Visits & medical services prices at Mercy Health System Corp
Janesville, WI · every code in this section with a posted price and a Medicare benchmark.
407 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) | $6,677.64 | $8,903.52 | 0.8× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $98.60 | $131.46 | 0.8× |
| Acoustic Reflex Testing (92568) | $28.62 | $38.16 | 0.8× |
| Actigraphy Testing Recording Analysis I&R (95803) | $45.20 | $60.27 | 0.8× |
| Actinotherapy Ultraviolet Light (96900) range across 2 matching MRF lines |
$28.62–$69.50 | $38.16–$92.66 | varies |
| Acupunct W/Stimul 15 Min (97813) | $22.16 | $29.55 | 0.8× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $22.16 | $29.55 | 0.8× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 4 matching MRF lines |
$30–$101.25 | $40–$135 | varies |
| Advncd Care Plan 30 Min (99497) | $77.84 | $103.79 | 0.8× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $323.09 | $430.79 | 1.5× |
| Aep neurodiagnostic i&r (92653) | $612.26 | $816.35 | 2.8× |
| Aep threshold estimation mlt frequencies i&r (92652) | $612.26 | $816.35 | 2.8× |
| Airway Inhalation Treatment (94640) range across 8 matching MRF lines |
$52.90–$167.79 | $70.54–$223.72 | varies |
| Airway resistance by oscillometry (94728) | $98.60 | $131.46 | 0.8× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $101.95 | $135.93 | 0.8× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $101.95 | $135.93 | 0.8× |
| Analyze neurostim no prog (95970) | $101.95 | $135.93 | 0.8× |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$72.85–$191.86 | $97.13–$255.82 | varies |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $101.95 | $135.93 | 0.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$42.68–$112.97 | $56.91–$150.63 | varies |
| Application Modality 1/> Areas Diathermy (97024) | $32.97 | $43.96 | 4.5× |
| Arrhythmia Induction (93618) | $1,709.25 | $2,279 | 1.4× |
| Assessment of aphasia per hr (96105) | $424.18 | $565.58 | 4.4× |
| Audiometry Air & Bone (92553) | $98.60 | $131.46 | 0.8× |
| Auditory Function, 60 Min (92620) | $98.60 | $131.46 | 0.8× |
| Basic vestibular evaluation (92540) | $165.45 | $220.60 | 0.8× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$32.14–$334.06 | $42.85–$445.41 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $190.18 | $253.58 | 2.3× |
| Bfb training ea addl 15 min (90913) | $63.67 | $84.89 | 1.9× |
| Biofeedback training any modality (90901) | $123.43 | $164.57 | 3.0× |
| Breath hydrogen/methane test (91065) | $165.45 | $220.60 | 0.8× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$28.62–$98.28 | $38.16–$131.04 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$285.93–$795.56 | $381.24–$1,060.74 | varies |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$714.56 | $952.74 | 0.1× |
| C motor evoked uppr limbs (95928) | $1,072.70 | $1,430.26 | 1.2× |
| C motor evoked upr&lwr limbs (95939) | $624.89 | $833.19 | 0.7× |
| Caloric vestibular test w/rec bi monothermal (92538) | $165.45 | $220.60 | 0.8× |
| Caloric Vstblr Test W/Rec (92537) | $98.60 | $131.46 | 0.8× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$115.73–$202.58 | $154.31–$270.11 | varies |
| Car seat/bed test 60 min (94780) | $324.14 | $432.19 | 8.6× |
| Cardiac Stress Tst,Tracing Only (93017) range across 6 matching MRF lines |
$165.45–$2,293.33 | $220.60–$3,057.77 | varies |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$285.93–$1,053.08 | $381.24–$1,404.10 | varies |
| Cardiopulmonary resuscitation (92950) | $555.29 | $740.39 | 2.6× |
| Cardioversion (92960) range across 7 matching MRF lines |
$319.47–$1,809.21 | $425.96–$2,412.28 | varies |
| Cardioversion elective internal (92961) | $3,500.86 | $4,667.81 | 5.3× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $137.98 | $183.98 | 5.3× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $15,127.25 | $20,169.67 | 4.6× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$2,484.11–$10,345.39 | $3,312.15–$13,793.85 | varies |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$101.95–$345.40 | $135.93–$460.53 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$55.17–$165.72 | $73.56–$220.96 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$55.17–$108.31 | $73.56–$144.41 | varies |
