Visits & medical services prices at Ochsner Medical Center - New Orleans

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650)
unusually low: confirm this is the full procedure		 $2,874.96 $13,068 0.4×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $36.96 $168 0.3×
Acoustic Reflex Testing (92568) $9.46 $43 0.3×
Actigraphy Testing Recording Analysis I&R (95803) $80.30 $365 1.5×
Actinotherapy Ultraviolet Light (96900) $12.76 $58 0.4×
Acupunct W/Stimul 15 Min (97813)
range across 2 matching MRF lines		 $21.56–$22.66 $98–$103 varies
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $21.12 $96 0.8×
Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) $8.58 $39 0.1×
Adaptive behavior tx by protocol tech ea 15 min (97153) $3.08 $14 0.0×
Advncd Care Plan 30 Min (99497) $23.76 $108 0.2×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $46.86 $213 0.2×
Aep neurodiagnostic i&r (92653) $189.64 $862 0.9×
Aep threshold estimation mlt frequencies i&r (92652) $189.64 $862 0.9×
Airway Inhalation Treatment (94640) $50.60 $230 0.2×
Airway resistance by oscillometry (94728) $79.64 $362 0.7×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $28.60 $130 0.8×
Allg tstg perq & ic venoms immed react w/i&r (95017) $28.60 $130 1.1×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $74.80 $340 0.6×
Analyze neurostim complex (95972) $135.30 $615 1.5×
Analyze neurostim no prog (95970) $76.34 $347 0.6×
Analyze Neurostim Simple (95971) $135.30 $615 1.5×
Analyze Pacemaker System (93724) $86.46 $393 0.3×
Ans parasymp & symp w/tilt (95924) $51.26 $233 0.3×
Ant sgm imaging w/microscopy endothelial analy (92286) $34.76 $158 0.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $16.50 $75 1.1×
Application Modality 1/> Areas Infrared (97026) $61.82 $281 9.3×
Application on-body injector (96377) $13.20 $60 0.3×
Arrhythmia Induction (93618) $1,880.56 $8,548 1.6×
Art pressure waveform analys (93050) $29.26 $133 1.1×
Assessment of aphasia per hr (96105) $91.74 $417 0.9×
Assessment of tinnitus (92625) $81.62 $371 0.7×
Audiometry Air & Bone (92553) $36.96 $168 0.3×
Basic vestibular evaluation (92540) $116.38 $529 0.6×
Behavior id assessment by phys/qhp ea 15 min (97151) $8.58 $39 0.1×
Behavior id support assmt by 1 tech ea 15 min (97152) $32.12 $146 0.3×
Behavral qualit analys voice (92524) $67.32 $306 0.6×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $34.98 $159 0.4×
Biofeedback training any modality (90901) $82.06 $373 2.0×
Bis Xtracell Fluid Analysis (93702) $129.58 $589 1.1×
Blink reflex test (95933) $23.10 $105 0.4×
Breath hydrogen/methane test (91065) $97.46 $443 0.5×
Breathing response to hypoxia (94450) $87.34 $397 0.7×
Brief Emotional/Behav Assmt (96127) $3.30 $15 0.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $87.34 $397 0.2×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure		 $2,256.76 $10,258 0.3×
Caloric vestibular test w/rec bi monothermal (92538) $253.22 $1,151 1.2×
Caloric Vstblr Test W/Rec (92537) $253.22 $1,151 2.1×
Canalith repositioning proc (95992) $25.52 $116 0.6×
Car seat/bed test 60 min (94780) $69.74 $317 2.0×
Cardiac Stress Tst,Tracing Only (93017) $169.84 $772 0.8×
Cardiopulmonary exercise testing (94621) $246.62 $1,121 0.7×
Cardiopulmonary resuscitation (92950) $223.74 $1,017 1.1×
Cardioversion (92960) $500.28 $2,274 0.8×
Cardioversion elective internal (92961) $500.28 $2,274 0.8×
Caregiver hlth risk assmt score doc stnd instrm (96161) $2.42 $11 0.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $15.18 $69 0.6×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $4,661.58 $21,189 1.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $4,661.58 $21,189 1.5×
Cbt 1st hour (94644) $105.60 $480 0.8×
Cervical & Ocular Vemp Testing W/I&R (92519) $163.46 $743 0.8×
Cervical Vemp Testing W/I&R (92517) $85.80 $390 0.7×
Chemo Admin Peritoneal Cavity (96446) $102.74 $467 0.3×
Chemo Anti-Neopl Sq/Im (96401) $75.68 $344 1.1×
Chemo Hormon Antineopl Sq/Im (96402) $47.74 $217 0.7×
