Visits & medical services prices at Southwest General Health Center

Middleburg Heights, OH · every code in this section with a posted price and a Medicare benchmark.

258 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $10,482.75 $13,977 1.4×
Advncd Care Plan 30 Min (99497) $97.50 $130 1.0×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$197.25–$439.50 $263–$586 varies
Allg test perq & ic drug/biol immed react w/ i&r (95018) $78 $104 2.2×
Analyze neurostim complex (95972) $258.75 $345 2.9×
Analyze Neurostim Simple (95971) $207 $276 2.3×
Analyze Pacemaker System (93724) $1,472.25 $1,963 5.1×
Anrct mano rct sensation&rct balo expulsion test (91125) $375 $500 1.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 5 matching MRF lines
$111–$123 $148–$164 varies
Application Modality 1/> Areas Infrared (97026) $118.50 $158 17.7×
Application on-body injector (96377) $146.25 $195 3.3×
Assessment of aphasia per hr (96105)
range across 2 matching MRF lines
$144–$159.75 $192–$213 varies
Assmt & care planning pt w/cognitive impairment (99483) $262.50 $350 2.7×
Audiometry Air & Bone (92553) $56.25 $75 0.5×
Behavral qualit analys voice (92524)
range across 3 matching MRF lines
$138.75–$153.75 $185–$205 varies
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $43.50 $58 0.5×
Bfb training ea addl 15 min (90913) $43.50 $58 1.3×
Brief Emotional/Behav Assmt (96127) $7.50 $10 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $608.25 $811 1.7×
Bundle of his recording (93600) $5,472.75 $7,297 0.7×
Canalith repositioning proc (95992) $101.25 $135 2.5×
Car seat/bed test 60 min (94780) $78 $104 2.2×
Cardiac Stress Tst,Tracing Only (93017)
range across 4 matching MRF lines
$1,056.75–$1,074.75 $1,409–$1,433 varies
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$845.25–$871.50 $1,127–$1,162 varies
Cardioversion (92960) $1,523.25 $2,031 2.4×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $75 $100 2.9×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $23,090.25 $30,787 7.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $11,373 $15,164 3.7×
Cbt 1st hour (94644) $259.50 $346 2.1×
Chemo Anti-Neopl Sq/Im (96401) $566.25 $755 8.3×
Chemo Hormon Antineopl Sq/Im (96402) $528.75 $705 7.8×
Chemo IV infusion addl hr (96415)
range across 6 matching MRF lines
$647.25–$719.25 $863–$959 varies
Chemo IV push addl drug (96411) $459.75 $613 6.7×
Chemother Prolong Infuse W/Pump (96416) $1,138.50 $1,518 3.6×
Chemotherapy Unspecified (96549) $92.25 $123 2.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $503.25 $671 7.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 6 matching MRF lines
$847.50–$942 $1,130–$1,256 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 6 matching MRF lines
$602.25–$608.25 $803–$811 varies
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $432.75 $577 1.4×
Chest Wall Manipulation (94668) $259.50 $346 2.1×
Chron Care Mgmt Srvc 20 Min (99490) $87 $116 0.9×
Color/duplex Doppler, complete (93975)
range across 5 matching MRF lines
$724.50–$1,001.25 $966–$1,335 varies
Color/duplex Doppler, limited (93976)
range across 4 matching MRF lines
$630–$923.25 $840–$1,231 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $81 $108 2.5×
Comprehensive Hearing Test (92557) $67.50 $90 0.6×
Cont gluc mntr physician/qhp provided equiptment (95250) $187.50 $250 1.5×
Continuous Pulse Ox (94762) $470.25 $627 3.9×
Coronary Art/Grft Angio S&I (93455) $11,652 $15,536 3.8×
Coronary Artery Angio S&I (93454) $7,611 $10,148 2.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$429–$570.75 $572–$761 varies
Cpt initial (94667) $259.50 $346 2.1×
