Visits & medical services prices at Phelps Health Hospital
Rolla, MO · every code in this section with a posted price and a Medicare benchmark.
270 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $222.52 | $317.88 | 1.7× |
| Acoustic Reflex Testing (92568) range across 2 matching MRF lines |
$39.21–$57.70 | $56.02–$82.43 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 3 matching MRF lines |
$41.89–$63.48 | $59.84–$90.69 | varies |
| Advncd Care Plan 30 Min (99497) range across 5 matching MRF lines |
$124.95–$183.86 | $178.50–$262.65 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 3 matching MRF lines |
$297.97–$451.59 | $425.67–$645.13 | varies |
| Aep neurodiagnostic i&r (92653) range across 3 matching MRF lines |
$306.91–$967.96 | $438.44–$1,382.80 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) range across 6 matching MRF lines |
$297.97–$3,557.22 | $425.67–$5,081.74 | varies |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$141.12–$292.96 | $201.60–$418.51 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 4 matching MRF lines |
$29.27–$255.78 | $41.82–$365.40 | varies |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $337.11 | $481.58 | 2.6× |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) | $337.11 | $481.58 | 2.6× |
| Analyze neurostim complex (95972) range across 5 matching MRF lines |
$63.95–$573.22 | $91.36–$818.89 | varies |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$185.66–$573.22 | $265.23–$818.89 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$166.29–$171.28 | $237.56–$244.69 | varies |
| Application on-body injector (96377) range across 2 matching MRF lines |
$174.78–$180.03 | $249.69–$257.18 | varies |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$551.12–$567.65 | $787.31–$810.93 | varies |
| Audiometry Air & Bone (92553) range across 4 matching MRF lines |
$107.80–$222.52 | $154–$317.88 | varies |
| Auditory Function, 60 Min (92620) range across 2 matching MRF lines |
$152.75–$224.76 | $218.21–$321.08 | varies |
| Basic vestibular evaluation (92540) range across 5 matching MRF lines |
$147.98–$224.76 | $211.40–$321.08 | varies |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$650.56–$670.08 | $929.37–$957.25 | varies |
| Breath hydrogen/methane test (91065) range across 2 matching MRF lines |
$378.74–$390.10 | $541.06–$557.29 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$589.29–$606.97 | $841.84–$867.10 | varies |
| Caloric vestibular test w/rec bi monothermal (92538) range across 5 matching MRF lines |
$107.31–$224.76 | $153.30–$321.08 | varies |
| Caloric Vstblr Test W/Rec (92537) range across 6 matching MRF lines |
$107.31–$224.76 | $153.30–$321.08 | varies |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$63.09–$774.32 | $90.13–$1,106.17 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$1,276.40–$1,314.69 | $1,823.43–$1,878.13 | varies |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$1,198.92–$2,328.54 | $1,712.74–$3,326.49 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$1,934.11–$3,930.42 | $2,763.02–$5,614.88 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $44.11 | $63.02 | 1.2× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$22,311.32–$27,067.52 | $31,873.31–$38,667.89 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 4 matching MRF lines |
$8,231.49–$20,300.65 | $11,759.27–$29,000.93 | varies |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$373.58–$384.78 | $533.68–$549.69 | varies |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) range across 2 matching MRF lines |
$124.92–$183.81 | $178.45–$262.58 | varies |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $451.59 | $645.13 | 2.1× |
| Cervical Vemp Testing W/I&R (92517) | $224.76 | $321.08 | 1.7× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$513.49–$528.89 | $733.55–$755.56 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$513.49–$528.89 | $733.55–$755.56 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$343.59–$667.16 | $490.84–$953.08 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$372.34–$722.99 | $531.91–$1,032.84 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$705.24–$726.40 | $1,007.49–$1,037.71 | varies |
| Chemotherapy Into Cns (96450) | $2,451.73 | $3,502.47 | 7.4× |
| Chemotherapy Unspecified (96549) | $451.05 | $644.36 | 9.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 3 matching MRF lines |
