Visits & medical services prices at Scripps Memorial Hospital La Jolla
La Jolla, CA · every code in this section with a posted price and a Medicare benchmark.
276 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $73.41 | $293.66 | 0.4× |
| Acoustic Reflex Testing (92568) | $21.37 | $85.50 | 0.4× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $31.50 | $126 | 0.6× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$62.40–$97.49 | $249.60–$389.95 | varies |
| Airway resistance by oscillometry (94728) | $137.05 | $548.21 | 0.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$13.10–$28.08 | $52.42–$112.32 | varies |
| Application on-body injector (96377) | $35.83 | $143.33 | 0.6× |
| Assessment of aphasia per hr (96105) | $47.63 | $190.51 | 0.5× |
| Assessment of tinnitus (92625) | $73.41 | $293.66 | 0.4× |
| Audiometry Air & Bone (92553) | $73.41 | $293.66 | 0.4× |
| Auditory Function, 60 Min (92620) | $73.41 | $293.66 | 0.4× |
| Basic vestibular evaluation (92540) | $124.72 | $498.87 | 0.4× |
| Behavral qualit analys voice (92524) | $57.45 | $229.82 | 0.5× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $55.37 | $221.48 | 0.7× |
| Bfb training ea addl 15 min (90913) | $17.14 | $68.57 | 0.5× |
| Biofeedback training any modality (90901) | $33.24 | $132.95 | 0.8× |
| Breath hydrogen/methane test (91065) | $119.31 | $477.26 | 0.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $208.80 | $835.20 | 0.4× |
| Caloric vestibular test w/rec bi monothermal (92538) | $124.72 | $498.87 | 0.4× |
| Caloric Vstblr Test W/Rec (92537) | $124.72 | $498.87 | 0.8× |
| Canalith repositioning proc (95992) | $26.91 | $107.65 | 0.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $277.09 | $1,108.38 | 1.0× |
| Cardiopulmonary resuscitation (92950) | $194.37 | $777.48 | 0.7× |
| Cardioversion (92960) range across 2 matching MRF lines |
$439.01–$1,744.97 | $1,756.06–$6,979.87 | varies |
| Cbt 1st hour (94644) | $110.01 | $440.06 | 0.6× |
| Chemo Anti-Neopl Sq/Im (96401) | $107.49 | $429.98 | 1.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $107.49 | $429.98 | 1.2× |
| Chemo Ia Push (96420) | $339.27 | $1,357.08 | 0.8× |
| Chemo Intralesional Over 7 (96406) | $191.86 | $767.43 | 0.7× |
| Chemo intralesional up to 7 (96405) | $39.80 | $159.20 | 0.4× |
| Chemo IV infusion addl hr (96415) | $165.99 | $663.97 | 1.8× |
| Chemo IV push addl drug (96411) | $156.86 | $627.45 | 1.7× |
| Chemother Prolong Infuse W/Pump (96416) | $539.15 | $2,156.61 | 1.3× |
| Chemotherapy Into Cns (96450) | $281.50 | $1,126.01 | 0.7× |
| Chemotherapy Unspecified (96549) | $38.19 | $152.75 | 0.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $127.40 | $509.60 | 1.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $467.31 | $1,869.24 | 1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $143.32 | $573.30 | 0.3× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $189.31 | $757.25 | 0.4× |
| Chest Wall Manipulation (94668) | $44 | $176 | 0.3× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $419.90 | $1,679.62 | 0.9× |
| Cmptr ophth dx img ant segmt (92132) | $96.86 | $387.43 | 1.3× |
| Color/duplex Doppler, complete (93975) | $1,098.50 | $4,394 | 3.6× |
| Color/duplex Doppler, limited (93976) range across 4 matching MRF lines |
$372.94–$522.34 | $1,491.76–$2,089.35 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$13.89–$22.04 | $55.57–$88.16 | varies |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) | $211.43 | $845.71 | 0.2× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $211.43 | $845.71 | 0.4× |
| Comprehensive Hearing Test (92557) | $73.41 | $293.66 | 0.4× |
| Computerized dynamic posturography (92548) | $80.34 | $321.38 | 0.5× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $35.39 | $141.56 | 0.5× |
| Computerized Ophthalmic Imaging Retina (92134) | $35.39 | $141.56 | 0.5× |
| Conditioning Play Audiometry (92582) | $73.41 | $293.66 | 0.4× |
| Continuous Pulse Ox (94762) | $154.55 | $618.19 | 0.9× |
| Corneal Topography (92025) | $47.19 | $188.75 | 0.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$57.40–$259.20 | $229.60–$1,036.80 | varies |
