Visits & medical services prices at Regional Medical Center of San Jose

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

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

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $387.80 $554 2.6×
Ablate Heart Dysrhythm Focus (93650) $25,761.40 $36,802 2.2×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $733.60 $1,048 3.9×
Acoustic Reflex Testing (92568) $166.60 $238 3.0×
Actinotherapy Ultraviolet Light (96900) $170.10 $243 3.1×
Acupunct W/Stimul 15 Min (97813) $26.60 $38 0.6×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $34.30 $49 0.8×
Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) $181.30 $259 0.7×
Adaptive behavior tx by protocol tech ea 15 min (97153) $181.30 $259 1.2×
Admn Sarscov2 Vacc 1 Dose (90480) $42.70 $61 0.7×
Advncd Care Plan 30 Min (99497) $401.80 $574 2.7×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $701.40 $1,002 2.2×
Aep neurodiagnostic i&r (92653) $1,326.50 $1,895 4.2×
Aep threshold estimation mlt frequencies i&r (92652) $1,275.40 $1,822 4.0×
Airway Inhalation Treatment (94640) $968.80 $1,384 3.0×
Airway resistance by oscillometry (94728) $798.70 $1,141 4.2×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $170.10 $243 3.1×
Allg tstg perq & ic venoms immed react w/i&r (95017) $170.10 $243 4.0×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $560 $800 2.9×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $560 $800 2.9×
Analyze neurostim complex (95972) $618.80 $884 4.4×
Analyze neurostim no prog (95970) $560 $800 2.9×
Analyze Neurostim Simple (95971) $618.80 $884 4.4×
Analyze Pacemaker System (93724) $1,488.20 $2,126 3.3×
Anrct mano rct sensation&rct balo expulsion test (91125) $1,792.70 $2,561 3.3×
Ans parasymp & symp w/tilt (95924) $714.70 $1,021 2.3×
Ant sgm imaging w/microscopy endothelial analy (92286) $560 $800 2.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $76.30 $109 5.3×
Application Modality 1/> Areas Infrared (97026) $3.50 $5 0.5×
Application on-body injector (96377) $199.50 $285 2.9×
Arrhythmia Induction (93618) $5,926.90 $8,467 3.3×
Assessment of aphasia per hr (96105) $427.70 $611 4.4×
Audiometry Air & Bone (92553) $687.40 $982 3.6×
Behavior id assessment by phys/qhp ea 15 min (97151) $181.30 $259 1.2×
Behavior id support assmt by 1 tech ea 15 min (97152) $181.30 $259 1.2×
Behavral qualit analys voice (92524) $434 $620 4.0×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $687.40 $982 8.4×
Bfb training ea addl 15 min (90913) $175.70 $251 5.4×
Bioimpedance Cv Analysis (93701) $671.30 $959 3.4×
Bis Xtracell Fluid Analysis (93702) $725.20 $1,036 3.8×
Blink reflex test (95933) $560 $800 6.5×
Breath hydrogen/methane test (91065) $890.40 $1,272 2.8×
Brief Emotional/Behav Assmt (96127) $175 $250 3.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,275.40 $1,822 2.3×
Bundle of his recording (93600) $37,187.50 $53,125 3.2×
C motor evoked uppr limbs (95928) $4,798.50 $6,855 3.8×
C motor evoked upr&lwr limbs (95939) $5,206.60 $7,438 4.1×
Car seat/bed test 60 min (94780) $200.20 $286 3.6×
Cardiac Stress Tst,Tracing Only (93017) $1,658.30 $2,369 5.2×
Cardiopulmonary exercise testing (94621) $2,172.10 $3,103 4.0×
Cardiopulmonary resuscitation (92950) $1,617 $2,310 5.1×
Cardioversion (92960) $48,864.20 $69,806 50.3×
Cardioversion elective internal (92961) $2,767.80 $3,954 2.8×
Care mgmt services behavioral hlth cond 20 mins (99484) $137.20 $196 2.5×
Caregiver hlth risk assmt score doc stnd instrm (96161) $142.80 $204 2.6×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $114.80 $164 4.4×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $18,464.60 $26,378 3.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $18,464.60 $26,378 3.9×
Cbt 1st hour (94644) $681.10 $973 3.5×
Chemo Anti-Neopl Sq/Im (96401) $394.10 $563 3.7×
Chemo Hormon Antineopl Sq/Im (96402) $394.10 $563 3.7×
Chemo Ia Push (96420) $1,457.40 $2,082 3.0×
Chemo Intralesional Over 7 (96406) $982.80 $1,404 3.1×
Chemo intralesional up to 7 (96405) $315 $450 3.0×
