Visits & medical services prices at Saint Luke's Hospital of Kansas City
Kansas City, MO · every code in this section with a posted price and a Medicare benchmark.
268 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) | $13,152 | $21,920 | 1.7× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $93.60 | $156 | 2.3× |
| Aep neurodiagnostic i&r (92653) | $676.20 | $1,127 | 3.1× |
| Aep threshold estimation mlt frequencies i&r (92652) | $433.80 | $723 | 2.0× |
| Airway Inhalation Treatment (94640) | $205.80 | $343 | 0.9× |
| Analyze neurostim no prog (95970) | $272.40 | $454 | 2.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $112.80 | $188 | 7.9× |
| Application Modality 1/> Areas Infrared (97026) | $22.20 | $37 | 3.3× |
| Application on-body injector (96377) | $199.80 | $333 | 4.3× |
| Assessment of aphasia per hr (96105) | $327.60 | $546 | 3.4× |
| Behavral qualit analys voice (92524) | $516.60 | $861 | 4.7× |
| Bis Xtracell Fluid Analysis (93702) | $249.60 | $416 | 1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $669 | $1,115 | 1.8× |
| C motor evoked uppr limbs (95928) | $2,079.60 | $3,466 | 2.4× |
| C motor evoked upr&lwr limbs (95939) | $2,079.60 | $3,466 | 2.4× |
| Canalith repositioning proc (95992) | $147 | $245 | 3.6× |
| Car seat/bed test 60 min (94780) | $266.40 | $444 | 7.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $753 | $1,255 | 3.5× |
| Cardiopulmonary exercise testing (94621) | $2,025.60 | $3,376 | 5.4× |
| Cardiopulmonary resuscitation (92950) | $1,434.60 | $2,391 | 6.6× |
| Cardioversion (92960) range across 2 matching MRF lines |
$5,677.05–$51,987.56 | $9,461.75–$86,645.94 | varies |
| Cardioversion elective internal (92961) | $4,353 | $7,255 | 6.6× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $61.20 | $102 | 2.3× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$19,650.69–$61,280 | $32,751.15–$102,133.33 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 7 matching MRF lines |
$21,901.01–$79,513.30 | $36,501.68–$132,522.16 | varies |
| Cbt 1st hour (94644) | $272.40 | $454 | 2.0× |
| Chemo Admin Peritoneal Cavity (96446) | $721.80 | $1,203 | 2.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $505.80 | $843 | 7.0× |
| Chemo Hormon Antineopl Sq/Im (96402) | $505.80 | $843 | 7.0× |
| Chemo Ia Push (96420) | $451.80 | $753 | 1.4× |
| Chemo intralesional up to 7 (96405) | $292.20 | $487 | 4.1× |
| Chemo IV infusion addl hr (96415) | $157.80 | $263 | 2.2× |
| Chemo IV push addl drug (96411) | $530.40 | $884 | 7.4× |
| Chemotherapy Into Cns (96450) | $777.60 | $1,296 | 2.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $619.20 | $1,032 | 8.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $884.40 | $1,474 | 2.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $849 | $1,415 | 2.6× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $817.80 | $1,363 | 2.5× |
| Chest Wall Manipulation (94668) | $130.80 | $218 | 1.0× |
| Color/duplex Doppler, complete (93975) | $1,729.80 | $2,883 | 7.2× |
| Color/duplex Doppler, limited (93976) | $831.60 | $1,386 | 7.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $112.20 | $187 | 3.5× |
| Continuous Pulse Ox (94762) | $1,018.80 | $1,698 | 7.9× |
| Coronary Art/Grft Angio S&I (93455) range across 3 matching MRF lines |
$16,739.89–$53,872.12 | $27,899.82–$89,786.87 | varies |
| Coronary Artery Angio S&I (93454) range across 4 matching MRF lines |
$21,423.28–$80,583.69 | $35,705.46–$134,306.15 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$633–$2,625.60 | $1,055–$4,376 | varies |
| Cpt initial (94667) | $272.40 | $454 | 2.0× |
