Visits & medical services prices at Ochsner LSU Health - St. Mary Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $4,311.44 $15,398 0.6×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $54.60 $195 0.5×
Acoustic Reflex Testing (92568) $14.56 $52 0.4×
Actigraphy Testing Recording Analysis I&R (95803) $120.40 $430 2.3×
Actinotherapy Ultraviolet Light (96900) $41.16 $147 1.2×
Acupunct W/Stimul 15 Min (97813) $39.48 $141 1.5×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $36.40 $130 1.4×
Advncd Care Plan 30 Min (99497) $32.20 $115 0.4×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $105.56 $377 0.5×
Aep neurodiagnostic i&r (92653) $199.92 $714 1.0×
Aep threshold estimation mlt frequencies i&r (92652) $199.92 $714 1.0×
Airway Inhalation Treatment (94640) $80.64 $288 0.4×
Airway resistance by oscillometry (94728) $119.56 $427 1.0×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $57.12 $204 1.7×
Allg tstg perq & ic venoms immed react w/i&r (95017) $57.12 $204 2.2×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $114.80 $410 1.0×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $104.72 $374 0.9×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $59.92 $214 0.5×
Analyze neurostim complex (95972) $203 $725 2.4×
Analyze neurostim no prog (95970) $114.24 $408 0.9×
Analyze Neurostim Simple (95971) $203 $725 2.4×
Analyze Pacemaker System (93724) $156.24 $558 0.6×
Ant sgm imaging w/microscopy endothelial analy (92286) $48.44 $173 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $14.28 $51 1.0×
Application on-body injector (96377) $17.36 $62 0.4×
Arrhythmia Induction (93618) $2,387.28 $8,526 2.2×
Assessment of aphasia per hr (96105) $164.36 $587 1.7×
Assessment of tinnitus (92625) $101.92 $364 0.9×
Audiometry Air & Bone (92553) $59.92 $214 0.5×
Basic vestibular evaluation (92540) $174.44 $623 0.9×
Behavral qualit analys voice (92524) $100.80 $360 0.9×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $64.96 $232 0.8×
Bfb training ea addl 15 min (90913) $16.24 $58 0.5×
Biofeedback training any modality (90901) $32.48 $116 0.8×
Bioimpedance Cv Analysis (93701) $38.92 $139 0.3×
Bis Xtracell Fluid Analysis (93702) $194.32 $694 1.7×
Blink reflex test (95933) $61.88 $221 1.2×
Brief Emotional/Behav Assmt (96127) $50.40 $180 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $131.04 $468 0.4×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$3,384.36 $12,087 0.5×
Caloric vestibular test w/rec bi monothermal (92538) $379.68 $1,356 1.9×
Caloric Vstblr Test W/Rec (92537) $379.68 $1,356 3.3×
Canalith repositioning proc (95992) $38.08 $136 0.9×
Car seat/bed test 60 min (94780) $104.72 $374 3.1×
Cardiac Stress Tst,Tracing Only (93017) $254.80 $910 1.3×
Cardiopulmonary exercise testing (94621) $369.88 $1,321 1.1×
Cardiopulmonary resuscitation (92950) $220.92 $789 1.1×
Cardioversion (92960) $241.08 $861 0.4×
Cardioversion elective internal (92961) $241.08 $861 0.4×
Caregiver hlth risk assmt score doc stnd instrm (96161) $22.96 $82 0.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $19.32 $69 0.7×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $5,835.20 $20,840 2.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $5,835.20 $20,840 2.0×
Cbt 1st hour (94644) $158.48 $566 1.3×
Cervical & Ocular Vemp Testing W/I&R (92519) $113.68 $406 0.6×
Cervical Vemp Testing W/I&R (92517) $59.92 $214 0.5×
Chemo Admin Peritoneal Cavity (96446) $136.92 $489 0.5×
Chemo Anti-Neopl Sq/Im (96401) $101.36 $362 1.6×
Chemo Hormon Antineopl Sq/Im (96402) $63.84 $228 1.0×
Chemo Ia Push (96420) $175.84 $628 0.6×
Chemo Intralesional Over 7 (96406) $375.76 $1,342 2.0×
Chemo IV infusion addl hr (96415) $57.12 $204 0.9×
Chemo IV push addl drug (96411) $106.96 $382 1.6×
Chemother Prolong Infuse W/Pump (96416) $274.12 $979 0.9×
Chemotherapy Into Cns (96450) $149.52 $534 0.5×
