Visits & medical services prices at Ochsner LSU Health - Academic Medical Center

Shreveport, LA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $4,003.48 $15,398 0.5×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $60.45 $195 0.5×
Acoustic Reflex Testing (92568)
range across 2 matching MRF lines
$13.52–$16.12 $52 varies
Actigraphy Testing Recording Analysis I&R (95803) $133.30 $430 2.3×
Actinotherapy Ultraviolet Light (96900) $45.57 $147 1.3×
Acupunct W/Stimul 15 Min (97813) $43.71 $141 1.6×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810)
range across 2 matching MRF lines
$33.80–$40.30 $130 varies
Advncd Care Plan 30 Min (99497) $35.65 $115 0.4×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $98.02 $377 0.5×
Aep neurodiagnostic i&r (92653)
range across 2 matching MRF lines
$185.64–$221.34 $714 varies
Aep threshold estimation mlt frequencies i&r (92652)
range across 2 matching MRF lines
$185.64–$221.34 $714 varies
Airway Inhalation Treatment (94640)
range across 7 matching MRF lines
$74.88–$89.28 $288 varies
Airway resistance by oscillometry (94728) $111.02 $427 0.9×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $63.24 $204 1.8×
Allg tstg perq & ic venoms immed react w/i&r (95017) $63.24 $204 2.3×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $106.60 $410 0.8×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788)
range across 2 matching MRF lines
$97.24–$115.94 $374 varies
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601)
range across 2 matching MRF lines
$55.64–$66.34 $214 varies
Analyze neurostim complex (95972) $224.75 $725 2.5×
Analyze neurostim no prog (95970) $126.48 $408 1.0×
Analyze Neurostim Simple (95971) $224.75 $725 2.5×
Analyze Pacemaker System (93724) $145.08 $558 0.5×
Ant sgm imaging w/microscopy endothelial analy (92286) $53.63 $173 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $13.26 $51 0.9×
Application on-body injector (96377) $16.12 $62 0.4×
Arrhythmia Induction (93618) $2,216.76 $8,526 1.9×
Assessment of aphasia per hr (96105) $152.62 $587 1.6×
Assessment of tinnitus (92625)
range across 2 matching MRF lines
$94.64–$112.84 $364 varies
Audiometry Air & Bone (92553)
range across 2 matching MRF lines
$55.64–$66.34 $214 varies
Basic vestibular evaluation (92540)
range across 2 matching MRF lines
$161.98–$193.13 $623 varies
Behavral qualit analys voice (92524)
range across 2 matching MRF lines
$93.60–$111.60 $360 varies
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $60.32 $232 0.7×
Bfb training ea addl 15 min (90913) $15.08 $58 0.5×
Biofeedback training any modality (90901) $30.16 $116 0.7×
Bioimpedance Cv Analysis (93701) $36.14 $139 0.3×
Bis Xtracell Fluid Analysis (93702) $215.14 $694 1.7×
Blink reflex test (95933) $68.51 $221 1.2×
Brief Emotional/Behav Assmt (96127) $55.80 $180 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$121.68–$145.08 $468 varies
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$3,142.62 $12,087 0.4×
Caloric vestibular test w/rec bi monothermal (92538)
range across 2 matching MRF lines
$352.56–$420.36 $1,356 varies
Caloric Vstblr Test W/Rec (92537)
range across 2 matching MRF lines
$352.56–$420.36 $1,356 varies
Canalith repositioning proc (95992)
range across 3 matching MRF lines
$35.36–$42.16 $136 varies
Car seat/bed test 60 min (94780) $97.24 $374 2.7×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$236.60–$282.10 $910 varies
Cardiopulmonary exercise testing (94621)
range across 2 matching MRF lines
$343.46–$409.51 $1,321 varies
Cardiopulmonary resuscitation (92950) $205.14 $789 1.0×
Cardioversion (92960) $223.86 $861 0.4×
Cardioversion elective internal (92961) $223.86 $861 0.4×
Caregiver hlth risk assmt score doc stnd instrm (96161) $25.42 $82 0.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $17.94 $69 0.7×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $5,418.40 $20,840 1.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $5,418.40 $20,840 1.7×
Cbt 1st hour (94644)
range across 2 matching MRF lines
$147.16–$175.46 $566 varies
Cervical & Ocular Vemp Testing W/I&R (92519) $105.56 $406 0.5×
Cervical Vemp Testing W/I&R (92517) $55.64 $214 0.4×
