Visits & medical services prices at Nationwide Children's Hospital

Columbus, OH · every code in this section with a posted price and a Medicare benchmark.

406 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $16,542 $18,380 2.2×
Acoustic Reflex Testing (92568) $55.80 $62 1.5×
Actigraphy Testing Recording Analysis I&R (95803) $288 $320 5.1×
Actinotherapy Ultraviolet Light (96900) $121.50 $135 3.4×
Acupunct W/Stimul 15 Min (97813) $27.90 $31 1.0×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $27.90 $31 1.0×
Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) $118.80 $132 0.7×
Adaptive behavior tx by protocol tech ea 15 min (97153)
range across 2 matching MRF lines
$44.10–$79.20 $49–$88 varies
Admn Sarscov2 Vacc 1 Dose (90480) $19.13 $21.25 0.5×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $441 $490 2.1×
Aep neurodiagnostic i&r (92653) $1,080 $1,200 5.2×
Aep threshold estimation mlt frequencies i&r (92652) $1,080 $1,200 5.2×
Airway Inhalation Treatment (94640) $85.50 $95 0.4×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $18.90 $21 0.5×
Allg tstg perq & ic venoms immed react w/i&r (95017) $18.90 $21 0.7×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $234 $260 1.8×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $855 $950 6.9×
Analysis w/prgrmg aud brainstem implant pr hr (92640) $1,080 $1,200 8.7×
Analyze neurostim complex (95972) $405 $450 4.4×
Analyze neurostim no prog (95970) $135 $150 1.1×
Analyze Neurostim Simple (95971) $225 $250 2.5×
Analyze Pacemaker System (93724) $7,884 $8,760 26.6×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $396 $440 2.0×
Anrct mano rct sensation&rct balo expulsion test (91125) $2,385 $2,650 6.6×
Ant sgm imaging w/microscopy endothelial analy (92286) $270 $300 2.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $65.70 $73 4.6×
Arrhythmia Induction (93618) $6,453 $7,170 5.5×
Assessment of aphasia per hr (96105) $102.60 $114 1.1×
Audiometry Air & Bone (92553) $130.50 $145 1.1×
Auditory Function, 60 Min (92620) $531 $590 4.3×
Behavior id assessment by phys/qhp ea 15 min (97151) $79.20 $88 0.8×
Behavior id support assmt by 1 tech ea 15 min (97152)
range across 2 matching MRF lines
$44.10–$79.20 $49–$88 varies
Behavral qualit analys voice (92524) $288 $320 2.6×
Blink reflex test (95933) $324 $360 5.7×
Breath hydrogen/methane test (91065) $450 $500 2.2×
Brief Emotional/Behav Assmt (96127) $121.50 $135 3.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $85.50 $95 0.2×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$3,420 $3,800 0.5×
C motor evoked uppr limbs (95928) $1,485 $1,650 1.8×
C motor evoked upr&lwr limbs (95939) $2,988 $3,320 3.6×
Cardiac Stress Tst,Tracing Only (93017) $1,080 $1,200 5.2×
Cardiopulmonary exercise testing (94621) $1,197 $1,330 3.3×
Cardiopulmonary resuscitation (92950) $909 $1,010 4.4×
Cardioversion (92960) $3,231 $3,590 5.1×
Cardioversion elective internal (92961) $7,011 $7,790 11.0×
Caregiver hlth risk assmt score doc stnd instrm (96161) $18.90 $21 0.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $9 $10 0.3×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $11,475 $12,750 3.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,054 $10,060 2.9×
Chemo Anti-Neopl Sq/Im (96401) $747 $830 10.8×
Chemo Hormon Antineopl Sq/Im (96402) $1,656 $1,840 23.9×
Chemo Ia Push (96420) $774 $860 2.4×
Chemo Intralesional Over 7 (96406) $639 $710 3.1×
Chemo intralesional up to 7 (96405) $477 $530 6.9×
Chemo IV infusion addl hr (96415) $468 $520 6.7×
Chemo IV push addl drug (96411) $495 $550 7.1×
Chemother Prolong Infuse W/Pump (96416) $468 $520 1.5×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $765 $850 2.4×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $288 $320 6.4×
Chemotherapy Into Cns (96450) $1,431 $1,590 4.5×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $882 $980 2.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $468 $520 6.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,404 $1,560 4.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,125 $1,250 3.5×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $747 $830 2.3×
Chest Wall Manipulation (94668) $55.80 $62 0.4×