| Critical care first hour (99291) | $4,547.40 | $7,579 | 5.5× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,663.80 | $2,773 | 4.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$470.40–$4,998.60 | $784–$8,331 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $828 | $1,380 | 3.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $499.20 | $832 | 4.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $2,538 | $4,230 | 10.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,149 | $1,915 | 11.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,955.40 | $3,259 | 8.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,279.80 | $2,133 | 12.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $774.60 | $1,291 | 3.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $297 | $495 | 2.8× |
| Duplex Scan Hemodialysis Access (93990) | $864 | $1,440 | 8.3× |
| Duplex up extrem art bilat (93930) | $1,134 | $1,890 | 4.7× |
| Duplex up extrem art unilat/ltd (93931) | $1,092.60 | $1,821 | 10.4× |
| Echo Congenital Complete (93303) | $1,712.40 | $2,854 | 3.1× |
| Echo Heart Xthoracic,Limited (93308) | $800.40 | $1,334 | 3.3× |
| Echo transesophageal (93312) | $3,242.40 | $5,404 | 5.9× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,875 | $3,125 | 3.4× |
| Eeg 41-60 Minutes (95812) | $1,605 | $2,675 | 7.4× |
| EEG awake and asleep (95819) | $1,528.80 | $2,548 | 7.1× |
| EEG awake drowsy (95816) | $1,528.80 | $2,548 | 7.1× |
| EEG cerebral death evaluation (95824) | $1,695 | $2,825 | 4.5× |
| EEG cont rec w/video by tech min 8 channels (95700) | $504 | $840 | 2.3× |
| EEG extended monitoring 61-119 minutes (95813) | $3,150.60 | $5,251 | 14.6× |
| Eeg Sleep Only (95822) | $1,528.80 | $2,548 | 7.1× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $756 | $1,260 | 3.5× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,227 | $2,045 | 3.3× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $206.40 | $344 | 2.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $81 | $135 | 2.2× |
| Electrical Stimulation Ea 15 Min (97032) | $145.80 | $243 | 9.9× |
| Electrocardiogram Tracing (93005) range across 14 matching MRF lines |
$5,622–$131,203.13 | $9,370–$218,671.89 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $4,976.40 | $8,294 | 0.6× |
| Electrophysiology Evaluation (93642) | $6,433.80 | $10,723 | 5.3× |
| Emergency Dept Visit Level 2 (99282) | $559.80 | $933 | 3.6× |
| Emergency Dept Visit Level 3 (99283) | $1,206.60 | $2,011 | 4.4× |
| Emergency Dept Visit Level 4 (99284) | $1,624.80 | $2,708 | 3.9× |
| Emg 3 Extremities (95863) | $369.60 | $616 | 2.9× |
| Emg 4 Extremities (95864) | $579 | $965 | 4.5× |
| Endomyocardial Biopsy (93505) range across 3 matching MRF lines |
$8,840.16–$14,750.49 | $14,733.60–$24,584.15 | varies |
| Ep & ablate supravent arrhyt (93653) | $56,058 | $93,430 | 2.1× |
| Ep & ablate ventric tachy (93654) | $65,887.20 | $109,812 | 2.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $12,412.80 | $20,688 | 1.6× |
| Er level 1 (99281) | $192.60 | $321 | 2.3× |
| Er level v (99285) | $2,658 | $4,430 | 4.5× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $1,140.60 | $1,901 | 3.1× |
| Evaluate pt use of inhaler (94664) | $454.20 | $757 | 2.1× |
| Evaluate Speech Production (92522) | $408 | $680 | 3.6× |
| Evaluate Swallowing Function (92610) | $324.60 | $541 | 3.8× |
| Evaluation of speech fluency (92521) | $150.60 | $251 | 1.1× |
| Exercise test for bronchospasm (94617) | $1,575.60 | $2,626 | 11.8× |
| Extracranial Bilat Study (93880) | $2,197.80 | $3,663 | 9.2× |
| Extracranial Uni/Ltd Study (93882) | $840 | $1,400 | 8.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $807.60 | $1,346 | 1.5× |
| Flexible endoscopic eval swallow c/v rec (92612) | $501 | $835 | 2.5× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $2,227.80 | $3,713 | 2.6× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,224 | $2,040 | 3.3× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $697.80 | $1,163 | 3.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $2,954.40 | $4,924 | 3.4× |
| Gi tract capsule endoscopy (91110) | $2,187 | $3,645 | 2.4× |