Critical care first hour (99291) $3,034.50 $4,046 3.9×
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$525–$7,108.50 $700–$9,478 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $847.50 $1,130 3.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $636 $848 6.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,192.50 $1,590 5.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $738 $984 7.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 8 matching MRF lines
$1,304.25–$1,629.75 $1,739–$2,173 varies
Dup-scan xtr veins unilateral/limited study (93971) $932.25 $1,243 9.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $863.25 $1,151 3.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986)
range across 2 matching MRF lines
$493.50–$986.25 $658–$1,315 varies
Duplex Scan Hemodialysis Access (93990) $597.75 $797 6.0×
Duplex up extrem art bilat (93930) $1,215 $1,620 5.4×
Duplex up extrem art unilat/ltd (93931) $330.75 $441 3.3×
Ear and throat examination (92502) $120 $160 0.2×
Echo Congenital Complete (93303) $281.25 $375 0.5×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$1,106.25–$1,125 $1,475–$1,500 varies
Echo r-t 2d w/probe placement only (93313) $56.25 $75 0.1×
Echo transesophag montr cardiac pump functj (93318) $2,550 $3,400 4.9×
Echo transesophageal (93312) $2,405.25 $3,207 4.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 3 matching MRF lines
$2,225.25–$2,262.75 $2,967–$3,017 varies
EEG awake and asleep (95819) $587.25 $783 2.9×
EEG awake drowsy (95816) $587.25 $783 2.9×
EEG cerebral death evaluation (95824) $1,013.25 $1,351 2.9×
Eeg Sleep Only (95822) $587.25 $783 2.9×
Electrical Stimulation Ea 15 Min (97032) $102 $136 6.9×
Electrocardiogram Tracing (93005) $252 $336 4.5×
Electroconvulsive Therapy (90870) $1,122 $1,496 1.4×
Electrophysiology Evaluation (93642) $1,962.75 $2,617 1.7×
Emergency Dept Visit Level 2 (99282) $450.75 $601 3.1×
Emergency Dept Visit Level 3 (99283) $792 $1,056 3.1×
Emergency Dept Visit Level 4 (99284) $1,169.25 $1,559 3.0×
Endomyocardial Biopsy (93505) $4,724.25 $6,299 1.6×
Ep & ablate supravent arrhyt (93653) $45,038.25 $60,051 1.8×
Ep & ablate ventric tachy (93654) $60,037.50 $80,050 2.4×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $10,482.75 $13,977 1.4×
Er level 1 (99281) $255.75 $341 3.2×
Er level v (99285) $1,963.50 $2,618 3.5×
Evaluate pt use of inhaler (94664) $432 $576 2.1×
Evaluate Speech Production (92522)
range across 3 matching MRF lines
$151.50–$168 $202–$224 varies
Evaluate Swallowing Function (92610)
range across 3 matching MRF lines
$402.75–$447 $537–$596 varies
Evaluation of speech fluency (92521)
range across 3 matching MRF lines
$181.50–$201 $242–$268 varies
External ECG rec>48hr<7d recording (93242) $78.75 $105 2.2×
External ECG rec>7d<15d recording (93246) $90.75 $121 2.6×
External ECG rec>7d<15d scanning alys w/report (93247) $297 $396 2.4×
External Ecg Scanning Analysis Report (93226) $720 $960 12.9×
Extracranial Bilat Study (93880) $1,199.25 $1,599 5.3×
Extracranial Uni/Ltd Study (93882) $899.25 $1,199 9.1×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $671.25 $895 3.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $120 $160 0.1×
Gi tract capsule endoscopy (91110) $225 $300 0.3×
Group Therapeutic Procedures (97150) $81 $108 4.5×
Health Behavior Assessment/Re-Assessment (96156) $362.25 $483 3.8×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $13,855.50 $18,474 4.5×
Holter monitor recording (93225)
range across 2 matching MRF lines
$547.50–$556.50 $730–$742 varies
Icd Device Interrogate (93289) $405 $540 11.5×
