Visits & medical services prices at Riverside Smithfield Hospital

Smithfield, VA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $5,149.07 $10,298.14 0.7×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $108.68 $217.35 0.9×
Acoustic Reflex Testing (92568) $39.93 $79.86 1.1×
Actigraphy Testing Recording Analysis I&R (95803) $118.58 $237.16 2.1×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $20.13 $40.25 0.7×
Admn Sarscov2 Vacc 1 Dose (90480) $49.08 $98.16 1.2×
Advncd Care Plan 30 Min (99497) $61.30 $122.60 0.6×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $218.50 $437 1.0×
Aep neurodiagnostic i&r (92653) $205.50 $411 1.0×
Aep threshold estimation mlt frequencies i&r (92652) $217.50 $435 1.0×
Airway Inhalation Treatment (94640) $104.87 $209.74 0.5×
Analyze neurostim complex (95972) $216.92 $433.83 2.3×
Analyze neurostim no prog (95970) $86.69 $173.37 0.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $72.38 $144.75 5.0×
Application Modality 1/> Areas Infrared (97026) $8.50 $17 1.3×
Application on-body injector (96377) $112.50 $225 2.5×
Arrhythmia Induction (93618) $625.94 $1,251.87 0.5×
Assessment of aphasia per hr (96105) $186.95 $373.89 1.9×
Assessment of tinnitus (92625) $125.24 $250.47 1.0×
Assmt & care planning pt w/cognitive impairment (99483) $101.13 $202.25 1.0×
Audiometry Air & Bone (92553) $87.88 $175.75 0.7×
Auditory Function, 60 Min (92620) $150.63 $301.25 1.2×
Basic vestibular evaluation (92540) $165 $330 0.8×
Behavral qualit analys voice (92524) $254.83 $509.65 2.3×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $111.11 $222.22 1.4×
Bfb training ea addl 15 min (90913) $75.50 $151 2.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $251.25 $502.50 0.7×
Bundle of his recording (93600) $3,912.45 $7,824.89 0.5×
Caloric vestibular test w/rec bi monothermal (92538) $176.38 $352.75 0.8×
Caloric Vstblr Test W/Rec (92537) $127.88 $255.75 1.0×
Canalith repositioning proc (95992) $119.50 $239 2.9×
Car seat/bed test 60 min (94780) $2,500 $5,000 68.6×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$173.64–$471.50 $347.27–$943 varies
Cardiopulmonary exercise testing (94621) $287.50 $575 0.8×
Cardiopulmonary resuscitation (92950) $553.25 $1,106.50 2.6×
Cardioversion (92960) $445.63 $891.25 0.7×
Cardioversion elective internal (92961) $679.42 $1,358.83 1.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $25 $50 1.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $6,690.09 $13,380.18 2.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,569.88 $13,139.75 2.1×
Cbt 1st hour (94644) $107.09 $214.17 0.8×
Chemo Admin Peritoneal Cavity (96446) $956.03 $1,912.05 3.0×
Chemo Anti-Neopl Sq/Im (96401) $172.77 $345.53 2.5×
Chemo Hormon Antineopl Sq/Im (96402) $122.10 $244.19 1.7×
Chemo IV infusion addl hr (96415) $122.10 $244.19 1.7×
Chemo IV push addl drug (96411) $298.27 $596.53 4.2×
Chemother Prolong Infuse W/Pump (96416) $601.95 $1,203.90 1.9×
Chemotherapy Into Cns (96450) $601.95 $1,203.90 1.9×
Chemotherapy Unspecified (96549) $184.92 $369.83 4.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $228.48 $456.95 3.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $601.95 $1,203.90 1.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $373.84 $747.67 1.2×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $207.52 $415.03 0.6×
Chest Wall Manipulation (94668) $79.26 $158.51 0.6×
Chron Care Mgmt Srvc 20 Min (99490) $48.58 $97.15 0.5×
Color/duplex Doppler, complete (93975) $503.54 $1,007.07 2.2×
