Visits & medical services prices at Scott & White Hospital-round Rock

Round Rock, TX · every code in this section with a posted price and a Medicare benchmark.

560 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) $98.80 $164.67 1.0×
Ablate Heart Dysrhythm Focus (93650) $11,694.25 $19,490.42 1.5×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $230.54 $384.23 1.8×
Acoustic Reflex Testing (92568) $83.79 $139.65 2.2×
Actigraphy Testing Recording Analysis I&R (95803) $311.76 $519.60 5.3×
Actinotherapy Ultraviolet Light (96900) $138.89 $231.48 3.7×
Acupunct W/Stimul 15 Min (97813) $83.02 $138.37 2.9×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $76.87 $128.11 2.6×
Admn Sarscov2 Vacc 1 Dose (90480) $48 $80 1.2×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $308.40 $514 1.4×
Aep neurodiagnostic i&r (92653) $746.20 $1,243.67 3.4×
Aep threshold estimation mlt frequencies i&r (92652) $746.20 $1,243.67 3.4×
Airway Inhalation Treatment (94640) $325.31 $542.19 1.5×
Airway resistance by oscillometry (94728) $370.15 $616.91 2.9×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $58.63 $97.71 1.6×
Allg tstg perq & ic venoms immed react w/i&r (95017) $47.65 $79.42 1.6×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $299.68 $499.46 2.2×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $334.74 $557.90 2.5×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $570.17 $950.29 4.4×
Analyze neurostim complex (95972) $614.16 $1,023.60 6.4×
Analyze neurostim no prog (95970) $247.06 $411.76 1.8×
Analyze Neurostim Simple (95971) $579.17 $965.29 6.1×
Analyze Pacemaker System (93724) $1,074.43 $1,790.71 3.5×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170)
range across 3 matching MRF lines
$90–$168.73 $150–$281.22 varies
Anrct mano rct sensation&rct balo expulsion test (91125) $1,045.39 $1,742.32 2.8×
Ans parasymp & symp w/tilt (95924) $492.59 $820.99 2.3×
Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) $370.22 $617.04 2.8×
Ant sgm imaging w/microscopy endothelial analy (92286) $337.20 $562 2.5×
Appl modality 1+ areas lllt po pain reduction (97037) $45 $75 1.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $98.11 $163.52 6.8×
Application Modality 1/> Areas Infrared (97026) $52.20 $87 7.8×
Application on-body injector (96377) $148.49 $247.49 3.2×
Arrhythmia Induction (93618) $3,866.31 $6,443.85 3.2×
Assessment of aphasia per hr (96105) $361.80 $603 3.7×
Assessment of tinnitus (92625) $401.70 $669.50 3.1×
Assmt & care planning pt w/cognitive impairment (99483) $105.17 $175.29 1.0×
Audiometry Air & Bone (92553) $263.47 $439.11 2.0×
Auditory Function, 60 Min (92620) $343.54 $572.56 2.7×
Basic vestibular evaluation (92540) $712.28 $1,187.13 3.3×
Behavral qualit analys voice (92524) $401.71 $669.52 3.7×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $283.89 $473.15 3.5×
Bfb training ea addl 15 min (90913) $157.72 $262.86 4.8×
Biofeedback training any modality (90901) $157.24 $262.06 3.8×
Bioimpedance Cv Analysis (93701) $110.29 $183.82 0.8×
Bis Xtracell Fluid Analysis (93702) $287.28 $478.80 2.2×
Blink reflex test (95933) $326.05 $543.42 5.5×
Breath hydrogen/methane test (91065) $626.67 $1,044.45 2.9×
Breathing response to hypoxia (94450) $211.80 $353 1.6×
Brief Emotional/Behav Assmt (96127) $51.12 $85.20 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $786.77 $1,311.28 2.1×
Bundle of his recording (93600) $4,251.46 $7,085.76 0.5×
C motor evoked uppr limbs (95928) $824.67 $1,374.45 1.0×
C motor evoked upr&lwr limbs (95939) $1,083.58 $1,805.96 1.3×
Caloric vestibular test w/rec bi monothermal (92538) $559.71 $932.85 2.6×
Caloric Vstblr Test W/Rec (92537) $570.69 $951.15 4.4×
Canalith repositioning proc (95992) $141.83 $236.38 3.5×
Car seat/bed test 60 min (94780) $180.79 $301.32 4.8×
Cardiac Stress Tst,Tracing Only (93017) $1,281.95 $2,136.58 5.9×
Cardiopulmonary exercise testing (94621) $1,454.57 $2,424.29 3.9×
Cardiopulmonary resuscitation (92950) $1,124.06 $1,873.44 5.2×
Cardioversion (92960) $1,975.72 $3,292.86 3.0×
Cardioversion elective internal (92961) $1,209.79 $2,016.32 1.8×
Care mgmt services behavioral hlth cond 20 mins (99484) $31.79 $52.98 0.8×
Caregiver hlth risk assmt score doc stnd instrm (96161) $64.91 $108.19 1.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $104.15 $173.58 4.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $16,434.70 $27,391.16 5.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $17,211.76 $28,686.27 5.3×
Cbt 1st hour (94644) $420.58 $700.97 3.1×
Cervical & Ocular Vemp Testing W/I&R (92519) $317.34 $528.90 1.5×
