Visits & medical services prices at Mercyhealth Fhn Hospital
Freeport, IL · every code in this section with a posted price and a Medicare benchmark.
406 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) | $5,527.20 | $6,909 | 0.7× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $89.60 | $112 | 0.6× |
| Acoustic Reflex Testing (92568) | $44.80 | $56 | 1.1× |
| Acupunct W/Stimul 15 Min (97813) | $74.40 | $93 | 2.4× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $63.20 | $79 | 2.0× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$56–$73.60 | $70–$92 | varies |
| Advncd Care Plan 30 Min (99497) | $191.20 | $239 | 1.8× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$60.80–$202.28 | $76–$252.85 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $52 | $65 | 1.3× |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $66.40 | $83 | 2.1× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $97.60 | $122 | 0.7× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $286.40 | $358 | 2.0× |
| Analyze neurostim complex (95972) | $441.60 | $552 | 4.3× |
| Analyze neurostim no prog (95970) | $148.80 | $186 | 1.0× |
| Analyze Neurostim Simple (95971) | $223.20 | $279 | 2.2× |
| Analyze Pacemaker System (93724) | $1,626.40 | $2,033 | 4.9× |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) | $425.60 | $532 | 3.0× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $368 | $460 | 2.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $135.33 | $169.16 | 9.4× |
| Application Modality 1/> Areas Diathermy (97024) | $39.20 | $49 | 5.3× |
| Application Modality 1/> Areas Infrared (97026) | $39.20 | $49 | 5.9× |
| Application on-body injector (96377) | $72 | $90 | 1.4× |
| Arrhythmia Induction (93618) | $2,315.20 | $2,894 | 1.8× |
| Assessment of aphasia per hr (96105) | $258.40 | $323 | 2.7× |
| Audiometry Air & Bone (92553) | $70.40 | $88 | 0.5× |
| Basic vestibular evaluation (92540) range across 3 matching MRF lines |
$94.40–$234.40 | $118–$293 | varies |
| Behavral qualit analys voice (92524) | $529.60 | $662 | 4.8× |
| Biofeedback training any modality (90901) | $144.80 | $181 | 3.5× |
| Blink reflex test (95933) | $253.60 | $317 | 4.0× |
| Breath hydrogen/methane test (91065) | $402.40 | $503 | 1.7× |
| Breathing response to hypoxia (94450) | $246.40 | $308 | 1.8× |
| Brief Emotional/Behav Assmt (96127) | $24.80 | $31 | 0.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 5 matching MRF lines |
$48.91–$465.89 | $61.14–$582.36 | varies |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$968.80 | $1,211 | 0.1× |
| Caloric Vstblr Test W/Rec (92537) | $144.80 | $181 | 1.1× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$168–$216 | $210–$270 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$310.40–$1,317.94 | $388–$1,647.42 | varies |
| Cardiopulmonary exercise testing (94621) | $598.40 | $748 | 1.5× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$668.80–$1,271.46 | $836–$1,589.33 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$431.20–$1,308.45 | $539–$1,635.56 | varies |
| Cardioversion elective internal (92961) | $864.80 | $1,081 | 1.2× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $24.80 | $31 | 0.6× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $40.80 | $51 | 1.6× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$2,481.60–$6,203.20 | $3,102–$7,754 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 3 matching MRF lines |
$2,088–$11,772.25 | $2,610–$14,715.31 | varies |
| Cbt 1st hour (94644) | $367.74 | $459.68 | 2.6× |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$102.40–$314.40 | $128–$393 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$63.20–$132.14 | $79–$165.18 | varies |
| Chemo Ia Push (96420) | $162.40 | $203 | 0.5× |
| Chemo Intralesional Over 7 (96406) | $222.40 | $278 | 1.0× |
| Chemo intralesional up to 7 (96405) | $186.40 | $233 | 2.4× |
| Chemo IV infusion addl hr (96415) range across 3 matching MRF lines |
$219.20–$260.10 | $274–$325.13 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$150.40–$343.27 | $188–$429.09 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $286.40 | $358 | 0.8× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $292.80 | $366 | 0.8× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $149.60 | $187 | 3.0× |
| Chemotherapy Into Cns (96450) | $472 | $590 | 1.3× |
