) $665.70 $951 1.8×
EEG coma or sleep only (95822) $233.40 $333.43 1.1×
Eeg Extended Monitoring 61-119 Minutes (95813) $328.85 $469.78 1.5×
EKG (93005) $104.30 $149 1.8×
EKG rhythm strip (93041) $62.38 $89.10 1.1×
Ekg Signal Averaging (93278) $106.95 $152.78 1.8×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $40.52 $57.88 0.4×
Electro-oculography w/i&r (92270) $59.95 $85.64 0.4×
Electrocardiogram (ECG) assessment of irregular heart beats (93025) $106.91 $152.73 0.8×
Electrocochleography (92584) $45.23 $64.61 0.3×
Electroconvulsive Therapy (90870) $119.38 $170.54 0.1×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $280.26 $400.37 1.3×
Electrogastrography, diagnostic, transcutaneous; UNSCHEDULED (91132) $100 $142.85 0.5×
EMG cranial nerve bilat (95868) $86.20 $123.14 0.4×
EMG cranial nerve unilat (95867) $61.75 $88.21 0.3×
EMG four extremities (95864) $155.59 $222.27 1.2×
EMG one extremity (95860) $80.02 $114.31 0.6×
EMG thoracic paraspinal (95869) $49.20 $70.28 0.2×
EMG three extremities (95863) $135.35 $193.36 1.0×
EMG two extremities (95861) $111.28 $158.97 0.8×
Endomyocardial biopsy (93505) $497.32 $710.46 0.2×
Ep & ablate supravent arrhyt (93653)
likely a partial charge, not the full procedure
$578.46 $826.37 0.0×
Ep & ablate ventric tachy (93654)
likely a partial charge, not the full procedure
$770.37 $1,100.53 0.0×
Ep Analyze Pacer Sys (93724) $185.32 $264.74 0.6×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $266.35 $380.50 0.2×
Er level 1 (99281) $60.06 $85.80 0.7×
Er level ii (99282) $105.90 $151.29 0.7×
Er level iii (99283) $161.16 $230.22 0.6×
Er level IV (99284) $250.34 $357.62 0.6×
Er level v (99285) $374.34 $534.77 0.6×
Ergonovine provocation test (93024) $74.24 $106.05 0.2×
Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) $294.57 $420.81 0.8×
Esophageal Capsule Endoscopy (91111) $474.01 $677.15 0.5×
Esophagus acid perfusion test esophagitis (91030) $90.92 $129.88 0.2×
Esophgl balo distension dx std w/provocation (91040) $260.58 $372.26 0.7×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $61.12 $87.31 0.5×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $148.34 $211.90 2.1×
Evaluation of speech fluency (92521) $227.08 $324.40 1.7×
Evaluation of speech sound production (92522) $188.78 $269.70 1.7×
Evaluation of swallowing function (92610) $213.30 $304.70 2.5×
Evaluation with prescription of speech-generating alternative (92607) $87.02 $124.32 0.7×
Evoked Auditory Test,Comprehsv (92588) $123.68 $176.70 0.3×
Evoked auditory test,limited (92587) $119.79 $171.12 0.6×
Exam of visual field with extended testing (92083) $42.76 $61.08 0.3×
Exam of visual field with intermediate testing (92082) $32.65 $46.64 0.6×
Exam of visual field with limited testing (92081) $22.81 $32.59 0.4×
Excimer laser tx psoriasis 250-500 sq cm (96921) $111.06 $158.65 0.6×
Excimer laser tx psoriasis >500 sq cm (96922) $154.67 $220.96 0.4×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $273.62 $390.88 1.4×
Exhaled Air Analysis (94690) $31.56 $45.09 0.5×
Exhaled air analysis o2 (94680) $37.71 $53.87 0.3×
External ECG rec>48hr<7d recording (93242) $583.10 $833 15.5×
External ECG rec>48hr<7d scanning alys w/report (93243) $592.90 $847 4.4×
External ECG rec>7d<15d recording (93246) $583.10 $833 15.5×
External ECG rec>7d<15d scanning alys w/report (93247) $485.80 $694 3.6×
External Ecg Scanning Analysis Report (93226) $210.26 $300.38 3.5×
External ocular photography (92285) $13.38 $19.11 0.4×