Cervical Vemp Testing W/I&R (92517) $167.46 $279.10 1.3×
Chemo Admin Peritoneal Cavity (96446) $475.70 $792.84 1.4×
Chemo Anti-Neopl Sq/Im (96401) $306.40 $510.67 4.2×
Chemo Hormon Antineopl Sq/Im (96402) $179.24 $298.74 2.5×
Chemo Ia Push (96420) $477.74 $796.24 1.4×
Chemo Intralesional Over 7 (96406) $320.23 $533.71 1.5×
Chemo intralesional up to 7 (96405) $156.84 $261.40 2.2×
Chemo IV infusion addl hr (96415) $200.88 $334.80 2.8×
Chemo IV push addl drug (96411) $382.34 $637.24 5.3×
Chemother Prolong Infuse W/Pump (96416) $840.52 $1,400.87 2.5×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $691.12 $1,151.86 2.1×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $213.35 $355.58 4.5×
Chemotherapy Into Cns (96450) $638.12 $1,063.54 1.9×
Chemotherapy Intracavitary (96440) $393.54 $655.90 1.2×
Chemotherapy Unspecified (96549)
range across 3 matching MRF lines
$340.18–$475.70 $566.97–$792.84 varies
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $503.81 $839.69 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $401.17 $668.62 5.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $521.90 $869.84 1.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $534.39 $890.65 1.6×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $295.46 $492.44 0.9×
Chest Wall Manipulation (94668) $156.60 $261 1.2×
Chiropract manj 3-4 regions (98941) $59.77 $99.61 2.8×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) $59.77 $99.61 2.8×
Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) $62.78 $104.63 2.9×
Chron Care Mgmt Srvc 20 Min (99490) $69.30 $115.50 0.7×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $1,130.96 $1,884.93 3.0×
Cmptr ophth dx img ant segmt (92132) $115.95 $193.25 2.0×
Colon Motility 6 Hr Study (91117) $477.92 $796.54 2.2×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $192.08 $320.13 3.2×
Color/duplex Doppler, complete (93975) $942.10 $1,570.16 3.9×
Color/duplex Doppler, limited (93976) $743.89 $1,239.81 7.1×
Community/Work Reintegration Trainj Ea 15 Min (97537) $97.36 $162.27 3.0×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $95.17 $158.62 0.5×
Comprehensive Hearing Test (92557) $299.76 $499.60 2.3×
Computerized dynamic posturography (92548) $499.39 $832.31 3.7×
Computerized Ophthalmic Imaging Optic Nerve (92133) $162.53 $270.89 2.7×
Computerized Ophthalmic Imaging Retina (92134) $162.51 $270.85 2.7×
Conditioning Play Audiometry (92582) $279.40 $465.67 2.2×
Cont gluc mntr physician/qhp provided equiptment (95250) $387.73 $646.21 2.9×
Cont Gluc Mntr Pt Prov Eqp (95249) $316.45 $527.42 5.3×
Contact Lens Fit,Corneoscleral Lens (92313) $147.78 $246.30 1.1×
Continuous Pulse Ox (94762) $385.86 $643.10 3.0×
Cornea hysteresis determin impulse stimj uni/bi (92145) $67.54 $112.57 1.1×
Corneal Topography (92025) $173.80 $289.67 2.9×
Coronary Art/Grft Angio S&I (93455) $11,341.68 $18,902.80 3.5×
Coronary Artery Angio S&I (93454) $10,172.62 $16,954.36 3.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $927.61 $1,546.01 4.2×
Cpt initial (94667) $202.10 $336.84 1.5×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $357 $595 1.6×
Critical care first hour (99291) $3,595.72 $5,992.87 4.3×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $884.52 $1,474.20 2.4×
Dark Adaptation Eye Exam (92284) $319.04 $531.74 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $408.35 $680.59 2.0×
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) $203.65 $339.42 1.0×
Developmental tst admin phys/qhp 1st hour (96112) $79.98 $133.30 0.6×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $394.90 $658.17 3.1×
Dialysis One Evaluation (90945) $1,775.84 $2,959.74 4.2×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $412.43 $687.38 1.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $799.42 $1,332.36 3.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $497.68 $829.46 4.7×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $810.18 $1,350.30 7.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $970.20 $1,617 4.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $641.09 $1,068.48 6.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,090.23 $1,817.05 4.5×
Dup-scan xtr veins unilateral/limited study (93971) $803.29 $1,338.82 7.6×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $332.18 $553.63 1.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $134.48 $224.14 1.3×
Duplex Scan Hemodialysis Access (93990) $467.33 $778.89 4.4×
Duplex up extrem art bilat (93930) $838.98 $1,398.30 3.5×
