Visits & medical services prices at MultiCare Capital Medical Center
Olympia, WA · every code in this section with a posted price and a Medicare benchmark.
337 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $9,966 | $24,915 | 1.1× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $153.20 | $383 | 1.0× |
| Acoustic Reflex Testing (92568) | $104.40 | $261 | 2.4× |
| Actigraphy Testing Recording Analysis I&R (95803) | $254.40 | $636 | 3.7× |
| Actinotherapy Ultraviolet Light (96900) | $105.60 | $264 | 2.4× |
| Acupunct W/Stimul 15 Min (97813) | $66 | $165 | 2.0× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $66 | $165 | 2.0× |
| Airway Inhalation Treatment (94640) range across 15 matching MRF lines |
$479.20–$483.20 | $1,198–$1,208 | varies |
| Airway resistance by oscillometry (94728) | $466.80 | $1,167 | 3.1× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $272.40 | $681 | 1.8× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $276.80 | $692 | 1.8× |
| Analyze neurostim complex (95972) | $155.60 | $389 | 1.4× |
| Analyze neurostim no prog (95970) | $143.20 | $358 | 0.9× |
| Analyze Neurostim Simple (95971) | $155.60 | $389 | 1.4× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $430.80 | $1,077 | 1.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $88 | $220 | 6.1× |
| Application on-body injector (96377) | $1,621.20 | $4,053 | 29.9× |
| Arrhythmia Induction (93618) | $2,838 | $7,095 | 2.0× |
| Assessment of aphasia per hr (96105) | $157.60 | $394 | 1.6× |
| Audiometry Air & Bone (92553) | $196 | $490 | 1.3× |
| Behavral qualit analys voice (92524) | $188.80 | $472 | 1.7× |
| Biofeedback training any modality (90901) | $74.80 | $187 | 1.8× |
| Bioimpedance Cv Analysis (93701) | $149.20 | $373 | 1.0× |
| Bis Xtracell Fluid Analysis (93702) | $94.40 | $236 | 0.6× |
| Breath hydrogen/methane test (91065) | $220.40 | $551 | 0.9× |
| Brief Emotional/Behav Assmt (96127) | $72 | $180 | 1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$497.20–$730 | $1,243–$1,825 | varies |
| Bundle of his recording (93600) | $13,480.40 | $33,701 | 1.5× |
| Canalith repositioning proc (95992) | $60 | $150 | 1.5× |
| Car seat/bed test 60 min (94780) | $42.40 | $106 | 1.0× |
| Cardiac Stress Tst,Tracing Only (93017) range across 4 matching MRF lines |
$716.80–$739.60 | $1,792–$1,849 | varies |
| Cardiopulmonary exercise testing (94621) | $647.60 | $1,619 | 1.5× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$454.40–$669.20 | $1,136–$1,673 | varies |
| Cardioversion (92960) | $986 | $2,465 | 1.3× |
| Cardioversion elective internal (92961) | $1,612.80 | $4,032 | 2.1× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $29.20 | $73 | 1.1× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $8,542 | $21,355 | 2.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $8,542 | $21,355 | 2.3× |
| Cbt 1st hour (94644) | $252.40 | $631 | 1.6× |
| Chemo Admin Peritoneal Cavity (96446) | $816.40 | $2,041 | 2.1× |
| Chemo Anti-Neopl Sq/Im (96401) | $108.80 | $272 | 1.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $162.40 | $406 | 1.9× |
| Chemo Ia Push (96420) | $816.40 | $2,041 | 2.1× |
| Chemo Intralesional Over 7 (96406) | $527.60 | $1,319 | 2.1× |
| Chemo intralesional up to 7 (96405) | $162.40 | $406 | 1.9× |
| Chemo IV infusion addl hr (96415) | $166.80 | $417 | 2.0× |
| Chemo IV push addl drug (96411) | $167.20 | $418 | 2.0× |
| Chemother Prolong Infuse W/Pump (96416) | $816.40 | $2,041 | 2.1× |
| Chemotherapy Into Cns (96450) range across 4 matching MRF lines |
$744.40–$816.40 | $1,861–$2,041 | varies |
| Chemotherapy Unspecified (96549) | $108.40 | $271 | 2.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $692 | $1,730 | 8.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $404.40 | $1,011 | 1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $260 | $650 | 0.7× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $594 | $1,485 | 1.6× |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$94–$139.60 | $235–$349 | varies |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$595.60–$1,110.40 | $1,489–$2,776 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$447.20–$674.40 | $1,118–$1,686 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $61.20 | $153 | 1.9× |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) | $855.60 | $2,139 | 0.9× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $855.60 | $2,139 | 2.0× |
