Visits & medical services prices at Sarah Bush Lincoln Health Center
Mattoon, IL · every code in this section with a posted price and a Medicare benchmark.
345 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) range across 2 matching MRF lines |
$21–$314 | $21–$314 | varies |
| Ablate Heart Dysrhythm Focus (93650) | $14,206 | $14,206 | 1.7× |
| Acoustic Reflex Testing (92568) | $179 | $179 | 4.5× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $101 | $101 | 2.3× |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$198–$260 | $198–$260 | varies |
| Aep neurodiagnostic i&r (92653) | $1,092 | $1,092 | 4.7× |
| Aep threshold estimation mlt frequencies i&r (92652) | $1,241 | $1,241 | 5.4× |
| Airway Inhalation Treatment (94640) | $230 | $230 | 1.0× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $11 | $11 | 0.3× |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$342–$676 | $342–$676 | varies |
| Analyze neurostim no prog (95970) | $33 | $33 | 0.2× |
| Analyze Neurostim Simple (95971) | $194 | $194 | 1.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $207 | $207 | 14.4× |
| Application on-body injector (96377) range across 2 matching MRF lines |
$250–$325 | $250–$325 | varies |
| Arrhythmia Induction (93618) | $12,766 | $12,766 | 9.8× |
| Assmt & care planning pt w/cognitive impairment (99483) range across 2 matching MRF lines |
$22–$660 | $22–$660 | varies |
| Audiometry Air & Bone (92553) | $364 | $364 | 2.6× |
| Basic vestibular evaluation (92540) | $1,413 | $1,413 | 6.1× |
| Behavral qualit analys voice (92524) range across 3 matching MRF lines |
$228–$558 | $228–$558 | varies |
| Biofeedback training any modality (90901) | $126 | $126 | 3.1× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$16–$17 | $16–$17 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$92–$973 | $92–$973 | varies |
| Bundle of his recording (93600) | $14,343 | $14,343 | 1.7× |
| C motor evoked uppr limbs (95928) | $2,438 | $2,438 | 2.6× |
| C motor evoked upr&lwr limbs (95939) | $3,418 | $3,418 | 3.7× |
| Caloric Vstblr Test W/Rec (92537) | $716 | $716 | 5.2× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$111–$184 | $111–$184 | varies |
| Car seat/bed test 60 min (94780) | $134 | $134 | 3.3× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$141–$1,139 | $141–$1,139 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$740–$1,319 | $740–$1,319 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$505–$2,912 | $505–$2,912 | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) range across 2 matching MRF lines |
$9–$115 | $9–$115 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) range across 2 matching MRF lines |
$22–$23 | $22–$23 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$1,713–$20,772 | $1,713–$20,772 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$1,367–$18,792 | $1,367–$18,792 | varies |
| Cbt 1st hour (94644) | $374 | $374 | 2.6× |
| Chemo Admin Peritoneal Cavity (96446) | $1,382 | $1,382 | 3.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $399 | $399 | 5.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $428 | $428 | 5.5× |
| Chemo IV infusion addl hr (96415) | $503 | $503 | 6.5× |
| Chemo IV push addl drug (96411) | $358 | $358 | 4.6× |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$511–$1,432 | $511–$1,432 | varies |
| Chemotherapy Into Cns (96450) | $1,589 | $1,589 | 4.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $955 | $955 | 12.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,136 | $1,136 | 3.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $570 | $570 | 1.6× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) range across 2 matching MRF lines |
$278–$646 | $278–$646 | varies |
| Chest Wall Manipulation (94668) | $238 | $238 | 1.7× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $9 | $9 | 0.4× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$21–$119 | $21–$119 | varies |
| Cmptr ophth dx img ant segmt (92132) | $224 | $224 | 3.5× |
| Color/duplex Doppler, complete (93975) | $2,325 | $2,325 | 9.1× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$322–$1,524 | $322–$1,524 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$38–$216 | $38–$216 | varies |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$94–$489 | $94–$489 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $185 | $185 | 2.9× |
| Computerized Ophthalmic Imaging Retina (92134) | $199 | $199 | 3.1× |
| Conditioning Play Audiometry (92582) | $278 | $278 | 2.0× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $510 | $510 | 3.6× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$92–$586 | $92–$586 | varies |
| Corneal Topography (92025) | $139 | $139 | 2.2× |
| Coronary Art/Grft Angio S&I (93455) | $15,681 | $15,681 | 4.5× |
| Coronary Artery Angio S&I (93454) | $14,333 | $14,333 | 4.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $358 | $358 | 1.5× |
| Cpt initial (94667) | $280 | $280 | 2.0× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) | $822 | $822 | 3.6× |
| Critical care first hour (99291) | $844 | $844 | 1.0× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $2,438 | $2,438 | 6.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$70–$775 | $70–$775 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) range across 2 matching MRF lines |