Eye allergy tests (95060) $21.57 $30.81 0.2×
Eye exam w anesth; complete (92018) $101.36 $144.80 0.0×
Eye exam w anesth; limited (92019) $49.44 $70.63 0.0×
Eye exam, new patient,comprehesv (92004) $100.49 $143.56 0.8×
Facial nerve function studies (92516) $46.08 $65.83 0.2×
Filtered Speech Test (92571) $17.20 $24.57 0.5×
Fitting of monofocal spectacles where natural lens is absent (92352) $26.89 $38.41 0.5×
Fitting of multifocal spectacles where natural lens is absent (92353) $31.30 $44.71 0.5×
Fitting of spectacle mounted low vision aid; single element system (92354) $8.70 $12.43 0.2×
Fitting of spectacle mounted low vision aid; telescopic or other compound lens system (92355) $13.30 $19 0.4×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $144.42 $206.32 0.7×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $140.61 $200.87 0.6×
Flow volume loop (94375) $25.87 $36.96 0.1×
Fluorescein angiography (92235) $72.58 $103.69 0.3×
Fluorescein angioscopy (92230) $39.52 $56.46 0.1×
Fundus photography w/interpretation & report (92250) $51.64 $73.77 0.4×
Gastric motility studies (91020) $154.43 $220.62 0.4×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $253.74 $362.48 0.7×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $106.58 $152.26 0.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $315.08 $450.11 0.4×
Gi wireless capsule measure (91112) $698.31 $997.59 0.8×
Gonioscopy (92020) $18.62 $26.60 0.1×
Group Therapeutic Procedures (97150) $81.20 $116 4.5×
Hast w/report (94452) $37.81 $54.02 0.3×
Hemodialysis (90935) $50 $71.43 0.1×
High altitude simulation test (94453) $52.47 $74.96 0.4×
Holter Monitor Recording (93225) $300.15 $428.78 2.2×
Hydrotherapy (97036) $21.70 $31 0.6×
Hypnotherapy (90880) $69.87 $99.82 0.7×
Hypoxia Response Curve (94450) $44.67 $63.81 0.3×
Icd Device Interrogate (93289) $43.87 $62.67 1.2×
Ilr Device Eval Progr (93285) $27.92 $39.89 0.7×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $23.47 $33.53 0.6×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $33.60 $48 0.5×
Immunization Admin (90471) $51.80 $74 0.7×
Immunotherapy, 2+ Injections (95117) $26.95 $38.50 0.6×
Indocyanine-green angiography (92240) $166.22 $237.46 0.8×
Ingestion challenge test initial 120 minutes (95076) $78.37 $111.96 0.2×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $18.81 $26.87 0.1×
Inital newborn e/m (99460) $90.30 $129 0.7×
Initial normal newborn care, same day discharge (99463) $100.10 $143 0.7×
Injection intra arterial (96373) $12.74 $18.20 0.1×
Injection of hypnotic drug for psychiatric diagnosis or therapy (90865) $114.35 $163.36 0.6×
Ins swan ganz bedside (93503) $90.92 $129.89 0.1×
Insertion of catheter for assessment of heart blood vessel function at various temperatures (93740) $6.01 $8.58 0.0×
Internal eye photography (92286) $25.60 $36.57 0.2×
Interrog dev eval icpms phys/qhp in person (93290) $20.61 $29.44 0.5×
Interrog dev eval scrms phys/qhp in person (93291) $24.05 $34.36 0.8×
Interrogation eval in person wr defibrillator (93292) $21.30 $30.43 0.6×
Interrogation of vad (93750) $36.95 $52.79 0.4×
Intracutaneous tests w/allergenic xtrcs airborne (95027) $2.98 $4.26 0.1×
Intralesional Chemo Admin,8+ Lesn (96406) $74.40 $106.28 0.3×
Intralesional Chemo Admin,<8 Lesn (96405) $53.16 $75.94 0.7×
Io ga n-stim subsq w/reprog (95982) $34.55 $49.36 0.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $79.70 $113.86 1.3×
Ischemic limb exercise test (95875) $83.94 $119.91 0.6×
