Visits & medical services prices at Selby General Hospital
Marietta, OH · every code in this section with a posted price and a Medicare benchmark.
360 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $10,797.47 | $17,995.78 | 1.5× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $241.72 | $402.86 | 2.0× |
| Acupunct W/Stimul 15 Min (97813) range across 2 matching MRF lines |
$14.60–$63.07 | $24.33–$105.12 | varies |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$14.60–$59.08 | $24.33–$98.46 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) | $34.69 | $57.81 | 0.9× |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$123.37–$170.59 | $205.62–$284.31 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $348.34 | $580.56 | 1.7× |
| Aep neurodiagnostic i&r (92653) | $660.11 | $1,100.18 | 3.2× |
| Aep threshold estimation mlt frequencies i&r (92652) | $660.11 | $1,100.18 | 3.2× |
| Airway Inhalation Treatment (94640) range across 11 matching MRF lines |
$25.55–$313.48 | $42.58–$522.47 | varies |
| Airway resistance by oscillometry (94728) | $447.04 | $745.06 | 3.7× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 3 matching MRF lines |
$18.65–$64.80 | $31.08–$108 | varies |
| Allg tstg perq & ic venoms immed react w/i&r (95017) range across 2 matching MRF lines |
$29.13–$64.80 | $48.55–$108 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 9 matching MRF lines |
$91.77–$111.33 | $152.95–$185.55 | varies |
| Application on-body injector (96377) | $91.72 | $152.86 | 2.1× |
| Arrhythmia Induction (93618) | $5,780.91 | $9,634.85 | 5.0× |
| Assessment of aphasia per hr (96105) | $161.82 | $269.70 | 1.7× |
| Audiometry Air & Bone (92553) | $329.81 | $549.69 | 2.7× |
| Basic vestibular evaluation (92540) | $671.89 | $1,119.82 | 3.3× |
| Behavral qualit analys voice (92524) | $305.97 | $509.95 | 2.8× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $162.78 | $271.30 | 2.0× |
| Bfb training ea addl 15 min (90913) | $66.85 | $111.42 | 2.0× |
| Biofeedback training any modality (90901) | $119.04 | $198.40 | 2.9× |
| Bis Xtracell Fluid Analysis (93702) range across 4 matching MRF lines |
$78.92–$285.49 | $131.54–$475.81 | varies |
| Breath hydrogen/methane test (91065) range across 2 matching MRF lines |
$930.23–$1,661.17 | $1,550.38–$2,768.61 | varies |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$18.65–$22.96 | $31.08–$38.27 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 5 matching MRF lines |
$183.09–$861.71 | $305.15–$1,436.19 | varies |
| Bundle of his recording (93600) | $3,849.89 | $6,416.49 | 0.5× |
| C motor evoked uppr limbs (95928) | $689.88 | $1,149.80 | 0.8× |
| C motor evoked upr&lwr limbs (95939) | $689.88 | $1,149.80 | 0.8× |
| Caloric Vstblr Test W/Rec (92537) | $230.18 | $383.64 | 1.9× |
| Canalith repositioning proc (95992) range across 4 matching MRF lines |
$51.24–$117.24 | $85.40–$195.40 | varies |
| Car seat/bed test 60 min (94780) | $144.89 | $241.48 | 4.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,047.41 | $1,745.69 | 5.1× |
| Cardiopulmonary resuscitation (92950) range across 5 matching MRF lines |
$235.81–$585.74 | $393.02–$976.23 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$325.38–$2,825.34 | $542.30–$4,708.90 | varies |
| Cardioversion elective internal (92961) | $1,274.36 | $2,123.94 | 2.0× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $67.98 | $113.30 | 2.6× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $10,888.43 | $18,147.39 | 3.6× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $10,888.43 | $18,147.39 | 3.6× |
| Chemo Admin Peritoneal Cavity (96446) range across 2 matching MRF lines |
$570.08–$791.66 | $950.13–$1,319.43 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $447.29 | $745.49 | 6.6× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 5 matching MRF lines |
$34.69–$259.16 | $57.81–$431.94 | varies |
| Chemo Ia Push (96420) | $444.58 | $740.97 | 1.4× |
| Chemo IV infusion addl hr (96415) | $221.62 | $369.37 | 3.3× |
| Chemo IV push addl drug (96411) | $315.80 | $526.33 | 4.6× |
