Visits & medical services prices at Penrose Hospital

Colorado Springs, CO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $11,962.41 $29,906.01 1.5×
Actigraphy Testing Recording Analysis I&R (95803) $189.66 $474.15 3.0×
Acupunct W/Stimul 15 Min (97813) $47.32 $118.30 1.6×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $47.32 $118.30 1.6×
Admn Sarscov2 Vacc 1 Dose (90480) $46.74 $116.84 1.1×
Advncd Care Plan 30 Min (99497) $42.92 $107.28 0.4×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$155.04–$163.88 $387.60–$409.68 varies
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $461.60 $1,153.99 3.3×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $461.60 $1,153.99 3.3×
Analyze neurostim complex (95972) $393.96 $984.90 3.9×
Analyze neurostim no prog (95970) $286.63 $716.56 2.0×
Analyze Neurostim Simple (95971) $384.10 $960.25 3.8×
Analyze Pacemaker System (93724) $1,094.05 $2,735.11 3.4×
Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) $532.30 $1,330.73 3.8×
Ant sgm imaging w/microscopy endothelial analy (92286) $467.26 $1,168.14 3.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $113.36 $283.38 7.9×
Application Modality 1/> Areas Infrared (97026) $11.99 $29.97 1.8×
Application on-body injector (96377) $79.03 $197.56 1.6×
Arrhythmia Induction (93618) $1,569.56 $3,923.90 1.2×
Assessment of aphasia per hr (96105) $266.42 $666.03 2.7×
Audiometry Air & Bone (92553) $90.11 $225.27 0.7×
Behavral qualit analys voice (92524) $80.69 $201.71 0.7×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $89.68 $224.18 1.1×
Bfb training ea addl 15 min (90913) $109.11 $272.77 3.3×
Biofeedback training any modality (90901) $156.87 $392.16 3.8×
Bioimpedance Cv Analysis (93701) $169.02 $422.55 1.2×
Breath hydrogen/methane test (91065) $686.36 $1,715.89 3.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $901.41 $2,253.52 2.3×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$3,209.93 $8,024.82 0.4×
C motor evoked uppr limbs (95928) $1,047.90 $2,619.75 1.2×
C motor evoked upr&lwr limbs (95939)
range across 2 matching MRF lines
$770.88–$1,571.85 $1,927.20–$3,929.61 varies
Canalith repositioning proc (95992) $56.16 $140.40 1.4×
Cardiac Stress Tst,Tracing Only (93017) $2,077.68 $5,194.18 9.1×
Cardiopulmonary exercise testing (94621) $1,219.93 $3,049.81 3.1×
Cardiopulmonary resuscitation (92950) $1,189.98 $2,974.93 5.2×
Cardioversion (92960) $4,013.54 $10,033.83 5.8×
Cardioversion elective internal (92961) $2,511.75 $6,279.36 3.6×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $20.65 $51.62 0.8×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $12,157.26 $30,393.15 3.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $10,388.36 $25,970.88 3.0×
Cbt 1st hour (94644) $208.17 $520.41 1.5×
Chemo Admin Peritoneal Cavity (96446) $582.26 $1,455.64 1.7×
Chemo Anti-Neopl Sq/Im (96401) $329.60 $823.99 4.3×
Chemo Hormon Antineopl Sq/Im (96402) $329.60 $823.99 4.3×
Chemo Ia Push (96420) $728.97 $1,822.41 2.1×
Chemo IV infusion addl hr (96415) $448.26 $1,120.63 5.9×
Chemo IV push addl drug (96411) $373.54 $933.85 4.9×
Chemother Prolong Infuse W/Pump (96416) $332.48 $831.19 1.0×
Chemotherapy Into Cns (96450) $1,321.66 $3,304.15 3.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $516.82 $1,292.03 6.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $516.82 $1,292.03 1.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $373.54 $933.85 1.1×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $891 $2,227.48 2.6×
Chest Wall Manipulation (94668) $129.71 $324.27 0.9×