| Chemo Ia Push (96420) | $170.80 | $227.73 | 0.5× |
| Chemo intralesional up to 7 (96405) | $55.17 | $73.56 | 0.8× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$55.17–$385.33 | $73.56–$513.77 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$55.17–$252.65 | $73.56–$336.87 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$253.10–$698.50 | $337.46–$931.34 | varies |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$253.10–$506.18 | $337.46–$674.91 | varies |
| Chemotherapy Unspecified (96549) | $35.88 | $47.84 | 0.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$55.17–$459.74 | $73.56–$612.99 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$253.10–$668.79 | $337.46–$891.72 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$253.10–$677.62 | $337.46–$903.50 | varies |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$58.50–$364.46 | $78–$485.95 | varies |
| Chiropract manj 3-4 regions (98941) | $16.54 | $22.06 | 0.8× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $16.54 | $22.06 | 0.8× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $16.54 | $22.06 | 0.8× |
| Chron Care Mgmt Srvc 20 Min (99490) | $77.84 | $103.79 | 0.8× |
| Cmptr ophth dx img ant segmt (92132) | $45.20 | $60.27 | 0.8× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$182.83–$2,299.54 | $243.77–$3,066.05 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$80.11–$358.04 | $106.81–$477.38 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$153.81–$154.54 | $205.08–$206.06 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $136 | $181.34 | 0.8× |
| Comprehensive Hearing Test (92557) | $98.60 | $131.46 | 0.8× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $45.20 | $60.27 | 0.8× |
| Computerized Ophthalmic Imaging Retina (92134) | $45.20 | $60.27 | 0.8× |
| Conditioning Play Audiometry (92582) | $98.60 | $131.46 | 0.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $102.02 | $136.02 | 0.8× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $45.20 | $60.27 | 0.8× |
| Contact Lens Fit,Corneoscleral Lens (92313) | $101.95 | $135.93 | 0.8× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$98.60–$405.56 | $131.46–$540.75 | varies |
| Corneal Topography (92025) | $45.20 | $60.27 | 0.8× |
| Coronary Art/Grft Angio S&I (93455) | $7,515.88 | $10,021.17 | 2.3× |
| Coronary Artery Angio S&I (93454) | $7,177.46 | $9,569.94 | 2.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 7 matching MRF lines |
$87.65–$693.20 | $116.87–$924.26 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$101.95–$364.30 | $135.93–$485.74 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$632.94–$1,890 | $843.92–$2,520 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,259.24 | $1,678.98 | 3.4× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$153.74–$532.64 | $204.98–$710.19 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $153.74 | $204.98 | 0.8× |
| Developmental tst admin phys/qhp 1st hour (96112) | $98.60 | $131.46 | 0.8× |
| Dialysis One Evaluation (90945) range across 5 matching MRF lines |
$289.55–$921.14 | $386.07–$1,228.19 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $285.93 | $381.24 | 0.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,220.47 | $1,627.29 | 5.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$182.83–$656.54 | $243.77–$875.39 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $446.51 | $595.35 | 4.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$182.83–$1,147.42 | $243.77–$1,529.90 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$80.11–$1,028.81 | $106.81–$1,371.75 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $754.94 | $1,006.58 | 3.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $686.31 | $915.08 | 6.5× |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$80.11–$338.53 | $106.81–$451.37 | varies |
| Duplex up extrem art bilat (93930) | $686.31 | $915.08 | 2.9× |
| Duplex up extrem art unilat/ltd (93931) | $339.02 | $452.03 | 3.2× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $98.60 | $131.46 | 0.8× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $98.60 | $131.46 | 0.8× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$418.69–$1,135.77 | $558.25–$1,514.36 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$182.83–$666.94 | $243.77–$889.26 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$418.69–$1,595.27 | $558.25–$2,127.03 | varies |
