Visits & medical services prices at Providence St. Mary Medical Center
Walla Walla, WA · every code in this section with a posted price and a Medicare benchmark.
238 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actigraphy Testing Recording Analysis I&R (95803) | $210.70 | $301 | 3.2× |
| Actinotherapy Ultraviolet Light (96900) | $122.50 | $175 | 2.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $49 | $70 | 1.1× |
| Aep threshold estimation mlt frequencies i&r (92652) | $1,512 | $2,160 | 6.3× |
| Airway Inhalation Treatment (94640) | $140.70 | $201 | 0.6× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $170.80 | $244 | 1.2× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $194.60 | $278 | 1.3× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $436.10 | $623 | 1.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $32.20 | $46 | 2.2× |
| Assessment of aphasia per hr (96105) | $400.40 | $572 | 4.1× |
| Behavral qualit analys voice (92524) | $387.80 | $554 | 3.5× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $43.40 | $62 | 0.5× |
| Bfb training ea addl 15 min (90913) | $43.40 | $62 | 1.3× |
| Biofeedback training any modality (90901) | $105.70 | $151 | 2.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $246.40 | $352 | 0.6× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$66.50–$156.80 | $95–$224 | varies |
| Car seat/bed test 60 min (94780) | $170.10 | $243 | 4.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $964.60 | $1,378 | 4.0× |
| Cardiopulmonary exercise testing (94621) | $455.70 | $651 | 1.1× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$235.20–$501.20 | $336–$716 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$369.60–$2,179.80 | $528–$3,114 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $12,903.10 | $18,433 | 3.6× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $12,903.10 | $18,433 | 3.6× |
| Chemo Admin Peritoneal Cavity (96446) | $968.80 | $1,384 | 2.6× |
| Chemo Anti-Neopl Sq/Im (96401) | $200.20 | $286 | 2.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $200.20 | $286 | 2.5× |
| Chemo IV infusion addl hr (96415) | $233.80 | $334 | 2.9× |
| Chemo IV push addl drug (96411) | $333.90 | $477 | 4.2× |
| Chemother Prolong Infuse W/Pump (96416) | $968.80 | $1,384 | 2.6× |
| Chemotherapy Into Cns (96450) | $828.10 | $1,183 | 2.2× |
| Chemotherapy Intracavitary (96440) | $632.10 | $903 | 1.7× |
| Chemotherapy Unspecified (96549) | $128.80 | $184 | 2.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $333.90 | $477 | 4.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $647.50 | $925 | 1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $558.60 | $798 | 1.5× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $333.90 | $477 | 0.9× |
| Chest Wall Manipulation (94668) range across 4 matching MRF lines |
$158.90–$461.30 | $227–$659 | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $1,528.80 | $2,184 | 3.7× |
| Color/duplex Doppler, complete (93975) | $2,650.90 | $3,787 | 10.0× |
| Color/duplex Doppler, limited (93976) | $2,558.50 | $3,655 | 22.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $52.50 | $75 | 1.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $809.90 | $1,157 | 5.5× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $203.70 | $291 | 3.1× |
| Continuous Pulse Ox (94762) | $264.60 | $378 | 1.8× |
| Coronary Art/Grft Angio S&I (93455) | $9,971.50 | $14,245 | 2.8× |
| Coronary Artery Angio S&I (93454) | $9,971.50 | $14,245 | 2.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$706.30–$855.40 | $1,009–$1,222 | varies |
| Cpt initial (94667) | $576.80 | $824 | 3.9× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$488.60–$2,810.50 | $698–$4,015 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$42–$512.40 | $60–$732 | varies |
| Dialysis One Evaluation (90945) | $1,814.40 | $2,592 | 3.9× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,412.60 | $2,018 | 5.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $959.70 | $1,371 | 8.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,074.50 | $1,535 | 4.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $718.20 | $1,026 | 6.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,188.60 | $1,698 | 4.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $794.50 | $1,135 | 6.8× |
