Visits & medical services prices at Munson Medical Center
Traverse City, MI · every code in this section with a posted price and a Medicare benchmark.
374 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $147.90 | $174 | 1.5× |
| Ablate Heart Dysrhythm Focus (93650) | $10,943.75 | $12,875 | 1.4× |
| Acoustic Reflex Testing (92568) | $114.75 | $135 | 3.1× |
| Acupunct W/Stimul 15 Min (97813) | $1,282.65 | $1,509 | 44.5× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $1,155.15 | $1,359 | 40.1× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $39.95 | $47 | 1.0× |
| Advncd Care Plan 30 Min (99497) | $142.80 | $168 | 1.4× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $255.85 | $301 | 1.2× |
| Aep neurodiagnostic i&r (92653) | $484.50 | $570 | 2.3× |
| Aep threshold estimation mlt frequencies i&r (92652) | $484.50 | $570 | 2.3× |
| Airway Inhalation Treatment (94640) range across 13 matching MRF lines |
$262.65–$281.35 | $309–$331 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $178.50 | $210 | 4.8× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $391 | $460 | 2.9× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $372.30 | $438 | 2.8× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $262.65 | $309 | 2.0× |
| Analyze neurostim complex (95972) | $255.85 | $301 | 2.7× |
| Analyze neurostim no prog (95970) range across 3 matching MRF lines |
$42.50–$231.20 | $50–$272 | varies |
| Analyze Neurostim Simple (95971) | $400.35 | $471 | 4.2× |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $485.35 | $571 | 1.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $82.45 | $97 | 5.7× |
| Application Modality 1/> Areas Infrared (97026) | $45.05 | $53 | 6.7× |
| Application on-body injector (96377) | $60.35 | $71 | 1.3× |
| Arrhythmia Induction (93618) | $3,442.50 | $4,050 | 2.8× |
| Assessment of aphasia per hr (96105) range across 4 matching MRF lines |
$404.60–$425 | $476–$500 | varies |
| Assessment of tinnitus (92625) | $310.25 | $365 | 2.4× |
| Audiometry Air & Bone (92553) | $237.15 | $279 | 1.8× |
| Basic vestibular evaluation (92540) | $731.85 | $861 | 3.4× |
| Behavral qualit analys voice (92524) | $385.90 | $454 | 3.5× |
| 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× |
| Blink reflex test (95933) | $159.80 | $188 | 2.7× |
| Breath hydrogen/methane test (91065) | $232.90 | $274 | 1.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $615.40 | $724 | 1.7× |
| Bundle of his recording (93600) | $13,747.90 | $16,174 | 1.8× |
| C motor evoked uppr limbs (95928) | $525.30 | $618 | 0.6× |
| Caloric vestibular test w/rec bi monothermal (92538) | $281.35 | $331 | 1.3× |
| Caloric Vstblr Test W/Rec (92537) | $724.20 | $852 | 5.6× |
| Canalith repositioning proc (95992) | $139.40 | $164 | 3.4× |
| Car seat/bed test 60 min (94780) | $109.65 | $129 | 2.9× |
| Cardiac Stress Tst,Tracing Only (93017) range across 7 matching MRF lines |
$811.75–$1,010.65 | $955–$1,189 | varies |
| Cardiopulmonary exercise testing (94621) | $1,201.05 | $1,413 | 3.2× |
| Cardiopulmonary resuscitation (92950) | $912.05 | $1,073 | 4.2× |
| Cardioversion (92960) | $1,492.60 | $1,756 | 2.3× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $51.85 | $61 | 1.4× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 3 matching MRF lines |
$9,764.80–$10,258.65 | $11,488–$12,069 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 3 matching MRF lines |
$9,764.80–$10,258.65 | $11,488–$12,069 | varies |
| Cbt 1st hour (94644) | $297.50 | $350 | 2.2× |
| Chemo Admin Peritoneal Cavity (96446) | $645.15 | $759 | 2.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $299.20 | $352 | 4.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $255.85 | $301 | 3.6× |
| Chemo Ia Push (96420) | $464.95 | $547 | 1.4× |
| Chemo IV infusion addl hr (96415) | $257.55 | $303 | 3.6× |
