Visits & medical services prices at Rochester General Hospital

Rochester, NY · every code in this section with a posted price and a Medicare benchmark.

395 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)
range across 2 matching MRF lines
$203.93–$214.12 $313.74–$329.42 varies
Ablate Heart Dysrhythm Focus (93650) $11,565.71 $17,793.40 1.2×
Actigraphy Testing Recording Analysis I&R (95803) $192.19 $295.67 2.6×
Actinotherapy Ultraviolet Light (96900) $81.33 $125.12 1.7×
Admn Sarscov2 Vacc 1 Dose (90480) $106.35 $163.62 2.1×
Advncd Care Plan 30 Min (99497) $223.89 $344.44 1.8×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $366.43 $563.74 1.4×
Aep neurodiagnostic i&r (92653) $689.09 $1,060.14 2.6×
Aep threshold estimation mlt frequencies i&r (92652) $689.09 $1,060.14 2.6×
Airway Inhalation Treatment (94640) $258.91 $398.32 0.9×
Airway resistance by oscillometry (94728) $870.76 $1,339.63 5.4×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $114.07 $175.49 2.4×
Allg tstg perq & ic venoms immed react w/i&r (95017) $114.07 $175.49 3.2×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $335.52 $516.18 2.0×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $335.52 $516.18 2.0×
Analyze neurostim complex (95972) $410.43 $631.43 3.5×
Analyze neurostim no prog (95970) $335.52 $516.18 2.0×
Analyze Neurostim Simple (95971) $410.43 $631.43 3.5×
Analyze Pacemaker System (93724) $277.41 $426.78 0.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $45.07 $69.34 3.1×
Application Modality 1/> Areas Infrared (97026) $20.09 $30.91 3.0×
Application on-body injector (96377) $133.11 $204.79 2.3×
Arrhythmia Induction (93618) $2,506.71 $3,856.48 1.6×
Assessment of aphasia per hr (96105) $303.50 $466.92 3.1×
Behavral qualit analys voice (92524) $345.81 $532.02 3.2×
Blink reflex test (95933) $335.52 $516.18 4.6×
Breath hydrogen/methane test (91065) $381.27 $586.57 1.4×
Breathing response to hypoxia (94450) $482.35 $742.07 3.0×
Brief Emotional/Behav Assmt (96127) $114.07 $175.49 2.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $870.76 $1,339.63 1.9×
Bundle of his recording (93600) $11,565.71 $17,793.40 1.2×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$93.74–$137.74 $144.22–$211.90 varies
Cardiac Stress Tst,Tracing Only (93017) $870.76 $1,339.63 3.2×
Cardiopulmonary exercise testing (94621) $870.76 $1,339.63 1.9×
Cardiopulmonary resuscitation (92950)
range across 5 matching MRF lines
$692.70–$870.76 $1,065.70–$1,339.63 varies
Cardioversion (92960) $1,700.22 $2,615.73 2.1×
Care mgmt services behavioral hlth cond 20 mins (99484)
range across 2 matching MRF lines
$104.03–$109.25 $160.05–$168.07 varies
Caregiver hlth risk assmt score doc stnd instrm (96161) $109.25 $168.07 2.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $18.64 $28.67 0.7×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $8,273.02 $12,727.73 2.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,273.02 $12,727.73 2.0×
Cbt 1st hour (94644) $335.52 $516.18 2.0×
Chemo Admin Peritoneal Cavity (96446) $419.72 $645.73 1.0×
Chemo Anti-Neopl Sq/Im (96401) $80.28 $123.50 0.9×
Chemo Hormon Antineopl Sq/Im (96402)
range across 2 matching MRF lines
$58.38–$80.28 $89.82–$123.50 varies
Chemo Ia Push (96420) $10.11 $15.55 0.0×
Chemo intralesional up to 7 (96405) $39.92 $61.42 0.4×
Chemo IV infusion addl hr (96415) $80.28 $123.50 0.9×
Chemo IV push addl drug (96411) $80.28 $123.50 0.9×
Chemother Prolong Infuse W/Pump (96416) $8.42 $12.96 0.0×
Chemotherapy Into Cns (96450) $611.62 $940.96 1.5×
Chemotherapy Unspecified (96549) $99.79 $153.52 1.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $80.28 $123.50 0.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 3 matching MRF lines
$611.62–$636.72 $940.96–$979.57 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) $93.72 $144.19 0.2×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $93.72 $144.19 0.2×
