Visits & medical services prices at Mercy Hospital Springfield
Springfield, MO · every code in this section with a posted price and a Medicare benchmark.
350 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) | $14,844.70 | $22,838 | 1.9× |
| Actinotherapy Ultraviolet Light (96900) range across 2 matching MRF lines |
$104–$123.50 | $160–$190 | varies |
| Acupunct W/Stimul 15 Min (97813) | $94.90 | $146 | 3.3× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $67.60 | $104 | 2.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $43.55 | $67 | 1.1× |
| Advncd Care Plan 30 Min (99497) range across 3 matching MRF lines |
$58.50–$72.80 | $90–$112 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $1,045.85 | $1,609 | 4.8× |
| Aep neurodiagnostic i&r (92653) | $245.70 | $378 | 1.1× |
| Aep threshold estimation mlt frequencies i&r (92652) | $865.15 | $1,331 | 4.0× |
| Airway Inhalation Treatment (94640) range across 9 matching MRF lines |
$144.30–$216.45 | $222–$333 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $319.15 | $491 | 2.4× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $328.90 | $506 | 2.5× |
| Analyze neurostim complex (95972) | $2,423.20 | $3,728 | 25.4× |
| Analyze neurostim no prog (95970) | $328.25 | $505 | 2.5× |
| Analyze Neurostim Simple (95971) | $1,188.85 | $1,829 | 12.5× |
| Analyze Pacemaker System (93724) | $390.65 | $601 | 1.3× |
| Ant sgm imaging w/microscopy endothelial analy (92286) range across 3 matching MRF lines |
$56.55–$124.80 | $87–$192 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $99.45 | $153 | 6.9× |
| Application Modality 1/> Areas Infrared (97026) | $50.05 | $77 | 7.5× |
| Application on-body injector (96377) | $174.20 | $268 | 3.7× |
| Arrhythmia Induction (93618) | $5,245.50 | $8,070 | 4.3× |
| Assessment of aphasia per hr (96105) | $172.25 | $265 | 1.8× |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$174.20–$243.10 | $268–$374 | varies |
| Behavral qualit analys voice (92524) range across 8 matching MRF lines |
$148.20–$427.05 | $228–$657 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $138.45 | $213 | 1.7× |
| Bfb training ea addl 15 min (90913) | $64.35 | $99 | 2.0× |
| Biofeedback training any modality (90901) | $189.80 | $292 | 4.6× |
| Bioimpedance Cv Analysis (93701) | $228.80 | $352 | 1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$74.10–$505.70 | $114–$778 | varies |
| Bundle of his recording (93600) | $6,964.75 | $10,715 | 0.9× |
| C motor evoked uppr limbs (95928) | $1,313.65 | $2,021 | 1.5× |
| C motor evoked upr&lwr limbs (95939) | $978.90 | $1,506 | 1.1× |
| Car seat/bed test 60 min (94780) | $121.55 | $187 | 3.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,032.85 | $1,589 | 4.8× |
| Cardiopulmonary resuscitation (92950) | $923 | $1,420 | 4.3× |
| Cardioversion (92960) range across 3 matching MRF lines |
$1,656.85–$1,955.20 | $2,549–$3,008 | varies |
| Cardioversion elective internal (92961) | $1,327.95 | $2,043 | 2.0× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $52 | $80 | 2.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $12,912.25 | $19,865 | 4.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $12,282.40 | $18,896 | 3.8× |
| Cbt 1st hour (94644) | $216.45 | $333 | 1.6× |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $437.45 | $673 | 2.0× |
| Cervical Vemp Testing W/I&R (92517) | $287.95 | $443 | 2.2× |
| Chemo Admin Peritoneal Cavity (96446) | $895.05 | $1,377 | 2.7× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$50.70–$240.50 | $78–$370 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $240.50 | $370 | 3.3× |
| Chemo Ia Push (96420) | $239.20 | $368 | 0.7× |
| Chemo Intralesional Over 7 (96406) | $473.20 | $728 | 2.2× |
| Chemo intralesional up to 7 (96405) | $162.50 | $250 | 2.3× |
| Chemo IV infusion addl hr (96415) | $451.75 | $695 | 6.3× |
| Chemo IV push addl drug (96411) | $348.40 | $536 | 4.8× |
| Chemother Prolong Infuse W/Pump (96416) | $533 | $820 | 1.6× |