IV infusion hydration each additional hour (96361) $58.46 $83.51 1.2×
IV infusion hydration initial 31 min-1 hour (96360) $178.36 $254.79 0.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $84.38 $120.55 1.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $220.34 $314.76 1.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $57.60 $82.28 1.2×
IV push initial (96374) $222.60 $318 1.0×
Laryngeal Function Studies (92520) $124.96 $178.51 0.9×
Laryngoscopic Sensory Test (92614) $99.66 $142.37 0.7×
Loudness balance binaural/monaural (92562) $29.60 $42.29 0.1×
Maintenance of spinal canal or brain drug infusion pump (95990) $59.42 $84.88 0.2×
Manual therapy 15 min (97140) $60.48 $86.41 2.2×
Massage 15 min (97124) $58.56 $83.65 2.0×
Maximum voluntary ventilation (94200) $16.03 $22.90 0.3×
Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) $110.26 $157.51 0.5×
Meas Spiromtrc Forcd Expiratory Flo Infant&/2 Y (94011) $70.50 $100.71 0.5×
Measurement Lung Volumes Infant/Child/2 Yrs (94013) $21.97 $31.38 0.1×
Measurement of heart blood flow and respiration (93701) $15.37 $21.95 0.1×
Mechanical chest wall oscillation (94669) $172.36 $246.22 0.8×
Mechanical traction (97012) $47.77 $68.24 3.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $20.63 $29.47 0.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $24.01 $34.30 0.7×
Methacholine challenge (94070) $39.75 $56.79 0.1×
Mnt Group Ea 30 Min (97804) $10.84 $15.48 0.6×
Modification of contact lens (separate procedure), with medical supervision of adaptation SCHEDULED (92325) $26.62 $38.03 0.2×
Motility study esophagus (91010) $116.66 $166.65 0.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $221.23 $316.04 2.4×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $43.93 $62.75 0.1×
Multiple Family Group Psychotherapy (90849) $23.22 $33.17 0.1×
Multiple sleep latency test (95805) $722 $1,031.42 0.8×
Nasal function studies (92512) $40.59 $57.99 0.2×
Nasopharyngoscopy (92511) $89.87 $128.39 0.4×
Needle electromyography hemidiaphragm (95866) $87.47 $124.96 0.7×
Needle electromyography larynx (95865) $91.15 $130.22 0.7×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $57.23 $81.76 0.4×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $137.38 $196.26 0.6×
Needle oculography 1/ xoc musc 1/both eye w/i&r (92265) $51.27 $73.24 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $217.96 $311.37 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $359.96 $514.22 0.9×
Nerve conduction studies 13/> studies (95913) $204.28 $291.83 0.5×
Nerve Conduction Studies 3-4 Studies (95908) $77.80 $111.14 0.4×
Nerve Conduction Studies 9-10 Studies (95911) $149.83 $214.04 0.4×
Nerve conduction studies; 1-2 studies (95907) $63.06 $90.08 0.3×
Nerve conduction studies; 11-12 studies (95912) $176.30 $251.86 0.5×
Nerve conduction studies; 5-6 studies (95909) $93.67 $133.81 0.4×
Nerve conduction studies; 7-8 studies (95910) $123.12 $175.89 0.3×
Neurobehavioral Status Exam (96116) $200.96 $287.10 0.9×
Neuromuscular junction test (95937) $53.61 $76.59 0.4×
New patient problem focused exam of visual system (92002) $54.97 $78.53 0.4×
Newborn resuscitation (99465) $100.74 $143.91 0.2×
Nitric oxide expired gas determination (95012) $12.38 $17.68 0.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $200.34 $286.20 1.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $351.22 $501.74 1.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $240.32 $343.30 1.9×
