Visits & medical services prices at Munson Healthcare Cadillac Hospital
Cadillac, MI · every code in this section with a posted price and a Medicare benchmark.
293 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) range across 2 matching MRF lines |
$124.95–$294.95 | $147–$347 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) | $39.95 | $47 | 1.0× |
| Advncd Care Plan 30 Min (99497) | $135.15 | $159 | 1.3× |
| Airway Inhalation Treatment (94640) range across 13 matching MRF lines |
$232.90–$283.90 | $274–$334 | varies |
| Airway resistance by oscillometry (94728) | $88.40 | $104 | 0.7× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $177.65 | $209 | 4.8× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $12.75 | $15 | 0.1× |
| Analyze neurostim complex (95972) | $125.80 | $148 | 1.3× |
| Analyze neurostim no prog (95970) | $233.75 | $275 | 1.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $101.15 | $119 | 7.0× |
| Application Modality 1/> Areas Infrared (97026) | $45.05 | $53 | 6.7× |
| Application on-body injector (96377) | $60.35 | $71 | 1.3× |
| Assessment of aphasia per hr (96105) range across 5 matching MRF lines |
$215.90–$425 | $254–$500 | varies |
| Basic vestibular evaluation (92540) | $241.40 | $284 | 1.1× |
| Behavral qualit analys voice (92524) range across 5 matching MRF lines |
$367.20–$385.90 | $432–$454 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $152.15 | $179 | 1.9× |
| Bfb training ea addl 15 min (90913) | $106.25 | $125 | 3.2× |
| Biofeedback training any modality (90901) | $108.80 | $128 | 2.6× |
| Breathing response to hypoxia (94450) | $182.75 | $215 | 1.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 5 matching MRF lines |
$86.70–$374 | $102–$440 | varies |
| C motor evoked uppr limbs (95928) | $530.40 | $624 | 0.6× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$96.90–$105.40 | $114–$124 | varies |
| Car seat/bed test 60 min (94780) | $121.55 | $143 | 3.3× |
| Cardiac Stress Tst,Tracing Only (93017) range across 7 matching MRF lines |
$811.75–$1,007.25 | $955–$1,185 | varies |
| Cardiopulmonary exercise testing (94621) | $340 | $400 | 0.9× |
| Cardiopulmonary resuscitation (92950) range across 5 matching MRF lines |
$635.80–$724.20 | $748–$852 | varies |
| Cardioversion (92960) | $1,416.95 | $1,667 | 2.2× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $89.25 | $105 | 2.4× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $6.80 | $8 | 0.2× |
| Cbt 1st hour (94644) range across 5 matching MRF lines |
$134.30–$210.80 | $158–$248 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$157.25–$297.50 | $185–$350 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $129.20 | $152 | 1.8× |
| Chemo IV infusion addl hr (96415) | $116.45 | $137 | 1.6× |
| Chemo IV push addl drug (96411) | $158.95 | $187 | 2.2× |
| Chemother Prolong Infuse W/Pump (96416) | $469.20 | $552 | 1.4× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $766.70 | $902 | 2.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $296.65 | $349 | 4.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $551.65 | $649 | 1.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 3 matching MRF lines |
$336.60–$461.55 | $396–$543 | varies |
| Chest Wall Manipulation (94668) range across 4 matching MRF lines |
$82.45–$168.30 | $97–$198 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $138.55 | $163 | 1.4× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $828.75 | $975 | 2.2× |
| Color/duplex Doppler, complete (93975) range across 12 matching MRF lines |
$893.35–$1,178.95 | $1,051–$1,387 | varies |
| Color/duplex Doppler, limited (93976) | $821.95 | $967 | 7.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $111.35 | $131 | 3.5× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $215.05 | $253 | 1.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 4 matching MRF lines |
$323–$511.70 | $380–$602 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 5 matching MRF lines |
$184.45–$211.65 | $217–$249 | varies |