| Group Therapeutic Procedures (97150) | $178.20 | $297 | 9.9× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $22,818.25 | $38,030.42 | 7.0× |
| High altitude simulation test (94452) | $289.20 | $482 | 2.2× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $250.80 | $418 | 1.9× |
| Icd Device Interrogate (93289) | $165 | $275 | 4.4× |
| Icm Device Eval (93290) | $125.40 | $209 | 3.4× |
| Ilr Device Interrogate (93291) | $142.20 | $237 | 4.9× |
| Immunization administration (90471) | $45 | $75 | 0.6× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $1,140.60 | $1,901 | 3.1× |
| Insert/Place Heart Catheter (93503) | $2,832.60 | $4,721 | 1.8× |
| Interrog&prgrmg ipnss during polysomnography (93152) | $636.60 | $1,061 | 2.1× |
| Interrogation vad in person (93750) | $450 | $750 | 4.7× |
| Intra-atrial pacing (93610) | $7,875.60 | $13,126 | 1.0× |
| Intra-atrial recording (93602) | $7,476.60 | $12,461 | 1.0× |
| Intracranial Complete Study (93886) | $1,006.80 | $1,678 | 4.2× |
| Intraventricular pacing (93612) | $6,795 | $11,325 | 0.9× |
| Io anal gast n-stim subsq (95981) | $163.20 | $272 | 2.8× |
| Io ga n-stim subsq w/reprog (95982) | $106.20 | $177 | 2.8× |
| Iontophoresis 15 min (97033) | $157.20 | $262 | 8.3× |
| Irrig Drug Delivery Device (96523) | $213.60 | $356 | 3.6× |
| IV infusion hydration each additional hour (96361) | $270 | $450 | 5.8× |
| IV infusion hydration initial 31 min-1 hour (96360) | $583.80 | $973 | 2.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $270 | $450 | 3.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $262.80 | $438 | 5.6× |
| IV push initial (96374) | $227.40 | $379 | 1.1× |
| L Hrt Art/Grft Angio (93459) range across 3 matching MRF lines |
$16,962.64–$62,278.18 | $28,271.06–$103,796.96 | varies |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $7,267.80 | $12,113 | 2.2× |
| Liver Elastography W/O Imag W/I&R (91200) | $333 | $555 | 2.6× |
| Lung Function Test (Mbc/Mvv) (94200) | $180.60 | $301 | 3.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,460.40 | $2,434 | 6.8× |
| Mechanical chest wall oscillation per session (94669) | $454.20 | $757 | 2.1× |
| Methacholine challenge (94070) | $904.80 | $1,508 | 2.4× |
| Motility study esophagus (91010) | $1,339.80 | $2,233 | 3.6× |
| Motion Fluoroscopy/Swallow (92611) | $395.40 | $659 | 4.3× |
| Multiple Sleep Latency Test (95805) | $4,343.40 | $7,239 | 5.0× |
| Muscle Test 2 Limbs (95861) | $445.20 | $742 | 3.3× |
| Muscle Test Nonparaspinal (95870) | $182.40 | $304 | 1.4× |
| Muscle Test One Limb (95860) | $358.20 | $597 | 2.7× |
| Nasopharyngoscopy (92511) | $345.60 | $576 | 1.7× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $444.60 | $741 | 2.1× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $318.60 | $531 | 1.5× |
| Needle electromyography larynx (95865) | $298.80 | $498 | 2.2× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $460.80 | $768 | 2.1× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $603.60 | $1,006 | 2.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $533.40 | $889 | 1.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $862.80 | $1,438 | 2.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $436.20 | $727 | 2.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $849.60 | $1,416 | 2.1× |
| Nerve Conduction Studies 1-2 Studies (95907) | $334.20 | $557 | 1.5× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,098 | $1,830 | 2.9× |
| Nerve conduction studies 13 or more studies (95913) | $1,216.20 | $2,027 | 3.3× |
| Nerve Conduction Studies 3-4 Studies (95908) | $622.80 | $1,038 | 2.9× |
| Nerve conduction studies 5-6 studies (95909) | $669 | $1,115 | 3.1× |
| Nerve conduction studies 7-8 studies (95910) | $850.20 | $1,417 | 2.3× |
| Nerve Conduction Studies 9-10 Studies (95911) | $972 | $1,620 | 2.6× |
| Neuromuscular Reeducation (97112) | $210.60 | $351 | 6.4× |
