Visits & medical services prices at MercyOne Genesis Dewitt Medical Center
Dewitt, IA · every code in this section with a posted price and a Medicare benchmark.
290 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $28.80 | $48 | 0.7× |
| Advncd Care Plan 30 Min (99497) | $169.20 | $282 | 1.7× |
| Airway Inhalation Treatment (94640) | $100.80 | $168 | 0.5× |
| Airway resistance by oscillometry (94728) range across 7 matching MRF lines |
$108–$114.60 | $180–$191 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) range across 6 matching MRF lines |
$165–$285 | $275–$475 | varies |
| Analyze neurostim no prog (95970) | $81 | $135 | 0.6× |
| Analyze Neurostim Simple (95971) | $250.80 | $418 | 2.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 8 matching MRF lines |
$68.40–$75.60 | $114–$126 | varies |
| Application Modality 1/> Areas Infrared (97026) | $37.20 | $62 | 5.6× |
| Application on-body injector (96377) | $61.80 | $103 | 1.4× |
| Assessment of aphasia per hr (96105) range across 4 matching MRF lines |
$97.80–$253.80 | $163–$423 | varies |
| Assessment of tinnitus (92625) | $134.40 | $224 | 1.1× |
| Assmt & care planning pt w/cognitive impairment (99483) | $587.40 | $979 | 6.0× |
| Audiometry Air & Bone (92553) | $67.80 | $113 | 0.5× |
| Basic vestibular evaluation (92540) | $372 | $620 | 1.8× |
| Behavral qualit analys voice (92524) range across 8 matching MRF lines |
$84–$225.60 | $140–$376 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $195.60 | $326 | 2.4× |
| Bfb training ea addl 15 min (90913) | $84 | $140 | 2.6× |
| Biofeedback training any modality (90901) | $70.20 | $117 | 1.7× |
| Bioimpedance Cv Analysis (93701) | $154.20 | $257 | 1.2× |
| Breath hydrogen/methane test (91065) | $175.20 | $292 | 0.8× |
| Brief Emotional/Behav Assmt (96127) | $8.40 | $14 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 15 matching MRF lines |
$175.20–$444 | $292–$740 | varies |
| Caloric Vstblr Test W/Rec (92537) | $275.40 | $459 | 2.2× |
| Canalith repositioning proc (95992) | $97.80 | $163 | 2.4× |
| Cardiac Stress Tst,Tracing Only (93017) range across 12 matching MRF lines |
$460.20–$582.60 | $767–$971 | varies |
| Cardiopulmonary exercise testing (94621) | $472.80 | $788 | 1.3× |
| Cardiopulmonary resuscitation (92950) | $496.20 | $827 | 2.4× |
| Cardioversion (92960) | $724.20 | $1,207 | 1.1× |
| Cardioversion elective internal (92961) | $489 | $815 | 0.8× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $9 | $15 | 0.2× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $40.20 | $67 | 1.5× |
| Cbt 1st hour (94644) | $136.20 | $227 | 1.1× |
| Chemo Anti-Neopl Sq/Im (96401) | $174.60 | $291 | 2.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $128.40 | $214 | 1.9× |
| Chemo intralesional up to 7 (96405) | $123.60 | $206 | 1.8× |
| Chemo IV infusion addl hr (96415) range across 5 matching MRF lines |
$39–$85.20 | $65–$142 | varies |
| Chemo IV push addl drug (96411) | $127.80 | $213 | 1.8× |
| Chemother Prolong Infuse W/Pump (96416) | $407.40 | $679 | 1.3× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $407.40 | $679 | 1.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $109.80 | $183 | 1.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$376.80–$402 | $628–$670 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $154.20 | $257 | 0.5× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $204.60 | $341 | 0.6× |
| Chest Wall Manipulation (94668) range across 5 matching MRF lines |
$77.40–$96.60 | $129–$161 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $80.40 | $134 | 0.8× |
| Color/duplex Doppler, complete (93975) | $483 | $805 | 2.1× |
| Color/duplex Doppler, limited (93976) | $411.60 | $686 | 4.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $80.40 | $134 | 2.5× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $171 | $285 | 1.0× |
| Conditioning Play Audiometry (92582) | $120 | $200 | 1.0× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $279 | $465 | 2.2× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $179.40 | $299 | 3.2× |
| Continuous Pulse Ox (94762) | $238.80 | $398 | 1.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $369 | $615 | 1.8× |
| Cpt initial (94667) range across 5 matching MRF lines |
$60.60–$144 | $101–$240 | varies |
| Critical care first hour (99291) range across 3 matching MRF lines |