| Comprehensive Hearing Test (92557) | $354 | $885 | 2.4× |
| Computerized dynamic posturography (92548) | $399.20 | $998 | 2.6× |
| Conditioning Play Audiometry (92582) | $298 | $745 | 2.0× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $419.60 | $1,049 | 2.7× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $158 | $395 | 2.3× |
| Coronary Art/Grft Angio S&I (93455) | $8,200.40 | $20,501 | 2.2× |
| Coronary Artery Angio S&I (93454) | $8,200.40 | $20,501 | 2.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 7 matching MRF lines |
$97.20–$1,388 | $243–$3,470 | varies |
| Cpt initial (94667) range across 3 matching MRF lines |
$172.40–$174.40 | $431–$436 | varies |
| Critical care first hour (99291) range across 4 matching MRF lines |
$3,947.20–$5,090 | $9,868–$12,725 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$250.40–$465.60 | $626–$1,164 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $350.40 | $876 | 2.4× |
| Dialysis One Evaluation (90945) | $540.80 | $1,352 | 1.1× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $302.80 | $757 | 0.7× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$594.80–$966.80 | $1,487–$2,417 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $597.20 | $1,493 | 4.9× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $461.20 | $1,153 | 3.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$589.60–$941.20 | $1,474–$2,353 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$295.20–$648.80 | $738–$1,622 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$589.60–$1,004.80 | $1,474–$2,512 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$295.20–$688.40 | $738–$1,721 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $614 | $1,535 | 2.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $295.20 | $738 | 2.4× |
| Duplex Scan Hemodialysis Access (93990) | $295.20 | $738 | 2.4× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$594.80–$834 | $1,487–$2,085 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$295.20–$583.20 | $738–$1,458 | varies |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) | $447.20 | $1,118 | 1.8× |
| Ear Protector Evaluation (92596) | $105.20 | $263 | 2.4× |
| ECG/monitoring and analysis (93271) | $340 | $850 | 3.1× |
| Echo Congenital Complete (93303) | $1,246.80 | $3,117 | 2.0× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$634–$640.40 | $1,585–$1,601 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $1,558 | $3,895 | 2.5× |
| Echo transesophageal (93312) | $1,509.60 | $3,774 | 2.4× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,142.40 | $2,856 | 1.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,210 | $5,525 | 3.5× |
| Eeg 41-60 Minutes (95812) | $602.80 | $1,507 | 2.4× |
| EEG awake and asleep (95819) | $656.80 | $1,642 | 2.6× |
| EEG awake drowsy (95816) | $806.40 | $2,016 | 3.2× |
| EEG cerebral death evaluation (95824) | $654 | $1,635 | 1.5× |
| EEG cont rec w/video by tech min 8 channels (95700) | $297.60 | $744 | 1.2× |
| EEG extended monitoring 61-119 minutes (95813) range across 4 matching MRF lines |
$627.20–$727.20 | $1,568–$1,818 | varies |
| Eeg Sleep Only (95822) | $602.80 | $1,507 | 2.4× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,383.20 | $3,458 | 5.5× |
| EEG w/o vid ea 12-26hr intmt (95709) | $1,294 | $3,235 | 3.0× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,976 | $4,940 | 4.6× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $326 | $815 | 3.0× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $320.40 | $801 | 2.9× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $226 | $565 | 5.2× |
| Electrical Stimulation Ea 15 Min (97032) | $265.60 | $664 | 18.1× |
| Electrocardiogram Tracing (93005) | $206 | $515 | 3.0× |
| Electroconvulsive Therapy (90870) | $1,223.60 | $3,059 | 1.2× |
