Visits & medical services prices at Providence Saint Joseph Medical Ctr

Burbank, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650)
unusually low: confirm this is the full procedure
$3,369.45 $9,627 0.3×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $685.30 $1,958 4.1×
Acoustic Reflex Testing (92568) $170.80 $488 3.6×
Admn Sarscov2 Vacc 1 Dose (90480) $29.40 $84 0.6×
Aep threshold estimation mlt frequencies i&r (92652) $900.55 $2,573 3.2×
Airway Inhalation Treatment (94640) $632.45 $1,807 2.2×
Airway resistance by oscillometry (94728) $214.90 $614 1.3×
Analyze neurostim complex (95972) $96.25 $275 0.8×
Analyze neurostim no prog (95970) $63.35 $181 0.4×
Analyze Neurostim Simple (95971) $95.90 $274 0.8×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $363.30 $1,038 1.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $80.85 $231 5.6×
Application Modality 1/> Areas Infrared (97026) $80.85 $231 12.1×
Arrhythmia Induction (93618) $970.90 $2,774 0.6×
Art pressure waveform analys (93050) $106.40 $304 2.9×
Audiometry Air & Bone (92553) $344.05 $983 2.1×
Basic vestibular evaluation (92540) $1,381.10 $3,946 5.0×
Behavral qualit analys voice (92524) $279.65 $799 2.6×
Bis Xtracell Fluid Analysis (93702) $161.70 $462 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $559.30 $1,598 1.2×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$2,845.15 $8,129 0.3×
C motor evoked uppr limbs (95928) $1,130.50 $3,230 1.0×
C motor evoked upr&lwr limbs (95939) $2,260.65 $6,459 2.0×
Caloric vestibular test w/rec bi monothermal (92538) $540.05 $1,543 1.9×
Caloric Vstblr Test W/Rec (92537) $540.05 $1,543 3.3×
Canalith repositioning proc (95992) $629.30 $1,798 15.4×
Car seat/bed test 60 min (94780) $121.80 $348 2.5×
Cardiac Stress Tst,Tracing Only (93017) $1,209.95 $3,457 4.4×
Cardiopulmonary exercise testing (94621) $1,110.55 $3,173 2.3×
Cardiopulmonary resuscitation (92950) $215.25 $615 0.8×
Cardioversion (92960) $1,859.90 $5,314 2.2×
Cardioversion elective internal (92961) $709.45 $2,027 0.8×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $9,005.85 $25,731 2.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,770.35 $22,201 1.9×
Chemo Admin Peritoneal Cavity (96446) $1,463.35 $4,181 3.4×
Chemo Anti-Neopl Sq/Im (96401) $375.90 $1,074 4.1×
Chemo Hormon Antineopl Sq/Im (96402) $375.90 $1,074 4.1×
Chemo IV infusion addl hr (96415) $273.35 $781 3.0×
Chemo IV push addl drug (96411) $273.35 $781 3.0×
Chemother Prolong Infuse W/Pump (96416) $1,120 $3,200 2.6×
Chemotherapy Into Cns (96450) $489.30 $1,398 1.2×
Chemotherapy Intracavitary (96440) $489.30 $1,398 1.2×
Chemotherapy Unspecified (96549) $55.65 $159 0.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $273.35 $781 3.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $814.10 $2,326 1.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $375.90 $1,074 0.9×
Chest Wall Manipulation (94668) $333.20 $952 1.9×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $2,979.90 $8,514 6.2×
Color/duplex Doppler, complete (93975) $1,036.70 $2,962 3.4×
Color/duplex Doppler, limited (93976) $469.35 $1,341 3.5×
Community/Work Reintegration Trainj Ea 15 Min (97537) $80.85 $231 2.5×
Comprehensive Hearing Test (92557) $344.05 $983 2.1×
Conditioning Play Audiometry (92582) $346.15 $989 2.1×
Continuous Pulse Ox (94762) $155.40 $444 0.9×
Coronary Art/Grft Angio S&I (93455) $7,869.05 $22,483 1.9×
Coronary Artery Angio S&I (93454) $6,116.95 $17,477 1.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,285.55 $3,673 4.6×