$1,356–$1,653 | $2,260–$2,755 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $669 | $1,115 | 3.5× |
| Developmental tst admin phys/qhp 1st hour (96112) | $18.60 | $31 | 0.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $349.80 | $583 | 1.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $120.60 | $201 | 1.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $535.20 | $892 | 2.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $389.40 | $649 | 3.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $619.20 | $1,032 | 2.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $472.80 | $788 | 4.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $490.80 | $818 | 2.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $306.60 | $511 | 3.1× |
| Duplex Scan Hemodialysis Access (93990) | $289.20 | $482 | 2.9× |
| Duplex up extrem art bilat (93930) | $703.80 | $1,173 | 3.1× |
| Duplex up extrem art unilat/ltd (93931) | $424.80 | $708 | 4.2× |
| Ear and throat examination (92502) | $181.20 | $302 | 0.3× |
| ECG/monitoring and analysis (93271) | $519.60 | $866 | 5.7× |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$314.40–$491.40 | $524–$819 | varies |
| Echo transesophag congen probe plcmt only (93316) | $344.40 | $574 | 0.7× |
| Eeg 41-60 Minutes (95812) | $115.80 | $193 | 0.6× |
| EEG awake and asleep (95819) | $775.80 | $1,293 | 3.7× |
| EEG awake drowsy (95816) | $697.80 | $1,163 | 3.4× |
| EEG cerebral death evaluation (95824) | $556.80 | $928 | 1.6× |
| EEG cont rec w/video by tech min 8 channels (95700) | $498 | $830 | 2.4× |
| EEG extended monitoring 61-119 minutes (95813) | $175.20 | $292 | 0.8× |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$110.40–$811.80 | $184–$1,353 | varies |
| EKG signal averaged (93278) | $123.60 | $206 | 2.2× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $281.40 | $469 | 3.1× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $338.40 | $564 | 3.7× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $255 | $425 | 7.1× |
| Electrical Stimulation Ea 15 Min (97032) | $95.40 | $159 | 6.5× |
| Electrocardiogram Tracing (93005) | $120.60 | $201 | 2.1× |
| Electroconvulsive Therapy (90870) | $279.60 | $466 | 0.3× |
| Emergency Dept Visit Level 2 (99282) | $375.60 | $626 | 2.5× |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$267–$448.20 | $445–$747 | varies |
| Emergency Dept Visit Level 4 (99284) | $719.40 | $1,199 | 1.8× |
| Emg 3 Extremities (95863) | $331.20 | $552 | 2.7× |
| Emg 4 Extremities (95864) | $359.40 | $599 | 2.9× |
| Er level 1 (99281) range across 3 matching MRF lines |
$48.60–$245.40 | $81–$409 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$577.80–$899.40 | $963–$1,499 | varies |
| Esophageal Capsule Endoscopy (91111) | $76.20 | $127 | 0.1× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $617.40 | $1,029 | 1.7× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $117 | $195 | 0.9× |
| Evaluate pt use of inhaler (94664) | $82.80 | $138 | 0.4× |
| Evaluate Speech Production (92522) range across 12 matching MRF lines |
$84–$225.60 | $140–$376 | varies |
| Evaluate Swallowing Function (92610) range across 9 matching MRF lines |
$119.40–$234.60 | $199–$391 | varies |
| Evaluation of speech fluency (92521) range across 8 matching MRF lines |
$84–$225.60 | $140–$376 | varies |
| Evoked Auditory Test,Limited (92587) | $95.40 | $159 | 0.5× |
| Exhaled Air Analysis O2 (94680) | $333 | $555 | 2.7× |
| External ECG rec>48hr<7d recording (93242) | $70.80 | $118 | 2.0× |
| External Ecg Scanning Analysis Report (93226) | $506.40 | $844 | 8.9× |
| Extracranial Bilat Study (93880) | $606.60 | $1,011 | 2.6× |
| Extracranial Uni/Ltd Study (93882) | $327 | $545 | 3.3× |
| Fundus photography (92250) | $135 | $225 | 1.1× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 5 matching MRF lines |
$444–$588.60 | $740–$981 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $955.20 | $1,592 | 1.2× |
| Gi tract capsule endoscopy (91110) | $1,345.80 | $2,243 | 1.5× |
| Group Therapeutic Procedures (97150) range across 64 matching MRF lines |
$18.60–$432 | $31–$720 | varies |
| Holter monitor recording (93225) | $354.60 | $591 | 2.8× |
| Hypnotherapy (90880) | $28.20 | $47 | 0.3× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $39 | $65 | 0.6× |
| Immunization administration (90471) range across 12 matching MRF lines |
$49.80–$52.80 | $83–$88 | varies |