| Electrophysiology Evaluation (93642) | $3,582 | $8,955 | 2.5× |
| Emergency Dept Visit Level 2 (99282) | $384 | $960 | 2.2× |
| Emergency Dept Visit Level 3 (99283) | $702 | $1,755 | 2.2× |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$1,102.80–$1,378.40 | $2,757–$3,446 | varies |
| Endomyocardial Biopsy (93505) | $4,612.40 | $11,531 | 1.3× |
| Ep & ablate supravent arrhyt (93653) | $19,735.60 | $49,339 | 0.7× |
| Ep & ablate ventric tachy (93654) | $21,050.80 | $52,627 | 0.7× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $13,306.80 | $33,267 | 1.5× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $9,398 | $23,495 | 1.0× |
| Er level 1 (99281) | $240 | $600 | 2.5× |
| Er level v (99285) range across 4 matching MRF lines |
$1,928–$2,462.40 | $4,820–$6,156 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $397.20 | $993 | 2.7× |
| Evaluate pt use of inhaler (94664) range across 12 matching MRF lines |
$135.60–$295.20 | $339–$738 | varies |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$124.80–$176 | $312–$440 | varies |
| Evaluate Swallowing Function (92610) | $230.40 | $576 | 2.7× |
| Evaluation of speech fluency (92521) | $189.60 | $474 | 1.4× |
| Evoked Auditory Test,Limited (92587) | $352.40 | $881 | 1.4× |
| External Ecg Scanning Analysis Report (93226) | $639.60 | $1,599 | 9.4× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$594.80–$950 | $1,487–$2,375 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$442.80–$613.60 | $1,107–$1,534 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) | $734 | $1,835 | 1.2× |
| Flexible endoscopic eval swallow c/v rec (92612) | $248.40 | $621 | 1.2× |
| Group Therapeutic Procedures (97150) | $48.40 | $121 | 2.7× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $8,542 | $21,355 | 2.3× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 3 matching MRF lines |
$702.40–$1,678 | $1,756–$4,195 | varies |
| Holter monitor recording (93225) | $496.40 | $1,241 | 3.2× |
| Icd Device Interrogate (93289) | $69.20 | $173 | 1.6× |
| Ilr Device Eval Progr (93285) | $93.20 | $233 | 2.2× |
| Ilr Device Interrogate (93291) | $103.60 | $259 | 3.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $46 | $115 | 0.6× |
| Immunization administration (90471) range across 4 matching MRF lines |
$55.60–$73.60 | $139–$184 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $649.60 | $1,624 | 1.5× |
| Insert/Place Heart Catheter (93503) | $1,337.60 | $3,344 | 0.7× |
| Interrogate Subq Defib (93261) | $102.40 | $256 | 2.4× |
| Interrogation vad in person (93750) | $336.40 | $841 | 3.1× |
| Intra-atrial pacing (93610) | $10,026.80 | $25,067 | 1.1× |
| Intracranial Complete Study (93886) | $816.40 | $2,041 | 3.0× |
| Intraventricular pacing (93612) unusually low: confirm this is the full procedure |
$4,063.20 | $10,158 | 0.4× |
| Io anal gast n-stim subsq (95981) | $298 | $745 | 4.4× |
| Io ga n-stim subsq w/reprog (95982) | $336.40 | $841 | 7.8× |
| Iontophoresis 15 min (97033) | $91.20 | $228 | 4.8× |
| Irrig Drug Delivery Device (96523) | $158 | $395 | 2.3× |
| IV infusion hydration each additional hour (96361) range across 7 matching MRF lines |
$109.60–$122 | $274–$305 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$520.40–$527.60 | $1,301–$1,319 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 7 matching MRF lines |
$162.40–$194.40 | $406–$486 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 7 matching MRF lines |
$109.60–$122 | $274–$305 | varies |
| IV push initial (96374) range across 9 matching MRF lines |
$520.40–$527.60 | $1,301–$1,319 | varies |
| L Hrt Art/Grft Angio (93459) | $8,542 | $21,355 | 2.3× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $7,860.40 | $19,651 | 2.1× |
| Lung Function Test (Mbc/Mvv) (94200) | $343.20 | $858 | 5.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $806.40 | $2,016 | 3.2× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $2,484 | $6,210 | 1.5× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$165.60–$278.80 | $414–$697 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $44 | $110 | 1.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $44 | $110 | 1.2× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$32–$47.20 | $80–$118 | varies |