| Chemo IV push addl drug (96411) | $249.05 | $293 | 3.5× |
| Chemother Prolong Infuse W/Pump (96416) | $787.95 | $927 | 2.4× |
| Chemotherapy Into Cns (96450) | $893.35 | $1,051 | 2.7× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $771.80 | $908 | 2.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $283.05 | $333 | 3.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $810.05 | $953 | 2.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $464.10 | $546 | 1.4× |
| Chest Wall Manipulation (94668) | $167.45 | $197 | 1.3× |
| Chron Care Mgmt Srvc 20 Min (99490) | $61.20 | $72 | 0.6× |
| Color/duplex Doppler, complete (93975) range across 16 matching MRF lines |
$785.40–$1,167.90 | $924–$1,374 | varies |
| Color/duplex Doppler, limited (93976) range across 6 matching MRF lines |
$824.50–$1,110.95 | $970–$1,307 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 5 matching MRF lines |
$106.25–$119.85 | $125–$141 | varies |
| Comprehensive Hearing Test (92557) | $195.50 | $230 | 1.5× |
| Conditioning Play Audiometry (92582) | $314.50 | $370 | 2.5× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $464.10 | $546 | 3.5× |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 5 matching MRF lines |
$182.75–$192.10 | $215–$226 | varies |
| Continuous Pulse Ox (94762) range across 5 matching MRF lines |
$509.15–$561.85 | $599–$661 | varies |
| Coronary Art/Grft Angio S&I (93455) | $10,336 | $12,160 | 3.2× |
| Coronary Artery Angio S&I (93454) range across 3 matching MRF lines |
$9,338.95–$9,811.55 | $10,987–$11,543 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$324.70–$340.85 | $382–$401 | varies |
| Cpt initial (94667) | $167.45 | $197 | 1.3× |
| Critical care first hour (99291) range across 8 matching MRF lines |
$3,146.70–$3,306.50 | $3,702–$3,890 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 13 matching MRF lines |
$552.50–$610.30 | $650–$718 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $243.10 | $286 | 1.9× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $262.65 | $309 | 2.0× |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$1,429.70–$2,156.45 | $1,682–$2,537 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $447.10 | $526 | 1.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $935.85 | $1,101 | 3.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $691.05 | $813 | 6.6× |
| 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) | $1,115.20 | $1,312 | 4.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $777.75 | $915 | 7.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 11 matching MRF lines |
$1,114.35–$1,275 | $1,311–$1,500 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $845.75 | $995 | 8.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $402.05 | $473 | 3.9× |
| Duplex Scan Hemodialysis Access (93990) | $771.80 | $908 | 7.4× |
| Duplex up extrem art bilat (93930) | $991.95 | $1,167 | 4.2× |
| Duplex up extrem art unilat/ltd (93931) | $751.40 | $884 | 7.2× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $126.65 | $149 | 1.0× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $262.65 | $309 | 2.0× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $262.65 | $309 | 2.0× |
| ECG/monitoring and analysis (93271) | $529.55 | $623 | 5.6× |
| Echo Congenital Complete (93303) | $1,741.65 | $2,049 | 3.2× |
| Echo Heart Xthoracic,Limited (93308) | $962.20 | $1,132 | 4.0× |
| Echo transesophag montr cardiac pump functj (93318) | $2,447.15 | $2,879 | 4.5× |
| Echo transesophageal (93312) | $2,346.85 | $2,761 | 4.3× |
| 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 10 matching MRF lines |
$1,513–$1,921 | $1,780–$2,260 | varies |
| Eeg 41-60 Minutes (95812) | $1,003.85 | $1,181 | 4.7× |
| EEG awake and asleep (95819) | $1,253.75 | $1,475 | 5.8× |
| EEG awake drowsy (95816) range across 5 matching MRF lines |
$913.75–$1,056.55 | $1,075–$1,243 | varies |
