Visits & medical services prices at Rady Children's Hospital - San Diego
San Diego, CA · every code in this section with a posted price and a Medicare benchmark.
314 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $235.50 | $314 | 1.4× |
| Acoustic Reflex Testing (92568) | $68.25 | $91 | 1.4× |
| Actigraphy Testing Recording Analysis I&R (95803) | $621 | $828 | 8.2× |
| Actinotherapy Ultraviolet Light (96900) range across 5 matching MRF lines |
$52.50–$97.50 | $70–$130 | varies |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) range across 3 matching MRF lines |
$73.50–$84.75 | $98–$113 | varies |
| Adaptive behavior tx by protocol tech ea 15 min (97153) range across 9 matching MRF lines |
$43.50–$79.50 | $58–$106 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) | $80.25 | $107 | 1.5× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 11 matching MRF lines |
$225–$323.25 | $300–$431 | varies |
| Aep neurodiagnostic i&r (92653) | $673.50 | $898 | 2.4× |
| Aep threshold estimation mlt frequencies i&r (92652) range across 3 matching MRF lines |
$673.50–$1,010.25 | $898–$1,347 | varies |
| Airway Inhalation Treatment (94640) range across 26 matching MRF lines |
$84–$411.75 | $112–$549 | varies |
| Airway resistance by oscillometry (94728) | $438.75 | $585 | 2.7× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 3 matching MRF lines |
$19.34–$71.89 | $25.79–$95.85 | varies |
| Allg tstg perq & ic venoms immed react w/i&r (95017) | $12 | $16 | 0.3× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $63 | $84 | 0.4× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $34.50 | $46 | 0.2× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) range across 7 matching MRF lines |
$272.25–$1,385.25 | $363–$1,847 | varies |
| Analyze neurostim no prog (95970) | $123.75 | $165 | 0.7× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $141.75 | $189 | 0.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $91.50 | $122 | 6.4× |
| Art pressure waveform analys (93050) | $154.50 | $206 | 4.2× |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$75.75–$173.25 | $101–$231 | varies |
| Auditory Function, 60 Min (92620) | $237 | $316 | 1.4× |
| Basic vestibular evaluation (92540) | $372.75 | $497 | 1.3× |
| Behavior id assessment by phys/qhp ea 15 min (97151) range across 5 matching MRF lines |
$74.25–$1,664.25 | $99–$2,219 | varies |
| Behavior id support assmt by 1 tech ea 15 min (97152) | $73.50 | $98 | 0.6× |
| Behavral qualit analys voice (92524) range across 7 matching MRF lines |
$195–$731.25 | $260–$975 | varies |
| Brief Emotional/Behav Assmt (96127) | $21 | $28 | 0.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$902.25–$1,119 | $1,203–$1,492 | varies |
| Canalith repositioning proc (95992) | $181.50 | $242 | 4.5× |
| Car seat/bed test 60 min (94780) | $108 | $144 | 2.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,085.25 | $1,447 | 3.9× |
| Cardiopulmonary exercise testing (94621) | $1,156.50 | $1,542 | 2.4× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$1,199.25–$1,322.25 | $1,599–$1,763 | varies |
| Cardioversion (92960) | $2,712.75 | $3,617 | 3.2× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $19,907.25 | $26,543 | 4.8× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $18,523.50 | $24,698 | 4.4× |
| Cbt 1st hour (94644) range across 4 matching MRF lines |
$318–$654 | $424–$872 | varies |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $620.25 | $827 | 2.2× |
| Cervical Vemp Testing W/I&R (92517) | $309.75 | $413 | 1.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $559.50 | $746 | 6.0× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$531–$570 | $708–$760 | varies |
| Chemo IV infusion addl hr (96415) | $761.25 | $1,015 | 8.2× |
| Chemo IV push addl drug (96411) | $732 | $976 | 7.9× |
| Chemotherapy Into Cns (96450) range across 4 matching MRF lines |
$289.50–$4,785.75 | $386–$6,381 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $573.75 | $765 | 6.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 4 matching MRF lines |
$404.25–$1,064.25 | $539–$1,419 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 3 matching MRF lines |
$306–$761.25 | $408–$1,015 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) range across 2 matching MRF lines |
$222–$1,851 | $296–$2,468 | varies |
| Chest Wall Manipulation (94668) range across 4 matching MRF lines |