| Inital newborn e/m (99460) | $194.40 | $324 | 1.5× |
| Insert/Place Heart Catheter (93503) | $306 | $510 | 0.2× |
| Iontophoresis 15 min (97033) | $94.80 | $158 | 5.0× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$138.60–$141 | $231–$235 | varies |
| IV infusion hydration each additional hour (96361) range across 9 matching MRF lines |
$54–$60 | $90–$100 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $297 | $495 | 1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $111 | $185 | 1.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 7 matching MRF lines |
$32.40–$64.20 | $54–$107 | varies |
| IV push initial (96374) | $157.20 | $262 | 0.8× |
| Liver Elastography W/O Imag W/I&R (91200) | $47.40 | $79 | 0.4× |
| Lung Function Test (Mbc/Mvv) (94200) | $107.40 | $179 | 1.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$36.60–$302.40 | $61–$504 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 5 matching MRF lines |
$40.80–$43.20 | $68–$72 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 7 matching MRF lines |
$40.80–$43.20 | $68–$72 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $48.60 | $81 | 2.9× |
| Methacholine challenge (94070) | $364.80 | $608 | 1.0× |
| Motility study esophagus (91010) range across 5 matching MRF lines |
$727.20–$936.60 | $1,212–$1,561 | varies |
| Motion Fluoroscopy/Swallow (92611) | $244.80 | $408 | 2.7× |
| Multiple Family Group Psychotherapy (90849) | $121.20 | $202 | 0.7× |
| Multiple Sleep Latency Test (95805) | $264.60 | $441 | 0.3× |
| Muscle Test 2 Limbs (95861) | $274.80 | $458 | 2.1× |
| Muscle Test Nonparaspinal (95870) | $126 | $210 | 1.0× |
| Muscle Test One Limb (95860) | $187.80 | $313 | 1.5× |
| Nasopharyngoscopy (92511) | $242.40 | $404 | 1.3× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$95.40–$205.20 | $159–$342 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $82.20 | $137 | 0.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $216 | $360 | 0.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $70.80 | $118 | 0.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $75 | $125 | 0.2× |
| Nerve Conduction Studies 1-2 Studies (95907) | $133.80 | $223 | 0.6× |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$239.40–$346.80 | $399–$578 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$284.40–$427.80 | $474–$713 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$101.40–$165 | $169–$275 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$121.80–$197.40 | $203–$329 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$162–$260.40 | $270–$434 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$201–$315 | $335–$525 | varies |
| Neurobehavioral Status Exam (96116) | $180 | $300 | 0.9× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $135.60 | $226 | 1.1× |
| Neuromuscular Reeducation (97112) range across 14 matching MRF lines |
$36.60–$81 | $61–$135 | varies |
| Newborn resuscitation (99465) | $299.40 | $499 | 0.5× |
| Nitric oxide expired gas determination (95012) | $36 | $60 | 1.0× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $248.40 | $414 | 0.7× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $310.80 | $518 | 0.9× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $100.20 | $167 | 0.8× |
| Optokinetic Nystagmus Test (92544) | $157.20 | $262 | 1.3× |
| Oral Function Therapy (92526) range across 11 matching MRF lines |
$33–$192.60 | $55–$321 | varies |
| Oral Speech Device Eval (92597) | $140.40 | $234 | 2.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $85.20 | $142 | 1.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $52.80 | $88 | 1.1× |
| Oscillating Tracking Test (92545) | $157.20 | $262 | 0.8× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $37.20 | $62 | 1.8× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $42 | $70 | 2.0× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $135 | $225 | 6.5× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $139.80 | $233 | 6.7× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $167.40 | $279 | 8.1× |
| Ot Contrast Bath Ea 15 Min (97034) | $63 | $105 | 4.5× |
| Ot eval high complexity (97167) range across 12 matching MRF lines |
$92.40–$258.60 | $154–$431 | varies |
| Ot Eval Low Complex (97165) range across 12 matching MRF lines |
$84–$213 | $140–$355 | varies |