| Chemother Prolong Infuse W/Pump (96416) | $972.94 | $1,621.57 | 3.1× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $1,298.62 | $2,164.36 | 4.2× |
| Chemotherapy Into Cns (96450) | $690.40 | $1,150.67 | 2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $334.22 | $557.03 | 4.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,178.36 | $1,963.94 | 3.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $338.47 | $564.12 | 1.1× |
| Chest Wall Manipulation (94668) | $220.58 | $367.63 | 1.8× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 3 matching MRF lines |
$44.35–$79.08 | $73.91–$131.80 | varies |
| Cmptr ophth dx img ant segmt (92132) range across 2 matching MRF lines |
$73.09–$288.63 | $121.81–$481.05 | varies |
| Color/duplex Doppler, complete (93975) range across 10 matching MRF lines |
$401.77–$813.22 | $669.61–$1,355.37 | varies |
| Color/duplex Doppler, limited (93976) range across 4 matching MRF lines |
$401.77–$502.21 | $669.61–$837.01 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 10 matching MRF lines |
$14.75–$116.02 | $24.59–$193.36 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $79 | $131.67 | 0.5× |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$243.86–$362.59 | $406.44–$604.31 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 6 matching MRF lines |
$56.80–$288.63 | $94.66–$481.05 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 4 matching MRF lines |
$78.82–$288.63 | $131.36–$481.05 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 4 matching MRF lines |
$67.25–$452.74 | $112.09–$754.57 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 2 matching MRF lines |
$32.45–$38.06 | $54.09–$63.44 | varies |
| Continuous Pulse Ox (94762) | $578.97 | $964.95 | 4.8× |
| Corneal Topography (92025) range across 2 matching MRF lines |
$37.87–$51.94 | $63.12–$86.56 | varies |
| Coronary Art/Grft Angio S&I (93455) | $7,216.43 | $12,027.39 | 2.4× |
| Coronary Artery Angio S&I (93454) | $6,027.18 | $10,045.30 | 2.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $213.20 | $355.33 | 1.0× |
| Cpt initial (94667) range across 2 matching MRF lines |
$187.57–$220.58 | $312.61–$367.63 | varies |
| Critical care first hour (99291) range across 4 matching MRF lines |
$282.69–$3,853.06 | $471.15–$6,421.77 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $689.88 | $1,149.80 | 2.0× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 11 matching MRF lines |
$97.16–$783.78 | $161.93–$1,306.30 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $114.26 | $190.43 | 0.6× |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$1,978.91–$2,077.86 | $3,298.18–$3,463.10 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 4 matching MRF lines |
$546.20–$682.75 | $910.33–$1,137.91 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$199.49–$249.37 | $332.49–$415.61 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) range across 2 matching MRF lines |
$711.77–$889.71 | $1,186.28–$1,482.85 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 6 matching MRF lines |
$608.79–$760.99 | $1,014.65–$1,268.31 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 16 matching MRF lines |
$400.12–$525.16 | $666.87–$875.26 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 14 matching MRF lines |
$213.52–$710.32 | $355.87–$1,183.87 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 22 matching MRF lines |
$479.27–$599.08 | $798.78–$998.47 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$632.29–$752.37 | $1,053.81–$1,253.95 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $361.83 | $603.05 | 3.7× |
| Duplex Scan Hemodialysis Access (93990) | $790.65 | $1,317.75 | 8.0× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$344.65–$430.81 | $574.42–$718.02 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 9 matching MRF lines |
$382.40–$478.01 | $637.34–$796.68 | varies |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $376.37 | $627.29 | 3.1× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $365.85 | $609.75 | 3.0× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $365.85 | $609.75 | 3.0× |
