Visits & medical services prices at Mercy Hospital Fort Smith
Fort Smith, AR · every code in this section with a posted price and a Medicare benchmark.
258 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) | $9,898.85 | $15,229 | 1.3× |
| Actinotherapy Ultraviolet Light (96900) | $118.95 | $183 | 3.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $42.90 | $66 | 1.1× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $254.15 | $391 | 1.2× |
| Aep neurodiagnostic i&r (92653) | $254.15 | $391 | 1.2× |
| Aep threshold estimation mlt frequencies i&r (92652) | $328.90 | $506 | 1.6× |
| Airway Inhalation Treatment (94640) | $105.95 | $163 | 0.5× |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$19.50–$85.80 | $30–$132 | varies |
| Analyze Pacemaker System (93724) | $345.15 | $531 | 1.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $72.15 | $111 | 5.0× |
| Application Modality 1/> Areas Diathermy (97024) | $29.90 | $46 | 4.1× |
| Application Modality 1/> Areas Infrared (97026) range across 2 matching MRF lines |
$37.70–$41.60 | $58–$64 | varies |
| Application on-body injector (96377) | $105.30 | $162 | 2.3× |
| Assessment of aphasia per hr (96105) | $182.65 | $281 | 1.9× |
| Behavral qualit analys voice (92524) range across 8 matching MRF lines |
$203.45–$401.70 | $313–$618 | varies |
| Biofeedback training any modality (90901) | $42.25 | $65 | 1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $621.40 | $956 | 1.7× |
| Canalith repositioning proc (95992) | $106.60 | $164 | 2.6× |
| Car seat/bed test 60 min (94780) | $99.45 | $153 | 2.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $966.55 | $1,487 | 4.6× |
| Cardiopulmonary exercise testing (94621) | $686.40 | $1,056 | 1.9× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$622.70–$654.55 | $958–$1,007 | varies |
| Cardioversion (92960) | $1,294.15 | $1,991 | 2.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $12,306.45 | $18,933 | 3.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $7,267 | $11,180 | 2.3× |
| Cbt 1st hour (94644) | $86.45 | $133 | 0.7× |
| Chemo Admin Peritoneal Cavity (96446) | $390 | $600 | 1.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $200.20 | $308 | 2.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $157.95 | $243 | 2.3× |
| Chemo Ia Push (96420) | $290.55 | $447 | 0.9× |
| Chemo Intralesional Over 7 (96406) | $148.85 | $229 | 0.7× |
| Chemo intralesional up to 7 (96405) | $98.80 | $152 | 1.4× |
| Chemo IV infusion addl hr (96415) | $235.30 | $362 | 3.4× |
| Chemo IV push addl drug (96411) | $256.75 | $395 | 3.7× |
| Chemother Prolong Infuse W/Pump (96416) | $442.65 | $681 | 1.4× |
| Chemotherapy Into Cns (96450) | $481.65 | $741 | 1.5× |
| Chemotherapy Intracavitary (96440) | $245.70 | $378 | 0.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $256.10 | $394 | 3.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $258.70 | $398 | 0.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $263.90 | $406 | 0.8× |
| Chest Wall Manipulation (94668) | $83.20 | $128 | 0.6× |
| Color/duplex Doppler, complete (93975) | $622.05 | $957 | 2.7× |
| Color/duplex Doppler, limited (93976) | $534.30 | $822 | 5.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $59.80 | $92 | 1.9× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$324.35–$396.50 | $499–$610 | varies |
| Coronary Art/Grft Angio S&I (93455) | $9,557.60 | $14,704 | 3.0× |
| Coronary Artery Angio S&I (93454) | $8,321.95 | $12,803 | 2.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$468–$817.05 | $720–$1,257 | varies |
| Cpt initial (94667) | $99.45 | $153 | 0.8× |
| Critical care first hour (99291) | $2,858.05 | $4,397 | 3.6× |
| Debridement Open Wound 20 Sq Cm< (97597) | $260 | $400 | 1.3× |
| Dialysis One Evaluation (90945) range across 4 matching MRF lines |