Chemo IV infusion addl hr (96415) $394.10 $563 3.7×
Chemo IV push addl drug (96411) $394.10 $563 3.7×
Chemother Prolong Infuse W/Pump (96416) $1,457.40 $2,082 3.0×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $982.80 $1,404 2.0×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $199.50 $285 2.9×
Chemotherapy Into Cns (96450) $1,894.20 $2,706 3.9×
Chemotherapy Unspecified (96549) $245 $350 3.6×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $1,457.40 $2,082 3.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $394.10 $563 3.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,457.40 $2,082 3.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $945.70 $1,351 1.9×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $982.80 $1,404 2.0×
Chest Wall Manipulation (94668) $538.30 $769 2.8×
Chiropract manj 3-4 regions (98941) $138.60 $198 4.4×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) $138.60 $198 4.4×
Chron Care Mgmt Srvc 20 Min (99490) $401.80 $574 2.7×
Cmptr ophth dx img ant segmt (92132) $293.30 $419 3.4×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $560 $800 6.5×
Color/duplex Doppler, complete (93975) $1,516.20 $2,166 4.3×
Color/duplex Doppler, limited (93976) $739.20 $1,056 4.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $148.40 $212 4.6×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $401.80 $574 1.5×
Comprehensive Hearing Test (92557) $687.40 $982 3.6×
Computerized Ophthalmic Imaging Optic Nerve (92133) $282.80 $404 3.3×
Computerized Ophthalmic Imaging Retina (92134) $282.80 $404 3.3×
Conditioning Play Audiometry (92582) $687.40 $982 3.6×
Cont gluc mntr physician/qhp provided equiptment (95250) $609 $870 3.1×
Cont Gluc Mntr Pt Prov Eqp (95249) $296.10 $423 3.4×
Continuous Pulse Ox (94762) $687.40 $982 3.6×
Cornea hysteresis determin impulse stimj uni/bi (92145) $170.10 $243 2.0×
Corneal Topography (92025) $291.20 $416 3.4×
Coronary Art/Grft Angio S&I (93455) $17,334.10 $24,763 3.6×
Coronary Artery Angio S&I (93454) $15,260.70 $21,801 3.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,259.30 $1,799 3.9×
Cpt initial (94667) $538.30 $769 2.8×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $1,589.70 $2,271 5.0×
Critical care first hour (99291) $7,173.60 $10,248 5.9×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $2,392.60 $3,418 4.4×
Dark Adaptation Eye Exam (92284) $1,830.50 $2,615 2.8×
Debridement Open Wound 20 Sq Cm< (97597) $891.80 $1,274 3.0×
Developmental tst admin phys/qhp 1st hour (96112) $738.50 $1,055 3.9×
Dialysis One Evaluation (90945) $1,820.70 $2,601 3.0×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $1,326.50 $1,895 2.4×
Duodenal motility study (91022) $2,392.60 $3,418 4.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,516.20 $2,166 4.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $739.20 $1,056 4.8×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $739.20 $1,056 4.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,516.20 $2,166 4.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $739.20 $1,056 4.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,516.20 $2,166 4.3×
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines
$591.50–$739.20 $845–$1,056 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $591.50 $845 1.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $591.50 $845 3.8×
Duplex Scan Hemodialysis Access (93990) $739.20 $1,056 4.8×
Duplex up extrem art bilat (93930) $1,516.20 $2,166 4.3×
Duplex up extrem art unilat/ltd (93931) $739.20 $1,056 4.8×
Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) $714.70 $1,021 2.3×
ECG/monitoring and analysis (93271) $618.80 $884 4.4×
Echo Congenital Complete (93303) $3,268.30 $4,669 4.1×
Echo Heart Xthoracic,Limited (93308) $1,311.10 $1,873 3.7×
Echo r-t 2d w/probe placement only (93313) $2,513.70 $3,591 3.1×
Echo transesophag congen probe plcmt only (93316) $1,670.20 $2,386 2.1×
Echo transesophag montr cardiac pump functj (93318) $1,670.20 $2,386 2.1×
Echo transesophageal (93312) $3,268.30 $4,669 4.1×
