Visits & medical services prices at Saint Francis Hospital, Inc

Tulsa, OK · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650)
unusually low: confirm this is the full procedure
$3,286.24 $8,215.60 0.4×
Aep neurodiagnostic i&r (92653) $611.42 $1,528.55 2.9×
Aep threshold estimation mlt frequencies i&r (92652) $102.98 $257.45 0.5×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$75.24–$95.20 $188.10–$238 varies
Analyze neurostim complex (95972) $294.72 $736.80 3.2×
Analyze Neurostim Simple (95971) $687.84 $1,719.60 7.5×
Analyze Pacemaker System (93724) $796.48 $1,991.20 2.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $35.72 $89.30 2.5×
Application Modality 1/> Areas Infrared (97026) $10.64 $26.60 1.6×
Application on-body injector (96377) $62 $155 1.4×
Assessment of aphasia per hr (96105) $177.84 $444.60 1.8×
Behavral qualit analys voice (92524) $115.90 $289.75 1.1×
Biofeedback training any modality (90901) $111.72 $279.30 2.7×
Breath hydrogen/methane test (91065) $413.28 $1,033.20 2.0×
Breathing response to hypoxia (94450) $303.84 $759.60 2.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $393.12 $982.80 1.1×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$860.70 $2,151.75 0.1×
Car seat/bed test 60 min (94780) $191.52 $478.80 5.3×
Cardiac Stress Tst,Tracing Only (93017) $386.84 $967.10 1.9×
Cardiopulmonary exercise testing (94621) $561.60 $1,404 1.6×
Cardiopulmonary resuscitation (92950) $525.16 $1,312.90 2.5×
Cardioversion (92960) $1,097.06 $2,742.65 1.7×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $5,505.82 $13,764.55 1.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $5,505.82 $13,764.55 1.8×
Cbt 1st hour (94644) $222.24 $555.60 1.7×
Chemo Admin Peritoneal Cavity (96446) $266.40 $666 0.8×
Chemo Anti-Neopl Sq/Im (96401) $159.84 $399.60 2.3×
Chemo Hormon Antineopl Sq/Im (96402) $175.20 $438 2.5×
Chemo Ia Push (96420) $431.04 $1,077.60 1.4×
Chemo Intralesional Over 7 (96406) $357.12 $892.80 1.7×
Chemo intralesional up to 7 (96405) $219.84 $549.60 3.2×
Chemo IV infusion addl hr (96415) $146.40 $366 2.1×
Chemo IV push addl drug (96411) $215.04 $537.60 3.1×
Chemother Prolong Infuse W/Pump (96416) $597.60 $1,494 1.9×
Chemotherapy Into Cns (96450) $479.52 $1,198.80 1.5×
Chemotherapy Unspecified (96549) $23.52 $58.80 0.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $155.04 $387.60 2.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $516.96 $1,292.40 1.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $297.60 $744 0.9×
Chest Wall Manipulation (94668) $100 $250 0.8×
Color/duplex Doppler, complete (93975) $603.82 $1,509.55 2.6×
Color/duplex Doppler, limited (93976) $425.98 $1,064.95 4.2×
Community/Work Reintegration Trainj Ea 15 Min (97537) $35.34 $88.35 1.1×
Continuous Pulse Ox (94762) $266.40 $666 2.2×
Coronary Art/Grft Angio S&I (93455) $4,716.18 $11,790.45 1.5×
Coronary Artery Angio S&I (93454) $4,263.98 $10,659.95 1.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines
$58.52–$456.76 $146.30–$1,141.90 varies
Cpt initial (94667)
range across 2 matching MRF lines
$91.96–$129.60 $229.90–$324 varies
Critical care first hour (99291) $2,311.50 $5,778.75 2.9×
Debridement Open Wound 20 Sq Cm< (97597) $269.80 $674.50 1.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $500.84 $1,252.10 2.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $258.02 $645.05 2.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $612.94 $1,532.35 2.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $435.86 $1,089.65 4.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $711.36 $1,778.40 3.1×
Dup-scan xtr veins unilateral/limited study (93971) $508.82 $1,272.05 5.1×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $461.70 $1,154.25 2.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $152.38 $380.95 1.5×