Nonphysician Telephone Assessment 11-20 Min (98967) $18.44 $26.34 0.7×
Nonphysician Telephone Assessment 21-30 Min (98968) $27.41 $39.16 0.8×
Nonphysician Telephone Assessment 5-10 Min (98966) $9.46 $13.51 0.7×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $33.22 $47.45 0.1×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $83.59 $119.42 0.6×
Ophth medical xm&eval intermediate estab pt (92012) $57.58 $82.25 0.4×
Ophthalmic biometry (92136) $59.20 $84.57 0.4×
Ophthalmoscopy/dynamometry (92260) $12.57 $17.96 0.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $116.79 $166.84 2.5×
Oscillating Tracking Test (92545) $13.76 $19.65 0.1×
Osteopathic manipulative tx 1-2 body regions (98925) $21.11 $30.15 1.0×
Osteopathic manipulative tx 3-4 body regions (98926) $30.59 $43.70 1.4×
Osteopathic manipulative tx 5-6 body regions (98927) $40.05 $57.22 1.8×
Osteopathic manipulative tx 7-8 body regions (98928) $49.48 $70.69 2.3×
Osteopathic manipulative tx 9-10 body regions (98929) $59.35 $84.79 2.7×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $20.45 $29.21 0.6×
Ot Contrast Bath Ea 15 Min (97034) $44.22 $63.16 3.2×
Ot eval high complex 60 min (97167) $334.60 $478 3.3×
Ot eval low complex 30 min (97165) $275.10 $393 2.7×
Ot eval mod complex 45 min (97166) $308 $440 3.1×
Ot Prosthetic Training, Each 15 Min (97761) $60.93 $87.04 1.5×
Ot Range Motion Measure,Each Extrem (95851) $30.75 $43.92 1.2×
Ot re-eval est plan care (97168) $186.90 $267 2.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $186.71 $266.72 1.4×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $183.96 $262.80 1.4×
Paraffin bath (97018) $30.21 $43.16 5.0×
Patch/Application Test Specify Number Tests (95044) $3.42 $4.89 0.0×
Patient-initiated spirometric phys/qhp r&i only (94016) $17.38 $24.83 0.7×
Patient-initiated spirometric recording (94015) $17.20 $24.57 0.1×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $34.58 $49.40 0.1×
Pdt dstr prmlg les skn illum/activj per day (96567) $84.74 $121.05 0.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $158.20 $226 0.7×
Percutaneous tests w/allergenic extracts (95004) $718.20 $1,026 0.8×
Peripheral arterial disease rehab per session (93668) $12.15 $17.36 0.2×
Perq transcath closure pda (93582)
likely a partial charge, not the full procedure
$467.10 $667.29 0.0×
Photochemotherapy uv-a or b (96913) $80.83 $115.47 0.2×
Photochemotx psoralens&ultraviolet puva (96912) $57.40 $82 1.0×
Photochemotx tar&uvb/petrolatum/uvb (96910) $44.53 $63.62 0.8×
Phy/qhp op pulm rhb w/mntr (94626) $410.90 $587 6.9×
Phy/qhp op pulm rhb w/o mntr (94625) $410.90 $587 6.9×
Plethysmography (94726) $34.70 $49.57 0.1×
Pm device eval in person (93288) $24.51 $35.02 0.7×
Pm device progr eval dual (93280) $39.19 $55.99 1.0×
Pm device progr eval multi (93281) $45.67 $65.24 1.2×
Pm device progr eval sngl (93279) $33.43 $47.75 0.9×
Pm/Icd Remote Tech Serv (93296) $16.51 $23.59 0.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,613.82 $2,305.46 1.9×
Polysom <6 yrs 4/> paramtrs (95782) $662.85 $946.93 0.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $706.68 $1,009.54 0.8×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $412.78 $589.69 0.5×
Positional Nystagmus Test (92542) $17.64 $25.20 0.1×
Pr unlisted procedure psychiatric service/therapy, psychiatric service (90899) $237.30 $339 6.3×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $21.34 $30.48 0.5×
Prepj& antigen allergen immunotherapy 1 insect (95145) $14.11 $20.16 0.3×