| Cpt initial (94667) | $59.04 | $236.16 | 0.3× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$3,149.70–$7,086.82 | $12,598.80–$28,347.30 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$95.48–$584.95 | $381.91–$2,339.81 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $124.72 | $498.87 | 0.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $153.36 | $613.43 | 0.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $108.13 | $432.52 | 0.8× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $230.76 | $923.06 | 1.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $153.36 | $613.43 | 0.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$82.36–$164.71 | $329.43–$658.85 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$183.75–$275.62 | $735–$1,102.50 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 6 matching MRF lines |
$359.76–$539.64 | $1,439.03–$2,158.55 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $327.50 | $1,309.99 | 1.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $138.63 | $554.54 | 1.0× |
| Duplex Scan Hemodialysis Access (93990) | $74.86 | $299.44 | 0.6× |
| Duplex up extrem art bilat (93930) | $153.36 | $613.43 | 0.5× |
| Duplex up extrem art unilat/ltd (93931) | $89.85 | $359.42 | 0.7× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $73.41 | $293.66 | 0.4× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $73.41 | $293.66 | 0.4× |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) | $149.68 | $598.72 | 0.5× |
| Ear Protector Evaluation (92596) | $25.80 | $103.19 | 0.5× |
| ECG/monitoring and analysis (93271) | $160.02 | $640.08 | 1.3× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$346.74–$438.57 | $1,386.95–$1,754.30 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$165.37–$727.76 | $661.50–$2,911.03 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $515.45 | $2,061.80 | 0.7× |
| Echo transesophageal (93312) range across 8 matching MRF lines |
$216.97–$433.94 | $867.89–$1,735.78 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $406.98 | $1,627.91 | 0.6× |
| Eeg 41-60 Minutes (95812) | $229.68 | $918.72 | 0.8× |
| EEG awake and asleep (95819) | $270.86 | $1,083.46 | 1.0× |
| EEG awake drowsy (95816) | $219.31 | $877.25 | 0.8× |
| EEG cerebral death evaluation (95824) | $340.10 | $1,360.42 | 0.7× |
| EEG cont rec w/video by tech min 8 channels (95700) | $169.67 | $678.70 | 0.6× |
| EEG extended monitoring 61-119 minutes (95813) | $412.99 | $1,651.97 | 1.5× |
| Eeg Sleep Only (95822) | $208.34 | $833.38 | 0.8× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $190.54 | $762.17 | 0.7× |
| EEG w/o vid 2-12hr cont mntr (95707) | $190.54 | $762.17 | 0.7× |
| EEG w/o vid ea 12-26hr intmt (95709) | $365.58 | $1,462.34 | 0.8× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $365.58 | $1,462.34 | 0.8× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $190.60 | $762.42 | 0.7× |
| EEG wo vid ea 12-26hr unmntr (95708) | $365.58 | $1,462.34 | 0.8× |
| EKG signal averaged (93278) | $44.70 | $178.79 | 0.6× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$13.47–$16.09 | $53.88–$64.38 | varies |
| Electrocardiogram Tracing (93005) | $103.60 | $414.41 | 1.4× |
| Electrocochleography (92584) | $91.99 | $367.96 | 0.6× |
| Electrophysiology Evaluation (93642) | $2,270.24 | $9,080.95 | 1.4× |
| Emergency Dept Visit Level 2 (99282) | $328.09 | $1,312.38 | 1.7× |
| Emergency Dept Visit Level 3 (99283) | $603.69 | $2,414.77 | 1.7× |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$971.16–$4,908.28 | $3,884.63–$19,633.13 | varies |
| Er level 1 (99281) | $209.98 | $839.92 | 1.9× |
| Er level v (99285) range across 2 matching MRF lines |
$1,968.56–$5,905.69 | $7,874.25–$23,622.75 | varies |
| Esophageal Capsule Endoscopy (91111) | $941.03 | $3,764.12 | 0.8× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $589.47 | $2,357.90 | 1.2× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $311.04 | $1,244.16 | 0.6× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $73.41 | $293.66 | 0.4× |
| Evaluate pt use of inhaler (94664) | $82.65 | $330.62 | 0.3× |
