Visits & medical services prices at Pascagoula Hospital
Pascagoula, MS · every code in this section with a posted price and a Medicare benchmark.
290 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $3,723.60 | $12,412 | 0.5× |
| Actinotherapy Ultraviolet Light (96900) | $39.30 | $131 | 1.2× |
| Advncd Care Plan 30 Min (99497) | $67.20 | $224 | 0.7× |
| Airway Inhalation Treatment (94640) | $156 | $520 | 0.8× |
| Analyze neurostim complex (95972) | $520.50 | $1,735 | 6.1× |
| Analyze neurostim no prog (95970) | $95.10 | $317 | 0.8× |
| Analyze Neurostim Simple (95971) | $468.90 | $1,563 | 5.5× |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $216 | $720 | 0.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $48.90 | $163 | 3.4× |
| Application Modality 1/> Areas Diathermy (97024) | $41.40 | $138 | 5.6× |
| Application Modality 1/> Areas Infrared (97026) | $38.70 | $129 | 5.8× |
| Assessment of aphasia per hr (96105) | $114 | $380 | 1.2× |
| Assmt & care planning pt w/cognitive impairment (99483) | $64.80 | $216 | 0.7× |
| Basic vestibular evaluation (92540) | $161.40 | $538 | 0.8× |
| Behavral qualit analys voice (92524) | $74.70 | $249 | 0.7× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $74.40 | $248 | 0.9× |
| Bfb training ea addl 15 min (90913) | $30.90 | $103 | 0.9× |
| Biofeedback training any modality (90901) | $90.90 | $303 | 2.2× |
| Bioimpedance Cv Analysis (93701) | $107.40 | $358 | 0.9× |
| Breath hydrogen/methane test (91065) | $221.10 | $737 | 1.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $231 | $770 | 0.7× |
| Caloric vestibular test w/rec bi monothermal (92538) | $225.30 | $751 | 1.2× |
| Caloric Vstblr Test W/Rec (92537) | $161.40 | $538 | 1.4× |
| Canalith repositioning proc (95992) | $57.60 | $192 | 1.4× |
| Car seat/bed test 60 min (94780) | $29.70 | $99 | 0.9× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$708.30–$1,668.90 | $2,361–$5,563 | varies |
| Cardiopulmonary exercise testing (94621) | $462.90 | $1,543 | 1.4× |
| Cardiopulmonary resuscitation (92950) | $418.20 | $1,394 | 2.2× |
| Cardioversion (92960) | $387.60 | $1,292 | 0.7× |
| Cardioversion elective internal (92961) | $495.30 | $1,651 | 0.8× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $6,956.70 | $23,189 | 2.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $6,160.20 | $20,534 | 2.1× |
| Cbt 1st hour (94644) | $108.60 | $362 | 0.9× |
| Chemo Admin Peritoneal Cavity (96446) | $315.60 | $1,052 | 1.1× |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$103.20–$206.40 | $344–$688 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 3 matching MRF lines |
$103.20–$206.40 | $344–$688 | varies |
| Chemo Ia Push (96420) | $215.40 | $718 | 0.7× |
| Chemo Intralesional Over 7 (96406) | $154.20 | $514 | 0.8× |
| Chemo intralesional up to 7 (96405) | $128.10 | $427 | 2.0× |
| Chemo IV infusion addl hr (96415) range across 3 matching MRF lines |
$117–$351 | $390–$1,170 | varies |
| Chemo IV push addl drug (96411) | $203.10 | $677 | 3.1× |
| Chemother Prolong Infuse W/Pump (96416) | $336 | $1,120 | 1.1× |
| Chemotherapy Into Cns (96450) | $318.60 | $1,062 | 1.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $275.10 | $917 | 4.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $336 | $1,120 | 1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $275.10 | $917 | 0.9× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $107.70 | $359 | 0.4× |
| Chest Wall Manipulation (94668) | $46.80 | $156 | 0.4× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$64.80–$67.20 | $216–$224 | varies |
| Color/duplex Doppler, complete (93975) | $348.90 | $1,163 | 1.6× |
| Color/duplex Doppler, limited (93976) | $303.30 | $1,011 | 3.2× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$41.10–$83.10 | $137–$277 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $64.80 | $216 | 0.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $106.50 | $355 | 0.9× |
| Continuous Pulse Ox (94762) | $126.60 | $422 | 1.1× |
| Coronary Art/Grft Angio S&I (93455) | $6,468 | $21,560 | 2.2× |
| Coronary Artery Angio S&I (93454) range across 3 matching MRF lines |
$2,554.50–$2,730.60 | $8,515–$9,102 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$58.20–$703.50 | $194–$2,345 | varies |
