Visits & medical services prices at SSM Health DePaul Hospital - St. Louis
Bridgeton, MO · every code in this section with a posted price and a Medicare benchmark.
316 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $6,096.20 | $11,084 | 0.8× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$57.75–$95.46 | $105–$173.57 | varies |
| Advncd Care Plan 30 Min (99497) | $80.78 | $146.88 | 0.8× |
| Aep neurodiagnostic i&r (92653) | $271.70 | $494 | 1.3× |
| Aep threshold estimation mlt frequencies i&r (92652) | $271.70 | $494 | 1.3× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$88–$138.05 | $160–$251 | varies |
| Airway resistance by oscillometry (94728) | $354.20 | $644 | 2.7× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $161.70 | $294 | 4.3× |
| Analyze neurostim complex (95972) | $603.90 | $1,098 | 6.3× |
| Analyze neurostim no prog (95970) | $880.55 | $1,601 | 6.6× |
| Analyze Neurostim Simple (95971) | $302.50 | $550 | 3.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $92.40 | $168 | 6.4× |
| Application on-body injector (96377) | $134.20 | $244 | 2.9× |
| Arrhythmia Induction (93618) | $628.10 | $1,142 | 0.5× |
| Assmt & care planning pt w/cognitive impairment (99483) | $220.39 | $400.71 | 2.2× |
| Behavral qualit analys voice (92524) range across 4 matching MRF lines |
$141.35–$287.10 | $257–$522 | varies |
| Blink reflex test (95933) | $541.75 | $985 | 9.2× |
| Breath hydrogen/methane test (91065) | $605.55 | $1,101 | 2.8× |
| Brief Emotional/Behav Assmt (96127) | $12.28 | $22.32 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $737.55 | $1,341 | 2.0× |
| Bundle of his recording (93600) unusually low: confirm this is the full procedure |
$3,321.45 | $6,039 | 0.4× |
| C motor evoked uppr limbs (95928) | $1,610.40 | $2,928 | 1.9× |
| C motor evoked upr&lwr limbs (95939) | $2,224.20 | $4,044 | 2.6× |
| Canalith repositioning proc (95992) | $80.85 | $147 | 2.0× |
| Car seat/bed test 60 min (94780) | $68.75 | $125 | 1.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,543.85 | $2,807 | 7.1× |
| Cardiopulmonary exercise testing (94621) | $905.30 | $1,646 | 2.4× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$558.80–$642.40 | $1,016–$1,168 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,828.75–$2,103.75 | $3,325–$3,825 | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $52.25 | $95 | 1.4× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) range across 3 matching MRF lines |
$29.36–$47.85 | $53.38–$87 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $7,179.70 | $13,054 | 2.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $7,272.10 | $13,222 | 2.2× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$318.45–$366.30 | $579–$666 | varies |
| Chemo Admin Peritoneal Cavity (96446) | $586.85 | $1,067 | 1.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $270.05 | $491 | 3.7× |
| Chemo Hormon Antineopl Sq/Im (96402) | $243.10 | $442 | 3.4× |
| Chemo Ia Push (96420) | $383.35 | $697 | 1.2× |
| Chemo IV infusion addl hr (96415) | $400.40 | $728 | 5.6× |
| Chemo IV push addl drug (96411) | $343.75 | $625 | 4.8× |
| Chemother Prolong Infuse W/Pump (96416) | $611.05 | $1,111 | 1.8× |
| Chemotherapy Into Cns (96450) | $827.75 | $1,505 | 2.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $363 | $660 | 5.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $581.35 | $1,057 | 1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$396.55–$439.45 | $721–$799 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $246.40 | $448 | 0.7× |
| Chest Wall Manipulation (94668) | $123.75 | $225 | 0.9× |
| Colon Motility 6 Hr Study (91117) | $819.50 | $1,490 | 3.8× |
| Color/duplex Doppler, complete (93975) | $1,320.55 | $2,401 | 5.5× |
