Visits & medical services prices at Montefiore Medical Center
Bronx, NY · every code in this section with a posted price and a Medicare benchmark.
620 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) range across 2 matching MRF lines |
$594.75–$598.41 | $915 | varies |
| 1St set-up & prgrmg phys/qhp of wearable cvdfb (93745) range across 2 matching MRF lines |
$261.60–$566.95 | $400–$872.23 | varies |
| Ablate Heart Dysrhythm Focus (93650) | $7,556.97 | $11,555 | 0.8× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) range across 2 matching MRF lines |
$210.66–$222.36 | $324.09–$340 | varies |
| Acoustic Reflex Testing (92568) range across 2 matching MRF lines |
$58.02–$99.91 | $88.71–$153.71 | varies |
| Actigraphy Testing Recording Analysis I&R (95803) range across 2 matching MRF lines |
$330.93 | $145.90–$506.01 | 4.5× |
| Actinotherapy Ultraviolet Light (96900) | — | $125 | — |
| Acupunct W/Stimul 15 Min (97813) range across 2 matching MRF lines |
$183.12–$188.36 | $280–$289.78 | varies |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$153.69–$204.65 | $235–$314.85 | varies |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) range across 2 matching MRF lines |
$160.23–$188.50 | $245–$290 | varies |
| Adaptive behavior tx by protocol tech ea 15 min (97153) range across 2 matching MRF lines |
$160.23–$188.50 | $245–$290 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) | — | $112 | — |
| Advncd Care Plan 30 Min (99497) | — | $265 | — |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | — | $680 | — |
| Aep neurodiagnostic i&r (92653) | — | $884 | — |
| Aep threshold estimation mlt frequencies i&r (92652) | — | $1,117 | — |
| Airway Inhalation Treatment (94640) | — | $691 | — |
| Airway resistance by oscillometry (94728) | — | $790 | — |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | — | $86 | — |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | — | $66 | — |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | — | $431 | — |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | — | $367 | — |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | — | $627 | — |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) | $212.40 | $324.77 | 1.3× |
| Analyze neurostim complex (95972) | — | $644 | — |
| Analyze neurostim no prog (95970) | — | $399 | — |
| Analyze Neurostim Simple (95971) | — | $489 | — |
| Analyze Pacemaker System (93724) range across 2 matching MRF lines |
$1,090.77 | $1,667.85–$2,030 | 2.8× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $369.55 | $565.06 | 1.5× |
| Ans parasymp & symp w/tilt (95924) range across 2 matching MRF lines |
$523.93 | $302.12–$801.12 | 1.9× |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) range across 2 matching MRF lines |
$321.22 | $158.30–$491.16 | 1.9× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | — | $257 | — |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | — | $193 | — |
| Application Modality 1/> Areas Diathermy (97024) | $15.28 | $23.37 | 2.1× |
| Application Modality 1/> Areas Infrared (97026) | $55.59 | $85 | 8.3× |
| Application on-body injector (96377) | — | $689 | — |
| Arrhythmia Induction (93618) range across 2 matching MRF lines |
$1,351.76 | $924.22–$2,066.91 | 0.9× |
| Assessment of aphasia per hr (96105) | — | $549 | — |
| Assessment of tinnitus (92625) | $138.94 | $212.45 | 0.9× |
| Assmt & care planning pt w/cognitive impairment (99483) | — | $470 | — |
| Audiometry Air & Bone (92553) | — | $802 | — |
| Auditory Function, 60 Min (92620) | $183.99 | $281.33 | 1.1× |
| Basic vestibular evaluation (92540) | — | $495 | — |
| Behavior id assessment by phys/qhp ea 15 min (97151) range across 2 matching MRF lines |
$55.59–$84.50 | $85–$130 | varies |
| Behavior id support assmt by 1 tech ea 15 min (97152) range across 2 matching MRF lines |
$160.23–$188.50 | $245–$290 | varies |
| Behavral qualit analys voice (92524) | — | $1,372 | — |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) range across 2 matching MRF lines |
$120.99–$447.85 | $185–$689 | varies |
| Bfb training ea addl 15 min (90913) range across 2 matching MRF lines |
$68.67–$213.85 | $105–$329 | varies |
| Biofeedback training any modality (90901) | $106.24 | $162.44 | 2.6× |
| Bioimpedance Cv Analysis (93701) range across 2 matching MRF lines |
$118.41–$157.33 | $181.05–$242.05 | varies |
| Bis Xtracell Fluid Analysis (93702) range across 2 matching MRF lines |
$431.64–$825.50 | $660–$1,270 | varies |
| Blink reflex test (95933) | — | $409 | — |
| Breath hydrogen/methane test (91065) | — | $525 | — |
| Breathing response to hypoxia (94450) range across 3 matching MRF lines |
$156.29–$517.20 | $238.97–$795.69 | varies |
| Brief Emotional/Behav Assmt (96127) | — | $162 | — |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | — | $1,871 | — |
| Bundle of his recording (93600) range across 2 matching MRF lines likely a partial charge, not the full procedure |
$667.47 | $1,020.59–$1,075 | 0.1× |
| C motor evoked uppr limbs (95928) range across 2 matching MRF lines |
$608.33 | $276.07–$930.17 | 0.6× |
| C motor evoked upr&lwr limbs (95939) range across 2 matching MRF lines |
$1,718.91 | $700–$2,628.30 | 1.6× |
| Caloric vestibular test w/rec bi monothermal (92538) range across 3 matching MRF lines |
$75.21–$170.51 | $115–$262.32 | varies |
| Caloric Vstblr Test W/Rec (92537) | — | $986 | — |
| Canalith repositioning proc (95992) | — | $309 | — |
| Car seat/bed test 60 min (94780) | $192.93 | $295 | 4.1× |
| Cardiac Stress Tst,Tracing Only (93017) | — | $2,539 | — |
| Cardiopulmonary exercise testing (94621) | — | $3,466 | — |
| Cardiopulmonary resuscitation (92950) | — | $2,287 | — |
| Cardioversion (92960) | — | $6,928 | — |
| Cardioversion elective internal (92961) | $2,060.10 | $3,150 | 2.5× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | — | $273 | — |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | — | $81 | — |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | — | $110 | — |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$4,601.04 | $4,785–$7,035.23 | 1.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$3,251.53 | $3,810–$4,971.76 | 0.8× |