$437.91–$875.83 | $625.59–$1,251.18 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$895.41–$922.26 | $1,279.15–$1,317.52 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$466.59–$480.59 | $666.56–$686.56 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $534.72 | $763.88 | 1.6× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$121.72–$354.54 | $173.89–$506.49 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) range across 5 matching MRF lines |
$83.30–$122.57 | $119–$175.10 | varies |
| Color/duplex Doppler, limited (93976) | $1,163.74 | $1,662.48 | 11.1× |
| Comprehensive Hearing Test (92557) range across 4 matching MRF lines |
$107.31–$222.52 | $153.30–$317.88 | varies |
| Computerized dynamic posturography (92548) range across 2 matching MRF lines |
$124.92–$183.81 | $178.45–$262.58 | varies |
| Conditioning Play Audiometry (92582) range across 4 matching MRF lines |
$148.30–$224.76 | $211.85–$321.08 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $131.45 | $187.78 | 2.2× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$637.47–$656.59 | $910.67–$937.99 | varies |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$10,058.48–$16,460.68 | $14,369.25–$23,515.26 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$753.03–$943.54 | $1,075.75–$1,347.92 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$210.43–$216.74 | $300.61–$309.63 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$2,694.01–$2,774.83 | $3,848.58–$3,964.04 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$137.28–$929.81 | $196.11–$1,328.30 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $337.11 | $481.58 | 2.6× |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$2,737.72–$6,897.68 | $3,911.03–$9,853.83 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 6 matching MRF lines |
$206.29–$451.59 | $294.70–$645.13 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) range across 2 matching MRF lines |
$852.94–$904.88 | $1,218.49–$1,292.69 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$1,504.50–$1,549.64 | $2,149.29–$2,213.77 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$1,117.69–$1,151.22 | $1,596.70–$1,644.60 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$1,647.85–$1,697.28 | $2,354.07–$2,424.69 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$1,132.91–$1,166.98 | $1,618.44–$1,667.11 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$953.76–$982.37 | $1,362.51–$1,403.39 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $953.77 | $1,362.53 | 9.1× |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$1,021.92–$1,052.58 | $1,459.88–$1,503.68 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$1,156.70–$1,191.40 | $1,652.43–$1,702 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$1,117.69–$1,151.22 | $1,596.70–$1,644.60 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 2 matching MRF lines |
$152.75–$224.76 | $218.21–$321.08 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $337.11 | $481.58 | 2.6× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$1,621.87–$1,675.54 | $2,316.95–$2,393.63 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$952.77–$981.35 | $1,361.10–$1,401.93 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$3,032.40–$3,123.37 | $4,332–$4,461.96 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 2 matching MRF lines |
$2,073.10–$20,602.80 | $2,961.57–$29,432.57 | varies |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$975–$1,004.25 | $1,392.85–$1,434.64 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$1,323.90–$1,363.62 | $1,891.29–$1,948.03 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$1,323.90–$1,363.62 | $1,891.29–$1,948.03 | varies |
| EEG cerebral death evaluation (95824) | $1,040.28 | $1,486.11 | 2.8× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$1,616.64–$1,665.14 | $2,309.49–$2,378.77 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $141.10 | $201.57 | 1.5× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 3 matching MRF lines |
$54.22–$66.33 | $77.45–$94.76 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$187.10–$374.21 | $267.29–$534.58 | varies |
| Electrocardiogram Tracing (93005) range across 7 matching MRF lines |
$36.75–$422.54 | $52.50–$603.63 | varies |
