Visits & medical services prices at Saint Francis Medical Center
Peoria, IL · every code in this section with a posted price and a Medicare benchmark.
420 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) | $12,215.40 | $20,359 | 1.5× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $214.20 | $357 | 1.6× |
| Acoustic Reflex Testing (92568) | $310.80 | $518 | 7.8× |
| Actigraphy Testing Recording Analysis I&R (95803) range across 2 matching MRF lines |
$611.40–$1,062.60 | $1,019–$1,771 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $381 | $635 | 1.6× |
| Aep neurodiagnostic i&r (92653) | $798 | $1,330 | 3.4× |
| Aep threshold estimation mlt frequencies i&r (92652) | $798 | $1,330 | 3.4× |
| Airway Inhalation Treatment (94640) | $120 | $200 | 0.5× |
| Airway resistance by oscillometry (94728) | $254.40 | $424 | 1.8× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $202.20 | $337 | 1.4× |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $705 | $1,175 | 5.1× |
| Analyze neurostim complex (95972) | $223.20 | $372 | 2.2× |
| Analyze neurostim no prog (95970) | $156 | $260 | 1.1× |
| Analyze Neurostim Simple (95971) | $119.40 | $199 | 1.2× |
| Analyze Pacemaker System (93724) | $1,618.80 | $2,698 | 4.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $80.40 | $134 | 5.6× |
| Application on-body injector (96377) | $94.20 | $157 | 1.9× |
| Arrhythmia Induction (93618) | $5,367.60 | $8,946 | 4.1× |
| Art pressure waveform analys (93050) | $205.20 | $342 | 6.6× |
| Assessment of aphasia per hr (96105) | $300 | $500 | 3.1× |
| Assessment of tinnitus (92625) | $330 | $550 | 2.4× |
| Audiometry Air & Bone (92553) | $181.80 | $303 | 1.3× |
| Basic vestibular evaluation (92540) range across 2 matching MRF lines |
$237.60–$582.60 | $396–$971 | varies |
| Behavral qualit analys voice (92524) | $358.20 | $597 | 3.3× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $61.80 | $103 | 0.8× |
| Bfb training ea addl 15 min (90913) | $42.60 | $71 | 1.3× |
| Bioimpedance Cv Analysis (93701) | $379.20 | $632 | 2.7× |
| Blink reflex test (95933) | $98.40 | $164 | 1.6× |
| Breath hydrogen/methane test (91065) | $250.20 | $417 | 1.1× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$39–$149.40 | $65–$249 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$202.20–$523.80 | $337–$873 | varies |
| Bundle of his recording (93600) | $4,780.80 | $7,968 | 0.6× |
| C motor evoked uppr limbs (95928) range across 2 matching MRF lines |
$630.60–$2,652.60 | $1,051–$4,421 | varies |
| C motor evoked upr&lwr limbs (95939) range across 3 matching MRF lines |
$905.40–$4,261.80 | $1,509–$7,103 | varies |
| Caloric vestibular test w/rec bi monothermal (92538) range across 2 matching MRF lines |
$88.20–$440.40 | $147–$734 | varies |
| Caloric Vstblr Test W/Rec (92537) range across 2 matching MRF lines |
$88.20–$495 | $147–$825 | varies |
| Canalith repositioning proc (95992) | $118.20 | $197 | 2.9× |
| Car seat/bed test 60 min (94780) | $226.80 | $378 | 5.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,368 | $2,280 | 5.9× |
| Cardiopulmonary exercise testing (94621) | $1,642.20 | $2,737 | 4.1× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$863.40–$1,335.60 | $1,439–$2,226 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$354.60–$4,153.20 | $591–$6,922 | varies |
| Cardioversion elective internal (92961) | $2,115.60 | $3,526 | 3.0× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $37.80 | $63 | 0.9× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $42 | $70 | 1.6× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $15,069.60 | $25,116 | 4.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $11,996.40 | $19,994 | 3.5× |
| Cbt 1st hour (94644) | $129 | $215 | 0.9× |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $762 | $1,270 | 3.3× |
| Cervical Vemp Testing W/I&R (92517) | $401.40 | $669 | 2.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $340.80 | $568 | 4.4× |
| Chemo Hormon Antineopl Sq/Im (96402) | $349.80 | $583 | 4.5× |
| Chemo Ia Push (96420) | $786 | $1,310 | 2.2× |
