Visits & medical services prices at Ochsner University Hospital & Clinics

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

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

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ProcedurePosted cashPosted gross× Medicare
Advncd Care Plan 30 Min (99497) $34.06 $131 0.4×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $91.52 $352 0.5×
Aep threshold estimation mlt frequencies i&r (92652) $210.60 $810 1.1×
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines
$32.24–$32.76 $124–$126 varies
Airway resistance by oscillometry (94728) $169.52 $652 1.5×
Analyze neurostim no prog (95970)
range across 2 matching MRF lines
$29.50–$66.30 $59–$255 varies
Ant sgm imaging w/microscopy endothelial analy (92286) $149.50 $575 1.2×
Appl modality 1+ areas lllt po pain reduction (97037) $27.56 $106 0.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $33.80 $130 2.4×
Application on-body injector (96377) $34.06 $131 0.8×
Assessment of aphasia per hr (96105) $119.60 $460 1.2×
Audiometry Air & Bone (92553) $99.32 $382 0.9×
Basic vestibular evaluation (92540) $114.40 $440 0.6×
Behavral qualit analys voice (92524) $228.02 $877 2.1×
Biofeedback training any modality (90901) $57.98 $223 1.4×
Brief Emotional/Behav Assmt (96127) $2.86 $11 0.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$16.50–$115.18 $33–$443 varies
Caloric vestibular test w/rec bi monothermal (92538) $131.04 $504 0.7×
Caloric Vstblr Test W/Rec (92537) $118.04 $454 1.0×
Canalith repositioning proc (95992)
range across 3 matching MRF lines
$46.50–$96.98 $93–$373 varies
Cardiac Stress Tst,Tracing Only (93017) $208.26 $801 1.1×
Cardiopulmonary resuscitation (92950) $190.32 $732 1.0×
Cardioversion (92960) $771.68 $2,968 1.3×
Cardioversion elective internal (92961) $507 $1,950 0.8×
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) $3,383.64 $13,014 1.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,383.64 $13,014 1.2×
Cbt 1st hour (94644) $68.90 $265 0.6×
Cervical Vemp Testing W/I&R (92517) $92.04 $354 0.8×
Chemo Admin Peritoneal Cavity (96446) $101.40 $390 0.3×
Chemo Anti-Neopl Sq/Im (96401) $43.16 $166 0.7×
Chemo Hormon Antineopl Sq/Im (96402) $43.16 $166 0.7×
Chemo IV infusion addl hr (96415) $43.16 $166 0.7×
Chemo IV push addl drug (96411) $88.14 $339 1.4×
Chemother Prolong Infuse W/Pump (96416) $239.46 $921 0.8×
Chemotherapy Into Cns (96450) $165.62 $637 0.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $88.14 $339 1.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $239.46 $921 0.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $149.76 $576 0.5×
Chest Wall Manipulation (94668) $18.98 $73 0.2×
Chron Care Mgmt Srvc 20 Min (99490) $67.34 $259 0.7×
Cmptr ophth dx img ant segmt (92132) $48.62 $187 0.9×
Color Vision Xm Extended Anomaloscope/Equiv (92283)
range across 3 matching MRF lines
$11.50–$47.84 $23–$184 varies
Color/duplex Doppler, complete (93975) $248.04 $954 1.1×
Color/duplex Doppler, limited (93976) $173.16 $666 1.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $22.36 $86 0.7×
Comprehensive Hearing Test (92557) $99.32 $382 0.9×
Computerized Ophthalmic Imaging Optic Nerve (92133) $48.62 $187 0.9×
Computerized Ophthalmic Imaging Retina (92134) $48.62 $187 0.9×
Conditioning Play Audiometry (92582) $99.32 $382 0.9×
Cont gluc mntr physician/qhp provided equiptment (95250) $119.60 $460 1.0×
Cont Gluc Mntr Pt Prov Eqp (95249) $89.70 $345 1.7×
Corneal Topography (92025) $77.48 $298 1.5×
Coronary Art/Grft Angio S&I (93455) $3,383.64 $13,014 1.2×
Coronary Artery Angio S&I (93454) $3,383.64 $13,014 1.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $115.18 $443 0.6×
Cpt initial (94667) $47.84 $184 0.4×
Critical care first hour (99291)
range across 2 matching MRF lines
$197–$558.48 $394–$2,148 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$29.50–$120.12 $59–$462 varies
Developmental tst admin phys/qhp 1st hour (96112) $46.80 $180 0.4×
Dialysis One Evaluation (90945)
range across 5 matching MRF lines
$127.14–$819 $489–$3,150 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $71.76 $276 0.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $325.52 $1,252 1.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $325.52 $1,252 3.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $178.10 $685 0.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $112.32 $432 1.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $178.10 $685 0.8×