Cpt initial (94667) $333.20 $952 1.9×
Critical care first hour (99291) $5,178.25 $14,795 4.9×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,130.50 $3,230 2.4×
Debridement Open Wound 20 Sq Cm< (97597) $957.25 $2,735 3.7×
Dialysis One Evaluation (90945) $1,310.05 $3,743 2.4×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $514.50 $1,470 1.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,036.70 $2,962 3.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $848.75 $2,425 6.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,091.30 $3,118 3.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $848.75 $2,425 6.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,091.30 $3,118 3.6×
Dup-scan xtr veins unilateral/limited study (93971) $893.20 $2,552 6.6×
Duplex Scan Hemodialysis Access (93990) $891.10 $2,546 6.6×
Duplex up extrem art bilat (93930) $1,036.70 $2,962 3.4×
Duplex up extrem art unilat/ltd (93931) $848.75 $2,425 6.3×
Echo Congenital Complete (93303) $792.05 $2,263 1.1×
Echo Heart Xthoracic,Limited (93308) $417.90 $1,194 1.4×
Echo transesophag montr cardiac pump functj (93318) $780.85 $2,231 1.1×
Echo transesophageal (93312) $1,530.90 $4,374 2.2×
Echo Transesophageal - Congenital Tee Complete (93315) $33.60 $96 0.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $603.05 $1,723 0.9×
EEG awake and asleep (95819) $1,609.30 $4,598 5.8×
EEG awake drowsy (95816) $1,074.50 $3,070 3.9×
EEG cerebral death evaluation (95824) $1,609.30 $4,598 3.4×
EEG cont rec w/video by tech min 8 channels (95700) $550.55 $1,573 2.0×
EEG extended monitoring 61-119 minutes (95813) $1,609.30 $4,598 5.8×
Eeg Sleep Only (95822) $1,609.30 $4,598 5.8×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $550.55 $1,573 2.0×
EEG w/o vid 2-12hr cont mntr (95707) $1,190.35 $3,401 4.3×
EEG w/o vid ea 12-26hr intmt (95709) $2,677.15 $7,649 5.6×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $3,570.70 $10,202 7.4×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $884.45 $2,527 3.2×
EEG wo vid ea 12-26hr unmntr (95708) $1,786.40 $5,104 3.7×
EKG signal averaged (93278) $585.55 $1,673 7.7×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $96.25 $275 0.8×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $165.20 $472 1.4×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $110.95 $317 2.3×
Electrical Stimulation Ea 15 Min (97032) $63 $180 4.3×
Electrocardiogram Tracing (93005) $323.75 $925 4.3×
Electrocochleography (92584) $286.30 $818 1.7×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $6,539.05 $18,683 0.7×
Electrophysiology Evaluation (93642) $2,821 $8,060 1.8×
Emergency Dept Visit Level 2 (99282) $399 $1,140 2.0×
Emergency Dept Visit Level 3 (99283) $577.85 $1,651 1.6×
Emergency Dept Visit Level 4 (99284) $1,585.50 $4,530 3.0×
Emg 3 Extremities (95863) $2,014.25 $5,755 12.2×
Emg 4 Extremities (95864) $2,856 $8,160 17.3×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure
$12,161.45 $34,747 0.4×
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure
$14,117.25 $40,335 0.4×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $9,376.50 $26,790 0.9×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $9,800 $28,000 1.0×
Er level 1 (99281) $329.70 $942 3.0×
Er level v (99285) $2,853.20 $8,152 3.7×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $701.40 $2,004 1.5×
Evaluate pt use of inhaler (94664) $496.30 $1,418 1.8×
Evaluate Speech Production (92522) $279.65 $799 2.5×