| Chemo IV infusion addl hr (96415) | $350.40 | $584 | 4.5× |
| Chemo IV push addl drug (96411) | $350.40 | $584 | 4.5× |
| Chemother Prolong Infuse W/Pump (96416) | $1,889.40 | $3,149 | 5.3× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$799.80–$1,429.20 | $1,333–$2,382 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $243.60 | $406 | 3.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $680.40 | $1,134 | 1.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $634.20 | $1,057 | 1.8× |
| Chest Wall Manipulation (94668) | $120 | $200 | 0.8× |
| Cmptr ophth dx img ant segmt (92132) range across 2 matching MRF lines |
$90.60–$210 | $151–$350 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $111.60 | $186 | 1.8× |
| Color/duplex Doppler, complete (93975) | $1,563.60 | $2,606 | 6.1× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$1,007.40–$1,650.60 | $1,679–$2,751 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $108 | $180 | 3.4× |
| Comprehensive Hearing Test (92557) | $312.60 | $521 | 2.3× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 2 matching MRF lines |
$152.40–$234.60 | $254–$391 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$152.40–$234.60 | $254–$391 | varies |
| Conditioning Play Audiometry (92582) | $310.80 | $518 | 2.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$205.80–$548.40 | $343–$914 | varies |
| Continuous Pulse Ox (94762) | $1,083.60 | $1,806 | 7.9× |
| Coronary Art/Grft Angio S&I (93455) | $15,612.60 | $26,021 | 4.5× |
| Coronary Artery Angio S&I (93454) | $12,518.40 | $20,864 | 3.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $261.60 | $436 | 1.1× |
| Cpt initial (94667) | $120 | $200 | 0.8× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$568.80–$2,702.40 | $948–$4,504 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) range across 2 matching MRF lines |
$334.80–$2,845.80 | $558–$4,743 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $187.80 | $313 | 0.9× |
| Developmental tst admin phys/qhp 1st hour (96112) range across 13 matching MRF lines |
$331.80–$503.40 | $553–$839 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $574.80 | $958 | 4.2× |
| Dialysis One Evaluation (90945) range across 5 matching MRF lines |
$2,302.20–$3,361.80 | $3,837–$5,603 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $636.60 | $1,061 | 1.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,785 | $2,975 | 7.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $1,014.60 | $1,691 | 9.1× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $1,658.40 | $2,764 | 14.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,878 | $3,130 | 7.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$927–$940.80 | $1,545–$1,568 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $2,242.20 | $3,737 | 8.8× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$1,243.80–$1,297.80 | $2,073–$2,163 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $4,284 | $7,140 | 16.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $2,854.80 | $4,758 | 25.5× |
| Duplex Scan Hemodialysis Access (93990) | $1,334.40 | $2,224 | 11.9× |
| Duplex up extrem art bilat (93930) | $1,883.40 | $3,139 | 7.4× |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$930–$955.80 | $1,550–$1,593 | varies |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $252 | $420 | 1.8× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $574.80 | $958 | 4.2× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $705 | $1,175 | 5.1× |
| ECG/monitoring and analysis (93271) | $636.60 | $1,061 | 6.2× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$2,192.40–$2,688 | $3,654–$4,480 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$1,297.80–$1,552.80 | $2,163–$2,588 | varies |
| Echo r-t 2d w/probe placement only (93313) | $1,435.80 | $2,393 | 2.5× |
| Echo transesophag montr cardiac pump functj (93318) range across 3 matching MRF lines |
$2,871.60–$3,348.60 | $4,786–$5,581 | varies |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$2,803.20–$3,348.60 | $4,672–$5,581 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 3 matching MRF lines |
