Visits & medical services prices at Southwell Medical
Adel, GA · every code in this section with a posted price and a Medicare benchmark.
263 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actigraphy Testing Recording Analysis I&R (95803) range across 2 matching MRF lines |
$41–$59.88 | $82–$119.75 | varies |
| Aep threshold estimation mlt frequencies i&r (92652) | $752.50 | $1,505 | 4.0× |
| Airway Inhalation Treatment (94640) range across 13 matching MRF lines |
$25.50–$258 | $51–$516 | varies |
| Airway resistance by oscillometry (94728) range across 2 matching MRF lines |
$110.93–$189 | $221.85–$378 | varies |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$113.50–$122.50 | $227–$245 | varies |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$126.50–$156.50 | $253–$313 | varies |
| Ans parasymp & symp w/tilt (95924) range across 2 matching MRF lines |
$69.64–$378.50 | $139.28–$757 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 8 matching MRF lines |
$91.50–$114 | $183–$228 | varies |
| Application on-body injector (96377) range across 2 matching MRF lines |
$51.81–$64.50 | $103.61–$129 | varies |
| Assessment of aphasia per hr (96105) range across 4 matching MRF lines |
$170–$196.50 | $340–$393 | varies |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$128.48–$148.50 | $256.95–$297 | varies |
| Blink reflex test (95933) range across 2 matching MRF lines |
$68.04–$83 | $136.07–$166 | varies |
| Brief Emotional/Behav Assmt (96127) | $7.50 | $15 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 19 matching MRF lines |
$25.50–$378.50 | $51–$757 | varies |
| C motor evoked uppr limbs (95928) range across 2 matching MRF lines |
$95.06–$1,262 | $190.11–$2,524 | varies |
| C motor evoked upr&lwr limbs (95939) range across 2 matching MRF lines |
$189.98–$1,262 | $379.96–$2,524 | varies |
| Canalith repositioning proc (95992) range across 5 matching MRF lines |
$63.46–$73.50 | $126.92–$147 | varies |
| Car seat/bed test 60 min (94780) range across 9 matching MRF lines |
$43.39–$53 | $86.78–$106 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 11 matching MRF lines |
$112.47–$902 | $224.93–$1,804 | varies |
| Cardiopulmonary exercise testing (94621) range across 11 matching MRF lines |
$71.50–$378.50 | $143–$757 | varies |
| Cardiopulmonary resuscitation (92950) range across 7 matching MRF lines |
$232.67–$483 | $465.33–$966 | varies |
| Cardioversion (92960) range across 14 matching MRF lines |
$312.25–$785.50 | $624.50–$1,571 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 3 matching MRF lines |
$4,418.35–$5,361.50 | $8,836.69–$10,723 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 3 matching MRF lines |
$3,832.09–$4,651 | $7,664.17–$9,302 | varies |
| Cbt 1st hour (94644) range across 4 matching MRF lines |
$95.48–$154.50 | $190.96–$309 | varies |
| Chemo Admin Peritoneal Cavity (96446) range across 2 matching MRF lines |
$323.63–$409 | $647.25–$818 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 9 matching MRF lines |
$75.50–$124.50 | $151–$249 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 5 matching MRF lines |
$40–$124.50 | $80–$249 | varies |
| Chemo IV infusion addl hr (96415) range across 9 matching MRF lines |
$66.49–$85.50 | $132.97–$171 | varies |
| Chemo IV push addl drug (96411) range across 7 matching MRF lines |
$85.50–$167.50 | $171–$335 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $409 | $818 | 1.4× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$199.03–$409 | $398.05–$818 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$67.81–$85.50 | $135.62–$171 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 7 matching MRF lines |
$277.18–$409 | $554.35–$818 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 7 matching MRF lines |
$133.61–$409 | $267.21–$818 | varies |
| Chest Wall Manipulation (94668) range across 4 matching MRF lines |
$41.84–$154.50 | $83.67–$309 | varies |
| Chiropract manj 3-4 regions (98941) | $28 | $56 | 1.5× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $20 | $40 | 1.1× |
| Chron Care Mgmt Srvc 20 Min (99490) | $37.50 | $75 | 0.4× |
| Color/duplex Doppler, complete (93975) range across 17 matching MRF lines |
$293.50–$826.50 | $587–$1,653 | varies |
| Color/duplex Doppler, limited (93976) range across 10 matching MRF lines |