| Color/duplex Doppler, limited (93976) | $653.40 | $1,188 | 6.2× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $75.35 | $137 | 2.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $200.75 | $365 | 1.5× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $56.63 | $102.96 | 1.0× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$379.50–$437.25 | $690–$795 | varies |
| Coronary Art/Grft Angio S&I (93455) | $6,858.50 | $12,470 | 2.1× |
| Coronary Artery Angio S&I (93454) | $7,697.25 | $13,995 | 2.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$194.70–$388.85 | $354–$707 | varies |
| Cpt initial (94667) | $233.20 | $424 | 1.7× |
| Critical care first hour (99291) | $2,395.80 | $4,356 | 2.9× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,233.65 | $2,243 | 3.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$492.80–$512.60 | $896–$932 | varies |
| Dialysis One Evaluation (90945) | $719.95 | $1,309 | 1.7× |
| Duodenal motility study (91022) | $1,144 | $2,080 | 3.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $999.35 | $1,817 | 4.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $537.90 | $978 | 5.1× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $561 | $1,020 | 5.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,317.25 | $2,395 | 5.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $771.10 | $1,402 | 7.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,779.80 | $3,236 | 7.4× |
| Dup-scan xtr veins unilateral/limited study (93971) | $932.80 | $1,696 | 8.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,524.05 | $2,771 | 6.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $762.30 | $1,386 | 7.3× |
| Duplex Scan Hemodialysis Access (93990) | $580.80 | $1,056 | 5.5× |
| Duplex up extrem art bilat (93930) | $1,280.40 | $2,328 | 5.4× |
| Duplex up extrem art unilat/ltd (93931) | $601.70 | $1,094 | 5.7× |
| ECG/monitoring and analysis (93271) | $242.55 | $441 | 2.5× |
| Echo Congenital Complete (93303) | $2,443.65 | $4,443 | 4.5× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$837.10–$920.70 | $1,522–$1,674 | varies |
| Echo r-t 2d w/probe placement only (93313) | $1,087.90 | $1,978 | 2.0× |
| Echo transesophag montr cardiac pump functj (93318) | $884.95 | $1,609 | 1.6× |
| Echo transesophageal (93312) | $3,263.70 | $5,934 | 6.0× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $2,523.95 | $4,589 | 4.6× |
| Eeg 41-60 Minutes (95812) | $1,083.50 | $1,970 | 5.0× |
| EEG awake and asleep (95819) | $1,267.20 | $2,304 | 5.9× |
| EEG awake drowsy (95816) | $989.45 | $1,799 | 4.6× |
| EEG cerebral death evaluation (95824) | $1,138.50 | $2,070 | 3.0× |
| EEG cont rec w/video by tech min 8 channels (95700) | $660.55 | $1,201 | 3.1× |
| EEG extended monitoring 61-119 minutes (95813) | $3,303.30 | $6,006 | 15.3× |
| Eeg Sleep Only (95822) | $1,007.05 | $1,831 | 4.7× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,167.10 | $2,122 | 5.4× |
| EEG w/o vid 2-12hr cont mntr (95707) | $1,664.85 | $3,027 | 7.7× |
| EEG w/o vid ea 12-26hr intmt (95709) | $3,076.70 | $5,594 | 8.2× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $3,330.25 | $6,055 | 8.9× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $1,538.90 | $2,798 | 7.1× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,632.95 | $2,969 | 4.4× |
| EKG signal averaged (93278) | $190.30 | $346 | 3.2× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $68.11 | $123.84 | 0.7× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $228.80 | $416 | 2.4× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $75.35 | $137 | 2.0× |
| Electrical Stimulation Ea 15 Min (97032) | $87.45 | $159 | 5.9× |
| Electrocardiogram Tracing (93005) | $245.30 | $446 | 4.2× |
| Electroconvulsive Therapy (90870) | $1,001 | $1,820 | 1.2× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $6,758.40 | $12,288 | 0.9× |
| Electrophysiology Evaluation (93642) | $1,499.85 | $2,727 | 1.2× |
| Emergency Dept Visit Level 2 (99282) | $559.35 | $1,017 | 3.6× |
| Emergency Dept Visit Level 3 (99283) | $958.65 | $1,743 | 3.5× |