Duplex up extrem art unilat/ltd (93931) $542.84 $904.73 5.2×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $399.08 $665.14 3.1×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $516.84 $861.40 4.0×
Ear and throat examination (92502) $774.02 $1,290.03 1.4×
ECG/monitoring and analysis (93271) $644.32 $1,073.87 6.7×
Echo Congenital Complete (93303) $2,646 $4,410 4.8×
Echo Heart Xthoracic,Limited (93308) $838.44 $1,397.40 3.5×
Echo r-t 2d w/probe placement only (93313) $913.33 $1,522.22 1.7×
Echo transesophag congen probe plcmt only (93316) $1,196.35 $1,993.92 2.2×
Echo transesophageal (93312) $2,974.04 $4,956.74 5.4×
Echo Transesophageal - Congenital Tee Complete (93315) $1,820.80 $3,034.67 3.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,666.40 $4,444 4.9×
Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) $225.28 $375.47 6.0×
Eeg 41-60 Minutes (95812) $1,053.58 $1,755.96 4.9×
EEG awake and asleep (95819) $1,171.82 $1,953.03 5.4×
EEG awake drowsy (95816) $977.98 $1,629.96 4.5×
EEG cerebral death evaluation (95824) $950.87 $1,584.78 2.5×
EEG cont rec w/video by tech min 8 channels (95700) $413.84 $689.73 1.9×
EEG extended monitoring 61-119 minutes (95813) $1,460.63 $2,434.38 6.7×
Eeg Sleep Only (95822) $1,250.16 $2,083.60 5.8×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,271.31 $2,118.85 5.9×
EEG w/o vid 2-12hr cont mntr (95707) $2,057.66 $3,429.44 9.5×
EEG w/o vid ea 12-26hr intmt (95709) $3,752.75 $6,254.58 10.0×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $4,134.02 $6,890.04 11.0×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $1,732.04 $2,886.73 8.0×
EEG wo vid ea 12-26hr unmntr (95708) $2,776.54 $4,627.56 7.4×
EKG signal averaged (93278) $270.34 $450.56 4.6×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $144.70 $241.16 1.5×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $400.51 $667.52 4.2×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $378.26 $630.43 10.1×
Electrical Stimulation Ea 15 Min (97032) $104.47 $174.12 7.1×
Electro-Oculography (92270) $319.04 $531.74 2.4×
Electrocardiogram Tracing (93005) $284.07 $473.45 4.8×
Electrocochleography (92584) $499.99 $833.32 3.9×
Electroconvulsive Therapy (90870) $698.32 $1,163.86 0.8×
Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) $252.88 $421.46 1.9×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $6,371.24 $10,618.74 0.8×
Electrophysiology Evaluation (93642) $3,424.87 $5,708.11 2.8×
Emergency Dept Visit Level 2 (99282) $561.69 $936.15 3.6×
Emergency Dept Visit Level 3 (99283) $1,006.17 $1,676.95 3.7×
Emergency Dept Visit Level 4 (99284) $1,676.36 $2,793.93 4.0×
Emg 3 Extremities (95863) $572.65 $954.41 4.4×
Emg 4 Extremities (95864) $719.99 $1,199.98 5.6×
Endomyocardial Biopsy (93505) $5,099.77 $8,499.62 1.6×
Ep & ablate supravent arrhyt (93653) $48,519.12 $80,865.20 1.8×
Ep & ablate ventric tachy (93654) $38,098.43 $63,497.39 1.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $14,029.39 $23,382.31 1.8×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $8,678.21 $14,463.68 1.1×
Er level 1 (99281) $333.31 $555.51 3.9×
Er level v (99285) $2,377.55 $3,962.58 4.0×
Ergonovine provocation test (93024) $543.20 $905.33 1.2×
Esophageal Capsule Endoscopy (91111) $1,897.82 $3,163.03 2.1×
Esophgl Balo Distension Dx Std W/Provocation (91040) $1,039.09 $1,731.81 2.8×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,393.73 $2,322.88 3.7×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $366.14 $610.24 2.8×
Evaluate pt use of inhaler (94664) $185.17 $308.62 0.8×
Evaluate Speech Production (92522) $407.75 $679.58 3.6×
Evaluate Swallowing Function (92610) $400.18 $666.96 4.7×
Evaluation of speech fluency (92521) $419.80 $699.66 3.1×
Evoked Auditory Test,Limited (92587) $373.31 $622.19 1.7×
Excimer laser tx psoriasis 250-500 sq cm (96921) $262.65 $437.75 1.3×
Excimer laser tx psoriasis >500 sq cm (96922) $326.34 $543.90 0.8×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $242.13 $403.55 1.2×
Exercise test for bronchospasm (94617) $136.75 $227.91 1.0×
External ECG rec>48hr<7d recording (93242) $456.60 $761 12.2×
External ECG rec>48hr<7d scanning alys w/report (93243) $445.01 $741.69 3.3×
External ECG rec>7d<15d recording (93246) $456.60 $761 12.2×
External ECG rec>7d<15d scanning alys w/report (93247) $445.01 $741.69 3.3×
External Ecg Scanning Analysis Report (93226) $657.76 $1,096.27 11.1×
Extracranial Bilat Study (93880) $1,224.72 $2,041.20 5.1×
Extracranial Uni/Ltd Study (93882) $601.48 $1,002.46 5.7×
Eye Allergy Tests (95060) $129.56 $215.94 1.0×
Eye exam w anesth; complete (92018) $2,367.37 $3,945.61 1.0×