Duplex Scan Hemodialysis Access (93990) $196.84 $492.10 2.0×
Duplex up extrem art bilat (93930) $529.72 $1,324.30 2.3×
Duplex up extrem art unilat/ltd (93931) $365.18 $912.95 3.6×
ECG/monitoring and analysis (93271) $188.48 $471.20 2.1×
Echo Congenital Complete (93303) $773.68 $1,934.20 1.5×
Echo Heart Xthoracic,Limited (93308) $372.40 $931 1.6×
Echo transesophag montr cardiac pump functj (93318) $930.24 $2,325.60 1.8×
Echo transesophageal (93312) $999.02 $2,497.55 1.9×
Echo Transesophageal - Congenital Tee Complete (93315) $755.44 $1,888.60 1.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,169.26 $2,923.15 2.2×
Eeg 41-60 Minutes (95812) $577.22 $1,443.05 2.8×
EEG awake and asleep (95819) $415.72 $1,039.30 2.0×
EEG awake drowsy (95816) $431.68 $1,079.20 2.1×
EEG cerebral death evaluation (95824) $777.86 $1,944.65 2.2×
EEG cont rec w/video by tech min 8 channels (95700) $426.74 $1,066.85 2.1×
EEG extended monitoring 61-119 minutes (95813) $907.06 $2,267.65 4.4×
Electrical Stimulation Ea 15 Min (97032) $53.96 $134.90 3.7×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$10.40–$130.72 $26–$326.80 varies
Electroconvulsive Therapy (90870) $730.74 $1,826.85 0.9×
Electrophysiology Evaluation (93642) $892.62 $2,231.55 0.8×
Emergency Dept Visit Level 2 (99282) $496.34 $1,240.85 3.4×
Emergency Dept Visit Level 3 (99283) $793.50 $1,983.75 3.0×
Emergency Dept Visit Level 4 (99284) $1,202.90 $3,007.25 3.0×
Emg 3 Extremities (95863) $262.96 $657.40 2.1×
Emg 4 Extremities (95864) $332.88 $832.20 2.7×
Endomyocardial Biopsy (93505) $1,832.74 $4,581.85 0.6×
Ep & ablate supravent arrhyt (93653) $14,652.04 $36,630.10 0.6×
Ep & ablate ventric tachy (93654) $14,576.42 $36,441.05 0.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $7,443.06 $18,607.65 1.0×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $5,058.18 $12,645.45 0.7×
Er level 1 (99281) $306.36 $765.90 3.8×
Er level v (99285) $1,736.96 $4,342.40 3.0×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $818.52 $2,046.30 2.3×
Evaluate pt use of inhaler (94664) $59.28 $148.20 0.3×
Evaluate Speech Production (92522) $136.80 $342 1.2×
Evaluate Swallowing Function (92610) $125.40 $313.50 1.5×
Evaluation of speech fluency (92521) $118.56 $296.40 0.9×
Exercise test for bronchospasm (94617) $264 $660 2.1×
Exhaled Air Analysis O2 (94680) $20.16 $50.40 0.2×
External ECG rec>48hr<7d recording (93242) $47.88 $119.70 1.3×
External ECG rec>7d<15d recording (93246) $77.14 $192.85 2.1×
External Ecg Scanning Analysis Report (93226) $381.52 $953.80 6.7×
Extracranial Bilat Study (93880) $598.88 $1,497.20 2.6×
Extracranial Uni/Ltd Study (93882) $380 $950 3.8×
F-up/limited tthrc echo congenital car anomaly (93304) $500.84 $1,252.10 1.0×
Fundus photography (92250) $44.28 $110.71 0.3×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $799.52 $1,998.80 2.2×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $908.58 $2,271.45 4.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,912.92 $4,782.30 2.3×
Gi tract capsule endoscopy (91110) $2,025.02 $5,062.55 2.3×
Group Therapeutic Procedures (97150) $56.24 $140.60 3.1×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $6,328.52 $15,821.30 2.0×
Holter monitor recording (93225) $261.82 $654.55 2.0×
Hubbard tank 15 min (97036) $36.86 $92.15 1.1×
Icd Device Interrogate (93289) $131.52 $328.80 3.7×
Icd device progr eval dual (93283) $60.42 $151.05 1.7×
Icd Device Progr Eval Mult (93284) $66.50 $166.25 1.9×
Icm Device Eval (93290) $107.52 $268.80 3.0×
Ilr Device Eval Progr (93285) $42.56 $106.40 1.2×
Ilr Device Interrogate (93291) $65.76 $164.40 2.4×
Immunization administration (90471)
range across 2 matching MRF lines
