Visits & medical services prices at Our Lady of Lourdes Regional Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $6,432.50 $12,865 0.9×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $142 $284 1.2×
Acoustic Reflex Testing (92568) $86 $172 2.5×
Actinotherapy Ultraviolet Light (96900)
range across 2 matching MRF lines
$56.50–$98.50 $113–$197 varies
Admn Sarscov2 Vacc 1 Dose (90480) $25 $50 0.7×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $174 $348 0.9×
Aep neurodiagnostic i&r (92653) $329 $658 1.7×
Aep threshold estimation mlt frequencies i&r (92652) $329 $658 1.7×
Airway Inhalation Treatment (94640) $102 $204 0.5×
Analyze neurostim no prog (95970) $146.50 $293 1.2×
Analyze Neurostim Simple (95971) $513.50 $1,027 6.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $55 $110 3.8×
Application on-body injector (96377) $72.50 $145 1.7×
Assessment of aphasia per hr (96105) $524 $1,048 5.4×
Audiometry Air & Bone (92553) $241.50 $483 2.1×
Behavral qualit analys voice (92524) $157 $314 1.4×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $202 $404 2.5×
Bfb training ea addl 15 min (90913) $202 $404 6.2×
Biofeedback training any modality (90901) $73 $146 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $419 $838 1.2×
Bundle of his recording (93600) $4,548.50 $9,097 0.6×
Canalith repositioning proc (95992) $83 $166 2.0×
Car seat/bed test 60 min (94780) $42.50 $85 1.3×
Cardiac Stress Tst,Tracing Only (93017) $540.50 $1,081 2.8×
Cardiopulmonary exercise testing (94621) $2,216 $4,432 6.6×
Cardiopulmonary resuscitation (92950) $500 $1,000 2.6×
Cardioversion (92960) $1,495 $2,990 2.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $12.50 $25 0.5×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $9,577 $19,154 3.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,577 $19,154 3.3×
Cbt 1st hour (94644) $215 $430 1.8×
Chemo Anti-Neopl Sq/Im (96401) $140.50 $281 2.2×
Chemo Hormon Antineopl Sq/Im (96402) $89 $178 1.4×
Chemo Ia Push (96420) $452.50 $905 1.5×
Chemo intralesional up to 7 (96405) $137 $274 2.1×
Chemo IV infusion addl hr (96415) $136.50 $273 2.1×
Chemo IV push addl drug (96411) $202 $404 3.1×
Chemother Prolong Infuse W/Pump (96416) $452.50 $905 1.5×
Chemotherapy Into Cns (96450) $461.50 $923 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $133.50 $267 2.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $452.50 $905 1.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $291 $582 1.0×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $291 $582 1.0×
Chest Wall Manipulation (94668) $83 $166 0.7×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $677.50 $1,355 2.0×
Color/duplex Doppler, complete (93975) $549 $1,098 2.5×
Color/duplex Doppler, limited (93976) $422 $844 4.5×
Community/Work Reintegration Trainj Ea 15 Min (97537) $56.50 $113 1.8×
Comprehensive Hearing Test (92557) $349 $698 3.0×
Computerized Ophthalmic Imaging Optic Nerve (92133) $76.50 $153 1.4×
Computerized Ophthalmic Imaging Retina (92134) $76.50 $153 1.4×
Conditioning Play Audiometry (92582) $125.50 $251 1.1×
Cont Gluc Mntr Pt Prov Eqp (95249) $75.50 $151 1.4×
Continuous Pulse Ox (94762) $151.50 $303 1.3×
Corneal Topography (92025) $58.50 $117 1.1×
Coronary Art/Grft Angio S&I (93455) $9,577 $19,154 3.3×
Coronary Artery Angio S&I (93454) $9,577 $19,154 3.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $761.50 $1,523 3.8×
Cpt initial (94667) $153.50 $307 1.3×
Critical care first hour (99291) $1,517 $3,034 2.0×
Debridement Open Wound 20 Sq Cm< (97597) $250 $500 1.4×
