Visits & medical services prices at Saint Alphonsus Medical Center - Nampa

Nampa, ID · every code in this section with a posted price and a Medicare benchmark.

288 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) $70.20 $108 0.6×
Acoustic Reflex Testing (92568) $31.85 $49 0.8×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines		 $13.08–$55.25 $20.13–$85 varies
Advncd Care Plan 30 Min (99497) $70.20 $108 0.6×
Airway Inhalation Treatment (94640) $171.60 $264 0.7×
Analyze neurostim complex (95972) $110.50 $170 1.1×
Analyze neurostim no prog (95970) $97.50 $150 0.7×
Anrct mano rct sensation&rct balo expulsion test (91125)
range across 2 matching MRF lines		 $299–$325.65 $460–$501 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $52 $80 3.6×
Application Modality 1/> Areas Infrared (97026) $59.80 $92 9.0×
Application on-body injector (96377) $100.10 $154 2.0×
Assessment of aphasia per hr (96105) $245.05 $377 2.5×
Audiometry Air & Bone (92553) $118.30 $182 0.9×
Basic vestibular evaluation (92540) $169.65 $261 0.7×
Behavral qualit analys voice (92524) $312.65 $481 2.9×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $84.50 $130 1.0×
Bfb training ea addl 15 min (90913) $84.50 $130 2.6×
Biofeedback training any modality (90901) $91.65 $141 2.2×
Blink reflex test (95933) $87.75 $135 1.4×
Breathing response to hypoxia (94450) $118.30 $182 0.9×
Brief Emotional/Behav Assmt (96127) $29.90 $46 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $572 $880 1.4×
C motor evoked uppr limbs (95928) $1,092.65 $1,681 1.2×
Caloric Vstblr Test W/Rec (92537) $118.30 $182 0.9×
Canalith repositioning proc (95992)
range across 2 matching MRF lines		 $11.70–$100.75 $18–$155 varies
Car seat/bed test 60 min (94780) $235.95 $363 5.9×
Cardiac Stress Tst,Tracing Only (93017) $718.25 $1,105 3.1×
Cardiopulmonary exercise testing (94621) $681.85 $1,049 1.7×
Cardiopulmonary resuscitation (92950) $741.65 $1,141 3.2×
Cardioversion (92960) $3,440.42 — 4.8×
Cardioversion elective internal (92961) $1,529.45 $2,353 2.1×
Caregiver hlth risk assmt score doc stnd instrm (96161) $22.75 $35 0.6×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $15,746.90 $24,226 4.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $15,047.50 $23,150 4.3×
Cbt 1st hour (94644) $154.05 $237 1.1×
Chemo Anti-Neopl Sq/Im (96401) $162.50 $250 2.1×
Chemo Hormon Antineopl Sq/Im (96402) $130 $200 1.7×
Chemo IV infusion addl hr (96415) $172.25 $265 2.2×
Chemo IV push addl drug (96411) $281.45 $433 3.6×
Chemother Prolong Infuse W/Pump (96416) $713.05 $1,097 2.0×
Chemotherapy Into Cns (96450) $640.25 $985 1.8×
Chemotherapy Unspecified (96549) $205.40 $316 4.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $239.20 $368 3.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $679.90 $1,046 1.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $403 $620 1.1×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $255.45 $393 0.7×
Chest Wall Manipulation (94668) $26,437.35 — 184.0×
Chron Care Mgmt Srvc 20 Min (99490) $70.20 $108 0.6×
Color/duplex Doppler, complete (93975) $801.45 $1,233 3.1×
Color/duplex Doppler, limited (93976) $1,207.70 — 10.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $78 $120 2.4×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $121.55 $187 0.6×
Comprehensive Hearing Test (92557) $118.30 $182 0.9×
Computerized Ophthalmic Imaging Optic Nerve (92133) $44.85 $69 0.7×
Computerized Ophthalmic Imaging Retina (92134) $44.85 $69 0.7×
Conditioning Play Audiometry (92582) $142.35 $219 1.0×
Continuous Pulse Ox (94762) $188.50 $290 1.4×