Cmptr ophth dx img ant segmt (92132) $216 $240 3.8×
Colon Motility 6 Hr Study (91117) $3,852 $4,280 18.5×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $65.70 $73 1.2×
Color/duplex Doppler, complete (93975) $1,953 $2,170 8.5×
Color/duplex Doppler, limited (93976) $1,260 $1,400 12.5×
Community/Work Reintegration Trainj Ea 15 Min (97537) $121.50 $135 3.8×
Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) $1,215 $1,350 1.5×
Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) $1,215 $1,350 3.4×
Comprehensive Hearing Test (92557) $423 $470 3.4×
Computerized Ophthalmic Imaging Optic Nerve (92133) $180 $200 3.2×
Computerized Ophthalmic Imaging Retina (92134) $180 $200 3.2×
Conditioning Play Audiometry (92582) $102.60 $114 0.8×
Cont gluc mntr physician/qhp provided equiptment (95250) $333 $370 2.6×
Corneal Topography (92025) $102.60 $114 1.8×
Coronary Artery Angio S&I (93454) $7,335 $8,150 2.3×
Cpt initial (94667) $65.70 $73 0.5×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $216 $240 1.0×
Critical care first hour (99291) $4,095 $4,550 5.1×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,494 $1,660 4.2×
Dark Adaptation Eye Exam (92284) $639 $710 1.5×
Debridement Open Wound 20 Sq Cm< (97597) $198 $220 1.0×
Developmental tst admin phys/qhp 1st hour (96112) $333 $370 2.7×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $225 $250 1.8×
Dialysis One Evaluation (90945) $2,808 $3,120 7.0×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $121.50 $135 0.3×
Duodenal motility study (91022) $2,268 $2,520 6.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,701 $1,890 7.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,188 $1,320 11.8×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $855 $950 8.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,746 $1,940 7.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,233 $1,370 12.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,908 $2,120 8.3×
Dup-scan xtr veins unilateral/limited study (93971) $1,296 $1,440 12.9×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,890 $2,100 8.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $1,323 $1,470 13.1×
Duplex up extrem art bilat (93930) $1,890 $2,100 8.2×
Duplex up extrem art unilat/ltd (93931) $1,332 $1,480 13.2×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $216 $240 1.7×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $225 $250 1.8×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $855 $950 6.9×
Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) $450 $500 2.2×
ECG/monitoring and analysis (93271) $792 $880 8.6×
Echo Congenital Complete (93303) $2,052 $2,280 3.9×
Echo Heart Xthoracic,Limited (93308) $1,215 $1,350 5.3×
Echo transesophageal (93312) $2,295 $2,550 4.4×
Echo Transesophageal - Congenital Tee Complete (93315) $2,601 $2,890 4.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,935 $2,150 3.7×
Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) $396 $440 11.0×
Eeg 41-60 Minutes (95812) $1,251 $1,390 6.0×
EEG awake and asleep (95819) $1,134 $1,260 5.4×
EEG awake drowsy (95816) $1,134 $1,260 5.4×
EEG cerebral death evaluation (95824) $1,134 $1,260 3.2×
EEG cont rec w/video by tech min 8 channels (95700) $3,573 $3,970 17.2×
EEG extended monitoring 61-119 minutes (95813) $1,809 $2,010 8.7×
Eeg Sleep Only (95822) $1,134 $1,260 5.4×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $3,573 $3,970 17.2×
EEG wo vid ea 12-26hr unmntr (95708) $7,137 $7,930 19.8×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $198 $220 2.2×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $648 $720 7.1×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $648 $720 18.0×
Electrical Stimulation Ea 15 Min (97032) $74.70 $83 5.1×
Electro-Oculography (92270) $270 $300 2.1×
Electrocardiogram Tracing (93005) $252 $280 4.4×
Electrocochleography (92584) $774 $860 6.2×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $7,353 $8,170 1.0×
Electrophysiology Evaluation (93642) $7,470 $8,300 6.4×
Emergency Dept Visit Level 2 (99282) $468 $520 3.2×
Emergency Dept Visit Level 3 (99283) $837 $930 3.2×
Emergency Dept Visit Level 4 (99284) $1,215 $1,350 3.0×
