Visits & medical services prices at Sentara Halifax Regional Hospital
South Boston, VA · every code in this section with a posted price and a Medicare benchmark.
386 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) | $5,486 | $10,972 | 0.7× |
| Acoustic Reflex Testing (92568) | $102.50 | $205 | 2.8× |
| Actinotherapy Ultraviolet Light (96900) | $137 | $274 | 3.7× |
| Acupunct W/Stimul 15 Min (97813) | $141 | $282 | 5.0× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$91.50–$119.50 | $183–$239 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) | $20 | $40 | 0.5× |
| Advncd Care Plan 30 Min (99497) | $107.50 | $215 | 1.1× |
| Aep neurodiagnostic i&r (92653) | $891.50 | $1,783 | 4.2× |
| Aep threshold estimation mlt frequencies i&r (92652) | $891.50 | $1,783 | 4.2× |
| Airway Inhalation Treatment (94640) range across 19 matching MRF lines |
$103.50–$158.50 | $207–$317 | 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) | $403.50 | $807 | 3.1× |
| Analyze neurostim complex (95972) | $434 | $868 | 4.6× |
| Analyze neurostim no prog (95970) | $246.50 | $493 | 1.9× |
| Analyze Pacemaker System (93724) | $618 | $1,236 | 2.0× |
| Ans parasymp & symp w/tilt (95924) | $142.50 | $285 | 0.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $50 | $100 | 3.5× |
| Application Modality 1/> Areas Diathermy (97024) | $58.50 | $117 | 8.0× |
| Application Modality 1/> Areas Infrared (97026) | $15.50 | $31 | 2.3× |
| Application on-body injector (96377) | $86.50 | $173 | 1.9× |
| Arrhythmia Induction (93618) | $2,667 | $5,334 | 2.2× |
| Art pressure waveform analys (93050) | $55 | $110 | 1.9× |
| Assessment of aphasia per hr (96105) | $288 | $576 | 3.0× |
| Audiometry Air & Bone (92553) | $172.50 | $345 | 1.4× |
| Auditory Function, 60 Min (92620) | $390 | $780 | 3.1× |
| Basic vestibular evaluation (92540) | $245.50 | $491 | 1.2× |
| Behavral qualit analys voice (92524) | $417.50 | $835 | 3.8× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $127 | $254 | 1.5× |
| Bfb training ea addl 15 min (90913) | $127 | $254 | 3.9× |
| Blink reflex test (95933) | $190 | $380 | 3.3× |
| Brief Emotional/Behav Assmt (96127) | $31 | $62 | 0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$342–$382.50 | $684–$765 | varies |
| Bundle of his recording (93600) | $4,719.50 | $9,439 | 0.6× |
| C motor evoked uppr limbs (95928) | $606.50 | $1,213 | 0.7× |
| C motor evoked upr&lwr limbs (95939) | $1,008.50 | $2,017 | 1.2× |
| Caloric vestibular test w/rec bi monothermal (92538) | $322 | $644 | 1.5× |
| Caloric Vstblr Test W/Rec (92537) | $322 | $644 | 2.5× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$123–$164 | $246–$328 | varies |
| Car seat/bed test 60 min (94780) | $47.50 | $95 | 1.3× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$549.50–$751 | $1,099–$1,502 | varies |
| Cardiopulmonary exercise testing (94621) | $714.50 | $1,429 | 1.9× |
| Cardiopulmonary resuscitation (92950) | $765 | $1,530 | 3.6× |
| Cardioversion (92960) range across 4 matching MRF lines |
$1,091.50–$1,200 | $2,183–$2,400 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $29.50 | $59 | 1.1× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $8,603.50 | $17,207 | 2.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $8,603.50 | $17,207 | 2.7× |
| Cbt 1st hour (94644) | $171.50 | $343 | 1.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $276.50 | $553 | 3.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $219.50 | $439 | 3.1× |
| Chemo Ia Push (96420) | $430.50 | $861 | 1.3× |
| Chemo Intralesional Over 7 (96406) | $289 | $578 | 1.4× |
| Chemo intralesional up to 7 (96405) | $96 | $192 | 1.4× |
| Chemo IV infusion addl hr (96415) | $246 | $492 | 3.5× |
| Chemo IV push addl drug (96411) | $370.50 | $741 | 5.2× |
| Chemother Prolong Infuse W/Pump (96416) | $802.50 | $1,605 | 2.5× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $289 | $578 | 0.9× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $60.50 | $121 | 1.3× |
| Chemotherapy Into Cns (96450) | $432.50 | $865 | 1.3× |
| Chemotherapy Intracavitary (96440) | $486.50 | $973 | 1.5× |
| Chemotherapy Unspecified (96549) | $45 | $90 | 1.0× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $486.50 | $973 | 1.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $505 | $1,010 | 7.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $879 | $1,758 | 2.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $653 | $1,306 | 2.0× |