$129–$333 | $258–$666 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 4 matching MRF lines |
$35.50–$61 | $71–$122 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 4 matching MRF lines |
$75.13–$159.50 | $150.25–$319 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 2 matching MRF lines |
$77.50–$91.50 | $155–$183 | varies |
| Continuous Pulse Ox (94762) range across 10 matching MRF lines |
$25–$219.19 | $50–$438.38 | varies |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$2,594.27–$3,933 | $5,188.54–$7,866 | varies |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$2,594.27–$3,933 | $5,188.54–$7,866 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 21 matching MRF lines |
$492.31–$580.50 | $984.62–$1,161 | varies |
| Cpt initial (94667) range across 4 matching MRF lines |
$67.26–$246 | $134.51–$492 | varies |
| Critical care first hour (99291) range across 4 matching MRF lines |
$650.52–$1,071 | $1,301.03–$2,142 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) range across 2 matching MRF lines |
$95.06–$263.50 | $190.11–$527 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 23 matching MRF lines |
$63–$242 | $126–$484 | varies |
| Dialysis One Evaluation (90945) range across 5 matching MRF lines |
$534.50–$1,009 | $1,069–$2,018 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 4 matching MRF lines |
$268–$319 | $536–$638 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 3 matching MRF lines |
$151–$151.50 | $302–$303 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$556.06–$757 | $1,112.11–$1,514 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 5 matching MRF lines |
$311.87–$378.50 | $623.73–$757 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 16 matching MRF lines |
$576.42–$761 | $1,152.84–$1,522 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 29 matching MRF lines |
$41–$483 | $82–$966 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 2 matching MRF lines |
$147.50–$319 | $295–$638 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 8 matching MRF lines |
$67–$796 | $134–$1,592 | varies |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$636.09–$772 | $1,272.18–$1,544 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 5 matching MRF lines |
$50–$378.50 | $100–$757 | varies |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$506.35–$666 | $1,012.69–$1,332 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$277.18–$502.28 | $554.35–$1,004.55 | varies |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$1,418.11–$1,721 | $2,836.21–$3,442 | varies |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$283.34–$378.50 | $566.68–$757 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$396.26–$481 | $792.52–$962 | varies |
| EEG awake drowsy (95816) range across 5 matching MRF lines |
$67–$481 | $134–$962 | varies |
| EEG cerebral death evaluation (95824) range across 3 matching MRF lines |
$22–$647 | $44–$1,294 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$162.04–$378.50 | $324.08–$757 | varies |
| Eeg Sleep Only (95822) range across 3 matching MRF lines |
$86.50–$378.50 | $173–$757 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $378.50 | $757 | 2.0× |
| EEG wo vid ea 12-26hr unmntr (95708) | $674 | $1,348 | 2.1× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $111.50 | $223 | 1.3× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $45 | $90 | 1.4× |
| Electrical Stimulation Ea 15 Min (97032) range across 8 matching MRF lines |
$8.38–$72 | $16.75–$144 | varies |
| Electrocardiogram Tracing (93005) range across 8 matching MRF lines |
$12–$151.50 | $24–$303 | varies |
| Electrophysiology Evaluation (93642) range across 2 matching MRF lines |
$798.71–$1,437 | $1,597.42–$2,874 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$171.69–$208.50 | $343.37–$417 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$218.30–$345 | $436.59–$690 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$378.38–$534.50 | $756.76–$1,069 | varies |
| Emg 3 Extremities (95863) range across 3 matching MRF lines |
$91.50–$975 | $183–$1,950 | varies |
| Emg 4 Extremities (95864) range across 3 matching MRF lines |
$98–$1,310 | $196–$2,620 | varies |
| Er level 1 (99281) range across 6 matching MRF lines |