| Eeg 41-60 Minutes (95812) | $1,265.43 | $1,687.24 | 5.8× |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$165.45–$1,933.70 | $220.60–$2,578.26 | varies |
| EEG awake drowsy (95816) range across 4 matching MRF lines |
$165.45–$1,066.24 | $220.60–$1,421.65 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $735.07 | $980.09 | 3.4× |
| EEG extended monitoring 61-119 minutes (95813) | $4,909.22 | $6,545.63 | 22.6× |
| Eeg Sleep Only (95822) | $1,386.54 | $1,848.72 | 6.4× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) range across 2 matching MRF lines |
$165.45–$735.07 | $220.60–$980.09 | varies |
| EEG w/o vid 2-12hr cont mntr (95707) range across 2 matching MRF lines |
$165.45–$735.07 | $220.60–$980.09 | varies |
| EEG w/o vid ea 12-26hr intmt (95709) range across 2 matching MRF lines |
$285.93–$1,410.34 | $381.24–$1,880.46 | varies |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) range across 2 matching MRF lines |
$285.93–$1,410.34 | $381.24–$1,880.46 | varies |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) range across 2 matching MRF lines |
$165.45–$735.07 | $220.60–$980.09 | varies |
| EEG wo vid ea 12-26hr unmntr (95708) range across 2 matching MRF lines |
$285.93–$1,410.34 | $381.24–$1,880.46 | varies |
| EKG signal averaged (93278) | $45.20 | $60.27 | 0.8× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $72.85 | $97.13 | 0.8× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $28.60 | $38.13 | 0.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 6 matching MRF lines |
$41.47–$147.99 | $55.29–$197.32 | varies |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$45.20–$227.92 | $60.27–$303.89 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$275.62–$673.31 | $367.50–$897.75 | varies |
| Emergency Dept Visit Level 3 (99283) | $905.62 | $1,207.50 | 3.3× |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$767.81–$1,323 | $1,023.75–$1,764 | varies |
| Emg 3 Extremities (95863) | $98.60 | $131.46 | 0.8× |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$98.60–$624.89 | $131.46–$833.19 | varies |
| Ep & ablate supravent arrhyt (93653) | $27,982.94 | $37,310.59 | 1.1× |
| Ep & ablate ventric tachy (93654) | $18,658.84 | $24,878.45 | 0.7× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $7,000.28 | $9,333.70 | 0.9× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $5,694.45 | $7,592.60 | 0.7× |
| Er level 1 (99281) range across 3 matching MRF lines |
$126–$295.31 | $168–$393.75 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$874.12–$2,008.12 | $1,165.50–$2,677.50 | varies |
| Ergonovine provocation test (93024) | $342.30 | $456.40 | 0.8× |
| Esophageal Capsule Endoscopy (91111) | $3,429.40 | $4,572.53 | 3.8× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $98.60 | $131.46 | 0.8× |
| Evaluate pt use of inhaler (94664) | $167.79 | $223.72 | 0.8× |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$26.40–$320.83 | $35.20–$427.77 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$323.15–$453.88 | $430.87–$605.17 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$34.06–$395.25 | $45.42–$527 | varies |
| Evoked Auditory Test,Limited (92587) | $165.45 | $220.60 | 0.8× |
| Excimer laser tx psoriasis 250-500 sq cm (96921) | $153.74 | $204.98 | 0.8× |
| Excimer laser tx psoriasis >500 sq cm (96922) | $311.49 | $415.32 | 0.8× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $153.74 | $204.98 | 0.8× |
| External ECG rec>48hr<7d recording (93242) | $28.62 | $38.16 | 0.8× |
| External ECG rec>7d<15d recording (93246) | $28.62 | $38.16 | 0.8× |
| External Ecg Scanning Analysis Report (93226) | $45.20 | $60.27 | 0.8× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$182.83–$894.10 | $243.77–$1,192.13 | varies |
| Extracranial Uni/Ltd Study (93882) | $433.57 | $578.09 | 4.1× |
| Eye exam w anesth; complete (92018) | $4,899.22 | $6,532.29 | 2.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $634.96 | $846.61 | 1.2× |
| Facial nerve function studies (92516) | $165.45 | $220.60 | 0.8× |
| Fitting of spectacle mounted low vision aid; single element system Facility (92354) | $28.62 | $38.16 | 0.8× |
