Visits & medical services prices at Saint Francis Medical Center

Cape Girardeau, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $16,336 $16,336 2.1×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $454 $454 3.5×
Acoustic Reflex Testing (92568) $143 $143 3.8×
Admn Sarscov2 Vacc 1 Dose (90480) $104 $104 2.6×
Advncd Care Plan 30 Min (99497) $284 $284 2.8×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $362 $362 1.7×
Aep neurodiagnostic i&r (92653) $1,548 $1,548 7.2×
Airway Inhalation Treatment (94640) $655 $655 3.0×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786)
range across 2 matching MRF lines		 $358–$419 $358–$419 varies
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788)
range across 2 matching MRF lines		 $358–$419 $358–$419 varies
Analyze neurostim complex (95972) $878 $878 9.2×
Analyze neurostim no prog (95970) $410 $410 3.1×
Analyze Pacemaker System (93724) $1,030 $1,030 3.3×
Ans parasymp & symp w/tilt (95924) $1,090 $1,090 5.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $157 $157 10.9×
Application on-body injector (96377) $516 $516 11.0×
Arrhythmia Induction (93618) $2,808 $2,808 2.3×
Audiometry Air & Bone (92553) $565 $565 4.4×
Basic vestibular evaluation (92540) $1,158 $1,158 5.4×
Behavral qualit analys voice (92524) $360 $360 3.3×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $129 $129 1.6×
Bfb training ea addl 15 min (90913) $129 $129 3.9×
Bioimpedance Cv Analysis (93701) $348 $348 2.6×
Blink reflex test (95933) $187 $187 3.2×
Brief Emotional/Behav Assmt (96127) $141 $141 3.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,266 $1,266 3.4×
Bundle of his recording (93600) $14,460 $14,460 1.9×
C motor evoked upr&lwr limbs (95939) $4,285 $4,285 5.0×
Caloric Vstblr Test W/Rec (92537) $974 $974 7.6×
Canalith repositioning proc (95992) $208 $208 5.1×
Car seat/bed test 60 min (94780) $204 $204 5.5×
Cardiac Stress Tst,Tracing Only (93017) $2,154 $2,154 10.0×
Cardiopulmonary resuscitation (92950) $890 $890 4.1×
Cardioversion (92960) $2,437 $2,437 3.7×
Cardioversion elective internal (92961) $1,612 $1,612 2.4×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $21,369 $21,369 6.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $18,633 $18,633 5.7×
Cbt 1st hour (94644) $523 $523 3.9×
Chemo Anti-Neopl Sq/Im (96401) $787 $787 10.9×
Chemo Hormon Antineopl Sq/Im (96402) $491 $491 6.8×
Chemo IV infusion addl hr (96415) $1,501 $1,501 20.8×
Chemo IV push addl drug (96411) $484 $484 6.7×
Chemother Prolong Infuse W/Pump (96416) $732 $732 2.2×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $469 $469 1.4×
Chemotherapy Into Cns (96450) $794 $794 2.4×
Chemotherapy Unspecified (96549) $91 $91 1.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $1,503 $1,503 20.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,503 $1,503 4.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $962 $962 2.9×
Chest Wall Manipulation (94668) $264 $264 2.0×
Color/duplex Doppler, complete (93975) $1,743 $1,743 7.3×
Color/duplex Doppler, limited (93976) $1,315 $1,315 12.6×
Community/Work Reintegration Trainj Ea 15 Min (97537) $153 $153 4.8×
Comprehensive Hearing Test (92557) $565 $565 4.4×
Conditioning Play Audiometry (92582) $565 $565 4.4×
Cont gluc mntr physician/qhp provided equiptment (95250) $424 $424 3.2×
Cont Gluc Mntr Pt Prov Eqp (95249) $209 $209 3.5×
Continuous Pulse Ox (94762) $1,027 $1,027 8.0×
Coronary Art/Grft Angio S&I (93455) $18,907 $18,907 5.8×
Coronary Artery Angio S&I (93454) $15,810 $15,810 4.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $2,210 $2,210 10.1×
Cpt initial (94667) $404 $404 3.0×
Critical care first hour (99291) $3,749 $3,749 4.5×
Debridement Open Wound 20 Sq Cm< (97597) $723 $723 3.6×
