Visits & medical services prices at Riverview Health
Noblesville, IN · every code in this section with a posted price and a Medicare benchmark.
247 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $15,609.60 | $26,016 | 1.9× |
| Actinotherapy Ultraviolet Light (96900) | $94.80 | $158 | 2.4× |
| Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) | $175.80 | $293 | 0.9× |
| Adaptive behavior tx by protocol tech ea 15 min (97153) | $175.80 | $293 | 1.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $63 | $105 | 1.5× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $337.20 | $562 | 1.5× |
| Airway Inhalation Treatment (94640) | $262.80 | $438 | 1.1× |
| Analyze neurostim complex (95972) | $231 | $385 | 2.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $33.60 | $56 | 2.3× |
| Application on-body injector (96377) | $98.40 | $164 | 2.0× |
| Arrhythmia Induction (93618) | $2,590.20 | $4,317 | 2.0× |
| Assessment of aphasia per hr (96105) | $190.20 | $317 | 2.0× |
| Behavior id assessment by phys/qhp ea 15 min (97151) | $175.80 | $293 | 1.6× |
| Behavior id support assmt by 1 tech ea 15 min (97152) | $175.80 | $293 | 1.6× |
| Behavral qualit analys voice (92524) range across 8 matching MRF lines |
$238.20–$271.20 | $397–$452 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $97.80 | $163 | 1.2× |
| Bfb training ea addl 15 min (90913) | $55.20 | $92 | 1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $317.40 | $529 | 0.8× |
| Bundle of his recording (93600) | $15,609.60 | $26,016 | 1.9× |
| Canalith repositioning proc (95992) | $82.80 | $138 | 2.0× |
| Car seat/bed test 60 min (94780) | $97.20 | $162 | 2.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $649.20 | $1,082 | 2.8× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$317.40–$2,029.20 | $529–$3,382 | varies |
| Cardioversion (92960) | $1,648.80 | $2,748 | 2.4× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $51.60 | $86 | 2.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $6,858.60 | $11,431 | 2.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $6,858.60 | $11,431 | 2.0× |
| Cbt 1st hour (94644) | $131.40 | $219 | 0.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $156 | $260 | 2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) | $156 | $260 | 2.0× |
| Chemo Ia Push (96420) | $603 | $1,005 | 1.7× |
| Chemo Intralesional Over 7 (96406) | $478.80 | $798 | 2.1× |
| Chemo intralesional up to 7 (96405) | $156 | $260 | 2.0× |
| Chemo IV infusion addl hr (96415) | $156 | $260 | 2.0× |
| Chemo IV push addl drug (96411) | $156 | $260 | 2.0× |
| Chemother Prolong Infuse W/Pump (96416) | $771 | $1,285 | 2.2× |
| Chemotherapy Into Cns (96450) | $771 | $1,285 | 2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $156 | $260 | 2.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $771 | $1,285 | 2.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $478.80 | $798 | 1.4× |
| Chest Wall Manipulation (94668) | $159 | $265 | 1.1× |
| Color/duplex Doppler, complete (93975) | $1,691.40 | $2,819 | 6.7× |
| Color/duplex Doppler, limited (93976) | $774 | $1,290 | 7.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $73.80 | $123 | 2.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $280.20 | $467 | 2.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $133.80 | $223 | 2.1× |
| Continuous Pulse Ox (94762) | $165 | $275 | 1.2× |
| Coronary Art/Grft Angio S&I (93455) | $6,858.60 | $11,431 | 2.0× |
| Coronary Artery Angio S&I (93454) | $6,858.60 | $11,431 | 2.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$217.20–$631.20 | $362–$1,052 | varies |
| Cpt initial (94667) | $159 | $265 | 1.1× |
| Critical care first hour (99291) | $2,491.20 | $4,152 | 2.9× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$108.60–$506.40 | $181–$844 | varies |
| Dialysis One Evaluation (90945) | $884.40 | $1,474 | 2.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,691.40 | $2,819 | 6.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $774 | $1,290 | 7.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,691.40 | $2,819 | 6.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$717–$774 | $1,195–$1,290 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,691.40 | $2,819 | 6.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $774 | $1,290 | 7.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,691.40 | $2,819 | 6.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $774 | $1,290 | 7.0× |
| Duplex Scan Hemodialysis Access (93990) | $673.20 | $1,122 | 6.1× |
