Visits & medical services prices at PeaceHealth St. John Medical Center
Longview, WA · every code in this section with a posted price and a Medicare benchmark.
226 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (99497) | $64.35 | $99 | 0.6× |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$16.25–$2,034.50 | $25–$3,130 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) range across 2 matching MRF lines |
$475.15–$489.45 | $731–$753 | varies |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) range across 2 matching MRF lines |
$379.60–$387.40 | $584–$596 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $70.85 | $109 | 4.9× |
| Application on-body injector (96377) range across 2 matching MRF lines |
$123.50–$127.40 | $190–$196 | varies |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$342.55–$390.65 | $527–$601 | varies |
| Behavral qualit analys voice (92524) | $303.55 | $467 | 2.8× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $76.70 | $118 | 0.9× |
| Blink reflex test (95933) | $146.25 | $225 | 2.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$1,093.95–$1,159.60 | $1,683–$1,784 | varies |
| Canalith repositioning proc (95992) | $104 | $160 | 2.6× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$1,093.95–$1,126.45 | $1,683–$1,733 | varies |
| Cardiopulmonary exercise testing (94621) | $1,269.45 | $1,953 | 3.0× |
| Cardiopulmonary resuscitation (92950) | $930.80 | $1,432 | 3.9× |
| Cardioversion (92960) range across 3 matching MRF lines |
$2,283.45–$2,351.70 | $3,513–$3,618 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $74.75 | $115 | 2.9× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 3 matching MRF lines |
$14,669.20–$15,135.90 | $22,568–$23,286 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$12,188.80–$12,554.75 | $18,752–$19,315 | varies |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$333.45–$380.25 | $513–$585 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$297.05–$317.85 | $457–$489 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$210.60–$225.55 | $324–$347 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$285.35–$305.50 | $439–$470 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$402.35–$430.30 | $619–$662 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$1,050.40–$1,123.85 | $1,616–$1,729 | varies |
| Chemotherapy Unspecified (96549) range across 2 matching MRF lines |
$169–$180.70 | $260–$278 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$837.85–$896.35 | $1,289–$1,379 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$1,055.60–$1,129.70 | $1,624–$1,738 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$419.25–$448.50 | $645–$690 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $566.80 | $872 | 1.5× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$225.55–$232.05 | $347–$357 | varies |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $13 | $20 | 0.5× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$1,376.70–$1,404 | $2,118–$2,160 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$646.10–$659.10 | $994–$1,014 | varies |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$589.55–$624.65 | $907–$961 | varies |
| Coronary Art/Grft Angio S&I (93455) range across 3 matching MRF lines |
$8,076.90–$8,319.35 | $12,426–$12,799 | varies |
| Coronary Artery Angio S&I (93454) range across 3 matching MRF lines |
$12,188.80–$12,554.75 | $18,752–$19,315 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$508.95–$559.65 | $783–$861 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$225.55–$232.05 | $347–$357 | varies |
| Critical care first hour (99291) range across 4 matching MRF lines |
$3,851.90–$5,891.60 | $5,926–$9,064 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$465.40–$479.05 | $716–$737 | varies |
| Dialysis One Evaluation (90945) | $1,287 | $1,980 | 2.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$965.25–$984.75 | $1,485–$1,515 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$635.70–$648.70 | $978–$998 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$995.80–$1,015.95 | $1,532–$1,563 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$889.85–$907.40 | $1,369–$1,396 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$1,060.15–$1,081.60 | $1,631–$1,664 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$982.15–$1,001.65 | $1,511–$1,541 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$672.10–$685.75 | $1,034–$1,055 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 2 matching MRF lines |
$286–$291.85 | $440–$449 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$669.50–$683.15 | $1,030–$1,051 | varies |