Chemo Admin Peritoneal Cavity (96446) $151.59 $489 0.5×
Chemo Anti-Neopl Sq/Im (96401)
range across 2 matching MRF lines
$94.12–$112.22 $362 varies
Chemo Hormon Antineopl Sq/Im (96402)
range across 2 matching MRF lines
$59.28–$70.68 $228 varies
Chemo Ia Push (96420) $163.28 $628 0.5×
Chemo Intralesional Over 7 (96406) $348.92 $1,342 1.7×
Chemo IV infusion addl hr (96415)
range across 2 matching MRF lines
$53.04–$63.24 $204 varies
Chemo IV push addl drug (96411) $99.32 $382 1.4×
Chemother Prolong Infuse W/Pump (96416) $254.54 $979 0.8×
Chemotherapy Into Cns (96450)
range across 2 matching MRF lines
$138.84–$165.54 $534 varies
Chemotherapy Unspecified (96549) $16.12 $62 0.4×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $118.82 $457 0.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $115.96 $446 1.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$234.78–$279.93 $903 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) $173.16 $666 0.5×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542)
range across 2 matching MRF lines
$81.64–$97.34 $314 varies
Chest Wall Manipulation (94668) $43.68 $168 0.3×
Chron Care Mgmt Srvc 20 Min (99490) $102.61 $331 1.0×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $343.46 $1,321 1.0×
Cmptr ophth dx img ant segmt (92132) $95.79 $309 1.7×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $26.66 $86 0.5×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$243.36–$290.16 $936 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$243.36–$290.16 $936 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $30.16 $116 0.9×
Comprehensive Hearing Test (92557)
range across 2 matching MRF lines
$113.62–$135.47 $437 varies
Computerized dynamic posturography (92548) $44.98 $173 0.4×
Computerized Ophthalmic Imaging Retina (92134) $106.33 $343 1.9×
Conditioning Play Audiometry (92582)
range across 2 matching MRF lines
$55.64–$66.34 $214 varies
Cont gluc mntr physician/qhp provided equiptment (95250) $181.97 $587 1.4×
Cont Gluc Mntr Pt Prov Eqp (95249) $181.97 $587 3.2×
Contact Lens Fit,Corneoscleral Lens (92313) $53.63 $173 0.4×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$55.64–$66.34 $214 varies
Corneal Topography (92025) $181.66 $586 3.2×
Coronary Art/Grft Angio S&I (93455) $5,418.40 $20,840 1.7×
Coronary Artery Angio S&I (93454) $5,418.40 $20,840 1.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$158.08–$188.48 $608 varies
Cpt initial (94667) $43.68 $168 0.3×
Critical care first hour (99291) $1,528.54 $5,879 1.9×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$80.86–$96.41 $311 varies
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) $284.89 $919 1.5×
Developmental tst admin phys/qhp 1st hour (96112)
range across 2 matching MRF lines
$114.66–$136.71 $441 varies
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602)
range across 2 matching MRF lines
$55.64–$66.34 $214 varies
Dialysis One Evaluation (90945) $1,025.44 $3,944 2.5×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588)
range across 2 matching MRF lines
$298.48–$355.88 $1,148 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$151.32–$180.42 $582 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $180.42 $582 1.8×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $202.80 $780 2.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$243.36–$290.16 $936 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$151.32–$180.42 $582 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$243.36–$290.16 $936 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$151.32–$180.42 $582 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $196.30 $755 0.9×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $94.38 $363 0.9×
Duplex Scan Hemodialysis Access (93990)
range across 2 matching MRF lines
$151.32–$180.42 $582 varies
Duplex up extrem art bilat (93930)
range across 2 matching MRF lines
$243.36–$290.16 $936 varies
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$151.32–$180.42 $582 varies
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $147.68 $568 1.2×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604)
range across 2 matching MRF lines
$55.64–$66.34 $214 varies