$2,871.60–$3,348.60 | $4,786–$5,581 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 3 matching MRF lines |
$3,409.20–$4,075.80 | $5,682–$6,793 | varies |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) | $49.20 | $82 | 1.2× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$708–$1,648.20 | $1,180–$2,747 | varies |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$757.20–$1,374.60 | $1,262–$2,291 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$537–$978.60 | $895–$1,631 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$334.80–$1,387.80 | $558–$2,313 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $692.40 | $1,154 | 3.0× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$1,009.80–$2,193.60 | $1,683–$3,656 | varies |
| Eeg Sleep Only (95822) range across 3 matching MRF lines |
$424.80–$1,387.80 | $708–$2,313 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $3,056.40 | $5,094 | 13.2× |
| EEG w/o vid 2-12hr cont mntr (95707) | $3,056.40 | $5,094 | 13.2× |
| EEG w/o vid ea 12-26hr intmt (95709) | $5,045.40 | $8,409 | 12.6× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $5,045.40 | $8,409 | 12.6× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $3,056.40 | $5,094 | 13.2× |
| EEG wo vid ea 12-26hr unmntr (95708) | $5,045.40 | $8,409 | 12.6× |
| EKG signal averaged (93278) | $298.80 | $498 | 4.7× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $124.20 | $207 | 1.2× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 2 matching MRF lines |
$182.40–$259.20 | $304–$432 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$298.20–$447 | $497–$745 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $86.40 | $144 | 5.9× |
| Electrocardiogram Tracing (93005) | $394.80 | $658 | 6.2× |
| Electrocochleography (92584) | $700.20 | $1,167 | 5.1× |
| Electroconvulsive Therapy (90870) | $1,118.40 | $1,864 | 1.2× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $12,215.40 | $20,359 | 1.5× |
| Electrophysiology Evaluation (93642) | $3,343.80 | $5,573 | 2.6× |
| Emergency Dept Visit Level 2 (99282) | $437.40 | $729 | 2.7× |
| Emergency Dept Visit Level 3 (99283) | $745.20 | $1,242 | 2.5× |
| Emergency Dept Visit Level 4 (99284) | $1,180.80 | $1,968 | 2.6× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$478.80–$545.40 | $798–$909 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$604.20–$691.20 | $1,007–$1,152 | varies |
| Endomyocardial Biopsy (93505) | $3,925.80 | $6,543 | 1.2× |
| Ep & ablate supravent arrhyt (93653) | $29,866.20 | $49,777 | 1.1× |
| Ep & ablate ventric tachy (93654) | $46,702.80 | $77,838 | 1.7× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $12,215.40 | $20,359 | 1.5× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $8,593.80 | $14,323 | 1.0× |
| Ep Esophageal Recording Atria+Pacing (93616) | $5,367.60 | $8,946 | 4.1× |
| Er level 1 (99281) | $210.60 | $351 | 2.3× |
| Er level v (99285) | $1,963.20 | $3,272 | 3.1× |
| Esoph Atrial Electrogram (93615) | $5,367.60 | $8,946 | 4.1× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,666.20 | $2,777 | 4.2× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $280.20 | $467 | 2.0× |
| Evaluate pt use of inhaler (94664) | $120 | $200 | 0.5× |
| Evaluate Speech Production (92522) | $293.40 | $489 | 2.6× |
| Evaluate Swallowing Function (92610) | $309.60 | $516 | 3.6× |
| Evaluation of speech fluency (92521) | $362.40 | $604 | 2.7× |
| Evoked Auditory Test,Limited (92587) | $537 | $895 | 2.3× |
| Exercise test for bronchospasm (94617) | $495.60 | $826 | 3.5× |
| External ECG rec>48hr<7d recording (93242) | $225 | $375 | 5.6× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $636.60 | $1,061 | 4.5× |
| External ECG rec>7d<15d recording (93246) | $374.40 | $624 | 9.4× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $636.60 | $1,061 | 4.5× |
| External Ecg Scanning Analysis Report (93226) | $636.60 | $1,061 | 10.1× |
| Extracranial Bilat Study (93880) | $1,350 | $2,250 | 5.3× |
| Extracranial Uni/Ltd Study (93882) | $756 | $1,260 | 6.7× |