| Chemotherapy Into Cns (96450) | $586.30 | $902 | 1.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $362.70 | $558 | 5.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $451.75 | $695 | 1.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $348.40 | $536 | 1.1× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $426.40 | $656 | 1.3× |
| Chest Wall Manipulation (94668) range across 5 matching MRF lines |
$94.90–$118.95 | $146–$183 | varies |
| Cmptr ophth dx img ant segmt (92132) range across 3 matching MRF lines |
$22.10–$59.80 | $34–$92 | varies |
| Color/duplex Doppler, complete (93975) | $494.65 | $761 | 2.1× |
| Color/duplex Doppler, limited (93976) | $793 | $1,220 | 7.6× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 6 matching MRF lines |
$47.45–$233.35 | $73–$359 | varies |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$259.35–$265.20 | $399–$408 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 3 matching MRF lines |
$28.60–$70.20 | $44–$108 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 3 matching MRF lines |
$31.85–$73.45 | $49–$113 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $419.90 | $646 | 3.1× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $87.10 | $134 | 1.5× |
| Continuous Pulse Ox (94762) range across 3 matching MRF lines |
$52.65–$482.30 | $81–$742 | varies |
| Corneal Topography (92025) range across 3 matching MRF lines |
$42.25–$59.80 | $65–$92 | varies |
| Coronary Art/Grft Angio S&I (93455) | $8,918 | $13,720 | 2.7× |
| Coronary Artery Angio S&I (93454) | $9,456.20 | $14,548 | 2.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 5 matching MRF lines |
$682.50–$1,214.85 | $1,050–$1,869 | varies |
| Cpt initial (94667) | $174.20 | $268 | 1.3× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) range across 3 matching MRF lines |
$39–$339.30 | $60–$522 | varies |
| Critical care first hour (99291) | $2,627.30 | $4,042 | 3.2× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $321.75 | $495 | 0.9× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$297.70–$371.80 | $458–$572 | varies |
| Dialysis One Evaluation (90945) range across 5 matching MRF lines |
$648.70–$1,275.30 | $998–$1,962 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $319.15 | $491 | 0.9× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $774.15 | $1,191 | 3.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $331.50 | $510 | 3.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,174.55 | $1,807 | 4.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $806 | $1,240 | 7.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,320.15 | $2,031 | 5.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $931.45 | $1,433 | 8.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,841.45 | $2,833 | 7.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $1,057.55 | $1,627 | 10.1× |
| Duplex Scan Hemodialysis Access (93990) | $493.35 | $759 | 4.7× |
| Duplex up extrem art bilat (93930) | $1,171.95 | $1,803 | 4.9× |
| Duplex up extrem art unilat/ltd (93931) | $864.50 | $1,330 | 8.3× |
| ECG/monitoring and analysis (93271) | $551.20 | $848 | 5.8× |
| Echo Heart Xthoracic,Limited (93308) | $920.40 | $1,416 | 3.9× |
| Echo transesophag montr cardiac pump functj (93318) | $2,400.45 | $3,693 | 4.4× |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$2,566.20–$2,569.45 | $3,948–$3,953 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $2,211.95 | $3,403 | 4.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,111.85 | $3,249 | 3.9× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$228.15–$705.25 | $351–$1,085 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$209.30–$1,173.90 | $322–$1,806 | varies |
| EEG awake drowsy (95816) | $1,049.75 | $1,615 | 4.9× |
| EEG cerebral death evaluation (95824) | $1,919.45 | $2,953 | 5.1× |
| EEG cont rec w/video by tech min 8 channels (95700) | $458.90 | $706 | 2.1× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$371.15–$943.15 | $571–$1,451 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $506.35 | $779 | 2.3× |
| EEG w/o vid ea 12-26hr intmt (95709) | $2,570.10 | $3,954 | 6.9× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $953.55 | $1,467 | 4.4× |
