Visits & medical services prices at Sentara Albemarle Medical Center
Elizabeth City, NC · every code in this section with a posted price and a Medicare benchmark.
387 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) | $5,014 | $10,028 | 0.7× |
| Acoustic Reflex Testing (92568) | $90 | $180 | 2.5× |
| Actinotherapy Ultraviolet Light (96900) | $119 | $238 | 3.3× |
| Acupunct W/Stimul 15 Min (97813) | $81.50 | $163 | 2.9× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$69–$79.50 | $138–$159 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) | $20 | $40 | 0.5× |
| Advncd Care Plan 30 Min (99497) | $93.50 | $187 | 1.0× |
| Aep neurodiagnostic i&r (92653) | $776.50 | $1,553 | 3.8× |
| Aep threshold estimation mlt frequencies i&r (92652) | $776.50 | $1,553 | 3.8× |
| Airway Inhalation Treatment (94640) range across 19 matching MRF lines |
$91.50–$138 | $183–$276 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $158.50 | $317 | 1.2× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $354.50 | $709 | 2.8× |
| Analyze neurostim complex (95972) | $381 | $762 | 4.2× |
| Analyze neurostim no prog (95970) | $246.50 | $493 | 1.9× |
| Analyze Neurostim Simple (95971) | $269 | $538 | 3.0× |
| Analyze Pacemaker System (93724) | $636.50 | $1,273 | 2.2× |
| Ans parasymp & symp w/tilt (95924) | $142.50 | $285 | 0.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $110 | $220 | 7.7× |
| Application Modality 1/> Areas Diathermy (97024) | $85 | $170 | 11.6× |
| Application Modality 1/> Areas Infrared (97026) | $17.50 | $35 | 2.6× |
| Arrhythmia Induction (93618) | $2,437.50 | $4,875 | 2.1× |
| Art pressure waveform analys (93050) | $55 | $110 | 2.0× |
| Assessment of aphasia per hr (96105) | $131.50 | $263 | 1.4× |
| Audiometry Air & Bone (92553) | $172.50 | $345 | 1.4× |
| Auditory Function, 60 Min (92620) | $339.50 | $679 | 2.8× |
| Basic vestibular evaluation (92540) | $245.50 | $491 | 1.2× |
| Behavral qualit analys voice (92524) | $264 | $528 | 2.4× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $84 | $168 | 1.0× |
| Bfb training ea addl 15 min (90913) | $84 | $168 | 2.6× |
| Blink reflex test (95933) | $190 | $380 | 3.4× |
| Brief Emotional/Behav Assmt (96127) | $27 | $54 | 0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$255.50–$382.50 | $511–$765 | varies |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$3,420 | $6,840 | 0.5× |
| C motor evoked uppr limbs (95928) | $532.50 | $1,065 | 0.6× |
| C motor evoked upr&lwr limbs (95939) | $886 | $1,772 | 1.1× |
| Caloric vestibular test w/rec bi monothermal (92538) | $283 | $566 | 1.4× |
| Caloric Vstblr Test W/Rec (92537) | $283 | $566 | 2.3× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$65.50–$108 | $131–$216 | varies |
| Car seat/bed test 60 min (94780) | $52 | $104 | 1.5× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$260.50–$751 | $521–$1,502 | varies |
| Cardiopulmonary exercise testing (94621) | $270 | $540 | 0.8× |
| Cardiopulmonary resuscitation (92950) | $666 | $1,332 | 3.2× |
| Cardioversion (92960) range across 4 matching MRF lines |
$671–$1,043.50 | $1,342–$2,087 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $32.50 | $65 | 1.2× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $6,177 | $12,354 | 2.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $6,297 | $12,594 | 2.0× |
| Cbt 1st hour (94644) | $162 | $324 | 1.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $159 | $318 | 2.3× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 4 matching MRF lines |
$215.50–$248 | $431–$496 | varies |
| Chemo Ia Push (96420) | $412 | $824 | 1.3× |
| Chemo intralesional up to 7 (96405) | $108.50 | $217 | 1.6× |
| Chemo IV infusion addl hr (96415) | $182.50 | $365 | 2.7× |
| Chemo IV push addl drug (96411) | $197 | $394 | 2.9× |
| Chemother Prolong Infuse W/Pump (96416) | $1,162 | $2,324 | 3.7× |
| Chemotherapy Into Cns (96450) | $424.50 | $849 | 1.3× |
| Chemotherapy Unspecified (96549) | $378.50 | $757 | 8.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $263 | $526 | 3.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $477.50 | $955 | 1.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $329 | $658 | 1.0× |
| Chest Wall Manipulation (94668) | $65.50 | $131 | 0.5× |
| Chiropract manj 3-4 regions (98941) | $69.50 | $139 | 3.4× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $57 | $114 | 2.8× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $118 | $236 | 5.7× |
| Chron Care Mgmt Srvc 20 Min (99490) | $87 | $174 | 0.9× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $92 | $184 | 1.6× |
| Color/duplex Doppler, complete (93975) range across 10 matching MRF lines |