Chest Wall Manipulation (94668) $335.52 $516.18 2.0×
Cmptr ophth dx img ant segmt (92132) $192.19 $295.67 2.6×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $335.52 $516.18 4.6×
Color/duplex Doppler, complete (93975) $875.65 $1,347.15 2.9×
Color/duplex Doppler, limited (93976) $425.45 $654.54 3.3×
Community/Work Reintegration Trainj Ea 15 Min (97537) $99.94 $153.75 3.1×
Comprehensive Hearing Test (92557) $356.57 $548.57 2.2×
Computerized Ophthalmic Imaging Optic Nerve (92133) $192.19 $295.67 2.6×
Computerized Ophthalmic Imaging Retina (92134) $192.19 $295.67 2.6×
Cont gluc mntr physician/qhp provided equiptment (95250) $391.06 $601.63 2.4×
Cont Gluc Mntr Pt Prov Eqp (95249) $139.95 $215.31 1.9×
Continuous Pulse Ox (94762) $482.35 $742.07 3.0×
Corneal Topography (92025) $149.13 $229.43 2.0×
Coronary Art/Grft Angio S&I (93455) $8,273.02 $12,727.73 2.0×
Coronary Artery Angio S&I (93454) $8,273.02 $12,727.73 2.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $527.84 $812.06 1.9×
Cpt initial (94667) $335.52 $516.18 2.0×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $637.83 $981.28 2.4×
Critical care first hour (99291)
range across 2 matching MRF lines
$1,830.98–$2,233.36 $2,816.89–$3,435.94 varies
Debridement Open Wound 20 Sq Cm< (97597) $584.21 $898.79 2.3×
Developmental tst admin phys/qhp 1st hour (96112)
range across 2 matching MRF lines
$324.94–$391.54 $499.91–$602.37 varies
Dialysis One Evaluation (90945) $1,251.44 $1,925.29 2.4×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $643.99 $990.75 1.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $875.65 $1,347.15 2.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $425.45 $654.54 3.3×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $425.45 $654.54 3.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $875.65 $1,347.15 2.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $425.45 $654.54 3.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $875.65 $1,347.15 2.9×
Dup-scan xtr veins unilateral/limited study (93971) $425.45 $654.54 3.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $646.80 $995.08 2.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $312.03 $480.05 2.4×
Duplex Scan Hemodialysis Access (93990) $425.45 $654.54 3.3×
Duplex up extrem art bilat (93930) $875.65 $1,347.15 2.9×
Duplex up extrem art unilat/ltd (93931) $425.45 $654.54 3.3×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $328.15 $504.84 2.0×
ECG/monitoring and analysis (93271) $410.43 $631.43 3.5×
Echo Congenital Complete (93303) $1,734.50 $2,668.46 2.5×
Echo Heart Xthoracic,Limited (93308) $875.65 $1,347.15 2.9×
Echo transesophageal (93312) $1,734.50 $2,668.46 2.5×
Echo Transesophageal - Congenital Tee Complete (93315) $1,734.50 $2,668.46 2.5×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,734.50 $2,668.46 2.5×
Eeg 41-60 Minutes (95812) $870.76 $1,339.63 3.2×
EEG awake and asleep (95819) $870.76 $1,339.63 3.2×
EEG awake drowsy (95816) $870.76 $1,339.63 3.2×
EEG cerebral death evaluation (95824) $1,454.78 $2,238.13 3.1×
EEG cont rec w/video by tech min 8 channels (95700) $689.09 $1,060.14 2.6×
EEG extended monitoring 61-119 minutes (95813) $870.76 $1,339.63 3.2×
Eeg Sleep Only (95822) $870.76 $1,339.63 3.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $692.70 $1,065.70 2.6×
EEG wo vid ea 12-26hr unmntr (95708) $1,240.57 $1,908.57 2.7×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $233.80 $359.70 2.0×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $265.30 $408.15 2.2×
Electrical Stimulation Ea 15 Min (97032) $46.34 $71.29 3.2×
Electrocardiogram Tracing (93005) $192.19 $295.67 2.6×
Electroconvulsive Therapy (90870) $1,362.80 $2,096.61 1.3×
Electrophysiology Evaluation (93642) $3,059.66 $4,707.17 2.0×
