Visits & medical services prices at Mercy Hospital St. Louis

St. Louis, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $6,515.60 $10,024 0.8×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570)
range across 2 matching MRF lines
$127.40–$152.10 $196–$234 varies
Acoustic Reflex Testing (92568) $98.15 $151 2.6×
Actinotherapy Ultraviolet Light (96900)
range across 3 matching MRF lines
$16.25–$141.05 $25–$217 varies
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $67.60 $104 2.3×
Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155)
range across 2 matching MRF lines
$54.60–$109.85 $84–$169 varies
Adaptive behavior tx by protocol tech ea 15 min (97153)
range across 2 matching MRF lines
$57.20–$107.25 $88–$165 varies
Admn Sarscov2 Vacc 1 Dose (90480) $73.45 $113 1.8×
Advncd Care Plan 30 Min (99497)
range across 3 matching MRF lines
$60.45–$96.85 $93–$149 varies
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $248.30 $382 1.1×
Aep neurodiagnostic i&r (92653)
range across 2 matching MRF lines
$148.85–$206.70 $229–$318 varies
Aep threshold estimation mlt frequencies i&r (92652) $825.50 $1,270 3.8×
Airway Inhalation Treatment (94640)
range across 7 matching MRF lines
$260–$280.15 $400–$431 varies
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $234.65 $361 1.8×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $354.90 $546 2.7×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601)
range across 2 matching MRF lines
$204.10–$286 $314–$440 varies
Analyze neurostim no prog (95970)
range across 2 matching MRF lines
$27.95–$357.50 $43–$550 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $100.10 $154 7.0×
Application on-body injector (96377) $163.80 $252 3.5×
Arrhythmia Induction (93618) $2,160.60 $3,324 1.8×
Art pressure waveform analys (93050) $64.35 $99 2.2×
Assessment of aphasia per hr (96105) $193.05 $297 2.0×
Assessment of tinnitus (92625) $168.35 $259 1.3×
Audiometry Air & Bone (92553)
range across 3 matching MRF lines
$155.35–$170.30 $239–$262 varies
Auditory Function, 60 Min (92620) $324.35 $499 2.5×
Basic vestibular evaluation (92540) $345.80 $532 1.6×
Behavior id assessment by phys/qhp ea 15 min (97151)
range across 2 matching MRF lines
$54.60–$141.70 $84–$218 varies
Behavior id support assmt by 1 tech ea 15 min (97152)
range across 2 matching MRF lines
$48.10–$98.80 $74–$152 varies
Behavral qualit analys voice (92524)
range across 26 matching MRF lines
$128.70–$796.25 $198–$1,225 varies
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $141.70 $218 1.7×
Bfb training ea addl 15 min (90913) $70.20 $108 2.1×
Bis Xtracell Fluid Analysis (93702) $162.50 $250 1.3×
Blink reflex test (95933) $219.05 $337 3.7×
Brief Emotional/Behav Assmt (96127) $40.95 $63 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $605.80 $932 1.6×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$3,623.10 $5,574 0.5×
C motor evoked uppr limbs (95928)
range across 2 matching MRF lines
$332.80–$378.30 $512–$582 varies
C motor evoked upr&lwr limbs (95939) $1,132.30 $1,742 1.3×
Canalith repositioning proc (95992) $100.75 $155 2.5×
Car seat/bed test 60 min (94780) $85.15 $131 2.3×
Cardiac Stress Tst,Tracing Only (93017) $1,340.95 $2,063 6.2×
Cardiopulmonary exercise testing (94621) $1,214.85 $1,869 3.3×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$613.60–$733.85 $944–$1,129 varies
Cardioversion (92960)
range across 6 matching MRF lines
$429–$1,726.40 $660–$2,656 varies
Cardioversion elective internal (92961)
range across 3 matching MRF lines
$466.70–$936 $718–$1,440 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $42.90 $66 1.6×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $8,006.70 $12,318 2.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,663.20 $13,328 2.7×
Cbt 1st hour (94644) $174.20 $268 1.3×
Chemo Admin Peritoneal Cavity (96446) $633.75 $975 1.9×
Chemo Anti-Neopl Sq/Im (96401)
range across 2 matching MRF lines
$61.75–$292.50 $95–$450 varies
Chemo Hormon Antineopl Sq/Im (96402) $270.40 $416 3.7×
Chemo Ia Push (96420) $408.20 $628 1.2×
Chemo Intralesional Over 7 (96406) $178.75 $275 0.8×