Icd device progr eval dual (93283) $423.75 $565 12.0×
Icd Device Progr Eval Mult (93284) $471.75 $629 13.4×
Ilr Device Interrogate (93291) $189.75 $253 6.9×
Im Adm Intransl/Oral 1 Vaccine (90473) $37.50 $50 0.6×
Immunization administration (90471) $142.50 $190 2.1×
Ingestion challenge test initial 120 minutes (95076) $1,122 $1,496 3.2×
Inital newborn e/m (99460) $150 $200 1.2×
Insert/Place Heart Catheter (93503) $150 $200 0.1×
Interrogate Subq Defib (93261) $86.25 $115 2.4×
Intra-atrial pacing (93610) $6,047.25 $8,063 0.8×
Intra-atrial recording (93602) $13,968 $18,624 1.9×
Iontophoresis 15 min (97033)
range across 5 matching MRF lines
$111–$123 $148–$164 varies
Irrig Drug Delivery Device (96523) $249.75 $333 4.5×
IV infusion hydration each additional hour (96361) $168 $224 3.8×
IV infusion hydration initial 31 min-1 hour (96360)
range across 25 matching MRF lines
$470.25–$549.75 $627–$733 varies
IV infusion ther proph addl sequential to 1 hr (96367) $142.50 $190 2.1×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 23 matching MRF lines
$229.50–$235.50 $306–$314 varies
IV push initial (96374) $470.25 $627 2.3×
L Hrt Art/Grft Angio (93459) $14,079 $18,772 4.6×
Liver Elastography W/O Imag W/I&R (91200) $48.75 $65 0.4×
Low frequency non-thermal us (97610) $541.50 $722 2.9×
Lwr Xtr Vasc Stdy Bilat (93924) $940.50 $1,254 4.6×
Mechanical chest wall oscillation per session (94669) $432 $576 2.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $47.25 $63 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $70.50 $94 1.9×
Motility study esophagus (91010) $1,192.50 $1,590 3.4×
Motion Fluoroscopy/Swallow (92611)
range across 3 matching MRF lines
$454.50–$504 $606–$672 varies
Multiple Family Group Psychotherapy (90849)
range across 2 matching MRF lines
$225–$257.25 $300–$343 varies
Muscle Test 2 Limbs (95861) $210 $280 1.7×
Muscle Test One Limb (95860) $153.75 $205 1.2×
Nasopharyngoscopy (92511) $375 $500 2.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$794.25–$943.50 $1,059–$1,258 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $794.25 $1,059 2.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $546.75 $729 2.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $794.25 $1,059 2.1×
Nerve Conduction Studies 3-4 Studies (95908) $161.25 $215 0.8×
Nerve conduction studies 5-6 studies (95909) $187.50 $250 0.9×
Nerve Conduction Studies 9-10 Studies (95911) $300 $400 0.8×
Neuromuscular Reeducation (97112) $162.75 $217 5.0×
Newborn resuscitation (99465) $1,291.50 $1,722 2.1×
Nitric oxide expired gas determination (95012) $78 $104 2.2×
Nonphysician Telephone Assessment 11-20 Min (98967) $52.50 $70 2.1×
Nonphysician Telephone Assessment 21-30 Min (98968) $78.75 $105 2.3×
Nonphysician Telephone Assessment 5-10 Min (98966) $26.25 $35 1.9×
Oral Function Therapy (92526)
range across 3 matching MRF lines
$252.75–$280.50 $337–$374 varies
Oral Speech Device Eval (92597) $153 $204 2.2×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 3 matching MRF lines
$115.50–$128.25 $154–$171 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 4 matching MRF lines
$124.50–$138 $166–$184 varies
Ot eval high complexity (97167)
range across 3 matching MRF lines
$268.50–$297.75 $358–$397 varies
Ot Eval Low Complex (97165)
range across 3 matching MRF lines
$158.25–$175.50 $211–$234 varies
Ot Eval Moderate Complexity (97166)
range across 3 matching MRF lines
$203.25–$225.75 $271–$301 varies
Ot manual therapy 15 min (97140)
range across 9 matching MRF lines
$123.75–$147 $165–$196 varies
Ot paraffin bath (97018) $139.50 $186 23.2×