Echo Transesophageal - Congenital Tee Complete (93315) $2,614.50 $3,735 3.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,614.50 $3,735 3.3×
Eeg 41-60 Minutes (95812) $1,658.30 $2,369 5.2×
EEG awake and asleep (95819) $1,658.30 $2,369 5.2×
EEG awake drowsy (95816) $1,317.40 $1,882 4.1×
EEG cerebral death evaluation (95824) $2,392.60 $3,418 4.4×
EEG cont rec w/video by tech min 8 channels (95700) $1,711.50 $2,445 5.4×
EEG extended monitoring 61-119 minutes (95813) $1,658.30 $2,369 5.2×
Eeg Sleep Only (95822) $1,658.30 $2,369 5.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,711.50 $2,445 5.4×
EEG w/o vid 2-12hr cont mntr (95707) $1,711.50 $2,445 5.4×
EEG w/o vid ea 12-26hr intmt (95709) $2,527 $3,610 4.6×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $2,527 $3,610 4.6×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $1,711.50 $2,445 5.4×
EEG wo vid ea 12-26hr unmntr (95708) $2,527 $3,610 4.6×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $196 $280 1.4×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $618.80 $884 4.4×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $196 $280 3.6×
Electrical Stimulation Ea 15 Min (97032) $86.10 $123 5.9×
Electro-Oculography (92270) $560 $800 2.9×
Electrocardiogram Tracing (93005) $366.80 $524 4.2×
Electroconvulsive Therapy (90870) $2,669.80 $3,814 2.1×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $34,608 $49,440 3.0×
Electrophysiology Evaluation (93642) $4,832.10 $6,903 2.7×
Emergency Dept Visit Level 2 (99282) $1,925 $2,750 8.5×
Emergency Dept Visit Level 3 (99283) $2,100 $3,000 5.2×
Emergency Dept Visit Level 4 (99284) $2,450 $3,500 4.0×
Emg 3 Extremities (95863) $714.70 $1,021 3.8×
Emg 4 Extremities (95864) $714.70 $1,021 3.8×
Endomyocardial Biopsy (93505) $13,884.50 $19,835 3.0×
Ep & ablate supravent arrhyt (93653) $125,559 $179,370 3.3×
Ep & ablate ventric tachy (93654) $125,559 $179,370 3.3×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $37,467.50 $53,525 3.3×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $26,791.80 $38,274 2.3×
Er level 1 (99281)
range across 2 matching MRF lines
$62.30–$1,750 $89–$2,500 varies
Er level v (99285) $3,150 $4,500 3.6×
Ergonovine provocation test (93024) $1,830.50 $2,615 2.8×
Esoph Atrial Electrogram (93615) $4,832.10 $6,903 2.7×
Esophageal Capsule Endoscopy (91111) $4,514.30 $6,449 3.4×
Esophagus acid perfusion test esophagitis (91030) $2,392.60 $3,418 4.4×
Esophgl Balo Distension Dx Std W/Provocation (91040) $2,527 $3,610 4.6×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $2,300.90 $3,287 4.2×
Evaluate pt use of inhaler (94664) $968.80 $1,384 3.0×
Evaluate Speech Production (92522) $490 $700 4.4×
Evaluate Swallowing Function (92610) $468.30 $669 5.5×
Evaluation of speech fluency (92521) $473.90 $677 3.6×
Evoked Auditory Test,Limited (92587)
range across 4 matching MRF lines
$1,275.40–$1,326.50 $1,822–$1,895 varies
Excimer laser tx psoriasis 250-500 sq cm (96921) $928.20 $1,326 3.1×
Excimer laser tx psoriasis >500 sq cm (96922) $1,650.60 $2,358 2.8×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $928.20 $1,326 3.1×
Exercise test for bronchospasm (94617) $560 $800 2.9×
Exhaled Air Analysis O2 (94680) $714.70 $1,021 3.8×
External ECG rec>48hr<7d recording (93242) $538.30 $769 9.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $538.30 $769 2.8×
External ECG rec>7d<15d recording (93246) $538.30 $769 9.8×
External ECG rec>7d<15d scanning alys w/report (93247) $538.30 $769 2.8×
External Ecg Scanning Analysis Report (93226) $700 $1,000 8.1×
Extracranial Bilat Study (93880) $1,516.20 $2,166 4.3×
Extracranial Uni/Ltd Study (93882) $739.20 $1,056 4.8×
Eye exam w anesth; complete (92018) $9,528.40 $13,612 2.7×
Eye Exam With Photos (92230) $2,392.60 $3,418 4.4×
F-up/limited tthrc echo congenital car anomaly (93304) $2,513.70 $3,591 3.1×
Flexible endoscopic eval swallow c/v rec (92612) $859.60 $1,228 4.3×
Fluorescein angiography (92235) $1,275.40 $1,822 4.0×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $1,275.40 $1,822 4.0×