| Electrocochleography (92584) | $337.12 | $481.60 | 2.6× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$540.95–$557.17 | $772.78–$795.96 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$840.64–$865.86 | $1,200.91–$1,236.94 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$1,311.44–$2,199.81 | $1,873.49–$3,142.58 | varies |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$209.74–$222.52 | $299.63–$317.88 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$209.74–$222.52 | $299.63–$317.88 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$243.93–$251.24 | $348.47–$358.92 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$1,989.16–$2,877.52 | $2,841.65–$4,110.74 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 2 matching MRF lines |
$152.75–$224.76 | $218.21–$321.08 | varies |
| Evaluate pt use of inhaler (94664) range across 5 matching MRF lines |
$22.20–$384.78 | $31.72–$549.69 | varies |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$557.47–$574.19 | $796.38–$820.27 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$638.47–$657.62 | $912.10–$939.46 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$511.03–$526.36 | $730.04–$751.94 | varies |
| Evoked Auditory Test,Limited (92587) range across 6 matching MRF lines |
$208.25–$451.59 | $297.50–$645.13 | varies |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$2,331.21–$2,401.15 | $3,330.30–$3,430.21 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $2,401.15 | $3,430.21 | 18.0× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$3,023.31–$3,114.01 | $4,319.01–$4,448.58 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) | $3,114.01 | $4,448.58 | 23.4× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$1,701.92–$1,752.98 | $2,431.32–$2,504.26 | varies |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$1,789.89–$1,843.59 | $2,556.99–$2,633.70 | varies |
| Extracranial Uni/Ltd Study (93882) | $1,277.75 | $1,825.35 | 12.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,236.55 | $1,766.50 | 2.3× |
| Filtered Speech Test (92571) | $86.56 | $123.65 | 2.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 3 matching MRF lines |
$718.05–$3,212.80 | $1,025.79–$4,589.72 | varies |
| Gi tract capsule endoscopy (91110) range across 5 matching MRF lines |
$625.32–$3,189.64 | $893.32–$4,556.63 | varies |
| Group Therapeutic Procedures (97150) | $122.43 | $174.90 | 6.8× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$11,801.42–$20,026.35 | $16,859.17–$28,609.07 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 3 matching MRF lines |
$1,669.47–$2,737.72 | $2,384.95–$3,911.03 | varies |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$1,539.23–$1,585.41 | $2,198.90–$2,264.87 | varies |
| Icd Device Interrogate (93289) range across 4 matching MRF lines |
$53.54–$90.13 | $76.49–$128.75 | varies |
| Icd device progr eval dual (93283) range across 4 matching MRF lines |
$53.54–$136.99 | $76.49–$195.70 | varies |
| Icd Device Progr Eval Mult (93284) range across 5 matching MRF lines |
$53.54–$147.81 | $76.49–$211.15 | varies |
| Ilr Device Interrogate (93291) range across 3 matching MRF lines |
$38.21–$60.06 | $54.58–$85.80 | varies |
| Immunization administration (90471) range across 8 matching MRF lines |
$21.11–$239.43 | $30.16–$342.04 | varies |
| Ingestion challenge test initial 120 minutes (95076) range across 4 matching MRF lines |
$163.17–$739.59 | $233.10–$1,056.56 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $824.64 | $1,178.06 | 2.2× |
| Interrogate Subq Defib (93261) range across 4 matching MRF lines |
$53.54–$87.24 | $76.49–$124.63 | varies |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) range across 2 matching MRF lines |
$36.02–$38.21 | $51.45–$54.58 | varies |
| Intracutaneous tests w/allergenic extracts (95024) range across 4 matching MRF lines |
$30.79–$1,878.80 | $43.98–$2,684 | varies |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$236.66–$243.76 | $338.09–$348.23 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$172.49–$177.67 | $246.42–$253.81 | varies |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$265.81–$1,594.87 | $379.73–$2,278.38 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$437.91–$451.05 | $625.59–$644.36 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$298.54–$597.09 | $426.49–$852.98 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$238.49–$245.64 | $340.70–$350.92 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$209.36–$215.64 | $299.08–$308.05 | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$8,231.49–$10,904.63 | $11,759.27–$15,578.04 | varies |