Color/duplex Doppler, limited (93976) $426.50 $853 4.2×
Community/Work Reintegration Trainj Ea 15 Min (97537) $40.54 $81.07 1.3×
Comprehensive Hearing Test (92557) $125.84 $251.68 1.0×
Computerized dynamic posturography (92548) $164.13 $328.25 1.3×
Conditioning Play Audiometry (92582) $112.63 $225.25 0.9×
Cont gluc mntr physician/qhp provided equiptment (95250) $267.75 $535.50 2.1×
Cont Gluc Mntr Pt Prov Eqp (95249) $187.50 $375 3.3×
Continuous Pulse Ox (94762) $91.75 $183.50 0.7×
Coronary Art/Grft Angio S&I (93455) $2,951.88 $5,903.75 0.9×
Coronary Artery Angio S&I (93454) $2,804.13 $5,608.25 0.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $162.63 $325.25 0.8×
Cpt initial (94667) $107.75 $215.50 0.8×
Critical care first hour (99291) $2,275 $4,550 2.8×
Debridement Open Wound 20 Sq Cm< (97597) $166.88 $333.75 0.9×
Dialysis One Evaluation (90945) $450.25 $900.50 1.1×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $160.56 $321.12 0.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $426.50 $853 1.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $315 $630 3.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $447.83 $895.65 1.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $294.50 $589 2.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $600 $1,200 2.6×
Dup-scan xtr veins unilateral/limited study (93971) $340 $680 3.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $208 $416 0.9×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $332.96 $665.91 3.3×
Duplex Scan Hemodialysis Access (93990) $294.50 $589 2.9×
Duplex up extrem art bilat (93930) $426.50 $853 1.8×
Duplex up extrem art unilat/ltd (93931) $315 $630 3.1×
Echo Congenital Complete (93303) $395.07 $790.13 0.7×
Echo Heart Xthoracic,Limited (93308) $269.25 $538.50 1.2×
Echo transesophageal (93312) $806.63 $1,613.25 1.5×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $902.38 $1,804.75 1.7×
Eeg 41-60 Minutes (95812) $533.67 $1,067.33 2.5×
EEG awake and asleep (95819) $559.13 $1,118.25 2.7×
EEG awake drowsy (95816) $313.21 $626.42 1.5×
EEG cerebral death evaluation (95824) $273.58 $547.16 0.8×
EEG cont rec w/video by tech min 8 channels (95700) $740 $1,480 3.5×
EEG extended monitoring 61-119 minutes (95813) $657.72 $1,315.44 3.1×
Eeg Sleep Only (95822) $474.25 $948.50 2.3×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $740 $1,480 3.5×
EEG w/o vid 2-12hr cont mntr (95707) $740 $1,480 3.5×
EEG w/o vid ea 12-26hr intmt (95709) $740 $1,480 2.0×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $740 $1,480 2.0×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $740 $1,480 3.5×
EEG wo vid ea 12-26hr unmntr (95708) $906.71 $1,813.41 2.5×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $143.60 $287.20 1.5×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $154.88 $309.75 1.7×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $113.88 $227.75 3.1×
Electrical Stimulation Ea 15 Min (97032) $91.50 $183 6.2×
Electrocardiogram Tracing (93005) $151.73 $303.45 2.6×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $3,912.45 $7,824.89 0.5×
Electrophysiology Evaluation (93642) $916.50 $1,833 0.8×
Emergency Dept Visit Level 2 (99282) $495.50 $991 3.3×
Emergency Dept Visit Level 3 (99283) $847.75 $1,695.50 3.2×
Emergency Dept Visit Level 4 (99284) $1,299.38 $2,598.75 3.2×
Emg 3 Extremities (95863) $290.38 $580.75 2.3×
Endomyocardial Biopsy (93505) $1,622.86 $3,245.72 0.5×