| Duplex Scan Hemodialysis Access (93990) | $557.20 | $796 | 4.8× |
| Duplex up extrem art bilat (93930) | $1,787.80 | $2,554 | 6.7× |
| Duplex up extrem art unilat/ltd (93931) | $759.50 | $1,085 | 6.5× |
| ECG/monitoring and analysis (93271) | $338.80 | $484 | 3.2× |
| Echo Congenital Complete (93303) | $2,058.70 | $2,941 | 3.4× |
| Echo Heart Xthoracic,Limited (93308) | $842.80 | $1,204 | 3.2× |
| Echo transesophageal (93312) | $1,925.70 | $2,751 | 3.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,506 | $3,580 | 4.1× |
| Eeg 41-60 Minutes (95812) | $1,089.20 | $1,556 | 4.5× |
| EEG awake and asleep (95819) | $1,021.30 | $1,459 | 4.2× |
| EEG awake drowsy (95816) | $1,061.90 | $1,517 | 4.4× |
| EEG cerebral death evaluation (95824) | $1,061.90 | $1,517 | 2.6× |
| EEG cont rec w/video by tech min 8 channels (95700) | $794.50 | $1,135 | 3.3× |
| EEG extended monitoring 61-119 minutes (95813) | $1,164.10 | $1,663 | 4.8× |
| Eeg Sleep Only (95822) | $1,012.90 | $1,447 | 4.2× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $842.10 | $1,203 | 3.5× |
| EEG wo vid ea 12-26hr unmntr (95708) | $2,055.90 | $2,937 | 4.9× |
| Electrical Stimulation Ea 15 Min (97032) | $32.20 | $46 | 2.2× |
| Electrocardiogram Tracing (93005) | $184.10 | $263 | 2.8× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$72.10–$584.50 | $103–$835 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$107.10–$1,015 | $153–$1,450 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$205.80–$1,612.10 | $294–$2,303 | varies |
| Endomyocardial Biopsy (93505) | $4,561.90 | $6,517 | 1.3× |
| Er level 1 (99281) range across 2 matching MRF lines |
$36.40–$350 | $52–$500 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$301–$2,258.20 | $430–$3,226 | varies |
| Evaluate pt use of inhaler (94664) | $211.40 | $302 | 0.9× |
| Evaluate Speech Production (92522) | $387.80 | $554 | 3.5× |
| Evaluate Swallowing Function (92610) | $387.80 | $554 | 4.6× |
| Evaluation of speech fluency (92521) | $387.80 | $554 | 2.9× |
| Evoked Auditory Test,Limited (92587) | $137.90 | $197 | 0.6× |
| Exercise test for bronchospasm (94617) | $195.30 | $279 | 1.3× |
| External ECG rec>48hr<7d recording (93242) | $169.40 | $242 | 4.1× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $305.90 | $437 | 2.1× |
| External ECG rec>7d<15d recording (93246) | $116.90 | $167 | 2.8× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $233.80 | $334 | 1.6× |
| External Ecg Scanning Analysis Report (93226) | $511 | $730 | 7.8× |
| Extracranial Bilat Study (93880) | $998.90 | $1,427 | 3.8× |
| Extracranial Uni/Ltd Study (93882) | $664.30 | $949 | 5.7× |
| Flexible endoscopic eval swallow c/v rec (92612) | $537.60 | $768 | 2.7× |
| Group Therapeutic Procedures (97150) | $68.60 | $98 | 3.8× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $14,086.80 | $20,124 | 3.9× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,369.90 | $1,957 | 1.8× |
| Holter monitor recording (93225) | $284.20 | $406 | 1.9× |
| Icd Device Interrogate (93289) | $105 | $150 | 2.5× |
| Immunization administration (90471) | $70 | $100 | 0.9× |
| Insert/Place Heart Catheter (93503) | $9,619.40 | $13,742 | 5.5× |
| Interrogate Subq Defib (93261) | $79.80 | $114 | 1.9× |
| Iontophoresis 15 min (97033) | $36.40 | $52 | 1.9× |
| Irrig Drug Delivery Device (96523) | $182.70 | $261 | 2.8× |
| IV infusion hydration each additional hour (96361) | $114.10 | $163 | 2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $372.40 | $532 | 1.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $164.50 | $235 | 2.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $114.80 | $164 | 2.2× |
| IV push initial (96374) | $297.50 | $425 | 1.3× |
| L Hrt Art/Grft Angio (93459) | $14,086.80 | $20,124 | 3.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $905.80 | $1,294 | 3.8× |
| Mechanical chest wall oscillation per session (94669) | $149.80 | $214 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $60.90 | $87 | 1.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $154 | $220 | 4.2× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $142.80 | $204 | 8.4× |