| EEG wo vid ea 12-26hr unmntr (95708) | $749.45 | $1,153 | 2.0× |
| EKG signal averaged (93278) | $676.65 | $1,041 | 11.5× |
| Electrical Stimulation Ea 15 Min (97032) | $99.45 | $153 | 6.8× |
| Electrocardiogram Tracing (93005) | $264.55 | $407 | 4.5× |
| Electrocochleography (92584) range across 2 matching MRF lines |
$243.10–$586.30 | $374–$902 | varies |
| Electroconvulsive Therapy (90870) | $1,366.95 | $2,103 | 1.6× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $13,817.70 | $21,258 | 1.8× |
| Electrophysiology Evaluation (93642) | $2,277.60 | $3,504 | 1.9× |
| Emergency Dept Visit Level 2 (99282) | $514.80 | $792 | 3.3× |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$846.95–$1,166.10 | $1,303–$1,794 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$1,430–$2,673.93 | $2,200–$4,113.74 | varies |
| Endomyocardial Biopsy (93505) | $6,839.30 | $10,522 | 2.2× |
| Ep & ablate supravent arrhyt (93653) | $32,340.75 | $49,755 | 1.2× |
| Ep & ablate ventric tachy (93654) | $24,991.20 | $38,448 | 1.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $6,602.05 | $10,157 | 0.8× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $7,898.80 | $12,152 | 1.0× |
| Er level 1 (99281) | $301.60 | $464 | 3.6× |
| Er level v (99285) range across 2 matching MRF lines |
$2,154.75–$5,663.12 | $3,315–$8,712.50 | varies |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $2,654.60 | $4,084 | 7.1× |
| Evaluate pt use of inhaler (94664) | $345.80 | $532 | 1.6× |
| Evaluate Speech Production (92522) range across 8 matching MRF lines |
$167.70–$540.80 | $258–$832 | varies |
| Evaluate Swallowing Function (92610) range across 8 matching MRF lines |
$117–$465.40 | $180–$716 | varies |
| Evaluation of speech fluency (92521) range across 8 matching MRF lines |
$140.40–$377.65 | $216–$581 | varies |
| Evoked Auditory Test,Limited (92587) | $297.70 | $458 | 1.4× |
| External Ecg Scanning Analysis Report (93226) | $752.05 | $1,157 | 12.7× |
| Extracranial Bilat Study (93880) | $1,093.30 | $1,682 | 4.6× |
| Extracranial Uni/Ltd Study (93882) | $320.45 | $493 | 3.1× |
| Eye exam w anesth; complete (92018) | $3,783 | $5,820 | 1.6× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $280.80 | $432 | 1.9× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 6 matching MRF lines |
$176.15–$333.45 | $271–$513 | varies |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $579.80 | $892 | 2.5× |
| Fluorescein angiography (92235) range across 3 matching MRF lines |
$70.85–$307.45 | $109–$473 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $1,764.10 | $2,714 | 2.1× |
| Fundus photography (92250) range across 3 matching MRF lines |
$20.80–$200.20 | $32–$308 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,321.45 | $2,033 | 3.5× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $705.25 | $1,085 | 3.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,688.70 | $2,598 | 2.0× |
| Gi tract capsule endoscopy (91110) | $2,657.20 | $4,088 | 2.9× |
| Gi tract imaging intraluminal colon i&r (91113) | $2,018.90 | $3,106 | 2.2× |
| Gonioscopy (92020) range across 3 matching MRF lines |
$15.60–$124.80 | $24–$192 | varies |
| Group Therapeutic Procedures (97150) range across 29 matching MRF lines |
$48.75–$107.90 | $75–$166 | varies |
| Health Behavior Assessment/Re-Assessment (96156) range across 3 matching MRF lines |
$160.55–$164.45 | $247–$253 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $8,312.85 | $12,789 | 2.6× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 3 matching MRF lines |
$1,399.45–$1,749.80 | $2,153–$2,692 | varies |
| High altitude simulation test (94452) | $226.85 | $349 | 1.7× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $274.30 | $422 | 2.1× |
| Holter monitor recording (93225) | $670.80 | $1,032 | 5.0× |
| Icd Device Interrogate (93289) range across 3 matching MRF lines |
$47.45–$83.85 | $73–$129 | varies |
| Icd device progr eval dual (93283) range across 3 matching MRF lines |
$57.85–$108.55 | $89–$167 | varies |
| Icd Device Progr Eval Mult (93284) range across 3 matching MRF lines |