$168.75–$366.75 | $225–$489 | varies |
| Colon Motility 6 Hr Study (91117) | $1,843.50 | $2,458 | 6.6× |
| Color/duplex Doppler, complete (93975) range across 11 matching MRF lines |
$686.25–$1,393.50 | $915–$1,858 | varies |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$496.50–$1,105.50 | $662–$1,474 | varies |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) range across 2 matching MRF lines |
$267.75–$513.75 | $357–$685 | varies |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $225.75 | $301 | 0.5× |
| Comprehensive Hearing Test (92557) range across 4 matching MRF lines |
$216.59–$267 | $288.79–$356 | varies |
| Computerized dynamic posturography (92548) | $213 | $284 | 1.2× |
| Conditioning Play Audiometry (92582) | $131.25 | $175 | 0.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $355.50 | $474 | 2.1× |
| Continuous Pulse Ox (94762) | $658.50 | $878 | 4.0× |
| Coronary Artery Angio S&I (93454) | $2,230.50 | $2,974 | 0.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 11 matching MRF lines |
$366–$1,522.50 | $488–$2,030 | varies |
| Cpt initial (94667) range across 6 matching MRF lines |
$195–$423 | $260–$564 | varies |
| Critical care first hour (99291) range across 8 matching MRF lines |
$611.25–$26,995.50 | $815–$35,994 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) range across 9 matching MRF lines |
$301.50–$317.25 | $402–$423 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) range across 6 matching MRF lines |
$340.50–$960 | $454–$1,280 | varies |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$183–$714.75 | $244–$953 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) range across 2 matching MRF lines |
$278.25–$557.25 | $371–$743 | varies |
| Duodenal motility study (91022) | $2,105.25 | $2,807 | 4.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 3 matching MRF lines |
$542.25–$1,530.75 | $723–$2,041 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $1,641 | $2,188 | 12.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$489.75–$907.50 | $653–$1,210 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$760.50–$1,641 | $1,014–$2,188 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$485.25–$1,501.50 | $647–$2,002 | varies |
| Duplex up extrem art bilat (93930) | $881.25 | $1,175 | 2.9× |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$776.25–$1,633.50 | $1,035–$2,178 | varies |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $237 | $316 | 1.4× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) range across 7 matching MRF lines |
$340.50–$1,385.25 | $454–$1,847 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) range across 6 matching MRF lines |
$340.50–$1,385.25 | $454–$1,847 | varies |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) range across 2 matching MRF lines |
$52.50–$171 | $70–$228 | varies |
| ECG/monitoring and analysis (93271) | $641.25 | $855 | 5.2× |
| Echo Congenital Complete (93303) range across 9 matching MRF lines |
$556.50–$2,367.75 | $742–$3,157 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 12 matching MRF lines |
$585–$1,165.50 | $780–$1,554 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $2,540.25 | $3,387 | 3.6× |
| Echo transesophageal (93312) | $2,431.50 | $3,242 | 3.5× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $2,540.25 | $3,387 | 3.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,736.25 | $2,315 | 2.5× |
| Eeg 41-60 Minutes (95812) | $1,209 | $1,612 | 4.4× |
| EEG awake and asleep (95819) | $1,269 | $1,692 | 4.6× |
| EEG awake drowsy (95816) | $1,096.50 | $1,462 | 3.9× |
| EEG cerebral death evaluation (95824) | $757.50 | $1,010 | 1.6× |
| EEG cont rec w/video by tech min 8 channels (95700) | $762.75 | $1,017 | 2.7× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $762.75 | $1,017 | 2.7× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,580.25 | $2,107 | 3.3× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$52.50–$123.75 | $70–$165 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$91.50–$183 | $122–$244 | varies |
| Electrocardiogram Tracing (93005) range across 6 matching MRF lines |
$123–$452.25 | $164–$603 | varies |
| Electroconvulsive Therapy (90870) | $368.25 | $491 | 0.3× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $7,127.25 | $9,503 | 0.7× |
| Emergency Dept Visit Level 2 (99282) | $1,050 | $1,400 | 5.3× |