| Methacholine challenge (94070) | $455.70 | $651 | 1.1× |
| Motion Fluoroscopy/Swallow (92611) | $514.50 | $735 | 5.6× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$1,820–$2,697.10 | $2,600–$3,853 | varies |
| Muscle Test 2 Limbs (95861) | $387.80 | $554 | 2.6× |
| Muscle Test One Limb (95860) | $387.80 | $554 | 2.6× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$207.90–$411.60 | $297–$588 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $387.80 | $554 | 1.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$427–$1,036 | $610–$1,480 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$449.40–$1,036 | $642–$1,480 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $326.20 | $466 | 1.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$449.40–$505.40 | $642–$722 | varies |
| Neuromuscular Reeducation (97112) | $56 | $80 | 1.7× |
| Newborn resuscitation (99465) | $495.60 | $708 | 0.7× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $179.90 | $257 | 1.2× |
| Oral Function Therapy (92526) | $316.40 | $452 | 3.8× |
| Oral Speech Device Eval (92597) | $483 | $690 | 6.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $58.10 | $83 | 1.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $63 | $90 | 1.4× |
| Ot Contrast Bath Ea 15 Min (97034) | $31.50 | $45 | 2.2× |
| Ot eval high complexity (97167) | $118.30 | $169 | 1.2× |
| Ot Eval Low Complex (97165) | $118.30 | $169 | 1.2× |
| Ot Eval Moderate Complexity (97166) | $118.30 | $169 | 1.2× |
| Ot manual therapy 15 min (97140) | $59.50 | $85 | 2.1× |
| Ot paraffin bath (97018) | $30.10 | $43 | 5.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $59.50 | $85 | 1.5× |
| Ot Re-Eval Est Plan Care (97168) | $66.50 | $95 | 1.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $309.40 | $442 | 2.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $173.60 | $248 | 1.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $245 | $350 | 1.0× |
| Peripheral arterial disease rehab per session (93668) | $128.80 | $184 | 2.0× |
| Perq Transcath Cls Aortic (93591) | $32,437.30 | $46,339 | 1.6× |
| Perq Transcath Cls Mitral (93590) | $32,437.30 | $46,339 | 1.6× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $11,085.90 | $15,837 | 1.7× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $18,382 | $26,260 | 1.4× |
| Phlebotomy therapeutic (99195) | $269.50 | $385 | 1.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $114.80 | $164 | 1.7× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $170.80 | $244 | 2.6× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$55.30–$63 | $79–$90 | varies |
| Plethysmography (94726) | $196 | $280 | 0.5× |
| Pm device progr eval dual (93280) | $129.50 | $185 | 3.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$2,758–$3,810.10 | $3,940–$5,443 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $3,115.70 | $4,451 | 3.3× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $3,402 | $4,860 | 3.6× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $1,598.80 | $2,284 | 1.7× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $79.80 | $114 | 1.9× |
| Prq Card Angio/Athrect 1 Art (92924) | $17,030.30 | $24,329 | 1.3× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $13,565.30 | $19,379 | 1.1× |
| Prq Card Stent/Ath/Angio (92933) | $13,815.90 | $19,737 | 0.7× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $15,414 | $22,020 | 1.2× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $70.70 | $101 | 1.9× |
| Pt Eval High Complex (97163) | $130.90 | $187 | 1.3× |
| Pt eval low complex 20 min (97161) | $130.90 | $187 | 1.3× |
| Pt Eval Mod Complex (97162) | $130.90 | $187 | 1.3× |
| Pt gait training 15 min (97116) | $50.40 | $72 | 1.7× |
| Pt mechanical traction (97012) | $30.10 | $43 | 2.1× |
| Pt Re-Eval Est Plan Care (97164) | $88.20 | $126 | 1.3× |
| Pulm function test by gas (94727) | $109.90 | $157 | 0.5× |
| Pulmonary service/procedure (94799) | $167.30 | $239 | 1.2× |
| Pulmonary Stress Testing (94618) | $240.80 | $344 | 1.6× |
| Pure Tone Audiometry Air (92552) | $70.70 | $101 | 0.5× |