Eye exam w anesth; limited (92019) $2,163.60 $3,606 0.9×
Eye Exam With Photos (92230) $389.45 $649.08 1.0×
F-up/limited tthrc echo congenital car anomaly (93304) $1,408.73 $2,347.89 2.6×
Facial nerve function studies (92516) $189.01 $315.01 0.9×
Filtered Speech Test (92571) $125.75 $209.58 3.4×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $415.87 $693.11 2.7×
Flexible endoscopic eval swallow c/v rec (92612) $504.10 $840.16 2.5×
Fluorescein angiography (92235) $548.78 $914.64 2.5×
Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) $278.77 $464.62 1.3×
Full Field Electroretinography W/I&R (92273) $574.20 $957 2.6×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,082.64 $1,804.40 1.3×
Fundus photography (92250) $255.85 $426.41 1.9×
Gastric motility studies (91020) $1,606.88 $2,678.14 4.3×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,092.39 $1,820.65 2.9×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $855.56 $1,425.93 3.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,787.85 $2,979.75 2.1×
Gi tract capsule endoscopy (91110) $2,539.87 $4,233.11 2.8×
Gi wireless capsule measure (91112) $710.42 $1,184.03 0.8×
Gonioscopy (92020) $152.50 $254.17 1.1×
Group Therapeutic Procedures (97150) $106.47 $177.45 5.9×
Health Behavior Assessment/Re-Assessment (96156) $256.06 $426.77 2.5×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $181.29 $302.15 4.8×
Health behavior ivntj group f2f 1st 30 min (96164)
range across 2 matching MRF lines
$73.33–$146.65 $122.21–$244.42 varies
Health behavior ivntj indiv f2f 1st 30 min (96158) $225.58 $375.96 1.3×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $17,502.49 $29,170.82 5.4×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,364.27 $2,273.79 2.0×
High altitude simulation test (94452) $407.06 $678.43 3.0×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $385.66 $642.77 2.9×
Holter monitor recording (93225) $877.25 $1,462.09 6.6×
Hubbard tank 15 min (97036) $138.25 $230.42 4.0×
Hypnotherapy (90880) $154.52 $257.53 1.5×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $60.06 $100.10 1.6×
Icd Device Interrogate (93289) $230.90 $384.83 6.2×
Icd device progr eval dual (93283) $318.07 $530.11 8.5×
Icd Device Progr Eval Mult (93284) $320.29 $533.81 8.5×
Icm Device Eval (93290) $137.72 $229.54 3.7×
Ilr Device Eval Progr (93285) $208.58 $347.64 5.6×
Ilr Device Interrogate (93291) $259.93 $433.22 8.9×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$15–$50.40 $25–$84 varies
Img retina detcj/mntr ds poc auton a/r uni/bi (92229) $66.79 $111.32 1.1×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $181.35 $302.25 3.1×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $38.90 $64.84 1.0×
Immunization administration (90471)
range across 4 matching MRF lines
$61.58–$66.51 $102.64–$110.85 varies
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $610.80 $1,018 2.8×
Ingestion challenge test initial 120 minutes (95076) $709.16 $1,181.93 1.9×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $701.47 $1,169.12 1.9×
Insert/Place Heart Catheter (93503) $3,505.49 $5,842.49 2.2×
Interrogate Subq Defib (93261) $154.90 $258.16 4.1×
Interrogation vad in person (93750) $301.98 $503.30 3.2×
Intra-atrial pacing (93610) $4,251.46 $7,085.76 0.5×
Intra-atrial recording (93602) $4,251.46 $7,085.76 0.5×
Intracranial Complete Study (93886) $687.43 $1,145.72 2.9×
Intracutaneous tests w/allergenic extracts (95024) $58.63 $97.71 1.0×
Intraventricular pacing (93612) $4,251.46 $7,085.76 0.5×
Io anal gast n-stim subsq (95981) $146.38 $243.96 2.5×
Io ga n-stim subsq w/reprog (95982) $210.82 $351.37 5.6×
Iontophoresis 15 min (97033) $116.63 $194.38 6.1×
Irrig Drug Delivery Device (96523) $186.58 $310.97 3.1×
Ischemic limb exercise test (95875) $355.54 $592.57 2.8×
IV infusion hydration each additional hour (96361) $241.37 $402.28 5.1×
IV infusion hydration initial 31 min-1 hour (96360) $527.15 $878.59 2.5×
IV infusion ther proph addl sequential to 1 hr (96367) $230.40 $384 3.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $228.07 $380.11 4.8×
IV push initial (96374) $362.20 $603.66 1.7×
L Hrt Art/Grft Angio (93459) $15,558.97 $25,931.61 4.8×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $7,452.60 $12,421 2.3×
Laryngeal Function Studies (92520) $342.68 $571.14 2.6×
Liver Elastography W/O Imag W/I&R (91200) $193.01 $321.68 1.5×
Loudness balance test (92562) $169.90 $283.17 0.8×
Lung Function Test (Mbc/Mvv) (94200) $192.29 $320.49 3.2×
Lwr Xtr Vasc Stdy Bilat (93924) $610.51 $1,017.51 2.8×
Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) $261.28 $435.46 1.2×
Measurement Lung Volumes Infant/Child/2 Yrs (94013) $466.61 $777.68 1.2×
Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) $143.14 $238.56 1.1×
Mechanical chest wall oscillation per session (94669) $204.89 $341.49 0.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $54.73 $91.22 1.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $50.27 $83.79 1.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $42.28 $70.47 2.5×
Methacholine challenge (94070) $1,105.33 $1,842.22 2.9×
Microvolt T-Wave Assess (93025) $1,227.64 $2,046.07 9.5×
Motility study esophagus (91010) $1,681.16 $2,801.94 4.5×
Motion Fluoroscopy/Swallow (92611) $470.53 $784.21 5.1×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $257.66 $429.43 0.6×
Multifocal Electroretinography W/I&R (92274) $574.20 $957 4.4×
Multiple Family Group Psychotherapy (90849) $123.95 $206.58 0.7×
Multiple Sleep Latency Test (95805) $3,455.01 $5,758.35 4.0×
Muscle Test 2 Limbs (95861) $497.74 $829.56 3.7×
Muscle Test Hemidiaphragm (95866) $267.87 $446.45 2.1×
Muscle Test Nonparaspinal (95870) $233.82 $389.70 1.7×
Muscle Test One Limb (95860) $393.29 $655.49 2.9×
Narcosynthesis (90865) $237.77 $396.28 1.3×
Nasal function studies (92512) $298.60 $497.66 1.4×
Nasopharyngoscopy (92511) $211.51 $352.51 1.1×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $478.06 $796.77 2.2×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $404.32 $673.87 1.9×
Needle electromyography larynx (95865) $295.79 $492.98 2.2×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $277.93 $463.21 1.3×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $375.18 $625.30 1.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $632.77 $1,054.62 1.5×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $663.39 $1,105.65 1.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $347.30 $578.84 1.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $474.53 $790.88 1.2×
Nerve Conduction Studies 1-2 Studies (95907) $406.86 $678.10 1.9×
Nerve Conduction Studies 11-12 Studies (95912) $1,185.62 $1,976.04 3.2×
Nerve conduction studies 13 or more studies (95913) $1,185.62 $1,976.04 3.2×
Nerve Conduction Studies 3-4 Studies (95908) $581.40 $969 2.7×
Nerve conduction studies 5-6 studies (95909) $676.12 $1,126.86 3.1×
Nerve conduction studies 7-8 studies (95910) $756.32 $1,260.53 2.0×
Nerve Conduction Studies 9-10 Studies (95911) $1,244.90 $2,074.84 3.3×
Neurobehavioral Status Exam (96116) $465.99 $776.65 2.1×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $400.75 $667.92 3.1×
Neuromuscular Reeducation (97112) $133.06 $221.76 4.1×
Newborn resuscitation (99465) $732.22 $1,220.36 1.1×
Nitric oxide expired gas determination (95012) $134.64 $224.40 3.6×
Nonphysician Telephone Assessment 11-20 Min (98967) $53.40 $89 2.1×
Nonphysician Telephone Assessment 21-30 Min (98968) $87.78 $146.30 2.5×
Nonphysician Telephone Assessment 5-10 Min (98966) $28.98 $48.30 2.1×
Nrpsyc tst eval phys/qhp 1st (96132) $342.84 $571.40 0.9×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $473.13 $788.55 1.3×
Ocular Vemp Testing W/I&R (92518) $167.46 $279.10 1.3×
Oculoelectromyography (92265) $67.16 $111.94 1.1×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $244.01 $406.68 1.8×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $241 $401.67 1.8×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $228 $380 1.7×
Ophth medical xm&eval intermediate estab pt (92012) $196.23 $327.05 1.5×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $172.26 $287.10 1.3×
Ophthalmodynamometry (92260) $72.19 $120.31 1.9×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $102.23 $170.38 1.7×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $107.26 $178.77 1.8×
Optokinetic Nystagmus Test (92544) $202.96 $338.27 1.6×
Oral Function Therapy (92526) $276.32 $460.54 3.3×
Oral Speech Device Eval (92597) $424.38 $707.30 6.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $118.67 $197.79 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $133.43 $222.39 2.9×
Oscillating Tracking Test (92545) $267.15 $445.25 1.2×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $52.96 $88.26 2.4×
Osteopathic manipulative tx 3-4 body regions (98926) $57.65 $96.08 2.7×
Osteopathic manipulative tx 5-6 body regions (98927) $58.25 $97.09 2.7×
Osteopathic manipulative tx 7-8 body regions (98928) $53.08 $88.47 2.4×
Osteopathic manipulative tx 9-10 body regions (98929) $47.24 $78.74 2.2×
Ot Contrast Bath Ea 15 Min (97034) $84.22 $140.36 6.0×