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603)
range across 2 matching MRF lines
$55.64–$66.34 $214 varies
Ear and throat examination (92502) $2,446.96 $9,411.37 4.7×
ECG/monitoring and analysis (93271)
range across 3 matching MRF lines
$97.24–$231.88 $374–$748 varies
Echo Congenital Complete (93303)
range across 2 matching MRF lines
$302.38–$360.53 $1,163 varies
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$144.04–$171.74 $554 varies
Echo r-t 2d w/probe placement only (93313) $565.24 $2,174 1.1×
Echo transesophag montr cardiac pump functj (93318) $565.24 $2,174 1.1×
Echo transesophageal (93312)
range across 2 matching MRF lines
$565.24–$673.94 $2,174 varies
Echo Transesophageal - Congenital Tee Complete (93315)
range across 2 matching MRF lines
$565.24–$673.94 $2,174 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines
$690.30–$823.05 $2,655 varies
Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) $127.10 $410 3.5×
Eeg 41-60 Minutes (95812)
range across 2 matching MRF lines
$307.32–$366.42 $1,182 varies
EEG awake and asleep (95819)
range across 2 matching MRF lines
$253.24–$301.94 $974 varies
EEG awake drowsy (95816)
range across 2 matching MRF lines
$277.94–$331.39 $1,069 varies
EEG cont rec w/video by tech min 8 channels (95700)
range across 2 matching MRF lines
$284.18–$338.83 $1,093 varies
EEG extended monitoring 61-119 minutes (95813) $319.30 $1,030 1.5×
Eeg Sleep Only (95822)
range across 2 matching MRF lines
$219.44–$297.91 $844–$961 varies
Eeg W/O Vid 2-12 Hr Unmntr (95705)
range across 2 matching MRF lines
$284.18–$338.83 $1,093 varies
EEG w/o vid 2-12hr cont mntr (95707)
range across 2 matching MRF lines
$284.18–$338.83 $1,093 varies
EEG w/o vid ea 12-26hr intmt (95709)
range across 2 matching MRF lines
$545.22–$650.07 $2,097 varies
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710)
range across 2 matching MRF lines
$545.22–$650.07 $2,097 varies
EEG w/o video by tech 2-12 hr intermittent mntr (95706)
range across 2 matching MRF lines
$284.18–$338.83 $1,093 varies
EEG wo vid ea 12-26hr unmntr (95708)
range across 2 matching MRF lines
$545.22–$650.07 $2,097 varies
EKG signal averaged (93278) $43.09 $139 0.8×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $37.51 $121 0.4×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $118.11 $381 1.3×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $37.51 $121 1.0×
Electrical Stimulation Ea 15 Min (97032) $18.20 $70 1.2×
Electro-Oculography (92270) $53.63 $173 0.4×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$36.14–$43.09 $139 varies
Electrocochleography (92584)
range across 2 matching MRF lines
$55.64–$66.34 $214 varies
Electrophysiology Evaluation (93642) $915.20 $3,520 0.8×
Emergency Dept Visit Level 2 (99282) $190.58 $733 1.3×
Emergency Dept Visit Level 3 (99283) $303.16 $1,166 1.2×
Emergency Dept Visit Level 4 (99284) $527.54 $2,029 1.3×
Emg 3 Extremities (95863) $126.48 $408 1.0×
Emg 4 Extremities (95864) $126.48 $408 1.0×
Ep & ablate supravent arrhyt (93653) $17,830.54 $68,579 0.7×
Ep & ablate ventric tachy (93654) $17,830.54 $68,579 0.7×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure
$3,256.50 $12,525 0.4×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure
$3,256.50 $12,525 0.4×
Er level 1 (99281) $173.16 $666 2.1×
Er level v (99285) $580.32 $2,232 1.0×
Esophageal Capsule Endoscopy (91111) $817.96 $3,146 0.9×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $339.82 $1,307 0.9×
Eval aud funcj cand/po surg implt dev 1st hr (92626)
range across 2 matching MRF lines
$94.64–$112.84 $364 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$74.88–$89.28 $288 varies
Evaluate Speech Production (92522) $90.22 $347 0.8×
Evaluate Swallowing Function (92610) $81.90 $315 1.0×
Evaluation of speech fluency (92521)
range across 2 matching MRF lines
$110.76–$132.06 $426 varies
Evoked Auditory Test,Limited (92587)
range across 2 matching MRF lines
$284.18–$338.83 $1,093 varies
Exercise test for bronchospasm (94617)
range across 2 matching MRF lines
$121.68–$145.08 $468 varies
External ECG rec>48hr<7d recording (93242) $28.60 $110 0.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $47.06 $181 0.4×
