Visits & medical services prices at Our Lady of Lourdes Memorial Hospital, Inc
Binghamton, NY · every code in this section with a posted price and a Medicare benchmark.
310 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $70 | $140 | 0.6× |
| Acoustic Reflex Testing (92568) | $43.21 | $86.42 | 0.9× |
| Actinotherapy Ultraviolet Light (96900) | $32.34 | $64.68 | 0.7× |
| Acupunct W/Stimul 15 Min (97813) | $25 | $50 | 0.7× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $20 | $40 | 0.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $40 | $80 | 0.8× |
| Advncd Care Plan 30 Min (99497) | $70 | $140 | 0.6× |
| Aep threshold estimation mlt frequencies i&r (92652) | $179.50 | $359 | 0.7× |
| Airway Inhalation Treatment (94640) range across 12 matching MRF lines |
$30.43–$209.09 | $60.85–$418.17 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $38.21 | $76.42 | 0.8× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $70.35 | $140.70 | 0.4× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $22.05 | $44.10 | 0.1× |
| Analyze neurostim complex (95972) | $401 | $802 | 3.4× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $116.50 | $233 | 0.7× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $61 | $122 | 1.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$43.05–$102 | $86.09–$204 | varies |
| Application Modality 1/> Areas Diathermy (97024) | $16.50 | $33 | 2.2× |
| Application Modality 1/> Areas Infrared (97026) | $15 | $30 | 2.2× |
| Application on-body injector (96377) | $52.22 | $104.43 | 0.9× |
| Assessment of aphasia per hr (96105) | $111 | $222 | 1.1× |
| Audiometry Air & Bone (92553) | $148.83 | $297.66 | 0.9× |
| Basic vestibular evaluation (92540) | $161.34 | $322.67 | 0.6× |
| Behavral qualit analys voice (92524) | $329.50 | $659 | 3.0× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $261 | $522 | 3.2× |
| Bfb training ea addl 15 min (90913) | $107 | $214 | 3.3× |
| Bis Xtracell Fluid Analysis (93702) | $85.97 | $171.94 | 0.5× |
| Blink reflex test (95933) | $134 | $268 | 1.8× |
| Breath hydrogen/methane test (91065) | $123.48 | $246.96 | 0.5× |
| Breathing response to hypoxia (94450) | $176.41 | $352.82 | 1.1× |
| Brief Emotional/Behav Assmt (96127) | $15 | $30 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $319.64 | $639.27 | 0.7× |
| Caloric Vstblr Test W/Rec (92537) | $64.32 | $128.63 | 0.4× |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$88.68–$153.88 | $177.35–$307.75 | varies |
| Car seat/bed test 60 min (94780) | $61.25 | $122.50 | 1.3× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$743.13–$1,564.43 | $1,486.25–$3,128.86 | varies |
| Cardiopulmonary exercise testing (94621) | $817 | $1,634 | 1.8× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$424.87–$562.38 | $849.74–$1,124.75 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$1,178.56–$1,741.58 | $2,357.11–$3,483.15 | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $32.50 | $65 | 0.7× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $76 | $152 | 2.9× |
| Cbt 1st hour (94644) | $137.70 | $275.39 | 0.8× |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$82.99–$118.97 | $165.98–$237.93 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$66.13–$97.14 | $132.26–$194.27 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$90.89–$105.42 | $181.78–$210.83 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$144.78–$167.92 | $289.56–$335.83 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $433.90 | $867.80 | 1.1× |
| Chemotherapy Into Cns (96450) | $546 | $1,092 | 1.3× |
| Chemotherapy Unspecified (96549) | $113.70 | $227.40 | 1.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$144.78–$148.72 | $289.56–$297.43 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$400.58–$464.58 | $801.15–$929.16 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$222.03–$257.51 | $444.06–$515.01 | varies |
| Chest Wall Manipulation (94668) | $123.93 | $247.85 | 0.7× |
| Chiropract manj 3-4 regions (98941) | $25.28 | $50.55 | 0.9× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $28.10 | $56.20 | 1.0× |
| Chron Care Mgmt Srvc 20 Min (99490) | $72.50 | $145 | 0.6× |
| Cmptr ophth dx img ant segmt (92132) | $64.68 | $129.36 | 0.9× |
| Color/duplex Doppler, complete (93975) | $769.22 | $1,538.44 | 2.6× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$167–$480.59 | $334–$961.17 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $73 | $146 | 2.3× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $75 | $150 | 0.3× |
| Comprehensive Hearing Test (92557) | $168.15 | $336.30 | 1.0× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $79.75 | $159.50 | 1.1× |