| Chest Wall Manipulation (94668) | $149 | $298 | 1.1× |
| Chiropract manj 3-4 regions (98941) | $66 | $132 | 3.1× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $54 | $108 | 2.5× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $112.50 | $225 | 5.3× |
| Chron Care Mgmt Srvc 20 Min (99490) | $99 | $198 | 1.0× |
| Color/duplex Doppler, complete (93975) range across 10 matching MRF lines |
$999–$1,319.50 | $1,998–$2,639 | varies |
| Color/duplex Doppler, limited (93976) range across 4 matching MRF lines |
$793–$834.50 | $1,586–$1,669 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $88.50 | $177 | 2.8× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $112 | $224 | 0.6× |
| Comprehensive Hearing Test (92557) | $268 | $536 | 2.1× |
| Computerized dynamic posturography (92548) | $177 | $354 | 1.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$422.50–$507 | $845–$1,014 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $226.50 | $453 | 3.9× |
| Continuous Pulse Ox (94762) | $242.50 | $485 | 1.9× |
| Corneal Topography (92025) | $165 | $330 | 2.8× |
| Coronary Art/Grft Angio S&I (93455) | $5,291 | $10,582 | 1.7× |
| Coronary Artery Angio S&I (93454) | $5,291 | $10,582 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $406 | $812 | 1.9× |
| Cpt initial (94667) | $202.50 | $405 | 1.5× |
| Critical care first hour (99291) | $1,351 | $2,702 | 1.7× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $606.50 | $1,213 | 1.7× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$338–$441.50 | $676–$883 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $345.50 | $691 | 2.7× |
| Dialysis One Evaluation (90945) | $514 | $1,028 | 1.3× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $203 | $406 | 0.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 4 matching MRF lines |
$614.50–$647.50 | $1,229–$1,295 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$407.50–$429.50 | $815–$859 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $956.50 | $1,913 | 9.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 6 matching MRF lines |
$475.50–$971.50 | $951–$1,943 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 9 matching MRF lines |
$648–$682.50 | $1,296–$1,365 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 8 matching MRF lines |
$825–$832.50 | $1,650–$1,665 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 10 matching MRF lines |
$513.50–$648 | $1,027–$1,296 | 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 | 1.5× |
| Duplex Scan Hemodialysis Access (93990) range across 3 matching MRF lines |
$420.50–$539 | $841–$1,078 | varies |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$969.50–$1,021 | $1,939–$2,042 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 4 matching MRF lines |
$648–$682.50 | $1,296–$1,365 | varies |
| ECG/monitoring and analysis (93271) range across 2 matching MRF lines |
$373.50–$389 | $747–$778 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$567–$602 | $1,134–$1,204 | varies |
| Echo r-t 2d w/probe placement only (93313) | $1,626 | $3,252 | 3.0× |
| Echo transesophag congen probe plcmt only (93316) | $1,626 | $3,252 | 3.0× |
| Echo transesophag montr cardiac pump functj (93318) | $1,755 | $3,510 | 3.3× |
| Echo transesophageal (93312) | $730.50 | $1,461 | 1.4× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,080.50 | $2,161 | 2.0× |
| 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) | $432 | $864 | 2.0× |
| EEG awake and asleep (95819) | $717.50 | $1,435 | 3.4× |
| EEG awake drowsy (95816) | $515.50 | $1,031 | 2.4× |
| EEG cerebral death evaluation (95824) | $385.50 | $771 | 1.1× |
| EEG cont rec w/video by tech min 8 channels (95700) | $2,489 | $4,978 | 11.7× |
| EEG extended monitoring 61-119 minutes (95813) | $524 | $1,048 | 2.5× |
| Eeg Sleep Only (95822) | $1,075 | $2,150 | 5.1× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $2,489 | $4,978 | 11.7× |
| EEG w/o vid 2-12hr cont mntr (95707) | $2,489 | $4,978 | 11.7× |
| EEG w/o vid ea 12-26hr intmt (95709) | $2,489 | $4,978 | 6.8× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $2,489 | $4,978 | 6.8× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $2,489 | $4,978 | 11.7× |
| EEG wo vid ea 12-26hr unmntr (95708) | $2,489 | $4,978 | 6.8× |