Chemotherapy Unspecified (96549) $17.36 $62 0.4×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $127.96 $457 0.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $124.88 $446 1.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $252.84 $903 0.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $186.48 $666 0.6×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $87.92 $314 0.3×
Chest Wall Manipulation (94668) $47.04 $168 0.4×
Chron Care Mgmt Srvc 20 Min (99490) $92.68 $331 1.0×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $369.88 $1,321 1.1×
Cmptr ophth dx img ant segmt (92132) $86.52 $309 1.6×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $24.08 $86 0.5×
Color/duplex Doppler, complete (93975) $262.08 $936 1.2×
Color/duplex Doppler, limited (93976) $262.08 $936 2.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $32.48 $116 1.0×
Comprehensive Hearing Test (92557) $122.36 $437 1.1×
Computerized dynamic posturography (92548) $48.44 $173 0.4×
Computerized Ophthalmic Imaging Retina (92134) $96.04 $343 1.8×
Conditioning Play Audiometry (92582) $59.92 $214 0.5×
Cont gluc mntr physician/qhp provided equiptment (95250) $164.36 $587 1.4×
Cont Gluc Mntr Pt Prov Eqp (95249) $164.36 $587 3.1×
Contact Lens Fit,Corneoscleral Lens (92313) $48.44 $173 0.4×
Continuous Pulse Ox (94762) $59.92 $214 0.5×
Corneal Topography (92025) $164.08 $586 3.1×
Coronary Art/Grft Angio S&I (93455) $5,835.20 $20,840 2.0×
Coronary Artery Angio S&I (93454) $5,835.20 $20,840 2.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $170.24 $608 0.9×
Cpt initial (94667) $47.04 $168 0.4×
Critical care first hour (99291) $1,646.12 $5,879 2.2×
Debridement Open Wound 20 Sq Cm< (97597) $87.08 $311 0.5×
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) $257.32 $919 1.4×
Developmental tst admin phys/qhp 1st hour (96112) $123.48 $441 1.1×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $59.92 $214 0.5×
Dialysis One Evaluation (90945) $1,104.32 $3,944 2.9×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $321.44 $1,148 1.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $162.96 $582 0.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $162.96 $582 1.7×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $218.40 $780 2.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $262.08 $936 1.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $162.96 $582 1.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $262.08 $936 1.2×
Dup-scan xtr veins unilateral/limited study (93971) $162.96 $582 1.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $211.40 $755 1.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $101.64 $363 1.1×
Duplex Scan Hemodialysis Access (93990) $162.96 $582 1.7×
Duplex up extrem art bilat (93930) $262.08 $936 1.2×
Duplex up extrem art unilat/ltd (93931) $162.96 $582 1.7×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $159.04 $568 1.4×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $59.92 $214 0.5×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $59.92 $214 0.5×
Ear and throat examination (92502) $4,010.98 $14,324.92 8.2×
ECG/monitoring and analysis (93271)
range across 3 matching MRF lines
$104.72–$209.44 $374–$748 varies
Echo Congenital Complete (93303) $325.64 $1,163 0.7×
Echo Heart Xthoracic,Limited (93308) $155.12 $554 0.7×
Echo r-t 2d w/probe placement only (93313) $608.72 $2,174 1.2×
Echo transesophag montr cardiac pump functj (93318) $608.72 $2,174 1.2×
Echo transesophageal (93312) $608.72 $2,174 1.2×
Echo Transesophageal - Congenital Tee Complete (93315) $608.72 $2,174 1.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $743.40 $2,655 1.5×
Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) $114.80 $410 3.4×
Eeg 41-60 Minutes (95812) $330.96 $1,182 1.7×
EEG awake and asleep (95819) $272.72 $974 1.4×