Evaluate Swallowing Function (92610) $333.55 $953 3.9×
Evaluation of speech fluency (92521) $279.65 $799 2.1×
Evoked Auditory Test,Limited (92587) $344.05 $983 1.2×
Exercise test for bronchospasm (94617) $559.30 $1,598 3.3×
Exhaled Air Analysis O2 (94680) $239.05 $683 1.4×
External Ecg Scanning Analysis Report (93226) $366.80 $1,048 4.8×
Extracranial Bilat Study (93880) $690.90 $1,974 2.3×
Extracranial Uni/Ltd Study (93882) $493.50 $1,410 3.7×
F-up/limited tthrc echo congenital car anomaly (93304) $397.25 $1,135 0.6×
Facial nerve function studies (92516) $514.50 $1,470 1.9×
Flexible endoscopic eval swallow c/v rec (92612) $419.65 $1,199 2.1×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $340.90 $974 1.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $758.45 $2,167 0.7×
Gi tract capsule endoscopy (91110) $1,729.35 $4,941 1.5×
Group Therapeutic Procedures (97150) $104.65 $299 5.8×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $11,062.80 $31,608 2.7×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $605.15 $1,729 0.7×
High altitude simulation test (94452) $195.65 $559 1.1×
Holter monitor recording (93225) $1,629.95 $4,657 9.5×
Immunization administration (90471) $88.20 $252 1.0×
Insert/Place Heart Catheter (93503) $1,159.90 $3,314 0.6×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$1,660.05 $4,743 0.2×
Intracranial Complete Study (93886) $508.55 $1,453 1.7×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$4,676.35 $13,361 0.5×
Iontophoresis 15 min (97033) $80.85 $231 4.2×
Irrig Drug Delivery Device (96523) $78.75 $225 1.0×
IV infusion hydration each additional hour (96361) $260.05 $743 4.3×
IV infusion hydration initial 31 min-1 hour (96360) $728.35 $2,081 2.7×
IV infusion ther proph addl sequential to 1 hr (96367) $260.05 $743 2.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $260.05 $743 4.3×
IV push initial (96374)
range across 2 matching MRF lines
$172.20–$183.40 $492–$524 varies
L Hrt Art/Grft Angio (93459) $9,440.55 $26,973 2.3×
Lung Function Test (Mbc/Mvv) (94200) $147.35 $421 1.9×
Lwr Xtr Vasc Stdy Bilat (93924) $1,298.85 $3,711 4.7×
Mechanical chest wall oscillation per session (94669) $333.20 $952 1.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $121.80 $348 3.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $121.80 $348 3.3×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $70.70 $202 4.2×
Motility study esophagus (91010) $352.80 $1,008 0.7×
Motion Fluoroscopy/Swallow (92611) $636.30 $1,818 7.0×
Muscle Test 2 Limbs (95861) $1,912.75 $5,465 11.2×
Muscle Test Nonparaspinal (95870) $327.25 $935 1.9×
Muscle Test One Limb (95860) $1,276.10 $3,646 7.5×
Nasopharyngoscopy (92511) $262.15 $749 1.0×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $517.30 $1,478 1.9×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $530.95 $1,517 1.9×
Needle electromyography larynx (95865) $1,217.65 $3,479 7.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $732.20 $2,092 1.4×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $641.90 $1,834 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $523.25 $1,495 2.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $440.65 $1,259 0.8×
Nerve Conduction Studies 1-2 Studies (95907) $286.30 $818 1.0×
Nerve Conduction Studies 11-12 Studies (95912) $1,146.25 $3,275 2.4×
Nerve conduction studies 13 or more studies (95913) $1,337.35 $3,821 2.8×
Nerve Conduction Studies 3-4 Studies (95908) $381.85 $1,091 1.4×
Nerve conduction studies 5-6 studies (95909) $573.30 $1,638 2.1×