$15.94–$94.08 $39.84–$235.20 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $639.84 $1,599.60 1.8×
Insert/Place Heart Catheter (93503) $952.28 $2,380.70 0.6×
Interrogate Subq Defib (93261) $68.78 $171.95 1.9×
Interrogation vad in person (93750) $210.90 $527.25 2.3×
Intracranial Complete Study (93886) $324.90 $812.25 1.4×
Iontophoresis 15 min (97033) $75.62 $189.05 4.0×
Irrig Drug Delivery Device (96523) $137.28 $343.20 2.4×
IV infusion hydration each additional hour (96361) $137.76 $344.40 3.1×
IV infusion hydration initial 31 min-1 hour (96360) $312.48 $781.20 1.5×
IV infusion ther proph addl sequential to 1 hr (96367) $138.24 $345.60 2.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $146.88 $367.20 3.3×
IV push initial (96374) $186.24 $465.60 0.9×
L Hrt Art/Grft Angio (93459) $5,184.34 $12,960.85 1.7×
Liver Elastography W/O Imag W/I&R (91200) $180.88 $452.20 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $13.30 $33.25 0.4×
Motility study esophagus (91010) $1,367.04 $3,417.60 3.8×
Motion Fluoroscopy/Swallow (92611) $171 $427.50 1.9×
Multiple Sleep Latency Test (95805) $2,083.16 $5,207.90 2.5×
Muscle Test 2 Limbs (95861) $233.32 $583.30 1.8×
Muscle Test Nonparaspinal (95870) $342.76 $856.90 2.7×
Muscle Test One Limb (95860) $176.70 $441.75 1.4×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $342.76 $856.90 1.7×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $342.76 $856.90 1.7×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $342.76 $856.90 1.7×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $342.76 $856.90 1.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $219.64 $549.10 1.1×
Nerve Conduction Studies 1-2 Studies (95907) $304.32 $760.80 1.5×
Nerve Conduction Studies 11-12 Studies (95912) $1,388.16 $3,470.40 3.9×
Nerve conduction studies 13 or more studies (95913) $1,542.72 $3,856.80 4.3×
Nerve Conduction Studies 3-4 Studies (95908) $415.20 $1,038 2.0×
Nerve conduction studies 5-6 studies (95909) $660.96 $1,652.40 3.2×
Nerve conduction studies 7-8 studies (95910) $797.76 $1,994.40 2.2×
Nerve Conduction Studies 9-10 Studies (95911) $1,102.08 $2,755.20 3.1×
Neurobehavioral Status Exam (96116) $130.08 $325.20 0.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $139.68 $349.20 1.1×
Neuromuscular Reeducation (97112) $38.76 $96.90 1.2×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $216.96 $542.40 0.6×
Oral Function Therapy (92526) $110.58 $276.45 1.3×
Oral Speech Device Eval (92597) $139.08 $347.70 2.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $48.64 $121.60 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $56.24 $140.60 1.2×
Ot Contrast Bath Ea 15 Min (97034) $17.86 $44.65 1.3×
Ot eval high complexity (97167) $107.54 $268.85 1.1×
Ot Eval Low Complex (97165) $98.80 $247 1.0×
Ot Eval Moderate Complexity (97166) $101.46 $253.65 1.0×
Ot manual therapy 15 min (97140) $53.96 $134.90 1.9×
Ot paraffin bath (97018) $32.30 $80.75 5.4×
Ot Re-Eval Est Plan Care (97168) $61.94 $154.85 0.9×
Ot rom hand (95852) $26.22 $65.55 1.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $136.42 $341.05 1.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $109.44 $273.60 0.9×
Oxygen Uptake Rest Indirect (94690) $89.28 $223.20 1.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642)
range across 2 matching MRF lines
$17.20–$57.38 $43–$143.45 varies
Peripheral arterial disease rehab per session (93668) $95 $237.50 1.7×
Perq transcath closure pda (93582)
likely a partial charge, not the full procedure
$4,605.22 $11,513.05 0.3×
Perq Transcath Cls Aortic (93591) $11,030.64 $27,576.60 0.6×
Perq Transcath Cls Mitral (93590) $10,833.80 $27,084.50 0.6×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 5 matching MRF lines