Emg 3 Extremities (95863) $675 $750 5.4×
Emg 4 Extremities (95864) $801 $890 6.5×
Endomyocardial Biopsy (93505) $6,651 $7,390 2.2×
Ep & ablate supravent arrhyt (93653) $23,823 $26,470 0.9×
Ep & ablate ventric tachy (93654) $31,887 $35,430 1.3×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $18,279 $20,310 2.4×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $11,394 $12,660 1.5×
Ep Esophageal Recording Atria+Pacing (93616) $2,007 $2,230 1.7×
Er level 1 (99281) $234 $260 2.9×
Er level v (99285) $2,430 $2,700 4.2×
Esoph Atrial Electrogram (93615) $1,188 $1,320 1.0×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $3,312 $3,680 9.2×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $216 $240 1.7×
Evaluate pt use of inhaler (94664) $65.70 $73 0.3×
Evaluate Speech Production (92522) $288 $320 2.6×
Evaluate Swallowing Function (92610) $567 $630 6.7×
Evaluation of speech fluency (92521) $387 $430 2.9×
Evoked Auditory Test,Limited (92587) $121.50 $135 0.6×
Excimer laser tx psoriasis 250-500 sq cm (96921) $225 $250 1.2×
Excimer laser tx psoriasis >500 sq cm (96922) $333 $370 0.8×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $153 $170 0.8×
Exercise test for bronchospasm (94617) $2,259 $2,510 17.6×
Exhaled Air Analysis O2 (94680) $162 $180 1.3×
External ECG rec>48hr<7d recording (93242) $468 $520 13.0×
External ECG rec>48hr<7d scanning alys w/report (93243) $792 $880 6.2×
External ECG rec>7d<15d recording (93246) $468 $520 13.0×
External ECG rec>7d<15d scanning alys w/report (93247) $792 $880 6.2×
External Ecg Scanning Analysis Report (93226) $792 $880 13.9×
Extracranial Bilat Study (93880) $1,557 $1,730 6.8×
Extracranial Uni/Ltd Study (93882) $486 $540 4.8×
F-up/limited tthrc echo congenital car anomaly (93304) $1,404 $1,560 2.7×
Facial nerve function studies (92516) $74.70 $83 0.4×
Family adapt bhv tx gdn phys/qhp ea 15 min (97156) $61.20 $68 1.7×
Flexible endoscopic eval swallow c/v rec (92612) $630 $700 3.2×
Fluorescein angiography (92235) $639 $710 3.1×
Full Field Electroretinography W/I&R (92273) $639 $710 3.1×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $567 $630 0.7×
Fundus photography (92250) $270 $300 2.1×
Gastric motility studies (91020) $1,827 $2,030 5.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $2,925 $3,250 8.1×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $3,051 $3,390 14.7×
Gi tract capsule endoscopy (91110) $7,902 $8,780 9.0×
Gonioscopy (92020) $270 $300 2.1×
Group adaptive bhv tx by protocol tech ea 15 min (97154)
range across 2 matching MRF lines
$15.30–$44.10 $17–$49 varies
Group Therapeutic Procedures (97150) $171 $190 9.5×
Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) $44.10 $49 1.2×
Health Behavior Assessment/Re-Assessment (96156) $333 $370 3.4×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $171 $190 4.7×
Health behavior ivntj group f2f 1st 30 min (96164) $102.60 $114 2.8×
Health behavior ivntj indiv f2f 1st 30 min (96158) $171 $190 1.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $2,313 $2,570 3.5×
High altitude simulation test (94452) $216 $240 1.7×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $270 $300 2.1×
Holter monitor recording (93225) $468 $520 3.6×
Icd Device Interrogate (93289) $1,206 $1,340 33.5×
Icd device progr eval dual (93283) $1,863 $2,070 51.8×
Icd Device Progr Eval Mult (93284) $2,016 $2,240 56.0×
Icm Device Eval (93290) $702 $780 19.5×
Ilr Device Eval Progr (93285) $837 $930 23.3×
Ilr Device Interrogate (93291) $594 $660 21.3×
Im Adm Intransl/Oral 1 Vaccine (90473) $19.13 $21.25 0.3×
Immunization administration (90471) $19.13 $21.25 0.3×
Ingestion challenge test initial 120 minutes (95076) $279 $310 0.8×
Insert/Place Heart Catheter (93503) $3,231 $3,590 2.1×
Interrogate Subq Defib (93261) $1,197 $1,330 33.3×
Interrogation vad in person (93750) $405 $450 4.4×
Intra-atrial pacing (93610) $4,887 $5,430 0.6×
Intra-atrial recording (93602)
unusually low: confirm this is the full procedure
$3,420 $3,800 0.5×
Intracranial Complete Study (93886) $1,701 $1,890 7.4×
Intracutaneous tests w/allergenic extracts (95024) $18.90 $21 0.3×
Intraventricular pacing (93612) $4,887 $5,430 0.6×