Chemo intralesional up to 7 (96405) $176.15 $271 2.4×
Chemo IV infusion addl hr (96415) $431.60 $664 6.0×
Chemo IV push addl drug (96411) $351.65 $541 4.9×
Chemother Prolong Infuse W/Pump (96416) $469.95 $723 1.4×
Chemotherapy Into Cns (96450) $798.20 $1,228 2.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $399.75 $615 5.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $431.60 $664 1.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $351.65 $541 1.1×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $378.95 $583 1.1×
Chest Wall Manipulation (94668) $271.70 $418 2.0×
Chiropract manj 3-4 regions (98941) $39 $60 1.8×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) $32.50 $50 1.5×
Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) $45.50 $70 2.1×
Color/duplex Doppler, complete (93975) $1,162.20 $1,788 4.9×
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$815.75–$958.10 $1,255–$1,474 varies
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 8 matching MRF lines
$27.95–$77.35 $43–$119 varies
Comprehensive Hearing Test (92557)
range across 2 matching MRF lines
$213.20–$261.30 $328–$402 varies
Conditioning Play Audiometry (92582)
range across 3 matching MRF lines
$258.05–$373.75 $397–$575 varies
Cont gluc mntr physician/qhp provided equiptment (95250) $248.30 $382 1.9×
Cont Gluc Mntr Pt Prov Eqp (95249) $96.85 $149 1.6×
Continuous Pulse Ox (94762) $286.65 $441 2.2×
Coronary Art/Grft Angio S&I (93455) $7,868.90 $12,106 2.4×
Coronary Artery Angio S&I (93454) $5,872.10 $9,034 1.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 7 matching MRF lines
$206.05–$997.75 $317–$1,535 varies
Cpt initial (94667) $175.50 $270 1.3×
Critical care first hour (99291)
range across 3 matching MRF lines
$679.90–$2,564.90 $1,046–$3,946 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929)
range across 2 matching MRF lines
$332.80–$342.55 $512–$527 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 7 matching MRF lines
$105.30–$453.05 $162–$697 varies
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574)
range across 2 matching MRF lines
$180.05–$245.05 $277–$377 varies
Developmental tst admin phys/qhp 1st hour (96112) $415.35 $639 3.2×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602)
range across 2 matching MRF lines
$213.85–$490.10 $329–$754 varies
Dialysis One Evaluation (90945)
range across 10 matching MRF lines
$488.80–$1,251.25 $752–$1,925 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $230.75 $355 0.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,183 $1,820 4.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $668.85 $1,029 6.4×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $501.80 $772 4.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,253.85 $1,929 5.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $605.15 $931 5.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,407.25 $2,165 5.9×
Dup-scan xtr veins unilateral/limited study (93971) $795.60 $1,224 7.6×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,144 $1,760 4.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $477.10 $734 4.6×
Duplex Scan Hemodialysis Access (93990) $622.70 $958 5.9×
Duplex up extrem art bilat (93930) $925.60 $1,424 3.9×
Duplex up extrem art unilat/ltd (93931) $584.35 $899 5.6×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604)
range across 2 matching MRF lines
$237.90–$501.80 $366–$772 varies
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603)
range across 2 matching MRF lines
$264.55–$506.35 $407–$779 varies
Ear and throat examination (92502) $1,084.20 $1,668 2.0×
ECG/monitoring and analysis (93271) $674.70 $1,038 7.1×
Echo Congenital Complete (93303) $2,030.60 $3,124 3.7×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$124.15–$1,019.20 $191–$1,568 varies
Echo transesophageal (93312)
range across 4 matching MRF lines
$1,015.30–$3,695.25 $1,562–$5,685 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,959.10 $3,014 3.6×
Eeg 41-60 Minutes (95812) $1,264.90 $1,946 5.8×
EEG awake and asleep (95819) $1,439.10 $2,214 6.7×
EEG awake drowsy (95816) $1,119.30 $1,722 5.2×