| Cpt initial (94667) | $82.20 | $274 | 0.7× |
| Critical care first hour (99291) | $2,270.10 | $7,567 | 3.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$135.90–$383.10 | $453–$1,277 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $120.60 | $402 | 1.0× |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$155.10–$541.50 | $517–$1,805 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $387.90 | $1,293 | 1.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $298.80 | $996 | 3.2× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $327.30 | $1,091 | 3.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $465.90 | $1,553 | 2.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $316.80 | $1,056 | 3.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$514.20–$1,027.50 | $1,714–$3,425 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$480.30–$959.10 | $1,601–$3,197 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $208.50 | $695 | 1.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $100.20 | $334 | 1.1× |
| Duplex Scan Hemodialysis Access (93990) | $361.80 | $1,206 | 3.9× |
| Duplex up extrem art bilat (93930) | $465.90 | $1,553 | 2.2× |
| Duplex up extrem art unilat/ltd (93931) | $326.70 | $1,089 | 3.5× |
| Echo Heart Xthoracic,Limited (93308) | $470.40 | $1,568 | 2.2× |
| Echo transesophag montr cardiac pump functj (93318) | $1,062.60 | $3,542 | 2.2× |
| Echo transesophageal (93312) | $849 | $2,830 | 1.7× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,311.60 | $4,372 | 2.7× |
| Eeg 41-60 Minutes (95812) | $492.60 | $1,642 | 2.5× |
| EEG awake and asleep (95819) | $604.20 | $2,014 | 3.1× |
| EEG awake drowsy (95816) | $447.30 | $1,491 | 2.3× |
| EEG cerebral death evaluation (95824) | $681 | $2,270 | 2.0× |
| EEG cont rec w/video by tech min 8 channels (95700) | $226.50 | $755 | 1.2× |
| EEG extended monitoring 61-119 minutes (95813) | $486.60 | $1,622 | 2.5× |
| EKG signal averaged (93278) | $216.30 | $721 | 4.1× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $33.90 | $113 | 0.4× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $108.30 | $361 | 1.3× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $33.90 | $113 | 1.0× |
| Electrical Stimulation Ea 15 Min (97032) | $54.30 | $181 | 3.7× |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$106.50–$319.50 | $355–$1,065 | varies |
| Electrophysiology Evaluation (93642) | $1,032 | $3,440 | 0.9× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$266.40–$348.60 | $888–$1,162 | varies |
| Emergency Dept Visit Level 3 (99283) | $435.90 | $1,453 | 1.8× |
| Emergency Dept Visit Level 4 (99284) | $623.70 | $2,079 | 1.7× |
| Emg 3 Extremities (95863) | $222 | $740 | 1.9× |
| Emg 4 Extremities (95864) | $426.30 | $1,421 | 3.7× |
| Ep & ablate supravent arrhyt (93653) unusually low: confirm this is the full procedure |
$9,519.30 | $31,731 | 0.4× |
| Ep & ablate ventric tachy (93654) unusually low: confirm this is the full procedure |
$9,519.30 | $31,731 | 0.4× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $3,707.10 | $12,357 | 0.5× |
| Er level 1 (99281) range across 3 matching MRF lines |
$45.60–$275.10 | $152–$917 | varies |
| Er level v (99285) | $1,149.90 | $3,833 | 2.2× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $416.70 | $1,389 | 1.2× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $696.90 | $2,323 | 2.1× |
| Evaluate pt use of inhaler (94664) range across 5 matching MRF lines |
$84.60–$217.50 | $282–$725 | varies |
| Evaluate Speech Production (92522) | $72.30 | $241 | 0.6× |
| Evaluate Swallowing Function (92610) | $202.50 | $675 | 2.4× |
| Evaluation of speech fluency (92521) | $88.80 | $296 | 0.7× |
| Exercise test for bronchospasm (94617) | $101.70 | $339 | 0.9× |
| External ECG rec>48hr<7d recording (93242) | $41.70 | $139 | 1.2× |
| External Ecg Scanning Analysis Report (93226) | $1,167 | $3,890 | 22.1× |
| Extracranial Bilat Study (93880) | $651 | $2,170 | 3.0× |
| Extracranial Uni/Ltd Study (93882) | $364.80 | $1,216 | 3.9× |