| Duplex up extrem art bilat (93930) | $1,691.40 | $2,819 | 6.7× |
| Duplex up extrem art unilat/ltd (93931) | $774 | $1,290 | 7.0× |
| Echo Congenital Complete (93303) | $1,167 | $1,945 | 2.0× |
| Echo Heart Xthoracic,Limited (93308) | $541.20 | $902 | 2.1× |
| Echo transesophag montr cardiac pump functj (93318) | $1,167 | $1,945 | 2.0× |
| Echo transesophageal (93312) | $1,167 | $1,945 | 2.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,167 | $1,945 | 2.0× |
| Eeg 41-60 Minutes (95812) | $649.80 | $1,083 | 2.8× |
| EEG awake and asleep (95819) | $649.80 | $1,083 | 2.8× |
| EEG awake drowsy (95816) | $649.80 | $1,083 | 2.8× |
| EEG cerebral death evaluation (95824) | $1,120.80 | $1,868 | 2.8× |
| EEG cont rec w/video by tech min 8 channels (95700) | $337.20 | $562 | 1.5× |
| EEG extended monitoring 61-119 minutes (95813) | $649.80 | $1,083 | 2.8× |
| Eeg Sleep Only (95822) | $649.80 | $1,083 | 2.8× |
| EEG w/o vid 2-12hr cont mntr (95707) | $649.80 | $1,083 | 2.8× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $1,120.80 | $1,868 | 2.8× |
| Electrical Stimulation Ea 15 Min (97032) | $33.60 | $56 | 2.3× |
| Electrocardiogram Tracing (93005) | $166.20 | $277 | 2.7× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $15,609.60 | $26,016 | 1.9× |
| Electrophysiology Evaluation (93642) | $2,590.20 | $4,317 | 2.0× |
| Emergency Dept Visit Level 2 (99282) | $453.60 | $756 | 2.8× |
| Emergency Dept Visit Level 3 (99283) | $795.60 | $1,326 | 2.8× |
| Emergency Dept Visit Level 4 (99284) | $1,238.40 | $2,064 | 2.8× |
| Emg 3 Extremities (95863) | $408 | $680 | 3.0× |
| Ep & ablate supravent arrhyt (93653) | $42,529.80 | $70,883 | 1.5× |
| Ep & ablate ventric tachy (93654) | $54,439.20 | $90,732 | 2.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $15,609.60 | $26,016 | 1.9× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $15,609.60 | $26,016 | 1.9× |
| Er level 1 (99281) | $243.60 | $406 | 2.7× |
| Er level v (99285) | $1,779 | $2,965 | 2.8× |
| Ergonovine provocation test (93024) | $1,094.40 | $1,824 | 2.3× |
| Evaluate pt use of inhaler (94664) | $537 | $895 | 2.3× |
| Evaluate Speech Production (92522) range across 8 matching MRF lines |
$241.20–$273.60 | $402–$456 | varies |
| Evaluate Swallowing Function (92610) range across 8 matching MRF lines |
$151.20–$188.40 | $252–$314 | varies |
| Evaluation of speech fluency (92521) range across 8 matching MRF lines |
$288.60–$318.60 | $481–$531 | varies |
| Exercise test for bronchospasm (94617) | $131.40 | $219 | 0.9× |
| Extracranial Bilat Study (93880) | $1,691.40 | $2,819 | 6.7× |
| Extracranial Uni/Ltd Study (93882) | $774 | $1,290 | 7.0× |
| Family adapt bhv tx gdn phys/qhp ea 15 min (97156) | $68.40 | $114 | 1.7× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,245.60 | $2,076 | 1.4× |
| Group adaptive bhv tx by protocol tech ea 15 min (97154) | $68.40 | $114 | 1.7× |
| Group Therapeutic Procedures (97150) range across 16 matching MRF lines |
$40.80–$78.60 | $68–$131 | varies |
| Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) | $68.40 | $114 | 1.7× |
| Health Behavior Assessment/Re-Assessment (96156) | $158.40 | $264 | 1.5× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $61.80 | $103 | 1.6× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $61.80 | $103 | 1.6× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $158.40 | $264 | 0.8× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $6,858.60 | $11,431 | 2.0× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,461.60 | $2,436 | 2.0× |
| Icd device progr eval dual (93283) | $83.40 | $139 | 2.1× |
| Immunization administration (90471) | $156 | $260 | 2.0× |
| Ingestion challenge test initial 120 minutes (95076) | $1,120.80 | $1,868 | 2.8× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $548.40 | $914 | 1.4× |
| Insert/Place Heart Catheter (93503) | $3,449.40 | $5,749 | 2.1× |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) | $12,839.40 | $21,399 | 94.3× |
| Interrog eval crtd sins bat modulj sys ip wo (93145) | $12,839.40 | $21,399 | 94.3× |
| Intra-atrial pacing (93610) | $15,609.60 | $26,016 | 1.9× |
| Intra-atrial recording (93602) | $15,609.60 | $26,016 | 1.9× |
| Intracranial Complete Study (93886) | $1,691.40 | $2,819 | 6.7× |
| Intraventricular pacing (93612) | $15,609.60 | $26,016 | 1.9× |
| Iontophoresis 15 min (97033) | $45.60 | $76 | 2.4× |
| Irrig Drug Delivery Device (96523) | $133.80 | $223 | 2.1× |