| Cbt 1st hour (94644) | — | $565 | — |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) range across 4 matching MRF lines |
$173.31–$344.50 | $185–$530 | varies |
| Cervical & Ocular Vemp Testing W/I&R (92519) | — | $808 | — |
| Cervical Vemp Testing W/I&R (92517) | — | $558 | — |
| Chemo Admin Peritoneal Cavity (96446) | $495.57 | $757.75 | 1.2× |
| Chemo Anti-Neopl Sq/Im (96401) | — | $1,133 | — |
| Chemo Hormon Antineopl Sq/Im (96402) | — | $584 | — |
| Chemo Ia Push (96420) | $479.05 | $737 | 1.2× |
| Chemo Intralesional Over 7 (96406) | $596.05 | $917 | 2.2× |
| Chemo intralesional up to 7 (96405) | — | $417 | — |
| Chemo IV infusion addl hr (96415) | — | $1,383 | — |
| Chemo IV push addl drug (96411) | — | $1,070 | — |
| Chemother Prolong Infuse W/Pump (96416) | — | $2,568 | — |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $1,134.25 | $1,745 | 2.8× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $724.75 | $1,115 | 12.4× |
| Chemotherapy Into Cns (96450) | — | $2,363 | — |
| Chemotherapy Intracavitary (96440) | — | $1,486 | — |
| Chemotherapy Unspecified (96549) | — | $350 | — |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $779.35 | $1,199 | 1.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | — | $1,009 | — |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | — | $3,687 | — |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | — | $1,329 | — |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | — | $776 | — |
| Chest Wall Manipulation (94668) | — | $444 | — |
| Chiropract manj 3-4 regions (98941) | $90.83 | $138.88 | 3.4× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $62.45 | $95.49 | 2.3× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $103.09 | $157.63 | 3.8× |
| Chron Care Mgmt Srvc 20 Min (99490) | — | $213 | — |
| Cmptr ophth dx img ant segmt (92132) | — | $164 | — |
| Colon Motility 6 Hr Study (91117) | $520.66 | $796.11 | 1.9× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) range across 4 matching MRF lines |
$39.24–$207.79 | $60–$319.68 | varies |
| Color/duplex Doppler, complete (93975) | — | $4,646 | — |
| Color/duplex Doppler, limited (93976) | — | $2,852 | — |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | — | $331 | — |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$288.16–$289.94 | $443.33 | varies |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) | $316.80 | $484.41 | 0.3× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $216.88 | $331.62 | 0.5× |
| Comprehensive Hearing Test (92557) | — | $642 | — |
| Computerized dynamic posturography (92548) range across 2 matching MRF lines |
$243.20 | $89.50–$371.87 | 1.5× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | — | $237 | — |
| Computerized Ophthalmic Imaging Retina (92134) | — | $233 | — |
| Conditioning Play Audiometry (92582) | — | $573 | — |
| Cont gluc mntr physician/qhp provided equiptment (95250) | — | $514 | — |
| Cont Gluc Mntr Pt Prov Eqp (95249) | — | $269 | — |
| Contact Lens Fit,Corneoscleral Lens (92313) | $223.98 | $342.48 | 1.3× |
| Continuous Pulse Ox (94762) | — | $3,133 | — |
| Cornea hysteresis determin impulse stimj uni/bi (92145) range across 4 matching MRF lines |
$36.83–$116.56 | $30.57–$179.32 | varies |
| Corneal Topography (92025) | — | $229 | — |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$3,775.40 | $3,610–$5,772.78 | 0.9× |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$3,234.77 | $3,130–$4,946.13 | 0.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | — | $2,976 | — |
| Cpt initial (94667) | — | $367 | — |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) range across 4 matching MRF lines |
$152.75–$153.69 | $135–$235 | varies |
| Critical care first hour (99291) | — | $6,238 | — |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) range across 2 matching MRF lines |
$603.95 | $264.17–$923.47 | 1.3× |
| Dark Adaptation Eye Exam (92284) range across 2 matching MRF lines |
$147.93 | $43.63–$226.20 | 0.3× |
| Debridement Open Wound 20 Sq Cm< (97597) | — | $1,548 | — |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | — | $1,546 | — |
| Developmental tst admin phys/qhp 1st hour (96112) | — | $790 | — |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | — | $607 | — |
| Dialysis One Evaluation (90945) | — | $1,033 | — |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | — | $1,180 | — |
| Duodenal motility study (91022) range across 2 matching MRF lines |
$633.74 | $259.37–$969.02 | 1.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | — | $3,298 | — |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | — | $2,213 | — |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | — | $1,260 | — |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | — | $3,065 | — |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | — | $1,903 | — |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | — | $3,052 | — |
| Dup-scan xtr veins unilateral/limited study (93971) | — | $2,187 | — |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | — | $2,471 | — |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | — | $626 | — |
| Duplex Scan Hemodialysis Access (93990) | — | $1,137 | — |
| Duplex up extrem art bilat (93930) | — | $2,995 | — |
| Duplex up extrem art unilat/ltd (93931) | — | $1,646 | — |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | — | $462 | — |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | — | $674 | — |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | — | $766 | — |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) | $50.01 | $76.47 | 0.2× |
| Ear and throat examination (92502) range across 2 matching MRF lines |
$848.25–$853.47 | $1,305 | varies |
| Ear Protector Evaluation (92596) | $201.50 | $310 | 4.3× |
| ECG/monitoring and analysis (93271) | $781.62 | $1,195.14 | 6.6× |
| Echo Congenital Complete (93303) | — | $3,749 | — |
| Echo Heart Xthoracic,Limited (93308) | — | $1,364 | — |
| Echo r-t 2d w/probe placement only (93313) | $126.80 | $193.88 | 0.2× |
| Echo transesophag congen probe plcmt only (93316) | $141.20 | $215.90 | 0.2× |
| Echo transesophag montr cardiac pump functj (93318) range across 2 matching MRF lines |
