Visits & medical services prices at Sovah Health – Danville
Danville, VA · every code in this section with a posted price and a Medicare benchmark.
198 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$43.20–$132 | $108–$330 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 4 matching MRF lines |
$75.60–$97.60 | $189–$244 | varies |
| Application Modality 1/> Areas Diathermy (97024) range across 2 matching MRF lines |
$30–$32.80 | $75–$82 | varies |
| Application on-body injector (96377) | $60.80 | $152 | 1.3× |
| Assessment of aphasia per hr (96105) range across 2 matching MRF lines |
$178.80–$195.20 | $447–$488 | varies |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$258.80–$282.40 | $647–$706 | varies |
| Biofeedback training any modality (90901) range across 2 matching MRF lines |
$123.20–$134.40 | $308–$336 | varies |
| Blink reflex test (95933) range across 2 matching MRF lines |
$188–$205.20 | $470–$513 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$482.80–$526.40 | $1,207–$1,316 | varies |
| C motor evoked uppr limbs (95928) range across 2 matching MRF lines |
$798–$870 | $1,995–$2,175 | varies |
| C motor evoked upr&lwr limbs (95939) range across 2 matching MRF lines |
$1,825.20–$1,989.60 | $4,563–$4,974 | varies |
| Canalith repositioning proc (95992) | $124.80 | $312 | 3.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $692.40 | $1,731 | 3.2× |
| Cardiopulmonary resuscitation (92950) | $918 | $2,295 | 4.3× |
| Cardioversion (92960) | $1,006.80 | $2,517 | 1.5× |
| Cardioversion elective internal (92961) | $895.20 | $2,238 | 1.4× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $25,236.40 | $58,807 | 7.8× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $20,587 | $51,467.50 | 6.4× |
| Cbt 1st hour (94644) | $278.40 | $696 | 2.1× |
| Chemo Anti-Neopl Sq/Im (96401) | $468.40 | $1,171 | 6.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $325.20 | $813 | 4.6× |
| Chemo IV infusion addl hr (96415) | $356.40 | $891 | 5.0× |
| Chemo IV push addl drug (96411) | $644 | $1,610 | 9.0× |
| Chemother Prolong Infuse W/Pump (96416) | $1,682.40 | $4,206 | 5.1× |
| Chemotherapy Into Cns (96450) | $918 | $2,295 | 2.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $764.80 | $1,912 | 10.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,564 | $3,910 | 4.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $1,107.60 | $2,769 | 3.4× |
| Chest Wall Manipulation (94668) | $73.60 | $184 | 0.6× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$661.20–$984.80 | $1,653–$2,462 | varies |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$370.40–$650.80 | $926–$1,627 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 3 matching MRF lines |
$110.40–$123.20 | $276–$308 | varies |
| Continuous Pulse Ox (94762) | $335.20 | $838 | 2.6× |
| Coronary Artery Angio S&I (93454) | $11,760 | $29,400 | 3.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $369.20 | $923 | 1.7× |
| Cpt initial (94667) | $126.80 | $317 | 1.0× |
| Critical care first hour (99291) | $2,142.40 | $5,356 | 2.6× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) range across 2 matching MRF lines |
$798–$870 | $1,995–$2,175 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $511.60 | $1,279 | 2.6× |
| Dialysis One Evaluation (90945) | $900.40 | $2,251 | 2.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 3 matching MRF lines |
$526–$929.60 | $1,315–$2,324 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 3 matching MRF lines |
$435.60–$765.20 | $1,089–$1,913 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$536.40–$1,513.20 | $1,341–$3,783 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$279.20–$1,056.80 | $698–$2,642 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 5 matching MRF lines |
$1,005.60–$1,534.40 | $2,514–$3,836 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 5 matching MRF lines |
$297.20–$1,030.80 | $743–$2,577 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 4 matching MRF lines |
$792–$863.60 | $1,980–$2,159 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 4 matching MRF lines |
$422–$604.40 | $1,055–$1,511 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 3 matching MRF lines |
$297.60–$443.20 | $744–$1,108 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$1,205.20–$1,314 | $3,013–$3,285 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$254.40–$964 | $636–$2,410 | varies |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$1,080–$1,177.20 | $2,700–$2,943 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$420.80–$458.80 | $1,052–$1,147 | varies |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$2,150.40–$2,773.20 | $5,376–$6,933 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$1,653.20–$1,802 | $4,133–$4,505 | varies |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$873.60–$952.40 | $2,184–$2,381 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$677.20–$738.40 | $1,693–$1,846 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$1,037.60–$1,131.20 | $2,594–$2,828 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$959.20–$1,045.60 | $2,398–$2,614 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $397.20 | $993 | 1.9× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$954.40–$1,040.40 | $2,386–$2,601 | varies |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$2,568.40–$2,799.60 | $6,421–$6,999 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $397.20 | $993 | 1.9× |
| EEG w/o vid 2-12hr cont mntr (95707) | $397.20 | $993 | 1.9× |
| Electrical Stimulation Ea 15 Min (97032) range across 5 matching MRF lines |