Chemo Ia Push (96420) $131.34 $597 0.4×
Chemo Intralesional Over 7 (96406)
range across 2 matching MRF lines		 $96.14–$179.08 $437–$814 varies
Chemo intralesional up to 7 (96405) $32.78 $149 0.5×
Chemo IV infusion addl hr (96415) $42.46 $193 0.6×
Chemo IV push addl drug (96411) $79.64 $362 1.2×
Chemother Prolong Infuse W/Pump (96416) $204.38 $929 0.7×
Chemotherapy Into Cns (96450) $111.54 $507 0.4×
Chemotherapy Unspecified (96549) $24.64 $112 0.6×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $1,166.66 $5,303 3.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $93.06 $423 1.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $188.54 $857 0.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $139.26 $633 0.4×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542)
range across 2 matching MRF lines		 $50.60–$72.60 $230–$330 varies
Chest Wall Manipulation (94668) $31.46 $143 0.3×
Chron Care Mgmt Srvc 20 Min (99490) $32.56 $148 0.3×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $246.62 $1,121 0.7×
Cmptr ophth dx img ant segmt (92132) $57.64 $262 1.0×
Colon Motility 6 Hr Study (91117) $223.08 $1,014 1.1×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $34.76 $158 0.6×
Color/duplex Doppler, complete (93975) $195.36 $888 0.9×
Color/duplex Doppler, limited (93976) $174.68 $794 1.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $37.18 $169 1.2×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $58.96 $268 0.4×
Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) $241.12 $1,096 0.3×
Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) $155.98 $709 0.4×
Comprehensive Hearing Test (92557) $36.96 $168 0.3×
Computerized dynamic posturography (92548) $34.76 $158 0.3×
Computerized Ophthalmic Imaging Optic Nerve (92133) $64.02 $291 1.2×
Computerized Ophthalmic Imaging Retina (92134)
range across 2 matching MRF lines		 $64.02–$128.04 $291–$582 varies
Conditioning Play Audiometry (92582) $41.36 $188 0.3×
Cont gluc mntr physician/qhp provided equiptment (95250) $109.56 $498 0.9×
Cont Gluc Mntr Pt Prov Eqp (95249) $33 $150 0.6×
Contact Lens Fit,Corneoscleral Lens (92313) $32.12 $146 0.3×
Continuous Pulse Ox (94762) $98.56 $448 0.8×
Corneal Topography (92025) $109.34 $497 2.0×
Coronary Art/Grft Angio S&I (93455) $4,661.58 $21,189 1.5×
Coronary Artery Angio S&I (93454) $4,661.58 $21,189 1.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $113.52 $516 0.6×
Cpt initial (94667) $31.46 $143 0.3×
Critical care first hour (99291) $1,097.80 $4,990 1.4×
Debridement Open Wound 20 Sq Cm< (97597) $58.08 $264 0.3×
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) $694.32 $3,156 3.7×
Developmental tst admin phys/qhp 1st hour (96112) $51.04 $232 0.4×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $42.24 $192 0.3×
Dialysis One Evaluation (90945)
range across 6 matching MRF lines		 $514.80–$823.68 $2,340–$3,744 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $82.28 $374 0.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $121.66 $553 0.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $108.68 $494 1.1×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $145.64 $662 1.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $195.36 $888 0.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $108.68 $494 1.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $174.68 $794 0.8×
Dup-scan xtr veins unilateral/limited study (93971) $108.68 $494 1.1×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $299.64 $1,362 1.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $67.98 $309 0.7×
Duplex Scan Hemodialysis Access (93990) $108.68 $494 1.1×
Duplex up extrem art bilat (93930) $174.68 $794 0.8×
Duplex up extrem art unilat/ltd (93931) $108.68 $494 1.1×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $90.20 $410 0.7×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $56.76 $258 0.5×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $72.60 $330 0.6×
Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) $72.38 $329 0.4×