$231–$236 | $231–$236 | varies |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$208–$1,750 | $208–$1,750 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $73 | $73 | 0.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$250–$1,619 | $250–$1,619 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$135–$1,151 | $135–$1,151 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) range across 2 matching MRF lines |
$336–$1,918 | $336–$1,918 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$214–$2,026 | $214–$2,026 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$131–$1,355 | $131–$1,355 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$186–$1,974 | $186–$1,974 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$123–$1,465 | $123–$1,465 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$225–$2,215 | $225–$2,215 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 2 matching MRF lines |
$134–$1,158 | $134–$1,158 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$135–$1,081 | $135–$1,081 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$218–$1,653 | $218–$1,653 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$133–$1,215 | $133–$1,215 | varies |
| ECG/monitoring and analysis (93271) range across 2 matching MRF lines |
$138–$785 | $138–$785 | varies |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$316–$2,767 | $316–$2,767 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$149–$1,808 | $149–$1,808 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$646–$3,680 | $646–$3,680 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$424–$3,616 | $424–$3,616 | varies |
| Eeg 41-60 Minutes (95812) | $1,947 | $1,947 | 8.4× |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$524–$1,554 | $524–$1,554 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$447–$889 | $447–$889 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$554–$1,801 | $554–$1,801 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $1,765 | $1,765 | 7.6× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$2,211–$2,328 | $2,211–$2,328 | varies |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$409–$816 | $409–$816 | varies |
| EEG w/o vid ea 12-26hr intmt (95709) | $1,931 | $1,931 | 4.8× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $1,485 | $1,485 | 6.4× |
| Electrical Stimulation Ea 15 Min (97032) | $193 | $193 | 13.1× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$68–$391 | $68–$391 | varies |
| Electroconvulsive Therapy (90870) range across 2 matching MRF lines |
$1,044–$1,363 | $1,044–$1,363 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $13,860 | $13,860 | 1.7× |
| Electrophysiology Evaluation (93642) | $6,624 | $6,624 | 5.1× |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$150–$164 | $150–$164 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$228–$277 | $228–$277 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$426–$474 | $426–$474 | varies |
| Emg 3 Extremities (95863) | $1,604 | $1,604 | 11.6× |
| Emg 4 Extremities (95864) | $2,147 | $2,147 | 15.6× |
| Ep & ablate supravent arrhyt (93653) | $38,143 | $38,143 | 1.4× |
| Ep & ablate ventric tachy (93654) | $54,707 | $54,707 | 2.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $18,892 | $18,892 | 2.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $20,118 | $20,118 | 2.4× |
| Ep Esophageal Recording Atria+Pacing (93616) | $3,580 | $3,580 | 2.7× |
| Er level 1 (99281) range across 3 matching MRF lines |
$80–$84 | $80–$84 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$633–$688 | $633–$688 | varies |
| Esoph Atrial Electrogram (93615) | $6,780 | $6,780 | 5.2× |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$283–$541 | $283–$541 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$214–$507 | $214–$507 | varies |
| Evaluation of speech fluency (92521) | $476 | $476 | 3.6× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$46–$68 | $46–$68 | varies |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$100–$225 | $100–$225 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) range across 2 matching MRF lines |
$437.61–$454 | $437.61–$454 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$100–$225 | $100–$225 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) range across 2 matching MRF lines |
$431.31–$454 | $431.31–$454 | varies |
| External Ecg Scanning Analysis Report (93226) | $1,203 | $1,203 | 19.0× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$217–$1,630 | $217–$1,630 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$135–$1,187 | $135–$1,187 | varies |
| Eye exam w anesth; limited (92019) | $4,590 | $4,590 | 1.8× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,933 | $1,933 | 3.3× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) range across 2 matching MRF lines |
$175–$365 | $175–$365 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) range across 2 matching MRF lines |
$91–$485 | $91–$485 | varies |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) range across 2 matching MRF lines |
$106–$556 | $106–$556 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $2,438 | $2,438 | 2.6× |
