Visits & medical services prices at Schneck Medical Center
Seymour, IN · every code in this section with a posted price and a Medicare benchmark.
222 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actigraphy Testing Recording Analysis I&R (95803) range across 2 matching MRF lines |
$92.40–$349.30 | $132–$499 | varies |
| Acupunct W/Stimul 15 Min (97813) | $71.40 | $102 | 2.3× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $63.70 | $91 | 2.1× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 11 matching MRF lines |
$11.20–$65.10 | $16–$93 | varies |
| Advncd Care Plan 30 Min (99497) range across 8 matching MRF lines |
$128.80–$142.80 | $184–$204 | varies |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$30.10–$40.60 | $43–$58 | varies |
| Analyze neurostim complex (95972) range across 10 matching MRF lines |
$120.40–$456.40 | $172–$652 | varies |
| Analyze neurostim no prog (95970) range across 8 matching MRF lines |
$45.50–$182 | $65–$260 | varies |
| Analyze Neurostim Simple (95971) range across 8 matching MRF lines |
$63.70–$308.70 | $91–$441 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $18.90 | $27 | 1.3× |
| Application Modality 1/> Areas Diathermy (97024) | $19.60 | $28 | 2.7× |
| Application Modality 1/> Areas Infrared (97026) range across 4 matching MRF lines |
$21.70–$53.90 | $31–$77 | varies |
| Application on-body injector (96377) | $102.90 | $147 | 2.1× |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$161–$291.20 | $230–$416 | varies |
| Behavral qualit analys voice (92524) range across 4 matching MRF lines |
$203.70–$400.40 | $291–$572 | varies |
| Breath hydrogen/methane test (91065) | $317.10 | $453 | 1.4× |
| Brief Emotional/Behav Assmt (96127) range across 7 matching MRF lines |
$11.20–$11.90 | $16–$17 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 8 matching MRF lines |
$63.70–$109.90 | $91–$157 | varies |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$35.70–$67.90 | $51–$97 | varies |
| Car seat/bed test 60 min (94780) | $66.64 | $95.20 | 1.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $533.40 | $762 | 2.3× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$303.80–$318.50 | $434–$455 | varies |
| Cardioversion (92960) | $206.50 | $295 | 0.3× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $11.20 | $16 | 0.3× |
| Cbt 1st hour (94644) | $133 | $190 | 0.9× |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$86.80–$107.80 | $124–$154 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 3 matching MRF lines |
$38.50–$125.30 | $55–$179 | varies |
| Chemo IV infusion addl hr (96415) | $91.70 | $131 | 1.2× |
| Chemo IV push addl drug (96411) | $834.40 | $1,192 | 11.0× |
| Chemother Prolong Infuse W/Pump (96416) | $310.10 | $443 | 0.9× |
| Chemotherapy Unspecified (96549) | $384.30 | $549 | 7.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $102.90 | $147 | 1.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,032.50 | $1,475 | 3.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $878.50 | $1,255 | 2.5× |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$76.30–$100.10 | $109–$143 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $89.60 | $128 | 0.8× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $1,766.10 | $2,523 | 4.5× |
| Color/duplex Doppler, complete (93975) | $747.60 | $1,068 | 3.0× |
| Color/duplex Doppler, limited (93976) | $374.50 | $535 | 3.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 3 matching MRF lines |
$92.40–$177.80 | $132–$254 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $178.50 | $255 | 1.0× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $228.90 | $327 | 1.6× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $111.30 | $159 | 1.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $89.60 | $128 | 0.4× |
| Cpt initial (94667) range across 3 matching MRF lines |
$77–$179.90 | $110–$257 | varies |
| Critical care first hour (99291) range across 4 matching MRF lines |
$296.80–$1,379 | $424–$1,970 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 19 matching MRF lines |
$50.40–$400.40 | $72–$572 | varies |
| Dialysis One Evaluation (90945) | $716.80 | $1,024 | 1.6× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $695.10 | $993 | 6.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $885.50 | $1,265 | 3.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $926.10 | $1,323 | 8.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$195.30–$196 | $279–$280 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$42.70–$100.10 | $61–$143 | varies |
