Visits & medical services prices at Osf Little Company of Mary Medical Center
Evergreen Park, IL · every code in this section with a posted price and a Medicare benchmark.
403 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $10,516.20 | $17,527 | 1.3× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $178.20 | $297 | 1.3× |
| Acoustic Reflex Testing (92568) | $257.40 | $429 | 6.4× |
| Actigraphy Testing Recording Analysis I&R (95803) range across 2 matching MRF lines |
$92.40–$519 | $154–$865 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $196.20 | $327 | 0.8× |
| Aep neurodiagnostic i&r (92653) | $663 | $1,105 | 2.9× |
| Aep threshold estimation mlt frequencies i&r (92652) | $663 | $1,105 | 2.9× |
| Airway Inhalation Treatment (94640) | $102 | $170 | 0.4× |
| Airway resistance by oscillometry (94728) | $194.40 | $324 | 1.4× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $507 | $845 | 3.7× |
| Analyze neurostim complex (95972) | $201 | $335 | 2.0× |
| Analyze Pacemaker System (93724) | $1,547.40 | $2,579 | 4.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $80.40 | $134 | 5.6× |
| Application on-body injector (96377) | $75.60 | $126 | 1.5× |
| Arrhythmia Induction (93618) | $2,370 | $3,950 | 1.8× |
| Art pressure waveform analys (93050) | $195 | $325 | 6.3× |
| Assessment of aphasia per hr (96105) | $300 | $500 | 3.1× |
| Assessment of tinnitus (92625) | $237.60 | $396 | 1.7× |
| Audiometry Air & Bone (92553) | $150 | $250 | 1.1× |
| Basic vestibular evaluation (92540) range across 2 matching MRF lines |
$218.40–$483.60 | $364–$806 | varies |
| Behavral qualit analys voice (92524) | $358.20 | $597 | 3.3× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $61.80 | $103 | 0.8× |
| Bfb training ea addl 15 min (90913) | $42.60 | $71 | 1.3× |
| Bioimpedance Cv Analysis (93701) | $230.40 | $384 | 1.6× |
| Blink reflex test (95933) | $90.60 | $151 | 1.4× |
| Breathing response to hypoxia (94450) | $194.40 | $324 | 1.4× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$33–$108 | $55–$180 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$213.60–$580.20 | $356–$967 | varies |
| Bundle of his recording (93600) | $4,780.80 | $7,968 | 0.6× |
| C motor evoked uppr limbs (95928) range across 2 matching MRF lines |
$618.60–$2,164.20 | $1,031–$3,607 | varies |
| C motor evoked upr&lwr limbs (95939) range across 3 matching MRF lines |
$768–$3,544.20 | $1,280–$5,907 | varies |
| Caloric vestibular test w/rec bi monothermal (92538) range across 2 matching MRF lines |
$93.60–$385.20 | $156–$642 | varies |
| Caloric Vstblr Test W/Rec (92537) range across 2 matching MRF lines |
$93.60–$290.40 | $156–$484 | varies |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$118.20–$130.20 | $197–$217 | varies |
| Car seat/bed test 60 min (94780) | $187.80 | $313 | 4.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,050.60 | $1,751 | 4.5× |
| Cardiopulmonary exercise testing (94621) | $1,362 | $2,270 | 3.4× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$712.80–$991.80 | $1,188–$1,653 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$377.40–$2,833.80 | $629–$4,723 | varies |
| Cardioversion elective internal (92961) | $897.60 | $1,496 | 1.3× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $40.20 | $67 | 1.0× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $42 | $70 | 1.6× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $4,897.20 | $8,162 | 1.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $4,897.20 | $8,162 | 1.4× |
| Cbt 1st hour (94644) | $231 | $385 | 1.6× |
| Chemo Anti-Neopl Sq/Im (96401) | $252.60 | $421 | 3.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $151.20 | $252 | 2.0× |
| Chemo Ia Push (96420) | $568.20 | $947 | 1.6× |
| Chemo IV infusion addl hr (96415) | $469.80 | $783 | 6.1× |
| Chemo IV push addl drug (96411) | $345.60 | $576 | 4.5× |
| Chemother Prolong Infuse W/Pump (96416) | $510.60 | $851 | 1.4× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$466.80–$610.80 | $778–$1,018 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $391.80 | $653 | 5.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $469.80 | $783 | 1.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $393.60 | $656 | 1.1× |
| Chest Wall Manipulation (94668) | $102 | $170 | 0.7× |
| Chron Care Mgmt Srvc 20 Min (99490) | $215.40 | $359 | 2.0× |
| Cmptr ophth dx img ant segmt (92132) range across 2 matching MRF lines |
$76.80–$188.40 | $128–$314 | varies |