| Duplex up extrem art bilat (93930) | $874.25 | $1,345 | 3.3× |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$510.25–$520.65 | $785–$801 | varies |
| ECG/monitoring and analysis (93271) | $850.20 | $1,308 | 8.0× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$1,000.35–$1,030.25 | $1,539–$1,585 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$2,157.35–$2,222.35 | $3,319–$3,419 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,212.25 | $1,865 | 2.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$3,221.40–$3,672.50 | $4,956–$5,650 | varies |
| Eeg 41-60 Minutes (95812) | $720.20 | $1,108 | 3.0× |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$772.85–$856.05 | $1,189–$1,317 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$850.20–$852.15 | $1,308–$1,311 | varies |
| EEG extended monitoring 61-119 minutes (95813) | $1,138.15 | $1,751 | 4.7× |
| Eeg Sleep Only (95822) | $2,214.55 | $3,407 | 9.2× |
| Electrical Stimulation Ea 15 Min (97032) | $70.85 | $109 | 4.8× |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$235.95–$471.90 | $363–$726 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$570.70–$1,141.40 | $878–$1,756 | varies |
| Emergency Dept Visit Level 3 (99283) | $934.05 | $1,437 | 3.1× |
| Emergency Dept Visit Level 4 (99284) | $1,634.10 | $2,514 | 3.5× |
| Emg 4 Extremities (95864) | $468.65 | $721 | 3.3× |
| Er level 1 (99281) | $320.45 | $493 | 3.4× |
| Er level v (99285) range across 3 matching MRF lines |
$2,965.30–$5,930.60 | $4,562–$9,124 | varies |
| Evaluate pt use of inhaler (94664) | $419.25 | $645 | 1.7× |
| Evaluate Speech Production (92522) | $340.60 | $524 | 3.0× |
| Evaluate Swallowing Function (92610) range across 3 matching MRF lines |
$485.55–$499.85 | $747–$769 | varies |
| Evaluation of speech fluency (92521) | $340.60 | $524 | 2.6× |
| External ECG rec>48hr<7d recording (93242) range across 3 matching MRF lines |
$148.20–$170.30 | $228–$262 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) range across 2 matching MRF lines |
$202.80–$231.40 | $312–$356 | varies |
| External ECG rec>7d<15d recording (93246) range across 3 matching MRF lines |
$258.05–$297.05 | $397–$457 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) range across 2 matching MRF lines |
$356.20–$406.25 | $548–$625 | varies |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$657.80–$677.30 | $1,012–$1,042 | varies |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$1,000.35–$1,020.50 | $1,539–$1,570 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$616.20–$628.55 | $948–$967 | varies |
| Eye exam w anesth; limited (92019) | $4,681.95 | $7,203 | 1.8× |
| Flexible endoscopic eval swallow c/v rec (92612) | $741 | $1,140 | 3.7× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $4,380.35 | $6,739 | 4.6× |
| Gi tract capsule endoscopy (91110) | $1,828.45 | $2,813 | 1.8× |
| Gi tract imaging intraluminal colon i&r (91113) | $2,581.80 | $3,972 | 2.5× |
| Group Therapeutic Procedures (97150) | $148.20 | $228 | 8.2× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$12,609.35–$14,374.75 | $19,399–$22,115 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$2,279.55–$2,347.80 | $3,507–$3,612 | varies |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$462.15–$475.80 | $711–$732 | varies |
| Icd Device Interrogate (93289) | $160.55 | $247 | 3.9× |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$160.55–$165.10 | $247–$254 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$308.10–$317.20 | $474–$488 | varies |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$221–$227.50 | $340–$350 | varies |
| Immunization administration (90471) range across 3 matching MRF lines |
$176.15–$181.35 | $271–$279 | varies |
| Interrogate Subq Defib (93261) | $119.60 | $184 | 2.9× |
| Intracranial Complete Study (93886) | $1,118.65 | $1,721 | 4.2× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$51.35–$254.15 | $79–$391 | varies |
| IV infusion hydration each additional hour (96361) range across 6 matching MRF lines |
$24.70–$2,086.50 | $38–$3,210 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$66.30–$684.45 | $102–$1,053 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$536.90–$553.15 | $826–$851 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 5 matching MRF lines |
$156–$2,808 | $240–$4,320 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$431.60–$444.60 | $664–$684 | varies |
| L Hrt Art/Grft Angio (93459) range across 3 matching MRF lines |
$12,785.50–$13,169 | $19,670–$20,260 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $253.50 | $390 | 3.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$954.20–$973.05 | $1,468–$1,497 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $50.70 | $78 | 1.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $63.70 | $98 | 1.7× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$722.80–$766.35 | $1,112–$1,179 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 3 matching MRF lines |