$761.90 | $875–$1,164.99 | 1.1× |
| Echo transesophageal (93312) | — | $3,764 | — |
| Echo Transesophageal - Congenital Tee Complete (93315) | — | $2,454 | — |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | — | $6,385 | — |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) | — | $929 | — |
| Eeg 41-60 Minutes (95812) | — | $1,830 | — |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$971.18 | $365–$1,484.99 | 3.6× |
| EEG awake drowsy (95816) | — | $4,157 | — |
| EEG cerebral death evaluation (95824) | $199.47 | $305 | 0.4× |
| EEG cont rec w/video by tech min 8 channels (95700) | — | $1,195 | — |
| EEG extended monitoring 61-119 minutes (95813) | — | $2,645 | — |
| Eeg Sleep Only (95822) | — | $1,944 | — |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | — | $1,510 | — |
| EEG w/o vid 2-12hr cont mntr (95707) | — | $2,385 | — |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | — | $4,766 | — |
| EEG wo vid ea 12-26hr unmntr (95708) | — | $3,390 | — |
| EKG signal averaged (93278) range across 4 matching MRF lines |
$140.71–$481 | $42.15–$740 | varies |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | — | $780 | — |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | — | $498 | — |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | — | $204 | — |
| Electrical Stimulation Ea 15 Min (97032) | — | $189 | — |
| Electro-Oculography (92270) range across 4 matching MRF lines |
$213.50–$324.65 | $140.99–$499.46 | varies |
| Electrocardiogram Tracing (93005) | — | $268 | — |
| Electrocochleography (92584) | — | $881 | — |
| Electroconvulsive Therapy (90870) | — | $3,006 | — |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) range across 2 matching MRF lines |
$354.08 | $94.34–$541.40 | 1.3× |
| Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) range across 2 matching MRF lines |
$409.30 | $117.86–$625.84 | 2.5× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) range across 2 matching MRF lines likely a partial charge, not the full procedure |
$1,152.43 | $1,762.13–$2,105 | 0.1× |
| Electrophysiology Evaluation (93642) | — | $5,797 | — |
| Emergency Dept Visit Level 2 (99282) | — | $4,235 | — |
| Emergency Dept Visit Level 3 (99283) | — | $4,822 | — |
| Emergency Dept Visit Level 4 (99284) | — | $5,353 | — |
| Emg 3 Extremities (95863) range across 4 matching MRF lines |
$496.04–$678.26 | $347.06–$1,043.47 | varies |
| Emg 4 Extremities (95864) | — | $863 | — |
| Endomyocardial Biopsy (93505) range across 2 matching MRF lines |
$3,230.76 | $4,940–$5,600 | 0.8× |
| Ep & ablate supravent arrhyt (93653) likely a partial charge, not the full procedure |
$7,919.94 | $12,110 | 0.2× |
| Ep & ablate ventric tachy (93654) unusually low: confirm this is the full procedure |
$10,565.37 | $16,155 | 0.3× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | — | $16,478 | — |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) range across 2 matching MRF lines likely a partial charge, not the full procedure |
$2,466.59 | $3,771.54–$4,690 | 0.3× |
| Ep Esophageal Recording Atria+Pacing (93616) range across 2 matching MRF lines |
$298.68 | $226.03–$456.69 | 0.2× |
| Er level 1 (99281) | — | $2,459 | — |
| Er level v (99285) | — | $5,620 | — |
| Ergonovine provocation test (93024) range across 2 matching MRF lines |
$412.04 | $305.61–$630.03 | 0.7× |
| Esoph Atrial Electrogram (93615) range across 2 matching MRF lines |
$222.41 | $330–$340.07 | 0.1× |
| Esophageal Capsule Endoscopy (91111) | — | $3,073 | — |
| Esophagus acid perfusion test esophagitis (91030) range across 2 matching MRF lines |
$464.28 | $161.53–$709.91 | 1.0× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) range across 2 matching MRF lines |
$1,047.64 | $175.62–$1,601.90 | 2.2× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) range across 4 matching MRF lines |
$1,347.24–$1,868.75 | $555–$2,875 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | — | $777 | — |
| Evaluate pt use of inhaler (94664) | — | $630 | — |
| Evaluate Speech Production (92522) | — | $1,051 | — |
| Evaluate Swallowing Function (92610) | — | $1,385 | — |
| Evaluation of speech fluency (92521) | — | $852 | — |
| Evoked Auditory Test,Limited (92587) | — | $884 | — |
| Excimer laser tx psoriasis 250-500 sq cm (96921) | $453.34 | $693.18 | 1.8× |
| Excimer laser tx psoriasis >500 sq cm (96922) | $626.39 | $957.78 | 1.2× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $411.65 | $629.44 | 1.6× |
| Exercise test for bronchospasm (94617) range across 4 matching MRF lines |
$264.87–$345.31 | $135–$531.25 | varies |
| Exhaled Air Analysis O2 (94680) | — | $600 | — |
| External ECG rec>48hr<7d recording (93242) | — | $771 | — |
| External ECG rec>48hr<7d scanning alys w/report (93243) | — | $1,025 | — |
| External ECG rec>7d<15d recording (93246) | — | $846 | — |
| External ECG rec>7d<15d scanning alys w/report (93247) | — | $1,127 | — |
| External Ecg Scanning Analysis Report (93226) | — | $1,236 | — |
| Extracranial Bilat Study (93880) | — | $6,151 | — |
| Extracranial Uni/Ltd Study (93882) | — | $1,389 | — |
| Eye Allergy Tests (95060) | $84.67 | $129.46 | 0.5× |
| Eye exam w anesth; complete (92018) range across 2 matching MRF lines |
$507–$510.12 | $780 | varies |
| Eye exam w anesth; limited (92019) | $264.87 | $405 | 0.1× |
| Eye Exam With Photos (92230) | $183.70 | $280.89 | 0.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) | — | $2,185 | — |
| Facial nerve function studies (92516) | $165.27 | $252.71 | 0.6× |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) range across 2 matching MRF lines |
$258.33–$286 | $395–$440 | varies |
| Filtered Speech Test (92571) | $84.50 | $130 | 1.8× |
| Fitting of spectacle mounted low vision aid; single element system Facility (92354) | $333.36 | $509.73 | 7.2× |
| Fitting of spectacle mounted low vision aid; telescopic or other compound lens system Non-Facility OP Neurology,… (92355) | $191.69 | $293.10 | 4.1× |
| Fitting of spectacle prosthesis for aphakia; monofocal Facility (92352) | $93.87 | $143.53 | 1.3× |
