Visits & medical services prices at Southern Ohio Medical Center
Portsmouth, OH · every code in this section with a posted price and a Medicare benchmark.
328 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Reflex Testing (92568) | $44.50 | $89 | 1.3× |
| Actigraphy Testing Recording Analysis I&R (95803) | $58 | $116 | 1.0× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $32.50 | $65 | 0.8× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) range across 2 matching MRF lines |
$29–$69.50 | $58–$139 | varies |
| Aep neurodiagnostic i&r (92653) range across 2 matching MRF lines |
$78.50–$132.50 | $157–$265 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) range across 2 matching MRF lines |
$82.50–$137 | $165–$274 | varies |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$153–$157.50 | $306–$315 | varies |
| Airway resistance by oscillometry (94728) range across 2 matching MRF lines |
$213.50–$238.50 | $427–$477 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 2 matching MRF lines |
$38.50–$67 | $77–$134 | varies |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$542.50–$630 | $1,085–$1,260 | varies |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$134–$209 | $268–$418 | varies |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$496.50–$571.50 | $993–$1,143 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $71 | $142 | 4.9× |
| Application Modality 1/> Areas Diathermy (97024) | $21.50 | $43 | 2.9× |
| Application Modality 1/> Areas Infrared (97026) | $29 | $58 | 4.3× |
| Application on-body injector (96377) | $59 | $118 | 1.3× |
| Art pressure waveform analys (93050) range across 2 matching MRF lines |
$40–$60 | $80–$120 | varies |
| Assessment of aphasia per hr (96105) | $63 | $126 | 0.6× |
| Assmt & care planning pt w/cognitive impairment (99483) range across 2 matching MRF lines |
$320–$640 | $640–$1,280 | varies |
| Audiometry Air & Bone (92553) range across 3 matching MRF lines |
$103–$109.50 | $206–$219 | varies |
| Auditory Function, 60 Min (92620) | $103 | $206 | 0.8× |
| Basic vestibular evaluation (92540) range across 2 matching MRF lines |
$180.50–$280.50 | $361–$561 | varies |
| Behavior id assessment by phys/qhp ea 15 min (97151) range across 2 matching MRF lines |
$19.50–$94.50 | $39–$189 | varies |
| Behavral qualit analys voice (92524) | $129 | $258 | 1.2× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $59.50 | $119 | 0.7× |
| Bfb training ea addl 15 min (90913) | $34.50 | $69 | 1.1× |
| Biofeedback training any modality (90901) | $37.50 | $75 | 0.9× |
| Bioimpedance Cv Analysis (93701) | $65 | $130 | 0.5× |
| Blink reflex test (95933) range across 2 matching MRF lines |
$161.50–$211.50 | $323–$423 | varies |
| Breath hydrogen/methane test (91065) range across 2 matching MRF lines |
$259–$334 | $518–$668 | varies |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$26.50–$54 | $53–$108 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$106–$305.50 | $212–$611 | varies |
| Caloric vestibular test w/rec bi monothermal (92538) range across 2 matching MRF lines |
$169–$206.50 | $338–$413 | varies |
| Caloric Vstblr Test W/Rec (92537) range across 2 matching MRF lines |
$174–$236.50 | $348–$473 | varies |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$56.50–$58.50 | $113–$117 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 6 matching MRF lines |
$583–$658 | $1,166–$1,316 | varies |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$206.50–$263 | $413–$526 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$246–$426 | $492–$852 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$687–$901 | $1,374–$1,802 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) range across 2 matching MRF lines |
$6.50–$30 | $13–$60 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 3 matching MRF lines |
$7,877.50–$10,930 | $15,755–$21,860 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 3 matching MRF lines |
$8,804.50–$9,377 | $17,609–$18,754 | varies |
| Cbt 1st hour (94644) | $90 | $180 | 0.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $61 | $122 | 0.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $59 | $118 | 0.9× |
| Chemo Intralesional Over 7 (96406) range across 2 matching MRF lines |
$265–$410 | $530–$820 | varies |
| Chemo intralesional up to 7 (96405) range across 2 matching MRF lines |
$150–$245 | $300–$490 | varies |
| Chemo IV infusion addl hr (96415) | $54.50 | $109 | 0.8× |
| Chemo IV push addl drug (96411) | $114.50 | $229 | 1.7× |
