Visits & medical services prices at Sheridan Memorial Hospital
Sheridan, WY · every code in this section with a posted price and a Medicare benchmark.
243 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $256 | $320 | 2.5× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $104.80 | $131 | 0.8× |
| Acoustic Reflex Testing (92568) | $29.60 | $37 | 0.8× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$53.60–$55.20 | $67–$69 | varies |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$164–$472.80 | $205–$591 | varies |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$47.20–$196 | $59–$245 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$38.40–$40 | $48–$50 | varies |
| Application Modality 1/> Areas Infrared (97026) | $74.40 | $93 | 11.1× |
| Application on-body injector (96377) | $111.20 | $139 | 2.3× |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$206.40–$250.40 | $258–$313 | varies |
| Audiometry Air & Bone (92553) | $100 | $125 | 0.8× |
| Auditory Function, 60 Min (92620) | $184 | $230 | 1.4× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$250.40–$263.20 | $313–$329 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $237.60 | $297 | 2.9× |
| Bfb training ea addl 15 min (90913) | $105.60 | $132 | 3.2× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$10.40–$20.80 | $13–$26 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$112.80–$520 | $141–$650 | varies |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$65.60–$117.60 | $82–$147 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$106.40–$820.80 | $133–$1,026 | varies |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$944.80–$1,230.40 | $1,181–$1,538 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$456.80–$1,230.40 | $571–$1,538 | varies |
| Cardioversion elective internal (92961) | $1,230.40 | $1,538 | 1.8× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $84 | $105 | 2.2× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$714.40–$3,052.80 | $893–$3,816 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$830.40–$5,236.80 | $1,038–$6,546 | varies |
| Cbt 1st hour (94644) | $88 | $110 | 0.6× |
| Chemo Anti-Neopl Sq/Im (96401) | $269.60 | $337 | 3.7× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$141.60–$152.80 | $177–$191 | varies |
| Chemo Ia Push (96420) | $292.80 | $366 | 0.9× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$163.20–$171.20 | $204–$214 | varies |
| Chemo IV push addl drug (96411) | $279.20 | $349 | 3.8× |
| Chemother Prolong Infuse W/Pump (96416) | $702.40 | $878 | 2.1× |
| Chemotherapy Into Cns (96450) range across 3 matching MRF lines |
$252.80–$1,081.60 | $316–$1,352 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $359.20 | $449 | 4.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $540 | $675 | 1.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $368.80 | $461 | 1.1× |
| Chest Wall Manipulation (94668) | $68.80 | $86 | 0.5× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$64.80–$93.60 | $81–$117 | varies |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$264–$834.40 | $330–$1,043 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$182.40–$504 | $228–$630 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$48–$62.40 | $60–$78 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $250.40 | $313 | 1.4× |
| Comprehensive Hearing Test (92557) | $121.60 | $152 | 0.9× |
| Conditioning Play Audiometry (92582) | $181.60 | $227 | 1.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $307.20 | $384 | 2.3× |
| Continuous Pulse Ox (94762) range across 3 matching MRF lines |
$76–$318.40 | $95–$398 | varies |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$785.60–$6,395.20 | $982–$7,994 | varies |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$673.60–$8,812.80 | $842–$11,016 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$62.40–$570.63 | $78–$713.29 | varies |
| Cpt initial (94667) | $68.80 | $86 | 0.5× |
| Critical care first hour (99291) range across 4 matching MRF lines |
$458.40–$1,546.40 | $573–$1,933 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$145.60–$200.80 | $182–$251 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $187.20 | $234 | 1.4× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $162.40 | $203 | 0.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$223.20–$879.20 | $279–$1,099 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$112–$506.40 | $140–$633 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$198.40–$880 | $248–$1,100 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$100.80–$504 | $126–$630 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$230.40–$909.60 | $288–$1,137 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$113.60–$448 | $142–$560 | varies |
