Visits & medical services prices at Samaritan Lebanon Community Hospital
Lebanon, OR · every code in this section with a posted price and a Medicare benchmark.
304 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) | $7,128 | $8,910 | 0.8× |
| Actigraphy Testing Recording Analysis I&R (95803) | $512 | $640 | 7.8× |
| Acupunct W/Stimul 15 Min (97813) | $22.40 | $28 | 0.7× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $19.20 | $24 | 0.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $48 | $60 | 1.1× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$20.80–$200 | $26–$250 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) range across 2 matching MRF lines |
$71.20–$408 | $89–$510 | varies |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) range across 2 matching MRF lines |
$16.80–$352 | $21–$440 | varies |
| Analyze Pacemaker System (93724) | $424 | $530 | 1.2× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $52 | $65 | 1.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 4 matching MRF lines |
$48.80–$65.60 | $61–$82 | varies |
| Application on-body injector (96377) | $72 | $90 | 1.4× |
| Arrhythmia Induction (93618) | $1,584 | $1,980 | 1.2× |
| Assessment of aphasia per hr (96105) | $288 | $360 | 3.0× |
| Behavral qualit analys voice (92524) | $160 | $200 | 1.5× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $56.80 | $71 | 0.7× |
| Bfb training ea addl 15 min (90913) | $32 | $40 | 1.0× |
| Biofeedback training any modality (90901) | $128 | $160 | 3.1× |
| Bioimpedance Cv Analysis (93701) | $128 | $160 | 0.9× |
| Brief Emotional/Behav Assmt (96127) | $12.80 | $16 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$65.60–$408 | $82–$510 | varies |
| C motor evoked uppr limbs (95928) | $2,120 | $2,650 | 2.2× |
| C motor evoked upr&lwr limbs (95939) | $2,192 | $2,740 | 2.3× |
| Canalith repositioning proc (95992) | $128 | $160 | 3.1× |
| Car seat/bed test 60 min (94780) | $184 | $230 | 4.4× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$112–$672 | $140–$840 | varies |
| Cardiopulmonary resuscitation (92950) | $1,224 | $1,530 | 5.1× |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,552–$2,016 | $1,940–$2,520 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $60 | $75 | 2.3× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $10,544 | $13,180 | 2.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $9,336 | $11,670 | 2.6× |
| Cbt 1st hour (94644) | $168 | $210 | 1.1× |
| Chemo Anti-Neopl Sq/Im (96401) | $184 | $230 | 2.3× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$96–$296 | $120–$370 | varies |
| Chemo IV infusion addl hr (96415) | $184 | $230 | 2.3× |
| Chemo IV push addl drug (96411) | $272 | $340 | 3.4× |
| Chemother Prolong Infuse W/Pump (96416) | $816 | $1,020 | 2.2× |
| Chemotherapy Into Cns (96450) | $968 | $1,210 | 2.6× |
| Chemotherapy Unspecified (96549) | $288 | $360 | 5.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $184 | $230 | 2.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $768 | $960 | 2.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $472 | $590 | 1.3× |
| Chest Wall Manipulation (94668) | $112 | $140 | 0.8× |
| Chron Care Mgmt Srvc 20 Min (99490) | $160 | $200 | 1.4× |
| Color/duplex Doppler, complete (93975) | $1,112 | $1,390 | 4.2× |
| Color/duplex Doppler, limited (93976) | $712 | $890 | 6.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$73.60–$80 | $92–$100 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 3 matching MRF lines |
$376–$536 | $470–$670 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 2 matching MRF lines |
$168–$184 | $210–$230 | varies |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$240–$304 | $300–$380 | varies |
| Coronary Art/Grft Angio S&I (93455) | $4,880 | $6,100 | 1.4× |
| Coronary Artery Angio S&I (93454) | $6,800 | $8,500 | 1.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$33.60–$408 | $42–$510 | varies |
| Cpt initial (94667) | $144 | $180 | 1.0× |
