Visits & medical services prices at Sanford Bemidji Medical Center
Bemidji, MN · every code in this section with a posted price and a Medicare benchmark.
259 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) | $13,548 | $16,935 | 1.7× |
| Actigraphy Testing Recording Analysis I&R (95803) | $135.20 | $169 | 2.2× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $71.20 | $89 | 1.7× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $360.80 | $451 | 1.6× |
| Aep neurodiagnostic i&r (92653) | $613.60 | $767 | 2.8× |
| Aep threshold estimation mlt frequencies i&r (92652) | $613.60 | $767 | 2.8× |
| Airway Inhalation Treatment (94640) | $168 | $210 | 0.7× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $291.20 | $364 | 2.1× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $306.40 | $383 | 2.2× |
| Analyze neurostim no prog (95970) | $300 | $375 | 2.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $98.40 | $123 | 6.9× |
| Application on-body injector (96377) range across 2 matching MRF lines |
$63.20–$131.20 | $79–$164 | varies |
| Assessment of aphasia per hr (96105) | $351.20 | $439 | 3.6× |
| Basic vestibular evaluation (92540) | $336 | $420 | 1.5× |
| Behavral qualit analys voice (92524) | $376 | $470 | 3.4× |
| Biofeedback training any modality (90901) | $264.80 | $331 | 6.4× |
| Blink reflex test (95933) | $357.60 | $447 | 5.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $646.40 | $808 | 1.7× |
| Caloric Vstblr Test W/Rec (92537) | $472 | $590 | 3.6× |
| Canalith repositioning proc (95992) | $146.40 | $183 | 3.6× |
| Car seat/bed test 60 min (94780) | $70.40 | $88 | 1.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,175.20 | $1,469 | 5.3× |
| Cardiopulmonary resuscitation (92950) | $1,010.40 | $1,263 | 4.5× |
| Cardioversion (92960) | $1,792 | $2,240 | 2.6× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $70.40 | $88 | 2.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $19,350.40 | $24,188 | 5.8× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $15,952 | $19,940 | 4.8× |
| Cbt 1st hour (94644) | $260 | $325 | 1.9× |
| Chemo Admin Peritoneal Cavity (96446) | $714.40 | $893 | 2.1× |
| Chemo Anti-Neopl Sq/Im (96401) | $182.40 | $228 | 2.5× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$121.60–$225.60 | $152–$282 | varies |
| Chemo IV infusion addl hr (96415) | $95.20 | $119 | 1.3× |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$186.40–$326.40 | $233–$408 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $436 | $545 | 1.3× |
| Chemotherapy Into Cns (96450) | $1,004 | $1,255 | 2.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $218.40 | $273 | 2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $443.20 | $554 | 1.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $251.20 | $314 | 0.7× |
| Chest Wall Manipulation (94668) | $88.80 | $111 | 0.6× |
| Color/duplex Doppler, complete (93975) | $1,232 | $1,540 | 5.0× |
| Color/duplex Doppler, limited (93976) | $853.60 | $1,067 | 7.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$102.40–$120.80 | $128–$151 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $487.20 | $609 | 3.5× |
| Continuous Pulse Ox (94762) | $341.60 | $427 | 2.6× |
| Coronary Art/Grft Angio S&I (93455) | $13,275.20 | $16,594 | 4.0× |
| Coronary Artery Angio S&I (93454) | $11,734.40 | $14,668 | 3.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 9 matching MRF lines |
$458.40–$663.20 | $573–$829 | varies |
| Cpt initial (94667) | $100.80 | $126 | 0.7× |
| Critical care first hour (99291) | $2,949.60 | $3,687 | 3.5× |
| Debridement Open Wound 20 Sq Cm< (97597) | $360.80 | $451 | 1.7× |
| Dialysis One Evaluation (90945) | $920 | $1,150 | 2.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,022.40 | $1,278 | 4.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $567.20 | $709 | 5.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,088 | $1,360 | 4.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$553.60–$676.80 | $692–$846 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,243.20 | $1,554 | 5.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $878.40 | $1,098 | 8.1× |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$630.40–$659.20 | $788–$824 | varies |
| Duplex up extrem art bilat (93930) | $809.60 | $1,012 | 3.3× |
| Duplex up extrem art unilat/ltd (93931) | $508 | $635 | 4.7× |
| Echo Congenital Complete (93303) | $1,712 | $2,140 | 3.0× |
| Echo Heart Xthoracic,Limited (93308) | $992 | $1,240 | 4.0× |
| Echo r-t 2d w/probe placement only (93313) | $1,844.80 | $2,306 | 3.3× |