| Continuous Pulse Ox (94762) range across 5 matching MRF lines |
$57.80–$567.80 | $68–$668 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$140.25–$340.85 | $165–$401 | varies |
| Cpt initial (94667) range across 5 matching MRF lines |
$52.70–$168.30 | $62–$198 | varies |
| Critical care first hour (99291) range across 10 matching MRF lines |
$470.05–$3,297.15 | $553–$3,879 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 12 matching MRF lines |
$224.40–$367.20 | $264–$432 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $398.65 | $469 | 3.1× |
| Dialysis One Evaluation (90945) | $1,276.70 | $1,502 | 3.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $933.30 | $1,098 | 3.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $689.35 | $811 | 6.6× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $257.55 | $303 | 2.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 5 matching MRF lines |
$725.05–$1,126.25 | $853–$1,325 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $429.25 | $505 | 4.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,076.95 | $1,267 | 4.5× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 20 matching MRF lines |
$492.15–$843.20 | $579–$992 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 3 matching MRF lines |
$326.40–$609.45 | $384–$717 | varies |
| Duplex up extrem art bilat (93930) range across 4 matching MRF lines |
$981.75–$986 | $1,155–$1,160 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 9 matching MRF lines |
$523.60–$747.15 | $616–$879 | varies |
| ECG/monitoring and analysis (93271) | $529.55 | $623 | 5.6× |
| Echo Congenital Complete (93303) | $1,736.55 | $2,043 | 3.2× |
| Echo Heart Xthoracic,Limited (93308) range across 6 matching MRF lines |
$928.20–$962.20 | $1,092–$1,132 | varies |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$1,399.10–$2,233.80 | $1,646–$2,628 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,395.70 | $1,642 | 2.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 9 matching MRF lines |
$1,513–$1,915.05 | $1,780–$2,253 | varies |
| Eeg 41-60 Minutes (95812) | $1,003.85 | $1,181 | 4.7× |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$885.70–$1,253.75 | $1,042–$1,475 | varies |
| EEG awake drowsy (95816) | $1,056.55 | $1,243 | 4.9× |
| EEG cerebral death evaluation (95824) | $1,023.40 | $1,204 | 2.8× |
| EEG cont rec w/video by tech min 8 channels (95700) | $511.70 | $602 | 2.4× |
| EEG extended monitoring 61-119 minutes (95813) | $1,342.15 | $1,579 | 6.2× |
| Eeg Sleep Only (95822) | $1,235.90 | $1,454 | 5.7× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $511.70 | $602 | 2.4× |
| EEG w/o vid 2-12hr cont mntr (95707) | $572.05 | $673 | 2.7× |
| EEG w/o vid ea 12-26hr intmt (95709) | $1,156 | $1,360 | 3.1× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $1,156 | $1,360 | 3.1× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $482.80 | $568 | 2.2× |
| EEG wo vid ea 12-26hr unmntr (95708) | $987.70 | $1,162 | 2.7× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $204 | $240 | 2.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $67.15 | $79 | 1.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 10 matching MRF lines |
$22.10–$102 | $26–$120 | varies |
| Electrocardiogram Tracing (93005) range across 13 matching MRF lines |
$183.60–$190.40 | $216–$224 | varies |
| Electroconvulsive Therapy (90870) | $1,201.90 | $1,414 | 1.4× |
| Emergency Dept Visit Level 2 (99282) range across 8 matching MRF lines |
$404.60–$406.30 | $476–$478 | varies |
| Emergency Dept Visit Level 3 (99283) range across 8 matching MRF lines |
$720.80–$723.35 | $848–$851 | varies |
| Emergency Dept Visit Level 4 (99284) range across 8 matching MRF lines |
$1,144.10–$1,145.80 | $1,346–$1,348 | varies |
| Emg 3 Extremities (95863) | $462.40 | $544 | 3.6× |
| Er level 1 (99281) range across 10 matching MRF lines |
$27.20–$221.85 | $32–$261 | varies |
| Er level v (99285) range across 9 matching MRF lines |
$387.60–$1,695.75 | $456–$1,995 | varies |