Prepj& antigen allergen immunotherapy 2 insect (95146) $25.14 $35.91 0.5×
Prepj& antigen allergen immunotherapy 3 insect (95147) $22.61 $32.30 0.3×
Prepj& antigen allergen immunotherapy 4 insect (95148) $33.87 $48.38 0.5×
Prepj& antigen allergen immunotherapy 5 insect (95149) $45.12 $64.46 0.6×
Prepj& Antigen Allergen Immunotherapy Whl Inse (95170) $6.30 $9 0.1×
Prepj& antigen prv allergen immunotherapy 1 do (95144) $8.14 $11.63 0.2×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92313) $65.44 $93.48 0.5×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) $60.59 $86.56 0.5×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) $48.40 $69.14 0.4×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) $49.85 $71.21 1.3×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $60.39 $86.27 1.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $17.85 $25.50 0.4×
Programming of dual lead implantable defibrillator system (93283) $54.89 $78.42 1.5×
Programming of single lead implantable defibrillator system (93282) $42.12 $60.17 1.1×
Prosthesis service for aphakia, temporary (disposable or loan, including materials) SCHEDULED (92358) $7.32 $10.46 0.1×
Prq balloon valvuloplasty aortic valve (92986)
likely a partial charge, not the full procedure
$915.01 $1,307.16 0.2×
Prq Balloon Valvuloplasty Mitral Valve (92987)
likely a partial charge, not the full procedure
$944.97 $1,349.95 0.1×
Prq card revasc chronic 1vsl (92943)
likely a partial charge, not the full procedure
$468 $668.57 0.0×
Prq Card Stent W/Angio 1 Vsl (92928)
likely a partial charge, not the full procedure
$417.42 $596.31 0.0×
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure
$467.06 $667.23 0.0×
Prq revasc byp graft 1 vsl (92937)
likely a partial charge, not the full procedure
$417.17 $595.95 0.0×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
likely a partial charge, not the full procedure
$914.44 $1,306.34 0.0×
Prq trluml coronary angio/atherect one art/brnch (92924)
likely a partial charge, not the full procedure
$447.14 $638.77 0.0×
Prq trluml coronary angioplasty one art/branch (92920)
likely a partial charge, not the full procedure
$375.97 $537.10 0.1×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
likely a partial charge, not the full procedure
$449.88 $642.68 0.0×
Psych diag eval w/med srvcs (90792) $171.36 $244.81 1.0×
Psychiatric diagnostic evaluation (90791) $182.48 $260.68 1.0×
Psychoanalysis (90845) $63.71 $91.02 0.4×
Psytx crisis initial 60 min (90839) $92.46 $132.08 0.5×
Pt Aquatic Therapy/Exercises (97113) $86.10 $123 2.3×
Pt Electric Current Therapy (97033) $61.46 $87.80 3.2×
Pt Electrical Stimulation (97032) $55.80 $79.72 3.8×
Pt eval high complex 45 min (97163) $291.20 $416 3.0×
Pt eval low complex 20 min (97161) $238 $340 2.4×
Pt Gait Training Therapy (97116) $57.54 $82.21 2.0×
Pt Infrared Therapy (97026) $12.85 $18.36 1.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $68.30 $97.58 2.1×
Pt Physical Performance Test (97750) $63.73 $91.04 1.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $267.40 $382 2.7×
Pt re-evaluation (97164) $142.10 $203 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $71.92 $102.74 2.2×
Pt Ultrasound Therapy (97035) $36.20 $51.70 2.5×
Pt Whirlpool Therapy (97022) $58.50 $83.56 3.7×
Pulm Funct Test Oscillometry (94728) $26.45 $37.79 0.2×
Pulm function test by gas (94727) $181.80 $259.72 0.8×
Pulmonary stress testing (94618) $179.20 $256 1.3×
Pure Tone Audiometry Air & Bone (92553) $23.63 $33.76 0.2×