| Loudness balance test (92562) range across 2 matching MRF lines |
$306.91–$451.59 | $438.44–$645.13 | varies |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$283.25–$291.75 | $404.64–$416.78 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,287.36 | $1,839.09 | 6.0× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$310.02–$1,203.97 | $442.89–$1,719.96 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 3 matching MRF lines |
$22.72–$33.42 | $32.45–$47.74 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$25.24–$108.15 | $36.05–$154.50 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$33.64–$49.50 | $48.05–$70.71 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$1,140.94–$1,175.17 | $1,629.91–$1,678.81 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$575.06–$592.31 | $821.51–$846.16 | varies |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$3,513.45–$3,618.86 | $5,019.22–$5,169.80 | varies |
| Muscle Test 2 Limbs (95861) range across 3 matching MRF lines |
$177.65–$341.03 | $253.79–$487.19 | varies |
| Muscle Test One Limb (95860) range across 3 matching MRF lines |
$166.05–$237.21 | $237.21–$338.87 | varies |
| Nasopharyngoscopy (92511) range across 4 matching MRF lines |
$142.63–$273.46 | $203.76–$390.66 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$995.62–$1,230.31 | $1,422.31–$1,757.58 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$1,970.75–$2,029.87 | $2,815.36–$2,899.82 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 5 matching MRF lines |
$133.28–$2,024.31 | $190.40–$2,891.87 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$1,389.30–$1,737.87 | $1,984.72–$2,482.67 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 3 matching MRF lines |
$114.96–$228.82 | $164.23–$326.88 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 4 matching MRF lines |
$357.70–$739.59 | $511–$1,056.56 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 3 matching MRF lines |
$676.83–$739.59 | $966.90–$1,056.56 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 4 matching MRF lines |
$206.29–$428.46 | $294.70–$612.09 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 5 matching MRF lines |
$206.29–$428.46 | $294.70–$612.09 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 4 matching MRF lines |
$259.70–$428.46 | $371–$612.09 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 4 matching MRF lines |
$355.74–$739.59 | $508.20–$1,056.56 | varies |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$187.10–$561.31 | $267.29–$801.87 | varies |
| Newborn resuscitation (99465) | $683.78 | $976.83 | 1.0× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $35.46 | $50.65 | 1.4× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $118.18 | $168.83 | 3.4× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $35.46 | $50.65 | 2.6× |
| Ocular Vemp Testing W/I&R (92518) | $451.59 | $645.13 | 3.5× |
| Optokinetic Nystagmus Test (92544) range across 2 matching MRF lines |
$152.75–$224.76 | $218.22–$321.08 | varies |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$424.22–$436.95 | $606.03–$624.21 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 4 matching MRF lines |
$149.39–$448.16 | $213.41–$640.23 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$206.19–$600.54 | $294.55–$857.91 | varies |
| Oscillating Tracking Test (92545) range across 2 matching MRF lines |
$306.91–$451.59 | $438.44–$645.13 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$37.14–$44.92 | $53.05–$64.17 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 3 matching MRF lines |
$35–$37.14 | $50–$53.05 | varies |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$1,011.05–$1,041.38 | $1,444.36–$1,487.69 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$368.53–$379.58 | $526.47–$542.26 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$758.25–$781 | $1,083.22–$1,115.72 | varies |
| Ot manual therapy 15 min (97140) range across 8 matching MRF lines |
$45.42–$766.75 | $64.89–$1,095.36 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $153.31 | $219.02 | 3.8× |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$631.89–$650.85 | $902.70–$929.78 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$312.54–$321.92 | $446.49–$459.88 | varies |
