Visits & medical services prices at Sanford USD Medical Center
Sioux Falls, SD · every code in this section with a posted price and a Medicare benchmark.
318 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) | $15,506.40 | $19,383 | 1.9× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $100 | $125 | 0.8× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $71.20 | $89 | 1.7× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $356.80 | $446 | 1.6× |
| Aep neurodiagnostic i&r (92653) | $551.20 | $689 | 2.5× |
| Aep threshold estimation mlt frequencies i&r (92652) | $564.80 | $706 | 2.6× |
| Airway Inhalation Treatment (94640) range across 15 matching MRF lines |
$252–$788 | $315–$985 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $66.40 | $83 | 1.7× |
| Analyze Pacemaker System (93724) | $1,052 | $1,315 | 3.4× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $171.20 | $214 | 0.8× |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $1,755.20 | $2,194 | 4.6× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $68.80 | $86 | 1.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$126.40–$129.60 | $158–$162 | varies |
| Application Modality 1/> Areas Infrared (97026) | $101.60 | $127 | 15.2× |
| Application on-body injector (96377) | $145.60 | $182 | 3.0× |
| Arrhythmia Induction (93618) | $2,176 | $2,720 | 1.7× |
| Assessment of aphasia per hr (96105) | $387.20 | $484 | 4.0× |
| Audiometry Air & Bone (92553) | $200 | $250 | 1.5× |
| Behavral qualit analys voice (92524) | $395.20 | $494 | 3.6× |
| Biofeedback training any modality (90901) | $192 | $240 | 4.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $696 | $870 | 1.8× |
| Bundle of his recording (93600) | $6,063.20 | $7,579 | 0.8× |
| C motor evoked uppr limbs (95928) | $1,591.20 | $1,989 | 1.8× |
| C motor evoked upr&lwr limbs (95939) | $3,635.20 | $4,544 | 4.1× |
| Canalith repositioning proc (95992) | $184.80 | $231 | 4.5× |
| Car seat/bed test 60 min (94780) | $72.80 | $91 | 1.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,515.20 | $1,894 | 6.9× |
| Cardiopulmonary exercise testing (94621) | $1,609.60 | $2,012 | 4.2× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$1,033.60–$1,329.60 | $1,292–$1,662 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$1,073.60–$1,798.40 | $1,342–$2,248 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $61.60 | $77 | 2.4× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $16,838.40 | $21,048 | 5.1× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $15,510.40 | $19,388 | 4.7× |
| Cbt 1st hour (94644) | $503.20 | $629 | 3.7× |
| Chemo Admin Peritoneal Cavity (96446) | $1,022.40 | $1,278 | 3.0× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$319.20–$328.80 | $399–$411 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $376 | $470 | 5.1× |
| Chemo Ia Push (96420) | $683.20 | $854 | 2.0× |
| Chemo Intralesional Over 7 (96406) | $423.20 | $529 | 1.9× |
| Chemo intralesional up to 7 (96405) | $268.80 | $336 | 3.7× |
| Chemo IV infusion addl hr (96415) | $393.60 | $492 | 5.4× |
| Chemo IV push addl drug (96411) | $363.20 | $454 | 4.9× |
| Chemother Prolong Infuse W/Pump (96416) | $887.20 | $1,109 | 2.6× |
| Chemotherapy Into Cns (96450) | $981.60 | $1,227 | 2.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $426.40 | $533 | 5.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $768 | $960 | 2.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $496.80 | $621 | 1.5× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $512.80 | $641 | 1.5× |
| Chest Wall Manipulation (94668) | $160 | $200 | 1.2× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) range across 4 matching MRF lines |
$219.20–$2,152.80 | $274–$2,691 | varies |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$1,197.60–$1,601.60 | $1,497–$2,002 | varies |
| Color/duplex Doppler, limited (93976) | $871.20 | $1,089 | 8.2× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 3 matching MRF lines |
$116–$155.20 | $145–$194 | varies |
| Comprehensive Hearing Test (92557) | $200.80 | $251 | 1.5× |
| Conditioning Play Audiometry (92582) | $345.60 | $432 | 2.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $273.60 | $342 | 2.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $196 | $245 | 3.3× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$408.80–$964.80 | $511–$1,206 | varies |
| Coronary Art/Grft Angio S&I (93455) | $13,225.60 | $16,532 | 4.0× |
| Coronary Artery Angio S&I (93454) | $12,465.60 | $15,582 | 3.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 6 matching MRF lines |
$651.20–$1,095.20 | $814–$1,369 | varies |