Ear and throat examination (92502) $11,252.30 $51,146.81 22.2×
Ear Protector Evaluation (92596) $16.06 $73 0.5×
ECG/monitoring and analysis (93271) $156.20 $710 1.8×
Echo Congenital Complete (93303) $217.14 $987 0.4×
Echo Heart Xthoracic,Limited (93308) $103.40 $470 0.5×
Echo transesophageal (93312) $405.90 $1,845 0.8×
Echo Transesophageal - Congenital Tee Complete (93315) $405.90 $1,845 0.8×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $495.66 $2,253 1.0×
Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) $53.90 $245 1.5×
Eeg 41-60 Minutes (95812) $246.84 $1,122 1.2×
EEG awake and asleep (95819) $203.28 $924 1.0×
EEG awake drowsy (95816) $223.30 $1,015 1.1×
EEG cerebral death evaluation (95824) $161.04 $732 0.5×
EEG cont rec w/video by tech min 8 channels (95700) $433.84 $1,972 2.1×
EEG extended monitoring 61-119 minutes (95813) $286.88 $1,304 1.4×
Eeg Sleep Only (95822) $267.74 $1,217 1.3×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $433.84 $1,972 2.1×
EEG w/o vid 2-12hr cont mntr (95707) $433.84 $1,972 2.1×
EEG w/o vid ea 12-26hr intmt (95709) $832.04 $3,782 2.4×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $832.04 $3,782 2.4×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $433.84 $1,972 2.1×
EEG wo vid ea 12-26hr unmntr (95708) $832.04 $3,782 2.4×
EKG signal averaged (93278) $57.86 $263 1.0×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $22.66 $103 0.3×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $71.28 $324 0.8×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $22.66 $103 0.6×
Electrical Stimulation Ea 15 Min (97032) $21.78 $99 1.5×
Electro-Oculography (92270) $16.72 $76 0.1×
Electrocardiogram Tracing (93005) $25.96 $118 0.5×
Electrocochleography (92584) $55.88 $254 0.5×
Electroconvulsive Therapy (90870) $378.62 $1,721 0.5×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
likely a partial charge, not the full procedure		 $1,948.76 $8,858 0.3×
Electrophysiology Evaluation (93642) $657.14 $2,987 0.6×
Emergency Dept Visit Level 2 (99282) $153.34 $697 1.1×
Emergency Dept Visit Level 3 (99283) $243.54 $1,107 1.0×
Emergency Dept Visit Level 4 (99284) $423.72 $1,926 1.1×
Emg 3 Extremities (95863) $76.34 $347 0.6×
Emg 4 Extremities (95864) $76.34 $347 0.6×
Endomyocardial Biopsy (93505) $1,368.18 $6,219 0.5×
Ep & ablate supravent arrhyt (93653) $12,804.22 $58,201 0.5×
Ep & ablate ventric tachy (93654) $12,804.22 $58,201 0.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure		 $2,338.60 $10,630 0.3×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure		 $2,338.60 $10,630 0.3×
Ep Esophageal Recording Atria+Pacing (93616) $1,880.56 $8,548 1.6×
Er level 1 (99281) $139.26 $633 1.8×
Er level v (99285) $466.18 $2,119 0.8×
Ergonovine provocation test (93024) $141.68 $644 0.3×
Esophgl Balo Distension Dx Std W/Provocation (91040) $391.16 $1,778 1.1×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $243.98 $1,109 0.7×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $81.62 $371 0.7×
Evaluate pt use of inhaler (94664) $50.60 $230 0.2×
Evaluate Speech Production (92522) $64.68 $294 0.6×
Evaluate Swallowing Function (92610) $199.98 $909 2.4×
Evaluation of speech fluency (92521) $79.64 $362 0.6×
Evoked Auditory Test,Limited (92587) $433.84 $1,972 2.1×
Exercise test for bronchospasm (94617) $130.90 $595 1.0×
Exhaled Air Analysis O2 (94680) $22 $100 0.2×
External ECG rec>48hr<7d recording (93242) $99 $450 2.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $99 $450 0.8×
External ECG rec>7d<15d recording (93246) $101.86 $463 2.9×
External ECG rec>7d<15d scanning alys w/report (93247) $101.86 $463 0.8×
External Ecg Scanning Analysis Report (93226) $69.96 $318 1.3×
Extracranial Bilat Study (93880) $174.68 $794 0.8×
Extracranial Uni/Ltd Study (93882) $174.68 $794 1.8×
Eye exam w anesth; complete (92018) $8,093.11 $36,786.86 3.6×
Eye exam w anesth; limited (92019) $1,795.42 $8,161 0.8×
Eye Exam With Photos (92230) $159.50 $725 0.5×