| 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) range across 2 matching MRF lines |
$1,277.55–$1,342.15 | $1,503–$1,579 | varies |
| 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× |
| EKG signal averaged (93278) | $182.75 | $215 | 3.1× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $6,272.15 | $7,379 | 66.2× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 2 matching MRF lines |
$202.30–$206.55 | $238–$243 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$66.30–$91.80 | $78–$108 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 10 matching MRF lines |
$51.85–$73.95 | $61–$87 | varies |
| Electrocardiogram Tracing (93005) range across 12 matching MRF lines |
$222.70–$234.60 | $262–$276 | varies |
| Electroconvulsive Therapy (90870) | $1,201.90 | $1,414 | 1.4× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $13,747.90 | $16,174 | 1.8× |
| Electrophysiology Evaluation (93642) | $3,087.20 | $3,632 | 2.5× |
| Emergency Dept Visit Level 2 (99282) range across 8 matching MRF lines |
$385.05–$483.65 | $453–$569 | varies |
| Emergency Dept Visit Level 3 (99283) range across 8 matching MRF lines |
$688.50–$725.05 | $810–$853 | varies |
| Emergency Dept Visit Level 4 (99284) range across 8 matching MRF lines |
$1,177.25–$1,238.45 | $1,385–$1,457 | varies |
| Endomyocardial Biopsy (93505) | $5,088.10 | $5,986 | 1.6× |
| Ep & ablate supravent arrhyt (93653) | $32,099.40 | $37,764 | 1.2× |
| Ep & ablate ventric tachy (93654) | $33,051.40 | $38,884 | 1.3× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $13,747.90 | $16,174 | 1.8× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $13,747.90 | $16,174 | 1.8× |
| Er level 1 (99281) range across 8 matching MRF lines |
$207.40–$220.15 | $244–$259 | varies |
| Er level v (99285) range across 8 matching MRF lines |
$1,817.30–$1,910.80 | $2,138–$2,248 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,508.92 | $1,775.20 | 4.1× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $262.65 | $309 | 2.0× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$107.10–$262.65 | $126–$309 | varies |
| Evaluate Speech Production (92522) | $363.80 | $428 | 3.3× |
| Evaluate Swallowing Function (92610) | $354.45 | $417 | 4.2× |
| Evaluation of speech fluency (92521) range across 3 matching MRF lines |
$418.20–$439.45 | $492–$517 | varies |
| Evoked Auditory Test,Limited (92587) range across 4 matching MRF lines |
$416.50–$539.75 | $490–$635 | varies |
| Exercise test for bronchospasm (94617) | $416.50 | $490 | 3.1× |
| External ECG rec>48hr<7d recording (93242) | $65.45 | $77 | 1.8× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $592.45 | $697 | 4.5× |
| External ECG rec>7d<15d recording (93246) | $107.95 | $127 | 2.9× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $622.20 | $732 | 4.7× |
| External Ecg Scanning Analysis Report (93226) range across 4 matching MRF lines |
$549.10–$576.30 | $646–$678 | varies |
| Extracranial Bilat Study (93880) | $1,141.55 | $1,343 | 4.8× |
| Extracranial Uni/Ltd Study (93882) | $810.05 | $953 | 7.8× |
| Eye exam w anesth; limited (92019) | $3,761.25 | $4,425 | 1.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,219.75 | $1,435 | 2.2× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 3 matching MRF lines |
$523.60–$524.45 | $616–$617 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $1,127.10 | $1,326 | 1.3× |
| Fundus photography (92250) range across 2 matching MRF lines |
$148.75–$197.20 | $175–$232 | varies |
| 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 |
$57.80–$61.20 | $68–$72 | varies |
| Health Behavior Assessment/Re-Assessment (96156) | $196.35 | $231 | 1.9× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $132.60 | $156 | 0.7× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$9,764.80–$10,258.65 | $11,488–$12,069 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,821.55 | $2,143 | 2.7× |