| Color/duplex Doppler, complete (93975) | $781.80 | $1,303 | 3.1× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$426–$1,371.60 | $710–$2,286 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $108 | $180 | 3.4× |
| Comprehensive Hearing Test (92557) | $260.40 | $434 | 1.9× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 2 matching MRF lines |
$129–$210 | $215–$350 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$129–$210 | $215–$350 | varies |
| Conditioning Play Audiometry (92582) | $257.40 | $429 | 1.9× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$465.60–$567 | $776–$945 | varies |
| Continuous Pulse Ox (94762) | $711 | $1,185 | 5.2× |
| Coronary Art/Grft Angio S&I (93455) | $4,897.20 | $8,162 | 1.4× |
| Coronary Artery Angio S&I (93454) | $4,897.20 | $8,162 | 1.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $598.80 | $998 | 2.6× |
| Cpt initial (94667) | $102 | $170 | 0.7× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$501–$2,584.80 | $835–$4,308 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) range across 2 matching MRF lines |
$328.20–$2,362.20 | $547–$3,937 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $187.80 | $313 | 0.9× |
| Developmental tst admin phys/qhp 1st hour (96112) | $331.80 | $553 | 2.4× |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $412.80 | $688 | 3.0× |
| Dialysis One Evaluation (90945) range across 5 matching MRF lines |
$545.40–$1,929.60 | $909–$3,216 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $528.60 | $881 | 1.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,482.60 | $2,471 | 5.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $793.80 | $1,323 | 7.1× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $729 | $1,215 | 6.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,264.20 | $2,107 | 4.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$432–$720.60 | $720–$1,201 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,278.60 | $2,131 | 5.0× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$441–$801 | $735–$1,335 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,593.60 | $2,656 | 6.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $729 | $1,215 | 6.5× |
| Duplex Scan Hemodialysis Access (93990) | $729 | $1,215 | 6.5× |
| Duplex up extrem art bilat (93930) | $1,204.20 | $2,007 | 4.7× |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$544.80–$729 | $908–$1,215 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $412.80 | $688 | 3.0× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $507 | $845 | 3.7× |
| ECG/monitoring and analysis (93271) | $541.20 | $902 | 5.3× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$1,584–$2,179.20 | $2,640–$3,632 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$637.80–$1,218.60 | $1,063–$2,031 | varies |
| Echo r-t 2d w/probe placement only (93313) | $1,165.20 | $1,942 | 2.0× |
| Echo transesophag montr cardiac pump functj (93318) range across 3 matching MRF lines |
$2,328–$2,714.40 | $3,880–$4,524 | varies |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$1,886.40–$2,714.40 | $3,144–$4,524 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 3 matching MRF lines |
$2,328–$2,714.40 | $3,880–$4,524 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 3 matching MRF lines |
$1,675.80–$1,873.20 | $2,793–$3,122 | varies |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$600.60–$1,059 | $1,001–$1,765 | varies |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$593.40–$790.80 | $989–$1,318 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$456–$790.80 | $760–$1,318 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$328.20–$1,326.60 | $547–$2,211 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $1,948.20 | $3,247 | 8.4× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$856.80–$1,232.40 | $1,428–$2,054 | varies |
| Eeg Sleep Only (95822) range across 3 matching MRF lines |
$360–$1,326.60 | $600–$2,211 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $2,922 | $4,870 | 12.6× |
| EEG w/o vid 2-12hr cont mntr (95707) | $2,922 | $4,870 | 12.6× |
| EEG w/o vid ea 12-26hr intmt (95709) | $4,167.60 | $6,946 | 10.4× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $4,167.60 | $6,946 | 10.4× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $2,922 | $4,870 | 12.6× |
| EEG wo vid ea 12-26hr unmntr (95708) | $4,167.60 | $6,946 | 10.4× |