| Fitting of spectacle prosthesis for aphakia; multifocal Facility (92353) | $109.20 | $166.97 | 1.5× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) range across 2 matching MRF lines |
$335.61–$462.90 | $513.16–$712.16 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | — | $1,486 | — |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $478.18 | $731.16 | 2.1× |
| Fluorescein angiography (92235) | — | $790 | — |
| Full Field Electroretinography W/I&R (92273) range across 3 matching MRF lines |
$369.51–$565.50 | $150–$870 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) range across 2 matching MRF lines |
$671.80 | $1,025–$1,027.22 | 0.6× |
| Fundus photography (92250) | — | $427 | — |
| Gastric motility studies (91020) range across 2 matching MRF lines |
$777.22 | $258.07–$1,188.41 | 1.7× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 3 matching MRF lines |
$1,200.09–$1,352 | $510–$2,080 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | — | $1,720 | — |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$1,608.44 | $730–$2,459.39 | 1.5× |
| Gi tract capsule endoscopy (91110) | — | $3,473 | — |
| Gi tract imaging intraluminal colon i&r (91113) range across 4 matching MRF lines |
$2,574–$2,589.84 | $490–$3,960 | varies |
| Gi wireless capsule measure (91112) range across 2 matching MRF lines |
$4,499.75 | $578.09–$6,880.35 | 4.0× |
| Gonioscopy (92020) | — | $244 | — |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) range across 2 matching MRF lines |
$65.40–$94.25 | $100–$145 | varies |
| Group Therapeutic Procedures (97150) | — | $196 | — |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) range across 2 matching MRF lines |
$65.40–$94.25 | $100–$145 | varies |
| Health Behavior Assessment/Re-Assessment (96156) | — | $417 | — |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | — | $485 | — |
| Health behavior ivntj group f2f 1st 30 min (96164) | — | $150 | — |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | — | $391 | — |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$5,279.76 | $5,275–$8,073.03 | 1.3× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | — | $2,489 | — |
| High altitude simulation test (94452) range across 2 matching MRF lines |
$191.88 | $48.89–$293.40 | 1.2× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) range across 2 matching MRF lines |
$189.22 | $65.28–$289.33 | 1.1× |
| Holter monitor recording (93225) | — | $785 | — |
| Hubbard tank 15 min (97036) | $77.93 | $119.16 | 2.2× |
| Hypnotherapy (90880) | $330.46 | $505.29 | 2.6× |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | — | $117 | — |
| Icd Device Interrogate (93289) | — | $260 | — |
| Icd device progr eval dual (93283) | — | $482 | — |
| Icd Device Progr Eval Mult (93284) | — | $515 | — |
| Icm Device Eval (93290) | — | $178 | — |
| Ilr Device Eval Progr (93285) | — | $227 | — |
| Ilr Device Interrogate (93291) | — | $163 | — |
| Im Adm Intransl/Oral 1 Vaccine (90473) | — | $186 | — |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) range across 2 matching MRF lines |
$35.53–$112.66 | $54.32–$173.32 | varies |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) range across 4 matching MRF lines |
$82.10–$113.44 | $73.81–$174.53 | varies |
| Immunization administration (90471) | — | $329 | — |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | — | $588 | — |
| Ingestion challenge test initial 120 minutes (95076) | — | $1,312 | — |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) range across 2 matching MRF lines |
$153.80–$737.32 | $235.17–$1,134.34 | varies |
| Inital newborn e/m (99460) | $853.47 | $1,305 | 5.1× |
| Insert/Place Heart Catheter (93503) | $1,615.38 | $2,470 | 0.8× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) range across 2 matching MRF lines |
$104.64–$230.75 | $160–$355 | varies |
| Interrog&prgrmg ipnss during polysomnography (93152) range across 2 matching MRF lines |
$238.71–$412.75 | $365–$635 | varies |
| Interrogate Subq Defib (93261) | — | $225 | — |
| Interrogation eval in person wr defibrillator (93292) range across 3 matching MRF lines |
$125.02–$213.30 | $117.71–$328.16 | varies |
| Interrogation vad in person (93750) | — | $526 | — |
| Interrogation without programming ipnss (93153) range across 2 matching MRF lines |
$55.59–$136.50 | $85–$210 | varies |
| Intra-atrial pacing (93610) range across 2 matching MRF lines likely a partial charge, not the full procedure |
$740.73 | $1,132.62–$1,410 | 0.1× |
| Intra-atrial recording (93602) range across 2 matching MRF lines likely a partial charge, not the full procedure |
$545.08 | $451.49–$833.45 | 0.1× |
| Intracranial Complete Study (93886) | — | $2,543 | — |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) | $16.66 | $25.47 | 0.5× |
| Intracutaneous tests w/allergenic extracts (95024) | — | $204 | — |
| Intraventricular pacing (93612) range across 2 matching MRF lines likely a partial charge, not the full procedure |
$771.93 | $634.37–$1,180.32 | 0.1× |
| Io anal gast n-stim subsq (95981) | $75.02 | $114.71 | 1.0× |
| Io ga n-stim subsq w/reprog (95982) range across 2 matching MRF lines |
$173.31–$243.75 | $265–$375 | varies |
| Iontophoresis 15 min (97033) | $75.76 | $115.84 | 4.0× |
| Irrig Drug Delivery Device (96523) | — | $723 | — |
| Ischemic limb exercise test (95875) range across 2 matching MRF lines |
$280.87 | $200.40–$429.46 | 1.7× |
| IV infusion hydration each additional hour (96361) | — | $1,267 | — |
| IV infusion hydration initial 31 min-1 hour (96360) | — | $3,434 | — |
| IV infusion ther proph addl sequential to 1 hr (96367) | — | $1,454 | — |
| IV infusion therapy prophylaxis/dx ea hour (96366) | — | $1,264 | — |
| IV push initial (96374) | — | $1,679 | — |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$8,600.10 | $4,300–$13,150 | 2.1× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) range across 2 matching MRF lines |
$1,413.75–$1,422.45 | $2,175 | varies |
| Laryngeal Function Studies (92520) | — | $570 | — |
| Liver Elastography W/O Imag W/I&R (91200) | — | $1,179 | — |
| Loudness balance test (92562) | $133.25 | $205 | 0.5× |
| Low frequency non-thermal us (97610) | $44.19 | $67.57 | 0.2× |