| Eye exam w anesth; complete (92018) | $3,892.20 | $6,487 | 1.5× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$1,297.80–$1,552.80 | $2,163–$2,588 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $375.60 | $626 | 1.9× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $940.80 | $1,568 | 4.1× |
| Fluorescein angiography (92235) range across 7 matching MRF lines |
$181.80–$902.40 | $303–$1,504 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) range across 3 matching MRF lines |
$630.60–$2,458.80 | $1,051–$4,098 | varies |
| Fundus photography (92250) range across 2 matching MRF lines |
$220.20–$222 | $367–$370 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$608.40–$697.80 | $1,014–$1,163 | varies |
| Gi tract capsule endoscopy (91110) | $2,758.20 | $4,597 | 2.8× |
| Gonioscopy (92020) | $112.20 | $187 | 0.8× |
| Group Therapeutic Procedures (97150) | $39.60 | $66 | 2.2× |
| Health Behavior Assessment/Re-Assessment (96156) range across 2 matching MRF lines |
$77.40–$118.20 | $129–$197 | varies |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) range across 2 matching MRF lines |
$55.80–$63.60 | $93–$106 | varies |
| Health behavior ivntj group f2f 1st 30 min (96164) range across 2 matching MRF lines |
$18.60–$22.20 | $31–$37 | varies |
| Health behavior ivntj indiv f2f 1st 30 min (96158) range across 2 matching MRF lines |
$246–$253.80 | $410–$423 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $18,164.40 | $30,274 | 5.2× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 3 matching MRF lines |
$2,953.20–$4,047 | $4,922–$6,745 | varies |
| Holter monitor recording (93225) | $636.60 | $1,061 | 4.5× |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) | $64.80 | $108 | 1.6× |
| Icd Device Interrogate (93289) | $195.60 | $326 | 4.9× |
| Icd device progr eval dual (93283) | $196.20 | $327 | 4.9× |
| Icd Device Progr Eval Mult (93284) | $212.40 | $354 | 5.3× |
| Ilr Device Interrogate (93291) | $120 | $200 | 3.9× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
$47.40–$63 | $79–$105 | varies |
| Immunization administration (90471) range across 3 matching MRF lines |
$47.40–$69.60 | $79–$116 | varies |
| Insert/Place Heart Catheter (93503) range across 3 matching MRF lines |
$302.40–$3,811.20 | $504–$6,352 | varies |
| Interrogate Subq Defib (93261) | $99 | $165 | 2.5× |
| Intra-atrial pacing (93610) | $4,780.80 | $7,968 | 0.6× |
| Intra-atrial recording (93602) | $4,780.80 | $7,968 | 0.6× |
| Intracranial Complete Study (93886) range across 2 matching MRF lines |
$225.60–$1,607.40 | $376–$2,679 | varies |
| Intraventricular pacing (93612) | $5,002.80 | $8,338 | 0.6× |
| Iontophoresis 15 min (97033) | $86.40 | $144 | 4.5× |
| Irrig Drug Delivery Device (96523) | $170.40 | $284 | 2.7× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$28.80–$246 | $48–$410 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$129–$519 | $215–$865 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$57–$274.80 | $95–$458 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$36–$252.60 | $60–$421 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$129–$298.80 | $215–$498 | varies |
| L Hrt Art/Grft Angio (93459) | $18,164.40 | $30,274 | 5.2× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $8,943.60 | $14,906 | 2.6× |
| Laryngeal Function Studies (92520) | $225.60 | $376 | 1.6× |
| Low frequency non-thermal us (97610) range across 4 matching MRF lines |
$114–$538.20 | $190–$897 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $102 | $170 | 1.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$758.40–$1,537.80 | $1,264–$2,563 | varies |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $1,260 | $2,100 | 0.8× |
| Mechanical chest wall oscillation per session (94669) | $332.40 | $554 | 1.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$62.40–$80.40 | $104–$134 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$69–$90 | $115–$150 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $72.60 | $121 | 4.3× |
