Visits & medical services prices at MercyOne Genesis Silvis Medical Center

Silvis, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $8,280 $13,800 1.0×
Admn Sarscov2 Vacc 1 Dose (90480) $30 $50 0.7×
Advncd Care Plan 30 Min (99497) $169.20 $282 1.6×
Airway Inhalation Treatment (94640)
range across 12 matching MRF lines
$61.80–$234 $103–$390 varies
Airway resistance by oscillometry (94728)
range across 8 matching MRF lines
$91.80–$114.60 $153–$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 2.5×
Analyze Pacemaker System (93724) $939 $1,565 2.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $75.60 $126 5.3×
Application Modality 1/> Areas Infrared (97026) $40.20 $67 6.0×
Application on-body injector (96377) $66 $110 1.3×
Arrhythmia Induction (93618) $3,384 $5,640 2.6×
Assessment of aphasia per hr (96105)
range across 8 matching MRF lines
$87–$253.80 $145–$423 varies
Assessment of tinnitus (92625) $134.40 $224 1.0×
Assmt & care planning pt w/cognitive impairment (99483) $587.40 $979 5.4×
Audiometry Air & Bone (92553) $67.80 $113 0.5×
Basic vestibular evaluation (92540) $372 $620 1.6×
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) $96 $160 1.2×
Bfb training ea addl 15 min (90913) $40.20 $67 1.2×
Biofeedback training any modality (90901) $70.20 $117 1.7×
Bioimpedance Cv Analysis (93701) $154.20 $257 1.1×
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
$180.60–$444 $301–$740 varies
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$927 $1,545 0.1×
Caloric Vstblr Test W/Rec (92537) $275.40 $459 2.0×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$77.40–$97.80 $129–$163 varies
Car seat/bed test 60 min (94780) $75.60 $126 1.9×
Cardiac Stress Tst,Tracing Only (93017)
range across 13 matching MRF lines
$460.20–$582.60 $767–$971 varies
Cardiopulmonary exercise testing (94621) $472.80 $788 1.2×
Cardiopulmonary resuscitation (92950) $496.20 $827 2.1×
Cardioversion (92960)
range across 5 matching MRF lines
$689.40–$724.20 $1,149–$1,207 varies
Cardioversion elective internal (92961) $489 $815 0.7×
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×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $11,121.60 $18,536 3.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,535.80 $15,893 2.7×
Cbt 1st hour (94644) $148.20 $247 1.0×
Chemo Anti-Neopl Sq/Im (96401)
range across 4 matching MRF lines
$159.60–$174.60 $266–$291 varies
Chemo Hormon Antineopl Sq/Im (96402)
range across 3 matching MRF lines
$117–$128.40 $195–$214 varies
Chemo intralesional up to 7 (96405) $123.60 $206 1.6×
Chemo IV infusion addl hr (96415)
range across 4 matching MRF lines
$120–$131.40 $200–$219 varies
Chemo IV push addl drug (96411)
range across 2 matching MRF lines
$116.40–$127.80 $194–$213 varies
Chemother Prolong Infuse W/Pump (96416)
range across 12 matching MRF lines
$372.60–$501 $621–$835 varies
Chemotherapy Into Cns (96450)
range across 2 matching MRF lines
$470.40–$489 $784–$815 varies
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $501 $835 1.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417)
range across 2 matching MRF lines
$100.20–$109.80 $167–$183 varies
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 4 matching MRF lines
$166.20–$376.80 $277–$628 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 3 matching MRF lines
$141–$154.20 $235–$257 varies
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $303.60 $506 0.9×
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 0.7×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $650.40 $1,084 1.6×
Color/duplex Doppler, complete (93975) $483 $805 1.9×
Color/duplex Doppler, limited (93976) $411.60 $686 3.7×
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 0.9×
Conditioning Play Audiometry (92582) $120 $200 0.9×
Cont gluc mntr physician/qhp provided equiptment (95250) $279 $465 2.0×
Cont Gluc Mntr Pt Prov Eqp (95249) $179.40 $299 2.8×
Continuous Pulse Ox (94762) $238.80 $398 1.7×