| Lung Function Test (Mbc/Mvv) (94200) range across 4 matching MRF lines |
$98.10–$259.10 | $130–$398.61 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$971.19 | $86.46–$1,485 | 3.6× |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) | $500.05 | $764.61 | 0.5× |
| Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) | $999.28 | $1,527.95 | 0.9× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) | $379.26 | $579.91 | 1.4× |
| Measurement Lung Volumes Infant/Child/2 Yrs (94013) | $97.43 | $148.97 | 0.2× |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) | $226.47 | $346.28 | 1.4× |
| Mechanical chest wall oscillation per session (94669) | $129.08 | $197.37 | 0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | — | $160 | — |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | — | $129 | — |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | — | $92 | — |
| Methacholine challenge (94070) | — | $1,569 | — |
| Microvolt T-Wave Assess (93025) | — | $1,578 | — |
| Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) range across 2 matching MRF lines |
$58.86–$65 | $90–$100 | varies |
| Mlt fam group bhv mgmt/modificaj traing ea addl (96203) range across 2 matching MRF lines |
$16.25–$16.35 | $25 | varies |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) | $101.63 | $155.40 | 0.6× |
| Motility study esophagus (91010) | — | $3,583 | — |
| Motion Fluoroscopy/Swallow (92611) | — | $1,731 | — |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $273.91 | $418.82 | 0.5× |
| Multifocal Electroretinography W/I&R (92274) range across 3 matching MRF lines |
$248.52–$354.25 | $135–$545 | varies |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) range across 2 matching MRF lines |
$81.75–$110.50 | $125–$170 | varies |
| Multiple Family Group Psychotherapy (90849) | — | $461 | — |
| Multiple Sleep Latency Test (95805) | — | $6,821 | — |
| Muscle Test 2 Limbs (95861) | — | $446 | — |
| Muscle Test Hemidiaphragm (95866) range across 4 matching MRF lines |
$308.39–$379.30 | $471.54–$620 | varies |
| Muscle Test Nonparaspinal (95870) | — | $423 | — |
| Muscle Test One Limb (95860) | — | $423 | — |
| Narcosynthesis (90865) | $375.74 | $574.53 | 1.7× |
| Nasal function studies (92512) | $142.55 | $217.97 | 0.5× |
| Nasopharyngoscopy (92511) | — | $699 | — |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 4 matching MRF lines |
$307.35–$490.72 | $395–$754.95 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | — | $790 | — |
| Needle electromyography larynx (95865) range across 4 matching MRF lines |
$302.25–$332.32 | $465–$525 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 4 matching MRF lines |
$193.20–$264.82 | $115–$407.42 | varies |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) range across 4 matching MRF lines |
$449.23–$631.74 | $527.40–$971.90 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$412.02–$1,348.75 | $630–$2,075 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$539.55–$1,394.25 | $825–$2,145 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | — | $399 | — |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$222.36–$367.84 | $340–$565.91 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | — | $1,053 | — |
| Nerve Conduction Studies 11-12 Studies (95912) | — | $3,721 | — |
| Nerve conduction studies 13 or more studies (95913) | — | $4,326 | — |
| Nerve Conduction Studies 3-4 Studies (95908) | — | $1,106 | — |
| Nerve conduction studies 5-6 studies (95909) | — | $1,166 | — |
| Nerve conduction studies 7-8 studies (95910) | — | $1,580 | — |
| Nerve Conduction Studies 9-10 Studies (95911) | — | $3,349 | — |
| Neurobehavioral Status Exam (96116) | — | $934 | — |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | — | $613 | — |
| Neuromuscular Reeducation (97112) | — | $488 | — |
| Newborn resuscitation (99465) | $889.44 | $1,360 | 1.1× |
| Nitric oxide expired gas determination (95012) | — | $189 | — |
| Nonphysician Telephone Assessment 11-20 Min (98967) | — | $56 | — |
| Nonphysician Telephone Assessment 21-30 Min (98968) | — | $89 | — |
| Nonphysician Telephone Assessment 5-10 Min (98966) | — | $50 | — |
| Nose Allergy Test (95065) | — | $162 | — |
| Nrpsyc tst eval phys/qhp 1st (96132) | — | $1,136 | — |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | — | $1,018 | — |
| Ocular Vemp Testing W/I&R (92518) range across 2 matching MRF lines |
$107.91–$204.75 | $165–$315 | varies |
| Oculoelectromyography (92265) range across 2 matching MRF lines |
$197.40 | $158.30–$301.83 | 2.7× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 4 matching MRF lines |
$546.09–$708.50 | $383.17–$1,090 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | — | $399 | — |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | — | $491 | — |
| Ophth medical xm&eval intermediate estab pt (92012) | — | $298 | — |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | — | $357 | — |
| Ophthalmodynamometry (92260) | $42.52 | $65.02 | 0.9× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | — | $267 | — |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | — | $255 | — |
| Optokinetic Nystagmus Test (92544) range across 4 matching MRF lines |
$165.75–$272.64 | $48.29–$419.44 | varies |
| Oral Function Therapy (92526) | — | $906 | — |
| Oral Speech Device Eval (92597) | — | $697 | — |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
— | $299–$335 | — |
| Orthoptic training under supervision of phys/qhp (92066) range across 2 matching MRF lines |
$71.50–$71.94 | $110 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | — | $397 | — |
| Oscillating Tracking Test (92545) range across 3 matching MRF lines |
$156.04–$236.79 | $48.29–$364.29 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | — | $66 | — |
| Osteopathic manipulative tx 3-4 body regions (98926) | — | $95 | — |
| Osteopathic manipulative tx 5-6 body regions (98927) | — | $176 | — |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$248.52–$295.75 | $380–$455 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$297.57–$354.25 | $455–$545 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | — | $163 | — |
