Visits & medical services prices at Novant Health Forsyth Medical Center
Winston-Salem, NC · every code in this section with a posted price and a Medicare benchmark.
211 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Aep neurodiagnostic i&r (92653) | $1,246.20 | $2,077 | 6.0× |
| Aep threshold estimation mlt frequencies i&r (92652) | $1,282.80 | $2,138 | 6.1× |
| Analyze neurostim complex (95972) | $183 | $305 | 2.0× |
| Analyze Neurostim Simple (95971) | $187.80 | $313 | 2.0× |
| Analyze Pacemaker System (93724) | $214.80 | $358 | 0.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 4 matching MRF lines |
$71.40–$73.80 | $119–$123 | varies |
| Application Modality 1/> Areas Diathermy (97024) range across 4 matching MRF lines |
$38.40–$51 | $64–$85 | varies |
| Application on-body injector (96377) | $87 | $145 | 1.9× |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$171–$188.40 | $285–$314 | varies |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$173.40–$248.40 | $289–$414 | varies |
| Biofeedback training any modality (90901) range across 2 matching MRF lines |
$93.60–$133.80 | $156–$223 | varies |
| Bis Xtracell Fluid Analysis (93702) range across 3 matching MRF lines |
$190.80–$214.80 | $318–$358 | varies |
| C motor evoked uppr limbs (95928) | $1,506 | $2,510 | 1.8× |
| C motor evoked upr&lwr limbs (95939) range across 3 matching MRF lines |
$763.80–$2,322.60 | $1,273–$3,871 | varies |
| Canalith repositioning proc (95992) range across 4 matching MRF lines |
$75–$129 | $125–$215 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $386.40 | $644 | 1.8× |
| Cardioversion (92960) | $1,196.40 | $1,994 | 1.9× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) range across 4 matching MRF lines |
$56.40–$62.40 | $94–$104 | varies |
| Chemo Admin Peritoneal Cavity (96446) range across 2 matching MRF lines |
$750–$849 | $1,250–$1,415 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$139.80–$237.60 | $233–$396 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$118.20–$139.80 | $197–$233 | varies |
| Chemo Intralesional Over 7 (96406) | $438 | $730 | 2.1× |
| Chemo intralesional up to 7 (96405) | $97.80 | $163 | 1.4× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$118.20–$239.40 | $197–$399 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$118.20–$243 | $197–$405 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $249 | $415 | 0.8× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$743.40–$750 | $1,239–$1,250 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$118.20–$243 | $197–$405 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$249–$326.40 | $415–$544 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$249–$364.20 | $415–$607 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $409.20 | $682 | 1.3× |
| Color/duplex Doppler, complete (93975) | $498 | $830 | 2.2× |
| Color/duplex Doppler, limited (93976) | $385.20 | $642 | 3.8× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 5 matching MRF lines |
$71.40–$73.80 | $119–$123 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) range across 3 matching MRF lines |
$730.20–$1,140 | $1,217–$1,900 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$114.60–$290.40 | $191–$484 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $232.20 | $387 | 1.9× |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$489.60–$2,725.80 | $816–$4,543 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $391.20 | $652 | 1.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $353.40 | $589 | 3.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $513.60 | $856 | 2.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $331.20 | $552 | 3.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $505.80 | $843 | 2.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $349.80 | $583 | 3.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $542.40 | $904 | 2.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $542.40 | $904 | 5.3× |
| Duplex Scan Hemodialysis Access (93990) | $339.60 | $566 | 3.3× |
| Duplex up extrem art bilat (93930) | $543 | $905 | 2.3× |
| Duplex up extrem art unilat/ltd (93931) | $321.60 | $536 | 3.2× |
| Echo Congenital Complete (93303) | $1,755.60 | $2,926 | 3.3× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$475.20–$490.20 | $792–$817 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $2,023.80 | $3,373 | 3.8× |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$1,257–$1,626 | $2,095–$2,710 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$1,626–$1,755.60 | $2,710–$2,926 | varies |
