Visits & medical services prices at MercyOne Waterloo Medical Center
Waterloo, IA · every code in this section with a posted price and a Medicare benchmark.
245 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) | $21,608.60 | $33,244 | 2.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$12.79–$71.50 | $19.68–$110 | varies |
| Advncd Care Plan 30 Min (99497) | $163.15 | $251 | 1.7× |
| Airway Inhalation Treatment (94640) | $900.95 | — | 4.3× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $69.55 | $107 | 1.9× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $70.85 | $109 | 0.6× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $41.60 | $64 | 0.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $63.05 | $97 | 4.4× |
| Application on-body injector (96377) | $48.10 | $74 | 1.1× |
| Assessment of aphasia per hr (96105) | $275.60 | $424 | 2.8× |
| Assmt & care planning pt w/cognitive impairment (99483) | $76.70 | $118 | 0.8× |
| Audiometry Air & Bone (92553) range across 4 matching MRF lines |
$92.30–$195 | $142–$300 | varies |
| Breath hydrogen/methane test (91065) range across 2 matching MRF lines |
$416–$416.65 | $640–$641 | varies |
| Brief Emotional/Behav Assmt (96127) range across 3 matching MRF lines |
$238–$625 | — | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $1,756 | — | 4.9× |
| Bundle of his recording (93600) | $7,167.55 | $11,027 | 1.0× |
| C motor evoked upr&lwr limbs (95939) | $2,870.40 | $4,416 | 3.5× |
| Canalith repositioning proc (95992) | $204.75 | $315 | 5.0× |
| Car seat/bed test 60 min (94780) | $63.05 | $97 | 1.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $608.40 | $936 | 2.9× |
| Cardiopulmonary resuscitation (92950) | $531.70 | $818 | 2.6× |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,483–$5,630.95 | — | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $89.70 | $138 | 3.4× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $6,880.90 | $10,586 | 2.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$21,109.76–$46,003.47 | — | varies |
| Cbt 1st hour (94644) | $98.80 | $152 | 0.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $191.75 | $295 | 2.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $97.50 | $150 | 1.4× |
| Chemo IV infusion addl hr (96415) | $191.75 | $295 | 2.8× |
| Chemo IV push addl drug (96411) | $189.80 | $292 | 2.7× |
| Chemother Prolong Infuse W/Pump (96416) | $839.80 | $1,292 | 2.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $225.55 | $347 | 3.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $15,215.80 | — | 47.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $10,384.20 | — | 32.7× |
| Chest Wall Manipulation (94668) | $104 | $160 | 0.8× |
| Chiropract manj 3-4 regions (98941) | $53.30 | $82 | 2.6× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $39 | $60 | 1.9× |
| Color/duplex Doppler, complete (93975) | $1,704.95 | $2,623 | 7.4× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$2,252–$2,640 | — | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $83.85 | $129 | 2.6× |
| Comprehensive Hearing Test (92557) | $546 | $840 | 4.4× |
| Conditioning Play Audiometry (92582) | $116.35 | $179 | 0.9× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $793 | — | 6.2× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $211.90 | $326 | 3.7× |
| Continuous Pulse Ox (94762) | $1,317 | — | 10.6× |
| Coronary Art/Grft Angio S&I (93455) | $3,785.60 | $5,824 | 1.2× |
| Coronary Artery Angio S&I (93454) | $3,706.30 | $5,702 | 1.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$198.90–$715.65 | $306–$1,101 | varies |
| Cpt initial (94667) | $104 | $160 | 0.8× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$1,570.40–$4,880.85 | $2,416–$7,509 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $437 | — | 2.3× |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$709.80–$1,329.90 | $1,092–$2,046 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $2,082 | — | 9.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $453.05 | $697 | 4.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $917.80 | $1,412 | 4.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $453.05 | $697 | 4.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $917.80 | $1,412 | 4.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $841.10 | $1,294 | 8.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $538.20 | $828 | 2.3× |