| Fundus photography (92250) | $386 | $386 | 2.7× |
| Gonioscopy (92020) | $513 | $513 | 3.6× |
| Group Therapeutic Procedures (97150) | $368 | $368 | 20.4× |
| Health Behavior Assessment/Re-Assessment (96156) | $18 | $18 | 0.2× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $7 | $7 | 0.2× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $18 | $18 | 0.1× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $21,720 | $21,720 | 6.3× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$243–$2,961 | $243–$2,961 | varies |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$99–$1,073 | $99–$1,073 | varies |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$176–$277 | $176–$277 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$218–$344 | $218–$344 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$237–$319 | $237–$319 | varies |
| Ilr Device Eval Progr (93285) | $244 | $244 | 6.1× |
| Ilr Device Interrogate (93291) | $161 | $161 | 5.2× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$23.87–$35 | $23.87–$35 | varies |
| Immunization administration (90471) range across 3 matching MRF lines |
$23.87–$88 | $23.87–$88 | varies |
| Ingestion challenge test initial 120 minutes (95076) range across 2 matching MRF lines |
$117–$314 | $117–$314 | varies |
| Inital newborn e/m (99460) | $221 | $221 | 1.5× |
| Insert/Place Heart Catheter (93503) | $3,062 | $3,062 | 1.8× |
| Interrogate Subq Defib (93261) | $167 | $167 | 4.2× |
| Intra-atrial pacing (93610) | $15,593 | $15,593 | 1.9× |
| Intra-atrial recording (93602) | $14,343 | $14,343 | 1.7× |
| Intracutaneous tests w/allergenic extracts (95024) range across 3 matching MRF lines |
$17–$31 | $17–$31 | varies |
| Intraventricular pacing (93612) | $15,593 | $15,593 | 1.9× |
| Iontophoresis 15 min (97033) | $240 | $240 | 12.6× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$68–$309 | $68–$309 | varies |
| IV infusion hydration each additional hour (96361) | $266 | $266 | 5.3× |
| IV infusion hydration initial 31 min-1 hour (96360) | $671 | $671 | 2.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $563 | $563 | 7.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $331 | $331 | 6.6× |
| IV push initial (96374) range across 2 matching MRF lines |
$211–$525 | $211–$525 | varies |
| L Hrt Art/Grft Angio (93459) | $20,222 | $20,222 | 5.8× |
| Laryngeal Function Studies (92520) range across 2 matching MRF lines |
$28–$203 | $28–$203 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $246 | $246 | 3.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$137–$1,820 | $137–$1,820 | varies |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $2,000 | $2,000 | 1.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $43 | $43 | 1.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $104 | $104 | 2.8× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $79 | $79 | 4.6× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$115–$1,148 | $115–$1,148 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$232–$644 | $232–$644 | varies |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$1,068–$5,379 | $1,068–$5,379 | varies |
| Muscle Test 2 Limbs (95861) | $660 | $660 | 4.6× |
| Muscle Test Nonparaspinal (95870) | $331 | $331 | 2.3× |
| Muscle Test One Limb (95860) | $878 | $878 | 6.2× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$59–$292 | $59–$292 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $599 | $599 | 2.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $537 | $537 | 2.3× |
| Needle electromyography larynx (95865) | $433 | $433 | 3.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$449–$1,406 | $449–$1,406 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$452–$1,232 | $452–$1,232 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$59–$835 | $59–$835 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$64–$1,232 | $64–$1,232 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $712 | $712 | 3.1× |
| Nerve Conduction Studies 11-12 Studies (95912) | $3,042 | $3,042 | 7.6× |
| Nerve conduction studies 13 or more studies (95913) | $3,826 | $3,826 | 9.6× |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$324–$1,054 | $324–$1,054 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$386–$1,496 | $386–$1,496 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$514–$1,978 | $514–$1,978 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) | $2,372 | $2,372 | 5.9× |
| Neurobehavioral Status Exam (96116) | $71 | $71 | 0.3× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $599 | $599 | 4.3× |
| Neuromuscular Reeducation (97112) | $252 | $252 | 7.7× |
| Newborn resuscitation (99465) | $399 | $399 | 0.6× |
| Nitric oxide expired gas determination (95012) | $104 | $104 | 2.6× |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 2 matching MRF lines |
$12–$173 | $12–$173 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 2 matching MRF lines |
$16–$280 | $16–$280 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $95 | $95 | 6.9× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $40 | $40 | 0.1× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $368 | $368 | 2.6× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $252 | $252 | 1.8× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $626 | $626 | 4.4× |