Dup-scan xtr veins unilateral/limited study (93971) $140.14 $539 1.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $264.94 $1,019 1.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $178.10 $685 1.9×
Duplex Scan Hemodialysis Access (93990) $112.32 $432 1.2×
Duplex up extrem art bilat (93930) $178.10 $685 0.8×
Duplex up extrem art unilat/ltd (93931) $112.32 $432 1.2×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $106.60 $410 0.9×
ECG/monitoring and analysis (93271) $129.74 $499 1.5×
Echo Congenital Complete (93303) $343.46 $1,321 0.7×
Echo Heart Xthoracic,Limited (93308) $247.78 $953 1.1×
Echo transesophageal (93312) $655.20 $2,520 1.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $492.96 $1,896 1.0×
Eeg 41-60 Minutes (95812)
range across 2 matching MRF lines
$70–$194.48 $140–$748 varies
EEG awake and asleep (95819)
range across 2 matching MRF lines
$70.50–$194.48 $141–$748 varies
EEG awake drowsy (95816)
range across 2 matching MRF lines
$71–$194.48 $142–$748 varies
EEG cerebral death evaluation (95824) $203.84 $784 0.6×
EEG extended monitoring 61-119 minutes (95813) $178.62 $687 0.9×
Eeg Sleep Only (95822)
range across 2 matching MRF lines
$70.50–$189.28 $141–$728 varies
Elec alys implt brn npgt prgrmg 1st 15 min (95983)
range across 2 matching MRF lines
$208.52–$236.50 $473–$802 varies
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977)
range across 2 matching MRF lines
$61.88–$198.50 $238–$397 varies
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976)
range across 2 matching MRF lines
$19.76–$198.50 $76–$397 varies
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$33.80–$34.06 $130–$131 varies
Electrocardiogram Tracing (93005) $31.72 $122 0.6×
Electrocochleography (92584) $210.60 $810 1.8×
Emergency Dept Visit Level 2 (99282) $105.56 $406 0.8×
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$54.50–$167.70 $109–$645 varies
Emergency Dept Visit Level 4 (99284) $268.84 $1,034 0.7×
Er level 1 (99281) $62.40 $240 0.8×
Er level v (99285) $396.76 $1,526 0.7×
Esophageal Capsule Endoscopy (91111) $1,317.42 $5,067 1.6×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $230.36 $886 0.7×
Evaluate pt use of inhaler (94664) $32.76 $126 0.2×
Evaluate Speech Production (92522) $228.02 $877 2.0×
Evaluate Swallowing Function (92610) $165.62 $637 2.0×
Evaluation of speech fluency (92521) $228.02 $877 1.7×
Evoked Auditory Test,Limited (92587) $71.76 $276 0.4×
External ECG rec>48hr<7d recording (93242) $29.64 $114 0.9×
External ECG rec>48hr<7d scanning alys w/report (93243) $36.92 $142 0.3×
External Ecg Scanning Analysis Report (93226) $76.96 $296 1.4×
Extracranial Bilat Study (93880) $314.86 $1,211 1.5×
Extracranial Uni/Ltd Study (93882) $156.78 $603 1.7×
Eye Exam With Photos (92230) $185.38 $713 0.5×
Filtered Speech Test (92571) $93.86 $361 2.8×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $247.78 $953 1.6×
Fluorescein angiography (92235) $185.38 $713 0.9×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $359.84 $1,384 1.8×
Fundus photography (92250) $77.48 $298 0.6×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $272.22 $1,047 1.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $473.98 $1,823 0.6×
Gi tract capsule endoscopy (91110) $401.96 $1,546 0.5×
Gonioscopy (92020) $48.62 $187 0.4×
Group Therapeutic Procedures (97150) $46.80 $180 2.6×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $3,383.64 $13,014 1.2×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $556.66 $2,141 0.9×
Holter monitor recording (93225) $76.96 $296 0.6×
Icd Device Interrogate (93289) $40.82 $157 1.2×
Icd device progr eval dual (93283) $40.82 $157 1.2×
Icd Device Progr Eval Mult (93284) $40.82 $157 1.2×
Icm Device Eval (93290) $21.32 $82 0.6×
Ilr Device Eval Progr (93285) $40.82 $157 1.2×
Ilr Device Interrogate (93291) $40.82 $157 1.6×
Im Adm Intransl/Oral 1 Vaccine (90473) $15.86 $61 0.2×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $19.76 $76 0.4×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228)
range across 2 matching MRF lines
$19–$19.76 $38–$76 varies
Immunization administration (90471)
range across 2 matching MRF lines
$16.12–$31 $62 varies
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $77.48 $298 0.4×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $322.40 $1,240 1.0×
