Visits & medical services prices at Sidney Health Center
Sidney, MT · every code in this section with a posted price and a Medicare benchmark.
434 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) | $223.54 | $361 | 2.2× |
| Ablate Heart Dysrhythm Focus (93650) likely a partial charge, not the full procedure |
$1,257.60 | $2,031 | 0.2× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $60.07 | $97 | 0.5× |
| Acoustic Reflex Testing (92568) | $42.11 | $68 | 1.1× |
| Actinotherapy Ultraviolet Light (96900) range across 2 matching MRF lines |
$44.59–$45.83 | $72–$74 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$37.78–$39.01 | $61–$63 | varies |
| Airway Inhalation Treatment (94640) range across 12 matching MRF lines |
$16.72–$126.32 | $27–$204 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 2 matching MRF lines |
$35.92–$37.16 | $58–$60 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) range across 3 matching MRF lines |
$102.17–$108.98 | $165–$176 | varies |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) range across 3 matching MRF lines |
$76.79–$94.12 | $124–$152 | varies |
| Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) | $354.19 | $572 | 2.7× |
| Analysis w/prgrmg aud brainstem implant pr hr (92640) | $231.59 | $374 | 1.8× |
| Analyze neurostim complex (95972) | $273.07 | $441 | 2.8× |
| Analyze neurostim no prog (95970) | $157.28 | $254 | 1.2× |
| Analyze Neurostim Simple (95971) | $144.28 | $233 | 1.5× |
| Analyze Pacemaker System (93724) | $387 | $625 | 1.2× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $318.89 | $515 | 1.5× |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) | $81.12 | $131 | 0.6× |
| Ant sgm imaging w/microscopy endothelial analy (92286) range across 4 matching MRF lines |
$38.40–$116.41 | $62–$188 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 4 matching MRF lines |
$20.44–$54.49 | $33–$88 | varies |
| Application Modality 1/> Areas Diathermy (97024) | $26.01 | $42 | 3.5× |
| Application Modality 1/> Areas Infrared (97026) range across 2 matching MRF lines |
$33.44–$34.06 | $54–$55 | varies |
| Application on-body injector (96377) | $43.35 | $70 | 0.9× |
| Arrhythmia Induction (93618) | $271.21 | $438 | 0.2× |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$102.79–$108.98 | $166–$176 | varies |
| Assessment of tinnitus (92625) | $99.08 | $160 | 0.8× |
| Audiometry Air & Bone (92553) | $47.68 | $77 | 0.4× |
| Auditory Function, 60 Min (92620) | $172.14 | $278 | 1.3× |
| Behavral qualit analys voice (92524) | $185.76 | $300 | 1.7× |
| Biofeedback training any modality (90901) | $43.97 | $71 | 1.1× |
| Bioimpedance Cv Analysis (93701) | $77.40 | $125 | 0.6× |
| Blink reflex test (95933) | $93.50 | $151 | 1.6× |
| Breath hydrogen/methane test (91065) | $33.44 | $54 | 0.2× |
| Breathing response to hypoxia (94450) | $42.73 | $69 | 0.3× |
| Brief Emotional/Behav Assmt (96127) | $10.53 | $17 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $209.91 | $339 | 0.6× |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$147.37 | $238 | 0.0× |
| C motor evoked uppr limbs (95928) | $222.92 | $360 | 0.3× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$169.05–$193.20 | $273–$312 | varies |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$263.78–$323.85 | $426–$523 | varies |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$518.28–$573.38 | $837–$926 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$69.36–$395.67 | $112–$639 | varies |
| Cardioversion elective internal (92961) | $526.94 | $851 | 0.8× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $101.55 | $164 | 2.7× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$60.07–$79.88 | $97–$129 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$68.12–$72.45 | $110–$117 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 3 matching MRF lines |
$69.36–$73.69 | $112–$119 | varies |
| Chemo Ia Push (96420) | $278.64 | $450 | 0.8× |
| Chemo Intralesional Over 7 (96406) | $248.30 | $401 | 1.1× |
| Chemo intralesional up to 7 (96405) | $172.14 | $278 | 2.3× |
| Chemo IV infusion addl hr (96415) range across 3 matching MRF lines |
$109.60–$116.41 | $177–$188 | varies |
| Chemo IV push addl drug (96411) range across 3 matching MRF lines |