| Ophth medical xm&eval intermediate estab pt (92012) | $281 | $281 | 2.0× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $202 | $202 | 1.4× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $112 | $112 | 1.8× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $61 | $61 | 1.0× |
| Optokinetic Nystagmus Test (92544) | $530 | $530 | 3.8× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$207–$348 | $207–$348 | varies |
| Oral Speech Device Eval (92597) | $183 | $183 | 2.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $205 | $205 | 4.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $241 | $241 | 5.2× |
| Oscillating Tracking Test (92545) | $588 | $588 | 2.5× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$50–$167 | $50–$167 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$76–$181 | $76–$181 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$102–$189 | $102–$189 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$127–$196 | $127–$196 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$150–$205 | $150–$205 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $128 | $128 | 9.1× |
| Ot eval high complexity (97167) | $625 | $625 | 6.2× |
| Ot Eval Low Complex (97165) | $474 | $474 | 4.7× |
| Ot Eval Moderate Complexity (97166) | $552 | $552 | 5.5× |
| Ot manual therapy 15 min (97140) | $215 | $215 | 7.8× |
| Ot paraffin bath (97018) | $138 | $138 | 23.0× |
| Ot Re-Eval Est Plan Care (97168) | $311 | $311 | 4.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $340 | $340 | 2.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $278 | $278 | 2.0× |
| Patch/Application Test Specify Number Tests (95044) | $240 | $240 | 0.3× |
| Penile Vascular Study,Ltd or F/U (93981) range across 2 matching MRF lines |
$122–$603 | $122–$603 | varies |
| Percutaneous tests w/allergenic extracts (95004) range across 3 matching MRF lines |
$17–$31 | $17–$31 | varies |
| Peripheral arterial disease rehab per session (93668) | $187 | $187 | 3.0× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) range across 2 matching MRF lines |
$2,833–$35,523 | $2,833–$35,523 | varies |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $19,888 | $19,888 | 3.3× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $25,663 | $25,663 | 2.1× |
| Phlebotomy therapeutic (99195) | $367 | $367 | 2.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $275 | $275 | 4.3× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$154–$200 | $154–$200 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$49–$485 | $49–$485 | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$81–$310 | $81–$310 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$147–$388 | $147–$388 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$172–$250 | $172–$250 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$125–$388 | $125–$388 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 3 matching MRF lines |
$98–$248 | $98–$248 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$6,118–$8,157 | $6,118–$8,157 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $314 | $314 | 0.3× |
| Positional nystagmus test (92542) | $588 | $588 | 4.1× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 5 matching MRF lines |
$16–$1,020 | $16–$1,020 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$161–$322 | $161–$322 | varies |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) range across 4 matching MRF lines |
$18–$170 | $18–$170 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $35 | $35 | 0.7× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $40 | $40 | 0.8× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $28,418 | $28,418 | 2.3× |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 3 matching MRF lines |
$3,116–$44,525 | $3,116–$44,525 | varies |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$516–$588 | $516–$588 | varies |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$49–$501 | $49–$501 | varies |
| Psychoanalysis (90845) | $35 | $35 | 0.2× |
| Psychological tst eval svc phys/qhp first hour (96130) | $40 | $40 | 0.2× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $65 | $65 | 2.1× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $9 | $9 | 0.0× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $9 | $9 | 0.1× |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$38–$326 | $38–$326 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $96 | $96 | 2.5× |
| Pt Eval High Complex (97163) | $650 | $650 | 6.6× |
| Pt eval low complex 20 min (97161) | $456 | $456 | 4.7× |
| Pt Eval Mod Complex (97162) | $595 | $595 | 6.1× |
| Pt gait training 15 min (97116) | $181 | $181 | 6.2× |
| Pt mechanical traction (97012) | $209 | $209 | 14.6× |
| Pt Re-Eval Est Plan Care (97164) | $290 | $290 | 4.3× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) range across 2 matching MRF lines |
$25.37–$29 | $25.37–$29 | varies |
| Pulmonary service/procedure (94799) range across 5 matching MRF lines |
$25–$436 | $25–$436 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$245–$470 | $245–$470 | varies |
| Pure Tone Audiometry Air (92552) | $211 | $211 | 1.5× |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$1,584–$19,591 | $1,584–$19,591 | varies |