EEG awake drowsy (95816) $299.32 $1,069 1.5×
EEG cont rec w/video by tech min 8 channels (95700) $306.04 $1,093 1.6×
EEG extended monitoring 61-119 minutes (95813) $288.40 $1,030 1.5×
Eeg Sleep Only (95822)
range across 2 matching MRF lines
$236.32–$269.08 $844–$961 varies
Eeg W/O Vid 2-12 Hr Unmntr (95705) $306.04 $1,093 1.6×
EEG w/o vid 2-12hr cont mntr (95707) $306.04 $1,093 1.6×
EEG w/o vid ea 12-26hr intmt (95709) $587.16 $2,097 1.7×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $587.16 $2,097 1.7×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $306.04 $1,093 1.6×
EEG wo vid ea 12-26hr unmntr (95708) $587.16 $2,097 1.7×
EKG signal averaged (93278) $38.92 $139 0.7×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $33.88 $121 0.4×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $106.68 $381 1.2×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $33.88 $121 1.0×
Electrical Stimulation Ea 15 Min (97032) $19.60 $70 1.3×
Electro-Oculography (92270) $48.44 $173 0.4×
Electrocardiogram Tracing (93005) $38.92 $139 0.7×
Electrocochleography (92584) $59.92 $214 0.5×
Electrophysiology Evaluation (93642) $985.60 $3,520 0.9×
Emergency Dept Visit Level 2 (99282) $205.24 $733 1.5×
Emergency Dept Visit Level 3 (99283) $326.48 $1,166 1.3×
Emergency Dept Visit Level 4 (99284) $568.12 $2,029 1.5×
Emg 3 Extremities (95863) $114.24 $408 1.0×
Emg 4 Extremities (95864) $114.24 $408 1.0×
Ep & ablate supravent arrhyt (93653) $19,202.12 $68,579 0.8×
Ep & ablate ventric tachy (93654) $19,202.12 $68,579 0.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure
$3,507 $12,525 0.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure
$3,507 $12,525 0.5×
Er level 1 (99281) $186.48 $666 2.4×
Er level v (99285) $624.96 $2,232 1.2×
Esophageal Capsule Endoscopy (91111) $880.88 $3,146 1.1×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $365.96 $1,307 1.1×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $101.92 $364 0.9×
Evaluate pt use of inhaler (94664) $80.64 $288 0.4×
Evaluate Speech Production (92522) $97.16 $347 0.9×
Evaluate Swallowing Function (92610) $88.20 $315 1.0×
Evaluation of speech fluency (92521) $119.28 $426 0.9×
Evoked Auditory Test,Limited (92587) $306.04 $1,093 1.6×
Exercise test for bronchospasm (94617) $131.04 $468 1.1×
External ECG rec>48hr<7d recording (93242) $30.80 $110 0.9×
External ECG rec>48hr<7d scanning alys w/report (93243) $50.68 $181 0.4×
External ECG rec>7d<15d recording (93246) $50.68 $181 1.5×
External ECG rec>7d<15d scanning alys w/report (93247) $101.64 $363 0.8×
External Ecg Scanning Analysis Report (93226) $104.72 $374 2.0×
Extracranial Bilat Study (93880) $262.08 $936 1.2×
Extracranial Uni/Ltd Study (93882) $262.08 $936 2.8×
Eye exam w anesth; complete (92018) $2,316.72 $8,274 1.1×
Eye Exam With Photos (92230)
range across 2 matching MRF lines
$209.44–$418.88 $748–$1,496 varies
F-up/limited tthrc echo congenital car anomaly (93304) $276.36 $987 0.6×
Facial nerve function studies (92516) $113.68 $406 0.6×
Flexible endoscopic eval swallow c/v rec (92612) $301 $1,075 1.5×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $398.72 $1,424 1.7×
Fluorescein angiography (92235) $113.68 $406 0.6×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $113.68 $406 0.6×
Full Field Electroretinography W/I&R (92273) $113.68 $406 0.6×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $221.76 $792 0.3×
Fundus photography (92250) $96.60 $345 0.8×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $365.96 $1,307 1.1×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $279.72 $999 1.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $775.32 $2,769 1.0×
Gi tract capsule endoscopy (91110) $1,153.60 $4,120 1.4×
Gi wireless capsule measure (91112) $521.36 $1,862 0.6×
Gonioscopy (92020) $48.44 $173 0.4×
