Visits & medical services prices at Saratoga Hospital

Saratoga Springs, NY · every code in this section with a posted price and a Medicare benchmark.

295 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $60 $120 0.5×
Admn Sarscov2 Vacc 1 Dose (90480) $20 $40 0.4×
Advncd Care Plan 30 Min (99497) $34.50 $69 0.3×
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines
$26.50–$264 $53–$528 varies
Allg test perq & ic drug/biol immed react w/ i&r (95018) $20.50 $41 0.4×
Allg tstg perq & ic venoms immed react w/i&r (95017) $49.50 $99 1.4×
Analyze neurostim complex (95972) $42.50 $85 0.4×
Analyze neurostim no prog (95970) $63 $126 0.4×
Analyze Neurostim Simple (95971) $17 $34 0.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $39.50 $79 2.8×
Application Modality 1/> Areas Diathermy (97024) $39 $78 5.3×
Application Modality 1/> Areas Infrared (97026) $39 $78 5.8×
Arrhythmia Induction (93618) $1,329.50 $2,659 0.9×
Assessment of aphasia per hr (96105) $119 $238 1.2×
Audiometry Air & Bone (92553) $59.50 $119 0.4×
Behavral qualit analys voice (92524) $119 $238 1.1×
Brief Emotional/Behav Assmt (96127) $15.50 $31 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines
$52.50–$409 $105–$818 varies
Bundle of his recording (93600) $8,073 $16,146 0.8×
Canalith repositioning proc (95992) $114.50 $229 2.8×
Car seat/bed test 60 min (94780) $57 $114 1.2×
Cardiac Stress Tst,Tracing Only (93017) $1,247.50 $2,495 4.6×
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines
$262.50–$374.50 $525–$749 varies
Cardioversion (92960)
range across 16 matching MRF lines
$477–$1,060.50 $954–$2,121 varies
Cardioversion elective internal (92961) $1,016.50 $2,033 1.2×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460)
range across 2 matching MRF lines
$5,922–$6,218.50 $11,844–$12,437 varies
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458)
range across 4 matching MRF lines
$3,670–$6,218.50 $7,340–$12,437 varies
Chemo Anti-Neopl Sq/Im (96401)
range across 2 matching MRF lines
$121–$212.50 $242–$425 varies
Chemo Hormon Antineopl Sq/Im (96402)
range across 3 matching MRF lines
$48–$90 $96–$180 varies
Chemo Ia Push (96420) $498.50 $997 1.2×
Chemo IV infusion addl hr (96415)
range across 2 matching MRF lines
$73.50–$104.50 $147–$209 varies
Chemo IV push addl drug (96411)
range across 3 matching MRF lines
$102.50–$128 $205–$256 varies
Chemother Prolong Infuse W/Pump (96416) $540.50 $1,081 1.3×
Chemotherapy Into Cns (96450) $498.50 $997 1.2×
Chemotherapy Unspecified (96549) $58 $116 1.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417)
range across 3 matching MRF lines
$99–$154 $198–$308 varies
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$322.50–$540.50 $645–$1,081 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 3 matching MRF lines
$223.50–$324.50 $447–$649 varies
Chest Wall Manipulation (94668) $77.50 $155 0.5×
Chron Care Mgmt Srvc 20 Min (99490) $14 $28 0.1×
Color/duplex Doppler, complete (93975)
range across 5 matching MRF lines
$755.50–$793.50 $1,511–$1,587 varies
Color/duplex Doppler, limited (93976)
range across 4 matching MRF lines
$89.50–$379.50 $179–$759 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $39 $78 1.2×
Comprehensive Hearing Test (92557) $84.50 $169 0.5×
Computerized Ophthalmic Imaging Optic Nerve (92133)
range across 2 matching MRF lines
$27.50–$33 $55–$66 varies
Computerized Ophthalmic Imaging Retina (92134) $26 $52 0.4×
Conditioning Play Audiometry (92582) $109.50 $219 0.7×
Cont gluc mntr physician/qhp provided equiptment (95250) $227 $454 1.4×
Cont Gluc Mntr Pt Prov Eqp (95249) $84 $168 1.1×
Contact Lens Fit,Corneoscleral Lens (92313) $77 $154 0.5×
Continuous Pulse Ox (94762) $191.50 $383 1.2×
Corneal Topography (92025) $53.50 $107 0.7×
Coronary Art/Grft Angio S&I (93455)
range across 2 matching MRF lines
$5,922–$6,218.50 $11,844–$12,437 varies
Coronary Artery Angio S&I (93454)
range across 2 matching MRF lines
$5,922–$6,218.50 $11,844–$12,437 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 11 matching MRF lines
$41–$630 $82–$1,260 varies
Cpt initial (94667) $77.50 $155 0.5×