| Chemotherapy Intracavitary (96440) | $531.20 | $664 | 1.5× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $266.40 | $333 | 0.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$188.80–$342.51 | $236–$428.14 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$268.80–$801.06 | $336–$1,001.33 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$186.40–$374.40 | $233–$468 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $284 | $355 | 0.8× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$66.40–$113 | $83–$141.25 | varies |
| Chiropract manj 3-4 regions (98941) | $57.60 | $72 | 2.5× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $45.60 | $57 | 2.0× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $70.40 | $88 | 3.0× |
| Chron Care Mgmt Srvc 20 Min (99490) | $100 | $125 | 0.9× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $92.80 | $116 | 1.5× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$115.60–$779.20 | $144.50–$974 | varies |
| Color/duplex Doppler, limited (93976) range across 5 matching MRF lines |
$60–$569.74 | $75–$712.17 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$57.60–$115.20 | $72–$144 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $297.60 | $372 | 1.6× |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$48.80–$125.60 | $61–$157 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 3 matching MRF lines |
$25.60–$86.40 | $32–$108 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$86.40–$119.58 | $108–$149.47 | varies |
| Conditioning Play Audiometry (92582) | $89.60 | $112 | 0.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $704 | $880 | 4.9× |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 2 matching MRF lines |
$104.96–$184 | $131.20–$230 | varies |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$113.60–$340.80 | $142–$426 | varies |
| Corneal Topography (92025) | $42.40 | $53 | 0.7× |
| Coronary Art/Grft Angio S&I (93455) range across 3 matching MRF lines |
$2,021.60–$11,046.40 | $2,527–$13,808 | varies |
| Coronary Artery Angio S&I (93454) range across 3 matching MRF lines |
$1,684.80–$10,469.60 | $2,106–$13,087 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$288.80–$833.53 | $361–$1,041.91 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$84–$221.36 | $105–$276.70 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$911.20–$1,084.80 | $1,139–$1,356 | varies |
| Dark Adaptation Eye Exam (92284) | $130.40 | $163 | 0.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$87.20–$396.80 | $109–$496 | varies |
| Dialysis One Evaluation (90945) | $468 | $585 | 1.0× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $183.20 | $229 | 0.5× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $492.80 | $616 | 1.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $341.60 | $427 | 3.0× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $488 | $610 | 4.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 5 matching MRF lines |
$434.40–$1,417.98 | $543–$1,772.48 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 7 matching MRF lines |
$261.60–$981.70 | $327–$1,227.12 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 7 matching MRF lines |
$268–$1,560.45 | $335–$1,950.56 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 7 matching MRF lines |
$263.20–$1,012.40 | $329–$1,265.50 | varies |
| Duplex Scan Hemodialysis Access (93990) | $280.80 | $351 | 2.5× |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$280.80–$742.40 | $351–$928 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 5 matching MRF lines |
$212.80–$864.26 | $266–$1,080.33 | varies |
| Ear and throat examination (92502) | $444 | $555 | 0.8× |
| Ear Protector Evaluation (92596) | $44.80 | $56 | 1.1× |
| ECG/monitoring and analysis (93271) | $861.60 | $1,077 | 8.5× |
| Echo Congenital Complete (93303) | $700 | $875 | 1.2× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$161.60–$1,007.58 | $202–$1,259.47 | varies |
| Echo r-t 2d w/probe placement only (93313) | $231.20 | $289 | 0.4× |
| Echo transesophag congen probe plcmt only (93316) | $254.40 | $318 | 0.4× |
| Echo transesophag montr cardiac pump functj (93318) | $910.40 | $1,138 | 1.6× |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$444–$2,829.90 | $555–$3,537.37 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,001.60 | $1,252 | 1.7× |
| Eeg 41-60 Minutes (95812) | $538.40 | $673 | 2.3× |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$166.40–$1,228.56 | $208–$1,535.70 | varies |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$167.20–$1,338.38 | $209–$1,672.97 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$224–$559.20 | $280–$699 | varies |