$28.39–$125.55 | $56.78–$251.10 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$502.83–$775.50 | $1,005.66–$1,551 | varies |
| Evaluate pt use of inhaler (94664) range across 5 matching MRF lines |
$15.50–$258 | $31–$516 | varies |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$128.48–$148.50 | $256.95–$297 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$208.94–$242 | $417.88–$484 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$128.48–$148.50 | $256.95–$297 | varies |
| External ECG rec>48hr<7d recording (93242) range across 3 matching MRF lines |
$80–$215.50 | $160–$431 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) range across 3 matching MRF lines |
$262.50–$275.50 | $525–$551 | varies |
| External ECG rec>7d<15d recording (93246) | $80 | $160 | 2.4× |
| External Ecg Scanning Analysis Report (93226) range across 6 matching MRF lines |
$198.82–$242 | $397.64–$484 | varies |
| Extracranial Bilat Study (93880) range across 4 matching MRF lines |
$143.50–$535 | $287–$1,070 | varies |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$440.78–$535 | $881.55–$1,070 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$343.18–$666 | $686.36–$1,332 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $307 | $614 | 1.5× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) range across 2 matching MRF lines |
$327.90–$497 | $655.79–$994 | varies |
| Gi tract capsule endoscopy (91110) | $762.33 | $1,524.65 | 1.0× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$61–$63.50 | $122–$127 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$7,012.63–$8,511 | $14,025.25–$17,022 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 5 matching MRF lines |
$366.95–$843.50 | $733.90–$1,687 | varies |
| Holter monitor recording (93225) range across 7 matching MRF lines |
$67–$181.50 | $134–$363 | varies |
| Icd Device Interrogate (93289) range across 4 matching MRF lines |
$50.50–$182.50 | $101–$365 | varies |
| Icd device progr eval dual (93283) range across 7 matching MRF lines |
$56–$263 | $112–$526 | varies |
| Icd Device Progr Eval Mult (93284) range across 4 matching MRF lines |
$50.50–$253 | $101–$506 | varies |
| Ilr Device Eval Progr (93285) range across 4 matching MRF lines |
$38.50–$153.50 | $77–$307 | varies |
| Ilr Device Interrogate (93291) range across 3 matching MRF lines |
$36.50–$71 | $73–$142 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 8 matching MRF lines |
$9.25–$18.50 | $18.50–$37 | varies |
| Immunization administration (90471) range across 24 matching MRF lines |
$10.97–$87 | $21.93–$174 | varies |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$1,307.32–$1,933 | $2,614.63–$3,866 | varies |
| Intracranial Complete Study (93886) range across 2 matching MRF lines |
$650.98–$790.50 | $1,301.96–$1,581 | varies |
| Iontophoresis 15 min (97033) | $77 | $154 | 4.0× |
| Irrig Drug Delivery Device (96523) range across 14 matching MRF lines |
$45.69–$74.50 | $91.38–$149 | varies |
| IV infusion hydration each additional hour (96361) range across 12 matching MRF lines |
$12.50–$57.50 | $25–$115 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 13 matching MRF lines |
$40.50–$259 | $81–$518 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 8 matching MRF lines |
$33.04–$85.50 | $66.07–$171 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 10 matching MRF lines |
$33.04–$57.50 | $66.07–$115 | varies |
| IV push initial (96374) range across 21 matching MRF lines |
$63–$259 | $126–$518 | varies |
| L Hrt Art/Grft Angio (93459) range across 3 matching MRF lines |
$6,426.38–$7,799 | $12,852.75–$15,598 | varies |
| Lung Function Test (Mbc/Mvv) (94200) range across 3 matching MRF lines |
$35.50–$74 | $71–$148 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$514.36–$624.50 | $1,028.71–$1,249 | varies |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $2,126 | $4,252 | 1.7× |
| Mechanical chest wall oscillation per session (94669) range across 4 matching MRF lines |
$201.89–$258 | $403.77–$516 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 4 matching MRF lines |
$22.38–$43.50 | $44.75–$87 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 4 matching MRF lines |
$24.38–$50 | $48.75–$100 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 3 matching MRF lines |