| IV infusion hydration each additional hour (96361) | $98.40 | $164 | 2.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $478.80 | $798 | 2.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $156 | $260 | 2.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $98.40 | $164 | 2.0× |
| IV push initial (96374) | $478.80 | $798 | 2.1× |
| L Hrt Art/Grft Angio (93459) | $6,858.60 | $11,431 | 2.0× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $6,858.60 | $11,431 | 2.0× |
| Liver Elastography W/O Imag W/I&R (91200) | $118.80 | $198 | 0.9× |
| Low frequency non-thermal us (97610) | $418.80 | $698 | 2.0× |
| Lung Function Test (Mbc/Mvv) (94200) | $64.80 | $108 | 1.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $2,029.20 | $3,382 | 8.9× |
| Mechanical chest wall oscillation per session (94669) | $262.80 | $438 | 1.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $27 | $45 | 0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $42.60 | $71 | 1.2× |
| Methacholine challenge (94070) | $317.40 | $529 | 0.8× |
| Motion Fluoroscopy/Swallow (92611) range across 8 matching MRF lines |
$199.20–$233.40 | $332–$389 | varies |
| Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) | $68.40 | $114 | 1.7× |
| Multiple Sleep Latency Test (95805) | $1,120.80 | $1,868 | 1.2× |
| Muscle Test 2 Limbs (95861) | $325.20 | $542 | 2.3× |
| Muscle Test One Limb (95860) | $325.20 | $542 | 2.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $1,046.40 | $1,744 | 2.4× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,046.40 | $1,744 | 2.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $506.40 | $844 | 2.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $1,046.40 | $1,744 | 2.4× |
| Nerve Conduction Studies 1-2 Studies (95907) | $337.20 | $562 | 1.5× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,120.80 | $1,868 | 2.8× |
| Nerve conduction studies 13 or more studies (95913) | $1,120.80 | $1,868 | 2.8× |
| Nerve Conduction Studies 3-4 Studies (95908) | $649.80 | $1,083 | 2.8× |
| Nerve conduction studies 5-6 studies (95909) | $649.80 | $1,083 | 2.8× |
| Nerve conduction studies 7-8 studies (95910) | $649.80 | $1,083 | 1.6× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,120.80 | $1,868 | 2.8× |
| Neurobehavioral Status Exam (96116) | $649.80 | $1,083 | 2.8× |
| Neuromuscular Reeducation (97112) | $78 | $130 | 2.4× |
| Newborn resuscitation (99465) | $600.60 | $1,001 | 0.9× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $1,120.80 | $1,868 | 2.8× |
| Oral Function Therapy (92526) | $184.80 | $308 | 2.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $123 | $205 | 2.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $112.20 | $187 | 2.4× |
| Ot eval high complexity (97167) range across 10 matching MRF lines |
$232.80–$272.40 | $388–$454 | varies |
| Ot Eval Low Complex (97165) range across 10 matching MRF lines |
$232.80–$272.40 | $388–$454 | varies |
| Ot Eval Moderate Complexity (97166) range across 10 matching MRF lines |
$232.80–$272.40 | $388–$454 | varies |
| Ot manual therapy 15 min (97140) | $63 | $105 | 2.3× |
| Ot paraffin bath (97018) | $13.20 | $22 | 2.2× |
| Ot Prosthetic Training, Each 15 Min (97761) | $97.20 | $162 | 2.4× |
| Ot Re-Eval Est Plan Care (97168) range across 10 matching MRF lines |
$160.20–$203.40 | $267–$339 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $544.80 | $908 | 4.0× |
| Peripheral arterial disease rehab per session (93668) | $300 | $500 | 4.8× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $12,091.20 | $20,152 | 2.0× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $24,610.20 | $41,017 | 2.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $289.80 | $483 | 4.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $333 | $555 | 5.3× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$66.60–$78 | $111–$130 | varies |
| Plethysmography (94726) | $317.40 | $529 | 0.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,166.60 | $3,611 | 2.4× |
| Polysom <6 yrs 4/> paramtrs (95782) | $2,166.60 | $3,611 | 2.4× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $2,166.60 | $3,611 | 2.4× |
| Prq Card Angio/Athrect 1 Art (92924) | $24,610.20 | $41,017 | 2.0× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $24,610.20 | $41,017 | 2.0× |
| Prq Card Stent/Ath/Angio (92933) | $39,824.40 | $66,374 | 2.1× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $24,610.20 | $41,017 | 2.0× |
| Psychiatric diagnostic evaluation (90791) | $304.20 | $507 | 1.6× |