| Chemother Prolong Infuse W/Pump (96416) | $264.50 | $529 | 0.8× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$256–$481 | $512–$962 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $115 | $230 | 1.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $279.50 | $559 | 0.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $157 | $314 | 0.5× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) range across 2 matching MRF lines |
$157–$357 | $314–$714 | varies |
| Chest Wall Manipulation (94668) | $93.50 | $187 | 0.7× |
| Chiropract manj 3-4 regions (98941) | $30 | $60 | 1.5× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$491–$601 | $982–$1,202 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$352.50–$452.50 | $705–$905 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 3 matching MRF lines |
$45–$47.50 | $90–$95 | varies |
| Comprehensive Hearing Test (92557) | $170 | $340 | 1.4× |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$143.50–$173.50 | $287–$347 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $212.50 | $425 | 1.7× |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 2 matching MRF lines |
$91.50–$136.50 | $183–$273 | varies |
| Continuous Pulse Ox (94762) | $146 | $292 | 1.2× |
| Coronary Art/Grft Angio S&I (93455) range across 3 matching MRF lines |
$6,511.50–$6,935 | $13,023–$13,870 | varies |
| Coronary Artery Angio S&I (93454) range across 3 matching MRF lines |
$5,952.50–$6,187.50 | $11,905–$12,375 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $250 | $500 | 1.2× |
| Cpt initial (94667) range across 2 matching MRF lines |
$96–$133.50 | $192–$267 | varies |
| Critical care first hour (99291) | $628 | $1,256 | 0.8× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$150.50–$210.50 | $301–$421 | varies |
| Dialysis One Evaluation (90945) | $633 | $1,266 | 1.6× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $189 | $378 | 0.5× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$544–$719 | $1,088–$1,438 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$315.50–$465.50 | $631–$931 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) range across 2 matching MRF lines |
$394–$524 | $788–$1,048 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$620.50–$655.50 | $1,241–$1,311 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$420–$497 | $840–$994 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 5 matching MRF lines |
$603–$682 | $1,206–$1,364 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$478.50–$545.50 | $957–$1,091 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 4 matching MRF lines |
$280–$408 | $560–$816 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 3 matching MRF lines |
$227.50–$348 | $455–$696 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 3 matching MRF lines |
$311–$331 | $622–$662 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$221–$293.50 | $442–$587 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$367.50–$397.50 | $735–$795 | varies |
| Ear and throat examination (92502) range across 2 matching MRF lines |
$1,491.79–$1,641.79 | $2,983.57–$3,283.57 | varies |
| Ear Protector Evaluation (92596) | $35 | $70 | 1.0× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$697–$1,211.50 | $1,394–$2,423 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$563.50–$642.50 | $1,127–$1,285 | varies |
| Echo r-t 2d w/probe placement only (93313) | $41.50 | $83 | 0.1× |
| Echo transesophag montr cardiac pump functj (93318) range across 2 matching MRF lines |
$1,068–$1,278 | $2,136–$2,556 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$1,068–$1,196.50 | $2,136–$2,393 | varies |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$337.50–$412.50 | $675–$825 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$391.50–$441.50 | $783–$883 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$413.50–$463.50 | $827–$927 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$392.50–$492.50 | $785–$985 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$433–$568 | $866–$1,136 | varies |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$365.50–$425.50 | $731–$851 | varies |
| EEG wo vid ea 12-26hr unmntr (95708) | $915 | $1,830 | 2.6× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$70–$140 | $140–$280 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $67.50 | $135 | 4.6× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$9.50–$130.50 | $19–$261 | varies |
| Emergency Dept Visit Level 2 (99282) | $250 | $500 | 1.7× |
| Emergency Dept Visit Level 3 (99283) | $333 | $666 | 1.3× |
| Emergency Dept Visit Level 4 (99284) | $491 | $982 | 1.2× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$150–$252 | $300–$504 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$400–$600 | $800–$1,200 | varies |