| Methacholine challenge (94070) | $689.60 | $1,724 | 1.6× |
| Motion Fluoroscopy/Swallow (92611) | $228 | $570 | 2.5× |
| Multiple Sleep Latency Test (95805) | $2,039.60 | $5,099 | 2.1× |
| Muscle Test 2 Limbs (95861) | $313.20 | $783 | 2.0× |
| Muscle Test One Limb (95860) | $313.20 | $783 | 2.0× |
| Nasopharyngoscopy (92511) | $323.60 | $809 | 1.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $842.80 | $2,107 | 1.8× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $842.80 | $2,107 | 1.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $344.80 | $862 | 1.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $528 | $1,320 | 1.1× |
| Nerve Conduction Studies 1-2 Studies (95907) | $217.20 | $543 | 0.9× |
| Nerve Conduction Studies 11-12 Studies (95912) | $743.20 | $1,858 | 1.7× |
| Nerve conduction studies 13 or more studies (95913) | $743.20 | $1,858 | 1.7× |
| Nerve Conduction Studies 3-4 Studies (95908) | $270.40 | $676 | 1.1× |
| Nerve conduction studies 5-6 studies (95909) | $325.60 | $814 | 1.3× |
| Nerve conduction studies 7-8 studies (95910) | $488.80 | $1,222 | 1.1× |
| Nerve Conduction Studies 9-10 Studies (95911) | $642.40 | $1,606 | 1.5× |
| Neurobehavioral Status Exam (96116) | $565.20 | $1,413 | 2.3× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $359.20 | $898 | 2.4× |
| Neuromuscular Reeducation (97112) | $106.40 | $266 | 3.3× |
| Newborn resuscitation (99465) | $1,420.40 | $3,551 | 1.9× |
| Nitric oxide expired gas determination (95012) | $70.80 | $177 | 1.6× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $75.20 | $188 | 3.0× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $110.40 | $276 | 3.2× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $38.40 | $96 | 2.8× |
| Oral Function Therapy (92526) | $224.40 | $561 | 2.7× |
| Oral Speech Device Eval (92597) | $194.80 | $487 | 2.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $93.60 | $234 | 1.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$64.80–$111.20 | $162–$278 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $70.80 | $177 | 2.8× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $70.80 | $177 | 2.8× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $72.40 | $181 | 2.9× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $75.20 | $188 | 3.0× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $75.20 | $188 | 3.0× |
| Ot Contrast Bath Ea 15 Min (97034) | $28.40 | $71 | 2.0× |
| Ot eval high complexity (97167) | $252 | $630 | 2.5× |
| Ot Eval Low Complex (97165) | $197.20 | $493 | 2.0× |
| Ot Eval Moderate Complexity (97166) | $234 | $585 | 2.3× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$53.20–$104.80 | $133–$262 | varies |
| Ot paraffin bath (97018) | $17.20 | $43 | 2.9× |
| Ot Prosthetic Training, Each 15 Min (97761) | $60.80 | $152 | 1.5× |
| Ot Re-Eval Est Plan Care (97168) | $123.60 | $309 | 1.8× |
| Ot rom hand (95852) | $32 | $80 | 1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$284.80–$291.60 | $712–$729 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $191.20 | $478 | 1.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $278.80 | $697 | 1.1× |
| Peripheral arterial disease rehab per session (93668) | $140.40 | $351 | 2.1× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $12,059.60 | $30,149 | 0.6× |
| Perq transcath closure pda (93582) | $14,702 | $36,755 | 0.7× |
| Perq Transcath Cls Aortic (93591) | $31,318 | $78,295 | 1.5× |
| Perq Transcath Cls Mitral (93590) | $27,805.60 | $69,514 | 1.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $12,681.20 | $31,703 | 1.9× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $15,349.60 | $38,374 | 1.1× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$154–$291.20 | $385–$728 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $214.80 | $537 | 3.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $136.40 | $341 | 2.0× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$60.40–$86.40 | $151–$216 | varies |
