Visits & medical services prices at MercyOne Des Moines Medical Center
Des Moines, IA · every code in this section with a posted price and a Medicare benchmark.
296 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $14,627.60 | $22,504 | 1.9× |
| Actinotherapy Ultraviolet Light (96900) | $68.90 | $106 | 1.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$12.79–$71.50 | $19.68–$110 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $267.15 | $411 | 1.3× |
| Aep threshold estimation mlt frequencies i&r (92652) | $1,288.95 | $1,983 | 6.2× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$1,934–$2,386 | — | varies |
| Analyze neurostim complex (95972) | $1,066 | $1,640 | 11.6× |
| Analyze neurostim no prog (95970) | $313.95 | $483 | 2.4× |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $2,094.30 | $3,222 | 5.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$57.85–$61.75 | $89–$95 | varies |
| Application on-body injector (96377) | $98.80 | $152 | 2.2× |
| Arrhythmia Induction (93618) | $2,419.95 | $3,723 | 2.1× |
| Assessment of aphasia per hr (96105) | $363.35 | $559 | 3.7× |
| Behavral qualit analys voice (92524) | $289.25 | $445 | 2.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $421.85 | $649 | 1.2× |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$2,648.10 | $4,074 | 0.4× |
| C motor evoked upr&lwr limbs (95939) | $1,043.25 | $1,605 | 1.3× |
| Canalith repositioning proc (95992) | $1,933 | — | 47.4× |
| Car seat/bed test 60 min (94780) | $55.90 | $86 | 1.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $889.20 | $1,368 | 4.3× |
| Cardiopulmonary exercise testing (94621) | $553.80 | $852 | 1.5× |
| Cardiopulmonary resuscitation (92950) | $25,778.73 | — | 123.6× |
| Cardioversion (92960) | $4,473.35 | — | 7.0× |
| Cardioversion elective internal (92961) | $1,244.75 | $1,915 | 1.9× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $17,048.20 | $26,228 | 5.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $37,908.97 | — | 12.1× |
| Cbt 1st hour (94644) | $243.10 | $374 | 1.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $315.90 | $486 | 4.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $328.90 | $506 | 4.7× |
| Chemo Ia Push (96420) | $376.35 | $579 | 1.2× |
| Chemo IV infusion addl hr (96415) | $446.55 | $687 | 6.4× |
| Chemo IV push addl drug (96411) | $356.20 | $548 | 5.1× |
| Chemother Prolong Infuse W/Pump (96416) | $531.70 | $818 | 1.7× |
| Chemotherapy Into Cns (96450) | $1,583.40 | $2,436 | 5.0× |
| Chemotherapy Unspecified (96549) | $83.85 | $129 | 1.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $393.25 | $605 | 5.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $531.70 | $818 | 1.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $356.20 | $548 | 1.1× |
| Chest Wall Manipulation (94668) | $139.75 | $215 | 1.1× |
| Color/duplex Doppler, complete (93975) | $1,188.85 | $1,829 | 5.2× |
| Color/duplex Doppler, limited (93976) | $998.40 | $1,536 | 9.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $65 | $100 | 2.0× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $384.15 | $591 | 3.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $98.80 | $152 | 1.7× |
| Continuous Pulse Ox (94762) | $11,603.80 | — | 93.4× |
| Coronary Art/Grft Angio S&I (93455) | $29,093.43 | — | 9.3× |
| Coronary Artery Angio S&I (93454) | $23,969.55 | — | 7.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $963.30 | $1,482 | 4.6× |
| Cpt initial (94667) | $159.25 | $245 | 1.2× |
| Critical care first hour (99291) range across 4 matching MRF lines |
$3,294.20–$6,254.30 | $5,068–$9,622 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $1,400 | — | 7.2× |
| Dialysis One Evaluation (90945) | $1,124.50 | $1,730 | 2.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $475.80 | $732 | 2.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $226.20 | $348 | 2.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,285.05 | $1,977 | 5.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$2,390–$3,874 | — | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,449.50 | $2,230 | 6.3× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,021.15 | $1,571 | 10.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $219.05 | $337 | 1.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $219.05 | $337 | 2.2× |