| Flexible endoscopic eval swallow c/v rec (92612) | $608.77 | $811.69 | 3.0× |
| Fluorescein angiography (92235) | $165.45 | $220.60 | 0.8× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $2,104.46 | $2,805.94 | 2.4× |
| Fundus photography (92250) | $101.95 | $135.93 | 0.8× |
| Gastric motility studies (91020) | $285.93 | $381.24 | 0.8× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $285.93 | $381.24 | 0.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $658 | $877.34 | 0.8× |
| Gi tract capsule endoscopy (91110) | $694.97 | $926.63 | 0.8× |
| Gonioscopy (92020) | $101.95 | $135.93 | 0.8× |
| Group Therapeutic Procedures (97150) range across 4 matching MRF lines |
$45.89–$411.92 | $61.19–$549.23 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $15,595.90 | $20,794.53 | 4.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$1,008.35–$1,140.20 | $1,344.47–$1,520.27 | varies |
| Holter monitor recording (93225) | $101.95 | $135.93 | 0.8× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$28.60–$223.74 | $38.13–$298.32 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$28.60–$223.74 | $38.13–$298.32 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$28.60–$223.74 | $38.13–$298.32 | varies |
| Ilr Device Eval Progr (93285) | $28.60 | $38.13 | 0.8× |
| Ilr Device Interrogate (93291) | $22.16 | $29.55 | 0.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $55.17 | $73.56 | 0.8× |
| Immunization administration (90471) range across 3 matching MRF lines |
$55.17–$81.86 | $73.56–$109.15 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $285.93 | $381.24 | 0.8× |
| Insert/Place Heart Catheter (93503) | $2,486.67 | $3,315.56 | 1.6× |
| Interrogate Subq Defib (93261) | $223.74 | $298.32 | 6.0× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$474.62 | $632.83 | 0.1× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$420.92 | $561.22 | 0.1× |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$58.90–$195 | $78.54–$260 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$45.20–$395.25 | $60.27–$527 | varies |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$35.88–$206.25 | $47.84–$275 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$162.98–$412.50 | $217.31–$550 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$55.17–$332.41 | $73.56–$443.21 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$35.88–$211.40 | $47.84–$281.87 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$162.98–$253.85 | $217.31–$338.47 | varies |
| L Hrt Art/Grft Angio (93459) | $11,078.40 | $14,771.20 | 3.4× |
| Laryngeal Function Studies (92520) | $101.95 | $135.93 | 0.8× |
| Liver Elastography W/O Imag W/I&R (91200) range across 2 matching MRF lines |
$98.60–$548.70 | $131.46–$731.60 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $45.20 | $60.27 | 0.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,135.77 | $1,514.36 | 5.2× |
| Mechanical chest wall oscillation per session (94669) | $406.59 | $542.12 | 1.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 7 matching MRF lines |
$31.84–$132.62 | $42.46–$176.83 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 4 matching MRF lines |
$43.85–$64.31 | $58.47–$85.75 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$285.93–$511.51 | $381.24–$682.01 | varies |
| Motility study esophagus (91010) | $285.93 | $381.24 | 0.8× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$69.51–$514.04 | $92.68–$685.39 | varies |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $342.30 | $456.40 | 0.8× |
| Multiple Family Group Psychotherapy (90849) | $337.29 | $449.72 | 1.9× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$658–$2,349.22 | $877.34–$3,132.29 | varies |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$101.95–$641.78 | $135.93–$855.71 | varies |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$101.95–$163.88 | $135.93–$218.51 | varies |
| Muscle Test One Limb (95860) | $101.95 | $135.93 | 0.8× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$102.80–$152.95 | $137.06–$203.93 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $412.83 | $550.44 | 1.9× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$165.45–$358.76 | $220.60–$478.34 | varies |