Emergency Dept Visit Level 2 (99282) $502.50 $773.08 2.6×
Emergency Dept Visit Level 3 (99283) $1,149.29 $1,768.14 3.4×
Emergency Dept Visit Level 4 (99284) $1,763.01 $2,712.33 3.4×
Emg 3 Extremities (95863) $482.35 $742.07 3.0×
Emg 4 Extremities (95864) $482.35 $742.07 3.0×
Endomyocardial Biopsy (93505)
range across 2 matching MRF lines
$1,984.86–$6,509.50 $3,053.63–$10,014.62 varies
Ep & ablate supravent arrhyt (93653) $37,561.02 $57,786.18 1.2×
Ep & ablate ventric tachy (93654) $37,561.02 $57,786.18 1.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $11,565.71 $17,793.40 1.2×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $11,565.71 $17,793.40 1.2×
Er level 1 (99281) $348.97 $536.88 3.3×
Er level v (99285) $2,140.30 $3,292.77 2.9×
Evaluate pt use of inhaler (94664) $527.84 $812.06 1.9×
Evaluate Speech Production (92522) $352.99 $543.06 3.2×
Evaluate Swallowing Function (92610) $266.71 $410.32 3.1×
Evaluation of speech fluency (92521) $422.25 $649.62 3.2×
Evoked Auditory Test,Limited (92587) $870.76 $1,339.63 3.2×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $413.72 $636.49 1.7×
Exercise test for bronchospasm (94617) $335.52 $516.18 2.0×
External ECG rec>48hr<7d recording (93242) $89.86 $138.25 1.9×
External ECG rec>48hr<7d scanning alys w/report (93243) $243.18 $374.13 1.5×
External ECG rec>7d<15d recording (93246) $143.86 $221.32 3.1×
External ECG rec>7d<15d scanning alys w/report (93247) $266.86 $410.55 1.6×
External Ecg Scanning Analysis Report (93226) $335.52 $516.18 4.6×
Extracranial Bilat Study (93880) $875.65 $1,347.15 2.9×
Extracranial Uni/Ltd Study (93882) $425.45 $654.54 3.3×
Eye exam w anesth; complete (92018) $5,865.26 $9,023.48 2.0×
Flexible endoscopic eval swallow c/v rec (92612) $613.05 $943.16 3.1×
Fluorescein angiography (92235) $870.76 $1,339.63 3.2×
Fundus photography (92250) $335.52 $516.18 2.0×
Gi tract capsule endoscopy (91110) $2,195.76 $3,378.09 1.9×
Gonioscopy (92020) $335.52 $516.18 2.0×
Group Therapeutic Procedures (97150) $56.01 $86.17 3.1×
Health Behavior Assessment/Re-Assessment (96156) $219.19 $337.21 1.7×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $76.08 $117.04 1.6×
Health behavior ivntj group f2f 1st 30 min (96164) $76.08 $117.04 1.6×
Health behavior ivntj indiv f2f 1st 30 min (96158) $219.19 $337.21 1.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $8,273.02 $12,727.73 2.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,417.36 $2,180.56 1.7×
High altitude simulation test (94452) $335.52 $516.18 2.0×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $335.52 $516.18 2.0×
Holter monitor recording (93225) $335.52 $516.18 2.0×
Icd Device Interrogate (93289)
range across 2 matching MRF lines
$129.11–$135.56 $198.63–$208.56 varies
Icd device progr eval dual (93283) $135.56 $208.56 2.9×
Icd Device Progr Eval Mult (93284) $135.56 $208.56 2.9×
Icm Device Eval (93290) $135.56 $208.56 2.9×
Ilr Device Eval Progr (93285) $135.56 $208.56 2.9×
Ilr Device Interrogate (93291) $61.13 $94.05 1.7×
Im Adm Intransl/Oral 1 Vaccine (90473) $80.28 $123.50 0.9×
Immunization administration (90471) $67.74 $104.21 0.8×
Ingestion challenge test initial 120 minutes (95076) $1,454.78 $2,238.13 3.1×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $1,454.78 $2,238.13 3.1×
Insert/Place Heart Catheter (93503) $2,785.63 $4,285.59 1.4×
Interrogate Subq Defib (93261) $135.56 $208.56 2.9×
Interrogation eval in person wr defibrillator (93292) $135.56 $208.56 2.9×
Interrogation vad in person (93750) $328.13 $504.82 2.8×
Intra-atrial recording (93602) $10,088.55 $15,520.85 1.0×
Intracranial Complete Study (93886) $425.45 $654.54 1.4×
Intracutaneous tests w/allergenic extracts (95024) $192.19 $295.67 2.6×
Iontophoresis 15 min (97033) $63.26 $97.32 3.3×
Irrig Drug Delivery Device (96523)