| Endomyocardial Biopsy (93505) | $554 | $1,108 | 0.2× |
| Er level 1 (99281) | $175.50 | $351 | 2.2× |
| Er level v (99285) | $581 | $1,162 | 1.0× |
| Ergonovine provocation test (93024) | $104.50 | $209 | 0.2× |
| Esophageal Capsule Endoscopy (91111) range across 2 matching MRF lines |
$599–$724 | $1,198–$1,448 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) range across 2 matching MRF lines |
$381.50–$516.50 | $763–$1,033 | varies |
| Evaluate pt use of inhaler (94664) range across 4 matching MRF lines |
$131.50–$152.50 | $263–$305 | varies |
| Evaluate Speech Production (92522) | $136.50 | $273 | 1.2× |
| Evaluate Swallowing Function (92610) | $132.50 | $265 | 1.6× |
| Evaluation of speech fluency (92521) | $155 | $310 | 1.2× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$193.50–$243.50 | $387–$487 | varies |
| Exercise test for bronchospasm (94617) range across 3 matching MRF lines |
$86.50–$207 | $173–$414 | varies |
| External Ecg Scanning Analysis Report (93226) | $597 | $1,194 | 10.7× |
| Extracranial Bilat Study (93880) range across 5 matching MRF lines |
$638–$804.50 | $1,276–$1,609 | varies |
| Extracranial Uni/Ltd Study (93882) range across 5 matching MRF lines |
$145.50–$275.50 | $291–$551 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$532–$712 | $1,064–$1,424 | varies |
| Facial nerve function studies (92516) range across 2 matching MRF lines |
$271.25–$346.25 | $542.50–$692.50 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $363 | $726 | 1.0× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 2 matching MRF lines |
$407.50–$537.50 | $815–$1,075 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 3 matching MRF lines |
$513–$1,165 | $1,026–$2,330 | varies |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$733.50–$946 | $1,467–$1,892 | varies |
| Gi tract imaging intraluminal colon i&r (91113) range across 2 matching MRF lines |
$1,609–$1,681.50 | $3,218–$3,363 | varies |
| Group Therapeutic Procedures (97150) range across 3 matching MRF lines |
$37.50–$38.50 | $75–$77 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 3 matching MRF lines |
$9,299–$9,903.50 | $18,598–$19,807 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $245.50 | $491 | 0.4× |
| Holter monitor recording (93225) | $93 | $186 | 0.7× |
| Icd Device Interrogate (93289) | $74.50 | $149 | 2.1× |
| Icd device progr eval dual (93283) | $99.50 | $199 | 2.8× |
| Icd Device Progr Eval Mult (93284) | $95.50 | $191 | 2.7× |
| Icm Device Eval (93290) | $117.50 | $235 | 3.3× |
| Ilr Device Eval Progr (93285) | $98 | $196 | 2.8× |
| Ilr Device Interrogate (93291) | $46.50 | $93 | 1.7× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $24.50 | $49 | 0.4× |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) range across 2 matching MRF lines |
$61.50–$105.50 | $123–$211 | varies |
| Immunization administration (90471) range across 3 matching MRF lines |
$39–$42 | $78–$84 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $375.50 | $751 | 1.1× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) range across 2 matching MRF lines |
$384–$462 | $768–$924 | varies |
| Inital newborn e/m (99460) range across 2 matching MRF lines |
$89.50–$152 | $179–$304 | varies |
| Insert/Place Heart Catheter (93503) range across 3 matching MRF lines |
$2,593.50–$5,093.50 | $5,187–$10,187 | varies |
| Interrogate Subq Defib (93261) | $81.50 | $163 | 2.3× |
| Interrogation eval in person wr defibrillator (93292) | $62.50 | $125 | 1.8× |
| Intracranial Complete Study (93886) range across 2 matching MRF lines |
$639.50–$827 | $1,279–$1,654 | varies |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) range across 2 matching MRF lines |
$20–$57.50 | $40–$115 | varies |
| Intracutaneous tests w/allergenic extracts (95024) range across 2 matching MRF lines |
$41–$47 | $82–$94 | varies |
| Iontophoresis 15 min (97033) | $76 | $152 | 4.0× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$122.50–$123.50 | $245–$247 | varies |
| IV infusion hydration each additional hour (96361) | $107.50 | $215 | 2.4× |
| IV infusion hydration initial 31 min-1 hour (96360) | $194 | $388 | 1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $64.50 | $129 | 0.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$41–$42.50 | $82–$85 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$147–$152 | $294–$304 | varies |
| L Hrt Art/Grft Angio (93459) range across 3 matching MRF lines |
$9,319–$9,645.50 | $18,638–$19,291 | varies |
| Laryngeal Function Studies (92520) range across 2 matching MRF lines |
$159.88–$209.88 | $319.75–$419.75 | varies |
| Liver Elastography W/O Imag W/I&R (91200) range across 2 matching MRF lines |