| Computerized Ophthalmic Imaging Retina (92134) | $79.75 | $159.50 | 1.1× |
| Conditioning Play Audiometry (92582) | $149.63 | $299.25 | 0.9× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$213.73–$252.20 | $427.46–$504.40 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $109.50 | $219 | 1.5× |
| Continuous Pulse Ox (94762) | $95.67 | $191.34 | 0.6× |
| Corneal Topography (92025) | $52.92 | $105.84 | 0.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $212 | $424 | 0.8× |
| Cpt initial (94667) | $123.93 | $247.85 | 0.7× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) | $51.45 | $102.90 | 0.2× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$525.50–$1,553.43 | $1,051–$3,106.86 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$70.38–$327.50 | $140.75–$655 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $276 | $552 | 1.7× |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$717–$760.51 | $1,434–$1,521.02 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $276.30 | $552.60 | 0.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,823.48 | $3,646.95 | 6.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $826.23 | $1,652.46 | 6.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,343.62 | $2,687.23 | 4.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$81–$672.53 | $162–$1,345.06 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$91.50–$785.10 | $183–$1,570.20 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$96.13–$392.55 | $192.25–$785.10 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $253.70 | $507.40 | 0.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $102.50 | $205 | 0.8× |
| Duplex Scan Hemodialysis Access (93990) | $206.68 | $413.36 | 1.6× |
| Duplex up extrem art bilat (93930) | $1,086.73 | $2,173.46 | 3.6× |
| Duplex up extrem art unilat/ltd (93931) | $543.36 | $1,086.72 | 4.2× |
| Echo Congenital Complete (93303) | $526 | $1,052 | 0.8× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$36.50–$815.84 | $73–$1,631.68 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$938.69–$2,385.88 | $1,877.37–$4,771.75 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $436 | $872 | 0.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$782.25–$2,134.48 | $1,564.50–$4,268.96 | varies |
| Eeg 41-60 Minutes (95812) | $621 | $1,242 | 2.3× |
| EEG awake and asleep (95819) | $413.13 | $826.25 | 1.5× |
| EEG awake drowsy (95816) | $413.13 | $826.25 | 1.5× |
| EEG cerebral death evaluation (95824) | $458 | $916 | 1.0× |
| EEG extended monitoring 61-119 minutes (95813) | $782.50 | $1,565 | 2.9× |
| EEG w/o vid ea 12-26hr intmt (95709) | $938.50 | $1,877 | 2.0× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $489 | $978 | 1.8× |
| Electrical Stimulation Ea 15 Min (97032) | $36.98 | $73.95 | 2.5× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$68.91–$107.29 | $137.82–$214.57 | varies |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$51–$233.37 | $102–$466.74 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$75.88–$377.20 | $151.75–$754.40 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$139.50–$614.99 | $279–$1,229.97 | varies |
| Er level 1 (99281) range across 3 matching MRF lines |
$26.63–$155.35 | $53.25–$310.69 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$202.63–$921.42 | $405.25–$1,842.84 | varies |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$171.20–$209.09 | $342.40–$418.17 | varies |
| Evaluate Speech Production (92522) | $101.48 | $202.96 | 0.9× |
| Evaluate Swallowing Function (92610) | $131.57 | $263.14 | 1.6× |
| Evaluation of speech fluency (92521) | $255 | $510 | 1.9× |
| Evoked Auditory Test,Limited (92587) | $253.65 | $507.29 | 0.9× |
| Exercise test for bronchospasm (94617) | $409 | $818 | 2.5× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$52.05–$384.50 | $104.09–$769 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $422.63 | $845.25 | 2.5× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$84.07–$437 | $168.14–$874 | varies |
| External Ecg Scanning Analysis Report (93226) | $136.50 | $273 | 1.9× |
| Extracranial Bilat Study (93880) | $876.70 | $1,753.39 | 2.9× |
| Extracranial Uni/Ltd Study (93882) | $527.50 | $1,055 | 4.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $526 | $1,052 | 0.8× |
| Flexible endoscopic eval swallow c/v rec (92612) | $359 | $718 | 1.8× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $329 | $658 | 1.4× |
| Fluorescein angiography (92235) | $158.76 | $317.52 | 0.6× |
