Visits & medical services prices at Ochsner Lafayette General Medical Center
Lafayette, LA · every code in this section with a posted price and a Medicare benchmark.
361 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $4,421.55 | $21,055 | 0.6× |
| Actinotherapy Ultraviolet Light (96900) | $8.91 | $27 | 0.3× |
| Acupunct W/Stimul 15 Min (97813) range across 2 matching MRF lines |
$13.53–$15.75 | $41–$75 | varies |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$13.53–$14.49 | $41–$69 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$30.66–$48.18 | $146 | varies |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$44.31–$85.47 | $211–$259 | varies |
| Aep neurodiagnostic i&r (92653) | $145.74 | $694 | 0.7× |
| Aep threshold estimation mlt frequencies i&r (92652) | $145.74 | $694 | 0.7× |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$46.41–$72.93 | $221 | varies |
| Airway resistance by oscillometry (94728) | $136.92 | $652 | 1.2× |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$26.07–$108.15 | $79–$515 | varies |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$27.06–$60.90 | $82–$290 | varies |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$25.08–$108.15 | $76–$515 | varies |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $14.85 | $45 | 0.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $27.72 | $132 | 1.9× |
| Application on-body injector (96377) range across 2 matching MRF lines |
$7.26–$44.52 | $22–$212 | varies |
| Assessment of aphasia per hr (96105) | $96.60 | $460 | 1.0× |
| Behavral qualit analys voice (92524) | $184.17 | $877 | 1.7× |
| Biofeedback training any modality (90901) | $44.94 | $214 | 1.1× |
| Bis Xtracell Fluid Analysis (93702) | $51.15 | $155 | 0.4× |
| Blink reflex test (95933) | $32.01 | $97 | 0.6× |
| Breath hydrogen/methane test (91065) | $33.66 | $102 | 0.2× |
| Brief Emotional/Behav Assmt (96127) | $1.98 | $6 | 0.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$33.99–$155.19 | $103–$739 | varies |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$1,985.55 | $9,455 | 0.3× |
| Canalith repositioning proc (95992) range across 4 matching MRF lines |
$30.66–$37.29 | $113–$146 | varies |
| Car seat/bed test 60 min (94780) | $52.71 | $251 | 1.6× |
| Cardiac Stress Tst,Tracing Only (93017) | $174.30 | $830 | 0.9× |
| Cardiopulmonary resuscitation (92950) | $336.63 | $1,603 | 1.7× |
| Cardioversion (92960) | $338.10 | $1,610 | 0.6× |
| Cardioversion elective internal (92961) | $409.50 | $1,950 | 0.7× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | — | $3 | — |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $14.49 | $69 | 0.6× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $3,388.77 | $16,137 | 1.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $3,199.35 | $15,235 | 1.1× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$22.44–$60.69 | $68–$289 | varies |
| Chemo Admin Peritoneal Cavity (96446) | $83.58 | $398 | 0.3× |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$83.58–$131.34 | $398 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$12.54–$83.58 | $38–$398 | varies |
| Chemo Ia Push (96420) | $81.69 | $389 | 0.3× |
| Chemo Intralesional Over 7 (96406) | $83.58 | $398 | 0.4× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$10.89–$87.78 | $33–$418 | varies |
| Chemo IV push addl drug (96411) | $83.58 | $398 | 1.3× |
| Chemother Prolong Infuse W/Pump (96416) | $220.92 | $1,052 | 0.7× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$29.70–$136.71 | $90–$651 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $83.58 | $398 | 1.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$50.49–$220.92 | $153–$1,052 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $83.58 | $398 | 0.3× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $16.50 | $50 | 0.1× |
| Chest Wall Manipulation (94668) | $19.11 | $91 | 0.2× |
| Chron Care Mgmt Srvc 20 Min (99490) | $18.81 | $57 | 0.2× |
| Cmptr ophth dx img ant segmt (92132) | $11.88 | $36 | 0.2× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) range across 2 matching MRF lines |
$19.80–$38.64 | $60–$184 | varies |
| Color/duplex Doppler, complete (93975) | $200.34 | $954 | 0.9× |
| Color/duplex Doppler, limited (93976) | $120.96 | $576 | 1.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $18.06 | $86 | 0.6× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $38.94 | $118 | 0.2× |
| Comprehensive Hearing Test (92557) | $12.54 | $38 | 0.1× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $13.86 | $42 | 0.3× |