| Eeg 41-60 Minutes (95812) | $749.40 | $1,249 | 3.6× |
| EEG awake and asleep (95819) | $822.60 | $1,371 | 3.9× |
| EEG awake drowsy (95816) | $822.60 | $1,371 | 3.9× |
| EEG cerebral death evaluation (95824) | $846.60 | $1,411 | 2.3× |
| EEG cont rec w/video by tech min 8 channels (95700) | $1,258.20 | $2,097 | 6.0× |
| EEG extended monitoring 61-119 minutes (95813) | $825.60 | $1,376 | 3.9× |
| Eeg Sleep Only (95822) | $846.60 | $1,411 | 4.0× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $2,080.20 | $3,467 | 9.9× |
| EEG w/o vid 2-12hr cont mntr (95707) | $2,080.20 | $3,467 | 9.9× |
| EEG w/o vid ea 12-26hr intmt (95709) | $4,041 | $6,735 | 11.2× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $4,161 | $6,935 | 11.5× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $2,080.20 | $3,467 | 9.9× |
| EEG wo vid ea 12-26hr unmntr (95708) | $4,041 | $6,735 | 11.2× |
| EKG signal averaged (93278) range across 2 matching MRF lines |
$70.80–$71.40 | $118–$119 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$71.40–$73.80 | $119–$123 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$117.60–$139.80 | $196–$233 | varies |
| Electroconvulsive Therapy (90870) | $804 | $1,340 | 1.0× |
| Emg 3 Extremities (95863) range across 4 matching MRF lines |
$451.80–$718.20 | $753–$1,197 | varies |
| Emg 4 Extremities (95864) range across 4 matching MRF lines |
$592.20–$935.40 | $987–$1,559 | varies |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$173.40–$248.40 | $289–$414 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$173.40–$195.60 | $289–$326 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$173.40–$248.40 | $289–$414 | varies |
| External ECG rec>48hr<7d recording (93242) | $539.40 | $899 | 14.9× |
| External ECG rec>7d<15d recording (93246) | $1,012.80 | $1,688 | 28.0× |
| External Ecg Scanning Analysis Report (93226) | $232.80 | $388 | 4.1× |
| Extracranial Bilat Study (93880) | $604.20 | $1,007 | 2.6× |
| Extracranial Uni/Ltd Study (93882) | $354 | $590 | 3.5× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$909–$1,228.20 | $1,515–$2,047 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) range across 2 matching MRF lines |
$297.60–$313.20 | $496–$522 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $693 | $1,155 | 0.8× |
| Group Therapeutic Procedures (97150) range across 4 matching MRF lines |
$42–$71.40 | $70–$119 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 3 matching MRF lines |
$714.60–$735.60 | $1,191–$1,226 | varies |
| Holter monitor recording (93225) | $250.20 | $417 | 1.9× |
| Immunization administration (90471) range across 5 matching MRF lines |
$57–$57.60 | $95–$96 | varies |
| Insert/Place Heart Catheter (93503) | $1,891.20 | $3,152 | 1.2× |
| Intracranial Complete Study (93886) | $593.40 | $989 | 2.6× |
| Iontophoresis 15 min (97033) range across 4 matching MRF lines |
$69.60–$73.80 | $116–$123 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$129–$154.20 | $215–$257 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$91.80–$186.60 | $153–$311 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$231–$312.60 | $385–$521 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$118.80–$195.60 | $198–$326 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$91.80–$186.60 | $153–$311 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$199.80–$205.80 | $333–$343 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $262.20 | $437 | 2.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $627.60 | $1,046 | 3.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $33 | $55 | 1.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $33 | $55 | 0.9× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$173.40–$285 | $289–$475 | varies |
| Multiple Family Group Psychotherapy (90849) | $115.20 | $192 | 0.7× |
| Muscle Test 2 Limbs (95861) range across 4 matching MRF lines |
$343.80–$552.60 | $573–$921 | varies |
| Muscle Test Nonparaspinal (95870) range across 4 matching MRF lines |
$103.80–$2,338.80 | $173–$3,898 | varies |
| Muscle Test One Limb (95860) range across 4 matching MRF lines |