| Ergonovine provocation test (93024) | $243.95 | $287 | 0.5× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,508.92 | $1,775.20 | 4.1× |
| Evaluate pt use of inhaler (94664) range across 4 matching MRF lines |
$39.10–$244.80 | $46–$288 | varies |
| Evaluate Speech Production (92522) range across 4 matching MRF lines |
$345.10–$362.10 | $406–$426 | varies |
| Evaluate Swallowing Function (92610) range across 4 matching MRF lines |
$248.20–$260.95 | $292–$307 | varies |
| Evaluation of speech fluency (92521) range across 3 matching MRF lines |
$417.35–$438.60 | $491–$516 | varies |
| Exhaled Air Analysis O2 (94680) | $118.15 | $139 | 0.9× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$64.60–$65.45 | $76–$77 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $652.80 | $768 | 4.9× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$106.25–$107.95 | $125–$127 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) | $685.10 | $806 | 5.2× |
| External Ecg Scanning Analysis Report (93226) range across 5 matching MRF lines |
$469.20–$493 | $552–$580 | varies |
| Extracranial Bilat Study (93880) | $891.65 | $1,049 | 3.8× |
| Extracranial Uni/Ltd Study (93882) range across 6 matching MRF lines |
$769.25–$810.05 | $905–$953 | varies |
| Eye exam w anesth; limited (92019) | $3,761.25 | $4,425 | 1.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $838.10 | $986 | 1.5× |
| Flexible endoscopic eval swallow c/v rec (92612) | $523.60 | $616 | 2.6× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $1,138.15 | $1,339 | 1.3× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,487.84 | $1,750.40 | 4.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $2,145.20 | $2,523.76 | 2.5× |
| Gi tract capsule endoscopy (91110) | $2,100.35 | $2,471 | 2.3× |
| Gi tract imaging intraluminal colon i&r (91113) | $1,909.95 | $2,247 | 2.1× |
| Group Therapeutic Procedures (97150) range across 9 matching MRF lines |
$48.45–$51 | $57–$60 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,816.45 | $2,137 | 2.7× |
| High altitude simulation test (94452) | $107.95 | $127 | 0.8× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $147.05 | $173 | 1.1× |
| Holter monitor recording (93225) range across 6 matching MRF lines |
$428.40–$476.85 | $504–$561 | varies |
| Icd Device Interrogate (93289) | $185.30 | $218 | 5.0× |
| Icd device progr eval dual (93283) | $189.55 | $223 | 5.1× |
| Icd Device Progr Eval Mult (93284) | $200.60 | $236 | 5.4× |
| Icm Device Eval (93290) | $174.25 | $205 | 4.7× |
| Ilr Device Eval Progr (93285) | $170 | $200 | 4.6× |
| Ilr Device Interrogate (93291) | $174.25 | $205 | 6.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 7 matching MRF lines |
$19.55–$34 | $23–$40 | varies |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $94.35 | $111 | 1.6× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $59.50 | $70 | 1.6× |
| Immunization administration (90471) range across 17 matching MRF lines |
$19.55–$93.50 | $23–$110 | varies |
| Inital newborn e/m (99460) | $123.25 | $145 | 0.9× |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) | $167.45 | $197 | 1.3× |
| Interrog eval crtd sins bat modulj sys ip wo (93145) | $167.45 | $197 | 1.3× |
| Interrogate Subq Defib (93261) | $176.80 | $208 | 4.8× |
| Iontophoresis 15 min (97033) | $122.40 | $144 | 6.4× |
| Irrig Drug Delivery Device (96523) | $161.50 | $190 | 2.7× |
| IV infusion hydration each additional hour (96361) range across 12 matching MRF lines |
$29.75–$136 | $35–$160 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 12 matching MRF lines |
$72.25–$379.95 | $85–$447 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $139.40 | $164 | 1.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 14 matching MRF lines |
$127.50–$166.60 | $150–$196 | varies |
| IV push initial (96374) range across 16 matching MRF lines |
$83.30–$306.85 | $98–$361 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $33.15 | $39 | 0.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $878.05 | $1,033 | 4.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 19 matching MRF lines |