| 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 | 2.1× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $64.50 | $129 | 1.8× |
| Electrical Stimulation Ea 15 Min (97032) | $96 | $192 | 6.5× |
| Electrocardiogram Tracing (93005) range across 6 matching MRF lines |
$62–$123 | $124–$246 | varies |
| Electroconvulsive Therapy (90870) | $966.50 | $1,933 | 1.1× |
| Electrophysiology Evaluation (93642) | $928 | $1,856 | 0.8× |
| Emergency Dept Visit Level 2 (99282) | $284 | $568 | 1.9× |
| Emergency Dept Visit Level 3 (99283) | $421 | $842 | 1.6× |
| Emergency Dept Visit Level 4 (99284) | $644.50 | $1,289 | 1.6× |
| Emg 3 Extremities (95863) | $371.50 | $743 | 2.9× |
| Emg 4 Extremities (95864) | $371.50 | $743 | 2.9× |
| Endomyocardial Biopsy (93505) | $2,278 | $4,556 | 0.7× |
| Ep & ablate supravent arrhyt (93653) | $18,216.50 | $36,433 | 0.7× |
| Ep & ablate ventric tachy (93654) | $21,013.50 | $42,027 | 0.8× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $7,474 | $14,948 | 1.0× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $4,485 | $8,970 | 0.6× |
| Er level 1 (99281) | $218.50 | $437 | 2.6× |
| Er level v (99285) | $1,011.50 | $2,023 | 1.7× |
| Ergonovine provocation test (93024) | $265 | $530 | 0.6× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$308–$402.50 | $616–$805 | varies |
| Evaluate Speech Production (92522) | $162 | $324 | 1.4× |
| Evaluate Swallowing Function (92610) | $179 | $358 | 2.1× |
| Evaluation of speech fluency (92521) | $319 | $638 | 2.4× |
| Evoked Auditory Test,Limited (92587) | $172 | $344 | 0.8× |
| Exercise test for bronchospasm (94617) | $244.50 | $489 | 1.9× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$282.50–$294.50 | $565–$589 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $469.50 | $939 | 3.6× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$282.50–$294.50 | $565–$589 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) | $469.50 | $939 | 3.6× |
| External Ecg Scanning Analysis Report (93226) range across 4 matching MRF lines |
$215.50–$300.50 | $431–$601 | varies |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$429–$820.50 | $858–$1,641 | varies |
| Extracranial Uni/Ltd Study (93882) range across 4 matching MRF lines |
$509.50–$524 | $1,019–$1,048 | varies |
| Eye Exam With Photos (92230) | $674 | $1,348 | 1.8× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $372.50 | $745 | 2.5× |
| Flexible endoscopic eval swallow c/v rec (92612) | $612 | $1,224 | 3.1× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $457.50 | $915 | 2.0× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $817.50 | $1,635 | 1.0× |
| Fundus photography (92250) | $236.50 | $473 | 1.8× |
| Gi tract capsule endoscopy (91110) | $2,449.50 | $4,899 | 2.7× |
| Group Therapeutic Procedures (97150) | $84 | $168 | 4.7× |
| Health Behavior Assessment/Re-Assessment (96156) | $110 | $220 | 1.1× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $38.50 | $77 | 1.0× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $38.50 | $77 | 1.0× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $110 | $220 | 0.6× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $8,603.50 | $17,207 | 2.7× |
| High altitude simulation test (94452) | $210.50 | $421 | 1.6× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $244.50 | $489 | 1.9× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$148.50–$209 | $297–$418 | varies |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$87–$180.50 | $174–$361 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$94–$233.50 | $188–$467 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$107.50–$233.50 | $215–$467 | varies |
| Icm Device Eval (93290) | $71.50 | $143 | 1.9× |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$215–$224 | $430–$448 | varies |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$64–$239 | $128–$478 | varies |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $61.50 | $123 | 1.1× |
| Immunization administration (90471) | $43.50 | $87 | 0.6× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $699 | $1,398 | 1.9× |
| Insert/Place Heart Catheter (93503) | $1,918 | $3,836 | 1.2× |
| Interrogate Subq Defib (93261) | $69.50 | $139 | 1.9× |
| Intra-atrial pacing (93610) | $4,719.50 | $9,439 | 0.6× |
| Intra-atrial recording (93602) | $4,719.50 | $9,439 | 0.6× |
| Intracranial Complete Study (93886) | $881.50 | $1,763 | 3.8× |