| EKG signal averaged (93278) | $286.20 | $477 | 4.5× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 2 matching MRF lines |
$163.80–$238.80 | $273–$398 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$266.40–$411.60 | $444–$686 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $86.40 | $144 | 5.9× |
| Electrocardiogram Tracing (93005) | $256.80 | $428 | 4.1× |
| Electrocochleography (92584) | $580.20 | $967 | 4.2× |
| Electroconvulsive Therapy (90870) | $586.80 | $978 | 0.6× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $11,682 | $19,470 | 1.4× |
| Electrophysiology Evaluation (93642) | $3,197.40 | $5,329 | 2.5× |
| Emergency Dept Visit Level 2 (99282) | $418.20 | $697 | 2.5× |
| Emergency Dept Visit Level 3 (99283) | $713.40 | $1,189 | 2.4× |
| Emergency Dept Visit Level 4 (99284) | $1,129.80 | $1,883 | 2.5× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$381.60–$502.80 | $636–$838 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$469.20–$636 | $782–$1,060 | varies |
| Endomyocardial Biopsy (93505) | $3,144 | $5,240 | 0.9× |
| Ep & ablate supravent arrhyt (93653) | $23,759.40 | $39,599 | 0.8× |
| Ep & ablate ventric tachy (93654) | $43,344.60 | $72,241 | 1.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $11,682 | $19,470 | 1.4× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $11,682 | $19,470 | 1.4× |
| Ep Esophageal Recording Atria+Pacing (93616) | $2,187.60 | $3,646 | 1.7× |
| Er level 1 (99281) | $201 | $335 | 2.2× |
| Er level v (99285) | $1,878 | $3,130 | 2.9× |
| Esoph Atrial Electrogram (93615) | $2,187.60 | $3,646 | 1.7× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,296 | $2,160 | 3.2× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $280.20 | $467 | 2.0× |
| Evaluate pt use of inhaler (94664) | $102 | $170 | 0.4× |
| Evaluate Speech Production (92522) | $293.40 | $489 | 2.6× |
| Evaluate Swallowing Function (92610) | $309.60 | $516 | 3.6× |
| Evaluation of speech fluency (92521) | $362.40 | $604 | 2.7× |
| Evoked Auditory Test,Limited (92587) | $433.20 | $722 | 1.9× |
| Exercise test for bronchospasm (94617) | $410.40 | $684 | 2.9× |
| External ECG rec>48hr<7d recording (93242) | $190.80 | $318 | 4.8× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $541.20 | $902 | 3.8× |
| External ECG rec>7d<15d recording (93246) | $318 | $530 | 7.9× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $541.20 | $902 | 3.8× |
| External Ecg Scanning Analysis Report (93226) | $541.20 | $902 | 8.6× |
| Extracranial Bilat Study (93880) | $949.80 | $1,583 | 3.7× |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$959.40–$1,016.40 | $1,599–$1,694 | varies |
| Eye exam w anesth; complete (92018) | $3,371.40 | $5,619 | 1.3× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$1,141.80–$1,481.40 | $1,903–$2,469 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $375.60 | $626 | 1.9× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $617.40 | $1,029 | 2.7× |
| Fluorescein angiography (92235) range across 7 matching MRF lines |
$178.20–$770.40 | $297–$1,284 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) range across 3 matching MRF lines |
$618.60–$2,044.80 | $1,031–$3,408 | varies |
| Fundus photography (92250) range across 2 matching MRF lines |
$186.60–$188.40 | $311–$314 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$411–$472.20 | $685–$787 | varies |
| Group Therapeutic Procedures (97150) | $39.60 | $66 | 2.2× |
| Health Behavior Assessment/Re-Assessment (96156) range across 2 matching MRF lines |
$64.80–$99 | $108–$165 | varies |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) range across 2 matching MRF lines |
$47.40–$54 | $79–$90 | varies |
| Health behavior ivntj group f2f 1st 30 min (96164) range across 2 matching MRF lines |
$17.40–$18.60 | $29–$31 | varies |
| Health behavior ivntj indiv f2f 1st 30 min (96158) range across 2 matching MRF lines |
$204.60–$214.80 | $341–$358 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $4,897.20 | $8,162 | 1.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 3 matching MRF lines |
$1,218–$1,411.20 | $2,030–$2,352 | varies |
| Holter monitor recording (93225) | $541.20 | $902 | 3.8× |
| Icd Device Interrogate (93289) | $238.80 | $398 | 6.0× |
| Icd device progr eval dual (93283) | $486 | $810 | 12.2× |
| Icd Device Progr Eval Mult (93284) | $486 | $810 | 12.2× |
| Icm Device Eval (93290) | $400.20 | $667 | 10.0× |
| Ilr Device Eval Progr (93285) | $459.60 | $766 | 11.5× |
