Visits & medical services prices at Mountain View Hospital
Idaho Falls, ID · every code in this section with a posted price and a Medicare benchmark.
275 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (99497) | $108 | $108 | 1.1× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$100–$145 | $100–$145 | varies |
| Airway resistance by oscillometry (94728) | $150 | $150 | 1.2× |
| Analyze neurostim complex (95972) | $730 | $730 | 7.8× |
| Analyze neurostim no prog (95970) | $195 | $195 | 1.5× |
| Analyze Neurostim Simple (95971) range across 3 matching MRF lines |
$206–$412 | $206–$412 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $31 | $31 | 2.2× |
| Application on-body injector (96377) | $200 | $200 | 4.3× |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$314–$315 | $314–$315 | varies |
| Basic vestibular evaluation (92540) | $95 | $95 | 0.4× |
| Behavral qualit analys voice (92524) | $314 | $314 | 2.9× |
| Biofeedback training any modality (90901) | $65 | $65 | 1.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $408 | $408 | 1.1× |
| C motor evoked uppr limbs (95928) | $845 | $845 | 1.0× |
| C motor evoked upr&lwr limbs (95939) | $1,210 | $1,210 | 1.4× |
| Caloric Vstblr Test W/Rec (92537) | $29 | $29 | 0.2× |
| Canalith repositioning proc (95992) | $43 | $43 | 1.1× |
| Car seat/bed test 60 min (94780) | $75 | $75 | 2.0× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$230–$585 | $230–$585 | varies |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$670–$1,500 | $670–$1,500 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$1,500–$2,793 | $1,500–$2,793 | varies |
| Cardioversion elective internal (92961) range across 2 matching MRF lines |
$2,000–$2,793 | $2,000–$2,793 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $14,000 | $14,000 | 4.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $14,000 | $14,000 | 4.4× |
| Cbt 1st hour (94644) | $250 | $250 | 1.9× |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$200–$400 | $200–$400 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $160 | $160 | 2.2× |
| Chemo IV infusion addl hr (96415) range across 4 matching MRF lines |
$150–$600 | $150–$600 | varies |
| Chemo IV push addl drug (96411) | $250 | $250 | 3.5× |
| Chemother Prolong Infuse W/Pump (96416) | $582 | $582 | 1.8× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$700–$1,000 | $700–$1,000 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 3 matching MRF lines |
$250–$750 | $250–$750 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $700 | $700 | 2.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $500 | $500 | 1.5× |
| Chest Wall Manipulation (94668) | $86 | $86 | 0.7× |
| Chron Care Mgmt Srvc 20 Min (99490) | $73 | $73 | 0.7× |
| Color/duplex Doppler, complete (93975) | $657 | $657 | 2.8× |
| Color/duplex Doppler, limited (93976) | $590 | $590 | 5.7× |
| Comprehensive Hearing Test (92557) | $104 | $104 | 0.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $212 | $212 | 1.6× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $155 | $155 | 2.7× |
| Continuous Pulse Ox (94762) | $89.50 | $89.50 | 0.7× |
| Coronary Art/Grft Angio S&I (93455) | $14,000 | $14,000 | 4.4× |
| Coronary Artery Angio S&I (93454) | $14,000 | $14,000 | 4.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $1,200 | $1,200 | 5.5× |
| Cpt initial (94667) range across 2 matching MRF lines |
$54–$86 | $54–$86 | varies |
| Critical care first hour (99291) | $3,926 | $3,926 | 4.8× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $845 | $845 | 2.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$192–$2,316 | $192–$2,316 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $452 | $452 | 2.3× |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$750–$2,575 | $750–$2,575 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $37 | $37 | 0.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $590 | $590 | 2.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $250 | $250 | 2.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $590 | $590 | 2.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $425 | $425 | 4.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $590 | $590 | 2.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $425 | $425 | 4.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $720 | $720 | 3.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $590 | $590 | 5.7× |
| Duplex Scan Hemodialysis Access (93990) | $425 | $425 | 4.1× |
| Duplex up extrem art bilat (93930) | $590 | $590 | 2.5× |
| Duplex up extrem art unilat/ltd (93931) | $425 | $425 | 4.1× |
| Ear and throat examination (92502) | $876 | $876 | 1.6× |