| Duplex Scan Hemodialysis Access (93990) | $1,518 | — | 15.0× |
| Duplex up extrem art bilat (93930) | $1,227.85 | $1,889 | 5.3× |
| Duplex up extrem art unilat/ltd (93931) | $759.85 | $1,169 | 7.5× |
| Ear and throat examination (92502) | $10,998.25 | — | 21.1× |
| ECG/monitoring and analysis (93271) | $201.50 | $310 | 2.2× |
| Echo Congenital Complete (93303) | $1,402.05 | $2,157 | 2.7× |
| Echo Heart Xthoracic,Limited (93308) | $990.60 | $1,524 | 4.3× |
| Echo transesophag congen probe plcmt only (93316) | $1,261 | $1,940 | 2.4× |
| Echo transesophag montr cardiac pump functj (93318) | $1,145.30 | $1,762 | 2.2× |
| Echo transesophageal (93312) | $8,185.85 | — | 15.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,634.45 | $4,053 | 5.0× |
| Eeg 41-60 Minutes (95812) | $778.05 | $1,197 | 3.7× |
| EEG awake and asleep (95819) | $1,123.85 | $1,729 | 5.4× |
| EEG awake drowsy (95816) | $1,181.05 | $1,817 | 5.7× |
| EEG cont rec w/video by tech min 8 channels (95700) | $551.85 | $849 | 2.6× |
| EEG extended monitoring 61-119 minutes (95813) | $979.55 | $1,507 | 4.7× |
| EEG w/o vid 2-12hr cont mntr (95707) | $551.85 | $849 | 2.6× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $982.15 | $1,511 | 2.7× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $551.85 | $849 | 2.6× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,061.45 | $1,633 | 2.9× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $96.20 | $148 | 1.0× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $230.10 | $354 | 2.5× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $73.45 | $113 | 2.0× |
| Electrical Stimulation Ea 15 Min (97032) | $78 | $120 | 5.3× |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$339–$21,608 | — | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $5,272.80 | $8,112 | 0.7× |
| Electrophysiology Evaluation (93642) | $2,819.70 | $4,338 | 2.4× |
| Emergency Dept Visit Level 2 (99282) | $1,139.10 | — | 7.7× |
| Emergency Dept Visit Level 3 (99283) | $2,448.05 | — | 9.3× |
| Emergency Dept Visit Level 4 (99284) | $5,171.60 | — | 12.8× |
| Endomyocardial Biopsy (93505) | $4,807.40 | $7,396 | 1.6× |
| Ep & ablate supravent arrhyt (93653) | $20,038.20 | $30,828 | 0.8× |
| Ep & ablate ventric tachy (93654) | $20,038.20 | $30,828 | 0.8× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $18,014.10 | $27,714 | 2.4× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $13,134.55 | $20,207 | 1.7× |
| Er level 1 (99281) | $560 | — | 6.9× |
| Er level v (99285) | $8,360.80 | — | 14.5× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $18,075.07 | — | 50.2× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$2,131–$2,256 | — | varies |
| Evaluate Speech Production (92522) | $289.25 | $445 | 2.6× |
| Evaluate Swallowing Function (92610) | $524 | — | 6.2× |
| Evaluation of speech fluency (92521) | $250.25 | $385 | 1.9× |
| Evoked Auditory Test,Limited (92587) | $168.35 | $259 | 0.8× |
| External ECG rec>48hr<7d recording (93242) | $59.80 | $92 | 1.7× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $105.30 | $162 | 0.8× |
| External ECG rec>7d<15d recording (93246) | $98.80 | $152 | 2.7× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $198.90 | $306 | 1.5× |
| External Ecg Scanning Analysis Report (93226) | $687.70 | $1,058 | 12.1× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$1,782–$2,462 | — | varies |
| Extracranial Uni/Ltd Study (93882) | $756.60 | $1,164 | 7.5× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $875.55 | $1,347 | 1.7× |
| Flexible endoscopic eval swallow c/v rec (92612) | $247 | $380 | 1.2× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $525.85 | $809 | 2.5× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $16,452.35 | — | 19.8× |
| Gi tract capsule endoscopy (91110) | $6,362.20 | $9,788 | 7.3× |
| Health Behavior Assessment/Re-Assessment (96156) | $144.30 | $222 | 1.5× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $18,279.30 | $28,122 | 5.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 3 matching MRF lines |