| Echo transesophageal (93312) | $2,648.80 | $3,311 | 4.7× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $2,579.20 | $3,224 | 4.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,421.60 | $3,027 | 4.3× |
| Eeg 41-60 Minutes (95812) | $1,218.40 | $1,523 | 5.5× |
| EEG awake and asleep (95819) | $918.40 | $1,148 | 4.1× |
| EEG awake drowsy (95816) | $899.20 | $1,124 | 4.0× |
| EEG cerebral death evaluation (95824) | $1,183.20 | $1,479 | 3.1× |
| EEG extended monitoring 61-119 minutes (95813) | $1,527.20 | $1,909 | 6.9× |
| EEG w/o vid 2-12hr cont mntr (95707) | $876.80 | $1,096 | 3.9× |
| Electrical Stimulation Ea 15 Min (97032) | $132.80 | $166 | 9.0× |
| Electrocardiogram Tracing (93005) | $260.80 | $326 | 4.3× |
| Emergency Dept Visit Level 2 (99282) | $501.60 | $627 | 3.2× |
| Emergency Dept Visit Level 3 (99283) | $888 | $1,110 | 3.2× |
| Emergency Dept Visit Level 4 (99284) | $1,411.20 | $1,764 | 3.3× |
| Emg 3 Extremities (95863) | $676 | $845 | 5.1× |
| Emg 4 Extremities (95864) | $852 | $1,065 | 6.4× |
| Ep & ablate supravent arrhyt (93653) | $42,019.20 | $52,524 | 1.6× |
| Ep & ablate ventric tachy (93654) | $46,756 | $58,445 | 1.7× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $18,872 | $23,590 | 2.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $14,220.80 | $17,776 | 1.8× |
| Er level 1 (99281) | $315.20 | $394 | 3.6× |
| Er level v (99285) | $2,052.80 | $2,566 | 3.3× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $373.60 | $467 | 2.8× |
| Evaluate pt use of inhaler (94664) range across 4 matching MRF lines |
$115.20–$204.80 | $144–$256 | varies |
| Evaluate Speech Production (92522) | $354.40 | $443 | 3.2× |
| Evaluate Swallowing Function (92610) | $340.80 | $426 | 4.0× |
| Evaluation of speech fluency (92521) | $370.40 | $463 | 2.8× |
| External ECG rec>48hr<7d recording (93242) | $412 | $515 | 10.7× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $421.60 | $527 | 3.1× |
| External ECG rec>7d<15d recording (93246) | $432.80 | $541 | 11.2× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $426.40 | $533 | 3.1× |
| Extracranial Bilat Study (93880) | $1,036 | $1,295 | 4.2× |
| Extracranial Uni/Ltd Study (93882) | $632 | $790 | 5.9× |
| Eye exam w anesth; complete (92018) | $44.80 | $56 | 0.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,276.80 | $1,596 | 2.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $424 | $530 | 0.5× |
| Gi tract capsule endoscopy (91110) | $2,599.20 | $3,249 | 2.8× |
| Group Therapeutic Procedures (97150) | $78.40 | $98 | 4.3× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $24,120.80 | $30,151 | 7.2× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,652 | $2,065 | 2.3× |
| Holter monitor recording (93225) | $552 | $690 | 4.0× |
| Icd Device Interrogate (93289) | $150.40 | $188 | 3.9× |
| Icd device progr eval dual (93283) | $256.80 | $321 | 6.7× |
| Icd Device Progr Eval Mult (93284) | $196.80 | $246 | 5.1× |
| Icm Device Eval (93290) | $128.80 | $161 | 3.3× |
| Ilr Device Eval Progr (93285) | $131.20 | $164 | 3.4× |
| Ilr Device Interrogate (93291) | $172 | $215 | 5.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $67.20 | $84 | 0.9× |
| Immunization administration (90471) range across 12 matching MRF lines |
$15.75–$96.80 | $19.68–$121 | varies |
| Insert/Place Heart Catheter (93503) | $3,674.40 | $4,593 | 2.3× |
| Interrogate Subq Defib (93261) | $108 | $135 | 2.8× |
| Interrogation eval in person wr defibrillator (93292) | $144.80 | $181 | 3.8× |
| Intra-atrial pacing (93610) | $7,796.80 | $9,746 | 1.0× |
| Iontophoresis 15 min (97033) | $144 | $180 | 7.6× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$85.60–$170.40 | $107–$213 | varies |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$42.40–$160 | $53–$200 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$116.80–$541.60 | $146–$677 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$97.60–$248 | $122–$310 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 5 matching MRF lines |
$40–$175.20 | $50–$219 | varies |
| IV push initial (96374) range across 5 matching MRF lines |
$20–$340 | $25–$425 | varies |
| L Hrt Art/Grft Angio (93459) | $19,779.20 | $24,724 | 5.9× |
| Liver Elastography W/O Imag W/I&R (91200) | $379.20 | $474 | 2.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $691.20 | $864 | 3.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $54.40 | $68 | 1.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $57.60 | $72 | 1.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $68 | $85 | 4.0× |