EEG cont rec w/video by tech min 8 channels (95700) $1,297.40 $1,996 6.0×
EEG extended monitoring 61-119 minutes (95813) $1,783.60 $2,744 8.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $586.30 $902 2.7×
EEG w/o vid 2-12hr cont mntr (95707) $459.55 $707 2.1×
EEG w/o vid ea 12-26hr intmt (95709) $1,419.60 $2,184 3.8×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,525.55 $2,347 4.1×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $390 $600 1.8×
EEG wo vid ea 12-26hr unmntr (95708) $1,114.10 $1,714 3.0×
EKG signal averaged (93278) $291.85 $449 4.9×
Elec alys implt brn npgt prgrmg 1st 15 min (95983)
range across 3 matching MRF lines
$33.15–$96.20 $51–$148 varies
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977)
range across 3 matching MRF lines
$30.55–$267.80 $47–$412 varies
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976)
range across 4 matching MRF lines
$11.05–$198.25 $17–$305 varies
Electrical Stimulation Ea 15 Min (97032) $70.85 $109 4.8×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$300.95–$322.40 $463–$496 varies
Electrocochleography (92584) $332.80 $512 2.6×
Electroconvulsive Therapy (90870)
range across 3 matching MRF lines
$887.90–$1,480.70 $1,366–$2,278 varies
Electrophysiology Evaluation (93642) $1,462.50 $2,250 1.2×
Emergency Dept Visit Level 2 (99282)
range across 5 matching MRF lines
$143.65–$567.45 $221–$873 varies
Emergency Dept Visit Level 3 (99283)
range across 6 matching MRF lines
$248.30–$1,330.87 $382–$2,047.50 varies
Emergency Dept Visit Level 4 (99284)
range across 6 matching MRF lines
$412.10–$2,216.10 $634–$3,409.38 varies
Emg 3 Extremities (95863) $590.20 $908 4.6×
Emg 4 Extremities (95864) $696.80 $1,072 5.4×
Endomyocardial Biopsy (93505) $2,733.25 $4,205 0.9×
Ep & ablate supravent arrhyt (93653) $18,372.90 $28,266 0.7×
Ep & ablate ventric tachy (93654) $20,384.65 $31,361 0.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $10,632.70 $16,358 1.4×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $7,375.55 $11,347 0.9×
Er level 1 (99281)
range across 5 matching MRF lines
$112.45–$249.60 $173–$384 varies
Er level v (99285)
range across 6 matching MRF lines
$611.65–$4,920.50 $941–$7,570 varies
Ergonovine provocation test (93024) $609.05 $937 1.4×
Esophgl funcj g-esop rflx impd eltrd prolng (91038)
range across 2 matching MRF lines
$957.45–$5,091.45 $1,473–$7,833 varies
Eval aud funcj cand/po surg implt dev 1st hr (92626)
range across 3 matching MRF lines
$164.45–$296.40 $253–$456 varies
Evaluate pt use of inhaler (94664) $175.50 $270 0.8×
Evaluate Speech Production (92522)
range across 26 matching MRF lines
$133.25–$723.45 $205–$1,113 varies
Evaluate Swallowing Function (92610)
range across 25 matching MRF lines
$148.85–$498.55 $229–$767 varies
Evaluation of speech fluency (92521)
range across 26 matching MRF lines
$119.60–$650 $184–$1,000 varies
Evoked Auditory Test,Limited (92587)
range across 3 matching MRF lines
$183.95–$276.25 $283–$425 varies
Exercise test for bronchospasm (94617) $377 $580 2.8×
External ECG rec>48hr<7d recording (93242) $386.10 $594 10.3×
External ECG rec>7d<15d recording (93246) $386.10 $594 10.3×
External ECG rec>7d<15d scanning alys w/report (93247) $755.30 $1,162 5.7×
External Ecg Scanning Analysis Report (93226) $852.80 $1,312 14.4×
Extracranial Bilat Study (93880) $1,489.80 $2,292 6.2×
Extracranial Uni/Ltd Study (93882) $550.55 $847 5.3×
Eye exam w anesth; complete (92018) $2,852.20 $4,388 1.2×
Eye exam w anesth; limited (92019) $2,152.80 $3,312 0.9×
F-up/limited tthrc echo congenital car anomaly (93304) $908.05 $1,397 1.7×
Facial nerve function studies (92516) $436.15 $671 2.0×
Family adapt bhv tx gdn phys/qhp ea 15 min (97156)
range across 2 matching MRF lines
$61.75–$81.25 $95–$125 varies
Filtered Speech Test (92571) $85.80 $132 2.3×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $369.20 $568 2.4×
Flexible endoscopic eval swallow c/v rec (92612)
range across 10 matching MRF lines
$204.75–$458.25 $315–$705 varies
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $452.40 $696 2.0×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $677.95 $1,043 0.8×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034)