$11.63–$33.50 | $23.25–$67 | varies |
| Methacholine challenge (94070) range across 4 matching MRF lines |
$101–$868 | $202–$1,736 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$168.36–$195 | $336.72–$390 | varies |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) range across 2 matching MRF lines |
$114.19–$146 | $228.37–$292 | varies |
| Multiple Sleep Latency Test (95805) range across 3 matching MRF lines |
$49–$1,621 | $98–$3,242 | varies |
| Muscle Test 2 Limbs (95861) range across 3 matching MRF lines |
$76–$800 | $152–$1,600 | varies |
| Muscle Test Hemidiaphragm (95866) range across 2 matching MRF lines |
$114.19–$189 | $228.37–$378 | varies |
| Muscle Test Nonparaspinal (95870) range across 6 matching MRF lines |
$18–$287 | $36–$574 | varies |
| Muscle Test One Limb (95860) range across 3 matching MRF lines |
$53–$428 | $106–$856 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$103.34–$378.50 | $206.68–$757 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$103.34–$378.50 | $206.68–$757 | varies |
| Needle electromyography larynx (95865) range across 2 matching MRF lines |
$116.52–$154.50 | $233.04–$309 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$41.98–$378.50 | $83.96–$757 | varies |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) range across 2 matching MRF lines |
$101.09–$189 | $202.18–$378 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$182.50–$481.50 | $365–$963 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $481.50 | $963 | 1.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 5 matching MRF lines |
$33.50–$242 | $67–$484 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 5 matching MRF lines |
$61.50–$481.50 | $123–$963 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 3 matching MRF lines |
$45.50–$455 | $91–$910 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 5 matching MRF lines |
$136.50–$2,729 | $273–$5,458 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 5 matching MRF lines |
$151.50–$3,184 | $303–$6,368 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 4 matching MRF lines |
$49–$910 | $98–$1,820 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 5 matching MRF lines |
$60.50–$1,364.50 | $121–$2,729 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 5 matching MRF lines |
$106–$1,820 | $212–$3,640 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 5 matching MRF lines |
$80–$2,274.50 | $160–$4,549 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$354.13–$429.50 | $708.26–$859 | varies |
| Neuromuscular Reeducation (97112) range across 7 matching MRF lines |
$17.50–$56.50 | $35–$113 | varies |
| Nitric oxide expired gas determination (95012) | $49 | $98 | 1.5× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
$150.24–$378.50 | $300.47–$757 | varies |
| Oral Function Therapy (92526) range across 4 matching MRF lines |
$96.32–$112.50 | $192.63–$225 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $73 | $146 | 1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 6 matching MRF lines |
$47.22–$55 | $94.43–$110 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$17.13–$60.88 | $34.25–$121.75 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $106 | $212 | 7.6× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$97.25–$229.50 | $194.50–$459 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$97.25–$170 | $194.50–$340 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$97.25–$198 | $194.50–$396 | varies |
| Ot manual therapy 15 min (97140) range across 5 matching MRF lines |
$18–$98 | $36–$196 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$47.50–$59.50 | $95–$119 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 6 matching MRF lines |
$22–$50.50 | $44–$101 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$64.13–$74.50 | $128.25–$149 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$81–$159.50 | $162–$319 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$81–$159.50 | $162–$319 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$95.75–$258 | $191.50–$516 | varies |
| Peripheral arterial disease rehab per session (93668) | $80.50 | $161 | 1.6× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $21,250 | $42,500 | 1.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 2 matching MRF lines |