| Ilr Device Interrogate (93291) | $169.80 | $283 | 5.5× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
$42–$51.60 | $70–$86 | varies |
| Immunization administration (90471) range across 3 matching MRF lines |
$42–$73.80 | $70–$123 | varies |
| Inital newborn e/m (99460) | $103.80 | $173 | 0.7× |
| Insert/Place Heart Catheter (93503) range across 3 matching MRF lines |
$273.60–$3,053.40 | $456–$5,089 | varies |
| Intra-atrial pacing (93610) | $4,780.80 | $7,968 | 0.6× |
| Intra-atrial recording (93602) | $4,780.80 | $7,968 | 0.6× |
| Intracranial Complete Study (93886) range across 2 matching MRF lines |
$207.60–$1,303.20 | $346–$2,172 | varies |
| Intraventricular pacing (93612) | $4,780.80 | $7,968 | 0.6× |
| Iontophoresis 15 min (97033) | $86.40 | $144 | 4.5× |
| Irrig Drug Delivery Device (96523) | $82.80 | $138 | 1.3× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$27–$84.60 | $45–$141 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$137.40–$278.40 | $229–$464 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$52.80–$236.40 | $88–$394 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$33–$85.80 | $55–$143 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$137.40–$192.60 | $229–$321 | varies |
| L Hrt Art/Grft Angio (93459) | $4,897.20 | $8,162 | 1.4× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $7,195.80 | $11,993 | 2.1× |
| Low frequency non-thermal us (97610) range across 2 matching MRF lines |
$262.80–$278.40 | $438–$464 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $164.40 | $274 | 2.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$629.40–$1,276.20 | $1,049–$2,127 | varies |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $1,236 | $2,060 | 0.8× |
| Mechanical chest wall oscillation per session (94669) | $271.20 | $452 | 1.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$25.80–$44.40 | $43–$74 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$39–$49.80 | $65–$83 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $56.40 | $94 | 3.3× |
| Methacholine challenge (94070) | $1,896 | $3,160 | 4.7× |
| Microvolt T-Wave Assess (93025) | $284.40 | $474 | 2.1× |
| Motility study esophagus (91010) | $1,531.80 | $2,553 | 3.8× |
| Motion Fluoroscopy/Swallow (92611) | $410.40 | $684 | 4.5× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) range across 2 matching MRF lines |
$183–$251.40 | $305–$419 | varies |
| Multiple Family Group Psychotherapy (90849) | $184.80 | $308 | 1.0× |
| Multiple Sleep Latency Test (95805) range across 3 matching MRF lines |
$528.60–$3,789 | $881–$6,315 | varies |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$412.80–$858 | $688–$1,430 | varies |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$81–$110.40 | $135–$184 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$295.80–$858 | $493–$1,430 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$205.20–$249 | $342–$415 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 3 matching MRF lines |
$253.80–$502.80 | $423–$838 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $492 | $820 | 2.1× |
| Needle electromyography larynx (95865) | $261.60 | $436 | 1.8× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$110.40–$196.20 | $184–$327 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $249 | $415 | 0.6× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $252 | $420 | 0.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $219.60 | $366 | 1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$232.20–$483.60 | $387–$806 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$116.40–$691.80 | $194–$1,153 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$328.20–$774.60 | $547–$1,291 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$413.40–$792 | $689–$1,320 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$178.20–$709.20 | $297–$1,182 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$178.20–$726.60 | $297–$1,211 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$234–$742.20 | $390–$1,237 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$328.20–$757.80 | $547–$1,263 | varies |
| Neurobehavioral Status Exam (96116) range across 3 matching MRF lines |
$279.60–$387.60 | $466–$646 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$179.40–$303 | $299–$505 | varies |
| Neuromuscular Reeducation (97112) | $108 | $180 | 3.3× |