Critical care first hour (99291)
range across 4 matching MRF lines
$64–$1,217.50 $128–$2,435 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 12 matching MRF lines
$108–$265 $216–$530 varies
Developmental tst admin phys/qhp 1st hour (96112) $121.50 $243 0.8×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $169.50 $339 0.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 3 matching MRF lines
$58.50–$548 $117–$1,096 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 2 matching MRF lines
$445.50–$468 $891–$936 varies
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $451 $902 3.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 3 matching MRF lines
$676.50–$823.50 $1,353–$1,647 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$683.50–$718 $1,367–$1,436 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 5 matching MRF lines
$843–$1,077 $1,686–$2,154 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 6 matching MRF lines
$550–$702.50 $1,100–$1,405 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $329 $658 1.1×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $164 $328 1.3×
Duplex Scan Hemodialysis Access (93990)
range across 3 matching MRF lines
$283.50–$298 $567–$596 varies
Duplex up extrem art bilat (93930) $746.50 $1,493 2.5×
Duplex up extrem art unilat/ltd (93931) $521.50 $1,043 4.0×
Echo Heart Xthoracic,Limited (93308)
range across 15 matching MRF lines
$521.50–$667 $1,043–$1,334 varies
Echo r-t 2d w/probe placement only (93313) $1,309.50 $2,619 1.9×
Echo transesophag montr cardiac pump functj (93318) $1,771.50 $3,543 2.6×
Echo transesophageal (93312)
range across 16 matching MRF lines
$2,349.50–$2,590.50 $4,699–$5,181 varies
Echo Transesophageal - Congenital Tee Complete (93315) $1,771.50 $3,543 2.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 4 matching MRF lines
$1,337.50–$1,475 $2,675–$2,950 varies
Eeg 41-60 Minutes (95812) $358.50 $717 1.3×
EEG awake and asleep (95819)
range across 3 matching MRF lines
$650–$831 $1,300–$1,662 varies
EEG awake drowsy (95816)
range across 2 matching MRF lines
$422–$831 $844–$1,662 varies
EEG cerebral death evaluation (95824) $493.50 $987 1.1×
EEG cont rec w/video by tech min 8 channels (95700) $243.50 $487 0.9×
EEG extended monitoring 61-119 minutes (95813) $358.50 $717 1.3×
Eeg Sleep Only (95822) $444 $888 1.6×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $484.50 $969 1.8×
EEG w/o vid ea 12-26hr intmt (95709) $617 $1,234 1.3×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $358.50 $717 1.3×
EEG wo vid ea 12-26hr unmntr (95708) $824.50 $1,649 1.8×
EKG signal averaged (93278) $115.50 $231 1.6×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $52.50 $105 0.4×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $20.50 $41 0.4×
Electrical Stimulation Ea 15 Min (97032) $41 $82 2.8×
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines
$29.50–$161 $59–$322 varies
Electroconvulsive Therapy (90870) $628.50 $1,257 0.6×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $8,477.50 $16,955 0.9×
Electrophysiology Evaluation (93642) $1,541 $3,082 1.0×
Emergency Dept Visit Level 2 (99282) $521.50 $1,043 2.7×
Emergency Dept Visit Level 3 (99283) $616.50 $1,233 1.8×
Emergency Dept Visit Level 4 (99284) $796.50 $1,593 1.5×
Emg 3 Extremities (95863) $196.50 $393 1.2×
Emg 4 Extremities (95864) $228.50 $457 1.4×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure
$3,760 $7,520 0.4×
Er level 1 (99281) $381 $762 3.6×
Er level v (99285) $1,051 $2,102 1.4×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $735 $1,470 1.6×
Evaluate pt use of inhaler (94664)
range across 4 matching MRF lines
$39.50–$304.50 $79–$609 varies
Evaluate Speech Production (92522) $119 $238 1.1×
Evaluate Swallowing Function (92610)
range across 4 matching MRF lines
$97–$119 $194–$238 varies
Evaluation of speech fluency (92521)
range across 2 matching MRF lines
$119–$200.50 $238–$401 varies
External ECG rec>48hr<7d recording (93242) $49.50 $99 1.1×
External ECG rec>7d<15d recording (93246) $80 $160 1.7×
External Ecg Scanning Analysis Report (93226) $92.50 $185 1.3×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$234–$1,049.50 $468–$2,099 varies