$3,511.93–$6,898.50 | $7,023.85–$13,797 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$5,334.18–$13,276.50 | $10,668.35–$26,553 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$95.20–$154.50 | $190.39–$309 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $88.50 | $177 | 1.7× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $88.50 | $177 | 1.7× |
| Physical Performance Test (97750) | $73.50 | $147 | 2.2× |
| Plethysmography (94726) range across 7 matching MRF lines |
$23–$378.50 | $46–$757 | varies |
| Pm device eval in person (93288) range across 4 matching MRF lines |
$23–$69 | $46–$138 | varies |
| Pm device progr eval dual (93280) range across 4 matching MRF lines |
$50.50–$172.50 | $101–$345 | varies |
| Pm device progr eval multi (93281) range across 4 matching MRF lines |
$50.50–$150 | $101–$300 | varies |
| Pm Device Progr Eval Sngl (93279) range across 4 matching MRF lines |
$46–$180 | $92–$360 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 4 matching MRF lines |
$49.50–$96.50 | $99–$193 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 11 matching MRF lines |
$256.50–$2,246 | $513–$4,492 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 4 matching MRF lines |
$141–$2,282 | $282–$4,564 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 5 matching MRF lines |
$141–$3,090.50 | $282–$6,181 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 4 matching MRF lines |
$50.50–$126.50 | $101–$253 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $10.50 | $21 | 0.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $13 | $26 | 0.3× |
| Prq Card Angio/Athrect 1 Art (92924) range across 2 matching MRF lines |
$11,807.05–$14,329 | $23,614.10–$28,658 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 3 matching MRF lines |
$5,334.18–$13,276.50 | $10,668.35–$26,553 | varies |
| Prq Card Stent/Ath/Angio (92933) range across 2 matching MRF lines |
$18,206.71–$22,095.50 | $36,413.41–$44,191 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$5,334.18–$13,276.50 | $10,668.35–$26,553 | varies |
| Psych diag eval w/med srvcs (90792) | $142.50 | $285 | 0.9× |
| Psychiatric diagnostic evaluation (90791) | $130 | $260 | 0.8× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) range across 2 matching MRF lines |
$46.50–$53.50 | $93–$107 | varies |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$100.13–$213 | $200.25–$426 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$100.13–$164.50 | $200.25–$329 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$100.13–$189 | $200.25–$378 | varies |
| Pt gait training 15 min (97116) | $72 | $144 | 2.5× |
| Pt mechanical traction (97012) range across 3 matching MRF lines |
$10–$72 | $20–$144 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$67.75–$78.50 | $135.50–$157 | varies |
| Pulm function test by gas (94727) range across 11 matching MRF lines |
$17.50–$189 | $35–$378 | varies |
| Pulmonary Stress Testing (94618) range across 5 matching MRF lines |
$67.40–$196.50 | $134.79–$393 | varies |
| R Hrt Art/Grft Angio (93457) range across 2 matching MRF lines |
$2,594.27–$3,933 | $5,188.54–$7,866 | varies |
| R hrt coronary artery angio (93456) range across 4 matching MRF lines |
$3,250.46–$3,944.50 | $6,500.92–$7,889 | varies |
| R&L Hrt Cath W/Ventriclgrphy (93453) range across 2 matching MRF lines |
$2,594.27–$3,933 | $5,188.54–$7,866 | varies |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$187.17–$259 | $374.34–$518 | varies |
| Rem interrog icpms <30 d phys/qhp (93297) range across 2 matching MRF lines |
$18–$47 | $36–$94 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 3 matching MRF lines |
$35–$50.50 | $70–$101 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $100.50 | $201 | 3.1× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $156.50 | $313 | 1.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$31.02–$74.50 | $62.03–$149 | varies |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$3,250.46–$3,944.50 | $6,500.92–$7,889 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 14 matching MRF lines |
$65.67–$242 | $131.33–$484 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 4 matching MRF lines |
$144.34–$167 | $288.68–$334 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 4 matching MRF lines |