| Eeg Sleep Only (95822) | $645.60 | $807 | 2.8× |
| EKG signal averaged (93278) | $324 | $405 | 5.1× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$49.60–$143.37 | $62–$179.21 | varies |
| Electro-Oculography (92270) | $244.80 | $306 | 1.7× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$84.80–$328.99 | $106–$411.24 | varies |
| Electrocochleography (92584) | $346.40 | $433 | 2.5× |
| Electroconvulsive Therapy (90870) | $356.80 | $446 | 0.4× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) | $104.80 | $131 | 0.5× |
| Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) | $157.60 | $197 | 1.1× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) unusually low: confirm this is the full procedure |
$2,824 | $3,530 | 0.3× |
| Electrophysiology Evaluation (93642) | $3,646.40 | $4,558 | 2.8× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$199.20–$206.40 | $249–$258 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$298.40–$309.60 | $373–$387 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$562.40–$582.40 | $703–$728 | varies |
| Emg 3 Extremities (95863) | $518.40 | $648 | 3.8× |
| Emg 4 Extremities (95864) | $673.60 | $842 | 4.9× |
| Endomyocardial Biopsy (93505) | $1,185.60 | $1,482 | 0.4× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $4,613.60 | $5,767 | 0.6× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) range across 2 matching MRF lines |
$1,764.80–$3,766.40 | $2,206–$4,708 | varies |
| Ep Esophageal Recording Atria+Pacing (93616) | $402.40 | $503 | 0.3× |
| Er level 1 (99281) range across 3 matching MRF lines |
$105.60–$107.42 | $132–$134.27 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$691.20–$849.60 | $864–$1,062 | varies |
| Ergonovine provocation test (93024) | $548.80 | $686 | 1.1× |
| Esoph Atrial Electrogram (93615) | $180.80 | $226 | 0.1× |
| Esophagus acid perfusion test esophagitis (91030) | $326.40 | $408 | 0.8× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $1,425.60 | $1,782 | 3.6× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $419.20 | $524 | 1.0× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$72.80–$221.45 | $91–$276.81 | varies |
| Evaluate Speech Production (92522) | $529.60 | $662 | 4.7× |
| Evaluate Swallowing Function (92610) | $330.34 | $412.92 | 3.9× |
| Evoked Auditory Test,Limited (92587) | $135.20 | $169 | 0.6× |
| Exercise test for bronchospasm (94617) | $509.60 | $637 | 3.6× |
| Exhaled Air Analysis O2 (94680) | $258.40 | $323 | 1.9× |
| External ECG rec>48hr<7d recording (93242) | $202.98 | $253.72 | 5.1× |
| External ECG rec>7d<15d recording (93246) | $208.54 | $260.68 | 5.2× |
| External Ecg Scanning Analysis Report (93226) | $360 | $450 | 5.7× |
| Extracranial Bilat Study (93880) range across 5 matching MRF lines |
$460–$1,493.74 | $575–$1,867.18 | varies |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$277.60–$651.20 | $347–$814 | varies |
| Eye Allergy Tests (95060) | $48.80 | $61 | 0.3× |
| Eye exam w anesth; complete (92018) | $332 | $415 | 0.1× |
| Eye exam w anesth; limited (92019) | $156 | $195 | 0.1× |
| Eye Exam With Photos (92230) | $127.20 | $159 | 0.3× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $392.80 | $491 | 0.7× |
| Facial nerve function studies (92516) | $204.80 | $256 | 0.9× |
| Filtered Speech Test (92571) | $63.20 | $79 | 1.6× |
| Fluorescein angiography (92235) range across 3 matching MRF lines |
$342.40–$955.53 | $428–$1,194.41 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $683.20 | $854 | 0.7× |
| Fundus photography (92250) range across 4 matching MRF lines |
$113.60–$225.51 | $142–$281.89 | varies |
| Gastric motility studies (91020) | $595.20 | $744 | 1.5× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$316–$788.80 | $395–$986 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $487.20 | $609 | 2.1× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$608–$1,518.40 | $760–$1,898 | varies |
| Gi tract capsule endoscopy (91110) range across 3 matching MRF lines |
$1,071.20–$2,676.80 | $1,339–$3,346 | varies |
| Gonioscopy (92020) | $84 | $105 | 0.6× |
| Group Therapeutic Procedures (97150) | $56.80 | $71 | 3.1× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $7,093.60 | $8,867 | 2.0× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $493.60 | $617 | 0.7× |
| Holter monitor recording (93225) | $204 | $255 | 1.4× |
| Hypnotherapy (90880) | $156.80 | $196 | 1.4× |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $32 | $40 | 0.8× |