| Plethysmography (94726) | $475.60 | $1,189 | 1.1× |
| Pm device eval in person (93288) | $69.20 | $173 | 1.6× |
| Pm device progr eval dual (93280) | $96.40 | $241 | 2.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$2,611.20–$3,258 | $6,528–$8,145 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $2,949.20 | $7,373 | 3.0× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $3,201.60 | $8,004 | 3.2× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $2,611.20 | $6,528 | 2.6× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $102.40 | $256 | 2.4× |
| Prq Card Angio/Athrect 1 Art (92924) | $9,648.80 | $24,122 | 0.7× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $23,681.60 | $59,204 | 1.8× |
| Prq Card Stent/Ath/Angio (92933) | $13,156.80 | $32,892 | 0.6× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $19,241.60 | $48,104 | 1.4× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $36,396.80 | $90,992 | 1.7× |
| Prq trl rvs ch occ ant&rtrgr (92945) unusually low: confirm this is the full procedure |
$5,401.60 | $13,504 | 0.4× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $7,389.20 | $18,473 | 0.6× |
| Psychiatric diagnostic evaluation (90791) | $308.80 | $772 | 1.5× |
| Psytx Crisis Initial 60 Min (90839) | $308.80 | $772 | 1.5× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $65.20 | $163 | 1.7× |
| Pt Eval High Complex (97163) | $256.80 | $642 | 2.6× |
| Pt eval low complex 20 min (97161) | $152 | $380 | 1.6× |
| Pt Eval Mod Complex (97162) | $212.80 | $532 | 2.2× |
| Pt gait training 15 min (97116) | $57.20 | $143 | 2.0× |
| Pt group caregiver training (97552) | $29.20 | $73 | 1.3× |
| Pt mechanical traction (97012) | $87.20 | $218 | 6.1× |
| Pt Re-Eval Est Plan Care (97164) | $120.40 | $301 | 1.8× |
| Pulm function test by gas (94727) | $375.60 | $939 | 1.5× |
| Pulmonary service/procedure (94799) | $1,494.40 | $3,736 | 10.0× |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$293.60–$371.60 | $734–$929 | varies |
| Pure Tone Audiometry Air (92552) | $134 | $335 | 0.9× |
| Quan puplmtry phy/qhp uni/bi (95919) | $315.20 | $788 | 2.0× |
| R Hrt Art/Grft Angio (93457) | $8,542 | $21,355 | 2.3× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $8,566.40 | $21,416 | 2.3× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $5,501.20 | $13,753 | 1.5× |
| R hrt coronary artery angio (93456) | $8,200.40 | $20,501 | 2.2× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $8,232.40 | $20,581 | 2.2× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $8,352.40 | $20,881 | 2.2× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $8,542 | $21,355 | 2.3× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $578 | $1,445 | 1.5× |
| Refill/Maint Portable Pump (96521) | $469.20 | $1,173 | 1.9× |
| Refill/Maint Pump/Resvr Syst (96522) | $466 | $1,165 | 1.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $196.40 | $491 | 4.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $85.20 | $213 | 1.2× |
| Right Heart Cath (93451) | $7,516.80 | $18,792 | 2.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $276 | $690 | 1.2× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $37.20 | $93 | 1.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $264.80 | $662 | 2.2× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $100.40 | $251 | 2.1× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $467.20 | $1,168 | 1.1× |
| Self Care Mngment Training (97535) | $88.80 | $222 | 2.7× |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$48.80–$96 | $122–$240 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $721.20 | $1,803 | 2.9× |
| Sleep study attended (95807) | $572 | $1,430 | 1.3× |
| Sleep study unattended (95806) | $428 | $1,070 | 1.7× |
| Slp caregiver training 1st 30 min (97550) | $65.60 | $164 | 1.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $358.40 | $896 | 1.4× |
| Somatosensory Testing (95938) | $1,405.20 | $3,513 | 1.4× |
| Speech Audiometry Complete (92556) | $124 | $310 | 1.8× |
| Speech audiometry threshold (92555) | $112.40 | $281 | 1.6× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$274.40–$482 | $686–$1,205 | varies |
