Visits & medical services prices at North Central Kansas Medical Center

Concordia, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $67.90 $97 0.6×
Acoustic Reflex Testing (92568) $31.50 $45 0.9×
Acupunct W/Stimul 15 Min (97813)
range across 2 matching MRF lines
$47.46–$102.62 $67.80–$146.60 varies
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $95.48 $136.40 3.6×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 4 matching MRF lines
$14.14–$59.92 $20.20–$85.60 varies
Advncd Care Plan 30 Min (99497)
range across 3 matching MRF lines
$56.21–$98.70 $80.30–$141 varies
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $134.40 $192 0.7×
Aep neurodiagnostic i&r (92653)
range across 2 matching MRF lines
$210–$360.71 $300–$515.30 varies
Aep threshold estimation mlt frequencies i&r (92652)
range across 2 matching MRF lines
$240.45–$360.71 $343.50–$515.30 varies
Airway Inhalation Treatment (94640)
range across 9 matching MRF lines
$36.40–$202.58 $52–$289.40 varies
Airway resistance by oscillometry (94728) $372.75 $532.50 3.1×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $512.82 $732.60 4.2×
Analyze neurostim complex (95972)
range across 4 matching MRF lines
$18.76–$94.50 $26.80–$135 varies
Analyze neurostim no prog (95970) $54.53 $77.90 0.4×
Analyze Neurostim Simple (95971) $169.19 $241.70 1.9×
Anrct mano rct sensation&rct balo expulsion test (91125) $252 $360 0.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$55.58–$71.61 $79.40–$102.30 varies
Application on-body injector (96377) $74.20 $106 1.7×
Assessment of aphasia per hr (96105)
range across 2 matching MRF lines
$159.60–$212.52 $228–$303.60 varies
Assessment of tinnitus (92625) $141.96 $202.80 1.2×
Assmt & care planning pt w/cognitive impairment (99483)
range across 3 matching MRF lines
$95.90–$313.11 $137–$447.30 varies
Audiometry Air & Bone (92553)
range across 2 matching MRF lines
$79.73–$80.50 $113.90–$115 varies
Auditory Function, 60 Min (92620) $188.86 $269.80 1.6×
Basic vestibular evaluation (92540) $158.76 $226.80 0.8×
Behavral qualit analys voice (92524) $413.35 $590.50 3.8×
Biofeedback training any modality (90901) $133 $190 3.2×
Bioimpedance Cv Analysis (93701) $217.56 $310.80 1.8×
Breath hydrogen/methane test (91065) $151.27 $216.10 0.8×
Brief Emotional/Behav Assmt (96127)
range across 2 matching MRF lines
$8.89 $1.10–$12.70 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 6 matching MRF lines
$91–$453.18 $130–$647.40 varies
Caloric vestibular test w/rec bi monothermal (92538)
range across 3 matching MRF lines
$18.76–$130.34 $26.80–$186.20 varies
Caloric Vstblr Test W/Rec (92537) $120.26 $171.80 1.0×
Canalith repositioning proc (95992)
range across 3 matching MRF lines
$89.53–$142.87 $127.90–$204.10 varies
Car seat/bed test 60 min (94780) $156.38 $223.40 4.6×
Cardiac Stress Tst,Tracing Only (93017) $766.15 $1,094.50 3.9×
Cardiopulmonary exercise testing (94621)
range across 2 matching MRF lines
$143.57–$360.71 $205.10–$515.30 varies
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$20.93–$1,347.08 $29.90–$1,924.40 varies
Cardioversion (92960) $266.98 $381.40 0.4×
Cardioversion elective internal (92961) $988.26 $1,411.80 1.6×
Caregiver hlth risk assmt score doc stnd instrm (96161) $26.25 $37.50 0.8×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $589.96 $842.80 0.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $464.87 $664.10 0.2×
Cbt 1st hour (94644) $290.29 $414.70 2.4×
Cervical & Ocular Vemp Testing W/I&R (92519) $129.92 $185.60 0.7×
Cervical Vemp Testing W/I&R (92517) $84.21 $120.30 0.7×
Chemo Anti-Neopl Sq/Im (96401)
range across 3 matching MRF lines
$130.20–$258.51 $186–$369.30 varies
Chemo Hormon Antineopl Sq/Im (96402) $56 $80 0.8×
Chemo IV infusion addl hr (96415)
range across 3 matching MRF lines
$74.90–$257.25 $107–$367.50 varies
Chemo IV push addl drug (96411)
range across 3 matching MRF lines
$112.70–$207.06 $161–$295.80 varies
Chemother Prolong Infuse W/Pump (96416) $300.30 $429 1.0×
Chemotherapy Into Cns (96450)
range across 2 matching MRF lines
$372.75–$1,070.51 $532.50–$1,529.30 varies
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417)
range across 3 matching MRF lines