Chron Care Mgmt Srvc 20 Min (99490) $42.92 $107.28 0.4×
Color/duplex Doppler, complete (93975) $923.41 $2,308.52 3.7×
Color/duplex Doppler, limited (93976) $649.28 $1,623.18 5.9×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines
$98.41–$147.75 $246.01–$369.37 varies
Comprehensive Hearing Test (92557) $188.15 $470.37 1.4×
Computerized Ophthalmic Imaging Optic Nerve (92133)
range across 2 matching MRF lines
$359.65–$532.86 $899.12–$1,332.15 varies
Computerized Ophthalmic Imaging Retina (92134)
range across 2 matching MRF lines
$359.65–$532.86 $899.12–$1,332.15 varies
Cont gluc mntr physician/qhp provided equiptment (95250) $101.70 $254.24 0.7×
Continuous Pulse Ox (94762) $181.81 $454.51 1.3×
Coronary Art/Grft Angio S&I (93455) $7,944.06 $19,860.14 2.3×
Coronary Artery Angio S&I (93454) $6,697.38 $16,743.44 2.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,231.65 $3,079.12 5.3×
Cpt initial (94667) $283.76 $709.38 2.0×
Critical care first hour (99291) $7,115.62 $17,789.03 8.2×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929)
range across 2 matching MRF lines
$695.39–$1,047.90 $1,738.47–$2,619.75 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$213.04–$338.12 $532.60–$845.30 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $923.41 $2,308.52 3.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $649.28 $1,623.18 5.9×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $649.28 $1,623.18 5.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $923.41 $2,308.52 3.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $649.28 $1,623.18 5.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $923.41 $2,308.52 3.7×
Dup-scan xtr veins unilateral/limited study (93971) $649.28 $1,623.18 5.9×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,439.44 $3,598.58 5.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $959.62 $2,399.05 8.7×
Duplex Scan Hemodialysis Access (93990) $1,055.32 $2,638.30 9.6×
Duplex up extrem art bilat (93930) $923.41 $2,308.52 3.7×
Duplex up extrem art unilat/ltd (93931) $649.28 $1,623.18 5.9×
ECG/monitoring and analysis (93271) $1,511.25 $3,778.12 15.1×
Echo Congenital Complete (93303) $1,875.68 $4,689.18 3.3×
Echo Heart Xthoracic,Limited (93308) $923.41 $2,308.52 3.7×
Echo r-t 2d w/probe placement only (93313) $1,875.68 $4,689.18 3.3×
Echo transesophag montr cardiac pump functj (93318) $1,875.68 $4,689.18 3.3×
Echo transesophageal (93312) $1,875.68 $4,689.18 3.3×
Echo Transesophageal - Congenital Tee Complete (93315) $1,875.68 $4,689.18 3.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,904.54 $4,761.33 3.3×
Eeg 41-60 Minutes (95812) $727.30 $1,818.25 3.2×
EEG awake and asleep (95819) $1,905.48 $4,763.68 8.4×
EEG awake drowsy (95816) $1,523.54 $3,808.85 6.7×
EEG cerebral death evaluation (95824) $1,191.52 $2,978.79 3.0×
EEG cont rec w/video by tech min 8 channels (95700) $548.51 $1,371.26 2.4×
EEG extended monitoring 61-119 minutes (95813) $2,254.76 $5,636.90 9.9×
Eeg Sleep Only (95822) $1,466.62 $3,666.53 6.4×
EEG w/o vid 2-12hr cont mntr (95707) $548.51 $1,371.26 2.4×
EEG w/o vid ea 12-26hr intmt (95709) $1,052.39 $2,630.97 2.7×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,052.39 $2,630.97 2.7×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $548.51 $1,371.26 2.4×
EEG wo vid ea 12-26hr unmntr (95708) $1,052.39 $2,630.97 2.7×
EKG signal averaged (93278) $508.41 $1,271.01 8.2×
Electrical Stimulation Ea 15 Min (97032) $171.93 $429.81 11.7×
Electro-Oculography (92270) $437.78 $1,094.44 3.1×
Electrocardiogram Tracing (93005) $331.85 $829.62 5.3×