| Holter monitor recording (93225) range across 7 matching MRF lines |
$422.45–$576.30 | $497–$678 | 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) | $201.45 | $237 | 5.4× |
| Icm Device Eval (93290) | $175.10 | $206 | 4.7× |
| Ilr Device Eval Progr (93285) | $170 | $200 | 4.6× |
| Ilr Device Interrogate (93291) | $175.10 | $206 | 6.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 8 matching MRF lines |
$19.55–$92.65 | $23–$109 | 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 21 matching MRF lines |
$19.55–$92.65 | $23–$109 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $829.60 | $976 | 2.2× |
| Insert/Place Heart Catheter (93503) range across 4 matching MRF lines |
$3,426.35–$3,599.75 | $4,031–$4,235 | varies |
| 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) | $177.65 | $209 | 4.8× |
| Intra-atrial pacing (93610) | $13,747.90 | $16,174 | 1.8× |
| Intra-atrial recording (93602) | $13,747.90 | $16,174 | 1.8× |
| Intracranial Complete Study (93886) | $1,151.75 | $1,355 | 4.8× |
| Intraventricular pacing (93612) | $13,747.90 | $16,174 | 1.8× |
| Io anal gast n-stim subsq (95981) | $559.30 | $658 | 9.5× |
| Iontophoresis 15 min (97033) | $90.10 | $106 | 4.7× |
| Irrig Drug Delivery Device (96523) | $164.05 | $193 | 2.8× |
| IV infusion hydration each additional hour (96361) range across 15 matching MRF lines |
$141.10–$156.40 | $166–$184 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 13 matching MRF lines |
$345.10–$382.50 | $406–$450 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 12 matching MRF lines |
$202.30–$210.80 | $238–$248 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 19 matching MRF lines |
$153–$167.45 | $180–$197 | varies |
| IV push initial (96374) range across 16 matching MRF lines |
$79.90–$304.30 | $94–$358 | varies |
| L Hrt Art/Grft Angio (93459) range across 3 matching MRF lines |
$9,764.80–$10,258.65 | $11,488–$12,069 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $879.75 | $1,035 | 4.1× |
| Mechanical chest wall oscillation per session (94669) | $281.35 | $331 | 1.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 19 matching MRF lines |
$53.55–$62.90 | $63–$74 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 18 matching MRF lines |
$56.95–$62.90 | $67–$74 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 9 matching MRF lines |
$42.50–$44.20 | $50–$52 | varies |
| Methacholine challenge (94070) | $1,008.95 | $1,187 | 2.7× |
| Motion Fluoroscopy/Swallow (92611) | $481.10 | $566 | 5.3× |
| Multiple Sleep Latency Test (95805) range across 4 matching MRF lines |
$2,871.30–$2,993.70 | $3,378–$3,522 | varies |
| Muscle Test 2 Limbs (95861) | $665.55 | $783 | 5.0× |
| Muscle Test One Limb (95860) | $425 | $500 | 3.2× |
| Nasopharyngoscopy (92511) | $306.85 | $361 | 1.5× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$225.25–$640.05 | $265–$753 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $344.25 | $405 | 1.6× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $247.35 | $291 | 1.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $1,137.30 | $1,338 | 2.8× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,137.30 | $1,338 | 2.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$296.65–$323 | $349–$380 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$477.70–$626.45 | $562–$737 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $337.45 | $397 | 1.6× |
| Nerve Conduction Studies 11-12 Studies (95912) | $776.90 | $914 | 2.1× |
| Nerve conduction studies 13 or more studies (95913) | $936.70 | $1,102 | 2.5× |
| Nerve Conduction Studies 3-4 Studies (95908) | $584.80 | $688 | 2.7× |
| Nerve conduction studies 5-6 studies (95909) | $646 | $760 | 3.0× |
| Nerve conduction studies 7-8 studies (95910) | $684.25 | $805 | 1.8× |