| Ear and throat examination (92502) | $353.60 | $442 | 0.6× |
| Ear Protector Evaluation (92596) | $128 | $160 | 3.4× |
| ECG/monitoring and analysis (93271) | $1,657.60 | $2,072 | 17.1× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$476.80–$1,028.80 | $596–$1,286 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$72.80–$672 | $91–$840 | varies |
| Echo transesophageal (93312) range across 4 matching MRF lines |
$309.60–$1,260 | $387–$1,575 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) range across 2 matching MRF lines |
$367.20–$1,236 | $459–$1,545 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 4 matching MRF lines |
$240–$1,152.80 | $300–$1,441 | varies |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$265.60–$781.60 | $332–$977 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$268–$1,051.20 | $335–$1,314 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$265.60–$892.80 | $332–$1,116 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$396–$943.20 | $495–$1,179 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $100.80 | $126 | 0.5× |
| EEG w/o vid ea 12-26hr intmt (95709) | $2,148 | $2,685 | 5.6× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $1,496.80 | $1,871 | 6.8× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,792.80 | $2,241 | 4.7× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$67.20–$70.40 | $84–$88 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$20.80–$162.40 | $26–$203 | varies |
| Electrophysiology Evaluation (93642) range across 2 matching MRF lines |
$895.20–$1,603.20 | $1,119–$2,004 | varies |
| Emergency Dept Visit Level 2 (99282) range across 5 matching MRF lines |
$121.60–$352.80 | $152–$441 | varies |
| Emergency Dept Visit Level 3 (99283) range across 6 matching MRF lines |
$197.60–$586.40 | $247–$733 | varies |
| Emergency Dept Visit Level 4 (99284) range across 6 matching MRF lines |
$260.80–$954.40 | $326–$1,193 | varies |
| Emg 3 Extremities (95863) | $467.20 | $584 | 3.6× |
| Er level 1 (99281) range across 5 matching MRF lines |
$34.40–$236.80 | $43–$296 | varies |
| Er level v (99285) range across 5 matching MRF lines |
$356.80–$1,248.80 | $446–$1,561 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 2 matching MRF lines |
$158.40–$268 | $198–$335 | varies |
| Evaluate Speech Production (92522) | $259.20 | $324 | 2.3× |
| Evaluate Swallowing Function (92610) | $240.80 | $301 | 2.8× |
| Evaluation of speech fluency (92521) | $258.40 | $323 | 1.9× |
| Evoked Auditory Test,Limited (92587) | $191.20 | $239 | 0.9× |
| External ECG rec>48hr<7d recording (93242) | $46.40 | $58 | 1.2× |
| External Ecg Scanning Analysis Report (93226) | $561.60 | $702 | 9.3× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$228.80–$876.80 | $286–$1,096 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$357.60–$486.40 | $447–$608 | varies |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $400.80 | $501 | 2.6× |
| Flexible endoscopic eval swallow c/v rec (92612) | $470.40 | $588 | 2.4× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $528 | $660 | 2.3× |
| Group Therapeutic Procedures (97150) | $42.40 | $53 | 2.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$1,165.60–$15,409.60 | $1,457–$19,262 | varies |
| Holter monitor recording (93225) | $448 | $560 | 3.3× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$216.80–$807.20 | $271–$1,009 | varies |
| Icd device progr eval dual (93283) range across 3 matching MRF lines |
$129.60–$292.80 | $162–$366 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$178.40–$316 | $223–$395 | varies |
| Ilr Device Eval Progr (93285) | $181.60 | $227 | 4.8× |
| Ilr Device Interrogate (93291) | $148.80 | $186 | 5.0× |
| Immunization administration (90471) range across 4 matching MRF lines |
$30.40–$98.40 | $38–$123 | varies |
| Insert/Place Heart Catheter (93503) | $253.60 | $317 | 0.2× |
| Intracutaneous tests w/allergenic extracts (95024) | $19.20 | $24 | 0.3× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$48–$50.40 | $60–$63 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$136.80–$158.40 | $171–$198 | varies |
| IV infusion hydration each additional hour (96361) range across 6 matching MRF lines |
$37.60–$132 | $47–$165 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$96.80–$372 | $121–$465 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 5 matching MRF lines |
$134.40–$169.60 | $168–$212 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$88–$110.40 | $110–$138 | varies |
| IV push initial (96374) range across 6 matching MRF lines |
$111.20–$270.40 | $139–$338 | varies |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$942.40–$2,964 | $1,178–$3,705 | varies |
| Laryngeal Function Studies (92520) | $276 | $345 | 2.0× |
| Loudness balance test (92562) | $71.20 | $89 | 0.3× |