Irrig Drug Delivery Device (96523) $153 $170 2.7×
IV infusion hydration each additional hour (96361) $93.60 $104 2.1×
IV infusion hydration initial 31 min-1 hour (96360) $189 $210 0.9×
IV infusion ther proph addl sequential to 1 hr (96367) $324 $360 4.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $189 $210 4.2×
IV push initial (96374) $189 $210 0.9×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $8,883 $9,870 2.8×
Liver Elastography W/O Imag W/I&R (91200) $450 $500 3.6×
Lwr Xtr Vasc Stdy Bilat (93924) $450 $500 2.2×
Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) $2,187 $2,430 10.5×
Measurement Lung Volumes Infant/Child/2 Yrs (94013) $909 $1,010 2.5×
Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) $621 $690 5.0×
Mechanical chest wall oscillation per session (94669) $130.50 $145 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $37.80 $42 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $37.80 $42 1.0×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $37.80 $42 2.2×
Methacholine challenge (94070) $1,206 $1,340 3.4×
Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) $270 $300 2.1×
Motility study esophagus (91010) $2,304 $2,560 6.4×
Motion Fluoroscopy/Swallow (92611) $441 $490 4.8×
Multifocal Electroretinography W/I&R (92274) $639 $710 5.2×
Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) $28.80 $32 0.8×
Multiple Family Group Psychotherapy (90849)
range across 2 matching MRF lines
$83.70–$107.10 $93–$119 varies
Multiple Sleep Latency Test (95805) $5,373 $5,970 6.5×
Muscle Test 2 Limbs (95861) $576 $640 4.5×
Muscle Test Nonparaspinal (95870) $243 $270 1.9×
Muscle Test One Limb (95860) $405 $450 3.2×
Nasal function studies (92512) $162 $180 0.8×
Nasopharyngoscopy (92511) $981 $1,090 5.1×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $315 $350 1.5×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $225 $250 1.1×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $324 $360 1.6×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $216 $240 1.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $261 $290 0.7×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $297 $330 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $224.10 $249 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $252 $280 0.6×
Nerve Conduction Studies 1-2 Studies (95907) $459 $510 2.2×
Nerve Conduction Studies 11-12 Studies (95912) $3,348 $3,720 9.3×
Nerve conduction studies 13 or more studies (95913) $3,969 $4,410 11.0×
Nerve Conduction Studies 3-4 Studies (95908) $900 $1,000 4.3×
Nerve conduction studies 5-6 studies (95909) $1,512 $1,680 7.3×
Nerve conduction studies 7-8 studies (95910) $2,133 $2,370 5.9×
Nerve Conduction Studies 9-10 Studies (95911) $2,745 $3,050 7.6×
Neurobehavioral Status Exam (96116) $450 $500 2.2×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $288 $320 2.3×
Neuromuscular Reeducation (97112) $83.70 $93 2.6×
Nitric oxide expired gas determination (95012) $153 $170 4.2×
Nrpsyc tst eval phys/qhp 1st (96132) $450 $500 1.3×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $270 $300 2.1×
Ophth medical xm&eval intermediate estab pt (92012) $270 $300 2.1×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $162 $180 2.8×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $162 $180 2.8×
Oral Function Therapy (92526) $270 $300 3.2×
Orthc/Prostc Mgmt Sbsq Enc (97763) $121.50 $135 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $83.70 $93 1.8×
Ot eval high complexity (97167) $495 $550 4.9×
Ot Eval Low Complex (97165) $261 $290 2.6×
Ot Eval Moderate Complexity (97166) $405 $450 4.0×
Ot manual therapy 15 min (97140) $83.70 $93 3.0×
Ot Prosthetic Training, Each 15 Min (97761) $102.60 $114 2.5×
Ot Re-Eval Est Plan Care (97168) $288 $320 4.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $149.40 $166 1.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $102.60 $114 0.8×
Oxygen Uptake Rest Indirect (94690) $102.60 $114 1.8×
Patch/Application Test Specify Number Tests (95044) $18.90 $21 0.0×
Pediatric apnea monitor analyses computer (94776) $558 $620 4.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $396 $440 1.9×