$70.20–$125.45 | $108–$193 | varies |
| Ilr Device Eval Progr (93285) range across 3 matching MRF lines |
$35.75–$58.50 | $55–$90 | varies |
| Ilr Device Interrogate (93291) range across 3 matching MRF lines |
$29.25–$48.10 | $45–$74 | varies |
| Immunization administration (90471) range across 2 matching MRF lines |
$73.45–$85.15 | $113–$131 | varies |
| Insert/Place Heart Catheter (93503) | $3,602.95 | $5,543 | 2.3× |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) | $5,549.70 | $8,538 | 43.1× |
| Interrog eval crtd sins bat modulj sys ip wo (93145) | $5,549.70 | $8,538 | 43.1× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) | $951.60 | $1,464 | 10.0× |
| Interrog&prgrmg ipnss during polysomnography (93152) | $5,922.80 | $9,112 | 19.3× |
| Interrogate Subq Defib (93261) range across 4 matching MRF lines |
$40.95–$327.60 | $63–$504 | varies |
| Interrogation without programming ipnss (93153) | $539.50 | $830 | 5.7× |
| Intra-atrial pacing (93610) | $8,161.40 | $12,556 | 1.0× |
| Intra-atrial recording (93602) | $8,323.90 | $12,806 | 1.1× |
| Intracranial Complete Study (93886) | $995.80 | $1,532 | 4.2× |
| Intraventricular pacing (93612) | $4,854.20 | $7,468 | 0.6× |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$112.45–$161.20 | $173–$248 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$59.80–$193.05 | $92–$297 | varies |
| IV infusion hydration each additional hour (96361) | $226.85 | $349 | 4.8× |
| IV infusion hydration initial 31 min-1 hour (96360) | $265.85 | $409 | 1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $287.95 | $443 | 4.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $287.95 | $443 | 6.1× |
| IV push initial (96374) | $232.05 | $357 | 1.1× |
| L Hrt Art/Grft Angio (93459) | $12,414.35 | $19,099 | 3.8× |
| Lung Function Test (Mbc/Mvv) (94200) | $193.70 | $298 | 3.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $947.70 | $1,458 | 4.4× |
| Mechanical chest wall oscillation per session (94669) | $130 | $200 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $40.30 | $62 | 1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $48.10 | $74 | 1.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $61.75 | $95 | 3.6× |
| Methacholine challenge (94070) | $776.10 | $1,194 | 2.1× |
| Motility study esophagus (91010) | $1,632.80 | $2,512 | 4.4× |
| Motion Fluoroscopy/Swallow (92611) range across 8 matching MRF lines |
$126.10–$524.55 | $194–$807 | varies |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$2,138.50–$2,259.40 | $3,290–$3,476 | varies |
| Muscle Test 2 Limbs (95861) | $310.05 | $477 | 2.3× |
| Muscle Test One Limb (95860) | $256.10 | $394 | 1.9× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$345.15–$362.05 | $531–$557 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $410.80 | $632 | 1.9× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $273 | $420 | 1.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $677.30 | $1,042 | 1.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,019.85 | $1,569 | 2.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$102.05–$338.65 | $157–$521 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $424.45 | $653 | 1.0× |
| Neurobehavioral Status Exam (96116) | $195 | $300 | 0.9× |
| Neuromuscular Reeducation (97112) | $132.60 | $204 | 4.1× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$438.10–$447.85 | $674–$689 | varies |
| Nitric oxide expired gas determination (95012) | $138.45 | $213 | 3.7× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $577.85 | $889 | 1.5× |
| Ocular Vemp Testing W/I&R (92518) range across 2 matching MRF lines |
$213.85–$241.80 | $329–$372 | varies |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 3 matching MRF lines |
$29.25–$124.80 | $45–$192 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 3 matching MRF lines |
$85.15–$129.35 | $131–$199 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 3 matching MRF lines |
$50.70–$129.35 | $78–$199 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 3 matching MRF lines |
$50.70–$129.35 | $78–$199 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 3 matching MRF lines |