| Cpt initial (94667) | $314.40 | $393 | 2.3× |
| Critical care first hour (99291) | $2,793.60 | $3,492 | 3.3× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,617.60 | $2,022 | 4.2× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$459.20–$488 | $574–$610 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $412.80 | $516 | 3.1× |
| Dialysis One Evaluation (90945) | $1,328 | $1,660 | 3.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,301.60 | $1,627 | 5.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $857.60 | $1,072 | 8.0× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $822.40 | $1,028 | 7.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,427.20 | $1,784 | 5.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $943.20 | $1,179 | 8.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,436.80 | $1,796 | 5.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $980 | $1,225 | 9.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $860 | $1,075 | 3.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $556.80 | $696 | 5.2× |
| Duplex Scan Hemodialysis Access (93990) | $705.60 | $882 | 6.6× |
| Duplex up extrem art bilat (93930) | $1,427.20 | $1,784 | 5.9× |
| Duplex up extrem art unilat/ltd (93931) | $996.80 | $1,246 | 9.3× |
| Echo Congenital Complete (93303) | $2,374.40 | $2,968 | 4.3× |
| Echo Heart Xthoracic,Limited (93308) | $1,051.20 | $1,314 | 4.3× |
| Echo r-t 2d w/probe placement only (93313) | $1,963.20 | $2,454 | 3.5× |
| Echo transesophag congen probe plcmt only (93316) | $3,330.40 | $4,163 | 6.0× |
| Echo transesophag montr cardiac pump functj (93318) | $2,710.40 | $3,388 | 4.9× |
| Echo transesophageal (93312) | $3,366.40 | $4,208 | 6.0× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $3,330.40 | $4,163 | 6.0× |
| Eeg 41-60 Minutes (95812) | $1,280.80 | $1,601 | 5.8× |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$1,230.40–$1,258.40 | $1,538–$1,573 | varies |
| EEG awake drowsy (95816) | $1,140.80 | $1,426 | 5.2× |
| EEG cont rec w/video by tech min 8 channels (95700) | $1,429.60 | $1,787 | 6.5× |
| EEG extended monitoring 61-119 minutes (95813) | $1,682.40 | $2,103 | 7.6× |
| Eeg Sleep Only (95822) | $1,244.80 | $1,556 | 5.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,800.80 | $2,251 | 8.2× |
| EEG wo vid ea 12-26hr unmntr (95708) | $2,143.20 | $2,679 | 5.6× |
| EKG signal averaged (93278) | $653.60 | $817 | 10.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$120–$121.60 | $150–$152 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$270.40–$401.60 | $338–$502 | varies |
| Electroconvulsive Therapy (90870) | $1,535.20 | $1,919 | 1.7× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $9,225.60 | $11,532 | 1.2× |
| Electrophysiology Evaluation (93642) | $2,186.40 | $2,733 | 1.8× |
| Emergency Dept Visit Level 2 (99282) | $508 | $635 | 3.2× |
| Emergency Dept Visit Level 3 (99283) | $864.80 | $1,081 | 3.1× |
| Emergency Dept Visit Level 4 (99284) | $1,384 | $1,730 | 3.2× |
| Emg 3 Extremities (95863) | $340.80 | $426 | 2.6× |
| Emg 4 Extremities (95864) | $340.80 | $426 | 2.6× |
| Endomyocardial Biopsy (93505) | $5,232 | $6,540 | 1.6× |
| Ep & ablate supravent arrhyt (93653) | $36,257.60 | $45,322 | 1.4× |
| Ep & ablate ventric tachy (93654) | $38,628.80 | $48,286 | 1.4× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $16,280 | $20,350 | 2.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $12,380 | $15,475 | 1.6× |
| Ep Esophageal Recording Atria+Pacing (93616) | $2,032.80 | $2,541 | 1.6× |
| Er level 1 (99281) | $296 | $370 | 3.4× |
| Er level v (99285) | $2,037.60 | $2,547 | 3.3× |
| Esoph Atrial Electrogram (93615) | $2,413.60 | $3,017 | 1.9× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $1,657.60 | $2,072 | 4.3× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $2,640 | $3,300 | 6.9× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $386.40 | $483 | 2.9× |
| Evaluate pt use of inhaler (94664) range across 6 matching MRF lines |
$217.60–$283.20 | $272–$354 | varies |
| Evaluate Speech Production (92522) | $387.20 | $484 | 3.5× |
| Evaluate Swallowing Function (92610) | $380 | $475 | 4.5× |
| Evaluation of speech fluency (92521) | $387.20 | $484 | 2.9× |
| Evoked Auditory Test,Limited (92587) | $17.60 | $22 | 0.1× |
| External ECG rec>48hr<7d recording (93242) | $187.20 | $234 | 4.9× |
| External ECG rec>7d<15d recording (93246) | $233.60 | $292 | 6.1× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $406.40 | $508 | 3.0× |
| External Ecg Scanning Analysis Report (93226) | $1,255.20 | $1,569 | 20.8× |