Coronary Art/Grft Angio S&I (93455) $9,333 $15,555 2.7×
Coronary Artery Angio S&I (93454) $8,514 $14,190 2.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$369–$646.20 $615–$1,077 varies
Cpt initial (94667)
range across 5 matching MRF lines
$77.40–$144 $129–$240 varies
Critical care first hour (99291)
range across 6 matching MRF lines
$1,356–$5,419.80 $2,260–$9,033 varies
Debridement Open Wound 20 Sq Cm< (97597) $669 $1,115 3.1×
Dialysis One Evaluation (90945) $771.60 $1,286 1.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $349.80 $583 1.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $120.60 $201 1.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $535.20 $892 2.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 5 matching MRF lines
$389.40–$414.60 $649–$691 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $619.20 $1,032 2.4×
Dup-scan xtr veins unilateral/limited study (93971)
range across 10 matching MRF lines
$378–$472.80 $630–$788 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $490.80 $818 1.9×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $306.60 $511 2.7×
Duplex Scan Hemodialysis Access (93990) $289.20 $482 2.6×
Duplex up extrem art bilat (93930) $703.80 $1,173 2.8×
Duplex up extrem art unilat/ltd (93931) $367.20 $612 3.3×
Ear and throat examination (92502) $181.20 $302 0.3×
ECG/monitoring and analysis (93271) $519.60 $866 5.1×
Echo Heart Xthoracic,Limited (93308)
range across 7 matching MRF lines
$314.40–$491.40 $524–$819 varies
Echo r-t 2d w/probe placement only (93313) $1,075.20 $1,792 1.8×
Echo transesophag congen probe plcmt only (93316) $344.40 $574 0.6×
Echo transesophageal (93312) $1,306.20 $2,177 2.2×
Eeg 41-60 Minutes (95812) $594.60 $991 2.6×
EEG awake and asleep (95819)
range across 2 matching MRF lines
$627–$775.80 $1,045–$1,293 varies
EEG awake drowsy (95816) $558 $930 2.4×
EEG cerebral death evaluation (95824) $576.60 $961 1.4×
EEG cont rec w/video by tech min 8 channels (95700) $498 $830 2.2×
EEG extended monitoring 61-119 minutes (95813) $861.60 $1,436 3.7×
Eeg Sleep Only (95822) $543.60 $906 2.3×
EKG signal averaged (93278) $123.60 $206 2.0×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $281.40 $469 2.8×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $338.40 $564 3.3×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $255 $425 6.4×
Electrical Stimulation Ea 15 Min (97032)
range across 6 matching MRF lines
$59.40–$95.40 $99–$159 varies
Electrocardiogram Tracing (93005) $120.60 $201 1.9×
Electroconvulsive Therapy (90870) $279.60 $466 0.3×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
unusually low: confirm this is the full procedure
$3,583.80 $5,973 0.4×
Electrophysiology Evaluation (93642) $1,727.40 $2,879 1.3×
Emergency Dept Visit Level 2 (99282) $375.60 $626 2.3×
Emergency Dept Visit Level 3 (99283)
range across 4 matching MRF lines
$267–$448.20 $445–$747 varies
Emergency Dept Visit Level 4 (99284)
range across 5 matching MRF lines
$719.40–$4,782.60 $1,199–$7,971 varies
Emg 3 Extremities (95863) $352.20 $587 2.6×
Emg 4 Extremities (95864) $369.60 $616 2.7×
Endomyocardial Biopsy (93505) $3,648.60 $6,081 1.1×
Ep & ablate supravent arrhyt (93653) $26,193.60 $43,656 0.9×
Ep & ablate ventric tachy (93654) $26,193.60 $43,656 0.9×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $8,280 $13,800 1.0×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $5,161.80 $8,603 0.6×
Er level 1 (99281)
range across 3 matching MRF lines
$48.60–$245.40 $81–$409 varies
Er level v (99285)
range across 6 matching MRF lines
$595.20–$4,962.60 $992–$8,271 varies
Esophageal Capsule Endoscopy (91111) $76.20 $127 0.1×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $617.40 $1,029 1.5×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $117 $195 0.8×
Evaluate pt use of inhaler (94664) $82.80 $138 0.4×
Evaluate Speech Production (92522)
range across 12 matching MRF lines
$78.60–$225.60 $131–$376 varies
Evaluate Swallowing Function (92610)