Extracranial Uni/Ltd Study (93882) $335.50 $671 2.6×
Fundus photography (92250) $69 $138 0.4×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $718 $1,436 1.5×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $402 $804 1.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $493 $986 0.5×
Gonioscopy (92020) $52 $104 0.3×
Group Therapeutic Procedures (97150) $41.50 $83 2.3×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461)
range across 2 matching MRF lines
$5,922–$6,218.50 $11,844–$12,437 varies
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,195.50 $2,391 1.4×
Holter monitor recording (93225)
range across 4 matching MRF lines
$82.50–$141 $165–$282 varies
Icd Device Interrogate (93289) $68 $136 1.5×
Icd device progr eval dual (93283) $34.50 $69 0.7×
Icd Device Progr Eval Mult (93284) $63.50 $127 1.4×
Icm Device Eval (93290) $13.50 $27 0.3×
Ilr Device Eval Progr (93285) $53.50 $107 1.1×
Ilr Device Interrogate (93291)
range across 9 matching MRF lines
$22.50–$57.50 $45–$115 varies
Im Adm Intransl/Oral 1 Vaccine (90473) $37 $74 0.4×
Immunization administration (90471)
range across 2 matching MRF lines
$37.50–$84 $75–$168 varies
Ingestion challenge test initial 120 minutes (95076) $65 $130 0.1×
Insert/Place Heart Catheter (93503) $1,825 $3,650 0.9×
Intra-atrial pacing (93610) $8,073 $16,146 0.8×
Intra-atrial recording (93602) $8,073 $16,146 0.8×
Intraventricular pacing (93612) $8,073 $16,146 0.8×
Iontophoresis 15 min (97033) $48.50 $97 2.5×
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines
$51.50–$154 $103–$308 varies
IV infusion hydration each additional hour (96361)
range across 4 matching MRF lines
$22.50–$84 $45–$168 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 4 matching MRF lines
$94.50–$247.50 $189–$495 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$48–$104.50 $96–$209 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$32.50–$84 $65–$168 varies
IV push initial (96374)
range across 3 matching MRF lines
$94.50–$247.50 $189–$495 varies
L Hrt Art/Grft Angio (93459) $6,218.50 $12,437 1.5×
Laryngeal Function Studies (92520) $119 $238 0.7×
Lwr Xtr Vasc Stdy Bilat (93924) $202 $404 0.7×
Mechanical chest wall oscillation per session (94669) $241.50 $483 0.9×
Methacholine challenge (94070) $997.50 $1,995 2.1×
Motility study esophagus (91010) $1,155 $2,310 2.5×
Motion Fluoroscopy/Swallow (92611) $179.50 $359 2.0×
Multiple Sleep Latency Test (95805) $289 $578 0.3×
Muscle Test 2 Limbs (95861) $123.50 $247 0.7×
Muscle Test Nonparaspinal (95870) $90.50 $181 0.5×
Muscle Test One Limb (95860) $110 $220 0.7×
Nasopharyngoscopy (92511) $118.50 $237 0.5×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $362 $724 1.3×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $181.50 $363 0.7×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $100.50 $201 0.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$160.50–$169 $321–$338 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$83–$283 $166–$566 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $31.50 $63 0.1×
Nerve conduction studies 7-8 studies (95910) $229.50 $459 0.5×
Neurobehavioral Status Exam (96116) $169.50 $339 0.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $299.50 $599 1.9×
Neuromuscular Reeducation (97112) $113 $226 3.5×
Newborn resuscitation (99465) $822.50 $1,645 1.0×
Nonphysician Telephone Assessment 5-10 Min (98966) $1.50 $3 0.1×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004)
range across 2 matching MRF lines
$77–$80 $154–$160 varies
Ophth medical xm&eval comprhnsv estab pt 1/> (92014)
range across 2 matching MRF lines
$72.50–$76.50 $145–$153 varies
Ophth medical xm&eval intermediate estab pt (92012) $55 $110 0.3×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $55 $110 0.3×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $26 $52 0.4×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $33 $66 0.4×
Oral Function Therapy (92526) $88.50 $177 1.1×
Oral Speech Device Eval (92597) $119 $238 1.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $48.50 $97 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $57.50 $115 1.2×