Pure Tone Audiometry, Air (92552) $19.73 $28.18 0.1×
R & l hrt cath w/njx l ventriculog img s&i (93453) $746.40 $1,066.28 0.2×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $834.57 $1,192.24 0.3×
R hrt art/grft angio (93457) $831.30 $1,187.57 0.3×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $954.22 $1,363.17 0.3×
Rapid Desensitization Procedure Each Hour (95180) $90.88 $129.83 0.2×
Recording interpretation of stomach electrical (91133) $117.03 $167.19 0.9×
Refill/Maint Pump/Resvr Syst (96522) $71.53 $102.18 0.3×
Refill/maint, portable pump (96521) $86.91 $124.16 0.4×
Rem interrog icpms <30 d phys/qhp (93297) $18.02 $25.74 0.5×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $18.25 $26.07 0.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $123.72 $176.75 3.3×
Remote dx retinal imaging (92227) $9.16 $13.09 0.2×
Repair and refitting of spectacle prosthesis for patient absent a natural lens (92371) $7.32 $10.46 0.1×
Replace contact lens (92326) $22.95 $32.78 0.4×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $79.82 $114.03 0.3×
Right heart cath (93451) $510.50 $729.28 0.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $230.30 $329 1.1×
Rom meas&reprt hand w/wo comparison normal sid (95852) $30.70 $43.86 1.4×
Rt Chest Wall Manipulation,Subsequent (94668) $57.70 $82.44 0.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $35.83 $51.18 0.8×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $287.31 $410.44 0.8×
Sc Ther Infusion Reset Pump (96371) $58.32 $83.31 0.8×
Select picture audiometry (92583) $33.28 $47.54 0.6×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $43.85 $62.64 0.7×
Sensory Integration Ea 15 Min (97533) $59.22 $84.60 1.0×
Short-latency somatosens ep std lwr limbs (95926) $94.52 $135.03 0.4×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $105.37 $150.53 0.5×
Short-latency somatosens ep std upr limbs (95925) $112.95 $161.36 0.5×
Sinusoidal Rotational Test (92546) $66.94 $95.63 0.5×
Sleep study attended (95807) $307.82 $439.74 0.8×
Sleep study unattended (95806) $113.37 $161.96 0.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $117.17 $167.38 0.5×
Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) $63.08 $90.11 1.1×
Smoking cessation > 10 min (99407) $18.66 $26.66 0.5×
Somatosensory testing (95938) $218.70 $312.43 0.3×
Speech Audiometry Threshold (92555) $14.67 $20.96 0.2×
Speech Audiometry, Complete (92556) $23.40 $33.43 0.4×
Speech group therapy (92508) $48.86 $69.80 2.0×
Speech sound lang comprehen (92523) $448 $640 2.0×
Spirometry (94010) $208.25 $297.50 1.0×
Spontaneous Nystagmus Test (92541) $20.55 $29.35 0.2×
Staggered Spondaic Word Test (92572) $32.82 $46.89 0.3×
Standardized Cognitive Performance Testing (96125) $186.86 $266.94 1.8×
Stenger Test, Pure Tone (92565) $10.54 $15.06 0.2×
Stenger Test, Speech (92577) $12.38 $17.68 0.0×
Stress echo (93350) $158.20 $226 0.3×
Stress Tte Complete (93351) $184.02 $262.89 0.3×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $10.23 $14.62 0.2×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $125.32 $179.03 0.6×
Surfactant Admin Thru Tube (94610) $41.08 $58.69 0.2×
Tcd Emboli Detect W/O Inj - Us Tc Dplr Ic Art Emb Det Wo Iv Mb Inj (93892) $219.79 $313.99 2.1×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $226.91 $324.16 2.2×
Temp transcutaneous pacing (92953) $1,746.50 $2,495 2.6×
Tensilon test (95857) $36.62 $52.31 0.2×