Dialysis One Evaluation (90945) $1,832 $1,832 4.4×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $1,135 $1,135 3.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,433 $1,433 6.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,044 $1,044 10.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,211 $2,211 9.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,514 $1,514 14.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines		 $2,277–$2,377 $2,277–$2,377 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines		 $1,613–$1,694 $1,613–$1,694 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $604 $604 2.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $285 $285 2.7×
Duplex Scan Hemodialysis Access (93990) $291 $291 2.8×
Duplex up extrem art bilat (93930) $2,220 $2,220 9.3×
Duplex up extrem art unilat/ltd (93931) $1,602 $1,602 15.3×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $429 $429 3.3×
ECG/monitoring and analysis (93271) $382 $382 4.0×
Echo Congenital Complete (93303) $3,857 $3,857 7.0×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines		 $1,009–$1,564 $1,009–$1,564 varies
Echo transesophageal (93312) $2,144 $2,144 3.9×
Echo Transesophageal - Congenital Tee Complete (93315) $3,857 $3,857 7.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $4,976 $4,976 9.1×
Eeg 41-60 Minutes (95812) $3,822 $3,822 17.7×
EEG awake and asleep (95819) $3,397 $3,397 15.7×
EEG awake drowsy (95816) $3,381 $3,381 15.6×
EEG cerebral death evaluation (95824) $4,191 $4,191 11.2×
EEG cont rec w/video by tech min 8 channels (95700) $837 $837 3.9×
EEG extended monitoring 61-119 minutes (95813) $4,740 $4,740 21.9×
Eeg Sleep Only (95822) $1,273 $1,273 5.9×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,096 $1,096 5.1×
EEG w/o vid 2-12hr cont mntr (95707) $999 $999 4.6×
EEG w/o vid ea 12-26hr intmt (95709) $1,823 $1,823 4.9×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,841 $1,841 4.9×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $999 $999 4.6×
EEG wo vid ea 12-26hr unmntr (95708) $2,100 $2,100 5.6×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $389 $389 4.1×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976)
range across 2 matching MRF lines		 $88–$144 $88–$144 varies
Electrical Stimulation Ea 15 Min (97032) $205 $205 13.9×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines		 $452–$495 $452–$495 varies
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $19,908 $19,908 2.5×
Electrophysiology Evaluation (93642) $4,114 $4,114 3.4×
Emergency Dept Visit Level 2 (99282) $845 $845 5.5×
Emergency Dept Visit Level 3 (99283) $1,273 $1,273 4.7×
Emergency Dept Visit Level 4 (99284) $1,841 $1,841 4.4×
Emg 3 Extremities (95863) $2,031 $2,031 15.8×
Emg 4 Extremities (95864) $1,759 $1,759 13.6×
Endomyocardial Biopsy (93505) $6,719 $6,719 2.1×
Ep & ablate supravent arrhyt (93653) $50,382 $50,382 1.9×
Ep & ablate ventric tachy (93654) $50,382 $50,382 1.9×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $19,908 $19,908 2.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $19,908 $19,908 2.5×
Er level 1 (99281) $502 $502 5.9×
Er level v (99285) $2,521 $2,521 4.2×
Ergonovine provocation test (93024) $954 $954 2.1×
Esophageal Capsule Endoscopy (91111) $3,333 $3,333 3.7×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $429 $429 3.3×
Evaluate pt use of inhaler (94664) $655 $655 3.0×
Evaluate Speech Production (92522) $360 $360 3.2×
Evaluate Swallowing Function (92610)
range across 2 matching MRF lines		 $103–$532 $103–$532 varies
Evaluation of speech fluency (92521) $360 $360 2.7×
Evoked Auditory Test,Limited (92587) $1,135 $1,135 5.2×
Exercise test for bronchospasm (94617) $211 $211 1.6×
External ECG rec>48hr<7d recording (93242) $125 $125 3.3×
External ECG rec>7d<15d recording (93246) $205 $205 5.5×
Extracranial Bilat Study (93880) $3,648 $3,648 15.3×
Extracranial Uni/Ltd Study (93882) $2,736 $2,736 26.1×
F-up/limited tthrc echo congenital car anomaly (93304) $3,161 $3,161 5.8×
Flexible endoscopic eval swallow c/v rec (92612) $791 $791 4.0×
Fundus photography (92250) $559 $559 4.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,318 $2,318 2.7×
Gi tract capsule endoscopy (91110) $3,333 $3,333 3.7×
Gi wireless capsule measure (91112) $3,333 $3,333 3.7×
Group Therapeutic Procedures (97150) $425 $425 23.6×
