Visits & medical services prices at Montrose Regional Health

Montrose, CO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Actigraphy Testing Recording Analysis I&R (95803)
range across 4 matching MRF lines
$114.75–$372.75 $153–$497 varies
Actinotherapy Ultraviolet Light (96900) $141 $188 3.6×
Advncd Care Plan 30 Min (99497) $233.25 $311 2.2×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$24–$452.25 $32–$603 varies
Airway resistance by oscillometry (94728)
range across 3 matching MRF lines
$33–$132.75 $44–$177 varies
Analyze neurostim no prog (95970) $52.50 $70 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $44.25 $59 3.1×
Application on-body injector (96377) $157.50 $210 3.2×
Assessment of aphasia per hr (96105) $283.50 $378 2.9×
Behavral qualit analys voice (92524) $318.75 $425 2.9×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $224.25 $299 2.7×
Bfb training ea addl 15 min (90913) $88.50 $118 2.7×
Brief Emotional/Behav Assmt (96127) $13.50 $18 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$27.75–$558 $37–$744 varies
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$99.75–$117.75 $133–$157 varies
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$108.75–$650.25 $145–$867 varies
Cardiopulmonary exercise testing (94621) $738 $984 1.9×
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines
$447–$1,030.50 $596–$1,374 varies
Cardioversion (92960)
range across 4 matching MRF lines
$252–$1,431 $336–$1,908 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460)
range across 2 matching MRF lines
$951–$13,097.25 $1,268–$17,463 varies
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458)
range across 2 matching MRF lines
$750.75–$11,377.50 $1,001–$15,170 varies
Chemo Anti-Neopl Sq/Im (96401) $277.50 $370 3.7×
Chemo Hormon Antineopl Sq/Im (96402) $215.25 $287 2.8×
Chemo IV infusion addl hr (96415) $335.25 $447 4.4×
Chemo IV push addl drug (96411) $260.25 $347 3.4×
Chemother Prolong Infuse W/Pump (96416) $777 $1,036 2.2×
Chemotherapy Into Cns (96450) $439.50 $586 1.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $345.75 $461 4.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $857.25 $1,143 2.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $500.25 $667 1.4×
Chest Wall Manipulation (94668) $235.50 $314 1.7×
Color/duplex Doppler, complete (93975)
range across 4 matching MRF lines
$119.25–$715.50 $159–$954 varies
Color/duplex Doppler, limited (93976)
range across 3 matching MRF lines
$83.25–$701.25 $111–$935 varies
Continuous Pulse Ox (94762) $330.75 $441 2.4×
Coronary Art/Grft Angio S&I (93455)
range across 2 matching MRF lines
$710.25–$11,199.75 $947–$14,933 varies
Coronary Artery Angio S&I (93454)
range across 3 matching MRF lines
$591.75–$8,344.50 $789–$11,126 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$188.25–$570.75 $251–$761 varies
Cpt initial (94667) $235.50 $314 1.7×
Critical care first hour (99291)
range across 5 matching MRF lines
$524.25–$831 $699–$1,108 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$70.50–$401.25 $94–$535 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 4 matching MRF lines
$83.25–$764.25 $111–$1,019 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 3 matching MRF lines
$51–$321 $68–$428 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 4 matching MRF lines
$81–$1,099.50 $108–$1,466 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines
$49.50–$440.25 $66–$587 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 4 matching MRF lines
$70.50–$1,097.25 $94–$1,463 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 5 matching MRF lines
$45.75–$635.25 $61–$847 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985)
range across 4 matching MRF lines
$82.50–$1,323 $110–$1,764 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986)
range across 3 matching MRF lines
$49.50–$850.50 $66–$1,134 varies
Duplex up extrem art bilat (93930)
range across 4 matching MRF lines
$82.50–$807.75 $110–$1,077 varies
Duplex up extrem art unilat/ltd (93931)
range across 4 matching MRF lines
$50.25–$573.75 $67–$765 varies
Echo Heart Xthoracic,Limited (93308)
range across 4 matching MRF lines
$93–$603 $124–$804 varies
Echo transesophageal (93312)
range across 3 matching MRF lines
$282–$1,805.25 $376–$2,407 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines
$813–$1,968.75 $1,084–$2,625 varies
EEG awake and asleep (95819) $891 $1,188 3.9×
EEG awake drowsy (95816) $724.50 $966 3.2×
Eeg Sleep Only (95822) $624 $832 2.7×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977)