range across 3 matching MRF lines
$111.80–$482.30 $172–$742 varies
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,366.30 $2,102 1.6×
Gi tract capsule endoscopy (91110)
range across 3 matching MRF lines
$581.10–$2,504.45 $894–$3,853 varies
Group adaptive bhv tx by protocol tech ea 15 min (97154)
range across 2 matching MRF lines
$55.25–$57.85 $85–$89 varies
Group Therapeutic Procedures (97150)
range across 32 matching MRF lines
$21.45–$79.30 $33–$122 varies
Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158)
range across 2 matching MRF lines
$54.60–$69.55 $84–$107 varies
Health Behavior Assessment/Re-Assessment (96156) $302.25 $465 3.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $6,938.10 $10,674 2.1×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,391.65 $2,141 2.0×
High altitude simulation test (94452) $191.10 $294 1.4×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $238.55 $367 1.8×
Holter monitor recording (93225) $643.50 $990 4.8×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 3 matching MRF lines
$21.45–$51.35 $33–$79 varies
Immunization administration (90471)
range across 5 matching MRF lines
$31.85–$91 $49–$140 varies
Insert/Place Heart Catheter (93503) $2,994.55 $4,607 1.9×
Interrog eval crtd sins bat modulj sys ip w/ (93146) $7,163.65 $11,021 55.6×
Interrog eval crtd sins bat modulj sys ip wo (93145) $7,163.65 $11,021 55.6×
Intra-atrial recording (93602) $8,880.95 $13,663 1.1×
Intracranial Complete Study (93886) $965.25 $1,485 4.0×
Intraventricular pacing (93612) $4,390.75 $6,755 0.6×
Iontophoresis 15 min (97033) $78 $120 4.1×
Irrig Drug Delivery Device (96523) $192.40 $296 3.3×
IV infusion hydration each additional hour (96361) $197.60 $304 4.2×
IV infusion hydration initial 31 min-1 hour (96360) $220.35 $339 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $321.10 $494 4.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $321.10 $494 6.8×
IV push initial (96374)
range across 2 matching MRF lines
$167.05–$312 $257–$480 varies
L Hrt Art/Grft Angio (93459) $10,608 $16,320 3.3×
Laryngeal Function Studies (92520) $300.30 $462 2.3×
Liver Elastography W/O Imag W/I&R (91200)
range across 2 matching MRF lines
$140.40–$445.25 $216–$685 varies
Lung Function Test (Mbc/Mvv) (94200) $180.05 $277 3.0×
Lwr Xtr Vasc Stdy Bilat (93924) $724.75 $1,115 3.4×
Mechanical chest wall oscillation per session (94669) $149.50 $230 0.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$27.95–$68.90 $43–$106 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 3 matching MRF lines
$24.05–$68.90 $37–$106 varies
Methacholine challenge (94070) $1,055.60 $1,624 2.8×
Motility study esophagus (91010) $1,210.95 $1,863 3.2×
Motion Fluoroscopy/Swallow (92611)
range across 14 matching MRF lines
$174.85–$676 $269–$1,040 varies
Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157)
range across 2 matching MRF lines
$61.75–$77.35 $95–$119 varies
Multiple Family Group Psychotherapy (90849) $206.70 $318 1.2×
Multiple Sleep Latency Test (95805) $2,184.65 $3,361 2.5×
Muscle Test 2 Limbs (95861) $470.60 $724 3.5×
Muscle Test Nonparaspinal (95870) $294.45 $453 2.2×
Muscle Test One Limb (95860) $375.70 $578 2.8×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $536.90 $826 2.5×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $358.80 $552 1.7×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869)
range across 3 matching MRF lines
$57.20–$180.05 $88–$277 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $320.45 $493 0.8×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $442.65 $681 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $299.65 $461 1.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $365.30 $562 0.9×
Nerve Conduction Studies 1-2 Studies (95907)
range across 3 matching MRF lines
$63.05–$404.95 $97–$623 varies
Nerve Conduction Studies 11-12 Studies (95912)
range across 3 matching MRF lines
$144.30–$2,117.05 $222–$3,257 varies
Nerve conduction studies 13 or more studies (95913)
range across 3 matching MRF lines