$904.50–$1,069 | $1,809–$2,138 | varies |
| Color/duplex Doppler, limited (93976) range across 4 matching MRF lines |
$314–$848.50 | $628–$1,697 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $129 | $258 | 4.0× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $98.50 | $197 | 0.6× |
| Comprehensive Hearing Test (92557) | $268 | $536 | 2.2× |
| Computerized dynamic posturography (92548) | $155.50 | $311 | 1.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$319.50–$367.50 | $639–$735 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $142.50 | $285 | 2.5× |
| Continuous Pulse Ox (94762) | $202.50 | $405 | 1.6× |
| Corneal Topography (92025) | $167 | $334 | 3.0× |
| Coronary Art/Grft Angio S&I (93455) | $5,826.50 | $11,653 | 1.9× |
| Coronary Artery Angio S&I (93454) | $6,059 | $12,118 | 2.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $312.50 | $625 | 1.5× |
| Cpt initial (94667) | $69 | $138 | 0.5× |
| Critical care first hour (99291) | $1,488 | $2,976 | 1.9× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $532.50 | $1,065 | 1.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$220–$294 | $440–$588 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $228 | $456 | 1.9× |
| Dialysis One Evaluation (90945) | $447 | $894 | 1.1× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $178.50 | $357 | 0.5× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 4 matching MRF lines |
$657.50–$710 | $1,315–$1,420 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$436–$471.50 | $872–$943 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $1,049.50 | $2,099 | 10.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 6 matching MRF lines |
$972.50–$1,039.50 | $1,945–$2,079 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 9 matching MRF lines |
$668–$693.50 | $1,336–$1,387 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 8 matching MRF lines |
$755–$1,016.50 | $1,510–$2,033 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 10 matching MRF lines |
$502–$693.50 | $1,004–$1,387 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $328 | $656 | 1.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $158 | $316 | 1.6× |
| Duplex Scan Hemodialysis Access (93990) range across 3 matching MRF lines |
$420.50–$468.50 | $841–$937 | varies |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$788.50–$1,037.50 | $1,577–$2,075 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 4 matching MRF lines |
$488.50–$693.50 | $977–$1,387 | varies |
| ECG/monitoring and analysis (93271) range across 2 matching MRF lines |
$384.50–$389 | $769–$778 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$530–$567 | $1,060–$1,134 | varies |
| Echo r-t 2d w/probe placement only (93313) | $1,478.50 | $2,957 | 2.8× |
| Echo transesophag congen probe plcmt only (93316) | $1,478.50 | $2,957 | 2.8× |
| Echo transesophageal (93312) | $1,162.50 | $2,325 | 2.2× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $982.50 | $1,965 | 1.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,319.50 | $2,639 | 2.5× |
| Eeg 41-60 Minutes (95812) | $283 | $566 | 1.4× |
| EEG awake and asleep (95819) | $697.50 | $1,395 | 3.4× |
| EEG awake drowsy (95816) | $635.50 | $1,271 | 3.1× |
| EEG cerebral death evaluation (95824) | $263 | $526 | 0.7× |
| EEG cont rec w/video by tech min 8 channels (95700) | $2,563 | $5,126 | 12.4× |
| EEG extended monitoring 61-119 minutes (95813) | $321.50 | $643 | 1.6× |
| Eeg Sleep Only (95822) | $664 | $1,328 | 3.2× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $2,563 | $5,126 | 12.4× |
| EEG w/o vid 2-12hr cont mntr (95707) | $2,563 | $5,126 | 12.4× |
| EEG w/o vid ea 12-26hr intmt (95709) | $2,563 | $5,126 | 7.2× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $2,563 | $5,126 | 7.2× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $2,563 | $5,126 | 12.4× |
| EEG wo vid ea 12-26hr unmntr (95708) | $2,563 | $5,126 | 7.2× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $64.50 | $129 | 0.7× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $200 | $400 | 2.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $64.50 | $129 | 1.8× |
| Electrical Stimulation Ea 15 Min (97032) | $94.50 | $189 | 6.4× |
| Electrocardiogram Tracing (93005) range across 5 matching MRF lines |
$135–$226.50 | $270–$453 | varies |
| Electroconvulsive Therapy (90870) | $753 | $1,506 | 0.9× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) unusually low: confirm this is the full procedure |
$3,420 | $6,840 | 0.5× |
| Electrophysiology Evaluation (93642) | $955.50 | $1,911 | 0.8× |
| Emergency Dept Visit Level 2 (99282) | $168 | $336 | 1.1× |