Group Therapeutic Procedures (97150) $21.84 $78 1.2×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $5,835.20 $20,840 2.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,255.80 $4,485 2.0×
Holter monitor recording (93225) $104.72 $374 0.9×
Hubbard tank 15 min (97036) $31.08 $111 0.9×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $14.56 $52 0.4×
Icd Device Interrogate (93289) $135.52 $484 4.0×
Icd device progr eval dual (93283) $135.52 $484 4.0×
Icd Device Progr Eval Mult (93284) $135.52 $484 4.0×
Icm Device Eval (93290) $40.04 $143 1.2×
Ilr Device Eval Progr (93285) $40.04 $143 1.2×
Ilr Device Interrogate (93291) $80.08 $286 3.1×
Im Adm Intransl/Oral 1 Vaccine (90473) $22.40 $80 0.3×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $42.56 $152 0.8×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $28.56 $102 0.8×
Immunization administration (90471) $22.40 $80 0.3×
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $113.68 $406 0.6×
Ingestion challenge test initial 120 minutes (95076) $521.36 $1,862 1.5×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $277.48 $991 0.8×
Insert/Place Heart Catheter (93503) $1,170.96 $4,182 0.8×
Interrogate Subq Defib (93261) $50.68 $181 1.5×
Interrogation eval in person wr defibrillator (93292) $67.76 $242 2.0×
Interrogation vad in person (93750) $185.92 $664 2.2×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure
$3,384.36 $12,087 0.5×
Intra-atrial recording (93602)
unusually low: confirm this is the full procedure
$3,384.36 $12,087 0.5×
Intracranial Complete Study (93886) $262.08 $936 1.2×
Intracutaneous tests w/allergenic extracts (95024) $24.08 $86 0.5×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$3,384.36 $12,087 0.5×
Iontophoresis 15 min (97033) $29.96 $107 1.6×
Irrig Drug Delivery Device (96523) $53.76 $192 1.0×
IV infusion hydration each additional hour (96361) $28 $100 0.7×
IV infusion hydration initial 31 min-1 hour (96360) $92.40 $330 0.5×
IV infusion ther proph addl sequential to 1 hr (96367) $58.24 $208 0.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $36.12 $129 0.9×
IV push initial (96374) $88.20 $315 0.5×
L Hrt Art/Grft Angio (93459) $5,835.20 $20,840 2.0×
Laryngeal Function Studies (92520) $48.44 $173 0.4×
Liver Elastography W/O Imag W/I&R (91200) $309.96 $1,107 2.7×
Lung Function Test (Mbc/Mvv) (94200) $89.60 $320 1.7×
Lwr Xtr Vasc Stdy Bilat (93924) $164.36 $587 0.8×
Mechanical chest wall oscillation per session (94669) $90.44 $323 0.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $36.12 $129 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $37.80 $135 1.0×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $14.56 $52 0.9×
Methacholine challenge (94070) $369.88 $1,321 1.1×
Motility study esophagus (91010) $144.20 $515 0.4×
Motion Fluoroscopy/Swallow (92611) $248.92 $889 2.7×
Multifocal Electroretinography W/I&R (92274) $59.92 $214 0.5×
Multiple Sleep Latency Test (95805) $1,140.72 $4,074 1.5×
Muscle Test 2 Limbs (95861) $114.24 $408 0.9×
Muscle Test Nonparaspinal (95870) $61.88 $221 0.5×
Muscle Test One Limb (95860) $114.24 $408 0.9×
Nasopharyngoscopy (92511) $102.48 $366 0.6×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $114.24 $408 0.6×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $114.24 $408 0.6×
Needle electromyography larynx (95865) $114.24 $408 0.9×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $61.88 $221 0.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $198.80 $710 0.5×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $198.80 $710 0.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $108.08 $386 0.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $135.24 $483 0.4×
Nerve Conduction Studies 1-2 Studies (95907) $74.48 $266 0.4×
Nerve Conduction Studies 11-12 Studies (95912) $209.44 $748 0.6×