$166.40–$3,058.90 $256–$4,706 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 3 matching MRF lines
$65.65–$828.75 $101–$1,275 varies
Nerve conduction studies 5-6 studies (95909)
range across 3 matching MRF lines
$87.10–$1,236.95 $134–$1,903 varies
Nerve conduction studies 7-8 studies (95910)
range across 3 matching MRF lines
$102.70–$1,646.45 $158–$2,533 varies
Nerve Conduction Studies 9-10 Studies (95911)
range across 3 matching MRF lines
$123.50–$2,023.45 $190–$3,113 varies
Neurobehavioral Status Exam (96116) $385.45 $593 1.8×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937)
range across 3 matching MRF lines
$61.10–$382.20 $94–$588 varies
Neuromuscular Reeducation (97112) $81.25 $125 2.5×
Newborn resuscitation (99465) $383.50 $590 0.6×
Nitric oxide expired gas determination (95012) $117 $180 3.1×
Nrpsyc tst eval phys/qhp 1st (96132) $373.10 $574 1.0×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $657.15 $1,011 1.8×
Optokinetic Nystagmus Test (92544) $179.40 $276 1.4×
Oral Function Therapy (92526)
range across 16 matching MRF lines
$116.35–$526.50 $179–$810 varies
Oral Speech Device Eval (92597)
range across 7 matching MRF lines
$157.95–$393.90 $243–$606 varies
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 4 matching MRF lines
$89.70–$108.55 $138–$167 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $107.90 $166 2.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 2 matching MRF lines
$57.20–$58.50 $88–$90 varies
Osteopathic manipulative tx 3-4 body regions (98926)
range across 2 matching MRF lines
$50.05–$58.50 $77–$90 varies
Ot Contrast Bath Ea 15 Min (97034) $65.65 $101 4.7×
Ot eval high complexity (97167)
range across 16 matching MRF lines
$122.20–$590.20 $188–$908 varies
Ot Eval Low Complex (97165)
range across 16 matching MRF lines
$120.25–$815.75 $185–$1,255 varies
Ot Eval Moderate Complexity (97166)
range across 16 matching MRF lines
$117–$722.80 $180–$1,112 varies
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$70.20–$105.30 $108–$162 varies
Ot paraffin bath (97018) $42.90 $66 7.1×
Ot Prosthetic Training, Each 15 Min (97761) $89.70 $138 2.2×
Ot Re-Eval Est Plan Care (97168)
range across 16 matching MRF lines
$107.90–$642.20 $166–$988 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $245.05 $377 1.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797)
range across 7 matching MRF lines
$8.45–$189.80 $13–$292 varies
Pdt dstr prmlg les phys/qhp (96573)
range across 2 matching MRF lines
$157.30–$199.55 $242–$307 varies
Pdt dstr prmlg les skn illum/activj per day (96567)
range across 2 matching MRF lines
$96.85–$180.05 $149–$277 varies
Penile Vascular Study,Ltd or F/U (93981) $543.40 $836 5.2×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $159.25 $245 0.7×
Peripheral arterial disease rehab per session (93668) $116.35 $179 2.0×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930)
likely a partial charge, not the full procedure
$4,407 $6,780 0.2×
Perq transcath closure pda (93582) $21,216 $32,640 1.2×
Perq Transcath Cls Mitral (93590) $30,381.65 $46,741 1.7×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $7,179.90 $11,046 1.3×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $8,269.30 $12,722 0.7×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$137.80–$252.85 $212–$389 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $278.20 $428 4.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $278.20 $428 4.7×
Physical Performance Test (97750)
range across 6 matching MRF lines
$53.30–$98.15 $82–$151 varies
Plethysmography (94726) $488.15 $751 1.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$2,627.30–$4,280.25 $4,042–$6,585 varies
Polysom <6 yrs 4/> paramtrs (95782)
range across 2 matching MRF lines
$1,948.05–$8,659.30 $2,997–$13,322 varies
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783)
range across 2 matching MRF lines
$2,991.30–$3,188.90 $4,602–$4,906 varies
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $1,856.40 $2,856 2.2×
Positional nystagmus test (92542) $161.85 $249 1.2×
Prq Card Angio/Athrect 1 Art (92924) $10,524.80 $16,192 0.9×
Prq Card Stent W/Angio 1 Vsl (92928) $10,769.85 $16,569 0.9×
