Visits & medical services prices at Providence Sacred Heart Medical Center & Children's Hospital

Spokane, WA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $7,632.10 $10,903 0.9×
Admn Sarscov2 Vacc 1 Dose (90480) $42.70 $61 0.9×
Aep threshold estimation mlt frequencies i&r (92652) $905.80 $1,294 3.8×
Airway Inhalation Treatment (94640) $487.90 $697 2.0×
Analyze Pacemaker System (93724) $910 $1,300 2.7×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $348.60 $498 1.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $20.30 $29 1.4×
Arrhythmia Induction (93618) $2,001.30 $2,859 1.5×
Behavral qualit analys voice (92524) $412.30 $589 3.8×
Breath hydrogen/methane test (91065) $532 $760 2.2×
Breathing response to hypoxia (94450) $325.50 $465 2.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $496.30 $709 1.2×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$2,001.30 $2,859 0.2×
C motor evoked uppr limbs (95928) $3,375.40 $4,822 3.5×
C motor evoked upr&lwr limbs (95939) $3,375.40 $4,822 3.5×
Canalith repositioning proc (95992) $103.60 $148 2.5×
Car seat/bed test 60 min (94780) $113.40 $162 2.7×
Cardiac Stress Tst,Tracing Only (93017) $704.20 $1,006 2.9×
Cardiopulmonary exercise testing (94621) $891.80 $1,274 2.1×
Cardiopulmonary resuscitation (92950) $428.40 $612 1.8×
Cardioversion (92960) $1,298.50 $1,855 1.8×
Cardioversion elective internal (92961) $1,418.20 $2,026 1.9×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $116.20 $166 4.5×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $6,153.70 $8,791 1.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,153.70 $8,791 1.7×
Chemo Admin Peritoneal Cavity (96446) $619.50 $885 1.7×
Chemo Anti-Neopl Sq/Im (96401) $383.60 $548 4.8×
Chemo Hormon Antineopl Sq/Im (96402) $159.60 $228 2.0×
Chemo Ia Push (96420) $1,099.70 $1,571 3.0×
Chemo IV infusion addl hr (96415) $160.30 $229 2.0×
Chemo IV push addl drug (96411) $146.30 $209 1.8×
Chemother Prolong Infuse W/Pump (96416) $1,136.80 $1,624 3.1×
Chemotherapy Into Cns (96450) $1,078.70 $1,541 2.9×
Chemotherapy Unspecified (96549) $151.20 $216 2.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $245 $350 3.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,078.70 $1,541 2.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $619.50 $885 1.7×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $630.70 $901 1.7×
Chest Wall Manipulation (94668) $116.20 $166 0.8×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $891.80 $1,274 2.1×
Color/duplex Doppler, complete (93975) $294 $420 1.1×
Color/duplex Doppler, limited (93976) $291.20 $416 2.5×
Community/Work Reintegration Trainj Ea 15 Min (97537) $46.20 $66 1.4×
Continuous Pulse Ox (94762) $514.50 $735 3.6×
Coronary Art/Grft Angio S&I (93455) $6,153.70 $8,791 1.7×
Coronary Artery Angio S&I (93454) $6,153.70 $8,791 1.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $286.30 $409 1.2×
Cpt initial (94667) $228.90 $327 1.5×
Critical care first hour (99291)
range across 2 matching MRF lines
$5,294.10–$5,573.40 $7,563–$7,962 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,803.90 $2,577 4.3×
Debridement Open Wound 20 Sq Cm< (97597) $430.50 $615 1.9×
Dialysis One Evaluation (90945)
range across 4 matching MRF lines
$914.90–$3,500 $1,307–$5,000 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $274.40 $392 0.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $291.20 $416 1.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $207.20 $296 1.8×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $291.20 $416 2.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $291.20 $416 1.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $207.20 $296 1.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $294 $420 1.1×