| Nerve Conduction Studies 9-10 Studies (95911) | $765 | $900 | 2.1× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$291.55–$310.25 | $343–$365 | varies |
| Neuromuscular Reeducation (97112) range across 12 matching MRF lines |
$93.50–$97.75 | $110–$115 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) | $177.65 | $209 | 1.3× |
| Oral Function Therapy (92526) | $336.60 | $396 | 4.0× |
| Oral Speech Device Eval (92597) | $445.40 | $524 | 6.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 11 matching MRF lines |
$106.25–$210.80 | $125–$248 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 11 matching MRF lines |
$110.50–$153.85 | $130–$181 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$44.20–$50.15 | $52–$59 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) | $62.90 | $74 | 2.9× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $81.60 | $96 | 3.8× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $60.35 | $71 | 2.8× |
| Ot eval high complexity (97167) | $283.90 | $334 | 2.8× |
| Ot Eval Low Complex (97165) | $218.45 | $257 | 2.2× |
| Ot Eval Moderate Complexity (97166) | $250.75 | $295 | 2.5× |
| Ot manual therapy 15 min (97140) range across 11 matching MRF lines |
$90.95–$122.40 | $107–$144 | varies |
| Ot paraffin bath (97018) | $62.90 | $74 | 10.5× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 5 matching MRF lines |
$101.15–$133.45 | $119–$157 | varies |
| Ot Re-Eval Est Plan Care (97168) | $168.30 | $198 | 2.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $251.60 | $296 | 2.0× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $249.90 | $294 | 1.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $447.95 | $527 | 2.1× |
| Peripheral arterial disease rehab per session (93668) | $152.15 | $179 | 2.6× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $45,170.70 | $53,142 | 2.5× |
| Perq Transcath Cls Aortic (93591) | $37,850.50 | $44,530 | 2.1× |
| Perq Transcath Cls Mitral (93590) | $38,392.80 | $45,168 | 2.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $11,929.75 | $14,035 | 2.1× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $16,592.85 | $19,521 | 1.4× |
| Phlebotomy therapeutic (99195) range across 4 matching MRF lines |
$223.55–$306.85 | $263–$361 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 5 matching MRF lines |
$173.40–$215.05 | $204–$253 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $169.15 | $199 | 2.9× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$100.30–$102 | $118–$120 | varies |
| Plethysmography (94726) range across 4 matching MRF lines |
$290.70–$352.75 | $342–$415 | 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) | $177.65 | $209 | 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) range across 8 matching MRF lines |
$3,525.80–$4,360.50 | $4,148–$5,130 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 4 matching MRF lines |
$3,262.30–$4,349.45 | $3,838–$5,117 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 3 matching MRF lines |
$3,901.50–$4,550.90 | $4,590–$5,354 | varies |
| Positional nystagmus test (92542) | $226.95 | $267 | 1.7× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $173.40 | $204 | 4.7× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $189.55 | $223 | 5.1× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $60.35 | $71 | 1.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $60.35 | $71 | 1.3× |
| Prq Card Angio/Athrect 1 Art (92924) | $19,744.65 | $23,229 | 1.7× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $18,351.50 | $21,590 | 1.6× |
| Prq Card Stent/Ath/Angio (92933) | $24,023.55 | $28,263 | 1.3× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $17,266.90 | $20,314 | 1.5× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $26,938.20 | $31,692 | 1.5× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $26,163.85 | $30,781 | 2.3× |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$241.40–$253.30 | $284–$298 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $496.40 | $584 | 2.3× |