| Flexible endoscopic eval swallow c/v rec (92612) | $70.80 | $236 | 0.4× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $483.90 | $1,613 | 1.4× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $661.50 | $2,205 | 3.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$434.70–$942 | $1,449–$3,140 | varies |
| Gi tract capsule endoscopy (91110) | $1,360.80 | $4,536 | 1.7× |
| Group Therapeutic Procedures (97150) | $41.40 | $138 | 2.3× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $6,929.10 | $23,097 | 2.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 3 matching MRF lines |
$155.10–$452.70 | $517–$1,509 | varies |
| Holter monitor recording (93225) | $615 | $2,050 | 5.2× |
| Icd Device Interrogate (93289) | $43.20 | $144 | 1.3× |
| Icd Device Progr Eval Mult (93284) | $30.90 | $103 | 0.9× |
| Icm Device Eval (93290) | $43.20 | $144 | 1.3× |
| Ilr Device Interrogate (93291) | $36.30 | $121 | 1.4× |
| Immunization administration (90471) range across 2 matching MRF lines |
$36.90–$48.90 | $123–$163 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $367.50 | $1,225 | 1.1× |
| Insert/Place Heart Catheter (93503) | $760.20 | $2,534 | 0.5× |
| Interrogate Subq Defib (93261) | $43.20 | $144 | 1.3× |
| Interrogation eval in person wr defibrillator (93292) | $43.20 | $144 | 1.3× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$1,509.60 | $5,032 | 0.2× |
| Intracranial Complete Study (93886) | $795.30 | $2,651 | 3.7× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$815.40 | $2,718 | 0.1× |
| Iontophoresis 15 min (97033) | $58.80 | $196 | 3.1× |
| Irrig Drug Delivery Device (96523) | $48 | $160 | 0.9× |
| IV infusion hydration each additional hour (96361) range across 6 matching MRF lines |
$108.90–$653.40 | $363–$2,178 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$220.50–$235.80 | $735–$786 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$148.50–$297 | $495–$990 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$94.80–$284.40 | $316–$948 | varies |
| IV push initial (96374) | $99.30 | $331 | 0.5× |
| L Hrt Art/Grft Angio (93459) | $7,287 | $24,290 | 2.5× |
| Laryngeal Function Studies (92520) | $108.30 | $361 | 0.9× |
| Liver Elastography W/O Imag W/I&R (91200) | $123.90 | $413 | 1.1× |
| Lung Function Test (Mbc/Mvv) (94200) | $28.80 | $96 | 0.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $684.60 | $2,282 | 3.5× |
| Mechanical chest wall oscillation per session (94669) | $40.50 | $135 | 0.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $12 | $40 | 0.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$13.50–$54 | $45–$180 | varies |
| Methacholine challenge (94070) | $216.30 | $721 | 0.6× |
| Motility study esophagus (91010) | $412.80 | $1,376 | 1.2× |
| Motion Fluoroscopy/Swallow (92611) | $236.10 | $787 | 2.6× |
| Multiple Sleep Latency Test (95805) | $1,338 | $4,460 | 1.7× |
| Muscle Test 2 Limbs (95861) | $213.30 | $711 | 1.8× |
| Muscle Test Nonparaspinal (95870) | $77.40 | $258 | 0.6× |
| Muscle Test One Limb (95860) | $126 | $420 | 1.1× |
| Nasopharyngoscopy (92511) | $139.50 | $465 | 0.8× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $136.20 | $454 | 0.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $300.60 | $1,002 | 0.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $146.10 | $487 | 0.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $279 | $930 | 0.8× |
| Nerve Conduction Studies 1-2 Studies (95907) | $132.90 | $443 | 0.7× |
| Nerve Conduction Studies 11-12 Studies (95912) | $438.90 | $1,463 | 1.3× |
| Nerve conduction studies 13 or more studies (95913) | $473.10 | $1,577 | 1.4× |
| Nerve Conduction Studies 3-4 Studies (95908) | $225.30 | $751 | 1.2× |
| Nerve conduction studies 5-6 studies (95909) | $244.20 | $814 | 1.3× |
| Nerve conduction studies 7-8 studies (95910) | $262.80 | $876 | 0.8× |
| Nerve Conduction Studies 9-10 Studies (95911) | $405.30 | $1,351 | 1.2× |
| Neurobehavioral Status Exam (96116) | $156 | $520 | 0.8× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $121.20 | $404 | 1.1× |
| Neuromuscular Reeducation (97112) range across 7 matching MRF lines |
$68.70–$343.50 | $229–$1,145 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $53.40 | $178 | 1.5× |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$162.30–$219.60 | $541–$732 | varies |