| Extracranial Bilat Study (93880) | $1,284 | $1,605 | 5.3× |
| Extracranial Uni/Ltd Study (93882) | $920.80 | $1,151 | 8.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,621.60 | $2,027 | 2.9× |
| Flexible endoscopic eval swallow c/v rec (92612) | $471.20 | $589 | 2.4× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $2,619.20 | $3,274 | 6.9× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $2,723.20 | $3,404 | 3.1× |
| Gi tract capsule endoscopy (91110) | $2,714.40 | $3,393 | 2.9× |
| Group Therapeutic Procedures (97150) range across 5 matching MRF lines |
$114.40–$120.80 | $143–$151 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $17,024.80 | $21,281 | 5.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,652 | $2,065 | 2.4× |
| Holter monitor recording (93225) | $612 | $765 | 4.5× |
| Icd Device Interrogate (93289) | $1,548.80 | $1,936 | 40.6× |
| Icd device progr eval dual (93283) | $1,548.80 | $1,936 | 40.6× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $104 | $130 | 1.4× |
| Immunization administration (90471) range across 9 matching MRF lines |
$19.20–$128 | $24–$160 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $640 | $800 | 1.7× |
| Insert/Place Heart Catheter (93503) | $3,276 | $4,095 | 2.0× |
| Intra-atrial pacing (93610) | $6,196.80 | $7,746 | 0.8× |
| Intra-atrial recording (93602) | $6,436.80 | $8,046 | 0.8× |
| Intracranial Complete Study (93886) | $1,208.80 | $1,511 | 5.0× |
| Intraventricular pacing (93612) | $6,888.80 | $8,611 | 0.9× |
| Iontophoresis 15 min (97033) | $184 | $230 | 9.7× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$134.40–$144 | $168–$180 | varies |
| IV infusion hydration each additional hour (96361) | $203.20 | $254 | 4.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $490.40 | $613 | 2.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $292.80 | $366 | 4.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 6 matching MRF lines |
$40–$245.60 | $50–$307 | varies |
| IV push initial (96374) | $391.20 | $489 | 1.8× |
| L Hrt Art/Grft Angio (93459) | $16,795.20 | $20,994 | 5.1× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $8,334.40 | $10,418 | 2.5× |
| Laryngeal Function Studies (92520) | $387.20 | $484 | 2.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $976 | $1,220 | 4.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $57.60 | $72 | 1.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $50.40 | $63 | 1.4× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $49.60 | $62 | 2.9× |
| Methacholine challenge (94070) | $1,261.60 | $1,577 | 3.3× |
| Motility study esophagus (91010) | $1,911.20 | $2,389 | 5.0× |
| Motion Fluoroscopy/Swallow (92611) | $560 | $700 | 6.1× |
| Multiple Family Group Psychotherapy (90849) | $243.20 | $304 | 1.3× |
| Multiple Sleep Latency Test (95805) range across 3 matching MRF lines |
$2,228.80–$3,346.40 | $2,786–$4,183 | varies |
| Muscle Test 2 Limbs (95861) | $362.40 | $453 | 2.7× |
| Muscle Test Nonparaspinal (95870) | $183.20 | $229 | 1.3× |
| Muscle Test One Limb (95860) | $331.20 | $414 | 2.4× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$298.40–$400.80 | $373–$501 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $1,508.80 | $1,886 | 6.8× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $1,465.60 | $1,832 | 6.6× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $308.80 | $386 | 1.4× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $915.20 | $1,144 | 4.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$579.20–$719.20 | $724–$899 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $568 | $710 | 1.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $396 | $495 | 1.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $561.60 | $702 | 1.4× |
| Nerve Conduction Studies 9-10 Studies (95911) | $657.60 | $822 | 1.7× |
| Neurobehavioral Status Exam (96116) | $414.40 | $518 | 1.9× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $332.80 | $416 | 2.5× |
| Neuromuscular Reeducation (97112) | $128.80 | $161 | 3.9× |
| Nitric oxide expired gas determination (95012) | $149.60 | $187 | 3.9× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $51.20 | $64 | 2.0× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $76.80 | $96 | 2.2× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $25.60 | $32 | 1.9× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $400 | $500 | 1.0× |
| Oral Function Therapy (92526) | $279.20 | $349 | 3.3× |
| Oral Speech Device Eval (92597) | $514.40 | $643 | 7.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $128 | $160 | 2.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$180–$353.60 | $225–$442 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $87.20 | $109 | 6.2× |