Percutaneous tests w/allergenic extracts (95004) $9 $10 0.0×
Perq transcath closure pda (93582) $19,881 $22,090 1.1×
Perq Transcath Cls Aortic (93591) $29,016 $32,240 1.6×
Perq Transcath Cls Mitral (93590) $35,046 $38,940 2.0×
Phlebotomy therapeutic (99195) $37.80 $42 0.3×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $74.70 $83 1.3×
Physical Performance Test (97750) $162 $180 4.8×
Plethysmography (94726)
range across 2 matching MRF lines
$729–$909 $810–$1,010 varies
Pm device eval in person (93288) $702 $780 19.5×
Pm device progr eval dual (93280) $1,233 $1,370 34.3×
Pm device progr eval multi (93281) $1,377 $1,530 38.3×
Pm Device Progr Eval Sngl (93279) $1,044 $1,160 29.0×
Pm/Icd Remote Tech Serv (93296) $261 $290 7.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $9,090 $10,100 11.0×
Polysom <6 yrs 4/> paramtrs (95782) $9,090 $10,100 11.0×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $9,090 $10,100 11.0×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $9,090 $10,100 11.0×
Prepj& allergen immunotherapy 1/mlt antigen (95165)
range across 2 matching MRF lines
$27.90–$37.80 $31–$42 varies
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $37.80 $42 0.8×
Prepj& antigen allergen immunotherapy 2 insect (95146) $83.70 $93 1.9×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $83.70 $93 1.2×
Prepj& antigen allergen immunotherapy 5 insect (95149) $83.70 $93 1.2×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) $270 $300 0.6×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $1,377 $1,530 38.3×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $1,377 $1,530 38.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $27.90 $31 0.6×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $46.80 $52 1.0×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $83.70 $93 1.2×
Prq Card Stent W/Angio 1 Vsl (92928) $17,694 $19,660 1.6×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $39,384 $43,760 2.2×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $19,341 $21,490 1.7×
Psych diag eval w/med srvcs (90792) $456.30 $507 2.7×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$325.80–$396 $362–$440 varies
Psychological tst eval svc phys/qhp first hour (96130)
range across 2 matching MRF lines
$315.90–$450 $351–$500 varies
Psycl/Nrpsyc Tst Auto Result (96146) $83.70 $93 3.0×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138)
range across 2 matching MRF lines
$102.60–$163.80 $114–$182 varies
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136)
range across 2 matching MRF lines
$163.80–$234 $182–$260 varies
Psytx Crisis Initial 60 Min (90839)
range across 2 matching MRF lines
$261–$459 $290–$510 varies
Pt Eval High Complex (97163) $495 $550 5.1×
Pt eval low complex 20 min (97161) $261 $290 2.7×
Pt Eval Mod Complex (97162) $405 $450 4.1×
Pt gait training 15 min (97116) $83.70 $93 2.9×
Pt group caregiver training (97552) $18.90 $21 0.9×
Pt mechanical traction (97012) $74.70 $83 5.2×
Pt Re-Eval Est Plan Care (97164) $288 $320 4.3×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $9 $10 0.2×
Pulm function test by gas (94727) $270 $300 1.3×
Pulmonary Stress Testing (94618) $540 $600 4.2×
Pure Tone Audiometry Air (92552) $102.60 $114 0.8×
Quan puplmtry phy/qhp uni/bi (95919) $270 $300 2.1×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $9,855 $10,950 3.2×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $6,435 $7,150 2.1×
R hrt coronary artery angio (93456) $9,540 $10,600 3.1×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $14,337 $15,930 4.6×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $11,043 $12,270 3.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $9,666 $10,740 3.1×
Rapid Desensitization Procedure Each Hour (95180) $162 $180 0.4×
Rectal sensation tone&compliance study (91124) $810 $900 3.9×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $171 $190 0.5×
Rem interrog icpms <30 d phys/qhp (93297) $837 $930 23.3×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $837 $930 23.3×
Remote 30 Day Ecg Rev/Report (93270) $423 $470 11.8×
Remote 30 Day Ecg Tech Supp (93229) $1,260 $1,400 3.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 2 matching MRF lines