Full Field Electroretinography W/I&R (92273) $1,326.50 $1,895 4.2×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $4,798.50 $6,855 3.8×
Fundus photography (92250) $538.30 $769 2.8×
Gastric motility studies (91020) $2,392.60 $3,418 4.4×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $2,300.90 $3,287 4.2×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $1,275.40 $1,822 4.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,991.10 $4,273 2.4×
Gi tract capsule endoscopy (91110) $5,002.90 $7,147 3.8×
Gi tract imaging intraluminal colon i&r (91113) $4,113.90 $5,877 3.0×
Gi wireless capsule measure (91112) $4,001.90 $5,717 3.0×
Gonioscopy (92020) $538.30 $769 2.8×
Group adaptive bhv tx by protocol tech ea 15 min (97154) $181.30 $259 3.3×
Group Therapeutic Procedures (97150) $100.80 $144 5.6×
Health Behavior Assessment/Re-Assessment (96156) $438.20 $626 2.9×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $152.60 $218 2.8×
Health behavior ivntj group f2f 1st 30 min (96164) $152.60 $218 2.8×
Health behavior ivntj indiv f2f 1st 30 min (96158) $438.20 $626 1.7×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $18,464.60 $26,378 3.9×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $3,091.90 $4,417 3.1×
High altitude simulation test (94452) $700 $1,000 3.6×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $560 $800 2.9×
Holter monitor recording (93225) $680.40 $972 3.5×
Hypnotherapy (90880) $1,870.40 $2,672 12.5×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $170.10 $243 3.1×
Icd Device Interrogate (93289) $245 $350 4.5×
Icd device progr eval dual (93283) $245 $350 4.5×
Icd Device Progr Eval Mult (93284) $245 $350 4.5×
Ilr Device Eval Progr (93285) $196 $280 3.6×
Ilr Device Interrogate (93291) $112.70 $161 2.6×
Img retina detcj/mntr ds poc auton a/r uni/bi (92229)
range across 2 matching MRF lines
$284.20–$295.40 $406–$422 varies
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $1,830.50 $2,615 33.3×
Immunization administration (90471)
range across 5 matching MRF lines
$50.40–$74.90 $72–$107 varies
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $1,326.50 $1,895 4.2×
Ingestion challenge test initial 120 minutes (95076) $2,392.60 $3,418 4.4×
Insert/Place Heart Catheter (93503) $5,527.20 $7,896 2.4×
Interrog eval crtd sins bat modulj sys ip w/ (93146) $618.10 $883 3.3×
Interrog eval crtd sins bat modulj sys ip wo (93145) $618.10 $883 3.3×
Interrogate Subq Defib (93261) $196 $280 3.6×
Interrogation eval in person wr defibrillator (93292) $233.10 $333 4.2×
Interrogation vad in person (93750) $1,448.30 $2,069 10.4×
Intra-atrial pacing (93610) $37,187.50 $53,125 3.2×
Intra-atrial recording (93602) $37,187.50 $53,125 3.2×
Intracranial Complete Study (93886) $1,212.40 $1,732 3.5×
Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) $91 $130 2.1×
Intracutaneous tests w/allergenic extracts (95024) $293.30 $419 3.4×
Intraventricular pacing (93612) $37,187.50 $53,125 3.2×
Iontophoresis 15 min (97033) $74.90 $107 3.9×
Irrig Drug Delivery Device (96523) $319.90 $457 3.7×
IV infusion hydration each additional hour (96361) $205.80 $294 3.0×
IV infusion hydration initial 31 min-1 hour (96360) $945.70 $1,351 3.0×
IV infusion ther proph addl sequential to 1 hr (96367) $394.10 $563 3.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $249.20 $356 3.6×
IV push initial (96374) $945.70 $1,351 3.0×
L Hrt Art/Grft Angio (93459) $22,120.70 $31,601 4.6×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $15,035.30 $21,479 3.2×
Liver Elastography W/O Imag W/I&R (91200) $687.40 $982 3.6×
Low frequency non-thermal us (97610) $891.80 $1,274 3.0×
Lung Function Test (Mbc/Mvv) (94200) $538.30 $769 6.2×
Lwr Xtr Vasc Stdy Bilat (93924) $893.90 $1,277 2.8×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $6,820.10 $9,743 3.3×
Mechanical chest wall oscillation per session (94669) $1,008 $1,440 3.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $244.30 $349 7.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $198.10 $283 5.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $79.10 $113 4.6×
Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) $99.40 $142 5.0×
Mlt fam group bhv mgmt/modificaj traing ea addl (96203) $28.70 $41 5.4×
Motility study esophagus (91010) $2,991.10 $4,273 5.4×
Motion Fluoroscopy/Swallow (92611) $484.40 $692 5.3×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $560 $800 0.9×
Multifocal Electroretinography W/I&R (92274) $714.70 $1,021 3.8×
Multiple Family Group Psychotherapy (90849) $693.70 $991 2.7×
Muscle Test 2 Limbs (95861) $560 $800 2.9×
Muscle Test Hemidiaphragm (95866) $714.70 $1,021 3.8×
Muscle Test Nonparaspinal (95870) $293.30 $419 1.5×
Muscle Test One Limb (95860) $560 $800 2.9×
Narcosynthesis (90865) $1,870.40 $2,672 7.2×
Nasopharyngoscopy (92511) $829.50 $1,185 2.8×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $714.70 $1,021 2.3×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $714.70 $1,021 2.3×
Needle electromyography larynx (95865) $560 $800 2.9×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $714.70 $1,021 2.3×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $714.70 $1,021 2.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,586.90 $2,267 2.7×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,586.90 $2,267 2.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $891.80 $1,274 3.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,586.90 $2,267 2.7×
Nerve Conduction Studies 1-2 Studies (95907) $714.70 $1,021 2.3×
Nerve Conduction Studies 11-12 Studies (95912) $2,392.60 $3,418 4.4×
Nerve conduction studies 13 or more studies (95913) $2,392.60 $3,418 4.4×
Nerve Conduction Studies 3-4 Studies (95908) $1,326.50 $1,895 4.2×
Nerve conduction studies 5-6 studies (95909) $1,326.50 $1,895 4.2×
Nerve conduction studies 7-8 studies (95910) $1,326.50 $1,895 2.4×
Nerve Conduction Studies 9-10 Studies (95911) $2,392.60 $3,418 4.4×
Neurobehavioral Status Exam (96116) $1,369.90 $1,957 4.3×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $714.70 $1,021 3.8×
Neuromuscular Reeducation (97112) $191.10 $273 5.8×
Newborn resuscitation (99465) $2,660.70 $3,801 2.7×
Nitric oxide expired gas determination (95012) $170.10 $243 3.1×
Nonphysician Telephone Assessment 11-20 Min (98967) $141.40 $202 5.6×
Nonphysician Telephone Assessment 21-30 Min (98968) $200.20 $286 5.8×
Nonphysician Telephone Assessment 5-10 Min (98966) $74.90 $107 5.5×
Nrpsyc tst eval phys/qhp 1st (96132) $738.50 $1,055 1.3×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $1,326.50 $1,895 2.4×
Oculoelectromyography (92265) $293.30 $419 3.4×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $538.30 $769 2.8×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $585.20 $836 3.0×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $585.20 $836 3.0×
Ophth medical xm&eval intermediate estab pt (92012) $585.20 $836 3.0×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $585.20 $836 3.0×
Ophthalmodynamometry (92260) $170.10 $243 3.1×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $298.90 $427 3.4×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $298.90 $427 3.4×
Oral Function Therapy (92526) $359.10 $513 4.3×
Oral Speech Device Eval (92597) $385.70 $551 5.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $222.60 $318 4.4×
Orthoptic training under supervision of phys/qhp (92066) $282.80 $404 3.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $259.70 $371 5.6×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $130.90 $187 4.1×
Osteopathic manipulative tx 3-4 body regions (98926) $130.90 $187 4.1×
Osteopathic manipulative tx 5-6 body regions (98927) $130.90 $187 4.1×
Osteopathic manipulative tx 7-8 body regions (98928) $130.90 $187 4.1×
Osteopathic manipulative tx 9-10 body regions (98929) $130.90 $187 4.1×
Ot Contrast Bath Ea 15 Min (97034) $63 $90 4.5×
Ot eval high complexity (97167) $504 $720 5.0×
Ot Eval Low Complex (97165) $387.80 $554 3.9×
Ot Eval Moderate Complexity (97166) $433.30 $619 4.3×