| Duplex Scan Hemodialysis Access (93990) | $506.10 | $723 | 4.6× |
| Duplex up extrem art bilat (93930) | $858.90 | $1,227 | 3.4× |
| Duplex up extrem art unilat/ltd (93931) | $899.50 | $1,285 | 8.1× |
| Ear and throat examination (92502) | $49.70 | $71 | 0.1× |
| Echo Heart Xthoracic,Limited (93308) | $261.80 | $374 | 1.0× |
| Echo r-t 2d w/probe placement only (93313) | $49.70 | $71 | 0.1× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$49.70–$815.50 | $71–$1,165 | varies |
| Eeg 41-60 Minutes (95812) | $281.40 | $402 | 1.2× |
| EEG awake and asleep (95819) | $200.90 | $287 | 0.9× |
| EEG awake drowsy (95816) | $200.90 | $287 | 0.9× |
| EEG cerebral death evaluation (95824) | $200.90 | $287 | 0.5× |
| EEG extended monitoring 61-119 minutes (95813) | $375.20 | $536 | 1.6× |
| Eeg Sleep Only (95822) | $200.90 | $287 | 0.9× |
| Electrical Stimulation Ea 15 Min (97032) | $22.40 | $32 | 1.5× |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$14.70–$55.30 | $21–$79 | varies |
| Emergency Dept Visit Level 2 (99282) range across 8 matching MRF lines |
$63.70–$242.90 | $91–$347 | varies |
| Emergency Dept Visit Level 3 (99283) range across 9 matching MRF lines |
$90.30–$416.50 | $129–$595 | varies |
| Emergency Dept Visit Level 4 (99284) range across 8 matching MRF lines |
$135.10–$616 | $193–$880 | varies |
| Emg 3 Extremities (95863) range across 3 matching MRF lines |
$281.40–$343 | $402–$490 | varies |
| Emg 4 Extremities (95864) range across 3 matching MRF lines |
$338.10–$485.80 | $483–$694 | varies |
| Er level 1 (99281) range across 8 matching MRF lines |
$49–$188.30 | $70–$269 | varies |
| Er level v (99285) range across 8 matching MRF lines |
$188.30–$698.60 | $269–$998 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $900.20 | $1,286 | 2.3× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$25.20–$28.70 | $36–$41 | varies |
| Evaluate Speech Production (92522) range across 4 matching MRF lines |
$203.70–$400.40 | $291–$572 | varies |
| Evaluate Swallowing Function (92610) range across 8 matching MRF lines |
$117.60–$519.40 | $168–$742 | varies |
| Evaluation of speech fluency (92521) range across 4 matching MRF lines |
$203.70–$400.40 | $291–$572 | varies |
| Evoked Auditory Test,Limited (92587) | $45.50 | $65 | 0.2× |
| External Ecg Scanning Analysis Report (93226) | $799.40 | $1,142 | 12.8× |
| Extracranial Bilat Study (93880) | $1,286.60 | $1,838 | 5.1× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 2 matching MRF lines |
$105.70–$226.10 | $151–$323 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $214.20 | $306 | 0.2× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$81.20–$81.90 | $116–$117 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $771.40 | $1,102 | 1.1× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$623.70–$942.20 | $891–$1,346 | varies |
| Hubbard tank 15 min (97036) | $28.70 | $41 | 0.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 5 matching MRF lines |
$11.20–$53.90 | $16–$77 | varies |
| Immunization administration (90471) range across 16 matching MRF lines |
$10.50–$94.50 | $15–$135 | varies |
| Inital newborn e/m (99460) range across 2 matching MRF lines |
$79.10–$142.80 | $113–$204 | varies |
| Insert/Place Heart Catheter (93503) | $279.30 | $399 | 0.2× |
| Iontophoresis 15 min (97033) | $25.20 | $36 | 1.3× |
| Irrig Drug Delivery Device (96523) | $95.90 | $137 | 1.5× |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$50.40–$204.40 | $72–$292 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 7 matching MRF lines |
$71.40–$281.40 | $102–$402 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 5 matching MRF lines |
$44.10–$58.10 | $63–$83 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$42–$46.90 | $60–$67 | varies |
| IV push initial (96374) range across 6 matching MRF lines |
$70–$149.80 | $100–$214 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 6 matching MRF lines |
$24.64–$26.60 | $35.20–$38 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 6 matching MRF lines |
$27.72–$30.10 | $39.60–$43 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 6 matching MRF lines |
$14.70–$15.40 | $21–$22 | varies |
| Methacholine challenge (94070) | $49 | $70 | 0.1× |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$140–$244.30 | $200–$349 | varies |
| Motion Fluoroscopy/Swallow (92611) | $316.40 | $452 | 3.5× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $161 | $230 | 0.3× |
| Multiple Family Group Psychotherapy (90849) | $146.30 | $209 | 0.8× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$118.30–$2,158.10 | $169–$3,083 | varies |
