Visits & medical services prices at Methodist Midlothian Medical Center
Midlothian, TX · every code in this section with a posted price and a Medicare benchmark.
276 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) | $4,596.50 | $9,193 | 0.6× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $53.50 | $107 | 1.8× |
| Aep neurodiagnostic i&r (92653) | $300.50 | $601 | 1.4× |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$69.50–$151 | $139–$302 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $131 | $262 | 1.0× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $131 | $262 | 1.0× |
| Analyze Pacemaker System (93724) | $199.50 | $399 | 0.6× |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $350.50 | $701 | 0.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $112 | $224 | 7.8× |
| Application on-body injector (96377) | $168.50 | $337 | 3.6× |
| Arrhythmia Induction (93618) | $4,034 | $8,068 | 3.3× |
| Assessment of aphasia per hr (96105) | $411.50 | $823 | 4.2× |
| Assmt & care planning pt w/cognitive impairment (99483) | $88.50 | $177 | 0.9× |
| Behavral qualit analys voice (92524) | $433 | $866 | 4.0× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $101 | $202 | 1.2× |
| Bfb training ea addl 15 min (90913) | $101 | $202 | 3.1× |
| Biofeedback training any modality (90901) | $222 | $444 | 5.4× |
| Bis Xtracell Fluid Analysis (93702) | $228 | $456 | 1.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$193–$629.50 | $386–$1,259 | varies |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$3,001.50 | $6,003 | 0.4× |
| C motor evoked uppr limbs (95928) | $1,439.50 | $2,879 | 1.7× |
| C motor evoked upr&lwr limbs (95939) | $2,880 | $5,760 | 3.3× |
| Canalith repositioning proc (95992) | $201.50 | $403 | 4.9× |
| Car seat/bed test 60 min (94780) | $95 | $190 | 2.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,439 | $2,878 | 6.6× |
| Cardiopulmonary exercise testing (94621) | $984.50 | $1,969 | 2.6× |
| Cardiopulmonary resuscitation (92950) | $962 | $1,924 | 4.4× |
| Cardioversion (92960) | $1,249.50 | $2,499 | 1.9× |
| Cardioversion elective internal (92961) | $1,249.50 | $2,499 | 1.9× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $11,402.50 | $22,805 | 3.5× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $10,693 | $21,386 | 3.3× |
| Cbt 1st hour (94644) | $250.50 | $501 | 1.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $219.50 | $439 | 3.0× |
| Chemo Hormon Antineopl Sq/Im (96402) | $219.50 | $439 | 3.0× |
| Chemo Ia Push (96420) | $2,179 | $4,358 | 6.6× |
| Chemo IV infusion addl hr (96415) | $211 | $422 | 2.9× |
| Chemo IV push addl drug (96411) | $211 | $422 | 2.9× |
| Chemother Prolong Infuse W/Pump (96416) | $547.50 | $1,095 | 1.7× |
| Chemotherapy Into Cns (96450) | $729 | $1,458 | 2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $211 | $422 | 2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $611 | $1,222 | 1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $219.50 | $439 | 0.7× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $367 | $734 | 1.1× |
| Chest Wall Manipulation (94668) | $59.50 | $119 | 0.4× |
| Color/duplex Doppler, complete (93975) | $2,256.50 | $4,513 | 9.4× |
| Color/duplex Doppler, limited (93976) | $1,509 | $3,018 | 14.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $112 | $224 | 3.5× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $503.50 | $1,007 | 3.8× |
| Continuous Pulse Ox (94762) | $261 | $522 | 2.0× |
| Coronary Art/Grft Angio S&I (93455) | $8,649 | $17,298 | 2.7× |
| Coronary Artery Angio S&I (93454) | $8,149 | $16,298 | 2.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$947–$1,581.50 | $1,894–$3,163 | varies |
| Cpt initial (94667) | $86 | $172 | 0.6× |
| Critical care first hour (99291) | $2,327 | $4,654 | 2.8× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,439.50 | $2,879 | 3.8× |