| Oral Speech Device Eval (92597) | $159.90 | $533 | 2.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 3 matching MRF lines |
$41.70–$83.40 | $139–$278 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$44.40–$177.60 | $148–$592 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $23.40 | $78 | 1.2× |
| Ot Contrast Bath Ea 15 Min (97034) | $23.40 | $78 | 1.7× |
| Ot eval high complexity (97167) | $189 | $630 | 1.9× |
| Ot Eval Low Complex (97165) | $189 | $630 | 1.9× |
| Ot Eval Moderate Complexity (97166) | $189 | $630 | 1.9× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$58.80–$141.60 | $196–$472 | varies |
| Ot paraffin bath (97018) | $46.80 | $156 | 7.8× |
| Ot Prosthetic Training, Each 15 Min (97761) | $44.70 | $149 | 1.1× |
| Ot Re-Eval Est Plan Care (97168) | $84.60 | $282 | 1.2× |
| Ot rom hand (95852) | $36.60 | $122 | 1.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $154.80 | $516 | 1.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $123 | $410 | 1.1× |
| Oxygen Uptake Rest Indirect (94690) | $56.40 | $188 | 1.1× |
| Penile Vascular Study,Ltd or F/U (93981) | $303 | $1,010 | 3.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $107.10 | $357 | 0.5× |
| Peripheral arterial disease rehab per session (93668) | $51.90 | $173 | 1.0× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $14,787.60 | $49,292 | 0.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $6,183.90 | $20,613 | 1.2× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $6,262.20 | $20,874 | 0.6× |
| Phlebotomy therapeutic (99195) | $100.50 | $335 | 0.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $68.70 | $229 | 1.3× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$61.50–$184.50 | $205–$615 | varies |
| Plethysmography (94726) | $221.70 | $739 | 0.7× |
| Pm device eval in person (93288) | $43.20 | $144 | 1.3× |
| Pm Device Progr Eval Sngl (93279) | $43.20 | $144 | 1.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,030.40 | $6,768 | 2.6× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $31.80 | $106 | 1.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $30 | $100 | 0.7× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $35.10 | $117 | 0.8× |
| Prq Card Angio/Athrect 1 Art (92924) | $7,862.40 | $26,208 | 0.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$6,262.20–$9,861.60 | $20,874–$32,872 | varies |
| Prq Card Stent/Ath/Angio (92933) unusually low: confirm this is the full procedure |
$6,262.20 | $20,874 | 0.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $6,262.20 | $20,874 | 0.6× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $14,139.60 | $47,132 | 0.9× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $9,312.30 | $31,041 | 0.9× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $8,903.70 | $29,679 | 0.9× |
| Pt Eval High Complex (97163) | $186 | $620 | 1.9× |
| Pt eval low complex 20 min (97161) | $186 | $620 | 1.9× |
| Pt Eval Mod Complex (97162) | $186 | $620 | 1.9× |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$60–$128.40 | $200–$428 | varies |
| Pt mechanical traction (97012) | $50.10 | $167 | 3.5× |
| Pt Re-Eval Est Plan Care (97164) | $87 | $290 | 1.3× |
| Pulm function test by gas (94727) | $121.20 | $404 | 0.6× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$103.80–$127.50 | $346–$425 | varies |
| Pulmonary Stress Testing (94618) | $288 | $960 | 2.4× |
| Pure Tone Audiometry Air (92552) | $60.60 | $202 | 0.5× |
| R Hrt Art/Grft Angio (93457) | $6,057 | $20,190 | 2.1× |
| R hrt coronary artery angio (93456) | $5,091.30 | $16,971 | 1.8× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $2,486.70 | $8,289 | 0.9× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $2,486.70 | $8,289 | 0.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $2,798.10 | $9,327 | 1.0× |
| Rectal sensation tone&compliance study (91124) | $639.30 | $2,131 | 3.3× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $229.20 | $764 | 0.8× |
| Refill/Maint Portable Pump (96521) | $166.20 | $554 | 0.9× |
| Respiratory flow volume loop (94375) | $216.30 | $721 | 1.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $68.10 | $227 | 1.3× |