| Emergency Dept Visit Level 3 (99283) | $1,500 | $2,000 | 4.3× |
| Emergency Dept Visit Level 4 (99284) | $2,550 | $3,400 | 4.8× |
| Emg 3 Extremities (95863) | $888 | $1,184 | 5.4× |
| Emg 4 Extremities (95864) | $1,140 | $1,520 | 6.9× |
| Endomyocardial Biopsy (93505) | $5,323.50 | $7,098 | 1.3× |
| Ep & ablate supravent arrhyt (93653) | $49,026 | $65,368 | 1.5× |
| Ep & ablate ventric tachy (93654) | $46,692 | $62,256 | 1.4× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $10,206.75 | $13,609 | 1.0× |
| Ep Esophageal Recording Atria+Pacing (93616) | $2,412 | $3,216 | 1.5× |
| Er level 1 (99281) | $461.25 | $615 | 4.3× |
| Er level v (99285) range across 3 matching MRF lines |
$4,050–$9,666.75 | $5,400–$12,889 | varies |
| Esoph Atrial Electrogram (93615) | $2,049.75 | $2,733 | 1.3× |
| Esophageal Capsule Endoscopy (91111) | $2,341.50 | $3,122 | 2.0× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 3 matching MRF lines |
$258.75–$487.50 | $345–$650 | varies |
| Evaluate pt use of inhaler (94664) range across 7 matching MRF lines |
$306–$496.50 | $408–$662 | varies |
| Evaluate Speech Production (92522) range across 10 matching MRF lines |
$195–$731.25 | $260–$975 | varies |
| Evaluate Swallowing Function (92610) range across 8 matching MRF lines |
$195–$731.25 | $260–$975 | varies |
| Evaluation of speech fluency (92521) range across 7 matching MRF lines |
$195–$731.25 | $260–$975 | varies |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$148.50–$297.75 | $198–$397 | varies |
| Exhaled Air Analysis O2 (94680) | $1,329.75 | $1,773 | 8.0× |
| External ECG rec>48hr<7d recording (93242) | $1,311 | $1,748 | 27.3× |
| External ECG rec>7d<15d recording (93246) | $1,098.75 | $1,465 | 22.9× |
| External Ecg Scanning Analysis Report (93226) | $676.50 | $902 | 8.9× |
| Extracranial Bilat Study (93880) | $1,156.50 | $1,542 | 3.8× |
| Extracranial Uni/Ltd Study (93882) | $908.25 | $1,211 | 6.8× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 6 matching MRF lines |
$645–$1,598.25 | $860–$2,131 | varies |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) range across 2 matching MRF lines |
$74.25–$259.50 | $99–$346 | varies |
| Gastric motility studies (91020) | $2,105.25 | $2,807 | 4.4× |
| Gi tract capsule endoscopy (91110) | $2,178 | $2,904 | 1.9× |
| Gi wireless capsule measure (91112) | $4,074.75 | $5,433 | 3.5× |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) range across 5 matching MRF lines |
$33–$735.75 | $44–$981 | varies |
| Group Therapeutic Procedures (97150) range across 7 matching MRF lines |
$57–$228.75 | $76–$305 | varies |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) range across 7 matching MRF lines |
$33–$52.50 | $44–$70 | varies |
| Health Behavior Assessment/Re-Assessment (96156) range across 3 matching MRF lines |
$105–$187.50 | $140–$250 | varies |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) range across 2 matching MRF lines |
$84–$120 | $112–$160 | varies |
| Health behavior ivntj group f2f 1st 30 min (96164) | $60 | $80 | 1.2× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $75 | $100 | 0.3× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $959.25 | $1,279 | 5.6× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$66.75–$603 | $89–$804 | varies |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $29.25 | $39 | 0.6× |
| Icd Device Interrogate (93289) | $341.25 | $455 | 7.1× |
| Icd device progr eval dual (93283) | $271.50 | $362 | 5.7× |
| Icd Device Progr Eval Mult (93284) | $291.75 | $389 | 6.1× |
| Ilr Device Eval Progr (93285) | $249 | $332 | 5.2× |
| Ilr Device Interrogate (93291) | $372.75 | $497 | 10.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $13.50 | $18 | 0.1× |
| Immunization administration (90471) range across 10 matching MRF lines |
$56.25–$168.75 | $75–$225 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $282.75 | $377 | 1.0× |
| Ingestion challenge test initial 120 minutes (95076) | $123 | $164 | 0.3× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) range across 2 matching MRF lines |
$117–$1,086 | $156–$1,448 | varies |
| Intra-atrial pacing (93610) | $6,211.50 | $8,282 | 0.6× |
| Intra-atrial recording (93602) | $6,211.50 | $8,282 | 0.6× |
| Intracranial Complete Study (93886) | $1,971.75 | $2,629 | 6.4× |
| Intracutaneous tests w/allergenic extracts (95024) | $19.50 | $26 | 0.3× |