Ot manual therapy 15 min (97140) $173.60 $248 6.3×
Ot paraffin bath (97018) $55.30 $79 9.2×
Ot Prosthetic Training, Each 15 Min (97761) $175 $250 4.3×
Ot Re-Eval Est Plan Care (97168) $349.30 $499 5.1×
Ot rom hand (95852) $109.20 $156 5.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $597.80 $854 3.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $597.80 $854 3.2×
Oxygen Uptake Rest Indirect (94690) $170.10 $243 2.0×
Patch/Application Test Specify Number Tests (95044) $4,613.70 $6,591 3.7×
Pdt dstr prmlg les skn illum/activj per day (96567) $928.20 $1,326 3.1×
Penile Vascular Study,Ltd or F/U (93981) $739.20 $1,056 4.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $1,008 $1,440 3.1×
Percutaneous tests w/allergenic extracts (95004) $4,798.50 $6,855 3.8×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $88,060 $125,800 3.3×
Perq Transcath Cls Aortic (93591) $90,304.20 $129,006 3.3×
Perq Transcath Cls Mitral (93590) $90,304.20 $129,006 3.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $23,644.60 $33,778 2.8×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $48,864.20 $69,806 2.9×
Phlebotomy therapeutic (99195) $625.10 $893 3.2×
Photochemotherapy Dermatoses 4-8 Hrs Supervision (96913) $1,650.60 $2,358 2.8×
Photochemotx Psoralens&Ultraviolet Puva (96912) $293.30 $419 3.4×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $350 $500 4.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $277.20 $396 3.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $288.40 $412 3.3×
Physical Performance Test (97750) $93.80 $134 2.8×
Plethysmography (94726) $1,275.40 $1,822 2.3×
Pm device eval in person (93288) $236.60 $338 4.3×
Pm device progr eval dual (93280) $245 $350 4.5×
Pm device progr eval multi (93281) $245 $350 4.5×
Pm Device Progr Eval Sngl (93279) $245 $350 4.5×
Pm/Icd Remote Tech Serv (93296) $245 $350 4.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,165.30 $7,379 4.1×
Polysom <6 yrs 4/> paramtrs (95782) $4,613.70 $6,591 3.7×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $4,798.50 $6,855 3.8×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $4,798.50 $6,855 3.8×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $199.50 $285 2.9×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $199.50 $285 2.9×
Prepj& antigen allergen immunotherapy 2 insect (95146) $199.50 $285 2.9×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $315 $450 3.0×
Prepj& antigen allergen immunotherapy 5 insect (95149) $315 $450 3.0×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) $1,830.50 $2,615 2.8×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $196 $280 3.6×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $245 $350 4.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $199.50 $285 2.9×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $199.50 $285 2.9×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $315 $450 3.0×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) $199.50 $285 2.9×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) $199.50 $285 2.9×
Prq Card Angio/Athrect 1 Art (92924) $48,863.50 $69,805 2.9×
Prq Card Stent W/Angio 1 Vsl (92928) $57,031.10 $81,473 3.4×
Prq Card Stent/Ath/Angio (92933) $77,596.40 $110,852 2.9×
Prq Revasc Byp Graft 1 Vsl (92937) $48,864.20 $69,806 2.9×
Prq trl rvs ch occ ant&rtrgr (92945) $55,455.40 $79,222 3.3×
Psych diag eval w/med srvcs (90792)
range across 6 matching MRF lines
$266–$693.70 $380–$991 varies
Psychiatric diagnostic evaluation (90791) $693.70 $991 2.7×
Psychoanalysis (90845) $693.70 $991 2.7×
Psychological tst eval svc phys/qhp first hour (96130) $893.90 $1,277 2.8×
Psycl/Nrpsyc Tst Auto Result (96146) $93.80 $134 2.2×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $280 $400 0.4×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $133 $190 0.7×
Psytx Crisis Initial 60 Min (90839) $693.70 $991 2.7×
Pt Eval High Complex (97163) $423.50 $605 4.3×
Pt eval low complex 20 min (97161) $357 $510 3.6×
Pt Eval Mod Complex (97162) $388.50 $555 4.0×