| ECG/monitoring and analysis (93271) | $514.42 | $857.37 | 5.7× |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$362.53–$572.20 | $604.22–$953.67 | varies |
| Echo r-t 2d w/probe placement only (93313) | $965.89 | $1,609.81 | 1.9× |
| Echo transesophag montr cardiac pump functj (93318) range across 2 matching MRF lines |
$1,154.20–$1,442.74 | $1,923.66–$2,404.57 | varies |
| Echo transesophageal (93312) range across 8 matching MRF lines |
$1,153.76–$1,442.74 | $1,922.94–$2,404.57 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 2 matching MRF lines |
$765.13–$956.41 | $1,275.21–$1,594.01 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$868.78–$1,085.97 | $1,447.96–$1,809.95 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$602.51–$1,320.35 | $1,004.18–$2,200.58 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$526.87–$770.21 | $878.11–$1,283.68 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$87.38–$891.67 | $145.63–$1,486.11 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $706.91 | $1,178.19 | 3.5× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$176.15–$754.48 | $293.59–$1,257.46 | varies |
| Eeg Sleep Only (95822) | $962.63 | $1,604.39 | 4.7× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $61.26 | $102.10 | 0.7× |
| Electrical Stimulation Ea 15 Min (97032) | $72.66 | $121.10 | 4.9× |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$15.65–$127.17 | $26.08–$211.95 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $4,827.02 | $8,045.03 | 0.7× |
| Emergency Dept Visit Level 2 (99282) range across 7 matching MRF lines |
$59.19–$475.37 | $98.65–$792.29 | varies |
| Emergency Dept Visit Level 3 (99283) range across 8 matching MRF lines |
$88.64–$752.27 | $147.73–$1,253.78 | varies |
| Emergency Dept Visit Level 4 (99284) range across 8 matching MRF lines |
$150.23–$1,202.63 | $250.39–$2,004.38 | varies |
| Emg 3 Extremities (95863) | $614.81 | $1,024.69 | 5.1× |
| Emg 4 Extremities (95864) | $614.81 | $1,024.69 | 5.1× |
| Endomyocardial Biopsy (93505) | $3,923.83 | $6,539.71 | 1.3× |
| Ep & ablate supravent arrhyt (93653) range across 2 matching MRF lines |
$11,221.24–$22,442.47 | $18,702.06–$37,404.12 | varies |
| Ep & ablate ventric tachy (93654) | $16,431.10 | $27,385.16 | 0.7× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $12,250.58 | $20,417.64 | 1.7× |
| Ep Esophageal Recording Atria+Pacing (93616) | $3,559.94 | $5,933.23 | 3.1× |
| Er level 1 (99281) range across 6 matching MRF lines |
$41.75–$280.22 | $69.59–$467.03 | varies |
| Er level v (99285) range across 7 matching MRF lines |
$221.43–$1,778.11 | $369.05–$2,963.51 | varies |
| Esoph Atrial Electrogram (93615) | $3,403.18 | $5,671.96 | 3.0× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $365.85 | $609.75 | 3.0× |
| Evaluate pt use of inhaler (94664) range across 6 matching MRF lines |
$25.55–$313.48 | $42.58–$522.47 | varies |
| Evaluate Speech Production (92522) range across 4 matching MRF lines |
$279.20–$293.16 | $465.34–$488.60 | varies |
| Evaluate Swallowing Function (92610) range across 3 matching MRF lines |
$265.80–$279.09 | $443–$465.15 | varies |
| Evaluation of speech fluency (92521) range across 5 matching MRF lines |
$342.95–$361.03 | $571.59–$601.71 | varies |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$226.58–$331.27 | $377.63–$552.11 | varies |
| External Ecg Scanning Analysis Report (93226) | $307.23 | $512.05 | 5.5× |
| Extracranial Bilat Study (93880) range across 4 matching MRF lines |
$534.82–$668.53 | $891.37–$1,114.21 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$327.18–$408.97 | $545.30–$681.62 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) range across 3 matching MRF lines |
$310.62–$523.46 | $517.70–$872.44 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $559.07 | $931.79 | 0.7× |
| Fundus photography (92250) range across 2 matching MRF lines |
$54.69–$59.35 | $91.15–$98.91 | varies |