| Ot Eval Moderate Complexity (97166) range across 12 matching MRF lines |
$87.60–$223.80 | $146–$373 | varies |
| Ot manual therapy 15 min (97140) | $92.40 | $154 | 3.3× |
| Ot paraffin bath (97018) | $55.80 | $93 | 9.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $66.60 | $111 | 1.6× |
| Ot Re-Eval Est Plan Care (97168) range across 12 matching MRF lines |
$61.80–$213 | $103–$355 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 8 matching MRF lines |
$81–$154.80 | $135–$258 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $141 | $235 | 1.1× |
| Oxygen Uptake Rest Indirect (94690) range across 3 matching MRF lines |
$70.80–$118.20 | $118–$197 | varies |
| Patch/Application Test Specify Number Tests (95044) | $9 | $15 | 0.0× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $48.60 | $81 | 2.0× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $755.40 | $1,259 | 3.9× |
| Phlebotomy therapeutic (99195) | $159.60 | $266 | 1.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 5 matching MRF lines |
$95.40–$119.40 | $159–$199 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $119.40 | $199 | 2.1× |
| Physical Performance Test (97750) | $71.40 | $119 | 2.1× |
| Plethysmography (94726) range across 3 matching MRF lines |
$165–$324.60 | $275–$541 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,262.80 | $5,438 | 4.0× |
| Polysom <6 yrs 4/> paramtrs (95782) | $3,161.40 | $5,269 | 3.8× |
| Positional nystagmus test (92542) | $157.20 | $262 | 1.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $19.20 | $32 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $22.80 | $38 | 0.5× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $24 | $40 | 0.5× |
| Psych diag eval w/med srvcs (90792) | $178.80 | $298 | 1.0× |
| Psychiatric diagnostic evaluation (90791) | $217.20 | $362 | 1.3× |
| Psychological tst eval svc phys/qhp first hour (96130) | $248.40 | $414 | 1.2× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $12.60 | $21 | 0.5× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $53.40 | $89 | 0.4× |
| Psytx Crisis Initial 60 Min (90839) | $146.40 | $244 | 0.9× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $63 | $105 | 1.7× |
| Pt Eval High Complex (97163) range across 12 matching MRF lines |
$100.20–$272.40 | $167–$454 | varies |
| Pt eval low complex 20 min (97161) range across 12 matching MRF lines |
$91.20–$233.40 | $152–$389 | varies |
| Pt Eval Mod Complex (97162) range across 12 matching MRF lines |
$96–$245.40 | $160–$409 | varies |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$69–$71.40 | $115–$119 | varies |
| Pt group caregiver training (97552) | $33 | $55 | 1.5× |
| Pt mechanical traction (97012) range across 3 matching MRF lines |
$72–$75 | $120–$125 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 12 matching MRF lines |
$64.80–$240.60 | $108–$401 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $9 | $15 | 0.2× |
| Pulm function test by gas (94727) | $191.40 | $319 | 0.9× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$40.80–$109.20 | $68–$182 | varies |
| Pulmonary Stress Testing (94618) | $73.20 | $122 | 0.6× |
| Pure Tone Audiometry Air (92552) | $55.20 | $92 | 0.4× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $311.40 | $519 | 1.0× |
| Refill/Maint Portable Pump (96521) | $370.20 | $617 | 1.8× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $83.40 | $139 | 2.3× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $30 | $50 | 0.2× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $58.80 | $98 | 1.6× |
| Rem ther mntr dev sply resp (98976) | $58.80 | $98 | 1.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $217.80 | $363 | 6.1× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $149.40 | $249 | 1.2× |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$136.80–$141 | $228–$235 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $77.40 | $129 | 1.4× |
| Right Heart Cath (93451) | $1,669.80 | $2,783 | 0.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $70.80 | $118 | 0.4× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $76.80 | $128 | 2.9× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 16 matching MRF lines |
$84–$225.60 | $140–$376 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 11 matching MRF lines |
$64.20–$172.20 | $107–$287 | varies |
| Same day nb discharge (99463) | $229.20 | $382 | 1.8× |
