Visits & medical services prices at Munson Healthcare Otsego Memorial Hospital
Gaylord, MI · every code in this section with a posted price and a Medicare benchmark.
234 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acupunct W/Stimul 15 Min (97813) | $139.40 | $164 | 4.8× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $39.95 | $47 | 1.0× |
| Advncd Care Plan 30 Min (99497) | $142.80 | $168 | 1.4× |
| Airway Inhalation Treatment (94640) | $265.20 | $312 | 1.2× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $368.90 | $434 | 2.8× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $368.90 | $434 | 2.8× |
| Analyze neurostim complex (95972) | $255.85 | $301 | 2.7× |
| Analyze neurostim no prog (95970) | $233.75 | $275 | 1.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $105.40 | $124 | 7.3× |
| Application Modality 1/> Areas Infrared (97026) | $16.15 | $19 | 2.4× |
| Application on-body injector (96377) | $71.40 | $84 | 1.5× |
| Assessment of aphasia per hr (96105) | $283.05 | $333 | 2.9× |
| Behavral qualit analys voice (92524) range across 5 matching MRF lines |
$307.70–$321.30 | $362–$378 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) range across 2 matching MRF lines |
$152.15–$156.40 | $179–$184 | varies |
| Bfb training ea addl 15 min (90913) range across 2 matching MRF lines |
$63.75–$91.80 | $75–$108 | varies |
| Biofeedback training any modality (90901) | $136.85 | $161 | 3.3× |
| Brief Emotional/Behav Assmt (96127) | $14.45 | $17 | 0.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $506.60 | $596 | 1.4× |
| C motor evoked uppr limbs (95928) | $530.40 | $624 | 0.6× |
| Canalith repositioning proc (95992) | $139.40 | $164 | 3.4× |
| Car seat/bed test 60 min (94780) | $69.70 | $82 | 1.9× |
| Cardiac Stress Tst,Tracing Only (93017) range across 8 matching MRF lines |
$799–$835.55 | $940–$983 | varies |
| Cardiopulmonary resuscitation (92950) range across 5 matching MRF lines |
$678.30–$813.45 | $798–$957 | varies |
| Cardioversion (92960) | $1,292 | $1,520 | 2.0× |
| Cbt 1st hour (94644) | $221 | $260 | 1.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $243.10 | $286 | 3.4× |
| Chemo Hormon Antineopl Sq/Im (96402) | $135.15 | $159 | 1.9× |
| Chemo IV infusion addl hr (96415) | $161.50 | $190 | 2.3× |
| Chemo IV push addl drug (96411) | $232.05 | $273 | 3.2× |
| Chemother Prolong Infuse W/Pump (96416) | $497.25 | $585 | 1.5× |
| Chemotherapy Into Cns (96450) | $725.05 | $853 | 2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $290.70 | $342 | 4.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 4 matching MRF lines |
$587.35–$613.70 | $691–$722 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $366.35 | $431 | 1.1× |
| Chest Wall Manipulation (94668) | $168.30 | $198 | 1.3× |
| Color/duplex Doppler, complete (93975) range across 18 matching MRF lines |
$1,136.45–$1,190.85 | $1,337–$1,401 | varies |
| Color/duplex Doppler, limited (93976) | $532.95 | $627 | 5.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $122.40 | $144 | 3.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $419.90 | $494 | 3.2× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $191.25 | $225 | 3.3× |
| Continuous Pulse Ox (94762) range across 6 matching MRF lines |
$267.75–$280.50 | $315–$330 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $334.05 | $393 | 1.5× |
| Cpt initial (94667) | $168.30 | $198 | 1.3× |
| Critical care first hour (99291) | $2,403.80 | $2,828 | 2.9× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 12 matching MRF lines |
$476–$532.95 | $560–$627 | varies |
| Dialysis One Evaluation (90945) | $1,258 | $1,480 | 3.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $628.15 | $739 | 2.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $328.10 | $386 | 3.1× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $204 | $240 | 2.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $878.05 | $1,033 | 3.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $532.95 | $627 | 5.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 12 matching MRF lines |
$1,007.25–$1,199.35 | $1,185–$1,411 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 20 matching MRF lines |
$671.50–$673.20 | $790–$792 | varies |
