Visits & medical services prices at Northbay Medical Center
Fairfield, CA · every code in this section with a posted price and a Medicare benchmark.
316 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) | $476.14 | $476.14 | 3.2× |
| Ablate Heart Dysrhythm Focus (93650) range across 2 matching MRF lines |
$1,571.78–$24,023 | $1,571.78–$24,023 | varies |
| Acoustic Reflex Testing (92568) | $46.30 | $46.30 | 0.8× |
| Acupunct W/Stimul 15 Min (97813) range across 2 matching MRF lines |
$107.46–$128.55 | $107.46–$128.55 | varies |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$100.67–$120.44 | $100.67–$120.44 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 3 matching MRF lines |
$63.82–$192 | $63.82–$192 | varies |
| Advncd Care Plan 30 Min (99497) range across 6 matching MRF lines |
$200.19–$250.24 | $200.19–$250.24 | varies |
| Airway Inhalation Treatment (94640) range across 10 matching MRF lines |
$47.13–$1,796 | $47.13–$1,796 | varies |
| Analyze neurostim complex (95972) range across 3 matching MRF lines |
$136.23–$1,775 | $136.23–$1,775 | varies |
| Analyze neurostim no prog (95970) | $56.27 | $56.27 | 0.3× |
| Analyze Neurostim Simple (95971) | $149.97 | $149.97 | 1.1× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $134.16 | $134.16 | 2.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $43.88 | $43.88 | 3.1× |
| Application on-body injector (96377) | $442 | $442 | 6.4× |
| Arrhythmia Induction (93618) | $4,698 | $4,698 | 2.6× |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$307.18–$502 | $307.18–$502 | varies |
| Assmt & care planning pt w/cognitive impairment (99483) range across 2 matching MRF lines |
$639.38–$788.93 | $639.38–$788.93 | varies |
| Audiometry Air & Bone (92553) | $128.13 | $128.13 | 0.7× |
| Behavral qualit analys voice (92524) | $268.88 | $268.88 | 2.5× |
| Breath hydrogen/methane test (91065) range across 3 matching MRF lines |
$211.27–$334 | $211.27–$334 | varies |
| Brief Emotional/Behav Assmt (96127) range across 4 matching MRF lines |
$12.77–$55.24 | $12.77–$55.24 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 6 matching MRF lines |
$138–$837 | $138–$837 | varies |
| C motor evoked uppr limbs (95928) | $725.40 | $725.40 | 0.6× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$106.01–$132.51 | $106.01–$132.51 | varies |
| Car seat/bed test 60 min (94780) | $332 | $332 | 6.1× |
| Cardiac Stress Tst,Tracing Only (93017) range across 4 matching MRF lines |
$4,895–$5,384 | $4,895–$5,384 | varies |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$936–$5,112 | $936–$5,112 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$487.63–$6,729 | $487.63–$6,729 | varies |
| Cardioversion elective internal (92961) | $698.13 | $698.13 | 0.7× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $142.53 | $142.53 | 2.6× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) range across 2 matching MRF lines |
$6.67–$8.34 | $6.67–$8.34 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 3 matching MRF lines |
$4,125.72–$114,918 | $4,125.72–$114,918 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$3,434.17–$95,726 | $3,434.17–$95,726 | varies |
| Cbt 1st hour (94644) | $587 | $587 | 3.0× |
| Chemo Admin Peritoneal Cavity (96446) range across 2 matching MRF lines |
$658.38–$808 | $658.38–$808 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$256.91–$659 | $256.91–$659 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 3 matching MRF lines |
$100.84–$184 | $100.84–$184 | varies |
| Chemo Ia Push (96420) | $1,203 | $1,203 | 2.5× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$96.05–$1,487 | $96.05–$1,487 | varies |
| Chemo IV push addl drug (96411) | $847 | $847 | 8.0× |
| Chemother Prolong Infuse W/Pump (96416) | $2,268 | $2,268 | 4.7× |
| Chemotherapy Into Cns (96450) range across 3 matching MRF lines |
$565.99–$2,191 | $565.99–$2,191 | varies |
| Chemotherapy Unspecified (96549) | $1,009 | $1,009 | 14.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $1,444 | $1,444 | 13.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$458.92–$1,618 | $458.92–$1,618 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $1,059 | $1,059 | 2.2× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $520 | $520 | 1.1× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$95.17–$123 | $95.17–$123 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$98.76–$123.45 | $98.76–$123.45 | varies |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$901.66–$5,522 | $901.66–$5,522 | varies |