| Critical care first hour (99291) | $2,544 | $3,180 | 2.8× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,704 | $2,130 | 4.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$46.40–$384 | $58–$480 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $320 | $400 | 2.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,008 | $1,260 | 3.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $568 | $710 | 4.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,056 | $1,320 | 4.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $712 | $890 | 6.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,072 | $1,340 | 4.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $728 | $910 | 6.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $624 | $780 | 2.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $336 | $420 | 2.9× |
| Duplex Scan Hemodialysis Access (93990) | $616 | $770 | 5.3× |
| Duplex up extrem art bilat (93930) | $1,024 | $1,280 | 3.9× |
| Duplex up extrem art unilat/ltd (93931) | $688 | $860 | 5.9× |
| ECG/monitoring and analysis (93271) range across 2 matching MRF lines |
$440–$464 | $550–$580 | varies |
| Echo Congenital Complete (93303) | $1,336 | $1,670 | 2.2× |
| Echo Heart Xthoracic,Limited (93308) | $848 | $1,060 | 3.2× |
| Echo r-t 2d w/probe placement only (93313) | $896 | $1,120 | 1.5× |
| Echo transesophageal (93312) | $1,400 | $1,750 | 2.3× |
| Eeg 41-60 Minutes (95812) | $1,392 | $1,740 | 5.8× |
| EEG awake and asleep (95819) | $1,496 | $1,870 | 6.2× |
| EEG awake drowsy (95816) | $1,320 | $1,650 | 5.5× |
| EEG cont rec w/video by tech min 8 channels (95700) | $840 | $1,050 | 3.5× |
| EEG extended monitoring 61-119 minutes (95813) | $1,312 | $1,640 | 5.5× |
| Eeg Sleep Only (95822) | $1,152 | $1,440 | 4.8× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $864 | $1,080 | 3.6× |
| EEG w/o vid 2-12hr cont mntr (95707) | $936 | $1,170 | 3.9× |
| EEG w/o vid ea 12-26hr intmt (95709) | $1,704 | $2,130 | 4.1× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $1,792 | $2,240 | 4.3× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $936 | $1,170 | 3.9× |
| EEG wo vid ea 12-26hr unmntr (95708) | $2,112 | $2,640 | 5.1× |
| Electrical Stimulation Ea 15 Min (97032) | $56.80 | $71 | 3.9× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$20–$160 | $25–$200 | varies |
| Electrophysiology Evaluation (93642) | $1,744 | $2,180 | 1.3× |
| Emergency Dept Visit Level 2 (99282) | $472 | $590 | 2.8× |
| Emergency Dept Visit Level 3 (99283) | $960 | $1,200 | 3.2× |
| Emergency Dept Visit Level 4 (99284) | $1,600 | $2,000 | 3.4× |
| Emg 4 Extremities (95864) | $592 | $740 | 4.1× |
| Ep & ablate supravent arrhyt (93653) | $40,000 | $50,000 | 1.4× |
| Ep & ablate ventric tachy (93654) | $40,000 | $50,000 | 1.4× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $7,168 | $8,960 | 0.8× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $7,168 | $8,960 | 0.8× |
| Ep Esophageal Recording Atria+Pacing (93616) | $1,584 | $1,980 | 1.2× |
| Er level 1 (99281) range across 4 matching MRF lines |
$112–$344 | $140–$430 | varies |
| Er level v (99285) | $2,160 | $2,700 | 3.3× |
| Esoph Atrial Electrogram (93615) | $1,584 | $1,980 | 1.2× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$168–$208 | $210–$260 | varies |
| Evaluate Speech Production (92522) | $104 | $130 | 0.9× |
| Evaluate Swallowing Function (92610) | $304 | $380 | 3.6× |
| Evaluation of speech fluency (92521) | $136 | $170 | 1.0× |
| Evoked Auditory Test,Limited (92587) | $704 | $880 | 2.9× |
| Exhaled Air Analysis O2 (94680) | $136 | $170 | 1.0× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$37.60–$328 | $47–$410 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) range across 2 matching MRF lines |
$536–$728 | $670–$910 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$37.60–$344 | $47–$430 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) range across 2 matching MRF lines |
$584–$768 | $730–$960 | varies |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$112–$416 | $140–$520 | varies |
| Extracranial Bilat Study (93880) | $1,048 | $1,310 | 4.0× |
| Extracranial Uni/Ltd Study (93882) | $624 | $780 | 5.4× |
| Flexible endoscopic eval swallow c/v rec (92612) | $264 | $330 | 1.3× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $968 | $1,210 | 4.0× |
| Group Therapeutic Procedures (97150) | $48.80 | $61 | 2.7× |