Ot eval high complexity (97167) $405.44 $675.74 4.0×
Ot Eval Low Complex (97165) $272.39 $453.98 2.7×
Ot Eval Moderate Complexity (97166) $359.41 $599.02 3.6×
Ot manual therapy 15 min (97140) $140.92 $234.86 5.1×
Ot paraffin bath (97018) $96.98 $161.63 16.1×
Ot Prosthetic Training, Each 15 Min (97761) $104.58 $174.30 2.6×
Ot Re-Eval Est Plan Care (97168) $245.25 $408.75 3.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $346.18 $576.97 2.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $216.93 $361.55 1.7×
Oxygen Uptake Rest Indirect (94690) $469.66 $782.76 7.9×
Patch/Application Test Specify Number Tests (95044) $72.75 $121.25 0.1×
Pdt dstr prmlg les phys/qhp (96573) $203.65 $339.42 1.0×
Pdt dstr prmlg les skn illum/activj per day (96567) $425.40 $709 2.1×
Penile Vascular Study,Ltd or F/U (93981) $605.42 $1,009.03 5.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $357.05 $595.08 1.6×
Percutaneous tests w/allergenic extracts (95004) $14.40 $24 0.0×
Peripheral arterial disease rehab per session (93668) $128.69 $214.48 2.2×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $22,098.20 $36,830.34 1.2×
Perq transcath closure pda (93582) $25,123.29 $41,872.15 1.4×
Perq Transcath Cls Aortic (93591) $20,488.05 $34,146.75 1.1×
Perq Transcath Cls Mitral (93590) $23,883.21 $39,805.35 1.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $12,333.02 $20,555.03 2.2×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $18,978.50 $31,630.84 1.6×
Phlebotomy therapeutic (99195) $275.15 $458.59 2.1×
Photochemotx Psoralens&Ultraviolet Puva (96912) $196.85 $328.08 3.3×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $195.90 $326.50 3.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $146.86 $244.77 2.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $146.86 $244.77 2.5×
Physical Performance Test (97750) $109.37 $182.29 3.2×
Plethysmography (94726) $516.35 $860.58 1.4×
Pm device eval in person (93288) $189.76 $316.27 5.1×
Pm device progr eval dual (93280) $288.56 $480.93 7.7×
Pm device progr eval multi (93281) $315.10 $525.16 8.4×
Pm Device Progr Eval Sngl (93279) $271.51 $452.52 7.2×
Pm/Icd Remote Tech Serv (93296) $220.16 $366.94 5.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,654.35 $7,757.25 5.4×
Polysom <6 yrs 4/> paramtrs (95782) $4,346.17 $7,243.61 5.0×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $4,360.45 $7,267.41 5.1×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $2,737.39 $4,562.31 3.2×
Positional nystagmus test (92542) $229.10 $381.84 1.7×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $70.07 $116.78 1.5×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $54.25 $90.42 1.2×
Prepj& antigen allergen immunotherapy 2 insect (95146) $82.78 $137.97 1.8×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $99.86 $166.43 1.4×
Prepj& antigen allergen immunotherapy 5 insect (95149) $82.15 $136.92 1.1×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) $72.19 $120.31 1.9×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $210 $350 5.6×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $283.25 $472.08 7.6×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $91.70 $152.84 0.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $46.80 $78 1.0×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $69.80 $116.33 1.5×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $91.07 $151.79 1.3×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) $71.21 $118.68 1.5×
Prq Card Angio/Athrect 1 Art (92924) $12,866.36 $21,443.94 1.1×
Prq Card Stent W/Angio 1 Vsl (92928) $12,158.72 $20,264.53 1.0×
Prq Card Stent/Ath/Angio (92933) $14,295.96 $23,826.60 0.8×
Prq Revasc Byp Graft 1 Vsl (92937) $12,158.72 $20,264.53 1.0×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $22,263.84 $37,106.40 1.2×
Prq trl rvs ch occ ant&rtrgr (92945) $23,158.66 $38,597.77 2.0×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $10,790.64 $17,984.40 0.9×
Psych diag eval w/med srvcs (90792) $337.14 $561.90 1.9×
Psychiatric diagnostic evaluation (90791) $342.20 $570.34 1.9×
Psychoanalysis (90845) $250.85 $418.08 1.4×
Psychological tst eval svc phys/qhp first hour (96130) $233.73 $389.55 1.1×
Psycl/Nrpsyc Tst Auto Result (96146) $140.58 $234.30 4.8×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $217.43 $362.38 0.5×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $224.75 $374.58 1.7×
Psytx Crisis Initial 60 Min (90839) $254.59 $424.32 1.4×
Pt Eval High Complex (97163) $395.51 $659.18 4.0×
Pt eval low complex 20 min (97161) $351.47 $585.79 3.6×
Pt Eval Mod Complex (97162) $352.31 $587.18 3.6×
