Visits & medical services prices at Sky Lakes Medical Center
Klamath Falls, OR · every code in this section with a posted price and a Medicare benchmark.
267 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $66.50 | $88.66 | 1.3× |
| Advncd Care Plan 30 Min (99497) | $93.76 | $125.01 | 0.7× |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$153.94–$215.32 | $205.25–$287.10 | varies |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $460.88 | $614.50 | 1.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $79.30 | $105.74 | 5.5× |
| Application on-body injector (96377) | $75.56 | $100.74 | 1.3× |
| Audiometry Air & Bone (92553) | $186.68 | $248.90 | 1.1× |
| Behavral qualit analys voice (92524) | $308.30 | $411.07 | 2.8× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $81.68 | $108.90 | 1.0× |
| Bfb training ea addl 15 min (90913) | $65.18 | $86.90 | 2.0× |
| Brief Emotional/Behav Assmt (96127) | $39.48 | $52.64 | 0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines |
$314.45–$1,033.08 | $419.27–$1,377.44 | varies |
| Caloric Vstblr Test W/Rec (92537) | $127.50 | $170 | 0.8× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$107.25–$168 | $143–$224 | varies |
| Car seat/bed test 60 min (94780) | $446.55 | $595.40 | 9.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,113.42 | $1,484.56 | 4.1× |
| Cardiopulmonary exercise testing (94621) | $283.39 | $377.85 | 0.6× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$580.22–$696.61 | $773.63–$928.81 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,332.05–$1,366.19 | $1,776.07–$1,821.59 | varies |
| Cardioversion elective internal (92961) | $1,674.33 | $2,232.44 | 2.0× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $34.65 | $46.20 | 0.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $10,701.53 | $14,268.71 | 2.6× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $9,550.72 | $12,734.30 | 2.3× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$146.04–$231.59 | $194.72–$308.79 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$90.62–$289.78 | $120.82–$386.37 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$90.62–$285.13 | $120.82–$380.17 | varies |
| Chemo intralesional up to 7 (96405) | $90.62 | $120.82 | 1.0× |
| Chemo IV infusion addl hr (96415) | $281.42 | $375.23 | 3.1× |
| Chemo IV push addl drug (96411) | $484.94 | $646.58 | 5.3× |
| Chemother Prolong Infuse W/Pump (96416) | $932.65 | $1,243.53 | 2.2× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$712.73–$743.10 | $950.31–$990.80 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $248.57 | $331.43 | 2.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $909.94 | $1,213.26 | 2.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $393.62 | $524.82 | 0.9× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $176.98 | $235.97 | 0.4× |
| Chest Wall Manipulation (94668) | $160.51 | $214.01 | 1.0× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$77.20–$78.38 | $102.94–$104.50 | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $657.40 | $876.54 | 1.4× |
| Color/duplex Doppler, complete (93975) | $1,457.36 | $1,943.15 | 4.8× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$146.36–$618.36 | $195.14–$824.48 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $87.10 | $116.13 | 2.7× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $125.28 | $167.04 | 0.6× |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$186.68–$399.12 | $248.90–$532.16 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$164.30–$497.05 | $219.07–$662.73 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $119.62 | $159.50 | 1.6× |
| Continuous Pulse Ox (94762) | $550.85 | $734.47 | 3.4× |
| Coronary Art/Grft Angio S&I (93455) | $6,692.78 | $8,923.71 | 1.6× |
| Coronary Artery Angio S&I (93454) | $6,692.78 | $8,923.71 | 1.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $847.84 | $1,130.45 | 3.1× |