| Fundus photography (92250) | $113.93 | $227.85 | 0.7× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $721.40 | $1,442.79 | 2.7× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,173.69 | $2,347.38 | 1.1× |
| Gi tract capsule endoscopy (91110) | $1,596.36 | $3,192.71 | 1.4× |
| Gonioscopy (92020) | $45.57 | $91.14 | 0.3× |
| Group Therapeutic Procedures (97150) | $39.75 | $79.50 | 2.2× |
| Health Behavior Assessment/Re-Assessment (96156) | $90.30 | $180.60 | 0.7× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $62.48 | $124.95 | 0.3× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$760.51–$777.50 | $1,521.02–$1,555 | varies |
| High altitude simulation test (94452) | $206.50 | $413 | 1.2× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $152.50 | $305 | 0.9× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$352–$465.17 | $704–$930.34 | varies |
| Icd Device Interrogate (93289) | $58.50 | $117 | 1.3× |
| Icd device progr eval dual (93283) | $66.71 | $133.41 | 1.4× |
| Icd Device Progr Eval Mult (93284) | $98.49 | $196.98 | 2.1× |
| Icm Device Eval (93290) | $19.95 | $39.90 | 0.4× |
| Ilr Device Eval Progr (93285) | $84.28 | $168.55 | 1.8× |
| Ilr Device Interrogate (93291) | $49.68 | $99.35 | 1.4× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $21.82 | $43.64 | 0.2× |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $56.70 | $113.40 | 0.8× |
| Immunization administration (90471) range across 2 matching MRF lines |
$29.17–$83.23 | $58.34–$166.46 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $187.43 | $374.85 | 0.4× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $400.50 | $801 | 0.9× |
| Iontophoresis 15 min (97033) | $177.50 | $355 | 9.3× |
| Irrig Drug Delivery Device (96523) | $77.10 | $154.20 | 1.0× |
| IV infusion hydration each additional hour (96361) | $100.57 | $201.14 | 1.7× |
| IV infusion hydration initial 31 min-1 hour (96360) | $442.23 | $884.46 | 1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$113–$135.33 | $226–$270.66 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $100.57 | $201.14 | 1.7× |
| IV push initial (96374) range across 4 matching MRF lines |
$214.33–$252.91 | $428.65–$505.81 | varies |
| Laryngeal Function Studies (92520) | $337 | $674 | 2.0× |
| Low frequency non-thermal us (97610) | $398 | $796 | 1.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $737.53 | $1,475.06 | 2.7× |
| Mechanical chest wall oscillation per session (94669) | $291.50 | $583 | 1.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$45.98–$59.85 | $91.96–$119.69 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $59.85 | $119.69 | 1.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 3 matching MRF lines |
$17–$30.69 | $34–$61.38 | varies |
| Methacholine challenge (94070) | $634.50 | $1,269 | 1.4× |
| Motility study esophagus (91010) | $213.52 | $427.04 | 0.5× |
| Motion Fluoroscopy/Swallow (92611) | $131.57 | $263.14 | 1.4× |
| Multiple Family Group Psychotherapy (90849) | $52.50 | $105 | 0.2× |
| Multiple Sleep Latency Test (95805) | $2,455.54 | $4,911.08 | 2.3× |
| Nasopharyngoscopy (92511) | $152.50 | $305 | 0.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $363.16 | $726.31 | 0.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $363.16 | $726.31 | 0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$198.60–$259.14 | $397.19–$518.28 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $363.16 | $726.31 | 0.7× |
| Nerve Conduction Studies 1-2 Studies (95907) | $1,795 | $3,590 | 6.7× |
| Nerve Conduction Studies 11-12 Studies (95912) | $4,867 | $9,734 | 10.4× |
| Nerve conduction studies 13 or more studies (95913) | $5,626.50 | $11,253 | 12.1× |
| Nerve Conduction Studies 3-4 Studies (95908) | $2,209 | $4,418 | 8.2× |
| Nerve conduction studies 5-6 studies (95909) | $2,658 | $5,316 | 9.9× |
| Nerve conduction studies 7-8 studies (95910) | $3,451.75 | $6,903.50 | 7.4× |
| Nerve Conduction Studies 9-10 Studies (95911) | $4,176.50 | $8,353 | 9.0× |
| Neurobehavioral Status Exam (96116) | $90.88 | $181.76 | 0.3× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$67.27–$67.33 | $134.53–$134.65 | varies |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$407.75–$420 | $815.50–$840 | varies |
| Nitric oxide expired gas determination (95012) | $258 | $516 | 5.5× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $259.70 | $519.40 | 0.6× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $148.11 | $296.21 | 0.9× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $25.73 | $51.45 | 0.3× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $40.43 | $80.85 | 0.5× |
| Optokinetic Nystagmus Test (92544) | $168.31 | $336.62 | 1.0× |