Health Behavior Assessment/Re-Assessment (96156) $206 $206 2.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $24,345 $24,345 7.5×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $3,378 $3,378 4.9×
Holter monitor recording (93225)
range across 2 matching MRF lines		 $348–$1,940 $348–$1,940 varies
Icd Device Interrogate (93289) $128 $128 3.4×
Icd device progr eval dual (93283) $125 $125 3.3×
Icd Device Progr Eval Mult (93284) $125 $125 3.3×
Icm Device Eval (93290) $133 $133 3.6×
Ilr Device Eval Progr (93285) $125 $125 3.3×
Ilr Device Interrogate (93291) $136 $136 4.7×
Im Adm Intransl/Oral 1 Vaccine (90473) $144 $144 2.0×
Immunization administration (90471) $144 $144 2.0×
Insert/Place Heart Catheter (93503)
range across 2 matching MRF lines		 $957–$5,568 $957–$5,568 varies
Interrogate Subq Defib (93261) $106 $106 2.8×
Interrogation eval in person wr defibrillator (93292) $124 $124 3.3×
Intra-atrial pacing (93610) $14,248 $14,248 1.8×
Intra-atrial recording (93602) $14,248 $14,248 1.8×
Intracranial Complete Study (93886) $2,282 $2,282 9.5×
Intracutaneous tests w/allergenic extracts (95024) $221 $221 3.7×
Intraventricular pacing (93612) $14,248 $14,248 1.8×
Iontophoresis 15 min (97033) $217 $217 11.4×
Irrig Drug Delivery Device (96523) $268 $268 4.5×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines		 $355–$1,016 $355–$1,016 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines		 $487–$1,078 $487–$1,078 varies
IV infusion ther proph addl sequential to 1 hr (96367) $1,013 $1,013 14.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $1,013 $1,013 21.6×
IV push initial (96374) $633 $633 3.0×
L Hrt Art/Grft Angio (93459) $20,816 $20,816 6.4×
Lwr Xtr Vasc Stdy Bilat (93924) $2,225 $2,225 10.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $76 $76 2.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $76 $76 2.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $76 $76 4.5×
Methacholine challenge (94070) $1,706 $1,706 4.6×
Motion Fluoroscopy/Swallow (92611) $792 $792 8.7×
Multiple Sleep Latency Test (95805) $4,042 $4,042 4.7×
Muscle Test 2 Limbs (95861) $1,820 $1,820 13.7×
Muscle Test Nonparaspinal (95870) $834 $834 6.3×
Muscle Test One Limb (95860) $1,833 $1,833 13.8×
Nasopharyngoscopy (92511) $583 $583 2.9×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $2,263 $2,263 10.5×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $1,525 $1,525 7.1×
Needle electromyography larynx (95865) $1,615 $1,615 12.1×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $528 $528 2.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,183 $1,183 2.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,255 $1,255 3.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $654 $654 3.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,183 $1,183 2.9×
Nerve Conduction Studies 1-2 Studies (95907) $1,208 $1,208 5.6×
Nerve Conduction Studies 11-12 Studies (95912) $5,160 $5,160 13.8×
Nerve conduction studies 13 or more studies (95913) $6,042 $6,042 16.2×
Nerve Conduction Studies 3-4 Studies (95908) $2,154 $2,154 10.0×
Nerve conduction studies 5-6 studies (95909) $2,807 $2,807 13.0×
Nerve conduction studies 7-8 studies (95910) $3,605 $3,605 9.6×
Nerve Conduction Studies 9-10 Studies (95911) $4,398 $4,398 11.8×
Neurobehavioral Status Exam (96116) $919 $919 4.2×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $896 $896 7.0×
Neuromuscular Reeducation (97112) $160 $160 4.9×
Newborn resuscitation (99465) $1,382 $1,382 2.1×
Nitric oxide expired gas determination (95012) $138 $138 3.7×
Nrpsyc tst eval phys/qhp 1st (96132) $919 $919 2.5×
Ophth medical xm&eval intermediate estab pt (92012) $219 $219 1.6×
Optokinetic Nystagmus Test (92544) $454 $454 3.5×
Oral Function Therapy (92526) $462 $462 5.5×
Oral Speech Device Eval (92597) $478 $478 6.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $91 $91 1.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $153 $153 3.3×
Oscillating Tracking Test (92545) $454 $454 2.1×