F-up/limited tthrc echo congenital car anomaly (93304) $132.44 $602 0.3×
Facial nerve function studies (92516) $28.82 $131 0.1×
Family adapt bhv tx gdn phys/qhp ea 15 min (97156) $8.58 $39 0.2×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $190.08 $864 1.3×
Flexible endoscopic eval swallow c/v rec (92612) $200.86 $913 1.0×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $265.98 $1,209 1.2×
Fluorescein angiography (92235)
range across 2 matching MRF lines		 $82.28–$164.56 $374–$748 varies
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $140.58 $639 0.7×
Full Field Electroretinography W/I&R (92273) $303.16 $1,378 1.5×
Fundus photography (92250) $34.76 $158 0.3×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $243.98 $1,109 0.7×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $243.98 $1,109 1.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $517 $2,350 0.6×
Gi tract capsule endoscopy (91110) $686.40 $3,120 0.8×
Gi wireless capsule measure (91112) $451 $2,050 0.5×
Gonioscopy (92020) $34.76 $158 0.3×
Group adaptive bhv tx by protocol tech ea 15 min (97154) $1.32 $6 0.0×
Group Therapeutic Procedures (97150) $23.98 $109 1.3×
Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) $8.58 $39 0.2×
Health Behavior Assessment/Re-Assessment (96156) $47.52 $216 0.5×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $16.72 $76 0.5×
Health behavior ivntj group f2f 1st 30 min (96164) $16.72 $76 0.5×
Health behavior ivntj indiv f2f 1st 30 min (96158) $47.52 $216 0.3×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $4,661.58 $21,189 1.5×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $772.86 $3,513 1.2×
High altitude simulation test (94452) $53.68 $244 0.4×
Holter monitor recording (93225) $69.96 $318 0.6×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $10.56 $48 0.3×
Icd Device Interrogate (93289) $100.98 $459 2.9×
Icd device progr eval dual (93283) $100.98 $459 2.9×
Icd Device Progr Eval Mult (93284) $100.98 $459 2.9×
Icm Device Eval (93290) $26.62 $121 0.8×
Ilr Device Eval Progr (93285) $59.62 $271 1.7×
Ilr Device Interrogate (93291) $59.62 $271 2.2×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines		 $11.44–$16.72 $52–$76 varies
Img retina detcj/mntr ds poc auton a/r uni/bi (92229) $23.98 $109 0.4×
Img retina detcj/mntr ds rem clin staff uni/bi (92227)
range across 2 matching MRF lines		 $6.82–$56.76 $31–$258 varies
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $8.58 $39 0.2×
Immunization administration (90471)
range across 2 matching MRF lines		 $9.46–$16.72 $43–$76 varies
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $82.28 $374 0.4×
Ingestion challenge test initial 120 minutes (95076) $347.82 $1,581 1.0×
Insert/Place Heart Catheter (93503) $836.22 $3,801 0.6×
Interrogate Subq Defib (93261) $33.66 $153 1.0×
Interrogation vad in person (93750) $124.08 $564 1.4×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure		 $2,256.76 $10,258 0.3×
Intra-atrial recording (93602)
unusually low: confirm this is the full procedure		 $2,256.76 $10,258 0.3×
Intracranial Complete Study (93886) $174.68 $794 0.8×
Intracutaneous tests w/allergenic extracts (95024) $18.48 $84 0.3×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure		 $2,256.76 $10,258 0.3×
Io anal gast n-stim subsq (95981) $84.70 $385 1.5×
Io ga n-stim subsq w/reprog (95982) $134.64 $612 3.8×
Iontophoresis 15 min (97033) $29.70 $135 1.6×
Irrig Drug Delivery Device (96523) $32.12 $146 0.6×
IV infusion hydration each additional hour (96361) $16.72 $76 0.4×
IV infusion hydration initial 31 min-1 hour (96360) $55.22 $251 0.3×
IV infusion therapy prophylaxis/dx ea hour (96366) $21.56 $98 0.5×
IV push initial (96374) $67.32 $306 0.3×
L Hrt Art/Grft Angio (93459) $4,661.58 $21,189 1.5×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $3,697.10 $16,805 1.2×
Laryngeal Function Studies (92520) $34.76 $158 0.3×
Liver Elastography W/O Imag W/I&R (91200) $206.58 $939 1.7×
Low frequency non-thermal us (97610) $128.26 $583 0.7×
