Visits & medical services prices at Shannon Medical Center
San Angelo, TX · every code in this section with a posted price and a Medicare benchmark.
257 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) | $11,405.50 | $22,811 | 1.5× |
| Aep threshold estimation mlt frequencies i&r (92652) | $764 | $1,528 | 3.5× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$145–$347.50 | $290–$695 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $190.50 | $381 | 1.4× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $190.50 | $381 | 1.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$23–$25 | $46–$50 | varies |
| Assessment of aphasia per hr (96105) range across 4 matching MRF lines |
$196.50–$261 | $393–$522 | varies |
| Behavral qualit analys voice (92524) range across 8 matching MRF lines |
$215.50–$252 | $431–$504 | varies |
| Biofeedback training any modality (90901) | $81 | $162 | 2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $674 | $1,348 | 1.8× |
| C motor evoked uppr limbs (95928) | $269.50 | $539 | 0.3× |
| Canalith repositioning proc (95992) | $63.50 | $127 | 1.6× |
| Car seat/bed test 60 min (94780) | $152.50 | $305 | 4.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $995 | $1,990 | 4.6× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$391.50–$713.50 | $783–$1,427 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,078–$1,137 | $2,156–$2,274 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $9,550 | $19,100 | 2.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $9,345 | $18,690 | 2.9× |
| Cbt 1st hour (94644) | $212.50 | $425 | 1.6× |
| Chemo Anti-Neopl Sq/Im (96401) | $612.50 | $1,225 | 8.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $118 | $236 | 1.6× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$118–$149 | $236–$298 | varies |
| Chemo IV push addl drug (96411) | $235 | $470 | 3.2× |
| Chemotherapy Into Cns (96450) | $562 | $1,124 | 1.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $235 | $470 | 3.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$422.50–$592.50 | $845–$1,185 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $407 | $814 | 1.2× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $333.50 | $667 | 1.0× |
| Chest Wall Manipulation (94668) | $130.50 | $261 | 1.0× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$1,049–$1,177.50 | $2,098–$2,355 | varies |
| Color/duplex Doppler, limited (93976) | $592.50 | $1,185 | 5.6× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 3 matching MRF lines |
$55.50–$93 | $111–$186 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $261 | $522 | 2.0× |
| Continuous Pulse Ox (94762) | $226.50 | $453 | 1.8× |
| Coronary Art/Grft Angio S&I (93455) | $7,713 | $15,426 | 2.4× |
| Coronary Artery Angio S&I (93454) | $7,713 | $15,426 | 2.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $791.50 | $1,583 | 3.6× |
| Cpt initial (94667) | $212.50 | $425 | 1.6× |
| Critical care first hour (99291) | $785.50 | $1,571 | 0.9× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $269.50 | $539 | 0.7× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$177–$397.50 | $354–$795 | varies |
| Dialysis One Evaluation (90945) range across 5 matching MRF lines |
$607–$1,797 | $1,214–$3,594 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $807.50 | $1,615 | 3.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,246.50 | $2,493 | 5.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $640 | $1,280 | 6.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$729–$1,458.50 | $1,458–$2,917 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $732 | $1,464 | 7.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $430.50 | $861 | 1.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 3 matching MRF lines |
$431.50–$580 | $863–$1,160 | varies |
| Duplex Scan Hemodialysis Access (93990) | $375.50 | $751 | 3.6× |
| Duplex up extrem art bilat (93930) | $619.50 | $1,239 | 2.6× |
| Duplex up extrem art unilat/ltd (93931) | $605 | $1,210 | 5.8× |
| Echo Congenital Complete (93303) | $1,527 | $3,054 | 2.8× |
| Echo Heart Xthoracic,Limited (93308) | $627 | $1,254 | 2.6× |
| Echo transesophag montr cardiac pump functj (93318) | $1,225.50 | $2,451 | 2.2× |
| Echo transesophageal (93312) | $1,948 | $3,896 | 3.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,622.50 | $5,245 | 4.8× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$436–$1,192.50 | $872–$2,385 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$436–$458 | $872–$916 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$436–$1,079.50 | $872–$2,159 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $459 | $918 | 2.1× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$436–$1,190 | $872–$2,380 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $459 | $918 | 2.1× |