| Color/duplex Doppler, limited (93976) | $1,769 | $1,769 | 11.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $99.68 | $99.68 | 3.1× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $280.57 | $280.57 | 1.1× |
| Comprehensive Hearing Test (92557) | $114.38 | $114.38 | 0.6× |
| Conditioning Play Audiometry (92582) | $245.50 | $245.50 | 1.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $451 | $451 | 2.3× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $181.54 | $181.54 | 2.1× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$85.95–$1,033 | $85.95–$1,033 | varies |
| Coronary Art/Grft Angio S&I (93455) range across 3 matching MRF lines |
$3,338.30–$87,492 | $3,338.30–$87,492 | varies |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$2,941.58–$67,915 | $2,941.58–$67,915 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 5 matching MRF lines |
$195.99–$3,859 | $195.99–$3,859 | varies |
| Cpt initial (94667) | $235 | $235 | 1.2× |
| Critical care first hour (99291) range across 4 matching MRF lines |
$790.37–$18,546 | $790.37–$18,546 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$245.41–$427 | $245.41–$427 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) range across 3 matching MRF lines |
$313.12–$482 | $313.12–$482 | varies |
| Dialysis One Evaluation (90945) | $228 | $228 | 0.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $610.28 | $610.28 | 1.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $391.94 | $391.94 | 2.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 4 matching MRF lines |
$832.50–$2,431 | $832.50–$2,431 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$438.01–$1,939 | $438.01–$1,939 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$637.21–$5,680 | $637.21–$5,680 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 6 matching MRF lines |
$398.30–$1,703 | $398.30–$1,703 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $873.29 | $873.29 | 2.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $438.21 | $438.21 | 2.9× |
| Duplex Scan Hemodialysis Access (93990) range across 3 matching MRF lines |
$437.44–$450 | $437.44–$450 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$671.13–$4,242 | $671.13–$4,242 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$418.93–$1,750 | $418.93–$1,750 | varies |
| Ear and throat examination (92502) | $272.05 | $272.05 | 0.3× |
| ECG/monitoring and analysis (93271) | $556.46 | $556.46 | 4.0× |
| Echo Congenital Complete (93303) | $6,462 | $6,462 | 8.0× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$319.84–$3,326 | $319.84–$3,326 | varies |
| Echo r-t 2d w/probe placement only (93313) | $12.21 | $12.21 | 0.0× |
| Echo transesophag montr cardiac pump functj (93318) | $301.55 | $301.55 | 0.4× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$775.28–$9,717 | $775.28–$9,717 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$748.63–$9,922 | $748.63–$9,922 | varies |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) | $314.30 | $314.30 | 5.7× |
| Eeg 41-60 Minutes (95812) range across 3 matching MRF lines |
$1,080.44–$2,926 | $1,080.44–$2,926 | varies |
| EEG awake and asleep (95819) | $1,429.74 | $1,429.74 | 4.5× |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$159.24–$2,652 | $159.24–$2,652 | varies |
| EEG cerebral death evaluation (95824) | $2,148 | $2,148 | 3.9× |
| EEG cont rec w/video by tech min 8 channels (95700) | $3,590 | $3,590 | 11.3× |
| EEG extended monitoring 61-119 minutes (95813) range across 3 matching MRF lines |
$1,335.17–$8,811 | $1,335.17–$8,811 | varies |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$1,293.73–$2,780 | $1,293.73–$2,780 | varies |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $148.97 | $148.97 | 1.1× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $157.28 | $157.28 | 1.1× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $119.96 | $119.96 | 2.2× |
| Electrical Stimulation Ea 15 Min (97032) | $44.27 | $44.27 | 3.0× |
| Electrocardiogram Tracing (93005) range across 9 matching MRF lines |
$22.31–$1,694 | $22.31–$1,694 | varies |
| Electroconvulsive Therapy (90870) | $537.64 | $537.64 | 0.4× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$121.11–$1,966 | $121.11–$1,966 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$180.92–$4,914 | $180.92–$4,914 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$330.22–$8,776 | $330.22–$8,776 | varies |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$606–$673.41 | $606–$673.41 | varies |