| Debridement Open Wound 20 Sq Cm< (97597) | $483.50 | $967 | 2.4× |
| Developmental tst admin phys/qhp 1st hour (96112) | $432.50 | $865 | 3.3× |
| Dialysis One Evaluation (90945) | $3,632.50 | $7,265 | 8.7× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $591 | $1,182 | 2.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $1,074.50 | $2,149 | 10.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,809 | $3,618 | 7.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,035 | $2,070 | 9.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,714 | $3,428 | 7.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,147 | $2,294 | 10.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,635.50 | $3,271 | 6.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $1,307.50 | $2,615 | 12.5× |
| Duplex Scan Hemodialysis Access (93990) | $925 | $1,850 | 8.8× |
| Duplex up extrem art bilat (93930) | $1,587.50 | $3,175 | 6.6× |
| Duplex up extrem art unilat/ltd (93931) | $1,061 | $2,122 | 10.1× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$1,615–$1,834 | $3,230–$3,668 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$869.50–$1,088 | $1,739–$2,176 | varies |
| Echo r-t 2d w/probe placement only (93313) | $490.50 | $981 | 0.9× |
| Echo transesophag montr cardiac pump functj (93318) | $1,578 | $3,156 | 2.9× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$1,840.50–$2,059.50 | $3,681–$4,119 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $3,013.50 | $6,027 | 5.5× |
| Eeg 41-60 Minutes (95812) | $994.50 | $1,989 | 4.6× |
| EEG awake and asleep (95819) | $660 | $1,320 | 3.0× |
| EEG awake drowsy (95816) | $660 | $1,320 | 3.0× |
| EEG cerebral death evaluation (95824) | $660 | $1,320 | 1.8× |
| EEG cont rec w/video by tech min 8 channels (95700) | $335 | $670 | 1.5× |
| EEG extended monitoring 61-119 minutes (95813) | $1,680 | $3,360 | 7.7× |
| Eeg Sleep Only (95822) | $660 | $1,320 | 3.0× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $335 | $670 | 1.5× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $643 | $1,286 | 1.7× |
| EEG wo vid ea 12-26hr unmntr (95708) | $643 | $1,286 | 1.7× |
| Electrical Stimulation Ea 15 Min (97032) | $127 | $254 | 8.6× |
| Electrocardiogram Tracing (93005) | $315.50 | $631 | 5.3× |
| Electroconvulsive Therapy (90870) | $1,427 | $2,854 | 1.7× |
| Electrophysiology Evaluation (93642) | $4,065.50 | $8,131 | 3.3× |
| Emergency Dept Visit Level 2 (99282) | $463 | $926 | 3.0× |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$116.50–$978 | $233–$1,956 | varies |
| Emergency Dept Visit Level 4 (99284) | $1,291 | $2,582 | 3.1× |
| Emg 3 Extremities (95863) | $308.50 | $617 | 2.4× |
| Emg 4 Extremities (95864) | $458 | $916 | 3.5× |
| Endomyocardial Biopsy (93505) | $1,970 | $3,940 | 0.6× |
| Ep & ablate supravent arrhyt (93653) | $20,958.50 | $41,917 | 0.8× |
| Ep & ablate ventric tachy (93654) | $26,706.50 | $53,413 | 1.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $6,805.50 | $13,611 | 0.9× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $4,419 | $8,838 | 0.6× |
| Er level 1 (99281) | $262 | $524 | 3.1× |
| Er level v (99285) range across 3 matching MRF lines |
$116.50–$1,774.50 | $233–$3,549 | varies |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $773.50 | $1,547 | 2.1× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $674 | $1,348 | 1.8× |
| Evaluate pt use of inhaler (94664) | $148.50 | $297 | 0.7× |
| Evaluate Speech Production (92522) | $433 | $866 | 3.9× |
| Evaluate Swallowing Function (92610) | $324 | $648 | 3.8× |
| Evaluation of speech fluency (92521) | $433 | $866 | 3.2× |
| Evoked Auditory Test,Limited (92587) | $193 | $386 | 0.9× |
| External ECG rec>48hr<7d recording (93242) | $64.50 | $129 | 1.7× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $131 | $262 | 1.0× |
| External ECG rec>7d<15d recording (93246) | $64.50 | $129 | 1.7× |