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$124.50–$138 $166–$184 varies
Ot Re-Eval Est Plan Care (97168)
range across 4 matching MRF lines
$102.75–$114 $137–$152 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 3 matching MRF lines
$267–$369.75 $356–$493 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797)
range across 4 matching MRF lines
$267–$328.50 $356–$438 varies
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $432 $576 2.1×
Peripheral arterial disease rehab per session (93668) $128.25 $171 2.3×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $13,811.25 $18,415 0.8×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $9,031.50 $12,042 1.7×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $20,055.75 $26,741 1.8×
Phlebotomy therapeutic (99195)
range across 4 matching MRF lines
$261–$298.50 $348–$398 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $148.50 $198 2.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $148.50 $198 2.7×
Physical Performance Test (97750)
range across 11 matching MRF lines
$95.25–$168 $127–$224 varies
Pm device eval in person (93288)
range across 3 matching MRF lines
$86.25–$171.75 $115–$229 varies
Pm device progr eval dual (93280) $213.75 $285 6.1×
Pm device progr eval multi (93281) $277.50 $370 7.9×
Pm Device Progr Eval Sngl (93279)
range across 2 matching MRF lines
$86.25–$193.50 $115–$258 varies
Pm/Icd Remote Tech Serv (93296)
range across 4 matching MRF lines
$159.75–$320.25 $213–$427 varies
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $86.25 $115 2.4×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $387 $516 11.0×
Prq Card Angio/Athrect 1 Art (92924) $20,055.75 $26,741 1.8×
Prq Card Stent W/Angio 1 Vsl (92928) $12,009.75 $16,013 1.1×
Prq Card Stent/Ath/Angio (92933) $30,129.75 $40,173 1.7×
Prq Revasc Byp Graft 1 Vsl (92937) $11,692.50 $15,590 1.1×
Prq trl rvs ch occ ant&rtrgr (92945) $33,170.25 $44,227 3.0×
Psych diag eval w/med srvcs (90792) $273.75 $365 1.6×
Psychiatric diagnostic evaluation (90791) $362.25 $483 2.2×
Psytx Crisis Initial 60 Min (90839) $241.50 $322 1.4×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $53.25 $71 1.4×
Pt Eval High Complex (97163)
range across 3 matching MRF lines
$279–$309.75 $372–$413 varies
Pt eval low complex 20 min (97161)
range across 4 matching MRF lines
$167.25–$185.25 $223–$247 varies
Pt Eval Mod Complex (97162)
range across 4 matching MRF lines
$213.75–$237 $285–$316 varies
Pt gait training 15 min (97116)
range across 6 matching MRF lines
$108–$119.25 $144–$159 varies
Pt mechanical traction (97012) $155.25 $207 10.8×
Pt Re-Eval Est Plan Care (97164)
range across 5 matching MRF lines
$106.50–$117.75 $142–$157 varies
Pulm function test by gas (94727) $321 $428 1.6×
Pulmonary Stress Testing (94618)
range across 4 matching MRF lines
$396.75–$448.50 $529–$598 varies
Pure Tone Audiometry Air (92552) $37.50 $50 0.3×
R Hrt Art/Grft Angio (93457) $10,002 $13,336 3.3×
R hrt coronary artery angio (93456) $11,164.50 $14,886 3.6×
R&L Hrt Cath W/Ventriclgrphy (93453) $10,779.75 $14,373 3.5×
Rectal sensation tone&compliance study (91124) $675 $900 3.3×
Refill/Maint Portable Pump (96521) $470.25 $627 2.3×
Rem Interrog Scrms <30 D Phys/Qhp (93298)
range across 2 matching MRF lines
$73.50–$163.50 $98–$218 varies
Rem mntr physiol param 1st dev supply ea 30 d (99454) $60 $80 1.7×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $26.25 $35 0.2×
Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) $72 $96 2.0×
Remote 30 Day Ecg Rev/Report (93270)
range across 2 matching MRF lines
$195–$198.75 $260–$265 varies