$53.55–$60.35 | $63–$71 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 17 matching MRF lines |
$56.95–$65.45 | $67–$77 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 3 matching MRF lines |
$37.40–$44.20 | $44–$52 | varies |
| Methacholine challenge (94070) | $136.85 | $161 | 0.4× |
| Microvolt T-Wave Assess (93025) | $269.45 | $317 | 2.1× |
| Motion Fluoroscopy/Swallow (92611) range across 4 matching MRF lines |
$320.45–$336.60 | $377–$396 | varies |
| Multiple Family Group Psychotherapy (90849) | $83.30 | $98 | 0.5× |
| Multiple Sleep Latency Test (95805) range across 4 matching MRF lines |
$2,898.50–$2,986.05 | $3,410–$3,513 | varies |
| Nasopharyngoscopy (92511) | $306.85 | $361 | 1.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 5 matching MRF lines |
$1,134.75–$9,634.75 | $1,335–$11,335 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,134.75 | $1,335 | 2.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 6 matching MRF lines |
$95.20–$323 | $112–$380 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 5 matching MRF lines |
$113.90–$624.75 | $134–$735 | varies |
| Nerve conduction studies 13 or more studies (95913) | $632.40 | $744 | 1.7× |
| Neurobehavioral Status Exam (96116) | $204 | $240 | 0.9× |
| Neuromuscular Reeducation (97112) | $96.90 | $114 | 3.0× |
| Newborn resuscitation (99465) | $311.10 | $366 | 0.5× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $43.35 | $51 | 1.7× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $64.60 | $76 | 1.9× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $22.95 | $27 | 1.7× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $104.55 | $123 | 0.3× |
| Oral Function Therapy (92526) range across 8 matching MRF lines |
$202.30–$212.50 | $238–$250 | varies |
| Oral Speech Device Eval (92597) range across 4 matching MRF lines |
$423.30–$444.55 | $498–$523 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 11 matching MRF lines |
$106.25–$149.60 | $125–$176 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 11 matching MRF lines |
$110.50–$148.75 | $130–$175 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $47.60 | $56 | 2.2× |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$62.90–$67.15 | $74–$79 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) | $85.85 | $101 | 4.0× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $106.25 | $125 | 4.9× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $124.10 | $146 | 5.8× |
| Ot Contrast Bath Ea 15 Min (97034) | $93.50 | $110 | 6.7× |
| Ot eval high complexity (97167) range across 4 matching MRF lines |
$268.60–$282.20 | $316–$332 | varies |
| Ot Eval Low Complex (97165) range across 6 matching MRF lines |
$207.40–$253.30 | $244–$298 | varies |
| Ot Eval Moderate Complexity (97166) range across 4 matching MRF lines |
$238.85–$250.75 | $281–$295 | varies |
| Ot manual therapy 15 min (97140) | $119 | $140 | 4.3× |
| Ot paraffin bath (97018) | $62.90 | $74 | 10.5× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 5 matching MRF lines |
$101.15–$122.40 | $119–$144 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 3 matching MRF lines |
$159.80–$167.45 | $188–$197 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $217.60 | $256 | 1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $249.05 | $293 | 1.9× |
| Oxygen Uptake Rest Indirect (94690) | $106.25 | $125 | 1.8× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $54.40 | $64 | 2.2× |
| Patient-initiated spirometric recording (94015) | $68.85 | $81 | 0.3× |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $122.40 | $144 | 0.3× |
| Penile Vascular Study,Ltd or F/U (93981) | $157.25 | $185 | 1.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $270.30 | $318 | 1.2× |
| Peripheral arterial disease rehab per session (93668) | $153.85 | $181 | 2.6× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $9,763.10 | $11,486 | 1.7× |