| External Ecg Scanning Analysis Report (93226) | $1,112.50 | $2,225 | 18.8× |
| Extracranial Bilat Study (93880) | $1,476 | $2,952 | 6.2× |
| Extracranial Uni/Ltd Study (93882) | $851.50 | $1,703 | 8.1× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$1,615–$1,834 | $3,230–$3,668 | varies |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $432 | $864 | 2.8× |
| Flexible endoscopic eval swallow c/v rec (92612) | $433 | $866 | 2.2× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $432 | $864 | 1.9× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $751.50 | $1,503 | 0.9× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $2,012 | $4,024 | 5.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $2,104.50 | $4,209 | 2.4× |
| Gi tract capsule endoscopy (91110) | $2,989 | $5,978 | 3.3× |
| Group Therapeutic Procedures (97150) | $112 | $224 | 6.2× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $11,902.50 | $23,805 | 3.7× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $3,026.50 | $6,053 | 4.4× |
| Holter monitor recording (93225) | $131 | $262 | 1.0× |
| Icm Device Eval (93290) | $83.50 | $167 | 2.2× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $36 | $72 | 1.0× |
| Immunization administration (90471) | $55 | $110 | 0.8× |
| Insert/Place Heart Catheter (93503) | $1,855.50 | $3,711 | 1.2× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$122 | $244 | 0.0× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$2,345 | $4,690 | 0.3× |
| Intracranial Complete Study (93886) | $1,122 | $2,244 | 4.7× |
| Intraventricular pacing (93612) | $4,127 | $8,254 | 0.5× |
| Iontophoresis 15 min (97033) | $127 | $254 | 6.7× |
| Irrig Drug Delivery Device (96523) | $263 | $526 | 4.4× |
| IV infusion hydration each additional hour (96361) | $171.50 | $343 | 3.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $434.50 | $869 | 2.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $171.50 | $343 | 2.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $171.50 | $343 | 3.6× |
| IV push initial (96374) | $230.50 | $461 | 1.1× |
| L Hrt Art/Grft Angio (93459) | $11,191.50 | $22,383 | 3.4× |
| Laryngeal Function Studies (92520) | $431 | $862 | 3.2× |
| Lung Function Test (Mbc/Mvv) (94200) | $127.50 | $255 | 2.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $307 | $614 | 1.4× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $1,334.50 | $2,669 | 0.9× |
| Mechanical chest wall oscillation per session (94669) | $234.50 | $469 | 1.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $58.50 | $117 | 1.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $58.50 | $117 | 1.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $87.50 | $175 | 5.1× |
| Methacholine challenge (94070) | $1,482.50 | $2,965 | 4.0× |
| Motility study esophagus (91010) | $1,043 | $2,086 | 2.8× |
| Motion Fluoroscopy/Swallow (92611) | $433 | $866 | 4.7× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $141.50 | $283 | 0.3× |
| Multiple Sleep Latency Test (95805) | $2,061.50 | $4,123 | 2.4× |
| Muscle Test 2 Limbs (95861) | $258.50 | $517 | 1.9× |
| Muscle Test Nonparaspinal (95870) | $141.50 | $283 | 1.1× |
| Muscle Test One Limb (95860) | $236 | $472 | 1.8× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $258.50 | $517 | 1.2× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $236 | $472 | 1.1× |
| Needle electromyography larynx (95865) | $258.50 | $517 | 1.9× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $239 | $478 | 1.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $452 | $904 | 1.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $562 | $1,124 | 1.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $483.50 | $967 | 2.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $483.50 | $967 | 1.2× |
| Nerve Conduction Studies 3-4 Studies (95908) | $369.50 | $739 | 1.7× |