$109–$134 | $218–$268 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$332–$419.50 | $664–$839 | varies |
| Mechanical chest wall oscillation per session (94669) | $157.50 | $315 | 0.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$31.50–$51 | $63–$102 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $46.50 | $93 | 1.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$27.50–$38 | $55–$76 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$241–$275 | $482–$550 | varies |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$591–$771 | $1,182–$1,542 | varies |
| Motion Fluoroscopy/Swallow (92611) | $268 | $536 | 2.9× |
| Multiple Sleep Latency Test (95805) range across 4 matching MRF lines |
$664.50–$1,730 | $1,329–$3,460 | varies |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$90.50–$180.50 | $181–$361 | varies |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$69.50–$129.50 | $139–$259 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$90–$140 | $180–$280 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$203.50–$578.50 | $407–$1,157 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$750–$825 | $1,500–$1,650 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$103–$193 | $206–$386 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$102.50–$152.50 | $205–$305 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $273 | $546 | 0.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $273 | $546 | 0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$145–$179.50 | $290–$359 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$273–$326 | $546–$652 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$149.50–$187 | $299–$374 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$1,044–$1,156 | $2,088–$2,312 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$1,419–$1,551.50 | $2,838–$3,103 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$309–$356 | $618–$712 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$482.50–$538.50 | $965–$1,077 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$660.50–$735.50 | $1,321–$1,471 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$881.50–$975 | $1,763–$1,950 | varies |
| Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$207.50–$282.50 | $415–$565 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 4 matching MRF lines |
$108–$202.50 | $216–$405 | varies |
| Neuromuscular Reeducation (97112) | $70.50 | $141 | 2.2× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$400.50–$650.50 | $801–$1,301 | varies |
| Nitric oxide expired gas determination (95012) range across 2 matching MRF lines |
$99.50–$122 | $199–$244 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 2 matching MRF lines |
$190–$345 | $380–$690 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines |
$109.25–$184.25 | $218.50–$368.50 | varies |
| Oral Function Therapy (92526) | $88 | $176 | 1.0× |
| Oral Speech Device Eval (92597) | $178 | $356 | 2.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $27.50 | $55 | 0.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$43–$44.50 | $86–$89 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 4 matching MRF lines |
$23.50–$125 | $47–$250 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 4 matching MRF lines |
$27.50–$100 | $55–$200 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 3 matching MRF lines |
$70–$140 | $140–$280 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) | $28 | $56 | 1.4× |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$29–$30 | $58–$60 | varies |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$37–$38.50 | $74–$77 | varies |
| Ot eval high complexity (97167) | $166.50 | $333 | 1.7× |
| Ot Eval Low Complex (97165) | $157.50 | $315 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $161 | $322 | 1.6× |
| Ot manual therapy 15 min (97140) | $70.50 | $141 | 2.5× |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$44.50–$45.50 | $89–$91 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $30 | $60 | 0.7× |
| Ot Re-Eval Est Plan Care (97168) | $72 | $144 | 1.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$147–$152 | $294–$304 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$144–$149 | $288–$298 | varies |
| Oxygen Uptake Rest Indirect (94690) | $100.50 | $201 | 1.8× |
| Patch/Application Test Specify Number Tests (95044) | $4 | $8 | 0.0× |
| Patient-initiated spirometric phys/qhp r&i only (94016) range across 2 matching MRF lines |
$80.50–$107 | $161–$214 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $140 | $280 | 0.7× |
| Percutaneous tests w/allergenic extracts (95004) range across 2 matching MRF lines |