| Newborn resuscitation (99465) | $414 | $690 | 0.6× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $90.60 | $151 | 3.6× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $134.40 | $224 | 3.9× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $46.80 | $78 | 3.4× |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 2 matching MRF lines |
$197.40–$414.60 | $329–$691 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $1,203 | $2,005 | 3.0× |
| Optokinetic Nystagmus Test (92544) range across 2 matching MRF lines |
$93.60–$498 | $156–$830 | varies |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$108–$216 | $180–$360 | varies |
| Oral Speech Device Eval (92597) | $402 | $670 | 5.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $108 | $180 | 2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $105 | $175 | 2.3× |
| Oscillating Tracking Test (92545) range across 2 matching MRF lines |
$178.20–$498 | $297–$830 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$87.60–$116.40 | $146–$194 | varies |
| Ot eval high complexity (97167) | $278.40 | $464 | 2.8× |
| Ot Eval Low Complex (97165) | $231.60 | $386 | 2.3× |
| Ot Eval Moderate Complexity (97166) | $247.20 | $412 | 2.5× |
| Ot manual therapy 15 min (97140) | $105 | $175 | 3.8× |
| Ot paraffin bath (97018) | $52.80 | $88 | 8.8× |
| Ot Prosthetic Training, Each 15 Min (97761) | $123 | $205 | 3.0× |
| Ot Re-Eval Est Plan Care (97168) | $160.80 | $268 | 2.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $223.80 | $373 | 1.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $184.80 | $308 | 1.3× |
| Oxygen Uptake Rest Indirect (94690) | $738 | $1,230 | 11.7× |
| Pediatric apnea monitor analyses computer (94776) | $280.20 | $467 | 2.0× |
| Penile Vascular Study,Ltd or F/U (93981) | $729 | $1,215 | 6.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $90 | $150 | 0.4× |
| Percutaneous tests w/allergenic extracts (95004) | $48.60 | $81 | 0.1× |
| Peripheral arterial disease rehab per session (93668) | $138.60 | $231 | 2.2× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $28,655.40 | $47,759 | 1.5× |
| Perq transcath closure pda (93582) | $27,596.40 | $45,994 | 1.4× |
| Perq Transcath Cls Aortic (93591) | $27,596.40 | $45,994 | 1.4× |
| Perq Transcath Cls Mitral (93590) | $27,596.40 | $45,994 | 1.4× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $6,652.80 | $11,088 | 1.1× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 11 matching MRF lines |
$18,330–$28,066.20 | $30,550–$46,777 | varies |
| Phlebotomy therapeutic (99195) | $340.20 | $567 | 2.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $187.80 | $313 | 3.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $187.80 | $313 | 3.0× |
| Physical Performance Test (97750) | $106.20 | $177 | 3.1× |
| Plethysmography (94726) | $488.40 | $814 | 1.2× |
| Pm device eval in person (93288) | $238.80 | $398 | 6.0× |
| Pm device progr eval dual (93280) | $459.60 | $766 | 11.5× |
| Pm device progr eval multi (93281) | $459.60 | $766 | 11.5× |
| Pm Device Progr Eval Sngl (93279) | $459.60 | $766 | 11.5× |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$121.80–$238.80 | $203–$398 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$1,038–$4,616.40 | $1,730–$7,694 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$2,575.20–$3,433.80 | $4,292–$5,723 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $6,829.80 | $11,383 | 7.4× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) range across 2 matching MRF lines |
$2,663.40–$3,551.40 | $4,439–$5,919 | varies |
| Positional nystagmus test (92542) range across 2 matching MRF lines |
$76.20–$498 | $127–$830 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $486 | $810 | 12.2× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $165 | $275 | 1.5× |
| Prq Card Angio/Athrect 1 Art (92924) | $17,954.40 | $29,924 | 1.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $18,102 | $30,170 | 1.5× |
| Prq Card Stent/Ath/Angio (92933) | $28,655.40 | $47,759 | 1.5× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $18,045 | $30,075 | 1.5× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $27,549 | $45,915 | 1.4× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $18,045 | $30,075 | 1.5× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $9,384.60 | $15,641 | 0.8× |
| Psych diag eval w/med srvcs (90792) | $248.40 | $414 | 1.3× |
| Psychiatric diagnostic evaluation (90791) range across 4 matching MRF lines |
$240.60–$303 | $401–$505 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) range across 2 matching MRF lines |