| Intraventricular pacing (93612) | $6,211.50 | $8,282 | 0.6× |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$102.75–$153.75 | $137–$205 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$306.75–$362.25 | $409–$483 | varies |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$390–$448.50 | $520–$598 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$557.25–$640.50 | $743–$854 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $536.25 | $715 | 5.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$345–$396.75 | $460–$529 | varies |
| IV push initial (96374) range across 6 matching MRF lines |
$281.25–$359.25 | $375–$479 | varies |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $13,284.75 | $17,713 | 3.2× |
| Lung Function Test (Mbc/Mvv) (94200) | $144 | $192 | 1.9× |
| Mechanical chest wall oscillation per session (94669) | $461.25 | $615 | 1.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 4 matching MRF lines |
$30–$57 | $40–$76 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$30–$51 | $40–$68 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 3 matching MRF lines |
$30–$114 | $40–$152 | varies |
| Motility study esophagus (91010) | $1,128.75 | $1,505 | 2.4× |
| Motion Fluoroscopy/Swallow (92611) range across 3 matching MRF lines |
$486.75–$810 | $649–$1,080 | varies |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) range across 3 matching MRF lines |
$45.75–$75.75 | $61–$101 | varies |
| Multiple Family Group Psychotherapy (90849) range across 9 matching MRF lines |
$104.25–$312.75 | $139–$417 | varies |
| Multiple Sleep Latency Test (95805) | $3,960 | $5,280 | 3.6× |
| Muscle Test 2 Limbs (95861) | $666.75 | $889 | 3.9× |
| Muscle Test Nonparaspinal (95870) | $540 | $720 | 3.2× |
| Muscle Test One Limb (95860) | $463.50 | $618 | 2.7× |
| Narcosynthesis (90865) | $461.25 | $615 | 2.0× |
| Nasal function studies (92512) | $195 | $260 | 0.7× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $597.75 | $797 | 2.2× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $435 | $580 | 1.6× |
| Needle electromyography larynx (95865) | $455.25 | $607 | 2.7× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $473.25 | $631 | 1.7× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $412.50 | $550 | 1.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $45.75 | $61 | 0.2× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$217.50–$381 | $290–$508 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$867–$1,515.75 | $1,156–$2,021 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$298.50–$522.75 | $398–$697 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$217.50–$381 | $290–$508 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$522–$912.75 | $696–$1,217 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$651–$1,138.50 | $868–$1,518 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$780.75–$1,366.50 | $1,041–$1,822 | varies |
| Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$252–$306 | $336–$408 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $561.75 | $749 | 3.4× |
| Neuromuscular Reeducation (97112) range across 5 matching MRF lines |
$86.25–$287.25 | $115–$383 | varies |
| Newborn resuscitation (99465) | $997.50 | $1,330 | 1.2× |
| Nitric oxide expired gas determination (95012) range across 2 matching MRF lines |
$53.25–$381.75 | $71–$509 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $81 | $108 | 3.2× |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 5 matching MRF lines |
$37.12–$130.50 | $49.50–$174 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $44.25 | $59 | 3.2× |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 5 matching MRF lines |
$142.50–$351.75 | $190–$469 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
$483–$1,125.75 | $644–$1,501 | varies |
| Ocular Vemp Testing W/I&R (92518) | $269.25 | $359 | 1.6× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $126 | $168 | 0.7× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $91.50 | $122 | 0.5× |
| Ophth medical xm&eval intermediate estab pt (92012) | $57.75 | $77 | 0.3× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $73.50 | $98 | 0.4× |
| Oral Function Therapy (92526) range across 10 matching MRF lines |
$86.25–$345 | $115–$460 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $180.75 | $241 | 3.9× |
| Ot eval high complexity (97167) range across 15 matching MRF lines |
$64.50–$254.25 | $86–$339 | varies |