| Ot eval high complexity (97167) | — | $1,239 | — |
| Ot Eval Low Complex (97165) | — | $667 | — |
| Ot Eval Moderate Complexity (97166) | — | $923 | — |
| Ot manual therapy 15 min (97140) | — | $493 | — |
| Ot paraffin bath (97018) | — | $164 | — |
| Ot Prosthetic Training, Each 15 Min (97761) | — | $299 | — |
| Ot Re-Eval Est Plan Care (97168) | — | $646 | — |
| Ot rom hand (95852) | $38.46 | $58.81 | 1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | — | $383 | — |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | — | $380 | — |
| Oxygen Uptake Rest Indirect (94690) range across 2 matching MRF lines |
$179.35 | $14.14–$274.23 | 2.4× |
| Patch/Application Test Specify Number Tests (95044) | — | $200 | — |
| Patient-initiated spirometric phys/qhp r&i only (94016) range across 2 matching MRF lines |
$77.37–$124.35 | $118.31–$191.31 | varies |
| Patient-initiated spirometric recording (94015) range across 2 matching MRF lines |
$73.65–$422.90 | $112.61–$650.61 | varies |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $130.17 | $199.04 | 0.2× |
| Pdt dstr prmlg les phys/qhp (96573) range across 2 matching MRF lines |
$867.75–$873.09 | $1,335 | varies |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $322.14 | $492.57 | 1.3× |
| Penile Vascular Study,Ltd or F/U (93981) | — | $720 | — |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | — | $800 | — |
| Percutaneous tests w/allergenic extracts (95004) | — | $267 | — |
| Peripheral arterial disease rehab per session (93668) | — | $271 | — |
| Perq transcath closure pda (93582) unusually low: confirm this is the full procedure |
$7,550.43 | $11,545 | 0.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $5,235.27 | $8,005 | 0.7× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) unusually low: confirm this is the full procedure |
$6,513.84 | $9,960 | 0.5× |
| Phlebotomy therapeutic (99195) | — | $1,490 | — |
| Photo patch test(s) (95052) range across 2 matching MRF lines |
$24.73–$75.28 | $37.82–$115.82 | varies |
| Photo Tests (95056) | $106.72 | $163.18 | 0.6× |
| Photochemotherapy Dermatoses 4-8 Hrs Supervision (96913) range across 2 matching MRF lines |
$310.53–$620.63 | $474.82–$954.82 | varies |
| Photochemotx Psoralens&Ultraviolet Puva (96912) | — | $274 | — |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | — | $304 | — |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | — | $228 | — |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$55.59–$185.25 | $85–$285 | varies |
| Physical Performance Test (97750) | — | $421 | — |
| Plethysmography (94726) | — | $1,739 | — |
| Pm device eval in person (93288) | — | $255 | — |
| Pm device progr eval dual (93280) | — | $522 | — |
| Pm device progr eval multi (93281) | — | $557 | — |
| Pm Device Progr Eval Sngl (93279) | — | $350 | — |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$170.04–$247 | $260–$380 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | — | $13,000 | — |
| Polysom <6 yrs 4/> paramtrs (95782) | — | $10,447 | — |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | — | $11,019 | — |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) range across 4 matching MRF lines |
$2,266.65–$3,504.69 | $611.34–$5,391.83 | varies |
| Positional nystagmus test (92542) | — | $461 | — |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | — | $95 | — |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) range across 2 matching MRF lines |
$156–$156.96 | $240 | varies |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $161.02 | $247.72 | 2.8× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $282.75 | $435 | 3.1× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) range across 2 matching MRF lines |
$343.35–$500.50 | $525–$770 | varies |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) range across 2 matching MRF lines |
$231.64–$342.67 | $354.19–$527.19 | varies |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) | $212.45 | $324.85 | 1.3× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) range across 2 matching MRF lines |
$168.80–$280.22 | $258.10–$431.10 | varies |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) | $177.06 | $270.73 | 3.8× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | — | $243 | — |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | — | $194 | — |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) range across 2 matching MRF lines |
$245.25–$263.25 | $375–$405 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | — | $90 | — |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | — | $90 | — |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) range across 2 matching MRF lines |
$277.95–$373.75 | $425–$575 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) range across 2 matching MRF lines |
$29.74–$93.26 | $45.48–$143.48 | varies |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) | $22.92 | $35.04 | 0.4× |
| Prosthesis service for aphakia, temporary (disposable or loan, including materials) Facility (92358) | $63.64 | $97.31 | 0.9× |
| Prq Card Angio/Athrect 1 Art (92924) unusually low: confirm this is the full procedure |
$6,222.81 | $9,515 | 0.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) unusually low: confirm this is the full procedure |
$5,810.79 | $8,885 | 0.4× |
| Prq Card Stent/Ath/Angio (92933) likely a partial charge, not the full procedure |
$6,497.49 | $9,935 | 0.3× |
| Prq Revasc Byp Graft 1 Vsl (92937) unusually low: confirm this is the full procedure |
$5,800.98 | $8,870 | 0.4× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) likely a partial charge, not the full procedure |
$5,101.20 | $7,800 | 0.2× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $8,132.49 | $12,435 | 0.6× |
| Psych diag eval w/med srvcs (90792) | — | $957 | — |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
— | $1,028–$1,151 | — |
| Psychoanalysis (90845) range across 2 matching MRF lines |
$196.35–$570.85 | $300.23–$878.23 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | — | $884 | — |
| Psycl/Nrpsyc Tst Auto Result (96146) range across 2 matching MRF lines |