Coronary Art/Grft Angio S&I (93455) $6,395.35 $9,839 1.8×
Coronary Artery Angio S&I (93454) $8,583.07 — 2.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $596.70 $918 2.5×
Cpt initial (94667) $173.55 $267 1.2×
Critical care first hour (99291)
range across 3 matching MRF lines		 $3,513.90–$6,611.80 $5,406–$10,172 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $45,238.20 — 112.3×
Debridement Open Wound 20 Sq Cm< (97597) $150.15 — 0.7×
Developmental tst admin phys/qhp 1st hour (96112)
range across 4 matching MRF lines		 $118.30–$276.25 $182–$425 varies
Dialysis One Evaluation (90945)
range across 5 matching MRF lines		 $754.65–$768.95 $1,161–$1,183 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $618.80 $952 2.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $482.30 $742 4.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $651.30 $1,002 2.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $434.20 $668 3.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $941.20 $1,448 3.7×
Dup-scan xtr veins unilateral/limited study (93971) $609.70 $938 5.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $524.55 $807 2.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $253.50 $390 2.2×
Duplex Scan Hemodialysis Access (93990) $451.75 $695 4.0×
Duplex up extrem art bilat (93930) $563.55 $867 2.2×
Duplex up extrem art unilat/ltd (93931) $375.70 $578 3.3×
Echo Congenital Complete (93303) $1,375.40 $2,116 2.3×
Echo Heart Xthoracic,Limited (93308) $693.55 $1,067 2.7×
Echo r-t 2d w/probe placement only (93313) $1,287.65 $1,981 2.2×
Echo transesophageal (93312) $2,195.70 $3,378 3.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,037.75 $3,135 3.5×
Eeg 41-60 Minutes (95812) $909.35 $1,399 3.9×
EEG awake and asleep (95819) $1,008.15 $1,551 4.3×
EEG awake drowsy (95816) $1,008.15 $1,551 4.3×
EEG cont rec w/video by tech min 8 channels (95700) $2,601.95 $4,003 11.2×
EEG extended monitoring 61-119 minutes (95813) $1,170 $1,800 5.0×
Eeg Sleep Only (95822) $925.60 $1,424 4.0×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $2,601.95 $4,003 11.2×
EEG wo vid ea 12-26hr unmntr (95708) $1,783.60 $2,744 4.4×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $34.45 $53 0.9×
Electrical Stimulation Ea 15 Min (97032) $63.70 $98 4.3×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines		 $152.75–$165.10 — varies
Electrophysiology Evaluation (93642) $2,983.50 $4,590 2.3×
Emergency Dept Visit Level 2 (99282) $425.10 — 2.6×
Emergency Dept Visit Level 3 (99283) $1,117.35 — 3.8×
Emergency Dept Visit Level 4 (99284) $2,413.45 — 5.4×
Er level 1 (99281) $223.60 — 2.5×
Er level v (99285) $4,575.51 — 7.1×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $262.60 $404 1.9×
Evaluate Speech Production (92522) $312.65 $481 2.8×
Evaluate Swallowing Function (92610) $319.15 $491 3.8×
Evaluation of speech fluency (92521) $312.65 $481 2.3×
Evoked Auditory Test,Limited (92587) $235.30 $362 1.0×
External ECG rec>48hr<7d recording (93242) $402.35 $619 10.0×
External ECG rec>7d<15d recording (93246) $402.35 $619 10.0×
External Ecg Scanning Analysis Report (93226) $402.35 $619 6.3×
Extracranial Bilat Study (93880) $779.35 $1,199 3.0×
Extracranial Uni/Ltd Study (93882) $717.60 $1,104 6.4×
F-up/limited tthrc echo congenital car anomaly (93304) $1,021.80 $1,572 1.7×
Flexible endoscopic eval swallow c/v rec (92612) $310.70 $478 1.6×
Fundus photography (92250) $97.50 $150 0.7×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $235.30 $362 1.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $656.50 $1,010 0.7×