range across 15 matching MRF lines
$82.20–$249.60 $137–$416 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 0.4×
Exhaled Air Analysis O2 (94680) $333 $555 2.4×
External ECG rec>48hr<7d recording (93242) $57 $95 1.4×
External Ecg Scanning Analysis Report (93226) $506.40 $844 8.0×
Extracranial Bilat Study (93880) $778.80 $1,298 3.0×
Extracranial Uni/Ltd Study (93882) $155.40 $259 1.4×
Fundus photography (92250) $135 $225 0.9×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $588.60 $981 1.5×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $551.40 $919 2.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $955.20 $1,592 1.0×
Gi tract capsule endoscopy (91110) $1,345.80 $2,243 1.4×
Group Therapeutic Procedures (97150)
range across 64 matching MRF lines
$18.60–$432 $31–$720 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $12,257.40 $20,429 3.5×
Holter monitor recording (93225) $354.60 $591 2.5×
Hypnotherapy (90880) $28.20 $47 0.3×
Im Adm Intransl/Oral 1 Vaccine (90473) $39 $65 0.5×
Immunization administration (90471)
range across 17 matching MRF lines
$49.80–$52.80 $83–$88 varies
Inital newborn e/m (99460) $194.40 $324 1.4×
Insert/Place Heart Catheter (93503) $1,973.40 $3,289 1.2×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure
$4,151.40 $6,919 0.5×
Intra-atrial recording (93602)
unusually low: confirm this is the full procedure
$4,151.40 $6,919 0.5×
Iontophoresis 15 min (97033) $94.80 $158 5.0×
Irrig Drug Delivery Device (96523)
range across 5 matching MRF lines
$133.80–$141 $223–$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)
range across 8 matching MRF lines
$237–$297 $395–$495 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 5 matching MRF lines
$99.60–$111 $166–$185 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 8 matching MRF lines
$48.60–$64.20 $81–$107 varies
IV push initial (96374)
range across 6 matching MRF lines
$141–$181.20 $235–$302 varies
L Hrt Art/Grft Angio (93459) $10,046.40 $16,744 2.9×
Liver Elastography W/O Imag W/I&R (91200) $47.40 $79 0.3×
Low frequency non-thermal us (97610) $242.40 $404 1.1×
Lung Function Test (Mbc/Mvv) (94200) $107.40 $179 1.7×
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)
range across 3 matching MRF lines
$292.20–$364.80 $487–$608 varies
Motility study esophagus (91010) $936.60 $1,561 2.3×
Motion Fluoroscopy/Swallow (92611)
range across 3 matching MRF lines
$163.80–$244.80 $273–$408 varies
Multiple Family Group Psychotherapy (90849) $121.20 $202 0.6×
Multiple Sleep Latency Test (95805) $1,297.80 $2,163 1.4×
Muscle Test 2 Limbs (95861) $274.80 $458 1.9×
Muscle Test Nonparaspinal (95870) $87.60 $146 0.6×
Muscle Test One Limb (95860) $319.80 $533 2.2×
Nasopharyngoscopy (92511) $242.40 $404 1.1×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $345.60 $576 1.5×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $231 $385 1.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $398.40 $664 0.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $459.60 $766 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $97.80 $163 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $169.20 $282 0.4×
Nerve Conduction Studies 1-2 Studies (95907) $293.40 $489 1.3×
Nerve Conduction Studies 11-12 Studies (95912) $808.80 $1,348 2.0×
Nerve conduction studies 13 or more studies (95913) $1,059.60 $1,766 2.6×
Nerve Conduction Studies 3-4 Studies (95908) $364.20 $607 1.6×
Nerve conduction studies 5-6 studies (95909) $547.80 $913 2.4×
Nerve conduction studies 7-8 studies (95910) $631.20 $1,052 1.6×
Nerve Conduction Studies 9-10 Studies (95911) $712.80 $1,188 1.8×
Neurobehavioral Status Exam (96116) $180 $300 0.8×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $56.40 $94 0.4×
Neuromuscular Reeducation (97112)
range across 14 matching MRF lines
$36.60–$81 $61–$135 varies
Newborn resuscitation (99465) $388.80 $648 0.5×
Nitric oxide expired gas determination (95012) $36 $60 0.9×