| Right Heart Cath (93451) | $1,529.10 | $5,097 | 0.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $88.20 | $294 | 0.5× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $36.60 | $122 | 1.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $84.60 | $282 | 0.7× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $49.80 | $166 | 1.0× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$58.80–$117.60 | $196–$392 | varies |
| Sensory Integration Ea 15 Min (97533) | $69.30 | $231 | 1.1× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $161.40 | $538 | 1.4× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$127.50–$492.60 | $425–$1,642 | varies |
| Slp Stdy Unatnd W/Anal (95801) | $492.60 | $1,642 | 9.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $117.90 | $393 | 0.6× |
| Speech sound lang comprehen (92523) | $252.60 | $842 | 1.1× |
| Spin/Brain Pump Refil & Main (95991) | $154.50 | $515 | 0.6× |
| Spirometry (94010) range across 3 matching MRF lines |
$53.40–$201 | $178–$670 | varies |
| Standardized Cognitive Performance Testing (96125) | $105.90 | $353 | 1.0× |
| Temp transcutaneous pacing (92953) | $235.80 | $786 | 0.4× |
| Tensilon Test (95857) | $134.40 | $448 | 0.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $23.10 | $77 | 1.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $22.20 | $74 | 1.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 4 matching MRF lines |
$54.60–$218.40 | $182–$728 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $44.70 | $149 | 1.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $147 | $490 | 1.4× |
| Ther/Proph/Diag Inj Ia (96373) | $171.60 | $572 | 0.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $105 | $350 | 1.6× |
| Ther/Proph/Diag Iv Inf Init (96365) | $220.50 | $735 | 1.2× |
| Therapeutic Activities (97530) range across 5 matching MRF lines |
$72.30–$216.90 | $241–$723 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $716.40 | $2,388 | 2.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $26.40 | $88 | 0.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $24.90 | $83 | 0.7× |
| Trans Care Mgmt 14 Day Disch (99495) | $99.90 | $333 | 0.8× |
| Trans Care Mgmt 7 Day Disch (99496) | $99.90 | $333 | 0.8× |
| Transcath Closure of Asd (93580) | $14,139.60 | $47,132 | 0.9× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $411.60 | $1,372 | 4.4× |
| Tte w/doppler, complete (93306) | $1,408.20 | $4,694 | 2.9× |
| Tx atrial fib pulm vein isol (93656) unusually low: confirm this is the full procedure |
$9,519.30 | $31,731 | 0.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$96.90–$193.20 | $323–$644 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $61.50 | $205 | 2.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$85.20–$255.60 | $284–$852 | varies |
| Tympanometry (92567) | $35.70 | $119 | 1.1× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$202.80–$270.60 | $676–$902 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) range across 2 matching MRF lines |
$406.50–$696.90 | $1,355–$2,323 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $264 | $880 | 2.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$306.60–$684.60 | $1,022–$2,282 | varies |
| Valvuloplasty aortic valve (92986) | $5,269.20 | $17,564 | 1.0× |
| Valvuloplasty mitral valve (92987) | $8,903.70 | $29,679 | 0.9× |
| Vasopneumatic device (97016) | $43.80 | $146 | 3.6× |
| Veeg 2-12 Hr Cont Mntr (95713) | $422.10 | $1,407 | 1.3× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $476.10 | $1,587 | 1.4× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $289.80 | $966 | 0.9× |
| Veeg ea 12-26hr cont mntr (95716) | $789.60 | $2,632 | 1.0× |
| Vent Mgmt Inpat Init Day (94002) range across 6 matching MRF lines |
$137.70–$812.70 | $459–$2,709 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $532.80 | $1,776 | 1.0× |
| Visual Evoked Potential Test (95930) | $275.40 | $918 | 1.4× |
| Visual Field Exam Extended (92083) | $108.30 | $361 | 0.9× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $89.10 | $297 | 1.7× |
| Vital capacity, total (94150) | $54.90 | $183 | 0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $57.30 | $191 | 1.8× |
| Whirlpool Therapy (97022) | $64.80 | $216 | 4.1× |
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.