| Emergency Dept Visit Level 3 (99283) | $438 | $876 | 1.7× |
| Emergency Dept Visit Level 4 (99284) | $809.50 | $1,619 | 2.0× |
| Emg 3 Extremities (95863) | $214.50 | $429 | 1.7× |
| Emg 4 Extremities (95864) | $214.50 | $429 | 1.7× |
| Endomyocardial Biopsy (93505) | $2,082 | $4,164 | 0.7× |
| Ep & ablate supravent arrhyt (93653) | $16,649.50 | $33,299 | 0.7× |
| Ep & ablate ventric tachy (93654) | $19,206 | $38,412 | 0.8× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $7,696.50 | $15,393 | 1.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $4,618.50 | $9,237 | 0.6× |
| Er level 1 (99281) range across 2 matching MRF lines |
$122.50–$185 | $245–$370 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$1,198.50–$2,039 | $2,397–$4,078 | varies |
| Ergonovine provocation test (93024) | $273 | $546 | 0.6× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$142–$268 | $284–$536 | varies |
| Evaluate Speech Production (92522) | $264 | $528 | 2.4× |
| Evaluate Swallowing Function (92610) | $306 | $612 | 3.6× |
| Evaluation of speech fluency (92521) | $264 | $528 | 2.0× |
| Evoked Auditory Test,Limited (92587) | $151 | $302 | 0.7× |
| Exercise test for bronchospasm (94617) | $154 | $308 | 1.2× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$291–$294.50 | $582–$589 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $483.50 | $967 | 3.8× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$291–$294.50 | $582–$589 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) | $483.50 | $967 | 3.8× |
| External Ecg Scanning Analysis Report (93226) range across 4 matching MRF lines |
$300.50–$336 | $601–$672 | varies |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$659.50–$820.50 | $1,319–$1,641 | varies |
| Extracranial Uni/Ltd Study (93882) range across 4 matching MRF lines |
$280.50–$509.50 | $561–$1,019 | varies |
| Eye Exam With Photos (92230) | $592.50 | $1,185 | 1.7× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $308.50 | $617 | 2.0× |
| Flexible endoscopic eval swallow c/v rec (92612) | $281 | $562 | 1.4× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $399 | $798 | 1.7× |
| Fluorescein angiography (92235) | $322.50 | $645 | 1.6× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $636.50 | $1,273 | 0.8× |
| Fundus photography (92250) | $156.50 | $313 | 1.2× |
| Gi tract capsule endoscopy (91110) | $2,343 | $4,686 | 2.7× |
| Group Therapeutic Procedures (97150) | $101 | $202 | 5.6× |
| Health Behavior Assessment/Re-Assessment (96156) | $96.50 | $193 | 1.0× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $34 | $68 | 0.9× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $34 | $68 | 0.9× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $96.50 | $193 | 0.6× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $5,942.50 | $11,885 | 1.9× |
| High altitude simulation test (94452) | $185.50 | $371 | 1.5× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $215 | $430 | 1.7× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$158.50–$209 | $317–$418 | varies |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$148–$180.50 | $296–$361 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$231–$233.50 | $462–$467 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$231–$233.50 | $462–$467 | varies |
| Icm Device Eval (93290) | $71.50 | $143 | 2.0× |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$221.50–$224 | $443–$448 | varies |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$196–$239 | $392–$478 | varies |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $61.50 | $123 | 1.1× |
| Immunization administration (90471) range across 4 matching MRF lines |
$48–$66 | $96–$132 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $614 | $1,228 | 1.7× |
| Insert/Place Heart Catheter (93503) | $2,210.50 | $4,421 | 1.5× |
| Interrogate Subq Defib (93261) | $60.50 | $121 | 1.7× |
| Intra-atrial pacing (93610) | $3,818 | $7,636 | 0.5× |
| Intra-atrial recording (93602) unusually low: confirm this is the full procedure |
$3,420 | $6,840 | 0.5× |
| Intracranial Complete Study (93886) | $801.50 | $1,603 | 3.5× |
| Iontophoresis 15 min (97033) | $101 | $202 | 5.3× |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$93.50–$113.50 | $187–$227 | varies |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$73–$186 | $146–$372 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$179–$336.50 | $358–$673 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $116.50 | $233 | 1.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $102 | $204 | 2.3× |
| IV push initial (96374) range across 3 matching MRF lines |
$133.50–$271 | $267–$542 | varies |
| L Hrt Art/Grft Angio (93459) | $5,942.50 | $11,885 | 1.9× |