| Ot eval high complexity (97167) | $375.20 | $469 | 3.7× |
| Ot Eval Low Complex (97165) | $279.20 | $349 | 2.8× |
| Ot Eval Moderate Complexity (97166) | $336.80 | $421 | 3.3× |
| Ot manual therapy 15 min (97140) | $133.60 | $167 | 4.8× |
| Ot paraffin bath (97018) | $98.40 | $123 | 16.4× |
| Ot Prosthetic Training, Each 15 Min (97761) | $122.40 | $153 | 3.0× |
| Ot Re-Eval Est Plan Care (97168) | $256 | $320 | 3.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$257.60–$321.60 | $322–$402 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $281.60 | $352 | 2.1× |
| Pediatric apnea monitor analyses computer (94776) | $487.20 | $609 | 3.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $351.20 | $439 | 1.6× |
| Peripheral arterial disease rehab per session (93668) | $136.80 | $171 | 2.3× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $28,000 | $35,000 | 1.5× |
| Perq transcath closure pda (93582) | $31,640 | $39,550 | 1.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $14,700 | $18,375 | 2.5× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$20,284–$27,701.60 | $25,355–$34,627 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$254.40–$256 | $318–$320 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $214.40 | $268 | 3.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $214.40 | $268 | 3.6× |
| Physical Performance Test (97750) range across 12 matching MRF lines |
$80–$2,068.80 | $100–$2,586 | varies |
| Plethysmography (94726) | $567.20 | $709 | 1.5× |
| Pm device eval in person (93288) | $136 | $170 | 3.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 5 matching MRF lines |
$2,054.40–$5,358.40 | $2,568–$6,698 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$3,700–$5,356.80 | $4,625–$6,696 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$3,412.80–$5,164 | $4,266–$6,455 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $1,548.80 | $1,936 | 40.6× |
| Prq Card Angio/Athrect 1 Art (92924) | $20,373.60 | $25,467 | 1.7× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $22,156.80 | $27,696 | 1.9× |
| Prq Card Stent/Ath/Angio (92933) | $24,996 | $31,245 | 1.3× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $25,937.60 | $32,422 | 2.2× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $22,568.80 | $28,211 | 1.2× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $14,953.60 | $18,692 | 1.3× |
| Psych diag eval w/med srvcs (90792) | $308 | $385 | 1.7× |
| Psychiatric diagnostic evaluation (90791) | $327.20 | $409 | 1.8× |
| Psychoanalysis (90845) | $467.20 | $584 | 2.6× |
| Psytx Crisis Initial 60 Min (90839) | $360 | $450 | 2.0× |
| Pt Eval High Complex (97163) | $367.20 | $459 | 3.8× |
| Pt eval low complex 20 min (97161) | $272 | $340 | 2.8× |
| Pt Eval Mod Complex (97162) | $297.60 | $372 | 3.0× |
| Pt gait training 15 min (97116) | $120 | $150 | 4.1× |
| Pt group caregiver training (97552) | $52.80 | $66 | 2.4× |
| Pt mechanical traction (97012) | $139.20 | $174 | 9.7× |
| Pt Re-Eval Est Plan Care (97164) | $241.60 | $302 | 3.6× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$225.60–$1,901.60 | $282–$2,377 | varies |
| Pulmonary Stress Testing (94618) | $327.20 | $409 | 2.4× |
| Pure Tone Audiometry Air (92552) | $140.80 | $176 | 1.0× |
| R Hrt Art/Grft Angio (93457) | $16,069.60 | $20,087 | 4.9× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $8,576.80 | $10,721 | 2.6× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $8,576.80 | $10,721 | 2.6× |
| R hrt coronary artery angio (93456) | $14,475.20 | $18,094 | 4.4× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $11,634.40 | $14,543 | 3.5× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $11,634.40 | $14,543 | 3.5× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $14,279.20 | $17,849 | 4.3× |
| Rectal sensation tone&compliance study (91124) | $891.20 | $1,114 | 4.0× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $685.60 | $857 | 2.0× |
| Refill/Maint Portable Pump (96521) | $139.20 | $174 | 0.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $320 | $400 | 8.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $147.20 | $184 | 2.4× |
| Right Heart Cath (93451) | $9,958.40 | $12,448 | 3.0× |
| Right ventricular recording (93603) | $3,008 | $3,760 | 2.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 5 matching MRF lines |
$256–$417.60 | $320–$522 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $376 | $470 | 3.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $74.40 | $93 | 1.6× |