| Muscle Test 2 Limbs (95861) range across 3 matching MRF lines |
$225.40–$294 | $322–$420 | varies |
| Muscle Test One Limb (95860) range across 3 matching MRF lines |
$168.70–$236.60 | $241–$338 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $245 | $350 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$43.40–$57.40 | $62–$82 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$53.90–$63.70 | $77–$91 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 3 matching MRF lines |
$225.40–$268.10 | $322–$383 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 3 matching MRF lines |
$660.10–$785.40 | $943–$1,122 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 3 matching MRF lines |
$791.70–$942.90 | $1,131–$1,347 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 3 matching MRF lines |
$120.40–$329 | $172–$470 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 3 matching MRF lines |
$330.40–$392.70 | $472–$561 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 3 matching MRF lines |
$438.90–$521.50 | $627–$745 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 3 matching MRF lines |
$548.10–$653.80 | $783–$934 | varies |
| Neurobehavioral Status Exam (96116) | $71.40 | $102 | 0.3× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $113.40 | $162 | 0.8× |
| Neuromuscular Reeducation (97112) | $31.50 | $45 | 1.0× |
| Newborn resuscitation (99465) | $206.50 | $295 | 0.3× |
| Nitric oxide expired gas determination (95012) | $45.50 | $65 | 1.2× |
| Oral Function Therapy (92526) range across 8 matching MRF lines |
$105.70–$519.40 | $151–$742 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $134.40 | $192 | 2.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $146.30 | $209 | 3.2× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 7 matching MRF lines |
$35–$114.80 | $50–$164 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 7 matching MRF lines |
$45.50–$142.80 | $65–$204 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 5 matching MRF lines |
$64.40–$171.50 | $92–$245 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 5 matching MRF lines |
$75.60–$200.20 | $108–$286 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 5 matching MRF lines |
$82.60–$228.90 | $118–$327 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $18.90 | $27 | 1.3× |
| Ot eval high complexity (97167) | $380.80 | $544 | 3.8× |
| Ot Eval Low Complex (97165) | $157.50 | $225 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $247.10 | $353 | 2.5× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$19.60–$32.90 | $28–$47 | varies |
| Ot paraffin bath (97018) | $21 | $30 | 3.5× |
| Ot Re-Eval Est Plan Care (97168) | $92.40 | $132 | 1.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $100.10 | $143 | 0.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $100.10 | $143 | 0.7× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $49 | $70 | 2.0× |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $51.10 | $73 | 0.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $203 | $290 | 0.9× |
| Peripheral arterial disease rehab per session (93668) | $84.70 | $121 | 1.4× |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$103.60–$218.40 | $148–$312 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $98 | $140 | 1.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $98 | $140 | 1.6× |
| Physical Performance Test (97750) | $43.40 | $62 | 1.3× |
| Plethysmography (94726) range across 3 matching MRF lines |
$32.90–$56.70 | $47–$81 | varies |
| Pm device eval in person (93288) | $172.73 | $246.75 | 4.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$268.10–$3,063.90 | $383–$4,377 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 3 matching MRF lines |
$303.80–$3,462.90 | $434–$4,947 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 3 matching MRF lines |
$320.60–$3,462.90 | $458–$4,947 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $203.70 | $291 | 0.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 4 matching MRF lines |
$15.40–$18.20 | $22–$26 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 4 matching MRF lines |
$25.20–$32.20 | $36–$46 | varies |
| Psych diag eval w/med srvcs (90792) | $472.50 | $675 | 2.5× |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$415.80–$452.90 | $594–$647 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $400.40 | $572 | 1.8× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $109.90 | $157 | 0.8× |