| Icd Device Interrogate (93289) range across 3 matching MRF lines |
$70.40–$176 | $88–$220 | varies |
| Icd device progr eval dual (93283) | $332 | $415 | 8.3× |
| Icd Device Progr Eval Mult (93284) | $302.40 | $378 | 7.6× |
| Icm Device Eval (93290) | $128.80 | $161 | 3.2× |
| Ilr Device Eval Progr (93285) | $146.40 | $183 | 3.7× |
| Ilr Device Interrogate (93291) | $119.20 | $149 | 3.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $32 | $40 | 0.4× |
| Immunization administration (90471) range across 5 matching MRF lines |
$20.80–$90.66 | $26–$113.32 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $346.40 | $433 | 1.5× |
| Ingestion challenge test initial 120 minutes (95076) | $200 | $250 | 0.5× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $307.20 | $384 | 0.8× |
| Inital newborn e/m (99460) | $242.40 | $303 | 1.7× |
| Insert/Place Heart Catheter (93503) | $511.20 | $639 | 0.3× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$775.20 | $969 | 0.1× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$552.80 | $691 | 0.1× |
| Intracranial Complete Study (93886) | $802.40 | $1,003 | 3.1× |
| Intracutaneous tests w/allergenic extracts (95024) | $16.80 | $21 | 0.3× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$815.20 | $1,019 | 0.1× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$70.40–$134.40 | $88–$168 | varies |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$56.80–$176.27 | $71–$220.34 | varies |
| Ischemic limb exercise test (95875) | $312.80 | $391 | 2.3× |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$78.40–$116.30 | $98–$145.37 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$91.20–$333.94 | $114–$417.43 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$69.60–$169.12 | $87–$211.40 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 5 matching MRF lines |
$78.40–$116.46 | $98–$145.57 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$68–$224 | $85–$280 | varies |
| L Hrt Art/Grft Angio (93459) range across 3 matching MRF lines |
$2,316.80–$11,708 | $2,896–$14,635 | varies |
| Laryngeal Function Studies (92520) | $399.20 | $499 | 2.8× |
| Loudness balance test (92562) | $36.80 | $46 | 0.2× |
| Lung Function Test (Mbc/Mvv) (94200) range across 3 matching MRF lines |
$18.40–$182.40 | $23–$228 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $459.20 | $574 | 2.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 9 matching MRF lines |
$55.20–$300.80 | $69–$376 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 11 matching MRF lines |
$73.60–$499.20 | $92–$624 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$397.60–$943.20 | $497–$1,179 | varies |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) | $84.80 | $106 | 0.6× |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$288–$720 | $360–$900 | varies |
| Motion Fluoroscopy/Swallow (92611) | $370.45 | $463.06 | 4.0× |
| Multiple Family Group Psychotherapy (90849) | $201.60 | $252 | 1.1× |
| Multiple Sleep Latency Test (95805) | $2,113.60 | $2,642 | 2.3× |
| Muscle Test 2 Limbs (95861) | $398.40 | $498 | 2.8× |
| Muscle Test Nonparaspinal (95870) | $214.40 | $268 | 1.5× |
| Muscle Test One Limb (95860) | $308 | $385 | 2.2× |
| Narcosynthesis (90865) | $225.60 | $282 | 1.2× |
| Nasal function studies (92512) | $186.40 | $233 | 0.8× |
| Nasopharyngoscopy (92511) | $267.20 | $334 | 1.2× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$462.40–$518.40 | $578–$648 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$257.48–$296.80 | $321.85–$371 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $214.40 | $268 | 0.9× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $504.80 | $631 | 2.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $617.60 | $772 | 1.4× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$560–$911.20 | $700–$1,139 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$32.17–$293.48 | $40.21–$366.85 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$78.40–$482.56 | $98–$603.20 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $224 | $280 | 1.6× |
| Neuromuscular Reeducation (97112) range across 5 matching MRF lines |
$76.80–$156.60 | $96–$195.75 | varies |
| Newborn resuscitation (99465) | $408.80 | $511 | 0.6× |
| Nitric oxide expired gas determination (95012) | $68.80 | $86 | 1.7× |
| Nose Allergy Test (95065) | $42.40 | $53 | 1.1× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $399.20 | $499 | 1.0× |