$48.75–$129.35 | $75–$199 | varies |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) range across 3 matching MRF lines |
$13.65–$59.80 | $21–$92 | varies |
| Oral Function Therapy (92526) range across 8 matching MRF lines |
$173.55–$377 | $267–$580 | varies |
| Oral Speech Device Eval (92597) range across 6 matching MRF lines |
$293.80–$358.80 | $452–$552 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 3 matching MRF lines |
$104–$105.95 | $160–$163 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $121.55 | $187 | 2.6× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$70.85–$107.90 | $109–$166 | varies |
| Ot eval high complexity (97167) range across 16 matching MRF lines |
$150.80–$635.05 | $232–$977 | varies |
| Ot Eval Low Complex (97165) range across 16 matching MRF lines |
$152.75–$573.30 | $235–$882 | varies |
| Ot Eval Moderate Complexity (97166) range across 16 matching MRF lines |
$189.80–$652.60 | $292–$1,004 | varies |
| Ot manual therapy 15 min (97140) | $126.75 | $195 | 4.6× |
| Ot paraffin bath (97018) | $86.45 | $133 | 14.4× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$78.65–$83.85 | $121–$129 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 16 matching MRF lines |
$141.70–$377.65 | $218–$581 | varies |
| Ot rom hand (95852) | $126.10 | $194 | 5.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 5 matching MRF lines |
$202.15–$273.65 | $311–$421 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 4 matching MRF lines |
$230.75–$239.85 | $355–$369 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $293.15 | $451 | 1.3× |
| Peripheral arterial disease rehab per session (93668) | $108.55 | $167 | 1.8× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) likely a partial charge, not the full procedure |
$4,106.70 | $6,318 | 0.2× |
| Perq Transcath Cls Aortic (93591) | $52,438.75 | $80,675 | 2.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $10,999.30 | $16,922 | 1.9× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 5 matching MRF lines |
$17,252.30–$17,640.35 | $26,542–$27,139 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$260–$261.95 | $400–$403 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $206.05 | $317 | 3.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $206.05 | $317 | 3.5× |
| Physical Performance Test (97750) range across 4 matching MRF lines |
$112.45–$124.80 | $173–$192 | varies |
| Plethysmography (94726) | $457.60 | $704 | 1.2× |
| Pm device eval in person (93288) range across 3 matching MRF lines |
$33.15–$49.40 | $51–$76 | varies |
| Pm device progr eval dual (93280) range across 3 matching MRF lines |
$46.80–$78.65 | $72–$121 | varies |
| Pm device progr eval multi (93281) range across 3 matching MRF lines |
$49.40–$91.65 | $76–$141 | varies |
| Pm Device Progr Eval Sngl (93279) range across 3 matching MRF lines |
$39.65–$66.95 | $61–$103 | varies |
| Pm/Icd Remote Tech Serv (93296) | $63.05 | $97 | 1.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$1,419.60–$4,306.90 | $2,184–$6,626 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $4,799.60 | $7,384 | 5.6× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $4,271.80 | $6,572 | 5.0× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $594.10 | $914 | 15.9× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 3 matching MRF lines |
$47.45–$84.50 | $73–$130 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $25.35 | $39 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $22.75 | $35 | 0.5× |
| Prq Card Angio/Athrect 1 Art (92924) | $13,135.85 | $20,209 | 1.1× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $15,092.35 | $23,219 | 1.3× |
| Prq Card Stent/Ath/Angio (92933) | $21,406.45 | $32,933 | 1.2× |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 5 matching MRF lines |
$11,230.05–$11,482.90 | $17,277–$17,666 | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $18,798.65 | $28,921 | 1.0× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $16,601 | $25,540 | 1.4× |
| Psych diag eval w/med srvcs (90792) range across 4 matching MRF lines |