Ep & ablate supravent arrhyt (93653) $15,591.20 $31,182.40 0.6×
Ep & ablate ventric tachy (93654) $21,668.36 $43,336.71 0.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $3,912.45 $7,824.89 0.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $4,306.50 $8,613 0.6×
Er level 1 (99281)
range across 2 matching MRF lines
$97.50–$296.63 $195–$593.25 varies
Er level v (99285) $1,784.63 $3,569.25 3.1×
Esophgl Balo Distension Dx Std W/Provocation (91040) $1,153.13 $2,306.26 3.2×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $516.88 $1,033.75 1.4×
Evaluate pt use of inhaler (94664) $104.87 $209.74 0.5×
Evaluate Speech Production (92522) $134.13 $268.25 1.2×
Evaluate Swallowing Function (92610) $137.63 $275.25 1.6×
Evaluation of speech fluency (92521) $300.59 $601.18 2.3×
Evoked Auditory Test,Limited (92587) $160.56 $321.12 0.8×
Exercise test for bronchospasm (94617) $171.53 $343.06 1.3×
External ECG rec>48hr<7d recording (93242) $205.38 $410.75 5.6×
External ECG rec>7d<15d recording (93246) $205.38 $410.75 5.6×
External Ecg Scanning Analysis Report (93226) $290.50 $581 5.0×
Extracranial Bilat Study (93880) $499 $998 2.1×
Extracranial Uni/Ltd Study (93882) $287.50 $575 2.8×
F-up/limited tthrc echo congenital car anomaly (93304) $282.71 $565.41 0.5×
Flexible endoscopic eval swallow c/v rec (92612) $208.50 $417 1.0×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $526.96 $1,053.91 1.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $397.75 $795.50 0.5×
Gi tract capsule endoscopy (91110) $2,067.89 $4,135.78 2.3×
Gi tract imaging intraluminal colon i&r (91113) $2,035 $4,069.99 2.2×
Gi wireless capsule measure (91112) $1,022.25 $2,044.50 1.2×
Group Therapeutic Procedures (97150) $76.88 $153.75 4.3×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $8,151.25 $16,302.50 2.6×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $452.75 $905.50 0.7×
Holter monitor recording (93225) $241.75 $483.50 1.9×
Icd Device Interrogate (93289) $79.50 $159 2.2×
Icd device progr eval dual (93283) $148.13 $296.25 4.1×
Icd Device Progr Eval Mult (93284) $165 $330 4.5×
Ilr Device Eval Progr (93285) $59.29 $118.58 1.6×
Ilr Device Interrogate (93291) $53.24 $106.48 1.9×
Immunization administration (90471)
range across 2 matching MRF lines
$10.62–$37.88 $21.24–$75.75 varies
Insert/Place Heart Catheter (93503) $800.96 $1,601.92 0.5×
Interrogate Subq Defib (93261) $55.69 $111.37 1.5×
Interrogation eval in person wr defibrillator (93292) $70 $140 1.9×
Intra-atrial pacing (93610) $3,912.45 $7,824.89 0.5×
Intra-atrial recording (93602) $3,912.45 $7,824.89 0.5×
Intracranial Complete Study (93886) $451.21 $902.41 1.9×
Intraventricular pacing (93612) $3,912.45 $7,824.89 0.5×
Iontophoresis 15 min (97033) $66.50 $133 3.5×
Irrig Drug Delivery Device (96523) $87.50 $175 1.5×
IV infusion hydration each additional hour (96361) $76.69 $153.37 1.7×
IV infusion hydration initial 31 min-1 hour (96360) $373.84 $747.67 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $122.10 $244.19 1.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $80.03 $160.05 1.8×
IV push initial (96374) $375 $750 1.8×
L Hrt Art/Grft Angio (93459) $6,761.13 $13,522.25 2.1×
Laryngeal Function Studies (92520) $126.38 $252.75 1.0×
Liver Elastography W/O Imag W/I&R (91200) $80.67 $161.34 0.6×
Lwr Xtr Vasc Stdy Bilat (93924) $302.50 $605 1.4×
Mechanical chest wall oscillation per session (94669) $104.87 $209.74 0.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $40 $80 1.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $23.38 $46.75 0.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $20.88 $41.75 1.2×