| Phlebotomy therapeutic (99195) range across 4 matching MRF lines |
$168.30–$337.45 | $198–$397 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $211.65 | $249 | 3.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $170.85 | $201 | 2.9× |
| Physical Performance Test (97750) range across 6 matching MRF lines |
$51–$99.45 | $60–$117 | varies |
| Plethysmography (94726) range across 5 matching MRF lines |
$121.55–$293.25 | $143–$345 | varies |
| Pm device eval in person (93288) | $170 | $200 | 4.6× |
| Pm device progr eval dual (93280) | $173.40 | $204 | 4.7× |
| Pm device progr eval multi (93281) | $176.80 | $208 | 4.8× |
| Pm Device Progr Eval Sngl (93279) | $170 | $200 | 4.6× |
| Pm/Icd Remote Tech Serv (93296) | $181.90 | $214 | 4.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,030.70 | $4,742 | 4.7× |
| Polysom <6 yrs 4/> paramtrs (95782) range across 4 matching MRF lines |
$3,293.75–$4,391.10 | $3,875–$5,166 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 3 matching MRF lines |
$3,938.90–$4,594.25 | $4,634–$5,405 | varies |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $172.55 | $203 | 4.6× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $189.55 | $223 | 5.1× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $177.65 | $209 | 1.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $22.95 | $27 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $27.20 | $32 | 0.6× |
| Psych diag eval w/med srvcs (90792) | $346.80 | $408 | 2.0× |
| Psychiatric diagnostic evaluation (90791) | $308.55 | $363 | 1.7× |
| Psytx Crisis Initial 60 Min (90839) | $249.90 | $294 | 1.4× |
| Pt Eval High Complex (97163) range across 4 matching MRF lines |
$262.65–$275.40 | $309–$324 | varies |
| Pt eval low complex 20 min (97161) range across 3 matching MRF lines |
$217.60–$228.65 | $256–$269 | varies |
| Pt Eval Mod Complex (97162) range across 6 matching MRF lines |
$240.55–$252.45 | $283–$297 | varies |
| Pt gait training 15 min (97116) | $84.15 | $99 | 2.9× |
| Pt mechanical traction (97012) | $91.80 | $108 | 6.4× |
| Pt Re-Eval Est Plan Care (97164) range across 5 matching MRF lines |
$148.75–$156.40 | $175–$184 | varies |
| Pt ultraviolet (97028) | $102 | $120 | 12.2× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $6.80 | $8 | 0.2× |
| Pulm function test by gas (94727) | $98.60 | $116 | 0.5× |
| Pulmonary service/procedure (94799) range across 7 matching MRF lines |
$66.30–$327.25 | $78–$385 | varies |
| Pulmonary Stress Testing (94618) | $385.05 | $453 | 2.9× |
| Pure Tone Audiometry Air (92552) | $79.05 | $93 | 0.6× |
| Refill/Maint Portable Pump (96521) | $362.10 | $426 | 1.7× |
| Refill/Maint Pump/Resvr Syst (96522) | $647.70 | $762 | 3.1× |
| Rem interrog icpms <30 d phys/qhp (93297) | $23.80 | $28 | 0.6× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $22.95 | $27 | 0.6× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $73.10 | $86 | 2.0× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $221.85 | $261 | 1.7× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $158.10 | $186 | 4.3× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$18.70–$240.55 | $22–$283 | varies |
| Remote 30 Day Ecg Tech Supp (93229) | $2,253.35 | $2,651 | 6.1× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $122.40 | $144 | 0.9× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $56.10 | $66 | 1.4× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $85.85 | $101 | 1.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $118.15 | $139 | 2.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 13 matching MRF lines |
$254.15–$271.15 | $299–$319 | varies |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) | $48.45 | $57 | 1.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 4 matching MRF lines |
$359.55–$377.40 | $423–$444 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $214.20 | $252 | 4.5× |
| Same day nb discharge (99463) | $239.70 | $282 | 1.8× |
| Sbsq Psyc Collab Care Mgmt (99493) | $235.45 | $277 | 2.3× |