| Methacholine challenge (94070) | $1,833.60 | $3,056 | 4.6× |
| Microvolt T-Wave Assess (93025) | $297 | $495 | 2.2× |
| Motility study esophagus (91010) | $1,702.80 | $2,838 | 4.3× |
| Motion Fluoroscopy/Swallow (92611) | $410.40 | $684 | 4.5× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) range across 2 matching MRF lines |
$171.60–$251.40 | $286–$419 | varies |
| Multiple Sleep Latency Test (95805) range across 3 matching MRF lines |
$622.80–$3,801 | $1,038–$6,335 | varies |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$398.40–$448.20 | $664–$747 | varies |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$101.40–$120 | $169–$200 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$289.20–$322.20 | $482–$537 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$223.80–$392.40 | $373–$654 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 3 matching MRF lines |
$275.40–$700.20 | $459–$1,167 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $415.80 | $693 | 1.8× |
| Needle electromyography larynx (95865) | $314.40 | $524 | 2.2× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$120–$196.20 | $200–$327 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $684 | $1,140 | 1.6× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $684 | $1,140 | 1.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $219.60 | $366 | 1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $376.80 | $628 | 0.9× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$126–$197.40 | $210–$329 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$379.20–$472.80 | $632–$788 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$449.40–$529.20 | $749–$882 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$167.40–$232.20 | $279–$387 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$189–$279.60 | $315–$466 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$253.20–$361.20 | $422–$602 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$308.40–$417 | $514–$695 | varies |
| Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$330–$503.40 | $550–$839 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$139.20–$195 | $232–$325 | varies |
| Neuromuscular Reeducation (97112) | $108 | $180 | 3.3× |
| Newborn resuscitation (99465) | $450 | $750 | 0.6× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $89.40 | $149 | 3.6× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $132.60 | $221 | 3.8× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $46.20 | $77 | 3.4× |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 2 matching MRF lines |
$233.40–$720 | $389–$1,200 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $1,449.60 | $2,416 | 3.6× |
| Ocular Vemp Testing W/I&R (92518) | $401.40 | $669 | 2.9× |
| Optokinetic Nystagmus Test (92544) range across 2 matching MRF lines |
$88.20–$598.80 | $147–$998 | varies |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$108–$216 | $180–$360 | varies |
| Oral Speech Device Eval (92597) | $402 | $670 | 5.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $108 | $180 | 2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $105 | $175 | 2.3× |
| Oscillating Tracking Test (92545) range across 2 matching MRF lines |
$167.40–$598.80 | $279–$998 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$114–$126 | $190–$210 | varies |
| Ot eval high complexity (97167) | $278.40 | $464 | 2.8× |
| Ot Eval Low Complex (97165) | $231.60 | $386 | 2.3× |
| Ot Eval Moderate Complexity (97166) | $247.20 | $412 | 2.5× |
| Ot manual therapy 15 min (97140) | $105 | $175 | 3.8× |
| Ot paraffin bath (97018) | $52.80 | $88 | 8.8× |
| Ot Prosthetic Training, Each 15 Min (97761) | $123 | $205 | 3.0× |
| Ot Re-Eval Est Plan Care (97168) | $160.80 | $268 | 2.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $267 | $445 | 1.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $200.40 | $334 | 1.5× |
| Oxygen Uptake Rest Indirect (94690) | $888 | $1,480 | 14.0× |
| Patient-initiated spirometric recording (94015) | $276.60 | $461 | 1.2× |
| Pediatric apnea monitor analyses computer (94776) | $337.20 | $562 | 2.4× |