Dup-scan xtr veins unilateral/limited study (93971) $207.20 $296 1.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $656.60 $938 2.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $317.10 $453 2.7×
Duplex Scan Hemodialysis Access (93990) $376.60 $538 3.2×
Duplex up extrem art bilat (93930) $291.20 $416 1.1×
Duplex up extrem art unilat/ltd (93931) $205.10 $293 1.8×
Echo Congenital Complete (93303) $1,850.80 $2,644 3.0×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$686.70–$789.60 $981–$1,128 varies
Echo transesophag congen probe plcmt only (93316) $1,126.30 $1,609 1.8×
Echo transesophag montr cardiac pump functj (93318) $1,358.70 $1,941 2.2×
Echo transesophageal (93312) $1,871.10 $2,673 3.1×
Echo Transesophageal - Congenital Tee Complete (93315) $820.40 $1,172 1.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,894.20 $2,706 3.1×
Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) $135.10 $193 3.2×
Eeg 41-60 Minutes (95812) $520.80 $744 2.2×
EEG awake and asleep (95819) $520.80 $744 2.2×
EEG awake drowsy (95816) $520.80 $744 2.2×
EEG cerebral death evaluation (95824) $620.20 $886 1.5×
EEG cont rec w/video by tech min 8 channels (95700) $735.70 $1,051 3.1×
EEG extended monitoring 61-119 minutes (95813) $520.80 $744 2.2×
Eeg Sleep Only (95822) $520.80 $744 2.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $601.30 $859 2.5×
EEG w/o vid 2-12hr cont mntr (95707) $688.80 $984 2.9×
EEG w/o vid ea 12-26hr intmt (95709) $1,108.80 $1,584 2.7×
EEG wo vid ea 12-26hr unmntr (95708) $1,411.20 $2,016 3.4×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $135.10 $193 1.3×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $422.80 $604 4.0×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $135.10 $193 3.2×
Electrical Stimulation Ea 15 Min (97032) $29.40 $42 2.0×
Electrocardiogram Tracing (93005) $79.10 $113 1.2×
Electroconvulsive Therapy (90870)
range across 9 matching MRF lines
$809.20–$4,047.40 $1,156–$5,782 varies
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $7,147.70 $10,211 0.8×
Electrophysiology Evaluation (93642) $2,141.30 $3,059 1.6×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$429.80–$452.20 $614–$646 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$569.10–$599.20 $813–$856 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines
$1,024.80–$1,078.70 $1,464–$1,541 varies
Emg 3 Extremities (95863) $373.10 $533 2.6×
Emg 4 Extremities (95864) $373.10 $533 2.6×
Endomyocardial Biopsy (93505) $3,942.40 $5,632 1.1×
Ep & ablate supravent arrhyt (93653) $34,365.80 $49,094 1.2×
Ep & ablate ventric tachy (93654) $34,365.80 $49,094 1.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $7,558.60 $10,798 0.9×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $7,147.70 $10,211 0.8×
Ep Esophageal Recording Atria+Pacing (93616) $2,001.30 $2,859 1.5×
Er level 1 (99281)
range across 2 matching MRF lines
$224–$235.90 $320–$337 varies
Er level v (99285)
range across 2 matching MRF lines
$2,222.50–$2,339.40 $3,175–$3,342 varies
Ergonovine provocation test (93024) $805.70 $1,151 1.6×
Esoph Atrial Electrogram (93615) $2,001.30 $2,859 1.5×
Evaluate pt use of inhaler (94664) $453.60 $648 1.9×
Evaluate Speech Production (92522) $198.80 $284 1.8×
Evaluate Swallowing Function (92610) $185.50 $265 2.2×
Evaluation of speech fluency (92521) $245 $350 1.8×
Evoked Auditory Test,Limited (92587) $274.40 $392 1.1×
Exercise test for bronchospasm (94617) $325.50 $465 2.2×
Exhaled Air Analysis O2 (94680) $325.50 $465 2.3×
External Ecg Scanning Analysis Report (93226) $203 $290 3.1×
Extracranial Bilat Study (93880) $366.80 $524 1.4×
Extracranial Uni/Ltd Study (93882) $366.80 $524 3.1×
Eye exam w anesth; complete (92018) $5,540.50 $7,915 2.1×
F-up/limited tthrc echo congenital car anomaly (93304) $1,331.40 $1,902 2.2×