Health Behavior Assessment/Re-Assessment (96156) $70.20 $108 0.6×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $22.75 $35 0.6×
Health behavior ivntj group f2f 1st 30 min (96164) $22.75 $35 0.6×
Health behavior ivntj indiv f2f 1st 30 min (96158) $121.55 $187 0.6×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $10,390.90 $15,986 3.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $874.25 $1,345 1.2×
Holter monitor recording (93225) $402.35 $619 2.8×
Icd Device Interrogate (93289) $94.25 $145 2.3×
Icm Device Eval (93290) $61.75 $95 1.5×
Ilr Device Interrogate (93291) $41.60 $64 1.3×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines		 $13.08–$53.95 $20.13–$83 varies
Immunization administration (90471)
range across 2 matching MRF lines		 $13.08–$61.10 $20.13–$94 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $812.50 $1,250 2.0×
Insert/Place Heart Catheter (93503) $3,573.05 $5,497 2.1×
Intra-atrial recording (93602) $5,675.80 $8,732 0.7×
Iontophoresis 15 min (97033) $67.60 $104 3.6×
Irrig Drug Delivery Device (96523) $149.50 $230 2.3×
IV infusion hydration each additional hour (96361) $18,608.85 — 368.1×
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines		 $5,139.48–$11,597.75 — varies
IV infusion ther proph addl sequential to 1 hr (96367) $27,157.42 — 349.3×
IV infusion therapy prophylaxis/dx ea hour (96366) $8,583.02 — 169.8×
IV push initial (96374) $2,515.17 — 11.0×
L Hrt Art/Grft Angio (93459) $15,695.50 — 4.5×
Laryngeal Function Studies (92520) $247.65 $381 1.7×
Liver Elastography W/O Imag W/I&R (91200) $287.95 $443 2.1×
Lung Function Test (Mbc/Mvv) (94200)
range across 2 matching MRF lines		 $682.50–$1,298.05 — varies
Mechanical chest wall oscillation per session (94669) $160.55 $247 0.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $32.50 $50 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $38.35 $59 1.0×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $27.95 $43 1.6×
Methacholine challenge (94070) $791.70 $1,218 2.0×
Motility study esophagus (91010) $401.05 $617 1.0×
Motion Fluoroscopy/Swallow (92611) $295.75 $455 3.2×
Multiple Sleep Latency Test (95805) $1,860.95 $2,863 2.0×
Muscle Test 2 Limbs (95861) $45,238.20 — 314.9×
Muscle Test Hemidiaphragm (95866) $155.35 $239 1.1×
Nasopharyngoscopy (92511) $146.90 $226 0.7×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $618.80 $952 2.7×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $235.30 $362 1.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $408.20 $628 0.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $532.35 $819 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $148.20 $228 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $271.05 $417 0.6×
Nerve Conduction Studies 1-2 Studies (95907) $118.30 $182 0.5×
Nerve Conduction Studies 11-12 Studies (95912) $146.90 $226 0.4×
Nerve conduction studies 13 or more studies (95913) $226.85 $349 0.6×
Nerve Conduction Studies 3-4 Studies (95908) $99.45 $153 0.4×
Nerve conduction studies 5-6 studies (95909) $120.25 $185 0.5×
Nerve conduction studies 7-8 studies (95910) $157.30 $242 0.4×
Nerve Conduction Studies 9-10 Studies (95911) $182 $280 0.5×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $141.70 $218 1.0×
Neuromuscular Reeducation (97112) $70.20 $108 2.1×
Newborn resuscitation (99465) $364 $560 0.5×
Nitric oxide expired gas determination (95012) $113.10 $174 2.8×
Nrpsyc tst eval phys/qhp 1st (96132) $261.95 $403 0.7×
Oral Function Therapy (92526) $238.55 $367 2.8×