Electroconvulsive Therapy (90870) $1,673.64 $4,184.10 1.8×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $7,101.56 $17,753.89 0.9×
Electrophysiology Evaluation (93642)
range across 2 matching MRF lines
$555.80–$2,740.83 $1,389.49–$6,852.07 varies
Emergency Dept Visit Level 2 (99282) $697.21 $1,743.01 4.3×
Emergency Dept Visit Level 3 (99283) $1,557.79 $3,894.47 5.4×
Emergency Dept Visit Level 4 (99284) $3,342.78 $8,356.95 7.6×
Emg 3 Extremities (95863) $851.13 $2,127.81 6.3×
Emg 4 Extremities (95864) $982.32 $2,455.78 7.2×
Endomyocardial Biopsy (93505) $4,117.43 $10,293.56 1.2×
Ep & ablate supravent arrhyt (93653) $25,635.60 $64,088.99 0.9×
Ep & ablate ventric tachy (93654) $23,695.26 $59,238.15 0.9×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $5,696.29 $14,240.71 0.7×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $5,696.29 $14,240.71 0.7×
Er level 1 (99281) $362.06 $905.13 4.1×
Er level v (99285) $7,025.77 $17,564.42 11.2×
Esoph Atrial Electrogram (93615) $4,908.81 $12,272.02 3.8×
Esophageal Capsule Endoscopy (91111) $1,063.56 $2,658.89 1.1×
Esophgl Balo Distension Dx Std W/Provocation (91040) $358.56 $896.40 0.9×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,801.10 $4,502.75 4.6×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $81.03 $202.57 0.6×
Evaluate pt use of inhaler (94664) $178.22 $445.55 0.8×
Evaluate Speech Production (92522) $79.77 $199.41 0.7×
Evaluate Swallowing Function (92610) $337.12 $842.79 4.0×
Evaluation of speech fluency (92521) $98.31 $245.77 0.7×
Exercise test for bronchospasm (94617) $526.44 $1,316.09 3.8×
External ECG rec>48hr<7d recording (93242) $1,449 $3,622.50 36.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $327.74 $819.35 2.3×
External ECG rec>7d<15d recording (93246) $1,449 $3,622.50 36.8×
External ECG rec>7d<15d scanning alys w/report (93247) $181.80 $454.49 1.3×
External Ecg Scanning Analysis Report (93226) $597.19 $1,492.97 9.6×
Extracranial Bilat Study (93880) $923.41 $2,308.52 3.7×
Extracranial Uni/Ltd Study (93882) $649.28 $1,623.18 5.9×
F-up/limited tthrc echo congenital car anomaly (93304) $1,731.40 $4,328.48 3.0×
Flexible endoscopic eval swallow c/v rec (92612) $227.76 $569.39 1.1×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $220.41 $551.02 1.0×
Fluorescein angiography (92235)
range across 2 matching MRF lines
$601.60–$782.11 $1,504–$1,955.26 varies
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,571.85 $3,929.61 1.7×
Fundus photography (92250) $228.26 $570.64 1.6×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $1,160.60 $2,901.48 5.1×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,672.14 $4,180.35 1.8×
Gi tract capsule endoscopy (91110) $1,615.22 $4,038.04 1.7×
Gi wireless capsule measure (91112) $1,063.56 $2,658.89 1.1×
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines
$50.90–$74.22 $127.25–$185.54 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $13,403.97 $33,509.92 3.9×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,526.19 $3,815.46 2.1×
Holter monitor recording (93225) $1,449 $3,622.50 10.3×
Hubbard tank 15 min (97036) $68.19 $170.47 2.0×
Icd Device Interrogate (93289) $593.95 $1,484.86 15.1×
Icd device progr eval dual (93283) $244.49 $611.22 6.2×
Icd Device Progr Eval Mult (93284) $305.61 $764.02 7.8×
Icm Device Eval (93290) $522.66 $1,306.65 13.3×
Ilr Device Eval Progr (93285) $92.58 $231.45 2.4×
Ilr Device Interrogate (93291) $184.67 $461.66 6.1×
Im Adm Intransl/Oral 1 Vaccine (90473) $34.09 $85.22 0.4×
Immunization administration (90471) $88.15 $220.36 1.2×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $358.15 $895.36 0.9×