| Emergency Dept Visit Level 4 (99284) | $1,277.65 | $2,323 | 3.1× |
| Emg 3 Extremities (95863) | $829.40 | $1,508 | 6.4× |
| Emg 4 Extremities (95864) | $928.95 | $1,689 | 7.2× |
| Endomyocardial Biopsy (93505) | $2,277 | $4,140 | 0.7× |
| Ep & ablate supravent arrhyt (93653) | $18,627.40 | $33,868 | 0.7× |
| Ep & ablate ventric tachy (93654) | $14,079.45 | $25,599 | 0.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $8,248.90 | $14,998 | 1.1× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $4,749.25 | $8,635 | 0.6× |
| Er level 1 (99281) | $280.50 | $510 | 3.3× |
| Er level v (99285) | $1,837.55 | $3,341 | 3.1× |
| Esophageal Capsule Endoscopy (91111) | $2,795.65 | $5,083 | 3.1× |
| Evaluate pt use of inhaler (94664) | $138.60 | $252 | 0.6× |
| Evaluate Swallowing Function (92610) range across 7 matching MRF lines |
$256.30–$336.60 | $466–$612 | varies |
| Exercise test for bronchospasm (94617) | $211.75 | $385 | 1.6× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$25.77–$91.85 | $46.86–$167 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$25.74–$150.15 | $46.80–$273 | varies |
| External Ecg Scanning Analysis Report (93226) | $911.35 | $1,657 | 15.4× |
| Extracranial Bilat Study (93880) | $2,005.30 | $3,646 | 8.4× |
| Extracranial Uni/Ltd Study (93882) | $583 | $1,060 | 5.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,384.90 | $2,518 | 2.5× |
| Flexible endoscopic eval swallow c/v rec (92612) | $198.55 | $361 | 1.0× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,515.80 | $2,756 | 4.1× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $539 | $980 | 2.5× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,079.65 | $1,963 | 1.3× |
| Gi tract capsule endoscopy (91110) | $1,498.75 | $2,725 | 1.6× |
| Group Therapeutic Procedures (97150) range across 8 matching MRF lines |
$73.15–$141.90 | $133–$258 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $7,130.75 | $12,965 | 2.2× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $915.75 | $1,665 | 1.3× |
| High altitude simulation test (94452) | $301.95 | $549 | 2.3× |
| Holter monitor recording (93225) | $644.60 | $1,172 | 4.8× |
| Icd Device Interrogate (93289) | $108.90 | $198 | 2.9× |
| Icd device progr eval dual (93283) | $117.15 | $213 | 3.1× |
| Icd Device Progr Eval Mult (93284) | $129.36 | $235.20 | 3.5× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $83.05 | $151 | 1.2× |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $59.40 | $108 | 1.0× |
| Immunization administration (90471) range across 3 matching MRF lines |
$33–$83.05 | $60–$151 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $944.35 | $1,717 | 2.5× |
| Insert/Place Heart Catheter (93503) | $3,517.25 | $6,395 | 2.2× |
| Interrogate Subq Defib (93261) | $45.10 | $82 | 1.2× |
| Intra-atrial pacing (93610) unusually low: confirm this is the full procedure |
$3,763.65 | $6,843 | 0.5× |
| Intra-atrial recording (93602) unusually low: confirm this is the full procedure |
$3,652 | $6,640 | 0.5× |
| Intracranial Complete Study (93886) | $989.45 | $1,799 | 4.1× |
| Intraventricular pacing (93612) unusually low: confirm this is the full procedure |
$3,770.25 | $6,855 | 0.5× |
| Iontophoresis 15 min (97033) | $74.25 | $135 | 3.9× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$179.30–$226.60 | $326–$412 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$173.25–$199.65 | $315–$363 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$77.55–$337.70 | $141–$614 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$195.25–$223.85 | $355–$407 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$204.05–$234.30 | $371–$426 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$93.50–$261.25 | $170–$475 | varies |
| L Hrt Art/Grft Angio (93459) | $8,061.35 | $14,657 | 2.5× |
| Lung Function Test (Mbc/Mvv) (94200) | $262.35 | $477 | 4.4× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $664.40 | $1,208 | 3.1× |