Flexible endoscopic eval swallow c/v rec (92612) $244.30 $349 1.2×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $500.50 $715 0.5×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $935.90 $1,337 2.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,052.80 $1,504 1.1×
Gi tract capsule endoscopy (91110) $1,600.20 $2,286 1.6×
Gi wireless capsule measure (91112) $516.60 $738 0.5×
Group Therapeutic Procedures (97150) $27.30 $39 1.5×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $6,090.70 $8,701 1.7×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,697.50 $2,425 2.2×
Icd Device Interrogate (93289) $133.70 $191 3.2×
Immunization administration (90471)
range across 4 matching MRF lines
$16.10–$103.60 $23–$148 varies
Insert/Place Heart Catheter (93503) $3,983 $5,690 2.3×
Interrogate Subq Defib (93261) $107.80 $154 2.6×
Interrogation vad in person (93750) $261.10 $373 2.5×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$2,001.30 $2,859 0.2×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure
$2,001.30 $2,859 0.2×
Intracranial Complete Study (93886) $532.70 $761 2.0×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$2,001.30 $2,859 0.2×
Iontophoresis 15 min (97033) $49.70 $71 2.6×
Irrig Drug Delivery Device (96523) $293.30 $419 4.5×
IV infusion hydration each additional hour (96361) $49.70 $71 1.0×
IV infusion hydration initial 31 min-1 hour (96360) $175 $250 0.7×
IV infusion ther proph addl sequential to 1 hr (96367) $72.80 $104 0.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $72.80 $104 1.4×
IV push initial (96374) $175 $250 0.7×
L Hrt Art/Grft Angio (93459) $6,090.70 $8,701 1.7×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $8,110.90 $11,587 2.2×
Lung Function Test (Mbc/Mvv) (94200) $242.90 $347 3.7×
Lwr Xtr Vasc Stdy Bilat (93924) $481.60 $688 2.0×
Mechanical chest wall oscillation per session (94669) $107.10 $153 0.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $80.50 $115 2.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $91.70 $131 2.5×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $44.10 $63 2.6×
Methacholine challenge (94070) $891.80 $1,274 2.1×
Motility study esophagus (91010) $1,176.70 $1,681 2.8×
Motion Fluoroscopy/Swallow (92611) $230.30 $329 2.5×
Multiple Family Group Psychotherapy (90849)
range across 4 matching MRF lines
$258.30–$387.80 $369–$554 varies
Muscle Test 2 Limbs (95861) $373.10 $533 2.5×
Muscle Test One Limb (95860) $149.10 $213 1.0×
Nasopharyngoscopy (92511) $283.50 $405 1.3×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $373.10 $533 1.6×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $373.10 $533 1.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$469–$854 $670–$1,220 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$469–$898.10 $670–$1,283 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $251.30 $359 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $443.80 $634 1.0×
Nerve Conduction Studies 1-2 Studies (95907) $469.70 $671 2.0×
Nerve Conduction Studies 11-12 Studies (95912) $1,803.90 $2,577 4.3×
Nerve conduction studies 13 or more studies (95913) $1,803.90 $2,577 4.3×
Nerve Conduction Studies 3-4 Studies (95908) $940.10 $1,343 3.9×
Nerve conduction studies 5-6 studies (95909) $940.10 $1,343 3.9×
Nerve conduction studies 7-8 studies (95910) $940.10 $1,343 2.3×
Nerve Conduction Studies 9-10 Studies (95911) $1,803.90 $2,577 4.3×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $186.20 $266 1.3×
Neuromuscular Reeducation (97112) $51.10 $73 1.6×
Newborn resuscitation (99465) $674.10 $963 0.9×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $301 $430 2.0×
Oral Function Therapy (92526) $219.80 $314 2.6×
Oral Speech Device Eval (92597) $184.10 $263 2.6×