Lung Function Test (Mbc/Mvv) (94200) $59.62 $271 1.1×
Lwr Xtr Vasc Stdy Bilat (93924) $109.56 $498 0.5×
Mechanical chest wall oscillation per session (94669) $60.28 $274 0.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines		 $14.74–$22 $67–$100 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $53.68 $244 1.5×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $13.42 $61 0.8×
Methacholine challenge (94070) $246.62 $1,121 0.7×
Microvolt T-Wave Assess (93025) $141.68 $644 1.2×
Motility study esophagus (91010) $243.98 $1,109 0.7×
Motion Fluoroscopy/Swallow (92611) $199.10 $905 2.2×
Multifocal Electroretinography W/I&R (92274) $294.58 $1,339 2.4×
Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) $8.58 $39 0.2×
Multiple Sleep Latency Test (95805) $760.76 $3,458 0.9×
Muscle Test 2 Limbs (95861) $76.34 $347 0.6×
Muscle Test Nonparaspinal (95870) $41.36 $188 0.3×
Muscle Test One Limb (95860) $76.34 $347 0.6×
Nasopharyngoscopy (92511) $73.26 $333 0.4×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $76.34 $347 0.4×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $63.58 $289 0.3×
Needle electromyography larynx (95865) $55.22 $251 0.4×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $41.36 $188 0.2×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $562.54 $2,557 2.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $132.66 $603 0.3×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $132.66 $603 0.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $72.16 $328 0.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $90.20 $410 0.2×
Nerve Conduction Studies 1-2 Studies (95907) $49.72 $226 0.2×
Nerve Conduction Studies 11-12 Studies (95912) $133.54 $607 0.4×
Nerve conduction studies 13 or more studies (95913) $133.54 $607 0.4×
Nerve Conduction Studies 3-4 Studies (95908) $69.74 $317 0.3×
Nerve conduction studies 5-6 studies (95909) $69.74 $317 0.3×
Nerve conduction studies 7-8 studies (95910) $140.80 $640 0.4×
Nerve Conduction Studies 9-10 Studies (95911) $133.54 $607 0.4×
Neurobehavioral Status Exam (96116) $63.36 $288 0.3×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $76.34 $347 0.6×
Neuromuscular Reeducation (97112) $39.60 $180 1.2×
Newborn resuscitation (99465) $169.18 $769 0.3×
Nitric oxide expired gas determination (95012) $59.18 $269 1.7×
Nonphysician Telephone Assessment 11-20 Min (98967) $12.10 $55 0.5×
Nonphysician Telephone Assessment 21-30 Min (98968) $18.70 $85 0.5×
Nonphysician Telephone Assessment 5-10 Min (98966) $6.16 $28 0.4×
Nrpsyc tst eval phys/qhp 1st (96132) $82.28 $374 0.2×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $72.38 $329 0.2×
Ocular Vemp Testing W/I&R (92518) $85.80 $390 0.7×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $34.76 $158 0.3×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $33.44 $152 0.3×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $25.96 $118 0.2×
Ophth medical xm&eval intermediate estab pt (92012) $25.30 $115 0.2×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $33.44 $152 0.3×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $33.44 $152 0.6×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $33.44 $152 0.6×
Optokinetic Nystagmus Test (92544) $82.50 $375 0.7×
Oral Function Therapy (92526) $199.98 $909 2.4×
Oral Speech Device Eval (92597) $48.40 $220 0.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $32.12 $146 0.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $43.12 $196 0.9×
Oscillating Tracking Test (92545) $82.50 $375 0.4×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $9.02 $41 0.4×
Osteopathic manipulative tx 3-4 body regions (98926) $14.96 $68 0.7×
Osteopathic manipulative tx 5-6 body regions (98927) $14.96 $68 0.7×
Osteopathic manipulative tx 7-8 body regions (98928) $14.96 $68 0.7×
Osteopathic manipulative tx 9-10 body regions (98929) $14.96 $68 0.7×
Ot Contrast Bath Ea 15 Min (97034)
range across 2 matching MRF lines		 $12.32–$82.06 $56–$373 varies
Ot eval high complexity (97167) $108.90 $495 1.1×