$191.96–$203.72 | $310–$329 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 3 matching MRF lines |
$505.27–$536.23 | $816–$866 | varies |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $418.58 | $676 | 1.2× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $162.24 | $262 | 3.4× |
| Chemotherapy Into Cns (96450) | $614.87 | $993 | 1.8× |
| Chemotherapy Intracavitary (96440) | $835.92 | $1,350 | 2.5× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $468.74 | $757 | 1.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 3 matching MRF lines |
$228.49–$242.73 | $369–$392 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$469.98–$499.08 | $759–$806 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 3 matching MRF lines |
$287.93–$305.89 | $465–$494 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) range across 2 matching MRF lines |
$297.84–$306.51 | $481–$495 | varies |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$73.69–$79.88 | $119–$129 | varies |
| Chiropract manj 3-4 regions (98941) | $40.25 | $65 | 1.8× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $34.06 | $55 | 1.5× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $43.97 | $71 | 2.0× |
| Chron Care Mgmt Srvc 20 Min (99490) | $91.65 | $148 | 0.9× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $13.63 | $22 | 0.2× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$63.16–$149.85 | $102–$242 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$44.59–$148.61 | $72–$240 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $30.35 | $49 | 0.9× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $197.53 | $319 | 1.1× |
| Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) | $282.98 | $457 | 0.3× |
| Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) | $191.34 | $309 | 0.5× |
| Comprehensive Hearing Test (92557) | $76.79 | $124 | 0.6× |
| Computerized dynamic posturography (92548) | $152.95 | $247 | 1.1× |
| Conditioning Play Audiometry (92582) | $152.33 | $246 | 1.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$293.51–$384.53 | $474–$621 | varies |
| Contact Lens Fit,Corneoscleral Lens (92313) | $180.19 | $291 | 1.3× |
| Continuous Pulse Ox (94762) | $96.60 | $156 | 0.7× |
| Corneal Topography (92025) range across 4 matching MRF lines |
$9.29–$22.92 | $15–$37 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$79.88–$414.25 | $129–$669 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$61.92–$79.88 | $100–$129 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$566.57–$607.44 | $915–$981 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $288.55 | $466 | 0.8× |
| Dark Adaptation Eye Exam (92284) | $21.06 | $34 | 0.0× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$23.53–$149.23 | $38–$241 | varies |
| Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) | $255.12 | $412 | 1.9× |
| Dialysis One Evaluation (90945) | $302.79 | $489 | 0.7× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $13.63 | $22 | 0.0× |
| Duodenal motility study (91022) | $177.72 | $287 | 0.5× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$317.04–$388.86 | $512–$628 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $234.06 | $378 | 2.2× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $242.73 | $392 | 2.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$87.31–$493.51 | $141–$797 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$69.97–$400.01 | $113–$646 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$393.82–$577.72 | $636–$933 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$76.79–$402.48 | $124–$650 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$72.45–$312.70 | $117–$505 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$103.41–$430.35 | $167–$695 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$230.97–$434.68 | $373–$702 | varies |
| Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) | $121.99 | $197 | 0.9× |
| Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) | $282.98 | $457 | 2.2× |
| Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) | $101.55 | $164 | 0.5× |
| Ear and throat examination (92502) | $304.03 | $491 | 0.6× |
| Ear Protector Evaluation (92596) | $120.13 | $194 | 3.1× |
| ECG/monitoring and analysis (93271) | $1,133.14 | $1,830 | 11.7× |