| Laryngeal Function Studies (92520) | $152.50 | $305 | 1.2× |
| Low frequency non-thermal us (97610) | $102.50 | $205 | 0.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$576–$702.50 | $1,152–$1,405 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$19.50–$22.50 | $39–$45 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$22.50–$48.50 | $45–$97 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $19 | $38 | 1.1× |
| Methacholine challenge (94070) | $324.50 | $649 | 0.9× |
| Motility study esophagus (91010) | $343 | $686 | 1.0× |
| Motion Fluoroscopy/Swallow (92611) | $373.50 | $747 | 4.1× |
| Multiple Sleep Latency Test (95805) | $1,392.50 | $2,785 | 1.7× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$186.50–$214.50 | $373–$429 | varies |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$139.50–$160.50 | $279–$321 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$214.50–$233 | $429–$466 | varies |
| Nasopharyngoscopy (92511) | $225 | $450 | 1.2× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $339 | $678 | 1.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$214.50–$246.50 | $429–$493 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $111.50 | $223 | 0.5× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $246.50 | $493 | 1.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$517.50–$595 | $1,035–$1,190 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $517.50 | $1,035 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$282.50–$325 | $565–$650 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$517.50–$595 | $1,035–$1,190 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $221 | $442 | 1.1× |
| Nerve Conduction Studies 11-12 Studies (95912) | $546 | $1,092 | 1.5× |
| Nerve conduction studies 13 or more studies (95913) | $654.50 | $1,309 | 1.8× |
| Nerve Conduction Studies 3-4 Studies (95908) | $265.50 | $531 | 1.3× |
| Nerve conduction studies 5-6 studies (95909) | $317 | $634 | 1.5× |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$331–$414 | $662–$828 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) | $455.50 | $911 | 1.3× |
| Neurobehavioral Status Exam (96116) | $294.50 | $589 | 1.4× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $325.50 | $651 | 2.6× |
| Neuromuscular Reeducation (97112) | $101 | $202 | 3.1× |
| Newborn resuscitation (99465) | $379.50 | $759 | 0.6× |
| Nitric oxide expired gas determination (95012) | $110.50 | $221 | 3.1× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $231 | $462 | 0.6× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $253.50 | $507 | 0.7× |
| Ophth medical xm&eval intermediate estab pt (92012) | $146 | $292 | 1.1× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $204.50 | $409 | 1.6× |
| Optokinetic Nystagmus Test (92544) | $201 | $402 | 1.6× |
| Oral Function Therapy (92526) | $223 | $446 | 2.6× |
| Oral Speech Device Eval (92597) range across 2 matching MRF lines |
$148–$248.50 | $296–$497 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $190 | $380 | 3.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $173 | $346 | 3.8× |
| Oscillating Tracking Test (92545) | $201 | $402 | 1.0× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $64.50 | $129 | 3.1× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $64.50 | $129 | 3.1× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $48.50 | $97 | 2.3× |
| Ot Contrast Bath Ea 15 Min (97034) | $92 | $184 | 6.6× |
| Ot eval high complexity (97167) | $333.50 | $667 | 3.3× |
| Ot Eval Low Complex (97165) | $219 | $438 | 2.2× |
| Ot Eval Moderate Complexity (97166) | $290 | $580 | 2.9× |
| Ot manual therapy 15 min (97140) | $87 | $174 | 3.1× |
| Ot paraffin bath (97018) | $106.50 | $213 | 17.7× |
| Ot Prosthetic Training, Each 15 Min (97761) | $89 | $178 | 2.2× |
| Ot Re-Eval Est Plan Care (97168) | $249 | $498 | 3.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $134.50 | $269 | 1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $134.50 | $269 | 1.1× |
| Oxygen Uptake Rest Indirect (94690) | $129 | $258 | 2.3× |
| Patch/Application Test Specify Number Tests (95044) | $445 | $890 | 0.5× |
| Penile Vascular Study,Ltd or F/U (93981) | $583 | $1,166 | 5.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $158.50 | $317 | 0.8× |
| Peripheral arterial disease rehab per session (93668) | $81.50 | $163 | 1.4× |
| Perq transcath closure pda (93582) | $14,936 | $29,872 | 0.9× |
| Perq Transcath Cls Mitral (93590) | $29,749 | $59,498 | 1.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $10,196.50 | $20,393 | 1.9× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $8,593 | $17,186 | 0.8× |