| Evaluate Speech Production (92522) | $75.60 | $302.40 | 0.7× |
| Evaluate Swallowing Function (92610) | $65.37 | $261.50 | 0.8× |
| Evaluation of speech fluency (92521) | $63.50 | $254.02 | 0.5× |
| Evoked Auditory Test,Limited (92587) | $26.24 | $104.98 | 0.1× |
| Exhaled Air Analysis O2 (94680) | $118.10 | $472.39 | 0.7× |
| External ECG rec>48hr<7d recording (93242) | $21.96 | $87.84 | 0.5× |
| External ECG rec>7d<15d recording (93246) | $123.20 | $492.80 | 2.6× |
| Extracranial Bilat Study (93880) | $176.40 | $705.60 | 0.6× |
| Extracranial Uni/Ltd Study (93882) | $82.36 | $329.43 | 0.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$308.70–$312.56 | $1,234.80–$1,250.24 | varies |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $66.93 | $267.71 | 0.4× |
| Flexible endoscopic eval swallow c/v rec (92612) | $143.71 | $574.85 | 0.7× |
| Fundus photography (92250) | $184.66 | $738.66 | 1.1× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$416.71–$440.74 | $1,666.84–$1,762.98 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $172.84 | $691.37 | 0.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$557.33–$616.30 | $2,229.32–$2,465.19 | varies |
| Gi tract capsule endoscopy (91110) | $506.71 | $2,026.84 | 0.4× |
| Gi tract imaging intraluminal colon i&r (91113) | $915.99 | $3,663.96 | 0.8× |
| Group Therapeutic Procedures (97150) | $70.68 | $282.74 | 3.9× |
| Holter monitor recording (93225) | $217.08 | $868.32 | 1.3× |
| Icd Device Interrogate (93289) | $23.85 | $95.42 | 0.5× |
| Icd device progr eval dual (93283) | $43.28 | $173.13 | 0.9× |
| Icd Device Progr Eval Mult (93284) | $43.28 | $173.13 | 0.9× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $87.39 | $349.57 | 0.9× |
| Immunization administration (90471) | $148.17 | $592.70 | 1.6× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $595.37 | $2,381.47 | 1.2× |
| Intracranial Complete Study (93886) | $840.35 | $3,361.41 | 2.7× |
| Iontophoresis 15 min (97033) | $25.59 | $102.38 | 1.3× |
| Irrig Drug Delivery Device (96523) | $131.61 | $526.44 | 1.7× |
| IV infusion hydration each additional hour (96361) | $98.86 | $395.46 | 1.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $494.32 | $1,977.30 | 1.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $296.59 | $1,186.38 | 3.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $165.99 | $663.97 | 2.8× |
| IV push initial (96374) | $453.13 | $1,812.53 | 1.7× |
| Laryngeal Function Studies (92520) | $78 | $312.01 | 0.5× |
| Low frequency non-thermal us (97610) range across 2 matching MRF lines |
$64.50–$68.23 | $257.99–$272.93 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $99.30 | $397.22 | 1.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $312.83 | $1,251.33 | 1.1× |
| Mechanical chest wall oscillation per session (94669) | $67.80 | $271.22 | 0.2× |
| Methacholine challenge (94070) | $159.86 | $639.45 | 0.3× |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$607.64–$1,144.55 | $2,430.56–$4,578.21 | varies |
| Motion Fluoroscopy/Swallow (92611) | $75.31 | $301.25 | 0.8× |
| Multiple Sleep Latency Test (95805) | $580.69 | $2,322.75 | 0.5× |
| Muscle Test 2 Limbs (95861) | $108.28 | $433.12 | 0.6× |
| Muscle Test Nonparaspinal (95870) | $56.79 | $227.17 | 0.3× |
| Muscle Test One Limb (95860) | $108.28 | $433.12 | 0.6× |
| Nasopharyngoscopy (92511) | $427.25 | $1,708.99 | 1.7× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $151.84 | $607.38 | 0.5× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $138.18 | $552.72 | 0.5× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $138.18 | $552.72 | 0.5× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $138.18 | $552.72 | 0.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$97.47–$107.27 | $389.90–$429.10 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$211.80–$233.09 | $847.20–$932.37 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$114.04–$224.81 | $456.18–$899.26 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$97.47–$172.55 | $389.90–$690.20 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $138.18 | $552.72 | 0.5× |