| Select picture audiometry (92583) | $176 | $220 | 2.9× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$120–$129.60 | $150–$162 | varies |
| Sensory Integration Ea 15 Min (97533) | $130.40 | $163 | 2.1× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $1,148.80 | $1,436 | 5.2× |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$1,270.40–$1,917.60 | $1,588–$2,397 | varies |
| Sleep study unattended (95806) | $753.60 | $942 | 3.4× |
| Slp caregiver training 1st 30 min (97550) | $124.80 | $156 | 2.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $650.40 | $813 | 2.9× |
| Somatosensory Testing (95938) | $2,952 | $3,690 | 3.4× |
| Speech Audiometry Complete (92556) | $152 | $190 | 2.5× |
| Speech audiometry threshold (92555) | $107.20 | $134 | 1.8× |
| Speech sound lang comprehen (92523) | $467.20 | $584 | 2.1× |
| Spin/Brain Pump Refil & Main (95991) | $572.80 | $716 | 1.8× |
| Spirometry (94010) | $469.60 | $587 | 2.1× |
| Ssep lower limbs (95926) range across 2 matching MRF lines |
$1,223.20–$1,670.40 | $1,529–$2,088 | varies |
| Standardized Cognitive Performance Testing (96125) | $285.60 | $357 | 2.8× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$2,150.40–$2,205.60 | $2,688–$2,757 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $127.20 | $159 | 2.7× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $524.80 | $656 | 2.4× |
| Temp transcutaneous pacing (92953) | $872 | $1,090 | 1.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $112 | $140 | 5.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $54.40 | $68 | 2.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $128 | $160 | 3.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $122.40 | $153 | 4.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $148.80 | $186 | 1.5× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $148.80 | $186 | 3.1× |
| Ther/Proph/Diag Inj Ia (96373) | $295.20 | $369 | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$20–$113.60 | $25–$142 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 8 matching MRF lines |
$40–$532.80 | $50–$666 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$130.40–$134.40 | $163–$168 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,681.60 | $3,352 | 7.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $88.80 | $111 | 2.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $53.60 | $67 | 1.4× |
| Transcath Closure of Asd (93580) | $31,254.40 | $39,068 | 1.7× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $846.40 | $1,058 | 7.9× |
| Tte w/doppler, complete (93306) | $2,845.60 | $3,557 | 5.1× |
| Tte W/O Doppler Complete (93307) | $1,631.20 | $2,039 | 6.7× |
| Tx atrial fib pulm vein isol (93656) | $42,380 | $52,975 | 1.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $312 | $390 | 4.1× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $84 | $105 | 3.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$20–$273.60 | $25–$342 | varies |
| Tympanometry (92567) | $77.60 | $97 | 2.0× |
| Unlisted cardiovascular service/procedure (93799) range across 9 matching MRF lines |
$1,795.20–$18,356.80 | $2,244–$22,946 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $1,855.20 | $2,319 | 14.1× |
| Unlisted Psychiatric Service/Procedure (90899) | $142.40 | $178 | 3.7× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$371.20–$685.60 | $464–$857 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,106.40 | $1,383 | 5.0× |
| Valvuloplasty aortic valve (92986) | $14,605.60 | $18,257 | 2.5× |
| Valvuloplasty mitral valve (92987) | $16,506.40 | $20,633 | 1.4× |
| Valvuloplasty pulmonary valve (92990) | $16,489.60 | $20,612 | 1.4× |
| Vasopneumatic device (97016) | $108 | $135 | 9.0× |
| Veeg 2-12 Hr Cont Mntr (95713) | $5,027.20 | $6,284 | 13.2× |
| Veeg 2-12 hr intmt mntr (95712) | $4,493.60 | $5,617 | 11.8× |
| Veeg 2-12 hr unmonitored (95711) | $3,897.60 | $4,872 | 17.7× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $5,656.80 | $7,071 | 14.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $5,104.80 | $6,381 | 13.4× |
| Veeg ea 12-26hr cont mntr (95716) | $6,340 | $7,925 | 7.2× |
| Vent Mgmt Inpat Init Day (94002) | $1,748 | $2,185 | 2.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,676 | $2,095 | 2.7× |
| Visual Evoked Potential Test (95930) | $1,285.60 | $1,607 | 5.8× |
| Visual reinforcement audiometry (vra) (92579) | $214.40 | $268 | 1.0× |
| Wheelchair Mgmt Ea 15 Min (97542) | $122.40 | $153 | 3.9× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$136–$146.40 | $170–$183 | 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.