Insert/Place Heart Catheter (93503) $2,425.58 $6,063.95 1.5×
Interrogate Subq Defib (93261) $186.56 $466.38 4.7×
Interrogation eval in person wr defibrillator (93292) $186.56 $466.38 4.7×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure
$3,508.10 $8,770.25 0.4×
Intra-atrial recording (93602) $9,102.28 $22,755.70 1.1×
Intracranial Complete Study (93886) $551.32 $1,378.28 2.2×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$3,209.93 $8,024.82 0.4×
Io anal gast n-stim subsq (95981) $104.47 $261.16 1.7×
Io ga n-stim subsq w/reprog (95982) $104.47 $261.16 2.7×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$76.20–$145.92 $190.49–$364.79 varies
Irrig Drug Delivery Device (96523) $78.10 $195.25 1.3×
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$21.82–$288.45 $54.54–$721.12 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 4 matching MRF lines
$115.62–$535.16 $289.04–$1,337.90 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$275.63–$486.29 $689.06–$1,215.71 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$231.52–$417.50 $578.79–$1,043.75 varies
IV push initial (96374)
range across 2 matching MRF lines
$167.74–$390.16 $419.33–$975.39 varies
L Hrt Art/Grft Angio (93459) $12,265.03 $30,662.57 3.6×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $10,388.36 $25,970.88 3.0×
Liver Elastography W/O Imag W/I&R (91200) $3,596.14 $8,990.34 26.5×
Low frequency non-thermal us (97610) $255.69 $639.21 1.2×
Lwr Xtr Vasc Stdy Bilat (93924) $142.89 $357.22 0.6×
Mechanical chest wall oscillation per session (94669) $311.46 $778.64 1.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $31.74 $79.35 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $20.21 $50.51 0.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $28.86 $72.14 1.7×
Methacholine challenge (94070) $1,264.32 $3,160.78 3.2×
Motility study esophagus (91010) $1,960.63 $4,901.56 5.0×
Motion Fluoroscopy/Swallow (92611) $404.55 $1,011.37 4.4×
Multiple Sleep Latency Test (95805) $3,230.20 $8,075.48 3.6×
Muscle Test 2 Limbs (95861) $719.94 $1,799.84 5.1×
Muscle Test Nonparaspinal (95870) $441.12 $1,102.80 3.1×
Muscle Test One Limb (95860) $506.99 $1,267.47 3.6×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $346.64 $866.59 1.5×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $231.10 $577.73 1.0×
Needle electromyography larynx (95865) $736.89 $1,842.22 5.3×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $317.56 $793.88 1.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$390.87–$561.99 $977.17–$1,404.97 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$390.87–$561.99 $977.17–$1,404.97 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$403.88–$605.82 $1,009.70–$1,514.55 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $624.39 $1,560.96 1.5×
Nerve Conduction Studies 1-2 Studies (95907) $476.11 $1,190.27 2.1×
Nerve Conduction Studies 11-12 Studies (95912) $2,856.66 $7,141.65 7.3×
Nerve conduction studies 13 or more studies (95913) $3,332.78 $8,331.94 8.5×
Nerve Conduction Studies 3-4 Studies (95908) $952.22 $2,380.53 4.2×
Nerve conduction studies 5-6 studies (95909) $1,428.34 $3,570.83 6.3×
Nerve conduction studies 7-8 studies (95910) $1,904.45 $4,761.12 4.8×
Nerve Conduction Studies 9-10 Studies (95911) $2,380.55 $5,951.37 6.0×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $218.48 $546.18 1.6×
Neuromuscular Reeducation (97112) $120.18 $300.45 3.7×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681)
range across 2 matching MRF lines
$185.56–$591.08 $463.89–$1,477.68 varies