$651–$656 | $1,302–$1,312 | varies |
| Peripheral arterial disease rehab per session (93668) | $48 | $96 | 0.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 3 matching MRF lines |
$4,783–$7,464.50 | $9,566–$14,929 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 3 matching MRF lines |
$8,510–$9,990.56 | $17,020–$19,981.12 | varies |
| Phlebotomy therapeutic (99195) | $79 | $158 | 0.6× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $113 | $226 | 2.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $120.50 | $241 | 2.2× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$56.50–$58 | $113–$116 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$442–$490 | $884–$980 | varies |
| Pm device eval in person (93288) | $48.50 | $97 | 1.4× |
| Pm device progr eval dual (93280) | $72.50 | $145 | 2.1× |
| Pm device progr eval multi (93281) | $127.50 | $255 | 3.6× |
| Pm Device Progr Eval Sngl (93279) range across 3 matching MRF lines |
$69–$144 | $138–$288 | varies |
| Pm/Icd Remote Tech Serv (93296) | $133 | $266 | 3.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$2,934.50–$3,102 | $5,869–$6,204 | varies |
| Positional nystagmus test (92542) range across 2 matching MRF lines |
$89–$131.50 | $178–$263 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 2 matching MRF lines |
$27.50–$38 | $55–$76 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $91.50 | $183 | 2.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $27 | $54 | 0.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $27 | $54 | 0.6× |
| Prq Card Angio/Athrect 1 Art (92924) range across 3 matching MRF lines |
$8,525.50–$11,150.57 | $17,051–$22,301.13 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 3 matching MRF lines |
$8,807.50–$10,054.94 | $17,615–$20,109.88 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 3 matching MRF lines |
$11,415.50–$12,849 | $22,831–$25,698 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 3 matching MRF lines |
$8,807.50–$10,054 | $17,615–$20,108 | varies |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$156.50–$306.50 | $313–$613 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$167–$292 | $334–$584 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) range across 2 matching MRF lines |
$165.50–$320.50 | $331–$641 | varies |
| Psycl/Nrpsyc Tst Auto Result (96146) range across 2 matching MRF lines |
$26–$51 | $52–$102 | varies |
| Psytx Crisis Initial 60 Min (90839) | $397 | $794 | 2.4× |
| Pt Eval High Complex (97163) | $167.50 | $335 | 1.7× |
| Pt eval low complex 20 min (97161) | $165.50 | $331 | 1.7× |
| Pt Eval Mod Complex (97162) | $170 | $340 | 1.7× |
| Pt gait training 15 min (97116) | $57 | $114 | 2.0× |
| Pt mechanical traction (97012) | $67.50 | $135 | 4.7× |
| Pt Re-Eval Est Plan Care (97164) | $63 | $126 | 0.9× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) range across 2 matching MRF lines |
$20–$35 | $40–$70 | varies |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$116–$138 | $232–$276 | varies |
| Pulmonary service/procedure (94799) | $118.50 | $237 | 1.0× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$101–$150 | $202–$300 | varies |
| Pure Tone Audiometry Air (92552) range across 3 matching MRF lines |
$86.50–$89 | $173–$178 | varies |
| R Hrt Art/Grft Angio (93457) range across 3 matching MRF lines |
$8,001.50–$8,521.50 | $16,003–$17,043 | varies |
| R hrt coronary artery angio (93456) range across 3 matching MRF lines |
$8,683–$9,247.50 | $17,366–$18,495 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 3 matching MRF lines |
$7,803–$8,310 | $15,606–$16,620 | varies |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) range across 2 matching MRF lines |
$319.50–$394.50 | $639–$789 | varies |
| Refill/Maint Portable Pump (96521) | $114.50 | $229 | 0.6× |
| Refill/Maint Pump/Resvr Syst (96522) | $114.50 | $229 | 0.6× |
| Rem interrog icpms <30 d phys/qhp (93297) | $117.50 | $235 | 3.3× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $135.50 | $271 | 3.8× |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $117.50 | $235 | 3.3× |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$198.50–$248.50 | $397–$497 | varies |
| Right Heart Cath (93451) range across 3 matching MRF lines |
$5,918–$6,127.50 | $11,836–$12,255 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$145–$204.50 | $290–$409 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $126 | $252 | 1.0× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $60 | $120 | 1.3× |
| Same day nb discharge (99463) range across 2 matching MRF lines |
$89.50–$189.50 | $179–$379 | varies |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$51–$54.50 | $102–$109 | varies |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$505–$667.50 | $1,010–$1,335 | varies |