| Psytx Crisis Initial 60 Min (90839) | $240.55 | $283 | 1.4× |
| Pt Eval High Complex (97163) | $277.10 | $326 | 2.8× |
| Pt eval low complex 20 min (97161) | $230.35 | $271 | 2.4× |
| Pt Eval Mod Complex (97162) range across 6 matching MRF lines |
$246.50–$253.30 | $290–$298 | varies |
| Pt gait training 15 min (97116) range across 9 matching MRF lines |
$80.75–$85 | $95–$100 | varies |
| Pt mechanical traction (97012) | $82.45 | $97 | 5.7× |
| Pt Re-Eval Est Plan Care (97164) range across 5 matching MRF lines |
$131.75–$138.55 | $155–$163 | varies |
| Pt ultraviolet (97028) | $72.25 | $85 | 8.7× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $6.80 | $8 | 0.2× |
| Pulmonary service/procedure (94799) | $296.65 | $349 | 2.3× |
| Pulmonary Stress Testing (94618) | $385.05 | $453 | 2.9× |
| Pure Tone Audiometry Air (92552) | $218.45 | $257 | 1.6× |
| R Hrt Art/Grft Angio (93457) range across 3 matching MRF lines |
$9,967.10–$10,472 | $11,726–$12,320 | varies |
| R hrt coronary artery angio (93456) range across 3 matching MRF lines |
$9,764.80–$10,258.65 | $11,488–$12,069 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 3 matching MRF lines |
$9,962.85–$10,466.90 | $11,721–$12,314 | varies |
| Rectal sensation tone&compliance study (91124) | $281.35 | $331 | 1.3× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) range across 2 matching MRF lines |
$548.25–$1,147.50 | $645–$1,350 | varies |
| Refill/Maint Portable Pump (96521) | $487.05 | $573 | 2.3× |
| Refill/Maint Pump/Resvr Syst (96522) | $727.60 | $856 | 3.4× |
| Rem interrog icpms <30 d phys/qhp (93297) | $22.95 | $27 | 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) | $85.85 | $101 | 2.3× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $222.70 | $262 | 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) | $240.55 | $283 | 6.5× |
| Remote 30 Day Ecg Tech Supp (93229) | $2,232.10 | $2,626 | 6.0× |
| 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× |
| Respiratory flow volume loop (94375) | $766.70 | $902 | 3.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$116.45–$123.25 | $137–$145 | varies |
| Right Heart Cath (93451) range across 3 matching MRF lines |
$7,788.55–$8,182.95 | $9,163–$9,627 | varies |
| Right ventricular recording (93603) | $3,026 | $3,560 | 2.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $268.60 | $316 | 1.3× |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) range across 3 matching MRF lines |
$48.45–$330.65 | $57–$389 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $378.25 | $445 | 3.1× |
| Sbsq Psyc Collab Care Mgmt (99493) | $147.90 | $174 | 1.5× |
| Self Care Mngment Training (97535) | $102 | $120 | 3.1× |
| Sensory Integration Ea 15 Min (97533) | $103.70 | $122 | 1.7× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $525.30 | $618 | 2.4× |
| Short-latency somatosens ep std upr limbs (95925) | $525.30 | $618 | 2.4× |
| Sleep study attended (95807) range across 4 matching MRF lines |
$1,443.30–$2,697.05 | $1,698–$3,173 | varies |
| Sleep study unattended (95806) range across 6 matching MRF lines |
$401.20–$421.60 | $472–$496 | varies |
| Slp caregiver training 1st 30 min (97550) | $44.20 | $52 | 0.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $559.30 | $658 | 2.6× |
| Somatosensory Testing (95938) | $1,004.70 | $1,182 | 1.2× |
| Speech Audiometry Complete (92556) | $150.45 | $177 | 2.6× |
| Speech audiometry threshold (92555) | $141.95 | $167 | 2.4× |
| Speech sound lang comprehen (92523) range across 11 matching MRF lines |
$512.55–$751.40 | $603–$884 | varies |
| Spin/Brain Pump Refil & Main (95991) | $518.50 | $610 | 1.7× |
| Spirometry (94010) range across 5 matching MRF lines |
$311.10–$384.20 | $366–$452 | varies |