| Echo Congenital Complete (93303) | $102.17 | $165 | 0.2× |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$40.87–$157.28 | $66–$254 | varies |
| Echo r-t 2d w/probe placement only (93313) | $224.77 | $363 | 0.4× |
| Echo transesophag congen probe plcmt only (93316) | $252.02 | $407 | 0.5× |
| Echo transesophag montr cardiac pump functj (93318) | $190.72 | $308 | 0.3× |
| Echo transesophageal (93312) | $333.13 | $538 | 0.6× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $380.19 | $614 | 0.7× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$101.55–$463.79 | $164–$749 | varies |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$36.54–$494.75 | $59–$799 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$66.26–$342.42 | $107–$553 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$139.94–$361 | $226–$583 | varies |
| EEG extended monitoring 61-119 minutes (95813) | $162.85 | $263 | 0.7× |
| Eeg Sleep Only (95822) | $97.84 | $158 | 0.4× |
| EKG signal averaged (93278) | $67.50 | $109 | 1.1× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$24.77–$50.78 | $40–$82 | varies |
| Electro-Oculography (92270) | $78.02 | $126 | 0.6× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$68.12–$70.59 | $110–$114 | varies |
| Electrocochleography (92584) | $193.20 | $312 | 1.5× |
| Electroconvulsive Therapy (90870) | $203.72 | $329 | 0.2× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) | $32.20 | $52 | 0.1× |
| Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) | $42.73 | $69 | 0.3× |
| Electrophysiology Evaluation (93642) | $440.26 | $711 | 0.4× |
| Emergency Dept Visit Level 2 (99282) | $171.52 | $277 | 1.1× |
| Emergency Dept Visit Level 3 (99283) | $322.61 | $521 | 1.2× |
| Emergency Dept Visit Level 4 (99284) | $408.68 | $660 | 1.0× |
| Emg 3 Extremities (95863) range across 4 matching MRF lines |
$78.02–$194.43 | $126–$314 | varies |
| Emg 4 Extremities (95864) range across 4 matching MRF lines |
$194.43–$486.70 | $314–$786 | varies |
| Endomyocardial Biopsy (93505) | $378.96 | $612 | 0.1× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) likely a partial charge, not the full procedure |
$1,076.17 | $1,738 | 0.1× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) likely a partial charge, not the full procedure |
$437.16 | $706 | 0.1× |
| Ep Esophageal Recording Atria+Pacing (93616) | $68.12 | $110 | 0.1× |
| Er level 1 (99281) | $133.75 | $216 | 1.6× |
| Er level v (99285) | $619.20 | $1,000 | 1.0× |
| Ergonovine provocation test (93024) | $117.03 | $189 | 0.3× |
| Esoph Atrial Electrogram (93615) | $68.12 | $110 | 0.1× |
| Esophageal Capsule Endoscopy (91111) | $2,154.82 | $3,480 | 2.3× |
| Esophagus acid perfusion test esophagitis (91030) | $116.41 | $188 | 0.3× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $88.55 | $143 | 0.2× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $99.70 | $161 | 0.3× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 2 matching MRF lines |
$115.80–$138.09 | $187–$223 | varies |
| Evaluate pt use of inhaler (94664) range across 10 matching MRF lines |
$30.96–$126.32 | $50–$204 | varies |
| Evaluate Speech Production (92522) | $182.05 | $294 | 1.6× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$230.97–$242.73 | $373–$392 | varies |
| Evaluation of speech fluency (92521) | $223.54 | $361 | 1.7× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$9.29–$45.21 | $15–$73 | varies |
| Excimer laser tx psoriasis 250-500 sq cm (96921) | $297.84 | $481 | 1.5× |
| Excimer laser tx psoriasis >500 sq cm (96922) | $375.86 | $607 | 0.9× |
| Excimer laser tx psoriasis tot area <250 sq cm (96920) | $297.84 | $481 | 1.5× |
| Exhaled Air Analysis O2 (94680) range across 2 matching MRF lines |
$37.78–$98.46 | $61–$159 | varies |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$35.92–$36.54 | $58–$59 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) range across 2 matching MRF lines |
$55.11–$79.88 | $89–$129 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$35.92–$36.54 | $58–$59 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) range across 2 matching MRF lines |
$60.07–$79.88 | $97–$129 | varies |
| External Ecg Scanning Analysis Report (93226) range across 3 matching MRF lines |