Nrpsyc tst eval phys/qhp 1st (96132) $248.40 $414 0.6×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $310.80 $518 0.8×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $100.20 $167 0.7×
Optokinetic Nystagmus Test (92544) $157.20 $262 1.1×
Oral Function Therapy (92526)
range across 12 matching MRF lines
$33–$207.60 $55–$346 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)
range across 10 matching MRF lines
$42–$64.80 $70–$108 varies
Oscillating Tracking Test (92545) $157.20 $262 0.7×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $37.20 $62 1.6×
Osteopathic manipulative tx 3-4 body regions (98926) $42 $70 1.8×
Osteopathic manipulative tx 5-6 body regions (98927) $135 $225 5.8×
Osteopathic manipulative tx 7-8 body regions (98928) $139.80 $233 6.0×
Osteopathic manipulative tx 9-10 body regions (98929) $167.40 $279 7.2×
Ot Contrast Bath Ea 15 Min (97034) $63 $105 4.5×
Ot eval high complexity (97167)
range across 12 matching MRF lines
$84–$249 $140–$415 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
$84–$225.60 $140–$376 varies
Ot manual therapy 15 min (97140)
range across 8 matching MRF lines
$70.80–$78.60 $118–$131 varies
Ot paraffin bath (97018) $55.80 $93 9.3×
Ot Prosthetic Training, Each 15 Min (97761)
range across 4 matching MRF lines
$53.40–$66.60 $89–$111 varies
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)
range across 3 matching MRF lines
$10.20–$141 $17–$235 varies
Oxygen Uptake Rest Indirect (94690)
range across 3 matching MRF lines
$73.80–$118.20 $123–$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 3.5×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $6,413.40 $10,689 1.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $16,707.60 $27,846 1.4×
Phlebotomy therapeutic (99195)
range across 4 matching MRF lines
$71.40–$159.60 $119–$266 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626)
range across 5 matching MRF lines
$95.40–$100.80 $159–$168 varies
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $119.40 $199 1.9×
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) $2,717.40 $4,529 3.0×
Polysom <6 yrs 4/> paramtrs (95782) $3,161.40 $5,269 3.4×
Positional nystagmus test (92542) $157.20 $262 1.1×
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×
Prq Card Angio/Athrect 1 Art (92924) $10,464.60 $17,441 0.8×
Prq Card Stent W/Angio 1 Vsl (92928) $13,054.80 $21,758 1.1×
Prq Card Stent/Ath/Angio (92933) $18,546 $30,910 0.9×
Prq Revasc Byp Graft 1 Vsl (92937) $13,054.80 $21,758 1.1×
Psych diag eval w/med srvcs (90792) $178.80 $298 0.9×
Psychiatric diagnostic evaluation (90791) $262.20 $437 1.4×
Psychological tst eval svc phys/qhp first hour (96130) $248.40 $414 1.1×
Psycl/Nrpsyc Tst Auto Result (96146) $12.60 $21 0.4×
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 0.8×
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
$91.20–$272.40 $152–$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
$91.20–$247.20 $152–$412 varies
Pt gait training 15 min (97116) $74.40 $124 2.6×
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
$66.60–$233.40 $111–$389 varies
Pt-focused hlth risk assmt score doc stnd instrm (96160) $9 $15 0.2×
Pulm function test by gas (94727) $191.40 $319 0.8×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$40.80–$109.20 $68–$182 varies
Pulmonary Stress Testing (94618) $73.20 $122 0.5×
Pure Tone Audiometry Air (92552) $55.20 $92 0.4×
R Hrt Art/Grft Angio (93457) $11,227.80 $18,713 3.2×
R hrt coronary artery angio (93456) $10,422 $17,370 3.0×
R&L Hrt Cath W/Ventriclgrphy (93453) $10,615.80 $17,693 3.1×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $311.40 $519 0.9×
Refill/Maint Portable Pump (96521) $370.20 $617 1.6×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $83.40 $139 2.1×
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 1.5×
Rem ther mntr dev sply resp (98976) $58.80 $98 1.5×
Remote 30 Day Ecg Rev/Report (93270) $217.80 $363 5.4×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $149.40 $249 1.0×