range across 2 matching MRF lines
$113.25–$135.75 $151–$181 varies
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976)
range across 2 matching MRF lines
$84–$101.25 $112–$135 varies
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$19.50–$186 $26–$248 varies
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$105.75–$138.75 $141–$185 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$159.75–$216 $213–$288 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines
$309–$402 $412–$536 varies
Emg 4 Extremities (95864)
range across 2 matching MRF lines
$236.25–$660.75 $315–$881 varies
Er level 1 (99281)
range across 2 matching MRF lines
$29.25–$88.50 $39–$118 varies
Er level v (99285)
range across 4 matching MRF lines
$413.25–$597 $551–$796 varies
Esophageal Capsule Endoscopy (91111)
range across 3 matching MRF lines
$128.25–$1,392 $171–$1,856 varies
Esophagus acid perfusion test esophagitis (91030)
range across 3 matching MRF lines
$26.25–$81 $35–$108 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$55.50–$418.50 $74–$558 varies
Evaluate Speech Production (92522) $302.25 $403 2.7×
Evaluate Swallowing Function (92610) $369 $492 4.3×
Exercise test for bronchospasm (94617) $256.50 $342 1.8×
Extracranial Bilat Study (93880)
range across 3 matching MRF lines
$99–$823.50 $132–$1,098 varies
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines
$384–$576 $512–$768 varies
Flexible endoscopic eval swallow c/v rec (92612) $357.75 $477 1.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035)
range across 2 matching MRF lines
$1,164.75–$1,392 $1,553–$1,856 varies
Gi tract capsule endoscopy (91110)
range across 2 matching MRF lines
$317.25–$1,911 $423–$2,548 varies
Gi tract imaging intraluminal colon i&r (91113) $356.25 $475 0.4×
Group Therapeutic Procedures (97150) $72 $96 4.0×
Health Behavior Assessment/Re-Assessment (96156) $288.75 $385 2.7×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $210 $280 5.3×
Health behavior ivntj group f2f 1st 30 min (96164) $31.50 $42 0.8×
Health behavior ivntj indiv f2f 1st 30 min (96158) $198 $264 1.1×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461)
range across 2 matching MRF lines
$1,050.75–$13,279.50 $1,401–$17,706 varies
Holter monitor recording (93225) $276 $368 2.0×
Icd Device Interrogate (93289) $194.25 $259 4.9×
Icd device progr eval dual (93283)
range across 3 matching MRF lines
$117–$263.25 $156–$351 varies
Icd Device Progr Eval Mult (93284)
range across 3 matching MRF lines
$130.50–$284.25 $174–$379 varies
Icm Device Eval (93290) $54.75 $73 1.4×
Ilr Device Eval Progr (93285) $67.50 $90 1.7×
Ilr Device Interrogate (93291) $46.50 $62 1.5×
Immunization administration (90471) $129.75 $173 1.7×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $110.25 $147 0.3×
Insert/Place Heart Catheter (93503) $214.50 $286 0.1×
Interrogate Subq Defib (93261) $94.50 $126 2.4×
Interrogation eval in person wr defibrillator (93292) $54.75 $73 1.4×
Iontophoresis 15 min (97033) $84 $112 4.4×
Irrig Drug Delivery Device (96523) $168.75 $225 2.7×
IV infusion hydration each additional hour (96361) $200.25 $267 4.1×
IV infusion hydration initial 31 min-1 hour (96360) $477.75 $637 2.1×
IV infusion ther proph addl sequential to 1 hr (96367) $234.75 $313 3.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $200.25 $267 4.1×
IV push initial (96374) $310.50 $414 1.4×
L Hrt Art/Grft Angio (93459)
range across 2 matching MRF lines
$852–$11,690.25 $1,136–$15,587 varies
Low frequency non-thermal us (97610) $363 $484 1.7×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 7 matching MRF lines
$62.25–$701.25 $83–$935 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $60 $80 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$71.25–$99.75 $95–$133 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $36 $48 2.1×
Methacholine challenge (94070)
range across 5 matching MRF lines
$76.50–$738 $102–$984 varies
Motion Fluoroscopy/Swallow (92611)
range across 2 matching MRF lines
$273.75–$411 $365–$548 varies
Motor &/sens nrv cndj preconf eltrd array limb (95905)
range across 2 matching MRF lines
$82.50–$92.25 $110–$123 varies
Multiple Sleep Latency Test (95805)
range across 4 matching MRF lines
$154.50–$2,645.25 $206–$3,527 varies
Muscle Test 2 Limbs (95861) $247.50 $330 1.8×
Muscle Test Nonparaspinal (95870)
range across 2 matching MRF lines
$195–$239.25 $260–$319 varies
Muscle Test One Limb (95860)
range across 2 matching MRF lines
$157.50–$328.50 $210–$438 varies