$108.36–$110.84 | $175–$179 | varies |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$274.93–$468.74 | $444–$757 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$211.77–$266.26 | $342–$430 | varies |
| Eye Allergy Tests (95060) | $38.40 | $62 | 0.3× |
| Eye exam w anesth; complete (92018) | $396.91 | $641 | 0.2× |
| Eye exam w anesth; limited (92019) | $131.28 | $212 | 0.1× |
| Eye Exam With Photos (92230) | $107.13 | $173 | 0.3× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $99.70 | $161 | 0.2× |
| Facial nerve function studies (92516) | $318.27 | $514 | 1.4× |
| Filtered Speech Test (92571) | $38.40 | $62 | 1.0× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $307.75 | $497 | 2.0× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 2 matching MRF lines |
$371.52–$396.91 | $600–$641 | varies |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $406.20 | $656 | 1.8× |
| Fluorescein angiography (92235) range across 4 matching MRF lines |
$37.78–$94.12 | $61–$152 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $406.82 | $657 | 0.5× |
| Fundus photography (92250) range across 4 matching MRF lines |
$20.44–$51.40 | $33–$83 | varies |
| Gastric motility studies (91020) | $151.71 | $245 | 0.4× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $169.67 | $274 | 0.4× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $135.61 | $219 | 0.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $274.31 | $443 | 0.3× |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$365.33–$1,625.40 | $590–$2,625 | varies |
| Gonioscopy (92020) | $53.26 | $86 | 0.4× |
| Group Therapeutic Procedures (97150) | $24.15 | $39 | 1.3× |
| Health Behavior Assessment/Re-Assessment (96156) | $206.20 | $333 | 2.0× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $156.66 | $253 | 4.1× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $27.87 | $45 | 0.7× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $147.37 | $238 | 0.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $128.80 | $208 | 0.2× |
| High altitude simulation test (94452) | $43.97 | $71 | 0.3× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $61.31 | $99 | 0.5× |
| Holter monitor recording (93225) range across 4 matching MRF lines |
$70.59–$79.88 | $114–$129 | varies |
| Hubbard tank 15 min (97036) | $21.06 | $34 | 0.6× |
| Hypnotherapy (90880) | $146.76 | $237 | 1.4× |
| Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) range across 2 matching MRF lines |
$14.25–$14.87 | $23–$24 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 5 matching MRF lines |
$9.11–$32.82 | $14.71–$53 | varies |
| Immunization administration (90471) range across 13 matching MRF lines |
$9.91–$44.59 | $16–$72 | varies |
| Indocyanine-green angrph w/multiframe i&r uni/bi (92240) | $120.75 | $195 | 0.5× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) range across 2 matching MRF lines |
$151.71–$156.04 | $245–$252 | varies |
| Inital newborn e/m (99460) | $183.29 | $296 | 1.3× |
| Insert/Place Heart Catheter (93503) | $582.67 | $941 | 0.4× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$73.69 | $119 | 0.0× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$79.26 | $128 | 0.0× |
| Intracranial Complete Study (93886) | $115.18 | $186 | 0.5× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) range across 2 matching MRF lines |
$12.39–$13.01 | $20–$21 | varies |
| Intracutaneous tests w/allergenic extracts (95024) | $12.39 | $20 | 0.2× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$203.10 | $328 | 0.0× |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$37.16–$71.83 | $60–$116 | varies |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$66.26–$82.98 | $107–$134 | varies |
| Ischemic limb exercise test (95875) | $116.41 | $188 | 0.9× |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$63.78–$68.12 | $103–$110 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$135.61–$144.28 | $219–$233 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 5 matching MRF lines |
$103.41–$110.22 | $167–$178 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $81.74 | $132 | 1.7× |
| IV push initial (96374) range across 4 matching MRF lines |
$123.23–$161 | $199–$260 | varies |
| Laryngeal Function Studies (92520) | $138.09 | $223 | 1.0× |