| R Hrt Art/Grft Angio (93457) | $18,897.20 | $26,996 | 5.2× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $6,648.60 | $9,498 | 1.8× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $6,648.60 | $9,498 | 1.8× |
| R hrt coronary artery angio (93456) | $17,715.60 | $25,308 | 4.9× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $6,648.60 | $9,498 | 1.8× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $6,648.60 | $9,498 | 1.8× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $9,835 | $14,050 | 2.7× |
| Rapid Desensitization Procedure Each Hour (95180) | $254.10 | $363 | 0.5× |
| Refill/Maint Pump/Resvr Syst (96522) | $638.40 | $912 | 2.7× |
| Remote 30 Day Ecg Rev/Report (93270) | $340.20 | $486 | 8.2× |
| Remote 30 Day Ecg Tech Supp (93229) | $755.30 | $1,079 | 1.8× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $172.20 | $246 | 1.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $58.80 | $84 | 0.9× |
| Right Heart Cath (93451) | $7,744.10 | $11,063 | 2.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $310.80 | $444 | 1.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $483 | $690 | 4.0× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $347.90 | $497 | 7.3× |
| Self Care Mngment Training (97535) | $56.70 | $81 | 1.8× |
| Sensory Integration Ea 15 Min (97533) | $52.50 | $75 | 0.9× |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$1,078–$2,155.30 | $1,540–$3,079 | varies |
| Sleep study unattended (95806) | $616 | $880 | 2.6× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $276.50 | $395 | 1.1× |
| Somatosensory Testing (95938) | $396.90 | $567 | 0.4× |
| Speech sound lang comprehen (92523) | $387.80 | $554 | 1.7× |
| Spirometry (94010) | $195.30 | $279 | 0.8× |
| Ssep lower limbs (95926) range across 2 matching MRF lines |
$1,260.70–$2,523.50 | $1,801–$3,605 | varies |
| Standardized Cognitive Performance Testing (96125) | $483 | $690 | 4.7× |
| Stress Tte Only (93350) | $2,548 | $3,640 | 4.2× |
| Subcutaneous Infusion Each Additional Hour (96370) | $157.50 | $225 | 3.0× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $425.60 | $608 | 1.8× |
| Subq Infusion Additional Pump Infusion Site (96371) | $212.80 | $304 | 2.7× |
| Surfactant Admin Thru Tube (94610) | $167.30 | $239 | 0.7× |
| Temp transcutaneous pacing (92953) | $840 | $1,200 | 1.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $56.70 | $81 | 2.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $56.70 | $81 | 2.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $70.70 | $101 | 1.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $44.10 | $63 | 1.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $207.20 | $296 | 2.0× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $126.70 | $181 | 2.4× |
| Ther/Proph/Diag Inj Ia (96373) | $296.80 | $424 | 1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $145.60 | $208 | 1.8× |
| Ther/Proph/Diag Iv Inf Init (96365) | $553.70 | $791 | 2.3× |
| Therapeutic Activities (97530) | $56.70 | $81 | 1.6× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $991.90 | $1,417 | 2.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $44.10 | $63 | 1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $40.60 | $58 | 1.0× |
| Tte w/doppler, complete (93306) | $1,771 | $2,530 | 2.9× |
| Tte W/O Doppler Complete (93307) | $1,330.70 | $1,901 | 5.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $322.70 | $461 | 4.2× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $155.40 | $222 | 6.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $205.10 | $293 | 3.9× |
| Unlisted otorhinolaryngological service (92700) | $109.20 | $156 | 3.4× |
| Upr/L Xtremity Art 2 Levels (93922) | $307.30 | $439 | 2.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $442.40 | $632 | 1.8× |
| Vasopneumatic device (97016) | $30.10 | $43 | 2.5× |
| Vent Mgmt Inpat Init Day (94002) | $1,737.40 | $2,482 | 2.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,492.40 | $2,132 | 2.2× |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$685.30–$879.20 | $979–$1,256 | varies |
| Vital capacity, total (94150) | $296.80 | $424 | 2.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $79.80 | $114 | 2.6× |
| Whirlpool Therapy (97022) | $39.20 | $56 | 2.5× |
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.