Ot Eval Low Complex (97165) $108.90 $495 1.1×
Ot Eval Moderate Complexity (97166) $108.90 $495 1.1×
Ot manual therapy 15 min (97140) $36.08 $164 1.3×
Ot paraffin bath (97018) $9.90 $45 1.6×
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines		 $38.72–$67.76 $176–$308 varies
Ot Re-Eval Est Plan Care (97168) $57.64 $262 0.8×
Ot rom hand (95852) $82.06 $373 3.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $39.82 $181 0.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $24.42 $111 0.2×
Oxygen Uptake Rest Indirect (94690) $87.34 $397 1.6×
Patch/Application Test Specify Number Tests (95044) $3.74 $17 0.0×
Pdt dstr prmlg les skn illum/activj per day (96567) $77 $350 0.4×
Penile Vascular Study,Ltd or F/U (93981) $90.64 $412 0.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $93.28 $424 0.5×
Percutaneous tests w/allergenic extracts (95004) $9.68 $44 0.0×
Perq transcath closure pda (93582)
likely a partial charge, not the full procedure		 $4,806.78 $21,849 0.3×
Perq Transcath Cls Aortic (93591) $9,116.58 $41,439 0.5×
Perq Transcath Cls Mitral (93590) $9,116.58 $41,439 0.5×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $5,855.52 $26,616 1.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $8,893.50 $40,425 0.8×
Phlebotomy therapeutic (99195) $51.04 $232 0.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $86.46 $393 1.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $86.46 $393 1.6×
Physical Performance Test (97750)
range across 4 matching MRF lines		 $25.08–$196.24 $114–$892 varies
Plethysmography (94726) $79.64 $362 0.2×
Pm device eval in person (93288) $59.62 $271 1.7×
Pm device progr eval dual (93280) $59.62 $271 1.7×
Pm device progr eval multi (93281) $59.62 $271 1.7×
Pm Device Progr Eval Sngl (93279) $59.62 $271 1.7×
Pm/Icd Remote Tech Serv (93296) $24.64 $112 0.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $978.56 $4,448 1.2×
Polysom <6 yrs 4/> paramtrs (95782) $1,087.46 $4,943 1.3×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,132.56 $5,148 1.4×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $705.10 $3,205 0.9×
Positional nystagmus test (92542) $34.76 $158 0.3×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $12.32 $56 0.3×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $12.32 $56 0.3×
Prepj& antigen allergen immunotherapy 2 insect (95146) $12.32 $56 0.3×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $33 $150 0.5×
Prepj& antigen allergen immunotherapy 5 insect (95149) $32.34 $147 0.5×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) $109.12 $496 0.3×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $40.48 $184 1.2×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $100.98 $459 2.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $5.72 $26 0.1×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $6.60 $30 0.2×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $23.76 $108 0.4×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) $12.32 $56 0.3×
Prq Card Angio/Athrect 1 Art (92924) $11,165.22 $50,751 1.0×
Prq Card Stent W/Angio 1 Vsl (92928) $8,893.50 $40,425 0.8×
Prq Card Stent/Ath/Angio (92933) $8,893.50 $40,425 0.5×
Prq Revasc Byp Graft 1 Vsl (92937) $8,893.50 $40,425 0.8×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $8,966.54 $40,757 0.5×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
unusually low: confirm this is the full procedure		 $3,844.06 $17,473 0.4×
Psych diag eval w/med srvcs (90792) $38.72 $176 0.2×
Psychiatric diagnostic evaluation (90791) $44.22 $201 0.3×
Psychological tst eval svc phys/qhp first hour (96130) $63.36 $288 0.3×
Psycl/Nrpsyc Tst Auto Result (96146) $10.56 $48 0.4×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $24.64 $112 0.1×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $17.16 $78 0.1×
Psytx Crisis Initial 60 Min (90839) $38.72 $176 0.2×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $82.06 $373 2.2×
Pt Eval High Complex (97163) $101.42 $461 1.0×
Pt eval low complex 20 min (97161) $101.42 $461 1.0×