Oral Function Therapy (92526) $235.48 $588.70 2.8×
Oral Speech Device Eval (92597) $88.26 $220.64 1.2×
Orthc/Prostc Mgmt Sbsq Enc (97763) $48.02 $120.04 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$91.47–$196 $228.67–$489.98 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $36.85 $92.12 1.6×
Osteopathic manipulative tx 3-4 body regions (98926) $26.04 $65.08 1.1×
Osteopathic manipulative tx 5-6 body regions (98927) $34.01 $85.01 1.5×
Osteopathic manipulative tx 7-8 body regions (98928) $40.38 $100.94 1.8×
Ot Contrast Bath Ea 15 Min (97034)
range across 2 matching MRF lines
$19.58–$22.01 $48.94–$55.02 varies
Ot eval high complexity (97167) $372.26 $930.65 3.7×
Ot Eval Low Complex (97165) $304.58 $761.44 3.0×
Ot Eval Moderate Complexity (97166) $338.42 $846.03 3.4×
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines
$43.29–$115.63 $108.22–$289.06 varies
Ot paraffin bath (97018) $86.06 $215.13 14.3×
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$48.66–$98.95 $121.65–$247.36 varies
Ot Re-Eval Est Plan Care (97168) $228.96 $572.40 3.3×
Ot rom hand (95852)
range across 2 matching MRF lines
$11.56–$19.30 $28.88–$48.24 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $262.24 $655.59 1.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $183.86 $459.63 1.4×
Oxygen Uptake Rest Indirect (94690) $56.63 $141.56 0.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $789.20 $1,972.98 3.4×
Peripheral arterial disease rehab per session (93668)
range across 2 matching MRF lines
$221.35–$260.87 $553.36–$652.16 varies
Perq transcath closure pda (93582) $12,318.96 $30,797.39 0.6×
Perq Transcath Cls Aortic (93591) $16,893.49 $42,233.71 0.9×
Perq Transcath Cls Mitral (93590) $16,893.49 $42,233.71 0.9×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $10,337.02 $25,842.53 1.7×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $13,287.53 $33,218.82 1.1×
Phlebotomy therapeutic (99195) $365.64 $914.09 2.6×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $62.52 $156.28 1.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $62.52 $156.28 1.0×
Physical Performance Test (97750)
range across 2 matching MRF lines
$40.99–$153.12 $102.47–$382.79 varies
Plethysmography (94726) $742.24 $1,855.59 1.9×
Pm device eval in person (93288) $102.07 $255.17 2.6×
Pm device progr eval dual (93280) $171.51 $428.77 4.4×
Pm device progr eval multi (93281) $214.38 $535.94 5.4×
Pm Device Progr Eval Sngl (93279) $127.27 $318.16 3.2×
Pm/Icd Remote Tech Serv (93296) $83.22 $208.05 2.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,233.82 $5,584.55 2.5×
Polysom <6 yrs 4/> paramtrs (95782) $4,001.89 $10,004.72 4.4×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,136.48 $5,341.18 2.4×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $4,526.08 $11,315.18 5.0×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $186.56 $466.38 4.7×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $205.35 $513.36 5.2×
Prq Card Angio/Athrect 1 Art (92924) $10,017.07 $25,042.66 0.8×
Prq Card Stent W/Angio 1 Vsl (92928) $10,182.21 $25,455.52 0.8×
Prq Card Stent/Ath/Angio (92933) $13,287.53 $33,218.82 0.7×
Prq Revasc Byp Graft 1 Vsl (92937)
range across 3 matching MRF lines
$12,690.62–$13,287.53 $31,726.53–$33,218.82 varies
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $12,318.96 $30,797.39 0.6×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$102.26–$280.20 $255.65–$700.48 varies
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $22.14 $55.33 0.6×
Pt Eval High Complex (97163) $372.26 $930.65 3.8×