| Health Behavior Assessment/Re-Assessment (96156) | $49.60 | $62 | 0.4× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $36.80 | $46 | 0.9× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $4.80 | $6 | 0.1× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $33.60 | $42 | 0.2× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $9,424 | $11,780 | 2.6× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,352 | $1,690 | 1.8× |
| High altitude simulation test (94452) | $168 | $210 | 1.1× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $248 | $310 | 1.7× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$58.40–$552 | $73–$690 | varies |
| Icd Device Interrogate (93289) | $117.60 | $147 | 2.8× |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$96–$139.20 | $120–$174 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$76–$148.80 | $95–$186 | varies |
| Icm Device Eval (93290) | $104.80 | $131 | 2.5× |
| Ilr Device Eval Progr (93285) | $113.60 | $142 | 2.7× |
| Ilr Device Interrogate (93291) | $104 | $130 | 3.2× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $50.40 | $63 | 0.6× |
| Immunization administration (90471) range across 7 matching MRF lines |
$22.40–$144 | $28–$180 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $1,320 | $1,650 | 3.2× |
| Insert/Place Heart Catheter (93503) | $1,792 | $2,240 | 1.0× |
| Interrogate Subq Defib (93261) | $111.20 | $139 | 2.7× |
| Intra-atrial recording (93602) | $6,992 | $8,740 | 0.8× |
| Iontophoresis 15 min (97033) | $88 | $110 | 4.6× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$73.60–$112 | $92–$140 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$36.80–$64 | $46–$80 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$96–$232 | $120–$290 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $76 | $95 | 0.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$59.20–$76 | $74–$95 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$112–$288 | $140–$360 | varies |
| L Hrt Art/Grft Angio (93459) | $8,576 | $10,720 | 2.4× |
| Liver Elastography W/O Imag W/I&R (91200) | $56 | $70 | 0.4× |
| Low frequency non-thermal us (97610) | $192 | $240 | 0.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $840 | $1,050 | 3.5× |
| Mechanical chest wall oscillation per session (94669) | $240 | $300 | 1.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$16–$59.20 | $20–$74 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$19.20–$59.20 | $24–$74 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $24 | $30 | 1.4× |
| Methacholine challenge (94070) | $544 | $680 | 1.3× |
| Motion Fluoroscopy/Swallow (92611) | $304 | $380 | 3.3× |
| Multiple Sleep Latency Test (95805) | $2,568 | $3,210 | 2.7× |
| Muscle Test 2 Limbs (95861) | $344 | $430 | 2.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $592 | $740 | 1.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $600 | $750 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$19.20–$288 | $24–$360 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $440 | $550 | 1.0× |
| Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$49.60–$288 | $62–$360 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $280 | $350 | 2.0× |
| Neuromuscular Reeducation (97112) | $80 | $100 | 2.4× |
| Newborn resuscitation (99465) | $824 | $1,030 | 1.1× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $42.40 | $53 | 1.7× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $67.20 | $84 | 1.9× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $23.20 | $29 | 1.7× |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 2 matching MRF lines |
$67.20–$320 | $84–$400 | varies |
| Oral Function Therapy (92526) | $200 | $250 | 2.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $96 | $120 | 1.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $96 | $120 | 2.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $14.40 | $18 | 0.6× |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$20.80–$72 | $26–$90 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$27.20–$56 | $34–$70 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) | $33.60 | $42 | 1.4× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $40 | $50 | 1.7× |
| Ot Contrast Bath Ea 15 Min (97034) | $73.60 | $92 | 5.2× |
| Ot eval high complexity (97167) | $248 | $310 | 2.5× |
| Ot Eval Low Complex (97165) | $248 | $310 | 2.5× |