| Nerve Conduction Studies 11-12 Studies (95912) | $463.02 | $1,852.07 | 1.0× |
| Nerve conduction studies 13 or more studies (95913) | $463.02 | $1,852.07 | 1.0× |
| Nerve Conduction Studies 3-4 Studies (95908) | $256.54 | $1,026.18 | 0.9× |
| Nerve conduction studies 5-6 studies (95909) | $256.54 | $1,026.18 | 0.9× |
| Nerve conduction studies 7-8 studies (95910) | $256.54 | $1,026.18 | 0.5× |
| Nerve Conduction Studies 9-10 Studies (95911) | $463.02 | $1,852.07 | 1.0× |
| Neuromuscular Reeducation (97112) range across 6 matching MRF lines |
$27.65–$28.80 | $110.59–$115.20 | varies |
| Newborn resuscitation (99465) | $968.33 | $3,873.31 | 1.1× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $125.31 | $501.23 | 0.7× |
| Oral Function Therapy (92526) | $49.82 | $199.30 | 0.6× |
| Oral Speech Device Eval (92597) | $137.37 | $549.50 | 1.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $35.90 | $143.62 | 0.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $33.02 | $132.10 | 0.7× |
| Ot Contrast Bath Ea 15 Min (97034) | $11.89 | $47.58 | 0.8× |
| Ot eval high complexity (97167) | $64.37 | $257.47 | 0.6× |
| Ot Eval Low Complex (97165) | $55.01 | $220.03 | 0.5× |
| Ot Eval Moderate Complexity (97166) | $65.23 | $260.93 | 0.6× |
| Ot manual therapy 15 min (97140) range across 6 matching MRF lines |
$35.42–$62.78 | $141.70–$251.14 | varies |
| Ot paraffin bath (97018) | $9.97 | $39.89 | 1.7× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 4 matching MRF lines |
$19.43–$23.25 | $77.71–$93 | varies |
| Ot Re-Eval Est Plan Care (97168) | $33.12 | $132.48 | 0.5× |
| Ot rom hand (95852) | $3.21 | $12.85 | 0.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$43.99–$56.45 | $175.96–$225.79 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$43.99–$56.45 | $175.96–$225.79 | varies |
| Penile Vascular Study,Ltd or F/U (93981) | $230.76 | $923.06 | 1.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $176.09 | $704.38 | 0.6× |
| Peripheral arterial disease rehab per session (93668) | $43.41 | $173.63 | 0.6× |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$170.38–$375.81 | $681.53–$1,503.26 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $36.38 | $145.53 | 0.5× |
| Physical Performance Test (97750) | $24.14 | $96.56 | 0.7× |
| Plethysmography (94726) | $208.80 | $835.20 | 0.4× |
| Pm device eval in person (93288) | $56.92 | $227.68 | 1.2× |
| Pm device progr eval dual (93280) | $121.93 | $487.73 | 2.5× |
| Pm device progr eval multi (93281) | $43.28 | $173.13 | 0.9× |
| Pm Device Progr Eval Sngl (93279) | $43.28 | $173.13 | 0.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $578.37 | $2,313.49 | 0.5× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $43.28 | $173.13 | 0.9× |
| Pt Eval High Complex (97163) | $69.84 | $279.36 | 0.7× |
| Pt eval low complex 20 min (97161) | $54.72 | $218.88 | 0.6× |
| Pt Eval Mod Complex (97162) | $62.06 | $248.26 | 0.6× |
| Pt gait training 15 min (97116) | $19.29 | $77.18 | 0.7× |
| Pt mechanical traction (97012) | $19.97 | $79.87 | 1.4× |
| Pt Re-Eval Est Plan Care (97164) | $29.95 | $119.81 | 0.4× |
| Pulm function test by gas (94727) | $337.39 | $1,349.57 | 1.2× |
| Pulmonary service/procedure (94799) | $131.70 | $526.82 | 0.8× |
| Pulmonary Stress Testing (94618) | $67.47 | $269.89 | 0.4× |
| Pure Tone Audiometry Air (92552) | $51.60 | $206.39 | 0.3× |
| Rapid Desensitization Procedure Each Hour (95180) | $135.36 | $541.45 | 0.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $42.54 | $170.18 | 0.9× |
| Respiratory flow volume loop (94375) | $235.22 | $940.90 | 0.8× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $40.45 | $161.80 | 0.5× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$2,554.23–$5,108.46 | $10,216.93–$20,433.85 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$68.23–$71.66 | $272.93–$286.65 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $5.32 | $21.29 | 0.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $101.42 | $405.70 | 0.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $48.65 | $194.59 | 1.0× |