Pt Eval Mod Complex (97162) $101.42 $461 1.0×
Pt gait training 15 min (97116) $33.88 $154 1.2×
Pt group caregiver training (97552) $12.76 $58 0.6×
Pt mechanical traction (97012) $19.80 $90 1.4×
Pt Re-Eval Est Plan Care (97164) $46.20 $210 0.7×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $2.42 $11 0.1×
Pulm function test by gas (94727) $79.64 $362 0.4×
Pulmonary service/procedure (94799)
range across 6 matching MRF lines		 $59.62–$113.52 $271–$516 varies
Pulmonary Stress Testing (94618) $87.34 $397 0.7×
Pure Tone Audiometry Air (92552) $29.48 $134 0.2×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $5.50 $25 0.2×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $3.30 $15 0.3×
R Hrt Art/Grft Angio (93457) $4,661.58 $21,189 1.5×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $3,697.10 $16,805 1.2×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $3,697.10 $16,805 1.2×
R hrt coronary artery angio (93456) $4,661.58 $21,189 1.5×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $3,697.10 $16,805 1.2×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $3,697.10 $16,805 1.2×
R&L Hrt Cath W/Ventriclgrphy (93453) $4,661.58 $21,189 1.5×
Rapid Desensitization Procedure Each Hour (95180) $109.12 $496 0.3×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $52.58 $239 0.2×
Refill/Maint Portable Pump (96521) $146.96 $668 0.7×
Refill/Maint Pump/Resvr Syst (96522) $117.26 $533 0.6×
Rem interrog icpms <30 d phys/qhp (93297) $22 $100 0.6×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $22 $100 0.6×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $8.80 $40 0.3×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $30.58 $139 0.2×
Rem Mntr Wrls P-Art Prs Snr (93264) $34.10 $155 1.0×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $21.78 $99 0.6×
Rem ther mntr dev sply resp (98976) $21.78 $99 0.6×
Remote 30 Day Ecg Rev/Report (93270) $156.20 $710 4.5×
Remote 30 Day Ecg Tech Supp (93229) $866.80 $3,940 2.5×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $30.80 $140 0.2×
Respiratory flow volume loop (94375) $59.62 $271 0.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $25.96 $118 0.5×
Right Heart Cath (93451) $4,661.58 $21,189 1.5×
Right ventricular recording (93603) $2,256.76 $10,258 2.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines		 $92.84–$135.52 $422–$616 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $82.06 $373 3.2×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $87.34 $397 0.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $22 $100 0.5×
Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) $35.42 $161 0.3×
Self Care Mngment Training (97535) $40.70 $185 1.3×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $18.48 $84 0.3×
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines		 $36.08–$67.76 $164–$308 varies
Short-latency somatosens ep std upr limbs (95925) $177.76 $808 0.9×
Sleep study unattended (95806) $174.02 $791 0.9×
Slp caregiver training 1st 30 min (97550) $30.58 $139 0.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $196.02 $891 1.0×
Speech Audiometry Complete (92556) $21.34 $97 0.4×
Speech audiometry threshold (92555) $13.42 $61 0.2×
Speech sound lang comprehen (92523) $134.20 $610 0.6×
Spin/Brain Pump Refil & Main (95991) $80.96 $368 0.3×
Spirometry (94010) $87.34 $397 0.4×
Spontaneous Nystagmus Test (92541) $34.76 $158 0.3×
Ssep lower limbs (95926) $99.22 $451 0.5×
Standardized Cognitive Performance Testing (96125)
range across 2 matching MRF lines		 $68.64–$151.14 $312–$687 varies
Stenger Test Speech (92577) $122.32 $556 0.3×
Stenger Test, Pure Tone (92565) $9.02 $41 0.2×
Stress Tte Only (93350) $181.06 $823 0.4×
Surfactant Admin Thru Tube (94610) $50.60 $230 0.2×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $108.68 $494 1.1×
Temp transcutaneous pacing (92953) $186.34 $847 0.3×
Testing Autonomic Nervous System Function (95923) $76.34 $347 0.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $14.52 $66 0.6×