Respiratory flow volume loop (94375)
range across 2 matching MRF lines
$93–$136.80 $155–$228 varies
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $77.40 $129 1.2×
Right Heart Cath (93451) $8,036.40 $13,394 2.3×
Right ventricular recording (93603) $1,417.20 $2,362 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $223.20 $372 1.0×
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 28 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 1.6×
Select picture audiometry (92583) $88.20 $147 1.4×
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) $436.80 $728 1.9×
Sinusoidal Vertical Axis Rotational Testing (92546) $275.40 $459 2.0×
Sleep study attended (95807) $1,168.20 $1,947 2.9×
Sleep study unattended (95806) $1,183.20 $1,972 5.1×
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 3.8×
Somatosensory Testing (95938) $753.60 $1,256 0.8×
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 0.7×
Spirometry (94010)
range across 12 matching MRF lines
$93–$136.20 $155–$227 varies
Spontaneous Nystagmus Test (92541) $144 $240 1.0×
Ssep lower limbs (95926) $386.40 $644 1.7×
Standardized Cognitive Performance Testing (96125) $78.60 $131 0.8×
Stress Tte Only (93350)
range across 2 matching MRF lines
$370.20–$924.60 $617–$1,541 varies
Subcutaneous Infusion Each Additional Hour (96370)
range across 3 matching MRF lines
$42.60–$69 $71–$115 varies
Subcutaneous infusion initial 1 hr w/pump set-up (96369)
range across 3 matching MRF lines
$293.40–$351.60 $489–$586 varies
Subq Infusion Additional Pump Infusion Site (96371)
range across 2 matching MRF lines
$96.60–$102 $161–$170 varies
Surfactant Admin Thru Tube (94610) $94.20 $157 0.4×
Temp transcutaneous pacing (92953) $484.20 $807 0.7×
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 3 matching MRF lines
$117.60–$132.60 $196–$221 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 17 matching MRF lines
$65.40–$73.20 $109–$122 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 7 matching MRF lines
$219–$309.60 $365–$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 3.3×
Tobacco Use Cessation Intensive >10 Minutes (99407) $27 $45 0.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 5 matching MRF lines
$24.60–$26.40 $41–$44 varies
Trans Care Mgmt 14 Day Disch (99495) $238.80 $398 1.7×
Trans Care Mgmt 7 Day Disch (99496) $337.80 $563 2.4×
Tte w/doppler, complete (93306)
range across 4 matching MRF lines
$938.40–$1,406.40 $1,564–$2,344 varies
Tte W/O Doppler Complete (93307) $345.60 $576 1.4×
Tx atrial fib pulm vein isol (93656) $26,193.60 $43,656 0.9×
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)
range across 5 matching MRF lines
$61.20–$68.40 $102–$114 varies
Tympanometry (92567) $133.20 $222 3.3×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$305.40–$2,439 $509–$4,065 varies
Unlisted Psychiatric Service/Procedure (90899) $121.20 $202 3.0×
Upr/L Xtremity Art 2 Levels (93922) $144.60 $241 1.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $414.60 $691 1.8×
Valvuloplasty aortic valve (92986)
unusually low: confirm this is the full procedure
$2,791.20 $4,652 0.5×
Valvuloplasty mitral valve (92987)
likely a partial charge, not the full procedure
$2,892 $4,820 0.2×
Valvuloplasty pulmonary valve (92990) $16,770.60 $27,951 1.4×
Vasopneumatic device (97016)
range across 5 matching MRF lines
$60.60–$77.40 $101–$129 varies
Veeg 2-12 Hr Cont Mntr (95713) $1,759.80 $2,933 4.4×
Veeg 2-12 hr unmonitored (95711) $867 $1,445 3.7×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,576.80 $2,628 3.9×
Veeg Ea 12-26 Hr Unmntr (95714) $1,182 $1,970 3.0×
Vent Mgmt Inpat Init Day (94002)
range across 4 matching MRF lines
$1,093.80–$1,238.40 $1,823–$2,064 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 4 matching MRF lines
$723.60–$1,015.80 $1,206–$1,693 varies
Visual Evoked Potential Test (95930) $345.60 $576 1.5×
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.