Oral Speech Device Eval (92597) $247.65 $381 3.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $73.45 $113 1.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $73.45 $113 1.6×
Osteopathic manipulative tx 3-4 body regions (98926) $35.10 $54 1.5×
Ot eval high complexity (97167) $204.10 $314 2.0×
Ot Eval Low Complex (97165) $172.25 $265 1.7×
Ot Eval Moderate Complexity (97166) $187.85 $289 1.9×
Ot manual therapy 15 min (97140) $61.75 $95 2.2×
Ot paraffin bath (97018) $66.30 $102 11.0×
Ot Prosthetic Training, Each 15 Min (97761) $73.45 $113 1.8×
Ot Re-Eval Est Plan Care (97168) $172.25 $265 2.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $155.35 $239 1.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $151.45 $233 1.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $280.15 $431 1.2×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $12,434.50 $19,130 0.6×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $8,920.60 $13,724 1.5×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $11,029.20 $16,968 0.9×
Phlebotomy therapeutic (99195) $199.55 $307 1.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $129.35 $199 2.0×
Physical Performance Test (97750)
range across 5 matching MRF lines		 $63.70–$67.60 $98–$104 varies
Plethysmography (94726) $447.20 $688 1.1×
Pm device eval in person (93288) $78 $120 1.9×
Pm device progr eval dual (93280) $70.20 $108 1.7×
Pm/Icd Remote Tech Serv (93296) $104.65 $161 2.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,029 $4,660 3.3×
Polysom <6 yrs 4/> paramtrs (95782) $3,029 $4,660 3.3×
Positional nystagmus test (92542) $97.50 $150 0.7×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $128.05 $197 3.2×
Prq Card Angio/Athrect 1 Art (92924) $10,452.65 $16,081 0.8×
Prq Card Stent W/Angio 1 Vsl (92928) $12,013.95 $18,483 1.0×
Prq Card Stent/Ath/Angio (92933) $13,538.85 $20,829 0.7×
Prq Revasc Byp Graft 1 Vsl (92937) $12,013.95 $18,483 1.0×
Prq trl rvs ch occ ant&rtrgr (92945) $16,204.50 $24,930 1.3×
Psych diag eval w/med srvcs (90792) $189.15 $291 1.0×
Psychiatric diagnostic evaluation (90791) $125.45 $193 0.7×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $252.85 $389 1.8×
Pt Eval High Complex (97163) $204.10 $314 2.1×
Pt eval low complex 20 min (97161) $172.25 $265 1.8×
Pt Eval Mod Complex (97162) $187.85 $289 1.9×
Pt gait training 15 min (97116) $68.25 $105 2.3×
Pt mechanical traction (97012) $61.75 $95 4.3×
Pt Re-Eval Est Plan Care (97164) $172.25 $265 2.6×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $22.75 $35 0.6×
Pulm function test by gas (94727) $259.35 $399 1.1×
Pulmonary service/procedure (94799) $241.15 $371 1.7×
Pulmonary Stress Testing (94618) $319.15 $491 2.2×
Pure Tone Audiometry Air (92552) $63.70 $98 0.4×
R Hrt Art/Grft Angio (93457) $8,765.25 $13,485 2.5×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $5,183.10 $7,974 1.5×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $5,183.10 $7,974 1.5×
R hrt coronary artery angio (93456) $5,261.75 $8,095 1.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $9,278.75 $14,275 2.7×
Rectal sensation tone&compliance study (91124) $668.20 $1,028 2.9×
Rem interrog icpms <30 d phys/qhp (93297) $68.25 $105 1.7×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $136.50 $210 3.4×
Remote 30 Day Ecg Rev/Report (93270) $601.25 $925 14.9×
Respiratory flow volume loop (94375) $40.95 $63 0.2×
Right Heart Cath (93451) $5,107.70 $7,858 1.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $202.80 $312 0.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $314.60 $484 2.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $154.05 $237 3.2×