| Emg 4 Extremities (95864) range across 3 matching MRF lines |
$716–$795.50 | $716–$795.50 | varies |
| Endomyocardial Biopsy (93505) | $36,612 | $36,612 | 7.9× |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$2,213.55–$67,046 | $2,213.55–$67,046 | varies |
| Ep & ablate ventric tachy (93654) range across 2 matching MRF lines |
$2,960.20–$72,721 | $2,960.20–$72,721 | varies |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 2 matching MRF lines |
$1,673.96–$23,108 | $1,673.96–$23,108 | varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) range across 2 matching MRF lines |
$1,042.05–$19,005 | $1,042.05–$19,005 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$62.85–$739 | $62.85–$739 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$478.64–$11,307 | $478.64–$11,307 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,458.56 | $1,458.56 | 2.7× |
| Evaluate pt use of inhaler (94664) range across 6 matching MRF lines |
$44.27–$911 | $44.27–$911 | varies |
| Evaluate Speech Production (92522) range across 3 matching MRF lines |
$207–$276.04 | $207–$276.04 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$263.70–$382 | $263.70–$382 | varies |
| Evaluation of speech fluency (92521) | $341.32 | $341.32 | 2.6× |
| Exercise test for bronchospasm (94617) | $289.84 | $289.84 | 1.5× |
| External Ecg Scanning Analysis Report (93226) | $120.97 | $120.97 | 1.4× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$650.68–$1,760 | $650.68–$1,760 | varies |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$416.71–$827 | $416.71–$827 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$100.30–$1,132 | $100.30–$1,132 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $644.66 | $644.66 | 3.2× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $779.71 | $779.71 | 2.5× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $968.12 | $968.12 | 0.8× |
| Fundus photography (92250) range across 2 matching MRF lines |
$113.51–$141.88 | $113.51–$141.88 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $620.49 | $620.49 | 1.1× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$1,594.44–$6,619 | $1,594.44–$6,619 | varies |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$316.57–$2,849.39 | $316.57–$2,849.39 | varies |
| Gi wireless capsule measure (91112) | $5,356.52 | $5,356.52 | 4.0× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$32–$55.38 | $32–$55.38 | varies |
| Health Behavior Assessment/Re-Assessment (96156) | $218.20 | $218.20 | 1.5× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $147.56 | $147.56 | 0.6× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$4,621.46–$117,813 | $4,621.46–$117,813 | varies |
| Holter monitor recording (93225) | $85.18 | $85.18 | 0.4× |
| Icd Device Interrogate (93289) | $204.85 | $204.85 | 3.7× |
| Icd device progr eval dual (93283) | $282.27 | $282.27 | 5.1× |
| Icd Device Progr Eval Mult (93284) | $305.29 | $305.29 | 5.6× |
| Icm Device Eval (93290) | $148.89 | $148.89 | 2.7× |
| Ilr Device Eval Progr (93285) | $168.51 | $168.51 | 3.1× |
| Ilr Device Interrogate (93291) | $136.53 | $136.53 | 3.2× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$34.81–$1,694 | $34.81–$1,694 | varies |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $35.68 | $35.68 | 0.4× |
| Immunization administration (90471) range across 5 matching MRF lines |
$34.81–$192 | $34.81–$192 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $658.12 | $658.12 | 2.1× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $112.35 | $112.35 | 0.2× |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$250.08–$3,532 | $250.08–$3,532 | varies |
| Interrogate Subq Defib (93261) range across 2 matching MRF lines |
$205.77–$241 | $205.77–$241 | varies |
| Interrogation eval in person wr defibrillator (93292) | $140.52 | $140.52 | 2.6× |
| Interrogation vad in person (93750) | $142.12 | $142.12 | 1.0× |
| Irrig Drug Delivery Device (96523) | $508 | $508 | 5.9× |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$30.59–$1,110 | $30.59–$1,110 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 7 matching MRF lines |
$87.67–$2,216 | $87.67–$2,216 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$473–$1,289 | $473–$1,289 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 6 matching MRF lines |
$54.69–$1,295 | $54.69–$1,295 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$127.29–$1,464 | $127.29–$1,464 | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$3,729.48–$105,263 | $3,729.48–$105,263 | varies |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $753.37 | $753.37 | 0.2× |