| Spin/Brain Pump Refil & Main (95991) | $330.40 | $826 | 0.9× |
| Spirometry (94010) range across 3 matching MRF lines |
$240.40–$362.40 | $601–$906 | varies |
| Ssep lower limbs (95926) | $721.20 | $1,803 | 2.9× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$169.60–$189.20 | $424–$473 | varies |
| Stress Tte Only (93350) | $2,210 | $5,525 | 3.5× |
| Subcutaneous Infusion Each Additional Hour (96370) | $109.60 | $274 | 2.0× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $527.60 | $1,319 | 2.1× |
| Subq Infusion Additional Pump Infusion Site (96371) | $162.40 | $406 | 1.9× |
| Surfactant Admin Thru Tube (94610) | $215.20 | $538 | 0.8× |
| Temp transcutaneous pacing (92953) | $529.60 | $1,324 | 0.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $42 | $105 | 1.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $42 | $105 | 2.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $66.40 | $166 | 1.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $54 | $135 | 1.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 3 matching MRF lines |
$154.40–$188 | $386–$470 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $527.60 | $1,319 | 2.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$162.40–$163.20 | $406–$408 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 7 matching MRF lines |
$520.40–$527.60 | $1,301–$1,319 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$62.40–$89.20 | $156–$223 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,256 | $3,140 | 2.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $52 | $130 | 1.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $32 | $80 | 0.7× |
| Transcath Closure of Asd (93580) | $14,122.40 | $35,306 | 0.7× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $322 | $805 | 2.7× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$304.40–$643.20 | $761–$1,608 | varies |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,296.80–$1,366.80 | $3,242–$3,417 | varies |
| Tte W/O Doppler Complete (93307) | $1,068 | $2,670 | 3.9× |
| Tx atrial fib pulm vein isol (93656) | $21,050.80 | $52,627 | 0.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $198 | $495 | 2.6× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $68.80 | $172 | 2.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 8 matching MRF lines |
$109.60–$122 | $274–$305 | varies |
| Tympanometry (92567) | $96.40 | $241 | 2.2× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$1,287.60–$2,535.20 | $3,219–$6,338 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$272–$383.60 | $680–$959 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$364.40–$667.20 | $911–$1,668 | varies |
| Valvuloplasty aortic valve (92986) | $11,805.20 | $29,513 | 1.8× |
| Valvuloplasty mitral valve (92987) | $13,244.40 | $33,111 | 1.0× |
| Valvuloplasty pulmonary valve (92990) | $13,396 | $33,490 | 1.0× |
| Vasopneumatic device (97016) | $38.40 | $96 | 3.2× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,992 | $4,980 | 4.6× |
| Veeg 2-12 hr intmt mntr (95712) | $1,660 | $4,150 | 3.8× |
| Veeg 2-12 hr unmonitored (95711) | $715.60 | $1,789 | 2.9× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,371.20 | $5,928 | 5.5× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,394.80 | $3,487 | 3.2× |
| Veeg ea 12-26hr cont mntr (95716) | $2,845.60 | $7,114 | 2.9× |
| Vent Mgmt Inpat Init Day (94002) range across 5 matching MRF lines |
$1,092–$3,034.80 | $2,730–$7,587 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 5 matching MRF lines |
$873.60–$2,670.80 | $2,184–$6,677 | varies |
| Visual Evoked Potential Test (95930) | $715.20 | $1,788 | 2.9× |
| Visual reinforcement audiometry (vra) (92579) | $279.20 | $698 | 1.1× |
| Vital capacity, total (94150) | $88.80 | $222 | 0.6× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,557.60 | $3,894 | 1.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $44.80 | $112 | 1.4× |
| Whirlpool Therapy (97022) | $40.40 | $101 | 2.6× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $147.20 | $368 | 2.2× |
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.