| Ot Eval Moderate Complexity (97166) | $248 | $310 | 2.5× |
| Ot manual therapy 15 min (97140) | $73.60 | $92 | 2.7× |
| Ot paraffin bath (97018) | $48.80 | $61 | 8.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $96 | $120 | 2.4× |
| Ot Re-Eval Est Plan Care (97168) | $112 | $140 | 1.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $160 | $200 | 1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $152 | $190 | 1.1× |
| Oxygen Uptake Rest Indirect (94690) | $56 | $70 | 0.9× |
| Patient-initiated spirometric recording (94015) | $80 | $100 | 0.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $208 | $260 | 0.9× |
| Perq Transcath Cls Aortic (93591) | $23,496 | $29,370 | 1.2× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $7,632 | $9,540 | 1.2× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $12,696 | $15,870 | 1.0× |
| Phlebotomy therapeutic (99195) | $160 | $200 | 1.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $120 | $150 | 1.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $88 | $110 | 1.3× |
| Physical Performance Test (97750) | $80 | $100 | 2.4× |
| Plethysmography (94726) | $320 | $400 | 0.8× |
| Pm device eval in person (93288) | $116 | $145 | 2.8× |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$42.40–$140 | $53–$175 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$76–$137.60 | $95–$172 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$67.20–$119.20 | $84–$149 | varies |
| Pm/Icd Remote Tech Serv (93296) | $71.20 | $89 | 1.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,584 | $5,730 | 4.8× |
| Polysom <6 yrs 4/> paramtrs (95782) | $4,304 | $5,380 | 4.5× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $5,080 | $6,350 | 5.3× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $111.20 | $139 | 2.7× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$76–$127.20 | $95–$159 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $26.40 | $33 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $31.20 | $39 | 0.6× |
| Prq Card Angio/Athrect 1 Art (92924) | $12,256 | $15,320 | 1.0× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $14,480 | $18,100 | 1.1× |
| Prq Card Stent/Ath/Angio (92933) | $19,848 | $24,810 | 1.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $13,224 | $16,530 | 1.0× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$100.80–$248 | $126–$310 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$89.60–$192 | $112–$240 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $272 | $340 | 1.1× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $88 | $110 | 2.7× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $248 | $310 | 0.5× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 2 matching MRF lines |
$24–$112 | $30–$140 | varies |
| Pt Eval High Complex (97163) | $248 | $310 | 2.5× |
| Pt eval low complex 20 min (97161) | $248 | $310 | 2.5× |
| Pt Eval Mod Complex (97162) | $248 | $310 | 2.5× |
| Pt gait training 15 min (97116) | $73.60 | $92 | 2.5× |
| Pt group caregiver training (97552) | $51.20 | $64 | 2.3× |
| Pt mechanical traction (97012) | $56.80 | $71 | 4.0× |
| Pt Re-Eval Est Plan Care (97164) | $144 | $180 | 2.1× |
| Pulm function test by gas (94727) | $152 | $190 | 0.6× |
| Pulmonary Stress Testing (94618) | $224 | $280 | 1.5× |
| Pure Tone Audiometry Air (92552) | $96 | $120 | 0.6× |
| R Hrt Art/Grft Angio (93457) | $12,256 | $15,320 | 3.4× |
| R hrt coronary artery angio (93456) | $12,256 | $15,320 | 3.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $8,392 | $10,490 | 2.3× |
| Refill/Maint Portable Pump (96521) | $432 | $540 | 1.8× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$26.40–$360 | $33–$450 | varies |
| Respiratory flow volume loop (94375) | $280 | $350 | 1.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$18.40–$216 | $23–$270 | varies |
| Right Heart Cath (93451) | $4,880 | $6,100 | 1.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$24–$216 | $30–$270 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $296 | $370 | 2.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $168 | $210 | 3.5× |
| Self Care Mngment Training (97535) | $80 | $100 | 2.5× |
| Self-meas bp pt educaj/traing & dev calibration (99473) range across 2 matching MRF lines |