| Laryngeal Function Studies (92520) | $253.02 | $253.02 | 1.3× |
| Low frequency non-thermal us (97610) | $1,081.63 | $1,081.63 | 3.7× |
| Lung Function Test (Mbc/Mvv) (94200) | $72.67 | $72.67 | 0.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $535.86 | $535.86 | 1.7× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$464–$513 | $464–$513 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 4 matching MRF lines |
$79.27–$99.09 | $79.27–$99.09 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 5 matching MRF lines |
$82–$114.15 | $82–$114.15 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 5 matching MRF lines |
$37–$51.42 | $37–$51.42 | varies |
| Microvolt T-Wave Assess (93025) | $456.60 | $456.60 | 2.4× |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$648.02–$754 | $648.02–$754 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$278.56–$531 | $278.56–$531 | varies |
| Muscle Test 2 Limbs (95861) range across 3 matching MRF lines |
$228.09–$542.94 | $228.09–$542.94 | varies |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$266–$295.66 | $266–$295.66 | varies |
| Muscle Test One Limb (95860) | $381.62 | $381.62 | 2.0× |
| Narcosynthesis (90865) | $506.52 | $506.52 | 1.9× |
| Nasal function studies (92512) | $186.72 | $186.72 | 0.6× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$363.26–$1,480 | $363.26–$1,480 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $448.70 | $448.70 | 1.4× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $343.32 | $343.32 | 1.1× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$282–$313.56 | $282–$313.56 | varies |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) range across 2 matching MRF lines |
$545–$606.10 | $545–$606.10 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 4 matching MRF lines |
$515–$1,197.41 | $515–$1,197.41 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$515–$1,177.86 | $515–$1,177.86 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$108.19–$310 | $108.19–$310 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$160.45–$592 | $160.45–$592 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $298.46 | $298.46 | 0.9× |
| Nerve Conduction Studies 11-12 Studies (95912) | $815.58 | $815.58 | 1.5× |
| Nerve conduction studies 13 or more studies (95913) | $942.24 | $942.24 | 1.7× |
| Nerve Conduction Studies 3-4 Studies (95908) | $380.46 | $380.46 | 1.2× |
| Nerve conduction studies 5-6 studies (95909) | $455.75 | $455.75 | 1.4× |
| Nerve conduction studies 7-8 studies (95910) | $598.43 | $598.43 | 1.1× |
| Nerve Conduction Studies 9-10 Studies (95911) | $715.85 | $715.85 | 1.3× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $301.15 | $301.15 | 1.6× |
| Neuromuscular Reeducation (97112) range across 5 matching MRF lines |
$36–$107.60 | $36–$107.60 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
$172.22–$506 | $172.22–$506 | varies |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$264.81–$344 | $264.81–$344 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $167.68 | $167.68 | 3.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 5 matching MRF lines |
$52–$155.34 | $52–$155.34 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$75.66–$94.58 | $75.66–$94.58 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$108.56–$135.70 | $108.56–$135.70 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$141.71–$177.13 | $141.71–$177.13 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$172.34–$215.42 | $172.34–$215.42 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$204.66–$255.83 | $204.66–$255.83 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $46.27 | $46.27 | 3.3× |
| Ot eval high complexity (97167) range across 3 matching MRF lines |
$249–$278.41 | $249–$278.41 | varies |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$125–$279.62 | $125–$279.62 | varies |
| Ot Eval Moderate Complexity (97166) range across 3 matching MRF lines |
$187–$278.41 | $187–$278.41 | varies |
| Ot manual therapy 15 min (97140) | $85.18 | $85.18 | 3.1× |
| Ot paraffin bath (97018) | $18.30 | $18.30 | 3.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $130.30 | $130.30 | 3.2× |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$55–$194.82 | $55–$194.82 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $329 | $329 | 1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$72–$88 | $72–$88 | varies |