| Cpt initial (94667) | $160.51 | $214.01 | 1.0× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$3,340.41–$7,669.82 | $4,453.88–$10,226.43 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $198.28 | $264.37 | 0.8× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $315.12 | $420.16 | 0.7× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,457.36 | $1,943.15 | 4.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $934.34 | $1,245.79 | 7.1× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $711.06 | $948.08 | 5.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,457.36 | $1,943.15 | 4.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $934.34 | $1,245.79 | 7.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$1,397.81–$1,457.36 | $1,863.75–$1,943.15 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $934.34 | $1,245.79 | 7.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,146 | $1,528 | 3.8× |
| Duplex Scan Hemodialysis Access (93990) | $586.06 | $781.42 | 4.4× |
| Duplex up extrem art bilat (93930) | $1,457.36 | $1,943.15 | 4.8× |
| Duplex up extrem art unilat/ltd (93931) | $934.34 | $1,245.79 | 7.1× |
| ECG/monitoring and analysis (93271) | $292.23 | $389.64 | 2.4× |
| Echo Congenital Complete (93303) | $1,712.48 | $2,283.30 | 2.5× |
| Echo Heart Xthoracic,Limited (93308) | $950.59 | $1,267.45 | 3.1× |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$1,949–$2,287.49 | $2,598.67–$3,049.99 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $2,287.49 | $3,049.99 | 3.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$986.18–$1,230.75 | $1,314.90–$1,641 | varies |
| EEG awake and asleep (95819) | $1,196.28 | $1,595.04 | 4.4× |
| Electrical Stimulation Ea 15 Min (97032) | $102.03 | $136.04 | 6.9× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$82.36–$317.58 | $109.82–$423.44 | varies |
| Electrophysiology Evaluation (93642) | $2,839.46 | $3,785.95 | 1.8× |
| Emergency Dept Visit Level 2 (99282) range across 4 matching MRF lines |
$245.44–$5,283.34 | $327.25–$7,044.46 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$337.50–$5,566.10 | $450–$7,421.46 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$637.50–$5,955.17 | $850–$7,940.23 | varies |
| Emg 3 Extremities (95863) | $164.40 | $219.20 | 1.0× |
| Emg 4 Extremities (95864) | $164.40 | $219.20 | 1.0× |
| Er level 1 (99281) | $342.11 | $456.15 | 3.2× |
| Er level v (99285) range across 5 matching MRF lines |
$933.75–$6,408.60 | $1,245–$8,544.80 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,641.25 | $2,188.33 | 3.5× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$160.51–$192.22 | $214.01–$256.30 | varies |
| Evaluate Speech Production (92522) | $308.30 | $411.07 | 2.8× |
| Evaluate Swallowing Function (92610) | $375.99 | $501.32 | 4.4× |
| Evaluation of speech fluency (92521) | $300.11 | $400.15 | 2.3× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$226.60–$314.45 | $302.14–$419.27 | varies |
| External ECG rec>48hr<7d recording (93242) | $101.24 | $134.99 | 2.1× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $346.15 | $461.53 | 2.1× |
| External ECG rec>7d<15d recording (93246) | $171.36 | $228.48 | 3.6× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $346.15 | $461.53 | 2.1× |
| External Ecg Scanning Analysis Report (93226) | $346.15 | $461.53 | 4.6× |
| Extracranial Bilat Study (93880) | $951.47 | $1,268.63 | 3.1× |
| Extracranial Uni/Ltd Study (93882) | $951.47 | $1,268.63 | 7.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,031.25 | $1,375 | 1.5× |
| Flexible endoscopic eval swallow c/v rec (92612) | $520.36 | $693.82 | 2.6× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,641.25 | $2,188.33 | 3.5× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $930.52 | $1,240.69 | 3.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,675.14 | $2,233.52 | 1.5× |
| Group Therapeutic Procedures (97150) | $96.74 | $128.99 | 5.4× |
| Health Behavior Assessment/Re-Assessment (96156) | $80.85 | $107.80 | 0.6× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $28.05 | $37.40 | 0.6× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $80.85 | $107.80 | 0.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $11,304.28 | $15,072.38 | 2.8× |