External ECG rec>7d<15d recording (93246)
range across 2 matching MRF lines
$47.06–$56.11 $181 varies
External ECG rec>7d<15d scanning alys w/report (93247) $94.38 $363 0.7×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines
$97.24–$115.94 $374 varies
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$243.36–$290.16 $936 varies
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines
$243.36–$290.16 $936 varies
Eye exam w anesth; complete (92018) $2,151.24 $8,274 0.9×
Eye exam w anesth; limited (92019) $1,755 $6,750 0.8×
Eye Exam With Photos (92230)
range across 2 matching MRF lines
$231.88–$463.76 $748–$1,496 varies
F-up/limited tthrc echo congenital car anomaly (93304)
range across 2 matching MRF lines
$256.62–$305.97 $987 varies
Facial nerve function studies (92516) $125.86 $406 0.6×
Flexible endoscopic eval swallow c/v rec (92612)
range across 2 matching MRF lines
$279.50–$333.25 $1,075 varies
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $370.24 $1,424 1.6×
Fluorescein angiography (92235) $125.86 $406 0.6×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $125.86 $406 0.6×
Full Field Electroretinography W/I&R (92273) $125.86 $406 0.6×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $205.92 $792 0.2×
Fundus photography (92250) $106.95 $345 0.8×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034)
range across 2 matching MRF lines
$339.82–$405.17 $1,307 varies
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $259.74 $999 1.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $719.94 $2,769 0.9×
Gi tract capsule endoscopy (91110)
range across 2 matching MRF lines
$1,071.20–$1,277.20 $4,120 varies
Gi wireless capsule measure (91112) $577.22 $1,862 0.7×
Gonioscopy (92020)
range across 2 matching MRF lines
$44.98–$53.63 $173 varies
Group Therapeutic Procedures (97150) $20.28 $78 1.1×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $5,418.40 $20,840 1.7×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,166.10 $4,485 1.8×
Holter monitor recording (93225)
range across 2 matching MRF lines
$97.24–$115.94 $374 varies
Hubbard tank 15 min (97036) $34.41 $111 1.0×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028)
range across 2 matching MRF lines
$13.52–$16.12 $52 varies
Icd Device Interrogate (93289)
range across 2 matching MRF lines
$125.84–$150.04 $484 varies
Icd device progr eval dual (93283)
range across 2 matching MRF lines
$125.84–$150.04 $484 varies
Icd Device Progr Eval Mult (93284)
range across 2 matching MRF lines
$125.84–$150.04 $484 varies
Icm Device Eval (93290) $44.33 $143 1.2×
Ilr Device Eval Progr (93285) $44.33 $143 1.2×
Ilr Device Interrogate (93291)
range across 2 matching MRF lines
$74.36–$88.66 $286 varies
Im Adm Intransl/Oral 1 Vaccine (90473) $24.80 $80 0.4×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $47.12 $152 0.8×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $31.62 $102 0.9×
Immunization administration (90471)
range across 2 matching MRF lines
$20.80–$24.80 $80 varies
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $125.86 $406 0.6×
Ingestion challenge test initial 120 minutes (95076)
range across 2 matching MRF lines
$484.12–$577.22 $1,862 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $257.66 $991 0.7×
Insert/Place Heart Catheter (93503) $1,087.32 $4,182 0.7×
Interrogate Subq Defib (93261)
range across 2 matching MRF lines
$47.06–$56.11 $181 varies
Interrogation eval in person wr defibrillator (93292) $75.02 $242 2.1×
Interrogation vad in person (93750)
range across 2 matching MRF lines
$172.64–$205.84 $664 varies
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure
$3,142.62 $12,087 0.4×
Intra-atrial recording (93602)
unusually low: confirm this is the full procedure
$3,142.62 $12,087 0.4×
Intracranial Complete Study (93886) $290.16 $936 1.3×
Intracutaneous tests w/allergenic extracts (95024)
range across 2 matching MRF lines
$22.36–$26.66 $86 varies
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$3,142.62 $12,087 0.4×
Iontophoresis 15 min (97033) $27.82 $107 1.5×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$49.92–$59.52 $192 varies