| Newborn resuscitation (99465) | $1,483.20 | $2,472 | 2.2× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $145.80 | $243 | 2.5× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $145.80 | $243 | 2.5× |
| Oral Function Therapy (92526) range across 5 matching MRF lines |
$205.80–$363.60 | $343–$606 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $101.40 | $169 | 2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $210.60 | $351 | 4.6× |
| Ot Contrast Bath Ea 15 Min (97034) | $158.40 | $264 | 11.3× |
| Ot eval high complexity (97167) | $405 | $675 | 4.0× |
| Ot Eval Low Complex (97165) | $319.20 | $532 | 3.2× |
| Ot Eval Moderate Complexity (97166) | $361.80 | $603 | 3.6× |
| Ot manual therapy 15 min (97140) | $139.80 | $233 | 5.0× |
| Ot paraffin bath (97018) | $119.40 | $199 | 19.9× |
| Ot Prosthetic Training, Each 15 Min (97761) | $184.20 | $307 | 4.6× |
| Ot Re-Eval Est Plan Care (97168) | $174 | $290 | 2.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $337.20 | $562 | 2.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $219 | $365 | 1.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $319.80 | $533 | 1.5× |
| Peripheral arterial disease rehab per session (93668) | $130.80 | $218 | 2.2× |
| Perq transcath closure pda (93582) | $38,941.32 | $64,902.20 | 2.1× |
| Perq Transcath Cls Aortic (93591) | $44,392.20 | $73,987 | 2.4× |
| Perq Transcath Cls Mitral (93590) | $44,392.20 | $73,987 | 2.4× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 9 matching MRF lines |
$32,682.70–$77,218.31 | $54,471.17–$128,697.19 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 11 matching MRF lines |
$36,863.32–$59,715.47 | $61,438.86–$99,525.79 | varies |
| Phlebotomy therapeutic (99195) | $486 | $810 | 3.6× |
| Physical Performance Test (97750) | $154.80 | $258 | 4.6× |
| Plethysmography (94726) | $582.60 | $971 | 1.6× |
| Pm device eval in person (93288) | $108 | $180 | 2.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $7,177.20 | $11,962 | 8.3× |
| Polysom <6 yrs 4/> paramtrs (95782) | $5,486.40 | $9,144 | 6.4× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $6,327 | $10,545 | 7.4× |
| Prq Card Angio/Athrect 1 Art (92924) range across 3 matching MRF lines |
$56,226.65–$68,075.87 | $93,711.08–$113,459.79 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) | $79,611.54 | $132,685.90 | 6.9× |
| Prq Card Stent/Ath/Angio (92933) | $20,746.20 | $34,577 | 1.1× |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$46,484.58–$58,548.30 | $77,474.30–$97,580.50 | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $22,374 | $37,290 | 1.2× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $25,156.20 | $41,927 | 2.2× |
| Psychiatric diagnostic evaluation (90791) | $340.20 | $567 | 1.9× |
| Pt Eval High Complex (97163) | $405 | $675 | 4.1× |
| Pt eval low complex 20 min (97161) | $319.20 | $532 | 3.3× |
| Pt Eval Mod Complex (97162) | $361.80 | $603 | 3.7× |
| Pt gait training 15 min (97116) | $196.20 | $327 | 6.8× |
| Pt mechanical traction (97012) | $131.40 | $219 | 9.2× |
| Pt Re-Eval Est Plan Care (97164) | $295.80 | $493 | 4.4× |
| Pulmonary service/procedure (94799) range across 4 matching MRF lines |
$342–$688.80 | $570–$1,148 | varies |
| Pulmonary Stress Testing (94618) | $1,182 | $1,970 | 8.9× |
| R Hrt Art/Grft Angio (93457) | $26,865.30 | $44,775.50 | 8.3× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $7,267.80 | $12,113 | 2.2× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $7,267.80 | $12,113 | 2.2× |
| R hrt coronary artery angio (93456) range across 3 matching MRF lines |
$18,992.51–$111,952.64 | $31,654.19–$186,587.73 | varies |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $7,267.80 | $12,113 | 2.2× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $7,267.80 | $12,113 | 2.2× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $17,513.36 | $29,188.93 | 5.4× |
| Rapid Desensitization Procedure Each Hour (95180) | $1,005 | $1,675 | 2.2× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $702.60 | $1,171 | 2.1× |