Nerve conduction studies 7-8 studies (95910) $764.05 $2,183 1.6×
Nerve Conduction Studies 9-10 Studies (95911) $955.50 $2,730 2.0×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $266.70 $762 1.6×
Neuromuscular Reeducation (97112) $80.85 $231 2.5×
Newborn resuscitation (99465) $715.75 $2,045 0.8×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $88.20 $252 0.5×
Optokinetic Nystagmus Test (92544) $346.15 $989 2.1×
Oral Function Therapy (92526) $158.90 $454 1.9×
Oral Speech Device Eval (92597) $419.65 $1,199 5.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $60.20 $172 1.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $80.85 $231 1.8×
Oscillating Tracking Test (92545) $346.15 $989 1.2×
Ot Contrast Bath Ea 15 Min (97034) $73.85 $211 5.3×
Ot eval high complexity (97167) $308.35 $881 3.1×
Ot Eval Low Complex (97165) $279.65 $799 2.8×
Ot Eval Moderate Complexity (97166) $293.65 $839 2.9×
Ot manual therapy 15 min (97140) $80.85 $231 2.9×
Ot paraffin bath (97018) $60.20 $172 10.0×
Ot Prosthetic Training, Each 15 Min (97761) $80.85 $231 2.0×
Ot Re-Eval Est Plan Care (97168) $279.65 $799 4.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $374.50 $1,070 2.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $374.50 $1,070 2.3×
Oxygen Uptake Rest Indirect (94690) $833 $2,380 11.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $496.30 $1,418 1.8×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930)
likely a partial charge, not the full procedure
$3,771.95 $10,777 0.2×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $5,315.10 $15,186 0.7×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
unusually low: confirm this is the full procedure
$5,335.75 $15,245 0.4×
Phlebotomy therapeutic (99195) $865.20 $2,472 5.1×
Physical Performance Test (97750) $80.85 $231 2.4×
Plethysmography (94726) $310.10 $886 0.6×
Positional nystagmus test (92542) $346.15 $989 2.0×
Prq Card Angio/Athrect 1 Art (92924)
unusually low: confirm this is the full procedure
$5,315.10 $15,186 0.4×
Prq Card Stent W/Angio 1 Vsl (92928) $7,652.05 $21,863 0.5×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$7,652.05 $21,863 0.3×
Prq Revasc Byp Graft 1 Vsl (92937) $8,034.60 $22,956 0.5×
Prq trl rvs ch occ ant&rtrgr (92945) $8,416.80 $24,048 0.6×
Pt Eval High Complex (97163) $333.55 $953 3.4×
Pt eval low complex 20 min (97161) $302.40 $864 3.1×
Pt Eval Mod Complex (97162) $317.45 $907 3.2×
Pt gait training 15 min (97116) $80.85 $231 2.8×
Pt mechanical traction (97012) $80.85 $231 5.6×
Pt Re-Eval Est Plan Care (97164) $302.40 $864 4.5×
Pulm function test by gas (94727) $231.70 $662 0.8×
Pulmonary service/procedure (94799) $85.05 $243 0.5×
Pulmonary Stress Testing (94618) $559.30 $1,598 3.3×
Pure Tone Audiometry Air (92552) $346.15 $989 2.0×
R Hrt Art/Grft Angio (93457) $9,440.55 $26,973 2.3×
R hrt coronary artery angio (93456) $7,383.25 $21,095 1.8×
R&L Hrt Cath W/Ventriclgrphy (93453) $7,383.25 $21,095 1.8×
Refill/Maint Pump/Resvr Syst (96522) $248.15 $709 0.9×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $56 $160 0.3×
Right Heart Cath (93451) $5,812.10 $16,606 1.4×
Right ventricular recording (93603) $970.90 $2,774 0.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $523.25 $1,495 2.0×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $340.90 $974 2.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $212.10 $606 4.4×
Self Care Mngment Training (97535) $60.20 $172 1.9×