$267–$426 | $445–$710 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $221.40 | $369 | 1.1× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $307.80 | $513 | 1.5× |
| Needle electromyography larynx (95865) | $216 | $360 | 1.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $375.60 | $626 | 1.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $623.40 | $1,039 | 1.6× |
| Nerve Conduction Studies 1-2 Studies (95907) | $467.40 | $779 | 2.2× |
| Nerve Conduction Studies 11-12 Studies (95912) | $2,941.80 | $4,903 | 8.1× |
| Nerve conduction studies 13 or more studies (95913) | $3,097.80 | $5,163 | 8.6× |
| Nerve Conduction Studies 3-4 Studies (95908) | $934.80 | $1,558 | 4.5× |
| Nerve conduction studies 5-6 studies (95909) | $1,471.20 | $2,452 | 7.0× |
| Nerve conduction studies 7-8 studies (95910) | $1,961.40 | $3,269 | 5.4× |
| Nerve Conduction Studies 9-10 Studies (95911) | $2,452.20 | $4,087 | 6.8× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 4 matching MRF lines |
$200.40–$1,197.60 | $334–$1,996 | varies |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$71.40–$73.80 | $119–$123 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 6 matching MRF lines |
$31.20–$47.40 | $52–$79 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 6 matching MRF lines |
$44.40–$69 | $74–$115 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $24.60 | $41 | 1.8× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $93 | $155 | 1.6× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$88.20–$165.60 | $147–$276 | varies |
| Oral Speech Device Eval (92597) range across 2 matching MRF lines |
$85.20–$301.20 | $142–$502 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 4 matching MRF lines |
$71.40–$73.80 | $119–$123 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$71.40–$73.80 | $119–$123 | varies |
| Ot Contrast Bath Ea 15 Min (97034) range across 4 matching MRF lines |
$65.40–$73.80 | $109–$123 | varies |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$157.20–$235.80 | $262–$393 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$157.20–$235.80 | $262–$393 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$157.20–$235.80 | $262–$393 | varies |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$71.40–$73.80 | $119–$123 | varies |
| Ot paraffin bath (97018) range across 4 matching MRF lines |
$28.80–$69.60 | $48–$116 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 4 matching MRF lines |
$65.40–$114 | $109–$190 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$92.40–$235.80 | $154–$393 | varies |
| Ot rom hand (95852) range across 2 matching MRF lines |
$110.40–$118.80 | $184–$198 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $174.60 | $291 | 1.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $109.80 | $183 | 0.9× |
| Penile Vascular Study,Ltd or F/U (93981) | $490.80 | $818 | 4.8× |
| Peripheral arterial disease rehab per session (93668) | $92.40 | $154 | 1.6× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$192–$193.80 | $320–$323 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $147.60 | $246 | 2.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $145.20 | $242 | 2.5× |
| Physical Performance Test (97750) range across 4 matching MRF lines |
$71.40–$73.80 | $119–$123 | varies |
| Pm device eval in person (93288) | $69.60 | $116 | 1.9× |
| Psychiatric diagnostic evaluation (90791) | $241.20 | $402 | 1.4× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $71.40 | $119 | 1.9× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$157.20–$235.80 | $262–$393 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$157.20–$235.80 | $262–$393 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$157.20–$235.80 | $262–$393 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$71.40–$73.80 | $119–$123 | varies |
| Pt group caregiver training (97552) | $56.40 | $94 | 2.6× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$48.60–$62.40 | $81–$104 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$92.40–$235.80 | $154–$393 | varies |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $118.80 | $198 | 5.2× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $118.80 | $198 | 3.5× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $118.80 | $198 | 9.6× |
| Refill/Maint Portable Pump (96521) | $272.40 | $454 | 1.3× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) range across 5 matching MRF lines |