| Percutaneous tests w/allergenic extracts (95004) | $13.36 | $13.36 | 0.0× |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$299–$329 | $299–$329 | varies |
| Perq Transcath Cls Aortic (93591) likely a partial charge, not the full procedure |
$2,626.50 | $2,626.50 | 0.1× |
| Perq Transcath Cls Mitral (93590) likely a partial charge, not the full procedure |
$3,165.99 | $3,165.99 | 0.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 6 matching MRF lines |
$1,477.90–$63,465 | $1,477.90–$63,465 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 6 matching MRF lines |
$1,846.84–$140,557 | $1,846.84–$140,557 | varies |
| Phlebotomy therapeutic (99195) range across 4 matching MRF lines |
$130–$335.63 | $130–$335.63 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $186 | $186 | 2.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $207 | $207 | 2.4× |
| Physical Performance Test (97750) | $107.46 | $107.46 | 3.2× |
| Plethysmography (94726) | $173.37 | $173.37 | 0.3× |
| Pm device eval in person (93288) | $155.58 | $155.58 | 2.8× |
| Pm device progr eval dual (93280) | $223.51 | $223.51 | 4.1× |
| Pm device progr eval multi (93281) | $238.58 | $238.58 | 4.4× |
| Pm Device Progr Eval Sngl (93279) | $189.73 | $189.73 | 3.5× |
| Pm/Icd Remote Tech Serv (93296) | $85.18 | $85.18 | 1.6× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $227.84 | $227.84 | 4.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $30.28 | $30.28 | 0.4× |
| Prq Card Angio/Athrect 1 Art (92924) range across 6 matching MRF lines |
$1,760.70–$102,007 | $1,760.70–$102,007 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 6 matching MRF lines |
$1,643.19–$71,397 | $1,643.19–$71,397 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 6 matching MRF lines |
$1,842.93–$140,557 | $1,842.93–$140,557 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 6 matching MRF lines |
$1,641–$140,557 | $1,641–$140,557 | varies |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$366.06–$457.58 | $366.06–$457.58 | varies |
| Psychiatric diagnostic evaluation (90791) | $411.38 | $411.38 | 1.6× |
| Psytx Crisis Initial 60 Min (90839) range across 3 matching MRF lines |
$332.71–$415.88 | $332.71–$415.88 | varies |
| Pt Eval High Complex (97163) range across 3 matching MRF lines |
$249–$261.72 | $249–$261.72 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$111–$261.72 | $111–$261.72 | varies |
| Pt Eval Mod Complex (97162) range across 3 matching MRF lines |
$166–$261.72 | $166–$261.72 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$91.93–$140 | $91.93–$140 | varies |
| Pt mechanical traction (97012) | $45.45 | $45.45 | 3.2× |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$55–$181.72 | $55–$181.72 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) range across 2 matching MRF lines |
$6.67–$8.34 | $6.67–$8.34 | varies |
| Pulm function test by gas (94727) | $139.98 | $139.98 | 0.4× |
| Pulmonary service/procedure (94799) range across 10 matching MRF lines |
$72–$320 | $72–$320 | varies |
| Pulmonary Stress Testing (94618) | $101.33 | $101.33 | 0.5× |
| Pure Tone Audiometry Air (92552) | $105.45 | $105.45 | 0.5× |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$913.15–$107,944 | $913.15–$107,944 | varies |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $835.10 | $835.10 | 0.2× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $530.97 | $530.97 | 0.1× |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$3,718.61–$100,593 | $3,718.61–$100,593 | varies |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $1,215.89 | $1,215.89 | 0.3× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $912.58 | $912.58 | 0.2× |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$3,777.34–$15,288 | $3,777.34–$15,288 | varies |
| Refill/Maint Portable Pump (96521) | $520 | $520 | 1.7× |
| Rem interrog icpms <30 d phys/qhp (93297) | $77.56 | $77.56 | 1.4× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $78.74 | $78.74 | 1.4× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $205.67 | $205.67 | 3.8× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) range across 2 matching MRF lines |
$49.05–$61.31 | $49.05–$61.31 | varies |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $152.63 | $152.63 | 2.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $29.10 | $29.10 | 0.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$212–$312 | $212–$312 | varies |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$2,771.22–$32,676 | $2,771.22–$32,676 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$70.93–$224.46 | $70.93–$224.46 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $69.96 | $69.96 | 2.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $392.97 | $392.97 | 3.2× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $158.88 | $158.88 | 3.3× |