| Duplex Scan Hemodialysis Access (93990) | $581.40 | $684 | 5.6× |
| Duplex up extrem art bilat (93930) range across 6 matching MRF lines |
$828.75–$867 | $975–$1,020 | varies |
| Duplex up extrem art unilat/ltd (93931) | $532.95 | $627 | 5.1× |
| ECG/monitoring and analysis (93271) | $529.55 | $623 | 5.6× |
| Echo Congenital Complete (93303) | $1,128.80 | $1,328 | 2.1× |
| Echo Heart Xthoracic,Limited (93308) range across 8 matching MRF lines |
$558.45–$962.20 | $657–$1,132 | varies |
| Echo transesophageal (93312) | $2,233.80 | $2,628 | 4.1× |
| 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) | $1,699.15 | $1,999 | 3.1× |
| Eeg 41-60 Minutes (95812) | $1,709.35 | $2,011 | 7.9× |
| EEG awake and asleep (95819) range across 5 matching MRF lines |
$843.20–$1,010.65 | $992–$1,189 | varies |
| EEG awake drowsy (95816) range across 4 matching MRF lines |
$1,052.30–$1,056.55 | $1,238–$1,243 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$1,151.75–$1,342.15 | $1,355–$1,579 | varies |
| Eeg Sleep Only (95822) | $1,235.90 | $1,454 | 5.7× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $209.10 | $246 | 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 |
$54.40–$105.40 | $64–$124 | varies |
| Electrocardiogram Tracing (93005) range across 9 matching MRF lines |
$152.15–$158.95 | $179–$187 | varies |
| Electroconvulsive Therapy (90870) | $1,201.90 | $1,414 | 1.4× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$318.75–$397.80 | $375–$468 | varies |
| Emergency Dept Visit Level 3 (99283) range across 8 matching MRF lines |
$548.25–$709.75 | $645–$835 | varies |
| Emergency Dept Visit Level 4 (99284) | $1,166.20 | $1,372 | 2.8× |
| Er level 1 (99281) range across 3 matching MRF lines |
$209.95–$219.30 | $247–$258 | varies |
| Er level v (99285) | $1,711.05 | $2,013 | 2.9× |
| 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 |
$124.95–$130.90 | $147–$154 | varies |
| Evaluate Speech Production (92522) | $363.80 | $428 | 3.3× |
| Evaluate Swallowing Function (92610) | $324.70 | $382 | 3.8× |
| Evaluation of speech fluency (92521) | $382.50 | $450 | 2.9× |
| External ECG rec>48hr<7d recording (93242) | $68 | $80 | 1.8× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $119.85 | $141 | 0.9× |
| External ECG rec>7d<15d recording (93246) | $110.50 | $130 | 3.0× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $596.70 | $702 | 4.5× |
| External Ecg Scanning Analysis Report (93226) | $441.15 | $519 | 7.5× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$794.75–$796.45 | $935–$937 | varies |
| Extracranial Uni/Ltd Study (93882) range across 7 matching MRF lines |
$624.75–$810.05 | $735–$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) | $414.80 | $488 | 2.1× |
| 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× |
| Group Therapeutic Procedures (97150) range across 11 matching MRF lines |
$69.70–$73.10 | $82–$86 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,660.90 | $1,954 | 2.4× |
| Holter monitor recording (93225) | $376.55 | $443 | 2.8× |
| Icd Device Interrogate (93289) | $124.10 | $146 | 3.3× |
| Icd device progr eval dual (93283) | $141.10 | $166 | 3.8× |
| Icd Device Progr Eval Mult (93284) | $148.75 | $175 | 4.0× |
| Icm Device Eval (93290) | $102.85 | $121 | 2.8× |
| Ilr Device Eval Progr (93285) | $112.20 | $132 | 3.0× |
| Ilr Device Interrogate (93291) | $99.45 | $117 | 3.5× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $19.55 | $23 | 0.3× |
| 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 21 matching MRF lines |
$19.55–$176.80 | $23–$208 | varies |
| Interrogate Subq Defib (93261) | $110.50 | $130 | 3.0× |
| Iontophoresis 15 min (97033) | $93.50 | $110 | 4.9× |
| Irrig Drug Delivery Device (96523) range across 11 matching MRF lines |
$160.65–$167.45 | $189–$197 | varies |
| IV infusion hydration each additional hour (96361) range across 17 matching MRF lines |
$102.85–$125.80 | $121–$148 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 15 matching MRF lines |
$323.85–$631.55 | $381–$743 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 12 matching MRF lines |
$170–$187.85 | $200–$221 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 18 matching MRF lines |