| Penile Vascular Study,Ltd or F/U (93981) | $1,287 | $2,145 | 11.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $127.80 | $213 | 0.5× |
| Percutaneous tests w/allergenic extracts (95004) | $55.80 | $93 | 0.1× |
| Peripheral arterial disease rehab per session (93668) | $148.20 | $247 | 2.3× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $33,712.20 | $56,187 | 1.7× |
| Perq transcath closure pda (93582) | $34,449 | $57,415 | 1.8× |
| Perq Transcath Cls Aortic (93591) | $34,449 | $57,415 | 1.8× |
| Perq Transcath Cls Mitral (93590) | $34,449 | $57,415 | 1.8× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $8,815.80 | $14,693 | 1.4× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 15 matching MRF lines |
$17,653.20–$48,392.40 | $29,422–$80,654 | varies |
| Phlebotomy therapeutic (99195) | $257.40 | $429 | 1.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $226.20 | $377 | 3.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $226.20 | $377 | 3.6× |
| Physical Performance Test (97750) | $106.20 | $177 | 3.1× |
| Plethysmography (94726) | $556.80 | $928 | 1.4× |
| Pm device eval in person (93288) | $120 | $200 | 3.0× |
| Pm device progr eval dual (93280) | $103.80 | $173 | 2.6× |
| Pm device progr eval multi (93281) | $103.80 | $173 | 2.6× |
| Pm Device Progr Eval Sngl (93279) | $103.80 | $173 | 2.6× |
| Pm/Icd Remote Tech Serv (93296) | $146.40 | $244 | 3.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$1,224.60–$5,798.40 | $2,041–$9,664 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$5,676–$7,486.80 | $9,460–$12,478 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $8,212.20 | $13,687 | 8.9× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) range across 2 matching MRF lines |
$3,801–$5,149.20 | $6,335–$8,582 | varies |
| Positional nystagmus test (92542) range across 2 matching MRF lines |
$71.40–$598.80 | $119–$998 | varies |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) | $663.60 | $1,106 | 1.4× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $169.20 | $282 | 4.2× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $183.60 | $306 | 1.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $40.80 | $68 | 0.8× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $51 | $85 | 1.0× |
| Prq Card Angio/Athrect 1 Art (92924) | $16,808.40 | $28,014 | 1.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $20,672.40 | $34,454 | 1.7× |
| Prq Card Stent/Ath/Angio (92933) | $33,712.20 | $56,187 | 1.7× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $21,229.20 | $35,382 | 1.7× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $33,965.40 | $56,609 | 1.7× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $21,229.20 | $35,382 | 1.7× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $8,785.80 | $14,643 | 0.7× |
| Psych diag eval w/med srvcs (90792) | $257.40 | $429 | 1.4× |
| Psychiatric diagnostic evaluation (90791) range across 4 matching MRF lines |
$283.80–$391.80 | $473–$653 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) range across 2 matching MRF lines |
$233.40–$503.40 | $389–$839 | varies |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) range across 2 matching MRF lines |
$186.60–$251.40 | $311–$419 | varies |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 2 matching MRF lines |
$116.40–$360 | $194–$600 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$188.40–$307.20 | $314–$512 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $90.60 | $151 | 2.4× |
| Pt Eval High Complex (97163) | $278.40 | $464 | 2.8× |
| Pt eval low complex 20 min (97161) | $231.60 | $386 | 2.4× |
| Pt Eval Mod Complex (97162) | $247.20 | $412 | 2.5× |
| Pt gait training 15 min (97116) | $105 | $175 | 3.6× |
| Pt group caregiver training (97552) | $34.80 | $58 | 1.6× |
| Pt mechanical traction (97012) | $80.40 | $134 | 5.6× |
| Pt Re-Eval Est Plan Care (97164) | $160.80 | $268 | 2.4× |
| Pt ultraviolet (97028) | $27.60 | $46 | 3.3× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $30 | $50 | 0.7× |