$9.81–$26 | $15–$40 | varies |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | — | $765 | — |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | — | $551 | — |
| Psytx Crisis Initial 60 Min (90839) | — | $653 | — |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $79.98 | $122.30 | 2.1× |
| Pt Eval High Complex (97163) | — | $1,252 | — |
| Pt eval low complex 20 min (97161) | — | $511 | — |
| Pt Eval Mod Complex (97162) | — | $1,171 | — |
| Pt gait training 15 min (97116) | — | $363 | — |
| Pt group caregiver training (97552) range across 2 matching MRF lines |
$58.50–$58.86 | $90 | varies |
| Pt mechanical traction (97012) | — | $169 | — |
| Pt Re-Eval Est Plan Care (97164) | — | $611 | — |
| Pt ultraviolet (97028) | $17.60 | $26.91 | 2.1× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | — | $100 | — |
| Pulm function test by gas (94727) | — | $856 | — |
| Pulmonary service/procedure (94799) | — | $481 | — |
| Pulmonary Stress Testing (94618) | — | $1,370 | — |
| Pure Tone Audiometry Air (92552) | — | $367 | — |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) range across 2 matching MRF lines |
$100.75–$101.37 | $155 | varies |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) range across 2 matching MRF lines |
$149.50–$150.42 | $230 | varies |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) range across 2 matching MRF lines |
$48.75–$49.05 | $75 | varies |
| Quan puplmtry phy/qhp uni/bi (95919) range across 2 matching MRF lines |
$42.25–$42.51 | $65 | varies |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$4,585.21 | $4,490–$7,011.03 | 1.1× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) range across 4 matching MRF lines |
$1,127.75–$1,134.69 | $1,735–$2,405 | varies |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) range across 2 matching MRF lines |
$1,030.25–$1,036.59 | $1,585 | varies |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$4,044.40 | $4,000–$6,184.10 | 1.0× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) range across 2 matching MRF lines |
$2,301–$2,315.16 | $3,540 | varies |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) range across 2 matching MRF lines |
$1,758.25–$1,769.07 | $2,705 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$7,203.81 | $4,070–$11,015 | 1.8× |
| Rapid Desensitization Procedure Each Hour (95180) | — | $766 | — |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $249.60 | $384 | 0.6× |
| Refill/Maint Portable Pump (96521) | — | $834 | — |
| Refill/Maint Pump/Resvr Syst (96522) | — | $911 | — |
| Rem interrog icpms <30 d phys/qhp (93297) range across 4 matching MRF lines |
$134.07–$230.75 | $140–$355 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | — | $302 | — |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | — | $202 | — |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | — | $516 | — |
| Rem Mntr Wrls P-Art Prs Snr (93264) range across 2 matching MRF lines |
$199.47–$305.50 | $305–$470 | varies |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) range across 2 matching MRF lines |
$240.50–$241.98 | $370 | varies |
| Rem ther mntr dev sply resp (98976) range across 2 matching MRF lines |
$159.25–$160.23 | $245 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $77.83 | $119 | 1.7× |
| Remote 30 Day Ecg Tech Supp (93229) range across 2 matching MRF lines |
$2,943–$3,763.50 | $4,500–$5,790 | varies |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) range across 2 matching MRF lines |
$84.50–$85.02 | $130 | varies |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) range across 2 matching MRF lines |
$88.29–$113.75 | $135–$175 | varies |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) range across 2 matching MRF lines |
$85.02–$136.50 | $130–$210 | varies |
| Repair and refitting spectacles; spectacle prosthesis for aphakia Facility (92371) | $49.46 | $75.62 | 0.7× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | — | $884 | — |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | — | $884 | — |
| Replacement of contact lens (92326) range across 2 matching MRF lines |
$199.47–$243.06 | $305–$373.94 | varies |
| Respiratory flow volume loop (94375) | — | $884 | — |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | — | $248 | — |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$2,384.97 | $1,765–$3,646.75 | 0.6× |
| Right ventricular recording (93603) range across 2 matching MRF lines |
$632.20 | $966.66–$1,000 | 0.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$192.93–$238.94 | $295–$367.60 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | — | $94 | — |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | — | $1,052 | — |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $120.62 | $184.44 | 2.5× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) | $269.14 | $411.53 | 1.6× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) range across 2 matching MRF lines |
$1,080.75 | $427.37–$1,652.52 | 2.3× |
| Same day nb discharge (99463) | $461.07 | $705 | 2.8× |
| Sbsq Psyc Collab Care Mgmt (99493) | — | $331 | — |
| Select picture audiometry (92583) | — | $244 | — |
| Self Care Mngment Training (97535) | — | $443 | — |
| Self-meas bp pt educaj/traing & dev calibration (99473) range across 2 matching MRF lines |
$32.70–$69.55 | $50–$107 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | — | $162 | — |
| Sensory Integration Ea 15 Min (97533) | — | $239 | — |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) range across 2 matching MRF lines |
$361.34 | $425–$552.51 | 1.3× |
| Short-latency somatosens ep std upr limbs (95925) | — | $1,344 | — |
| Sinusoidal Vertical Axis Rotational Testing (92546) | — | $544 | — |
| Sleep study attended (95807) range across 2 matching MRF lines |
$1,827.93 | $440–$2,795 | 3.9× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$1,255.68 | $575–$1,920 | 4.7× |
| Slp caregiver training 1st 30 min (97550) | — | $208 | — |
| Slp Stdy Unatnd W/Anal (95801) range across 4 matching MRF lines |
$347.39–$608.51 | $264–$936.17 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | — | $6,792 | — |
| Somatosensory Testing (95938) | — | $1,772 | — |
| Speech Audiometry Complete (92556) | — | $309 | — |