| Duplex Scan Hemodialysis Access (93990) | $765.05 | $1,177 | 7.6× |
| Duplex up extrem art bilat (93930) | $1,101.10 | $1,694 | 4.8× |
| Duplex up extrem art unilat/ltd (93931) | $453.05 | $697 | 4.5× |
| Ear Protector Evaluation (92596) | $71.50 | $110 | 2.0× |
| ECG/monitoring and analysis (93271) | $477.75 | $735 | 5.2× |
| Echo Congenital Complete (93303) | $1,189.50 | $1,830 | 2.3× |
| Echo Heart Xthoracic,Limited (93308) | $585 | $900 | 2.6× |
| Echo transesophageal (93312) | $641.55 | $987 | 1.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,198.60 | $1,844 | 2.3× |
| EEG awake and asleep (95819) | $548.60 | $844 | 2.6× |
| EEG awake drowsy (95816) | $574.60 | $884 | 2.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$70.20–$72.80 | $108–$112 | varies |
| Electrocardiogram Tracing (93005) range across 5 matching MRF lines |
$560–$1,698 | — | varies |
| Emergency Dept Visit Level 2 (99282) | $765.45 | — | 5.2× |
| Emergency Dept Visit Level 3 (99283) | $1,822 | — | 6.9× |
| Emergency Dept Visit Level 4 (99284) | $3,627 | — | 9.0× |
| Ep & ablate supravent arrhyt (93653) | $25,684.10 | $39,514 | 1.0× |
| Ep & ablate ventric tachy (93654) | $111,891.66 | — | 4.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $6,999.20 | $10,768 | 0.9× |
| Er level 1 (99281) | $420 | — | 5.2× |
| Er level v (99285) | $5,617.55 | — | 9.8× |
| Esoph Atrial Electrogram (93615) | $4,875.65 | $7,501 | 4.2× |
| Evaluate pt use of inhaler (94664) | $767 | — | 3.6× |
| Evaluate Speech Production (92522) | $432.90 | $666 | 3.9× |
| Evaluate Swallowing Function (92610) | $217.10 | $334 | 2.6× |
| Evaluation of speech fluency (92521) | $288.60 | $444 | 2.2× |
| Evoked Auditory Test,Limited (92587) | $282.10 | $434 | 1.4× |
| External ECG rec>48hr<7d recording (93242) | $564.20 | $868 | 15.7× |
| External ECG rec>7d<15d recording (93246) | $911 | — | 25.4× |
| External Ecg Scanning Analysis Report (93226) | $642.85 | $989 | 11.3× |
| Extracranial Bilat Study (93880) | $1,412 | — | 6.2× |
| Extracranial Uni/Ltd Study (93882) | $453.70 | $698 | 4.5× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,189.50 | $1,830 | 2.3× |
| Gi tract capsule endoscopy (91110) | $2,720.25 | $4,185 | 3.1× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $5,327.40 | $8,196 | 1.7× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,329.90 | $2,046 | 2.0× |
| Holter monitor recording (93225) | $642.85 | $989 | 5.0× |
| Icd Device Interrogate (93289) | $163.15 | $251 | 4.5× |
| Icd device progr eval dual (93283) | $216.45 | $333 | 6.0× |
| Icd Device Progr Eval Mult (93284) | $389 | — | 10.8× |
| Icm Device Eval (93290) | $79.95 | $123 | 2.2× |
| Ilr Device Eval Progr (93285) | $121.55 | $187 | 3.4× |
| Ilr Device Interrogate (93291) | $104 | $160 | 3.7× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$12.79–$39.65 | $19.68–$61 | varies |
| Immunization administration (90471) | $356.68 | — | 5.2× |
| Ingestion challenge test initial 120 minutes (95076) | — | $18 | — |
| Intracutaneous tests w/allergenic extracts (95024) | $17.55 | $27 | 0.3× |
| Iontophoresis 15 min (97033) | $98.15 | $151 | 5.2× |
| Irrig Drug Delivery Device (96523) | $149 | — | 2.6× |
| IV infusion hydration each additional hour (96361) | $4,105.30 | — | 91.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $2,204 | — | 10.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $15,670 | — | 226.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $6,910.15 | — | 153.5× |
| IV push initial (96374) | $2,853.40 | — | 14.0× |
| L Hrt Art/Grft Angio (93459) | $36,314.34 | — | 11.7× |
| Low frequency non-thermal us (97610) | $9,514 | — | 49.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $540.15 | $831 | 2.6× |
| Mechanical chest wall oscillation per session (94669) | $162.50 | $250 | 0.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $59.15 | $91 | 1.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $315 | — | 8.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $29.25 | $45 | 1.7× |
| Methacholine challenge (94070) | $491.40 | $756 | 1.4× |
| Motion Fluoroscopy/Swallow (92611) | $222.30 | $342 | 2.4× |