| Needle electromyography larynx (95865) | $282.73 | $376.97 | 2.1× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$165.45–$373.58 | $220.60–$498.10 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $935.60 | $1,247.46 | 2.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,013.38 | $1,351.17 | 2.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$153.74–$587.08 | $204.98–$782.77 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $701.17 | $934.89 | 1.7× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$165.45–$410.57 | $220.60–$547.43 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$285.93–$1,374.92 | $381.24–$1,833.22 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$285.93–$1,374.92 | $381.24–$1,833.22 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$165.45–$761.97 | $220.60–$1,015.96 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$165.45–$761.97 | $220.60–$1,015.96 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$285.93–$761.97 | $381.24–$1,015.96 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$285.93–$1,374.92 | $381.24–$1,833.22 | varies |
| Neurobehavioral Status Exam (96116) | $165.45 | $220.60 | 0.8× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $412.83 | $550.44 | 3.2× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$42.85–$154.58 | $57.13–$206.11 | varies |
| Newborn resuscitation (99465) | $519.07 | $692.09 | 0.8× |
| Nitric oxide expired gas determination (95012) | $28.62 | $38.16 | 0.8× |
| Nose Allergy Test (95065) | $28.62 | $38.16 | 0.8× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $285.93 | $381.24 | 0.8× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $101.95 | $135.93 | 0.8× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $102.02 | $136.02 | 0.8× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $102.02 | $136.02 | 0.8× |
| Ophth medical xm&eval intermediate estab pt (92012) | $102.02 | $136.02 | 0.8× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $102.02 | $136.02 | 0.8× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $45.20 | $60.27 | 0.8× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $45.20 | $60.27 | 0.8× |
| Optokinetic Nystagmus Test (92544) | $98.60 | $131.46 | 0.8× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$96.26–$293.54 | $128.35–$391.39 | varies |
| Oral Speech Device Eval (92597) | $343.16 | $457.54 | 4.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$37.18–$154.54 | $49.57–$206.06 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$49.84–$154.54 | $66.45–$206.06 | varies |
| Oscillating Tracking Test (92545) | $165.45 | $220.60 | 0.8× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $16.54 | $22.06 | 0.8× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $16.54 | $22.06 | 0.8× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $16.54 | $22.06 | 0.8× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$59.80–$598.27 | $79.73–$797.69 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$59.80–$285.39 | $79.73–$380.52 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$59.80–$420.15 | $79.73–$560.20 | varies |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$44.76–$151.61 | $59.68–$202.15 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$45.01–$117.20 | $60.01–$156.27 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$32.93–$168.03 | $43.91–$224.04 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$39.53–$363.95 | $52.71–$485.27 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 7 matching MRF lines |
$98.78–$337.20 | $131.70–$449.60 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 3 matching MRF lines |
$98.78–$208.90 | $131.70–$278.53 | varies |
| Oxygen Uptake Rest Indirect (94690) range across 3 matching MRF lines |
$45.20–$678.25 | $60.27–$904.33 | varies |
| Pdt dstr prmlg les phys/qhp (96573) | $153.74 | $204.98 | 0.8× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $153.74 | $204.98 | 0.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$167.79–$901.35 | $223.72–$1,201.80 | varies |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$45.20–$146.36 | $60.27–$195.14 | varies |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $112,372.14 | $149,829.52 | 6.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $12,803.56 | $17,071.42 | 2.2× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $17,319.24 | $23,092.32 | 1.5× |