| Loudness balance test (92562) | $58.21 | $94 | 0.3× |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$10.53–$40.87 | $17–$66 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $82.36 | $133 | 0.4× |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) | $884.84 | $1,429 | 1.0× |
| Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) | $1,477.42 | $2,386 | 1.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 5 matching MRF lines |
$13.01–$35.30 | $21–$57 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 5 matching MRF lines |
$16.72–$41.49 | $27–$67 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $9.29 | $15 | 0.5× |
| Methacholine challenge (94070) range across 4 matching MRF lines |
$40.87–$102.17 | $66–$165 | varies |
| Microvolt T-Wave Assess (93025) | $240.87 | $389 | 1.8× |
| Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) | $38.40 | $62 | 0.3× |
| Motility study esophagus (91010) | $269.98 | $436 | 0.7× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$307.75–$322.61 | $497–$521 | varies |
| Multiple Family Group Psychotherapy (90849) | $86.07 | $139 | 0.5× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$179.57–$1,132.52 | $290–$1,829 | varies |
| Muscle Test 2 Limbs (95861) range across 4 matching MRF lines |
$98.46–$246.45 | $159–$398 | varies |
| Muscle Test Hemidiaphragm (95866) | $137.47 | $222 | 1.0× |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$60.07–$217.34 | $97–$351 | varies |
| Muscle Test One Limb (95860) range across 4 matching MRF lines |
$48.30–$121.37 | $78–$196 | varies |
| Narcosynthesis (90865) | $243.97 | $394 | 1.3× |
| Nasal function studies (92512) | $143.04 | $231 | 0.6× |
| Nasopharyngoscopy (92511) | $191.96 | $310 | 0.9× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $214.25 | $346 | 1.0× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $94.12 | $152 | 0.4× |
| Needle electromyography larynx (95865) | $225.39 | $364 | 1.7× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $29.11 | $47 | 0.1× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $279.26 | $451 | 1.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$130.04–$247.68 | $210–$400 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$154.19–$247.68 | $249–$400 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$86.69–$123.23 | $140–$199 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$70.59–$247.68 | $114–$400 | varies |
| Neurobehavioral Status Exam (96116) | $112.08 | $181 | 0.5× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$81.12–$140.56 | $131–$227 | varies |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$42.11–$66.88 | $68–$108 | varies |
| Newborn resuscitation (99465) | $248.30 | $401 | 0.4× |
| Nitric oxide expired gas determination (95012) range across 2 matching MRF lines |
$29.11–$29.73 | $47–$48 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $39.63 | $64 | 1.6× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $84.84 | $137 | 2.4× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $26.01 | $42 | 1.9× |
| Nose Allergy Test (95065) | $27.87 | $45 | 0.7× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $50.16 | $81 | 0.1× |
| Oculoelectromyography (92265) | $93.50 | $151 | 1.6× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 4 matching MRF lines |
$24.15–$60.07 | $39–$97 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $183.29 | $296 | 1.3× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $152.33 | $246 | 1.1× |
| Ophth medical xm&eval intermediate estab pt (92012) | $105.27 | $170 | 0.8× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $110.84 | $179 | 0.8× |
| Ophthalmodynamometry (92260) | $29.11 | $47 | 0.8× |
| Optokinetic Nystagmus Test (92544) | $84.84 | $137 | 0.6× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$107.75–$120.13 | $174–$194 | varies |
| Oral Speech Device Eval (92597) | $227.25 | $367 | 3.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$75.55–$81.12 | $122–$131 | varies |
| Oscillating Tracking Test (92545) | $73.07 | $118 | 0.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $52.64 | $85 | 2.4× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $74.31 | $120 | 3.4× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $92.88 | $150 | 4.2× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $112.08 | $181 | 5.1× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $133.75 | $216 | 6.1× |