$563.55–$580.45 | $867–$893 | varies |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$2,627.95–$2,680.60 | $4,043–$4,124 | varies |
| Muscle Test 2 Limbs (95861) | $347.10 | $534 | 2.3× |
| Muscle Test One Limb (95860) | $222.30 | $342 | 1.5× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $607.75 | $935 | 2.5× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $438.10 | $674 | 1.8× |
| Needle electromyography larynx (95865) | $152.75 | $235 | 1.0× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $316.55 | $487 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $384.15 | $591 | 1.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $1,110.20 | $1,708 | 2.4× |
| Nerve Conduction Studies 1-2 Studies (95907) | $423.80 | $652 | 1.8× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,334.45 | $2,053 | 3.2× |
| Nerve conduction studies 13 or more studies (95913) | $1,387.10 | $2,134 | 3.3× |
| Nerve Conduction Studies 3-4 Studies (95908) | $804.05 | $1,237 | 3.3× |
| Nerve conduction studies 5-6 studies (95909) | $838.50 | $1,290 | 3.5× |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$148.85–$953.55 | $229–$1,467 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,296.10 | $1,994 | 3.1× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $303.55 | $467 | 2.1× |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$102.70–$205.40 | $158–$316 | varies |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$1,478.10–$1,684.80 | $2,274–$2,592 | varies |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$328.90–$338.65 | $506–$521 | varies |
| Oral Speech Device Eval (92597) | $368.55 | $567 | 5.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$98.15–$126.75 | $151–$195 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $159.90 | $246 | 3.5× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $43.55 | $67 | 1.8× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$385.45–$397.15 | $593–$611 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$245.70–$252.85 | $378–$389 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$303.55–$312.65 | $467–$481 | varies |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$97.50–$195 | $150–$300 | varies |
| Ot paraffin bath (97018) | $61.75 | $95 | 10.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $95.55 | $147 | 2.4× |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$171.60–$176.80 | $264–$272 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$295.75–$313.30 | $455–$482 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$233.35–$247.65 | $359–$381 | varies |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $32,199.05 | $49,537 | 1.6× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 3 matching MRF lines |
$11,439.35–$13,014.95 | $17,599–$20,023 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $23,419.50 | $36,030 | 1.8× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$462.15–$475.80 | $711–$732 | varies |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $245.05 | $377 | 3.7× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$225.55–$239.20 | $347–$368 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$206.05–$218.40 | $317–$336 | varies |
| Physical Performance Test (97750) | $213.85 | $329 | 6.3× |
| Plethysmography (94726) range across 2 matching MRF lines |
$668.85–$689 | $1,029–$1,060 | varies |
| Pm device eval in person (93288) | $119.60 | $184 | 2.9× |
| Pm device progr eval dual (93280) range across 3 matching MRF lines |
$200.85–$206.70 | $309–$318 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$241.15–$248.30 | $371–$382 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$200.85–$206.70 | $309–$318 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$160.55–$165.10 | $247–$254 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$4,884.75–$4,982.25 | $7,515–$7,665 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$3,843.45–$3,920.15 | $5,913–$6,031 | varies |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $131.30 | $202 | 3.2× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$160.55–$165.10 | $247–$254 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) | $24,584.95 | $37,823 | 1.9× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $20,935.20 | $32,208 | 1.6× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $107.25 | $165 | 2.8× |