$76.80–$77.40 | $128–$129 | varies |
| Rem ther mntr dev sply resp (98976) | $115.80 | $193 | 3.2× |
| Remote 30 Day Ecg Tech Supp (93229) | $555.60 | $926 | 1.5× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) range across 5 matching MRF lines |
$115.80–$129.60 | $193–$216 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $109.80 | $183 | 1.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$313.80–$369.60 | $523–$616 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 4 matching MRF lines |
$76.80–$114 | $128–$190 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$187.20–$232.20 | $312–$387 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 2 matching MRF lines |
$99–$106.80 | $165–$178 | varies |
| Self Care Mngment Training (97535) range across 5 matching MRF lines |
$71.40–$118.80 | $119–$198 | varies |
| Sensory Integration Ea 15 Min (97533) range across 5 matching MRF lines |
$71.40–$73.80 | $119–$123 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $780.60 | $1,301 | 3.7× |
| Sleep study unattended (95806) | $487.20 | $812 | 2.3× |
| Slp caregiver training 1st 30 min (97550) | $124.80 | $208 | 2.4× |
| Somatosensory Testing (95938) range across 3 matching MRF lines |
$767.40–$2,291.40 | $1,279–$3,819 | varies |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$248.40–$286.80 | $414–$478 | varies |
| Ssep lower limbs (95926) | $780.60 | $1,301 | 3.7× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$255.60–$294.60 | $426–$491 | varies |
| Stress Tte Only (93350) range across 4 matching MRF lines |
$1,531.20–$1,755.60 | $2,552–$2,926 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $90 | $150 | 2.0× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $309 | $515 | 1.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 6 matching MRF lines |
$65.40–$355.20 | $109–$592 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 6 matching MRF lines |
$71.40–$355.20 | $119–$592 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 4 matching MRF lines |
$71.40–$73.80 | $119–$123 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $71.40 | $119 | 2.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 2 matching MRF lines |
$159.60–$215.40 | $266–$359 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$87–$39,422.40 | $145–$65,704 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$239.40–$422.40 | $399–$704 | varies |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$71.40–$73.80 | $119–$123 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,561.20 | $2,602 | 4.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $43.80 | $73 | 1.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $19.80 | $33 | 0.5× |
| Trans Care Mgmt 14 Day Disch (99495) | $157.80 | $263 | 1.2× |
| Trans Care Mgmt 7 Day Disch (99496) | $157.80 | $263 | 1.2× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$1,177.80–$1,563.60 | $1,963–$2,606 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$863.40–$889.20 | $1,439–$1,482 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$155.40–$165.60 | $259–$276 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 2 matching MRF lines |
$76.80–$115.80 | $128–$193 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$91.80–$198.60 | $153–$331 | varies |
| Unlisted cardiovascular service/procedure (93799) | $107.40 | $179 | 0.9× |
| Unlisted noninvasive vascular diagnostic study (93998) range across 2 matching MRF lines |
$115.39–$150 | $192.31–$250 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$180–$322.20 | $300–$537 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $239.40 | $399 | 1.1× |
| Vasopneumatic device (97016) range across 4 matching MRF lines |
$76.80–$114 | $128–$190 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $2,080.20 | $3,467 | 5.7× |
| Veeg 2-12 hr intmt mntr (95712) | $2,020.80 | $3,368 | 5.6× |
| Veeg 2-12 hr unmonitored (95711) | $2,080.20 | $3,467 | 9.9× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $4,041 | $6,735 | 11.2× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $4,161 | $6,935 | 11.5× |
| Veeg ea 12-26hr cont mntr (95716) | $4,041 | $6,735 | 4.9× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 4 matching MRF lines |
$65.40–$73.80 | $109–$123 | varies |
| Whirlpool Therapy (97022) range across 4 matching MRF lines |
$42–$175.20 | $70–$292 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.