| Phlebotomy therapeutic (99195) range across 4 matching MRF lines |
$101.95–$597.44 | $135.93–$796.59 | varies |
| Photochemotherapy Dermatoses 4-8 Hrs Supervision (96913) | $311.49 | $415.32 | 0.8× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) | $45.20 | $60.27 | 0.8× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $45.20 | $60.27 | 0.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$45.20–$222.18 | $60.27–$296.24 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$45.20–$211.60 | $60.27–$282.13 | varies |
| Physical Performance Test (97750) range across 5 matching MRF lines |
$45.86–$132.16 | $61.15–$176.21 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$121.36–$285.93 | $161.81–$381.24 | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$28.60–$223.74 | $38.13–$298.32 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$28.60–$223.74 | $38.13–$298.32 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$28.60–$223.74 | $38.13–$298.32 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$28.60–$223.74 | $38.13–$298.32 | varies |
| Pm/Icd Remote Tech Serv (93296) | $28.60 | $38.13 | 0.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 6 matching MRF lines |
$658–$5,592.59 | $877.34–$7,456.79 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$658–$5,896.70 | $877.34–$7,862.26 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $4,209.27 | $5,612.36 | 4.9× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $658 | $877.34 | 0.8× |
| Positional nystagmus test (92542) | $101.95 | $135.93 | 0.8× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $35.88 | $47.84 | 0.8× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $35.88 | $47.84 | 0.8× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $35.88 | $47.84 | 0.8× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $55.17 | $73.56 | 0.8× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $55.17 | $73.56 | 0.8× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $223.74 | $298.32 | 6.0× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$28.60–$223.74 | $38.13–$298.32 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $35.88 | $47.84 | 0.8× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $35.88 | $47.84 | 0.8× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $55.17 | $73.56 | 0.8× |
| Prq Card Angio/Athrect 1 Art (92924) | $16,616.28 | $22,155.04 | 1.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $16,936.10 | $22,581.47 | 1.5× |
| Prq Card Stent/Ath/Angio (92933) | $26,051.80 | $34,735.74 | 1.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $16,606.55 | $22,142.07 | 1.4× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $70,765.38 | $94,353.84 | 6.1× |
| Psych diag eval w/med srvcs (90792) | $136 | $181.34 | 0.8× |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$136–$250.73 | $181.34–$334.31 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $165.45 | $220.60 | 0.8× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $22.16 | $29.55 | 0.8× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $342.30 | $456.40 | 0.8× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $101.95 | $135.93 | 0.8× |
| Psytx Crisis Initial 60 Min (90839) range across 3 matching MRF lines |
$136–$433.58 | $181.34–$578.10 | varies |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$61.69–$428.08 | $82.25–$570.77 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$61.69–$324.14 | $82.25–$432.19 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$61.69–$385.47 | $82.25–$513.96 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$47.09–$147.64 | $62.79–$196.86 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$67.65–$178.41 | $90.20–$237.88 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$41.83–$238 | $55.77–$317.34 | varies |
| Pt ultraviolet (97028) | $16.35 | $21.80 | 2.0× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) range across 2 matching MRF lines |
$28.71–$60.73 | $38.28–$80.97 | varies |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$165.45–$171.92 | $220.60–$229.22 | varies |
| Pulmonary service/procedure (94799) range across 4 matching MRF lines |