Nasopharyngoscopy (92511) $180 $240 0.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$42–$952.50 $56–$1,270 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,209.75 $1,613 2.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 5 matching MRF lines
$48–$401.25 $64–$535 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 5 matching MRF lines
$53.25–$651 $71–$868 varies
Nerve Conduction Studies 1-2 Studies (95907)
range across 2 matching MRF lines
$108–$257.25 $144–$343 varies
Nerve Conduction Studies 11-12 Studies (95912)
range across 2 matching MRF lines
$695.25–$799.50 $927–$1,066 varies
Nerve conduction studies 13 or more studies (95913)
range across 2 matching MRF lines
$818.25–$852 $1,091–$1,136 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 2 matching MRF lines
$213.75–$323.25 $285–$431 varies
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines
$387.75–$426 $517–$568 varies
Nerve conduction studies 7-8 studies (95910)
range across 2 matching MRF lines
$504.75–$534 $673–$712 varies
Nerve Conduction Studies 9-10 Studies (95911)
range across 2 matching MRF lines
$601.50–$747 $802–$996 varies
Neuromuscular Reeducation (97112) $111 $148 3.4×
Newborn resuscitation (99465) $1,537.50 $2,050 2.2×
Nonphysician Telephone Assessment 11-20 Min (98967) $67.50 $90 2.7×
Nonphysician Telephone Assessment 21-30 Min (98968) $93 $124 2.7×
Nonphysician Telephone Assessment 5-10 Min (98966) $36.75 $49 2.7×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004)
range across 2 matching MRF lines
$207.75–$408.75 $277–$545 varies
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $42.75 $57 0.7×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $67.50 $90 1.1×
Oral Function Therapy (92526) $263.25 $351 3.1×
Oral Speech Device Eval (92597) $318.75 $425 4.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $116.25 $155 2.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $128.25 $171 2.8×
Osteopathic manipulative tx 7-8 body regions (98928)
range across 2 matching MRF lines
$132–$165.75 $176–$221 varies
Ot eval high complexity (97167)
range across 2 matching MRF lines
$216–$273.75 $288–$365 varies
Ot Eval Low Complex (97165)
range across 2 matching MRF lines
$216–$273.75 $288–$365 varies
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines
$216–$273.75 $288–$365 varies
Ot manual therapy 15 min (97140) $87.75 $117 3.2×
Ot Prosthetic Training, Each 15 Min (97761) $187.50 $250 4.6×
Ot Re-Eval Est Plan Care (97168)
range across 2 matching MRF lines
$136.50–$186.75 $182–$249 varies
Ot rom hand (95852) $59.25 $79 2.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $261.75 $349 1.9×
Patient-initiated spirometric phys/qhp r&i only (94016) $66 $88 2.7×
Penile Vascular Study,Ltd or F/U (93981) $669.75 $893 6.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $516.75 $689 2.2×
Peripheral arterial disease rehab per session (93668) $170.25 $227 2.7×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 2 matching MRF lines
$996.75–$12,265.50 $1,329–$16,354 varies
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
likely a partial charge, not the full procedure
$1,632 $2,176 0.1×
Phlebotomy therapeutic (99195) $255 $340 1.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $201.75 $269 3.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $187.50 $250 3.0×
Physical Performance Test (97750) $139.50 $186 4.1×
Plethysmography (94726)
range across 2 matching MRF lines
$32.25–$569.25 $43–$759 varies
Pm device eval in person (93288) $54 $72 1.4×
Pm device progr eval dual (93280)
range across 3 matching MRF lines
$98.25–$214.50 $131–$286 varies
Pm device progr eval multi (93281)
range across 3 matching MRF lines
$109.50–$226.50 $146–$302 varies
Pm Device Progr Eval Sngl (93279) $183 $244 4.6×
Pm/Icd Remote Tech Serv (93296) $88.50 $118 2.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$331.50–$3,783.75 $442–$5,045 varies
Polysom <6 yrs 4/> paramtrs (95782) $324.75 $433 0.4×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $352.67 $470.22 0.4×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $702.75 $937 0.8×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282)
range across 3 matching MRF lines
$105.75–$222.75 $141–$297 varies
Prq Card Stent W/Angio 1 Vsl (92928)
range across 2 matching MRF lines
$1,194–$24,207.75 $1,592–$32,277 varies
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure
$1,425 $1,900 0.1×
Prq Revasc Byp Graft 1 Vsl (92937)
range across 2 matching MRF lines
$1,348.50–$23,747.25 $1,798–$31,663 varies