| Ot Contrast Bath Ea 15 Min (97034) | $30.35 | $49 | 2.2× |
| Ot eval high complexity (97167) | $100.93 | $163 | 1.0× |
| Ot Eval Low Complex (97165) | $107.75 | $174 | 1.1× |
| Ot Eval Moderate Complexity (97166) | $105.89 | $171 | 1.1× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$36.54–$63.78 | $59–$103 | varies |
| Ot paraffin bath (97018) | $22.92 | $37 | 3.8× |
| Ot Prosthetic Training, Each 15 Min (97761) | $40.25 | $65 | 1.0× |
| Ot Re-Eval Est Plan Care (97168) | $66.88 | $108 | 1.0× |
| Ot rom hand (95852) | $44.59 | $72 | 2.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 3 matching MRF lines |
$121.37–$150.47 | $196–$243 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$73.69–$101.55 | $119–$164 | varies |
| Oxygen Uptake Rest Indirect (94690) | $13.63 | $22 | 0.2× |
| Patch/Application Test Specify Number Tests (95044) | $7.44 | $12 | 0.0× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $46.44 | $75 | 1.9× |
| Patient-initiated spirometric recording (94015) | $68.12 | $110 | 0.3× |
| Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) | $94.12 | $152 | 0.2× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $167.19 | $270 | 0.8× |
| Penile Vascular Study,Ltd or F/U (93981) | $98.46 | $159 | 0.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$107.75–$110.84 | $174–$179 | varies |
| Percutaneous tests w/allergenic extracts (95004) | $9.91 | $16 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $40.87 | $66 | 0.7× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$184.53–$190.10 | $298–$307 | varies |
| Photo patch test(s) (95052) | $20.44 | $33 | 0.3× |
| Photo Tests (95056) | $165.33 | $267 | 1.2× |
| Photochemotherapy Dermatoses 4-8 Hrs Supervision (96913) | $138.09 | $223 | 0.3× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) range across 2 matching MRF lines |
$115.18–$118.89 | $186–$192 | varies |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) range across 2 matching MRF lines |
$24.15–$24.77 | $39–$40 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $296.60 | $479 | 4.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $258.21 | $417 | 4.3× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$52.02–$55.11 | $84–$89 | varies |
| Plethysmography (94726) | $192.58 | $311 | 0.5× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$45.83–$46.44 | $74–$75 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$342.42–$2,115.19 | $553–$3,416 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $239.02 | $386 | 0.3× |
| Positional nystagmus test (92542) range across 4 matching MRF lines |
$4.96–$97.84 | $8–$158 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $22.92 | $37 | 0.5× |
| Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) | $42.73 | $69 | 0.9× |
| Prepj& antigen allergen immunotherapy 2 insect (95146) | $55.11 | $89 | 1.2× |
| Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) | $50.78 | $82 | 0.7× |
| Prepj& antigen allergen immunotherapy 5 insect (95149) | $158.52 | $256 | 2.2× |
| Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) | $99.08 | $160 | 0.2× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92316) | $135.61 | $219 | 1.0× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92315) | $63.78 | $103 | 0.5× |
| Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) | $107.75 | $174 | 2.8× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $130.04 | $210 | 1.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $21.06 | $34 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $22.30 | $36 | 0.5× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) | $66.26 | $107 | 0.9× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $13.63 | $22 | 0.3× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole… (95170) | $20.44 | $33 | 0.4× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) likely a partial charge, not the full procedure |
$2,892.29 | $4,671 | 0.2× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$2,260.08 | $3,650 | 0.2× |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$22.30–$218.58 | $36–$353 | varies |
| Psychiatric diagnostic evaluation (90791) | $154.19 | $249 | 0.9× |