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$26–$31 $100 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$85.80–$102.30 $330 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$54.08–$64.48 $208 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$33.54–$39.99 $129 varies
IV push initial (96374)
range across 2 matching MRF lines
$81.90–$97.65 $315 varies
L Hrt Art/Grft Angio (93459) $5,418.40 $20,840 1.7×
Laryngeal Function Studies (92520) $53.63 $173 0.4×
Liver Elastography W/O Imag W/I&R (91200)
range across 2 matching MRF lines
$287.82–$343.17 $1,107 varies
Lung Function Test (Mbc/Mvv) (94200)
range across 2 matching MRF lines
$83.20–$99.20 $320 varies
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines
$152.62–$181.97 $587 varies
Mechanical chest wall oscillation per session (94669) $83.98 $323 0.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$33.54–$39.99 $129 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $41.85 $135 1.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804)
range across 2 matching MRF lines
$13.52–$16.12 $52 varies
Methacholine challenge (94070)
range across 2 matching MRF lines
$343.46–$409.51 $1,321 varies
Motility study esophagus (91010) $133.90 $515 0.4×
Motion Fluoroscopy/Swallow (92611)
range across 2 matching MRF lines
$231.14–$275.59 $889 varies
Multifocal Electroretinography W/I&R (92274) $66.34 $214 0.5×
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
$1,059.24–$1,262.94 $4,074 varies
Muscle Test 2 Limbs (95861)
range across 2 matching MRF lines
$106.08–$126.48 $408 varies
Muscle Test Nonparaspinal (95870) $68.51 $221 0.5×
Muscle Test One Limb (95860) $126.48 $408 1.0×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$95.16–$113.46 $366 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868) $126.48 $408 0.6×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $126.48 $408 0.6×
Needle electromyography larynx (95865) $126.48 $408 1.0×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $68.51 $221 0.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$184.60–$220.10 $710 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$184.60–$220.10 $710 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$100.36–$119.66 $386 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$125.58–$149.73 $483 varies
Nerve Conduction Studies 1-2 Studies (95907)
range across 2 matching MRF lines
$69.16–$82.46 $266 varies
Nerve Conduction Studies 11-12 Studies (95912)
range across 2 matching MRF lines
$194.48–$231.88 $748 varies
Nerve conduction studies 13 or more studies (95913)
range across 2 matching MRF lines
$194.48–$231.88 $748 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 2 matching MRF lines
$105.56–$125.86 $406 varies
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines
$105.56–$125.86 $406 varies
Nerve conduction studies 7-8 studies (95910)
range across 2 matching MRF lines
$105.56–$125.86 $406 varies
Nerve Conduction Studies 9-10 Studies (95911)
range across 2 matching MRF lines
$194.48–$231.88 $748 varies
Neurobehavioral Status Exam (96116) $142.29 $459 0.7×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937)
range across 2 matching MRF lines
$106.08–$126.48 $408 varies
Neuromuscular Reeducation (97112) $32.50 $125 1.0×
Newborn resuscitation (99465) $223.86 $861 0.4×
Nitric oxide expired gas determination (95012)
range across 2 matching MRF lines
$82.42–$98.27 $317 varies
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681)
range across 2 matching MRF lines
$105.56–$125.86 $406 varies
Ocular Vemp Testing W/I&R (92518) $55.64 $214 0.4×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $53.63 $173 0.4×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $56.73 $183 0.4×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $162.44 $524 1.3×
Ophth medical xm&eval intermediate estab pt (92012) $97.03 $313 0.8×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $56.73 $183 0.4×
Optokinetic Nystagmus Test (92544)
range across 2 matching MRF lines
$55.64–$66.34 $214 varies
Oral Function Therapy (92526) $117.18 $378 1.4×
Oral Speech Device Eval (92597) $83.98 $323 1.2×
Orthc/Prostc Mgmt Sbsq Enc (97763) $39.52 $152 0.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 3 matching MRF lines