Test for abnormal eye movement using a moving target with recording (92544) $15.89 $22.70 0.1×
Test for allergy using allergenic extract injected into skin (95024) $23.88 $34.10 0.4×
Test for allergy using combination of methods with drug or biological (95018) $13.13 $18.76 0.3×
Test photosensitivity (95056) $27.77 $39.67 0.2×
Test to assess hearing loss using different tone pitches (92575) $47.98 $68.54 1.3×
Test to assess hearing loss using grammatically incorrect sentences (92576) $22.25 $31.79 0.6×
Testing of autonomic (sympathetic) nervous system function (95923) $134.76 $192.52 1.0×
Testing of autonomic nervous system function heart rate (95921) $59.42 $84.89 0.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $62.30 $89 2.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $54.60 $78 2.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $75.11 $107.30 0.7×
Ther/Proph/Diag Inj Sc/Im (96372) $25.20 $36 0.3×
Therapeutic Activities (97530) $70.51 $100.72 2.0×
Therapeutic phlebotomy (99195) $131.38 $187.70 1.0×
Tilt Table Eval (93660) $105.08 $150.11 0.3×
Tinnitus assessment (92625) $47.54 $67.92 0.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $9.44 $13.48 0.3×
Tone Decay Test (92563) $19.50 $27.86 0.5×
Trans Care Mgmt 14 Day Disch (99495) $203.70 $291 1.5×
Trans Care Mgmt 7 Day Disch (99496) $291.90 $417 2.2×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $233.62 $333.74 1.0×
Transcranial Doppler Limited (93888) $136.70 $195.29 1.3×
Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only Age Under 21 (93316) $29.62 $42.31 0.1×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $35.08 $50.11 0.9×
Tstg ans funcj parasymp&symp w/5 min pasive tilt (95924) $97.36 $139.09 0.4×
Tstg Ans Funcj Vasomotor Adrenergic Innervaj (95922) $71.04 $101.48 0.5×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $184.71 $263.87 0.3×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $86.83 $124.04 0.4×
Tx atrial fib pulm vein isol (93656)
likely a partial charge, not the full procedure
$771.34 $1,101.91 0.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $194.42 $277.74 2.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $198.16 $283.08 2.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $63.92 $91.30 1.4×
Tympanometry (92567) $9.81 $14.02 0.3×
Tympanometry And Reflex Threshold Measurements (92550) $14.27 $20.38 0.1×
Ultraviolet Light Therapy (96900) $13.07 $18.67 0.3×
Ultraviolet Therapy (97028) $11.24 $16.05 1.3×
Unlisted Cardiovascular Service/Procedure (93799) $616.35 $880.50 4.8×
Valvuloplasty pulmonary valve (92990)
likely a partial charge, not the full procedure
$742.57 $1,060.81 0.1×
Vasc Duplex Extrem Venous,Bilat (93970) $518.62 $740.88 2.2×
Vasc Duplex Scan Extracranial,Limited (93882) $315.30 $450.42 3.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $113.71 $162.44 0.5×
Vasopneumatic device (97016) $12.76 $18.23 1.1×
Ventilation assist & mgmt inpatient 1st day (94002) $618.48 $883.54 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $493.54 $705.06 0.8×
Visual Evoked Potential Test (95930) $86.59 $123.70 0.4×
Visual reinforcement audiometry (vra) (92579) $28.74 $41.05 0.1×
Vital capacity total (94150) $16.41 $23.44 0.1×
Wada Activation Test Hemispheric Function W/Eeg (95958) $372.37 $531.96 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $62.49 $89.27 2.0×
Xtrnl mobile cv telemetry w/technical support (93229) $429.04 $612.92 1.1×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $109.31 $156.16 1.1×