| Refill/Maint Portable Pump (96521) | $537.60 | $896 | 2.5× |
| Refill/Maint Pump/Resvr Syst (96522) | $456.60 | $761 | 2.1× |
| Right Heart Cath (93451) range across 6 matching MRF lines |
$16,632.21–$50,981.65 | $27,720.35–$84,969.42 | varies |
| Right ventricular recording (93603) | $6,504.60 | $10,841 | 5.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $436.20 | $727 | 2.2× |
| Self Care Mngment Training (97535) | $120 | $200 | 3.7× |
| Self-meas bp pt educaj/traing & dev calibration (99473) | $64.20 | $107 | 2.2× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $669 | $1,115 | 3.1× |
| Short-latency somatosens ep std upr limbs (95925) | $580.80 | $968 | 2.7× |
| Slp caregiver training 1st 30 min (97550) | $122.40 | $204 | 2.3× |
| Somatosensory Testing (95938) | $931.80 | $1,553 | 1.1× |
| Speech sound lang comprehen (92523) | $710.40 | $1,184 | 3.1× |
| Spin/Brain Pump Refil & Main (95991) | $631.20 | $1,052 | 2.1× |
| Spirometry (94010) | $409.80 | $683 | 1.9× |
| Ssep lower limbs (95926) | $580.80 | $968 | 2.7× |
| Standardized Cognitive Performance Testing (96125) | $349.20 | $582 | 3.4× |
| Stress Tte Only (93350) | $2,782.80 | $4,638 | 5.1× |
| Surfactant Admin Thru Tube (94610) | $536.40 | $894 | 2.4× |
| Temp transcutaneous pacing (92953) | $918 | $1,530 | 1.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$70.80–$73.80 | $118–$123 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$70.80–$73.80 | $118–$123 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $120 | $200 | 4.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $178.80 | $298 | 2.5× |
| Ther/Proph/Diag Iv Inf Init (96365) | $583.80 | $973 | 2.7× |
| Therapeutic Activities (97530) | $213 | $355 | 6.1× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,376.60 | $3,961 | 6.4× |
| Transcath Closure of Asd (93580) range across 2 matching MRF lines |
$32,082.84–$47,563.42 | $53,471.40–$79,272.36 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $577.80 | $963 | 5.5× |
| Tte w/doppler, complete (93306) | $4,109.40 | $6,849 | 7.5× |
| Tte W/O Doppler Complete (93307) | $1,710.60 | $2,851 | 7.2× |
| Tx atrial fib pulm vein isol (93656) | $59,167.20 | $98,612 | 2.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 8 matching MRF lines |
$244.80–$899.40 | $408–$1,499 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $198 | $330 | 8.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $227.40 | $379 | 4.8× |
| Tympanometry (92567) | $53.40 | $89 | 1.4× |
| Unlisted cardiovascular service/procedure (93799) range across 8 matching MRF lines |
$1,372.80–$25,537.80 | $2,288–$42,563 | varies |
| Unlisted noninvasive vascular diagnostic study (93998) range across 3 matching MRF lines |
$65.40–$130.80 | $109–$218 | varies |
| Unlisted Special Dermatological Service/Px (96999) | $499.20 | $832 | 2.5× |
| Upr/L Xtremity Art 2 Levels (93922) | $812.40 | $1,354 | 6.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,416 | $2,360 | 6.5× |
| Valvuloplasty aortic valve (92986) | $10,905.60 | $18,176 | 1.9× |
| Valvuloplasty mitral valve (92987) | $37,660.44 | $62,767.40 | 3.3× |
| Valvuloplasty pulmonary valve (92990) | $39,489.61 | $65,816.02 | 3.4× |
| Veeg 2-12 hr unmonitored (95711) | $840 | $1,400 | 3.9× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,613.40 | $2,689 | 4.3× |
| Vent Mgmt Inpat Init Day (94002) | $2,725.80 | $4,543 | 4.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $2,173.80 | $3,623 | 3.5× |
| Visual Evoked Potential Test (95930) | $1,312.80 | $2,188 | 6.1× |
| Vital capacity, total (94150) | $459 | $765 | 3.6× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $807.60 | $1,346 | 0.9× |
| Wheelchair Mgmt Ea 15 Min (97542) | $107.40 | $179 | 3.5× |
| Whirlpool Therapy (97022) | $114.60 | $191 | 7.3× |
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.