| Psychoanalysis (90845) | $135.61 | $219 | 0.7× |
| Psytx Crisis Initial 60 Min (90839) | $161 | $260 | 0.9× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $50.78 | $82 | 1.3× |
| Pt Eval High Complex (97163) | $110.84 | $179 | 1.1× |
| Pt eval low complex 20 min (97161) | $110.84 | $179 | 1.1× |
| Pt Eval Mod Complex (97162) | $110.84 | $179 | 1.1× |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$36.54–$61.92 | $59–$100 | varies |
| Pt mechanical traction (97012) range across 3 matching MRF lines |
$17.96–$43.97 | $29–$71 | varies |
| Pt Re-Eval Est Plan Care (97164) | $74.31 | $120 | 1.1× |
| Pt ultraviolet (97028) | $22.92 | $37 | 2.7× |
| Pulmonary Stress Testing (94618) | $35.30 | $57 | 0.3× |
| Pure Tone Audiometry Air (92552) | $47.68 | $77 | 0.4× |
| Rapid Desensitization Procedure Each Hour (95180) | $266.88 | $431 | 0.6× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) range across 2 matching MRF lines |
$160.38–$165.33 | $259–$267 | varies |
| Refill/Maint Portable Pump (96521) range across 3 matching MRF lines |
$393.82–$425.40 | $636–$687 | varies |
| Refill/Maint Pump/Resvr Syst (96522) range across 3 matching MRF lines |
$218.58–$225.39 | $353–$364 | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $107.75 | $174 | 2.8× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $44.59 | $72 | 0.3× |
| Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) | $80.50 | $130 | 2.1× |
| Remote 30 Day Ecg Rev/Report (93270) range across 3 matching MRF lines |
$115.80–$120.13 | $187–$194 | varies |
| Remote 30 Day Ecg Tech Supp (93229) | $3,348.64 | $5,408 | 8.8× |
| Replacement of contact lens (92326) | $56.97 | $92 | 0.9× |
| Respiratory flow volume loop (94375) | $26.63 | $43 | 0.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 3 matching MRF lines |
$10.53–$11.15 | $17–$18 | varies |
| Right ventricular recording (93603) | $334.37 | $540 | 0.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$68.74–$123.23 | $111–$199 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $50.78 | $82 | 1.9× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $180.19 | $291 | 1.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $92.88 | $150 | 1.9× |
| Rx&Fitg Contact Corneal Lens Aphakia Both Eyes (92312) | $124.46 | $201 | 0.9× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $182.67 | $295 | 0.5× |
| Same day nb discharge (99463) | $202.48 | $327 | 1.5× |
| Sbsq Psyc Collab Care Mgmt (99493) | $179.57 | $290 | 1.7× |
| Select picture audiometry (92583) range across 2 matching MRF lines |
$61.92–$63.16 | $100–$102 | varies |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$43.35–$54.49 | $70–$88 | varies |
| Self-meas bp pt educaj/traing & dev calibration (99473) | $32.20 | $52 | 1.1× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) range across 4 matching MRF lines |
$19.82–$53.88 | $32–$87 | varies |
| Sensory Integration Ea 15 Min (97533) | $37.78 | $61 | 0.6× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $56.35 | $91 | 0.3× |
| Short-latency somatosens ep std upr limbs (95925) | $72.45 | $117 | 0.3× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $29.73 | $48 | 0.2× |
| Sleep study attended (95807) | $275.55 | $445 | 0.7× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$209.29–$323.85 | $338–$523 | varies |
| Speech Audiometry Complete (92556) | $81.12 | $131 | 1.3× |
| Speech audiometry threshold (92555) | $44.59 | $72 | 0.7× |
| Speech sound lang comprehen (92523) | $232.82 | $376 | 1.0× |
| Spin/Brain Pump Refil & Main (95991) | $230.35 | $372 | 0.7× |
| Spirometry (94010) | $96.60 | $156 | 0.4× |
| Spontaneous Nystagmus Test (92541) | $99.70 | $161 | 0.7× |
| Ssep lower limbs (95926) range across 2 matching MRF lines |
$71.83–$268.12 | $116–$433 | varies |
| Staggered Spondaic Word Test (92572) | $109.60 | $177 | 0.8× |
| Stenger Test Speech (92577) | $55.11 | $89 | 0.1× |
| Stenger Test, Pure Tone (92565) | $36.54 | $59 | 0.6× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$172.14–$432.83 | $278–$699 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $54.49 | $88 | 1.1× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $240.87 | $389 | 1.1× |
| Subq Infusion Additional Pump Infusion Site (96371) | $174 | $281 | 2.4× |