Pt gait training 15 min (97116) $114.10 $163 3.9×
Pt group caregiver training (97552) $50.40 $72 2.3×
Pt mechanical traction (97012) $112.70 $161 7.8×
Pt Re-Eval Est Plan Care (97164) $263.20 $376 3.9×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $175 $250 3.2×
Pulm function test by gas (94727) $687.40 $982 2.2×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$687.40–$714.70 $982–$1,021 varies
Pulmonary Stress Testing (94618) $700 $1,000 3.6×
Pure Tone Audiometry Air (92552) $538.30 $769 2.8×
Quan puplmtry phy/qhp uni/bi (95919) $568.40 $812 2.9×
R Hrt Art/Grft Angio (93457) $14,771.40 $21,102 3.1×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $15,035.30 $21,479 3.2×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $15,035.30 $21,479 3.2×
R hrt coronary artery angio (93456) $18,464.60 $26,378 3.9×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $15,035.30 $21,479 3.2×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $14,457.10 $20,653 3.0×
R&L Hrt Cath W/Ventriclgrphy (93453) $14,203.70 $20,291 3.0×
Rapid Desensitization Procedure Each Hour (95180) $1,830.50 $2,615 2.8×
Rectal sensation tone&compliance study (91124) $1,037.40 $1,482 3.3×
Refill/Maint Portable Pump (96521) $982.80 $1,404 3.1×
Refill/Maint Pump/Resvr Syst (96522) $982.80 $1,404 3.1×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $188.30 $269 3.4×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $193.90 $277 3.5×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $616 $880 3.1×
Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) $179.20 $256 3.3×
Rem Ther Mntr Dev Sply Cbt (98978) $171.50 $245 3.1×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $193.20 $276 3.5×
Rem ther mntr dev sply resp (98976) $193.20 $276 3.5×
Remote 30 Day Ecg Rev/Report (93270) $245 $350 4.5×
Remote 30 Day Ecg Tech Supp (93229) $893.90 $1,277 1.6×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $616 $880 3.1×
Repet tms tx initial w/map/motr threshld/del&m (90867) $1,563.80 $2,234 4.9×
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) $1,563.80 $2,234 4.9×
Respiratory flow volume loop (94375) $1,326.50 $1,895 4.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $282.80 $404 3.3×
Right Heart Cath (93451) $14,203.70 $20,291 3.0×
Right ventricular recording (93603) $5,926.90 $8,467 3.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $891.80 $1,274 3.0×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $96.60 $138 3.7×
Rtm dev sply data cbt 2-15 days in 30 d pd (98986) $179.20 $256 3.3×
Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) $179.20 $256 3.3×
Rtm dev sply data respir sys 2-15 days in 30d pd (98984) $179.20 $256 3.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $404.60 $578 3.3×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $79.80 $114 1.7×
Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) $560 $800 2.9×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $2,392.60 $3,418 4.4×
Sbsq Psyc Collab Care Mgmt (99493) $387.80 $554 2.6×
Select picture audiometry (92583) $283.50 $405 3.3×
Self Care Mngment Training (97535) $183.40 $262 5.7×
Self-meas bp pt educaj/traing & dev calibration (99473) $128.80 $184 3.0×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $282.80 $404 3.3×
Sensory Integration Ea 15 Min (97533) $192.50 $275 3.2×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $714.70 $1,021 2.3×
Short-latency somatosens ep std upr limbs (95925) $1,326.50 $1,895 4.2×
Sleep study attended (95807) $2,392.60 $3,418 4.4×
Sleep study unattended (95806) $714.70 $1,021 2.3×
Slp caregiver training 1st 30 min (97550) $212.10 $303 4.0×
Slp Stdy Unatnd W/Anal (95801) $560 $800 6.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $714.70 $1,021 2.3×
Somatosensory Testing (95938) $2,669.80 $3,814 2.1×
Speech Audiometry Complete (92556) $170.10 $243 2.0×
Speech audiometry threshold (92555) $163.80 $234 1.9×
Speech sound lang comprehen (92523) $815.50 $1,165 3.6×
Spin/Brain Pump Refil & Main (95991) $1,251.60 $1,788 2.8×
Spirometry (94010) $687.40 $982 2.2×