$197.40–$414.60 | $329–$691 | varies |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) range across 2 matching MRF lines |
$183–$251.40 | $305–$419 | varies |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 2 matching MRF lines |
$99.60–$206.40 | $166–$344 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$160.80–$329.40 | $268–$549 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $90.60 | $151 | 2.4× |
| Pt Eval High Complex (97163) | $278.40 | $464 | 2.8× |
| Pt eval low complex 20 min (97161) | $231.60 | $386 | 2.4× |
| Pt Eval Mod Complex (97162) | $247.20 | $412 | 2.5× |
| Pt gait training 15 min (97116) | $105 | $175 | 3.6× |
| Pt group caregiver training (97552) | $34.80 | $58 | 1.6× |
| Pt mechanical traction (97012) | $80.40 | $134 | 5.6× |
| Pt Re-Eval Est Plan Care (97164) | $160.80 | $268 | 2.4× |
| Pt ultraviolet (97028) | $27.60 | $46 | 3.3× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $31.80 | $53 | 0.8× |
| Pulm function test by gas (94727) | $516.60 | $861 | 2.2× |
| Pulmonary Stress Testing (94618) | $367.20 | $612 | 2.6× |
| Pure Tone Audiometry Air (92552) | $126.60 | $211 | 0.9× |
| R Hrt Art/Grft Angio (93457) | $4,897.20 | $8,162 | 1.4× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $7,195.80 | $11,993 | 2.1× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $7,195.80 | $11,993 | 2.1× |
| R hrt coronary artery angio (93456) | $4,897.20 | $8,162 | 1.4× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $7,195.80 | $11,993 | 2.1× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $7,195.80 | $11,993 | 2.1× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $4,872 | $8,120 | 1.4× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $234 | $390 | 0.7× |
| Refill/Maint Portable Pump (96521) | $255.60 | $426 | 1.1× |
| Refill/Maint Pump/Resvr Syst (96522) | $809.40 | $1,349 | 3.6× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $67.80 | $113 | 1.7× |
| Rem ther mntr dev sply resp (98976) | $67.80 | $113 | 1.7× |
| Remote 30 Day Ecg Rev/Report (93270) | $190.80 | $318 | 4.8× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $235.20 | $392 | 1.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $305.40 | $509 | 4.8× |
| Right Heart Cath (93451) | $4,897.20 | $8,162 | 1.4× |
| Right ventricular recording (93603) | $2,187.60 | $3,646 | 1.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$166.20–$286.20 | $277–$477 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $393.60 | $656 | 3.2× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $183 | $305 | 3.8× |
| Same day nb discharge (99463) | $108.60 | $181 | 0.8× |
| Select picture audiometry (92583) | $257.40 | $429 | 4.1× |
| Self Care Mngment Training (97535) | $105 | $175 | 3.2× |
| Sensory Integration Ea 15 Min (97533) | $108 | $180 | 1.8× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) range across 2 matching MRF lines |
$205.80–$2,362.20 | $343–$3,937 | varies |
| Short-latency somatosens ep std upr limbs (95925) range across 3 matching MRF lines |
$205.80–$2,362.20 | $343–$3,937 | varies |
| Sinusoidal Vertical Axis Rotational Testing (92546) range across 2 matching MRF lines |
$163.80–$498 | $273–$830 | varies |
| Sleep study attended (95807) | $4,509 | $7,515 | 11.3× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$789–$992.40 | $1,315–$1,654 | varies |
| Slp caregiver training 1st 30 min (97550) | $84 | $140 | 1.6× |
| Slp Stdy Unatnd W/Anal (95801) range across 3 matching MRF lines |
$118.20–$784.80 | $197–$1,308 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $1,153.80 | $1,923 | 5.0× |
| Somatosensory Testing (95938) range across 3 matching MRF lines |
$768–$3,544.20 | $1,280–$5,907 | varies |
| Speech Audiometry Complete (92556) | $150 | $250 | 2.4× |
| Speech audiometry threshold (92555) | $126.60 | $211 | 2.0× |
| Speech sound lang comprehen (92523) | $406.20 | $677 | 1.8× |
| Spin/Brain Pump Refil & Main (95991) | $175.80 | $293 | 0.5× |
| Spirometry (94010) | $160.20 | $267 | 0.7× |
| Spontaneous Nystagmus Test (92541) range across 2 matching MRF lines |
$76.20–$498 | $127–$830 | varies |
| Ssep lower limbs (95926) range across 3 matching MRF lines |
$205.80–$2,362.20 | $343–$3,937 | varies |
| Standardized Cognitive Performance Testing (96125) | $280.20 | $467 | 2.7× |
| Stenger Test Speech (92577) | $358.20 | $597 | 0.9× |