Nerve conduction studies 13 or more studies (95913) $209.44 $748 0.6×
Nerve Conduction Studies 3-4 Studies (95908) $113.68 $406 0.6×
Nerve conduction studies 5-6 studies (95909) $113.68 $406 0.6×
Nerve conduction studies 7-8 studies (95910) $113.68 $406 0.3×
Nerve Conduction Studies 9-10 Studies (95911) $209.44 $748 0.6×
Neurobehavioral Status Exam (96116) $128.52 $459 0.7×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $114.24 $408 1.0×
Neuromuscular Reeducation (97112) $35 $125 1.1×
Newborn resuscitation (99465) $241.08 $861 0.4×
Nitric oxide expired gas determination (95012) $88.76 $317 2.6×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $113.68 $406 0.3×
Ocular Vemp Testing W/I&R (92518) $59.92 $214 0.5×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $48.44 $173 0.4×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $51.24 $183 0.4×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $146.72 $524 1.2×
Ophth medical xm&eval intermediate estab pt (92012) $87.64 $313 0.7×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $51.24 $183 0.4×
Optokinetic Nystagmus Test (92544) $59.92 $214 0.5×
Oral Function Therapy (92526) $105.84 $378 1.3×
Oral Speech Device Eval (92597) $90.44 $323 1.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $42.56 $152 0.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $38.64 $138 0.8×
Oscillating Tracking Test (92545) $113.68 $406 0.6×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $11.48 $41 0.6×
Osteopathic manipulative tx 3-4 body regions (98926) $11.48 $41 0.6×
Osteopathic manipulative tx 5-6 body regions (98927) $11.48 $41 0.6×
Osteopathic manipulative tx 9-10 body regions (98929) $11.48 $41 0.6×
Ot eval high complexity (97167) $89.32 $319 0.9×
Ot Eval Low Complex (97165) $89.32 $319 0.9×
Ot Eval Moderate Complexity (97166) $89.32 $319 0.9×
Ot manual therapy 15 min (97140) $31.64 $113 1.1×
Ot paraffin bath (97018) $9.80 $35 1.6×
Ot Re-Eval Est Plan Care (97168) $89.60 $320 1.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $59.92 $214 0.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $59.92 $214 0.5×
Oxygen Uptake Rest Indirect (94690) $131.04 $468 2.5×
Patch/Application Test Specify Number Tests (95044) $6.44 $23 0.0×
Pdt dstr prmlg les skn illum/activj per day (96567) $257.32 $919 1.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $140 $500 0.7×
Percutaneous tests w/allergenic extracts (95004) $31.64 $113 0.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $8,609.16 $30,747 1.7×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $13,076 $46,700 1.3×
Phlebotomy therapeutic (99195) $76.44 $273 0.6×
Physical Performance Test (97750) $28.84 $103 0.9×
Plethysmography (94726) $119.56 $427 0.4×
Pm device eval in person (93288) $80.08 $286 2.4×
Pm device progr eval dual (93280) $80.08 $286 2.4×
Pm device progr eval multi (93281) $80.08 $286 2.4×
Pm Device Progr Eval Sngl (93279) $80.08 $286 2.4×
Pm/Icd Remote Tech Serv (93296) $21.56 $77 0.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,467.20 $5,240 1.9×
Polysom <6 yrs 4/> paramtrs (95782) $1,631 $5,825 2.1×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,698.48 $6,066 2.2×
Positional nystagmus test (92542) $48.44 $173 0.4×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $17.36 $62 0.4×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $17.36 $62 0.4×
Prepj& antigen allergen immunotherapy 2 insect (95146) $17.36 $62 0.4×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $26.60 $95 0.4×
Prepj& antigen allergen immunotherapy 5 insect (95149) $26.60 $95 0.4×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $60.76 $217 1.8×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $135.52 $484 4.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $17.36 $62 0.4×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $17.36 $62 0.4×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $26.60 $95 0.4×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) $17.36 $62 0.4×