| Ssep lower limbs (95926) | $98.60 | $116 | 0.5× |
| Standardized Cognitive Performance Testing (96125) | $441.15 | $519 | 4.3× |
| Stenger Test, Pure Tone (92565) | $145.35 | $171 | 2.5× |
| Stress Tte Only (93350) | $1,609.90 | $1,894 | 3.0× |
| Subcutaneous Infusion Each Additional Hour (96370) | $182.75 | $215 | 3.9× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $507.45 | $597 | 2.4× |
| Subq Infusion Additional Pump Infusion Site (96371) | $241.40 | $284 | 3.4× |
| Surfactant Admin Thru Tube (94610) | $281.35 | $331 | 1.3× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $1,086.30 | $1,278 | 10.4× |
| Temp transcutaneous pacing (92953) | $840.65 | $989 | 1.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $34 | $40 | 1.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $32.30 | $38 | 1.5× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $113.90 | $134 | 3.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $70.55 | $83 | 2.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $210.80 | $248 | 2.1× |
| Ther/Proph/Diag Inj Ia (96373) | $284.75 | $335 | 1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 29 matching MRF lines |
$126.65–$141.10 | $149–$166 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 20 matching MRF lines |
$460.70–$485.35 | $542–$571 | varies |
| Therapeutic Activities (97530) range across 13 matching MRF lines |
$91.80–$97.75 | $108–$115 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,573.35 | $1,851 | 4.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$51.85–$250.75 | $61–$295 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 6 matching MRF lines |
$42.50–$141.95 | $50–$167 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$208.25–$545.70 | $245–$642 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$231.20–$546.55 | $272–$643 | varies |
| Transcath Closure of Asd (93580) | $25,964.10 | $30,546 | 1.4× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $842.35 | $991 | 8.1× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $673.20 | $792 | 6.5× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $167.45 | $197 | 1.3× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$1,937.15–$2,034.90 | $2,279–$2,394 | varies |
| Tte W/O Doppler Complete (93307) | $1,433.95 | $1,687 | 6.0× |
| Tx atrial fib pulm vein isol (93656) | $33,208.65 | $39,069 | 1.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $306.85 | $361 | 4.0× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $109.65 | $129 | 4.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 14 matching MRF lines |
$183.60–$193.80 | $216–$228 | varies |
| Tympanometry (92567) range across 5 matching MRF lines |
$98.60–$104.55 | $116–$123 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 3 matching MRF lines |
$477.70–$636.65 | $562–$749 | varies |
| Unlisted cardiovascular service/procedure (93799) | $3,770.60 | $4,436 | 29.4× |
| Upr/L Xtremity Art 2 Levels (93922) | $566.95 | $667 | 4.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $754.80 | $888 | 3.5× |
| Valvuloplasty aortic valve (92986) | $10,440.55 | $12,283 | 1.8× |
| Vasopneumatic device (97016) | $67.15 | $79 | 5.6× |
| 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 |
$1,252.90–$1,316.65 | $1,474–$1,549 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,024.25 | $1,205 | 1.7× |
| Visual reinforcement audiometry (vra) (92579) | $309.40 | $364 | 1.4× |
| Vital capacity, total (94150) range across 4 matching MRF lines |
$226.10–$238 | $266–$280 | varies |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,664.30 | $1,958 | 1.9× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 7 matching MRF lines |
$90.95–$94.35 | $107–$111 | varies |
| Whirlpool Therapy (97022) | $94.35 | $111 | 6.0× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $175.10 | $206 | 3.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.