| Mechanical chest wall oscillation per session (94669) | $139.70 | $254 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $37.40 | $68 | 1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $37.40 | $68 | 1.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $35.20 | $64 | 2.1× |
| Methacholine challenge (94070) | $820.05 | $1,491 | 2.2× |
| Motility study esophagus (91010) | $1,388.75 | $2,525 | 3.7× |
| Motion Fluoroscopy/Swallow (92611) | $193.60 | $352 | 2.1× |
| Multiple Family Group Psychotherapy (90849) | $250.25 | $455 | 1.4× |
| Multiple Sleep Latency Test (95805) | $2,617.45 | $4,759 | 3.0× |
| Muscle Test 2 Limbs (95861) | $919.60 | $1,672 | 6.9× |
| Muscle Test Nonparaspinal (95870) | $677.05 | $1,231 | 5.1× |
| Muscle Test One Limb (95860) | $697.40 | $1,268 | 5.2× |
| Nasopharyngoscopy (92511) | $303.60 | $552 | 1.5× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $1,070.85 | $1,947 | 5.0× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $534.60 | $972 | 2.5× |
| Needle electromyography larynx (95865) | $183.70 | $334 | 1.4× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $312.95 | $569 | 1.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$558.25–$641.85 | $1,015–$1,167 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $674.85 | $1,227 | 1.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $342.65 | $623 | 1.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $343.20 | $624 | 0.8× |
| Nerve Conduction Studies 1-2 Studies (95907) | $473.55 | $861 | 2.2× |
| Nerve Conduction Studies 11-12 Studies (95912) | $2,515.70 | $4,574 | 6.7× |
| Nerve conduction studies 13 or more studies (95913) | $3,610.75 | $6,565 | 9.7× |
| Nerve Conduction Studies 3-4 Studies (95908) | $955.90 | $1,738 | 4.4× |
| Nerve conduction studies 5-6 studies (95909) | $1,476.20 | $2,684 | 6.8× |
| Nerve conduction studies 7-8 studies (95910) | $1,695.10 | $3,082 | 4.5× |
| Nerve Conduction Studies 9-10 Studies (95911) | $2,403.50 | $4,370 | 6.4× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $644.05 | $1,171 | 5.0× |
| Neuromuscular Reeducation (97112) | $100.65 | $183 | 3.1× |
| Newborn resuscitation (99465) | $527.45 | $959 | 0.8× |
| Nitric oxide expired gas determination (95012) | $21.38 | $38.88 | 0.6× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $388.85 | $707 | 1.0× |
| Oral Function Therapy (92526) range across 14 matching MRF lines |
$129.80–$289.30 | $236–$526 | varies |
| Oral Speech Device Eval (92597) | $114.95 | $209 | 1.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $108.35 | $197 | 2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $99.55 | $181 | 2.2× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$28.51–$51.70 | $51.84–$94 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) | $40.15 | $73 | 1.9× |
| Ot Contrast Bath Ea 15 Min (97034) | $74.25 | $135 | 5.3× |
| Ot eval high complexity (97167) range across 7 matching MRF lines |
$215.60–$387.75 | $392–$705 | varies |
| Ot Eval Low Complex (97165) range across 7 matching MRF lines |
$156.75–$198 | $285–$360 | varies |
| Ot Eval Moderate Complexity (97166) range across 7 matching MRF lines |
$157.30–$223.85 | $286–$407 | varies |
| Ot manual therapy 15 min (97140) | $91.85 | $167 | 3.3× |
| Ot paraffin bath (97018) | $56.65 | $103 | 9.4× |
| Ot Re-Eval Est Plan Care (97168) range across 5 matching MRF lines |
$122.10–$317.35 | $222–$577 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $199.65 | $363 | 1.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $143.55 | $261 | 1.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $328.35 | $597 | 1.5× |
| Peripheral arterial disease rehab per session (93668) | $86.35 | $157 | 1.5× |