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 2 matching MRF lines		 $105–$106 $105–$106 varies
Ot Contrast Bath Ea 15 Min (97034) $84 $84 6.0×
Ot eval high complexity (97167)
range across 2 matching MRF lines		 $380–$516 $380–$516 varies
Ot Eval Low Complex (97165)
range across 2 matching MRF lines		 $380–$516 $380–$516 varies
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines		 $380–$516 $380–$516 varies
Ot manual therapy 15 min (97140) $190 $190 6.9×
Ot paraffin bath (97018) $105 $105 17.5×
Ot Prosthetic Training, Each 15 Min (97761) $113 $113 2.8×
Ot Re-Eval Est Plan Care (97168) $160 $160 2.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $324 $324 2.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $311 $311 2.4×
Percutaneous tests w/allergenic extracts (95004) $3,664 $3,664 4.3×
Peripheral arterial disease rehab per session (93668) $154 $154 2.6×
Perq Transcath Cls Aortic (93591) $43,591 $43,591 2.4×
Perq Transcath Cls Mitral (93590) $40,718 $40,718 2.2×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $15,781 $15,781 2.8×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $32,095 $32,095 2.8×
Phlebotomy therapeutic (99195)
range across 3 matching MRF lines		 $155–$731 $155–$731 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $416 $416 7.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $506 $506 8.6×
Physical Performance Test (97750) $119 $119 3.5×
Plethysmography (94726) $1,372 $1,372 3.7×
Pm device eval in person (93288) $534 $534 14.3×
Pm device progr eval dual (93280) $138 $138 3.7×
Pm device progr eval multi (93281) $138 $138 3.7×
Pm Device Progr Eval Sngl (93279) $125 $125 3.3×
Pm/Icd Remote Tech Serv (93296) $128 $128 3.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $8,629 $8,629 10.0×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $4,857 $4,857 5.6×
Positional nystagmus test (92542) $358 $358 2.7×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $136 $136 2.9×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282)
range across 2 matching MRF lines		 $125–$138 $125–$138 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $136 $136 2.9×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $136 $136 2.9×
Prq Card Angio/Athrect 1 Art (92924) $32,095 $32,095 2.8×
Prq Card Stent W/Angio 1 Vsl (92928) $32,095 $32,095 2.8×
Prq Card Stent/Ath/Angio (92933) $49,495 $49,495 2.7×
Prq Revasc Byp Graft 1 Vsl (92937) $32,095 $32,095 2.8×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $49,495 $49,495 2.7×
Psych diag eval w/med srvcs (90792) $335 $335 1.9×
Psychiatric diagnostic evaluation (90791) $751 $751 4.2×
Psychological tst eval svc phys/qhp first hour (96130) $919 $919 4.2×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $943 $943 2.1×
Psytx Crisis Initial 60 Min (90839) $368 $368 2.1×
Pt Eval High Complex (97163)
range across 2 matching MRF lines		 $103–$380 $103–$380 varies
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines		 $103–$380 $103–$380 varies
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines		 $103–$380 $103–$380 varies
Pt gait training 15 min (97116) $167 $167 5.7×
Pt mechanical traction (97012) $116 $116 8.1×
Pt Re-Eval Est Plan Care (97164) $160 $160 2.4×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines		 $641–$2,260 $641–$2,260 varies
Pulmonary Stress Testing (94618) $440 $440 3.3×
Pure Tone Audiometry Air (92552) $463 $463 3.5×
R Hrt Art/Grft Angio (93457) $19,742 $19,742 6.1×
R hrt coronary artery angio (93456) $16,562 $16,562 5.1×
R&L Hrt Cath W/Ventriclgrphy (93453) $16,912 $16,912 5.2×
Refill/Maint Portable Pump (96521) $469 $469 2.2×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $112 $112 3.0×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $378 $378 2.8×
Remote 30 Day Ecg Rev/Report (93270)
range across 2 matching MRF lines		 $125–$541 $125–$541 varies
Right Heart Cath (93451) $15,106 $15,106 4.7×
Right ventricular recording (93603) $2,808 $2,808 2.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $654 $654 3.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $360 $360 2.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $120 $120 2.5×