| Computerized Ophthalmic Imaging Retina (92134) | $15.18 | $46 | 0.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $53.79 | $163 | 0.4× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $21.45 | $65 | 0.4× |
| Contact Lens Fit,Corneoscleral Lens (92313) | $16.50 | $50 | 0.1× |
| Corneal Topography (92025) | $13.53 | $41 | 0.3× |
| Coronary Art/Grft Angio S&I (93455) | $4,233.39 | $20,159 | 1.4× |
| Coronary Artery Angio S&I (93454) | $4,233.39 | $20,159 | 1.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $172.20 | $820 | 0.9× |
| Cpt initial (94667) | $42.42 | $202 | 0.4× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$156.75–$413.49 | $475–$1,969 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$14.52–$167.37 | $44–$797 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $104.94 | $318 | 0.6× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $26.73 | $81 | 0.2× |
| Dialysis One Evaluation (90945) range across 6 matching MRF lines |
$41.58–$696.36 | $126–$3,316 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $12.87 | $39 | 0.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $262.92 | $1,252 | 1.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $262.92 | $1,252 | 2.8× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $43.56 | $132 | 0.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $166.53 | $793 | 0.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $116.76 | $556 | 1.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $285.81 | $1,361 | 1.3× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$44.88–$113.19 | $136–$539 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $213.99 | $1,019 | 1.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $213.99 | $1,019 | 2.3× |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$20.46–$270.69 | $62–$1,289 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$73.92–$171.36 | $224–$816 | varies |
| Duplex up extrem art unilat/ltd (93931) | $113.19 | $539 | 1.2× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $86.10 | $410 | 0.7× |
| Echo Congenital Complete (93303) | $264.39 | $1,259 | 0.5× |
| Echo Heart Xthoracic,Limited (93308) | $149.94 | $714 | 0.7× |
| Echo transesophageal (93312) | $420.42 | $2,002 | 0.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $436.17 | $2,077 | 0.9× |
| Eeg 41-60 Minutes (95812) range across 3 matching MRF lines |
$135.96–$214.41 | $412–$1,021 | varies |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$174.24–$264.81 | $528–$1,261 | varies |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$151.80–$237.93 | $460–$1,133 | varies |
| EEG cerebral death evaluation (95824) | $269.01 | $1,281 | 0.8× |
| EEG cont rec w/video by tech min 8 channels (95700) | $164.64 | $784 | 0.8× |
| EEG extended monitoring 61-119 minutes (95813) range across 3 matching MRF lines |
$163.80–$1,189.65 | $780–$3,605 | varies |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$72.03–$157.74 | $343–$478 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $60.27 | $287 | 0.3× |
| EEG wo vid ea 12-26hr unmntr (95708) | $115.71 | $551 | 0.3× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) range across 2 matching MRF lines |
$59.22–$203.94 | $282–$618 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 3 matching MRF lines |
$111.51–$169.95 | $515–$531 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 3 matching MRF lines |
$111.51–$169.95 | $515–$531 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $27.72 | $132 | 1.9× |
| Electro-Oculography (92270) | $40.26 | $122 | 0.3× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$35.49–$55.77 | $169 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) unusually low: confirm this is the full procedure |
$2,449.02 | $11,662 | 0.3× |
| Emergency Dept Visit Level 2 (99282) | $154.14 | $734 | 1.1× |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$51.81–$217.77 | $157–$1,037 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$98.34–$323.40 | $298–$1,540 | varies |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$60.90–$160.71 | $290–$487 | varies |
| Emg 4 Extremities (95864) | $90.09 | $273 | 0.8× |
| Ep & ablate supravent arrhyt (93653) unusually low: confirm this is the full procedure |
$10,594.08 | $50,448 | 0.4× |
| Ep & ablate ventric tachy (93654) unusually low: confirm this is the full procedure |
$10,489.08 | $49,948 | 0.4× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) unusually low: confirm this is the full procedure |