$183.30–$305.50 | $282–$470 | varies |
| Psychiatric diagnostic evaluation (90791) range across 13 matching MRF lines |
$197.60–$325.65 | $304–$501 | varies |
| Psytx Crisis Initial 60 Min (90839) | $553.15 | $851 | 3.1× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $129.35 | $199 | 3.4× |
| Pt Eval High Complex (97163) range across 10 matching MRF lines |
$214.50–$593.45 | $330–$913 | varies |
| Pt eval low complex 20 min (97161) range across 10 matching MRF lines |
$152.75–$401.70 | $235–$618 | varies |
| Pt Eval Mod Complex (97162) range across 10 matching MRF lines |
$189.80–$421.85 | $292–$649 | varies |
| Pt gait training 15 min (97116) | $108.55 | $167 | 3.7× |
| Pt mechanical traction (97012) | $111.80 | $172 | 7.8× |
| Pt Re-Eval Est Plan Care (97164) range across 10 matching MRF lines |
$141.70–$263.25 | $218–$405 | varies |
| Pulm function test by gas (94727) | $312 | $480 | 1.4× |
| Pulmonary service/procedure (94799) range across 7 matching MRF lines |
$78.65–$312.65 | $121–$481 | varies |
| Pulmonary Stress Testing (94618) | $301.60 | $464 | 2.3× |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$107.25–$150.80 | $165–$232 | varies |
| R Hrt Art/Grft Angio (93457) | $15,492.75 | $23,835 | 4.8× |
| R hrt coronary artery angio (93456) | $7,218.90 | $11,106 | 2.2× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $7,826 | $12,040 | 2.4× |
| Rem interrog icpms <30 d phys/qhp (93297) range across 3 matching MRF lines |
$17.55–$40.30 | $27–$62 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 3 matching MRF lines |
$22.10–$40.30 | $34–$62 | varies |
| Rem Mntr Wrls P-Art Prs Snr (93264) range across 3 matching MRF lines |
$30.55–$53.95 | $47–$83 | varies |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) range across 3 matching MRF lines |
$75.40–$89.70 | $116–$138 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $560.95 | $863 | 15.0× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $278.85 | $429 | 2.1× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) range across 3 matching MRF lines |
$84.50–$100.75 | $130–$155 | varies |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) range across 3 matching MRF lines |
$74.10–$91.65 | $114–$141 | varies |
| Replacement of contact lens (92326) range across 3 matching MRF lines |
$25.35–$65 | $39–$100 | varies |
| Respiratory flow volume loop (94375) | $214.50 | $330 | 1.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $167.05 | $257 | 2.8× |
| Right Heart Cath (93451) | $5,807.10 | $8,934 | 1.8× |
| Right ventricular recording (93603) | $4,583.15 | $7,051 | 3.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 5 matching MRF lines |
$299.65–$402.35 | $461–$619 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 2 matching MRF lines |
$80.60–$87.75 | $124–$135 | varies |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) | $65.65 | $101 | 1.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $297.70 | $458 | 2.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $196.30 | $302 | 4.1× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$119.60–$122.20 | $184–$188 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) range across 3 matching MRF lines |
$35.75–$59.80 | $55–$92 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $1,327.30 | $2,042 | 6.1× |
| Sleep study unattended (95806) | $913.25 | $1,405 | 4.2× |
| Slp caregiver training 1st 30 min (97550) | $77.35 | $119 | 1.5× |
| Slp Stdy Unatnd W/Anal (95801) | $554.45 | $853 | 9.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $720.85 | $1,109 | 3.3× |
| Somatosensory Testing (95938) | $2,092.35 | $3,219 | 2.4× |
| Speech sound lang comprehen (92523) range across 8 matching MRF lines |
$163.80–$442 | $252–$680 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$61.10–$361.40 | $94–$556 | varies |
| Ssep lower limbs (95926) | $527.80 | $812 | 2.4× |
| Standardized Cognitive Performance Testing (96125) | $366.60 | $564 | 3.6× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$381.55–$2,400.45 | $587–$3,693 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $354.25 | $545 | 7.6× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $446.55 | $687 | 2.1× |