Orthc/Prostc Mgmt Sbsq Enc (97763) $106.40 $152 2.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $57.40 $82 1.2×
Ot Contrast Bath Ea 15 Min (97034) $28 $40 2.0×
Ot eval high complexity (97167) $382.90 $547 3.8×
Ot Eval Low Complex (97165) $347.20 $496 3.5×
Ot Eval Moderate Complexity (97166) $364.70 $521 3.6×
Ot manual therapy 15 min (97140) $45.50 $65 1.6×
Ot paraffin bath (97018) $17.50 $25 2.9×
Ot Prosthetic Training, Each 15 Min (97761) $90.30 $129 2.2×
Ot Re-Eval Est Plan Care (97168) $174.30 $249 2.5×
Oxygen Uptake Rest Indirect (94690) $81.90 $117 1.2×
Penile Vascular Study,Ltd or F/U (93981) $291.20 $416 2.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $396.20 $566 1.6×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $17,818.50 $25,455 0.9×
Perq transcath closure pda (93582) $31,994.90 $45,707 1.6×
Perq Transcath Cls Aortic (93591) $44,088.80 $62,984 2.2×
Perq Transcath Cls Mitral (93590) $44,088.80 $62,984 2.2×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $14,710.50 $21,015 2.3×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $14,849.10 $21,213 1.2×
Phlebotomy therapeutic (99195) $236.60 $338 1.6×
Physical Performance Test (97750) $50.40 $72 1.5×
Plethysmography (94726) $325.50 $465 0.8×
Pm device eval in person (93288) $133.70 $191 3.2×
Pm device progr eval dual (93280) $106.40 $152 2.6×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $214.90 $307 5.2×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $106.40 $152 2.6×
Prq Card Angio/Athrect 1 Art (92924) $18,640.30 $26,629 1.4×
Prq Card Stent W/Angio 1 Vsl (92928) $17,817.80 $25,454 1.4×
Prq Card Stent/Ath/Angio (92933) $14,849.10 $21,213 0.7×
Prq Revasc Byp Graft 1 Vsl (92937) $17,817.80 $25,454 1.4×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $11,284.70 $16,121 0.6×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $8,746.50 $12,495 0.7×
Psychiatric diagnostic evaluation (90791)
range across 4 matching MRF lines
$366.80–$514.50 $524–$735 varies
Psytx Crisis Initial 60 Min (90839)
range across 4 matching MRF lines
$300.30–$420.70 $429–$601 varies
Pt Eval High Complex (97163) $494.90 $707 5.1×
Pt eval low complex 20 min (97161) $449.40 $642 4.6×
Pt Eval Mod Complex (97162) $471.10 $673 4.8×
Pt gait training 15 min (97116) $42.70 $61 1.5×
Pt mechanical traction (97012) $25.90 $37 1.8×
Pt Re-Eval Est Plan Care (97164) $287.70 $411 4.3×
Pulm function test by gas (94727) $325.50 $465 1.4×
Pulmonary service/procedure (94799) $192.50 $275 1.3×
Pulmonary Stress Testing (94618) $325.50 $465 2.2×
Pure Tone Audiometry Air (92552) $418.60 $598 2.8×
R Hrt Art/Grft Angio (93457) $6,090.70 $8,701 1.7×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $9,129.40 $13,042 2.5×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $9,129.40 $13,042 2.5×
R hrt coronary artery angio (93456) $6,153.70 $8,791 1.7×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $9,224.60 $13,178 2.6×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $9,224.60 $13,178 2.6×
R&L Hrt Cath W/Ventriclgrphy (93453) $6,153.70 $8,791 1.7×
Rectal sensation tone&compliance study (91124) $690.20 $986 2.9×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $597.10 $853 1.6×
Refill/Maint Portable Pump (96521) $683.20 $976 2.9×
Refill/Maint Pump/Resvr Syst (96522) $489.30 $699 2.1×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $261.80 $374 1.8×
Respiratory flow volume loop (94375) $325.50 $465 1.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $155.40 $222 2.4×
Right Heart Cath (93451) $6,153.70 $8,791 1.7×
Right ventricular recording (93603) $2,001.30 $2,859 1.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $245 $350 1.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $324.10 $463 2.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $136.50 $195 2.9×