| Stenger Test, Pure Tone (92565) | $438 | $730 | 6.9× |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$1,557.60–$1,862.40 | $2,596–$3,104 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $127.80 | $213 | 2.5× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $324.60 | $541 | 1.4× |
| Surfactant Admin Thru Tube (94610) | $142.20 | $237 | 0.6× |
| Synthetic Sentence Identification Test (92576) | $257.40 | $429 | 6.4× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$531.60–$828 | $886–$1,380 | varies |
| Tensilon Test (95857) range across 2 matching MRF lines |
$178.20–$402 | $297–$670 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 4 matching MRF lines |
$67.20–$108 | $112–$180 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 4 matching MRF lines |
$22.80–$108 | $38–$180 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $108 | $180 | 2.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $286.80 | $478 | 2.8× |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$150–$183 | $250–$305 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$42–$148.20 | $70–$247 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$137.40–$394.20 | $229–$657 | varies |
| Therapeutic Activities (97530) | $105 | $175 | 3.0× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,682.40 | $2,804 | 4.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$37.80–$58.80 | $63–$98 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 4 matching MRF lines |
$21.60–$45.60 | $36–$76 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$174–$202.20 | $290–$337 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$188.40–$291 | $314–$485 | varies |
| Transcath Closure of Asd (93580) | $27,549 | $45,915 | 1.4× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$138–$1,215.60 | $230–$2,026 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $423 | $705 | 10.6× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$1,852.80–$2,316 | $3,088–$3,860 | varies |
| Tte W/O Doppler Complete (93307) range across 3 matching MRF lines |
$1,372.20–$1,599.60 | $2,287–$2,666 | varies |
| Tx atrial fib pulm vein isol (93656) | $37,600.80 | $62,668 | 1.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$83.40–$256.80 | $139–$428 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $129.60 | $216 | 5.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$39–$183 | $65–$305 | varies |
| Tympanometry (92567) | $138.60 | $231 | 3.5× |
| Tympanometry and reflex threshold measurements (92550) | $178.20 | $297 | 0.8× |
| Unlisted cardiovascular service/procedure (93799) | $304.80 | $508 | 2.2× |
| Unlisted noninvasive vascular diagnostic study (93998) | $3,041.40 | $5,069 | 98.1× |
| Unlisted otorhinolaryngological service (92700) range across 2 matching MRF lines |
$115.80–$144 | $193–$240 | varies |
| Unlisted Psychiatric Service/Procedure (90899) range across 4 matching MRF lines |
$264–$595.20 | $440–$992 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$85.20–$486.60 | $142–$811 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $992.40 | $1,654 | 4.3× |
| Valvuloplasty aortic valve (92986) | $9,384.60 | $15,641 | 1.5× |
| Valvuloplasty mitral valve (92987) | $9,384.60 | $15,641 | 0.8× |
| Valvuloplasty pulmonary valve (92990) | $9,852.60 | $16,421 | 0.8× |
| Vasopneumatic device (97016) | $52.80 | $88 | 4.4× |
| Veeg 2-12 Hr Cont Mntr (95713) | $2,541.60 | $4,236 | 6.4× |
| Veeg 2-12 hr intmt mntr (95712) | $2,922 | $4,870 | 7.3× |
| Veeg 2-12 hr unmonitored (95711) | $2,922 | $4,870 | 12.6× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $4,824.60 | $8,041 | 12.1× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $4,824.60 | $8,041 | 12.1× |
| Veeg ea 12-26hr cont mntr (95716) | $4,195.20 | $6,992 | 4.6× |
| Vent Mgmt Inpat Init Day (94002) | $943.20 | $1,572 | 1.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $765 | $1,275 | 1.2× |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$178.20–$1,586.40 | $297–$2,644 | varies |
| Visual Field Exam Extended (92083) range across 2 matching MRF lines |
$187.20–$201 | $312–$335 | varies |
| Visual reinforcement audiometry (vra) (92579) | $257.40 | $429 | 1.1× |
| Vital capacity, total (94150) | $98.40 | $164 | 0.7× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) range across 2 matching MRF lines |
$960–$8,871 | $1,600–$14,785 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $108 | $180 | 3.5× |
| Whirlpool Therapy (97022) | $62.40 | $104 | 4.0× |
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.