Dialysis One Evaluation (90945) $558 $1,116 1.5×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $441 $882 1.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $399.50 $799 1.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $381.50 $763 4.0×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $508 $1,016 5.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $688.50 $1,377 3.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $532 $1,064 5.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $698.50 $1,397 3.2×
Dup-scan xtr veins unilateral/limited study (93971) $532 $1,064 5.6×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $278.50 $557 1.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $133.50 $267 1.4×
Duplex Scan Hemodialysis Access (93990) $217 $434 2.3×
Duplex up extrem art bilat (93930) $981 $1,962 4.5×
Duplex up extrem art unilat/ltd (93931) $410.50 $821 4.3×
ECG/monitoring and analysis (93271) $350 $700 4.1×
Echo Congenital Complete (93303) $1,089.50 $2,179 2.2×
Echo Heart Xthoracic,Limited (93308) $485.50 $971 2.2×
Echo r-t 2d w/probe placement only (93313) $1,005 $2,010 2.0×
Echo transesophag montr cardiac pump functj (93318) $1,326.50 $2,653 2.7×
Echo transesophageal (93312) $1,138 $2,276 2.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,080.50 $2,161 2.2×
Eeg 41-60 Minutes (95812) $481.50 $963 2.5×
EEG awake and asleep (95819) $478 $956 2.4×
EEG awake drowsy (95816) $461.50 $923 2.4×
EEG cerebral death evaluation (95824) $604.50 $1,209 1.8×
EEG cont rec w/video by tech min 8 channels (95700) $280.50 $561 1.4×
EEG extended monitoring 61-119 minutes (95813) $923.50 $1,847 4.7×
Eeg Sleep Only (95822) $346 $692 1.8×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $280.50 $561 1.4×
EEG w/o vid 2-12hr cont mntr (95707) $280.50 $561 1.4×
EEG w/o vid ea 12-26hr intmt (95709) $538 $1,076 1.6×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $538 $1,076 1.6×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $280.50 $561 1.4×
EEG wo vid ea 12-26hr unmntr (95708) $559.50 $1,119 1.7×
EKG signal averaged (93278) $176 $352 3.3×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $259 $518 3.0×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $267 $534 3.1×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $267 $534 7.9×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$56–$68.50 $112–$137 varies
Electrocardiogram Tracing (93005) $213 $426 4.0×
Electrophysiology Evaluation (93642) $1,558.50 $3,117 1.4×
Emergency Dept Visit Level 2 (99282) $299 $598 2.2×
Emergency Dept Visit Level 3 (99283) $431 $862 1.7×
Emergency Dept Visit Level 4 (99284) $762.50 $1,525 2.0×
Emg 3 Extremities (95863) $378.50 $757 3.2×
Emg 4 Extremities (95864) $490.50 $981 4.2×
Ep & ablate supravent arrhyt (93653) $28,656.50 $57,313 1.2×
Ep & ablate ventric tachy (93654) $28,651.50 $57,303 1.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $6,143 $12,286 0.9×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $4,995.50 $9,991 0.7×
Er level 1 (99281) $218 $436 2.9×
Er level v (99285) $920 $1,840 1.7×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $200.50 $401 1.7×
Evaluate pt use of inhaler (94664) $235 $470 1.2×
Evaluate Speech Production (92522) $151 $302 1.3×
Evaluate Swallowing Function (92610) $243.50 $487 2.9×
Evaluation of speech fluency (92521) $179 $358 1.3×
Evoked Auditory Test,Limited (92587) $264.50 $529 1.4×
Exercise test for bronchospasm (94617) $183 $366 1.5×
External ECG rec>48hr<7d recording (93242) $62.50 $125 1.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $126.50 $253 1.1×
External ECG rec>7d<15d recording (93246) $79 $158 2.3×
External ECG rec>7d<15d scanning alys w/report (93247) $142 $284 1.2×