$648.05–$713.05 | $997–$1,097 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $829.40 | $1,276 | 3.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $570.05 | $877 | 2.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $460.85 | $709 | 4.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,097.20 | $1,688 | 4.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $689 | $1,060 | 6.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $824.20 | $1,268 | 3.6× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $598 | $920 | 5.9× |
| Duplex Scan Hemodialysis Access (93990) | $488.80 | $752 | 4.8× |
| Duplex up extrem art bilat (93930) | $530.40 | $816 | 2.3× |
| Duplex up extrem art unilat/ltd (93931) | $432.25 | $665 | 4.3× |
| Echo Heart Xthoracic,Limited (93308) | $773.50 | $1,190 | 3.3× |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$1,460.55–$2,076.10 | $2,247–$3,194 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,452.75 | $2,235 | 2.7× |
| Eeg 41-60 Minutes (95812) | $662.35 | $1,019 | 3.2× |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$231.40–$959.40 | $356–$1,476 | varies |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$198.90–$743.60 | $306–$1,144 | varies |
| EEG cerebral death evaluation (95824) | $808.60 | $1,244 | 2.2× |
| EEG cont rec w/video by tech min 8 channels (95700) | $340.60 | $524 | 1.6× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) range across 3 matching MRF lines |
$36.40–$76.70 | $56–$118 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 3 matching MRF lines |
$38.35–$81.25 | $59–$125 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 4 matching MRF lines |
$16.90–$61.75 | $26–$95 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $65 | $100 | 4.4× |
| Electrocardiogram Tracing (93005) | $236.60 | $364 | 4.1× |
| Electrophysiology Evaluation (93642) | $2,935.40 | $4,516 | 2.5× |
| Emergency Dept Visit Level 2 (99282) | $767.65 | $1,181 | 5.2× |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$964.60–$1,295.77 | $1,484–$1,993.50 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$1,355.25–$2,337.40 | $2,085–$3,596 | varies |
| Emg 3 Extremities (95863) | $482.30 | $742 | 3.9× |
| Emg 4 Extremities (95864) | $563.55 | $867 | 4.5× |
| Endomyocardial Biopsy (93505) | $3,508.70 | $5,398 | 1.1× |
| Ep & ablate supravent arrhyt (93653) | $24,087.70 | $37,058 | 1.0× |
| Ep & ablate ventric tachy (93654) | $20,367.75 | $31,335 | 0.8× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $9,158.50 | $14,090 | 1.2× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $7,388.55 | $11,367 | 1.0× |
| Er level 1 (99281) | $183.30 | $282 | 2.2× |
| Er level v (99285) range across 3 matching MRF lines |
$2,004.60–$4,423.93 | $3,084–$6,806.04 | varies |
| Evaluate pt use of inhaler (94664) | $126.10 | $194 | 0.6× |
| Evaluate Speech Production (92522) range across 8 matching MRF lines |
$184.60–$401.70 | $284–$618 | varies |
| Evaluate Swallowing Function (92610) range across 6 matching MRF lines |
$203.45–$433.55 | $313–$667 | varies |
| Evaluation of speech fluency (92521) range across 8 matching MRF lines |
$199.55–$401.70 | $307–$618 | varies |
| Evoked Auditory Test,Limited (92587) | $214.50 | $330 | 1.0× |
| Exercise test for bronchospasm (94617) | $269.10 | $414 | 2.1× |
| External ECG rec>48hr<7d recording (93242) | $325.65 | $501 | 9.0× |
| External ECG rec>7d<15d recording (93246) | $546.65 | $841 | 15.1× |
| External Ecg Scanning Analysis Report (93226) | $309.40 | $476 | 5.4× |
| Extracranial Bilat Study (93880) | $1,127.75 | $1,735 | 4.9× |
| Extracranial Uni/Ltd Study (93882) | $404.95 | $623 | 4.0× |
| Flexible endoscopic eval swallow c/v rec (92612) | $408.20 | $628 | 2.0× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 3 matching MRF lines |
$132.60–$1,244.75 | $204–$1,915 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $631.80 | $972 | 3.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,290.25 | $1,985 | 1.6× |
| Gi tract capsule endoscopy (91110) range across 3 matching MRF lines |
$541.45–$2,098.85 | $833–$3,229 | varies |