| Oculoelectromyography (92265) | $244.80 | $306 | 3.9× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 2 matching MRF lines |
$56.80–$136 | $71–$170 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 2 matching MRF lines |
$23.20–$180.80 | $29–$226 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines |
$23.20–$176 | $29–$220 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) | $116.80 | $146 | 0.8× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $132.80 | $166 | 0.9× |
| Ophthalmodynamometry (92260) | $120 | $150 | 3.0× |
| Optokinetic Nystagmus Test (92544) | $76 | $95 | 0.6× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$194.40–$254.06 | $243–$317.57 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$72–$126.40 | $90–$158 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$58.40–$184 | $73–$230 | varies |
| Oscillating Tracking Test (92545) | $76 | $95 | 0.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $63.20 | $79 | 2.7× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $84 | $105 | 3.6× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $97.60 | $122 | 4.2× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $106.40 | $133 | 4.6× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $112 | $140 | 4.8× |
| Ot Contrast Bath Ea 15 Min (97034) | $43.20 | $54 | 3.1× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$173.60–$397.60 | $217–$497 | varies |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$173.60–$398.29 | $217–$497.86 | varies |
| Ot Eval Moderate Complexity (97166) range across 3 matching MRF lines |
$173.60–$398.78 | $217–$498.48 | varies |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$68.80–$195.39 | $86–$244.24 | varies |
| Ot paraffin bath (97018) | $45.60 | $57 | 7.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $72 | $90 | 1.8× |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$156–$212 | $195–$265 | varies |
| Ot rom hand (95852) | $72.80 | $91 | 3.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$132.80–$309.70 | $166–$387.13 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$102.40–$232.05 | $128–$290.06 | varies |
| Oxygen Uptake Rest Indirect (94690) | $257.60 | $322 | 4.1× |
| Patch/Application Test Specify Number Tests (95044) | $32 | $40 | 0.0× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $107.20 | $134 | 4.3× |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $167.20 | $209 | 0.3× |
| Penile Vascular Study,Ltd or F/U (93981) | $341.60 | $427 | 3.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $239.20 | $299 | 1.0× |
| Percutaneous tests w/allergenic extracts (95004) | $13.60 | $17 | 0.0× |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$108–$292.80 | $135–$366 | varies |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 3 matching MRF lines |
$915.20–$13,849.60 | $1,144–$17,312 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$882.40–$21,177.60 | $1,103–$26,472 | varies |
| Photo patch test(s) (95052) | $41.60 | $52 | 0.7× |
| Photo Tests (95056) | $52 | $65 | 0.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $96 | $120 | 1.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $96 | $120 | 1.5× |
| Physical Performance Test (97750) | $74.40 | $93 | 2.2× |
| Plethysmography (94726) range across 4 matching MRF lines |
$40–$287.20 | $50–$359 | varies |
| Pm device eval in person (93288) range across 3 matching MRF lines |
$91.20–$226.40 | $114–$283 | varies |
| Pm device progr eval dual (93280) | $342.40 | $428 | 8.6× |
| Pm device progr eval multi (93281) | $206.40 | $258 | 5.2× |
| Pm Device Progr Eval Sngl (93279) | $290.40 | $363 | 7.3× |
| Pm/Icd Remote Tech Serv (93296) | $126.40 | $158 | 3.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$256.80–$5,939.13 | $321–$7,423.91 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $2,027.20 | $2,534 | 2.2× |
| Positional nystagmus test (92542) | $122.40 | $153 | 0.9× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 9 matching MRF lines |
$12–$43.20 | $15–$54 | varies |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $56.80 | $71 | 1.1× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $68.80 | $86 | 1.4× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $84 | $105 | 1.1× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $113.60 | $142 | 1.5× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) | $240.80 | $301 | 1.7× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) | $148 | $185 | 1.0× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) | $157.60 | $197 | 3.9× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $250.40 | $313 | 6.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $25.60 | $32 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $38.40 | $48 | 0.8× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $96 | $120 | 1.2× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) range across 3 matching MRF lines |