| Penile Vascular Study,Ltd or F/U (93981) | $932.03 | $1,331.47 | 8.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $277.40 | $396.29 | 1.3× |
| Percutaneous tests w/allergenic extracts (95004) range across 2 matching MRF lines |
$1,429.46–$33,307.85 | $2,042.09–$47,582.64 | varies |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 5 matching MRF lines |
$8,573.12–$19,934.10 | $391.86–$28,477.28 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $6,721.16 | $9,601.66 | 0.6× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$282.79–$291.27 | $403.98–$416.10 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $875.24 | $1,250.34 | 14.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$849.74–$875.24 | $1,213.92–$1,250.34 | varies |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$240.46–$324.91 | $343.51–$464.16 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$493.75–$508.56 | $705.36–$726.52 | varies |
| Pm device eval in person (93288) range across 4 matching MRF lines |
$34.30–$53.54 | $49–$76.49 | varies |
| Pm device progr eval dual (93280) range across 4 matching MRF lines |
$53.54–$92.29 | $76.49–$131.84 | varies |
| Pm device progr eval multi (93281) range across 4 matching MRF lines |
$53.54–$100.94 | $76.49–$144.20 | varies |
| Pm Device Progr Eval Sngl (93279) range across 4 matching MRF lines |
$51.45–$75.71 | $73.50–$108.15 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 3 matching MRF lines |
$35.33–$53.54 | $50.47–$76.49 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$7,033.50–$7,244.50 | $10,047.85–$10,349.29 | varies |
| Positional nystagmus test (92542) range across 5 matching MRF lines |
$85.75–$183.81 | $122.50–$262.58 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 5 matching MRF lines |
$34.36–$333.62 | $49.09–$476.60 | varies |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $89.17 | $127.39 | 2.4× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 4 matching MRF lines |
$53.54–$100.94 | $76.49–$144.20 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 5 matching MRF lines |
$31.85–$64.83 | $45.50–$92.61 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 5 matching MRF lines |
$32.69–$64.83 | $46.70–$92.61 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 7 matching MRF lines |
$5,075.20–$27,024.47 | $7,250.29–$38,606.38 | varies |
| Pt Eval High Complex (97163) range across 3 matching MRF lines |
$1,011.05–$2,022.10 | $1,444.36–$2,888.72 | varies |
| Pt eval low complex 20 min (97161) range across 3 matching MRF lines |
$368.53–$737.06 | $526.47–$1,052.94 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$758.25–$781 | $1,083.22–$1,115.72 | varies |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$148.85–$446.54 | $212.64–$637.92 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$182.13–$187.59 | $260.18–$267.99 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$631.89–$650.85 | $902.70–$929.78 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) range across 2 matching MRF lines |
$22.20–$45.44 | $31.72–$64.91 | varies |
| Pulm function test by gas (94727) range across 3 matching MRF lines |
$395.68–$791.36 | $565.26–$1,130.52 | varies |
| Pulmonary Stress Testing (94618) | $545.83 | $779.75 | 4.1× |
| Pure Tone Audiometry Air (92552) range across 4 matching MRF lines |
$85.75–$177.65 | $122.50–$253.79 | varies |
| R Hrt Art/Grft Angio (93457) | $8,918.01 | $12,740.02 | 2.7× |
| R hrt coronary artery angio (93456) | $8,918.01 | $12,740.02 | 2.7× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $100.94 | $144.20 | 2.7× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $137.28 | $196.12 | 1.0× |
| Rem ther mntr dev sply resp (98976) | $54.08 | $77.25 | 1.4× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$926.77–$954.57 | $1,323.95–$1,363.67 | varies |
| Right Heart Cath (93451) | $10,840.28 | $15,486.12 | 3.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$145.36–$410.47 | $207.65–$586.39 | varies |
| Select picture audiometry (92583) | $132 | $188.57 | 2.2× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$191.69–$766.75 | $273.84–$1,095.36 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$87.86–$255.89 | $125.51–$365.55 | varies |
| Sinusoidal Vertical Axis Rotational Testing (92546) range across 2 matching MRF lines |
$152.75–$224.76 | $218.21–$321.08 | varies |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$1,327.35–$1,367.17 | $1,896.21–$1,953.10 | varies |