Select picture audiometry (92583) $469 $469 7.9×
Self Care Mngment Training (97535) $174 $174 5.4×
Sensory Integration Ea 15 Min (97533) $160 $160 2.6×
Short-latency somatosens ep std upr limbs (95925) $1,757 $1,757 8.1×
Sleep study unattended (95806) $841 $841 3.9×
Somatosensory Testing (95938) $3,582 $3,582 4.2×
Speech Audiometry Complete (92556) $221 $221 3.7×
Speech audiometry threshold (92555) $221 $221 3.7×
Speech sound lang comprehen (92523) $492 $492 2.2×
Spirometry (94010) $904 $904 4.2×
Spontaneous Nystagmus Test (92541) $358 $358 2.7×
Ssep lower limbs (95926) $1,794 $1,794 8.3×
Standardized Cognitive Performance Testing (96125) $364 $364 3.5×
Stenger Test, Pure Tone (92565) $221 $221 3.7×
Stress Tte Only (93350) $3,763 $3,763 6.9×
Surfactant Admin Thru Tube (94610) $683 $683 3.1×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines		 $1,980–$1,981 $1,980–$1,981 varies
Test to assess hearing loss using different tone pitches (92575) $288 $288 7.7×
Testing Autonomic Nervous System Function (95923) $551 $551 4.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $63 $63 2.8×
Ther Ivntj Ea Addl 15 Min (97130) $61 $61 2.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $166 $166 4.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $260 $260 2.5×
Ther/Proph/Diag Inj Sc/Im (96372) $516 $516 7.2×
Ther/Proph/Diag Iv Inf Init (96365) $1,870 $1,870 8.8×
Therapeutic Activities (97530)
range across 2 matching MRF lines		 $36–$171 $36–$171 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,337 $2,337 6.3×
Tobacco Use Cessation Intensive >10 Minutes (99407) $92 $92 2.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $92 $92 2.5×
Trans Care Mgmt 14 Day Disch (99495) $303 $303 2.3×
Trans Care Mgmt 7 Day Disch (99496) $303 $303 2.3×
Transcath Closure of Asd (93580) $49,495 $49,495 2.7×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $1,294 $1,294 12.4×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $541 $541 4.2×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $542 $542 4.1×
Tte w/doppler, complete (93306) $5,299 $5,299 9.7×
Tte W/O Doppler Complete (93307) $1,144 $1,144 4.8×
Tx atrial fib pulm vein isol (93656) $50,382 $50,382 1.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines		 $36–$424 $36–$424 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $402 $402 16.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $532 $532 11.3×
Tympanometry (92567) $145 $145 3.9×
Tympanometry and reflex threshold measurements (92550) $565 $565 2.6×
Unlisted cardiovascular service/procedure (93799) $999 $999 7.8×
Unlisted Diagnostic Gastroenterology Procedure (91299) $451 $451 3.5×
Unlisted noninvasive vascular diagnostic study (93998) $58 $58 2.0×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines		 $796–$958 $796–$958 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines		 $1,957–$2,064 $1,957–$2,064 varies
Valvuloplasty aortic valve (92986) $15,132 $15,132 2.7×
Valvuloplasty mitral valve (92987) $32,099 $32,099 2.8×
Valvuloplasty pulmonary valve (92990) $32,099 $32,099 2.8×
Vasopneumatic device (97016) $105 $105 8.7×
Veeg 2-12 Hr Cont Mntr (95713) $1,801 $1,801 4.8×
Veeg 2-12 hr intmt mntr (95712) $999 $999 2.7×
Veeg 2-12 hr unmonitored (95711) $1,395 $1,395 6.5×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,801 $1,801 4.8×
Veeg Ea 12-26 Hr Unmntr (95714) $2,670 $2,670 7.1×
Veeg ea 12-26hr cont mntr (95716) $3,396 $3,396 3.9×
Vent Mgmt Inpat Init Day (94002) $7,817 $7,817 12.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $6,274 $6,274 10.1×
Visual Evoked Potential Test (95930) $1,225 $1,225 5.7×
Visual Field Exam Extended (92083) $334 $334 2.5×
Visual reinforcement audiometry (vra) (92579) $565 $565 2.6×
Vital capacity, total (94150) $454 $454 3.5×
Wheelchair Mgmt Ea 15 Min (97542) $87 $87 2.8×
Whirlpool Therapy (97022) $305 $305 19.4×

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.