$3,414.60 | $16,260 | 0.5× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) unusually low: confirm this is the full procedure |
$3,414.60 | $16,260 | 0.5× |
| Er level 1 (99281) | $82.11 | $391 | 1.1× |
| Er level v (99285) range across 2 matching MRF lines |
$144.87–$333.48 | $439–$1,588 | varies |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $219.87 | $1,047 | 0.7× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $209.79 | $999 | 0.6× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$6.27–$27.30 | $19–$130 | varies |
| Evaluate Speech Production (92522) | $176.40 | $840 | 1.6× |
| Evaluate Swallowing Function (92610) | $128.31 | $611 | 1.5× |
| Evaluation of speech fluency (92521) | $176.40 | $840 | 1.3× |
| Evoked Auditory Test,Limited (92587) | $8.58 | $26 | 0.0× |
| External ECG rec>48hr<7d recording (93242) | $23.94 | $114 | 0.7× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $29.82 | $142 | 0.2× |
| External ECG rec>7d<15d recording (93246) | $29.82 | $142 | 0.9× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $59.64 | $284 | 0.5× |
| External Ecg Scanning Analysis Report (93226) | $196.14 | $934 | 3.7× |
| Extracranial Bilat Study (93880) | $243.39 | $1,159 | 1.1× |
| Extracranial Uni/Ltd Study (93882) | $120.96 | $576 | 1.3× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $193.41 | $921 | 0.4× |
| Facial nerve function studies (92516) | $8.91 | $27 | 0.0× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $200.13 | $953 | 1.3× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 2 matching MRF lines |
$25.74–$212.10 | $78–$1,010 | varies |
| Fluorescein angiography (92235) | $45.87 | $139 | 0.2× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $91.41 | $277 | 0.5× |
| Fundus photography (92250) | $13.86 | $42 | 0.1× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $72.60 | $220 | 0.2× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $219.87 | $1,047 | 1.1× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $432.60 | $2,060 | 0.6× |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$286.77–$1,532.16 | $869–$7,296 | varies |
| Gonioscopy (92020) | $7.92 | $24 | 0.1× |
| Group Therapeutic Procedures (97150) | $38.22 | $182 | 2.1× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $3,388.77 | $16,137 | 1.2× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $387.87 | $1,847 | 0.6× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$69.09–$108.57 | $329 | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $4.95 | $15 | 0.1× |
| Icd Device Interrogate (93289) | $28.05 | $85 | 0.8× |
| Icd device progr eval dual (93283) | $37.95 | $115 | 1.1× |
| Icd Device Progr Eval Mult (93284) | $40.92 | $124 | 1.2× |
| Ilr Device Interrogate (93291) | $19.14 | $58 | 0.7× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$14.49–$22.77 | $69 | varies |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $11.55 | $35 | 0.3× |
| Immunization administration (90471) range across 2 matching MRF lines |
$34.02–$53.46 | $162 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $71.28 | $216 | 0.4× |
| Ingestion challenge test initial 120 minutes (95076) | $28.38 | $86 | 0.1× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $260.40 | $1,240 | 0.8× |
| Insert/Place Heart Catheter (93503) | $631.68 | $3,008 | 0.4× |
| Interrogate Subq Defib (93261) | $27.06 | $82 | 0.8× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$1,985.55 | $9,455 | 0.3× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$1,985.55 | $9,455 | 0.3× |
| Intracranial Complete Study (93886) range across 2 matching MRF lines |
$100.32–$156.45 | $304–$745 | varies |
| Intracutaneous tests w/allergenic extracts (95024) | — | $2 | — |
| Iontophoresis 15 min (97033) | $27.72 | $132 | 1.5× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$9.90–$37.59 | $30–$179 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$60.48–$95.04 | $288 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$137.76–$216.48 | $656 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$11.22–$52.29 | $34–$249 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$7.92–$60.48 | $24–$288 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$50.61–$79.53 | $241 | varies |
| L Hrt Art/Grft Angio (93459) | $3,388.77 | $16,137 | 1.2× |
| Liver Elastography W/O Imag W/I&R (91200) | $11.55 | $35 | 0.1× |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$5.94–$136.92 | $18–$652 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $105.21 | $501 | 0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$10.56–$21 | $32–$100 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$12.54–$30.87 | $38–$147 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 3 matching MRF lines |