Methacholine challenge (94070) $380.13 $760.25 1.0×
Motility study esophagus (91010) $428.25 $856.50 1.2×
Motion Fluoroscopy/Swallow (92611) $141.75 $283.50 1.5×
Multiple Sleep Latency Test (95805) $1,110.38 $2,220.75 1.3×
Muscle Test 2 Limbs (95861) $237.88 $475.75 1.8×
Muscle Test Hemidiaphragm (95866) $121.25 $242.50 1.0×
Muscle Test Nonparaspinal (95870) $53.92 $107.84 0.4×
Muscle Test One Limb (95860) $195.13 $390.25 1.5×
Nasopharyngoscopy (92511) $134.81 $269.62 0.7×
Needle electromyography larynx (95865) $145.38 $290.75 1.1×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $160.56 $321.12 0.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $206 $412 0.5×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $206 $412 0.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $139.74 $279.47 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $211.81 $423.62 0.5×
Nerve Conduction Studies 1-2 Studies (95907) $164.75 $329.50 0.8×
Nerve Conduction Studies 11-12 Studies (95912) $358.88 $717.75 1.0×
Nerve conduction studies 13 or more studies (95913) $401.96 $803.92 1.1×
Nerve Conduction Studies 3-4 Studies (95908) $195.13 $390.25 0.9×
Nerve conduction studies 5-6 studies (95909) $250 $500 1.2×
Nerve conduction studies 7-8 studies (95910) $312.50 $625 0.9×
Nerve Conduction Studies 9-10 Studies (95911) $350.18 $700.35 1.0×
Neurobehavioral Status Exam (96116) $207.50 $415 1.0×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $100 $200 0.8×
Neuromuscular Reeducation (97112) $75 $150 2.3×
Newborn resuscitation (99465) $529.33 $1,058.65 0.8×
Nitric oxide expired gas determination (95012) $90.53 $181.05 2.5×
Nrpsyc tst eval phys/qhp 1st (96132) $326.26 $652.51 0.9×
Oral Function Therapy (92526) $107.25 $214.50 1.3×
Oral Speech Device Eval (92597) $266.63 $533.25 3.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $134.29 $268.57 2.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $88.38 $176.75 1.9×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $76.95 $153.89 3.7×
Osteopathic manipulative tx 3-4 body regions (98926) $80.13 $160.25 3.8×
Osteopathic manipulative tx 5-6 body regions (98927) $90.13 $180.25 4.3×
Osteopathic manipulative tx 7-8 body regions (98928) $100.13 $200.25 4.8×
Osteopathic manipulative tx 9-10 body regions (98929) $110.13 $220.25 5.2×
Ot Contrast Bath Ea 15 Min (97034) $27 $54 1.9×
Ot eval high complexity (97167) $216.62 $433.23 2.2×
Ot Eval Low Complex (97165) $216.62 $433.23 2.2×
Ot Eval Moderate Complexity (97166) $216.62 $433.23 2.2×
Ot manual therapy 15 min (97140) $65 $130 2.3×
Ot paraffin bath (97018) $13.88 $27.75 2.3×
Ot Prosthetic Training, Each 15 Min (97761) $88.38 $176.75 2.2×
Ot Re-Eval Est Plan Care (97168) $143.10 $286.19 2.1×
Ot rom hand (95852) $65.25 $130.50 3.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $107.50 $215 0.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $100.50 $201 0.8×
Peripheral arterial disease rehab per session (93668) $30.63 $61.25 0.5×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $2,971.13 $5,942.25 0.5×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $5,847.23 $11,694.46 0.5×
Phlebotomy therapeutic (99195) $144.90 $289.80 1.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $86 $172 1.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $65 $130 1.1×
Physical Performance Test (97750) $51.63 $103.25 1.5×