$119.70–$257.25 $171–$367.50 varies
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 3 matching MRF lines
$200.90–$387.73 $287–$553.90 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 3 matching MRF lines
$144.90–$303.45 $207–$433.50 varies
Chest Wall Manipulation (94668) $120.19 $171.70 1.0×
Chron Care Mgmt Srvc 20 Min (99490) $68.60 $98 0.7×
Color/duplex Doppler, complete (93975)
range across 3 matching MRF lines
$89.18–$1,104.74 $127.40–$1,578.20 varies
Color/duplex Doppler, limited (93976)
range across 4 matching MRF lines
$328.65–$1,104.74 $469.50–$1,578.20 varies
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 3 matching MRF lines
$63.21–$70.35 $90.30–$100.50 varies
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $136.50 $195 0.8×
Comprehensive Hearing Test (92557)
range across 2 matching MRF lines
$77.63–$78.40 $110.90–$112 varies
Conditioning Play Audiometry (92582) $153.23 $218.90 1.3×
Cont gluc mntr physician/qhp provided equiptment (95250) $175 $250 1.4×
Cont Gluc Mntr Pt Prov Eqp (95249) $189.98 $271.40 3.5×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$25.83–$342.30 $36.90–$489 varies
Coronary Art/Grft Angio S&I (93455) $437.64 $625.20 0.1×
Coronary Artery Angio S&I (93454) $375.13 $535.90 0.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 7 matching MRF lines
$58.87–$1,746.64 $84.10–$2,495.20 varies
Cpt initial (94667) $134.96 $192.80 1.1×
Critical care first hour (99291) $609.14 $870.20 0.8×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$81.90–$292.11 $117–$417.30 varies
Developmental tst admin phys/qhp 1st hour (96112)
range across 3 matching MRF lines
$100.03–$210.91 $142.90–$301.30 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588)
range across 2 matching MRF lines
$58.10–$69.02 $83–$98.60 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$60.97–$533.40 $87.10–$762 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 2 matching MRF lines
$533.40–$827.47 $762–$1,182.10 varies
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $477.26 $681.80 5.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 3 matching MRF lines
$52.99–$1,073.45 $75.70–$1,533.50 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines
$35.28–$686.42 $50.40–$980.60 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$86.59–$1,123.15 $123.70–$1,604.50 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines
$54.53–$1,123.15 $77.90–$1,604.50 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $550.41 $786.30 2.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $550.41 $786.30 5.7×
Duplex Scan Hemodialysis Access (93990) $813.05 $1,161.50 8.5×
Duplex up extrem art bilat (93930) $1,073.45 $1,533.50 4.9×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$247.73–$686.42 $353.90–$980.60 varies
Ear and throat examination (92502) $190.96 $272.80 0.4×
Echo Congenital Complete (93303) $1,539.72 $2,199.60 3.1×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$51.10–$625.38 $73–$893.40 varies
Echo r-t 2d w/probe placement only (93313) $20.23 $28.90 0.0×
Echo transesophag montr cardiac pump functj (93318) $214.83 $306.90 0.4×
Echo transesophageal (93312)
range across 2 matching MRF lines
$169.54–$1,959.44 $242.20–$2,799.20 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $131.46 $187.80 0.3×
Eeg 41-60 Minutes (95812)
range across 2 matching MRF lines
$163.52–$374.92 $233.60–$535.60 varies
EEG awake and asleep (95819)
range across 2 matching MRF lines
$154.77–$1,013.88 $221.10–$1,448.40 varies
EEG awake drowsy (95816)
range across 2 matching MRF lines
$148.33–$864.36 $211.90–$1,234.80 varies
EEG cerebral death evaluation (95824)
range across 2 matching MRF lines
$230.86–$861.63 $329.80–$1,230.90 varies
EEG extended monitoring 61-119 minutes (95813)
range across 2 matching MRF lines
$203.63–$804.44 $290.90–$1,149.20 varies
Eeg Sleep Only (95822)
range across 2 matching MRF lines
$176.33–$807.38 $251.90–$1,153.40 varies
Eeg W/O Vid 2-12 Hr Unmntr (95705) $597.59 $853.70 3.0×
EEG wo vid ea 12-26hr unmntr (95708) $1,145.97 $1,637.10 3.3×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $93.80 $134 1.1×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977)