$72.80–$102.40 | $91–$128 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$4,263.20–$20,428 | $5,329–$25,535 | varies |
| Prq Card Stent/Ath/Angio (92933) likely a partial charge, not the full procedure |
$880 | $1,100 | 0.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$1,133.60–$1,572.80 | $1,417–$1,966 | varies |
| Prq trl rvs ch occ ant&rtrgr (92945) likely a partial charge, not the full procedure |
$1,215.20 | $1,519 | 0.1× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$3,278.40 | $4,098 | 0.3× |
| Psychoanalysis (90845) | $239.20 | $299 | 1.3× |
| Psytx Crisis Initial 60 Min (90839) | $14.40 | $18 | 0.1× |
| Pt Eval High Complex (97163) range across 3 matching MRF lines |
$172–$375.22 | $215–$469.03 | varies |
| Pt eval low complex 20 min (97161) range across 3 matching MRF lines |
$172–$374.74 | $215–$468.42 | varies |
| Pt Eval Mod Complex (97162) range across 3 matching MRF lines |
$172–$375.38 | $215–$469.22 | varies |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$70.40–$174.83 | $88–$218.54 | varies |
| Pt group caregiver training (97552) | $33.60 | $42 | 1.5× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$48–$101.60 | $60–$127 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$160–$212.36 | $200–$265.45 | varies |
| Pt ultraviolet (97028) | $36.80 | $46 | 4.4× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $24.80 | $31 | 0.6× |
| Pulm function test by gas (94727) range across 4 matching MRF lines |
$39.29–$216.39 | $49.11–$270.49 | varies |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$204–$509.60 | $255–$637 | varies |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$44–$48.80 | $55–$61 | varies |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$2,426.40–$6,065.60 | $3,033–$7,582 | varies |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$2,178.40–$5,446.40 | $2,723–$6,808 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $5,514.40 | $6,893 | 1.6× |
| Rapid Desensitization Procedure Each Hour (95180) | $270.40 | $338 | 0.6× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $144 | $180 | 0.4× |
| Refill/Maint Portable Pump (96521) | $235.20 | $294 | 1.0× |
| Refill/Maint Pump/Resvr Syst (96522) | $167.20 | $209 | 0.7× |
| Rem interrog icpms <30 d phys/qhp (93297) | $65.60 | $82 | 1.6× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $100.80 | $126 | 2.5× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$185.60–$717.60 | $232–$897 | varies |
| Replacement of contact lens (92326) | $102.40 | $128 | 1.6× |
| Respiratory flow volume loop (94375) | $168 | $210 | 0.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $25.60 | $32 | 0.4× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$1,517.60–$3,792.80 | $1,897–$4,741 | varies |
| Right ventricular recording (93603) | $627.20 | $784 | 0.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$92–$376.18 | $115–$470.23 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $76.80 | $96 | 2.9× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $569.60 | $712 | 1.4× |
| Same day nb discharge (99463) | $328 | $410 | 2.3× |
| Select picture audiometry (92583) | $63.20 | $79 | 1.0× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$57.60–$165.18 | $72–$206.48 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $96 | $120 | 1.5× |
| Sensory Integration Ea 15 Min (97533) | $66.40 | $83 | 1.1× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $484 | $605 | 2.1× |
| Short-latency somatosens ep std upr limbs (95925) | $484 | $605 | 2.1× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $113.60 | $142 | 0.8× |
| Sleep study attended (95807) | $1,735.20 | $2,169 | 4.3× |
| Sleep study unattended (95806) range across 3 matching MRF lines |
$86.40–$904.80 | $108–$1,131 | varies |
| Slp caregiver training 1st 30 min (97550) | $81.60 | $102 | 1.5× |
| Speech Audiometry Complete (92556) | $63.20 | $79 | 1.0× |
| Speech audiometry threshold (92555) | $41.60 | $52 | 0.7× |
| Speech sound lang comprehen (92523) | $531.04 | $663.80 | 2.3× |
| Spin/Brain Pump Refil & Main (95991) | $154.40 | $193 | 0.5× |