| Gi tract capsule endoscopy (91110) | $1,772.18 | $2,953.63 | 2.1× |
| Gonioscopy (92020) range across 3 matching MRF lines |
$31.10–$83.50 | $51.84–$139.17 | varies |
| Group Therapeutic Procedures (97150) | $79.69 | $132.82 | 4.4× |
| Health Behavior Assessment/Re-Assessment (96156) range across 2 matching MRF lines |
$46.48–$147.33 | $77.46–$245.55 | varies |
| Health behavior ivntj indiv f2f 1st 30 min (96158) range across 2 matching MRF lines |
$46.48–$114.59 | $77.46–$190.98 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $12,077.67 | $20,129.45 | 3.9× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$1,064.87–$1,840.51 | $1,774.79–$3,067.51 | varies |
| Holter monitor recording (93225) | $307.23 | $512.05 | 2.4× |
| Icd Device Interrogate (93289) | $293.50 | $489.16 | 8.3× |
| Icd device progr eval dual (93283) | $155.74 | $259.57 | 4.4× |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$26.98–$155.74 | $44.96–$259.57 | varies |
| Icm Device Eval (93290) | $118.49 | $197.49 | 3.4× |
| Ilr Device Eval Progr (93285) | $155.74 | $259.57 | 4.4× |
| Ilr Device Interrogate (93291) | $293.50 | $489.16 | 10.7× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $34.69 | $57.81 | 0.5× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $20.26 | $33.76 | 0.6× |
| Immunization administration (90471) range across 17 matching MRF lines |
$31.30–$141.89 | $52.16–$236.49 | varies |
| Ingestion challenge test initial 120 minutes (95076) range across 3 matching MRF lines |
$176.25–$443.97 | $293.75–$739.95 | varies |
| Inital newborn e/m (99460) | $105.82 | $176.36 | 0.8× |
| Insert/Place Heart Catheter (93503) | $1,028.39 | $1,713.98 | 0.7× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) | $55.97 | $93.29 | 0.6× |
| Interrog&prgrmg ipnss during polysomnography (93152) | $700.39 | $1,167.32 | 2.4× |
| Interrogate Subq Defib (93261) | $111.53 | $185.88 | 3.2× |
| Interrogation without programming ipnss (93153) | $55.97 | $93.29 | 0.6× |
| Intra-atrial pacing (93610) | $5,156.33 | $8,593.89 | 0.7× |
| Intracutaneous tests w/allergenic extracts (95024) range across 3 matching MRF lines |
$32.45–$64.80 | $54.09–$108 | varies |
| Intraventricular pacing (93612) | $5,230.67 | $8,717.79 | 0.7× |
| Iontophoresis 15 min (97033) | $114.85 | $191.41 | 6.0× |
| Irrig Drug Delivery Device (96523) | $135.96 | $226.60 | 2.4× |
| IV infusion hydration each additional hour (96361) range across 7 matching MRF lines |
$21.99–$102.09 | $36.65–$170.15 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 7 matching MRF lines |
$108.66–$372.70 | $181.10–$621.17 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $158.93 | $264.88 | 2.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 6 matching MRF lines |
$96.89–$102.09 | $161.49–$170.15 | varies |
| IV push initial (96374) range across 11 matching MRF lines |
$39.98–$393.94 | $66.64–$656.57 | varies |
| L Hrt Art/Grft Angio (93459) | $12,077.67 | $20,129.45 | 3.9× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $5,664.49 | $9,440.82 | 1.8× |
| Lung Function Test (Mbc/Mvv) (94200) | $447.04 | $745.06 | 8.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,131.97 | $1,886.62 | 5.5× |
| Mechanical chest wall oscillation per session (94669) | $268.20 | $447 | 1.3× |
| Methacholine challenge (94070) | $1,545.67 | $2,576.12 | 4.4× |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$2,795.45–$2,830.49 | $4,659.08–$4,717.48 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$222.21–$300.85 | $370.35–$501.41 | varies |
| Multiple Family Group Psychotherapy (90849) | $151.57 | $252.61 | 0.9× |
| Multiple Sleep Latency Test (95805) range across 3 matching MRF lines |
$142.15–$1,481.63 | $236.91–$2,469.39 | varies |
| Muscle Test 2 Limbs (95861) | $631.25 | $1,052.09 | 5.0× |
| Muscle Test Nonparaspinal (95870) | $333.23 | $555.39 | 2.6× |
| Nasopharyngoscopy (92511) range across 4 matching MRF lines |