| Self Care Mngment Training (97535) | $101.15 | $119 | 3.1× |
| Sensory Integration Ea 15 Min (97533) | $111.35 | $131 | 1.8× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $530.40 | $624 | 2.5× |
| Short-latency somatosens ep std upr limbs (95925) | $530.40 | $624 | 2.5× |
| Sleep study attended (95807) | $1,507.05 | $1,773 | 4.1× |
| Sleep study unattended (95806) range across 6 matching MRF lines |
$419.90–$420.75 | $494–$495 | varies |
| Slp caregiver training 1st 30 min (97550) | $45.05 | $53 | 0.9× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $499.80 | $588 | 2.3× |
| Somatosensory Testing (95938) | $1,014.90 | $1,194 | 1.2× |
| Speech sound lang comprehen (92523) range across 11 matching MRF lines |
$597.55–$627.30 | $703–$738 | varies |
| Spirometry (94010) range across 5 matching MRF lines |
$60.35–$243.95 | $71–$287 | varies |
| Ssep lower limbs (95926) | $100.30 | $118 | 0.5× |
| Standardized Cognitive Performance Testing (96125) range across 4 matching MRF lines |
$419.05–$440.30 | $493–$518 | varies |
| Stress Tte Only (93350) range across 6 matching MRF lines |
$1,552.10–$1,604.80 | $1,826–$1,888 | varies |
| Surfactant Admin Thru Tube (94610) range across 2 matching MRF lines |
$124.10–$283.90 | $146–$334 | varies |
| Temp transcutaneous pacing (92953) | $1,239.30 | $1,458 | 1.9× |
| Testing Autonomic Nervous System Function (95923) | $260.95 | $307 | 2.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $53.55 | $63 | 2.4× |
| Ther Ivntj Ea Addl 15 Min (97130) | $51 | $60 | 2.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 5 matching MRF lines |
$118.15–$305.15 | $139–$359 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $73.95 | $87 | 2.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 4 matching MRF lines |
$200.60–$210.80 | $236–$248 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 24 matching MRF lines |
$105.40–$134.30 | $124–$158 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 16 matching MRF lines |
$134.30–$487.90 | $158–$574 | varies |
| Therapeutic Activities (97530) | $96.90 | $114 | 2.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$51.85–$56.95 | $61–$67 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 6 matching MRF lines |
$42.50–$143.65 | $50–$169 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $331.50 | $390 | 2.5× |
| Trans Care Mgmt 7 Day Disch (99496) | $447.10 | $526 | 3.4× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$1,725.50–$1,784.15 | $2,030–$2,099 | varies |
| Tte W/O Doppler Complete (93307) range across 3 matching MRF lines |
$1,069.30–$1,105.85 | $1,258–$1,301 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 9 matching MRF lines |
$290.70–$305.15 | $342–$359 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 13 matching MRF lines |
$171.70–$193.80 | $202–$228 | varies |
| Tympanometry (92567) | $36.55 | $43 | 1.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $412.25 | $485 | 3.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 10 matching MRF lines |
$412.25–$753.10 | $485–$886 | varies |
| Vasopneumatic device (97016) | $66.30 | $78 | 5.5× |
| Veeg 2-12 Hr Cont Mntr (95713) | $987.70 | $1,162 | 2.7× |
| Veeg 2-12 hr intmt mntr (95712) | $603.50 | $710 | 1.6× |
| Veeg 2-12 hr unmonitored (95711) | $572.05 | $673 | 2.7× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,156 | $1,360 | 3.1× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $987.70 | $1,162 | 2.7× |
| Veeg ea 12-26hr cont mntr (95716) | $2,164.95 | $2,547 | 2.5× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$200.60–$1,042.95 | $236–$1,227 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 4 matching MRF lines |
$141.10–$732.70 | $166–$862 | varies |
| Vital capacity, total (94150) range across 4 matching MRF lines |
$55.25–$193.80 | $65–$228 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 7 matching MRF lines |
$90.10–$94.35 | $106–$111 | varies |
| Whirlpool Therapy (97022) | $95.20 | $112 | 6.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.