| Methacholine challenge (94070) | $612 | $765 | 1.6× |
| Motility study esophagus (91010) | $417.60 | $522 | 1.1× |
| Motion Fluoroscopy/Swallow (92611) | $342.40 | $428 | 3.7× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$1,381.60–$2,538.40 | $1,727–$3,173 | varies |
| Muscle Test 2 Limbs (95861) | $632.80 | $791 | 4.6× |
| Muscle Test Hemidiaphragm (95866) | $386.40 | $483 | 2.9× |
| Muscle Test Nonparaspinal (95870) | $296 | $370 | 2.2× |
| Muscle Test One Limb (95860) | $400.80 | $501 | 2.9× |
| Nasopharyngoscopy (92511) | $374.40 | $468 | 1.8× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $628 | $785 | 2.8× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $526.40 | $658 | 2.4× |
| Needle electromyography larynx (95865) | $1,288 | $1,610 | 9.4× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $388.80 | $486 | 1.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $597.60 | $747 | 1.4× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $808 | $1,010 | 1.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $176 | $220 | 0.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $340 | $425 | 0.8× |
| Nerve Conduction Studies 1-2 Studies (95907) | $355.20 | $444 | 1.6× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,248 | $1,560 | 3.2× |
| Nerve conduction studies 13 or more studies (95913) | $1,328 | $1,660 | 3.4× |
| Nerve Conduction Studies 3-4 Studies (95908) | $553.60 | $692 | 2.5× |
| Nerve conduction studies 5-6 studies (95909) | $716 | $895 | 3.2× |
| Nerve conduction studies 7-8 studies (95910) | $720.80 | $901 | 1.9× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,047.20 | $1,309 | 2.7× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $410.40 | $513 | 3.1× |
| Neuromuscular Reeducation (97112) | $132.80 | $166 | 4.1× |
| Nitric oxide expired gas determination (95012) | $152.80 | $191 | 4.0× |
| Oral Function Therapy (92526) | $287.20 | $359 | 3.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $134.40 | $168 | 2.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $134.40 | $168 | 2.9× |
| Ot eval high complexity (97167) | $303.20 | $379 | 3.0× |
| Ot Eval Low Complex (97165) | $268.80 | $336 | 2.7× |
| Ot Eval Moderate Complexity (97166) | $289.60 | $362 | 2.9× |
| Ot manual therapy 15 min (97140) | $132.80 | $166 | 4.8× |
| Ot paraffin bath (97018) | $84.80 | $106 | 14.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $123.20 | $154 | 3.0× |
| Ot Re-Eval Est Plan Care (97168) | $154.40 | $193 | 2.3× |
| Ot rom hand (95852) | $70.40 | $88 | 3.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $319.20 | $399 | 2.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $294.40 | $368 | 2.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $288.80 | $361 | 1.3× |
| Peripheral arterial disease rehab per session (93668) | $143.20 | $179 | 2.4× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $21,600 | $27,000 | 1.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $13,866.40 | $17,333 | 2.4× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $19,342.40 | $24,178 | 1.6× |
| Phlebotomy therapeutic (99195) | $261.60 | $327 | 1.9× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $165.60 | $207 | 2.7× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $165.60 | $207 | 2.7× |
| Physical Performance Test (97750) | $92 | $115 | 2.7× |
| Plethysmography (94726) | $556.80 | $696 | 1.4× |
| Pm device eval in person (93288) | $152.80 | $191 | 4.0× |
| Pm device progr eval dual (93280) | $154.40 | $193 | 4.0× |
| Pm device progr eval multi (93281) | $222.40 | $278 | 5.8× |
| Pm Device Progr Eval Sngl (93279) | $192 | $240 | 5.0× |
| Pm/Icd Remote Tech Serv (93296) | $156 | $195 | 4.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$3,944.80–$4,699.20 | $4,931–$5,874 | varies |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $138.40 | $173 | 3.6× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $232 | $290 | 6.0× |
| Prq Card Angio/Athrect 1 Art (92924) | $21,934.40 | $27,418 | 1.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $17,416.80 | $21,771 | 1.5× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $20,723.20 | $25,904 | 1.7× |
| Psych diag eval w/med srvcs (90792) | $324 | $405 | 1.8× |
| Pt Eval High Complex (97163) | $340.80 | $426 | 3.5× |
| Pt eval low complex 20 min (97161) | $268.80 | $336 | 2.7× |
| Pt Eval Mod Complex (97162) | $304 | $380 | 3.1× |
| Pt gait training 15 min (97116) | $116 | $145 | 4.0× |
| Pt group caregiver training (97552) | $59.20 | $74 | 2.7× |