| Iontophoresis 15 min (97033) | $68.50 | $137 | 3.6× |
| Irrig Drug Delivery Device (96523) | $125 | $250 | 2.2× |
| IV infusion hydration each additional hour (96361) | $156 | $312 | 3.4× |
| IV infusion hydration initial 31 min-1 hour (96360) | $263 | $526 | 1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $263 | $526 | 3.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $109 | $218 | 2.4× |
| IV push initial (96374) | $178 | $356 | 0.9× |
| L Hrt Art/Grft Angio (93459) | $8,603.50 | $17,207 | 2.7× |
| Laryngeal Function Studies (92520) | $182.50 | $365 | 1.4× |
| Low frequency non-thermal us (97610) | $359 | $718 | 1.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$656–$702.50 | $1,312–$1,405 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$26–$34 | $52–$68 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$26–$34 | $52–$68 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $31.50 | $63 | 1.8× |
| Methacholine challenge (94070) | $539.50 | $1,079 | 1.5× |
| Motility study esophagus (91010) | $390.50 | $781 | 1.1× |
| Motion Fluoroscopy/Swallow (92611) | $191 | $382 | 2.1× |
| Multiple Sleep Latency Test (95805) | $1,473.50 | $2,947 | 1.7× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$246.50–$309.50 | $493–$619 | varies |
| Muscle Test Nonparaspinal (95870) | $241.50 | $483 | 1.8× |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$246.50–$309.50 | $493–$619 | varies |
| Nasopharyngoscopy (92511) | $247 | $494 | 1.3× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $586.50 | $1,173 | 2.8× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $371.50 | $743 | 1.7× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $193 | $386 | 0.9× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $283.50 | $567 | 1.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$684–$894 | $1,368–$1,788 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $894 | $1,788 | 2.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$374–$487.50 | $748–$975 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$684–$894 | $1,368–$1,788 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $221 | $442 | 1.0× |
| 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) | $331 | $662 | 0.9× |
| Nerve Conduction Studies 9-10 Studies (95911) | $455.50 | $911 | 1.2× |
| 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) | $107 | $214 | 3.3× |
| Newborn resuscitation (99465) | $574.50 | $1,149 | 0.9× |
| Nitric oxide expired gas determination (95012) | $110.50 | $221 | 3.0× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $231 | $462 | 0.6× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $289 | $578 | 0.8× |
| Optokinetic Nystagmus Test (92544) | $228.50 | $457 | 1.8× |
| Oral Function Therapy (92526) | $245.50 | $491 | 2.9× |
| Oral Speech Device Eval (92597) range across 2 matching MRF lines |
$169.50–$441.50 | $339–$883 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $130.50 | $261 | 2.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $102 | $204 | 2.2× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $74 | $148 | 3.5× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $74 | $148 | 3.5× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $56 | $112 | 2.6× |
| Ot Contrast Bath Ea 15 Min (97034) | $50.50 | $101 | 3.6× |
| Ot eval high complexity (97167) | $280 | $560 | 2.8× |
| Ot Eval Low Complex (97165) | $245.50 | $491 | 2.4× |
| Ot Eval Moderate Complexity (97166) | $263 | $526 | 2.6× |
| Ot manual therapy 15 min (97140) | $99.50 | $199 | 3.6× |
| Ot paraffin bath (97018) | $67.50 | $135 | 11.2× |
| Ot Prosthetic Training, Each 15 Min (97761) | $135.50 | $271 | 3.4× |
| Ot Re-Eval Est Plan Care (97168) | $161.50 | $323 | 2.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $203.50 | $407 | 1.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $203.50 | $407 | 1.6× |
| Oxygen Uptake Rest Indirect (94690) | $147 | $294 | 2.5× |
| Patch/Application Test Specify Number Tests (95044) | $445 | $890 | 0.5× |
| Penile Vascular Study,Ltd or F/U (93981) | $532 | $1,064 | 5.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $273.50 | $547 | 1.3× |
| Peripheral arterial disease rehab per session (93668) | $117 | $234 | 2.0× |
| Perq transcath closure pda (93582) | $16,342 | $32,684 | 0.9× |
| Perq Transcath Cls Mitral (93590) | $37,431.50 | $74,863 | 2.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $7,903 | $15,806 | 1.4× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $11,976 | $23,952 | 1.1× |