$52.90–$98.60 | $70.54–$131.46 | varies |
| Pulmonary Stress Testing (94618) | $101.95 | $135.93 | 0.8× |
| Pure Tone Audiometry Air (92552) | $101.95 | $135.93 | 0.8× |
| R Hrt Art/Grft Angio (93457) | $9,594.90 | $12,793.20 | 2.9× |
| R hrt coronary artery angio (93456) | $9,787.44 | $13,049.92 | 3.0× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $12,334.39 | $16,445.85 | 3.8× |
| Rapid Desensitization Procedure Each Hour (95180) | $342.30 | $456.40 | 0.8× |
| Refill/Maint Portable Pump (96521) | $162.98 | $217.31 | 0.8× |
| Refill/Maint Pump/Resvr Syst (96522) | $162.98 | $217.31 | 0.8× |
| Rem interrog icpms <30 d phys/qhp (93297) | $28.60 | $38.13 | 0.8× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $28.60 | $38.13 | 0.8× |
| Rem Ther Mntr Dev Sply Cbt (98978) range across 2 matching MRF lines |
$28.60–$87.70 | $38.13–$116.94 | varies |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) range across 2 matching MRF lines |
$28.60–$87.70 | $38.13–$116.94 | varies |
| Rem ther mntr dev sply resp (98976) range across 2 matching MRF lines |
$28.60–$87.70 | $38.13–$116.94 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $28.60 | $38.13 | 0.8× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) range across 2 matching MRF lines |
$102.02–$303.10 | $136.02–$404.14 | varies |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) range across 2 matching MRF lines |
$152.89–$188.36 | $203.85–$251.15 | varies |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) range across 2 matching MRF lines |
$193.12–$237.93 | $257.50–$317.24 | varies |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $703.39 | $937.85 | 3.2× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $703.39 | $937.85 | 3.2× |
| Replacement of contact lens (92326) | $45.20 | $60.27 | 0.8× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $45.20 | $60.27 | 0.8× |
| Right Heart Cath (93451) | $4,646.58 | $6,195.44 | 1.4× |
| Right ventricular recording (93603) | $426.70 | $568.94 | 0.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$153.74–$766.52 | $204.98–$1,022.02 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $87.63 | $116.84 | 3.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $357.21 | $476.28 | 2.9× |
| Select picture audiometry (92583) | $45.20 | $60.27 | 0.8× |
| Self Care Mngment Training (97535) range across 6 matching MRF lines |
$42.04–$154.54 | $56.05–$206.06 | varies |
| Sensory Integration Ea 15 Min (97533) range across 3 matching MRF lines |
$98.24–$103.40 | $130.98–$137.86 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $718.80 | $958.40 | 3.3× |
| Sleep study attended (95807) | $285.93 | $381.24 | 0.8× |
| Sleep study unattended (95806) | $529.52 | $706.02 | 2.4× |
| Slp caregiver training 1st 30 min (97550) | $275.97 | $367.96 | 5.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $848.48 | $1,131.30 | 3.9× |
| Somatosensory Testing (95938) range across 2 matching MRF lines |
$658–$1,233.26 | $877.34–$1,644.35 | varies |
| Speech Audiometry Complete (92556) | $45.20 | $60.27 | 0.8× |
| Speech audiometry threshold (92555) | $45.20 | $60.27 | 0.8× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$101.28–$633.14 | $135.04–$844.19 | varies |
| Spin/Brain Pump Refil & Main (95991) | $497.10 | $662.80 | 1.6× |
| Spirometry (94010) range across 2 matching MRF lines |
$165.45–$308.06 | $220.60–$410.74 | varies |
| Spontaneous Nystagmus Test (92541) | $101.95 | $135.93 | 0.8× |
| Ssep lower limbs (95926) | $656.31 | $875.08 | 3.0× |
| Standardized Cognitive Performance Testing (96125) range across 3 matching MRF lines |
$85.60–$424.18 | $114.14–$565.58 | varies |
| Stenger Test Speech (92577) | $285.93 | $381.24 | 0.8× |
| Stenger Test, Pure Tone (92565) | $45.20 | $60.27 | 0.8× |
| Stress Tte Only (93350) range across 5 matching MRF lines |
$418.69–$3,606.46 | $558.25–$4,808.61 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$134.56–$134.84 | $179.41–$179.79 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$89.20–$89.69 | $118.94–$119.59 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $44.28 | $59.04 | 1.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$35.54–$132.16 | $47.38–$176.21 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $187.28 | $249.70 | 1.8× |