| Echo Congenital Complete (93303) | $1,400 | $1,400 | 2.6× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$639–$1,320 | $639–$1,320 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $2,700 | $2,700 | 5.0× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$1,724–$1,776 | $1,724–$1,776 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,724 | $1,724 | 3.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,836 | $1,836 | 3.4× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$675–$1,500 | $675–$1,500 | varies |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$695–$1,000 | $695–$1,000 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$700–$1,000 | $700–$1,000 | varies |
| EEG cerebral death evaluation (95824) | $266 | $266 | 0.7× |
| EEG cont rec w/video by tech min 8 channels (95700) | $606 | $606 | 2.8× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$700–$1,200 | $700–$1,200 | varies |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$1,200–$1,500 | $1,200–$1,500 | varies |
| EEG w/o vid 2-12hr cont mntr (95707) | $905 | $905 | 4.2× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $1,810 | $1,810 | 4.9× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $106 | $106 | 1.1× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $267 | $267 | 2.8× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$275–$774 | $275–$774 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$61–$62 | $61–$62 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$150–$337.50 | $150–$337.50 | varies |
| Electrophysiology Evaluation (93642) | $2,721 | $2,721 | 2.3× |
| Emergency Dept Visit Level 2 (99282) | $679 | $679 | 4.5× |
| Emergency Dept Visit Level 3 (99283) | $1,183 | $1,183 | 4.4× |
| Emergency Dept Visit Level 4 (99284) | $1,912 | $1,912 | 4.6× |
| Endomyocardial Biopsy (93505) | $5,478.92 | $5,478.92 | 1.8× |
| Er level 1 (99281) | $370 | $370 | 4.4× |
| Er level v (99285) | $2,788 | $2,788 | 4.7× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $260 | $260 | 0.7× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $610 | $610 | 1.7× |
| Evaluate pt use of inhaler (94664) | $252 | $252 | 1.2× |
| Evaluate Speech Production (92522) | $314 | $314 | 2.8× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$249–$314 | $249–$314 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$461–$489 | $461–$489 | varies |
| External ECG rec>48hr<7d recording (93242) | $247 | $247 | 6.7× |
| External ECG rec>7d<15d recording (93246) | $247 | $247 | 6.7× |
| External Ecg Scanning Analysis Report (93226) | $247 | $247 | 4.2× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$590–$665 | $590–$665 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$345–$459 | $345–$459 | varies |
| Eye exam w anesth; complete (92018) | $1,545 | $1,545 | 0.7× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,320 | $1,320 | 2.4× |
| Flexible endoscopic eval swallow c/v rec (92612) | $241 | $241 | 1.2× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $700 | $700 | 0.8× |
| Fundus photography (92250) | $350 | $350 | 2.7× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $610 | $610 | 1.7× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $260 | $260 | 1.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $650 | $650 | 0.8× |
| Gi tract capsule endoscopy (91110) | $2,100 | $2,100 | 2.3× |
| Group Therapeutic Procedures (97150) | $88 | $88 | 4.9× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $14,000 | $14,000 | 4.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$1,125–$1,648 | $1,125–$1,648 | varies |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$190–$247 | $190–$247 | varies |
| Icd Device Interrogate (93289) | $75 | $75 | 2.0× |
| Icd device progr eval dual (93283) | $89 | $89 | 2.4× |
| Icd Device Progr Eval Mult (93284) | $89 | $89 | 2.4× |
| Ilr Device Eval Progr (93285) | $60 | $60 | 1.6× |
| Ilr Device Interrogate (93291) | $55 | $55 | 1.9× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $58 | $58 | 0.8× |
| Immunization administration (90471) range across 3 matching MRF lines |
$20.13–$61 | $20.13–$61 | varies |
| Insert/Place Heart Catheter (93503) | $5,478.92 | $5,478.92 | 3.5× |
| Intracutaneous tests w/allergenic extracts (95024) range across 2 matching MRF lines |
$350–$400 | $350–$400 | varies |
| Iontophoresis 15 min (97033) | $71 | $71 | 3.7× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$125–$258 | $125–$258 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$104–$2,496 | $104–$2,496 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$113–$275 | $113–$275 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$150–$276 | $150–$276 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 5 matching MRF lines |
$104–$350 | $104–$350 | varies |
| IV push initial (96374) | $250 | $250 | 1.2× |
| L Hrt Art/Grft Angio (93459) | $14,000 | $14,000 | 4.4× |
| Liver Elastography W/O Imag W/I&R (91200) | $160 | $160 | 1.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $720 | $720 | 3.4× |
| Mechanical chest wall oscillation per session (94669) | $225 | $225 | 1.0× |
| Methacholine challenge (94070) | $695 | $695 | 1.9× |