| Surfactant Admin Thru Tube (94610) | $318.89 | $515 | 1.4× |
| Synthetic Sentence Identification Test (92576) | $40.25 | $65 | 1.1× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $102.17 | $165 | 1.0× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$4.34–$34.68 | $7–$56 | varies |
| Tensilon Test (95857) | $109.60 | $177 | 0.5× |
| Test to assess hearing loss using different tone pitches (92575) | $72.45 | $117 | 1.9× |
| Testing Autonomic Nervous System Function (95923) | $126.32 | $204 | 0.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$49.54–$73.07 | $80–$118 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$21.06–$52.02 | $34–$84 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 2 matching MRF lines |
$117.65–$139.94 | $190–$226 | varies |
| Ther/Proph/Diag Inj Ia (96373) range across 3 matching MRF lines |
$34.68–$35.92 | $56–$58 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$41.49–$44.59 | $67–$72 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 5 matching MRF lines |
$227.87–$242.11 | $368–$391 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$50.78–$63.78 | $82–$103 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $178.33 | $288 | 0.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$45.21–$55.73 | $73–$90 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$24.15–$34.06 | $39–$55 | varies |
| Tone Decay Test (92563) | $39.01 | $63 | 1.0× |
| Trans Care Mgmt 14 Day Disch (99495) | $309.60 | $500 | 2.3× |
| Trans Care Mgmt 7 Day Disch (99496) | $444.59 | $718 | 3.3× |
| Transcath Closure of Asd (93580) likely a partial charge, not the full procedure |
$2,178.97 | $3,519 | 0.1× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $300.94 | $486 | 2.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $253.88 | $410 | 2.4× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $91.03 | $147 | 2.4× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $84.22 | $136 | 0.6× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $157.90 | $255 | 1.2× |
| Tte w/doppler, complete (93306) | $370.91 | $599 | 0.7× |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$166.57–$352.95 | $269–$570 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $92.88 | $150 | 1.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$71.21–$75.55 | $115–$122 | varies |
| Tympanometry (92567) range across 3 matching MRF lines |
$30.35–$55.73 | $49–$90 | varies |
| Tympanometry and reflex threshold measurements (92550) | $69.97 | $113 | 0.3× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$24.77–$146.76 | $40–$237 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$76.79–$305.89 | $124–$494 | varies |
| Valvuloplasty aortic valve (92986) unusually low: confirm this is the full procedure |
$2,607.46 | $4,211 | 0.4× |
| Valvuloplasty mitral valve (92987) likely a partial charge, not the full procedure |
$2,774.02 | $4,480 | 0.2× |
| Valvuloplasty pulmonary valve (92990) likely a partial charge, not the full procedure |
$2,757.30 | $4,453 | 0.2× |
| Vasopneumatic device (97016) | $24.15 | $39 | 2.0× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$382.67–$1,014.87 | $618–$1,639 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$126.32–$409.92 | $204–$662 | varies |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$55.11–$119.51 | $89–$193 | varies |
| Visual Field Exam Extended (92083) range across 4 matching MRF lines |
$26.63–$66.88 | $43–$108 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) range across 4 matching MRF lines |
$16.72–$41.49 | $27–$67 | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) range across 2 matching MRF lines |
$36.54–$40.25 | $59–$65 | varies |
| Visual reinforcement audiometry (vra) (92579) | $84.84 | $137 | 0.4× |
| Vital capacity, total (94150) range across 4 matching MRF lines |
$15.48–$39.01 | $25–$63 | varies |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $247.68 | $400 | 0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $32.20 | $52 | 1.0× |
| Whirlpool Therapy (97022) range across 3 matching MRF lines |
$24.15–$58.83 | $39–$95 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) range across 2 matching MRF lines |
$6.82–$39.63 | $11–$64 | varies |
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.