| Select picture audiometry (92583) | $25.06 | $100.25 | 0.3× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$23.76–$24.91 | $95.04–$99.65 | varies |
| Sensory Integration Ea 15 Min (97533) | $22.32 | $89.27 | 0.4× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $78.87 | $315.48 | 0.5× |
| Sleep study unattended (95806) | $103.30 | $413.22 | 0.4× |
| Speech Audiometry Complete (92556) | $21.37 | $85.50 | 0.3× |
| Speech audiometry threshold (92555) | $21.37 | $85.50 | 0.3× |
| Speech sound lang comprehen (92523) | $119.66 | $478.66 | 0.5× |
| Spirometry (94010) | $142.70 | $570.82 | 0.5× |
| Ssep lower limbs (95926) | $256.54 | $1,026.18 | 0.9× |
| Standardized Cognitive Performance Testing (96125) | $46.63 | $186.54 | 0.5× |
| Stenger Test, Pure Tone (92565) | $21.37 | $85.50 | 0.3× |
| Stress Tte Only (93350) range across 4 matching MRF lines |
$1,727.39–$2,294.22 | $6,909.57–$9,176.87 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $60.33 | $241.33 | 1.0× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $425.67 | $1,702.68 | 1.6× |
| Subq Infusion Additional Pump Infusion Site (96371) | $146.95 | $587.80 | 1.6× |
| Temp transcutaneous pacing (92953) | $387.67 | $1,550.70 | 0.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $18.43 | $73.71 | 0.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $4.09 | $16.38 | 0.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $17.14 | $68.57 | 0.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $63.09 | $252.38 | 0.6× |
| Ther/Proph/Diag Inj Ia (96373) | $141.83 | $567.33 | 0.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $186.74 | $746.98 | 2.0× |
| Ther/Proph/Diag Iv Inf Init (96365) | $467.31 | $1,869.24 | 1.7× |
| Therapeutic Activities (97530) range across 6 matching MRF lines |
$25.20–$26.21 | $100.80–$104.83 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,581.47 | $10,325.90 | 5.4× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $220.92 | $883.70 | 1.6× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$391.72–$460.51 | $1,566.87–$1,842.06 | varies |
| Tte W/O Doppler Complete (93307) | $566.27 | $2,265.07 | 1.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $64.32 | $257.28 | 0.8× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $15.84 | $63.36 | 0.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $425.67 | $1,702.68 | 7.1× |
| Tympanometry (92567) | $21.37 | $85.50 | 0.4× |
| Tympanometry and reflex threshold measurements (92550) | $73.41 | $293.66 | 0.3× |
| Unlisted cardiovascular service/procedure (93799) | $186.22 | $744.88 | 1.1× |
| Upr/L Xtremity Art 2 Levels (93922) | $70.89 | $283.56 | 0.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$66.85–$100.28 | $267.41–$401.11 | varies |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$9.15–$11.02 | $36.60–$44.10 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $325.68 | $1,302.71 | 0.7× |
| Veeg 2-12 hr intmt mntr (95712) | $184.22 | $736.88 | 0.4× |
| Veeg 2-12 hr unmonitored (95711) | $200.01 | $800.04 | 0.7× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $310.13 | $1,240.53 | 0.6× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $353.59 | $1,414.38 | 0.7× |
| Veeg ea 12-26hr cont mntr (95716) | $609.46 | $2,437.85 | 0.6× |
| Vent Mgmt Inpat Init Day (94002) | $1,040 | $4,160 | 1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $780 | $3,120 | 1.0× |
| Visual Evoked Potential Test (95930) | $138.18 | $552.72 | 0.5× |
| Visual Field Exam Extended (92083) | $336.14 | $1,344.56 | 2.0× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $117.68 | $470.71 | 1.6× |
| Visual reinforcement audiometry (vra) (92579) | $73.41 | $293.66 | 0.3× |
| Vital capacity, total (94150) | $86.10 | $344.42 | 0.5× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $715.82 | $2,863.28 | 0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 4 matching MRF lines |
$12.46–$14.99 | $49.83–$59.98 | varies |
| Whirlpool Therapy (97022) | $15.74 | $62.97 | 1.0× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $87.63 | $350.53 | 1.8× |
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.