| Sleep study attended (95807) range across 2 matching MRF lines |
$995–$1,195 | $1,990–$2,390 | varies |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$894.50–$1,007 | $1,789–$2,014 | varies |
| Speech Audiometry Complete (92556) range across 2 matching MRF lines |
$62.50–$87.50 | $125–$175 | varies |
| Speech audiometry threshold (92555) | $87 | $174 | 1.6× |
| Speech sound lang comprehen (92523) | $254 | $508 | 1.1× |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$301.50–$389 | $603–$778 | varies |
| Spirometry (94010) range across 3 matching MRF lines |
$116–$140 | $232–$280 | varies |
| Spontaneous Nystagmus Test (92541) | $80 | $160 | 0.6× |
| Standardized Cognitive Performance Testing (96125) | $76 | $152 | 0.7× |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$766–$986 | $1,532–$1,972 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $21.50 | $43 | 0.5× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $103.50 | $207 | 0.5× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) range across 2 matching MRF lines |
$364–$551.50 | $728–$1,103 | varies |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$449.24–$609.24 | $898.49–$1,218.49 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 4 matching MRF lines |
$22–$22.50 | $44–$45 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$22–$23 | $44–$46 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$67.50–$72 | $135–$144 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $43.50 | $87 | 1.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $61.50 | $123 | 0.6× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $103 | $206 | 2.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$43.50–$45 | $87–$90 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$185.50–$194 | $371–$388 | varies |
| Therapeutic Activities (97530) | $69 | $138 | 2.0× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 3 matching MRF lines |
$853–$1,046 | $1,706–$2,092 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $46 | $92 | 1.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 4 matching MRF lines |
$33–$36 | $66–$72 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $191.50 | $383 | 1.5× |
| Trans Care Mgmt 7 Day Disch (99496) | $254 | $508 | 2.0× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) range across 2 matching MRF lines |
$373–$548 | $746–$1,096 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$378.50–$528.50 | $757–$1,057 | varies |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) range across 2 matching MRF lines |
$190–$312.50 | $380–$625 | varies |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$1,264.50–$1,472 | $2,529–$2,944 | varies |
| Tte W/O Doppler Complete (93307) range across 4 matching MRF lines |
$208.50–$947.50 | $417–$1,895 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $109 | $218 | 1.4× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $44.50 | $89 | 1.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$111–$115.50 | $222–$231 | varies |
| Tympanometry (92567) | $62 | $124 | 1.8× |
| Unlisted cardiovascular service/procedure (93799) range across 4 matching MRF lines |
$381–$930 | $762–$1,860 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $99 | $198 | 0.8× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$282.50–$345 | $565–$690 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$370–$430.50 | $740–$861 | varies |
| Valvuloplasty aortic valve (92986) range across 2 matching MRF lines |
$3,548–$3,699.50 | $7,096–$7,399 | varies |
| Vasopneumatic device (97016) | $76.50 | $153 | 6.4× |
| Veeg 2-12 hr unmonitored (95711) range across 2 matching MRF lines |
$726.50–$976.50 | $1,453–$1,953 | varies |
| Veeg ea 12-26hr cont mntr (95716) range across 2 matching MRF lines |
$1,792.50–$1,907.50 | $3,585–$3,815 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$418–$496 | $836–$992 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$404–$461.50 | $808–$923 | varies |
| Visual field xm uni/bi w/interpretj limited exam (92081) range across 2 matching MRF lines |
$65.75–$125.75 | $131.50–$251.50 | varies |
| Visual reinforcement audiometry (vra) (92579) | $176 | $352 | 0.9× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$247.50–$260 | $495–$520 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$32–$33.50 | $64–$67 | varies |
| Whirlpool Therapy (97022) | $79 | $158 | 5.0× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) range across 2 matching MRF lines |
$12.50–$23.02 | $25–$46.05 | 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.