$817.05–$1,727.05 | $1,257–$2,657 | varies |
| High altitude simulation test (94452) | $292.50 | $450 | 2.3× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $217.10 | $334 | 1.7× |
| Holter monitor recording (93225) | $475.15 | $731 | 3.7× |
| Icd Device Interrogate (93289) | $76.70 | $118 | 2.1× |
| Icd device progr eval dual (93283) | $81.90 | $126 | 2.3× |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$126–$300 | — | varies |
| Icm Device Eval (93290) | $95.55 | $147 | 2.7× |
| Ilr Device Eval Progr (93285) | $76.70 | $118 | 2.1× |
| Ilr Device Interrogate (93291) | $50.05 | $77 | 1.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$12.79–$39.65 | $19.68–$61 | varies |
| Immunization administration (90471) range across 2 matching MRF lines |
$12.79–$39.65 | $19.68–$61 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $117.65 | $181 | 0.3× |
| Insert/Place Heart Catheter (93503) | $2,090.40 | $3,216 | 1.4× |
| Interrogate Subq Defib (93261) | $182.65 | $281 | 5.1× |
| Interrogation vad in person (93750) | $120.90 | $186 | 1.3× |
| Intra-atrial pacing (93610) unusually low: confirm this is the full procedure |
$3,384.55 | $5,207 | 0.4× |
| Intra-atrial recording (93602) | $4,279.60 | $6,584 | 0.6× |
| Intraventricular pacing (93612) unusually low: confirm this is the full procedure |
$3,201.25 | $4,925 | 0.4× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$69.55–$74.10 | $107–$114 | varies |
| Irrig Drug Delivery Device (96523) | $172.25 | $265 | 3.0× |
| IV infusion hydration each additional hour (96361) | $8,281.68 | — | 183.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $3,653.40 | — | 17.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $60,145.45 | — | 864.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $15,170.65 | — | 335.4× |
| IV push initial (96374) | $3,475.40 | — | 16.9× |
| L Hrt Art/Grft Angio (93459) | $55,435.18 | — | 17.7× |
| Liver Elastography W/O Imag W/I&R (91200) | $331.50 | $510 | 2.7× |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$956–$1,444 | — | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $529.75 | $815 | 2.5× |
| Mechanical chest wall oscillation per session (94669) | $141.05 | $217 | 0.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $803 | — | 25.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $44.20 | $68 | 1.2× |
| Methacholine challenge (94070) | $929.50 | $1,430 | 2.6× |
| Motility study esophagus (91010) | $674.05 | $1,037 | 1.9× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$327.60–$340.60 | $504–$524 | varies |
| Multiple Sleep Latency Test (95805) | $4,963.40 | $7,636 | 6.0× |
| Muscle Test 2 Limbs (95861) | $599.30 | $922 | 4.7× |
| Muscle Test Nonparaspinal (95870) | $250.90 | $386 | 2.0× |
| Nasopharyngoscopy (92511) | $240.50 | $370 | 1.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$409.50–$425.75 | $630–$655 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$419.25–$425.75 | $645–$655 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $2,822.30 | — | 14.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $5,296.65 | — | 13.5× |
| Nerve Conduction Studies 1-2 Studies (95907) | $695.50 | $1,070 | 3.3× |
| Nerve Conduction Studies 11-12 Studies (95912) | $322.40 | $496 | 0.9× |
| Nerve conduction studies 13 or more studies (95913) | $961.35 | $1,479 | 2.7× |
| Nerve Conduction Studies 3-4 Studies (95908) | $936.65 | $1,441 | 4.5× |
| Nerve conduction studies 5-6 studies (95909) | $2,462 | — | 11.8× |
| Nerve conduction studies 7-8 studies (95910) | $2,391 | — | 6.6× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,348.10 | $2,074 | 3.7× |
| Neurobehavioral Status Exam (96116) | $202.15 | $311 | 1.0× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $113.10 | $174 | 0.9× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$1,490–$2,041 | — | varies |
| Newborn resuscitation (99465) | $1,343.55 | $2,067 | 2.1× |
| Nitric oxide expired gas determination (95012) | $64.35 | $99 | 1.8× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $241.80 | $372 | 0.7× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $568.10 | $874 | 1.6× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $89.05 | $137 | 1.6× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $89.05 | $137 | 1.6× |