Prq Card Angio/Athrect 1 Art (92924) $16,415.84 $58,628 1.6×
Prq Card Stent W/Angio 1 Vsl (92928) $13,076 $46,700 1.3×
Prq Card Stent/Ath/Angio (92933) $13,076 $46,700 0.8×
Prq Revasc Byp Graft 1 Vsl (92937) $13,076 $46,700 1.3×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
unusually low: confirm this is the full procedure
$6,730.92 $24,039 0.4×
Psych diag eval w/med srvcs (90792) $57.40 $205 0.4×
Psychiatric diagnostic evaluation (90791) $57.40 $205 0.4×
Pt Eval High Complex (97163) $83.44 $298 0.9×
Pt eval low complex 20 min (97161) $83.44 $298 0.9×
Pt Eval Mod Complex (97162) $83.44 $298 0.9×
Pt gait training 15 min (97116) $29.96 $107 1.0×
Pt mechanical traction (97012) $17.64 $63 1.2×
Pt Re-Eval Est Plan Care (97164) $71.96 $257 1.1×
Pt ultraviolet (97028) $6.16 $22 0.7×
Pt-focused hlth risk assmt score doc stnd instrm (96160)
range across 2 matching MRF lines
$22.12–$22.96 $79–$82 varies
Pulm function test by gas (94727) $119.56 $427 0.6×
Pulmonary service/procedure (94799)
range across 5 matching MRF lines
$75.88–$308 $271–$1,100 varies
Pulmonary Stress Testing (94618) $131.04 $468 1.1×
Pure Tone Audiometry Air (92552) $48.44 $173 0.4×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $7 $25 0.3×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $4.20 $15 0.3×
R Hrt Art/Grft Angio (93457) $5,835.20 $20,840 2.0×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $4,627.84 $16,528 1.6×
R hrt coronary artery angio (93456) $5,835.20 $20,840 2.0×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $3,856.44 $13,773 1.3×
R&L Hrt Cath W/Ventriclgrphy (93453) $5,835.20 $20,840 2.0×
Rapid Desensitization Procedure Each Hour (95180) $116.48 $416 0.3×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $279.72 $999 0.9×
Refill/Maint Portable Pump (96521) $220.64 $788 1.1×
Refill/Maint Pump/Resvr Syst (96522) $175.84 $628 0.9×
Rem interrog icpms <30 d phys/qhp (93297) $30.80 $110 0.9×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $31.08 $111 0.9×
Rem Mntr Wrls P-Art Prs Snr (93264) $76.16 $272 2.3×
Remote 30 Day Ecg Rev/Report (93270) $209.44 $748 6.2×
Remote 30 Day Ecg Tech Supp (93229) $953.11 $3,403.98 2.8×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $80.08 $286 0.7×
Respiratory flow volume loop (94375) $89.60 $320 0.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $38.92 $139 0.7×
Right Heart Cath (93451) $4,116.28 $14,701 1.4×
Right ventricular recording (93603) $3,384.36 $12,087 3.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $203.28 $726 1.1×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $46.48 $166 1.8×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $131.04 $468 1.1×
Self Care Mngment Training (97535) $36.12 $129 1.1×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $24.08 $86 0.5×
Sensory Integration Ea 15 Min (97533) $31.64 $113 0.5×
Short-latency somatosens ep std upr limbs (95925) $266.56 $952 1.4×
Sleep study attended (95807) $930.72 $3,324 2.8×
Sleep study unattended (95806) $260.96 $932 1.3×
Slp caregiver training 1st 30 min (97550) $38.92 $139 0.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $294 $1,050 1.5×
Speech Audiometry Complete (92556) $24.08 $86 0.5×
Speech audiometry threshold (92555) $14.56 $52 0.3×
Speech sound lang comprehen (92523) $201.04 $718 0.9×
Spin/Brain Pump Refil & Main (95991) $112.28 $401 0.4×
Spirometry (94010) $131.04 $468 0.7×
Spontaneous Nystagmus Test (92541) $48.44 $173 0.4×
Ssep lower limbs (95926) $266.56 $952 1.4×
Standardized Cognitive Performance Testing (96125) $226.52 $809 2.2×
Stenger Test Speech (92577) $209.44 $748 0.6×
Stenger Test, Pure Tone (92565) $14.56 $52 0.3×
Stress Tte Only (93350) $325.64 $1,163 0.7×