range across 4 matching MRF lines
$24.01–$100.24 $34.30–$143.20 varies
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976)
range across 2 matching MRF lines
$18.90–$75.39 $27–$107.70 varies
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines
$18.76–$100.10 $26.80–$143 varies
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$29.68–$166.95 $42.40–$238.50 varies
Electrocochleography (92584) $243.39 $347.70 2.1×
Emergency Dept Visit Level 2 (99282) $128.24 $183.20 0.9×
Emergency Dept Visit Level 3 (99283) $193.20 $276 0.8×
Emergency Dept Visit Level 4 (99284) $328.65 $469.50 0.9×
Emg 3 Extremities (95863) $326.20 $466 2.8×
Er level 1 (99281) $95.48 $136.40 1.2×
Er level v (99285) $478.52 $683.60 0.9×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$30.52–$240.45 $43.60–$343.50 varies
Evaluate Speech Production (92522) $413.35 $590.50 3.7×
Evaluate Swallowing Function (92610) $335.23 $478.90 4.0×
Evaluation of speech fluency (92521) $413.35 $590.50 3.1×
Evoked Auditory Test,Limited (92587) $44.94 $64.20 0.2×
Exercise test for bronchospasm (94617) $168.35 $240.50 1.4×
External ECG rec>48hr<7d recording (93242) $123.97 $177.10 3.6×
External ECG rec>48hr<7d scanning alys w/report (93243) $370.37 $529.10 3.0×
External ECG rec>7d<15d recording (93246) $190.40 $272 5.5×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines
$58.73–$390.39 $83.90–$557.70 varies
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$55.37–$1,668.38 $79.10–$2,383.40 varies
Extracranial Uni/Ltd Study (93882) $928.34 $1,326.20 9.7×
F-up/limited tthrc echo congenital car anomaly (93304) $776.72 $1,109.60 1.5×
Facial nerve function studies (92516) $141.96 $202.80 0.7×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $300.65 $429.50 2.0×
Flexible endoscopic eval swallow c/v rec (92612) $403.41 $576.30 2.0×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $442.61 $632.30 1.9×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $213.99 $305.70 0.6×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $135.80 $194 0.2×
Gi tract capsule endoscopy (91110)
range across 3 matching MRF lines
$542.50–$1,942.50 $775–$2,775 varies
Gonioscopy (92020) $41.37 $59.10 0.3×
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines
$48.93–$63 $69.90–$90 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461)
range across 3 matching MRF lines
$691.39–$2,297.54 $987.70–$3,282.20 varies
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $136.29 $194.70 0.2×
Holter monitor recording (93225) $422.45 $603.50 3.5×
Icd device progr eval dual (93283) $105 $150 3.1×
Ilr Device Eval Progr (93285) $40.81 $58.30 1.2×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$14.14–$22.47 $20.20–$32.10 varies
Immunization administration (90471)
range across 4 matching MRF lines
$14.14–$105.28 $20.20–$150.40 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $233.24 $333.20 0.7×
Inital newborn e/m (99460) $176.33 $251.90 1.4×
Insert/Place Heart Catheter (93503) $400.75 $572.50 0.3×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$88.83–$114.38 $126.90–$163.40 varies
Irrig Drug Delivery Device (96523)
range across 5 matching MRF lines
$56.70–$205.80 $81–$294 varies
IV infusion hydration each additional hour (96361)
range across 7 matching MRF lines
$48.30–$207.90 $69–$297 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 7 matching MRF lines
$133–$340.83 $190–$486.90 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 5 matching MRF lines
$92.40–$227.01 $132–$324.30 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 7 matching MRF lines
$56–$227.01 $80–$324.30 varies
IV push initial (96374)
range across 3 matching MRF lines
$80.50–$259.21 $115–$370.30 varies
L Hrt Art/Grft Angio (93459) $525.84 $751.20 0.2×
Laryngeal Function Studies (92520) $165.06 $235.80 1.3×
Lung Function Test (Mbc/Mvv) (94200) $120.26 $171.80 2.2×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines
$334.25–$915.67 $477.50–$1,308.10 varies
Mechanical chest wall oscillation per session (94669) $240.45 $343.50 1.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$16.03–$31.50 $22.90–$45 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$20.09–$35 $28.70–$50 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804)