| Perq transcath closure pda (93582) | $17,585.15 | $31,973 | 1.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $8,490.35 | $15,437 | 1.5× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $9,769.65 | $17,763 | 0.8× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$293.15–$337.70 | $533–$614 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $301.95 | $549 | 5.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $301.95 | $549 | 5.1× |
| Plethysmography (94726) | $481.80 | $876 | 1.3× |
| Pm device eval in person (93288) | $100.65 | $183 | 2.7× |
| Pm device progr eval dual (93280) | $59.40 | $108 | 1.6× |
| Pm device progr eval multi (93281) | $71.94 | $130.80 | 1.9× |
| Pm Device Progr Eval Sngl (93279) | $50.82 | $92.40 | 1.4× |
| Pm/Icd Remote Tech Serv (93296) | $144.65 | $263 | 3.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,315.30 | $7,846 | 5.0× |
| Polysom <6 yrs 4/> paramtrs (95782) | $6,388.80 | $11,616 | 7.4× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $6,619.80 | $12,036 | 7.7× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $44.55 | $81 | 1.2× |
| Prq Card Angio/Athrect 1 Art (92924) | $11,072.05 | $20,131 | 1.0× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $13,547.05 | $24,631 | 1.2× |
| Prq Card Stent/Ath/Angio (92933) | $11,723.25 | $21,315 | 0.6× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $8,467.25 | $15,395 | 0.7× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $20,169.05 | $36,671 | 1.1× |
| Psych diag eval w/med srvcs (90792) | $266.75 | $485 | 1.5× |
| Psychiatric diagnostic evaluation (90791) | $250.25 | $455 | 1.4× |
| Psychological tst eval svc phys/qhp first hour (96130) | $335.50 | $610 | 1.6× |
| Psytx Crisis Initial 60 Min (90839) | $198.55 | $361 | 1.1× |
| Pt Eval High Complex (97163) range across 7 matching MRF lines |
$213.40–$387.75 | $388–$705 | varies |
| Pt eval low complex 20 min (97161) range across 7 matching MRF lines |
$168.30–$192.50 | $306–$350 | varies |
| Pt Eval Mod Complex (97162) range across 8 matching MRF lines |
$183.15–$207.90 | $333–$378 | varies |
| Pt gait training 15 min (97116) | $75.90 | $138 | 2.6× |
| Pt group caregiver training (97552) | $48.40 | $88 | 2.2× |
| Pt mechanical traction (97012) | $80.85 | $147 | 5.6× |
| Pt Re-Eval Est Plan Care (97164) range across 4 matching MRF lines |
$123.20–$254.65 | $224–$463 | varies |
| Pulm function test by gas (94727) | $482.90 | $878 | 2.2× |
| Pulmonary service/procedure (94799) range across 5 matching MRF lines |
$297.60–$514.25 | $541.10–$935 | varies |
| Pulmonary Stress Testing (94618) | $322.85 | $587 | 2.4× |
| R Hrt Art/Grft Angio (93457) | $5,275.60 | $9,592 | 1.6× |
| R hrt coronary artery angio (93456) | $5,206.85 | $9,467 | 1.6× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $5,275.60 | $9,592 | 1.6× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $283.80 | $516 | 0.9× |
| Refill/Maint Portable Pump (96521) | $318.45 | $579 | 1.5× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $407 | $740 | 3.1× |
| Remote 30 Day Ecg Rev/Report (93270) | $450.45 | $819 | 12.1× |
| Respiratory flow volume loop (94375) | $259.05 | $471 | 1.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $100.65 | $183 | 1.7× |
| Right Heart Cath (93451) | $6,356.90 | $11,558 | 2.0× |
| Right ventricular recording (93603) | $3,681.70 | $6,694 | 3.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $364.10 | $662 | 1.8× |
| Self Care Mngment Training (97535) | $75.35 | $137 | 2.3× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $400.40 | $728 | 1.9× |
| Short-latency somatosens ep std upr limbs (95925) | $1,207.80 | $2,196 | 5.6× |
| Sleep study attended (95807) | $1,539.45 | $2,799 | 4.1× |
| Sleep study unattended (95806) | $924.55 | $1,681 | 4.3× |
| Slp caregiver training 1st 30 min (97550) | $117.15 | $213 | 2.2× |
| Somatosensory Testing (95938) | $969.65 | $1,763 | 1.1× |
| Speech sound lang comprehen (92523) range across 6 matching MRF lines |
$292.60–$609.95 | $532–$1,109 | varies |
| Spirometry (94010) | $295.35 | $537 | 1.4× |