| Low frequency non-thermal us (97610) | $33.60 | $42 | 0.2× |
| Lung Function Test (Mbc/Mvv) (94200) | $129.60 | $162 | 2.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $454.40 | $568 | 2.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $50.40 | $63 | 1.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $60.80 | $76 | 1.7× |
| Motion Fluoroscopy/Swallow (92611) | $225.60 | $282 | 2.5× |
| Multiple Family Group Psychotherapy (90849) | $75.20 | $94 | 0.4× |
| Muscle Test 2 Limbs (95861) | $127.20 | $159 | 0.9× |
| Nasopharyngoscopy (92511) range across 4 matching MRF lines |
$196.80–$540 | $246–$675 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $416 | $520 | 1.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $440.80 | $551 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$70.40–$248.80 | $88–$311 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$111.20–$440.80 | $139–$551 | varies |
| Neurobehavioral Status Exam (96116) | $152 | $190 | 0.7× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $200.80 | $251 | 1.5× |
| Neuromuscular Reeducation (97112) | $108 | $135 | 3.3× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $32.80 | $41 | 2.4× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $233.60 | $292 | 1.7× |
| Oral Function Therapy (92526) | $155.20 | $194 | 1.8× |
| Oral Speech Device Eval (92597) | $306.40 | $383 | 4.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$155.20–$163.20 | $194–$204 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $91.20 | $114 | 2.0× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $76.80 | $96 | 3.5× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $80 | $100 | 3.6× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $104.80 | $131 | 4.8× |
| Ot Contrast Bath Ea 15 Min (97034) | $28 | $35 | 2.0× |
| Ot eval high complexity (97167) | $295.20 | $369 | 2.9× |
| Ot Eval Low Complex (97165) | $187.20 | $234 | 1.9× |
| Ot Eval Moderate Complexity (97166) | $244.80 | $306 | 2.4× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$98.40–$103.20 | $123–$129 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$24–$25.60 | $30–$32 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $84 | $105 | 2.1× |
| Ot Re-Eval Est Plan Care (97168) | $144.80 | $181 | 2.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $221.60 | $277 | 1.7× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $71.20 | $89 | 2.9× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $332 | $415 | 1.6× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $239.20 | $299 | 1.1× |
| Percutaneous tests w/allergenic extracts (95004) range across 2 matching MRF lines |
$9.60–$12 | $12–$15 | varies |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 4 matching MRF lines |
$1,488.80–$10,929.60 | $1,861–$13,662 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$1,863.20–$18,751.20 | $2,329–$23,439 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$160–$268.80 | $200–$336 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $227.20 | $284 | 3.8× |
| Physical Performance Test (97750) | $84 | $105 | 2.5× |
| Plethysmography (94726) | $306.40 | $383 | 0.8× |
| Pm device eval in person (93288) | $168 | $210 | 4.4× |
| Pm device progr eval dual (93280) range across 3 matching MRF lines |
$108–$236.80 | $135–$296 | varies |
| Pm device progr eval multi (93281) range across 3 matching MRF lines |
$121.60–$252.80 | $152–$316 | varies |
| Pm Device Progr Eval Sngl (93279) range across 3 matching MRF lines |
$91.20–$202.40 | $114–$253 | varies |
| Pm/Icd Remote Tech Serv (93296) | $67.20 | $84 | 1.8× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $28 | $35 | 0.6× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$121.60–$240 | $152–$300 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 3 matching MRF lines |
$20–$22.40 | $25–$28 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$27.20–$29.60 | $34–$37 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 3 matching MRF lines |
$1,659.20–$15,258.40 | $2,074–$19,073 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 3 matching MRF lines |
$1,368–$14,062.40 | $1,710–$17,578 | varies |
| Prq trl rvs ch occ ant&rtrgr (92945) | $7,588.80 | $9,486 | 0.6× |
| Psych diag eval w/med srvcs (90792) | $320 | $400 | 1.8× |
| Psychiatric diagnostic evaluation (90791) | $285.60 | $357 | 1.6× |
| Psytx Crisis Initial 60 Min (90839) | $240 | $300 | 1.3× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$183.20–$292 | $229–$365 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$147.20–$154.40 | $184–$193 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$183.20–$251.20 | $229–$314 | varies |
| Pt gait training 15 min (97116) | $81.60 | $102 | 2.8× |
| Pt mechanical traction (97012) | $88 | $110 | 6.1× |