Sbsq Psyc Collab Care Mgmt (99493) $70.20 $108 0.6×
Self Care Mngment Training (97535) $67.60 $104 2.1×
Sensory Integration Ea 15 Min (97533) $58.50 $90 1.0×
Short-latency somatosens ep std upr limbs (95925) $732.55 $1,127 3.1×
Sleep study unattended (95806) $504.40 $776 2.2×
Slp caregiver training 1st 30 min (97550) $59.80 $92 1.1×
Speech Audiometry Complete (92556) $44.85 $69 0.7×
Speech audiometry threshold (92555) $48.10 $74 0.8×
Speech sound lang comprehen (92523) $312.65 $481 1.4×
Spirometry (94010) $418.60 $644 1.8×
Spontaneous Nystagmus Test (92541) $97.50 $150 0.7×
Ssep lower limbs (95926) $793 $1,220 3.4×
Standardized Cognitive Performance Testing (96125) $245.70 $378 2.4×
Stress Tte Only (93350) $1,336.40 $2,056 2.3×
Subcutaneous Infusion Each Additional Hour (96370) $35.10 $54 0.7×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $314.60 $484 1.4×
Subq Infusion Additional Pump Infusion Site (96371) $124.15 $191 1.6×
Surfactant Admin Thru Tube (94610) $323.05 $497 1.4×
Temp transcutaneous pacing (92953) $1,233.70 $1,898 1.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $67.60 $104 3.0×
Ther Ivntj Ea Addl 15 Min (97130) $67.60 $104 3.2×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $70.20 $108 1.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $67.60 $104 2.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $245.05 $377 2.4×
Ther/Prop/Diag Inj/Inf Proc (96379) $205.40 $316 4.1×
Ther/Proph/Diag Inj Ia (96373) $159.25 $245 0.7×
Ther/Proph/Diag Inj Sc/Im (96372) $8,299.56 — 106.8×
Ther/Proph/Diag Iv Inf Init (96365) $2,644.91 — 11.5×
Therapeutic Activities (97530)
range across 2 matching MRF lines		 $614.25–$1,023.75 — varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,684.80 $2,592 4.2×
Tobacco Use Cessation Intensive >10 Minutes (99407) $20.80 $32 0.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $20.80 $32 0.5×
Trans Care Mgmt 14 Day Disch (99495) $150.80 $232 1.0×
Trans Care Mgmt 7 Day Disch (99496) $190.45 $293 1.3×
Transcath Closure of Asd (93580) $15,244.45 $23,453 0.8×
Transcranial Doppler Intracran Art Emboli Detect (93892) $575.25 $885 5.1×
Tte w/doppler, complete (93306) $1,817.40 $2,796 3.1×
Tte W/O Doppler Complete (93307) $812.50 $1,250 3.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $252.85 $389 3.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $20,745.82 — 410.3×
Tympanometry (92567) $29.90 $46 0.7×
Tympanometry and reflex threshold measurements (92550) $118.30 $182 0.5×
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines		 $3,849.95–$7,264.40 $5,923–$11,176 varies
Unlisted otorhinolaryngological service (92700) $22.75 $35 0.7×
Upr/L Xtremity Art 2 Levels (93922)
range across 6 matching MRF lines		 $217.10–$250.25 $334–$385 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 4 matching MRF lines		 $299.65–$321.75 $461–$495 varies
Vasopneumatic device (97016) $55.25 $85 4.6×
Veeg 2-12 hr unmonitored (95711) $2,601.95 $4,003 11.2×
Veeg Ea 12-26 Hr Unmntr (95714) $1,783.60 $2,744 4.4×
Vent Mgmt Inpat Init Day (94002) $1,760.20 $2,708 2.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,558.70 $2,398 2.3×
Visual Evoked Potential Test (95930) $1,025.70 $1,578 4.4×
Visual Field Exam Extended (92083) $97.50 $150 0.7×
Visual reinforcement audiometry (vra) (92579) $118.30 $182 0.5×
Vital capacity, total (94150) $134.55 $207 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $65 $100 2.1×
Whirlpool Therapy (97022) $74.10 $114 4.7×

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.