| Phlebotomy therapeutic (99195) | $355 | $710 | 2.7× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $137 | $274 | 2.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $66.50 | $133 | 1.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $66.50 | $133 | 1.1× |
| Physical Performance Test (97750) | $75 | $150 | 2.2× |
| Plethysmography (94726) | $359 | $718 | 1.0× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$73–$92 | $146–$184 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$78.50–$389 | $157–$778 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$91.50–$389 | $183–$778 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$68–$389 | $136–$778 | varies |
| Pm/Icd Remote Tech Serv (93296) | $161 | $322 | 4.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$1,472.50–$3,208 | $2,945–$6,416 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $2,561 | $5,122 | 3.0× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $69.50 | $139 | 1.9× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$83–$233.50 | $166–$467 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $59 | $118 | 1.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $59 | $118 | 1.3× |
| Prq Card Angio/Athrect 1 Art (92924) | $15,068.50 | $30,137 | 1.3× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $11,976 | $23,952 | 1.1× |
| Prq Card Stent/Ath/Angio (92933) | $11,976 | $23,952 | 0.7× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $11,976 | $23,952 | 1.1× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $16,342 | $32,684 | 0.9× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$318.50–$483.50 | $637–$967 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$125.50–$190 | $251–$380 | varies |
| 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) | $286.50 | $573 | 2.9× |
| Pt eval low complex 20 min (97161) | $252 | $504 | 2.6× |
| Pt Eval Mod Complex (97162) | $269 | $538 | 2.7× |
| Pt gait training 15 min (97116) | $56 | $112 | 1.9× |
| Pt group caregiver training (97552) | $13 | $26 | 0.6× |
| Pt mechanical traction (97012) | $69 | $138 | 4.8× |
| Pt Re-Eval Est Plan Care (97164) | $172 | $344 | 2.5× |
| Pulm function test by gas (94727) | $170 | $340 | 0.8× |
| Pulmonary service/procedure (94799) | $228.50 | $457 | 1.8× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$263–$709.50 | $526–$1,419 | varies |
| Pure Tone Audiometry Air (92552) | $104.50 | $209 | 0.8× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $42.50 | $85 | 1.8× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $57 | $114 | 1.7× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $28.50 | $57 | 2.3× |
| R Hrt Art/Grft Angio (93457) | $5,291 | $10,582 | 1.7× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $8,226 | $16,452 | 2.6× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $8,226 | $16,452 | 2.6× |
| R hrt coronary artery angio (93456) | $5,291 | $10,582 | 1.7× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $14,845.50 | $29,691 | 4.7× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $14,845.50 | $29,691 | 4.7× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $5,291 | $10,582 | 1.7× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $224 | $448 | 0.7× |
| Refill/Maint Portable Pump (96521) | $578 | $1,156 | 2.8× |
| Rem interrog icpms <30 d phys/qhp (93297) | $75 | $150 | 2.0× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $75 | $150 | 2.0× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $110.50 | $221 | 3.0× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$139–$180.50 | $278–$361 | 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) | $563 | $1,126 | 2.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$73.50–$77 | $147–$154 | varies |
| Right Heart Cath (93451) | $5,291 | $10,582 | 1.7× |
| Right ventricular recording (93603) | $2,797.50 | $5,595 | 2.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 5 matching MRF lines |
$374–$487.50 | $748–$975 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $430 | $860 | 3.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $161.50 | $323 | 3.4× |
| Select picture audiometry (92583) | $111 | $222 | 1.9× |
| Self Care Mngment Training (97535) | $88.50 | $177 | 2.7× |
| Sensory Integration Ea 15 Min (97533) | $88.50 | $177 | 1.5× |