Pt gait training 15 min (97116) $124.76 $207.94 4.3×
Pt group caregiver training (97552) $12.85 $21.42 0.6×
Pt mechanical traction (97012) $114.88 $191.47 8.0×
Pt Re-Eval Est Plan Care (97164) $224.67 $374.45 3.3×
Pt ultraviolet (97028) $45.05 $75.08 5.4×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $70.11 $116.85 1.9×
Pulm function test by gas (94727) $345.62 $576.04 1.6×
Pulmonary service/procedure (94799)
range across 5 matching MRF lines
$174.56–$345.62 $290.93–$576.04 varies
Pulmonary Stress Testing (94618) $517.67 $862.79 3.9×
Pure Tone Audiometry Air (92552) $159.21 $265.35 1.2×
R Hrt Art/Grft Angio (93457) $17,902.38 $29,837.30 5.5×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $7,217.72 $12,029.53 2.2×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $7,217.72 $12,029.53 2.2×
R hrt coronary artery angio (93456) $15,971.87 $26,619.79 4.9×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $10,607.48 $17,679.13 3.3×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $10,607.48 $17,679.13 3.3×
R&L Hrt Cath W/Ventriclgrphy (93453) $12,032.14 $20,053.56 3.7×
Rapid Desensitization Procedure Each Hour (95180) $420.29 $700.48 0.9×
Rectal sensation tone&compliance study (91124) $564.48 $940.80 2.6×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $576.89 $961.49 1.7×
Refill/Maint Portable Pump (96521) $396.74 $661.24 1.9×
Refill/Maint Pump/Resvr Syst (96522) $403.76 $672.93 1.9×
Rem interrog icpms <30 d phys/qhp (93297) $217.92 $363.20 5.8×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $217.92 $363.20 5.8×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $43.79 $72.98 1.2×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $136.52 $227.54 1.0×
Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) $44.99 $74.98 1.2×
Remote 30 Day Ecg Rev/Report (93270) $321.83 $536.38 8.6×
Repet tms tx initial w/map/motr threshld/del&m (90867) $437.22 $728.70 2.0×
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) $417.06 $695.10 1.9×
Respiratory flow volume loop (94375) $389.88 $649.80 1.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $152.90 $254.84 2.6×
Right Heart Cath (93451) $11,622.79 $19,371.31 3.6×
Right ventricular recording (93603) $4,284 $7,140 3.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $165.67 $276.12 0.8×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $106.09 $176.82 4.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $424.15 $706.91 3.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $165.91 $276.51 3.5×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $797.51 $1,329.19 2.1×
Sbsq Psyc Collab Care Mgmt (99493) $98.80 $164.67 1.0×
Select picture audiometry (92583) $111.59 $185.99 1.9×
Self Care Mngment Training (97535) $151.65 $252.75 4.7×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $163.10 $271.83 2.8×
Sensory Integration Ea 15 Min (97533) $104.80 $174.67 1.7×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $1,180.60 $1,967.66 5.4×
Short-latency somatosens ep std upr limbs (95925) $953.96 $1,589.94 4.4×
Sinusoidal Vertical Axis Rotational Testing (92546) $425.50 $709.17 3.3×
Sleep study attended (95807) $2,830.09 $4,716.82 7.5×
Sleep study unattended (95806) $757.21 $1,262.02 3.5×
Slp caregiver training 1st 30 min (97550) $208.30 $347.16 3.9×
Slp Stdy Unatnd W/Anal (95801) $498.32 $830.54 8.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $503.38 $838.97 2.3×
Somatosensory Testing (95938) $1,581.91 $2,636.51 1.8×
Speech Audiometry Complete (92556) $125.39 $208.99 2.1×
Speech audiometry threshold (92555) $102.55 $170.91 1.7×
Speech sound lang comprehen (92523) $491.24 $818.73 2.2×
Spin/Brain Pump Refil & Main (95991) $390.91 $651.52 1.3×
Spirometry (94010) $600.80 $1,001.33 2.8×
Spontaneous Nystagmus Test (92541) $217.57 $362.62 1.6×
Ssep lower limbs (95926) $1,003.86 $1,673.10 4.6×
Staggered Spondaic Word Test (92572) $263.71 $439.51 2.0×
Standardized Cognitive Performance Testing (96125) $323.83 $539.71 3.1×
Stenger Test Speech (92577) $466.61 $777.68 1.2×
Stenger Test, Pure Tone (92565) $98.41 $164.01 1.7×
Stress Tte Only (93350) $2,350.85 $3,918.08 4.3×
Subcutaneous Infusion Each Additional Hour (96370) $145.94 $243.24 3.1×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $407.78 $679.64 1.9×
Subq Infusion Additional Pump Infusion Site (96371) $117.50 $195.84 1.6×
Surfactant Admin Thru Tube (94610) $274.29 $457.15 1.2×
Synthetic Sentence Identification Test (92576) $147.25 $245.42 3.9×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $394.51 $657.51 3.8×