$108–$118 | $270–$295 | varies |
| Electrocardiogram Tracing (93005) | $113.20 | $283 | 1.9× |
| Emergency Dept Visit Level 2 (99282) | $381.60 | $954 | 2.5× |
| Emergency Dept Visit Level 3 (99283) | $569.60 | $1,424 | 2.1× |
| Emergency Dept Visit Level 4 (99284) | $979.20 | $2,448 | 2.4× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$912–$994.40 | $2,280–$2,486 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$1,136.40–$1,238.80 | $2,841–$3,097 | varies |
| Er level 1 (99281) | $252.40 | $631 | 3.0× |
| Er level v (99285) | $1,715.20 | $4,288 | 2.9× |
| Evaluate pt use of inhaler (94664) | $126.40 | $316 | 0.6× |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$258.80–$282.40 | $647–$706 | varies |
| Evaluate Swallowing Function (92610) range across 3 matching MRF lines |
$93.60–$222.40 | $234–$556 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$258.80–$282.40 | $647–$706 | varies |
| External Ecg Scanning Analysis Report (93226) | $502.80 | $1,257 | 8.6× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$618.80–$1,211.60 | $1,547–$3,029 | varies |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$428.40–$840.80 | $1,071–$2,102 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$602.40–$656.80 | $1,506–$1,642 | varies |
| Group Therapeutic Procedures (97150) range across 4 matching MRF lines |
$57.20–$95.60 | $143–$239 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $29,913.20 | $74,783 | 9.3× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,712.80 | $4,282 | 2.5× |
| Holter monitor recording (93225) | $138 | $345 | 1.0× |
| Hubbard tank 15 min (97036) range across 2 matching MRF lines |
$96.40–$105.20 | $241–$263 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $77.20 | $193 | 1.1× |
| Immunization administration (90471) | $81.60 | $204 | 1.1× |
| Iontophoresis 15 min (97033) range across 5 matching MRF lines |
$116.80–$140 | $292–$350 | varies |
| Irrig Drug Delivery Device (96523) | $177.60 | $444 | 3.0× |
| IV infusion hydration each additional hour (96361) | $128.40 | $321 | 2.8× |
| IV infusion hydration initial 31 min-1 hour (96360) | $422.40 | $1,056 | 2.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $265.60 | $664 | 3.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $162.40 | $406 | 3.5× |
| IV push initial (96374) | $401.60 | $1,004 | 1.9× |
| L Hrt Art/Grft Angio (93459) | $19,879.20 | $49,698 | 6.2× |
| Low frequency non-thermal us (97610) | $607.20 | $1,518 | 3.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $42 | $105 | 1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $42 | $105 | 1.1× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $42 | $105 | 2.5× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$501.60–$546.80 | $1,254–$1,367 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 3 matching MRF lines |
$176.80–$315.60 | $442–$789 | varies |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$632–$689.20 | $1,580–$1,723 | varies |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$86–$94 | $215–$235 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$319.60–$348.40 | $799–$871 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
$300–$327.20 | $750–$818 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$153.20–$167.20 | $383–$418 | varies |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
$142.80–$156 | $357–$390 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $295.60 | $739 | 1.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $364.80 | $912 | 0.9× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$371.60–$405.20 | $929–$1,013 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$3,122.80–$3,404 | $7,807–$8,510 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$3,382–$3,686.40 | $8,455–$9,216 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$740.80–$807.60 | $1,852–$2,019 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$1,110.40–$1,210.40 | $2,776–$3,026 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$1,483.60–$1,617.20 | $3,709–$4,043 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$2,602–$2,836.40 | $6,505–$7,091 | varies |
| Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$161.20–$176 | $403–$440 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$227.20–$248 | $568–$620 | varies |
| Neuromuscular Reeducation (97112) range across 7 matching MRF lines |
$86.40–$201.60 | $216–$504 | varies |
| Newborn resuscitation (99465) | $316 | $790 | 0.5× |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$78.40–$204.80 | $196–$512 | varies |
| Oral Speech Device Eval (92597) range across 2 matching MRF lines |
$146–$159.20 | $365–$398 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$72–$78.80 | $180–$197 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 7 matching MRF lines |
$43.20–$193.60 | $108–$484 | varies |
| Ot Contrast Bath Ea 15 Min (97034) range across 3 matching MRF lines |
$86–$94 | $215–$235 | varies |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$202–$220.40 | $505–$551 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$202–$220.40 | $505–$551 | varies |
| Ot Eval Moderate Complexity (97166) range across 3 matching MRF lines |
$220.40–$312 | $551–$780 | varies |
| Ot manual therapy 15 min (97140) range across 5 matching MRF lines |
$86.40–$136.40 | $216–$341 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$123.20–$134.40 | $308–$336 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 3 matching MRF lines |
$72–$78.80 | $180–$197 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$191.20–$208.80 | $478–$522 | varies |