Inital newborn e/m (99460) $55.50 $111 0.5×
Insert/Place Heart Catheter (93503) $782.08 $3,008 0.5×
Iontophoresis 15 min (97033) $33.80 $130 1.8×
Irrig Drug Delivery Device (96523) $50.96 $196 1.0×
IV infusion hydration each additional hour (96361) $30.68 $118 0.7×
IV infusion hydration initial 31 min-1 hour (96360) $88.14 $339 0.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $30.68 $118 0.7×
IV push initial (96374) $43.16 $166 0.2×
L Hrt Art/Grft Angio (93459) $3,383.64 $13,014 1.2×
Liver Elastography W/O Imag W/I&R (91200)
range across 2 matching MRF lines
$19.50–$40.56 $39–$156 varies
Lung Function Test (Mbc/Mvv) (94200) $169.52 $652 3.2×
Lwr Xtr Vasc Stdy Bilat (93924) $124.28 $478 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $27.82 $107 0.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$32.50–$38.22 $125–$147 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $20.28 $78 1.2×
Motility study esophagus (91010) $419.90 $1,615 1.2×
Motion Fluoroscopy/Swallow (92611) $204.88 $788 2.2×
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
$440.70–$909.22 $1,695–$3,497 varies
Nasopharyngoscopy (92511) $74.88 $288 0.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$111.28–$148.72 $428–$572 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$111.54–$115.44 $429–$444 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$32.50–$138.32 $65–$532 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $150.28 $578 0.4×
Neurobehavioral Status Exam (96116) $218.66 $841 1.1×
Neuromuscular Reeducation (97112) $34.32 $132 1.0×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $17.42 $67 0.1×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $111.02 $427 0.9×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $83.46 $321 0.7×
Ophth medical xm&eval intermediate estab pt (92012) $83.46 $321 0.7×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $111.02 $427 0.9×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $77.48 $298 1.5×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $77.48 $298 1.5×
Oral Function Therapy (92526) $207.22 $797 2.5×
Oral Speech Device Eval (92597) $228.02 $877 3.2×
Orthc/Prostc Mgmt Sbsq Enc (97763) $3.90 $15 0.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$38.22–$66.56 $147–$256 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $12.22 $47 0.6×
Osteopathic manipulative tx 3-4 body regions (98926) $24.44 $94 1.3×
Osteopathic manipulative tx 5-6 body regions (98927) $26.26 $101 1.3×
Osteopathic manipulative tx 7-8 body regions (98928) $35.36 $136 1.8×
Osteopathic manipulative tx 9-10 body regions (98929) $45.50 $175 2.3×
Ot Contrast Bath Ea 15 Min (97034) $9.62 $37 0.7×
Ot eval high complexity (97167) $183.30 $705 1.8×
Ot Eval Low Complex (97165) $143.78 $553 1.4×
Ot Eval Moderate Complexity (97166) $159.38 $613 1.6×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$33.80–$46.80 $130–$180 varies
Ot paraffin bath (97018) $10.40 $40 1.7×
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$34.06–$36.14 $131–$139 varies
Ot Re-Eval Est Plan Care (97168) $106.60 $410 1.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $111.80 $430 0.6×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $5,806.58 $22,333 1.1×
Phlebotomy therapeutic (99195) $50.96 $196 0.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $102.18 $393 1.9×
Plethysmography (94726)
range across 2 matching MRF lines
$16.50–$60.58 $33–$233 varies
Pm device eval in person (93288) $40.82 $157 1.2×
Pm device progr eval dual (93280) $40.82 $157 1.2×
Pm device progr eval multi (93281) $40.82 $157 1.2×
Pm Device Progr Eval Sngl (93279) $40.82 $157 1.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $909.22 $3,497 1.2×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,040 $4,000 1.3×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $40.82 $157 1.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $30.68 $118 0.7×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $30.68 $118 0.7×
Prq Card Stent W/Angio 1 Vsl (92928) $6,270.94 $24,119 0.6×
Psych diag eval w/med srvcs (90792) $80.60 $310 0.5×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$77.74–$149.50 $299 varies
Psycl/Nrpsyc Tst Auto Result (96146) $44.46 $171 1.7×
Psytx Crisis Initial 60 Min (90839)
range across 2 matching MRF lines