| Group Therapeutic Procedures (97150) range across 16 matching MRF lines |
$40.95–$74.10 | $63–$114 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $8,380.45 | $12,893 | 2.7× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,400.10 | $2,154 | 2.1× |
| Holter monitor recording (93225) | $302.25 | $465 | 2.3× |
| Hubbard tank 15 min (97036) | $79.95 | $123 | 2.3× |
| Immunization administration (90471) range across 2 matching MRF lines |
$11.05–$20.80 | $17–$32 | varies |
| Insert/Place Heart Catheter (93503) | $2,002 | $3,080 | 1.3× |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) | $7,023.25 | $10,805 | 56.4× |
| Interrog eval crtd sins bat modulj sys ip wo (93145) | $7,023.25 | $10,805 | 56.4× |
| Interrogate Subq Defib (93261) | $327.60 | $504 | 9.1× |
| Intracranial Complete Study (93886) | $640.25 | $985 | 2.8× |
| Intraventricular pacing (93612) | $4,267.25 | $6,565 | 0.6× |
| Iontophoresis 15 min (97033) | $71.50 | $110 | 3.8× |
| Irrig Drug Delivery Device (96523) | $95.55 | $147 | 1.7× |
| IV infusion hydration each additional hour (96361) | $162.50 | $250 | 3.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $178.75 | $275 | 0.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $185.25 | $285 | 2.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $168.35 | $259 | 3.7× |
| IV push initial (96374) | $136.50 | $210 | 0.7× |
| L Hrt Art/Grft Angio (93459) | $10,925.20 | $16,808 | 3.5× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $5,293.60 | $8,144 | 1.7× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $542.75 | $835 | 2.6× |
| Mechanical chest wall oscillation per session (94669) | $126.10 | $194 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $52 | $80 | 1.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $52 | $80 | 1.4× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $52 | $80 | 3.1× |
| Methacholine challenge (94070) | $679.90 | $1,046 | 1.9× |
| Motility study esophagus (91010) | $1,231.10 | $1,894 | 3.4× |
| Motion Fluoroscopy/Swallow (92611) range across 12 matching MRF lines |
$248.30–$795.60 | $382–$1,224 | varies |
| Multiple Sleep Latency Test (95805) | $2,204.15 | $3,391 | 2.7× |
| Muscle Test 2 Limbs (95861) | $401.70 | $618 | 3.1× |
| Muscle Test One Limb (95860) | $338 | $520 | 2.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $315.25 | $485 | 0.8× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $393.25 | $605 | 1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $300.95 | $463 | 1.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $299.65 | $461 | 0.8× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 3 matching MRF lines |
$97.50–$249.60 | $150–$384 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 3 matching MRF lines |
$289.90–$1,336.40 | $446–$2,056 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 3 matching MRF lines |
$343.85–$1,570.40 | $529–$2,416 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 3 matching MRF lines |
$123.50–$440.70 | $190–$678 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 3 matching MRF lines |
$146.90–$697.45 | $226–$1,073 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 3 matching MRF lines |
$201.50–$779.35 | $310–$1,199 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 3 matching MRF lines |
$248.30–$1,227.20 | $382–$1,888 | varies |
| Neuromuscular Reeducation (97112) | $71.50 | $110 | 2.2× |
| Newborn resuscitation (99465) | $612.95 | $943 | 1.0× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $518.05 | $797 | 1.4× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $117.65 | $181 | 2.1× |
| Oral Function Therapy (92526) range across 7 matching MRF lines |
$137.80–$292.50 | $212–$450 | varies |
| Oral Speech Device Eval (92597) | $271.05 | $417 | 3.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$50.05–$61.75 | $77–$95 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $72.15 | $111 | 1.6× |
| Ot Contrast Bath Ea 15 Min (97034) | $44.20 | $68 | 3.2× |