$35.88–$42.78 $138 varies
Oscillating Tracking Test (92545)
range across 2 matching MRF lines
$105.56–$125.86 $406 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $12.71 $41 0.6×
Osteopathic manipulative tx 3-4 body regions (98926) $12.71 $41 0.6×
Osteopathic manipulative tx 5-6 body regions (98927) $12.71 $41 0.6×
Osteopathic manipulative tx 9-10 body regions (98929) $12.71 $41 0.6×
Ot eval high complexity (97167) $82.94 $319 0.8×
Ot Eval Low Complex (97165) $82.94 $319 0.8×
Ot Eval Moderate Complexity (97166) $82.94 $319 0.8×
Ot manual therapy 15 min (97140) $29.38 $113 1.1×
Ot paraffin bath (97018) $9.10 $35 1.5×
Ot Re-Eval Est Plan Care (97168) $83.20 $320 1.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $66.34 $214 0.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $66.34 $214 0.5×
Oxygen Uptake Rest Indirect (94690) $145.08 $468 2.5×
Patch/Application Test Specify Number Tests (95044)
range across 2 matching MRF lines
$5.98–$7.13 $23 varies
Pdt dstr prmlg les skn illum/activj per day (96567) $284.89 $919 1.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642)
range across 2 matching MRF lines
$130–$155 $500 varies
Percutaneous tests w/allergenic extracts (95004)
range across 2 matching MRF lines
$29.38–$35.03 $113 varies
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $7,994.22 $30,747 1.5×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $12,142 $46,700 1.1×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$70.98–$84.63 $273 varies
Physical Performance Test (97750)
range across 3 matching MRF lines
$26.78–$31.93 $103 varies
Plethysmography (94726)
range across 2 matching MRF lines
$111.02–$132.37 $427 varies
Pm device eval in person (93288)
range across 2 matching MRF lines
$74.36–$88.66 $286 varies
Pm device progr eval dual (93280)
range across 2 matching MRF lines
$74.36–$88.66 $286 varies
Pm device progr eval multi (93281)
range across 2 matching MRF lines
$74.36–$88.66 $286 varies
Pm Device Progr Eval Sngl (93279)
range across 2 matching MRF lines
$74.36–$88.66 $286 varies
Pm/Icd Remote Tech Serv (93296)
range across 2 matching MRF lines
$20.02–$23.87 $77 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$1,362.40–$1,624.40 $5,240 varies
Polysom <6 yrs 4/> paramtrs (95782)
range across 2 matching MRF lines
$1,514.50–$1,805.75 $5,825 varies
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783)
range across 2 matching MRF lines
$1,577.16–$1,880.46 $6,066 varies
Positional nystagmus test (92542)
range across 2 matching MRF lines
$44.98–$53.63 $173 varies
Prepj& allergen immunotherapy 1/mlt antigen (95165) $19.22 $62 0.4×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $19.22 $62 0.4×
Prepj& antigen allergen immunotherapy 2 insect (95146) $19.22 $62 0.4×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $29.45 $95 0.4×
Prepj& antigen allergen immunotherapy 5 insect (95149) $29.45 $95 0.4×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260)
range across 2 matching MRF lines
$56.42–$67.27 $217 varies
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282)
range across 2 matching MRF lines
$125.84–$150.04 $484 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$16.12–$19.22 $62 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines
$16.12–$19.22 $62 varies
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $29.45 $95 0.4×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) $19.22 $62 0.4×
Prq Card Angio/Athrect 1 Art (92924) $15,243.28 $58,628 1.4×
Prq Card Stent W/Angio 1 Vsl (92928) $12,142 $46,700 1.1×
Prq Card Stent/Ath/Angio (92933) $12,142 $46,700 0.7×
Prq Revasc Byp Graft 1 Vsl (92937) $12,142 $46,700 1.1×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
unusually low: confirm this is the full procedure
$6,250.14 $24,039 0.4×
Psych diag eval w/med srvcs (90792) $53.30 $205 0.3×
Psychiatric diagnostic evaluation (90791) $53.30 $205 0.3×
Pt Eval High Complex (97163) $77.48 $298 0.8×
Pt eval low complex 20 min (97161) $77.48 $298 0.8×
Pt Eval Mod Complex (97162) $77.48 $298 0.8×
Pt gait training 15 min (97116)
range across 3 matching MRF lines
$27.82–$33.17 $107 varies
Pt mechanical traction (97012) $16.38 $63 1.1×