Pt eval low complex 20 min (97161) $304.58 $761.44 3.1×
Pt Eval Mod Complex (97162) $338.42 $846.03 3.5×
Pt gait training 15 min (97116)
range across 3 matching MRF lines
$73.73–$114.07 $184.32–$285.16 varies
Pt group caregiver training (97552) $19.28 $48.20 0.9×
Pt mechanical traction (97012)
range across 2 matching MRF lines
$24.83–$67.36 $62.07–$168.39 varies
Pt Re-Eval Est Plan Care (97164) $228.96 $572.40 3.4×
Pulm function test by gas (94727) $742.24 $1,855.59 3.3×
Pulmonary service/procedure (94799) $243.30 $608.24 1.8×
Pulmonary Stress Testing (94618) $925.71 $2,314.26 6.6×
R Hrt Art/Grft Angio (93457) $13,565.66 $33,914.14 4.0×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $12,318.96 $30,797.39 3.6×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $12,318.96 $30,797.39 3.6×
R hrt coronary artery angio (93456) $12,318.96 $30,797.39 3.6×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $12,157.26 $30,393.15 3.6×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $12,157.26 $30,393.15 3.6×
R&L Hrt Cath W/Ventriclgrphy (93453) $9,640.42 $24,101.05 2.8×
Refill/Maint Portable Pump (96521)
range across 2 matching MRF lines
$363.76–$378.21 $909.38–$945.52 varies
Rem interrog icpms <30 d phys/qhp (93297) $83.22 $208.05 2.1×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $83.22 $208.05 2.1×
Rem Mntr Wrls P-Art Prs Snr (93264) $83.22 $208.05 2.1×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $48.84 $122.08 1.2×
Remote 30 Day Ecg Rev/Report (93270) $1,449 $3,622.50 36.8×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $16.99 $42.47 0.1×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981)
range across 2 matching MRF lines
$31.72–$35.79 $79.30–$89.47 varies
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980)
range across 2 matching MRF lines
$38.98–$43.98 $97.44–$109.93 varies
Repet tms tx initial w/map/motr threshld/del&m (90867) $822.86 $2,057.14 3.6×
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) $449.79 $1,124.47 2.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $157.52 $393.78 2.5×
Right Heart Cath (93451) $5,868.08 $14,670.18 1.7×
Right ventricular recording (93603) $597.43 $1,493.56 0.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $403.88 $1,009.70 1.9×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851)
range across 2 matching MRF lines
$22.04–$72.07 $55.09–$180.17 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $301.64 $754.08 2.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $115.44 $288.59 2.4×
Self Care Mngment Training (97535) $128.20 $320.48 4.0×
Sensory Integration Ea 15 Min (97533)
range across 3 matching MRF lines
$88.76–$184.31 $221.90–$460.77 varies
Short-Latency Somatosens Ep Std Trnk/Head (95927) $154.06 $385.14 0.7×
Short-latency somatosens ep std upr limbs (95925) $1,594.04 $3,985.09 7.0×
Sleep study attended (95807) $1,453.45 $3,633.61 3.7×
Sleep study unattended (95806) $217.45 $543.61 1.0×
Slp caregiver training 1st 30 min (97550) $45.15 $112.87 0.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $349.52 $873.80 1.5×
Somatosensory Testing (95938) $451.11 $1,127.76 0.5×
Speech audiometry threshold (92555) $59.48 $148.68 1.0×
Speech sound lang comprehen (92523) $135.72 $339.29 0.6×
Spin/Brain Pump Refil & Main (95991) $358.08 $895.19 1.1×
Spirometry (94010) $470.64 $1,176.60 2.1×
Ssep lower limbs (95926) $1,729.61 $4,324.01 7.6×
Standardized Cognitive Performance Testing (96125)
range across 2 matching MRF lines
$153.04–$276.03 $382.59–$690.06 varies