Sensory Integration Ea 15 Min (97533) $80.85 $231 1.3×
Short-latency somatosens ep std upr limbs (95925) $1,137.85 $3,251 4.1×
Sinusoidal Vertical Axis Rotational Testing (92546) $514.50 $1,470 3.1×
Slp caregiver training 1st 30 min (97550) $44.10 $126 0.8×
Somatosensory Testing (95938) $2,275.70 $6,502 2.1×
Speech Audiometry Complete (92556) $346.15 $989 4.6×
Speech sound lang comprehen (92523) $419.65 $1,199 1.9×
Spin/Brain Pump Refil & Main (95991) $438.90 $1,254 1.1×
Spirometry (94010) $427 $1,220 1.5×
Spontaneous Nystagmus Test (92541) $344.05 $983 2.0×
Ssep lower limbs (95926) $1,137.85 $3,251 4.1×
Standardized Cognitive Performance Testing (96125) $279.65 $799 2.7×
Stress Tte Only (93350) $1,411.90 $4,034 2.0×
Subcutaneous Infusion Each Additional Hour (96370) $226.45 $647 3.8×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $149.80 $428 0.5×
Subq Infusion Additional Pump Infusion Site (96371) $136.15 $389 1.5×
Surfactant Admin Thru Tube (94610) $877.45 $2,507 3.1×
Temp transcutaneous pacing (92953) $2,095.80 $5,988 2.5×
Test to assess hearing loss using different tone pitches (92575) $1,222.90 $3,494 25.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $66.85 $191 3.0×
Ther Ivntj Ea Addl 15 Min (97130) $66.85 $191 3.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $80.85 $231 2.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $349.30 $998 3.4×
Ther/Proph/Diag Inj Ia (96373)
range across 2 matching MRF lines
$260.05–$276.85 $743–$791 varies
Ther/Proph/Diag Inj Sc/Im (96372) $166.60 $476 1.8×
Ther/Proph/Diag Iv Inf Init (96365) $756.70 $2,162 2.8×
Therapeutic Activities (97530) $80.85 $231 2.3×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,305.45 $6,587 4.8×
Transcath Closure of Asd (93580) $14,638.75 $41,825 0.6×
Transcranial Doppler Intracran Art Emboli Detect (93892) $191.45 $547 1.4×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $382.55 $1,093 2.8×
Tte w/doppler, complete (93306) $2,226.70 $6,362 3.2×
Tte W/O Doppler Complete (93307) $792.05 $2,263 2.6×
Tx atrial fib pulm vein isol (93656)
unusually low: confirm this is the full procedure
$14,117.25 $40,335 0.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $219.10 $626 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$156.45–$166.60 $447–$476 varies
Tympanometry (92567) $344.05 $983 7.2×
Tympanometry and reflex threshold measurements (92550) $514.85 $1,471 1.9×
Unlisted cardiovascular service/procedure (93799) $966 $2,760 5.8×
Upr/L Xtremity Art 2 Levels (93922) $470.05 $1,343 2.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,174.60 $3,356 4.2×
Valvuloplasty aortic valve (92986) $4,621.75 $13,205 0.6×
Vasopneumatic device (97016) $80.85 $231 6.7×
Veeg 2-12 Hr Cont Mntr (95713) $1,248.80 $3,568 2.6×
Veeg 2-12 hr intmt mntr (95712) $928.20 $2,652 1.9×
Veeg 2-12 hr unmonitored (95711) $578.90 $1,654 2.1×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $2,808.40 $8,024 5.9×
Veeg Ea 12-26 Hr Unmntr (95714) $1,873.20 $5,352 3.9×
Veeg ea 12-26hr cont mntr (95716) $3,746.05 $10,703 3.4×
Vent Mgmt Inpat Init Day (94002) $2,905.35 $8,301 3.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,905.35 $8,301 3.7×
Visual Evoked Potential Test (95930) $856.80 $2,448 3.1×
Visual reinforcement audiometry (vra) (92579) $1,222.90 $3,494 4.4×
Vital capacity, total (94150) $113.40 $324 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $89.60 $256 2.9×
Whirlpool Therapy (97022) $91 $260 5.8×

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.