Prq Card Stent/Ath/Angio (92933) $11,695.45 $17,993 0.6×
Prq Revasc Byp Graft 1 Vsl (92937) $13,865.80 $21,332 1.2×
Prq trl rvs ch occ ant&rtrgr (92945) $7,471.75 $11,495 0.6×
Psych diag eval w/med srvcs (90792) $185.90 $286 1.0×
Psychiatric diagnostic evaluation (90791)
range across 8 matching MRF lines
$143.65–$287.30 $221–$442 varies
Psychological tst eval svc phys/qhp first hour (96130) $358.80 $552 1.7×
Psycl/Nrpsyc Tst Auto Result (96146) $181.35 $279 6.3×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $35.10 $54 0.1×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $47.45 $73 0.4×
Psytx Crisis Initial 60 Min (90839)
range across 2 matching MRF lines
$133.90–$183.30 $206–$282 varies
Pt Eval High Complex (97163)
range across 10 matching MRF lines
$180.05–$594.75 $277–$915 varies
Pt eval low complex 20 min (97161)
range across 10 matching MRF lines
$120.25–$538.20 $185–$828 varies
Pt Eval Mod Complex (97162)
range across 10 matching MRF lines
$146.90–$564.85 $226–$869 varies
Pt gait training 15 min (97116) $81.25 $125 2.8×
Pt group caregiver training (97552) $91.65 $141 4.2×
Pt mechanical traction (97012) $87.10 $134 6.1×
Pt Re-Eval Est Plan Care (97164)
range across 10 matching MRF lines
$106.60–$433.55 $164–$667 varies
Pulm function test by gas (94727) $267.15 $411 1.2×
Pulmonary service/procedure (94799)
range across 11 matching MRF lines
$109.85–$301.60 $169–$464 varies
Pulmonary Stress Testing (94618) $377.65 $581 2.8×
Pure Tone Audiometry Air (92552) $117 $180 0.9×
R Hrt Art/Grft Angio (93457) $9,686.95 $14,903 3.0×
R hrt coronary artery angio (93456) $6,811.35 $10,479 2.1×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $10,089.95 $15,523 3.1×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $10,920 $16,800 3.4×
R&L Hrt Cath W/Ventriclgrphy (93453) $6,760 $10,400 2.1×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990)
range across 2 matching MRF lines
$312–$417.95 $480–$643 varies
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $75.40 $116 2.0×
Remote 30 Day Ecg Rev/Report (93270) $518.05 $797 13.9×
Remote 30 Day Ecg Tech Supp (93229) $445.90 $686 1.2×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $172.90 $266 1.3×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $86.45 $133 2.1×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $116.35 $179 2.2×
Respiratory flow volume loop (94375) $327.60 $504 1.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $101.40 $156 1.7×
Right Heart Cath (93451) $4,413.50 $6,790 1.4×
Right ventricular recording (93603) $1,743.30 $2,682 1.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 10 matching MRF lines
$141.70–$270.40 $218–$416 varies
Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) $55.25 $85 1.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $217.75 $335 1.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $82.55 $127 1.7×
Self Care Mngment Training (97535) $84.50 $130 2.6×
Sensory Integration Ea 15 Min (97533) $90.35 $139 1.5×
Short-latency somatosens ep std upr limbs (95925) $833.30 $1,282 3.9×
Sleep study attended (95807) $1,571.70 $2,418 4.2×
Sleep study unattended (95806) $739.70 $1,138 3.4×
Slp caregiver training 1st 30 min (97550)
range across 3 matching MRF lines
$65.65–$70.20 $101–$108 varies
Slp Stdy Unatnd W/Anal (95801) $570.05 $877 9.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $657.80 $1,012 3.0×
Somatosensory Testing (95938) $1,357.20 $2,088 1.6×
Speech Audiometry Complete (92556)
range across 3 matching MRF lines
$104.65–$108.55 $161–$167 varies
Speech audiometry threshold (92555)
range across 2 matching MRF lines
$55.90–$85.15 $86–$131 varies
Speech sound lang comprehen (92523)
range across 26 matching MRF lines
$141.70–$666.25 $218–$1,025 varies
Spin/Brain Pump Refil & Main (95991) $468.65 $721 1.5×
Spirometry (94010) $323.05 $497 1.5×
Spontaneous Nystagmus Test (92541) $304.20 $468 2.3×
Ssep lower limbs (95926) $1,011.40 $1,556 4.7×
Staggered Spondaic Word Test (92572) $124.15 $191 1.0×
Standardized Cognitive Performance Testing (96125) $221.65 $341 2.2×
Stenger Test Speech (92577) $399.10 $614 1.1×