$124.95–$166.60 | $147–$196 | varies |
| IV push initial (96374) range across 19 matching MRF lines |
$158.95–$631.55 | $187–$743 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $709.75 | $835 | 3.3× |
| Mechanical chest wall oscillation per session (94669) | $130.90 | $154 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $50.15 | $59 | 1.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $58.65 | $69 | 1.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $35.70 | $42 | 2.1× |
| Motion Fluoroscopy/Swallow (92611) | $422.45 | $497 | 4.6× |
| Multiple Sleep Latency Test (95805) | $2,898.50 | $3,410 | 3.4× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$142.80–$306.85 | $168–$361 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 9 matching MRF lines |
$656.20–$1,148.35 | $772–$1,351 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,148.35 | $1,351 | 2.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 7 matching MRF lines |
$269.45–$302.60 | $317–$356 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 6 matching MRF lines |
$379.10–$553.35 | $446–$651 | varies |
| Neuromuscular Reeducation (97112) | $113.90 | $134 | 3.5× |
| Newborn resuscitation (99465) | $1,065.05 | $1,253 | 1.6× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $486.20 | $572 | 1.3× |
| Oral Function Therapy (92526) | $246.50 | $290 | 2.9× |
| Oral Speech Device Eval (92597) | $350.20 | $412 | 4.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 11 matching MRF lines |
$106.25–$152.15 | $125–$179 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 11 matching MRF lines |
$110.50–$132.60 | $130–$156 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $23.80 | $28 | 1.1× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $34.85 | $41 | 1.6× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $124.95 | $147 | 5.8× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $159.80 | $188 | 7.4× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $192.10 | $226 | 8.9× |
| Ot eval high complexity (97167) | $321.30 | $378 | 3.2× |
| Ot Eval Low Complex (97165) | $232.90 | $274 | 2.3× |
| Ot Eval Moderate Complexity (97166) | $273.70 | $322 | 2.7× |
| Ot manual therapy 15 min (97140) | $126.65 | $149 | 4.6× |
| Ot paraffin bath (97018) | $85 | $100 | 14.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $101.15 | $119 | 2.5× |
| Ot Re-Eval Est Plan Care (97168) | $130.90 | $154 | 1.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $254.15 | $299 | 2.0× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 9 matching MRF lines |
$252.45 | $7–$297 | 2.0× |
| Peripheral arterial disease rehab per session (93668) | $163.20 | $192 | 2.8× |
| Phlebotomy therapeutic (99195) | $168.30 | $198 | 1.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $212.50 | $250 | 3.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 5 matching MRF lines |
$197.20–$260.10 | $232–$306 | varies |
| Physical Performance Test (97750) range across 6 matching MRF lines |
$87.55–$100.30 | $103–$118 | varies |
| Plethysmography (94726) | $274.55 | $323 | 0.7× |
| Pm device eval in person (93288) | $113.05 | $133 | 3.0× |
| Pm device progr eval dual (93280) | $133.45 | $157 | 3.6× |
| Pm device progr eval multi (93281) | $136 | $160 | 3.7× |
| Pm Device Progr Eval Sngl (93279) | $114.75 | $135 | 3.1× |
| Pm/Icd Remote Tech Serv (93296) | $181.90 | $214 | 4.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$334.05–$3,150.95 | $393–$3,707 | varies |
| 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) | $113.90 | $134 | 3.1× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $130.05 | $153 | 3.5× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $178.50 | $210 | 1.8× |
| Psychiatric diagnostic evaluation (90791) | $272 | $320 | 1.5× |
| Pt Eval High Complex (97163) | $362.95 | $427 | 3.7× |
| Pt eval low complex 20 min (97161) range across 3 matching MRF lines |
$224.40–$232.90 | $264–$274 | varies |
| Pt Eval Mod Complex (97162) range across 6 matching MRF lines |
$246.50–$270.30 | $290–$318 | varies |
| Pt gait training 15 min (97116) range across 9 matching MRF lines |
$103.70–$107.95 | $122–$127 | varies |
| Pt mechanical traction (97012) | $110.50 | $130 | 7.7× |