| EEG w/o vid 2-12hr cont mntr (95707) | $458 | $916 | 2.1× |
| EEG w/o vid ea 12-26hr intmt (95709) | $781.50 | $1,563 | 2.1× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $781.50 | $1,563 | 2.1× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) range across 2 matching MRF lines |
$436–$458 | $872–$916 | varies |
| EEG wo vid ea 12-26hr unmntr (95708) range across 2 matching MRF lines |
$744.50–$2,382.50 | $1,489–$4,765 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 5 matching MRF lines |
$46.50–$160.50 | $93–$321 | varies |
| Electrocardiogram Tracing (93005) | $366.50 | $733 | 6.2× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $10,319 | $20,638 | 1.3× |
| Electrophysiology Evaluation (93642) | $2,507 | $5,014 | 2.0× |
| Emergency Dept Visit Level 2 (99282) | $490 | $980 | 3.2× |
| Emergency Dept Visit Level 3 (99283) | $775 | $1,550 | 2.8× |
| Emergency Dept Visit Level 4 (99284) | $1,234 | $2,468 | 2.9× |
| Endomyocardial Biopsy (93505) | $3,717 | $7,434 | 1.2× |
| Ep & ablate supravent arrhyt (93653) unusually low: confirm this is the full procedure |
$10,145 | $20,290 | 0.4× |
| Ep & ablate ventric tachy (93654) | $31,965 | $63,930 | 1.2× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $10,319 | $20,638 | 1.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $7,906 | $15,812 | 1.0× |
| Er level 1 (99281) range across 3 matching MRF lines |
$156.50–$251 | $313–$502 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$828.50–$2,289.50 | $1,657–$4,579 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $976 | $1,952 | 2.6× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$130.50–$198.50 | $261–$397 | varies |
| Evaluate Speech Production (92522) range across 9 matching MRF lines |
$221.50–$243 | $443–$486 | varies |
| Evaluate Swallowing Function (92610) range across 8 matching MRF lines |
$176–$298 | $352–$596 | varies |
| Evaluation of speech fluency (92521) range across 9 matching MRF lines |
$265.50–$298.50 | $531–$597 | varies |
| External ECG rec>48hr<7d recording (93242) | $58 | $116 | 1.5× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $190.50 | $381 | 1.4× |
| External ECG rec>7d<15d recording (93246) | $58 | $116 | 1.5× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $190.50 | $381 | 1.4× |
| External Ecg Scanning Analysis Report (93226) | $423.50 | $847 | 7.1× |
| Extracranial Bilat Study (93880) | $1,343.50 | $2,687 | 5.6× |
| Extracranial Uni/Ltd Study (93882) | $724.50 | $1,449 | 6.9× |
| Eye Exam With Photos (92230) | $1,203 | $2,406 | 3.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $782.50 | $1,565 | 1.4× |
| Flexible endoscopic eval swallow c/v rec (92612) | $344 | $688 | 1.7× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $409 | $818 | 1.8× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $539.50 | $1,079 | 2.5× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $786.50 | $1,573 | 0.9× |
| Gi tract capsule endoscopy (91110) | $1,888 | $3,776 | 2.1× |
| Group Therapeutic Procedures (97150) | $28.50 | $57 | 1.6× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $11,299 | $22,598 | 3.5× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,104 | $2,208 | 1.6× |
| Holter monitor recording (93225) | $965.50 | $1,931 | 7.2× |
| Icd Device Interrogate (93289) | $55 | $110 | 1.5× |
| Icd device progr eval dual (93283) | $55 | $110 | 1.5× |
| Icd Device Progr Eval Mult (93284) | $55 | $110 | 1.5× |
| Icm Device Eval (93290) range across 2 matching MRF lines |
$36–$55 | $72–$110 | varies |
| Ilr Device Interrogate (93291) | $55 | $110 | 1.9× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $27 | $54 | 0.4× |
| Immunization administration (90471) range across 2 matching MRF lines |
$96–$99 | $192–$198 | varies |
| Insert/Place Heart Catheter (93503) | $5,651.50 | $11,303 | 3.6× |
| Intracranial Complete Study (93886) | $357 | $714 | 1.5× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$35.50–$46.50 | $71–$93 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$199.50–$200 | $399–$400 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$78–$85.50 | $156–$171 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$224–$273 | $448–$546 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$112.50–$124 | $225–$248 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$81.50–$264 | $163–$528 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$118–$692 | $236–$1,384 | varies |
| L Hrt Art/Grft Angio (93459) | $11,135.50 | $22,271 | 3.4× |
| Lung Function Test (Mbc/Mvv) (94200) | $139.50 | $279 | 2.4× |
| Mechanical chest wall oscillation per session (94669) | $347.50 | $695 | 1.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $43 | $86 | 1.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $44 | $88 | 1.2× |