| Short-latency somatosens ep std upr limbs (95925) | $505 | $1,010 | 2.4× |
| Sleep study attended (95807) | $1,109 | $2,218 | 3.0× |
| Sleep study unattended (95806) | $481 | $962 | 2.3× |
| Slp caregiver training 1st 30 min (97550) | $55 | $110 | 1.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $458 | $916 | 2.2× |
| Somatosensory Testing (95938) | $1,008.50 | $2,017 | 1.2× |
| Speech sound lang comprehen (92523) | $750.50 | $1,501 | 3.3× |
| Spin/Brain Pump Refil & Main (95991) | $314.50 | $629 | 1.0× |
| Spirometry (94010) range across 5 matching MRF lines |
$232.50–$270 | $465–$540 | varies |
| Spontaneous Nystagmus Test (92541) | $177 | $354 | 1.4× |
| Ssep lower limbs (95926) | $505 | $1,010 | 2.4× |
| Standardized Cognitive Performance Testing (96125) | $272.50 | $545 | 2.6× |
| Stress Tte Only (93350) | $1,253 | $2,506 | 2.3× |
| Subcutaneous Infusion Each Additional Hour (96370) | $98 | $196 | 2.1× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $334.50 | $669 | 1.6× |
| Subq Infusion Additional Pump Infusion Site (96371) | $183.50 | $367 | 2.6× |
| Surfactant Admin Thru Tube (94610) | $375.50 | $751 | 1.7× |
| Temp transcutaneous pacing (92953) | $652.50 | $1,305 | 1.0× |
| Testing Autonomic Nervous System Function (95923) | $289 | $578 | 2.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $88.50 | $177 | 4.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $88.50 | $177 | 4.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $111 | $222 | 3.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $91 | $182 | 3.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $322.50 | $645 | 3.1× |
| Ther/Proph/Diag Inj Ia (96373) | $286 | $572 | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $67.50 | $135 | 1.0× |
| Ther/Proph/Diag Iv Inf Init (96365) | $333 | $666 | 1.6× |
| Therapeutic Activities (97530) | $66.50 | $133 | 1.9× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 3 matching MRF lines |
$822.50–$1,186.50 | $1,645–$2,373 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $67 | $134 | 1.8× |
| Transcath Closure of Asd (93580) | $16,342 | $32,684 | 0.9× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $467.50 | $935 | 4.5× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $110 | $220 | 3.0× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $246.50 | $493 | 1.9× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$1,629.50–$1,643.50 | $3,259–$3,287 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$823.50–$888.50 | $1,647–$1,777 | varies |
| Tx atrial fib pulm vein isol (93656) | $18,216.50 | $36,433 | 0.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $392 | $784 | 5.1× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $134.50 | $269 | 5.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $113.50 | $227 | 2.5× |
| Tympanometry (92567) | $40.50 | $81 | 1.1× |
| Unlisted cardiovascular service/procedure (93799) | $208.50 | $417 | 1.6× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $274.50 | $549 | 2.2× |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$243–$272 | $486–$544 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 6 matching MRF lines |
$528.50–$567 | $1,057–$1,134 | varies |
| Valvuloplasty pulmonary valve (92990) | $10,645 | $21,290 | 0.9× |
| Vasopneumatic device (97016) | $58.50 | $117 | 4.9× |
| Veeg 2-12 Hr Cont Mntr (95713) | $2,489 | $4,978 | 6.8× |
| Veeg 2-12 hr intmt mntr (95712) | $2,489 | $4,978 | 6.8× |
| Veeg 2-12 hr unmonitored (95711) | $2,489 | $4,978 | 11.7× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,489 | $4,978 | 6.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,489 | $4,978 | 6.8× |
| Veeg ea 12-26hr cont mntr (95716) | $2,489 | $4,978 | 2.9× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$1,043.50–$1,550 | $2,087–$3,100 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$892–$1,350 | $1,784–$2,700 | varies |
| Visual Evoked Potential Test (95930) | $265.50 | $531 | 1.3× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$126–$135 | $252–$270 | varies |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $549 | $1,098 | 0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $88.50 | $177 | 2.8× |
| Whirlpool Therapy (97022) | $81 | $162 | 5.2× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $145.50 | $291 | 4.0× |
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.