| Subq Infusion Additional Pump Infusion Site (96371) | $354.25 | $545 | 4.9× |
| Surfactant Admin Thru Tube (94610) | $237.90 | $366 | 1.1× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $923 | $1,420 | 8.8× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$777.40–$872.95 | $1,196–$1,343 | varies |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) | $951.60 | $1,464 | 10.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$94.90–$127.40 | $146–$196 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$36.40–$92.95 | $56–$143 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $127.40 | $196 | 3.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $44.20 | $68 | 1.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $328.25 | $505 | 3.2× |
| Ther/Proph/Diag Inj Ia (96373) | $224.90 | $346 | 1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $148.20 | $228 | 2.1× |
| Ther/Proph/Diag Iv Inf Init (96365) | $287.95 | $443 | 1.4× |
| Therapeutic Activities (97530) | $131.30 | $202 | 3.7× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,084.55 | $3,207 | 5.6× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$26–$53.30 | $40–$82 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$11.70–$22.10 | $18–$34 | varies |
| Transcath Closure of Asd (93580) | $27,812.85 | $42,789 | 1.5× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$463.45–$473.85 | $713–$729 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 3 matching MRF lines |
$37.70–$66.95 | $58–$103 | varies |
| Tte w/doppler, complete (93306) | $2,581.15 | $3,971 | 4.7× |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$329.55–$878.15 | $507–$1,351 | varies |
| Tx atrial fib pulm vein isol (93656) range across 2 matching MRF lines |
$19,177.60–$34,519.55 | $29,504–$53,107 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 6 matching MRF lines |
$173.55–$320.45 | $267–$493 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 8 matching MRF lines |
$50.05–$155.35 | $77–$239 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $219.05 | $337 | 4.7× |
| Tympanometry (92567) | $106.60 | $164 | 2.8× |
| Unlisted cardiovascular service/procedure (93799) range across 4 matching MRF lines |
$3,015.35–$4,519.45 | $4,639–$6,953 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $476.45 | $733 | 3.6× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $709.80 | $1,092 | 3.3× |
| Valvuloplasty aortic valve (92986) | $6,874.40 | $10,576 | 1.2× |
| Valvuloplasty mitral valve (92987) | $24,540.75 | $37,755 | 2.1× |
| Valvuloplasty pulmonary valve (92990) | $31,383.30 | $48,282 | 2.7× |
| Vasopneumatic device (97016) range across 3 matching MRF lines |
$77.35–$92.95 | $119–$143 | varies |
| Veeg 2-12 hr intmt mntr (95712) | $2,197.65 | $3,381 | 5.9× |
| Veeg 2-12 hr unmonitored (95711) | $1,092 | $1,680 | 5.0× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,930.85 | $4,509 | 7.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,426.75 | $2,195 | 3.8× |
| Vent Mgmt Inpat Init Day (94002) range across 5 matching MRF lines |
$1,268.80–$1,885 | $1,952–$2,900 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 5 matching MRF lines |
$1,121.90–$1,435.20 | $1,726–$2,208 | varies |
| Visual Evoked Potential Test (95930) | $1,525.55 | $2,347 | 7.1× |
| Visual Field Exam Extended (92083) range across 3 matching MRF lines |
$35.75–$124.80 | $55–$192 | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) range across 3 matching MRF lines |
$24.70–$59.80 | $38–$92 | varies |
| Vital capacity, total (94150) | $130.65 | $201 | 1.0× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,021.15 | $1,571 | 1.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $79.30 | $122 | 2.6× |
| Whirlpool Therapy (97022) range across 4 matching MRF lines |
$136.50–$139.10 | $210–$214 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) range across 3 matching MRF lines |
$14.95–$39 | $23–$60 | varies |
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.