External Ecg Scanning Analysis Report (93226) $345.50 $691 6.5×
Extracranial Bilat Study (93880) $558.50 $1,117 2.6×
Extracranial Uni/Ltd Study (93882) $430.50 $861 4.5×
Eye exam w anesth; limited (92019) $4,590 $9,180 2.1×
F-up/limited tthrc echo congenital car anomaly (93304) $720 $1,440 1.5×
Flexible endoscopic eval swallow c/v rec (92612) $594.50 $1,189 3.0×
Fundus photography (92250) $114.50 $229 1.0×
Gonioscopy (92020) $114.50 $229 1.0×
Group Therapeutic Procedures (97150) $62 $124 3.4×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $9,577 $19,154 3.3×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $941.50 $1,883 1.5×
High altitude simulation test (94452) $211.50 $423 1.8×
Holter monitor recording (93225) $156 $312 1.3×
Hubbard tank 15 min (97036) $122 $244 3.5×
Icd Device Interrogate (93289) $39 $78 1.2×
Icd device progr eval dual (93283) $56.50 $113 1.7×
Ilr Device Interrogate (93291) $33.50 $67 1.3×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$13–$15 $26–$30 varies
Img retina detcj/mntr ds poc auton a/r uni/bi (92229) $108 $216 2.0×
Immunization administration (90471)
range across 2 matching MRF lines
$58.50–$66 $117–$132 varies
Insert/Place Heart Catheter (93503) $2,275.50 $4,551 1.6×
Intra-atrial pacing (93610) $4,855.50 $9,711 0.7×
Intra-atrial recording (93602) $4,205 $8,410 0.6×
Intracranial Complete Study (93886) $676 $1,352 3.1×
Intraventricular pacing (93612) $4,205 $8,410 0.6×
Iontophoresis 15 min (97033) $68.50 $137 3.6×
Irrig Drug Delivery Device (96523) $131.50 $263 2.5×
IV infusion hydration each additional hour (96361) $86.50 $173 2.0×
IV infusion hydration initial 31 min-1 hour (96360) $301.50 $603 1.6×
IV infusion ther proph addl sequential to 1 hr (96367) $137.50 $275 2.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $98 $196 2.3×
IV push initial (96374) $301.50 $603 1.6×
L Hrt Art/Grft Angio (93459) $9,577 $19,154 3.3×
Laryngeal Function Studies (92520) $185.50 $371 1.5×
Lung Function Test (Mbc/Mvv) (94200) $128 $256 2.4×
Mechanical chest wall oscillation per session (94669) $126 $252 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $49.50 $99 1.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $58 $116 1.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $28 $56 1.6×
Methacholine challenge (94070) $753 $1,506 2.2×
Motility study esophagus (91010) $978 $1,956 2.9×
Motion Fluoroscopy/Swallow (92611) $391 $782 4.3×
Multiple Sleep Latency Test (95805) $1,712.50 $3,425 2.2×
Muscle Test 2 Limbs (95861) $388.50 $777 3.2×
Muscle Test Nonparaspinal (95870) $141.50 $283 1.2×
Muscle Test One Limb (95860) $261.50 $523 2.2×
Nasopharyngoscopy (92511) $198.50 $397 1.1×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $265 $530 1.4×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $164.50 $329 0.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$198–$459 $396–$918 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $509 $1,018 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$230–$253 $460–$506 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $447 $894 1.2×
Nerve Conduction Studies 1-2 Studies (95907) $184 $368 0.9×
Nerve Conduction Studies 11-12 Studies (95912) $825.50 $1,651 2.4×
Nerve conduction studies 13 or more studies (95913) $825.50 $1,651 2.4×
Nerve Conduction Studies 3-4 Studies (95908) $430.50 $861 2.2×
Nerve conduction studies 5-6 studies (95909) $430.50 $861 2.2×
Nerve conduction studies 7-8 studies (95910) $313 $626 0.9×
Nerve Conduction Studies 9-10 Studies (95911) $562.50 $1,125 1.7×
Neurobehavioral Status Exam (96116) $257 $514 1.3×
Neuromuscular Reeducation (97112) $68 $136 2.1×
Newborn resuscitation (99465) $613.50 $1,227 1.0×