$5.94–$9.87 | $18–$47 | varies |
| Methacholine challenge (94070) | $255.15 | $1,215 | 0.8× |
| Motility study esophagus (91010) | $351.12 | $1,672 | 1.0× |
| Motion Fluoroscopy/Swallow (92611) | $158.34 | $754 | 1.7× |
| Multifocal Electroretinography W/I&R (92274) | $32.01 | $97 | 0.3× |
| Multiple Family Group Psychotherapy (90849) range across 2 matching MRF lines |
$20.79–$33.18 | $63–$158 | varies |
| Multiple Sleep Latency Test (95805) range across 3 matching MRF lines |
$330.99–$458.22 | $1,003–$2,182 | varies |
| Muscle Test 2 Limbs (95861) | $62.04 | $188 | 0.5× |
| Muscle Test Nonparaspinal (95870) | $32.01 | $97 | 0.3× |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$42.90–$95.34 | $130–$454 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$14.52–$52.50 | $44–$250 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $53.79 | $163 | 0.3× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $40.59 | $123 | 0.2× |
| Needle electromyography larynx (95865) | $57.75 | $175 | 0.5× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $36.96 | $112 | 0.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$9.24–$101.85 | $28–$485 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$10.23–$101.85 | $31–$485 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$22.77–$112.14 | $69–$534 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$10.56–$121.80 | $32–$580 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$39.48–$75.24 | $188–$228 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$210.87–$287.91 | $639–$1,371 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$244.20–$287.91 | $740–$1,371 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$92.73–$156.24 | $281–$744 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$112.20–$156.24 | $340–$744 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$146.19–$156.24 | $443–$744 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$178.86–$287.91 | $542–$1,371 | varies |
| Neurobehavioral Status Exam (96116) | $31.68 | $96 | 0.2× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$14.85–$60.90 | $45–$290 | varies |
| Neuromuscular Reeducation (97112) | $38.22 | $182 | 1.2× |
| Newborn resuscitation (99465) | $269.64 | $1,284 | 0.5× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $41.25 | $125 | 0.1× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $17.82 | $54 | 0.1× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $18.48 | $56 | 0.2× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $35.97 | $109 | 0.3× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $29.04 | $88 | 0.2× |
| Ophth medical xm&eval intermediate estab pt (92012) | $19.47 | $59 | 0.2× |
| Oral Function Therapy (92526) | $160.23 | $763 | 1.9× |
| Oral Speech Device Eval (92597) | $45.15 | $215 | 0.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $13.44 | $64 | 0.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$18.48–$53.97 | $56–$257 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $13.53 | $41 | 0.7× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $13.86 | $42 | 0.7× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $18.15 | $55 | 0.9× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $22.77 | $69 | 1.2× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $27.39 | $83 | 1.4× |
| Ot Contrast Bath Ea 15 Min (97034) | $7.77 | $37 | 0.6× |
| Ot eval high complexity (97167) | $149.31 | $711 | 1.5× |
| Ot Eval Low Complex (97165) | $116.76 | $556 | 1.2× |
| Ot Eval Moderate Complexity (97166) | $129.57 | $617 | 1.3× |
| Ot manual therapy 15 min (97140) | $38.22 | $182 | 1.4× |
| Ot paraffin bath (97018) | $8.40 | $40 | 1.4× |
| Ot Prosthetic Training, Each 15 Min (97761) | $29.40 | $140 | 0.7× |
| Ot Re-Eval Est Plan Care (97168) | $95.34 | $454 | 1.4× |
| Ot rom hand (95852) | $18.27 | $87 | 0.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $46.20 | $220 | 0.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $26.88 | $128 | 0.2× |
| Patch/Application Test Specify Number Tests (95044) | $1.98 | $6 | 0.0× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $52.47 | $159 | 0.3× |
| Penile Vascular Study,Ltd or F/U (93981) | $26.07 | $79 | 0.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $67.41 | $321 | 0.3× |
| Percutaneous tests w/allergenic extracts (95004) | $1.65 | $5 | 0.0× |