Remote 30 Day Ecg Tech Supp (93229) $612.75 $817 1.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $626.25 $835 11.2×
Right Heart Cath (93451) $6,136.50 $8,182 2.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $518.25 $691 2.7×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607)
range across 3 matching MRF lines
$248.25–$275.25 $331–$367 varies
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608)
range across 3 matching MRF lines
$99.75–$110.25 $133–$147 varies
Select picture audiometry (92583) $56.25 $75 1.0×
Self Care Mngment Training (97535) $162 $216 5.0×
Sensory Integration Ea 15 Min (97533)
range across 3 matching MRF lines
$65.25–$72 $87–$96 varies
Sleep study unattended (95806) $75 $100 0.4×
Slp caregiver training 1st 30 min (97550) $131.25 $175 2.5×
Speech Audiometry Complete (92556) $45 $60 0.8×
Speech audiometry threshold (92555) $30 $40 0.5×
Speech sound lang comprehen (92523)
range across 3 matching MRF lines
$315.75–$350.25 $421–$467 varies
Spin/Brain Pump Refil & Main (95991) $600.75 $801 2.1×
Spirometry (94010) $321 $428 1.6×
Standardized Cognitive Performance Testing (96125)
range across 2 matching MRF lines
$156.75–$173.25 $209–$231 varies
Surfactant Admin Thru Tube (94610) $476.25 $635 2.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 3 matching MRF lines
$114–$126 $152–$168 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 4 matching MRF lines
$71.25–$126 $95–$168 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $188.25 $251 5.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $95.25 $127 3.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $230.25 $307 2.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 26 matching MRF lines
$147–$165.75 $196–$221 varies
Ther/Proph/Diag Iv Inf Init (96365) $470.25 $627 2.3×
Therapeutic Activities (97530) $168 $224 4.8×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,951.50 $2,602 5.5×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$123.75–$137.25 $165–$183 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $63 $84 1.8×
Trans Care Mgmt 14 Day Disch (99495) $201.75 $269 1.6×
Trans Care Mgmt 7 Day Disch (99496) $201.75 $269 1.6×
Transcath Closure of Asd (93580) $13,071 $17,428 0.8×
Tte w/doppler, complete (93306)
range across 4 matching MRF lines
$2,190–$2,226.75 $2,920–$2,969 varies
Tx atrial fib pulm vein isol (93656) $43,607.25 $58,143 1.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 3 matching MRF lines
$224.25–$249 $299–$332 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $48 $64 2.0×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 28 matching MRF lines
$122.25–$156 $163–$208 varies
Tympanometry (92567) $60 $80 1.7×
Tympanometry and reflex threshold measurements (92550) $26.25 $35 0.1×
Unlis neurological/neuromuscular dx px (95999) $321 $428 2.6×
Unlisted cardiovascular service/procedure (93799)
range across 13 matching MRF lines
$172.50–$6,665.25 $230–$8,887 varies
Upr/L Xtremity Art 2 Levels (93922) $583.50 $778 4.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $763.50 $1,018 3.7×
Valvuloplasty aortic valve (92986) $13,607.25 $18,143 2.5×
Vasopneumatic device (97016) $99 $132 8.2×
Vent Mgmt Inpat Init Day (94002)
range across 5 matching MRF lines
$957.75–$1,077.75 $1,277–$1,437 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $717.75 $957 1.2×
Visual reinforcement audiometry (vra) (92579) $56.25 $75 0.3×
Vital capacity, total (94150) $321 $428 2.6×
Wheelchair Mgmt Ea 15 Min (97542)
range across 3 matching MRF lines
$119.25–$132 $159–$176 varies
Whirlpool Therapy (97022) $130.50 $174 8.3×

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.