| Oral Function Therapy (92526) | $89.09 | $178.18 | 1.1× |
| Oral Speech Device Eval (92597) | $163.43 | $326.86 | 2.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $77.50 | $155 | 1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$84.87–$84.98 | $169.74–$169.96 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$13.28–$113 | $26.55–$226 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$19.68–$170 | $39.35–$340 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$24.18–$228.50 | $48.35–$457 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) | $31.70 | $63.40 | 1.2× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $36.65 | $73.30 | 1.4× |
| Ot Contrast Bath Ea 15 Min (97034) | $33.50 | $67 | 2.4× |
| Ot eval high complexity (97167) | $95.47 | $190.93 | 0.9× |
| Ot Eval Low Complex (97165) | $89.40 | $178.79 | 0.9× |
| Ot Eval Moderate Complexity (97166) | $93.81 | $187.62 | 0.9× |
| Ot manual therapy 15 min (97140) | $91.60 | $183.20 | 3.3× |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$20–$34.45 | $40–$68.90 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $89 | $178 | 2.2× |
| Ot Re-Eval Est Plan Care (97168) | $61.26 | $122.51 | 0.9× |
| Ot rom hand (95852) | $79 | $158 | 3.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $183 | $366 | 1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $114.50 | $229 | 0.7× |
| Oxygen Uptake Rest Indirect (94690) | $61.95 | $123.90 | 0.8× |
| Patch/Application Test Specify Number Tests (95044) | $37.23 | $74.46 | 0.0× |
| Pdt dstr prmlg les phys/qhp (96573) | $307.97 | $615.93 | 1.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $139 | $278 | 0.5× |
| Percutaneous tests w/allergenic extracts (95004) | $5.15 | $10.29 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $69.50 | $139 | 0.9× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$137.64–$185.03 | $275.28–$370.05 | varies |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $75.78 | $151.55 | 1.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $124.50 | $249 | 1.7× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $67.85 | $135.70 | 0.9× |
| Physical Performance Test (97750) range across 6 matching MRF lines |
$45.80–$60.50 | $91.60–$121 | varies |
| Plethysmography (94726) | $319.64 | $639.27 | 0.7× |
| Pm device eval in person (93288) | $85.74 | $171.48 | 1.8× |
| Pm device progr eval dual (93280) | $148.64 | $297.28 | 3.2× |
| Pm device progr eval multi (93281) | $101.15 | $202.30 | 2.2× |
| Pm Device Progr Eval Sngl (93279) | $119.33 | $238.66 | 2.6× |
| Pm/Icd Remote Tech Serv (93296) | $79.56 | $159.12 | 1.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$2,945.10–$3,861 | $5,890.19–$7,722 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $2,794.50 | $5,589 | 2.6× |
| Positional nystagmus test (92542) | $44.10 | $88.20 | 0.3× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $13.23 | $26.46 | 0.2× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $93.50 | $187 | 2.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $19.11 | $38.22 | 0.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $45.26 | $90.52 | 0.8× |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$140.50–$216.89 | $281–$433.77 | varies |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$60.95–$151.91 | $121.90–$303.82 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $245 | $490 | 0.9× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $55.13 | $110.25 | 0.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $67.99 | $135.98 | 0.4× |
| Psytx Crisis Initial 60 Min (90839) | $35.50 | $71 | 0.2× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $85.50 | $171 | 2.3× |
| Pt Eval High Complex (97163) | $91.16 | $182.32 | 0.9× |
| Pt eval low complex 20 min (97161) | $92.43 | $184.86 | 0.9× |
| Pt Eval Mod Complex (97162) | $93.81 | $187.62 | 1.0× |
| Pt gait training 15 min (97116) | $40.07 | $80.13 | 1.4× |
| Pt group caregiver training (97552) | $63 | $126 | 2.9× |
| Pt mechanical traction (97012) | $34.22 | $68.43 | 2.4× |
| Pt Re-Eval Est Plan Care (97164) | $63.19 | $126.37 | 0.9× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $6.62 | $13.23 | 0.1× |
| Pulm function test by gas (94727) | $174.73 | $349.45 | 0.6× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$182.50–$202.88 | $365–$405.75 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$123.90–$367.63 | $247.80–$735.25 | varies |
| Pure Tone Audiometry Air (92552) | $129.02 | $258.03 | 0.8× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $23 | $46 | 1.0× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) range across 2 matching MRF lines |