range across 2 matching MRF lines
$14.14–$19.88 $20.20–$28.40 varies
Methacholine challenge (94070)
range across 2 matching MRF lines
$73.01–$543.06 $104.30–$775.80 varies
Motility study esophagus (91010) $273.35 $390.50 0.8×
Motion Fluoroscopy/Swallow (92611) $285.11 $407.30 3.1×
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
$300.58–$2,108.40 $429.40–$3,012 varies
Muscle Test 2 Limbs (95861) $262.08 $374.40 2.1×
Muscle Test Nonparaspinal (95870) $104.16 $148.80 0.9×
Muscle Test One Limb (95860) $186.83 $266.90 1.5×
Nasal function studies (92512) $123.06 $175.80 0.6×
Nasopharyngoscopy (92511) $300.58 $429.40 1.6×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $121.38 $173.40 0.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $62.58 $89.40 0.2×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$22.47–$88.20 $32.10–$126 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$62.58–$233.80 $89.40–$334 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$85.05–$153.16 $121.50–$218.80 varies
Nerve Conduction Studies 1-2 Studies (95907) $168.35 $240.50 0.8×
Nerve Conduction Studies 11-12 Studies (95912) $465.71 $665.30 1.4×
Nerve conduction studies 13 or more studies (95913) $540.19 $771.70 1.6×
Nerve Conduction Studies 3-4 Studies (95908) $208.39 $297.70 1.0×
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines
$104.86–$249.27 $149.80–$356.10 varies
Nerve conduction studies 7-8 studies (95910) $327.04 $467.20 1.0×
Nerve Conduction Studies 9-10 Studies (95911) $396.76 $566.80 1.2×
Neurobehavioral Status Exam (96116) $151.55 $216.50 0.8×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $100.38 $143.40 0.8×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$74.62–$96.11 $106.60–$137.30 varies
Newborn resuscitation (99465) $262.92 $375.60 0.4×
Nrpsyc tst eval phys/qhp 1st (96132)
range across 3 matching MRF lines
$72.10–$371.70 $103–$531 varies
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $481.95 $688.50 1.4×
Ocular Vemp Testing W/I&R (92518) $79.03 $112.90 0.7×
Oculoelectromyography (92265) $168.35 $240.50 3.1×
Optokinetic Nystagmus Test (92544) $29.40 $42 0.2×
Oral Function Therapy (92526)
range across 2 matching MRF lines
$162.54–$173.46 $232.20–$247.80 varies
Oral Speech Device Eval (92597) $124.60 $178 1.8×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines
$83.30–$107.31 $119–$153.30 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$148.61–$191.38 $212.30–$273.40 varies
Oscillating Tracking Test (92545) $27.30 $39 0.1×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $28.14 $40.20 1.4×
Osteopathic manipulative tx 3-4 body regions (98926) $42.56 $60.80 2.1×
Osteopathic manipulative tx 5-6 body regions (98927) $56.14 $80.20 2.8×
Osteopathic manipulative tx 7-8 body regions (98928) $70.56 $100.80 3.6×
Osteopathic manipulative tx 9-10 body regions (98929) $150.71 $215.30 7.6×
Ot eval high complexity (97167) $517.30 $739 5.1×
Ot Eval Low Complex (97165) $238.21 $340.30 2.4×
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines
$113.61–$294.98 $162.30–$421.40 varies
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$77.70–$100.10 $111–$143 varies
Ot paraffin bath (97018)
range across 2 matching MRF lines
$45.78–$59.08 $65.40–$84.40 varies
Ot Prosthetic Training, Each 15 Min (97761) $142.87 $204.10 3.5×
Ot Re-Eval Est Plan Care (97168) $93.80 $134 1.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$238.49–$415.38 $340.70–$593.40 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $181.30 $259 1.5×
Oxygen Uptake Rest Indirect (94690) $34.58 $49.40 0.6×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $360.71 $515.30 0.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $289.45 $413.50 1.4×
Peripheral arterial disease rehab per session (93668) $87.92 $125.60 1.6×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930)
likely a partial charge, not the full procedure
$889 $1,270 0.1×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 2 matching MRF lines
$501.83–$836.01 $716.90–$1,194.30 varies
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
likely a partial charge, not the full procedure