Self Care Mngment Training (97535) $53.90 $77 1.7×
Sensory Integration Ea 15 Min (97533) $44.80 $64 0.7×
Short-latency somatosens ep std upr limbs (95925) $793.10 $1,133 3.3×
Slp caregiver training 1st 30 min (97550) $231.70 $331 4.4×
Somatosensory Testing (95938) $564.90 $807 0.6×
Speech sound lang comprehen (92523) $412.30 $589 1.8×
Spin/Brain Pump Refil & Main (95991) $597.10 $853 1.7×
Spirometry (94010) $325.50 $465 1.4×
Ssep lower limbs (95926) $469.70 $671 2.0×
Standardized Cognitive Performance Testing (96125) $286.30 $409 2.8×
Stress Tte Only (93350) $1,331.40 $1,902 2.2×
Subcutaneous Infusion Each Additional Hour (96370) $82.60 $118 1.6×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $404.60 $578 1.7×
Subq Infusion Additional Pump Infusion Site (96371) $132.30 $189 1.6×
Surfactant Admin Thru Tube (94610) $221.20 $316 0.9×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $275.10 $393 2.4×
Temp transcutaneous pacing (92953) $563.50 $805 0.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $54.60 $78 2.4×
Ther Ivntj Ea Addl 15 Min (97130) $159.60 $228 7.6×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $65.80 $94 1.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $40.60 $58 1.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $441.70 $631 4.3×
Ther/Prop/Diag Inj/Inf Proc (96379) $82.60 $118 1.6×
Ther/Proph/Diag Inj Ia (96373) $298.90 $427 1.3×
Ther/Proph/Diag Inj Sc/Im (96372) $72.80 $104 0.9×
Ther/Proph/Diag Iv Inf Init (96365) $284.90 $407 1.2×
Therapeutic Activities (97530) $53.90 $77 1.5×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $915.60 $1,308 2.2×
Tobacco Use Cessation Intensive >10 Minutes (99407) $69.30 $99 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $62.30 $89 1.5×
Transcath Closure of Asd (93580) $11,403 $16,290 0.6×
Transcranial Doppler Intracran Art Emboli Detect (93892) $275.10 $393 2.4×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $376.60 $538 3.2×
Tte w/doppler, complete (93306) $1,407.70 $2,011 2.3×
Tte W/O Doppler Complete (93307) $812 $1,160 3.1×
Tx atrial fib pulm vein isol (93656) $34,365.80 $49,094 1.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $200.20 $286 2.6×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $61.60 $88 2.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $72.80 $104 1.4×
Tympanometry (92567) $122.50 $175 2.9×
Unlisted cardiovascular service/procedure (93799) $231.70 $331 1.6×
Unlisted Diagnostic Gastroenterology Procedure (91299) $532 $760 3.7×
Unlisted otorhinolaryngological service (92700) $88.90 $127 2.8×
Unlisted Psychiatric Service/Procedure (90899) $239.40 $342 5.7×
Upr/L Xtremity Art 2 Levels (93922) $260.40 $372 1.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,285.20 $1,836 5.3×
Valvuloplasty aortic valve (92986) $8,746.50 $12,495 1.4×
Valvuloplasty mitral valve (92987) $8,656.90 $12,367 0.7×
Valvuloplasty pulmonary valve (92990) $8,746.50 $12,495 0.7×
Vasopneumatic device (97016) $29.40 $42 2.4×
Veeg 2-12 Hr Cont Mntr (95713) $1,411.20 $2,016 3.4×
Veeg 2-12 hr intmt mntr (95712) $735.70 $1,051 1.8×
Veeg 2-12 hr unmonitored (95711) $735.70 $1,051 3.1×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,411.20 $2,016 3.4×
Veeg Ea 12-26 Hr Unmntr (95714) $1,411.20 $2,016 3.4×
Veeg ea 12-26hr cont mntr (95716) $2,642.50 $3,775 2.8×
Vent Mgmt Inpat Init Day (94002) $1,271.20 $1,816 1.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,271.20 $1,816 1.8×
Visual Evoked Potential Test (95930) $469.70 $671 2.0×
Vital capacity, total (94150) $210.70 $301 1.5×
Wada Activation Test Hemispheric Function W/Eeg (95958) $2,547.30 $3,639 2.7×
Wheelchair Mgmt Ea 15 Min (97542) $68.60 $98 2.2×
Whirlpool Therapy (97022) $36.40 $52 2.3×

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.