$35–$35.50 | $70–$71 | varies |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $12.50 | $25 | 1.0× |
| Rapid Desensitization Procedure Each Hour (95180) | $129 | $257.99 | 0.2× |
| Refill/Maint Portable Pump (96521) | $280.86 | $561.71 | 1.1× |
| Rem interrog icpms <30 d phys/qhp (93297) range across 2 matching MRF lines |
$34.74–$35.28 | $69.48–$70.56 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $45.05 | $90.10 | 1.0× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $66.50 | $133 | 1.4× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $212.50 | $425 | 1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 5 matching MRF lines |
$168.19–$239.50 | $336.38–$479 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $339 | $678 | 2.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $132 | $264 | 2.8× |
| Sbsq Psyc Collab Care Mgmt (99493) | $70 | $140 | 0.6× |
| Self Care Mngment Training (97535) | $53.53 | $107.05 | 1.7× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $57.05 | $114.10 | 0.8× |
| Sensory Integration Ea 15 Min (97533) | $75.50 | $151 | 1.2× |
| Sleep study attended (95807) | $1,810 | $3,620 | 3.9× |
| Slp caregiver training 1st 30 min (97550) | $152.50 | $305 | 2.9× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $498.50 | $997 | 1.8× |
| Speech Audiometry Complete (92556) | $60.90 | $121.80 | 0.8× |
| Speech audiometry threshold (92555) | $58.28 | $116.56 | 0.8× |
| Speech sound lang comprehen (92523) | $210.04 | $420.08 | 0.9× |
| Spirometry (94010) range across 3 matching MRF lines |
$192–$246.98 | $384–$493.95 | varies |
| Standardized Cognitive Performance Testing (96125) | $224.20 | $448.40 | 2.2× |
| Stress Tte Only (93350) | $1,799 | $3,598 | 2.6× |
| Surfactant Admin Thru Tube (94610) | $150 | $300 | 0.5× |
| Temp transcutaneous pacing (92953) | $283.95 | $567.90 | 0.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$62.47–$83 | $124.94–$166 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$75–$79 | $150–$158 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $92.71 | $92.71 | 2.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 5 matching MRF lines |
$50.68–$134 | $101.36–$134 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $249 | $498 | 2.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$22.20–$94.96 | $44.40–$189.91 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$374.77–$442.23 | $749.54–$884.46 | varies |
| Therapeutic Activities (97530) | $49.67 | $99.33 | 1.4× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $640.36 | $1,280.71 | 1.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$30.50–$35.08 | $61–$70.15 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$12.57–$35.08 | $25.13–$70.15 | varies |
| Tone Decay Test (92563) | $45 | $90 | 1.0× |
| Trans Care Mgmt 14 Day Disch (99495) | $74.75 | $149.50 | 0.4× |
| Trans Care Mgmt 7 Day Disch (99496) | $90.28 | $180.55 | 0.5× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $79.28 | $158.55 | 1.7× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$994.07–$1,772.50 | $1,988.13–$3,545 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $77.29 | $154.58 | 1.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$114.69–$135.33 | $229.37–$270.66 | varies |
| Tympanometry (92567) | $61.95 | $123.90 | 1.3× |
| Tympanometry and reflex threshold measurements (92550) | $97.35 | $194.70 | 0.4× |
| Unlisted ophthalmological service/procedure (92499) | $77.18 | $154.35 | 2.1× |
| Unlisted Special Dermatological Service/Px (96999) | $195.50 | $391 | 0.8× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$333.50–$375.89 | $667–$751.78 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$529.50–$602.51 | $1,059–$1,205.02 | varies |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$35–$97 | $70–$194 | varies |
| Vent Mgmt Inpat Init Day (94002) | $106.50 | $213 | 0.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $112.50 | $225 | 0.1× |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$338.19–$534.50 | $676.38–$1,069 | varies |
| Visual Field Exam Extended (92083) | $106.95 | $213.89 | 0.6× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $94.45 | $188.90 | 1.3× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $71.30 | $142.59 | 1.0× |
| Visual reinforcement audiometry (vra) (92579) | $29.50 | $59 | 0.1× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 3 matching MRF lines |
$57.39–$77.50 | $114.78–$155 | varies |
| Whirlpool Therapy (97022) | $42 | $84 | 2.7× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $27.93 | $55.86 | 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.