| Psytx Crisis Initial 60 Min (90839) range across 3 matching MRF lines |
$430.50–$467.60 | $615–$668 | varies |
| Pt Eval High Complex (97163) | $287.70 | $411 | 2.9× |
| Pt eval low complex 20 min (97161) | $126.70 | $181 | 1.3× |
| Pt Eval Mod Complex (97162) | $191.80 | $274 | 2.0× |
| Pt gait training 15 min (97116) | $30.10 | $43 | 1.0× |
| Pt mechanical traction (97012) | $19.60 | $28 | 1.4× |
| Pt Re-Eval Est Plan Care (97164) | $106.40 | $152 | 1.6× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $11.20 | $16 | 0.3× |
| Pulm function test by gas (94727) range across 3 matching MRF lines |
$38.50–$65.10 | $55–$93 | varies |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$67.90–$75.60 | $97–$108 | varies |
| Pure Tone Audiometry Air (92552) range across 4 matching MRF lines |
$28.70–$50.40 | $41–$72 | varies |
| Refill/Maint Portable Pump (96521) | $292.60 | $418 | 1.3× |
| Rem ther mntr dev sply resp (98976) | $100.10 | $143 | 2.5× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$244.30–$319.20 | $349–$456 | varies |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $43.40 | $62 | 0.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$102.20–$105.70 | $146–$151 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $118.30 | $169 | 0.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $300.30 | $429 | 2.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $128.80 | $184 | 2.7× |
| Same day nb discharge (99463) range across 2 matching MRF lines |
$131.60–$168.70 | $188–$241 | varies |
| Self Care Mngment Training (97535) | $21.70 | $31 | 0.7× |
| Sleep study attended (95807) | $128.10 | $183 | 0.3× |
| Sleep study unattended (95806) | $96.60 | $138 | 0.4× |
| Slp Stdy Unatnd W/Anal (95801) | $89.60 | $128 | 1.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $89.60 | $128 | 0.4× |
| Somatosensory Testing (95938) | $1,141.70 | $1,631 | 1.3× |
| Speech sound lang comprehen (92523) range across 4 matching MRF lines |
$203.70–$400.40 | $291–$572 | varies |
| Spin/Brain Pump Refil & Main (95991) range across 3 matching MRF lines |
$167.30–$379.40 | $239–$542 | varies |
| Spirometry (94010) range across 8 matching MRF lines |
$49–$56.70 | $70–$81 | varies |
| Standardized Cognitive Performance Testing (96125) | $214.20 | $306 | 2.1× |
| Stress Tte Only (93350) | $815.50 | $1,165 | 1.4× |
| Surfactant Admin Thru Tube (94610) | $394.80 | $564 | 1.7× |
| Temp transcutaneous pacing (92953) | $637.70 | $911 | 0.9× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $161 | $230 | 7.2× |
| Ther Ivntj Ea Addl 15 Min (97130) | $67.90 | $97 | 3.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $27.30 | $39 | 0.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $253.40 | $362 | 2.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 22 matching MRF lines |
$21.70–$102.20 | $31–$146 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$199.50–$259.70 | $285–$371 | varies |
| Therapeutic Activities (97530) | $25.20 | $36 | 0.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 11 matching MRF lines |
$18.20–$43.40 | $26–$62 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 13 matching MRF lines |
$11.20–$21.70 | $16–$31 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$164.50–$261.10 | $235–$373 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 3 matching MRF lines |
$242.20–$353.50 | $346–$505 | varies |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $214.20 | $306 | 1.6× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $111.30 | $159 | 0.8× |
| Tte w/doppler, complete (93306) | $1,563.10 | $2,233 | 2.7× |
| Tte W/O Doppler Complete (93307) | $93.80 | $134 | 0.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 4 matching MRF lines |
$84.70–$253.40 | $121–$362 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 6 matching MRF lines |
$43.40–$86.10 | $62–$123 | varies |
| Tympanometry (92567) range across 4 matching MRF lines |
$28.70–$40.60 | $41–$58 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$114.80–$132.30 | $164–$189 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$911.40–$921.90 | $1,302–$1,317 | varies |
| Vasopneumatic device (97016) | $25.20 | $36 | 2.1× |
| Vent Mgmt Inpat Init Day (94002) | $147 | $210 | 0.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$98–$111.30 | $140–$159 | varies |
| Vital capacity, total (94150) | $14.70 | $21 | 0.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $97.30 | $139 | 3.1× |
| Whirlpool Therapy (97022) | $18.90 | $27 | 1.2× |
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.