| Slp caregiver training 1st 30 min (97550) | $64.98 | $92.83 | 1.2× |
| Speech Audiometry Complete (92556) range across 4 matching MRF lines |
$63.70–$93.73 | $91–$133.90 | varies |
| Speech audiometry threshold (92555) range across 4 matching MRF lines |
$41.16–$60.56 | $58.80–$86.52 | varies |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$627.30–$646.11 | $896.14–$923.02 | varies |
| Spin/Brain Pump Refil & Main (95991) | $573.22 | $818.89 | 1.9× |
| Spirometry (94010) range across 3 matching MRF lines |
$472.26–$944.51 | $674.65–$1,349.30 | varies |
| Spontaneous Nystagmus Test (92541) range across 2 matching MRF lines |
$124.92–$183.81 | $178.45–$262.58 | varies |
| Staggered Spondaic Word Test (92572) range across 2 matching MRF lines |
$152.75–$224.76 | $218.21–$321.08 | varies |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$650.56–$670.08 | $929.37–$957.25 | varies |
| Stenger Test Speech (92577) range across 2 matching MRF lines |
$524.08–$771.15 | $748.69–$1,101.64 | varies |
| Stenger Test, Pure Tone (92565) range across 2 matching MRF lines |
$59.81–$88 | $85.44–$125.72 | varies |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$1,675.54–$2,539.66 | $2,393.63–$3,628.08 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $349.38 | $499.11 | 7.4× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $496.19 | $708.84 | 2.3× |
| Synthetic Sentence Identification Test (92576) | $86.56 | $123.65 | 2.3× |
| Test to assess hearing loss using different tone pitches (92575) | $86.56 | $123.65 | 2.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $153.87 | $219.81 | 6.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $153.87 | $219.81 | 7.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $170.41 | $243.44 | 4.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$150.55–$153.31 | $215.07–$219.02 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 8 matching MRF lines |
$51.48–$198.70 | $73.54–$283.86 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$531–$1,062 | $758.57–$1,517.14 | varies |
| Therapeutic Activities (97530) range across 8 matching MRF lines |
$163–$892.19 | $232.85–$1,274.56 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$41.58–$45.44 | $59.40–$64.91 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 5 matching MRF lines |
$22.05–$45.44 | $31.50–$64.91 | varies |
| Tone Decay Test (92563) | $86.56 | $123.65 | 2.3× |
| Trans Care Mgmt 14 Day Disch (99495) range across 6 matching MRF lines |
$90.13–$338.87 | $128.75–$484.10 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 5 matching MRF lines |
$92.83–$461.44 | $132.61–$659.20 | varies |
| Transcath Closure of Asd (93580) | $11,389.50 | $16,270.72 | 0.6× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$3,741.17–$3,853.41 | $5,344.53–$5,504.87 | varies |
| Tte W/O Doppler Complete (93307) | $981.35 | $1,401.93 | 4.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$435.93–$449 | $622.75–$641.43 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $124.96 | $178.51 | 5.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$255.48–$510.96 | $364.97–$729.94 | varies |
| Tympanometry (92567) range across 4 matching MRF lines |
$25.48–$51.98 | $36.40–$74.25 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 4 matching MRF lines |
$107.80–$222.52 | $154–$317.88 | varies |
| Unlisted cardiovascular service/procedure (93799) | $11,522.26 | $16,460.37 | 89.4× |
| Unlisted otorhinolaryngological service (92700) range across 2 matching MRF lines |
$41.60–$42.85 | $59.43–$61.21 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$563.05–$579.94 | $804.36–$828.49 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$836.20–$861.29 | $1,194.57–$1,230.41 | varies |
| Vasopneumatic device (97016) range across 3 matching MRF lines |
$433.17–$2,165.84 | $618.81–$3,094.05 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $3,244 | $4,634.29 | 8.7× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$2,482.52–$2,556.99 | $3,546.45–$3,652.84 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$2,482.52–$2,556.99 | $3,546.45–$3,652.84 | varies |
| Visual reinforcement audiometry (vra) (92579) range across 3 matching MRF lines |
$148.30–$224.76 | $211.85–$321.08 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$126.36–$130.16 | $180.52–$185.94 | varies |
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.