| Multiple Sleep Latency Test (95805) | $1,592.50 | $2,450 | 1.9× |
| Muscle Test 2 Limbs (95861) | $414.70 | $638 | 3.2× |
| Muscle Test One Limb (95860) | $668.85 | $1,029 | 5.2× |
| Nasopharyngoscopy (92511) | $206.05 | $317 | 1.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $2,912 | — | 7.5× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $455 | $700 | 1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $19,533.07 | — | 101.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $512.20 | $788 | 1.3× |
| Nerve Conduction Studies 1-2 Studies (95907) | $443.30 | $682 | 2.1× |
| Nerve Conduction Studies 11-12 Studies (95912) | $875.55 | $1,347 | 2.4× |
| Nerve conduction studies 13 or more studies (95913) | $1,014.65 | $1,561 | 2.8× |
| Nerve Conduction Studies 3-4 Studies (95908) | $490.10 | $754 | 2.4× |
| Nerve conduction studies 5-6 studies (95909) | $1,291 | — | 6.2× |
| Nerve conduction studies 7-8 studies (95910) | $616.85 | $949 | 1.7× |
| Nerve Conduction Studies 9-10 Studies (95911) | $748.15 | $1,151 | 2.1× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$2,912–$3,757 | — | varies |
| Newborn resuscitation (99465) | $1,148.55 | $1,767 | 1.8× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$219.05–$406.25 | $337–$625 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $120.90 | $186 | 2.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $1,664 | — | 36.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $104 | $160 | 5.0× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $142.35 | $219 | 6.9× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $175.50 | $270 | 8.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $63.05 | $97 | 4.5× |
| Ot eval high complexity (97167) | $204.75 | $315 | 2.0× |
| Ot Eval Low Complex (97165) | $229.45 | $353 | 2.3× |
| Ot Eval Moderate Complexity (97166) | $229.45 | $353 | 2.3× |
| Ot manual therapy 15 min (97140) | $132.60 | $204 | 4.8× |
| Ot paraffin bath (97018) | $40.30 | $62 | 6.7× |
| Ot Prosthetic Training, Each 15 Min (97761) | $102.05 | $157 | 2.5× |
| Ot Re-Eval Est Plan Care (97168) | $155.35 | $239 | 2.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $570.70 | $878 | 4.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $222.30 | $342 | 1.8× |
| Patch/Application Test Specify Number Tests (95044) | — | $18 | — |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $184.60 | $284 | 0.9× |
| Percutaneous tests w/allergenic extracts (95004) | $14.95 | $23 | 0.0× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $36,520.90 | $56,186 | 2.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $32,923.61 | — | 6.0× |
| Phlebotomy therapeutic (99195) | $477 | — | 3.7× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$167.70–$176.15 | $258–$271 | varies |
| Plethysmography (94726) | $491.40 | $756 | 1.4× |
| Pm device eval in person (93288) | $107.25 | $165 | 3.0× |
| Pm device progr eval dual (93280) | $163.15 | $251 | 4.5× |
| Pm device progr eval multi (93281) | $193.05 | $297 | 5.4× |
| Pm Device Progr Eval Sngl (93279) | $142.35 | $219 | 4.0× |
| Pm/Icd Remote Tech Serv (93296) | $89.05 | $137 | 2.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,866.20 | $5,948 | 4.7× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $2,850 | — | 63.3× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $135.20 | $208 | 2.0× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $178.10 | $274 | 5.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $41 | — | 0.9× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $60 | — | 1.3× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $49,612.31 | — | 4.5× |
| Prq Card Stent/Ath/Angio (92933) | $20,463.95 | $31,483 | 1.2× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $10,400 | $16,000 | 0.9× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $22,998.30 | $35,382 | 2.1× |
| Psych diag eval w/med srvcs (90792) | $278.85 | $429 | 1.6× |
| Psychiatric diagnostic evaluation (90791) | $557.70 | $858 | 3.3× |
| Pt Eval High Complex (97163) | $425.75 | $655 | 4.4× |
| Pt eval low complex 20 min (97161) | $395.20 | $608 | 4.0× |
| Pt Eval Mod Complex (97162) | $395.20 | $608 | 4.0× |
| Pt gait training 15 min (97116) | $77.35 | $119 | 2.7× |
| Pt mechanical traction (97012) | $70.85 | $109 | 4.9× |