| Ot Eval Low Complex (97165) range across 11 matching MRF lines |
$165–$487.50 | $220–$650 | varies |
| Ot Eval Moderate Complexity (97166) range across 13 matching MRF lines |
$165–$298.50 | $220–$398 | varies |
| Ot manual therapy 15 min (97140) | $91.50 | $122 | 3.3× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$86.25–$172.50 | $115–$230 | varies |
| Ot Re-Eval Est Plan Care (97168) | $189.75 | $253 | 2.8× |
| Patch/Application Test Specify Number Tests (95044) | $16.50 | $22 | 0.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$404.25–$463.50 | $539–$618 | varies |
| Percutaneous tests w/allergenic extracts (95004) | $15 | $20 | 0.0× |
| Perq transcath closure pda (93582) | $27,598.50 | $36,798 | 1.2× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $14,511.75 | $19,349 | 2.0× |
| Phlebotomy therapeutic (99195) | $488.25 | $651 | 2.9× |
| Physical Performance Test (97750) | $76.50 | $102 | 2.3× |
| Plethysmography (94726) range across 2 matching MRF lines |
$21–$1,588.50 | $28–$2,118 | varies |
| Pm device eval in person (93288) | $329.25 | $439 | 6.9× |
| Pm device progr eval dual (93280) | $223.50 | $298 | 4.7× |
| Pm device progr eval multi (93281) | $293.25 | $391 | 6.1× |
| Pm Device Progr Eval Sngl (93279) | $195 | $260 | 4.1× |
| Pm/Icd Remote Tech Serv (93296) | $378.75 | $505 | 7.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $5,545.50 | $7,394 | 5.0× |
| Polysom <6 yrs 4/> paramtrs (95782) | $3,706.50 | $4,942 | 3.4× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $3,493.50 | $4,658 | 3.2× |
| Positional nystagmus test (92542) | $55.50 | $74 | 0.3× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $27 | $36 | 0.4× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $141 | $188 | 2.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $27.75 | $37 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $33.75 | $45 | 0.6× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $22,037.25 | $29,383 | 1.5× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $22,835.25 | $30,447 | 1.0× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $11,260.50 | $15,014 | 0.8× |
| Psych diag eval w/med srvcs (90792) | $273.75 | $365 | 1.2× |
| Psychiatric diagnostic evaluation (90791) range across 23 matching MRF lines |
$136.88–$478.50 | $182.50–$638 | varies |
| Psychoanalysis (90845) | $245.25 | $327 | 1.1× |
| Psychological tst eval svc phys/qhp first hour (96130) range across 17 matching MRF lines |
$61.50–$346.50 | $82–$462 | varies |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $225 | $300 | 0.4× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 15 matching MRF lines |
$71.25–$225 | $95–$300 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 4 matching MRF lines |
$174–$217.50 | $232–$290 | varies |
| Pt Eval High Complex (97163) range across 12 matching MRF lines |
$97.50–$254.25 | $130–$339 | varies |
| Pt eval low complex 20 min (97161) range across 6 matching MRF lines |
$237–$423.75 | $316–$565 | varies |
| Pt Eval Mod Complex (97162) range across 7 matching MRF lines |
$243–$487.50 | $324–$650 | varies |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$86.25–$243 | $115–$324 | varies |
| Pulm function test by gas (94727) | $498.75 | $665 | 1.8× |
| Pulmonary service/procedure (94799) range across 23 matching MRF lines |
$66–$1,554 | $88–$2,072 | varies |
| Pulmonary Stress Testing (94618) range across 4 matching MRF lines |
$1,005.75–$1,248 | $1,341–$1,664 | varies |
| Pure Tone Audiometry Air (92552) range across 3 matching MRF lines |
$56.25–$148.50 | $75–$198 | varies |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $13,284.75 | $17,713 | 3.2× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $12,466.50 | $16,622 | 3.0× |
| R hrt coronary artery angio (93456) | $17,292 | $23,056 | 4.1× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $13,284.75 | $17,713 | 3.2× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $12,734.25 | $16,979 | 3.1× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $14,244.75 | $18,993 | 3.4× |
| Rapid Desensitization Procedure Each Hour (95180) | $92.25 | $123 | 0.2× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $159 | $212 | 0.4× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $134.25 | $179 | 2.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $370.50 | $494 | 7.7× |