range across 4 matching MRF lines
$139.95–$192.19 $215.31–$295.67 varies
IV infusion hydration each additional hour (96361) $133.11 $204.79 2.3×
IV infusion hydration initial 31 min-1 hour (96360) $348.36 $535.94 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $80.28 $123.50 0.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $133.11 $204.79 2.3×
IV push initial (96374) $348.36 $535.94 1.3×
L Hrt Art/Grft Angio (93459) $8,273.02 $12,727.73 2.0×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $6,095.95 $9,378.39 1.5×
Liver Elastography W/O Imag W/I&R (91200) $482.35 $742.07 3.0×
Lung Function Test (Mbc/Mvv) (94200) $335.52 $516.18 4.6×
Lwr Xtr Vasc Stdy Bilat (93924) $482.35 $742.07 1.8×
Mechanical chest wall oscillation per session (94669) $527.84 $812.06 1.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $66.86 $102.86 2.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $78.65 $121 2.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $37.62 $57.87 2.2×
Methacholine challenge (94070) $870.76 $1,339.63 1.9×
Motion Fluoroscopy/Swallow (92611) $288.16 $443.32 3.1×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $724.57 $1,114.73 1.3×
Multiple Family Group Psychotherapy (90849)
range across 3 matching MRF lines
$337.53–$386.94 $519.27–$595.30 varies
Multiple Sleep Latency Test (95805) $3,243.02 $4,989.26 3.0×
Muscle Test 2 Limbs (95861) $335.52 $516.18 2.0×
Muscle Test Hemidiaphragm (95866) $381.27 $586.57 2.4×
Muscle Test Nonparaspinal (95870) $192.19 $295.67 1.2×
Muscle Test One Limb (95860) $335.52 $516.18 2.0×
Nasopharyngoscopy (92511)
range across 3 matching MRF lines
$424.79–$563.86 $653.52–$867.48 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868) $482.35 $742.07 1.8×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $482.35 $742.07 1.8×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $482.35 $742.07 1.8×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $482.35 $742.07 1.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,107.30 $1,703.54 2.2×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,107.30 $1,703.54 2.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $584.21 $898.79 2.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,107.30 $1,703.54 2.2×
Nerve Conduction Studies 1-2 Studies (95907) $482.35 $742.07 1.8×
Nerve Conduction Studies 11-12 Studies (95912) $1,454.78 $2,238.13 3.1×
Nerve conduction studies 13 or more studies (95913) $1,454.78 $2,238.13 3.1×
Nerve Conduction Studies 3-4 Studies (95908) $870.76 $1,339.63 3.2×
Nerve conduction studies 5-6 studies (95909) $870.76 $1,339.63 3.2×
Nerve conduction studies 7-8 studies (95910) $870.76 $1,339.63 1.9×
Nerve Conduction Studies 9-10 Studies (95911) $1,454.78 $2,238.13 3.1×
Neurobehavioral Status Exam (96116)
range across 2 matching MRF lines
$758.80–$870.76 $1,167.38–$1,339.63 varies
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $482.35 $742.07 3.0×
Neuromuscular Reeducation (97112) $108.48 $166.90 3.3×
Newborn resuscitation (99465) $1,700.22 $2,615.73 2.1×
Nitric oxide expired gas determination (95012) $114.07 $175.49 2.4×
Nonphysician Telephone Assessment 11-20 Min (98967)
range across 2 matching MRF lines
$142.51–$152.13 $219.25–$234.05 varies
Nonphysician Telephone Assessment 21-30 Min (98968)
range across 2 matching MRF lines
$175.18–$187 $269.50–$287.69 varies
Nonphysician Telephone Assessment 5-10 Min (98966)
range across 2 matching MRF lines
$122.86–$131.16 $189.02–$201.78 varies
Nrpsyc tst eval phys/qhp 1st (96132) $391.54 $602.37 0.8×
Oculoelectromyography (92265) $192.19 $295.67 2.6×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $335.52 $516.18 2.0×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $391.06 $601.63 2.4×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $391.06 $601.63 2.4×