Subcutaneous Infusion Each Additional Hour (96370) $14.84 $53 0.4×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $145.04 $518 0.8×
Surfactant Admin Thru Tube (94610) $80.64 $288 0.4×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $162.96 $582 1.7×
Test to assess hearing loss using different tone pitches (92575) $14.56 $52 0.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $26.04 $93 1.2×
Ther Ivntj Ea Addl 15 Min (97130) $24.92 $89 1.2×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $41.72 $149 1.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $27.16 $97 0.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $115.64 $413 1.1×
Ther/Proph/Diag Inj Ia (96373) $28 $100 0.1×
Ther/Proph/Diag Inj Sc/Im (96372) $31.36 $112 0.5×
Ther/Proph/Diag Iv Inf Init (96365) $112.56 $402 0.6×
Therapeutic Activities (97530) $36.12 $129 1.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $431.76 $1,542 1.3×
Tobacco Use Cessation Intensive >10 Minutes (99407) $18.20 $65 0.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $18.20 $65 0.5×
Tone Decay Test (92563) $14.56 $52 0.4×
Trans Care Mgmt 14 Day Disch (99495) $127.12 $454 1.1×
Trans Care Mgmt 7 Day Disch (99496) $167.16 $597 1.4×
Transcath Closure of Asd (93580)
unusually low: confirm this is the full procedure
$6,730.92 $24,039 0.4×
Transcranial Doppler Intracran Art Emboli Detect (93892) $162.96 $582 1.7×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $162.96 $582 1.7×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $135.52 $484 4.0×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $180.60 $645 1.5×
Tte w/doppler, complete (93306) $743.40 $2,655 1.5×
Tte W/O Doppler Complete (93307) $325.64 $1,163 1.5×
Tx atrial fib pulm vein isol (93656) $19,202.12 $68,579 0.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $147.28 $526 1.9×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $24.92 $89 1.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $39.20 $140 0.9×
Tympanometry (92567) $14.56 $52 0.4×
Tympanometry and reflex threshold measurements (92550) $54.60 $195 0.3×
Unlisted cardiovascular service/procedure (93799)
range across 6 matching MRF lines
$117.32–$120.68 $419–$431 varies
Unlisted otorhinolaryngological service (92700) $38.92 $139 1.5×
Unlisted Special Dermatological Service/Px (96999)
range across 3 matching MRF lines
$131.60–$150.92 $470–$539 varies
Upr/L Xtremity Art 2 Levels (93922) $164.36 $587 1.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $164.36 $587 0.8×
Valvuloplasty aortic valve (92986) $4,965.52 $17,734 1.0×
Valvuloplasty mitral valve (92987) $7,039.20 $25,140 0.7×
Valvuloplasty pulmonary valve (92990) $7,039.20 $25,140 0.7×
Vasopneumatic device (97016) $18.76 $67 1.6×
Veeg 2-12 Hr Cont Mntr (95713) $587.16 $2,097 1.7×
Veeg 2-12 hr intmt mntr (95712) $306.04 $1,093 0.9×
Veeg 2-12 hr unmonitored (95711) $306.04 $1,093 1.6×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $587.16 $2,097 1.7×
Veeg Ea 12-26 Hr Unmntr (95714) $587.16 $2,097 1.7×
Veeg ea 12-26hr cont mntr (95716) $1,099 $3,925 1.4×
Vent Mgmt Inpat Init Day (94002) $586.60 $2,095 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $586.60 $2,095 1.0×
Visual Evoked Potential Test (95930) $266.56 $952 1.4×
Visual Field Exam Extended (92083) $96.60 $345 0.8×
Visual field xm uni/bi w/interp intermed exam (92082) $24.08 $86 0.5×
Visual field xm uni/bi w/interpretj limited exam (92081) $24.08 $86 0.5×
Visual reinforcement audiometry (vra) (92579) $59.92 $214 0.3×
Vital capacity, total (94150) $89.60 $320 0.8×
Wada Activation Test Hemispheric Function W/Eeg (95958) $394.80 $1,410 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $32.76 $117 1.1×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $24.08 $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.