| Repet tms tx initial w/map/motr threshld/del&m (90867) | $730.50 | $974 | 2.6× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) range across 2 matching MRF lines |
$992.25–$1,299 | $1,323–$1,732 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 4 matching MRF lines |
$14.25–$117 | $19–$156 | varies |
| Right Heart Cath (93451) | $12,868.50 | $17,158 | 3.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $46.50 | $62 | 0.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$390–$487.50 | $520–$650 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 2 matching MRF lines |
$138–$243 | $184–$324 | varies |
| Select picture audiometry (92583) | $105 | $140 | 1.4× |
| Self Care Mngment Training (97535) | $78.75 | $105 | 2.4× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $102 | $136 | 1.3× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $195.75 | $261 | 1.2× |
| Speech Audiometry Complete (92556) range across 3 matching MRF lines |
$133.50–$267 | $178–$356 | varies |
| Speech audiometry threshold (92555) | $74.25 | $99 | 1.0× |
| Speech sound lang comprehen (92523) range across 12 matching MRF lines |
$195–$731.25 | $260–$975 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$232.50–$3,908.25 | $310–$5,211 | varies |
| Spirometry (94010) range across 4 matching MRF lines |
$570.75–$705.75 | $761–$941 | varies |
| Stenger Test, Pure Tone (92565) | $129 | $172 | 1.7× |
| Subcutaneous Infusion Each Additional Hour (96370) range across 2 matching MRF lines |
$345–$390.75 | $460–$521 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $921.75 | $1,229 | 3.4× |
| Surfactant Admin Thru Tube (94610) range across 4 matching MRF lines |
$234–$506.25 | $312–$675 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $198 | $264 | 6.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 4 matching MRF lines |
$138–$345 | $184–$460 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $240.75 | $321 | 0.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 8 matching MRF lines |
$56.25–$271.50 | $75–$362 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$721.50–$837.75 | $962–$1,117 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $359.25 | $479 | 1.3× |
| Therapeutic Activities (97530) range across 17 matching MRF lines |
$56.25–$438 | $75–$584 | varies |
| Transcath Closure of Asd (93580) | $23,964 | $31,952 | 1.0× |
| Tte w/doppler, complete (93306) range across 10 matching MRF lines |
$1,598.25–$3,904.50 | $2,131–$5,206 | varies |
| Tte W/O Doppler Complete (93307) range across 4 matching MRF lines |
$933.75–$1,500.75 | $1,245–$2,001 | varies |
| Tx atrial fib pulm vein isol (93656) | $45,811.50 | $61,082 | 1.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 11 matching MRF lines |
$86.25–$345 | $115–$460 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 10 matching MRF lines |
$91.50–$343.50 | $122–$458 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $338.25 | $451 | 5.6× |
| Tympanometry (92567) range across 3 matching MRF lines |
$9.75–$138.75 | $13–$185 | varies |
| Tympanometry and reflex threshold measurements (92550) | $178.50 | $238 | 0.6× |
| Unlisted cardiovascular service/procedure (93799) | $757.50 | $1,010 | 4.6× |
| Unlisted otorhinolaryngological service (92700) | $315.75 | $421 | 8.5× |
| Unlisted Psychiatric Service/Procedure (90899) range across 14 matching MRF lines |
$12.75–$210 | $17–$280 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 5 matching MRF lines |
$291–$337.50 | $388–$450 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $453.64 | $604.85 | 1.6× |
| Valvuloplasty aortic valve (92986) | $16,356 | $21,808 | 2.2× |
| Valvuloplasty mitral valve (92987) | $15,210.75 | $20,281 | 1.0× |
| Valvuloplasty pulmonary valve (92990) | $15,082.50 | $20,110 | 1.0× |
| Veeg 2-12 hr unmonitored (95711) | $823.50 | $1,098 | 3.0× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $3,731.25 | $4,975 | 7.8× |
| Vent Mgmt Inpat Init Day (94002) range across 12 matching MRF lines |
$1,875–$3,900 | $2,500–$5,200 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 14 matching MRF lines |
$1,800–$3,445.50 | $2,400–$4,594 | varies |
| Visual reinforcement audiometry (vra) (92579) | $131.25 | $175 | 0.5× |
| Vital capacity, total (94150) | $155.25 | $207 | 0.9× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,134 | $1,512 | 1.0× |
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.