Ophth medical xm&eval intermediate estab pt (92012) $391.06 $601.63 2.4×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $391.06 $601.63 2.4×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $149.13 $229.43 2.0×
Oral Function Therapy (92526) $266.90 $410.62 3.2×
Oral Speech Device Eval (92597) $224.37 $345.18 3.2×
Orthc/Prostc Mgmt Sbsq Enc (97763) $168.45 $259.15 3.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $153.80 $236.62 3.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 2 matching MRF lines
$69.15–$96.47 $106.38–$148.41 varies
Osteopathic manipulative tx 3-4 body regions (98926)
range across 2 matching MRF lines
$68.43–$69.15 $105.28–$106.38 varies
Osteopathic manipulative tx 5-6 body regions (98927)
range across 2 matching MRF lines
$69.15–$96.47 $106.38–$148.41 varies
Osteopathic manipulative tx 7-8 body regions (98928) $69.15 $106.38 2.6×
Osteopathic manipulative tx 9-10 body regions (98929) $69.15 $106.38 2.6×
Ot Contrast Bath Ea 15 Min (97034) $46.14 $70.99 3.3×
Ot eval high complexity (97167) $338.45 $520.69 3.4×
Ot Eval Low Complex (97165) $181.16 $278.70 1.8×
Ot Eval Moderate Complexity (97166) $255.04 $392.37 2.5×
Ot manual therapy 15 min (97140) $86 $132.31 3.1×
Ot paraffin bath (97018) $18 $27.69 3.0×
Ot Prosthetic Training, Each 15 Min (97761) $130.62 $200.95 3.2×
Ot Re-Eval Est Plan Care (97168) $169.70 $261.08 2.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$348.45–$365.87 $536.08–$562.87 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $365.87 $562.87 2.3×
Patch/Application Test Specify Number Tests (95044) $97.10 $149.39 0.1×
Patient-initiated spirometric recording (94015) $692.70 $1,065.70 2.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $527.84 $812.06 1.9×
Percutaneous tests w/allergenic extracts (95004) $97.10 $149.39 0.1×
Peripheral arterial disease rehab per session (93668) $167.65 $257.93 2.3×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $15,967.11 $24,564.78 0.7×
Perq transcath closure pda (93582) $25,833.90 $39,744.46 1.1×
Perq Transcath Cls Aortic (93591) $25,833.90 $39,744.46 1.1×
Perq Transcath Cls Mitral (93590) $25,833.90 $39,744.46 1.1×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $12,648.13 $19,458.66 1.8×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $20,251.58 $31,156.28 1.4×
Phlebotomy therapeutic (99195) $335.52 $516.18 2.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $139.95 $215.31 1.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $139.95 $215.31 1.9×
Physical Performance Test (97750) $106.11 $163.25 3.1×
Plethysmography (94726) $870.76 $1,339.63 1.9×
Pm device eval in person (93288) $135.56 $208.56 2.9×
Pm device progr eval dual (93280) $135.56 $208.56 2.9×
Pm device progr eval multi (93281) $135.56 $208.56 2.9×
Pm Device Progr Eval Sngl (93279) $135.56 $208.56 2.9×
Pm/Icd Remote Tech Serv (93296) $135.56 $208.56 2.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,243.02 $4,989.26 3.0×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $132.75 $204.23 2.3×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $132.75 $204.23 2.3×
Prepj& antigen allergen immunotherapy 2 insect (95146) $132.75 $204.23 2.3×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $80.28 $123.50 0.9×
Prepj& antigen allergen immunotherapy 5 insect (95149) $80.28 $123.50 0.9×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $135.56 $208.56 2.9×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $135.56 $208.56 2.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $132.75 $204.23 2.3×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $132.75 $204.23 2.3×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $80.28 $123.50 0.9×
Prq Card Angio/Athrect 1 Art (92924) $20,251.58 $31,156.28 1.4×
Prq Card Stent W/Angio 1 Vsl (92928) $20,251.58 $31,156.28 1.4×