| Nerve conduction studies 5-6 studies (95909) | $389 | $778 | 1.8× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $226 | $452 | 1.7× |
| Neuromuscular Reeducation (97112) | $112 | $224 | 3.4× |
| Nitric oxide expired gas determination (95012) | $105.50 | $211 | 2.8× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $789 | $1,578 | 2.1× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $71 | $142 | 1.2× |
| Oral Function Therapy (92526) | $216.50 | $433 | 2.6× |
| Oral Speech Device Eval (92597) | $433 | $866 | 6.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $112 | $224 | 2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $112 | $224 | 2.4× |
| Ot Contrast Bath Ea 15 Min (97034) | $112 | $224 | 8.0× |
| Ot eval high complexity (97167) | $481.50 | $963 | 4.8× |
| Ot Eval Low Complex (97165) | $445.50 | $891 | 4.4× |
| Ot Eval Moderate Complexity (97166) | $463.50 | $927 | 4.6× |
| Ot manual therapy 15 min (97140) | $112 | $224 | 4.0× |
| Ot paraffin bath (97018) | $112 | $224 | 18.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $112 | $224 | 2.8× |
| Ot Re-Eval Est Plan Care (97168) | $427.50 | $855 | 6.2× |
| Ot rom hand (95852) | $73.50 | $147 | 3.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $431.50 | $863 | 3.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 4 matching MRF lines |
$75.50–$541 | $151–$1,082 | varies |
| Penile Vascular Study,Ltd or F/U (93981) | $1,147 | $2,294 | 10.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $157 | $314 | 0.7× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $17,230.50 | $34,461 | 0.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $5,191.50 | $10,383 | 0.9× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 6 matching MRF lines |
$3,915–$15,296 | $7,830–$30,592 | varies |
| Phlebotomy therapeutic (99195) | $134 | $268 | 1.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $64.50 | $129 | 1.1× |
| Physical Performance Test (97750) | $112 | $224 | 3.3× |
| Plethysmography (94726) range across 4 matching MRF lines |
$144–$762 | $288–$1,524 | varies |
| Pm device eval in person (93288) | $383 | $766 | 10.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,178 | $8,356 | 4.8× |
| Prq Card Angio/Athrect 1 Art (92924) unusually low: confirm this is the full procedure |
$3,915 | $7,830 | 0.3× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$9,866.50–$11,381 | $19,733–$22,762 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 2 matching MRF lines |
$13,779–$15,296 | $27,558–$30,592 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 6 matching MRF lines |
$3,915–$15,296 | $7,830–$30,592 | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $16,520 | $33,040 | 0.9× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$3,453 | $6,906 | 0.3× |
| Psych diag eval w/med srvcs (90792) | $253.50 | $507 | 1.4× |
| Psychiatric diagnostic evaluation (90791) | $197 | $394 | 1.1× |
| Pt Eval High Complex (97163) | $481.50 | $963 | 4.9× |
| Pt eval low complex 20 min (97161) | $445.50 | $891 | 4.6× |
| Pt Eval Mod Complex (97162) | $463.50 | $927 | 4.7× |
| Pt gait training 15 min (97116) | $112 | $224 | 3.9× |
| Pt mechanical traction (97012) | $112 | $224 | 7.8× |
| Pt Re-Eval Est Plan Care (97164) | $427.50 | $855 | 6.3× |
| Pulmonary service/procedure (94799) | $80 | $160 | 0.6× |
| Pulmonary Stress Testing (94618) | $166 | $332 | 1.2× |
| R Hrt Art/Grft Angio (93457) | $12,358 | $24,716 | 3.8× |
| R hrt coronary artery angio (93456) | $11,858 | $23,716 | 3.6× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $9,405.50 | $18,811 | 2.9× |
| Refill/Maint Portable Pump (96521) | $315.50 | $631 | 1.5× |
| Remote 30 Day Ecg Rev/Report (93270) | $43 | $86 | 1.1× |
| Remote 30 Day Ecg Tech Supp (93229) | $161.50 | $323 | 0.4× |
| Right Heart Cath (93451) | $3,709 | $7,418 | 1.1× |