| Oral Function Therapy (92526) | $141.05 | $217 | 1.7× |
| Oral Speech Device Eval (92597) | $331.50 | $510 | 4.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $92.95 | $143 | 1.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $2,326 | — | 50.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $85.15 | $131 | 6.1× |
| Ot eval high complexity (97167) | $264.55 | $407 | 2.6× |
| Ot Eval Low Complex (97165) | $54,115.63 | — | 538.2× |
| Ot Eval Moderate Complexity (97166) | $264.55 | $407 | 2.6× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$1,485–$2,085 | — | varies |
| Ot paraffin bath (97018) | $55.25 | $85 | 9.2× |
| Ot Prosthetic Training, Each 15 Min (97761) | $66.30 | $102 | 1.6× |
| Ot Re-Eval Est Plan Care (97168) | $1,699 | — | 24.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $360.10 | $554 | 2.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $4,320 | — | 34.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $299.65 | $461 | 1.4× |
| Peripheral arterial disease rehab per session (93668) | $244.40 | $376 | 4.3× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $9,130.55 | $14,047 | 0.5× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 2 matching MRF lines |
$57,939.89–$101,927.04 | — | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $8,816.60 | $13,564 | 0.8× |
| Phlebotomy therapeutic (99195) | $100.10 | $154 | 0.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $371.80 | $572 | 6.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $253.50 | $390 | 4.4× |
| Physical Performance Test (97750) | $72.15 | $111 | 2.1× |
| Plethysmography (94726) | $386.10 | $594 | 1.1× |
| Pm device eval in person (93288) | $76.70 | $118 | 2.1× |
| Pm device progr eval dual (93280) | $72.80 | $112 | 2.0× |
| Pm device progr eval multi (93281) | $72.80 | $112 | 2.0× |
| Pm Device Progr Eval Sngl (93279) | $72.80 | $112 | 2.0× |
| Pm/Icd Remote Tech Serv (93296) | $95.55 | $147 | 2.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $8,876 | — | 10.7× |
| Polysom <6 yrs 4/> paramtrs (95782) | $5,254.60 | $8,084 | 6.3× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $6,304.35 | $9,699 | 7.6× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $53.95 | $83 | 1.5× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $81.90 | $126 | 2.3× |
| Prq Card Angio/Athrect 1 Art (92924) | $14,212.25 | $21,865 | 1.3× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $71,950.04 | — | 6.5× |
| Prq Card Stent/Ath/Angio (92933) unusually low: confirm this is the full procedure |
$5,877.95 | $9,043 | 0.3× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $5,877.95 | $9,043 | 0.5× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $10,126.35 | $15,579 | 0.9× |
| Psych diag eval w/med srvcs (90792) | $233.35 | $359 | 1.4× |
| Psychiatric diagnostic evaluation (90791) | $370.50 | $570 | 2.2× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $67.60 | $104 | 0.2× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $83.85 | $129 | 0.7× |
| Pt Eval High Complex (97163) | $272.35 | $419 | 2.8× |
| Pt eval low complex 20 min (97161) | $46,267.78 | — | 472.8× |
| Pt Eval Mod Complex (97162) | $264.55 | $407 | 2.7× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$2,046–$2,401 | — | varies |
| Pt mechanical traction (97012) | $70.85 | $109 | 4.9× |
| Pt Re-Eval Est Plan Care (97164) | $1,320 | — | 19.6× |
| Pulm function test by gas (94727) | $352.30 | $542 | 1.7× |
| Pulmonary service/procedure (94799) | $227.50 | $350 | 1.8× |
| Pulmonary Stress Testing (94618) | $443.95 | $683 | 3.5× |
| R Hrt Art/Grft Angio (93457) | $20,539.35 | $31,599 | 6.6× |
| R hrt coronary artery angio (93456) | $25,468.36 | — | 8.1× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $29,762.85 | $45,789 | 9.5× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $473.20 | $728 | 1.5× |
| Refill/Maint Portable Pump (96521) | $436.80 | $672 | 2.1× |
| Refill/Maint Pump/Resvr Syst (96522) | $384.15 | $591 | 1.9× |
| Rem interrog icpms <30 d phys/qhp (93297) | $71.50 | $110 | 2.0× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $104 | — | 2.9× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $62.40 | $96 | 1.7× |