| Psychological tst eval svc phys/qhp first hour (96130) | $649.80 | $1,083 | 2.8× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $58.20 | $97 | 1.9× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $874.80 | $1,458 | 1.9× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $268.80 | $448 | 1.9× |
| Pt Eval High Complex (97163) range across 10 matching MRF lines |
$232.80–$272.40 | $388–$454 | varies |
| Pt eval low complex 20 min (97161) range across 10 matching MRF lines |
$232.80–$272.40 | $388–$454 | varies |
| Pt Eval Mod Complex (97162) range across 10 matching MRF lines |
$232.80–$272.40 | $388–$454 | varies |
| Pt gait training 15 min (97116) | $67.80 | $113 | 2.3× |
| Pt mechanical traction (97012) | $33.60 | $56 | 2.3× |
| Pt Re-Eval Est Plan Care (97164) range across 10 matching MRF lines |
$160.80–$204 | $268–$340 | varies |
| Pulm function test by gas (94727) | $165 | $275 | 0.7× |
| Pulmonary service/procedure (94799) | $165 | $275 | 1.2× |
| Pulmonary Stress Testing (94618) | $131.40 | $219 | 0.9× |
| R Hrt Art/Grft Angio (93457) | $6,858.60 | $11,431 | 2.0× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $6,858.60 | $11,431 | 2.0× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $6,858.60 | $11,431 | 2.0× |
| R hrt coronary artery angio (93456) | $6,858.60 | $11,431 | 2.0× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $6,858.60 | $11,431 | 2.0× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $6,858.60 | $11,431 | 2.0× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $6,858.60 | $11,431 | 2.0× |
| Respiratory flow volume loop (94375) | $317.40 | $529 | 1.4× |
| Right Heart Cath (93451) | $6,858.60 | $11,431 | 2.0× |
| Right ventricular recording (93603) | $2,590.20 | $4,317 | 2.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $506.40 | $844 | 2.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $268.80 | $448 | 2.2× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $105.60 | $176 | 2.2× |
| Self Care Mngment Training (97535) | $76.20 | $127 | 2.4× |
| Sensory Integration Ea 15 Min (97533) | $147.60 | $246 | 2.4× |
| Sleep study unattended (95806) | $337.20 | $562 | 1.5× |
| Slp caregiver training 1st 30 min (97550) | $96 | $160 | 1.8× |
| Speech sound lang comprehen (92523) range across 8 matching MRF lines |
$494.40–$514.80 | $824–$858 | varies |
| Spirometry (94010) | $165 | $275 | 0.7× |
| Standardized Cognitive Performance Testing (96125) | $222.60 | $371 | 2.2× |
| Stress Tte Only (93350) | $1,167 | $1,945 | 2.0× |
| Temp transcutaneous pacing (92953) | $1,648.80 | $2,748 | 2.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$43.20–$51.60 | $72–$86 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$42–$49.20 | $70–$82 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $85.20 | $142 | 2.3× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 4 matching MRF lines |
$224.40–$232.20 | $374–$387 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $478.80 | $798 | 2.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $156 | $260 | 2.0× |
| Ther/Proph/Diag Iv Inf Init (96365) | $478.80 | $798 | 2.1× |
| Therapeutic Activities (97530) | $86.40 | $144 | 2.5× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,008.60 | $1,681 | 2.6× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $61.80 | $103 | 1.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $61.80 | $103 | 1.6× |
| Tte w/doppler, complete (93306) | $1,167 | $1,945 | 2.0× |
| Tte W/O Doppler Complete (93307) | $541.20 | $902 | 2.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 20 matching MRF lines |
$166.20–$277.80 | $277–$463 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $98.40 | $164 | 2.0× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$337.20–$694.20 | $562–$1,157 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $841.20 | $1,402 | 6.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,053.60 | $1,756 | 4.6× |
| Vasopneumatic device (97016) | $27 | $45 | 2.2× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,120.80 | $1,868 | 2.8× |
| Veeg ea 12-26hr cont mntr (95716) | $2,166.60 | $3,611 | 2.4× |
| Vent Mgmt Inpat Init Day (94002) | $631.20 | $1,052 | 1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $631.20 | $1,052 | 1.0× |
| Vital capacity, total (94150) | $165 | $275 | 1.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $73.80 | $123 | 2.4× |
| Whirlpool Therapy (97022) | $40.20 | $67 | 2.6× |
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.