| Methacholine challenge (94070) | $780.50 | $1,561 | 2.1× |
| Motility study esophagus (91010) | $458 | $916 | 1.2× |
| Motion Fluoroscopy/Swallow (92611) range across 8 matching MRF lines |
$209–$265.50 | $418–$531 | varies |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$1,931–$2,234 | $3,862–$4,468 | varies |
| Nasopharyngoscopy (92511) | $266.50 | $533 | 1.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $497 | $994 | 1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $497 | $994 | 1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $226.50 | $453 | 1.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $277.50 | $555 | 0.7× |
| Nerve Conduction Studies 11-12 Studies (95912) | $228.50 | $457 | 0.6× |
| Nerve conduction studies 13 or more studies (95913) | $228.50 | $457 | 0.6× |
| Nerve Conduction Studies 3-4 Studies (95908) | $126 | $252 | 0.6× |
| Nerve conduction studies 7-8 studies (95910) | $126 | $252 | 0.3× |
| Nerve Conduction Studies 9-10 Studies (95911) | $228.50 | $457 | 0.6× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$64.50–$76 | $129–$152 | varies |
| Newborn resuscitation (99465) | $926 | $1,852 | 1.4× |
| Oral Function Therapy (92526) range across 8 matching MRF lines |
$205.50–$216.50 | $411–$433 | varies |
| Oral Speech Device Eval (92597) range across 9 matching MRF lines |
$166–$302 | $332–$604 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $80 | $160 | 1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $72.50 | $145 | 1.6× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$33–$43 | $66–$86 | varies |
| Ot eval high complexity (97167) | $212.50 | $425 | 2.1× |
| Ot Eval Low Complex (97165) | $212.50 | $425 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $212.50 | $425 | 2.1× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$58–$81.50 | $116–$163 | varies |
| Ot paraffin bath (97018) | $20 | $40 | 3.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $77 | $154 | 1.9× |
| Ot Re-Eval Est Plan Care (97168) | $212.50 | $425 | 3.1× |
| Ot rom hand (95852) range across 2 matching MRF lines |
$8–$8.50 | $16–$17 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 3 matching MRF lines |
$200–$211 | $400–$422 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $161 | $322 | 1.2× |
| Oxygen Uptake Rest Indirect (94690) | $89.50 | $179 | 1.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $347.50 | $695 | 1.6× |
| Peripheral arterial disease rehab per session (93668) | $105 | $210 | 1.8× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $10,750.50 | $21,501 | 1.9× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $15,708.50 | $31,417 | 1.4× |
| Phlebotomy therapeutic (99195) | $219 | $438 | 1.6× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$93–$386.50 | $186–$773 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $93 | $186 | 1.6× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$61.50–$62.50 | $123–$125 | varies |
| Plethysmography (94726) | $458 | $916 | 1.2× |
| Pm device eval in person (93288) | $55 | $110 | 1.5× |
| Pm device progr eval dual (93280) | $55 | $110 | 1.5× |
| Pm device progr eval multi (93281) | $55 | $110 | 1.5× |
| Pm/Icd Remote Tech Serv (93296) | $55 | $110 | 1.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$2,999–$3,373 | $5,998–$6,746 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$3,047.50–$3,424.50 | $6,095–$6,849 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $55 | $110 | 1.5× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $43.50 | $87 | 0.4× |
| Prq Card Angio/Athrect 1 Art (92924) | $21,554 | $43,108 | 1.9× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $15,708.50 | $31,417 | 1.4× |
| Prq Card Stent/Ath/Angio (92933) | $15,708.50 | $31,417 | 0.9× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $14,960 | $29,920 | 1.3× |
| Psych diag eval w/med srvcs (90792) | $227.50 | $455 | 1.3× |
| Psychiatric diagnostic evaluation (90791) | $227.50 | $455 | 1.3× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) range across 3 matching MRF lines |
$67–$87.50 | $134–$175 | varies |
| Pt Eval High Complex (97163) | $234 | $468 | 2.4× |
| Pt eval low complex 20 min (97161) | $234 | $468 | 2.4× |
| Pt Eval Mod Complex (97162) | $234 | $468 | 2.4× |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$67–$87.50 | $134–$175 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$22–$30 | $44–$60 | varies |
| Pt Re-Eval Est Plan Care (97164) | $234 | $468 | 3.5× |
| Pulm function test by gas (94727) | $406 | $812 | 1.9× |
| Pulmonary Stress Testing (94618) | $191.50 | $383 | 1.4× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $53.50 | $107 | 2.3× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $53.50 | $107 | 1.6× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $53.50 | $107 | 4.3× |