$1,115.10 $1,593 0.1×
Phlebotomy therapeutic (99195)
range across 4 matching MRF lines
$33.74–$209.72 $48.20–$299.60 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626)
range across 2 matching MRF lines
$114.73–$368.69 $163.90–$526.70 varies
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625)
range across 2 matching MRF lines
$114.73–$264.53 $163.90–$377.90 varies
Physical Performance Test (97750)
range across 2 matching MRF lines
$67.41–$142.87 $96.30–$204.10 varies
Plethysmography (94726)
range across 4 matching MRF lines
$58.87–$117.11 $84.10–$167.30 varies
Pm device eval in person (93288) $37.45 $53.50 1.1×
Pm device progr eval dual (93280) $68.18 $97.40 2.0×
Pm device progr eval multi (93281) $77.91 $111.30 2.3×
Pm Device Progr Eval Sngl (93279) $77.21 $110.30 2.2×
Pm/Icd Remote Tech Serv (93296) $36.40 $52 1.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 3 matching MRF lines
$363.93–$4,760 $519.90–$6,800 varies
Positional nystagmus test (92542) $51.10 $73 0.4×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $32.27 $46.10 0.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$24.08–$90.02 $34.40–$128.60 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines
$28.14–$90.02 $40.20–$128.60 varies
Prq Card Stent W/Angio 1 Vsl (92928)
likely a partial charge, not the full procedure
$815.50 $1,165 0.1×
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure
$1,043.56 $1,490.80 0.1×
Prq Revasc Byp Graft 1 Vsl (92937)
likely a partial charge, not the full procedure
$929.67 $1,328.10 0.1×
Psych diag eval w/med srvcs (90792)
range across 3 matching MRF lines
$112–$241.50 $160–$345 varies
Psychiatric diagnostic evaluation (90791)
range across 3 matching MRF lines
$157.50–$180.39 $225–$257.70 varies
Psychological tst eval svc phys/qhp first hour (96130)
range across 3 matching MRF lines
$80.92–$224 $115.60–$320 varies
Psycl/Nrpsyc Tst Auto Result (96146) $36.12 $51.60 1.4×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $78.61 $112.30 0.2×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136)
range across 3 matching MRF lines
$31.50–$122.50 $45–$175 varies
Psytx Crisis Initial 60 Min (90839)
range across 3 matching MRF lines
$96.67–$180.39 $138.10–$257.70 varies
Pt Eval High Complex (97163) $431.83 $616.90 4.4×
Pt eval low complex 20 min (97161) $195.58 $279.40 2.0×
Pt Eval Mod Complex (97162) $269.50 $385 2.8×
Pt gait training 15 min (97116) $66.01 $94.30 2.3×
Pt mechanical traction (97012) $84.42 $120.60 5.9×
Pt Re-Eval Est Plan Care (97164) $172.76 $246.80 2.6×
Pulm function test by gas (94727)
range across 2 matching MRF lines
$83.37–$383.39 $119.10–$547.70 varies
Pulmonary service/procedure (94799) $261.03 $372.90 2.2×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$168.35–$992.46 $240.50–$1,417.80 varies
Pure Tone Audiometry Air (92552) $65.80 $94 0.5×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $40.11 $57.30 1.7×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $62.58 $89.40 1.8×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $23.31 $33.30 1.9×
Rectal sensation tone&compliance study (91124) $290.50 $415 1.5×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990)
range across 2 matching MRF lines
$87.50–$441.91 $125–$631.30 varies
Refill/Maint Portable Pump (96521) $192.50 $275 1.0×
Rem interrog icpms <30 d phys/qhp (93297) $87.50 $125 2.5×
Rem Interrog Scrms <30 D Phys/Qhp (93298)
range across 2 matching MRF lines
$41.02–$87.50 $58.60–$125 varies
Rem Mntr Wrls P-Art Prs Snr (93264) $95.13 $135.90 2.8×
Remote 30 Day Ecg Rev/Report (93270)
range across 2 matching MRF lines
$64.12–$269.64 $91.60–$385.20 varies
Respiratory flow volume loop (94375) $324.66 $463.80 1.6×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 2 matching MRF lines
$65.03–$73.15 $92.90–$104.50 varies
Right Heart Cath (93451)
range across 2 matching MRF lines
$375.27–$1,499.54 $536.10–$2,142.20 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $59.36 $84.80 0.3×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $64.12 $91.60 2.5×
Same day nb discharge (99463) $100.24 $143.20 0.8×
Select picture audiometry (92583) $102.76 $146.80 1.9×