| Pt mechanical traction (97012) | $119.20 | $149 | 8.3× |
| Pt Re-Eval Est Plan Care (97164) | $154.40 | $193 | 2.3× |
| Pulm function test by gas (94727) | $526.40 | $658 | 2.4× |
| Pulmonary service/procedure (94799) | $122.40 | $153 | 0.9× |
| Pulmonary Stress Testing (94618) | $264.80 | $331 | 1.9× |
| R Hrt Art/Grft Angio (93457) | $17,324.80 | $21,656 | 5.2× |
| R hrt coronary artery angio (93456) | $14,715.20 | $18,394 | 4.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $15,120.80 | $18,901 | 4.5× |
| Refill/Maint Portable Pump (96521) | $339.20 | $424 | 1.5× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $151.20 | $189 | 3.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $197.60 | $247 | 5.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $196.80 | $246 | 3.2× |
| Right Heart Cath (93451) | $7,724 | $9,655 | 2.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $336.80 | $421 | 1.6× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $84.80 | $106 | 3.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $440 | $550 | 3.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $207.20 | $259 | 4.3× |
| Self Care Mngment Training (97535) | $132.80 | $166 | 4.1× |
| Sensory Integration Ea 15 Min (97533) | $124.80 | $156 | 2.1× |
| Short-latency somatosens ep std upr limbs (95925) | $1,141.60 | $1,427 | 5.1× |
| Sleep study unattended (95806) | $708 | $885 | 3.2× |
| Slp caregiver training 1st 30 min (97550) | $140.80 | $176 | 2.7× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $660.80 | $826 | 3.0× |
| Speech sound lang comprehen (92523) | $471.20 | $589 | 2.1× |
| Spin/Brain Pump Refil & Main (95991) | $502.40 | $628 | 1.6× |
| Spirometry (94010) | $312 | $390 | 1.4× |
| Ssep lower limbs (95926) | $1,276 | $1,595 | 5.7× |
| Standardized Cognitive Performance Testing (96125) | $309.60 | $387 | 3.0× |
| Stress Tte Only (93350) | $2,121.60 | $2,652 | 3.8× |
| Surfactant Admin Thru Tube (94610) | $265.60 | $332 | 1.2× |
| Temp transcutaneous pacing (92953) | $738.40 | $923 | 1.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $138.40 | $173 | 6.2× |
| Ther Ivntj Ea Addl 15 Min (97130) | $124 | $155 | 5.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $136.80 | $171 | 3.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $98.40 | $123 | 3.3× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $315.20 | $394 | 3.1× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $126.40 | $158 | 2.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$20–$144 | $25–$180 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 6 matching MRF lines |
$40–$620 | $50–$775 | varies |
| Therapeutic Activities (97530) | $132.80 | $166 | 3.8× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,943.20 | $2,429 | 5.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $60 | $75 | 1.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $48 | $60 | 1.2× |
| Transcath Closure of Asd (93580) | $19,500.80 | $24,376 | 1.0× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $160.80 | $201 | 4.2× |
| Tte w/doppler, complete (93306) | $2,280 | $2,850 | 4.0× |
| Tte W/O Doppler Complete (93307) | $1,427.20 | $1,784 | 5.8× |
| Tx atrial fib pulm vein isol (93656) | $49,375.20 | $61,719 | 1.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $306.40 | $383 | 4.0× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $140 | $175 | 5.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 6 matching MRF lines |
$20–$216.80 | $25–$271 | varies |
| Unlis neurological/neuromuscular dx px (95999) | $804.80 | $1,006 | 6.1× |
| Unlisted cardiovascular service/procedure (93799) range across 7 matching MRF lines |
$716–$2,545.60 | $895–$3,182 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) range across 2 matching MRF lines |
$777.60–$1,432 | $972–$1,790 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$497.60–$761.60 | $622–$952 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $849.60 | $1,062 | 3.8× |
| Vasopneumatic device (97016) | $117.60 | $147 | 9.8× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,980.80 | $2,476 | 5.1× |
| Vent Mgmt Inpat Init Day (94002) | $1,037.60 | $1,297 | 1.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 4 matching MRF lines |
$706.40–$1,047.20 | $883–$1,309 | varies |
| Visual Evoked Potential Test (95930) | $964.80 | $1,206 | 4.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $134.40 | $168 | 4.3× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$61.60–$118.40 | $77–$148 | varies |
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.