Stenger Test, Pure Tone (92565) $102.05 $157 1.7×
Stress Tte Only (93350) $2,522.65 $3,881 4.6×
Subcutaneous Infusion Each Additional Hour (96370) $163.15 $251 3.5×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $496.60 $764 2.3×
Subq Infusion Additional Pump Infusion Site (96371) $306.15 $471 4.2×
Surfactant Admin Thru Tube (94610) $265.20 $408 1.2×
Synthetic Sentence Identification Test (92576) $70.85 $109 1.9×
Temp transcutaneous pacing (92953)
range across 3 matching MRF lines
$117.65–$687.70 $181–$1,058 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $69.55 $107 3.1×
Ther Ivntj Ea Addl 15 Min (97130)
range across 4 matching MRF lines
$32.50–$34.45 $50–$53 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $72.15 $111 1.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $62.40 $96 2.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $137.15 $211 1.3×
Ther/Prop/Diag Inj/Inf Proc (96379) $228.80 $352 4.9×
Ther/Proph/Diag Inj Ia (96373)
range across 3 matching MRF lines
$44.20–$159.90 $68–$246 varies
Ther/Proph/Diag Inj Sc/Im (96372) $159.90 $246 2.2×
Ther/Proph/Diag Iv Inf Init (96365) $385.45 $593 1.8×
Therapeutic Activities (97530) $94.90 $146 2.7×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,479.40 $2,276 4.0×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 3 matching MRF lines
$21.45–$40.95 $33–$63 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 3 matching MRF lines
$11.70–$32.50 $18–$50 varies
Transcath Closure of Asd (93580) $22,463.35 $34,559 1.2×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $290.55 $447 2.8×
Tte w/doppler, complete (93306) $3,894.80 $5,992 7.1×
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines
$1,251.90–$1,313.65 $1,926–$2,021 varies
Tx atrial fib pulm vein isol (93656) $20,123.35 $30,959 0.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 29 matching MRF lines
$84.50–$1,119.95 $130–$1,723 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508)
range across 8 matching MRF lines
$42.25–$133.25 $65–$205 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $252.85 $389 5.4×
Tympanometry (92567)
range across 3 matching MRF lines
$67.60–$102.05 $104–$157 varies
Tympanometry and reflex threshold measurements (92550)
range across 2 matching MRF lines
$124.15–$141.05 $191–$217 varies
Unlis neurological/neuromuscular dx px (95999) $111.80 $172 0.9×
Unlisted cardiovascular service/procedure (93799)
range across 7 matching MRF lines
$1,489.15–$23,396.75 $2,291–$35,995 varies
Unlisted Diagnostic Gastroenterology Procedure (91299) $140.40 $216 1.1×
Unlisted noninvasive vascular diagnostic study (93998) $362.05 $557 12.5×
Unlisted otorhinolaryngological service (92700)
range across 3 matching MRF lines
$75.40–$148.20 $116–$228 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$280.80–$543.40 $432–$836 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,023.75 $1,575 4.7×
Valvuloplasty aortic valve (92986) $6,052.80 $9,312 1.1×
Valvuloplasty mitral valve (92987) $10,576.15 $16,271 0.9×
Valvuloplasty pulmonary valve (92990) $9,410.05 $14,477 0.8×
Vasopneumatic device (97016) $78.65 $121 6.5×
Veeg 2-12 Hr Cont Mntr (95713) $2,217.80 $3,412 5.9×
Veeg 2-12 hr intmt mntr (95712) $1,951.30 $3,002 5.2×
Veeg 2-12 hr unmonitored (95711) $956.80 $1,472 4.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,982.50 $3,050 5.3×
Veeg Ea 12-26 Hr Unmntr (95714) $1,374.75 $2,115 3.7×
Veeg ea 12-26hr cont mntr (95716) $2,478.45 $3,813 2.9×
Vent Mgmt Inpat Init Day (94002)
range across 5 matching MRF lines
$988–$1,768 $1,520–$2,720 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 7 matching MRF lines
$573.95–$1,521.65 $883–$2,341 varies
Visual Evoked Potential Test (95930) $1,064.05 $1,637 4.9×
Visual reinforcement audiometry (vra) (92579)
range across 3 matching MRF lines
$142.35–$368.55 $219–$567 varies
Vital capacity, total (94150) $180.05 $277 1.4×
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,114.75 $1,715 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $70.20 $108 2.3×
Whirlpool Therapy (97022) $82.55 $127 5.3×

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.