| Holter monitor recording (93225) | $346.15 | $461.53 | 2.1× |
| Icd Device Interrogate (93289) | $200.16 | $266.88 | 4.2× |
| Icd device progr eval dual (93283) | $299.62 | $399.50 | 6.3× |
| Icd Device Progr Eval Mult (93284) | $339.10 | $452.13 | 7.2× |
| Ilr Device Eval Progr (93285) | $204.97 | $273.29 | 4.3× |
| Ilr Device Interrogate (93291) | $164.26 | $219.02 | 4.5× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$56.19–$74.92 | $74.92–$99.90 | varies |
| Immunization administration (90471) range across 5 matching MRF lines |
$56.19–$74.92 | $74.92–$99.90 | varies |
| Interrogate Subq Defib (93261) | $142.25 | $189.67 | 3.0× |
| Intracranial Complete Study (93886) | $84.77 | $113.03 | 0.3× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) | $23.06 | $30.75 | 0.6× |
| Intracutaneous tests w/allergenic extracts (95024) | $76.87 | $102.49 | 1.0× |
| Iontophoresis 15 min (97033) | $102.03 | $136.04 | 5.4× |
| Irrig Drug Delivery Device (96523) | $147.88 | $197.17 | 2.0× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$48.90–$358.97 | $65.20–$478.63 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$233.22–$542.18 | $310.96–$722.91 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$187.63–$246.46 | $250.17–$328.62 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$48.90–$348.16 | $65.20–$464.22 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$243.51–$274.90 | $324.68–$366.54 | varies |
| L Hrt Art/Grft Angio (93459) | $10,234.61 | $13,646.15 | 2.5× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $9,550.72 | $12,734.30 | 2.3× |
| Low frequency non-thermal us (97610) | $219.62 | $292.82 | 0.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $55.63 | $74.17 | 1.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $54.73 | $72.97 | 1.5× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$17.95–$80.74 | $23.93–$107.66 | varies |
| Methacholine challenge (94070) | $1,375.60 | $1,834.13 | 2.9× |
| Motility study esophagus (91010) | $1,660.09 | $2,213.45 | 3.5× |
| Motion Fluoroscopy/Swallow (92611) | $517.91 | $690.55 | 5.7× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $322 | $429.34 | 0.6× |
| Muscle Test 2 Limbs (95861) | $131.89 | $175.85 | 0.8× |
| Muscle Test Hemidiaphragm (95866) | $182.92 | $243.89 | 1.1× |
| Muscle Test Nonparaspinal (95870) | $131.89 | $175.85 | 0.8× |
| Muscle Test One Limb (95860) | $131.89 | $175.85 | 0.8× |
| Nasopharyngoscopy (92511) range across 3 matching MRF lines |
$192.55–$245.05 | $256.73–$326.73 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $283.22 | $377.63 | 1.0× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $283.22 | $377.63 | 1.0× |
| Needle electromyography larynx (95865) | $146.74 | $195.66 | 0.9× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $164.40 | $219.20 | 0.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $352.60 | $470.13 | 0.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $352.60 | $470.13 | 0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$125.61–$368.67 | $167.48–$491.56 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $352.60 | $470.13 | 0.7× |
| Nerve Conduction Studies 1-2 Studies (95907) | $182.92 | $243.89 | 0.7× |
| Nerve Conduction Studies 11-12 Studies (95912) | $581.24 | $774.98 | 1.2× |
| Nerve conduction studies 13 or more studies (95913) | $581.24 | $774.98 | 1.2× |
| Nerve Conduction Studies 3-4 Studies (95908) | $315.12 | $420.16 | 1.2× |
| Nerve conduction studies 5-6 studies (95909) | $315.12 | $420.16 | 1.2× |
| Nerve conduction studies 7-8 studies (95910) | $315.12 | $420.16 | 0.7× |
| Nerve Conduction Studies 9-10 Studies (95911) | $581.24 | $774.98 | 1.2× |
| Neuromuscular Reeducation (97112) | $99.25 | $132.33 | 3.0× |
| Newborn resuscitation (99465) | $504.75 | $673 | 0.6× |
| Oral Function Therapy (92526) | $260.28 | $347.04 | 3.1× |
| Oral Speech Device Eval (92597) | $337.23 | $449.64 | 4.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $84.87 | $113.16 | 1.8× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $30.59 | $40.79 | 1.1× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $30.59 | $40.79 | 1.1× |