| Phlebotomy therapeutic (99195) | $69.50 | $139 | 0.5× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $119 | $238 | 2.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $79 | $158 | 1.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $79 | $158 | 1.4× |
| Physical Performance Test (97750) | $211 | $422 | 6.3× |
| Plethysmography (94726) | $310 | $620 | 0.9× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$75.50–$92 | $151–$184 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$70.50–$389 | $141–$778 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$384.50–$389 | $769–$778 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$65.50–$389 | $131–$778 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 3 matching MRF lines |
$137.50–$141.50 | $275–$283 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$1,280.50–$2,033 | $2,561–$4,066 | varies |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $60.50 | $121 | 1.7× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$231–$233.50 | $462–$467 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $52 | $104 | 1.2× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $52 | $104 | 1.2× |
| Prq Card Angio/Athrect 1 Art (92924) | $9,459.50 | $18,919 | 0.9× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $8,593 | $17,186 | 0.8× |
| Prq Card Stent/Ath/Angio (92933) | $13,228 | $26,456 | 0.8× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $8,593 | $17,186 | 0.8× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $14,936 | $29,872 | 0.9× |
| Psych diag eval w/med srvcs (90792) | $171 | $342 | 1.0× |
| Psychiatric diagnostic evaluation (90791) | $171 | $342 | 1.0× |
| Psychological tst eval svc phys/qhp first hour (96130) | $231 | $462 | 1.1× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $14 | $28 | 0.5× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $180 | $360 | 0.4× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $55.50 | $111 | 0.4× |
| Pt Eval High Complex (97163) | $303.50 | $607 | 3.1× |
| Pt eval low complex 20 min (97161) | $199.50 | $399 | 2.0× |
| Pt Eval Mod Complex (97162) | $264 | $528 | 2.7× |
| Pt gait training 15 min (97116) | $121.50 | $243 | 4.2× |
| Pt group caregiver training (97552) | $14.50 | $29 | 0.7× |
| Pt mechanical traction (97012) | $103 | $206 | 7.2× |
| Pt Re-Eval Est Plan Care (97164) | $155 | $310 | 2.3× |
| Pulm function test by gas (94727) | $233 | $466 | 1.1× |
| Pulmonary service/procedure (94799) | $201 | $402 | 1.6× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$215–$263 | $430–$526 | varies |
| Pure Tone Audiometry Air (92552) | $104.50 | $209 | 0.8× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $37.50 | $75 | 1.6× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $50 | $100 | 1.5× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $25 | $50 | 2.0× |
| R Hrt Art/Grft Angio (93457) | $11,678 | $23,356 | 3.8× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $7,518.50 | $15,037 | 2.4× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $7,518.50 | $15,037 | 2.4× |
| R hrt coronary artery angio (93456) | $11,793 | $23,586 | 3.8× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $13,568.50 | $27,137 | 4.4× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $13,568.50 | $27,137 | 4.4× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $6,117.50 | $12,235 | 2.0× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $236.50 | $473 | 0.7× |
| Rem interrog icpms <30 d phys/qhp (93297) | $65 | $130 | 1.8× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $65 | $130 | 1.8× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $110.50 | $221 | 3.1× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$180.50–$282.50 | $361–$565 | varies |
| Remote 30 Day Ecg Tech Supp (93229) | $195 | $390 | 0.5× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $61.50 | $123 | 0.5× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $81 | $162 | 2.0× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $99.50 | $199 | 1.8× |
| Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) | $593.50 | $1,187 | 2.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$77–$106 | $154–$212 | varies |
| Right Heart Cath (93451) | $6,117.50 | $12,235 | 2.0× |
| Right ventricular recording (93603) | $2,556.50 | $5,113 | 2.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 5 matching MRF lines |
$282.50–$325 | $565–$650 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $363.50 | $727 | 3.0× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $153 | $306 | 3.2× |
| Select picture audiometry (92583) | $111 | $222 | 2.0× |
| Self Care Mngment Training (97535) | $96 | $192 | 3.0× |