| R hrt coronary artery angio (93456) | $17,639 | $17,639 | 5.1× |
| Rem interrog icpms <30 d phys/qhp (93297) | $119 | $119 | 3.0× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 2 matching MRF lines |
$105–$125 | $105–$125 | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $35 | $35 | 0.9× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $35 | $35 | 0.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $268 | $268 | 6.7× |
| Remote 30 Day Ecg Tech Supp (93229) range across 2 matching MRF lines |
$147–$1,615 | $147–$1,615 | varies |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$3,257–$13,179 | $3,257–$13,179 | varies |
| Right ventricular recording (93603) | $12,776 | $12,776 | 9.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $527 | $527 | 2.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $411 | $411 | 3.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $361 | $361 | 7.6× |
| Same day nb discharge (99463) | $258 | $258 | 1.8× |
| Sbsq Psyc Collab Care Mgmt (99493) range across 2 matching MRF lines |
$21–$284 | $21–$284 | varies |
| Self Care Mngment Training (97535) | $198 | $198 | 6.1× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $191 | $191 | 3.0× |
| Sensory Integration Ea 15 Min (97533) | $167 | $167 | 2.7× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $369 | $369 | 1.6× |
| Short-latency somatosens ep std upr limbs (95925) | $672 | $672 | 2.9× |
| Sleep study unattended (95806) | $1,424 | $1,424 | 6.2× |
| Somatosensory Testing (95938) | $2,741 | $2,741 | 3.0× |
| Speech audiometry threshold (92555) | $154 | $154 | 2.4× |
| Speech sound lang comprehen (92523) range across 3 matching MRF lines |
$102–$556 | $102–$556 | varies |
| Spirometry (94010) range across 3 matching MRF lines |
$46–$199 | $46–$199 | varies |
| Spontaneous Nystagmus Test (92541) | $392 | $392 | 2.7× |
| Ssep lower limbs (95926) | $1,092 | $1,092 | 4.7× |
| Stenger Test Speech (92577) | $610 | $610 | 1.5× |
| Stenger Test, Pure Tone (92565) | $195 | $195 | 3.1× |
| Stress Tte Only (93350) | $3,505 | $3,505 | 6.0× |
| Surfactant Admin Thru Tube (94610) | $302 | $302 | 1.3× |
| Temp transcutaneous pacing (92953) | $213 | $213 | 0.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $223 | $223 | 6.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $197 | $197 | 6.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $430 | $430 | 4.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$60–$237 | $60–$237 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $789 | $789 | 3.5× |
| Therapeutic Activities (97530) | $211 | $211 | 6.0× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $3,556 | $3,556 | 8.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$7–$71 | $7–$71 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$48–$71 | $48–$71 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$39–$352 | $39–$352 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$39–$514 | $39–$514 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 2 matching MRF lines |
$62–$262 | $62–$262 | varies |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$398–$3,801 | $398–$3,801 | varies |
| Tx atrial fib pulm vein isol (93656) | $50,616 | $50,616 | 1.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$92–$417 | $92–$417 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $70 | $70 | 2.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $369 | $369 | 7.4× |
| Tympanometry (92567) | $185 | $185 | 4.6× |
| Tympanometry and reflex threshold measurements (92550) | $430 | $430 | 1.9× |
| Unlis neurological/neuromuscular dx px (95999) | $1,365 | $1,365 | 9.9× |
| Unlisted allergy/clinical immunologic srvc/px (95199) range across 3 matching MRF lines |
$119–$342 | $119–$342 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$3,654–$5,086 | $3,654–$5,086 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$69–$856 | $69–$856 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$124–$1,360 | $124–$1,360 | varies |
| Vasopneumatic device (97016) | $188 | $188 | 15.6× |
| Veeg 2-12 hr intmt mntr (95712) range across 2 matching MRF lines |
$1,931–$2,413 | $1,931–$2,413 | varies |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) range across 2 matching MRF lines |
$2,124–$2,656 | $2,124–$2,656 | varies |
| Vent Mgmt Inpat Init Day (94002) | $2,663 | $2,663 | 4.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,634 | $1,634 | 2.5× |
| Visual Evoked Potential Test (95930) | $1,646 | $1,646 | 7.1× |
| Visual Field Exam Extended (92083) | $325 | $325 | 2.3× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $112 | $112 | 1.8× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $80 | $80 | 1.3× |
| Visual reinforcement audiometry (vra) (92579) range across 2 matching MRF lines |
$109–$364 | $109–$364 | varies |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$48–$246 | $48–$246 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $153 | $153 | 4.9× |
| Whirlpool Therapy (97022) | $220 | $220 | 14.0× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $14 | $14 | 0.2× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $197 | $197 | 4.9× |
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.