| Pt Eval High Complex (97163) | $378.30 | $582 | 3.9× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$227.50–$258.05 | $350–$397 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$286–$295.75 | $440–$455 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$88.40–$91 | $136–$140 | varies |
| Pt group caregiver training (97552) | $64.35 | $99 | 2.9× |
| Pt mechanical traction (97012) | $65 | $100 | 4.5× |
| Pt Re-Eval Est Plan Care (97164) | $187.85 | $289 | 2.8× |
| Pulm function test by gas (94727) | $458.90 | $706 | 1.9× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$332.15–$352.30 | $511–$542 | varies |
| R Hrt Art/Grft Angio (93457) | $12,609.35 | $19,399 | 3.5× |
| R hrt coronary artery angio (93456) range across 3 matching MRF lines |
$12,581.40–$14,468.35 | $19,356–$22,259 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $8,929.05 | $13,737 | 2.5× |
| Refill/Maint Portable Pump (96521) range across 3 matching MRF lines |
$889.85–$952.25 | $1,369–$1,465 | varies |
| Refill/Maint Pump/Resvr Syst (96522) | $523.90 | $806 | 2.2× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 2 matching MRF lines |
$83.85–$86.45 | $129–$133 | varies |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$313.30–$322.40 | $482–$496 | varies |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$1,852.50–$1,963.65 | $2,850–$3,021 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $167.05 | $257 | 2.5× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$7,171.45–$7,386.60 | $11,033–$11,364 | varies |
| Right ventricular recording (93603) | $3,183.05 | $4,897 | 2.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$234.65–$241.80 | $361–$372 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $37.70 | $58 | 1.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $322.40 | $496 | 2.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $170.95 | $263 | 3.6× |
| Sbsq Psyc Collab Care Mgmt (99493) | $146.25 | $225 | 1.3× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$114.40–$343.20 | $176–$528 | varies |
| Sensory Integration Ea 15 Min (97533) | $128.05 | $197 | 2.1× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$907.40–$925.60 | $1,396–$1,424 | varies |
| Slp caregiver training 1st 30 min (97550) | $151.45 | $233 | 2.9× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$460.85–$474.50 | $709–$730 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$257.40–$273 | $396–$420 | varies |
| Standardized Cognitive Performance Testing (96125) range across 4 matching MRF lines |
$291.85–$376.35 | $449–$579 | varies |
| Stress Tte Only (93350) | $1,597.70 | $2,458 | 2.6× |
| Subcutaneous Infusion Each Additional Hour (96370) | $122.85 | $189 | 2.4× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $601.25 | $925 | 2.5× |
| Surfactant Admin Thru Tube (94610) | $289.25 | $445 | 1.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$94.90–$97.50 | $146–$150 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$86.45–$89.05 | $133–$137 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $102.70 | $158 | 2.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $269.75 | $415 | 2.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$28.60–$510.90 | $44–$786 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$664.30–$684.45 | $1,022–$1,053 | varies |
| Therapeutic Activities (97530) range across 6 matching MRF lines |
$97.50–$201.50 | $150–$310 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,675.70 | $2,578 | 4.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $70.85 | $109 | 1.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$13.65–$90.35 | $21–$139 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $234 | $360 | 1.6× |
| Trans Care Mgmt 7 Day Disch (99496) | $313.95 | $483 | 2.1× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $630.50 | $970 | 5.4× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$2,241.85–$2,308.80 | $3,449–$3,552 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$273.65–$286 | $421–$440 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$229.45–$688.35 | $353–$1,059 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 4 matching MRF lines |
$2,520.05–$3,876.60 | $3,877–$5,964 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$393.25–$401.05 | $605–$617 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$799.50–$815.75 | $1,230–$1,255 | varies |
| Vasopneumatic device (97016) | $48.75 | $75 | 4.1× |
| Vent Mgmt Inpat Init Day (94002) | $1,554.80 | $2,392 | 2.3× |
| Vital capacity, total (94150) | $377 | $580 | 2.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $87.75 | $135 | 2.8× |
| Whirlpool Therapy (97022) | $72.80 | $112 | 4.6× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $217.10 | $334 | 3.3× |
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.