| Ot Contrast Bath Ea 15 Min (97034) | $45 | $60 | 3.2× |
| Ot eval high complexity (97167) | $242.65 | $323.53 | 2.4× |
| Ot Eval Low Complex (97165) | $242.65 | $323.53 | 2.4× |
| Ot Eval Moderate Complexity (97166) | $242.65 | $323.53 | 2.4× |
| Ot manual therapy 15 min (97140) | $96.07 | $128.09 | 3.5× |
| Ot paraffin bath (97018) | $75.14 | $100.19 | 12.5× |
| Ot Re-Eval Est Plan Care (97168) | $104.36 | $139.14 | 1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $187.50 | $250 | 1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $187.50 | $250 | 1.1× |
| Oxygen Uptake Rest Indirect (94690) range across 2 matching MRF lines |
$43.92–$151.54 | $58.56–$202.05 | varies |
| Patch/Application Test Specify Number Tests (95044) | $1,139 | $1,518.67 | 1.0× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $242.78 | $323.71 | 1.0× |
| Penile Vascular Study,Ltd or F/U (93981) | $37.12 | $49.50 | 0.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $9,914.60 | $13,219.47 | 1.4× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $22,388.89 | $29,851.85 | 1.5× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$131.26–$310.76 | $175.01–$414.34 | varies |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) | $69.08 | $92.11 | 0.9× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $151.22 | $201.62 | 2.0× |
| Plethysmography (94726) range across 2 matching MRF lines |
$314.45–$396.30 | $419.27–$528.40 | varies |
| Pm device eval in person (93288) | $185.29 | $247.05 | 3.9× |
| Pm device progr eval dual (93280) | $215.33 | $287.11 | 4.6× |
| Pm device progr eval multi (93281) | $252.93 | $337.24 | 5.3× |
| Pm Device Progr Eval Sngl (93279) | $188.02 | $250.70 | 4.0× |
| Pm/Icd Remote Tech Serv (93296) | $273.68 | $364.90 | 5.8× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $38.78 | $51.70 | 0.7× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $284.87 | $379.83 | 6.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$26.30–$38.78 | $35.07–$51.70 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$26.30–$38.78 | $35.07–$51.70 | varies |
| Prq Card Angio/Athrect 1 Art (92924) | $18,104.92 | $24,139.89 | 1.2× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $13,363.16 | $17,817.54 | 0.9× |
| Prq Card Stent/Ath/Angio (92933) | $22,415.62 | $29,887.49 | 1.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$13,363.16–$17,384.18 | $17,817.54–$23,178.90 | varies |
| Psych diag eval w/med srvcs (90792) | $131.18 | $174.90 | 0.6× |
| Psychiatric diagnostic evaluation (90791) | $131.18 | $174.90 | 0.6× |
| Psytx Crisis Initial 60 Min (90839) | $131.18 | $174.90 | 0.6× |
| Pt Eval High Complex (97163) | $242.65 | $323.53 | 2.5× |
| Pt eval low complex 20 min (97161) | $242.65 | $323.53 | 2.5× |
| Pt Eval Mod Complex (97162) | $242.65 | $323.53 | 2.5× |
| Pt gait training 15 min (97116) | $86.72 | $115.63 | 3.0× |
| Pt mechanical traction (97012) | $86.07 | $114.76 | 6.0× |
| Pt Re-Eval Est Plan Care (97164) | $127.51 | $170.01 | 1.9× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $34.65 | $46.20 | 0.7× |
| Pulm function test by gas (94727) | $449.21 | $598.95 | 1.6× |
| Pulmonary service/procedure (94799) range across 7 matching MRF lines |
$277.44–$319.44 | $369.92–$425.92 | varies |
| Pulmonary Stress Testing (94618) | $236.59 | $315.45 | 1.4× |
| Pure Tone Audiometry Air (92552) | $146.04 | $194.72 | 0.9× |
| R Hrt Art/Grft Angio (93457) | $9,354.21 | $12,472.28 | 2.3× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $6,250.51 | $8,334.01 | 1.5× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $6,250.51 | $8,334.01 | 1.5× |
| R hrt coronary artery angio (93456) | $6,250.51 | $8,334.01 | 1.5× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $11,791.02 | $15,721.36 | 2.9× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $11,791.02 | $15,721.36 | 2.9× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $560.25 | $747 | 1.3× |