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $110.25 $147 2.9×
Pt Eval High Complex (97163)
range across 2 matching MRF lines
$216–$266.25 $288–$355 varies
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$216–$266.25 $288–$355 varies
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$216–$266.25 $288–$355 varies
Pt gait training 15 min (97116) $87.75 $117 3.0×
Pt mechanical traction (97012) $54.75 $73 3.8×
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$138.75–$183.75 $185–$245 varies
Pulm function test by gas (94727)
range across 3 matching MRF lines
$32.25–$137.25 $43–$183 varies
Pulmonary Stress Testing (94618)
range across 4 matching MRF lines
$39.75–$335.25 $53–$447 varies
R Hrt Art/Grft Angio (93457)
range across 2 matching MRF lines
$891.75–$11,133 $1,189–$14,844 varies
R hrt coronary artery angio (93456)
range across 2 matching MRF lines
$792.75–$11,598.75 $1,057–$15,465 varies
R&L Hrt Cath W/Ventriclgrphy (93453) $805.50 $1,074 0.2×
Refill/Maint Portable Pump (96521) $486 $648 2.2×
Rem interrog icpms <30 d phys/qhp (93297) $65.25 $87 1.7×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $65.25 $87 1.7×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $145.50 $194 3.7×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $60 $80 0.4×
Remote 30 Day Ecg Rev/Report (93270) $427.50 $570 10.9×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $60 $80 0.4×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $112.50 $150 2.7×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $147.75 $197 2.7×
Respiratory flow volume loop (94375) $38.25 $51 0.2×
Right Heart Cath (93451)
range across 2 matching MRF lines
$336.75–$9,717.75 $449–$12,957 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $353.25 $471 1.7×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $441 $588 3.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $126 $168 2.6×
Self Care Mngment Training (97535) $107.25 $143 3.3×
Sleep study attended (95807)
range across 4 matching MRF lines
$159–$1,229.25 $212–$1,639 varies
Sleep study unattended (95806)
range across 2 matching MRF lines
$120–$516 $160–$688 varies
Slp Stdy Unatnd W/Anal (95801) $285 $380 4.6×
Speech sound lang comprehen (92523) $455.25 $607 2.0×
Spirometry (94010)
range across 3 matching MRF lines
$22.50–$323.25 $30–$431 varies
Standardized Cognitive Performance Testing (96125) $265.50 $354 2.6×
Stress Tte Only (93350) $603.75 $805 1.0×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$37.50–$1,395 $50–$1,860 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
$60–$116.25 $80–$155 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines
$56.25–$116.25 $75–$155 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $105 $140 2.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $288.75 $385 2.8×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$42–$150 $56–$200 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$185.25–$483 $247–$644 varies
Therapeutic Activities (97530) $104.25 $139 3.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660)
range across 2 matching MRF lines
$240.75–$1,127.25 $321–$1,503 varies
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$58.50–$78 $78–$104 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$28.50–$41.25 $38–$55 varies
Trans Care Mgmt 14 Day Disch (99495)
range across 2 matching MRF lines
$324–$597 $432–$796 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 2 matching MRF lines
$441–$810.75 $588–$1,081 varies
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$451.50–$1,828.50 $602–$2,438 varies
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines
$205.50–$380.25 $274–$507 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $249 $332 3.3×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $141 $188 5.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $162 $216 3.3×
Unlisted cardiovascular service/procedure (93799) $222 $296 1.6×
Upr/L Xtremity Art 2 Levels (93922)
range across 6 matching MRF lines
$25.50–$330.75 $34–$441 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 7 matching MRF lines
$56.25–$476.25 $75–$635 varies
Vasopneumatic device (97016) $57.75 $77 4.8×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$226.50–$1,203.75 $302–$1,605 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,062.75 $1,417 1.6×
Vital capacity, total (94150) $157.50 $210 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $102.75 $137 3.3×
Whirlpool Therapy (97022) $78.75 $105 5.0×

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.