Temp transcutaneous pacing (92953) $664.41 $1,107.35 1.0×
Tensilon Test (95857) $298.60 $497.66 1.4×
Test to assess hearing loss using different tone pitches (92575) $134.51 $224.19 3.6×
Testing Autonomic Nervous System Function (95923) $488.90 $814.84 3.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $108.04 $180.07 4.8×
Ther Ivntj Ea Addl 15 Min (97130) $99.73 $166.21 4.7×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $109.85 $183.08 3.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $109.46 $182.44 3.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $302.20 $503.66 2.9×
Ther/Prop/Diag Inj/Inf Proc (96379) $111.49 $185.81 2.4×
Ther/Proph/Diag Inj Ia (96373) $235.55 $392.58 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $197.78 $329.64 2.7×
Ther/Proph/Diag Iv Inf Init (96365) $590.25 $983.75 2.8×
Therap repetitive tms tx subseq delivery & mng (90868) $455.49 $759.15 2.1×
Therapeutic Activities (97530) $147.08 $245.14 4.2×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,062.26 $3,437.10 5.5×
Tobacco Use Cessation Intensive >10 Minutes (99407) $71.76 $119.60 1.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $48.71 $81.19 1.3×
Tone Decay Test (92563) $90.37 $150.62 2.4×
Trans Care Mgmt 14 Day Disch (99495) $195.53 $325.89 1.5×
Trans Care Mgmt 7 Day Disch (99496) $251.56 $419.26 1.9×
Transcath Closure of Asd (93580) $26,635.92 $44,393.20 1.4×
Transcranial Doppler Intracran Art Emboli Detect (93892) $381.02 $635.04 3.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $398.34 $663.90 3.8×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $175.93 $293.21 4.7×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $299.72 $499.53 2.3×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $328.36 $547.26 2.5×
Tte w/doppler, complete (93306) $2,589.56 $4,315.93 4.7×
Tte W/O Doppler Complete (93307) $1,535.82 $2,559.70 6.4×
Tx atrial fib pulm vein isol (93656) $36,478.99 $60,798.32 1.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $264.98 $441.63 3.5×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $178.43 $297.39 7.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $255.96 $426.60 5.4×
Tympanometry (92567) $115.63 $192.71 3.1×
Tympanometry and reflex threshold measurements (92550) $168.62 $281.04 0.8×
Unlisted cardiovascular service/procedure (93799)
range across 48 matching MRF lines
$229.22–$34,741.90 $382.03–$57,903.16 varies
Unlisted Diagnostic Gastroenterology Procedure (91299)
range across 3 matching MRF lines
$635.20–$1,256.74 $1,058.66–$2,094.57 varies
Unlisted noninvasive vascular diagnostic study (93998)
range across 3 matching MRF lines
$158.14–$844.07 $263.56–$1,406.78 varies
Unlisted ophthalmological service/procedure (92499) $213.51 $355.85 7.3×
Unlisted otorhinolaryngological service (92700)
range across 4 matching MRF lines
$91.40–$334.27 $152.34–$557.12 varies
Unlisted Special Dermatological Service/Px (96999) $177.40 $295.66 0.9×
Upr/L Xtremity Art 2 Levels (93922) $547.85 $913.08 4.1×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $738.05 $1,230.09 3.4×
Valvuloplasty aortic valve (92986) $9,551.60 $15,919.34 1.7×
Valvuloplasty mitral valve (92987) $11,570.77 $19,284.62 1.0×
Valvuloplasty pulmonary valve (92990) $11,095.42 $18,492.36 1.0×
Vasopneumatic device (97016) $102.74 $171.24 8.5×
Veeg 2-12 Hr Cont Mntr (95713) $1,923.28 $3,205.46 5.1×
Veeg 2-12 hr intmt mntr (95712) $1,870.60 $3,117.67 5.0×
Veeg 2-12 hr unmonitored (95711) $1,585.84 $2,643.06 7.3×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $4,052.97 $6,754.95 10.8×
Veeg Ea 12-26 Hr Unmntr (95714) $2,826.33 $4,710.55 7.5×
Veeg ea 12-26hr cont mntr (95716) $4,351.73 $7,252.89 5.0×
Vent Mgmt Inpat Init Day (94002) $1,879.12 $3,131.86 3.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,732.73 $2,887.89 2.8×
Visual Evoked Potential Test (95930) $864.16 $1,440.26 4.0×
Visual Field Exam Extended (92083) $265.67 $442.78 2.0×
Visual field xm uni/bi w/interp intermed exam (92082) $182.24 $303.73 3.1×
Visual field xm uni/bi w/interpretj limited exam (92081) $169.86 $283.10 2.9×
Visual reinforcement audiometry (vra) (92579) $279.21 $465.35 1.3×
Vital capacity, total (94150) $207.11 $345.19 1.6×
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,569.43 $2,615.72 1.8×
Wheelchair Mgmt Ea 15 Min (97542) $113.15 $188.58 3.6×
Whirlpool Therapy (97022) $132.18 $220.30 8.4×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $64.42 $107.36 1.1×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $186.63 $311.05 5.0×

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.