$47.32–$143 $182–$286 varies
Pt Eval High Complex (97163) $139.10 $535 1.4×
Pt eval low complex 20 min (97161) $108.68 $418 1.1×
Pt Eval Mod Complex (97162) $120.90 $465 1.2×
Pt gait training 15 min (97116) $33.80 $130 1.2×
Pt group caregiver training (97552) $15.08 $58 0.7×
Pt mechanical traction (97012) $34.06 $131 2.4×
Pt Re-Eval Est Plan Care (97164) $48.62 $187 0.7×
Pulm function test by gas (94727)
range across 2 matching MRF lines
$16.50–$57.98 $33–$223 varies
Pulmonary service/procedure (94799)
range across 5 matching MRF lines
$31.98–$115.18 $123–$443 varies
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$55.38–$69.68 $213–$268 varies
Pure Tone Audiometry Air (92552) $37.18 $143 0.3×
Refill/Maint Portable Pump (96521) $149.76 $576 0.8×
Refill/Maint Pump/Resvr Syst (96522) $192.66 $741 1.0×
Remote 30 Day Ecg Rev/Report (93270) $192.40 $740 5.7×
Remote 30 Day Ecg Tech Supp (93229) $944.32 $3,632 2.8×
Respiratory flow volume loop (94375) $169.52 $652 0.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $23.92 $92 0.4×
Right Heart Cath (93451) $4,238.78 $16,303 1.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$60.50–$89.96 $121–$346 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $32.50 $125 1.2×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $91.78 $353 0.8×
Same day nb discharge (99463) $132 $264 1.1×
Self Care Mngment Training (97535)
range across 4 matching MRF lines
$35.62–$48.36 $137–$186 varies
Sensory Integration Ea 15 Min (97533) $20.54 $79 0.3×
Sleep study attended (95807) $909.22 $3,497 2.7×
Slp caregiver training 1st 30 min (97550) $36.14 $139 0.7×
Speech Audiometry Complete (92556) $37.18 $143 0.7×
Speech audiometry threshold (92555) $37.18 $143 0.7×
Speech sound lang comprehen (92523) $228.02 $877 1.0×
Spirometry (94010)
range across 3 matching MRF lines
$10.50–$69.68 $21–$268 varies
Standardized Cognitive Performance Testing (96125) $136.50 $525 1.3×
Stenger Test, Pure Tone (92565) $37.18 $143 0.7×
Stress Tte Only (93350) $491.92 $1,892 1.0×
Surfactant Admin Thru Tube (94610) $30.94 $119 0.2×
Temp transcutaneous pacing (92953) $190.32 $732 0.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $48.36 $186 2.2×
Ther Ivntj Ea Addl 15 Min (97130) $48.36 $186 2.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $14.04 $54 0.5×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$30.68–$59 $118 varies
Ther/Proph/Diag Iv Inf Init (96365) $149.76 $576 0.8×
Therapeutic Activities (97530) $46.80 $180 1.3×
Tobacco Use Cessation Intensive >10 Minutes (99407) $22.50 $45 0.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $11 $22 0.3×
Trans Care Mgmt 14 Day Disch (99495)
range across 2 matching MRF lines
$77.74–$100.50 $201–$299 varies
Trans Care Mgmt 7 Day Disch (99496) $141.50 $283 1.2×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $264.94 $1,019 2.8×
Tte w/doppler, complete (93306) $469.04 $1,804 0.9×
Tte W/O Doppler Complete (93307) $268.84 $1,034 1.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $85.80 $330 1.1×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $41.60 $160 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $43.16 $166 1.0×
Tympanometry (92567)
range across 2 matching MRF lines
$37.18–$38.22 $143–$147 varies
Tympanometry and reflex threshold measurements (92550) $37.18 $143 0.2×
Unlisted cardiovascular service/procedure (93799) $2,660.06 $10,231 22.8×
Unlisted noninvasive vascular diagnostic study (93998) $264.94 $1,019 10.1×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$9.50–$120.90 $19–$465 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $95.42 $367 0.5×
Vasopneumatic device (97016)
range across 2 matching MRF lines
$33.80–$53.56 $130–$206 varies
Veeg 2-12 hr unmonitored (95711) $203.84 $784 1.0×
Vent Mgmt Inpat Init Day (94002) $226.46 $871 0.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $233.22 $897 0.4×
Visual Field Exam Extended (92083) $77.48 $298 0.6×
Visual field xm uni/bi w/interp intermed exam (92082) $56.94 $219 1.1×
Visual field xm uni/bi w/interpretj limited exam (92081) $48.62 $187 0.9×
Visual reinforcement audiometry (vra) (92579) $99.32 $382 0.5×
Vital capacity, total (94150) $47.58 $183 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $33.80 $130 1.1×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $18.98 $73 0.6×

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.