| Pt Re-Eval Est Plan Care (97164) | $266.50 | $410 | 3.9× |
| Pulmonary Stress Testing (94618) | $208 | $320 | 1.6× |
| Pure Tone Audiometry Air (92552) range across 4 matching MRF lines |
$137.15–$213.85 | $211–$329 | varies |
| R Hrt Art/Grft Angio (93457) | $11,372.40 | $17,496 | 3.6× |
| R hrt coronary artery angio (93456) | $4,677.40 | $7,196 | 1.5× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $5,119.40 | $7,876 | 1.6× |
| Rapid Desensitization Procedure Each Hour (95180) | $1,514 | — | 3.5× |
| Rem interrog icpms <30 d phys/qhp (93297) | $81.90 | $126 | 2.3× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $74.10 | $114 | 2.1× |
| Remote 30 Day Ecg Rev/Report (93270) | $315.90 | $486 | 8.8× |
| Respiratory flow volume loop (94375) | $491.40 | $756 | 2.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $183.95 | $283 | 3.2× |
| Right Heart Cath (93451) | $3,706.30 | $5,702 | 1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $300.95 | $463 | 1.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $616.85 | $949 | 5.0× |
| Select picture audiometry (92583) | $85.80 | $132 | 1.5× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$87.75–$96.85 | $135–$149 | varies |
| Sensory Integration Ea 15 Min (97533) | $87.10 | $134 | 1.4× |
| Sleep study unattended (95806) | $1,129.05 | $1,737 | 5.4× |
| Slp caregiver training 1st 30 min (97550) | $179.40 | $276 | 3.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $1,737 | — | 8.4× |
| Somatosensory Testing (95938) | $1,756.30 | $2,702 | 2.1× |
| Speech Audiometry Complete (92556) | $79.95 | $123 | 1.4× |
| Speech audiometry threshold (92555) | $56.55 | $87 | 1.0× |
| Speech sound lang comprehen (92523) | $504.40 | $776 | 2.2× |
| Spirometry (94010) | $535 | — | 2.6× |
| Standardized Cognitive Performance Testing (96125) | $559 | $860 | 5.4× |
| Stenger Test Speech (92577) | $962 | $1,480 | 2.7× |
| Stress Tte Only (93350) | $744.25 | $1,145 | 1.4× |
| Subcutaneous Infusion Each Additional Hour (96370) | $93.60 | $144 | 2.1× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $211.90 | $326 | 1.0× |
| Subq Infusion Additional Pump Infusion Site (96371) | $214.50 | $330 | 3.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$72.15–$134.55 | $111–$207 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$72.15–$134.55 | $111–$207 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $183.30 | $282 | 4.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$77.35–$144.30 | $119–$222 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $406.90 | $626 | 4.0× |
| Ther/Proph/Diag Inj Ia (96373) | $108.55 | $167 | 0.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $706 | — | 10.2× |
| Ther/Proph/Diag Iv Inf Init (96365) | $1,494.70 | — | 7.3× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$1,908–$3,814 | — | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $585.65 | $901 | 1.6× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $65.65 | $101 | 1.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$386–$453 | — | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $516 | — | 4.0× |
| Trans Care Mgmt 7 Day Disch (99496) | $795 | — | 6.2× |
| Tte w/doppler, complete (93306) | $1,527.50 | $2,350 | 2.9× |
| Tx atrial fib pulm vein isol (93656) | $37,008.40 | $56,936 | 1.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$953–$1,719 | — | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $7,318.80 | — | 162.6× |
| Tympanometry (92567) | $77.35 | $119 | 2.2× |
| Unlisted cardiovascular service/procedure (93799) range across 6 matching MRF lines |
$617.50–$4,709.90 | $950–$7,246 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $414.70 | $638 | 3.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $540.15 | $831 | 2.6× |
| Vasopneumatic device (97016) | $72.80 | $112 | 6.1× |
| Vent Mgmt Inpat Init Day (94002) | $1,038.05 | $1,597 | 1.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $831.35 | $1,279 | 1.4× |
| Visual reinforcement audiometry (vra) (92579) | $100.75 | $155 | 0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$85.15–$96.20 | $131–$148 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$73.45–$141.70 | $113–$218 | varies |
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.