| Right ventricular recording (93603) | $2,345 | $4,690 | 1.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $358 | $716 | 1.8× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $73.50 | $147 | 2.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $433 | $866 | 3.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $323 | $646 | 6.8× |
| Self Care Mngment Training (97535) | $112 | $224 | 3.5× |
| Sensory Integration Ea 15 Min (97533) | $112 | $224 | 1.8× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $1,439.50 | $2,879 | 6.6× |
| Short-latency somatosens ep std upr limbs (95925) | $1,439.50 | $2,879 | 6.6× |
| Sleep study unattended (95806) | $359 | $718 | 1.7× |
| Somatosensory Testing (95938) | $2,880 | $5,760 | 3.3× |
| Speech sound lang comprehen (92523) | $433 | $866 | 1.9× |
| Spirometry (94010) range across 3 matching MRF lines |
$170.50–$189.50 | $341–$379 | varies |
| Ssep lower limbs (95926) | $1,439.50 | $2,879 | 6.6× |
| Standardized Cognitive Performance Testing (96125) | $425 | $850 | 4.1× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$1,740–$1,959 | $3,480–$3,918 | varies |
| Surfactant Admin Thru Tube (94610) range across 2 matching MRF lines |
$38–$95.50 | $76–$191 | varies |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $122 | $244 | 1.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $112 | $224 | 5.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $112 | $224 | 5.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $112 | $224 | 3.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $324 | $648 | 3.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $168.50 | $337 | 2.3× |
| Ther/Proph/Diag Iv Inf Init (96365) | $434.50 | $869 | 2.0× |
| Therapeutic Activities (97530) | $112 | $224 | 3.2× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$845–$2,001.50 | $1,690–$4,003 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $38.50 | $77 | 1.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $25.50 | $51 | 0.7× |
| Transcath Closure of Asd (93580) | $15,698 | $31,396 | 0.9× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $122 | $244 | 1.2× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $819 | $1,638 | 7.8× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$2,345.50–$2,564 | $4,691–$5,128 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$869.50–$1,088 | $1,739–$2,176 | varies |
| Tx atrial fib pulm vein isol (93656) | $27,791 | $55,582 | 1.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $216.50 | $433 | 2.8× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $110.50 | $221 | 4.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $230.50 | $461 | 4.9× |
| Tympanometry (92567) | $33 | $66 | 0.9× |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$1,249.50–$9,795.50 | $2,499–$19,591 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$558–$654 | $1,116–$1,308 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 6 matching MRF lines |
$103.50–$2,459 | $207–$4,918 | varies |
| Valvuloplasty aortic valve (92986) | $9,161 | $18,322 | 1.6× |
| Veeg 2-12 Hr Cont Mntr (95713) | $553.50 | $1,107 | 1.5× |
| Veeg 2-12 hr intmt mntr (95712) | $300.50 | $601 | 0.8× |
| Veeg 2-12 hr unmonitored (95711) | $300.50 | $601 | 1.4× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $553.50 | $1,107 | 1.5× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $553.50 | $1,107 | 1.5× |
| Veeg ea 12-26hr cont mntr (95716) | $963 | $1,926 | 1.1× |
| Vent Mgmt Inpat Init Day (94002) | $1,885 | $3,770 | 3.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,581.50 | $3,163 | 2.5× |
| Visual Evoked Potential Test (95930) | $942.50 | $1,885 | 4.3× |
| Vital capacity, total (94150) | $176 | $352 | 1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $112 | $224 | 3.6× |
| Whirlpool Therapy (97022) | $112 | $224 | 7.1× |
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.