| Remote 30 Day Ecg Rev/Report (93270) | $201.50 | $310 | 5.6× |
| Remote 30 Day Ecg Tech Supp (93229) | $3,258 | — | 9.0× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $117 | $180 | 0.9× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $495.95 | $763 | 2.4× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $322.40 | $496 | 1.5× |
| Respiratory flow volume loop (94375) | $801.45 | $1,233 | 3.8× |
| Right Heart Cath (93451) | $5,882.50 | $9,050 | 1.9× |
| Right ventricular recording (93603) | $3,106.35 | $4,779 | 2.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $1,125.90 | — | 5.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $423.80 | $652 | 3.5× |
| Self Care Mngment Training (97535) | $104 | $160 | 3.2× |
| Sensory Integration Ea 15 Min (97533) | $120.90 | $186 | 2.0× |
| Slp caregiver training 1st 30 min (97550) | $89.05 | $137 | 1.7× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $666.90 | $1,026 | 3.2× |
| Somatosensory Testing (95938) | $1,617.85 | $2,489 | 2.0× |
| Speech sound lang comprehen (92523) | $283.40 | $436 | 1.3× |
| Spirometry (94010) range across 2 matching MRF lines |
$1,287–$1,479 | — | varies |
| Standardized Cognitive Performance Testing (96125) | $1,265 | — | 12.3× |
| Stress Tte Only (93350) | $2,176.20 | $3,348 | 4.1× |
| Subcutaneous Infusion Each Additional Hour (96370) | $120.90 | $186 | 2.7× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $559 | $860 | 2.7× |
| Surfactant Admin Thru Tube (94610) | $319.80 | $492 | 1.5× |
| Temp transcutaneous pacing (92953) | $981.50 | $1,510 | 1.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $3,494 | — | 156.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $176.80 | $272 | 8.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $111.15 | $171 | 3.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $56.55 | $87 | 1.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $189.15 | $291 | 1.8× |
| Ther/Proph/Diag Inj Ia (96373) | $181.35 | $279 | 0.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $4,125 | — | 59.3× |
| Ther/Proph/Diag Iv Inf Init (96365) | $9,446.60 | — | 46.0× |
| Therap repetitive tms tx subseq delivery & mng (90868) | $322.40 | $496 | 1.5× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$1,634–$2,053 | — | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $68.90 | $106 | 1.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $40.95 | $63 | 1.1× |
| Trans Care Mgmt 14 Day Disch (99495) | $198.25 | $305 | 1.5× |
| Trans Care Mgmt 7 Day Disch (99496) | $198.25 | $305 | 1.5× |
| Transcath Closure of Asd (93580) | $11,856 | $18,240 | 0.7× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $76.70 | $118 | 2.1× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$2,597.60–$2,697 | — | varies |
| Tte W/O Doppler Complete (93307) | $2,098.85 | $3,229 | 9.1× |
| Tx atrial fib pulm vein isol (93656) | $20,038.20 | $30,828 | 0.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $1,068 | — | 14.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $29,708.30 | — | 656.8× |
| Unlisted cardiovascular service/procedure (93799) range across 16 matching MRF lines |
$495.30–$13,143.65 | $762–$20,221 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $2,013 | — | 15.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$867–$2,453 | — | varies |
| Valvuloplasty aortic valve (92986) | $6,036.55 | $9,287 | 1.1× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,061.45 | $1,633 | 2.9× |
| Veeg 2-12 hr intmt mntr (95712) | $551.85 | $849 | 1.5× |
| Veeg 2-12 hr unmonitored (95711) | $551.85 | $849 | 2.6× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,061.45 | $1,633 | 2.9× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,061.45 | $1,633 | 2.9× |
| Veeg ea 12-26hr cont mntr (95716) | $1,985.10 | $3,054 | 2.4× |
| Vent Mgmt Inpat Init Day (94002) | $86,785.96 | — | 145.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $3,350.10 | $5,154 | 5.6× |
| Visual Evoked Potential Test (95930) | $520 | $800 | 2.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $276 | — | 8.9× |
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.