Nitric oxide expired gas determination (95012) $268.50 $537 7.9×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $354 $708 1.0×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $120.50 $241 1.0×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $97 $194 0.8×
Ophth medical xm&eval intermediate estab pt (92012) $77.50 $155 0.6×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $97 $194 0.8×
Oral Function Therapy (92526) $164 $328 1.9×
Oral Speech Device Eval (92597)
range across 2 matching MRF lines
$122–$320 $244–$640 varies
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines
$60.50–$74 $121–$148 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$58.50–$66.50 $117–$133 varies
Ot Contrast Bath Ea 15 Min (97034) $116 $232 8.3×
Ot eval high complexity (97167) $221.50 $443 2.2×
Ot Eval Low Complex (97165) $221.50 $443 2.2×
Ot Eval Moderate Complexity (97166) $221.50 $443 2.2×
Ot manual therapy 15 min (97140) $63.50 $127 2.3×
Ot paraffin bath (97018) $40.50 $81 6.7×
Ot Prosthetic Training, Each 15 Min (97761) $58.50 $117 1.4×
Ot Re-Eval Est Plan Care (97168) $127 $254 1.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $139.50 $279 1.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $179.50 $359 1.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $247 $494 1.2×
Peripheral arterial disease rehab per session (93668) $83 $166 1.6×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $13,052 $26,104 2.5×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $13,216 $26,432 1.3×
Phlebotomy therapeutic (99195) $185.50 $371 1.5×
Plethysmography (94726) $216 $432 0.6×
Pm device eval in person (93288) $39 $78 1.2×
Pm device progr eval dual (93280) $50 $100 1.5×
Pm Device Progr Eval Sngl (93279) $50 $100 1.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,966 $5,932 3.8×
Polysom <6 yrs 4/> paramtrs (95782) $2,147.50 $4,295 2.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,208 $4,416 2.8×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $77 $154 2.3×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $52 $104 1.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $40.50 $81 1.0×
Prq Card Angio/Athrect 1 Art (92924) $24,270 $48,540 2.3×
Prq Card Stent W/Angio 1 Vsl (92928) $12,444 $24,888 1.2×
Prq Card Stent/Ath/Angio (92933) $19,333 $38,666 1.2×
Prq Revasc Byp Graft 1 Vsl (92937) $12,444 $24,888 1.2×
Psychiatric diagnostic evaluation (90791) $235 $470 1.5×
Pt Eval High Complex (97163) $221.50 $443 2.3×
Pt eval low complex 20 min (97161) $221.50 $443 2.3×
Pt Eval Mod Complex (97162) $221.50 $443 2.3×
Pt gait training 15 min (97116) $58.50 $117 2.0×
Pt mechanical traction (97012) $61 $122 4.2×
Pt Re-Eval Est Plan Care (97164) $127 $254 1.9×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $31 $62 0.9×
Pulm function test by gas (94727) $259.50 $519 1.3×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$172–$272 $344–$544 varies
Pulmonary Stress Testing (94618) $191 $382 1.6×
Pure Tone Audiometry Air (92552) $186.50 $373 1.5×
R Hrt Art/Grft Angio (93457) $7,027.50 $14,055 2.4×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $3,265 $6,530 1.1×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $3,265 $6,530 1.1×
R hrt coronary artery angio (93456) $13,111.50 $26,223 4.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $9,753 $19,506 3.3×
Refill/Maint Portable Pump (96521) $291 $582 1.5×
Remote 30 Day Ecg Rev/Report (93270) $322.50 $645 9.5×
Remote 30 Day Ecg Tech Supp (93229) $193 $386 0.6×
Respiratory flow volume loop (94375) $264.50 $529 1.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $83 $166 1.6×