| Pulm function test by gas (94727) | $621 | $1,035 | 2.7× |
| Pulmonary Stress Testing (94618) | $427.20 | $712 | 3.0× |
| Pure Tone Audiometry Air (92552) | $151.80 | $253 | 1.1× |
| R Hrt Art/Grft Angio (93457) | $15,612.60 | $26,021 | 4.5× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $8,943.60 | $14,906 | 2.6× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $8,943.60 | $14,906 | 2.6× |
| R hrt coronary artery angio (93456) | $12,518.40 | $20,864 | 3.6× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $8,943.60 | $14,906 | 2.6× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $8,943.60 | $14,906 | 2.6× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $12,518.40 | $20,864 | 3.6× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $259.80 | $433 | 0.7× |
| Refill/Maint Portable Pump (96521) | $354.60 | $591 | 1.6× |
| Refill/Maint Pump/Resvr Syst (96522) | $1,126.20 | $1,877 | 4.9× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $131.40 | $219 | 3.3× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $67.80 | $113 | 1.7× |
| Rem ther mntr dev sply resp (98976) | $67.80 | $113 | 1.7× |
| Remote 30 Day Ecg Rev/Report (93270) | $225 | $375 | 5.6× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $235.20 | $392 | 1.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $177 | $295 | 2.8× |
| Right Heart Cath (93451) | $9,513 | $15,855 | 2.7× |
| Right ventricular recording (93603) | $2,541 | $4,235 | 1.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$181.20–$364.80 | $302–$608 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $393.60 | $656 | 3.2× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $183 | $305 | 3.8× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) | $204 | $340 | 1.4× |
| Select picture audiometry (92583) | $310.80 | $518 | 4.9× |
| Self Care Mngment Training (97535) | $105 | $175 | 3.2× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $115.80 | $193 | 1.8× |
| Sensory Integration Ea 15 Min (97533) | $108 | $180 | 1.8× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) range across 2 matching MRF lines |
$243.60–$2,845.80 | $406–$4,743 | varies |
| Short-latency somatosens ep std upr limbs (95925) range across 3 matching MRF lines |
$243.60–$2,845.80 | $406–$4,743 | varies |
| Sinusoidal Vertical Axis Rotational Testing (92546) range across 2 matching MRF lines |
$193.20–$598.80 | $322–$998 | varies |
| Sleep study attended (95807) | $5,422.20 | $9,037 | 13.6× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$1,308.60–$1,389.60 | $2,181–$2,316 | varies |
| Slp caregiver training 1st 30 min (97550) | $84 | $140 | 1.6× |
| Slp Stdy Unatnd W/Anal (95801) range across 3 matching MRF lines |
$84.60–$873 | $141–$1,455 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $1,338.60 | $2,231 | 5.8× |
| Somatosensory Testing (95938) range across 3 matching MRF lines |
$905.40–$4,261.80 | $1,509–$7,103 | varies |
| Speech Audiometry Complete (92556) | $181.80 | $303 | 2.9× |
| Speech audiometry threshold (92555) | $151.80 | $253 | 2.4× |
| Speech sound lang comprehen (92523) | $406.20 | $677 | 1.8× |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$165–$651.60 | $275–$1,086 | varies |
| Spirometry (94010) | $370.80 | $618 | 1.6× |
| Spontaneous Nystagmus Test (92541) range across 2 matching MRF lines |
$88.20–$598.80 | $147–$998 | varies |
| Ssep lower limbs (95926) range across 3 matching MRF lines |
$243.60–$2,845.80 | $406–$4,743 | varies |
| Standardized Cognitive Performance Testing (96125) | $280.20 | $467 | 2.7× |
| Stenger Test Speech (92577) | $372.60 | $621 | 0.9× |
| Stenger Test, Pure Tone (92565) | $527.40 | $879 | 8.3× |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$1,920–$2,297.40 | $3,200–$3,829 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $160.80 | $268 | 3.2× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $317.40 | $529 | 1.4× |
| Surfactant Admin Thru Tube (94610) | $147.60 | $246 | 0.6× |
| Synthetic Sentence Identification Test (92576) | $310.80 | $518 | 7.8× |
| Temp transcutaneous pacing (92953) | $1,127.40 | $1,879 | 1.6× |