| Speech audiometry threshold (92555) | — | $202 | — |
| Speech sound lang comprehen (92523) | — | $2,180 | — |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$451.26–$841.75 | $690–$1,295 | varies |
| Spirometry (94010) | — | $1,032 | — |
| Spontaneous Nystagmus Test (92541) range across 4 matching MRF lines |
$196.24–$302.94 | $70.69–$466.06 | varies |
| Ssep lower limbs (95926) | — | $1,061 | — |
| Staggered Spondaic Word Test (92572) | $130 | $200 | 0.8× |
| Standardized Cognitive Performance Testing (96125) | $266.79 | $407.94 | 2.6× |
| Stenger Test Speech (92577) | — | $1,362 | — |
| Stenger Test, Pure Tone (92565) | — | $133 | — |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$563.27–$3,900.83 | $861.27–$6,001.27 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $225.50 | $346.92 | 3.9× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $1,726.91 | $2,656.79 | 6.5× |
| Subq Infusion Additional Pump Infusion Site (96371) | $815.05 | $1,253.93 | 9.1× |
| Surfactant Admin Thru Tube (94610) | $204.12 | $312.11 | 0.7× |
| Synthetic Sentence Identification Test (92576) | $110.50 | $170 | 2.4× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) range across 2 matching MRF lines |
$821.25 | $202.12–$1,255.74 | 6.3× |
| Temp transcutaneous pacing (92953) | $235.44 | $360 | 0.3× |
| Temperature Gradient Studies (93740) | $31.25 | $47.79 | 0.2× |
| Tensilon Test (95857) range across 2 matching MRF lines |
$124.29–$308.78 | $190.04–$475.04 | varies |
| Test to assess hearing loss using different tone pitches (92575) | $208 | $320 | 4.5× |
| Testing Autonomic Nervous System Function (95923) range across 4 matching MRF lines |
$451.95–$629.24 | $156.29–$968.06 | varies |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) range across 2 matching MRF lines |
$111.18–$263.25 | $170–$405 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | — | $346 | — |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
— | $300–$336 | — |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $143.88 | $220 | 3.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | — | $293 | — |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | — | $643 | — |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $585 | $900 | 10.0× |
| Ther/Proph/Diag Inj Ia (96373) | — | $539 | — |
| Ther/Proph/Diag Inj Sc/Im (96372) | — | $1,630 | — |
| Ther/Proph/Diag Iv Inf Init (96365) | — | $3,713 | — |
| Therap repetitive tms tx subseq delivery & mng (90868) | — | $884 | — |
| Therapeutic Activities (97530) | — | $481 | — |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | — | $12,635 | — |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | — | $77 | — |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | — | $80 | — |
| Tone Decay Test (92563) | $94.25 | $145 | 2.0× |
| Trans Care Mgmt 14 Day Disch (99495) | — | $376 | — |
| Trans Care Mgmt 7 Day Disch (99496) | — | $461 | — |
| Transcath Closure of Asd (93580) likely a partial charge, not the full procedure |
$4,542.03 | $6,945 | 0.2× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) range across 2 matching MRF lines |
$800.05 | $202.12–$1,223.32 | 6.1× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$717.67 | $215–$1,097.36 | 5.5× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 3 matching MRF lines |
$208.11–$367.25 | $81.78–$565 | varies |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) range across 4 matching MRF lines |
$201.43–$273 | $154.99–$420 | varies |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) range across 2 matching MRF lines |
$231.86 | $305–$354.53 | 1.4× |
| Tte w/doppler, complete (93306) | — | $5,992 | — |
| Tte W/O Doppler Complete (93307) | — | $1,814 | — |
| Tx atrial fib pulm vein isol (93656) unusually low: confirm this is the full procedure |
$10,575.18 | $16,170 | 0.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | — | $802 | — |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | — | $523 | — |
| Tx/Pro/Dx Inj New Drug Addon (96375) | — | $980 | — |
| Tympanometry (92567) | — | $243 | — |
| Tympanometry and reflex threshold measurements (92550) | — | $460 | — |
| Unlisted allergy/clinical immunologic srvc/px (95199) range across 2 matching MRF lines |
$97.50–$98.10 | $150 | varies |
| Unlisted otorhinolaryngological service (92700) | — | $130 | — |
| Unlisted Special Dermatological Service/Px (96999) | — | $209 | — |
| Upr/L Xtremity Art 2 Levels (93922) | — | $1,730 | — |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | — | $2,427 | — |
| Valvuloplasty aortic valve (92986) | $11,219.37 | $17,155 | 1.6× |
| Valvuloplasty mitral valve (92987) | $17,219.82 | $26,330 | 1.2× |
| Valvuloplasty pulmonary valve (92990) | $13,207.53 | $20,195 | 0.9× |
| Vasopneumatic device (97016) | — | $125 | — |
| Veeg 2-12 Hr Cont Mntr (95713) | — | $5,230 | — |
| Veeg 2-12 hr intmt mntr (95712) | — | $4,982 | — |
| Veeg 2-12 hr unmonitored (95711) | — | $3,982 | — |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | — | $5,464 | — |
| Veeg Ea 12-26 Hr Unmntr (95714) | — | $5,944 | — |
| Veeg ea 12-26hr cont mntr (95716) | — | $7,731 | — |
| Vent Mgmt Inpat Init Day (94002) | — | $5,159 | — |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | — | $3,683 | — |
| Visual Evoked Potential Test (95930) range across 4 matching MRF lines |
$304.69–$488.07 | $240–$750.88 | varies |
| Visual Field Exam Extended (92083) | — | $633 | — |
| Visual field xm uni/bi w/interp intermed exam (92082) | — | $248 | — |
| Visual field xm uni/bi w/interpretj limited exam (92081) | — | $193 | — |
| Visual reinforcement audiometry (vra) (92579) | — | $576 | — |
| Vital capacity, total (94150) | — | $460 | — |
| Wada Activation Test Hemispheric Function W/Eeg (95958) range across 2 matching MRF lines |
$1,361.35 | $1,435–$2,081.57 | 1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | — | $274 | — |
| Whirlpool Therapy (97022) | — | $344 | — |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) range across 4 matching MRF lines |
$195–$196.20 | $90–$300 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | — | $260 | — |
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.