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 3 matching MRF lines
$10–$48 $20–$96 varies
Osteopathic manipulative tx 3-4 body regions (98926)
range across 3 matching MRF lines
$29–$58.50 $58–$117 varies
Osteopathic manipulative tx 5-6 body regions (98927)
range across 4 matching MRF lines
$17–$77 $34–$154 varies
Osteopathic manipulative tx 7-8 body regions (98928)
range across 3 matching MRF lines
$43–$96.50 $86–$193 varies
Osteopathic manipulative tx 9-10 body regions (98929)
range across 3 matching MRF lines
$52–$104 $104–$208 varies
Ot Contrast Bath Ea 15 Min (97034) $39.50 $79 2.8×
Ot eval high complexity (97167) $113 $226 1.1×
Ot Eval Low Complex (97165) $68.50 $137 0.7×
Ot Eval Moderate Complexity (97166) $83.50 $167 0.8×
Ot manual therapy 15 min (97140) $113 $226 4.1×
Ot paraffin bath (97018) $39.50 $79 6.6×
Ot Prosthetic Training, Each 15 Min (97761) $57.50 $115 1.4×
Ot Re-Eval Est Plan Care (97168) $57.50 $115 0.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $92.50 $185 0.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $92.50 $185 0.6×
Patch/Application Test Specify Number Tests (95044) $12 $24 0.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $264 $528 1.0×
Percutaneous tests w/allergenic extracts (95004)
range across 2 matching MRF lines
$10–$10.50 $20–$21 varies
Peripheral arterial disease rehab per session (93668) $68.50 $137 0.9×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $28,603.87 $57,207.73 1.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $8,880.87 $17,761.73 1.3×
Phlebotomy therapeutic (99195)
range across 3 matching MRF lines
$146–$165.50 $292–$331 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $68.50 $137 0.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $68.50 $137 0.9×
Physical Performance Test (97750)
range across 3 matching MRF lines
$48.50–$51.50 $97–$103 varies
Plethysmography (94726) $523 $1,046 1.1×
Pm device eval in person (93288)
range across 7 matching MRF lines
$25–$49 $50–$98 varies
Pm device progr eval dual (93280)
range across 7 matching MRF lines
$30.50–$53.50 $61–$107 varies
Pm Device Progr Eval Sngl (93279)
range across 7 matching MRF lines
$50.50–$53.50 $101–$107 varies
Pm/Icd Remote Tech Serv (93296)
range across 2 matching MRF lines
$50.50–$53.50 $101–$107 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $563.50 $1,127 0.5×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $19 $38 0.3×
Prepj& antigen allergen immunotherapy 2 insect (95146) $87.50 $175 1.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 3 matching MRF lines
$16.50–$62.50 $33–$125 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 3 matching MRF lines
$20.50–$121.50 $41–$243 varies
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $128.50 $257 1.4×
Prq Card Angio/Athrect 1 Art (92924) $17,614 $35,228 1.2×
Prq Card Stent W/Angio 1 Vsl (92928) $18,013.04 $36,026.08 1.3×
Prq Revasc Byp Graft 1 Vsl (92937) $18,013.04 $36,026.08 1.3×
Psych diag eval w/med srvcs (90792)
range across 2 matching MRF lines
$36–$228 $72–$456 varies
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$35–$228.50 $70–$457 varies
Psychological tst eval svc phys/qhp first hour (96130) $17.50 $35 0.1×
Psycl/Nrpsyc Tst Auto Result (96146) $3 $6 0.1×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $33 $66 0.2×
Psytx Crisis Initial 60 Min (90839) $228.50 $457 1.0×
Pt Eval High Complex (97163) $113 $226 1.2×
Pt eval low complex 20 min (97161) $68.50 $137 0.7×
Pt Eval Mod Complex (97162) $113 $226 1.2×
Pt gait training 15 min (97116) $44 $88 1.5×
Pt mechanical traction (97012) $39.50 $79 2.8×
Pt Re-Eval Est Plan Care (97164) $57.50 $115 0.9×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $7 $14 0.1×
Pulm function test by gas (94727) $435 $870 1.6×
Pulmonary service/procedure (94799) $243.50 $487 1.5×
Pulmonary Stress Testing (94618) $559.50 $1,119 3.4×
Pure Tone Audiometry Air (92552) $46 $92 0.3×
R Hrt Art/Grft Angio (93457)
range across 2 matching MRF lines
$5,922–$6,218.50 $11,844–$12,437 varies