| Pt Re-Eval Est Plan Care (97164) | $136.80 | $171 | 2.0× |
| Pulmonary service/procedure (94799) | $165.60 | $207 | 1.3× |
| Pulmonary Stress Testing (94618) | $249.60 | $312 | 1.8× |
| Pure Tone Audiometry Air (92552) | $76 | $95 | 0.6× |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$985.60–$14,312.80 | $1,232–$17,891 | varies |
| R hrt coronary artery angio (93456) range across 2 matching MRF lines |
$877.60–$13,677.60 | $1,097–$17,097 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$892–$10,697.60 | $1,115–$13,372 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $76.80 | $96 | 2.0× |
| Remote 30 Day Ecg Rev/Report (93270) | $428 | $535 | 11.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $83.20 | $104 | 1.4× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$371.20–$5,224 | $464–$6,530 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$101.60–$418.40 | $127–$523 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 2 matching MRF lines |
$76.80–$136.57 | $96–$170.71 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$239.20–$374.40 | $299–$468 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $100.80 | $126 | 2.1× |
| Sbsq Psyc Collab Care Mgmt (99493) range across 2 matching MRF lines |
$232–$287.20 | $290–$359 | varies |
| Select picture audiometry (92583) | $69.60 | $87 | 1.2× |
| Self Care Mngment Training (97535) | $84 | $105 | 2.6× |
| Sensory Integration Ea 15 Min (97533) | $70.40 | $88 | 1.2× |
| Short-latency somatosens ep std upr limbs (95925) | $275.20 | $344 | 1.2× |
| Speech Audiometry Complete (92556) | $97.60 | $122 | 1.6× |
| Speech audiometry threshold (92555) | $34.40 | $43 | 0.6× |
| Speech sound lang comprehen (92523) | $261.60 | $327 | 1.2× |
| Spirometry (94010) range across 3 matching MRF lines |
$72.80–$165.60 | $91–$207 | varies |
| Ssep lower limbs (95926) | $240.80 | $301 | 1.1× |
| Standardized Cognitive Performance Testing (96125) | $272.80 | $341 | 2.7× |
| Stenger Test Speech (92577) | $57.60 | $72 | 0.2× |
| Stenger Test, Pure Tone (92565) | $31.20 | $39 | 0.5× |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$200–$1,218.40 | $250–$1,523 | varies |
| Temp transcutaneous pacing (92953) | $738.40 | $923 | 1.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $43.20 | $54 | 1.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $51.20 | $64 | 2.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $100.80 | $126 | 2.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $72.80 | $91 | 2.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 2 matching MRF lines |
$176.80–$256.80 | $221–$321 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$39.20–$88.80 | $49–$111 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 7 matching MRF lines |
$189.60–$391.20 | $237–$489 | varies |
| Therapeutic Activities (97530) | $97.60 | $122 | 2.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 6 matching MRF lines |
$34.40–$81.60 | $43–$102 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 8 matching MRF lines |
$16–$81.60 | $20–$102 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$229.60–$354.40 | $287–$443 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$330.40–$468.80 | $413–$586 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 2 matching MRF lines |
$119.20–$135.20 | $149–$169 | varies |
| Tte w/doppler, complete (93306) range across 5 matching MRF lines |
$200–$1,218.40 | $250–$1,523 | varies |
| Tte W/O Doppler Complete (93307) | $406.40 | $508 | 1.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $119.20 | $149 | 1.6× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 2 matching MRF lines |
$85.60–$148.80 | $107–$186 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$46.40–$93.60 | $58–$117 | varies |
| Tympanometry (92567) | $60.80 | $76 | 1.6× |
| Tympanometry and reflex threshold measurements (92550) | $67.20 | $84 | 0.3× |
| Unlisted allergy/clinical immunologic srvc/px (95199) range across 3 matching MRF lines |
$114.40–$424 | $143–$530 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$932.80–$3,155.20 | $1,166–$3,944 | varies |
| Unlisted otorhinolaryngological service (92700) | $68.80 | $86 | 2.3× |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$25.60–$239.20 | $32–$299 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$48–$517.60 | $60–$647 | varies |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$84.80–$88.80 | $106–$111 | varies |
| Vent Mgmt Inpat Init Day (94002) | $1,453.60 | $1,817 | 2.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,302.40 | $1,628 | 2.1× |
| Visual reinforcement audiometry (vra) (92579) | $65.60 | $82 | 0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $85.60 | $107 | 2.8× |
| Whirlpool Therapy (97022) | $102.40 | $128 | 6.5× |
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.