| Ssep lower limbs (95926) | $1,207.80 | $2,196 | 5.6× |
| Standardized Cognitive Performance Testing (96125) | $172.70 | $314 | 1.7× |
| Stress Tte Only (93350) | $3,489.75 | $6,345 | 6.4× |
| Subcutaneous Infusion Each Additional Hour (96370) range across 2 matching MRF lines |
$62.15–$71.50 | $113–$130 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 2 matching MRF lines |
$305.25–$351.45 | $555–$639 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) range across 2 matching MRF lines |
$86.35–$98.45 | $157–$179 | varies |
| Surfactant Admin Thru Tube (94610) | $205.70 | $374 | 0.9× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$1,515.80–$1,742.95 | $2,756–$3,169 | varies |
| Testing Autonomic Nervous System Function (95923) | $301.95 | $549 | 2.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $67.10 | $122 | 3.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $67.10 | $122 | 3.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $80.30 | $146 | 2.7× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $26.40 | $48 | 0.6× |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$171.60–$197.45 | $312–$359 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$40.92–$138.05 | $74.40–$251 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$365.20–$420.75 | $664–$765 | varies |
| Therapeutic Activities (97530) | $84.70 | $154 | 2.4× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $997.70 | $1,814 | 2.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $48.95 | $89 | 1.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $48.95 | $89 | 1.3× |
| Trans Care Mgmt 14 Day Disch (99495) | $163.15 | $296.64 | 1.2× |
| Trans Care Mgmt 7 Day Disch (99496) | $219.78 | $399.60 | 1.6× |
| Transcath Closure of Asd (93580) | $18,888.10 | $34,342 | 1.0× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $459.25 | $835 | 4.4× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $422.95 | $769 | 3.3× |
| Tte w/doppler, complete (93306) | $4,270.20 | $7,764 | 7.8× |
| Tte W/O Doppler Complete (93307) | $1,681.90 | $3,058 | 7.0× |
| Tx atrial fib pulm vein isol (93656) | $15,991.25 | $29,075 | 0.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 4 matching MRF lines |
$172.70–$198.55 | $314–$361 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 4 matching MRF lines |
$83.60–$95.15 | $152–$173 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$173.80–$200.20 | $316–$364 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 4 matching MRF lines |
$325.05–$4,773.45 | $591–$8,679 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $482.90 | $878 | 3.7× |
| Unlisted noninvasive vascular diagnostic study (93998) | $1,207.80 | $2,196 | 41.7× |
| Upr/L Xtremity Art 2 Levels (93922) | $528 | $960 | 4.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,009.80 | $1,836 | 4.7× |
| Valvuloplasty aortic valve (92986) | $5,536.30 | $10,066 | 1.0× |
| Valvuloplasty mitral valve (92987) | $6,930 | $12,600 | 0.6× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,666.50 | $3,030 | 4.5× |
| Veeg 2-12 hr intmt mntr (95712) | $1,583.45 | $2,879 | 4.2× |
| Veeg 2-12 hr unmonitored (95711) | $1,167.10 | $2,122 | 5.4× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $3,082.75 | $5,605 | 8.2× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,333.10 | $4,242 | 6.2× |
| Veeg ea 12-26hr cont mntr (95716) | $3,332.45 | $6,059 | 3.9× |
| Vent Mgmt Inpat Init Day (94002) | $898.15 | $1,633 | 1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $823.90 | $1,498 | 1.3× |
| Visual Evoked Potential Test (95930) | $1,085.15 | $1,973 | 5.0× |
| Vital capacity, total (94150) | $231 | $420 | 1.8× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $1,789.70 | $3,254 | 2.1× |
| Whirlpool Therapy (97022) | $78.10 | $142 | 5.0× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $106.15 | $193 | 1.8× |
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.