Plethysmography (94726) $170.25 $340.50 0.5×
Pm device eval in person (93288) $60.50 $121 1.7×
Pm device progr eval dual (93280) $106.25 $212.50 2.9×
Pm device progr eval multi (93281) $123 $246 3.4×
Pm Device Progr Eval Sngl (93279) $87.38 $174.75 2.4×
Pm/Icd Remote Tech Serv (93296) $114.95 $229.90 3.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,917.50 $3,835 2.3×
Positional nystagmus test (92542) $127.05 $254.10 1.0×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $55.69 $111.37 1.5×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $114.13 $228.25 3.1×
Prq Card Angio/Athrect 1 Art (92924) $5,847.23 $11,694.46 0.5×
Prq Card Stent W/Angio 1 Vsl (92928) $5,847.23 $11,694.46 0.5×
Prq Card Stent/Ath/Angio (92933) $9,258.54 $18,517.07 0.5×
Prq Revasc Byp Graft 1 Vsl (92937) $5,847.23 $11,694.46 0.5×
Psychiatric diagnostic evaluation (90791) $303.48 $606.95 1.8×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $205.75 $411.49 0.5×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $138.75 $277.50 1.1×
Pt Eval High Complex (97163) $223.47 $446.93 2.3×
Pt eval low complex 20 min (97161) $223.47 $446.93 2.3×
Pt Eval Mod Complex (97162) $223.47 $446.93 2.3×
Pt gait training 15 min (97116) $45 $90 1.5×
Pt mechanical traction (97012) $67.88 $135.75 4.7×
Pt Re-Eval Est Plan Care (97164) $151.93 $303.86 2.3×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $15.36 $30.71 0.4×
Pulm function test by gas (94727) $100.43 $200.86 0.5×
Pulmonary service/procedure (94799) $100.75 $201.50 0.8×
Pulmonary Stress Testing (94618) $171.53 $343.06 1.3×
Pure Tone Audiometry Air (92552) $66.46 $132.92 0.5×
R Hrt Art/Grft Angio (93457) $5,022 $10,044 1.6×
R hrt coronary artery angio (93456) $4,874.13 $9,748.25 1.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $7,382.03 $14,764.05 2.3×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $171.02 $342.04 0.5×
Rem interrog icpms <30 d phys/qhp (93297) $84.76 $169.51 2.3×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $97.41 $194.81 2.7×
Rem Ther Mntr Dev Sply Cbt (98978) $105 $210 2.9×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $22.20 $44.39 0.6×
Remote 30 Day Ecg Rev/Report (93270) $175.25 $350.50 4.8×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $67.68 $135.35 0.5×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $18.75 $37.50 0.5×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $23.75 $47.50 0.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $37.63 $75.25 0.7×
Right Heart Cath (93451) $2,070 $4,140 0.7×
Right ventricular recording (93603) $1,047.88 $2,095.75 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $237.50 $475 1.2×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $62.50 $125 2.4×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $304.92 $609.84 2.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $60.50 $121 1.3×
Self Care Mngment Training (97535) $50.25 $100.50 1.6×
Sensory Integration Ea 15 Min (97533) $50.38 $100.75 0.8×
Short-latency somatosens ep std upr limbs (95925) $160.56 $321.12 0.8×
Sleep study unattended (95806) $516 $1,032 2.4×
Slp caregiver training 1st 30 min (97550) $50 $100 0.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $516.12 $1,032.24 2.4×
Somatosensory Testing (95938) $940 $1,880 1.1×
Speech Audiometry Complete (92556) $60.50 $121 1.1×
Speech audiometry threshold (92555) $45.63 $91.25 0.8×
Speech sound lang comprehen (92523) $502.75 $1,005.50 2.2×