$5,287.32–$5,480.36 $13,218.30–$13,700.90 varies
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
range across 5 matching MRF lines
$9,660.74–$9,878.48 $24,151.85–$24,696.20 varies
Phlebotomy therapeutic (99195) $93.10 $232.75 0.7×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $180.48 $451.20 3.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $180.48 $451.20 3.2×
Physical Performance Test (97750) $66.50 $166.25 2.0×
Plethysmography (94726) $250.56 $626.40 0.7×
Pm device eval in person (93288) $72.48 $181.20 2.0×
Pm device progr eval dual (93280) $56.24 $140.60 1.6×
Pm device progr eval multi (93281) $39.52 $98.80 1.1×
Pm Device Progr Eval Sngl (93279) $48.64 $121.60 1.4×
Pm/Icd Remote Tech Serv (93296) $97.44 $243.60 2.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,130.06 $7,825.15 3.8×
Polysom <6 yrs 4/> paramtrs (95782) $2,462.02 $6,155.05 3.0×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,984.14 $7,460.35 3.6×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $63.08 $157.70 1.8×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $60.42 $151.05 1.7×
Prq Card Angio/Athrect 1 Art (92924)
range across 5 matching MRF lines
$4,439.16–$5,639.96 $11,097.90–$14,099.90 varies
Prq Card Stent W/Angio 1 Vsl (92928)
range across 5 matching MRF lines
$5,499.74–$8,034.34 $13,749.35–$20,085.85 varies
Prq Card Stent/Ath/Angio (92933)
range across 5 matching MRF lines
$9,403.86–$9,510.26 $23,509.65–$23,775.65 varies
Prq Revasc Byp Graft 1 Vsl (92937) $8,999.92 $22,499.80 0.8×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
likely a partial charge, not the full procedure
$2,337.38 $5,843.45 0.1×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
likely a partial charge, not the full procedure
$2,132.56 $5,331.40 0.2×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $42.56 $106.40 1.1×
Pt Eval High Complex (97163) $107.16 $267.90 1.1×
Pt eval low complex 20 min (97161) $96.90 $242.25 1.0×
Pt Eval Mod Complex (97162) $97.66 $244.15 1.0×
Pt gait training 15 min (97116) $39.14 $97.85 1.3×
Pt mechanical traction (97012) $53.96 $134.90 3.8×
Pt Re-Eval Est Plan Care (97164) $65.74 $164.35 1.0×
Pulmonary service/procedure (94799) $168.48 $421.20 1.4×
Pulmonary Stress Testing (94618) $264 $660 2.1×
R Hrt Art/Grft Angio (93457) $7,022.02 $17,555.05 2.3×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $1,646.16 $4,115.40 0.5×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $1,646.16 $4,115.40 0.5×
R hrt coronary artery angio (93456) $6,156 $15,390 2.0×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $2,268.98 $5,672.45 0.7×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $2,268.98 $5,672.45 0.7×
R&L Hrt Cath W/Ventriclgrphy (93453) $5,498.22 $13,745.55 1.8×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $436.80 $1,092 1.4×
Rem interrog icpms <30 d phys/qhp (93297) $96.48 $241.20 2.7×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $96.48 $241.20 2.7×
Remote 30 Day Ecg Rev/Report (93270) $138.32 $345.80 3.9×
Remote 30 Day Ecg Tech Supp (93229) $43.32 $108.30 0.1×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $97.28 $243.20 1.7×
Right Heart Cath (93451) $4,960.90 $12,402.25 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $91.58 $228.95 0.5×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $42.56 $106.40 1.6×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $152.76 $381.90 1.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $56.24 $140.60 1.2×
Self Care Mngment Training (97535) $54.34 $135.85 1.7×
Sensory Integration Ea 15 Min (97533) $39.90 $99.75 0.7×
Short-latency somatosens ep std upr limbs (95925) $509.76 $1,274.40 2.5×
Sleep study attended (95807) $2,281.90 $5,704.75 6.4×