| Sbsq Psyc Collab Care Mgmt (99493) | $379.69 | $379.69 | 2.5× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$99–$110 | $99–$110 | varies |
| Sensory Integration Ea 15 Min (97533) | $164.10 | $164.10 | 2.7× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $533.33 | $533.33 | 1.7× |
| Sleep study attended (95807) | $1,341.97 | $1,341.97 | 2.4× |
| Sleep study unattended (95806) | $371.78 | $371.78 | 1.2× |
| Slp Stdy Unatnd W/Anal (95801) | $270.53 | $270.53 | 3.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $518.28 | $518.28 | 1.6× |
| Speech Audiometry Complete (92556) | $126.92 | $126.92 | 1.5× |
| Speech audiometry threshold (92555) | $79.21 | $79.21 | 0.9× |
| Speech sound lang comprehen (92523) range across 3 matching MRF lines |
$361–$586.79 | $361–$586.79 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$343.09–$364.21 | $343.09–$364.21 | varies |
| Spirometry (94010) range across 5 matching MRF lines |
$82–$572 | $82–$572 | varies |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$295–$329.22 | $295–$329.22 | varies |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$604.51–$7,983 | $604.51–$7,983 | varies |
| Temp transcutaneous pacing (92953) | $2,254 | $2,254 | 2.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$26–$69.44 | $26–$69.44 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $66.26 | $66.26 | 3.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $119.96 | $119.96 | 3.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $91.12 | $91.12 | 3.1× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $101 | $101 | 1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 8 matching MRF lines |
$34.81–$557 | $34.81–$557 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 7 matching MRF lines |
$184.51–$2,584 | $184.51–$2,584 | varies |
| Therapeutic Activities (97530) range across 5 matching MRF lines |
$123.17–$127 | $123.17–$127 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 5 matching MRF lines |
$67.14–$83.91 | $67.14–$83.91 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 4 matching MRF lines |
$35.95–$44.94 | $35.95–$44.94 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 4 matching MRF lines |
$450.07–$562.59 | $450.07–$562.59 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 5 matching MRF lines |
$593.84–$742.29 | $593.84–$742.29 | varies |
| Transcath Closure of Asd (93580) | $35,591 | $35,591 | 1.3× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$663.34–$10,165 | $663.34–$10,165 | varies |
| Tte W/O Doppler Complete (93307) range across 4 matching MRF lines |
$344.16–$3,459 | $344.16–$3,459 | varies |
| Tx atrial fib pulm vein isol (93656) range across 2 matching MRF lines |
$3,164.71–$72,659 | $3,164.71–$72,659 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$238.19–$257 | $238.19–$257 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $73.65 | $73.65 | 3.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$52.10–$1,244 | $52.10–$1,244 | varies |
| Tympanometry (92567) range across 3 matching MRF lines |
$39.10–$48.87 | $39.10–$48.87 | varies |
| Tympanometry and reflex threshold measurements (92550) | $64.94 | $64.94 | 0.2× |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$298.29–$10,398 | $298.29–$10,398 | varies |
| Unlisted otorhinolaryngological service (92700) | $21.93 | $21.93 | 0.5× |
| Upr/L Xtremity Art 2 Levels (93922) range across 6 matching MRF lines |
$100–$278.29 | $100–$278.29 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$345.50–$431.88 | $345.50–$431.88 | varies |
| Valvuloplasty aortic valve (92986) range across 2 matching MRF lines |
$3,539.83–$41,588 | $3,539.83–$41,588 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $2,775 | $2,775 | 5.1× |
| Veeg ea 12-26hr cont mntr (95716) | $9,422 | $9,422 | 7.5× |
| Vent Mgmt Inpat Init Day (94002) | $997 | $997 | 1.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $997 | $997 | 1.1× |
| Visual reinforcement audiometry (vra) (92579) | $140.99 | $140.99 | 0.4× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$25.75–$104 | $25.75–$104 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $100.86 | $100.86 | 3.2× |
| Whirlpool Therapy (97022) | $56.63 | $56.63 | 3.6× |
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.