$6.40–$32.80 | $8–$41 | varies |
| Sensory Integration Ea 15 Min (97533) | $80 | $100 | 1.3× |
| Short-latency somatosens ep std upr limbs (95925) | $888 | $1,110 | 3.7× |
| Sleep study attended (95807) | $1,848 | $2,310 | 4.5× |
| Sleep study unattended (95806) | $640 | $800 | 2.7× |
| Slp caregiver training 1st 30 min (97550) | $120 | $150 | 2.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $672 | $840 | 2.8× |
| Somatosensory Testing (95938) | $1,384 | $1,730 | 1.4× |
| Speech sound lang comprehen (92523) | $304 | $380 | 1.3× |
| Spirometry (94010) range across 3 matching MRF lines |
$48–$224 | $60–$280 | varies |
| Ssep lower limbs (95926) | $888 | $1,110 | 3.7× |
| Standardized Cognitive Performance Testing (96125) | $256 | $320 | 2.5× |
| Stress Tte Only (93350) | $1,400 | $1,750 | 2.3× |
| Subcutaneous Infusion Each Additional Hour (96370) | $64 | $80 | 1.2× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $232 | $290 | 1.0× |
| Subq Infusion Additional Pump Infusion Site (96371) | $64 | $80 | 0.8× |
| Surfactant Admin Thru Tube (94610) | $272 | $340 | 1.1× |
| Temp transcutaneous pacing (92953) | $1,488 | $1,860 | 2.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $56.80 | $71 | 2.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $56 | $70 | 2.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $88 | $110 | 2.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $73.60 | $92 | 2.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $224 | $280 | 2.2× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $296 | $370 | 5.7× |
| Ther/Proph/Diag Inj Ia (96373) | $264 | $330 | 1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$40.80–$80 | $51–$100 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$184–$232 | $230–$290 | varies |
| Therapeutic Activities (97530) | $88 | $110 | 2.5× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$223.20–$1,224 | $279–$1,530 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$13.60–$48.80 | $17–$61 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$7.20–$29.60 | $9–$37 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $504 | $630 | 3.4× |
| Trans Care Mgmt 7 Day Disch (99496) | $688 | $860 | 4.6× |
| Transcath Closure of Asd (93580) | $26,672 | $33,340 | 1.3× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $496 | $620 | 4.3× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $100 | $125 | 2.4× |
| Tte w/doppler, complete (93306) | $2,000 | $2,500 | 3.3× |
| Tx atrial fib pulm vein isol (93656) | $40,000 | $50,000 | 1.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $216 | $270 | 2.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$44.80–$120 | $56–$150 | varies |
| Tympanometry (92567) | $8.80 | $11 | 0.2× |
| Unlis neurological/neuromuscular dx px (95999) | $360 | $450 | 2.5× |
| Unlisted cardiovascular service/procedure (93799) | $672 | $840 | 4.7× |
| Unlisted noninvasive vascular diagnostic study (93998) | $78.40 | $98 | 2.4× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$160–$512 | $200–$640 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$244.80–$536 | $306–$670 | varies |
| Valvuloplasty aortic valve (92986) | $7,488 | $9,360 | 1.2× |
| Valvuloplasty mitral valve (92987) | $13,760 | $17,200 | 1.1× |
| Valvuloplasty pulmonary valve (92990) | $13,360 | $16,700 | 1.0× |
| Vasopneumatic device (97016) | $48.80 | $61 | 4.1× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,792 | $2,240 | 4.3× |
| Veeg 2-12 hr intmt mntr (95712) | $936 | $1,170 | 2.3× |
| Veeg 2-12 hr unmonitored (95711) | $1,136 | $1,420 | 4.7× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,504 | $1,880 | 3.6× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,144 | $2,680 | 5.2× |
| Veeg ea 12-26hr cont mntr (95716) | $3,128 | $3,910 | 3.3× |
| Vent Mgmt Inpat Init Day (94002) | $1,504 | $1,880 | 2.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,224 | $1,530 | 1.8× |
| Visual Evoked Potential Test (95930) | $792 | $990 | 3.3× |
| Vital capacity, total (94150) | $51.20 | $64 | 0.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $73.60 | $92 | 2.4× |
| Whirlpool Therapy (97022) | $120 | $150 | 7.6× |
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.