$95.18–$202.79 | $158.64–$337.99 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $1,088.25 | $1,813.75 | 5.3× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $1,088.25 | $1,813.75 | 5.3× |
| Needle electromyography larynx (95865) | $724.37 | $1,207.29 | 5.8× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$44.34–$316.79 | $73.90–$527.98 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$210.91–$1,101.67 | $351.52–$1,836.12 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,101.67 | $1,836.12 | 2.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$102.43–$504.54 | $170.72–$840.90 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$156.61–$661.76 | $261.02–$1,102.93 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$82.16–$355.49 | $136.94–$592.48 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 4 matching MRF lines |
$245.83–$2,142.97 | $409.72–$3,571.62 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 3 matching MRF lines |
$291.47–$2,142.97 | $485.79–$3,571.62 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$103.03–$1,248.77 | $171.71–$2,081.29 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$123.24–$2,142.97 | $205.40–$3,571.62 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 5 matching MRF lines |
$163.67–$2,142.97 | $272.78–$3,571.62 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$204.75–$2,142.97 | $341.25–$3,571.62 | varies |
| Neurobehavioral Status Exam (96116) range across 3 matching MRF lines |
$141.75–$311.33 | $236.25–$518.88 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$76.94–$883.69 | $128.24–$1,472.82 | varies |
| Neuromuscular Reeducation (97112) range across 12 matching MRF lines |
$104.49–$127.73 | $174.15–$212.88 | varies |
| Newborn resuscitation (99465) | $453.91 | $756.51 | 0.7× |
| Nitric oxide expired gas determination (95012) range across 2 matching MRF lines |
$33.90–$42.37 | $56.50–$70.62 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $24.04 | $40.06 | 1.0× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $34.93 | $58.22 | 1.0× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $12.18 | $20.30 | 0.9× |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 2 matching MRF lines |
$156.35–$157.87 | $260.58–$263.12 | varies |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $260.25 | $433.75 | 2.1× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 3 matching MRF lines |
$67.25–$178.07 | $112.09–$296.78 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 3 matching MRF lines |
$67.25–$155.34 | $112.09–$258.90 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 3 matching MRF lines |
$67.25–$119.62 | $112.09–$199.37 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 3 matching MRF lines |
$67.25–$114.70 | $112.09–$191.16 | varies |
| Oral Function Therapy (92526) range across 5 matching MRF lines |
$238.97–$250.92 | $398.29–$418.20 | varies |
| Oral Speech Device Eval (92597) range across 3 matching MRF lines |
$247.50–$259.87 | $412.50–$433.12 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $164.08 | $273.47 | 3.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $144.14 | $240.23 | 3.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$14.39–$53.09 | $23.98–$88.48 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 3 matching MRF lines |
$14.39–$70.85 | $23.98–$118.08 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 3 matching MRF lines |
$14.39–$88.15 | $23.98–$146.91 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 3 matching MRF lines |
$14.39–$105.86 | $23.98–$176.44 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 3 matching MRF lines |
$14.39–$124.60 | $23.98–$207.66 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $67.97 | $113.29 | 4.8× |
| Ot eval high complexity (97167) | $358.61 | $597.69 | 3.6× |
| Ot Eval Low Complex (97165) range across 5 matching MRF lines |
$349.42–$358.61 | $582.37–$597.69 | varies |
| Ot Eval Moderate Complexity (97166) | $358.61 | $597.69 | 3.6× |
| Ot manual therapy 15 min (97140) range across 10 matching MRF lines |
$94.42–$114.85 | $157.36–$191.41 | varies |