R hrt coronary artery angio (93456)
range across 2 matching MRF lines
$5,922–$6,218.50 $11,844–$12,437 varies
R&L Hrt Cath W/Ventriclgrphy (93453) $6,218.50 $12,437 1.5×
Refill/Maint Portable Pump (96521) $264 $528 1.0×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $109.50 $219 2.4×
Remote 30 Day Ecg Rev/Report (93270) $75 $150 1.6×
Remote 30 Day Ecg Tech Supp (93229) $1,183 $2,366 2.5×
Respiratory flow volume loop (94375) $206.50 $413 0.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 2 matching MRF lines
$105.50–$194 $211–$388 varies
Right Heart Cath (93451) $6,218.50 $12,437 1.5×
Right ventricular recording (93603) $1,329.50 $2,659 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 5 matching MRF lines
$59–$119.50 $118–$239 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $20 $40 0.8×
Sbsq Psyc Collab Care Mgmt (99493)
range across 2 matching MRF lines
$60–$63 $120–$126 varies
Self Care Mngment Training (97535) $44 $88 1.4×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $33 $66 0.4×
Sensory Integration Ea 15 Min (97533) $60.50 $121 1.0×
Sleep study unattended (95806)
range across 2 matching MRF lines
$84.50–$109.50 $169–$219 varies
Speech sound lang comprehen (92523) $183 $366 0.8×
Spin/Brain Pump Refil & Main (95991) $109 $218 0.3×
Spirometry (94010)
range across 10 matching MRF lines
$32.50–$227.50 $65–$455 varies
Standardized Cognitive Performance Testing (96125) $131 $262 1.3×
Subcutaneous Infusion Each Additional Hour (96370) $79.50 $159 1.4×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $278 $556 1.0×
Subq Infusion Additional Pump Infusion Site (96371) $79.50 $159 0.9×
Temp transcutaneous pacing (92953) $635 $1,270 0.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $48.50 $97 2.2×
Ther Ivntj Ea Addl 15 Min (97130) $48.50 $97 2.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $54.50 $109 1.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $44 $88 1.5×
Ther/Proph/Diag Inj Ia (96373) $247.50 $495 0.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$37.50–$104.50 $75–$209 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$106–$328.50 $212–$657 varies
Therapeutic Activities (97530) $26 $52 0.7×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $631.50 $1,263 1.4×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 4 matching MRF lines
$4.50–$84 $9–$168 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 3 matching MRF lines
$18.35–$41.50 $36.69–$83 varies
Trans Care Mgmt 14 Day Disch (99495)
range across 2 matching MRF lines
$90–$94.50 $180–$189 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 2 matching MRF lines
$120.50–$127 $241–$254 varies
Tte w/doppler, complete (93306)
range across 10 matching MRF lines
$2,136.50–$2,728 $4,273–$5,456 varies
Tte W/O Doppler Complete (93307) $1,651.50 $3,303 5.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $64 $128 0.8×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $46.50 $93 1.9×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$32.50–$84 $65–$168 varies
Tympanometry (92567) $15.50 $31 0.3×
Unlisted allergy/clinical immunologic srvc/px (95199) $48.50 $97 1.3×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$206.50–$1,102 $413–$2,204 varies
Unlisted Diagnostic Gastroenterology Procedure (91299) $243.50 $487 1.5×
Upr/L Xtremity Art 2 Levels (93922) $723.50 $1,447 4.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 5 matching MRF lines
$757–$969 $1,514–$1,938 varies
Veeg 2-12 hr unmonitored (95711) $484.50 $969 1.8×
Veeg Ea 12-26 Hr Unmntr (95714) $824.50 $1,649 1.8×
Vent Mgmt Inpat Init Day (94002) $577 $1,154 0.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $630 $1,260 0.8×
Visual Field Exam Extended (92083) $69 $138 0.4×
Visual field xm uni/bi w/interp intermed exam (92082) $26 $52 0.4×
Visual field xm uni/bi w/interpretj limited exam (92081) $26 $52 0.4×
Vital capacity, total (94150) $92 $184 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $35 $70 1.1×
Whirlpool Therapy (97022) $39 $78 2.5×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $29 $58 0.6×

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.