| Spirometry (94010) range across 7 matching MRF lines |
$28.80–$302.40 | $36–$378 | varies |
| Spontaneous Nystagmus Test (92541) | $136 | $170 | 1.0× |
| Ssep lower limbs (95926) | $501.60 | $627 | 2.2× |
| Staggered Spondaic Word Test (92572) | $49.60 | $62 | 0.4× |
| Standardized Cognitive Performance Testing (96125) | $320 | $400 | 3.1× |
| Stenger Test Speech (92577) | $66.40 | $83 | 0.2× |
| Stenger Test, Pure Tone (92565) | $44.80 | $56 | 0.7× |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$468–$2,768.42 | $585–$3,460.52 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $53.60 | $67 | 1.1× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $456 | $570 | 2.0× |
| Subq Infusion Additional Pump Infusion Site (96371) | $188 | $235 | 2.4× |
| Synthetic Sentence Identification Test (92576) | $49.60 | $62 | 1.2× |
| Temp transcutaneous pacing (92953) | $142.40 | $178 | 0.2× |
| Temperature Gradient Studies (93740) | $241.60 | $302 | 1.8× |
| Tensilon Test (95857) | $149.60 | $187 | 0.6× |
| Test to assess hearing loss using different tone pitches (92575) | $53.60 | $67 | 1.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$24.80–$44.82 | $31–$56.02 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$23.20–$43.20 | $29–$54 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $78.40 | $98 | 2.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$43.20–$116.66 | $54–$145.83 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 5 matching MRF lines |
$167.20–$576.68 | $209–$720.85 | varies |
| Therapeutic Activities (97530) range across 5 matching MRF lines |
$68.80–$175.74 | $86–$219.68 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 3 matching MRF lines |
$240–$1,969.34 | $300–$2,461.68 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $34.40 | $43 | 0.9× |
| Tone Decay Test (92563) | $49.60 | $62 | 1.2× |
| Trans Care Mgmt 14 Day Disch (99495) | $367.20 | $459 | 2.6× |
| Trans Care Mgmt 7 Day Disch (99496) | $526.40 | $658 | 3.7× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $512 | $640 | 4.6× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 3 matching MRF lines |
$125.60–$312.80 | $157–$391 | varies |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $251.20 | $314 | 1.8× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$492.80–$1,984.60 | $616–$2,480.75 | varies |
| Tte W/O Doppler Complete (93307) | $636.80 | $796 | 2.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$120–$364.63 | $150–$455.79 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $93.60 | $117 | 3.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$68–$168.03 | $85–$210.04 | varies |
| Tympanometry (92567) | $51.20 | $64 | 1.3× |
| Unlisted cardiovascular service/procedure (93799) range across 4 matching MRF lines |
$168–$7,189.60 | $210–$8,987 | varies |
| Unlisted otorhinolaryngological service (92700) | $122.40 | $153 | 3.9× |
| Upr/L Xtremity Art 2 Levels (93922) range across 8 matching MRF lines |
$139.20–$765.89 | $174–$957.36 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $402.40 | $503 | 1.7× |
| Valvuloplasty aortic valve (92986) | $3,761.60 | $4,702 | 0.6× |
| Valvuloplasty mitral valve (92987) unusually low: confirm this is the full procedure |
$3,777.60 | $4,722 | 0.3× |
| Valvuloplasty pulmonary valve (92990) unusually low: confirm this is the full procedure |
$3,715.20 | $4,644 | 0.3× |
| Vasopneumatic device (97016) | $47.20 | $59 | 3.9× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$376.80–$2,509.97 | $471–$3,137.46 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$276–$1,586.53 | $345–$1,983.16 | varies |
| Visual Evoked Potential Test (95930) | $430.40 | $538 | 1.9× |
| Visual Field Exam Extended (92083) range across 2 matching MRF lines |
$149.60–$172 | $187–$215 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) | $114.40 | $143 | 1.8× |
| Visual field xm uni/bi w/interpretj limited exam (92081) range across 2 matching MRF lines |
$76–$126.40 | $95–$158 | varies |
| Visual reinforcement audiometry (vra) (92579) | $88 | $110 | 0.4× |
| Vital capacity, total (94150) | $67.20 | $84 | 0.5× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $651.20 | $814 | 0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 3 matching MRF lines |
$35.20–$57.86 | $44–$72.33 | varies |
| Whirlpool Therapy (97022) | $44.80 | $56 | 2.9× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $76.80 | $96 | 1.9× |
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.