| Ot paraffin bath (97018) range across 6 matching MRF lines |
$37.94–$39.83 | $63.24–$66.39 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $128.90 | $214.84 | 3.2× |
| Ot Re-Eval Est Plan Care (97168) | $199.22 | $332.03 | 2.9× |
| Ot rom hand (95852) | $38.08 | $63.47 | 1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 4 matching MRF lines |
$155.50–$176.86 | $259.16–$294.76 | varies |
| Patch/Application Test Specify Number Tests (95044) range across 2 matching MRF lines |
$3.60–$8.91 | $6–$14.85 | varies |
| Pdt dstr prmlg les phys/qhp (96573) | $114.26 | $190.43 | 0.6× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $750.92 | $1,251.54 | 3.6× |
| Percutaneous tests w/allergenic extracts (95004) range across 2 matching MRF lines |
$529.90–$668.41 | $883.16–$1,114.02 | varies |
| Peripheral arterial disease rehab per session (93668) | $103.83 | $173.05 | 1.9× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $33,665.11 | $56,108.52 | 1.9× |
| Perq Transcath Cls Aortic (93591) | $32,206.39 | $53,677.31 | 1.9× |
| Perq Transcath Cls Mitral (93590) | $32,206.39 | $53,677.31 | 1.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $8,098.37 | $13,497.29 | 1.5× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $18,454.30 | $30,757.16 | 1.7× |
| Phlebotomy therapeutic (99195) | $309.75 | $516.25 | 2.5× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $238.33 | $397.22 | 4.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $238.33 | $397.22 | 4.3× |
| Physical Performance Test (97750) | $130.09 | $216.82 | 3.9× |
| Plethysmography (94726) range across 2 matching MRF lines |
$304.17–$447.04 | $506.95–$745.06 | varies |
| Pm device eval in person (93288) | $293.50 | $489.16 | 8.3× |
| Pm device progr eval dual (93280) | $114.03 | $190.05 | 3.2× |
| Pm device progr eval multi (93281) | $127.64 | $212.74 | 3.6× |
| Pm Device Progr Eval Sngl (93279) | $155.74 | $259.57 | 4.4× |
| Pm/Icd Remote Tech Serv (93296) | $22.96 | $38.26 | 0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 6 matching MRF lines |
$301.25–$3,236.43 | $502.09–$5,394.05 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 2 matching MRF lines |
$21.99–$24.79 | $36.65–$41.31 | varies |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $111.53 | $185.88 | 3.2× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $155.74 | $259.57 | 4.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $21.99 | $36.65 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $21.99 | $36.65 | 0.5× |
| Prq Card Angio/Athrect 1 Art (92924) | $15,447.92 | $25,746.53 | 1.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $18,454.30 | $30,757.16 | 1.7× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $18,454.30 | $30,757.16 | 1.7× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $13,648.52 | $22,747.54 | 1.2× |
| Psych diag eval w/med srvcs (90792) range across 4 matching MRF lines |
$74.05–$246.75 | $123.41–$411.25 | varies |
| Psychiatric diagnostic evaluation (90791) range across 4 matching MRF lines |
$74.05–$246.75 | $123.41–$411.25 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) range across 2 matching MRF lines |
$78.92–$264.29 | $131.54–$440.48 | varies |
| Psycl/Nrpsyc Tst Auto Result (96146) | $17.33 | $28.89 | 0.6× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 2 matching MRF lines |
$9.97–$49.76 | $16.61–$82.94 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$77.75–$226.68 | $129.58–$377.80 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $97.06 | $161.76 | 2.6× |
| Pt Eval High Complex (97163) | $359.79 | $599.65 | 3.7× |
| Pt eval low complex 20 min (97161) range across 6 matching MRF lines |
$295.84–$359.79 | $493.07–$599.65 | varies |
| Pt Eval Mod Complex (97162) range across 6 matching MRF lines |
$295.61–$359.79 | $492.69–$599.65 | varies |
| Pt gait training 15 min (97116) range across 7 matching MRF lines |
$102.68–$107.82 | $171.14–$179.70 | varies |
| Pt group caregiver training (97552) | $60.14 | $100.24 | 2.7× |
| Pt mechanical traction (97012) range across 7 matching MRF lines |