Subcutaneous Infusion Each Additional Hour (96370) $214.18 $535.43 4.3×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $230.39 $575.96 1.0×
Surfactant Admin Thru Tube (94610) $103.92 $259.79 0.4×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $839.62 $2,099.04 7.6×
Temp transcutaneous pacing (92953) $1,178.08 $2,945.18 1.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $153.74 $384.33 6.9×
Ther Ivntj Ea Addl 15 Min (97130) $153.74 $384.33 7.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 2 matching MRF lines
$71.66–$81.30 $179.14–$203.25 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 4 matching MRF lines
$18.64–$130.26 $46.58–$325.64 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $160.56 $401.38 1.6×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$64.93–$265.66 $162.31–$664.15 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$304.30–$605.06 $760.75–$1,512.65 varies
Therap repetitive tms tx subseq delivery & mng (90868) $449.79 $1,124.47 2.0×
Therapeutic Activities (97530) $102.24 $255.59 2.9×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,439.48 $3,598.69 3.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $20.53 $51.31 0.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $19.90 $49.74 0.5×
Trans Care Mgmt 14 Day Disch (99495) $112.88 $282.20 0.8×
Trans Care Mgmt 7 Day Disch (99496) $157.92 $394.78 1.1×
Transcath Closure of Asd (93580) $12,318.96 $30,797.39 0.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $441.06 $1,102.63 4.0×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $83.22 $208.05 2.1×
Tte w/doppler, complete (93306) $1,875.68 $4,689.18 3.3×
Tte W/O Doppler Complete (93307) $1,731.40 $4,328.48 6.9×
Tx atrial fib pulm vein isol (93656) $25,767.32 $64,418.30 0.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $195.06 $487.63 2.6×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $111.24 $278.10 4.6×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$143.33–$390.16 $358.32–$975.39 varies
Tympanometry (92567) $127.84 $319.60 3.2×
Unlisted cardiovascular service/procedure (93799)
range across 12 matching MRF lines
$83.22–$8,385.37 $208.05–$20,963.42 varies
Unlisted noninvasive vascular diagnostic study (93998) $462.92 $1,157.29 15.2×
Unlisted Psychiatric Service/Procedure (90899) $566.21 $1,415.52 14.3×
Upr/L Xtremity Art 2 Levels (93922) $264.40 $660.99 1.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,402.02 $3,505.05 6.2×
Valvuloplasty aortic valve (92986) $3,823.14 $9,557.85 0.6×
Valvuloplasty mitral valve (92987) $7,727.13 $19,317.81 0.6×
Vasopneumatic device (97016) $95.91 $239.77 8.0×
Veeg 2-12 Hr Cont Mntr (95713) $1,052.39 $2,630.97 2.7×
Veeg 2-12 hr intmt mntr (95712) $548.51 $1,371.26 1.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,052.39 $2,630.97 2.7×
Veeg Ea 12-26 Hr Unmntr (95714) $1,052.39 $2,630.97 2.7×
Veeg ea 12-26hr cont mntr (95716) $1,969.83 $4,924.57 2.2×
Vent Mgmt Inpat Init Day (94002) $1,615.97 $4,039.92 2.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,589.97 $3,974.92 2.4×
Visual Evoked Potential Test (95930) $1,836.36 $4,590.88 8.1×
Visual Field Exam Extended (92083) $539.18 $1,347.95 3.8×
Vital capacity, total (94150) $121.66 $304.13 0.9×
Wada Activation Test Hemispheric Function W/Eeg (95958) $658.06 $1,645.14 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $119.18 $297.93 3.8×
Whirlpool Therapy (97022) $143.48 $358.70 9.1×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $526.44 $1,316.09 8.5×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $222.48 $556.18 5.6×

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.