| Motility study esophagus (91010) | $475 | $475 | 1.3× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$350–$360 | $350–$360 | varies |
| Multiple Sleep Latency Test (95805) | $3,100 | $3,100 | 3.7× |
| Muscle Test 2 Limbs (95861) | $870 | $870 | 6.6× |
| Muscle Test One Limb (95860) | $870 | $870 | 6.6× |
| Nasopharyngoscopy (92511) | $1,030 | $1,030 | 5.2× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $263 | $263 | 1.2× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $175 | $175 | 0.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $440 | $440 | 1.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $450 | $450 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$141.50–$283 | $141.50–$283 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$450–$464 | $450–$464 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$625–$700 | $625–$700 | varies |
| Nerve conduction studies 13 or more studies (95913) | $750 | $750 | 2.0× |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$327–$412 | $327–$412 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$300–$309 | $300–$309 | varies |
| Nerve conduction studies 7-8 studies (95910) | $400 | $400 | 1.1× |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$625–$644 | $625–$644 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $150 | $150 | 1.2× |
| Neuromuscular Reeducation (97112) range across 7 matching MRF lines |
$84–$340 | $84–$340 | varies |
| Newborn resuscitation (99465) | $683 | $683 | 1.0× |
| Nitric oxide expired gas determination (95012) | $109 | $109 | 3.0× |
| Oral Function Therapy (92526) | $328 | $328 | 3.9× |
| Oral Speech Device Eval (92597) | $165 | $165 | 2.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $77 | $77 | 1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$75–$150 | $75–$150 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$45–$105 | $45–$105 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) | $106 | $106 | 5.0× |
| Ot Contrast Bath Ea 15 Min (97034) | $66 | $66 | 4.7× |
| Ot eval high complexity (97167) | $243 | $243 | 2.4× |
| Ot Eval Low Complex (97165) | $243 | $243 | 2.4× |
| Ot Eval Moderate Complexity (97166) | $243 | $243 | 2.4× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$89–$267 | $89–$267 | varies |
| Ot paraffin bath (97018) | $66 | $66 | 11.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $50 | $50 | 1.2× |
| Ot Re-Eval Est Plan Care (97168) | $243 | $243 | 3.5× |
| Ot rom hand (95852) | $72 | $72 | 3.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $330 | $330 | 2.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $330 | $330 | 2.6× |
| Patch/Application Test Specify Number Tests (95044) | $528 | $528 | 0.6× |
| Percutaneous tests w/allergenic extracts (95004) | $280 | $280 | 0.3× |
| Peripheral arterial disease rehab per session (93668) | $150 | $150 | 2.6× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $24,000 | $24,000 | 1.3× |
| Perq transcath closure pda (93582) | $25,000 | $25,000 | 1.4× |
| Perq Transcath Cls Aortic (93591) | $25,000 | $25,000 | 1.4× |
| Perq Transcath Cls Mitral (93590) | $25,000 | $25,000 | 1.4× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $14,220 | $14,220 | 2.5× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$18,000–$54,755.63 | $18,000–$54,755.63 | varies |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$194–$377 | $194–$377 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $200 | $200 | 3.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $200 | $200 | 3.4× |
| Physical Performance Test (97750) | $93 | $93 | 2.8× |
| Plethysmography (94726) range across 2 matching MRF lines |
$300–$382 | $300–$382 | varies |
| Pm device eval in person (93288) | $61 | $61 | 1.7× |
| Pm device progr eval dual (93280) | $75 | $75 | 2.0× |
| Pm device progr eval multi (93281) | $87 | $87 | 2.4× |
| Pm Device Progr Eval Sngl (93279) | $67 | $67 | 1.8× |
| Pm/Icd Remote Tech Serv (93296) range across 3 matching MRF lines |
$109–$220 | $109–$220 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,100 | $3,100 | 3.7× |
| Polysom <6 yrs 4/> paramtrs (95782) | $3,100 | $3,100 | 3.7× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $500 | $500 | 10.8× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $77 | $77 | 2.1× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $23 | $23 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $34 | $34 | 0.7× |
| Prq Card Angio/Athrect 1 Art (92924) | $24,000 | $24,000 | 2.1× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $18,000 | $18,000 | 1.6× |
| Prq Card Stent/Ath/Angio (92933) range across 3 matching MRF lines |
$19,000–$54,755.63 | $19,000–$54,755.63 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$18,000–$54,755.63 | $18,000–$54,755.63 | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $25,000 | $25,000 | 1.4× |