| Perq transcath closure pda (93582) likely a partial charge, not the full procedure |
$3,949.05 | $18,805 | 0.2× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $5,177.97 | $24,657 | 1.0× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $6,698.58 | $31,898 | 0.6× |
| Phlebotomy therapeutic (99195) | $62.58 | $298 | 0.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $82.53 | $393 | 1.5× |
| Physical Performance Test (97750) | $20.37 | $97 | 0.6× |
| Plethysmography (94726) | $87.15 | $415 | 0.3× |
| Pm device eval in person (93288) | $21.78 | $66 | 0.6× |
| Pm device progr eval dual (93280) | $31.02 | $94 | 0.9× |
| Pm Device Progr Eval Sngl (93279) | $26.07 | $79 | 0.8× |
| Pm/Icd Remote Tech Serv (93296) | $8.58 | $26 | 0.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$275.55–$589.26 | $835–$2,806 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $949.20 | $4,520 | 1.2× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $244.53 | $741 | 0.3× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $1.32 | $4 | 0.0× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) | $20.13 | $61 | 0.0× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $31.35 | $95 | 0.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$9.24–$14.52 | $44 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $4.29 | $13 | 0.1× |
| Prq Card Angio/Athrect 1 Art (92924) | $8,514.24 | $40,544 | 0.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $9,282.84 | $44,204 | 0.9× |
| Prq Card Stent/Ath/Angio (92933) unusually low: confirm this is the full procedure |
$6,698.58 | $31,898 | 0.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $6,803.58 | $32,398 | 0.7× |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$65.31–$102.63 | $311–$440 | varies |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$77.70–$122.10 | $370–$465 | varies |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $12.54 | $38 | 0.0× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $9.57 | $29 | 0.1× |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$36.96–$87.78 | $176–$266 | varies |
| Pt Eval High Complex (97163) | $149.31 | $711 | 1.5× |
| Pt eval low complex 20 min (97161) | $116.76 | $556 | 1.2× |
| Pt Eval Mod Complex (97162) | $129.57 | $617 | 1.3× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$11.22–$38.22 | $34–$182 | varies |
| Pt group caregiver training (97552) | $12.18 | $58 | 0.6× |
| Pt mechanical traction (97012) | $27.51 | $131 | 1.9× |
| Pt Re-Eval Est Plan Care (97164) | $95.34 | $454 | 1.4× |
| Pulm function test by gas (94727) | $47.88 | $228 | 0.2× |
| Pulmonary service/procedure (94799) range across 4 matching MRF lines |
$25.83–$172.20 | $123–$820 | varies |
| Pulmonary Stress Testing (94618) | $52.29 | $249 | 0.4× |
| Pure Tone Audiometry Air (92552) | $12.21 | $37 | 0.1× |
| R Hrt Art/Grft Angio (93457) | $3,388.77 | $16,137 | 1.2× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $2,715.30 | $12,930 | 0.9× |
| R hrt coronary artery angio (93456) | $3,388.77 | $16,137 | 1.2× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $3,641.82 | $17,342 | 1.2× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $33.33 | $101 | 0.1× |
| Refill/Maint Portable Pump (96521) | $156.24 | $744 | 0.8× |
| Refill/Maint Pump/Resvr Syst (96522) | $156.24 | $744 | 0.8× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $10.23 | $31 | 0.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $236.67 | $1,127 | 7.0× |
| Respiratory flow volume loop (94375) | $136.92 | $652 | 0.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $22.05 | $105 | 0.4× |
| Right Heart Cath (93451) | $3,746.82 | $17,842 | 1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $73.08 | $348 | 0.4× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $26.25 | $125 | 1.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $70.35 | $335 | 0.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $18.06 | $86 | 0.4× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) | $23.10 | $70 | 0.2× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $164.64 | $784 | 0.5× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$37.59–$38.22 | $179–$182 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $23.43 | $71 | 0.4× |
| Sensory Integration Ea 15 Min (97533) | $16.59 | $79 | 0.3× |
| Short-latency somatosens ep std upr limbs (95925) | $68.31 | $207 | 0.3× |
| Sleep study unattended (95806) range across 3 matching MRF lines |
$40.59–$134.19 | $123–$639 | varies |