Self Care Mngment Training (97535)
range across 4 matching MRF lines
$63.21–$162.54 $90.30–$232.20 varies
Sensory Integration Ea 15 Min (97533) $106.26 $151.80 1.7×
Sleep study attended (95807) $1,811.95 $2,588.50 5.3×
Sleep study unattended (95806) $256.48 $366.40 1.3×
Speech Audiometry Complete (92556) $79.80 $114 1.5×
Speech audiometry threshold (92555) $50.47 $72.10 0.9×
Speech sound lang comprehen (92523) $413.35 $590.50 1.8×
Spin/Brain Pump Refil & Main (95991) $35 $50 0.1×
Spirometry (94010)
range across 7 matching MRF lines
$64.40–$280.91 $92–$401.30 varies
Spontaneous Nystagmus Test (92541) $42.70 $61 0.3×
Staggered Spondaic Word Test (92572) $72.73 $103.90 0.6×
Standardized Cognitive Performance Testing (96125) $194.88 $278.40 1.9×
Stenger Test Speech (92577) $30.80 $44 0.1×
Stenger Test, Pure Tone (92565) $35.70 $51 0.7×
Stress Tte Only (93350)
range across 2 matching MRF lines
$109.06–$1,547.49 $155.80–$2,210.70 varies
Subcutaneous Infusion Each Additional Hour (96370) $246.68 $352.40 5.7×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $412.23 $588.90 2.1×
Surfactant Admin Thru Tube (94610) $84 $120 0.4×
Temp transcutaneous pacing (92953) $40.11 $57.30 0.1×
Tensilon Test (95857) $135.52 $193.60 0.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $96.11 $137.30 4.3×
Ther Ivntj Ea Addl 15 Min (97130) $56.91 $81.30 2.7×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $101.64 $145.20 2.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $90.30 $129 3.0×
Ther/Proph/Diag Inj Ia (96373) $301 $430 1.5×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 5 matching MRF lines
$47.11–$121.73 $67.30–$173.90 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 7 matching MRF lines
$151.90–$340.83 $217–$486.90 varies
Therapeutic Activities (97530)
range across 4 matching MRF lines
$65.59–$101.64 $93.70–$145.20 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660)
range across 2 matching MRF lines
$145.67–$1,695.40 $208.10–$2,422 varies
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 3 matching MRF lines
$13.51–$32.06 $19.30–$45.80 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 3 matching MRF lines
$7.49–$21 $10.70–$30 varies
Tone Decay Test (92563) $63.70 $91 1.9×
Trans Care Mgmt 14 Day Disch (99495)
range across 4 matching MRF lines
$94.43–$198.80 $134.90–$284 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 4 matching MRF lines
$94.43–$280.56 $134.90–$400.80 varies
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $299.88 $428.40 3.1×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$162.82–$1,143.03 $232.60–$1,632.90 varies
Tte W/O Doppler Complete (93307) $82.39 $117.70 0.4×
Tx atrial fib pulm vein isol (93656)
range across 2 matching MRF lines
$518.56–$2,071.79 $740.80–$2,959.70 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $301 $430 4.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $142.87 $204.10 5.9×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 5 matching MRF lines
$60.20–$121.73 $86–$173.90 varies
Tympanometry (92567)
range across 2 matching MRF lines
$32.06–$98.07 $45.80–$140.10 varies
Tympanometry and reflex threshold measurements (92550) $45.50 $65 0.2×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$392.70–$623 $561–$890 varies
Unlisted noninvasive vascular diagnostic study (93998) $848.68 $1,212.40 31.9×
Unlisted otorhinolaryngological service (92700) $32.06 $45.80 1.2×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$210.07–$500.08 $300.10–$714.40 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$284.55–$1,002.12 $406.50–$1,431.60 varies
Vasopneumatic device (97016)
range across 2 matching MRF lines
$74.62–$90.30 $106.60–$129 varies
Veeg 2-12 hr unmonitored (95711) $597.59 $853.70 3.0×
Veeg Ea 12-26 Hr Unmntr (95714) $1,145.97 $1,637.10 3.3×
Vent Mgmt Inpat Init Day (94002)
range across 5 matching MRF lines
$143.01–$2,731.33 $204.30–$3,901.90 varies
Visual reinforcement audiometry (vra) (92579) $95.83 $136.90 0.5×
Vital capacity, total (94150)
range across 2 matching MRF lines
$32.06–$161.56 $45.80–$230.80 varies
Wheelchair Mgmt Ea 15 Min (97542) $81.55 $116.50 2.6×

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.