| Pt Eval High Complex (97163) | $234 | $234 | 2.4× |
| Pt eval low complex 20 min (97161) | $234 | $234 | 2.4× |
| Pt Eval Mod Complex (97162) | $234 | $234 | 2.4× |
| Pt gait training 15 min (97116) range across 5 matching MRF lines |
$84–$170 | $84–$170 | varies |
| Pt mechanical traction (97012) range across 3 matching MRF lines |
$83–$175 | $83–$175 | varies |
| Pt Re-Eval Est Plan Care (97164) | $234 | $234 | 3.5× |
| Pt ultraviolet (97028) | $24 | $24 | 2.9× |
| Pulmonary service/procedure (94799) | $165 | $165 | 1.3× |
| Pulmonary Stress Testing (94618) | $245 | $245 | 1.9× |
| Pure Tone Audiometry Air (92552) | $50 | $50 | 0.4× |
| R Hrt Art/Grft Angio (93457) | $14,000 | $14,000 | 4.4× |
| R hrt coronary artery angio (93456) | $14,000 | $14,000 | 4.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $14,000 | $14,000 | 4.4× |
| Refill/Maint Portable Pump (96521) | $400 | $400 | 1.9× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $125 | $125 | 3.4× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $107 | $107 | 2.9× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$99–$247 | $99–$247 | varies |
| Remote 30 Day Ecg Tech Supp (93229) | $721 | $721 | 2.0× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $246 | $246 | 1.9× |
| Right Heart Cath (93451) | $14,000 | $14,000 | 4.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $402 | $402 | 2.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $387 | $387 | 3.2× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $194 | $194 | 4.1× |
| Same day nb discharge (99463) | $253 | $253 | 1.9× |
| Self Care Mngment Training (97535) range across 6 matching MRF lines |
$84–$340 | $84–$340 | varies |
| Sensory Integration Ea 15 Min (97533) | $85 | $85 | 1.4× |
| Short-latency somatosens ep std upr limbs (95925) | $425 | $425 | 2.0× |
| Sleep study attended (95807) | $1,157 | $1,157 | 3.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $450 | $450 | 2.1× |
| Somatosensory Testing (95938) | $870 | $870 | 1.0× |
| Speech sound lang comprehen (92523) | $314 | $314 | 1.4× |
| Spirometry (94010) range across 3 matching MRF lines |
$70–$210 | $70–$210 | varies |
| Ssep lower limbs (95926) | $870 | $870 | 4.1× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$314–$315 | $314–$315 | varies |
| Stress Tte Only (93350) | $1,836 | $1,836 | 3.4× |
| Surfactant Admin Thru Tube (94610) | $225 | $225 | 1.0× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$1,000–$2,793 | $1,000–$2,793 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$85–$336 | $85–$336 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $85 | $85 | 4.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 6 matching MRF lines |
$106–$448 | $106–$448 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $53 | $53 | 1.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $228 | $228 | 2.2× |
| Ther/Proph/Diag Inj Ia (96373) | $150 | $150 | 0.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$47–$150 | $47–$150 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$142–$500 | $142–$500 | varies |
| Therapeutic Activities (97530) range across 5 matching MRF lines |
$89–$356 | $89–$356 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $35 | $35 | 0.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $35 | $35 | 0.9× |
| Trans Care Mgmt 14 Day Disch (99495) | $150 | $150 | 1.1× |
| Trans Care Mgmt 7 Day Disch (99496) | $150 | $150 | 1.1× |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$25,000–$73,957.13 | $25,000–$73,957.13 | varies |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$1,320–$1,550 | $1,320–$1,550 | varies |
| Tte W/O Doppler Complete (93307) | $575 | $575 | 2.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $228 | $228 | 3.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$80–$450 | $80–$450 | varies |
| Tympanometry (92567) | $27 | $27 | 0.7× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$500–$1,110 | $500–$1,110 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $315 | $315 | 2.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$355–$650 | $355–$650 | varies |
| Valvuloplasty aortic valve (92986) | $14,000 | $14,000 | 2.5× |
| Valvuloplasty mitral valve (92987) | $14,000 | $14,000 | 1.2× |
| Valvuloplasty pulmonary valve (92990) | $14,000 | $14,000 | 1.2× |
| Vasopneumatic device (97016) | $80 | $80 | 6.7× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,456.75 | $1,456.75 | 4.0× |
| Veeg ea 12-26hr cont mntr (95716) | $2,670 | $2,670 | 3.1× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$900–$3,500 | $900–$3,500 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$800–$3,000 | $800–$3,000 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $45 | $45 | 1.4× |
| Whirlpool Therapy (97022) | $98 | $98 | 6.2× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $1,668 | $1,668 | 45.2× |
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.