| Slp caregiver training 1st 30 min (97550) | $29.19 | $139 | 0.6× |
| Speech sound lang comprehen (92523) | $176.40 | $840 | 0.8× |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$46.20–$154.14 | $140–$734 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$10.23–$83.79 | $31–$399 | varies |
| Ssep lower limbs (95926) | $59.07 | $179 | 0.3× |
| Standardized Cognitive Performance Testing (96125) | $105.42 | $502 | 1.0× |
| Stress Tte Only (93350) | $380.10 | $1,810 | 0.8× |
| Surfactant Admin Thru Tube (94610) | $24.99 | $119 | 0.1× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $144.54 | $438 | 1.5× |
| Temp transcutaneous pacing (92953) | $336.63 | $1,603 | 0.6× |
| Testing Autonomic Nervous System Function (95923) | $47.19 | $143 | 0.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $38.22 | $182 | 1.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $38.22 | $182 | 1.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $16.17 | $77 | 0.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $11.34 | $54 | 0.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $60.69 | $289 | 0.6× |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$710.01–$1,115.73 | $3,381 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$38.43–$60.39 | $183 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$25.08–$144.69 | $76–$689 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$14.19–$38.22 | $43–$182 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $316.26 | $1,506 | 0.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $22.77 | $69 | 0.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$8.19–$11.22 | $34–$39 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$58.80–$93.06 | $280–$282 | varies |
| Trans Care Mgmt 7 Day Disch (99496) | $131.67 | $399 | 1.1× |
| Transcath Closure of Asd (93580) unusually low: confirm this is the full procedure |
$7,381.71 | $35,151 | 0.4× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $116.82 | $354 | 1.2× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$59.73–$213.99 | $181–$1,019 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $17.82 | $54 | 0.5× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $33.66 | $102 | 0.3× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $38.28 | $116 | 0.3× |
| Tte w/doppler, complete (93306) | $318.78 | $1,518 | 0.6× |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$52.14–$217.14 | $158–$1,034 | varies |
| Tx atrial fib pulm vein isol (93656) unusually low: confirm this is the full procedure |
$10,721.76 | $51,056 | 0.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $66.57 | $317 | 0.9× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $32.13 | $153 | 1.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$38.43–$60.39 | $183 | varies |
| Tympanometry (92567) | $4.29 | $13 | 0.1× |
| Unlisted cardiovascular service/procedure (93799) range across 5 matching MRF lines |
$69.93–$3,612.84 | $333–$17,204 | varies |
| Unlisted Special Dermatological Service/Px (96999) | $40.74 | $194 | 0.2× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$30.69–$93.45 | $93–$445 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $90.09 | $429 | 0.5× |
| Valvuloplasty aortic valve (92986) | $4,258.59 | $20,279 | 0.8× |
| Vasopneumatic device (97016) | $15.54 | $74 | 1.3× |
| Veeg 2-12 Hr Cont Mntr (95713) | $258.51 | $1,231 | 0.8× |
| Veeg 2-12 hr intmt mntr (95712) | $164.64 | $784 | 0.5× |
| Veeg 2-12 hr unmonitored (95711) | $164.64 | $784 | 0.8× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $258.51 | $1,231 | 0.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $115.71 | $551 | 0.3× |
| Veeg ea 12-26hr cont mntr (95716) | $210 | $1,000 | 0.3× |
| Vent Mgmt Inpat Init Day (94002) | $177.87 | $847 | 0.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $178.71 | $851 | 0.3× |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$24.42–$233.73 | $74–$1,113 | varies |
| Visual Field Exam Extended (92083) | $23.10 | $70 | 0.2× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $17.16 | $52 | 0.3× |
| Visual field xm uni/bi w/interpretj limited exam (92081) range across 2 matching MRF lines |
$12.54–$45.15 | $38–$215 | varies |
| Vital capacity, total (94150) | $43.26 | $206 | 0.4× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $542.64 | $2,584 | 0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $25.20 | $120 | 0.8× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $8.58 | $26 | 0.3× |
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.