Prq Card Stent/Ath/Angio (92933) $25,833.90 $39,744.46 1.1×
Prq Revasc Byp Graft 1 Vsl (92937) $20,251.58 $31,156.28 1.4×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $20,565.38 $31,639.05 0.9×
Prq trl rvs ch occ ant&rtrgr (92945) $13,317.12 $20,487.87 0.9×
Psych diag eval w/med srvcs (90792) $386.94 $595.30 1.7×
Psychiatric diagnostic evaluation (90791)
range across 11 matching MRF lines
$368.52–$424.36 $566.96–$652.86 varies
Psychological tst eval svc phys/qhp first hour (96130)
range across 2 matching MRF lines
$341.19–$391.54 $524.91–$602.37 varies
Psycl/Nrpsyc Tst Auto Result (96146)
range across 2 matching MRF lines
$42.77–$49.08 $65.80–$75.50 varies
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138)
range across 2 matching MRF lines
$42.77–$49.08 $65.80–$75.50 varies
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136)
range across 2 matching MRF lines
$42.77–$49.08 $65.80–$75.50 varies
Psytx Crisis Initial 60 Min (90839) $386.94 $595.30 1.7×
Pt Eval High Complex (97163) $361.30 $555.84 3.7×
Pt eval low complex 20 min (97161) $181.16 $278.70 1.9×
Pt Eval Mod Complex (97162) $272.25 $418.85 2.8×
Pt gait training 15 min (97116) $93.49 $143.83 3.2×
Pt group caregiver training (97552) $15.56 $23.94 0.7×
Pt mechanical traction (97012) $46.34 $71.29 3.2×
Pt Re-Eval Est Plan Care (97164) $181.16 $278.70 2.7×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $109.25 $168.07 2.3×
Pulm function test by gas (94727) $482.35 $742.07 1.8×
Pulmonary service/procedure (94799) $482.35 $742.07 3.0×
Pulmonary Stress Testing (94618) $335.52 $516.18 2.0×
R Hrt Art/Grft Angio (93457) $8,273.02 $12,727.73 2.0×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $6,095.95 $9,378.39 1.5×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $6,095.95 $9,378.39 1.5×
R hrt coronary artery angio (93456) $8,273.02 $12,727.73 2.0×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $6,095.95 $9,378.39 1.5×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $6,095.95 $9,378.39 1.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $8,273.02 $12,727.73 2.0×
Rapid Desensitization Procedure Each Hour (95180) $440.81 $678.17 0.8×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $419.72 $645.73 1.0×
Refill/Maint Portable Pump (96521) $50 $76.92 0.2×
Refill/Maint Pump/Resvr Syst (96522) $93.72 $144.19 0.4×
Rem interrog icpms <30 d phys/qhp (93297) $79.66 $122.55 1.7×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $79.66 $122.55 1.7×
Remote 30 Day Ecg Rev/Report (93270) $135.56 $208.56 2.9×
Remote 30 Day Ecg Tech Supp (93229) $482.35 $742.07 1.0×
Replacement of contact lens (92326) $335.52 $516.18 4.6×
Respiratory flow volume loop (94375) $692.70 $1,065.70 2.6×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $192.19 $295.67 2.6×
Right Heart Cath (93451) $8,273.02 $12,727.73 2.0×
Right ventricular recording (93603) $3,059.66 $4,707.17 2.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$521.22–$584.21 $801.87–$898.79 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $393.56 $605.48 3.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $157.50 $242.31 3.3×
Sbsq Psyc Collab Care Mgmt (99493)
range across 2 matching MRF lines
$203.93–$214.12 $313.74–$329.42 varies
Self Care Mngment Training (97535) $104.03 $160.04 3.2×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $192.19 $295.67 2.6×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $482.35 $742.07 1.8×
Short-latency somatosens ep std upr limbs (95925) $870.76 $1,339.63 3.2×
Sleep study attended (95807) $1,454.78 $2,238.13 3.1×
Sleep study unattended (95806) $328.15 $504.84 1.2×
Slp caregiver training 1st 30 min (97550) $37.38 $57.50 0.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $482.35 $742.07 1.8×
Speech sound lang comprehen (92523) $726.03 $1,116.97 3.2×