| Pt Re-Eval Est Plan Care (97164) range across 5 matching MRF lines |
$149.60–$155.55 | $176–$183 | varies |
| Pt ultraviolet (97028) range across 4 matching MRF lines |
$68.85–$73.10 | $81–$86 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $6.80 | $8 | 0.2× |
| Pulmonary service/procedure (94799) | $300.05 | $353 | 2.3× |
| Pulmonary Stress Testing (94618) | $108.80 | $128 | 0.8× |
| Pure Tone Audiometry Air (92552) | $113.90 | $134 | 0.9× |
| Refill/Maint Portable Pump (96521) | $499.80 | $588 | 2.4× |
| Refill/Maint Pump/Resvr Syst (96522) | $306.85 | $361 | 1.4× |
| Rem interrog icpms <30 d phys/qhp (93297) | $76.50 | $90 | 2.1× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $100.30 | $118 | 2.7× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $151.30 | $178 | 4.1× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $226.10 | $266 | 1.7× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $159.80 | $188 | 4.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $179.35 | $211 | 4.8× |
| Remote 30 Day Ecg Tech Supp (93229) | $2,584 | $3,040 | 6.9× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $123.25 | $145 | 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) | $86.70 | $102 | 1.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $57.80 | $68 | 1.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 12 matching MRF lines |
$324.70–$377.40 | $382–$444 | 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) | $317.05 | $373 | 2.6× |
| Self Care Mngment Training (97535) | $117.30 | $138 | 3.6× |
| 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) | $2,041.70 | $2,402 | 5.5× |
| Sleep study unattended (95806) range across 7 matching MRF lines |
$338.30–$425.85 | $398–$501 | 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) | $565.25 | $665 | 2.6× |
| Somatosensory Testing (95938) | $1,014.90 | $1,194 | 1.2× |
| Speech sound lang comprehen (92523) | $491.30 | $578 | 2.2× |
| Spirometry (94010) | $328.10 | $386 | 1.5× |
| Ssep lower limbs (95926) | $100.30 | $118 | 0.5× |
| Standardized Cognitive Performance Testing (96125) | $276.25 | $325 | 2.7× |
| Stress Tte Only (93350) | $1,481.55 | $1,743 | 2.7× |
| Surfactant Admin Thru Tube (94610) | $283.90 | $334 | 1.3× |
| Temp transcutaneous pacing (92953) | $849.15 | $999 | 1.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $135.15 | $159 | 3.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 4 matching MRF lines |
$73.10–$83.30 | $86–$98 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $305.15 | $359 | 3.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 26 matching MRF lines |
$95.20–$187.85 | $112–$221 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 19 matching MRF lines |
$368.05–$632.40 | $433–$744 | varies |
| Therapeutic Activities (97530) | $114.75 | $135 | 3.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $50.15 | $59 | 1.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 9 matching MRF lines |
$72.25–$75.65 | $85–$89 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $237.15 | $279 | 1.8× |
| Trans Care Mgmt 7 Day Disch (99496) | $237.15 | $279 | 1.8× |
| Tte w/doppler, complete (93306) | $1,637.10 | $1,926 | 3.0× |
| Tte W/O Doppler Complete (93307) | $886.55 | $1,043 | 3.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $278.80 | $328 | 3.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 15 matching MRF lines |
$125.80–$143.65 | $148–$169 | varies |
| Tympanometry (92567) | $94.35 | $111 | 2.5× |
| Upr/L Xtremity Art 2 Levels (93922) | $374 | $440 | 2.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 11 matching MRF lines |
$782.85–$818.55 | $921–$963 | varies |
| Vasopneumatic device (97016) | $113.90 | $134 | 9.5× |
| Vent Mgmt Inpat Init Day (94002) | $1,023.40 | $1,204 | 1.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $898.45 | $1,057 | 1.5× |
| Vital capacity, total (94150) | $224.40 | $264 | 1.8× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 7 matching MRF lines |
$79.05–$94.35 | $93–$111 | varies |
| Whirlpool Therapy (97022) range across 4 matching MRF lines |
$39.95–$141.95 | $47–$167 | varies |
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.