| R Hrt Art/Grft Angio (93457) | $9,162 | $18,324 | 2.8× |
| R hrt coronary artery angio (93456) | $11,950 | $23,900 | 3.7× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $8,109.50 | $16,219 | 2.5× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $534 | $1,068 | 1.6× |
| Rem interrog icpms <30 d phys/qhp (93297) | $55 | $110 | 1.5× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $55 | $110 | 1.5× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $55 | $110 | 1.5× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $190 | $380 | 1.4× |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $55 | $110 | 1.5× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $48 | $96 | 1.3× |
| Remote 30 Day Ecg Tech Supp (93229) | $460 | $920 | 1.2× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $151.50 | $303 | 1.1× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $42.50 | $85 | 1.0× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $43 | $86 | 0.8× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $220.50 | $441 | 3.7× |
| Right Heart Cath (93451) | $9,268 | $18,536 | 2.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$167.50–$273.50 | $335–$547 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 2 matching MRF lines |
$11–$11.50 | $22–$23 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $348 | $696 | 2.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $99 | $198 | 2.1× |
| Self Care Mngment Training (97535) range across 6 matching MRF lines |
$83–$108.50 | $166–$217 | varies |
| Self-meas bp pt educaj/traing & dev calibration (99473) | $36 | $72 | 1.2× |
| Sensory Integration Ea 15 Min (97533) range across 5 matching MRF lines |
$57–$75.50 | $114–$151 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $1,162 | $2,324 | 5.4× |
| Sleep study attended (95807) | $1,276.50 | $2,553 | 3.4× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$489.50–$609 | $979–$1,218 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $591 | $1,182 | 2.7× |
| Somatosensory Testing (95938) | $847.50 | $1,695 | 1.0× |
| Speech sound lang comprehen (92523) range across 9 matching MRF lines |
$461.50–$501 | $923–$1,002 | varies |
| Spirometry (94010) | $539 | $1,078 | 2.5× |
| Ssep lower limbs (95926) | $1,162 | $2,324 | 5.4× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$279–$291 | $558–$582 | varies |
| Stress Tte Only (93350) | $1,635 | $3,270 | 3.0× |
| Subcutaneous Infusion Each Additional Hour (96370) | $188 | $376 | 4.0× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $329.50 | $659 | 1.5× |
| Surfactant Admin Thru Tube (94610) | $184 | $368 | 0.8× |
| Temp transcutaneous pacing (92953) | $546.50 | $1,093 | 0.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$45.50–$93 | $91–$186 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $44 | $88 | 2.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 4 matching MRF lines |
$8–$85.50 | $16–$171 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 8 matching MRF lines |
$179–$235 | $358–$470 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $280 | $560 | 1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$175–$394 | $350–$788 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$302–$442 | $604–$884 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$83–$87 | $166–$174 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,211 | $2,422 | 3.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $44 | $88 | 1.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $44 | $88 | 1.2× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $157 | $314 | 1.5× |
| Tte w/doppler, complete (93306) | $2,460 | $4,920 | 4.5× |
| Tte W/O Doppler Complete (93307) | $983 | $1,966 | 4.1× |
| Tx atrial fib pulm vein isol (93656) | $36,102.50 | $72,205 | 1.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $180 | $360 | 2.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$118–$230.50 | $236–$461 | varies |
| Unlisted cardiovascular service/procedure (93799) | $231 | $462 | 1.8× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$404.50–$478 | $809–$956 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $798.50 | $1,597 | 3.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,004.50 | $4,009 | 5.3× |
| Vent Mgmt Inpat Init Day (94002) | $1,057.50 | $2,115 | 1.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,057.50 | $2,115 | 1.7× |
| Visual Evoked Potential Test (95930) | $698.50 | $1,397 | 3.2× |
| Vital capacity, total (94150) | $143 | $286 | 1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 3 matching MRF lines |
$73–$77.50 | $146–$155 | varies |
| Whirlpool Therapy (97022) | $107 | $214 | 6.8× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.