Right Heart Cath (93451) $9,577 $19,154 3.3×
Right ventricular recording (93603) $4,373 $8,746 4.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$150–$241.50 $300–$483 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $256 $512 2.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $103.50 $207 2.2×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $198 $396 0.6×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$60.50–$68.50 $121–$137 varies
Sensory Integration Ea 15 Min (97533) $58.50 $117 1.0×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $591.50 $1,183 3.0×
Short-latency somatosens ep std upr limbs (95925) $698 $1,396 3.6×
Sleep study unattended (95806) $277.50 $555 1.4×
Slp caregiver training 1st 30 min (97550) $25 $50 0.5×
Somatosensory Testing (95938) $1,394.50 $2,789 1.8×
Speech Audiometry Complete (92556) $75.50 $151 1.4×
Speech audiometry threshold (92555) $96.50 $193 1.8×
Speech sound lang comprehen (92523) $336.50 $673 1.5×
Spirometry (94010) $206.50 $413 1.1×
Ssep lower limbs (95926) $698 $1,396 3.6×
Standardized Cognitive Performance Testing (96125) $233.50 $467 2.3×
Stress Tte Only (93350) $559.50 $1,119 1.1×
Surfactant Admin Thru Tube (94610) $96 $192 0.5×
Temp transcutaneous pacing (92953) $907.50 $1,815 1.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $58.50 $117 2.6×
Ther Ivntj Ea Addl 15 Min (97130) $58.50 $117 2.8×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $56.50 $113 1.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $58.50 $117 2.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $210 $420 2.0×
Ther/Proph/Diag Inj Sc/Im (96372) $92 $184 1.4×
Ther/Proph/Diag Iv Inf Init (96365) $301.50 $603 1.6×
Therapeutic Activities (97530) $63.50 $127 1.8×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $740.50 $1,481 2.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $25 $50 0.7×
Transcath Closure of Asd (93580) $21,429.50 $42,859 1.3×
Tte w/doppler, complete (93306) $1,402.50 $2,805 2.8×
Tte W/O Doppler Complete (93307) $726.50 $1,453 3.4×
Tx atrial fib pulm vein isol (93656) $28,651.50 $57,303 1.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $229 $458 3.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $104 $208 4.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $120 $240 2.8×
Tympanometry (92567) $86 $172 2.5×
Tympanometry and reflex threshold measurements (92550) $291 $582 1.5×
Unlisted noninvasive vascular diagnostic study (93998) $168.50 $337 6.4×
Upr/L Xtremity Art 2 Levels (93922) $365 $730 3.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $550.50 $1,101 2.8×
Valvuloplasty aortic valve (92986) $10,407 $20,814 2.0×
Vasopneumatic device (97016) $80 $160 6.7×
Veeg 2-12 Hr Cont Mntr (95713) $538 $1,076 1.6×
Veeg 2-12 hr intmt mntr (95712) $291.50 $583 0.9×
Veeg 2-12 hr unmonitored (95711) $280.50 $561 1.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $559.50 $1,119 1.7×
Veeg Ea 12-26 Hr Unmntr (95714) $538 $1,076 1.6×
Veeg ea 12-26hr cont mntr (95716) $1,007.50 $2,015 1.3×
Vent Mgmt Inpat Init Day (94002) $1,260 $2,520 2.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $783.50 $1,567 1.4×
Visual Evoked Potential Test (95930) $726 $1,452 3.7×
Visual Field Exam Extended (92083) $120 $240 1.0×
Visual field xm uni/bi w/interp intermed exam (92082) $92 $184 1.7×
Visual reinforcement audiometry (vra) (92579) $241.50 $483 1.2×
Vital capacity, total (94150) $124 $248 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $58.50 $117 1.9×
Whirlpool Therapy (97022) $57.50 $115 3.7×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $173.50 $347 5.1×

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.