| Ot eval high complexity (97167) range across 16 matching MRF lines |
$158.60–$481 | $244–$740 | varies |
| Ot Eval Low Complex (97165) range across 16 matching MRF lines |
$108.55–$440.05 | $167–$677 | varies |
| Ot Eval Moderate Complexity (97166) range across 16 matching MRF lines |
$130–$457.60 | $200–$704 | varies |
| Ot manual therapy 15 min (97140) | $65.65 | $101 | 2.4× |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$59.80–$72.80 | $92–$112 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$50.70–$62.40 | $78–$96 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 16 matching MRF lines |
$94.25–$384.15 | $145–$591 | varies |
| Ot rom hand (95852) | $46.80 | $72 | 2.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $313.30 | $482 | 2.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $178.75 | $275 | 1.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $204.10 | $314 | 1.0× |
| Peripheral arterial disease rehab per session (93668) | $100.75 | $155 | 1.8× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) likely a partial charge, not the full procedure |
$4,338.75 | $6,675 | 0.2× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $5,671.25 | $8,725 | 1.0× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $9,681.75 | $14,895 | 0.9× |
| Phlebotomy therapeutic (99195) | $137.80 | $212 | 1.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $308.75 | $475 | 5.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $252.85 | $389 | 4.4× |
| Physical Performance Test (97750) range across 5 matching MRF lines |
$73.45–$74.75 | $113–$115 | varies |
| Plethysmography (94726) | $494 | $760 | 1.4× |
| Pm device progr eval dual (93280) | $151.45 | $233 | 4.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,903.25 | $6,005 | 4.7× |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$2,172.30–$2,546.70 | $3,342–$3,918 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$2,672.15–$3,221.40 | $4,111–$4,956 | varies |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $592.80 | $912 | 16.4× |
| Prq Card Angio/Athrect 1 Art (92924) | $8,408.40 | $12,936 | 0.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $8,033.35 | $12,359 | 0.7× |
| Prq Card Stent/Ath/Angio (92933) | $12,938.90 | $19,906 | 0.7× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $8,118.50 | $12,490 | 0.7× |
| Prq trl rvs ch occ ant&rtrgr (92945) unusually low: confirm this is the full procedure |
$5,344.30 | $8,222 | 0.5× |
| Pt Eval High Complex (97163) range across 10 matching MRF lines |
$152.75–$356.85 | $235–$549 | varies |
| Pt eval low complex 20 min (97161) range across 10 matching MRF lines |
$108.55–$338 | $167–$520 | varies |
| Pt Eval Mod Complex (97162) range across 10 matching MRF lines |
$130–$358.80 | $200–$552 | varies |
| Pt gait training 15 min (97116) | $68.25 | $105 | 2.3× |
| Pt mechanical traction (97012) | $72.80 | $112 | 5.1× |
| Pt Re-Eval Est Plan Care (97164) range across 10 matching MRF lines |
$94.25–$280.15 | $145–$431 | varies |
| Pulm function test by gas (94727) | $287.30 | $442 | 1.4× |
| Pulmonary service/procedure (94799) range across 6 matching MRF lines |
$81.90–$250.25 | $126–$385 | varies |
| R Hrt Art/Grft Angio (93457) | $10,253.10 | $15,774 | 3.3× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $4,187.95 | $6,443 | 1.3× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $4,187.95 | $6,443 | 1.3× |
| R hrt coronary artery angio (93456) | $8,340.15 | $12,831 | 2.7× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $5,798 | $8,920 | 1.8× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $5,798 | $8,920 | 1.8× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $8,191.30 | $12,602 | 2.6× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $78.65 | $121 | 2.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $258.70 | $398 | 7.2× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $204.10 | $314 | 1.6× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $61.10 | $94 | 1.5× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $83.20 | $128 | 1.5× |