Ther Ivntj Ea Addl 15 Min (97130) $13.86 $63 0.7×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $45.54 $207 1.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $30.58 $139 1.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $92.62 $421 0.9×
Ther/Proph/Diag Inj Ia (96373) $67.32 $306 0.3×
Ther/Proph/Diag Inj Sc/Im (96372) $20.46 $93 0.3×
Ther/Proph/Diag Iv Inf Init (96365) $67.32 $306 0.3×
Therapeutic Activities (97530) $40.70 $185 1.2×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $287.98 $1,309 0.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $12.10 $55 0.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $12.10 $55 0.3×
Tone Decay Test (92563) $17.38 $79 0.5×
Trans Care Mgmt 14 Day Disch (99495) $47.30 $215 0.4×
Trans Care Mgmt 7 Day Disch (99496) $62.26 $283 0.5×
Transcath Closure of Asd (93580)
likely a partial charge, not the full procedure		 $4,806.78 $21,849 0.3×
Transcranial Doppler Intracran Art Emboli Detect (93892) $108.68 $494 1.1×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $108.68 $494 1.1×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $100.98 $459 2.9×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $76.34 $347 0.6×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $48.62 $221 0.4×
Tte w/doppler, complete (93306) $495.66 $2,253 1.0×
Tte W/O Doppler Complete (93307) $217.14 $987 1.0×
Tx atrial fib pulm vein isol (93656) $12,804.22 $58,201 0.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $98.34 $447 1.3×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $15.40 $70 0.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $23.32 $106 0.5×
Tympanometry (92567) $8.80 $40 0.3×
Tympanometry and reflex threshold measurements (92550) $36.96 $168 0.2×
Unlisted cardiovascular service/procedure (93799)
range across 34 matching MRF lines		 $64.24–$4,504.72 $292–$20,476 varies
Unlisted Diagnostic Gastroenterology Procedure (91299) $129.58 $589 1.1×
Unlisted noninvasive vascular diagnostic study (93998)
range across 3 matching MRF lines		 $165.44–$181.94 $752–$827 varies
Unlisted otorhinolaryngological service (92700) $24.42 $111 0.9×
Unlisted Special Dermatological Service/Px (96999)
range across 3 matching MRF lines		 $33.88–$101.64 $154–$462 varies
Upr/L Xtremity Art 2 Levels (93922) $109.56 $498 0.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $109.56 $498 0.5×
Valvuloplasty aortic valve (92986) $5,027 $22,850 0.9×
Valvuloplasty mitral valve (92987)
unusually low: confirm this is the full procedure		 $5,027 $22,850 0.5×
Valvuloplasty pulmonary valve (92990)
unusually low: confirm this is the full procedure		 $5,027 $22,850 0.5×
Vasopneumatic device (97016) $20.02 $91 1.7×
Veeg 2-12 Hr Cont Mntr (95713) $832.04 $3,782 2.4×
Veeg 2-12 hr intmt mntr (95712) $433.84 $1,972 1.2×
Veeg 2-12 hr unmonitored (95711) $433.84 $1,972 2.1×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $832.04 $3,782 2.4×
Veeg Ea 12-26 Hr Unmntr (95714) $832.04 $3,782 2.4×
Veeg ea 12-26hr cont mntr (95716) $1,557.60 $7,080 1.9×
Vent Mgmt Inpat Init Day (94002) $228.58 $1,039 0.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $228.58 $1,039 0.4×
Visual Evoked Potential Test (95930) $177.76 $808 0.9×
Visual Field Exam Extended (92083)
range across 2 matching MRF lines		 $34.76–$69.52 $158–$316 varies
Visual field xm uni/bi w/interp intermed exam (92082) $18.48 $84 0.3×
Visual field xm uni/bi w/interpretj limited exam (92081) $18.48 $84 0.3×
Visual reinforcement audiometry (vra) (92579) $36.96 $168 0.2×
Vital capacity, total (94150) $59.62 $271 0.5×
Wada Activation Test Hemispheric Function W/Eeg (95958) $303.60 $1,380 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $37.62 $171 1.2×
Whirlpool Therapy (97022) $21.56 $98 1.4×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $34.32 $156 0.6×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285)
range across 2 matching MRF lines		 $18.48–$36.96 $84–$168 varies

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