Pt Re-Eval Est Plan Care (97164) $66.82 $257 1.0×
Pt ultraviolet (97028) $5.72 $22 0.7×
Pt-focused hlth risk assmt score doc stnd instrm (96160)
range across 2 matching MRF lines
$24.49–$25.42 $79–$82 varies
Pulm function test by gas (94727)
range across 2 matching MRF lines
$111.02–$132.37 $427 varies
Pulmonary service/procedure (94799)
range across 5 matching MRF lines
$70.46–$286 $271–$1,100 varies
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$121.68–$145.08 $468 varies
Pure Tone Audiometry Air (92552)
range across 3 matching MRF lines
$44.98–$53.63 $173 varies
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $6.50 $25 0.3×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $3.90 $15 0.3×
R Hrt Art/Grft Angio (93457) $5,418.40 $20,840 1.7×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $4,297.28 $16,528 1.4×
R hrt coronary artery angio (93456) $5,418.40 $20,840 1.7×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $3,580.98 $13,773 1.1×
R&L Hrt Cath W/Ventriclgrphy (93453) $5,418.40 $20,840 1.7×
Rapid Desensitization Procedure Each Hour (95180)
range across 2 matching MRF lines
$108.16–$128.96 $416 varies
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $259.74 $999 0.8×
Refill/Maint Portable Pump (96521) $204.88 $788 1.0×
Refill/Maint Pump/Resvr Syst (96522) $163.28 $628 0.8×
Rem interrog icpms <30 d phys/qhp (93297) $28.60 $110 0.8×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $28.86 $111 0.8×
Rem Mntr Wrls P-Art Prs Snr (93264) $84.32 $272 2.3×
Remote 30 Day Ecg Rev/Report (93270)
range across 2 matching MRF lines
$194.48–$231.88 $748 varies
Remote 30 Day Ecg Tech Supp (93229) $885.03 $3,403.98 2.5×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $88.66 $286 0.7×
Respiratory flow volume loop (94375)
range across 2 matching MRF lines
$83.20–$99.20 $320 varies
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 2 matching MRF lines
$36.14–$43.09 $139 varies
Right Heart Cath (93451) $3,822.26 $14,701 1.2×
Right ventricular recording (93603) $3,142.62 $12,087 2.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $188.76 $726 1.0×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $43.16 $166 1.7×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $121.68 $468 1.0×
Self Care Mngment Training (97535) $33.54 $129 1.0×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $26.66 $86 0.5×
Sensory Integration Ea 15 Min (97533) $29.38 $113 0.5×
Short-latency somatosens ep std upr limbs (95925) $295.12 $952 1.4×
Sleep study attended (95807) $864.24 $3,324 2.4×
Sleep study unattended (95806)
range across 2 matching MRF lines
$242.32–$288.92 $932 varies
Slp caregiver training 1st 30 min (97550) $36.14 $139 0.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800)
range across 2 matching MRF lines
$273–$325.50 $1,050 varies
Speech Audiometry Complete (92556)
range across 2 matching MRF lines
$22.36–$26.66 $86 varies
Speech audiometry threshold (92555)
range across 2 matching MRF lines
$13.52–$16.12 $52 varies
Speech sound lang comprehen (92523) $186.68 $718 0.8×
Spin/Brain Pump Refil & Main (95991)
range across 2 matching MRF lines
$104.26–$124.31 $401 varies
Spirometry (94010)
range across 2 matching MRF lines
$121.68–$145.08 $468 varies
Spontaneous Nystagmus Test (92541)
range across 2 matching MRF lines
$44.98–$53.63 $173 varies
Ssep lower limbs (95926) $295.12 $952 1.4×
Standardized Cognitive Performance Testing (96125)
range across 2 matching MRF lines
$210.34–$250.79 $809 varies
Stenger Test Speech (92577)
range across 2 matching MRF lines
$194.48–$231.88 $748 varies
Stenger Test, Pure Tone (92565)
range across 2 matching MRF lines
$13.52–$16.12 $52 varies
Stress Tte Only (93350) $302.38 $1,163 0.6×
Subcutaneous Infusion Each Additional Hour (96370) $13.78 $53 0.3×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $134.68 $518 0.7×
Surfactant Admin Thru Tube (94610) $74.88 $288 0.4×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $180.42 $582 1.8×
Test to assess hearing loss using different tone pitches (92575) $13.52 $52 0.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $24.18 $93 1.1×