$52.07–$63.28 | $86.78–$105.47 | varies |
| Pt Re-Eval Est Plan Care (97164) | $165.23 | $275.39 | 2.4× |
| Pulm function test by gas (94727) | $447.04 | $745.06 | 2.2× |
| Pulmonary Stress Testing (94618) range across 4 matching MRF lines |
$111.74–$522.40 | $186.24–$870.66 | varies |
| Pure Tone Audiometry Air (92552) | $191.92 | $319.86 | 1.5× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) range across 3 matching MRF lines |
$42.76–$44.54 | $71.27–$74.23 | varies |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) range across 3 matching MRF lines |
$66.31–$69.07 | $110.51–$115.12 | varies |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) range across 3 matching MRF lines |
$24.22–$25.22 | $40.36–$42.04 | varies |
| R Hrt Art/Grft Angio (93457) | $10,768.61 | $17,947.69 | 3.5× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $5,664.49 | $9,440.82 | 1.8× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $5,664.49 | $9,440.82 | 1.8× |
| R hrt coronary artery angio (93456) | $9,580.48 | $15,967.47 | 3.1× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $5,664.49 | $9,440.82 | 1.8× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $9,334.19 | $15,556.99 | 3.0× |
| Rapid Desensitization Procedure Each Hour (95180) range across 3 matching MRF lines |
$115.12–$301.38 | $191.86–$502.30 | varies |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $935.60 | $1,559.33 | 3.0× |
| Refill/Maint Portable Pump (96521) | $637.78 | $1,062.96 | 3.2× |
| Refill/Maint Pump/Resvr Syst (96522) | $559.49 | $932.49 | 2.8× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $39.66 | $66.10 | 1.1× |
| Remote 30 Day Ecg Rev/Report (93270) | $307.23 | $512.05 | 8.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 4 matching MRF lines |
$34.29–$85.73 | $57.15–$142.89 | varies |
| Right Heart Cath (93451) | $3,552.20 | $5,920.33 | 1.2× |
| Right ventricular recording (93603) | $3,399.12 | $5,665.20 | 3.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 7 matching MRF lines |
$102.43–$513.91 | $170.72–$856.52 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $44.66 | $74.43 | 1.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $466.01 | $776.68 | 3.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $139.53 | $232.55 | 2.9× |
| Self Care Mngment Training (97535) range across 16 matching MRF lines |
$126.11–$132.41 | $210.18–$220.69 | varies |
| Sensory Integration Ea 15 Min (97533) | $102.68 | $171.14 | 1.7× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $1,623.78 | $2,706.30 | 7.9× |
| Short-latency somatosens ep std upr limbs (95925) | $1,248.77 | $2,081.29 | 6.1× |
| Sleep study attended (95807) range across 2 matching MRF lines |
$134.98–$1,537.77 | $224.97–$2,562.95 | varies |
| Sleep study unattended (95806) | $134.98 | $224.97 | 0.7× |
| Slp caregiver training 1st 30 min (97550) | $146.69 | $244.49 | 2.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 3 matching MRF lines |
$49.27–$303.46 | $82.12–$505.76 | varies |
| Somatosensory Testing (95938) | $1,596.83 | $2,661.39 | 2.0× |
| Speech Audiometry Complete (92556) | $120.86 | $201.44 | 2.2× |
| Speech audiometry threshold (92555) | $120.86 | $201.44 | 2.2× |
| Speech sound lang comprehen (92523) range across 7 matching MRF lines |
$579.14–$608.10 | $965.24–$1,013.50 | varies |
| Spirometry (94010) range across 4 matching MRF lines |
$57.55–$519.68 | $95.91–$866.14 | varies |
| Ssep lower limbs (95926) | $2,142.97 | $3,571.62 | 10.5× |
| Standardized Cognitive Performance Testing (96125) | $364.85 | $608.09 | 3.5× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$868.78–$1,085.97 | $1,447.96–$1,809.95 | varies |
| Temp transcutaneous pacing (92953) | $28.69 | $47.82 | 0.0× |
| Tensilon Test (95857) | $191.84 | $319.73 | 0.9× |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) | $55.97 | $93.29 | 0.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $61.16 | $101.94 | 2.7× |
| Ther Ivntj Ea Addl 15 Min (97130) range across 5 matching MRF lines |