| Tensilon Test (95857) range across 2 matching MRF lines |
$167.40–$380.40 | $279–$634 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $108 | $180 | 4.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $108 | $180 | 5.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $108 | $180 | 2.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $286.80 | $478 | 2.8× |
| Ther/Proph/Diag Inj Ia (96373) | $227.40 | $379 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$47.40–$183 | $79–$305 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$129–$604.20 | $215–$1,007 | varies |
| Therapeutic Activities (97530) | $105 | $175 | 3.0× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,302.80 | $3,838 | 5.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$40.80–$63.60 | $68–$106 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 4 matching MRF lines |
$23.40–$51 | $39–$85 | varies |
| Tone Decay Test (92563) | $73.80 | $123 | 1.8× |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$159.60–$219 | $266–$365 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$189.60–$316.20 | $316–$527 | varies |
| Transcath Closure of Asd (93580) | $48,193.20 | $80,322 | 2.5× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$150–$935.40 | $250–$1,559 | varies |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$3,078.60–$3,679.80 | $5,131–$6,133 | varies |
| Tte W/O Doppler Complete (93307) range across 3 matching MRF lines |
$1,692–$1,972.80 | $2,820–$3,288 | varies |
| Tx atrial fib pulm vein isol (93656) | $45,015 | $75,025 | 1.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$83.40–$256.80 | $139–$428 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $129.60 | $216 | 5.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$42–$265.20 | $70–$442 | varies |
| Tympanometry (92567) | $166.80 | $278 | 4.2× |
| Tympanometry and reflex threshold measurements (92550) | $214.20 | $357 | 0.9× |
| Unlisted cardiovascular service/procedure (93799) | $2,990.40 | $4,984 | 21.7× |
| Unlisted noninvasive vascular diagnostic study (93998) | $3,664.20 | $6,107 | 118.2× |
| Unlisted otorhinolaryngological service (92700) range across 3 matching MRF lines |
$146.40–$193.20 | $244–$322 | varies |
| Unlisted Psychiatric Service/Procedure (90899) range across 4 matching MRF lines |
$520.80–$1,172.40 | $868–$1,954 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$91.80–$688.20 | $153–$1,147 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$138.60–$1,663.80 | $231–$2,773 | varies |
| Valvuloplasty aortic valve (92986) | $8,785.80 | $14,643 | 1.4× |
| Valvuloplasty mitral valve (92987) | $8,785.80 | $14,643 | 0.7× |
| Valvuloplasty pulmonary valve (92990) | $9,225 | $15,375 | 0.7× |
| Vasopneumatic device (97016) | $52.80 | $88 | 4.4× |
| Veeg 2-12 Hr Cont Mntr (95713) | $3,056.40 | $5,094 | 7.6× |
| Veeg 2-12 hr intmt mntr (95712) | $3,056.40 | $5,094 | 7.6× |
| Veeg 2-12 hr unmonitored (95711) | $3,056.40 | $5,094 | 13.2× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $5,045.40 | $8,409 | 12.6× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $5,045.40 | $8,409 | 12.6× |
| Veeg ea 12-26hr cont mntr (95716) | $5,045.40 | $8,409 | 5.5× |
| Vent Mgmt Inpat Init Day (94002) | $1,110 | $1,850 | 1.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $900 | $1,500 | 1.4× |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$181.80–$1,911 | $303–$3,185 | varies |
| Visual Field Exam Extended (92083) range across 2 matching MRF lines |
$186.60–$203.40 | $311–$339 | varies |
| Visual reinforcement audiometry (vra) (92579) | $310.80 | $518 | 1.3× |
| Vital capacity, total (94150) | $105.60 | $176 | 0.8× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) range across 2 matching MRF lines |
$1,132.20–$9,276.60 | $1,887–$15,461 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $108 | $180 | 3.5× |
| Whirlpool Therapy (97022) | $62.40 | $104 | 4.0× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $171 | $285 | 4.3× |
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.