| Refill/Maint Portable Pump (96521) | $749.85 | $999.80 | 2.8× |
| Rem interrog icpms <30 d phys/qhp (93297) | $127.50 | $170 | 2.7× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $127.50 | $170 | 2.7× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $80.62 | $107.50 | 1.7× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $150 | $200 | 0.9× |
| Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) | $112.50 | $150 | 2.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $108.38 | $144.51 | 2.3× |
| Respiratory flow volume loop (94375) | $490.14 | $653.52 | 1.8× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $229.35 | $305.80 | 3.1× |
| Right Heart Cath (93451) | $4,930.77 | $6,574.36 | 1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $198.28 | $264.37 | 0.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $383.52 | $511.36 | 3.1× |
| Self Care Mngment Training (97535) | $94.34 | $125.79 | 2.9× |
| Sensory Integration Ea 15 Min (97533) | $75.56 | $100.75 | 1.2× |
| Speech Audiometry Complete (92556) | $43.92 | $58.56 | 0.6× |
| Speech audiometry threshold (92555) | $43.92 | $58.56 | 0.6× |
| Speech sound lang comprehen (92523) | $323.69 | $431.59 | 1.4× |
| Spirometry (94010) range across 3 matching MRF lines |
$186.68–$639.49 | $248.90–$852.65 | varies |
| Standardized Cognitive Performance Testing (96125) | $308.30 | $411.07 | 3.0× |
| Stenger Test Speech (92577) | $568 | $757.34 | 1.2× |
| Stenger Test, Pure Tone (92565) | $43.92 | $58.56 | 0.6× |
| Stress Tte Only (93350) | $2,234.60 | $2,979.47 | 3.2× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $523.43 | $697.91 | 1.9× |
| Surfactant Admin Thru Tube (94610) | $493.45 | $657.93 | 1.8× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$733.26–$947.25 | $977.68–$1,263 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $80.62 | $107.50 | 3.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $69.15 | $92.20 | 3.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $131.08 | $174.77 | 3.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $92.67 | $123.56 | 3.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$78.04–$210.76 | $104.06–$281.02 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$243.51–$589.84 | $324.68–$786.45 | varies |
| Therapeutic Activities (97530) | $97.60 | $130.14 | 2.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$34.65–$103.80 | $46.20–$138.40 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$34.65–$41.25 | $46.20–$55 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $119.62 | $159.50 | 0.7× |
| Trans Care Mgmt 7 Day Disch (99496) | $119.62 | $159.50 | 0.7× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $598.40 | $797.86 | 4.5× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $121.14 | $161.52 | 2.6× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$1,849.59–$1,928.38 | $2,466.12–$2,571.17 | varies |
| Tte W/O Doppler Complete (93307) | $495 | $660 | 1.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$260.58–$281.19 | $347.44–$374.92 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $130.36 | $173.82 | 5.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$48.90–$265.94 | $65.20–$354.59 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$43.92–$162.82 | $58.56–$217.09 | varies |
| Tympanometry and reflex threshold measurements (92550) | $186.68 | $248.90 | 0.7× |
| Unlisted cardiovascular service/procedure (93799) | $364.66 | $486.21 | 2.2× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$146.04–$893.29 | $194.72–$1,191.05 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $893.29 | $1,191.05 | 3.3× |
| Vasopneumatic device (97016) | $62.69 | $83.59 | 5.2× |
| Vent Mgmt Inpat Init Day (94002) | $1,850.88 | $2,467.84 | 2.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,832.01 | $2,442.68 | 2.3× |
| Visual reinforcement audiometry (vra) (92579) | $186.68 | $248.90 | 0.7× |
| Vital capacity, total (94150) | $186.68 | $248.90 | 1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $113.54 | $151.39 | 3.7× |
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.