Ssep lower limbs (95926) $1,326.50 $1,895 4.2×
Standardized Cognitive Performance Testing (96125) $469.70 $671 4.6×
Stenger Test Speech (92577) $2,392.60 $3,418 4.4×
Stenger Test, Pure Tone (92565) $170.10 $243 2.0×
Stress Tte Only (93350) $3,181.50 $4,545 4.0×
Subcutaneous Infusion Each Additional Hour (96370) $199.50 $285 2.9×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $982.80 $1,404 3.1×
Subq Infusion Additional Pump Infusion Site (96371) $315 $450 3.0×
Surfactant Admin Thru Tube (94610) $1,008 $1,440 3.1×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $591.50 $845 3.8×
Temp transcutaneous pacing (92953) $2,767.80 $3,954 2.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $137.90 $197 6.2×
Ther Ivntj Ea Addl 15 Min (97130) $79.80 $114 3.8×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 2 matching MRF lines
$166.60–$172.90 $238–$247 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $105 $150 3.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $219.10 $313 2.1×
Ther/Prop/Diag Inj/Inf Proc (96379) $199.50 $285 2.9×
Ther/Proph/Diag Inj Ia (96373) $945.70 $1,351 3.0×
Ther/Proph/Diag Inj Sc/Im (96372) $303.10 $433 2.9×
Ther/Proph/Diag Iv Inf Init (96365) $945.70 $1,351 3.0×
Therap repetitive tms tx subseq delivery & mng (90868) $1,563.80 $2,234 4.9×
Therapeutic Activities (97530) $210.70 $301 6.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $3,124.80 $4,464 5.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $284.90 $407 5.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $400.40 $572 7.3×
Tone Decay Test (92563) $170.10 $243 3.1×
Trans Care Mgmt 14 Day Disch (99495) $609 $870 3.1×
Trans Care Mgmt 7 Day Disch (99496) $609 $870 3.1×
Transcath Closure of Asd (93580) $83,994.40 $119,992 3.1×
Transcranial Doppler Intracran Art Emboli Detect (93892) $548.10 $783 3.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $548.10 $783 3.6×
Tte w/doppler, complete (93306) $2,550.80 $3,644 3.2×
Tte W/O Doppler Complete (93307) $1,212.40 $1,732 3.5×
Tx atrial fib pulm vein isol (93656) $125,559 $179,370 3.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $413 $590 5.4×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $129.50 $185 5.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $249.20 $356 3.6×
Tympanometry (92567) $212.80 $304 3.9×
Tympanometry and reflex threshold measurements (92550) $687.40 $982 2.2×
Unlisted ophthalmological service/procedure (92499) $91 $130 2.1×
Upr/L Xtremity Art 2 Levels (93922) $700 $1,000 3.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $893.90 $1,277 2.8×
Valvuloplasty aortic valve (92986) $24,590.30 $35,129 2.9×
Valvuloplasty mitral valve (92987) $52,512.60 $75,018 3.1×
Valvuloplasty pulmonary valve (92990) $50,817.90 $72,597 3.0×
Vasopneumatic device (97016) $90.30 $129 7.5×
Veeg 2-12 Hr Cont Mntr (95713) $2,628.50 $3,755 4.8×
Veeg 2-12 hr intmt mntr (95712) $1,369.90 $1,957 2.5×
Veeg 2-12 hr unmonitored (95711) $1,369.90 $1,957 4.3×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $2,628.50 $3,755 4.8×
Veeg Ea 12-26 Hr Unmntr (95714) $2,628.50 $3,755 4.8×
Veeg ea 12-26hr cont mntr (95716) $4,918.20 $7,026 3.9×
Vent Mgmt Inpat Init Day (94002) $3,350.90 $4,787 3.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,716.70 $3,881 3.0×
Visual Evoked Potential Test (95930) $714.70 $1,021 2.3×
Visual Field Exam Extended (92083) $538.30 $769 2.8×
Visual field xm uni/bi w/interp intermed exam (92082) $293.30 $419 3.4×
Visual field xm uni/bi w/interpretj limited exam (92081) $282.80 $404 3.3×
Visual reinforcement audiometry (vra) (92579) $687.40 $982 2.2×
Vital capacity, total (94150) $687.40 $982 3.6×
Wada Activation Test Hemispheric Function W/Eeg (95958) $4,798.50 $6,855 3.8×
Wheelchair Mgmt Ea 15 Min (97542) $173.60 $248 5.6×
Whirlpool Therapy (97022) $90.30 $129 5.8×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $290.50 $415 3.3×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $293.30 $419 5.3×

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.