Sleep study unattended (95806) $378.48 $946.20 1.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $374.68 $936.70 1.8×
Somatosensory Testing (95938) $562.56 $1,406.40 0.7×
Speech sound lang comprehen (92523) $173.66 $434.15 0.8×
Spirometry (94010) $215.52 $538.80 1.0×
Ssep lower limbs (95926) $537.12 $1,342.80 2.6×
Standardized Cognitive Performance Testing (96125) $140.60 $351.50 1.4×
Stress Tte Only (93350) $746.70 $1,866.75 1.4×
Subcutaneous Infusion Each Additional Hour (96370) $81.60 $204 1.8×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $69.12 $172.80 0.3×
Temp transcutaneous pacing (92953) $340.86 $852.15 0.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $66.50 $166.25 3.0×
Ther Ivntj Ea Addl 15 Min (97130) $65.36 $163.40 3.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $52.82 $132.05 1.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $39.52 $98.80 1.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $65.74 $164.35 0.6×
Ther/Proph/Diag Inj Ia (96373) $69.12 $172.80 0.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$20.80–$97.44 $52–$243.60 varies
Ther/Proph/Diag Iv Inf Init (96365) $390.72 $976.80 1.9×
Therapeutic Activities (97530) $49.02 $122.55 1.4×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $858.80 $2,147 2.4×
Tobacco Use Cessation Intensive >10 Minutes (99407) $45.98 $114.95 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$12.40–$45.98 $31–$114.95 varies
Trans Care Mgmt 14 Day Disch (99495) $171.62 $429.04 1.3×
Trans Care Mgmt 7 Day Disch (99496) $237.20 $593.01 1.9×
Transcath Closure of Asd (93580)
likely a partial charge, not the full procedure
$3,786.32 $9,465.80 0.2×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888)
range across 2 matching MRF lines
$271.70–$324.90 $679.25–$812.25 varies
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $94.08 $235.20 2.6×
Tte w/doppler, complete (93306) $1,087.18 $2,717.95 2.1×
Tte W/O Doppler Complete (93307) $666.90 $1,667.25 2.9×
Tx atrial fib pulm vein isol (93656) $13,504.82 $33,762.05 0.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $110.96 $277.40 1.5×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $29.64 $74.10 1.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $152.16 $380.40 3.4×
Tympanometry (92567) $21.60 $54 0.6×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$530.10–$1,279.46 $1,325.25–$3,198.65 varies
Unlisted Diagnostic Gastroenterology Procedure (91299) $373.44 $933.60 3.0×
Upr/L Xtremity Art 2 Levels (93922) $348.96 $872.40 2.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $676.32 $1,690.80 3.3×
Valvuloplasty aortic valve (92986) $4,553.54 $11,383.85 0.8×
Valvuloplasty mitral valve (92987) $6,544.36 $16,360.90 0.6×
Valvuloplasty pulmonary valve (92990)
likely a partial charge, not the full procedure
$2,548.28 $6,370.70 0.2×
Vasopneumatic device (97016) $38.76 $96.90 3.2×
Veeg 2-12 Hr Cont Mntr (95713) $2,079.36 $5,198.40 5.8×
Veeg 2-12 hr intmt mntr (95712) $1,664.78 $4,161.95 4.6×
Veeg 2-12 hr unmonitored (95711) $1,331.52 $3,328.80 6.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,971.06 $4,927.65 5.5×
Veeg Ea 12-26 Hr Unmntr (95714) $1,576.62 $3,941.55 4.4×
Veeg ea 12-26hr cont mntr (95716) $2,410.72 $6,026.80 2.9×
Vent Mgmt Inpat Init Day (94002) $976.22 $2,440.55 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $526.30 $1,315.75 0.9×
Visual Evoked Potential Test (95930) $637.44 $1,593.60 3.1×
Wada Activation Test Hemispheric Function W/Eeg (95958)
range across 2 matching MRF lines
$1,388.14–$2,209.70 $3,470.35–$5,524.25 varies
Wheelchair Mgmt Ea 15 Min (97542) $53.20 $133 1.7×
Whirlpool Therapy (97022) $44.46 $111.15 2.8×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $118.56 $296.40 2.1×

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.