Spin/Brain Pump Refil & Main (95991) $152.20 $304.40 0.5×
Spirometry (94010) $127.50 $255 0.6×
Ssep lower limbs (95926) $160.56 $321.12 0.8×
Standardized Cognitive Performance Testing (96125) $342.57 $685.14 3.3×
Stress Tte Only (93350) $394.13 $788.25 0.7×
Subcutaneous Infusion Each Additional Hour (96370) $50.22 $100.43 1.1×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $485.07 $970.13 2.3×
Surfactant Admin Thru Tube (94610) $198.26 $396.52 0.9×
Temp transcutaneous pacing (92953) $374.75 $749.50 0.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $50.80 $101.60 2.3×
Ther Ivntj Ea Addl 15 Min (97130) $50.80 $101.60 2.4×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $62.75 $125.50 1.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $57.88 $115.75 1.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $167.44 $334.87 1.6×
Ther/Proph/Diag Inj Ia (96373) $108.63 $217.26 0.5×
Ther/Proph/Diag Inj Sc/Im (96372) $122.10 $244.19 1.7×
Ther/Proph/Diag Iv Inf Init (96365) $373.84 $747.67 1.8×
Therapeutic Activities (97530) $57.50 $115 1.6×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $638.38 $1,276.75 1.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $80.03 $160.05 2.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $45 $90 1.2×
Trans Care Mgmt 14 Day Disch (99495) $69.38 $138.75 0.5×
Trans Care Mgmt 7 Day Disch (99496) $78.88 $157.75 0.6×
Transcath Closure of Asd (93580) $11,377.41 $22,754.82 0.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $296.45 $592.90 2.9×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $135.50 $271 3.7×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $126.13 $252.25 1.0×
Tte w/doppler, complete (93306) $977 $1,954 1.8×
Tx atrial fib pulm vein isol (93656) $15,636.78 $31,273.55 0.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $136.68 $273.35 1.8×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $42.96 $85.91 1.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $89.52 $179.03 2.0×
Tympanometry (92567) $56.27 $112.53 1.5×
Tympanometry and reflex threshold measurements (92550) $80.67 $161.34 0.4×
Unlisted cardiovascular service/procedure (93799) $239.58 $479.16 1.9×
Unlisted otorhinolaryngological service (92700) $108.68 $217.35 3.9×
Unlisted Psychiatric Service/Procedure (90899) $145.20 $290.40 4.0×
Unlisted Special Dermatological Service/Px (96999) $112.50 $225 0.6×
Upr/L Xtremity Art 2 Levels (93922) $300 $600 2.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $340 $680 1.6×
Valvuloplasty aortic valve (92986) $3,581.22 $7,162.43 0.6×
Valvuloplasty mitral valve (92987) $5,847.23 $11,694.46 0.5×
Valvuloplasty pulmonary valve (92990) $5,847.23 $11,694.46 0.5×
Vasopneumatic device (97016) $62.50 $125 5.2×
Veeg 2-12 Hr Cont Mntr (95713) $740 $1,480 2.0×
Veeg 2-12 hr intmt mntr (95712) $740 $1,480 2.0×
Veeg 2-12 hr unmonitored (95711) $740 $1,480 3.5×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $740 $1,480 2.0×
Veeg Ea 12-26 Hr Unmntr (95714) $740 $1,480 2.0×
Veeg ea 12-26hr cont mntr (95716) $740 $1,480 0.9×
Vent Mgmt Inpat Init Day (94002) $737.88 $1,475.75 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $410.25 $820.50 0.7×
Visual Evoked Potential Test (95930) $350.18 $700.35 1.7×
Visual reinforcement audiometry (vra) (92579) $91.13 $182.25 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $42.35 $84.70 1.4×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $75 $150 1.3×

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.