| Select picture audiometry (92583) | $88.20 | $147 | 1.6× |
| Self Care Mngment Training (97535) | $69.60 | $116 | 2.1× |
| Sensory Integration Ea 15 Min (97533) | $64.80 | $108 | 1.1× |
| Short-latency somatosens ep std upr limbs (95925) | $228 | $380 | 1.1× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $275.40 | $459 | 2.2× |
| Sleep study attended (95807) | $1,168.20 | $1,947 | 3.3× |
| Sleep study unattended (95806) | $1,183.20 | $1,972 | 5.7× |
| Slp caregiver training 1st 30 min (97550) | $79.20 | $132 | 1.5× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $889.80 | $1,483 | 4.3× |
| Somatosensory Testing (95938) | $753.60 | $1,256 | 0.9× |
| Speech audiometry threshold (92555) | $41.40 | $69 | 0.7× |
| Speech sound lang comprehen (92523) range across 20 matching MRF lines |
$84–$303.60 | $140–$506 | varies |
| Spin/Brain Pump Refil & Main (95991) | $225 | $375 | 0.8× |
| Spirometry (94010) range across 12 matching MRF lines |
$116.40–$221.40 | $194–$369 | varies |
| Spontaneous Nystagmus Test (92541) | $144 | $240 | 1.1× |
| Ssep lower limbs (95926) | $280.80 | $468 | 1.4× |
| Standardized Cognitive Performance Testing (96125) | $78.60 | $131 | 0.8× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$739.20–$924.60 | $1,232–$1,541 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $42.60 | $71 | 0.9× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $351.60 | $586 | 1.7× |
| Surfactant Admin Thru Tube (94610) | $94.20 | $157 | 0.4× |
| Temp transcutaneous pacing (92953) | $484.20 | $807 | 0.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $48.60 | $81 | 2.2× |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$35.40–$36.60 | $59–$61 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 7 matching MRF lines |
$74.40–$77.40 | $124–$129 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 10 matching MRF lines |
$30.60–$58.80 | $51–$98 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 13 matching MRF lines |
$84–$183 | $140–$305 | varies |
| Ther/Prop/Diag Inj/Inf Proc (96379) range across 2 matching MRF lines |
$117.60–$132.60 | $196–$221 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) | $73.20 | $122 | 1.1× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 5 matching MRF lines |
$277.20–$309.60 | $462–$516 | varies |
| Therapeutic Activities (97530) | $75.60 | $126 | 2.2× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,339.20 | $2,232 | 3.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $27 | $45 | 0.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $16.20 | $27 | 0.4× |
| Trans Care Mgmt 14 Day Disch (99495) | $238.80 | $398 | 1.9× |
| Trans Care Mgmt 7 Day Disch (99496) | $337.80 | $563 | 2.6× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$938.40–$994.20 | $1,564–$1,657 | varies |
| Tte W/O Doppler Complete (93307) | $345.60 | $576 | 1.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 22 matching MRF lines |
$34.20–$283.20 | $57–$472 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 31 matching MRF lines |
$22.20–$559.80 | $37–$933 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $68.40 | $114 | 1.5× |
| Tympanometry (92567) | $133.20 | $222 | 3.7× |
| Unlisted Psychiatric Service/Procedure (90899) | $121.20 | $202 | 3.4× |
| Upr/L Xtremity Art 2 Levels (93922) | $144.60 | $241 | 1.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $414.60 | $691 | 2.0× |
| Valvuloplasty aortic valve (92986) | $2,791.20 | $4,652 | 0.5× |
| Valvuloplasty mitral valve (92987) likely a partial charge, not the full procedure |
$2,892 | $4,820 | 0.3× |
| Vasopneumatic device (97016) | $77.40 | $129 | 6.4× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,759.80 | $2,933 | 4.9× |
| Veeg 2-12 hr intmt mntr (95712) | $1,444.80 | $2,408 | 4.0× |
| Veeg 2-12 hr unmonitored (95711) | $867 | $1,445 | 4.2× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,576.80 | $2,628 | 4.4× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,182 | $1,970 | 3.3× |
| Vent Mgmt Inpat Init Day (94002) range across 4 matching MRF lines |
$1,207.20–$1,238.40 | $2,012–$2,064 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $723.60 | $1,206 | 1.2× |
| Vital capacity, total (94150) | $43.20 | $72 | 0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $54.60 | $91 | 1.8× |
| Whirlpool Therapy (97022) | $93 | $155 | 5.9× |
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.