| Respiratory flow volume loop (94375) | $245.05 | $377 | 1.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $133.90 | $206 | 2.3× |
| Right Heart Cath (93451) | $3,891.55 | $5,987 | 1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 10 matching MRF lines |
$139.10–$242.45 | $214–$373 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $49.40 | $76 | 1.9× |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) | $57.20 | $88 | 1.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $183.30 | $282 | 1.5× |
| Self Care Mngment Training (97535) | $72.80 | $112 | 2.2× |
| Sensory Integration Ea 15 Min (97533) | $52.65 | $81 | 0.9× |
| Sleep study unattended (95806) | $512.20 | $788 | 2.4× |
| Slp Stdy Unatnd W/Anal (95801) | $570.05 | $877 | 10.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $430.30 | $662 | 2.1× |
| Speech sound lang comprehen (92523) range across 8 matching MRF lines |
$215.15–$503.10 | $331–$774 | varies |
| Spirometry (94010) | $275.60 | $424 | 1.3× |
| Ssep lower limbs (95926) | $917.80 | $1,412 | 4.4× |
| Standardized Cognitive Performance Testing (96125) | $303.55 | $467 | 3.0× |
| Subcutaneous Infusion Each Additional Hour (96370) | $122.20 | $188 | 2.7× |
| Subq Infusion Additional Pump Infusion Site (96371) | $149.50 | $230 | 2.1× |
| Surfactant Admin Thru Tube (94610) | $157.30 | $242 | 0.7× |
| Temp transcutaneous pacing (92953) | $761.15 | $1,171 | 1.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $68.25 | $105 | 3.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $21.45 | $33 | 1.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $68.25 | $105 | 1.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $66.30 | $102 | 2.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 5 matching MRF lines |
$129.35–$260.65 | $199–$401 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $104 | $160 | 0.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $104 | $160 | 1.5× |
| Ther/Proph/Diag Iv Inf Init (96365) | $185.25 | $285 | 0.9× |
| Therapeutic Activities (97530) | $70.20 | $108 | 2.0× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,633.45 | $2,513 | 4.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $71.50 | $110 | 2.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $34.45 | $53 | 0.9× |
| Tte w/doppler, complete (93306) | $2,030.60 | $3,124 | 3.8× |
| Tte W/O Doppler Complete (93307) | $714.35 | $1,099 | 3.1× |
| Tx atrial fib pulm vein isol (93656) | $34,596.25 | $53,225 | 1.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 5 matching MRF lines |
$162.50–$267.15 | $250–$411 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 8 matching MRF lines |
$50.05–$141.05 | $77–$217 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $136.50 | $210 | 3.0× |
| Unlis neurological/neuromuscular dx px (95999) | $138.45 | $213 | 1.1× |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$2,416.70–$5,671.25 | $3,718–$8,725 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $104 | $160 | 0.8× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$389.35–$432.90 | $599–$666 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $822.90 | $1,266 | 3.9× |
| Valvuloplasty aortic valve (92986) | $9,421.75 | $14,495 | 1.7× |
| Vasopneumatic device (97016) | $44.20 | $68 | 3.7× |
| Veeg 2-12 hr unmonitored (95711) | $889.85 | $1,369 | 4.3× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,495 | $2,300 | 4.1× |
| Vent Mgmt Inpat Init Day (94002) range across 4 matching MRF lines |
$1,024.40–$1,085.50 | $1,576–$1,670 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 4 matching MRF lines |
$856.05–$919.75 | $1,317–$1,415 | varies |
| Vital capacity, total (94150) | $79.30 | $122 | 0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $59.15 | $91 | 1.9× |
| Whirlpool Therapy (97022) | $114.40 | $176 | 7.3× |
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.