$58.48–$61.16 | $97.46–$101.94 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 6 matching MRF lines |
$130.32–$158.21 | $217.20–$263.69 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $98.43 | $164.05 | 3.3× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $445.52 | $742.54 | 4.3× |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$118.89–$473.23 | $198.15–$788.71 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 10 matching MRF lines |
$34.69–$158.93 | $57.81–$264.88 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 11 matching MRF lines |
$108.66–$514.55 | $181.10–$857.58 | varies |
| Therapeutic Activities (97530) range across 17 matching MRF lines |
$108.37–$132.41 | $180.62–$220.69 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 3 matching MRF lines |
$781.25–$813.80 | $1,302.09–$1,356.34 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$19.38–$48.27 | $32.30–$80.45 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 5 matching MRF lines |
$16.13–$32.83 | $26.88–$54.72 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$67.25–$190.71 | $112.09–$317.85 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 3 matching MRF lines |
$67.25–$290.69 | $112.09–$484.48 | varies |
| Transcath Closure of Asd (93580) | $31,704.70 | $52,841.16 | 1.8× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$1,334.17–$1,667.72 | $2,223.62–$2,779.53 | varies |
| Tx atrial fib pulm vein isol (93656) range across 2 matching MRF lines |
$20,402.25–$22,442.47 | $34,003.75–$37,404.12 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 7 matching MRF lines |
$45.29–$294.08 | $75.48–$490.14 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $71.71 | $119.51 | 3.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 9 matching MRF lines |
$26–$130.56 | $43.34–$217.60 | varies |
| Tympanometry (92567) range across 4 matching MRF lines |
$18.65–$133.15 | $31.08–$221.92 | varies |
| Tympanometry and reflex threshold measurements (92550) | $219.19 | $365.31 | 1.1× |
| Unlisted cardiovascular service/procedure (93799) range across 5 matching MRF lines |
$160.50–$17,210.31 | $267.50–$28,683.85 | varies |
| Unlisted otorhinolaryngological service (92700) | $104.20 | $173.66 | 3.8× |
| Unlisted Psychiatric Service/Procedure (90899) | $48.92 | $81.54 | 1.4× |
| Unlisted Special Dermatological Service/Px (96999) | $865.68 | $1,442.80 | 4.6× |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$90.30–$724.37 | $150.50–$1,207.29 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 5 matching MRF lines |
$1,199.76–$1,490.32 | $1,999.60–$2,483.86 | varies |
| Valvuloplasty aortic valve (92986) | $13,648.52 | $22,747.54 | 2.5× |
| Valvuloplasty mitral valve (92987) | $13,648.52 | $22,747.54 | 1.2× |
| Valvuloplasty pulmonary valve (92990) | $13,648.52 | $22,747.54 | 1.2× |
| Vasopneumatic device (97016) range across 8 matching MRF lines |
$68.07–$71.48 | $113.45–$119.13 | varies |
| Veeg 2-12 hr intmt mntr (95712) | $706.91 | $1,178.19 | 2.0× |
| Veeg 2-12 hr unmonitored (95711) | $706.91 | $1,178.19 | 3.5× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,356.29 | $2,260.49 | 3.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,356.29 | $2,260.49 | 3.8× |
| Vent Mgmt Inpat Init Day (94002) | $431.09 | $718.48 | 0.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $431.09 | $718.48 | 0.7× |
| Visual Evoked Potential Test (95930) | $1,596.83 | $2,661.39 | 7.8× |
| Visual Field Exam Extended (92083) range across 2 matching MRF lines |
$64.18–$91.19 | $106.97–$151.98 | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $47.75 | $79.58 | 0.9× |
| Visual reinforcement audiometry (vra) (92579) range across 2 matching MRF lines |
$166.56–$241.72 | $277.60–$402.86 | varies |
| Vital capacity, total (94150) | $371.59 | $619.32 | 3.1× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 9 matching MRF lines |
$105.74–$108.51 | $176.23–$180.85 | varies |
| Whirlpool Therapy (97022) | $84.38 | $140.64 | 5.4× |
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.