| Ot rom hand (95852) range across 2 matching MRF lines |
$66.80–$73.20 | $167–$183 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $178.40 | $446 | 1.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $22.80 | $57 | 0.2× |
| Oxygen Uptake Rest Indirect (94690) range across 2 matching MRF lines |
$66.80–$73.20 | $167–$183 | varies |
| Penile Vascular Study,Ltd or F/U (93981) range across 2 matching MRF lines |
$674.40–$735.20 | $1,686–$1,838 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $81.20 | $203 | 0.4× |
| Phlebotomy therapeutic (99195) | $132 | $330 | 1.0× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$89.20–$95.60 | $223–$239 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$676.40–$737.60 | $1,691–$1,844 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) | $26,000.40 | $65,001 | 2.3× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) range across 2 matching MRF lines |
$170.40–$186 | $426–$465 | varies |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$294–$320.80 | $735–$802 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$294–$320.80 | $735–$802 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$294–$320.80 | $735–$802 | varies |
| Pt gait training 15 min (97116) range across 6 matching MRF lines |
$66.80–$148 | $167–$370 | varies |
| Pt mechanical traction (97012) range across 4 matching MRF lines |
$102.40–$113.20 | $256–$283 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$183.60–$219.20 | $459–$548 | varies |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$96.40–$105.20 | $241–$263 | varies |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$237.20–$258.80 | $593–$647 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$291.60–$318 | $729–$795 | varies |
| R Hrt Art/Grft Angio (93457) | $14,380 | $35,950 | 4.5× |
| R hrt coronary artery angio (93456) | $15,471.20 | $38,678 | 4.8× |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$101.20–$110.40 | $253–$276 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $52 | $130 | 0.9× |
| Right Heart Cath (93451) | $13,355.20 | $32,842.50 | 4.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$126.40–$144.80 | $316–$362 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 2 matching MRF lines |
$89.60–$98 | $224–$245 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$183.20–$200 | $458–$500 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) range across 2 matching MRF lines |
$109.60–$119.60 | $274–$299 | varies |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$51.60–$114 | $129–$285 | varies |
| Sensory Integration Ea 15 Min (97533) range across 4 matching MRF lines |
$80.40–$107.60 | $201–$269 | varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) range across 2 matching MRF lines |
$837.20–$912.80 | $2,093–$2,282 | varies |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$1,090–$1,188.40 | $2,725–$2,971 | varies |
| Somatosensory Testing (95938) range across 2 matching MRF lines |
$1,321.20–$1,440.40 | $3,303–$3,601 | varies |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$258.80–$282.40 | $647–$706 | varies |
| Spin/Brain Pump Refil & Main (95991) | $146.40 | $366 | 0.5× |
| Spirometry (94010) range across 2 matching MRF lines |
$455.60–$496.80 | $1,139–$1,242 | varies |
| Ssep lower limbs (95926) range across 2 matching MRF lines |
$798–$870 | $1,995–$2,175 | varies |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$1,649.20–$1,798 | $4,123–$4,495 | varies |
| Temp transcutaneous pacing (92953) | $1,158 | $2,895 | 1.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$123.20–$134.40 | $308–$336 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$114–$124.40 | $285–$311 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $48 | $120 | 0.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $120 | $300 | 1.7× |
| Ther/Proph/Diag Iv Inf Init (96365) | $484 | $1,210 | 2.3× |
| Therapeutic Activities (97530) range across 9 matching MRF lines |
$62.40–$180.40 | $156–$451 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $172.80 | $432 | 4.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $89.20 | $223 | 2.4× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,184.40–$1,291.20 | $2,961–$3,228 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$952–$1,038 | $2,380–$2,595 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$124.40–$203.20 | $311–$508 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 2 matching MRF lines |
$120.80–$132 | $302–$330 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $190 | $475 | 4.1× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$574.80–$626.80 | $1,437–$1,567 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$184.80–$244 | $462–$610 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$527.60–$611.20 | $1,319–$1,528 | varies |
| Vasopneumatic device (97016) range across 3 matching MRF lines |
$103.60–$113.20 | $259–$283 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $686.40 | $1,716 | 1.9× |
| Veeg 2-12 hr unmonitored (95711) | $397.20 | $993 | 1.9× |
| Vent Mgmt Inpat Init Day (94002) | $1,052.80 | $2,632 | 1.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,096.40 | $2,741 | 1.8× |
| Visual Evoked Potential Test (95930) range across 2 matching MRF lines |
$1,477.60–$1,610.80 | $3,694–$4,027 | varies |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$52.40–$57.20 | $131–$143 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 4 matching MRF lines |
$50.40–$80 | $126–$200 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$153.20–$167.20 | $383–$418 | 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.