Ther Ivntj Ea Addl 15 Min (97130) $23.14 $89 1.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $38.74 $149 1.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $25.22 $97 0.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $107.38 $413 1.0×
Ther/Proph/Diag Inj Ia (96373) $26 $100 0.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$29.12–$34.72 $112 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$104.52–$124.62 $402 varies
Therapeutic Activities (97530)
range across 3 matching MRF lines
$33.54–$39.99 $129 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660)
range across 2 matching MRF lines
$400.92–$478.02 $1,542 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $20.15 $65 0.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 4 matching MRF lines
$16.90–$20.15 $65 varies
Tone Decay Test (92563)
range across 2 matching MRF lines
$13.52–$16.12 $52 varies
Trans Care Mgmt 14 Day Disch (99495) $140.74 $454 1.1×
Trans Care Mgmt 7 Day Disch (99496) $185.07 $597 1.4×
Transcath Closure of Asd (93580)
unusually low: confirm this is the full procedure
$6,250.14 $24,039 0.4×
Transcranial Doppler Intracran Art Emboli Detect (93892) $180.42 $582 1.8×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $180.42 $582 1.8×
Transtelephonic Rhythm Strip Pacemaker Eval (93293)
range across 2 matching MRF lines
$125.84–$150.04 $484 varies
Tstg ans funcj vasomotor adrenergic innervaj (95922) $167.70 $645 1.3×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$690.30–$823.05 $2,655 varies
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines
$302.38–$360.53 $1,163 varies
Tx atrial fib pulm vein isol (93656) $17,830.54 $68,579 0.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$136.76–$163.06 $526 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $23.14 $89 1.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $43.40 $140 1.0×
Tympanometry (92567)
range across 2 matching MRF lines
$13.52–$16.12 $52 varies
Tympanometry and reflex threshold measurements (92550)
range across 2 matching MRF lines
$50.70–$60.45 $195 varies
Unlisted cardiovascular service/procedure (93799)
range across 6 matching MRF lines
$108.94–$112.06 $419–$431 varies
Unlisted otorhinolaryngological service (92700) $36.14 $139 1.3×
Unlisted Special Dermatological Service/Px (96999)
range across 3 matching MRF lines
$122.20–$140.14 $470–$539 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$152.62–$181.97 $587 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$152.62–$181.97 $587 varies
Valvuloplasty aortic valve (92986) $4,610.84 $17,734 0.8×
Valvuloplasty mitral valve (92987) $6,536.40 $25,140 0.6×
Valvuloplasty pulmonary valve (92990) $6,536.40 $25,140 0.6×
Vasopneumatic device (97016) $17.42 $67 1.4×
Veeg 2-12 Hr Cont Mntr (95713)
range across 2 matching MRF lines
$545.22–$650.07 $2,097 varies
Veeg 2-12 hr intmt mntr (95712)
range across 2 matching MRF lines
$284.18–$338.83 $1,093 varies
Veeg 2-12 hr unmonitored (95711)
range across 2 matching MRF lines
$284.18–$338.83 $1,093 varies
Veeg by tech ea incr 12-26 hr intermittent mntr (95715)
range across 2 matching MRF lines
$545.22–$650.07 $2,097 varies
Veeg Ea 12-26 Hr Unmntr (95714)
range across 2 matching MRF lines
$545.22–$650.07 $2,097 varies
Veeg ea 12-26hr cont mntr (95716)
range across 2 matching MRF lines
$1,020.50–$1,216.75 $3,925 varies
Vent Mgmt Inpat Init Day (94002) $544.70 $2,095 0.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $544.70 $2,095 0.9×
Visual Evoked Potential Test (95930)
range across 2 matching MRF lines
$247.52–$295.12 $952 varies
Visual Field Exam Extended (92083) $106.95 $345 0.8×
Visual field xm uni/bi w/interp intermed exam (92082) $26.66 $86 0.5×
Visual field xm uni/bi w/interpretj limited exam (92081) $26.66 $86 0.5×
Visual reinforcement audiometry (vra) (92579)
range across 2 matching MRF lines
$55.64–$66.34 $214 varies
Vital capacity, total (94150)
range across 2 matching MRF lines
$83.20–$99.20 $320 varies
Wada Activation Test Hemispheric Function W/Eeg (95958) $366.60 $1,410 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $30.42 $117 1.0×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $26.66 $86 0.7×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.