Spin/Brain Pump Refil & Main (95991) $418.44 $643.75 1.1×
Spirometry (94010) $482.35 $742.07 1.8×
Ssep lower limbs (95926) $870.76 $1,339.63 3.2×
Standardized Cognitive Performance Testing (96125) $329.97 $507.64 3.2×
Stress Tte Only (93350) $1,734.50 $2,668.46 2.5×
Subcutaneous Infusion Each Additional Hour (96370) $95.48 $146.90 1.6×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $50 $76.92 0.2×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $425.45 $654.54 3.3×
Temp transcutaneous pacing (92953) $1,700.22 $2,615.73 2.1×
Temperature Gradient Studies (93740) $482.35 $742.07 3.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $72.64 $111.76 3.2×
Ther Ivntj Ea Addl 15 Min (97130) $70.43 $108.36 3.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $117.88 $181.35 3.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $91.08 $140.13 3.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $328.83 $505.89 3.2×
Ther/Prop/Diag Inj/Inf Proc (96379) $133.11 $204.79 2.3×
Ther/Proph/Diag Inj Ia (96373) $348.36 $535.94 1.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 9 matching MRF lines
$80.28–$113.56 $123.50–$174.71 varies
Ther/Proph/Diag Iv Inf Init (96365) $348.36 $535.94 1.3×
Therapeutic Activities (97530) $120.82 $185.87 3.4×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,454.78 $2,238.13 3.1×
Tobacco Use Cessation Intensive >10 Minutes (99407) $109.25 $168.07 2.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $109.25 $168.07 2.3×
Trans Care Mgmt 14 Day Disch (99495) $391.06 $601.63 2.4×
Trans Care Mgmt 7 Day Disch (99496) $391.06 $601.63 2.4×
Transcath Closure of Asd (93580) $25,833.90 $39,744.46 1.1×
Transcranial Doppler Intracran Art Emboli Detect (93892) $425.45 $654.54 3.3×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $425.45 $654.54 3.3×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $135.56 $208.56 2.9×
Tte w/doppler, complete (93306) $1,734.50 $2,668.46 2.5×
Tte W/O Doppler Complete (93307) $1,734.50 $2,668.46 5.8×
Tx atrial fib pulm vein isol (93656) $37,561.02 $57,786.18 1.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $241.41 $371.40 3.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $133.11 $204.79 2.3×
Tympanometry (92567) $114.07 $175.49 2.4×
Unlis neurological/neuromuscular dx px (95999) $689.09 $1,060.14 4.3×
Unlisted cardiovascular service/procedure (93799)
range across 13 matching MRF lines
$83.06–$21,158.42 $127.78–$32,551.42 varies
Unlisted Special Dermatological Service/Px (96999) $584.21 $898.79 2.3×
Upr/L Xtremity Art 2 Levels (93922) $335.52 $516.18 2.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $482.35 $742.07 1.8×
Valvuloplasty aortic valve (92986) $12,648.13 $19,458.66 1.8×
Valvuloplasty mitral valve (92987) $20,251.58 $31,156.28 1.4×
Vasopneumatic device (97016) $37.54 $57.76 3.1×
Veeg 2-12 Hr Cont Mntr (95713) $1,240.57 $1,908.57 2.7×
Veeg ea 12-26hr cont mntr (95716) $2,535.17 $3,900.26 2.4×
Vent Mgmt Inpat Init Day (94002) $1,323.82 $2,036.65 1.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,323.82 $2,036.65 1.7×
Visual Evoked Potential Test (95930) $482.35 $742.07 1.8×
Visual Field Exam Extended (92083) $335.52 $516.18 2.0×
Visual field xm uni/bi w/interp intermed exam (92082) $192.19 $295.67 2.6×
Visual field xm uni/bi w/interpretj limited exam (92081) $192.19 $295.67 2.6×
Visual reinforcement audiometry (vra) (92579) $356.57 $548.57 1.3×
Vital capacity, total (94150) $482.35 $742.07 3.0×
Wada Activation Test Hemispheric Function W/Eeg (95958) $3,243.02 $4,989.26 3.0×
Wheelchair Mgmt Ea 15 Min (97542) $101.01 $155.40 3.3×
Whirlpool Therapy (97022) $55.41 $85.25 3.5×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $143.86 $221.32 2.0×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $192.19 $295.67 4.1×

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.