$69–$80 | $138–$160 | varies |
| Self Care Mngment Training (97535) range across 8 matching MRF lines |
$41.42–$48 | $82.83–$96 | varies |
| Sensory Integration Ea 15 Min (97533) range across 8 matching MRF lines |
$42.96–$50 | $85.92–$100 | varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) range across 2 matching MRF lines |
$1,545.33–$1,875.50 | $3,090.65–$3,751 | varies |
| Short-latency somatosens ep std upr limbs (95925) range across 3 matching MRF lines |
$44–$749.50 | $88–$1,499 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $193.50 | $387 | 1.0× |
| Somatosensory Testing (95938) range across 3 matching MRF lines |
$88.50–$1,059 | $177–$2,118 | varies |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$128.48–$148.50 | $256.95–$297 | varies |
| Spirometry (94010) range across 21 matching MRF lines |
$15–$208.34 | $30–$416.67 | varies |
| Ssep lower limbs (95926) range across 2 matching MRF lines |
$1,105.11–$1,341.50 | $2,210.22–$2,683 | varies |
| Standardized Cognitive Performance Testing (96125) | $211 | $422 | 2.1× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$524.04–$666 | $1,048.08–$1,332 | varies |
| Surfactant Admin Thru Tube (94610) | $258 | $516 | 1.3× |
| Temp transcutaneous pacing (92953) range across 3 matching MRF lines |
$220.88–$785.50 | $56.50–$1,571 | varies |
| Tensilon Test (95857) range across 2 matching MRF lines |
$280.69–$378.50 | $561.38–$757 | varies |
| Testing Autonomic Nervous System Function (95923) range across 2 matching MRF lines |
$154.50–$205 | $309–$410 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $47.50 | $95 | 2.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $47.50 | $95 | 2.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 6 matching MRF lines |
$46.48–$53.50 | $92.95–$107 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 2 matching MRF lines |
$78.35–$91 | $156.69–$182 | varies |
| Ther/Proph/Diag Inj Ia (96373) range across 4 matching MRF lines |
$67.97–$259 | $135.93–$518 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 24 matching MRF lines |
$24.50–$104 | $49–$208 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 15 matching MRF lines |
$151.56–$277.18 | $303.12–$554.35 | varies |
| Therapeutic Activities (97530) | $72 | $144 | 2.1× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 4 matching MRF lines |
$689.46–$836.50 | $1,378.92–$1,673 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $43.50 | $87 | 1.3× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$303.02–$368 | $606.04–$736 | varies |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 4 matching MRF lines |
$20–$77.50 | $40–$155 | varies |
| Tte w/doppler, complete (93306) range across 8 matching MRF lines |
$666–$1,653.50 | $1,332–$3,307 | varies |
| Tte W/O Doppler Complete (93307) | $296 | $592 | 1.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$85.65–$99.50 | $171.30–$199 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 19 matching MRF lines |
$57.50–$83 | $115–$166 | varies |
| Tympanometry (92567) | $22.50 | $45 | 0.7× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$63.18–$189 | $126.35–$378 | varies |
| Unlisted noninvasive vascular diagnostic study (93998) range across 2 matching MRF lines |
$64.31–$74.50 | $128.62–$149 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 16 matching MRF lines |
$45.50–$356.50 | $91–$713 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 11 matching MRF lines |
$188.93–$1,344.50 | $377.85–$2,689 | varies |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$31.50–$59.50 | $63–$119 | varies |
| Veeg 2-12 hr unmonitored (95711) | $378.50 | $757 | 2.0× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $674 | $1,348 | 2.1× |
| Vent Mgmt Inpat Init Day (94002) range across 4 matching MRF lines |
$658.42–$1,118 | $1,316.84–$2,236 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$707.99–$835 | $1,415.98–$1,670 | varies |
| Visual Evoked Potential Test (95930) range across 4 matching MRF lines |
$51.50–$752.50 | $103–$1,505 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 6 matching MRF lines |
$41.27–$48 | $82.54–$96 | varies |
| Whirlpool Therapy (97022) range across 3 matching MRF lines |
$114.30–$132.50 | $228.59–$265 | 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.