$288–$295.20 $320–$328 varies
Right Heart Cath (93451) $3,978 $4,420 1.3×
Right ventricular recording (93603) $3,420 $3,800 2.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $198 $220 1.0×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $468 $520 3.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $162 $180 3.4×
Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) $270 $300 2.1×
Select picture audiometry (92583) $153 $170 2.7×
Self Care Mngment Training (97535) $83.70 $93 2.6×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $102.60 $114 1.8×
Sensory Integration Ea 15 Min (97533) $83.70 $93 1.4×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $288 $320 1.4×
Short-latency somatosens ep std upr limbs (95925) $1,485 $1,650 7.1×
Sleep study unattended (95806) $1,413 $1,570 6.8×
Slp caregiver training 1st 30 min (97550) $18.90 $21 0.4×
Slp Stdy Unatnd W/Anal (95801) $1,125 $1,250 19.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $1,413 $1,570 6.8×
Somatosensory Testing (95938) $2,988 $3,320 3.6×
Speech Audiometry Complete (92556) $74.70 $83 1.3×
Speech audiometry threshold (92555) $55.80 $62 1.0×
Speech sound lang comprehen (92523) $630 $700 2.8×
Spin/Brain Pump Refil & Main (95991) $243 $270 0.8×
Spirometry (94010) $85.50 $95 0.4×
Ssep lower limbs (95926) $1,494 $1,660 7.2×
Stress Tte Only (93350) $1,935 $2,150 3.7×
Subcutaneous Infusion Each Additional Hour (96370) $37.80 $42 0.8×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $450 $500 2.2×
Subq Infusion Additional Pump Infusion Site (96371) $74.70 $83 1.1×
Surfactant Admin Thru Tube (94610) $130.50 $145 0.6×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $102.60 $114 2.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $65.70 $73 2.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $261 $290 2.5×
Ther/Proph/Diag Inj Ia (96373) $37.80 $42 0.2×
Ther/Proph/Diag Inj Sc/Im (96372) $46.80 $52 0.7×
Ther/Proph/Diag Iv Inf Init (96365) $468 $520 2.3×
Therapeutic Activities (97530) $83.70 $93 2.4×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,610 $2,900 7.3×
Tobacco Use Cessation Intensive >10 Minutes (99407) $37.80 $42 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $27.90 $31 0.8×
Transcath Closure of Asd (93580) $29,016 $32,240 1.6×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $504 $560 14.0×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $216 $240 1.7×
Tte w/doppler, complete (93306) $3,645 $4,050 6.9×
Tte W/O Doppler Complete (93307) $1,467 $1,630 6.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $243 $270 3.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $243 $270 10.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $93.60 $104 2.1×
Tympanometry (92567) $121.50 $135 3.4×
Tympanometry and reflex threshold measurements (92550) $121.50 $135 0.6×
Unlisted cardiovascular service/procedure (93799)
range across 10 matching MRF lines
$1,206–$40,365 $1,340–$44,850 varies
Unlisted ophthalmological service/procedure (92499) $171 $190 6.1×
Valvuloplasty aortic valve (92986) $36,495 $40,550 6.7×
Valvuloplasty mitral valve (92987) $37,764 $41,960 3.4×
Valvuloplasty pulmonary valve (92990) $29,502 $32,780 2.7×
Vasopneumatic device (97016) $65.70 $73 5.5×
Veeg 2-12 Hr Cont Mntr (95713) $4,050 $4,500 11.3×
Veeg 2-12 hr intmt mntr (95712) $3,600 $4,000 10.0×
Veeg 2-12 hr unmonitored (95711) $3,150 $3,500 15.1×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $6,525 $7,250 18.1×
Veeg Ea 12-26 Hr Unmntr (95714) $3,937.50 $4,375 10.9×
Veeg ea 12-26hr cont mntr (95716) $7,425 $8,250 9.0×
Visual Evoked Potential Test (95930) $639 $710 3.1×
Visual field xm uni/bi w/interp intermed exam (92082) $171 $190 3.0×
Visual field xm uni/bi w/interpretj limited exam (92081) $102.60 $114 1.8×
Visual reinforcement audiometry (vra) (92579) $102.60 $114 0.5×
Vital capacity, total (94150) $55.80 $62 0.4×
Wada Activation Test Hemispheric Function W/Eeg (95958) $468 $520 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $121.50 $135 3.9×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $99 $110 2.7×

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.