| Sensory Integration Ea 15 Min (97533) | $83 | $166 | 1.4× |
| Short-latency somatosens ep std upr limbs (95925) | $444 | $888 | 2.2× |
| Sleep study unattended (95806) | $481 | $962 | 2.3× |
| Slp caregiver training 1st 30 min (97550) | $60.50 | $121 | 1.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $458 | $916 | 2.2× |
| Somatosensory Testing (95938) | $886 | $1,772 | 1.1× |
| Speech sound lang comprehen (92523) | $430.50 | $861 | 1.9× |
| Spin/Brain Pump Refil & Main (95991) | $331.50 | $663 | 1.1× |
| Spirometry (94010) range across 5 matching MRF lines |
$174–$310.50 | $348–$621 | varies |
| Spontaneous Nystagmus Test (92541) | $155.50 | $311 | 1.2× |
| Ssep lower limbs (95926) | $444 | $888 | 2.2× |
| Standardized Cognitive Performance Testing (96125) | $251.50 | $503 | 2.4× |
| Stress Tte Only (93350) | $1,062 | $2,124 | 2.0× |
| Subcutaneous Infusion Each Additional Hour (96370) | $71.50 | $143 | 1.6× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $262.50 | $525 | 1.3× |
| Subq Infusion Additional Pump Infusion Site (96371) | $72.50 | $145 | 1.1× |
| Temp transcutaneous pacing (92953) | $359.50 | $719 | 0.6× |
| Testing Autonomic Nervous System Function (95923) | $289 | $578 | 2.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $129 | $258 | 5.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $129 | $258 | 6.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $88 | $176 | 2.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $87 | $174 | 2.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $193 | $386 | 1.9× |
| Ther/Proph/Diag Inj Ia (96373) | $311 | $622 | 1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 7 matching MRF lines |
$51.50–$93.50 | $103–$187 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $378 | $756 | 1.9× |
| Therapeutic Activities (97530) | $110.50 | $221 | 3.2× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 3 matching MRF lines |
$436–$723 | $872–$1,446 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $51 | $102 | 1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $44.50 | $89 | 1.2× |
| Transcath Closure of Asd (93580) | $14,936 | $29,872 | 0.9× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $425 | $850 | 4.3× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $110 | $220 | 3.1× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $246.50 | $493 | 1.9× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$727–$1,643.50 | $1,454–$3,287 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$402.50–$823.50 | $805–$1,647 | varies |
| Tx atrial fib pulm vein isol (93656) | $16,649.50 | $33,299 | 0.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $171 | $342 | 2.2× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $75 | $150 | 3.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$78.50–$220.50 | $157–$441 | varies |
| Tympanometry (92567) | $40.50 | $81 | 1.1× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$191–$193 | $382–$386 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $241 | $482 | 2.0× |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$272–$360 | $544–$720 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 6 matching MRF lines |
$548–$567 | $1,096–$1,134 | varies |
| Valvuloplasty aortic valve (92986) | $6,526 | $13,052 | 1.2× |
| Valvuloplasty mitral valve (92987) | $7,505 | $15,010 | 0.7× |
| Valvuloplasty pulmonary valve (92990) | $9,256.50 | $18,513 | 0.8× |
| Vasopneumatic device (97016) | $78.50 | $157 | 6.5× |
| Veeg 2-12 Hr Cont Mntr (95713) | $2,563 | $5,126 | 7.2× |
| Veeg 2-12 hr intmt mntr (95712) | $2,563 | $5,126 | 7.2× |
| Veeg 2-12 hr unmonitored (95711) | $2,563 | $5,126 | 12.4× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,563 | $5,126 | 7.2× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,563 | $5,126 | 7.2× |
| Veeg ea 12-26hr cont mntr (95716) | $2,563 | $5,126 | 3.1× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$696.50–$1,200 | $1,393–$2,400 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$435–$900 | $870–$1,800 | varies |
| Visual Evoked Potential Test (95930) | $233.50 | $467 | 1.1× |
| Visual Field Exam Extended (92083) | $156 | $312 | 1.2× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $160.50 | $321 | 2.8× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$76–$135 | $152–$270 | varies |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $565 | $1,130 | 0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $88 | $176 | 2.8× |
| Whirlpool Therapy (97022) | $131.50 | $263 | 8.4× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $91.50 | $183 | 2.6× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.