| Ther/Proph/Diag Inj Ia (96373) | $47.65 | $63.53 | 0.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$55.17–$138.92 | $73.56–$185.22 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$162.98–$422.81 | $217.31–$563.75 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $703.39 | $937.85 | 3.2× |
| Therapeutic Activities (97530) range across 7 matching MRF lines |
$4.84–$151.93 | $6.46–$202.57 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 3 matching MRF lines |
$285.93–$670.60 | $381.24–$894.13 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$28.71–$56.41 | $38.28–$75.21 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$28.71–$35.29 | $38.28–$47.05 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $102.02 | $136.02 | 0.8× |
| Trans Care Mgmt 7 Day Disch (99496) | $102.02 | $136.02 | 0.8× |
| Transcath Closure of Asd (93580) | $107,740.32 | $143,653.76 | 5.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $246.38 | $328.50 | 2.3× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $28.60 | $38.13 | 0.8× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $101.95 | $135.93 | 0.8× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$418.69–$1,808.93 | $558.25–$2,411.91 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$182.83–$924.76 | $243.77–$1,233.01 | varies |
| Tx atrial fib pulm vein isol (93656) | $44,100.52 | $58,800.70 | 1.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$97.57–$314.09 | $130.09–$418.79 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $86.77 | $115.69 | 3.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$35.88–$240.62 | $47.84–$320.83 | varies |
| Tympanometry (92567) | $28.62 | $38.16 | 0.8× |
| Tympanometry and reflex threshold measurements (92550) | $165.45 | $220.60 | 0.8× |
| Unlisted allergy/clinical immunologic srvc/px (95199) | $22.16 | $29.55 | 0.8× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$593.92–$597.55 | $791.90–$796.73 | varies |
| Unlisted ophthalmological service/procedure (92499) | $22.16 | $29.55 | 0.8× |
| Unlisted otorhinolaryngological service (92700) | $22.16 | $29.55 | 0.8× |
| Unlisted Psychiatric Service/Procedure (90899) | $125.89 | $167.85 | 3.3× |
| Upr/L Xtremity Art 2 Levels (93922) | $575.67 | $767.56 | 4.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$165.45–$900.32 | $220.60–$1,200.43 | varies |
| Vasopneumatic device (97016) range across 3 matching MRF lines |
$39.23–$121.36 | $52.31–$161.81 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) range across 2 matching MRF lines |
$285.93–$1,408.27 | $381.24–$1,877.69 | varies |
| Veeg 2-12 hr intmt mntr (95712) range across 2 matching MRF lines |
$285.93–$735.07 | $381.24–$980.09 | varies |
| Veeg 2-12 hr unmonitored (95711) range across 2 matching MRF lines |
$165.45–$735.07 | $220.60–$980.09 | varies |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) range across 2 matching MRF lines |
$285.93–$1,410.34 | $381.24–$1,880.46 | varies |
| Veeg Ea 12-26 Hr Unmntr (95714) range across 2 matching MRF lines |
$285.93–$1,408.27 | $381.24–$1,877.69 | varies |
| Veeg ea 12-26hr cont mntr (95716) range across 2 matching MRF lines |
$658–$2,639.82 | $877.34–$3,519.76 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$226.57–$484.01 | $302.09–$645.35 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 4 matching MRF lines |
$274.34–$484.01 | $365.79–$645.35 | varies |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$165.45–$540.40 | $220.60–$720.53 | varies |
| Visual Field Exam Extended (92083) | $101.95 | $135.93 | 0.8× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $45.20 | $60.27 | 0.8× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $45.20 | $60.27 | 0.8× |
| Visual reinforcement audiometry (vra) (92579) | $165.45 | $220.60 | 0.8× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$98.60–$216.78 | $131.46–$289.04 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 3 matching MRF lines |
$31.64–$113.42 | $42.18–$151.23 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$40.96–$108.91 | $54.62–$145.21 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $28.62 | $38.16 | 0.8× |
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.